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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

SAINT ALPHONSUS REGIONAL MEDICAL CENTER

Boise, ID · CCN 130007 · Rates published

Your selected procedure

You selected 29806 (CPT)

PR Arthroscopy Shoulder Surgical Capsulorrhaphy

This hospital’s price: $7,678 across 21 payers · range $2,500-$20,685

Source: https://hpt.trinity-health.org/820200895_saint-alphonsus-regional-medical-center-boise_standardcharges.zip · observed 2026-03-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,120 distinct procedures filed
783 distinct payers
4,805,448 rate rows
2026-03-31 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hpt.trinity-health.org/820200895_saint-alphonsus-regional-medical-center-boise_standardcharges.zip
Found on page https://www.saintalphonsus.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint efa0c86099934e73… · 308,515,332 bytes · first seen 2026-06-16

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 90 $188,530.79 $981,256.86 $616,137.80 nat. median
$247,805
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 90 $66,985.72 $348,644.36 $330,298.77 nat. median
$93,531
outlier · 3.5×
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 137 $1,260.42 $455,355.55 $323,302.44 nat. median
$2,468
outlier · 131.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 89 $142,792.53 $743,200.38 $303,226.34 nat. median
$190,274
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 89 $93,185.29 $485,006.77 $249,128.28 nat. median
$126,240
2.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 87 $73,155.51 $380,756.61 $239,971.20 nat. median
$97,029
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 90 $52,937.35 $275,526.03 $204,532.63 nat. median
$74,260
outlier · 2.8×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 138 $4,909.37 $314,849.59 $193,145.92 nat. median
$8,221
outlier · 23.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 $56,533.87 $294,245.05 $188,952.22 nat. median
$77,595
outlier · 2.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 90 $35,015.00 $185,342.86 $185,342.86 nat. median
$58,153
outlier · 3.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 89 $43,289.44 $225,311.02 $166,480.62 nat. median
$59,289
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 $65,813.79 $342,544.74 $165,720.87 nat. median
$90,525
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 87 $47,969.77 $249,670.96 $156,757.62 nat. median
$66,553
outlier · 2.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 89 $35,614.04 $185,362.41 $153,025.72 nat. median
$51,294
outlier · 3.0×
834
MS_DRG 		Acute Leukemia With Mcc 90 $36,933.30 $192,228.85 $149,429.73 nat. median
$50,311
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 $40,116.76 $208,797.95 $145,550.78 nat. median
$55,148
outlier · 2.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 90 $46,271.07 $240,829.67 $145,448.30 nat. median
$63,874
outlier · 2.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 89 $51,433.08 $267,696.68 $143,913.20 nat. median
$71,672
outlier · 2.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 87 $39,984.90 $208,111.65 $141,596.08 nat. median
$50,769
outlier · 2.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 $51,655.76 $268,855.67 $141,146.03 nat. median
$72,153
2.0× median
901
MS_DRG 		Wound Debridements For Injuries With Mcc 89 $28,232.63 $146,943.95 $138,942.54 nat. median
$39,526
outlier · 3.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 87 $40,409.40 $210,321.10 $138,363.26 nat. median
$56,565
outlier · 2.4×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 89 $44,235.33 $230,234.13 $135,752.04 nat. median
$61,992
outlier · 2.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 89 $39,455.44 $205,355.97 $134,713.79 nat. median
$53,708
outlier · 2.5×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 90 $33,283.63 $173,233.21 $131,966.67 nat. median
$47,242
outlier · 2.8×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 90 $32,028.28 $129,489.13 $129,489.13 nat. median
$45,788
outlier · 2.8×
653
MS_DRG 		Major Bladder Procedures With Mcc 90 $34,958.78 $181,951.95 $128,827.42 nat. median
$49,933
outlier · 2.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 87 $51,262.88 $266,810.80 $128,660.32 nat. median
$67,850
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 89 $46,499.13 $242,016.68 $128,321.66 nat. median
$62,605
outlier · 2.0×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 90 $38,343.39 $199,567.99 $122,132.28 nat. median
$49,857
outlier · 2.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 89 $40,786.14 $212,281.94 $121,488.38 nat. median
$57,665
outlier · 2.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 89 $39,481.01 $205,489.03 $120,303.09 nat. median
$55,354
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 86 $45,283.48 $235,689.47 $120,242.93 nat. median
$61,601
2.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 89 $30,151.31 $156,930.23 $119,893.14 nat. median
$42,632
