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

SGMC HEALTH

Valdosta, GA · CCN 110122 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $7,433 across 4 payers · range $5,372-$8,784

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/e7adf0ceb5e527a31ac6a1163ed219fc/charges/mrf · observed 2026-07-15

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.

6,399 distinct procedures filed
31 distinct payers
237,975 rate rows
2026-07-30 last MRF observed
Data quality

191,491 of 237,975 rate rows are consumer-grade (80.5%)

46,484 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 34,114
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,349
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/e7adf0ceb5e527a31ac6a1163ed219fc/charges/mrf
Found on page https://www.sgmc.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 256b9da1d8b5a2df… · 43,592,606 bytes · first seen 2026-05-16

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $227,716.52 $372,366.63 $300,041.58 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $148,426.60 $242,710.17 $195,568.39 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $113,520.83 $185,631.55 $149,576.19 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $112,865.43 $184,559.83 $148,712.63 nat. median
$199,832
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $74,296.15 $121,490.56 $97,893.35 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 22 $69,582.35 $113,782.46 $91,682.40 nat. median
$122,690
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $64,705.88 $105,808.35 $85,257.12 nat. median
$114,305
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $61,117.18 $99,940.04 $80,528.61 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 22 $61,049.17 $99,828.83 $80,439.00 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $59,492.56 $97,283.43 $78,387.99 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $58,723.14 $96,025.27 $77,374.21 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $55,775.18 $91,204.70 $73,489.94 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 22 $53,926.18 $88,181.17 $71,053.68 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $53,015.00 $86,691.19 $69,853.10 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $48,970.71 $80,077.89 $64,524.30 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $47,139.48 $77,083.42 $62,111.45 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $45,938.53 $75,119.62 $60,529.07 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $45,799.93 $74,892.97 $60,346.45 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $43,003.66 $70,320.46 $56,662.06 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $42,007.23 $68,691.06 $55,349.14 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $41,834.10 $68,407.96 $55,121.03 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $41,701.76 $68,191.56 $54,946.66 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $39,602.73 $64,759.18 $52,180.96 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 22 $39,378.34 $64,392.25 $51,885.29 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 $39,362.64 $64,366.59 $51,864.61 nat. median
$62,911
0.8× median
J9359
HCPCS 		Inj Lon Tesirin-lpyl 0.075mg 11 $16,624.18 $59,435.75 $51,709.10 nat. median
$701
outlier · 73.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $39,163.36 $64,040.72 $51,602.04 nat. median
$69,153
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $39,141.40 $64,004.81 $51,573.11 nat. median
$68,581
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $37,997.99 $62,135.09 $50,066.54 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 $37,820.67 $61,845.12 $49,832.89 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 22 $37,052.81 $60,589.50 $48,821.15 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 $36,819.53 $60,208.03 $48,513.78 nat. median
$59,832
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 $36,793.90 $60,166.12 $48,480.01 nat. median
$62,262
0.8× median
J9266
HCPCS 		Pegaspargase Injection 11 $15,555.87 $55,616.25 $48,386.14 nat. median
$32,688
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $36,237.89 $59,256.92 $47,747.40 nat. median
$60,895
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $36,237.89 $59,256.92 $47,747.40 nat. median
$63,840
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 $36,112.88 $59,052.51 $47,582.69 nat. median
$59,159
0.8× median
C1767
