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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

ATRIUM HEALTH NAVICENT THE MEDICAL CENTER

Macon, GA · CCN 110107 · Rates published

14,864 distinct procedures filed
19 distinct payers
935,164 rate rows
2025-11-19 last MRF observed
Data quality

737,819 of 935,164 rate rows are consumer-grade (78.9%)

197,345 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
professional (physician) fee — not the facility price 196,178
percent-of-charges filed in the dollar field — excluded from medians 341
exceeds 10× this hospital's gross charge — excluded from medians 253
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 243
per-diem day rate — not a per-procedure price 182
placeholder amount (≤ $0.02) — excluded from medians 80
template filing: same amount across many unrelated codes — excluded 68
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11181/582149128_the-medical-center-of-central-georgia-inc_standardcharges.csv
Found on page https://navicenthealth.org/for-patients-and-visitors/pt
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f37ddaed2dd07132… · 1,427,309,937 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 10 $3,685,266.67 $4,422,320.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $3,316,462.59 $3,979,755.11 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $3,248,445.72 $3,898,134.86 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,945,740.00 $3,534,888.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,455,110.61 $2,946,132.73 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,332,000.00 $2,798,400.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 19 $1,280.25 $1,378,686.64 $941,361.31 nat. median
$2,677
outlier · 351.6×
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $770,620.00 $924,744.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $518,240.68 $710,071.44 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $507,495.55 $679,042.73 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $474,060.62 $675,045.82 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $484,690.30 $668,781.52 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $459,381.45 $639,876.21 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $449,440.00 $587,165.53 $489,304.61 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $293,336.99 $866,036.74 $440,108.38 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $219,776.98 $646,856.84 $328,724.06 nat. median
$265,286
1.2× median
J0801
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 18 $3,370.39 $431,860.38 $294,872.41 nat. median
$5,814
outlier · 50.7×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 18 $516.74 $411,660.32 $281,079.90 nat. median
$21,340
outlier · 13.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $278,250.00 $333,900.00 $278,250.00 nat. median
$324,450
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $185,515.25 $544,770.38 $276,845.08 nat. median
$206,368
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 10 $257,500.00 $309,000.00 $257,500.00 nat. median
$265,000
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $167,856.82 $492,155.26 $250,106.77 nat. median
$202,986
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $205,640.00 $246,768.00 $205,640.00 nat. median
$209,753
1.0× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 19 $321.67 $290,438.12 $198,309.90 nat. median
$509
outlier · 389.4×
J9348
HCPCS 		Naxitamab-gqgk 4 Mg/ml Intravenous Solution 19 $610.03 $260,617.11 $177,948.24 nat. median
$887
outlier · 200.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $111,582.97 $324,481.32 $164,897.10 nat. median
$133,176
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $103,658.58 $300,869.74 $152,898.01 nat. median
$117,303
1.3× median
7
MS_DRG 		Lung Transplant 14 $103,404.24 $300,111.92 $152,512.90 nat. median
$122,708
1.2× median
J9210
HCPCS 		Emapalumab-lzsg 5 Mg/ml Intravenous Solution 19 $364.87 $337,639.85 $152,210.22 nat. median
$756
outlier · 201.4×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 19 $58.76 $206,381.28 $140,916.25 nat. median
$712
outlier · 197.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $87,611.71 $253,056.39 $128,599.90 nat. median
$108,660
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $86,642.16 $250,167.52 $127,131.81 nat. median
$102,358
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $84,757.78 $244,552.82 $124,278.50 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 14 $84,336.98 $243,298.99 $123,641.32 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $83,416.75 $240,557.09 $122,247.92 nat. median
$98,905
1.2× median
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 19 $208.93 $176,225.70 $120,326.15 nat. median
$418
outlier · 287.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $77,063.83 $221,627.86 $112,628.34 nat. median
$93,672
1.2× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 19 $33.17 $160,844.38 $109,823.85 nat. median
$73
