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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

NAVICENT HEALTH BALDWIN

Milledgeville, GA · CCN 110150 · Rates published

14,428 distinct procedures filed
16 distinct payers
734,450 rate rows
2025-11-19 last MRF observed
Data quality

562,650 of 734,450 rate rows are consumer-grade (76.6%)

171,800 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 171,122
percent-of-charges filed in the dollar field — excluded from medians 328
per-diem day rate — not a per-procedure price 146
exceeds 10× this hospital's gross charge — excluded from medians 124
placeholder amount (≤ $0.02) — excluded from medians 80
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11180/823914925_navicent-health-baldwin-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 061fa910c2a97037… · 1,233,273,241 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 9 $3,685,266.67 $3,758,972.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,316,462.59 $3,382,791.84 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,248,445.72 $3,313,414.63 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,945,740.00 $3,004,654.80 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,455,110.61 $2,504,212.82 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $2,378,640.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 16 $1,280.25 $1,260,089.94 $882,062.96 nat. median
$2,677
outlier · 329.5×
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $786,032.40 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $518,240.68 $603,560.73 $591,726.20 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $507,495.55 $577,186.32 $565,868.95 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $474,060.62 $573,788.95 $562,538.19 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $484,690.30 $568,464.29 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $459,381.45 $543,894.77 $533,230.17 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $449,440.00 $499,090.70 $489,304.61 nat. median
$620,080
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $283,815.00 $278,250.00 nat. median
$324,450
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $273,602.14 $660,992.25 $276,338.16 nat. median
$370,174
0.7× median
J0801
HCPCS 		Corticotropin 80 Unit/ml Injection Gel 16 $3,370.39 $394,711.10 $276,297.77 nat. median
$5,814
outlier · 47.5×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 16 $516.74 $376,248.68 $263,374.08 nat. median
$21,340
outlier · 12.3×
J3403
HCPCS 		Revakinagene, Per Implant 9 $257,500.00 $262,650.00 $257,500.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $204,789.94 $493,705.79 $206,837.84 nat. median
$265,286
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $205,640.00 $209,752.80 $205,640.00 nat. median
$209,753
1.0× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 16 $326.65 $265,454.19 $185,817.93 nat. median
$509
outlier · 364.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $172,739.58 $415,789.52 $174,466.98 nat. median
$206,368
0.8× median
J9348
HCPCS 		Naxitamab-gqgk 4 Mg/ml Intravenous Solution 16 $610.03 $238,198.43 $166,738.90 nat. median
$887
outlier · 188.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 $156,220.89 $375,631.65 $157,783.10 nat. median
$202,986
0.8× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 16 $58.76 $188,628.05 $132,039.64 nat. median
$712
outlier · 185.5×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 9 $129,537.54 $132,128.29 $129,537.54 nat. median
$111,989
1.2× median
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 16 $208.93 $161,066.50 $112,746.55 nat. median
$418
outlier · 269.5×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 9 $111,860.04 $114,097.24 $111,860.04 nat. median
$96,983
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $103,579.15 $247,656.51 $104,614.94 nat. median
$133,176
0.8× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 16 $33.17 $147,008.31 $102,905.82 nat. median
$73
outlier · 1402.8×
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 16 $25,781.46 $146,295.88 $102,407.12 nat. median
$34,109
outlier · 3.0×
J9228
HCPCS 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 16 $172.71 $279,229.85 $98,551.71 nat. median
$9,906
outlier · 9.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $96,166.22 $229,635.25 $97,127.88 nat. median
$117,303
0.8× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 16 $2,347.58 $138,721.28 $97,104.90 nat. median
$4,053
outlier · 24.0×
7
MS_DRG 		Lung Transplant 10 $95,928.30 $229,056.86 $96,887.58 nat. median
$122,708
0.8× median
J1304
HCPCS 		Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 16 $150.84 $130,676.79 $91,473.76 nat. median