outlier · 2.8×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 138 $64.41 $167,419.70 $118,867.99 nat. median
$92
outlier · 1291.8×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 89 $32,320.93 $168,222.56 $118,364.73 nat. median
$45,402
outlier · 2.6×
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 90 $24,410.73 $127,051.93 $116,974.46 nat. median
$32,092
outlier · 3.6×
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Ther 138 $23,610.02 $173,145.62 $116,281.91 nat. median
$63,915
1.8× median
SUP-958196
CDM 		Console Cryo Smartfreeze 126 $48,991.50 $163,305.00 $115,946.55 nat. median
$132,074
0.9× median
A9596
HCPCS 		Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution 138 $468.95 $162,720.00 $115,531.20 nat. median
$1,435
outlier · 80.5×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 90 $27,939.31 $145,417.30 $114,102.56 nat. median
$38,534
outlier · 3.0×
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 89 $31,469.90 $163,793.17 $112,311.25 nat. median
$43,768
outlier · 2.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 $38,550.59 $200,646.45 $109,891.64 nat. median
$53,315
outlier · 2.1×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 90 $33,224.43 $172,925.08 $106,912.81 nat. median
$45,281
outlier · 2.4×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 89 $36,802.79 $191,549.56 $106,897.21 nat. median
$50,653
outlier · 2.1×
SUP-235283
CDM 		Pump Heart Mate Ii Pckt Cntrl 126 $45,123.75 $150,412.50 $106,792.88 nat. median
$120,312
0.9× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 87 $31,070.96 $161,716.78 $106,551.87 nat. median
$44,064
outlier · 2.4×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 89 $33,110.74 $172,333.33 $106,355.81 nat. median
$45,076
outlier · 2.4×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 89 $35,876.41 $186,727.99 $106,130.78 nat. median
$50,491
outlier · 2.1×
28
MS_DRG 		Spinal Procedures With Mcc 89 $40,420.84 $210,380.62 $104,802.89 nat. median
$54,301
1.9× median

Other procedures at this hospital

Browse this hospital's 11,120 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 99 90 — $315,664.64 $188,530.79 $981,256.86 $616,137.80 2026-03-31
215 MS_DRG Other Heart Assist System Implant 99 90 — $186,107.57 $66,985.72 $348,644.36 $330,298.77 2026-03-31
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 153 137 $455,355.55 $455,355.55 $1,260.42 $455,355.55 $323,302.44 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 98 89 — $445,016.88 $142,792.53 $743,200.38 $303,226.34 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 98 89 — $233,841.24 $93,185.29 $485,006.77 $249,128.28 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 95 87 — $158,979.09 $73,155.51 $380,756.61 $239,971.20 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 99 90 — $151,518.18 $52,937.35 $275,526.03 $204,532.63 2026-03-31
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 155 138 $272,036.50 $272,036.50 $4,909.37 $314,849.59 $193,145.92 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 90 — $96,516.07 $56,533.87 $294,245.05 $188,952.22 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 99 90 — $75,359.39 $35,015.00 $185,342.86 $185,342.86 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 98 89 — $147,139.02 $43,289.44 $225,311.02 $166,480.62 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 90 — $172,325.67 $65,813.79 $342,544.74 $165,720.87 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 95 87 — $146,931.69 $47,969.77 $249,670.96 $156,757.62 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 98 89 — $182,295.59 $35,614.04 $185,362.41 $153,025.72 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 99 90 — $88,624.02 $36,933.30 $192,228.85 $149,429.73 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 90 — $80,892.75 $40,116.76 $208,797.95 $145,550.78 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 99 90 — $99,874.47 $46,271.07 $240,829.67 $145,448.30 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 98 89 — $193,408.44 $51,433.08 $267,696.68 $143,913.20 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 94 87 — $159,470.41 $39,984.90 $208,111.65 $141,596.08 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 90 — $149,689.20 $51,655.76 $268,855.67 $141,146.03 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 98 89 — $162,899.81 $28,232.63 $146,943.95 $138,942.54 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 95 87 — $111,172.07 $40,409.40 $210,321.10 $138,363.26 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 98 89 — $153,991.79 $44,235.33 $230,234.13 $135,752.04 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 98 89 — $135,440.30 $39,455.44 $205,355.97 $134,713.79 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 99 90 — $55,159.85 $33,283.63 $173,233.21 $131,966.67 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 99 90 — $71,016.34 $32,028.28 $129,489.13 $129,489.13 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 99 90 — $51,150.46 $34,958.78 $181,951.95 $128,827.42 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 90 87 — $128,868.26 $51,262.88 $266,810.80 $128,660.32 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 98 89 — $188,451.74 $46,499.13 $242,016.68 $128,321.66 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 99 90 — $59,707.58 $38,343.39 $199,567.99 $122,132.28 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 98 89 — $239,095.96 $40,786.14 $212,281.94 $121,488.38 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 98 89 — $135,788.24 $39,481.01 $205,489.03 $120,303.09 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 89 86 — $154,918.78 $45,283.48 $235,689.47 $120,242.93 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 98 89 — $106,436.17 $30,151.31 $156,930.23 $119,893.14 2026-03-31
