Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SWEDISH HOSPITAL

Chicago, IL · CCN 140114 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $7,570 across 5 payers · range $3,060-$12,527

Source: https://www.endeavorhealth.org/362167784_1548306343_elmhurst-memorial-hospital_standardcharges.json · observed 2026-04-01

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.

70,394 distinct procedures filed
28 distinct payers
1,516,172 rate rows
2026-07-31 last MRF observed
Data quality

1,294,103 of 1,516,172 rate rows are consumer-grade (85.4%)

222,069 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 219,458
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
placeholder amount (≤ $0.02) — excluded from medians 463
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 269
percent-of-charges filed in the dollar field — excluded from medians 96
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.endeavorhealth.org/362179813_1831151257_swedish-covenant-health_standardcharges.json
Found on page https://www.endeavorhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-03
Content fingerprint 12951043ee3342c5… · 32,192,885 bytes · first seen 2026-06-08

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,902,245.60 $3,688,358.33 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,376.38 $4,982,064.57 $3,322,473.30 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,245,381.39 $4,868,072.08 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,938,320.00 $4,407,480.00 $2,948,213.33 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,423,131.23 $3,880,630.89 $2,587,087.26 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $3,498,000.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,155,930.00 $770,620.00 nat. median
$813,967
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 10 $286,227.00 $1,157,629.20 $689,065.00 nat. median
$592,235
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 10 $280,668.38 $1,135,147.65 $686,078.25 nat. median
$608,239
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $578,771.12 $921,271.21 $614,180.81 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $553,169.30 $882,742.21 $588,494.81 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $516,442.29 $843,391.25 $562,260.84 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $527,622.46 $839,671.62 $559,781.08 nat. median
$623,527
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $295,171.69 $1,194,424.72 $394,038.20 nat. median
$359,244
1.1× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$459,112
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $130,138.02 $427,140.12 $256,216.62 nat. median
$248,541
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $165,563.93 $358,522.68 $195,543.45 nat. median
$198,115
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $76,942.35 $323,874.61 $194,404.25 nat. median
$190,359
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $219,999.89 $172,507.69 nat. median
$111,503
1.5× median
SUP-427021
CDM 		Kit Impl Tunn Adpt 14mm Seal Outflo Grft 8 $56,819.35 $229,802.72 $144,784.13 nat. median
$229,803
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $66,227.80 $555,295.36 $127,363.19 nat. median
$126,461
1.0× median
7
MS_DRG 		Lung Transplant 17 $100,567.28 $197,495.17 $119,169.66 nat. median
$117,977
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $58,889.38 $193,287.23 $118,320.69 nat. median
$70,795
1.7× median
003
NDC 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 7 $74,530.82 $176,902.62 $110,888.37 nat. median
$110,888
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $93,353.68 $197,993.90 $110,693.39 nat. median
$110,084
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $94,806.04 $115,874.04 $105,340.04 nat. median
$75,037
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $86,255.27 $166,540.73 $104,455.51 nat. median
$103,938
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $87,944.45 $156,505.96 $104,337.31 nat. median
$92,645
1.1× median
420
NDC 		Hepatobiliary Diagnostic Procedures W Mcc 7 $69,981.07 $166,103.55 $104,119.16 nat. median
$197
outlier · 528.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $82,043.36 $366,806.30 $101,631.60 nat. median
$93,226
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $68,592.35 $225,134.40 $100,294.19 nat. median
$97,137
1.0× median
SUP-425755
CDM 		Pump Impl Hvad Kt 8 $39,303.23 $158,959.71 $100,150.44 nat. median
$158,960
0.6× median
231
NDC 		Coronary Bypass W Ptca W Mcc 7 $65,603.66 $155,713.57 $97,606.38 nat. median
$97,606
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $80,142.81 $160,932.29 $95,170.06 nat. median
$94,943
1.0× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 11 $1,248.60 $324,379.52 $95,056.27 nat. median
$2,492
outlier · 38.2×
K0606
HCPCS 		Aed Garment W Elec Analysis 2 $83,068.34 $101,527.98 $92,298.16 nat. median
$3,697
outlier · 25.0×
215
MS_DRG 		Other Heart Assist System Implant 22 $31,400.97 $242,670.55 $91,956.11 nat. median
$93,787
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $58,550.74 $192,175.73 $90,372.32 nat. median
$90,512
1.0× median
E0194
HCPCS 		Air Fluidized Bed 2 $76,966.31 $94,069.93 $85,518.12 nat. median
$4,438
outlier · 19.3×
216