HCPCS 		Generator Neurostimulator For Vns Epilepsy Therapy Model 1000 Sentiva Generator… 11 $9,717.92 $116,424.92 $47,414.00 nat. median
$23,668
outlier · 2.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 22 $35,502.47 $58,054.36 $46,778.42 nat. median
$62,218
0.8× median
C1820
HCPCS 		Defibrillator Cardiac Df4 Quad With Bluesync Technology MRI Monitoring Algorith… 11 $6.99 $97,697.96 $46,011.05 nat. median
$22,838
outlier · 2.0×
C1882
HCPCS 		Crtd Dtma1q1 Claria MRI Quad US Df1 11 $11,680.83 $91,028.60 $45,998.99 nat. median
$27,675
1.7× median
J9229
HCPCS 		Besponsa 11 $14,508.81 $51,872.75 $45,129.29 nat. median
$5,934
outlier · 7.6×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 $33,900.35 $55,434.54 $44,667.44 nat. median
$60,162
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 22 $33,863.22 $55,373.81 $44,618.51 nat. median
$60,294
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 22 $33,556.18 $54,871.74 $44,213.96 nat. median
$59,257
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 22 $33,272.15 $54,407.29 $43,839.72 nat. median
$56,970
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 $33,263.27 $54,392.77 $43,828.02 nat. median
$58,419
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $33,035.72 $54,020.68 $43,528.20 nat. median
$57,394
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 $32,933.22 $53,853.07 $43,393.14 nat. median
$51,433
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 22 $32,861.03 $53,735.02 $43,298.03 nat. median
$55,867
0.8× median

Other procedures at this hospital

Browse this hospital's 6,399 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 22 — — $227,716.52 $372,366.63 $300,041.58 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 22 — — $148,426.60 $242,710.17 $195,568.39 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 22 — — $113,520.83 $185,631.55 $149,576.19 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 22 — — $112,865.43 $184,559.83 $148,712.63 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 22 — — $74,296.15 $121,490.56 $97,893.35 2026-07-15
7 MS_DRG Lung Transplant 24 22 — — $69,582.35 $113,782.46 $91,682.40 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 24 22 — — $64,705.88 $105,808.35 $85,257.12 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 22 — — $61,117.18 $99,940.04 $80,528.61 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 24 22 — — $61,049.17 $99,828.83 $80,439.00 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 — — $59,492.56 $97,283.43 $78,387.99 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 22 — — $58,723.14 $96,025.27 $77,374.21 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 22 — — $55,775.18 $91,204.70 $73,489.94 2026-07-15
215 MS_DRG Other Heart Assist System Implant 24 22 — — $53,926.18 $88,181.17 $71,053.68 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $53,015.00 $86,691.19 $69,853.10 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 22 — — $48,970.71 $80,077.89 $64,524.30 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 24 22 — — $47,139.48 $77,083.42 $62,111.45 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 22 — — $45,938.53 $75,119.62 $60,529.07 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $45,799.93 $74,892.97 $60,346.45 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 22 — — $43,003.66 $70,320.46 $56,662.06 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $42,007.23 $68,691.06 $55,349.14 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 22 — — $41,834.10 $68,407.96 $55,121.03 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 22 — — $41,701.76 $68,191.56 $54,946.66 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 — — $39,602.73 $64,759.18 $52,180.96 2026-07-15
10 MS_DRG Pancreas Transplant 24 22 — — $39,378.34 $64,392.25 $51,885.29 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 22 — — $39,362.64 $64,366.59 $51,864.61 2026-07-15
J9359 HCPCS Inj Lon Tesirin-lpyl 0.075mg 11 11 $72,584.43 $54,438.32 25% off $16,624.18 $59,435.75 $51,709.10 2026-07-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 22 — — $39,163.36 $64,040.72 $51,602.04 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 22 — — $39,141.40 $64,004.81 $51,573.11 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 22 — — $37,997.99 $62,135.09 $50,066.54 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 22 — — $37,820.67 $61,845.12 $49,832.89 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 22 — — $37,052.81 $60,589.50 $48,821.15 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 22 — — $36,819.53 $60,208.03 $48,513.78 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 22 — — $36,793.90 $60,166.12 $48,480.01 2026-07-15