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 155 138 $167,419.70 $167,419.70 $64.41 $167,419.70 $118,867.99 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 98 89 — $158,881.61 $32,320.93 $168,222.56 $118,364.73 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 99 90 — $54,182.55 $24,410.73 $127,051.93 $116,974.46 2026-03-31
A9543 HCPCS Yttrium Y-90 Ibritumomab Ther 155 138 $55,035.00 $55,035.00 $23,610.02 $173,145.62 $116,281.91 2026-03-31
SUP-958196 CDM Console Cryo Smartfreeze 133 126 $163,305.00 $106,148.25 35% off $48,991.50 $163,305.00 $115,946.55 2026-03-31
A9596 HCPCS Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution 155 138 $162,720.00 $162,720.00 $468.95 $162,720.00 $115,531.20 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 99 90 — $52,532.34 $27,939.31 $145,417.30 $114,102.56 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 98 89 — $194,317.42 $31,469.90 $163,793.17 $112,311.25 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 99 90 — $96,542.98 $38,550.59 $200,646.45 $109,891.64 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 99 90 — $86,111.72 $33,224.43 $172,925.08 $106,912.81 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 98 89 — $230,033.37 $36,802.79 $191,549.56 $106,897.21 2026-03-31
SUP-235283 CDM Pump Heart Mate Ii Pckt Cntrl 133 126 $150,412.50 $97,768.12 35% off $45,123.75 $150,412.50 $106,792.88 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 95 87 — $44,365.87 $31,070.96 $161,716.78 $106,551.87 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 98 89 — $110,864.86 $33,110.74 $172,333.33 $106,355.81 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 89 — $117,646.76 $35,876.41 $186,727.99 $106,130.78 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 98 89 — $182,382.63 $40,420.84 $210,380.62 $104,802.89 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 87 85 — $172,948.28 $26,198.23 $136,355.41 $104,486.52 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 99 90 — $74,228.04 $30,922.95 $160,946.45 $104,468.69 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 99 90 — $87,161.22 $30,844.24 $160,536.77 $102,514.74 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 98 89 — $162,648.50 $36,750.31 $191,276.44 $101,021.98 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 99 90 — $54,866.51 $26,803.03 $139,503.26 $100,520.68 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 99 90 — $79,972.67 $30,601.38 $159,272.73 $100,277.82 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 99 90 — $89,243.44 $35,019.33 $182,267.08 $100,275.60 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 99 90 — $71,888.71 $28,880.48 $150,315.89 $98,539.98 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 99 90 — $65,123.79 $24,023.23 $125,035.06 $98,455.32 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 99 90 — $89,080.67 $35,496.31 $184,749.64 $98,361.74 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 99 90 — $78,450.11 $33,552.73 $174,633.81 $97,151.94 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 98 89 — $88,150.95 $25,145.38 $130,875.57 $94,549.64 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 99 90 — $74,296.48 $30,468.17 $158,579.43 $94,106.26 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 17 16 — $212,771.38 $76,147.23 $396,327.78 $92,748.83 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 99 90 — $66,573.80 $28,411.58 $92,524.38 $92,524.38 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 95 87 — $105,591.14 $29,112.58 $151,523.91 $92,239.20 2026-03-31
570 MS_DRG Skin Debridement With Mcc 99 90 — $32,350.79 $19,786.25 $102,982.62 $91,561.89 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 98 89 — $85,161.42 $30,024.16 $156,268.44 $91,363.60 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 99 90 — $51,033.06 $21,762.79 $113,270.02 $90,739.76 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 89 86 — $81,232.27 $25,315.58 $131,761.45 $90,160.48 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 99 90 — $90,130.54 $31,564.08 $164,283.38 $90,129.28 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 99 90 — $46,893.16 $21,188.26 $89,104.40 $89,104.40 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 99 90 — $24,334.76 $28,694.81 $149,349.48 $88,525.12 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 99 90 — $61,104.28 $36,692.46 $190,975.31 $86,811.79 2026-03-31