outlier · 1497.1×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $109,316.28 $131,179.54 $109,316.28 nat. median
$111,989
1.0× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 19 $25,781.46 $160,064.90 $109,291.62 nat. median
$34,109
outlier · 3.2×
0801T
CPT 		Hc Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 19 $2,669.00 $141,146.10 $108,287.89 nat. median
$19,166
outlier · 5.6×
0795T
CPT 		Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 19 $2,669.00 $141,146.10 $108,287.89 nat. median
$21,836
outlier · 5.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $73,678.88 $211,542.07 $107,502.87 nat. median
$83,442
1.3× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 19 $2,347.58 $151,777.40 $103,632.96 nat. median
$4,053
outlier · 25.6×
J9382
HCPCS 		Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 19 $32.91 $204,355.97 $99,168.17 nat. median
$169
outlier · 586.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $67,991.10 $194,594.64 $98,890.41 nat. median
$79,312
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $67,954.85 $194,486.71 $98,835.56 nat. median
$81,118
1.2× median
34847
CPT 		Hc Rep Viscer And Infrarenal Abdom Aorta 3 Prosthesis 18 $4,453.06 $126,721.80 $98,107.20 nat. median
$4,968
outlier · 19.7×
J1304
HCPCS 		Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 19 $150.84 $142,975.78 $97,623.25 nat. median
$195
outlier · 501.2×

Other procedures at this hospital

Browse this hospital's 14,864 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 9 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2025-11-19
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 10 — — $3,685,266.67 $4,422,320.00 $3,685,266.67 2025-11-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 10 — — $3,316,462.59 $3,979,755.11 $3,316,462.59 2025-11-19
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 10 — — $3,248,445.72 $3,898,134.86 $3,248,445.72 2025-11-19
J3393 HCPCS Inj, Betibeglogene Autotemce 10 10 — — $2,945,740.00 $3,534,888.00 $2,945,740.00 2025-11-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 10 — — $2,455,110.61 $2,946,132.73 $2,455,110.61 2025-11-19
J3392 HCPCS Inj, Exagamglogene Autotem 10 10 — — $2,332,000.00 $2,798,400.00 $2,332,000.00 2025-11-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 48 19 $1,482,458.75 $741,229.38 50% off $1,280.25 $1,378,686.64 $941,361.31 2025-11-19
Q2057 HCPCS Afamitresgene Autoleucel 10 10 — — $770,620.00 $924,744.00 $770,620.00 2025-11-19
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 11 — — $518,240.68 $710,071.44 $591,726.20 2025-11-19
Q2056 HCPCS Ciltacabtagene Car-pos T 11 11 — — $507,495.55 $679,042.73 $565,868.95 2025-11-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 11 — — $474,060.62 $675,045.82 $562,538.19 2025-11-19
Q2055 HCPCS Idecabtagene Vicleucel Car 11 11 — — $484,690.30 $668,781.52 $557,317.93 2025-11-19
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 11 — — $459,381.45 $639,876.21 $533,230.17 2025-11-19
Q2053 HCPCS Brexucabtagene Car Pos T 11 11 — — $449,440.00 $587,165.53 $489,304.61 2025-11-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 14 — — $293,336.99 $866,036.74 $440,108.38 2025-11-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 14 — — $219,776.98 $646,856.84 $328,724.06 2025-11-19
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 37 18 $464,366.00 $232,183.00 50% off $3,370.39 $431,860.38 $294,872.41 2025-11-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 37 18 $442,645.50 $221,322.75 50% off $516.74 $411,660.32 $281,079.90 2025-11-19
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 10 — — $278,250.00 $333,900.00 $278,250.00 2025-11-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 14 — — $185,515.25 $544,770.38 $276,845.08 2025-11-19
J3403 HCPCS Revakinagene, Per Implant 10 10 — — $257,500.00 $309,000.00 $257,500.00 2025-11-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 21 14 — — $167,856.82 $492,155.26 $250,106.77 2025-11-19
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 10 — — $205,640.00 $246,768.00 $205,640.00 2025-11-19
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 48 19 $312,299.05 $156,149.53 50% off $321.67 $290,438.12 $198,309.90 2025-11-19
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 48 19 $280,233.45 $140,116.73 50% off $610.03 $260,617.11 $177,948.24 2025-11-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 21 14 — — $111,582.97 $324,481.32 $164,897.10 2025-11-19
14 MS_DRG Allogeneic Bone Marrow Transplant 21 14 — — $103,658.58 $300,869.74 $152,898.01 2025-11-19
7 MS_DRG Lung Transplant 21 14 — — $103,404.24 $300,111.92 $152,512.90 2025-11-19
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 66 19 $363,053.60 $181,526.80 50% off $364.87 $337,639.85 $152,210.22 2025-11-19
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 48 19 $221,915.35 $110,957.68 50% off $58.76 $206,381.28 $140,916.25 2025-11-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 14 — — $87,611.71 $253,056.39 $128,599.90 2025-11-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 14 — — $86,642.16 $250,167.52 $127,131.81 2025-11-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 14 — — $84,757.78 $244,552.82 $124,278.50 2025-11-19
