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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

BLESSING HOSPITAL

Quincy, IL · CCN 140015 · Rates published

11,524 distinct procedures filed
14 distinct payers
452,276 rate rows
2026-06-08 last MRF observed
Data quality

262,652 of 452,276 rate rows are consumer-grade (58.1%)

189,624 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 187,050
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,869
placeholder amount (≤ $0.02) — excluded from medians 482
percent-of-charges filed in the dollar field — excluded from medians 151
exceeds 10× this hospital's gross charge — excluded from medians 72
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7854/370661183-1760571699_blessing-hospital_standardcharges.csv
Found on page https://www.blessinghealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-07-31
Content fingerprint c89a274f70780d7d… · 319,936,886 bytes · first seen 2026-07-31

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 		All Professional Services - Non-facility 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		All Professional Services - Non-facility 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		All Professional Services - Non-facility 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		All Professional Services - Non-facility 1 $3,327,859.73 $3,327,859.73 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		All Professional Services - Non-facility 1 $3,252,508.08 $3,252,508.08 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		All Professional Services - Non-facility 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		All Professional Services - Non-facility 1 $2,939,968.89 $2,939,968.89 $2,939,968.89 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,588,981.23 $2,588,981.23 $2,588,981.23 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		All Professional Services - Non-facility 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		All Professional Services - Non-facility 1 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		All Professional Services - Non-facility 1 $587,649.57 $587,649.57 $587,649.57 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $566,531.30 $566,531.30 $566,531.30 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $562,201.24 $562,201.24 $562,201.24 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $558,081.73 $558,081.73 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $532,192.24 $532,192.24 $532,192.24 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $489,450.20 $489,450.20 $489,450.20 nat. median
$577,541
0.8× median
Q2058
HCPCS 		All Professional Services - Non-facility 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $273,708.15 $273,708.15 $273,708.15 nat. median
$370,165
0.7× median
J3403
HCPCS 		All Professional Services - Non-facility 1 $265,000.00 $265,000.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		All Professional Services - Non-facility 1 $201,669.02 $201,669.02 $201,669.02 nat. median
$209,736
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $177,625.58 $177,625.58 $177,625.58 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $135,327.16 $135,327.16 $135,327.16 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 $134,532.96 $134,532.96 $134,532.96 nat. median
$199,832
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 1 $87,795.16 $87,795.16 $87,795.16 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 1 $82,083.03 $82,083.03 $82,083.03 nat. median
$122,690
0.7× median
C2624
HCPCS 		Mems Sensor Delivery Sys 14 $67,317.09 $101,308.88 $79,980.70 nat. median
$32,499
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $76,173.78 $76,173.78 $76,173.78 nat. median
$114,305
0.7× median
38240
CPT 		Transplt Allo Hct/donor 1 $72,191.83 $72,191.83 $72,191.83 nat. median
$13,835
outlier · 5.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $71,825.03 $71,825.03 $71,825.03 nat. median
$108,240
0.7× median
209
MS_DRG 		Inpatient Services 1 $71,742.63 $71,742.63 $71,742.63 nat. median
$96,134
0.7× median
426
MS_DRG 		Inpatient Services 1 $69,856.34 $69,856.34 $69,856.34 nat. median
$96,835
0.7× median
212