539 MS_DRG Osteomyelitis With Mcc 99 90 — $10,971.35 $13,251.16 $84,423.38 $84,423.38 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 85 84 — $53,520.88 $21,732.52 $84,412.24 $84,412.24 2026-03-31
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 98 89 — $38,329.88 $12,185.52 $83,316.06 $83,316.06 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 99 90 — $45,591.75 $32,485.08 $169,076.93 $82,721.18 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 99 90 — $73,959.81 $26,040.13 $135,532.56 $81,941.38 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 98 89 — $105,328.83 $28,180.15 $146,670.83 $81,731.95 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 99 90 — $66,745.19 $26,317.31 $136,975.18 $78,060.21 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 99 90 — $59,942.88 $24,047.45 $125,161.12 $77,844.09 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 98 89 — $144,670.90 $23,461.48 $122,111.31 $77,590.10 2026-03-31
949 MS_DRG Aftercare With Cc/mcc 98 89 — $26,067.40 $8,003.71 $75,731.95 $75,731.95 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 98 89 — $92,110.90 $25,072.05 $130,493.90 $75,651.74 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 98 89 — $69,036.07 $21,419.01 $111,480.76 $74,785.05 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 99 90 — $21,925.25 $21,258.90 $74,096.60 $74,096.60 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 99 90 — $62,963.91 $23,967.39 $124,744.44 $73,849.29 2026-03-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 98 89 — $45,257.97 $11,884.13 $73,722.29 $73,722.29 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 99 90 — $69,335.95 $30,587.92 $159,202.70 $73,515.09 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 99 90 — $67,562.37 $30,142.56 $156,884.71 $73,347.99 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 90 87 — $77,016.30 $28,349.01 $147,549.71 $73,004.88 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 16 — $48,398.14 $35,015.00 $172,029.16 $72,893.71 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 99 90 — $57,110.53 $21,439.87 $111,589.30 $71,514.34 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 99 90 — $51,611.72 $17,093.90 $88,969.61 $71,416.31 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 95 87 — $53,202.97 $24,262.06 $126,278.10 $71,309.37 2026-03-31
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 143 131 $100,420.54 $65,273.35 35% off $28,921.12 $100,420.54 $71,298.58 2026-03-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 99 90 — $14,913.11 $12,546.11 $71,246.98 $71,246.98 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 99 90 — $38,843.09 $23,676.76 $123,231.79 $70,663.25 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 98 89 — $63,852.16 $19,424.98 $101,102.31 $70,150.81 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 98 89 — $117,054.45 $29,552.56 $153,813.89 $70,034.95 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 99 90 — $56,276.54 $21,291.19 $110,815.47 $69,867.85 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 98 89 — $81,842.80 $25,828.89 $78,648.83 $69,847.80 2026-03-31
835 MS_DRG Acute Leukemia With Cc 99 90 — $40,209.75 $14,032.22 $73,034.29 $69,462.36 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 98 89 — $92,198.91 $28,266.26 $147,119.02 $69,275.20 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 98 89 — $80,334.14 $27,754.30 $144,454.38 $69,261.84 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 95 87 — $58,815.27 $20,023.73 $104,218.65 $68,511.00 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 99 90 — $47,007.49 $19,309.27 $100,500.05 $68,292.66 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 99 90 — $60,166.65 $23,240.82 $120,962.82 $68,132.24 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 99 90 — $69,348.64 $23,725.20 $123,483.90 $68,109.96 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 98 89 — $39,316.06 $12,073.84 $67,682.18 $67,682.18 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 99 90 — $63,255.12 $21,883.21 $113,896.79 $67,058.34 2026-03-31
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 155 138 $94,382.55 $94,382.55 $197.62 $94,382.55 $67,011.61 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 99 90 — $40,846.71 $21,479.56 $111,795.89 $66,757.56 2026-03-31