NDC 		Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 7 $56,446.79 $133,979.27 $83,982.61 nat. median
$4
outlier · 22276.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $65,280.27 $126,042.42 $83,342.55 nat. median
$77,936
1.1× median
004
NDC 		Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 7 $55,876.51 $132,625.68 $83,134.13 nat. median
$83,134
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $67,368.32 $139,210.38 $80,159.51 nat. median
$78,164
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $53,844.13 $176,727.67 $78,072.03 nat. median
$76,979
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $38,024.13 $127,985.95 $77,831.10 nat. median
$77,487
1.0× median
233
NDC 		Coronary Bypass W Cardiac Cath W Mcc 7 $51,658.35 $122,613.67 $76,858.28 nat. median
$76,858
1.0× median
215
NDC 		Other Heart Assist System Implant 7 $50,653.25 $120,228.01 $75,362.87 nat. median
$75,363
1.0× median
219
NDC 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath W Mcc 7 $50,370.24 $119,556.27 $74,941.79 nat. median
$74,942
1.0× median
SUP-409070
CDM 		Kit Patient Discharge 8 $28,846.41 $116,667.70 $73,504.92 nat. median
$116,668
0.6× median

Other procedures at this hospital

Browse this hospital's 70,394 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,685,266.67 $4,902,245.60 $3,688,358.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 3 — — $3,321,376.38 $4,982,064.57 $3,322,473.30 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 3 — — $3,245,381.39 $4,868,072.08 $3,286,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 3 — — $2,938,320.00 $4,407,480.00 $2,948,213.33 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 3 — — $2,423,131.23 $3,880,630.89 $2,587,087.26 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 3 — — $2,332,000.00 $3,498,000.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 3 — — $770,620.00 $1,155,930.00 $770,620.00 2026-04-01
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 21 10 $2,120,200.00 $975,292.00 54% off $286,227.00 $1,157,629.20 $689,065.00 2026-07-31
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 21 10 $2,079,025.00 $956,351.50 54% off $280,668.38 $1,135,147.65 $686,078.25 2026-07-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 3 — — $578,771.12 $921,271.21 $614,180.81 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $553,169.30 $882,742.21 $588,494.81 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $516,442.29 $843,391.25 $562,260.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $527,622.46 $839,671.62 $559,781.08 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 69 22 $2,232,569.57 $1,026,982.00 54% off $295,171.69 $1,194,424.72 $394,038.20 2026-07-31
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $278,250.00 $278,250.00 $278,250.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 56 22 $798,392.75 $367,260.67 54% off $130,138.02 $427,140.12 $256,216.62 2026-07-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 61 17 — — $165,563.93 $358,522.68 $195,543.45 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 70 22 $472,038.94 $217,137.91 54% off $76,942.35 $323,874.61 $194,404.25 2026-07-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 3 — — $110,901.76 $219,999.89 $172,507.69 2026-04-01
SUP-427021 CDM Kit Impl Tunn Adpt 14mm Seal Outflo Grft 16 8 $420,884.10 $193,606.69 54% off $56,819.35 $229,802.72 $144,784.13 2026-07-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 83 22 $411,401.90 $189,244.87 54% off $66,227.80 $555,295.36 $127,363.19 2026-07-31
7 MS_DRG Lung Transplant 61 17 — — $100,567.28 $197,495.17 $119,169.66 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 8 $361,284.54 $166,190.89 54% off $58,889.38 $193,287.23 $118,320.69 2026-07-31
003 NDC Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 7 7 $432,313.34 $432,313.34 $74,530.82 $176,902.62 $110,888.37 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 61 17 — — $93,353.68 $197,993.90 $110,693.39 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $94,806.04 $115,874.04 $105,340.04 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 61 17 — — $86,255.27 $166,540.73 $104,455.51 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 45 17 — — $87,944.45 $156,505.96 $104,337.31 2026-04-01
420 NDC Hepatobiliary Diagnostic Procedures W Mcc 7 7 $405,922.66 $405,922.66 $69,981.07 $166,103.55 $104,119.16 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 65 17 — — $82,043.36 $366,806.30 $101,631.60 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 69 22 $420,811.97 $193,573.51 54% off $68,592.35 $225,134.40 $100,294.19 2026-07-31
SUP-425755 CDM Pump Impl Hvad Kt 16 8 $291,135.00 $133,922.10 54% off $39,303.23 $158,959.71 $100,150.44 2026-07-31
231 NDC Coronary Bypass W Ptca W Mcc 7 7 $380,531.68 $380,531.68 $65,603.66 $155,713.57 $97,606.38 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 61 17 — — $80,142.81 $160,932.29 $95,170.06 2026-04-01
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 26 11 $594,101.68 $273,286.77 54% off $1,248.60 $324,379.52 $95,056.27 2026-07-31
K0606 HCPCS Aed Garment W Elec Analysis 3 2 — — $83,068.34 $101,527.98 $92,298.16 2026-04-01