MS_DRG 		Inpatient Services 1 $68,923.96 $68,923.96 $68,923.96 nat. median
$100,978
0.7× median
C1882
HCPCS 		Crt-d Cobalt Xt Hf MRI 14 $20,625.96 $111,043.54 $67,370.41 nat. median
$27,675
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $65,351.66 $65,351.66 $65,351.66 nat. median
$99,646
0.7× median
C1820
HCPCS 		Generator 16 Ipg Alpha 14 $8,469.14 $118,385.91 $64,967.02 nat. median
$22,838
outlier · 2.8×
J9029
HCPCS 		All Professional Services - Non-facility 1 $64,274.79 $64,274.79 $64,274.79 nat. median
$69,291
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 1 $63,111.05 $63,111.05 $63,111.05 nat. median
$98,002
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $62,006.91 $62,006.91 $62,006.91 nat. median
$92,900
0.7× median
C1767
HCPCS 		Implant Stimulator E Coin 14 $1,384.80 $237,955.69 $60,679.84 nat. median
$23,668
outlier · 2.6×
429
MS_DRG 		Inpatient Services 1 $57,106.09 $57,106.09 $57,106.09 nat. median
$81,124
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $56,824.55 $56,824.55 $56,824.55 nat. median
$63,643
0.9× median
850
MS_DRG 		Inpatient Services 1 $54,887.03 $54,887.03 $54,887.03 nat. median
$81,364
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $54,404.11 $54,404.11 $54,404.11 nat. median
$65,655
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $53,431.74 $53,431.74 $53,431.74 nat. median
$79,040
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $53,263.78 $53,263.78 $53,263.78 nat. median
$80,459
0.7× median
C1721
HCPCS 		Icd-dr Evera MRI Xt 14 $38,277.24 $81,155.16 $52,230.37 nat. median
$22,566
outlier · 2.3×
64654
CPT 		Professional Services 1 $50,552.30 $50,552.30 $50,552.30 nat. median
$44,598
1.1× median
0620T
CPT 		Evasc Ven Artlz Tibl/prnl Vn 1 $50,552.30 $50,552.30 $50,552.30 nat. median
$32,810
1.5× median
64568
CPT 		Opn Impltj Crnl Nrv Nea&pg 1 $50,552.30 $50,552.30 $50,552.30 nat. median
$27,651
1.8× median
33276
CPT 		Professional Services 1 $50,552.30 $50,552.30 $50,552.30 nat. median
$43,061
1.2× median

Other procedures at this hospital

Browse this hospital's 11,524 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
20982 CPT Ablate Bone Tumor(s) Perq 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $34,796.96 $34,796.96 $34,796.96 2026-06-08
245 MS_DRG Aicd Generator Procedures 1 1 — — $28,918.13 $28,918.13 $28,918.13 2026-06-08
265 MS_DRG Aicd Lead Procedures 1 1 — — $22,933.46 $22,933.46 $22,933.46 2026-06-08
J3391 HCPCS All Professional Services - Non-facility 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-06-08
J1411 HCPCS All Professional Services - Non-facility 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-06-08
J3389 HCPCS All Professional Services - Non-facility 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-06-08
J1413 HCPCS All Professional Services - Non-facility 1 1 — — $3,327,859.73 $3,327,859.73 $3,327,859.73 2026-06-08
J3394 HCPCS All Professional Services - Non-facility 1 1 — — $3,252,508.08 $3,252,508.08 $3,252,508.08 2026-06-08
J3387 HCPCS All Professional Services - Non-facility 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-06-08
J3393 HCPCS All Professional Services - Non-facility 1 1 — — $2,939,968.89 $2,939,968.89 $2,939,968.89 2026-06-08
J3392 HCPCS All Professional Services - Non-facility 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-06-08
Q2057 HCPCS All Professional Services - Non-facility 1 1 — — $770,620.00 $770,620.00 $770,620.00 2026-06-08
Q2056 HCPCS All Professional Services - Non-facility 1 1 — — $587,649.57 $587,649.57 $587,649.57 2026-06-08
Q2058 HCPCS All Professional Services - Non-facility 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-06-08
J3403 HCPCS All Professional Services - Non-facility 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-06-08
J3402 HCPCS All Professional Services - Non-facility 1 1 — — $201,669.02 $201,669.02 $201,669.02 2026-06-08
J9029 HCPCS All Professional Services - Non-facility 1 1 — — $64,274.79 $64,274.79 $64,274.79 2026-06-08
0817T CPT All Professional Services - Non-facility 1 1 — — $22,265.58 $22,265.58 $22,265.58 2026-06-08