$195
outlier · 469.7×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 16 $149.40 $258,380.37 $90,433.21 nat. median
$14,306
outlier · 6.3×
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 16 $187.00 $118,920.23 $83,244.16 nat. median
$562
outlier · 148.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $81,155.08 $193,142.28 $81,966.63 nat. median
$108,660
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $80,248.11 $190,937.39 $81,050.59 nat. median
$102,358
0.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 9 $80,943.19 $82,562.05 $80,943.19 nat. median
$70,825
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $78,485.35 $186,652.03 $79,270.20 nat. median
$100,136
0.8× median
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 16 $211.76 $112,938.06 $79,056.64 nat. median
$739
outlier · 107.0×
215
MS_DRG 		Other Heart Assist System Implant 10 $78,091.70 $185,695.06 $78,872.62 nat. median
$99,019
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $77,230.87 $183,602.34 $78,003.18 nat. median
$98,905
0.8× median
J1305
HCPCS 		Evinacumab-dgnb 150 Mg/ml Intravenous Solution 16 $179.14 $385,462.93 $77,585.02 nat. median
$298
outlier · 260.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $71,288.00 $169,154.83 $72,000.88 nat. median
$93,672
0.8× median
J2329
HCPCS 		Ublituximab-xiiy 25 Mg/ml Intravenous Solution 16 $67.23 $101,538.92 $71,077.24 nat. median
$168
outlier · 422.0×

Other procedures at this hospital

Browse this hospital's 14,428 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 9 9 — — $3,685,266.67 $3,758,972.00 $3,685,266.67 2025-11-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $3,316,462.59 $3,382,791.84 $3,316,462.59 2025-11-19
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $3,248,445.72 $3,313,414.63 $3,248,445.72 2025-11-19
J3393 HCPCS Inj, Betibeglogene Autotemce 9 9 — — $2,945,740.00 $3,004,654.80 $2,945,740.00 2025-11-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,455,110.61 $2,504,212.82 $2,455,110.61 2025-11-19
J3392 HCPCS Inj, Exagamglogene Autotem 9 9 — — $2,332,000.00 $2,378,640.00 $2,332,000.00 2025-11-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 38 16 $1,482,458.75 $741,229.38 50% off $1,280.25 $1,260,089.94 $882,062.96 2025-11-19
Q2057 HCPCS Afamitresgene Autoleucel 9 9 — — $770,620.00 $786,032.40 $770,620.00 2025-11-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $273,602.14 $660,992.25 $276,338.16 2025-11-19
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 10 — — $518,240.68 $603,560.73 $591,726.20 2025-11-19
Q2056 HCPCS Ciltacabtagene Car-pos T 10 10 — — $507,495.55 $577,186.32 $565,868.95 2025-11-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 10 — — $474,060.62 $573,788.95 $562,538.19 2025-11-19
Q2055 HCPCS Idecabtagene Vicleucel Car 10 10 — — $484,690.30 $568,464.29 $557,317.93 2025-11-19
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 10 — — $459,381.45 $543,894.77 $533,230.17 2025-11-19
Q2053 HCPCS Brexucabtagene Car Pos T 10 10 — — $449,440.00 $499,090.70 $489,304.61 2025-11-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 10 — — $204,789.94 $493,705.79 $206,837.84 2025-11-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 10 — — $172,739.58 $415,789.52 $174,466.98 2025-11-19
J0801 HCPCS Corticotropin 80 Unit/ml Injection Gel 28 16 $464,366.00 $232,183.00 50% off $3,370.39 $394,711.10 $276,297.77 2025-11-19
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 53 16 $130,395.00 $65,197.50 50% off $179.14 $385,462.93 $77,585.02 2025-11-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 29 16 $442,645.50 $221,322.75 50% off $516.74 $376,248.68 $263,374.08 2025-11-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 11 10 — — $156,220.89 $375,631.65 $157,783.10 2025-11-19
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 53 16 $71,832.85 $35,916.43 50% off $364.87 $308,595.56 $42,740.54 2025-11-19
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 9 — — $278,250.00 $283,815.00 $278,250.00 2025-11-19
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 53 16 $328,505.70 $164,252.85 50% off $172.71 $279,229.85 $98,551.71 2025-11-19
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 38 16 $312,299.05 $156,149.53 50% off $326.65 $265,454.19 $185,817.93 2025-11-19
J3403 HCPCS Revakinagene, Per Implant 9 9 — — $257,500.00 $262,650.00 $257,500.00 2025-11-19
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 53 16 $151,988.60 $75,994.30 50% off $149.40 $258,380.37 $90,433.21 2025-11-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 11 10 — — $103,579.15 $247,656.51 $104,614.94 2025-11-19
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution 38 16 $280,233.45 $140,116.73 50% off $610.03 $238,198.43 $166,738.90 2025-11-19