791 MS_DRG Prematurity With Major Problems 94 87 — $11,769.35 $27,306.92 $142,125.89 $66,218.39 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 95 87 — $86,322.37 $21,198.35 $110,332.27 $66,140.41 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 98 89 — $74,552.50 $18,891.51 $131,187.20 $65,957.71 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 99 90 — $63,097.73 $23,925.01 $124,523.84 $65,431.90 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 99 90 — $43,358.60 $25,976.22 $135,199.92 $65,367.29 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 98 89 — $71,416.68 $24,700.69 $128,561.07 $65,177.91 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 96 88 — $556,062.88 $19,415.57 $101,053.29 $64,375.83 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 98 89 — $73,559.75 $22,473.89 $116,971.11 $64,219.87 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 95 87 — $75,234.31 $18,304.18 $95,268.81 $64,048.32 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 99 90 — $55,814.38 $21,787.01 $113,396.08 $63,266.29 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 99 90 — $49,138.58 $19,176.74 $99,810.26 $63,032.35 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 99 90 — $59,648.17 $23,064.56 $120,045.43 $62,941.00 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 98 89 — $90,423.20 $23,467.54 $122,142.82 $62,907.58 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 99 90 — $23,774.84 $17,375.79 $90,436.74 $62,101.04 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 99 90 — $28,768.20 $19,523.21 $101,613.53 $62,038.66 2026-03-31
SUP-962194 CDM Power Cntrl/ 5 Ellipsys Vas Caths 133 126 $87,239.25 $56,705.51 35% off $26,171.78 $87,239.25 $61,939.87 2026-03-31
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 96 88 — $155,213.77 $14,082.00 $73,293.40 $61,795.81 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 99 90 — $44,338.12 $20,917.14 $62,443.30 $61,559.64 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 99 90 — $47,478.89 $22,951.54 $119,457.17 $60,699.63 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 99 90 — $28,836.89 $21,710.32 $112,996.91 $60,688.49 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 16 — $73,234.95 $48,563.13 $252,759.28 $59,600.64 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 98 89 — $68,115.85 $20,405.85 $106,207.50 $59,249.20 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 99 90 — $50,790.10 $20,954.14 $109,061.22 $58,952.88 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 95 87 — $72,794.47 $21,597.97 $63,185.41 $58,915.00 2026-03-31
265 MS_DRG Aicd Lead Procedures 99 90 — $58,098.10 $24,341.44 $126,691.27 $58,551.84 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 99 90 — $27,728.36 $17,273.53 $89,904.51 $58,317.90 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 98 89 — $66,407.15 $19,592.50 $101,974.18 $58,282.25 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 99 90 — $50,311.98 $18,832.29 $98,017.49 $57,943.60 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 99 90 — $55,382.81 $24,391.90 $126,953.89 $56,945.45 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 99 90 — $47,781.33 $19,511.10 $101,550.50 $56,889.75 2026-03-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 99 90 — $33,596.69 $14,335.63 $74,613.46 $56,885.30 2026-03-31
919 MS_DRG Complications Of Treatment With Mcc 99 90 — $28,683.92 $12,316.71 $64,105.46 $56,564.46 2026-03-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 99 90 — $31,448.14 $16,082.09 $56,479.80 $56,479.80 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 98 89 — $63,483.81 $18,487.17 $56,448.69 $56,277.05 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 98 89 — $62,151.82 $16,980.21 $88,377.86 $55,430.41 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 16 — $100,091.54 $44,950.46 $233,956.22 $55,259.25 2026-03-31
SUP-878598 CDM Device Impella 5.5 Smartassist 133 126 $77,355.00 $50,280.75 35% off $23,206.50 $77,355.00 $54,922.05 2026-03-31
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 132 125 $77,352.35 $77,352.35 $23,205.71 $77,352.35 $54,920.17 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 16 — $107,789.26 $35,015.00 $128,427.47 $54,418.42 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 90 87 — $49,235.74 $18,391.64 $95,724.01 $54,158.22 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 99 90 — $61,050.79 $22,147.60 $115,272.88 $53,797.29 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 98 89 — $57,187.75 $18,548.39 $96,539.86 $53,425.21 2026-03-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 98 89 — $49,497.32 $15,732.93 $81,886.08 $53,407.39 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 99 90 — $35,764.36 $19,819.89 $62,491.93 $52,536.24 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 98 89 — $58,422.84 $17,351.57 $90,310.69 $52,382.51 2026-03-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 98 89 — $65,658.61 $15,241.82 $79,329.98 $52,326.81 2026-03-31
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 155 138 $73,649.25 $73,649.25 $220.31 $73,649.25 $52,290.97 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 99 90 — $42,632.76 $17,461.90 $90,884.93 $52,032.71 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 96 88 — $215,385.47 $24,298.38 $126,467.18 $51,756.44 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 90 87 — $35,610.82 $19,806.43 $103,087.66 $51,624.99 2026-03-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 99 90 — $26,655.69 $14,853.65 $77,309.62 $51,466.80 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 99 90 — $47,521.00 $22,144.91 $68,526.72 $50,666.95 2026-03-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 99 90 — $40,573.80 $15,548.60 $80,926.67 $50,484.25 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 99 90 — $34,894.74 $16,443.36 $52,807.52 $49,425.95 2026-03-31