0802T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0801T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0823T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0825T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0796T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0803T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0797T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0795T CPT All Professional Services - Non-facility 1 1 — — $22,106.71 $22,106.71 $22,106.71 2026-06-08
0793T CPT All Professional Services - Non-facility 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $76,173.78 $76,173.78 $76,173.78 2026-06-08
C1817 HCPCS Amplatzer Septal Occ 34mm 196 14 $43,574.86 $26,144.92 40% off $16,156.11 $75,660.17 $27,138.03 2026-06-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $31,195.51 $31,195.51 $31,195.51 2026-06-08
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $27,209.95 $27,209.95 $27,209.95 2026-06-08
27295 CPT Amputation Of Leg At Hip 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $22,104.40 $22,104.40 $22,104.40 2026-06-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $43,594.61 $43,594.61 $43,594.61 2026-06-08
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $26,768.16 $26,768.16 $26,768.16 2026-06-08
22812 CPT Arthrd Ant Dfrm 8+ Vrt Sgm 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
22533 CPT Arthrd Lat Xtrcvtry Tq Lmbr 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $37,584.58 $37,584.58 $37,584.58 2026-06-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $34,431.87 $34,431.87 $34,431.87 2026-06-08
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $532,192.24 $532,192.24 $532,192.24 2026-06-08
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $23,688.35 $23,688.35 $23,688.35 2026-06-08
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $22,307.23 $22,307.23 $22,307.23 2026-06-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $35,006.76 $35,006.76 $35,006.76 2026-06-08
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $22,600.06 $22,600.06 $22,600.06 2026-06-08
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $21,896.50 $21,896.50 $21,896.50 2026-06-08
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $489,450.20 $489,450.20 $489,450.20 2026-06-08
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $20,617.42 $20,617.42 $20,617.42 2026-06-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $62,006.91 $62,006.91 $62,006.91 2026-06-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $41,676.62 $41,676.62 $41,676.62 2026-06-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $41,676.62 $41,676.62 $41,676.62 2026-06-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $48,667.83 $48,667.83 $48,667.83 2026-06-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $33,801.21 $33,801.21 $33,801.21 2026-06-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $31,946.60 $31,946.60 $31,946.60 2026-06-08
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $24,533.89 $24,533.89 $24,533.89 2026-06-08
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $30,606.04 $30,606.04 $30,606.04 2026-06-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $30,451.38 $30,451.38 $30,451.38 2026-06-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $273,708.15 $273,708.15 $273,708.15 2026-06-08
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $22,581.04 $22,581.04 $22,581.04 2026-06-08
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $20,937.51 $20,937.51 $20,937.51 2026-06-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $48,458.03 $48,458.03 $48,458.03 2026-06-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $34,624.56 $34,624.56 $34,624.56 2026-06-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $53,431.74 $53,431.74 $53,431.74 2026-06-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $38,426.94 $38,426.94 $38,426.94 2026-06-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $37,197.30 $37,197.30 $37,197.30 2026-06-08
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $26,550.12 $26,550.12 $26,550.12 2026-06-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $28,818.62 $28,818.62 $28,818.62 2026-06-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $42,664.14 $42,664.14 $42,664.14 2026-06-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $36,320.71 $36,320.71 $36,320.71 2026-06-08