215 MS_DRG Other Heart Assist System Implant 21 14 — — $84,336.98 $243,298.99 $123,641.32 2025-11-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 14 — — $83,416.75 $240,557.09 $122,247.92 2025-11-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 48 19 $189,490.00 $94,745.00 50% off $208.93 $176,225.70 $120,326.15 2025-11-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $77,063.83 $221,627.86 $112,628.34 2025-11-19
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 48 19 $172,950.95 $86,475.48 50% off $33.17 $160,844.38 $109,823.85 2025-11-19
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 10 — — $109,316.28 $131,179.54 $109,316.28 2025-11-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 48 19 $172,112.80 $86,056.40 50% off $25,781.46 $160,064.90 $109,291.62 2025-11-19
0795T CPT Hc Tcat Insert Perm Dual Chamber Leadls Pm Compl Sys 50 19 $151,770.00 $75,885.00 50% off $2,669.00 $141,146.10 $108,287.89 2025-11-19
0801T CPT Hc Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 50 19 $151,770.00 $75,885.00 50% off $2,669.00 $141,146.10 $108,287.89 2025-11-19
850 MS_DRG Acute Leukemia With Other Procedures 21 14 — — $73,678.88 $211,542.07 $107,502.87 2025-11-19
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 48 19 $163,201.50 $81,600.75 50% off $2,347.58 $151,777.40 $103,632.96 2025-11-19
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 68 19 $219,737.60 $109,868.80 50% off $32.91 $204,355.97 $99,168.17 2025-11-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 14 — — $67,991.10 $194,594.64 $98,890.41 2025-11-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — — $67,954.85 $194,486.71 $98,835.56 2025-11-19
34847 CPT Hc Rep Viscer And Infrarenal Abdom Aorta 3 Prosthesis 39 18 $136,260.00 $68,130.00 50% off $4,453.06 $126,721.80 $98,107.20 2025-11-19
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 48 19 $153,737.40 $76,868.70 50% off $150.84 $142,975.78 $97,623.25 2025-11-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 14 — — $66,963.73 $191,533.54 $97,334.80 2025-11-19
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 66 19 $151,988.60 $75,994.30 50% off $149.40 $282,698.52 $96,512.76 2025-11-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 14 — — $64,809.59 $185,115.10 $94,073.04 2025-11-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 10 — — $93,216.70 $111,860.04 $93,216.70 2025-11-19
10 MS_DRG Pancreas Transplant 21 14 — — $64,130.61 $183,091.97 $93,044.91 2025-11-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 14 — — $63,778.40 $182,042.52 $92,511.59 2025-11-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 14 — — $62,923.69 $179,495.81 $91,217.39 2025-11-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $62,315.61 $177,683.95 $90,296.63 2025-11-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 48 19 $139,906.15 $69,953.08 50% off $187.00 $130,112.72 $88,840.40 2025-11-19
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt 48 19 $122,880.00 $61,440.00 50% off $1,729.72 $114,278.40 $88,473.60 2025-11-19
34846 CPT Hc Rep Visc Ao Fen+uni/mod 2 Visc 39 18 $122,821.00 $61,410.50 50% off $4,453.06 $114,223.53 $88,431.12 2025-11-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 14 — — $60,209.28 $171,407.89 $87,107.21 2025-11-19
34845 CPT Hc Viscer And Infrarenal Abdom Aorta 1 Prosthesis 39 18 $118,945.00 $59,472.50 50% off $4,453.06 $110,618.85 $85,640.40 2025-11-19
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 51 19 $132,868.30 $66,434.15 50% off $211.76 $123,567.52 $84,371.37 2025-11-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 14 — — $57,423.17 $163,106.40 $82,888.51 2025-11-19
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 66 19 $130,395.00 $65,197.50 50% off $179.14 $421,741.79 $82,800.82 2025-11-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 14 — — $57,148.03 $162,286.59 $82,471.89 2025-11-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 14 — — $56,296.39 $159,749.07 $81,182.36 2025-11-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 14 — — $55,308.34 $156,805.08 $79,686.26 2025-11-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 14 — — $54,355.75 $153,966.73 $78,243.85 2025-11-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 14 — — $54,156.91 $153,374.26 $77,942.76 2025-11-19
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 66 19 $185,644.95 $92,822.48 50% off $221.74 $172,649.80 $77,831.64 2025-11-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 14 — — $54,069.82 $153,114.77 $77,810.89 2025-11-19