J9266 HCPCS Pegaspargase Injection 11 11 $33,792.10 $25,344.08 25% off $15,555.87 $55,616.25 $48,386.14 2026-07-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $36,237.89 $59,256.92 $47,747.40 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $36,237.89 $59,256.92 $47,747.40 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 22 — — $36,112.88 $59,052.51 $47,582.69 2026-07-15
C1767 HCPCS Generator Neurostimulator For Vns Epilepsy Therapy Model 1000 Sentiva Generator … 66 11 $74,865.45 $56,149.08 25% off $9,717.92 $116,424.92 $47,414.00 2026-07-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 22 — — $35,502.47 $58,054.36 $46,778.42 2026-07-15
C1820 HCPCS Defibrillator Cardiac Df4 Quad With Bluesync Technology MRI Monitoring Algorith… 88 11 $57,513.81 $43,135.36 25% off $6.99 $97,697.96 $46,011.05 2026-07-30
C1882 HCPCS Crtd Dtma1q1 Claria MRI Quad US Df1 187 11 $56,548.26 $42,411.19 25% off $11,680.83 $91,028.60 $45,998.99 2026-07-30
J9229 HCPCS Besponsa 11 11 $24,899.05 $18,674.29 25% off $14,508.81 $51,872.75 $45,129.29 2026-07-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 22 — — $33,900.35 $55,434.54 $44,667.44 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 22 — — $33,863.22 $55,373.81 $44,618.51 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 22 — — $33,556.18 $54,871.74 $44,213.96 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 24 22 — — $33,272.15 $54,407.29 $43,839.72 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 22 — — $33,263.27 $54,392.77 $43,828.02 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $33,035.72 $54,020.68 $43,528.20 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 22 — — $32,933.22 $53,853.07 $43,393.14 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 22 — — $32,861.03 $53,735.02 $43,298.03 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 22 — — $32,541.45 $53,212.43 $42,876.94 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 22 — — $32,521.57 $53,179.92 $42,850.75 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 22 — — $32,010.53 $52,344.27 $42,177.40 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 — — $31,818.05 $52,029.52 $41,923.79 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 22 — — $31,695.67 $51,829.40 $41,762.54 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 22 — — $31,656.95 $51,766.08 $41,711.51 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 — — $31,251.59 $51,103.22 $41,177.40 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 22 — — $31,160.57 $50,954.40 $41,057.49 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 22 — — $30,959.72 $50,625.95 $40,792.83 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 22 — — $30,733.75 $50,256.45 $40,495.10 2026-07-15
J2507 HCPCS Pegloticase Injection 11 11 $46,468.05 $34,851.04 25% off $12,997.17 $46,468.25 $40,427.38 2026-07-30
834 MS_DRG Acute Leukemia With Mcc 24 22 — — $30,560.63 $49,973.35 $40,266.99 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 22 — — $30,459.14 $49,807.39 $40,133.26 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 22 — — $30,418.35 $49,740.69 $40,079.52 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 22 — — $30,373.35 $49,667.11 $40,020.23 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 22 — — $30,259.33 $49,480.66 $39,870.00 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $29,738.90 $48,629.65 $39,184.28 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 22 — — $29,722.16 $48,602.28 $39,162.22 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 22 — — $29,534.90 $48,296.07 $38,915.49 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 22 — — $29,443.37 $48,146.40 $38,794.89 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 22 — — $29,072.52 $47,539.97 $38,306.25 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 24 22 — — $29,025.43 $47,462.96 $38,244.19 2026-07-15