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $24,795.03 $24,795.03 $24,795.03 2026-06-08
C1882 HCPCS Crt-d Cobalt Xt Hf MRI 421 14 $108,816.56 $65,289.94 40% off $20,625.96 $111,043.54 $67,370.41 2026-06-08
C1722 HCPCS Dvpa2d4 Cobalt Xt Vr MRI 286 14 $75,418.81 $45,251.29 40% off $31,591.92 $96,622.52 $45,569.42 2026-06-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 1 — — $134,532.96 $134,532.96 $134,532.96 2026-06-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $38,844.01 $38,844.01 $38,844.01 2026-06-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $30,175.67 $30,175.67 $30,175.67 2026-06-08
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 1 1 — — $50,552.30 $50,552.30 $50,552.30 2026-06-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $135,327.16 $135,327.16 $135,327.16 2026-06-08
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $24,682.84 $24,682.84 $24,682.84 2026-06-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $29,738.32 $29,738.32 $29,738.32 2026-06-08
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $20,866.52 $20,866.52 $20,866.52 2026-06-08
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $37,672.04 $37,672.04 $37,672.04 2026-06-08
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $26,428.43 $26,428.43 $26,428.43 2026-06-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $45,463.16 $45,463.16 $45,463.16 2026-06-08
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $20,414.59 $20,414.59 $20,414.59 2026-06-08
28705 CPT Fusion Of Foot Bones 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
C1820 HCPCS Generator 16 Ipg Alpha 166 14 $108,278.37 $64,967.03 40% off $8,469.14 $118,385.91 $64,967.02 2026-06-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $177,625.58 $177,625.58 $177,625.58 2026-06-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $71,825.03 $71,825.03 $71,825.03 2026-06-08
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $21,595.43 $21,595.43 $21,595.43 2026-06-08
0686T CPT Histotripsy Mal Hepatcel Tis 1 1 — — $39,318.58 $39,318.58 $39,318.58 2026-06-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $38,799.00 $38,799.00 $38,799.00 2026-06-08
C1721 HCPCS Icd-dr Evera MRI Xt 241 14 $85,905.20 $51,543.12 40% off $38,277.24 $81,155.16 $52,230.37 2026-06-08
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $558,081.73 $558,081.73 $558,081.73 2026-06-08
69930 CPT Implant Cochlear Device 1 1 — — $37,842.22 $37,842.22 $37,842.22 2026-06-08
63655 CPT Implant Neuroelectrodes 1 1 — — $22,265.58 $22,265.58 $22,265.58 2026-06-08
61886 CPT Implant Neurostim Arrays 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
62361 CPT Implant Spine Infusion Pump 1 1 — — $20,686.04 $20,686.04 $20,686.04 2026-06-08
62362 CPT Implant Spine Infusion Pump 1 1 — — $20,686.04 $20,686.04 $20,686.04 2026-06-08
C1767 HCPCS Implant Stimulator E Coin 271 14 $99,552.86 $59,731.72 40% off $1,384.80 $237,955.69 $60,679.84 2026-06-08
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 17 14 $48,443.91 $29,066.35 40% off $2,000.94 $36,817.37 $29,066.35 2026-06-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $31,302.63 $31,302.63 $31,302.63 2026-06-08
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,588,981.23 $2,588,981.23 $2,588,981.23 2026-06-08
209 MS_DRG Inpatient Services 1 1 — — $71,742.63 $71,742.63 $71,742.63 2026-06-08
426 MS_DRG Inpatient Services 1 1 — — $69,856.34 $69,856.34 $69,856.34 2026-06-08
212 MS_DRG Inpatient Services 1 1 — — $68,923.96 $68,923.96 $68,923.96 2026-06-08
429 MS_DRG Inpatient Services 1 1 — — $57,106.09 $57,106.09 $57,106.09 2026-06-08
850 MS_DRG Inpatient Services 1 1 — — $54,887.03 $54,887.03 $54,887.03 2026-06-08
427 MS_DRG Inpatient Services 1 1 — — $45,754.09 $45,754.09 $45,754.09 2026-06-08
275 MS_DRG Inpatient Services 1 1 — — $45,195.04 $45,195.04 $45,195.04 2026-06-08
317 MS_DRG Inpatient Services 1 1 — — $42,381.45 $42,381.45 $42,381.45 2026-06-08
447 MS_DRG Inpatient Services 1 1 — — $42,350.39 $42,350.39 $42,350.39 2026-06-08
276 MS_DRG Inpatient Services 1 1 — — $38,072.00 $38,072.00 $38,072.00 2026-06-08