215 MS_DRG Other Heart Assist System Implant 75 22 $453,589.81 $208,651.31 54% off $31,400.97 $242,670.55 $91,956.11 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 22 $359,206.97 $165,235.21 54% off $58,550.74 $192,175.73 $90,372.32 2026-07-31
E0194 HCPCS Air Fluidized Bed 3 2 — — $76,966.31 $94,069.93 $85,518.12 2026-04-01
216 NDC Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 7 7 $327,417.58 $327,417.58 $56,446.79 $133,979.27 $83,982.61 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 61 17 — — $65,280.27 $126,042.42 $83,342.55 2026-04-01
004 NDC Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 7 7 $324,109.68 $324,109.68 $55,876.51 $132,625.68 $83,134.13 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 61 17 — — $67,368.32 $139,210.38 $80,159.51 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 69 22 $330,332.09 $151,952.76 54% off $53,844.13 $176,727.67 $78,072.03 2026-07-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 75 22 $233,276.86 $107,307.36 54% off $38,024.13 $127,985.95 $77,831.10 2026-07-31
233 NDC Coronary Bypass W Cardiac Cath W Mcc 7 7 $299,642.40 $299,642.40 $51,658.35 $122,613.67 $76,858.28 2026-07-17
215 NDC Other Heart Assist System Implant 7 7 $293,812.34 $293,812.34 $50,653.25 $120,228.01 $75,362.87 2026-07-17
219 NDC Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath W Mcc 7 7 $292,170.74 $292,170.74 $50,370.24 $119,556.27 $74,941.79 2026-07-17
SUP-409070 CDM Kit Patient Discharge 16 8 $213,677.10 $98,291.47 54% off $28,846.41 $116,667.70 $73,504.92 2026-07-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 69 22 $223,009.65 $102,584.44 54% off $36,350.57 $121,818.34 $72,970.63 2026-07-31
235 NDC Coronary Bypass Without Cardiac Cath W Mcc 7 7 $282,810.43 $282,810.43 $48,756.52 $115,726.03 $72,540.87 2026-07-17
326 NDC Stomach, Esophageal & Duodenal Proc W Mcc 7 7 $282,796.82 $282,796.82 $48,754.17 $115,720.46 $72,537.38 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 22 $219,953.78 $101,178.74 54% off $35,852.47 $117,675.27 $71,238.64 2026-07-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 69 22 $217,432.38 $100,018.89 54% off $35,441.48 $118,120.19 $70,937.70 2026-07-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 69 22 $376,311.69 $173,103.38 54% off $58,421.14 $201,326.75 $70,707.68 2026-07-31
207 NDC Respiratory System Diagnosis W Ventilator Support >96 Hours 7 7 $273,952.47 $273,952.47 $47,229.41 $112,101.35 $70,268.81 2026-07-17
224 NDC Cardiac Defib Implant W Cardiac Cath Without Ami/Hf/Shock W Mcc 7 7 $272,715.18 $272,715.18 $47,016.10 $111,595.05 $69,951.44 2026-07-17
459 NDC Spinal Fusion Except Cervical W Mcc 7 7 $272,651.39 $272,651.39 $47,005.10 $111,568.95 $69,935.08 2026-07-17
L7181 HCPCS Electronic Elbo Simultaneous 8 3 — — $49,338.18 $79,483.81 $68,211.37 2026-04-01
270 NDC Other Major Cardiovascular Procedures W Mcc 7 7 $261,492.24 $261,492.24 $45,081.26 $107,002.62 $67,072.76 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 77 18 — — $27,189.63 $151,741.85 $67,059.14 2026-04-01
10 MS_DRG Pancreas Transplant 61 17 — — $55,887.54 $120,489.90 $66,669.11 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 61 17 — — $52,275.09 $100,932.17 $66,641.83 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 61 17 — — $55,569.53 $119,796.22 $66,295.43 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 74 22 $300,898.92 $138,413.50 54% off $41,344.51 $160,980.92 $66,257.25 2026-07-31
L7180 HCPCS Electronic Elbow Sequential 8 3 — — $47,919.99 $77,199.10 $66,250.70 2026-04-01
234 NDC Coronary Bypass W Cardiac Cath Without Mcc 7 7 $251,302.76 $251,302.76 $43,324.60 $102,833.09 $64,459.16 2026-07-17
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 3 — — $63,235.61 $96,423.45 $64,282.30 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 94 23 $168,527.65 $77,522.72 54% off $19,049.09 $295,785.84 $64,269.78 2026-07-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 22 $191,534.68 $88,105.95 54% off $31,220.15 $102,471.05 $63,961.57 2026-07-31
974 NDC HIV W Major Related Condition W Mcc 7 7 $249,356.75 $249,356.75 $42,989.10 $102,036.78 $63,960.01 2026-07-17
SUP-487256 CDM Supprelin La 50mg 16 8 $183,908.44 $84,597.88 54% off $24,827.64 $100,414.01 $63,264.51 2026-07-31
2616 OTHER Brachytx, Non-str,yttrium-90 4 2 — — $27,501.87 $100,964.29 $62,976.10 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 69 22 $467,620.20 $215,105.29 54% off $52,447.48 $250,176.81 $62,626.90 2026-07-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 61 17 — — $48,420.11 $93,489.02 $62,221.40 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 71 17 — — $51,219.79 $262,149.70 $62,176.85 2026-04-01
453 NDC Combined Anterior/Posterior Spinal Fusion W Mcc 7 7 $242,206.19 $242,206.19 $41,756.35 $99,110.77 $62,125.89 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 8 $189,006.26 $86,942.88 54% off $30,808.02 $101,118.35 $61,899.55 2026-07-31
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 26 11 $168,610.00 $77,560.60 54% off $22,762.35 $133,569.99 $61,458.35 2026-07-31
454 NDC Combined Anterior/Posterior Spinal Fusion W Cc 7 7 $238,732.63 $238,732.63 $41,157.51 $97,689.39 $61,234.92 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 22 $328,717.59 $151,210.09 54% off $50,544.46 $175,863.91 $61,210.39 2026-07-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 69 22 $400,547.47 $184,251.84 54% off $46,565.81 $214,292.90 $61,210.39 2026-07-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 69 22 $160,137.16 $73,663.09 54% off $26,102.36 $93,062.83 $60,993.10 2026-07-31