333 MS_DRG Rectal Resection With Cc 99 90 — $33,097.14 $15,757.15 $82,012.13 $49,370.25 2026-03-31
141 MS_DRG Major Head And Neck Procedures With Cc 99 90 — $40,637.71 $14,673.35 $49,310.10 $49,310.10 2026-03-31
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 99 90 — $39,751.01 $14,647.79 $76,238.16 $49,145.22 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 98 89 — $50,348.26 $16,539.56 $86,084.38 $48,917.97 2026-03-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 98 89 — $46,182.50 $14,246.83 $74,151.27 $48,889.00 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 99 90 — $31,010.12 $15,721.49 $81,826.55 $48,697.40 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 99 90 — $42,723.71 $16,423.85 $52,029.39 $48,688.48 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 98 89 — $61,305.50 $18,647.96 $54,955.36 $48,559.26 2026-03-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 98 89 — $58,293.16 $14,682.77 $76,420.24 $48,452.32 2026-03-31
800 MS_DRG Splenic Procedures With Cc 98 89 — $99,350.98 $18,900.24 $98,371.14 $48,396.62 2026-03-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 98 89 — $71,520.65 $14,719.10 $76,609.32 $48,227.29 2026-03-31
503 MS_DRG Foot Procedures With Mcc 99 90 — $52,623.92 $18,777.13 $97,730.37 $48,173.82 2026-03-31
655 MS_DRG Major Bladder Procedures Without Cc/mcc 98 89 — $52,360.01 $14,239.43 $74,112.75 $47,910.91 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 16 — $81,745.24 $38,798.17 $201,935.01 $47,865.93 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 99 90 — $47,502.44 $17,175.31 $89,393.30 $47,683.66 2026-03-31
SUP-977545 CDM Kit Triclip G4 Sys W/any 3 Clips 133 126 $67,041.00 $43,576.65 35% off $20,112.30 $67,041.00 $47,599.11 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 98 89 — $58,003.95 $17,061.61 $88,801.54 $47,278.16 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 98 89 — $67,309.71 $18,491.88 $96,245.73 $47,200.18 2026-03-31
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 99 90 — $35,831.00 $12,159.96 $47,095.46 $47,095.46 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 98 89 — $52,715.06 $16,544.27 $86,108.89 $46,917.22 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 16 — $89,278.23 $37,822.01 $196,854.33 $46,692.87 2026-03-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 99 90 — $29,019.13 $14,745.33 $47,627.00 $46,689.97 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 16 — $75,076.48 $35,015.00 $110,041.63 $46,627.81 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 99 90 — $39,596.33 $16,972.81 $51,443.67 $46,580.80 2026-03-31
SUP-968130 CDM Implant Bear 133 126 $65,522.87 $42,589.87 35% off $19,656.86 $65,522.87 $46,521.24 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 138 128 $65,142.90 $65,142.90 $15,687.93 $65,142.90 $46,251.46 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 99 90 — $67,127.07 $25,142.69 $130,861.56 $46,188.67 2026-03-31
374 MS_DRG Digestive Malignancy With Mcc 99 90 — $29,801.65 $14,388.10 $74,886.58 $45,747.52 2026-03-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 99 90 — $31,485.21 $15,309.77 $79,683.64 $45,736.38 2026-03-31
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 99 90 — $25,842.56 $12,068.46 $62,813.41 $45,544.78 2026-03-31
883 MS_DRG Disorders Of Personality And Impulse Control 89 86 — $25,672.89 $13,228.28 $68,849.99 $45,370.99 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 99 90 — $40,579.04 $13,442.22 $69,963.47 $45,252.91 2026-03-31
682 MS_DRG Renal Failure With Mcc 99 90 — $23,801.15 $9,963.43 $51,857.22 $45,217.26 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 96 88 — $136,051.21 $16,764.26 $87,253.88 $45,027.88 2026-03-31
165 MS_DRG Major Chest Procedures Without Cc/mcc 98 89 — $49,184.71 $12,877.78 $67,025.71 $44,894.20 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 99 90 — $42,214.68 $16,127.16 $83,937.96 $44,885.29 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 99 90 — $45,851.29 $16,054.51 $83,559.80 $44,263.68 2026-03-31
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 98 89 — $43,124.91 $12,132.37 $63,146.05 $44,025.28 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 98 89 — $73,507.49 $20,317.72 $105,748.80 $43,564.08 2026-03-31
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 99 90 — $23,860.99 $13,862.69 $72,151.91 $43,510.61 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 99 90 — $29,335.42 $20,320.41 $105,762.81 $43,350.20 2026-03-31
336 MS_DRG Peritoneal Adhesiolysis With Cc 99 90 — $40,000.48 $14,186.28 $73,836.13 $42,886.77 2026-03-31
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 99 90 — $7,422.74 $13,420.02 $42,332.00 $42,332.00 2026-03-31
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 99 90 — $28,802.38 $12,505.75 $65,089.38 $42,307.49 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 100 90 — $34,802.29 $12,976.67 $67,540.43 $42,124.80 2026-03-31