C1784 HCPCS Graft Endovascular Stent L12cm Dia23x14.5mm Recommended Introducer Sheath 15fr E… 11 11 $42,776.22 $32,082.17 25% off $11,964.51 $42,776.22 $37,215.31 2026-07-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $28,208.43 $46,126.99 $37,167.71 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 22 — — $27,932.24 $45,675.36 $36,803.80 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 22 — — $27,723.02 $45,333.24 $36,528.13 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 22 — — $27,676.99 $45,257.97 $36,467.48 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 22 — — $27,588.60 $45,113.43 $36,351.01 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 22 — — $27,481.39 $44,938.11 $36,209.75 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 24 22 — — $27,102.16 $44,318.00 $35,710.08 2026-07-15
C1721 HCPCS Defibrillator Cardiac Dual Chamber Bipolar Evera MRI Xt 154 11 $42,823.32 $32,117.50 25% off $9,865.47 $70,587.20 $35,613.33 2026-07-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 22 — — $26,974.53 $44,109.30 $35,541.92 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 22 — — $26,747.00 $43,737.23 $35,242.11 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 22 — — $26,436.30 $43,229.17 $34,832.74 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 22 — — $26,386.08 $43,147.05 $34,766.57 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 — — $26,312.85 $43,027.31 $34,670.08 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 24 22 — — $26,099.46 $42,678.36 $34,388.91 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 22 — — $26,002.69 $42,520.11 $34,261.40 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 22 — — $25,887.62 $42,331.95 $34,109.79 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 22 — — $25,826.42 $42,231.88 $34,029.15 2026-07-15
J9309 HCPCS Inj, Polatuzumab Vedotin 1mg 11 11 $10,578.65 $7,933.99 25% off $10,911.10 $39,010.00 $33,938.70 2026-07-30
245 MS_DRG Aicd Generator Procedures 24 22 — — $25,709.25 $42,040.28 $33,874.76 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 22 — — $25,637.61 $41,923.13 $33,780.37 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 22 — — $25,627.12 $41,905.98 $33,766.55 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 24 22 — — $25,534.01 $41,753.72 $33,643.86 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 24 22 — — $25,287.67 $41,350.91 $33,319.29 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 22 — — $25,280.86 $41,339.78 $33,310.32 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 22 — — $25,188.81 $41,189.25 $33,189.03 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 22 — — $24,822.14 $40,589.67 $32,705.90 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 22 — — $24,480.05 $40,030.28 $32,255.17 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 22 — — $24,299.61 $39,735.21 $32,017.41 2026-07-15
C1722 HCPCS Generator S-icd Emblem 77 11 $37,463.34 $28,097.50 25% off $9,046.06 $100,480.00 $31,981.28 2026-07-30
140 MS_DRG Major Head And Neck Procedures With Mcc 24 22 — — $24,155.26 $39,499.16 $31,827.21 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 22 — — $24,027.10 $39,289.60 $31,658.35 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 22 — — $23,935.04 $39,139.06 $31,537.05 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 22 — — $23,897.38 $39,077.48 $31,487.43 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 22 — — $23,886.39 $39,059.50 $31,472.94 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 22 — — $23,822.06 $38,954.32 $31,388.19 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 24 22 — — $23,795.90 $38,911.54 $31,353.72 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 22 — — $23,755.10 $38,844.82 $31,299.96 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $23,670.37 $38,706.26 $31,188.31 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 24 22 — — $23,654.67 $38,680.59 $31,167.63 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 22 — — $23,567.85 $38,538.63 $31,053.24 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 22 — — $23,424.01 $38,303.41 $30,863.71 2026-07-15
791 MS_DRG Prematurity With Major Problems 24 22 — — $23,076.18 $37,734.63 $30,405.40 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 22 — — $22,874.81 $37,405.36 $30,140.08 2026-07-15
C2622 HCPCS Cylinder Penile Prosthesis L12cm Dia12mm Concealable Spectra 22 11 $35,318.72 $26,489.04 25% off $9,590.80 $36,347.86 $30,003.39 2026-07-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 22 — — $22,684.42 $37,094.02 $29,889.22 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 — — $22,306.75 $36,476.45 $29,391.60 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 22 — — $22,214.19 $36,325.09 $29,269.64 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 22 — — $22,091.27 $36,124.09 $29,107.68 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 22 — — $22,060.92 $36,074.47 $29,067.69 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 22 — — $22,041.57 $36,042.81 $29,042.19 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 22 — — $21,927.01 $35,855.50 $28,891.26 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 48 31 $66,707.00 $50,030.25 25% off $172.97 $62,053.00 $28,672.01 2026-07-30