14 MS_DRG Allogeneic Bone Marrow Transplant 11 10 — — $96,166.22 $229,635.25 $97,127.88 2025-11-19
7 MS_DRG Lung Transplant 11 10 — — $95,928.30 $229,056.86 $96,887.58 2025-11-19
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 9 — — $205,640.00 $209,752.80 $205,640.00 2025-11-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 10 — — $81,155.08 $193,142.28 $81,966.63 2025-11-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $80,248.11 $190,937.39 $81,050.59 2025-11-19
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 38 16 $221,915.35 $110,957.68 50% off $58.76 $188,628.05 $132,039.64 2025-11-19
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 53 16 $109,893.70 $54,946.85 50% off $32.91 $186,776.96 $65,921.28 2025-11-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 10 — — $78,485.35 $186,652.03 $79,270.20 2025-11-19
215 MS_DRG Other Heart Assist System Implant 11 10 — — $78,091.70 $185,695.06 $78,872.62 2025-11-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $77,230.87 $183,602.34 $78,003.18 2025-11-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $71,288.00 $169,154.83 $72,000.88 2025-11-19
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 52 16 $65,875.55 $32,937.78 50% off $22.85 $167,939.98 $41,007.53 2025-11-19
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $68,121.51 $161,456.97 $68,802.73 2025-11-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 38 16 $189,490.00 $94,745.00 50% off $208.93 $161,066.50 $112,746.55 2025-11-19
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 53 16 $185,644.95 $92,822.48 50% off $221.74 $157,798.21 $55,693.49 2025-11-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 10 — — $62,800.84 $148,522.05 $63,428.85 2025-11-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $62,766.95 $148,439.67 $63,394.62 2025-11-19
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 37 16 $172,950.95 $86,475.48 50% off $33.17 $147,008.31 $102,905.82 2025-11-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 38 16 $172,112.80 $86,056.40 50% off $25,781.46 $146,295.88 $102,407.12 2025-11-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $61,839.80 $146,185.70 $62,458.20 2025-11-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 10 — — $59,824.70 $141,286.90 $60,422.95 2025-11-19
10 MS_DRG Pancreas Transplant 11 10 — — $59,189.53 $139,742.77 $59,781.43 2025-11-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $58,860.03 $138,941.79 $59,448.63 2025-11-19
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 38 16 $163,201.50 $81,600.75 50% off $2,347.58 $138,721.28 $97,104.90 2025-11-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 10 — — $58,060.51 $136,998.04 $58,641.12 2025-11-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $57,491.67 $135,615.16 $58,066.59 2025-11-19
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 9 — — $129,537.54 $132,128.29 $129,537.54 2025-11-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 10 — — $55,521.28 $130,825.03 $56,076.49 2025-11-19
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution 37 16 $153,737.40 $76,868.70 50% off $150.84 $130,676.79 $91,473.76 2025-11-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $52,915.00 $124,489.02 $53,444.15 2025-11-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $52,657.61 $123,863.31 $53,184.19 2025-11-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 10 — — $51,860.96 $121,926.58 $52,379.57 2025-11-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $50,936.68 $119,679.61 $51,446.05 2025-11-19
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 38 16 $139,906.15 $69,953.08 50% off $187.00 $118,920.23 $83,244.16 2025-11-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $50,045.58 $117,513.28 $50,546.04 2025-11-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 10 — — $49,859.56 $117,061.08 $50,358.16 2025-11-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 10 — — $49,778.10 $116,863.03 $50,275.88 2025-11-19
J9307 HCPCS Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution 83 16 $108,839.65 $54,419.83 50% off $299.28 $115,407.90 $54,329.60 2025-11-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $111,860.04 $114,097.24 $111,860.04 2025-11-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 10 — — $48,333.29 $113,350.61 $48,816.62 2025-11-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $48,266.23 $113,187.61 $48,748.89 2025-11-19