113 MS_DRG Orbital Procedures With Cc/mcc 99 90 — $43,652.69 $15,817.03 $82,323.77 $41,645.78 2026-03-31
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 99 90 — $29,636.42 $12,311.33 $41,632.41 $41,632.41 2026-03-31
595 MS_DRG Major Skin Disorders With Mcc 99 90 — $15,049.42 $14,267.01 $45,990.38 $41,596.76 2026-03-31
SUP-943847 CDM Valve Sapien Thv Edwards Resilia 23mm 133 126 $58,446.00 $37,989.90 35% off $17,533.80 $58,446.00 $41,496.66 2026-03-31
SUP-775386 CDM Implant Gammatile Therapy Device 6pk 133 126 $58,308.48 $37,900.51 35% off $17,492.54 $58,308.48 $41,399.02 2026-03-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 99 90 — $21,588.61 $14,244.81 $44,637.10 $41,162.30 2026-03-31
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 98 89 — $48,589.05 $13,980.42 $72,764.67 $41,119.97 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 99 90 — $43,158.31 $15,376.37 $80,030.28 $41,086.55 2026-03-31
A9604 HCPCS Sm-153 Lexidron Ther 133 126 $57,456.00 $57,456.00 $16,037.99 $57,456.00 $40,793.76 2026-03-31
754 MS_DRG Malignancy, Female Reproductive System With Mcc 98 89 — $55,937.97 $12,390.04 $64,487.13 $40,661.00 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 98 89 — $55,283.27 $14,090.75 $73,338.92 $40,627.58 2026-03-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 95 87 — $58,392.12 $11,860.58 $40,625.35 $40,625.35 2026-03-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 99 90 — $30,337.33 $14,791.75 $76,987.48 $40,574.11 2026-03-31
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 99 90 — $28,174.12 $14,067.88 $73,219.87 $40,235.45 2026-03-31
C1825 HCPCS Generator Stim Baroreceptor Neo Legacy Implant Pulse 280 129 $51,247.69 $33,311.00 35% off $13,408.20 $57,801.38 $40,224.60 2026-03-31
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 99 90 — $33,137.13 $13,457.02 $41,484.38 $40,135.19 2026-03-31
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 98 89 — $65,949.83 $11,623.10 $60,495.42 $40,097.32 2026-03-31
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 89 86 — $27,921.66 $11,740.16 $61,104.68 $40,077.26 2026-03-31
SUP-220542 CDM Valve Sapien 3 Thv 20mm W/command System 133 126 $55,867.50 $36,313.87 35% off $16,760.25 $55,867.50 $39,665.93 2026-03-31
SUP-775558 CDM Intrdcr Lotus 23 Edge 133 126 $55,867.50 $36,313.87 35% off $16,760.25 $55,867.50 $39,665.93 2026-03-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 99 90 — $42,941.66 $15,284.21 $79,550.58 $39,493.53 2026-03-31
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 99 90 — $28,835.72 $14,657.88 $76,290.68 $39,415.55 2026-03-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 99 90 — $36,893.97 $12,582.44 $65,488.55 $39,379.90 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 98 89 — $46,112.30 $17,351.57 $90,310.69 $39,288.55 2026-03-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 98 89 — $42,977.28 $10,967.17 $57,081.45 $39,264.04 2026-03-31
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 99 90 — $27,651.72 $11,658.08 $60,677.49 $39,054.61 2026-03-31
902 MS_DRG Wound Debridements For Injuries With Cc 98 89 — $80,687.72 $12,879.80 $67,036.22 $38,967.72 2026-03-31
SUP-960412 CDM Cage Capri Cerv Expand Corp W/set Screw 12x14mm 32-46mm 0deg 133 126 $54,287.74 $35,287.03 35% off $16,286.32 $54,287.74 $38,544.30 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 99 90 — $31,019.07 $10,513.06 $54,717.94 $38,524.35 2026-03-31
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 99 90 — $28,593.35 $13,070.19 $39,394.18 $38,510.98 2026-03-31
620 MS_DRG O.r. Procedures For Obesity With Cc 99 90 — $24,436.55 $10,766.02 $38,510.98 $38,510.98 2026-03-31
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 99 90 — $20,103.36 $12,718.34 $66,195.86 $38,424.09 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 98 89 — $46,819.62 $14,028.18 $73,013.28 $38,201.29 2026-03-31
SUP-130379 CDM Handpiece Electr Ster Disp Electrosurgical 133 126 $53,727.95 $34,923.17 35% off $16,118.39 $53,727.95 $38,146.84 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 99 90 — $32,752.65 $15,644.80 $81,427.38 $38,049.78 2026-03-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 99 90 — $35,260.78 $14,406.94 $74,984.62 $38,009.68 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 99 90 — $33,245.68 $11,880.77 $61,836.49 $37,902.74 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 98 89 — $44,849.28 $13,529.00 $70,415.17 $37,860.40 2026-03-31
30 MS_DRG Spinal Procedures Without Cc/mcc 99 90 — $35,926.55 $14,768.21 $76,864.93 $37,699.99 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 98 89 — $56,747.91 $20,295.52 $105,633.25 $37,637.60 2026-03-31
908 MS_DRG Other O.r. Procedures For Injuries With Cc 99 90 — $32,730.98 $13,422.71 $69,861.93 $37,506.15 2026-03-31
SUP-956570 CDM Pascal Precision System Mitral 133 126 $52,601.40 $34,190.91 35% off $15,780.42 $52,601.40 $37,346.99 2026-03-31
597 MS_DRG Malignant Breast Disorders With Mcc 99 90 — $26,991.38 $11,215.42 $58,373.51 $37,278.90 2026-03-31