33231 CPT Insrt Pulse Gen W/mult Leads 48 31 $80,742.50 $60,556.88 25% off $164.41 $75,358.00 $28,672.01 2026-07-30
33270 CPT Ins/rep Subq Defibrillator 59 31 $77,973.00 $58,479.75 25% off $232.08 $77,973.00 $28,672.01 2026-07-30
33249 CPT Insj/rplcmt Defib W/lead(s) 48 31 $49,353.00 $37,014.75 25% off $392.44 $58,669.00 $28,672.01 2026-07-30
C9606 HCPCS Perc D-e Cor Revasc W Ami S 11 11 $50,025.00 $37,518.75 25% off $9,148.15 $32,707.00 $28,455.09 2026-07-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 22 — — $21,527.94 $35,202.92 $28,365.43 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 22 — — $21,442.14 $35,062.62 $28,252.38 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 22 — — $21,395.58 $34,986.48 $28,191.03 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 22 — — $21,393.50 $34,983.08 $28,188.29 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 37 31 $68,288.00 $51,216.00 25% off $148.58 $34,981.26 $28,186.82 2026-07-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 22 — — $21,338.58 $34,893.27 $28,115.92 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 22 — — $21,228.73 $34,713.65 $27,971.19 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 22 — — $21,057.70 $34,433.97 $27,745.83 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 22 — — $21,049.84 $34,421.13 $27,735.49 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 22 — — $20,824.40 $34,052.49 $27,438.44 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 22 — — $20,809.77 $34,028.55 $27,419.16 2026-07-15
332 MS_DRG Rectal Resection With Mcc 24 22 — — $20,783.61 $33,985.77 $27,384.69 2026-07-15
265 MS_DRG Aicd Lead Procedures 24 22 — — $20,770.54 $33,964.41 $27,367.47 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 22 — — $20,737.05 $33,909.64 $27,323.35 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 22 — — $20,708.82 $33,863.48 $27,286.15 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 22 — — $20,585.37 $33,661.62 $27,123.49 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 22 — — $20,541.97 $33,590.64 $27,066.31 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 22 — — $20,523.13 $33,559.84 $27,041.49 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 22 — — $20,495.41 $33,514.51 $27,004.96 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 22 — — $20,479.70 $33,488.82 $26,984.26 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 22 — — $20,461.92 $33,459.75 $26,960.83 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 22 — — $20,446.77 $33,434.97 $26,940.87 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 22 — — $20,291.41 $33,180.91 $26,736.16 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 22 — — $20,253.76 $33,119.36 $26,686.56 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 24 22 — — $20,091.10 $32,853.37 $26,472.24 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 22 — — $20,086.37 $32,845.64 $26,466.01 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 22 — — $20,002.68 $32,708.79 $26,355.74 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 22 — — $19,914.82 $32,565.12 $26,239.97 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 22 — — $19,831.12 $32,428.25 $26,129.69 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 22 — — $19,777.77 $32,341.01 $26,059.39 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 22 — — $19,689.90 $32,197.32 $25,943.61 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 22 — — $19,666.37 $32,158.84 $25,912.60 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 24 22 — — $19,318.52 $31,590.04 $25,454.28 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 22 — — $19,123.43 $31,271.02 $25,197.22 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 24 22 — — $19,064.85 $31,175.22 $25,120.03 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 22 — — $19,062.74 $31,171.78 $25,117.26 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 22 — — $18,859.28 $30,839.08 $24,849.18 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 22 — — $18,784.48 $30,716.76 $24,750.62 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 22 — — $18,765.64 $30,685.95 $24,725.79 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 22 — — $18,742.12 $30,647.50 $24,694.81 2026-07-15