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 38 16 $132,868.30 $66,434.15 50% off $211.76 $112,938.06 $79,056.64 2025-11-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 10 — — $47,303.03 $110,846.01 $47,776.06 2025-11-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 10 — — $46,366.50 $108,569.25 $46,830.17 2025-11-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $46,308.82 $108,429.03 $46,771.91 2025-11-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $46,105.52 $107,934.77 $46,566.58 2025-11-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 10 — — $45,950.51 $107,557.94 $46,410.02 2025-11-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 10 — — $45,748.63 $107,067.18 $46,206.12 2025-11-19
28 MS_DRG Spinal Procedures With Mcc 11 10 — — $45,538.12 $106,555.40 $45,993.50 2025-11-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 10 — — $45,223.78 $105,791.22 $45,676.02 2025-11-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 10 — — $45,223.78 $105,791.22 $45,676.02 2025-11-19
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution 53 16 $50,818.75 $25,409.38 50% off $55.65 $105,559.38 $33,032.19 2025-11-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 10 — — $44,898.63 $105,000.75 $45,347.62 2025-11-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 10 — — $44,599.44 $104,273.38 $45,045.43 2025-11-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 10 — — $44,566.99 $104,194.51 $45,012.66 2025-11-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 10 — — $44,130.08 $103,132.37 $44,571.38 2025-11-19
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 52 16 $69,940.05 $34,970.03 50% off $181.67 $102,653.82 $41,614.33 2025-11-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 10 — — $43,683.81 $102,047.45 $44,120.65 2025-11-19
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 38 16 $119,457.55 $59,728.78 50% off $67.23 $101,538.92 $71,077.24 2025-11-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $43,086.14 $100,594.46 $43,517.00 2025-11-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $42,838.84 $99,993.29 $43,267.23 2025-11-19
653 MS_DRG Major Bladder Procedures With Mcc 11 10 — — $41,897.97 $97,706.01 $42,316.95 2025-11-19
834 MS_DRG Acute Leukemia With Mcc 11 10 — — $41,556.97 $96,876.99 $41,972.54 2025-11-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 10 — — $41,556.97 $96,876.99 $41,972.54 2025-11-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $41,389.70 $96,470.36 $41,803.60 2025-11-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $41,147.47 $95,881.45 $41,558.94 2025-11-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 10 — — $40,935.50 $95,366.16 $41,344.86 2025-11-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 10 — — $40,846.09 $95,148.82 $41,254.55 2025-11-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $40,646.41 $94,663.33 $41,052.87 2025-11-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 10 — — $40,609.62 $94,573.94 $41,015.72 2025-11-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 10 — — $40,605.31 $94,563.42 $41,011.36 2025-11-19
J2840 HCPCS Sebelipase Alfa 2 Mg/ml Intravenous Solution 38 16 $109,782.50 $54,891.25 50% off $539.91 $93,315.13 $65,320.59 2025-11-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 10 — — $40,063.85 $93,247.15 $40,464.49 2025-11-19
J2427 HCPCS Paliperidone Palmitate (3 Month) 819 Mg/2.63 Ml Intramuscular Syringe 83 16 $72,947.70 $36,473.85 50% off $12.18 $93,006.07 $43,766.96 2025-11-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $39,894.43 $92,835.26 $40,293.37 2025-11-19
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 38 16 $109,148.05 $54,574.03 50% off $232.55 $92,775.84 $64,943.09 2025-11-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $38,837.50 $90,265.80 $39,225.88 2025-11-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 10 — — $38,714.22 $89,966.09 $39,101.36 2025-11-19
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 38 16 $105,213.75 $52,606.88 50% off $99.20 $89,431.69 $62,602.18 2025-11-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 10 — — $38,437.37 $89,293.05 $38,821.74 2025-11-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 10 — — $38,324.89 $89,019.63 $38,708.14 2025-11-19
J9022 HCPCS Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 53 16 $72,905.55 $36,452.78 50% off $83.94 $88,509.95 $43,378.81 2025-11-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 10 — — $38,021.38 $88,281.75 $38,401.59 2025-11-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 10 — — $37,807.25 $87,761.19 $38,185.32 2025-11-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $37,779.12 $87,692.84 $38,156.91 2025-11-19
J2267 HCPCS Mirikizumab-mrkz 100 Mg/ml Subcutaneous Pen Injector 53 16 $54,058.35 $27,029.18 50% off $43.05 $87,679.33 $32,164.72 2025-11-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 10 — — $37,764.71 $87,657.79 $38,142.36 2025-11-19