430 MS_DRG Inpatient Services 1 1 — — $36,553.96 $36,553.96 $36,553.96 2026-06-08
213 MS_DRG Inpatient Services 1 1 — — $36,172.39 $36,172.39 $36,172.39 2026-06-08
428 MS_DRG Inpatient Services 1 1 — — $35,634.26 $35,634.26 $35,634.26 2026-06-08
278 MS_DRG Inpatient Services 1 1 — — $35,280.58 $35,280.58 $35,280.58 2026-06-08
450 MS_DRG Inpatient Services 1 1 — — $33,780.93 $33,780.93 $33,780.93 2026-06-08
277 MS_DRG Inpatient Services 1 1 — — $29,273.72 $29,273.72 $29,273.72 2026-06-08
323 MS_DRG Inpatient Services 1 1 — — $27,428.62 $27,428.62 $27,428.62 2026-06-08
448 MS_DRG Inpatient Services 1 1 — — $26,879.72 $26,879.72 $26,879.72 2026-06-08
402 MS_DRG Inpatient Services 1 1 — — $25,483.38 $25,483.38 $25,483.38 2026-06-08
279 MS_DRG Inpatient Services 1 1 — — $22,858.66 $22,858.66 $22,858.66 2026-06-08
359 MS_DRG Inpatient Services 1 1 — — $21,795.09 $21,795.09 $21,795.09 2026-06-08
451 MS_DRG Inpatient Services 1 1 — — $20,475.44 $20,475.44 $20,475.44 2026-06-08
325 MS_DRG Inpatient Services 1 1 — — $20,348.67 $20,348.67 $20,348.67 2026-06-08
33270 CPT Ins/rep Subq Defibrillator 1 1 — — $36,025.11 $36,025.11 $36,025.11 2026-06-08
37182 CPT Insert Hepatic Shunt (tips) 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
54401 CPT Insert Self-contd Prosthesis 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
62360 CPT Insert Spine Infusion Device 1 1 — — $20,686.04 $20,686.04 $20,686.04 2026-06-08
53444 CPT Insert Tandem Cuff 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
53445 CPT Insert Uro/ves Nck Sphincter 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
22867 CPT Insj Stablj Dev W/dcmprn 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
0515T CPT Insj Wcs Lv Compl Sys 1 1 — — $25,529.03 $25,529.03 $25,529.03 2026-06-08
0409T CPT Insj/rplc Car Modulj Pls Gn 1 1 — — $25,529.03 $25,529.03 $25,529.03 2026-06-08
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $36,025.11 $36,025.11 $36,025.11 2026-06-08
0680T CPT Insj/rplcmt Pg Only Isdss 1 1 — — $22,265.58 $22,265.58 $22,265.58 2026-06-08
33231 CPT Insrt Pulse Gen W/mult Leads 1 1 — — $36,025.11 $36,025.11 $36,025.11 2026-06-08
33240 CPT Insrt Pulse Gen W/singl Lead 1 1 — — $25,529.03 $25,529.03 $25,529.03 2026-06-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $33,554.01 $33,554.01 $33,554.01 2026-06-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $49,875.29 $49,875.29 $49,875.29 2026-06-08
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $20,139.51 $20,139.51 $20,139.51 2026-06-08
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $20,180.07 $20,180.07 $20,180.07 2026-06-08
652 MS_DRG Kidney Transplant 1 1 — — $20,469.73 $20,469.73 $20,469.73 2026-06-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $29,799.17 $29,799.17 $29,799.17 2026-06-08
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $23,488.70 $23,488.70 $23,488.70 2026-06-08
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $20,454.52 $20,454.52 $20,454.52 2026-06-08
22819 CPT Kyphectomy 3 Or More 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $23,851.25 $23,851.25 $23,851.25 2026-06-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $562,201.24 $562,201.24 $562,201.24 2026-06-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $65,351.66 $65,351.66 $65,351.66 2026-06-08
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $29,390.98 $29,390.98 $29,390.98 2026-06-08
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $22,980.99 $22,980.99 $22,980.99 2026-06-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $23,271.92 $23,271.92 $23,271.92 2026-06-08
7 MS_DRG Lung Transplant 1 1 — — $82,083.03 $82,083.03 $82,083.03 2026-06-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $37,173.22 $37,173.22 $37,173.22 2026-06-08
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $20,503.96 $20,503.96 $20,503.96 2026-06-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $29,060.11 $29,060.11 $29,060.11 2026-06-08
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $32,936.66 $32,936.66 $32,936.66 2026-06-08
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $28,407.26 $28,407.26 $28,407.26 2026-06-08