652 MS_DRG Kidney Transplant 24 22 — — $18,737.41 $30,639.79 $24,688.60 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 22 — — $18,724.84 $30,619.24 $24,672.04 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 24 22 — — $18,691.91 $30,565.39 $24,628.65 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 22 — — $18,637.50 $30,476.42 $24,556.96 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 22 — — $18,545.44 $30,325.88 $24,435.66 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 22 — — $18,514.58 $30,275.41 $24,394.99 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 22 — — $18,498.38 $30,248.92 $24,373.65 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 22 — — $18,464.90 $30,194.18 $24,329.54 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 24 22 — — $18,398.99 $30,086.39 $24,242.69 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 22 — — $18,373.88 $30,045.34 $24,209.61 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 22 — — $18,326.80 $29,968.35 $24,147.58 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 22 — — $18,318.95 $29,955.52 $24,137.24 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 22 — — $18,280.26 $29,892.25 $24,086.26 2026-07-15
665 MS_DRG Prostatectomy With Mcc 24 22 — — $18,170.93 $29,713.48 $23,942.21 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 22 — — $18,136.93 $29,657.88 $23,897.40 2026-07-15
93654 CPT Compre Ep Eval Tx Vt 48 31 $54,026.50 $40,519.88 25% off $459.14 $49,230.00 $23,875.51 2026-07-30
93656 CPT Compre Ep Eval Abltj Atr Fib 48 31 $41,413.00 $31,059.75 25% off $460.44 $49,230.00 $23,875.51 2026-07-30
93653 CPT Compre Ep Eval Tx Svt 48 31 $52,922.50 $39,691.88 25% off $343.19 $49,230.00 $23,875.51 2026-07-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 22 — — $18,108.16 $29,610.83 $23,859.49 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 24 22 — — $17,858.66 $29,202.84 $23,530.75 2026-07-15
263 MS_DRG Vein Ligation And Stripping 24 22 — — $17,837.23 $29,167.80 $23,502.51 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 22 — — $17,710.64 $28,960.80 $23,335.72 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 22 — — $17,644.23 $28,852.20 $23,248.22 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 22 — — $17,642.12 $28,848.74 $23,245.43 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 22 — — $17,624.86 $28,820.52 $23,222.69 2026-07-15
C1813 HCPCS Extender Penile Tip L0.5cm Cx Lgx For 12-14mm Cylinder Spectra 176 11 $31,472.49 $23,604.36 25% off $6.99 $48,011.39 $23,097.65 2026-07-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 22 — — $17,413.54 $28,474.98 $22,944.26 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 24 22 — — $17,255.07 $28,215.84 $22,735.46 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 24 22 — — $17,244.61 $28,198.73 $22,721.67 2026-07-15
570 MS_DRG Skin Debridement With Mcc 24 22 — — $17,228.91 $28,173.07 $22,700.99 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 24 22 — — $17,118.54 $27,992.58 $22,555.56 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 22 — — $17,078.26 $27,926.72 $22,502.49 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 22 — — $17,024.38 $27,838.62 $22,431.50 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 22 — — $17,014.97 $27,823.22 $22,419.10 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 22 — — $16,948.02 $27,713.75 $22,330.88 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 24 22 — — $16,940.70 $27,701.78 $22,321.24 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 24 22 — — $16,918.73 $27,665.85 $22,292.29 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 22 — — $16,858.05 $27,566.62 $22,212.33 2026-07-15
J7170 HCPCS Inj., Emicizumab-kxwh 0.5 Mg 11 11 $25,529.81 $19,147.36 25% off $7,140.74 $25,530.00 $22,211.10 2026-07-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 22 — — $16,755.01 $27,398.14 $22,076.58 2026-07-15
37227 CPT Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 35 11 $29,739.00 $22,304.25 25% off $315.89 $32,236.00 $21,825.45 2026-07-30
800 MS_DRG Splenic Procedures With Cc 24 22 — — $16,540.04 $27,046.60 $21,793.32 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 24 22 — — $16,487.21 $26,960.22 $21,723.72 2026-07-15