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 48 19 $119,457.55 $59,728.78 50% off $67.23 $111,095.52 $75,855.54 2025-11-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 14 — — $52,525.34 $148,512.78 $75,472.22 2025-11-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $52,453.65 $148,299.22 $75,363.69 2025-11-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 14 — — $51,423.98 $145,231.23 $73,804.58 2025-11-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 14 — — $50,422.83 $142,248.20 $72,288.65 2025-11-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 14 — — $50,361.19 $142,064.49 $72,195.29 2025-11-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 14 — — $50,143.85 $141,416.90 $71,866.19 2025-11-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 14 — — $49,978.16 $140,923.18 $71,615.29 2025-11-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 14 — — $49,762.34 $140,280.19 $71,288.53 2025-11-19
28 MS_DRG Spinal Procedures With Mcc 21 14 — — $49,537.29 $139,609.64 $70,947.77 2025-11-19
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft 48 19 $98,303.00 $49,151.50 50% off $1,098.78 $91,421.79 $70,778.16 2025-11-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 14 — — $49,201.28 $138,608.41 $70,438.95 2025-11-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 14 — — $49,201.28 $138,608.41 $70,438.95 2025-11-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 14 — — $48,853.68 $137,572.73 $69,912.64 2025-11-19
J2840 HCPCS Sebelipase Alfa 2 Mg/ml Intravenous Solution 48 19 $109,782.50 $54,891.25 50% off $539.91 $102,097.73 $69,711.89 2025-11-19
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 48 19 $96,700.00 $48,350.00 50% off $2,159.13 $89,931.00 $69,624.00 2025-11-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $48,533.85 $136,619.73 $69,428.33 2025-11-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 14 — — $48,499.16 $136,516.39 $69,375.82 2025-11-19
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 48 19 $109,148.05 $54,574.03 50% off $232.55 $101,507.69 $69,309.01 2025-11-19
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rpt 48 19 $95,599.00 $47,799.50 50% off $1,706.89 $88,907.07 $68,831.28 2025-11-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 14 — — $48,032.11 $135,124.77 $68,668.61 2025-11-19
0409T CPT Hc Insert Or Replace Perm Ccm Pulse Generator Only 50 19 $96,103.00 $48,051.50 50% off $6,553.44 $89,375.79 $68,569.49 2025-11-19
0916T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator Only 50 19 $96,103.00 $48,051.50 50% off $5,448.01 $89,375.79 $68,569.49 2025-11-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 14 — — $47,555.05 $133,703.30 $67,946.24 2025-11-19
34704 CPT Hc Ao Uni Iliac Endograft For Rupture 48 19 $93,946.00 $46,973.00 50% off $2,160.76 $87,369.78 $67,641.12 2025-11-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 10 — — $67,452.66 $80,943.19 $67,452.66 2025-11-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — — $46,916.12 $131,799.58 $66,978.80 2025-11-19
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 48 19 $105,213.75 $52,606.88 50% off $99.20 $97,848.79 $66,810.74 2025-11-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 14 — — $46,651.78 $131,011.92 $66,578.52 2025-11-19
34710 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl 48 19 $92,426.00 $46,213.00 50% off $751.58 $85,956.18 $66,546.72 2025-11-19
653 MS_DRG Major Bladder Procedures With Mcc 21 14 — — $45,646.00 $128,015.11 $65,055.58 2025-11-19
834 MS_DRG Acute Leukemia With Mcc 21 14 — — $45,281.48 $126,928.92 $64,503.59 2025-11-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 14 — — $45,281.48 $126,928.92 $64,503.59 2025-11-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 14 — — $45,102.66 $126,396.15 $64,232.85 2025-11-19
0915T CPT Hc Insert Perm Card Contract Mod-defib W/guide; Pulse Generator & Leads 50 19 $89,824.00 $44,912.00 50% off $5,448.01 $83,536.32 $64,089.43 2025-11-19
0408T CPT Hc Insert Or Replace Perm Cardiac Cont Mod Gen+elect 50 19 $89,824.00 $44,912.00 50% off $6,553.44 $83,536.32 $64,089.43 2025-11-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 14 — — $44,843.71 $125,624.56 $63,840.74 2025-11-19
34711 CPT Hc Dlyd Placement Xtn Prosth For Evasc Rpr Ea Addl 48 19 $88,540.00 $44,270.00 50% off $280.05 $82,342.20 $63,748.80 2025-11-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 14 — — $44,617.12 $124,949.42 $63,497.64 2025-11-19
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 48 19 $99,929.55 $49,964.78 50% off $39.41 $92,934.48 $63,455.26 2025-11-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 14 — — $44,521.55 $124,664.67 $63,352.93 2025-11-19
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 11 — — $63,342.28 $76,010.74 $63,342.28 2025-11-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 14 — — $44,308.06 $124,028.56 $63,029.67 2025-11-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 14 — — $44,268.77 $123,911.45 $62,970.15 2025-11-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 14 — — $44,264.15 $123,897.67 $62,963.15 2025-11-19
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 48 19 $98,162.55 $49,081.28 50% off $27.58 $91,291.17 $62,333.22 2025-11-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 14 — — $43,685.34 $122,173.07 $62,086.73 2025-11-19