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $27,035.01 $27,035.01 $27,035.01 2026-06-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $29,134.27 $29,134.27 $29,134.27 2026-06-08
C2624 HCPCS Mems Sensor Delivery Sys 16 14 $133,301.16 $79,980.70 40% off $67,317.09 $101,308.88 $79,980.70 2026-06-08
C9364 HCPCS Mesh 1.5 Permacol 15x20cm 31 14 $38,483.00 $23,089.80 40% off $19,433.92 $54,048.57 $29,247.08 2026-06-08
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $29,649.58 $29,649.58 $29,649.58 2026-06-08
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $22,892.89 $22,892.89 $22,892.89 2026-06-08
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $30,893.29 $30,893.29 $30,893.29 2026-06-08
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $21,730.43 $21,730.43 $21,730.43 2026-06-08
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $22,998.74 $22,998.74 $22,998.74 2026-06-08
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $24,497.13 $24,497.13 $24,497.13 2026-06-08
64568 CPT Opn Impltj Crnl Nrv Nea&pg 1 1 — — $50,552.30 $50,552.30 $50,552.30 2026-06-08
64580 CPT Opn Impltj Nea Neuromuscular 1 1 — — $22,265.58 $22,265.58 $22,265.58 2026-06-08
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $31,358.40 $31,358.40 $31,358.40 2026-06-08
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $21,173.93 $21,173.93 $21,173.93 2026-06-08
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $27,843.15 $27,843.15 $27,843.15 2026-06-08
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $23,747.30 $23,747.30 $23,747.30 2026-06-08
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $23,621.80 $23,621.80 $23,621.80 2026-06-08
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $28,287.47 $28,287.47 $28,287.47 2026-06-08
215 MS_DRG Other Heart Assist System Implant 1 1 — — $63,111.05 $63,111.05 $63,111.05 2026-06-08
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $26,323.21 $26,323.21 $26,323.21 2026-06-08
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $26,631.25 $26,631.25 $26,631.25 2026-06-08
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $22,541.11 $22,541.11 $22,541.11 2026-06-08
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $33,443.09 $33,443.09 $33,443.09 2026-06-08
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $20,199.72 $20,199.72 $20,199.72 2026-06-08
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $24,334.87 $24,334.87 $24,334.87 2026-06-08
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $26,709.22 $26,709.22 $26,709.22 2026-06-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $48,297.67 $48,297.67 $48,297.67 2026-06-08
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $25,252.66 $25,252.66 $25,252.66 2026-06-08
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $23,690.89 $23,690.89 $23,690.89 2026-06-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $20,526.78 $20,526.78 $20,526.78 2026-06-08
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $22,110.10 $22,110.10 $22,110.10 2026-06-08
0915T CPT Outpatient Services 1 1 — — $36,025.11 $36,025.11 $36,025.11 2026-06-08
0908T CPT Outpatient Services 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
0909T CPT Outpatient Services 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
0956T CPT Outpatient Services 1 1 — — $31,141.81 $31,141.81 $31,141.81 2026-06-08
0960T CPT Outpatient Services 1 1 — — $31,141.81 $31,141.81 $31,141.81 2026-06-08
0871T CPT Outpatient Services 1 1 — — $30,893.29 $30,893.29 $30,893.29 2026-06-08
0916T CPT Outpatient Services 1 1 — — $25,529.03 $25,529.03 $25,529.03 2026-06-08
0923T CPT Outpatient Services 1 1 — — $25,529.03 $25,529.03 $25,529.03 2026-06-08
1013T CPT Outpatient Services 1 1 — — $22,265.58 $22,265.58 $22,265.58 2026-06-08
C9797 HCPCS Outpatient Services 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
0981T CPT Outpatient Services 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C8003 HCPCS Outpatient Services 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
C2621 HCPCS Pacemaker Biv Frontier 76 14 $41,086.40 $24,651.84 40% off $17,004.51 $33,292.35 $24,651.84 2026-06-08
10 MS_DRG Pancreas Transplant 1 1 — — $45,482.17 $45,482.17 $45,482.17 2026-06-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $34,674.00 $34,674.00 $34,674.00 2026-06-08