J1930 HCPCS Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe 68 16 $87,161.05 $43,580.53 50% off $34.05 $87,372.78 $51,860.82 2025-11-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 10 — — $37,634.95 $87,342.30 $38,011.30 2025-11-19
J0584 HCPCS Burosumab-twza 30 Mg/ml Subcutaneous Solution 68 16 $66,891.90 $33,445.95 50% off $447.86 $85,661.09 $46,824.33 2025-11-19
245 MS_DRG Aicd Generator Procedures 11 10 — — $36,939.21 $85,650.94 $37,308.60 2025-11-19
471 MS_DRG Cervical Spinal Fusion With Mcc 11 10 — — $36,726.53 $85,133.90 $37,093.80 2025-11-19
6 MS_DRG Liver Transplant Without Mcc 11 10 — — $36,668.13 $84,991.93 $37,034.81 2025-11-19
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 37 16 $99,929.55 $49,964.78 50% off $39.41 $84,940.12 $59,458.08 2025-11-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 10 — — $36,136.79 $83,700.19 $36,498.16 2025-11-19
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 38 16 $98,162.55 $49,081.28 50% off $27.58 $83,438.17 $58,406.72 2025-11-19
799 MS_DRG Splenic Procedures With Mcc 11 10 — — $35,987.55 $83,337.38 $36,347.43 2025-11-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $35,981.05 $83,321.61 $36,340.86 2025-11-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 9 — — $80,943.19 $82,562.05 $80,943.19 2025-11-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 10 — — $35,626.35 $82,459.28 $35,982.61 2025-11-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $35,444.65 $82,017.60 $35,799.10 2025-11-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 10 — — $35,245.68 $81,533.85 $35,598.14 2025-11-19
163 MS_DRG Major Chest Procedures With Mcc 11 10 — — $34,937.81 $80,785.45 $35,287.19 2025-11-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 10 — — $34,924.12 $80,752.15 $35,273.36 2025-11-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 10 — — $34,818.14 $80,494.50 $35,166.32 2025-11-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 10 — — $34,813.09 $80,482.23 $35,161.22 2025-11-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $34,234.16 $79,074.81 $34,576.50 2025-11-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 10 — — $34,040.22 $78,603.34 $34,380.62 2025-11-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 10 — — $33,950.81 $78,386.00 $34,290.32 2025-11-19
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 38 16 $91,805.45 $45,902.73 50% off $24.00 $78,034.63 $54,624.24 2025-11-19
901 MS_DRG Wound Debridements For Injuries With Mcc 11 10 — — $33,649.47 $77,653.37 $33,985.96 2025-11-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 10 — — $33,377.65 $76,992.61 $33,711.43 2025-11-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 10 — — $32,902.55 $75,837.58 $33,231.58 2025-11-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 10 — — $32,838.38 $75,681.59 $33,166.76 2025-11-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 10 — — $32,461.31 $74,764.92 $32,785.92 2025-11-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $32,415.89 $74,654.50 $32,740.05 2025-11-19
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $32,198.16 $74,125.19 $32,520.14 2025-11-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 10 — — $31,919.87 $73,448.65 $32,239.07 2025-11-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 10 — — $31,912.67 $73,431.12 $32,231.80 2025-11-19
793 MS_DRG Full Term Neonate With Major Problems 11 10 — — $31,774.95 $73,096.35 $32,092.70 2025-11-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 10 — — $31,704.29 $72,924.59 $32,021.33 2025-11-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 10 — — $31,353.91 $72,072.78 $31,667.45 2025-11-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 10 — — $31,337.35 $72,032.46 $31,650.72 2025-11-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 10 — — $31,293.37 $71,925.55 $31,606.30 2025-11-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $31,147.73 $71,571.50 $31,459.21 2025-11-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 10 — — $31,031.65 $71,289.32 $31,341.97 2025-11-19
791 MS_DRG Prematurity With Major Problems 11 10 — — $30,977.58 $71,157.87 $31,287.36 2025-11-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 10 — — $30,428.20 $69,822.31 $30,732.48 2025-11-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 10 — — $30,408.02 $69,773.23 $30,712.10 2025-11-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 10 — — $30,154.23 $69,156.28 $30,455.77 2025-11-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 10 — — $30,095.85 $69,014.32 $30,396.81 2025-11-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 10 — — $30,038.15 $68,874.10 $30,338.53 2025-11-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 10 — — $29,912.72 $68,569.13 $30,211.85 2025-11-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 10 — — $29,899.02 $68,535.83 $30,198.01 2025-11-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 10 — — $29,743.28 $68,157.24 $30,040.71 2025-11-19