93591 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 50 19 $86,855.80 $43,427.90 50% off $5,448.01 $80,775.89 $61,971.61 2025-11-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $43,504.21 $121,633.42 $61,812.49 2025-11-19
33365 CPT Hc Cath Replace Aortic Valve Open Transaortic Approach 48 19 $84,560.00 $42,280.00 50% off $1,342.66 $78,640.80 $60,883.20 2025-11-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 14 — — $42,374.36 $118,266.90 $60,101.67 2025-11-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 14 — — $42,242.57 $117,874.21 $59,902.11 2025-11-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 14 — — $41,946.61 $116,992.39 $59,453.98 2025-11-19
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 67 19 $120,769.20 $60,384.60 50% off $181.67 $112,315.36 $59,449.04 2025-11-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 14 — — $41,826.40 $116,634.16 $59,271.93 2025-11-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 14 — — $41,501.93 $115,667.37 $58,780.62 2025-11-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 14 — — $41,273.02 $114,985.34 $58,434.02 2025-11-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 14 — — $41,242.96 $114,895.78 $58,388.51 2025-11-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 14 — — $41,227.56 $114,849.85 $58,365.17 2025-11-19
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 63 19 $104,129.35 $52,064.68 50% off $83.94 $96,840.30 $58,324.44 2025-11-19
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 48 19 $91,805.45 $45,902.73 50% off $24.00 $85,379.07 $58,296.46 2025-11-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 14 — — $41,088.84 $114,436.50 $58,155.11 2025-11-19
38240 CPT Transplt Allo Hct/donor 14 11 — — $3,202.50 $58,779.65 $57,627.10 2025-11-19
245 MS_DRG Aicd Generator Procedures 21 14 — — $40,345.09 $112,220.48 $57,028.96 2025-11-19
A9543 HCPCS Y90 Ibritumomab, Rx 10 10 — — $56,824.55 $68,189.46 $56,824.55 2025-11-19
471 MS_DRG Cervical Spinal Fusion With Mcc 21 14 — — $40,117.75 $111,543.04 $56,684.69 2025-11-19
6 MS_DRG Liver Transplant Without Mcc 21 14 — — $40,055.32 $111,357.03 $56,590.16 2025-11-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 14 — — $39,487.30 $109,664.58 $55,730.09 2025-11-19
34705 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft 48 19 $77,361.00 $38,680.50 50% off $1,442.53 $71,945.73 $55,699.92 2025-11-19
799 MS_DRG Splenic Procedures With Mcc 21 14 — — $39,327.76 $109,189.23 $55,488.52 2025-11-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 14 — — $39,320.83 $109,168.56 $55,478.01 2025-11-19
J1930 HCPCS Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe 84 19 $87,161.05 $43,580.53 50% off $34.05 $95,596.10 $55,347.27 2025-11-19
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 11 — — $55,272.32 $66,326.79 $55,272.32 2025-11-19
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft 48 19 $76,479.00 $38,239.50 50% off $1,169.88 $71,125.47 $55,064.88 2025-11-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 14 — — $38,941.65 $108,038.73 $54,903.85 2025-11-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 14 — — $38,747.44 $107,460.04 $54,609.77 2025-11-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 14 — — $38,534.72 $106,826.23 $54,287.67 2025-11-19
0802T CPT Hc Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 50 19 $75,885.00 $37,942.50 50% off $2,669.00 $70,573.05 $54,143.95 2025-11-19
0796T CPT Hc Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 50 19 $75,885.00 $37,942.50 50% off $2,669.00 $70,573.05 $54,143.95 2025-11-19
0797T CPT Hc Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 50 19 $75,885.00 $37,942.50 50% off $2,669.00 $70,573.05 $54,143.95 2025-11-19
0803T CPT Hc Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 50 19 $75,885.00 $37,942.50 50% off $2,669.00 $70,573.05 $54,143.95 2025-11-19
33274 CPT Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 50 19 $75,885.00 $37,942.50 50% off $4,453.06 $70,573.05 $54,143.95 2025-11-19
0823T CPT Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 50 19 $75,885.00 $37,942.50 50% off $2,669.00 $70,573.05 $54,143.95 2025-11-19
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft 48 19 $75,157.00 $37,578.50 50% off $1,298.03 $69,896.01 $54,113.04 2025-11-19
163 MS_DRG Major Chest Procedures With Mcc 21 14 — — $38,205.61 $105,845.67 $53,789.36 2025-11-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 14 — — $38,190.98 $105,802.04 $53,767.19 2025-11-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $38,077.68 $105,464.47 $53,595.64 2025-11-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 14 — — $38,072.29 $105,448.39 $53,587.47 2025-11-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 14 — — $37,453.42 $103,604.38 $52,650.37 2025-11-19
33340 CPT Hc Perq Clsr Tcat L Atr Apndge W/endocardial Implnt 48 19 $73,095.00 $36,547.50 50% off $730.78 $67,978.35 $52,628.40 2025-11-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 14 — — $37,246.07 $102,986.65 $52,336.45 2025-11-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 14 — — $37,150.52 $102,701.90 $52,191.74 2025-11-19