J9266 HCPCS Pegaspargase Injection 1 1 — — $28,424.06 $28,424.06 $28,424.06 2026-06-08
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C9602 HCPCS Perc D-e Cor Stent Ather S 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $26,148.91 $26,148.91 $26,148.91 2026-06-08
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $20,863.98 $20,863.98 $20,863.98 2026-06-08
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $24,473.68 $24,473.68 $24,473.68 2026-06-08
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $22,633.65 $22,633.65 $22,633.65 2026-06-08
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $20,237.12 $20,237.12 $20,237.12 2026-06-08
0632T CPT Perq Tcat US Abltj Nrv P-art 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
93582 CPT Perq Transcath Closure Pda 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
93591 CPT Perq Transcath Cls Aortic 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
93590 CPT Perq Transcath Cls Mitral 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $24,228.42 $24,228.42 $24,228.42 2026-06-08
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $28,831.30 $28,831.30 $28,831.30 2026-06-08
37227 CPT Pr Revsc Opn/prq Fem/pop W/stnt/athrc/angiop Sm Vsl 16 14 $42,458.50 $25,475.10 40% off $21,441.54 $32,268.46 $25,475.10 2026-06-08
791 MS_DRG Prematurity With Major Problems 1 1 — — $25,727.40 $25,727.40 $25,727.40 2026-06-08
64654 CPT Professional Services 1 1 — — $50,552.30 $50,552.30 $50,552.30 2026-06-08
33276 CPT Professional Services 1 1 — — $50,552.30 $50,552.30 $50,552.30 2026-06-08
64656 CPT Professional Services 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
61891 CPT Professional Services 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
33287 CPT Professional Services 1 1 — — $35,415.49 $35,415.49 $35,415.49 2026-06-08
36836 CPT Professional Services 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
36837 CPT Professional Services 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
37290 CPT Professional Services 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
37288 CPT Professional Services 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
27278 CPT Professional Services 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
22837 CPT Professional Services 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
22838 CPT Professional Services 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
C2622 HCPCS Pros Penile 11mm 16-25cm 31 14 $71,355.98 $42,813.59 40% off $16,455.29 $54,230.54 $36,034.77 2026-06-08
C1813 HCPCS Pump 18cm Amd7500 Preconn 211 14 $67,754.51 $40,652.71 40% off $4,710.51 $65,679.59 $34,893.57 2026-06-08
C1815 HCPCS Pump Control W/iz 61 14 $33,562.28 $20,137.37 40% off $12,397.83 $46,394.35 $20,908.73 2026-06-08
C1772 HCPCS Pump Pain 20ml Drug Infus 16 14 $63,036.62 $37,821.98 40% off $31,833.49 $47,907.83 $37,821.97 2026-06-08
21243 CPT Reconstruction Of Jaw Joint 1 1 — — $31,141.81 $31,141.81 $31,141.81 2026-06-08
332 MS_DRG Rectal Resection With Mcc 1 1 — — $22,949.30 $22,949.30 $22,949.30 2026-06-08
54411 CPT Remov/replc Penis Pros Comp 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
53447 CPT Remove/replace Ur Sphincter 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
54416 CPT Remv/repl Penis Contain Pros 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
54417 CPT Remv/replc Penis Pros Compl 1 1 — — $23,787.44 $23,787.44 $23,787.44 2026-06-08
24363 CPT Replace Elbow Joint 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
20805 CPT Replant Forearm Complete 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
20838 CPT Replantation Foot Complete 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
20808 CPT Replantation Hand Complete 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $40,785.45 $40,785.45 $40,785.45 2026-06-08
C9766 HCPCS Revasc Intra Lithotrip-ather 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C9765 HCPCS Revasc Intra Lithotrip-stent 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C9775 HCPCS Revasc Lith-sten-ath Tib/per 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C9774 HCPCS Revasc Lithotr-ather Tib/per 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C9773 HCPCS Revasc Lithotr-stent Tib/per 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