870 NDC Septicemia Or Severe Sepsis W Mv >96 Hours 7 7 $234,774.36 $234,774.36 $40,475.10 $96,069.67 $60,219.62 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 77 22 $163,170.76 $75,058.55 54% off $13,762.90 $198,296.47 $59,932.09 2026-07-31
218 NDC Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath Without Cc/Mcc 7 7 $229,746.45 $229,746.45 $39,608.29 $94,012.25 $58,929.96 2026-07-17
228 NDC Other Cardiothoracic Procedures W Mcc 7 7 $228,219.09 $228,219.09 $39,344.97 $93,387.25 $58,538.20 2026-07-17
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 26 11 $170,165.76 $78,276.25 54% off $22,972.38 $108,441.74 $58,537.02 2026-07-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 69 22 $232,383.28 $106,896.31 54% off $37,878.47 $124,325.05 $57,147.27 2026-07-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 73 23 $243,703.49 $112,103.61 54% off $39,723.67 $130,381.37 $57,082.72 2026-07-31
457 NDC Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or Ext Fus W Cc 7 7 $220,913.99 $220,913.99 $38,085.57 $90,398.00 $56,664.44 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 71 22 $165,494.95 $76,127.68 54% off $26,975.68 $92,314.74 $56,549.03 2026-07-31
28 MS_DRG Spinal Procedures With Mcc 75 22 $80,906.80 $37,217.13 54% off $13,187.81 $91,873.44 $56,055.35 2026-07-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 69 22 $226,129.67 $104,019.65 54% off $36,859.14 $120,979.37 $56,039.89 2026-07-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 75 22 $130,351.52 $59,961.70 54% off $21,247.30 $171,381.92 $55,644.40 2026-07-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 91 23 $157,067.74 $72,251.16 54% off $4,406.38 $148,313.58 $55,466.20 2026-07-31
220 NDC Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath W Cc 7 7 $215,829.93 $215,829.93 $37,209.08 $88,317.61 $55,360.38 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 69 22 $155,260.37 $71,419.77 54% off $25,307.44 $91,214.51 $55,340.73 2026-07-31
232 NDC Coronary Bypass W Ptca Without Mcc 7 7 $215,662.62 $215,662.62 $37,180.24 $88,249.14 $55,317.46 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 8 $167,998.18 $77,279.16 54% off $27,383.70 $89,879.03 $55,019.40 2026-07-31
SUP-466027 CDM St Ventricular Assist Impella 5.5 Catheter 16 8 $159,900.00 $73,554.00 54% off $21,586.50 $87,305.40 $55,005.60 2026-07-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 69 22 $170,474.34 $78,418.20 54% off $27,787.32 $91,203.77 $54,785.22 2026-07-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 69 22 $76,464.18 $35,173.52 54% off $12,463.66 $87,986.37 $54,750.68 2026-07-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 3 — — $39,537.89 $63,695.54 $54,662.21 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 64 18 — — $18,215.94 $205,867.77 $53,862.41 2026-04-01
458 NDC Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or Ext Fus Without Cc/Mcc 7 7 $209,908.26 $209,908.26 $36,188.18 $85,894.46 $53,841.47 2026-07-17
SUP-445155 CDM Kit Multimodality Spnl M5 Bulk Pk 16 8 $156,000.00 $71,760.00 54% off $21,060.00 $85,176.00 $53,664.00 2026-07-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 71 23 $169,495.34 $77,967.86 54% off $27,627.74 $90,680.01 $53,527.83 2026-07-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 45 17 — — $44,522.82 $79,972.62 $53,315.08 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 69 22 $57,798.43 $26,587.28 54% off $9,421.14 $81,620.78 $53,247.80 2026-07-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 81 17 — — $19,912.52 $284,750.58 $52,543.19 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 61 17 — — $42,587.15 $82,226.81 $52,384.99 2026-04-01
097 NDC Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 7 7 $203,471.38 $203,471.38 $35,078.47 $83,260.49 $52,190.41 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 8 $159,296.67 $73,276.47 54% off $25,965.36 $85,223.72 $52,169.66 2026-07-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 71 22 $260,996.12 $120,058.22 54% off $37,999.66 $139,632.92 $52,035.87 2026-07-31
239 NDC Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 7 7 $202,163.95 $202,163.95 $34,853.07 $82,725.49 $51,855.05 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 69 22 $93,471.34 $42,996.82 54% off $15,235.83 $92,743.95 $51,643.10 2026-07-31
834 MS_DRG Acute Leukemia With Mcc 71 23 $120,138.88 $55,263.88 54% off $19,582.64 $83,528.04 $51,342.16 2026-07-31
356 NDC Other Digestive System O.r. Procedures W Mcc 7 7 $199,886.69 $199,886.69 $34,460.47 $81,793.64 $51,270.94 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 69 22 $189,820.74 $87,317.54 54% off $30,940.78 $101,554.10 $51,165.78 2026-07-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 69 22 $197,140.71 $90,684.73 54% off $32,133.94 $105,470.28 $51,094.87 2026-07-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 69 22 $87,031.13 $40,034.32 54% off $14,186.07 $81,543.70 $51,016.68 2026-07-31