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 63 19 $82,164.10 $41,082.05 50% off $172.71 $305,510.30 $52,174.20 2025-11-19
901 MS_DRG Wound Debridements For Injuries With Mcc 21 14 — — $36,828.36 $101,742.00 $51,703.94 2025-11-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 14 — — $36,537.81 $100,876.26 $51,263.98 2025-11-19
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 48 19 $79,717.70 $39,858.85 50% off $70.22 $74,137.46 $50,620.74 2025-11-19
33366 CPT Hc Cath Transcatheter Transapical Replacemt Aortic Valve 48 19 $70,152.00 $35,076.00 50% off $1,481.06 $65,241.36 $50,509.44 2025-11-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 14 — — $36,029.94 $99,362.93 $50,494.92 2025-11-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — — $35,961.31 $99,158.55 $50,391.06 2025-11-19
0571T CPT Hc Insert/replace Icds W/substernal Electrode 51 19 $70,474.25 $35,237.13 50% off $2,669.00 $65,541.05 $49,825.29 2025-11-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 14 — — $35,558.23 $97,957.53 $49,780.72 2025-11-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 14 — — $35,509.68 $97,812.86 $49,707.20 2025-11-19
140 MS_DRG Major Head And Neck Procedures With Mcc 21 14 — — $35,276.93 $97,119.35 $49,354.76 2025-11-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 14 — — $34,979.44 $96,232.94 $48,904.30 2025-11-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 14 — — $34,971.74 $96,209.97 $48,892.63 2025-11-19
793 MS_DRG Full Term Neonate With Major Problems 21 14 — — $34,824.53 $95,771.36 $48,669.74 2025-11-19
L7181 HCPCS Electronic Elbo Simultaneous 10 10 — — $48,632.79 $58,359.35 $48,632.79 2025-11-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 14 — — $34,749.00 $95,546.31 $48,555.37 2025-11-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 14 — — $34,374.44 $94,430.26 $47,988.21 2025-11-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 14 — — $34,356.73 $94,377.45 $47,961.37 2025-11-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 14 — — $34,309.70 $94,237.37 $47,890.18 2025-11-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 14 — — $34,154.02 $93,773.49 $47,654.45 2025-11-19
33277 CPT Hc Ins Phrenic Nrv Stimulator Transvns Sensing Ld 50 19 $66,692.00 $33,346.00 50% off $256.72 $62,023.56 $47,584.74 2025-11-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 14 — — $34,029.92 $93,403.77 $47,466.56 2025-11-19
791 MS_DRG Prematurity With Major Problems 21 14 — — $33,972.12 $93,231.54 $47,379.03 2025-11-19
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stim/snsg Ld 52 19 $67,714.00 $33,857.00 50% off $4,453.06 $62,974.02 $47,298.23 2025-11-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 14 — — $33,384.84 $91,481.69 $46,489.78 2025-11-19
93590 CPT Hc Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 50 19 $65,139.00 $32,569.50 50% off $5,448.01 $60,579.27 $46,476.68 2025-11-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 14 — — $33,363.27 $91,417.39 $46,457.10 2025-11-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 14 — — $33,091.98 $90,609.05 $46,046.32 2025-11-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 14 — — $33,029.55 $90,423.05 $45,951.79 2025-11-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 13 — — $32,967.89 $90,239.33 $45,858.43 2025-11-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 14 — — $32,833.79 $89,839.76 $45,655.37 2025-11-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 14 — — $32,819.15 $89,796.13 $45,633.20 2025-11-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 14 — — $32,652.68 $89,300.11 $45,381.13 2025-11-19
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 48 19 $71,331.05 $35,665.53 50% off $65.68 $66,337.88 $45,295.22 2025-11-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 14 — — $32,470.03 $88,755.86 $45,104.55 2025-11-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 14 — — $32,439.97 $88,666.30 $45,059.04 2025-11-19
J9226 HCPCS Supprelin La Implant 11 11 — — $44,578.75 $54,024.78 $45,020.65 2025-11-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 14 — — $32,356.73 $88,418.29 $44,933.00 2025-11-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 14 — — $32,141.70 $87,777.59 $44,607.41 2025-11-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 14 — — $31,982.16 $87,302.24 $44,365.84 2025-11-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 14 — — $31,754.05 $86,622.50 $44,020.41 2025-11-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 14 — — $31,522.04 $85,931.29 $43,669.14 2025-11-19
J0584 HCPCS Burosumab-twza 30 Mg/ml Subcutaneous Solution 84 19 $66,891.90 $33,445.95 50% off $447.86 $93,723.31 $43,479.74 2025-11-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 14 — — $30,802.99 $83,788.75 $42,580.33 2025-11-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 14 — — $30,607.98 $83,207.76 $42,285.08 2025-11-19