22861 CPT Revise Cerv Artific Disc 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
22862 CPT Revise Lumbar Artif Disc 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $22,352.86 $22,352.86 $22,352.86 2026-06-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $32,993.70 $32,993.70 $32,993.70 2026-06-08
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $25,529.03 $25,529.03 $25,529.03 2026-06-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $43,809.48 $43,809.48 $43,809.48 2026-06-08
C1761 HCPCS Shockwave C2ivl 3.5x12 16 14 $38,532.81 $23,119.69 40% off $19,459.07 $29,284.94 $23,119.69 2026-06-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $35,523.97 $35,523.97 $35,523.97 2026-06-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $45,221.67 $45,221.67 $45,221.67 2026-06-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $54,404.11 $54,404.11 $54,404.11 2026-06-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $31,065.57 $31,065.57 $31,065.57 2026-06-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $22,002.98 $22,002.98 $22,002.98 2026-06-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $41,525.13 $41,525.13 $41,525.13 2026-06-08
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $22,559.49 $22,559.49 $22,559.49 2026-06-08
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $23,281.43 $23,281.43 $23,281.43 2026-06-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $53,263.78 $53,263.78 $53,263.78 2026-06-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $37,796.28 $37,796.28 $37,796.28 2026-06-08
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $26,447.44 $26,447.44 $26,447.44 2026-06-08
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $21,623.95 $21,623.95 $21,623.95 2026-06-08
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $38,082.77 $38,082.77 $38,082.77 2026-06-08
799 MS_DRG Splenectomy With Mcc 1 1 — — $28,705.80 $28,705.80 $28,705.80 2026-06-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $31,611.94 $31,611.94 $31,611.94 2026-06-08
J9226 HCPCS Supprelin La Implant 1 1 — — $43,185.34 $43,185.34 $43,185.34 2026-06-08
33289 CPT Tcat Impl Wrls P-art Prs Snr 1 1 — — $32,919.99 $32,919.99 $32,919.99 2026-06-08
0645T CPT Tcat Impltj C Sins Rdctj Dev 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
36906 CPT Thrmbc/nfs Dialysis Circuit 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $566,531.30 $566,531.30 $566,531.30 2026-06-08
22857 CPT Tot Disc Arthrp Ant Lumbar 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $26,722.53 $26,722.53 $26,722.53 2026-06-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $34,570.05 $34,570.05 $34,570.05 2026-06-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 1 1 — — $87,795.16 $87,795.16 $87,795.16 2026-06-08
93581 CPT Transcath Closure Of Vsd 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
61624 CPT Transcath Occlusion Cns 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
38240 CPT Transplt Allo Hct/donor 1 1 — — $72,191.83 $72,191.83 $72,191.83 2026-06-08
0238T CPT Trluml Perip Athrc Iliac Art 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $22,709.08 $22,709.08 $22,709.08 2026-06-08
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $22,656.47 $22,656.47 $22,656.47 2026-06-08
37242 CPT Vasc Embolize/occlude Artery 1 1 — — $21,039.28 $21,039.28 $21,039.28 2026-06-08
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $28,399.02 $28,399.02 $28,399.02 2026-06-08
0657T CPT Vrt Bdy Tethering Ant 8+ Seg 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
0656T CPT Vrt Bdy Tethering Ant <7 Seg 1 1 — — $20,123.62 $20,123.62 $20,123.62 2026-06-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $36,125.48 $36,125.48 $36,125.48 2026-06-08
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $26,599.56 $26,599.56 $26,599.56 2026-06-08
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $56,824.55 $56,824.55 $56,824.55 2026-06-08
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