028 NDC Spinal Procedures W Mcc 7 7 $198,509.21 $198,509.21 $34,222.99 $81,229.97 $50,917.61 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 69 22 $80,603.79 $37,077.74 54% off $13,138.42 $91,214.51 $50,818.48 2026-07-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 22 $197,499.65 $90,849.84 54% off $32,192.44 $105,662.31 $49,913.84 2026-07-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 67 17 — — $15,281.32 $140,905.02 $49,884.75 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 69 22 $135,396.27 $62,282.28 54% off $22,069.59 $83,534.08 $49,559.26 2026-07-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 101 23 $129,255.26 $59,457.42 54% off $3,648.37 $179,040.00 $49,086.88 2026-07-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 70 22 $100,378.18 $46,173.96 54% off $16,361.64 $105,438.87 $48,755.55 2026-07-31
653 MS_DRG Major Bladder Procedures With Mcc 69 22 $201,367.19 $92,628.91 54% off $32,822.85 $107,731.45 $48,673.72 2026-07-31
222 NDC Cardiac Defib Implant W Cardiac Cath W Ami/Hf/Shock W Mcc 7 7 $186,402.14 $186,402.14 $32,135.73 $76,275.76 $47,812.15 2026-07-17
5661 OTHER Therapeutic Nuclear Medicine 12 6 — — $341.34 $292,800.00 $47,418.60 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 6 — — $16,267.91 $186,880.75 $47,356.75 2026-04-01
236 NDC Coronary Bypass Without Cardiac Cath Without Mcc 7 7 $184,265.53 $184,265.53 $31,767.38 $75,401.46 $47,264.11 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 69 22 $156,873.45 $72,161.79 54% off $25,570.37 $83,927.30 $47,253.58 2026-07-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 5 — — $9,827.00 $76,040.85 $47,201.02 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 5 — — $8,784.00 $76,040.85 $47,201.02 2026-04-01
SUP-467472 CDM Transcath Sys Mit Vlv Repl M3 16 8 $136,500.00 $62,790.00 54% off $18,427.50 $74,529.00 $46,956.00 2026-07-31
SUP-467332 CDM Barostim Neo2 System 16 8 $136,500.00 $62,790.00 54% off $18,427.50 $74,529.00 $46,956.00 2026-07-31
64568 HCPCS Inc For Vagus N Elect Impl 12 5 — — $1,752.12 $76,040.85 $46,848.51 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 82 23 $196,455.96 $90,369.74 54% off $18,321.08 $147,649.20 $46,773.54 2026-07-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 8 $142,069.34 $65,351.90 54% off $23,157.30 $76,007.10 $46,527.71 2026-07-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $33,636.89 $54,189.03 $46,496.00 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $46,419.95 $46,419.95 $46,419.95 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 75 22 $130,573.54 $60,063.83 54% off $21,283.49 $75,306.57 $46,409.87 2026-07-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 75 23 $164,673.73 $75,749.92 54% off $18,549.47 $88,100.45 $46,176.21 2026-07-31
0323T OTHER Rmvl & Replc Subq Pls Gen 2 1 — — $43,451.00 $48,626.00 $46,038.50 2026-04-01
0321T OTHER Insert Subq Defib Pls Gen 2 1 — — $43,451.00 $48,626.00 $46,038.50 2026-04-01
0319T OTHER Insert Subq Defib W/eltrd 2 1 — — $43,451.00 $48,626.00 $46,038.50 2026-04-01
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 26 11 $287,500.00 $132,250.00 54% off $4,956.31 $156,975.00 $46,000.00 2026-07-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 69 22 $82,527.17 $37,962.50 54% off $13,451.93 $81,533.12 $45,989.82 2026-07-31
717 NDC Other Male Reproductive System O.r. Proc Exc Malignancy W Cc/Mcc 7 7 $177,987.08 $177,987.08 $30,684.97 $72,832.31 $45,653.69 2026-07-17
5377 OTHER Level 7 Urology And Related Services 6 3 — — $12,143.96 $99,185.60 $45,431.51 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 77 22 $129,465.65 $59,554.20 54% off $21,102.90 $73,403.84 $45,330.67 2026-07-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 69 22 $37,599.55 $17,295.79 54% off $6,128.73 $75,667.77 $45,108.83 2026-07-31
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 21 11 $138,074.00 $63,514.04 54% off $18,639.99 $75,388.40 $44,874.05 2026-07-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 69 22 $223,043.05 $102,599.80 54% off $36,356.02 $119,328.03 $44,713.34 2026-07-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 5 — — $9,827.00 $54,189.03 $44,669.79 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 5 — — $9,827.00 $54,189.03 $44,669.79 2026-04-01
405 NDC Pancreas, Liver & Shunt Procedures W Mcc 7 7 $174,031.54 $174,031.54 $30,003.04 $71,213.70 $44,639.09 2026-07-17
273 NDC Percutaneous Intracardiac Procedures W Mcc 7 7 $173,893.92 $173,893.92 $29,979.31 $71,157.39 $44,603.79 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 61 17 — — $36,060.69 $69,625.59 $44,173.28 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 112 23 $130,420.00 $59,993.20 54% off $121.28 $132,337.22 $44,135.94 2026-07-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 88 23 $148,826.76 $68,460.31 54% off $14,960.39 $754,808.98 $44,086.00 2026-07-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 22 $141,719.45 $65,190.95 54% off $23,100.27 $196,943.98 $43,958.72 2026-07-31
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 3 2 — — $33,067.68 $49,601.53 $43,913.88 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 2 — — $33,067.68 $49,601.53 $43,913.88 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 3 2 — — $33,067.68 $49,601.53 $43,913.88 2026-04-01