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 38 16 $79,717.70 $39,858.85 50% off $70.22 $67,760.05 $47,432.04 2025-11-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 10 — — $29,572.41 $67,741.86 $29,868.13 2025-11-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 10 — — $29,544.31 $67,673.50 $29,839.75 2025-11-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 10 — — $29,466.45 $67,484.21 $29,761.11 2025-11-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 10 — — $29,265.29 $66,995.20 $29,557.94 2025-11-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 10 — — $29,116.05 $66,632.40 $29,407.21 2025-11-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 10 — — $28,902.64 $66,113.60 $29,191.67 2025-11-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 10 — — $28,685.63 $65,586.03 $28,972.49 2025-11-19
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 10 — — $63,342.28 $64,609.13 $63,423.84 2025-11-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 10 — — $28,012.99 $63,950.76 $28,293.12 2025-11-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 10 — — $27,830.57 $63,507.33 $28,108.88 2025-11-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 10 — — $27,552.28 $62,830.79 $27,827.80 2025-11-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 10 — — $27,550.83 $62,827.28 $27,826.34 2025-11-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 10 — — $27,546.51 $62,816.77 $27,821.98 2025-11-19
265 MS_DRG Aicd Lead Procedures 11 10 — — $27,425.39 $62,522.31 $27,699.64 2025-11-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 10 — — $27,310.05 $62,241.88 $27,583.15 2025-11-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 10 — — $27,160.09 $61,877.32 $27,431.69 2025-11-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 10 — — $27,153.59 $61,861.55 $27,425.13 2025-11-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 10 — — $27,089.43 $61,705.56 $27,360.32 2025-11-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 10 — — $26,968.31 $61,411.10 $27,237.99 2025-11-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $26,960.36 $61,391.82 $27,229.96 2025-11-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 10 — — $26,950.27 $61,367.29 $27,219.77 2025-11-19
264 MS_DRG Other Circulatory System O.r. Procedures 11 10 — — $26,905.59 $61,258.62 $27,174.65 2025-11-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 10 — — $26,742.66 $60,862.51 $27,010.09 2025-11-19
332 MS_DRG Rectal Resection With Mcc 11 10 — — $26,715.24 $60,795.90 $26,982.39 2025-11-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 10 — — $26,687.86 $60,729.30 $26,954.74 2025-11-19
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 38 16 $71,331.05 $35,665.53 50% off $65.68 $60,631.39 $42,441.97 2025-11-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 10 — — $26,540.06 $60,370.00 $26,805.46 2025-11-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 10 — — $26,501.12 $60,275.35 $26,766.13 2025-11-19
665 MS_DRG Prostatectomy With Mcc 11 10 — — $26,462.19 $60,180.71 $26,726.81 2025-11-19
252 MS_DRG Other Vascular Procedures With Mcc 11 10 — — $26,439.12 $60,124.62 $26,703.51 2025-11-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 10 — — $26,401.63 $60,033.48 $26,665.65 2025-11-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 10 — — $26,264.65 $59,700.47 $26,527.30 2025-11-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 10 — — $26,162.27 $59,451.58 $26,423.89 2025-11-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 10 — — $25,907.78 $58,832.88 $26,166.86 2025-11-19
38240 CPT Transplt Allo Hct/donor 12 10 — — $6,311.09 $58,779.65 $57,627.10 2025-11-19
L7181 HCPCS Electronic Elbo Simultaneous 9 9 — — $57,614.51 $58,766.80 $57,614.51 2025-11-19
37 MS_DRG Extracranial Procedures With Mcc 11 10 — — $25,649.66 $58,205.41 $25,906.16 2025-11-19
A9543 HCPCS Y90 Ibritumomab, Rx 9 9 — — $56,824.55 $57,961.04 $56,824.55 2025-11-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 10 — — $25,512.71 $57,872.40 $25,767.84 2025-11-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 10 — — $25,273.33 $57,290.50 $25,526.06 2025-11-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 10 — — $25,206.27 $57,127.50 $25,458.33 2025-11-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 10 — — $25,196.18 $57,102.97 $25,448.14 2025-11-19