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 99 90 — $17,736.70 $11,368.13 $59,168.35 $37,211.60 2026-03-31
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 99 90 — $29,457.64 $11,462.31 $59,658.56 $37,136.30 2026-03-31
SUP-977299 CDM Heart Aortic Evolut Fx+ 29mm 133 126 $52,236.11 $33,953.47 35% off $15,670.83 $52,236.11 $37,087.64 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 99 90 — $22,392.76 $8,311.15 $43,257.53 $37,073.92 2026-03-31
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 98 89 — $81,650.43 $11,900.27 $61,938.03 $37,004.85 2026-03-31
SUP-977300 CDM Heart Aortic Evolut Fx+ 34mm 133 126 $52,098.92 $33,864.30 35% off $15,629.68 $52,098.92 $36,990.23 2026-03-31
SUP-977297 CDM Heart Aortic Evolut Fx+ 23mm 133 126 $52,095.62 $33,862.15 35% off $15,628.69 $52,095.62 $36,987.89 2026-03-31
380 MS_DRG Complicated Peptic Ulcer With Mcc 98 89 — $47,926.40 $13,200.70 $41,201.03 $36,733.04 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 98 89 — $39,973.18 $13,241.07 $68,916.52 $36,670.65 2026-03-31
SUP-977298 CDM Heart Aortic Evolut Fx+ 26mm 133 126 $51,643.68 $33,568.39 35% off $15,493.10 $51,643.68 $36,667.01 2026-03-31
SUP-220532 CDM Valve Aort 23mm Evolutr 133 126 $51,570.00 $33,520.50 35% off $15,471.00 $51,570.00 $36,614.70 2026-03-31
SUP-232785 CDM Valve Aort 23mm Pro Perc 133 126 $51,570.00 $33,520.50 35% off $15,471.00 $51,570.00 $36,614.70 2026-03-31
SUP-748688 CDM Kit Mitraclip 1 Mbr0101 133 126 $51,570.00 $33,520.50 35% off $15,471.00 $51,570.00 $36,614.70 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 98 89 — $47,296.79 $15,438.94 $80,355.92 $36,374.33 2026-03-31
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 99 90 — $26,007.94 $12,356.40 $64,312.05 $36,358.73 2026-03-31
666 MS_DRG Prostatectomy With Cc 99 90 — $25,872.15 $11,768.42 $61,251.74 $36,311.94 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 98 89 — $41,388.40 $13,068.17 $68,016.64 $36,140.39 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 99 90 — $29,881.96 $11,928.53 $62,085.10 $36,026.76 2026-03-31
836 MS_DRG Acute Leukemia Without Cc/mcc 99 90 — $17,293.51 $8,204.19 $36,020.08 $36,020.08 2026-03-31
196 MS_DRG Interstitial Lung Disease With Mcc 98 89 — $34,012.35 $12,696.14 $66,080.31 $35,942.10 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 98 89 — $24,944.33 $6,566.04 $35,939.87 $35,939.87 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 99 90 — $27,180.50 $10,759.29 $55,999.49 $35,881.94 2026-03-31
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 98 89 — $24,429.83 $10,739.78 $55,897.95 $35,875.26 2026-03-31
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 98 89 — $32,332.40 $10,601.19 $55,176.64 $35,705.93 2026-03-31
0268T CPT Hc Implantation Or Replacement Carotid Sinus Baroreflex Activation Device Pulse … 147 131 $50,181.00 $32,617.65 35% off $14,452.13 $97,812.27 $35,628.51 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 16 — $71,332.82 $28,529.98 $148,491.61 $35,526.51 2026-03-31
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 99 90 — $23,146.88 $10,147.76 $35,293.75 $35,293.75 2026-03-31
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 98 89 — $31,338.68 $10,384.57 $54,049.15 $35,289.29 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 98 89 — $45,703.90 $15,628.66 $81,343.35 $35,251.42 2026-03-31
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 99 90 — $24,877.18 $13,603.68 $70,803.83 $35,249.19 2026-03-31
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 98 89 — $46,735.03 $11,821.56 $61,528.36 $35,209.08 2026-03-31
69930 CPT Pr Implantation Device Cochlear With Or Without Mastoidectomy 28 21 — $57,402.23 $9,984.76 $93,990.22 $35,202.61 2026-03-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 98 89 — $38,986.12 $10,054.25 $35,177.89 $35,177.89 2026-03-31
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 99 90 — $22,343.05 $11,422.62 $59,451.97 $35,164.52 2026-03-31
334 MS_DRG Rectal Resection Without Cc/mcc 98 89 — $66,254.32 $11,018.97 $57,351.07 $34,968.46 2026-03-31
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 99 90 — $23,495.69 $10,338.15 $35,015.00 $34,821.41 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 134 126 $48,786.25 $48,786.25 $8,152.80 $48,786.25 $34,638.24 2026-03-31
254 MS_DRG Other Vascular Procedures Without Cc/mcc 99 90 — $30,681.28 $11,986.39 $36,688.69 $34,618.66 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 143 129 $48,611.65 $48,611.65 $27.24 $48,611.65 $34,514.27 2026-03-31
186 MS_DRG Pleural Effusion With Mcc 99 90 — $26,252.39 $10,484.81 $54,570.88 $34,398.09 2026-03-31
SUP-211836 CDM Cath Impella Ld 133 126 $48,132.00 $31,285.80 35% off $14,439.60 $48,132.00 $34,173.72 2026-03-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 98 89 — $63,926.54 $14,886.61 $77,481.19 $34,141.87 2026-03-31
975 MS_DRG HIV With Major Related Condition With Cc 98 89 — $42,715.33 $8,712.11 $45,344.43 $33,923.53 2026-03-31
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 99 90 — $5,463.35 $10,975.24 $35,015.00 $33,794.30 2026-03-31
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