981 NDC Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 7 7 $170,120.16 $170,120.16 $29,328.72 $69,613.17 $43,635.82 2026-07-17
SUP-349575 CDM Valve Hrt Sz 20mm H15.5mm Sapien 3 Ult 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
SUP-333004 CDM System Transcatheter 23mm Aort Hrt Vlv 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
SUP-333005 CDM System Transcatheter 26mm Aort Hrt Vlv 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
SUP-333003 CDM System Transcatheter 20mm Aort Hrt Vlv 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
SUP-329944 CDM Valve Aort 20mm Transcatheter With Certitude 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
SUP-329945 CDM Valve Aort 23mm Transcatheter With Certitude 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
SUP-442882 CDM System Transcatheter 29mm Aort Hrt Vlv 16 8 $126,750.00 $58,305.00 54% off $17,111.25 $69,205.50 $43,602.00 2026-07-31
853 NDC Infectious & Parasitic Diseases W O.r. Procedure W Mcc 7 7 $169,935.71 $169,935.71 $29,296.92 $69,537.69 $43,588.51 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 61 17 — — $36,244.55 $73,281.43 $43,587.77 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 71 22 $239,725.00 $110,273.50 54% off $36,101.41 $128,252.88 $43,419.57 2026-07-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 71 22 $64,367.00 $29,608.82 54% off $10,491.82 $70,716.75 $43,113.18 2026-07-31
SUP-463830 CDM Set Surg Instr Radluc Complt 16 8 $124,796.10 $57,406.21 54% off $16,847.47 $68,138.67 $42,929.85 2026-07-31
245 MS_DRG Aicd Generator Procedures 71 22 $38,552.87 $17,734.32 54% off $6,284.12 $131,367.36 $42,909.53 2026-07-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 71 22 $79,743.22 $36,681.88 54% off $12,998.14 $67,585.34 $42,766.78 2026-07-31
799 MS_DRG Splenic Procedures With Mcc 69 22 $181,499.98 $83,489.99 54% off $29,584.50 $97,102.49 $42,604.95 2026-07-31
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 26 11 $127,891.20 $58,829.95 54% off $17,265.31 $69,828.60 $42,420.10 2026-07-31
271 NDC Other Major Cardiovascular Procedures W Cc 7 7 $165,121.55 $165,121.55 $28,466.96 $67,567.74 $42,353.68 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 85 22 $131,578.00 $60,525.88 54% off $8,572.00 $139,336.82 $42,176.73 2026-07-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 69 22 $67,279.02 $30,948.35 54% off $10,966.48 $63,328.00 $42,164.91 2026-07-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 69 22 $116,425.19 $53,555.59 54% off $18,977.31 $66,383.85 $42,004.89 2026-07-31
025 NDC Craniotomy & Endovascular Intracranial Procedures W Mcc 7 7 $162,596.23 $162,596.23 $28,031.59 $66,534.38 $41,705.93 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 78 23 $92,143.10 $42,385.83 54% off $9,812.66 $68,179.28 $41,585.07 2026-07-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 73 22 $126,946.12 $58,395.22 54% off $20,692.22 $67,916.17 $41,367.56 2026-07-31
SUP-427123 CDM Heartmate 3 Pt Supp Kt With Equip 16 8 $120,084.12 $55,238.70 54% off $16,211.36 $65,565.93 $41,308.93 2026-07-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 95 23 $105,226.03 $48,403.97 54% off $10,592.38 $129,280.26 $41,104.90 2026-07-31
L5856 HCPCS Elec Knee-shin Swing/stance 8 3 — — $29,559.78 $47,620.81 $40,867.21 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 83 22 $126,541.97 $58,209.31 54% off $5,128.54 $67,699.95 $40,772.95 2026-07-31
L6880 HCPCS Elec Hand Ind Art Digits 8 3 — — $29,420.21 $47,395.96 $40,674.24 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 2 — — $36,582.93 $44,712.47 $40,647.70 2026-04-01
166 NDC Other Resp System O.r. Procedures W Mcc 7 7 $158,438.83 $158,438.83 $27,314.85 $64,833.17 $40,639.56 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 71 22 $93,792.90 $43,144.73 54% off $15,288.24 $67,772.74 $40,459.29 2026-07-31
269 NDC Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 7 $157,504.49 $157,504.49 $27,153.77 $64,450.84 $40,399.90 2026-07-17
329 NDC Major Small & Large Bowel Procedures W Mcc 7 7 $157,077.00 $157,077.00 $27,080.08 $64,275.91 $40,290.25 2026-07-17
SUP-385041 CDM Sys Delivery Triclip Nt 16 8 $117,000.00 $53,820.00 54% off $15,795.00 $63,882.00 $40,248.00 2026-07-31
SUP-347591 CDM Valve Aort 29mm Dia23-26mm Repl Transcatheter 16 8 $117,000.00 $53,820.00 54% off $15,795.00 $63,882.00 $40,248.00 2026-07-31
SUP-463829 CDM Set Surg Instr Xl Ss Complt 16 8 $116,996.10 $53,818.21 54% off $15,794.47 $63,879.87 $40,246.65 2026-07-31
SUP-463832 CDM Set Bne Grft 7.5x10.75mm Complt 16 8 $116,996.10 $53,818.21 54% off $15,794.47 $63,879.87 $40,246.65 2026-07-31
140 MS_DRG Major Head And Neck Procedures With Mcc 61 17 — — $33,101.95 $63,912.88 $40,208.35 2026-04-01
0624 RC — 80 8 $117,000.00 $53,820.00 54% off $13,839.26 $76,062.71 $40,122.38 2026-07-31
820 NDC Lymphoma & Leukemia W Major O.r. Procedure W Mcc 7 7 $156,097.46 $156,097.46 $26,911.20 $63,875.08 $40,039.00 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 69 22 $149,192.84 $68,628.71 54% off $24,318.43 $79,818.17 $39,825.59 2026-07-31
260 NDC Cardiac Pacemaker Revision Except Device Replacement W Mcc 7 7 $155,111.27 $155,111.27 $26,741.18 $63,471.53 $39,786.04 2026-07-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 69 22 $184,078.00 $84,675.88 54% off $30,004.71 $98,481.73 $39,760.13 2026-07-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 72 22 $76,620.03 $35,245.21 54% off $12,489.06 $156,534.99 $39,741.04 2026-07-31