503 MS_DRG Foot Procedures With Mcc 24 22 — — $16,444.32 $26,890.08 $21,667.20 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 22 — — $16,343.89 $26,725.86 $21,534.88 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 22 — — $16,266.49 $26,599.29 $21,432.89 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 22 — — $16,222.55 $26,527.44 $21,374.99 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 24 22 — — $16,218.87 $26,521.43 $21,370.15 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 24 22 — — $16,144.61 $26,400.00 $21,272.31 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 22 — — $16,076.62 $26,288.81 $21,182.72 2026-07-15
849 MS_DRG Radiotherapy 24 22 — — $16,017.52 $26,192.17 $21,104.85 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 22 — — $16,000.23 $26,163.89 $21,082.06 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 22 — — $15,954.21 $26,088.65 $21,021.43 2026-07-15
J9119 HCPCS Inj., Cemiplimab-rwlc, 1 Mg 11 11 $13,606.59 $10,204.94 25% off $6,722.38 $24,034.25 $20,909.80 2026-07-30
J1930 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 11 11 $23,915.00 $17,936.25 25% off $6,689.03 $23,915.00 $20,806.05 2026-07-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 22 — — $15,758.59 $25,768.77 $20,763.68 2026-07-15
J9043 HCPCS Jevtana 11 11 $7,521.31 $5,640.98 25% off $6,661.54 $23,816.75 $20,720.57 2026-07-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 22 — — $15,709.93 $25,689.20 $20,699.56 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 24 22 — — $15,640.38 $25,575.46 $20,607.92 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 24 22 — — $15,421.75 $25,217.96 $20,319.85 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 48 31 $56,683.00 $42,512.25 25% off $151.00 $52,903.00 $20,318.29 2026-07-30
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 48 31 $60,289.00 $45,216.75 25% off $159.88 $56,083.00 $20,318.29 2026-07-30
33230 CPT Insrt Pulse Gen W/dual Leads 48 31 $56,683.00 $42,512.25 25% off $158.11 $52,903.00 $20,318.29 2026-07-30
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 48 31 $60,289.00 $45,216.75 25% off $153.75 $56,083.00 $20,318.29 2026-07-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 22 — — $15,405.52 $25,191.41 $20,298.47 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 22 — — $15,354.79 $25,108.46 $20,231.62 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 24 22 — — $15,335.96 $25,077.68 $20,206.82 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 24 22 — — $15,335.96 $25,077.68 $20,206.82 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 24 22 — — $15,275.28 $24,978.45 $20,126.87 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 22 — — $15,198.92 $24,853.58 $20,026.25 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 22 — — $15,135.62 $24,750.08 $19,942.85 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 22 — — $15,110.53 $24,709.04 $19,909.78 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 24 22 — — $15,047.23 $24,605.53 $19,826.38 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 22 — — $15,041.47 $24,596.12 $19,818.79 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 24 22 — — $14,879.34 $24,330.99 $19,605.17 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 24 22 — — $14,825.98 $24,243.74 $19,534.86 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 22 — — $14,708.29 $24,051.29 $19,379.79 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 22 — — $14,704.64 $24,045.32 $19,374.98 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 24 22 — — $14,686.84 $24,016.21 $19,351.53 2026-07-15
792 MS_DRG Prematurity Without Major Problems 24 22 — — $14,655.97 $23,965.73 $19,310.85 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 22 — — $14,629.82 $23,922.98 $19,276.40 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 24 22 — — $14,614.66 $23,898.19 $19,256.42 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 22 — — $14,514.76 $23,734.83 $19,124.79 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 24 22 — — $14,473.44 $23,667.25 $19,070.35 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 22 — — $14,426.36 $23,590.27 $19,008.31 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 22 — — $14,383.99 $23,520.99 $18,952.49 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 24 22 — — $14,371.95 $23,501.31 $18,936.63 2026-07-15