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 48 19 $66,571.60 $33,285.80 50% off $32.07 $61,911.59 $42,272.96 2025-11-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 14 — — $30,310.50 $82,321.35 $41,834.62 2025-11-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 14 — — $30,308.95 $82,316.75 $41,832.28 2025-11-19
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 67 19 $65,875.55 $32,937.78 50% off $22.85 $183,746.10 $41,830.97 2025-11-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 14 — — $30,304.33 $82,302.98 $41,825.28 2025-11-19
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 51 19 $58,917.00 $29,458.50 50% off $2,669.00 $54,792.81 $41,654.32 2025-11-19
265 MS_DRG Aicd Lead Procedures 21 14 — — $30,174.86 $81,917.18 $41,629.22 2025-11-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 14 — — $30,051.55 $81,549.76 $41,442.50 2025-11-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 14 — — $29,891.24 $81,072.11 $41,199.77 2025-11-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 14 — — $29,884.28 $81,051.44 $41,189.27 2025-11-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 14 — — $29,815.74 $80,847.06 $41,085.40 2025-11-19
33901 CPT Hc Perq Pulm Art Revasc Init Normal Nat Conn Bil 50 19 $57,578.00 $28,789.00 50% off $4,453.06 $53,547.54 $41,081.90 2025-11-19
33903 CPT Hc Perq Pulm Art Revasc Init Abnormal Conn Bil 50 19 $57,578.00 $28,789.00 50% off $4,453.06 $53,547.54 $41,081.90 2025-11-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 14 — — $29,686.23 $80,461.26 $40,889.35 2025-11-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 14 — — $29,677.76 $80,436.00 $40,876.51 2025-11-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 14 — — $29,666.97 $80,403.85 $40,860.17 2025-11-19
264 MS_DRG Other Circulatory System O.r. Procedures 21 14 — — $29,619.17 $80,261.48 $40,787.82 2025-11-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 14 — — $29,445.01 $79,742.49 $40,524.08 2025-11-19
332 MS_DRG Rectal Resection With Mcc 21 14 — — $29,415.71 $79,655.23 $40,479.73 2025-11-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 14 — — $29,386.43 $79,567.96 $40,435.38 2025-11-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 14 — — $29,228.42 $79,097.20 $40,196.15 2025-11-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 14 — — $29,186.83 $78,973.20 $40,133.13 2025-11-19
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 48 19 $63,139.60 $31,569.80 50% off $15.42 $58,719.83 $40,093.64 2025-11-19
665 MS_DRG Prostatectomy With Mcc 21 14 — — $29,145.18 $78,849.19 $40,070.11 2025-11-19
252 MS_DRG Other Vascular Procedures With Mcc 21 14 — — $29,120.52 $78,775.71 $40,032.77 2025-11-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 14 — — $29,080.46 $78,656.29 $39,972.08 2025-11-19
J9307 HCPCS Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution 102 19 $67,912.00 $33,956.00 50% off $234.32 $126,269.82 $39,899.97 2025-11-19
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 48 19 $62,611.80 $31,305.90 50% off $29.84 $58,228.97 $39,758.49 2025-11-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 14 — — $28,934.01 $78,219.98 $39,750.35 2025-11-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 14 — — $28,824.58 $77,893.89 $39,584.64 2025-11-19
0483T CPT Hc Cath Tmvi W/prosthetic Valve Percutaneous Approach 41 19 $54,515.00 $27,257.50 50% off $6,521.17 $50,698.95 $39,250.80 2025-11-19
L7180 HCPCS Electronic Elbow Sequential 10 10 — — $39,208.42 $47,050.10 $39,208.42 2025-11-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 14 — — $28,552.52 $77,083.26 $39,172.69 2025-11-19
33418 CPT Hc Tcat Mitral Valve Repair Initial Prosthesis 48 19 $54,118.00 $27,059.00 50% off $1,691.14 $50,329.74 $38,964.96 2025-11-19
33364 CPT Hc Cath Replace Aortic Valve Open Iliac Artery Approach 48 19 $54,118.00 $27,059.00 50% off $1,288.12 $50,329.74 $38,964.96 2025-11-19
33362 CPT Hc Cath Replace Aortic Valve Openfemoral Artery Approach 48 19 $54,118.00 $27,059.00 50% off $1,244.42 $50,329.74 $38,964.96 2025-11-19
33363 CPT Hc Cath Replace Aortic Valve Open Axillry Artry Approach 48 19 $54,118.00 $27,059.00 50% off $1,288.92 $50,329.74 $38,964.96 2025-11-19
37 MS_DRG Extracranial Procedures With Mcc 21 14 — — $28,276.61 $76,261.15 $38,754.90 2025-11-19
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 10 — — $38,606.32 $46,327.58 $38,606.32 2025-11-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 14 — — $28,130.19 $75,824.83 $38,533.17 2025-11-19
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 48 19 $60,387.70 $30,193.85 50% off $44.82 $56,160.56 $38,346.19 2025-11-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 14 — — $27,874.31 $75,062.43 $38,145.73 2025-11-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 14 — — $27,802.62 $74,848.86 $38,037.20 2025-11-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 14 — — $27,791.85 $74,816.71 $38,020.86 2025-11-19