226 NDC Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 7 7 $154,869.73 $154,869.73 $26,699.54 $63,372.69 $39,724.08 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 69 22 $72,689.48 $33,437.16 54% off $11,848.39 $66,953.61 $39,583.75 2026-07-31
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 3 2 — — $35,607.78 $43,520.62 $39,564.20 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 69 22 $148,831.45 $68,462.47 54% off $24,259.53 $79,624.83 $39,512.83 2026-07-31
031 NDC Ventricular Shunt Procedures W Mcc 7 7 $154,045.35 $154,045.35 $26,557.42 $63,035.36 $39,512.63 2026-07-17
268 NDC Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 7 7 $153,799.50 $153,799.50 $26,515.03 $62,934.76 $39,449.57 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 22 $182,172.66 $83,799.42 54% off $29,694.14 $97,462.37 $39,365.54 2026-07-31
456 NDC Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or Ext Fus W Mcc 7 7 $153,214.44 $153,214.44 $26,414.17 $62,695.35 $39,299.50 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 71 22 $110,628.90 $50,889.29 54% off $18,032.51 $61,466.08 $39,187.35 2026-07-31
C2642 HCPCS Seed Brachytherapy Cesium 131 Ther D 96 8 $118,950.00 $54,717.00 54% off $12,109.50 $100,081.80 $39,054.60 2026-07-31
856 NDC Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 7 7 $152,029.68 $152,029.68 $26,209.92 $62,210.55 $38,995.61 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 84 23 $119,699.70 $55,061.86 54% off $16,362.75 $92,852.63 $38,937.32 2026-07-31
J7310 HCPCS Ganciclovir Long Act Implant 3 2 — — $34,560.00 $42,240.00 $38,400.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 5 — — $9,827.00 $52,037.00 $38,306.52 2026-04-01
SUP-466290 CDM Valve Transcatheter Aort Dia29mm Annulus 16 8 $111,150.00 $51,129.00 54% off $15,005.25 $60,687.90 $38,235.60 2026-07-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 86 17 — — $18,777.96 $194,351.08 $37,982.68 2026-04-01
460 NDC Spinal Fusion Except Cervical Without Mcc 7 7 $147,666.33 $147,666.33 $25,457.68 $60,425.06 $37,876.41 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 70 22 $133,934.77 $61,609.99 54% off $21,831.37 $81,327.98 $37,651.74 2026-07-31
471 NDC Cervical Spinal Fusion W Mcc 7 7 $146,672.46 $146,672.46 $25,286.33 $60,018.37 $37,621.49 2026-07-17
SUP-450995 CDM Kt Cln Trl Vlv Acurate Neo2 S 16 8 $109,200.00 $50,232.00 54% off $14,742.00 $59,623.20 $37,564.80 2026-07-31
SUP-450996 CDM Kt Cln Trl Vlv Acurate Neo2 L 16 8 $109,200.00 $50,232.00 54% off $14,742.00 $59,623.20 $37,564.80 2026-07-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 69 22 $105,238.21 $48,409.58 54% off $17,153.83 $57,450.56 $36,995.31 2026-07-31
274 NDC Percutaneous Intracardiac Procedures Without Mcc 7 7 $143,831.75 $143,831.75 $24,796.59 $58,855.95 $36,892.84 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 61 17 — — $30,497.19 $65,389.42 $36,834.39 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 9 5 — — $1,546.00 $59,143.07 $36,712.02 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 69 22 $167,489.81 $77,045.31 54% off $27,300.84 $89,607.05 $36,620.73 2026-07-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 87 18 — — $19,923.94 $276,118.72 $36,552.81 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 70 22 $107,068.49 $49,251.51 54% off $17,452.16 $57,281.64 $36,534.36 2026-07-31
474 NDC Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 7 7 $142,233.75 $142,233.75 $24,521.10 $58,202.05 $36,482.96 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 87 23 $79,750.83 $36,685.38 54% off $9,473.54 $63,323.47 $36,440.77 2026-07-31
455 NDC Combined Anterior/Posterior Spinal Fusion Without Cc/Mcc 7 7 $141,686.92 $141,686.92 $24,426.82 $57,978.29 $36,342.69 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 77 22 $100,661.12 $46,304.12 54% off $9,578.56 $70,357.08 $36,335.25 2026-07-31
67979-002-01 NDC Histrelin Acetate (supprelin) 50 Mg Kit 14 7 $147,554.52 $147,554.52 $18,222.98 $60,379.31 $36,313.17 2026-07-17
C9899 HCPCS Hb Tendyne Bioprosthetic Mitral Valve Sys Ide G140240 30 12 $138,347.00 $64,082.14 54% off $17,085.85 $76,062.71 $36,025.56 2026-07-31
Q0483 HCPCS Monitor Elec Vad, Rep 8 3 — — $23,087.32 $47,396.78 $35,912.32 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 4 — — $23,836.63 $52,037.00 $35,754.95 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 4 — — $23,836.63 $52,037.00 $35,754.95 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 69 22 $83,996.63 $38,638.45 54% off $13,691.45 $57,764.91 $35,641.55 2026-07-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 75 22 $85,093.29 $39,142.91 54% off $12,126.07 $58,200.16 $35,411.52 2026-07-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 76 23 $88,745.09 $40,822.74 54% off $14,157.14 $54,161.97 $35,407.89 2026-07-31
69930 HCPCS Implant Cochlear Device 12 5 — — $3,431.25 $56,922.33 $35,333.54 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 71 22 $87,318.47 $40,166.50 54% off $14,232.91 $96,427.00 $35,312.42 2026-07-31
791 MS_DRG Prematurity With Major Problems 91 23 $20,259.15 $9,319.21 54% off $2,445.79 $61,360.29 $35,311.01 2026-07-31