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 38 16 $66,571.60 $33,285.80 50% off $32.07 $56,585.86 $39,610.10 2025-11-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 10 — — $24,917.17 $56,424.67 $25,166.34 2025-11-19
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 10 — — $55,272.32 $56,377.77 $55,362.94 2025-11-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $24,809.75 $56,163.52 $25,057.85 2025-11-19
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 10 — — $24,742.68 $56,000.52 $24,990.11 2025-11-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 10 — — $24,698.72 $55,893.60 $24,945.71 2025-11-19
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 10 — — $24,636.71 $55,742.87 $24,883.08 2025-11-19
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 10 — — $24,590.58 $55,630.70 $24,836.49 2025-11-19
500 MS_DRG Soft Tissue Procedures With Mcc 11 10 — — $24,552.37 $55,537.80 $24,797.89 2025-11-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 10 — — $24,208.47 $54,701.77 $24,450.55 2025-11-19
662 MS_DRG Minor Bladder Procedures With Mcc 11 10 — — $24,198.37 $54,677.23 $24,440.35 2025-11-19
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 10 — — $24,102.48 $54,444.12 $24,343.50 2025-11-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 10 — — $24,002.27 $54,200.49 $24,242.29 2025-11-19
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $23,956.13 $54,088.32 $24,195.69 2025-11-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 10 — — $23,940.27 $54,049.76 $24,179.67 2025-11-19
652 MS_DRG Kidney Transplant 11 10 — — $23,850.87 $53,832.43 $24,089.38 2025-11-19
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 10 — — $23,830.69 $53,783.35 $24,069.00 2025-11-19
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 38 16 $63,139.60 $31,569.80 50% off $15.42 $53,668.66 $37,568.06 2025-11-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 10 — — $23,758.57 $53,608.08 $23,996.16 2025-11-19
L7180 HCPCS Electronic Elbow Sequential 9 9 — — $52,277.90 $53,323.46 $52,277.90 2025-11-19
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 38 16 $62,611.80 $31,305.90 50% off $29.84 $53,220.03 $37,254.02 2025-11-19
570 MS_DRG Skin Debridement With Mcc 11 10 — — $23,409.65 $52,759.78 $23,643.75 2025-11-19
974 MS_DRG HIV With Major Related Condition With Mcc 11 10 — — $23,236.61 $52,339.13 $23,468.98 2025-11-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 10 — — $22,965.52 $51,680.11 $23,195.18 2025-11-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 10 — — $22,910.74 $51,546.91 $23,139.85 2025-11-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 10 — — $22,853.05 $51,406.69 $23,081.58 2025-11-19
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 37 16 $60,387.70 $30,193.85 50% off $44.82 $51,329.55 $35,930.68 2025-11-19
668 MS_DRG Transurethral Procedures With Mcc 11 10 — — $22,732.66 $51,113.99 $22,959.99 2025-11-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 11 10 — — $22,721.11 $51,085.95 $22,948.32 2025-11-19
800 MS_DRG Splenic Procedures With Cc 11 10 — — $22,714.63 $51,070.17 $22,941.78 2025-11-19
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 10 — — $22,703.10 $51,042.13 $22,930.13 2025-11-19
472 MS_DRG Cervical Spinal Fusion With Cc 11 10 — — $22,594.96 $50,779.22 $22,820.91 2025-11-19
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 10 — — $22,377.93 $50,251.66 $22,601.71 2025-11-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 10 — — $22,354.14 $50,193.82 $22,577.68 2025-11-19
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 10 — — $22,341.90 $50,164.03 $22,565.32 2025-11-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 10 — — $22,313.04 $50,093.92 $22,536.17 2025-11-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 10 — — $22,231.60 $49,895.86 $22,453.92 2025-11-19
654 MS_DRG Major Bladder Procedures With Cc 11 10 — — $22,053.51 $49,462.95 $22,274.05 2025-11-19
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 10 — — $21,954.74 $49,222.83 $22,174.29 2025-11-19
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 10 — — $21,933.84 $49,172.00 $22,153.18 2025-11-19
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 38 16 $55,627.40 $27,813.70 50% off $164.59 $47,283.29 $33,098.31 2025-11-19
J9226 HCPCS Supprelin La Implant 10 10 — — $44,578.75 $45,921.06 $45,020.65 2025-11-19
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 38 16 $53,534.25 $26,767.13 50% off $57.31 $45,504.11 $31,852.88 2025-11-19
0266T CPT Fee Schedule 11 9 — — $6,575.00 $44,724.54 $43,847.59 2025-11-19
33276 CPT Insj Phrnc Nrv Stim Sys 10 10 — — $4,405.24 $44,724.54 $43,847.59 2025-11-19
L8701 HCPCS Ewh S/d Uprt Micro Sensor 9 9 — — $41,141.33 $41,964.16 $41,141.33 2025-11-19