J9203 HCPCS Mylotarg 11 11 $21,758.45 $16,318.84 25% off $6,085.85 $21,758.50 $18,929.90 2026-07-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 24 22 — — $14,348.95 $23,463.69 $18,906.32 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 22 — — $14,327.50 $23,428.61 $18,878.06 2026-07-15
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg IV Solr 11 11 $21,538.00 $16,153.50 25% off $6,024.18 $21,538.00 $18,738.06 2026-07-30
J9228 HCPCS Yervoy 22 11 $8,613.47 $6,460.10 25% off $4,944.89 $70,687.00 $18,725.20 2026-07-30
113 MS_DRG Orbital Procedures With Cc/mcc 24 22 — — $14,142.88 $23,126.71 $18,634.79 2026-07-15
333 MS_DRG Rectal Resection With Cc 24 22 — — $14,096.30 $23,050.56 $18,573.43 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 22 — — $14,077.49 $23,019.80 $18,548.65 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 22 — — $14,068.59 $23,005.24 $18,536.92 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 24 22 — — $14,017.33 $22,921.42 $18,469.38 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 24 22 — — $14,008.96 $22,907.73 $18,458.35 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 22 — — $13,996.41 $22,887.22 $18,441.81 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 — — $13,934.17 $22,785.44 $18,359.81 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 24 22 — — $13,852.56 $22,651.99 $18,252.28 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 24 22 — — $13,848.92 $22,646.03 $18,247.47 2026-07-15
J9144 HCPCS Daratumumab, Hyaluronidase 11 11 $13,490.48 $10,117.86 25% off $5,852.86 $20,925.50 $18,205.19 2026-07-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 24 22 — — $13,800.27 $22,566.48 $18,183.38 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 24 22 — — $13,779.35 $22,532.26 $18,155.81 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 24 22 — — $13,748.48 $22,481.78 $18,115.13 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 24 22 — — $13,728.60 $22,449.28 $18,088.94 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 24 22 — — $13,695.64 $22,395.39 $18,045.51 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 24 22 — — $13,554.43 $22,164.48 $17,859.46 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 24 22 — — $13,547.61 $22,153.33 $17,850.47 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 24 22 — — $13,455.05 $22,001.97 $17,728.51 2026-07-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 24 22 $50,044.00 $37,533.00 25% off $13,449.31 $21,992.58 $17,720.94 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 24 22 — — $13,419.46 $21,943.78 $17,681.62 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 24 22 — — $13,407.97 $21,924.98 $17,666.47 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 22 — — $13,393.84 $21,901.88 $17,647.86 2026-07-15
33229 CPT Remv&replc Pm Gen Mult Leads 48 31 $37,007.00 $27,755.25 25% off $154.23 $34,425.00 $17,594.50 2026-07-30
33274 CPT Tcat Insj/rpl Perm Ldls Pm 48 31 $39,608.50 $29,706.38 25% off $198.48 $36,845.00 $17,594.50 2026-07-30
J3240 HCPCS Thyrotropin Injection 11 11 $6,197.71 $4,648.28 25% off $5,655.25 $20,219.00 $17,590.53 2026-07-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 24 22 — — $13,345.72 $21,823.19 $17,584.46 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 24 22 — — $13,327.41 $21,793.25 $17,560.33 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 24 22 — — $13,309.64 $21,764.18 $17,536.91 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 24 22 — — $13,289.22 $21,730.80 $17,510.01 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 24 22 — — $13,260.99 $21,684.64 $17,472.81 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 24 22 — — $13,253.66 $21,672.65 $17,463.15 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 22 — — $13,241.63 $21,652.98 $17,447.31 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 22 — — $13,233.80 $21,640.18 $17,436.99 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 24 22 — — $13,195.61 $21,577.72 $17,386.67 2026-07-15
C2621 HCPCS Icd Bi-v Gen Only Energen Crt-d Df4/is-1 66 11 $21,001.32 $15,750.99 25% off $4,717.28 $88,799.20 $17,386.40 2026-07-30
Q4105 HCPCS Matrix Dermal Regenerative Template 4" X 10" 11 11 $19,868.32 $14,901.24 25% off $5,557.17 $19,868.32 $17,285.44 2026-07-30
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 22 — — $13,046.53 $21,333.95 $17,190.24 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 24 22 — — $13,042.35 $21,327.11 $17,184.73 2026-07-15
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