227 NDC Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 7 7 $137,616.91 $137,616.91 $23,725.16 $56,312.84 $35,298.74 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 75 23 $45,918.86 $21,122.68 54% off $7,484.77 $59,385.02 $35,175.99 2026-07-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 61 17 — — $27,178.19 $52,682.25 $35,121.50 2026-04-01
163 NDC Major Chest Procedures W Mcc 7 7 $136,462.60 $136,462.60 $23,526.15 $55,840.49 $35,002.66 2026-07-17
C1824 HCPCS Generatr Card Contractility Modulatn (Implant) 16 8 $101,400.00 $46,644.00 54% off $13,689.00 $55,364.40 $34,881.60 2026-07-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 69 22 $52,426.05 $24,115.98 54% off $8,545.45 $58,349.78 $34,824.19 2026-07-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 73 23 $78,354.65 $36,043.14 54% off $12,771.81 $53,666.26 $34,810.56 2026-07-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 71 22 $64,718.62 $29,770.57 54% off $1,542.72 $53,238.66 $34,624.46 2026-07-31
545 NDC Connective Tissue Disorders W Mcc 7 7 $134,425.58 $134,425.58 $23,174.97 $55,006.95 $34,480.16 2026-07-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 70 22 $91,240.55 $41,970.65 54% off $14,872.21 $53,202.29 $34,393.24 2026-07-31
332 MS_DRG Rectal Resection With Mcc 61 17 — — $27,149.23 $52,419.44 $34,347.78 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 94 23 $271,230.33 $124,765.95 54% off $254.34 $145,108.23 $34,335.08 2026-07-31
265 MS_DRG Aicd Lead Procedures 69 22 $153,361.13 $70,546.12 54% off $24,997.86 $82,048.20 $34,325.05 2026-07-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 73 23 $84,967.05 $39,084.84 54% off $13,849.63 $54,177.08 $34,266.87 2026-07-31
229 NDC Other Cardiothoracic Procedures Without Mcc 7 7 $133,421.55 $133,421.55 $23,001.88 $54,596.10 $34,222.63 2026-07-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 69 22 $86,468.28 $39,775.41 54% off $14,094.33 $51,326.66 $34,217.77 2026-07-31
477 NDC Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 7 7 $133,253.77 $133,253.77 $22,972.95 $54,527.44 $34,179.59 2026-07-17
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 3 2 — — $30,741.95 $37,573.49 $34,157.72 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 3 2 — — $30,741.95 $37,573.49 $34,157.72 2026-04-01
040 NDC Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc 7 7 $133,107.73 $133,107.73 $22,947.77 $54,467.68 $34,142.13 2026-07-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 69 22 $105,783.28 $48,660.31 54% off $17,242.67 $60,160.32 $34,003.20 2026-07-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 69 22 $58,941.21 $27,112.96 54% off $9,607.42 $59,504.41 $33,927.74 2026-07-31
469 NDC Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity W Mcc Or… 7 7 $132,221.59 $132,221.59 $22,795.00 $54,105.08 $33,914.84 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 70 22 $92,486.58 $42,543.83 54% off $15,075.31 $54,768.00 $33,895.01 2026-07-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 69 22 $94,194.33 $43,329.39 54% off $15,353.68 $52,912.12 $33,846.83 2026-07-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 71 22 $123,414.40 $56,770.62 54% off $19,177.76 $66,026.70 $33,819.55 2026-07-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 74 22 $128,751.15 $59,225.53 54% off $16,965.13 $68,881.87 $33,788.64 2026-07-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 76 23 $99,134.14 $45,601.70 54% off $16,158.86 $111,532.73 $33,762.27 2026-07-31
33270 HCPCS Ins/rep Subq Defibrillator 12 5 — — $1,464.30 $54,189.03 $33,636.89 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 5 — — $1,037.41 $54,189.03 $33,636.89 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 5 — — $2,381.74 $54,189.03 $33,636.89 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 5 — — $1,049.29 $54,189.03 $33,636.89 2026-04-01
SUP-446359 CDM Impella Rp With Smartassist Kt Hrt Pmp 16 8 $97,500.00 $44,850.00 54% off $13,162.50 $53,235.00 $33,540.00 2026-07-31
SUP-495854 CDM Catheter Vent With Smartassist Impella Rp Flx 16 8 $97,500.00 $44,850.00 54% off $13,162.50 $53,235.00 $33,540.00 2026-07-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 76 22 $103,801.68 $47,748.77 54% off $16,919.67 $155,243.22 $33,492.25 2026-07-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 71 22 $86,971.27 $40,006.78 54% off $14,176.32 $92,194.27 $33,426.79 2026-07-31
252 MS_DRG Other Vascular Procedures With Mcc 75 23 $100,444.61 $46,204.52 54% off $15,112.12 $53,737.87 $33,144.03 2026-07-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 71 22 $119,839.61 $55,126.22 54% off $17,800.24 $64,114.19 $33,135.85 2026-07-31
242 NDC Permanent Cardiac Pacemaker Implant W Mcc 7 7 $129,012.33 $129,012.33 $22,241.73 $52,791.85 $33,091.66 2026-07-17
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 3 — — $1,546.00 $49,601.53 $33,067.68 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 5 — — $10,488.00 $53,272.04 $33,067.68 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 5 — — $8,784.00 $53,272.04 $33,067.68 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 3 — — $1,546.00 $49,601.53 $33,067.68 2026-04-01
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