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 38 16 $48,331.50 $24,165.75 50% off $89.34 $41,081.78 $28,757.24 2025-11-19
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution 38 16 $43,419.75 $21,709.88 50% off $234.16 $36,906.79 $25,834.76 2025-11-19
J0739 HCPCS Cabotegravir ER 600 Mg/3 Ml (200 Mg/ml) IM Suspension,extended Release 54 16 $43,296.15 $21,648.08 50% off $7.02 $36,801.73 $25,761.21 2025-11-19
A9517 HCPCS Sodium Iodide-131 (i-131) 500 Mci/0.5 Ml Oral Kit (therapeutic) 39 16 $42,187.50 $21,093.75 50% off $23.13 $35,859.38 $28,687.51 2025-11-19
L6700 HCPCS Ue Add Ext Power Myoel 9 9 — — $34,717.87 $35,412.23 $34,717.87 2025-11-19
L5856 HCPCS Elec Knee-shin Swing/stance 9 9 — — $34,568.35 $35,259.72 $34,568.35 2025-11-19
L6880 HCPCS Elec Hand Ind Art Digits 9 9 — — $34,363.97 $35,051.25 $34,363.97 2025-11-19
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 10 9 — — $8,741.66 $34,785.86 $34,103.79 2025-11-19
J0565 HCPCS Bezlotoxumab 25 Mg/ml Intravenous Solution 38 16 $40,874.60 $20,437.30 50% off $39.83 $34,743.41 $24,320.38 2025-11-19
J3110 HCPCS Teriparatide 20 Mcg/dose (560 Mcg/2.24 Ml) Subcutaneous Pen Injector 29 16 $39,792.20 $19,896.10 50% off $73.87 $33,823.37 $23,676.36 2025-11-19
C9482 HCPCS Sotalol 150 Mg/10 Ml (15 Mg/ml) Intravenous Solution 38 16 $38,972.25 $19,486.13 50% off $25.05 $33,126.41 $23,188.49 2025-11-19
0571T CPT Insj/rplcmt Icds Ss Eltrd 10 9 — — $8,741.66 $31,864.97 $31,240.16 2025-11-19
0408T CPT Insj/rplc Cardiac Modulj Sys 12 10 — — $3,842.99 $31,864.97 $31,240.16 2025-11-19
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 12 10 — — $3,842.99 $31,864.97 $31,240.16 2025-11-19
33270 CPT Ins/rep Subq Defibrillator 12 10 — — $3,842.99 $31,864.97 $31,240.16 2025-11-19
33249 CPT Insj/rplcmt Defib W/lead(s) 12 10 — — $3,842.99 $31,864.97 $31,240.16 2025-11-19
33231 CPT Insrt Pulse Gen W/mult Leads 12 10 — — $3,842.99 $31,864.97 $31,240.16 2025-11-19
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 9 — — $31,240.16 $31,864.97 $31,240.16 2025-11-19
69930 CPT Implant Cochlear Device 12 10 — — $3,842.99 $31,612.76 $30,992.90 2025-11-19
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 9 9 — — $29,692.86 $30,286.71 $29,692.86 2025-11-19
0268T CPT Apc 12 10 — — $3,842.99 $30,286.71 $29,692.86 2025-11-19
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 10 10 — — $4,405.24 $30,286.71 $29,692.86 2025-11-19
61886 CPT Implant Neurostim Arrays 12 10 — — $3,842.99 $30,286.71 $29,692.86 2025-11-19
64568 CPT Opn Impltj Crnl Nrv Nea&pg 12 10 — — $3,842.99 $30,286.71 $29,692.86 2025-11-19
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 10 10 — — $4,405.24 $30,286.71 $29,692.86 2025-11-19
33289 CPT Tcat Impl Wrls P-art Prs Snr 11 10 — — $4,405.24 $28,254.00 $27,700.00 2025-11-19
Q0483 HCPCS Monitor Elec Vad, Rep 9 9 — — $26,966.90 $27,506.24 $26,966.90 2025-11-19
C9760 HCPCS Non-blind Interatrial Shunt 10 9 — — $2,223.96 $27,331.86 $26,795.94 2025-11-19
L5858 HCPCS Stance Phase Only 9 9 — — $26,723.96 $27,258.44 $26,723.96 2025-11-19
L6975 HCPCS Interscap-thor Myoelectronic 9 9 — — $25,573.88 $26,085.36 $25,573.88 2025-11-19
L5973 HCPCS Ank-foot Sys Dors-plant Flex 9 9 — — $25,092.86 $25,594.72 $25,092.86 2025-11-19
J9600 HCPCS Porfimer Sodium Injection 9 9 — — $24,228.42 $24,712.99 $24,228.42 2025-11-19
93656 CPT Compre Ep Eval Abltj Atr Fib 11 9 — — $6,575.00 $24,381.86 $23,903.78 2025-11-19
93653 CPT Compre Ep Eval Tx Svt 11 9 — — $6,575.00 $24,381.86 $23,903.78 2025-11-19
93654 CPT Compre Ep Eval Tx Vt 11 9 — — $6,575.00 $24,381.86 $23,903.78 2025-11-19
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 9 9 — — $23,378.84 $23,846.42 $23,378.84 2025-11-19
L6970 HCPCS Interscapular-thor Switch CT 9 9 — — $23,340.59 $23,807.40 $23,340.59 2025-11-19
L6965 HCPCS Shldr Disartic Myoelectronic 9 9 — — $22,680.77 $23,134.39 $22,680.77 2025-11-19
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 9 9 — — $21,924.04 $22,362.52 $21,924.04 2025-11-19
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 9 9 — — $21,924.04 $22,362.52 $21,924.04 2025-11-19
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 12 10 — — $3,842.99 $22,308.54 $21,871.12 2025-11-19
0515T CPT Insj Wcs Lv Compl Sys 10 9 — — $8,741.66 $22,308.54 $21,871.12 2025-11-19
0409T CPT Insj/rplc Car Modulj Pls Gn 12 10 — — $3,842.99 $22,308.54 $21,871.12 2025-11-19
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 12 10 — — $3,842.99 $22,308.54 $21,871.12 2025-11-19
33240 CPT Insrt Pulse Gen W/singl Lead 12 10 — — $3,842.99 $22,308.54 $21,871.12 2025-11-19
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 12 10 — — $3,842.99 $22,308.54 $21,871.12 2025-11-19
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