34709 CPT Hc Placement Xtn Prosth For Endovascular Rpr 48 19 $52,450.00 $26,225.00 50% off $305.29 $48,778.50 $37,764.00 2025-11-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 14 — — $27,493.57 $73,928.01 $37,569.23 2025-11-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 14 — — $27,378.74 $73,585.84 $37,395.35 2025-11-19
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 14 — — $27,307.07 $73,372.28 $37,286.82 2025-11-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 14 — — $27,260.04 $73,232.20 $37,215.63 2025-11-19
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 21 14 — — $27,193.76 $73,034.71 $37,115.27 2025-11-19
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 14 — — $27,144.46 $72,887.74 $37,040.58 2025-11-19
500 MS_DRG Soft Tissue Procedures With Mcc 21 14 — — $27,103.61 $72,766.03 $36,978.73 2025-11-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 14 — — $26,735.97 $71,670.64 $36,422.07 2025-11-19
662 MS_DRG Minor Bladder Procedures With Mcc 21 14 — — $26,725.18 $71,638.49 $36,405.73 2025-11-19
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 14 — — $26,622.68 $71,333.07 $36,250.52 2025-11-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 14 — — $26,515.55 $71,013.87 $36,088.31 2025-11-19
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 14 — — $26,466.23 $70,866.90 $36,013.62 2025-11-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 14 — — $26,449.27 $70,816.38 $35,987.95 2025-11-19
652 MS_DRG Kidney Transplant 21 14 — — $26,353.71 $70,531.63 $35,843.24 2025-11-19
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 14 — — $26,332.12 $70,467.33 $35,810.56 2025-11-19
0569T CPT Hc Ttvr Percutaneous Approach Initial Prosthesis 40 19 $49,674.00 $24,837.00 50% off $5,448.01 $46,196.82 $35,765.28 2025-11-19
33361 CPT Hc Replace Aortic Valve Perq Femoral Artry Approach 48 19 $49,674.00 $24,837.00 50% off $1,139.90 $46,196.82 $35,765.28 2025-11-19
39599 CPT Hc Tavr Percutaneous Axillary 39 19 $49,674.00 $24,837.00 50% off $2,869.00 $46,196.82 $35,765.28 2025-11-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 14 — — $26,255.04 $70,237.69 $35,693.86 2025-11-19
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 48 19 $55,627.40 $27,813.70 50% off $164.59 $51,733.48 $35,323.40 2025-11-19
570 MS_DRG Skin Debridement With Mcc 21 14 — — $25,882.04 $69,126.23 $35,129.03 2025-11-19
93580 CPT Hc Percutaneous Closure Of Atrial Septal Defect 50 19 $49,108.00 $24,554.00 50% off $5,448.01 $45,670.44 $35,038.56 2025-11-19
974 MS_DRG HIV With Major Related Condition With Mcc 21 14 — — $25,697.05 $68,575.10 $34,848.95 2025-11-19
J2427 HCPCS Paliperidone Palmitate (3 Month) 410 Mg/1.32 Ml Intramuscular Syringe 102 19 $54,708.70 $27,354.35 50% off $12.18 $101,759.58 $34,740.03 2025-11-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 14 — — $25,407.28 $67,711.65 $34,410.16 2025-11-19
J2267 HCPCS Mirikizumab-mrkz 100 Mg/ml Subcutaneous Pen Injector 68 19 $54,058.35 $27,029.18 50% off $43.05 $95,931.50 $34,327.06 2025-11-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 14 — — $25,348.70 $67,537.12 $34,321.47 2025-11-19
L8701 HCPCS Ewh S/d Uprt Micro Sensor 10 10 — — $34,284.44 $41,141.33 $34,284.44 2025-11-19
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 50 19 $48,048.00 $24,024.00 50% off $4,453.06 $44,684.64 $34,282.25 2025-11-19
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami S 42 19 $47,558.00 $23,779.00 50% off $4,453.06 $44,228.94 $34,241.76 2025-11-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 14 — — $25,287.04 $67,353.41 $34,228.11 2025-11-19
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 11 10 — — $6,829.20 $40,924.54 $34,103.79 2025-11-19
668 MS_DRG Transurethral Procedures With Mcc 21 14 — — $25,158.34 $66,969.91 $34,033.22 2025-11-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 14 — — $25,146.01 $66,933.17 $34,014.55 2025-11-19
800 MS_DRG Splenic Procedures With Cc 21 14 — — $25,139.07 $66,912.50 $34,004.05 2025-11-19
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 51 19 $53,534.25 $26,767.13 50% off $57.31 $49,786.85 $33,994.25 2025-11-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 14 — — $25,126.74 $66,875.76 $33,985.37 2025-11-19
93583 CPT Hc Perq Transcath Alcohol Septal Ablation 48 19 $47,200.00 $23,600.00 50% off $696.46 $43,896.00 $33,984.00 2025-11-19
472 MS_DRG Cervical Spinal Fusion With Cc 21 14 — — $25,011.13 $66,531.30 $33,810.32 2025-11-19
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 14 — — $24,779.15 $65,840.08 $33,459.06 2025-11-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 14 — — $24,753.71 $65,764.30 $33,420.55 2025-11-19
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 14 — — $24,740.62 $65,725.26 $33,400.71 2025-11-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 14 — — $24,709.78 $65,633.41 $33,354.03 2025-11-19
92941 CPT Hc Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl 49 19 $46,233.00 $23,116.50 50% off $620.58 $42,996.69 $33,287.76 2025-11-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 14 — — $24,622.69 $65,373.92 $33,222.16 2025-11-19
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