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

NORTHWESTERN MEDICINE MCHENRY

Mchenry, IL · CCN 140116 · Rates published

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You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $15,126 across 6 payers · range $13,726-$23,583

Source: https://www.nm.org/site_data/362338884_northern-illinois-medical-center-dba-northwestern-medicine-mchenry-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.

19,364 distinct procedures filed
15 distinct payers
974,607 rate rows
2026-04-01 last MRF observed
Data quality

965,917 of 974,607 rate rows are consumer-grade (99.1%)

8,690 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,406
percent-of-charges filed in the dollar field — excluded from medians 446
placeholder amount (≤ $0.02) — excluded from medians 407
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 251
per-diem day rate — not a per-procedure price 180
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nm.org/site_data/362338884_northern-illinois-medical-center-dba-northwestern-medicine-mchenry-hospital_standardcharges.json
Found on page https://www.nm.org/patients-and-visitors/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-08-01
Content fingerprint a25c3f55d6e9ad55… · 1,631,148,913 bytes · first seen 2026-08-01

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
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 14 $49,201.03 $393,608.25 $393,608.25 nat. median
$709
outlier · 555.5×
SUP-134367
CDM 		Imp Kt Pmp Vent Asst Dev Hvad 15 $59,323.00 $307,373.06 $151,688.61 nat. median
$408
outlier · 371.5×
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 14 $56,337.13 $291,902.25 $149,599.90 nat. median
$24,377
outlier · 6.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $69,612.77 $490,408.60 $148,839.02 nat. median
$92,900
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 13 $43,140.45 $401,007.12 $147,971.62 nat. median
$59,257
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $77,378.28 $457,971.10 $138,994.23 nat. median
$100,978
1.4× median
J2351
HCPCS 		Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Subq Soln 13 $34,841.09 $278,728.75 $136,298.36 nat. median
$76
outlier · 1795.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $72,507.10 $375,684.34 $135,622.05 nat. median
$132,706
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $59,985.76 $409,871.84 $124,396.11 nat. median
$79,040
1.6× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 13 $38,927.16 $393,254.38 $119,352.70 nat. median
$52,517
outlier · 2.3×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml IV Soln 13 $36,360.91 $188,398.50 $118,691.06 nat. median
$92
outlier · 1294.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $54,401.96 $383,418.84 $116,367.61 nat. median
$73,475
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $54,637.50 $371,422.10 $112,726.60 nat. median
$74,472
1.5× median
PX-81200000
CDM 		Hb Lung Transplant Acquisition 15 $42,650.30 $220,986.00 $109,056.59 nat. median
$124,834
0.9× median
PX-81200008
CDM 		Hb Heart Acquisition 15 $41,964.57 $217,433.00 $107,303.18 nat. median
$130,460
0.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $37,947.31 $342,192.53 $103,855.44 nat. median
$52,372
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $59,797.19 $325,893.84 $102,739.97 nat. median
$80,459
1.3× median
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 13 $25,946.47 $207,571.75 $101,502.59 nat. median
$8,784
outlier · 11.6×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 $38,871.66 $328,926.47 $99,829.19 nat. median
$53,013
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 13 $52,721.69 $273,169.38 $99,619.79 nat. median
$98,002
1.0× median
PX-81200002
CDM 		Hb Liver Acquisition Cadaver 15 $35,811.92 $185,554.00 $91,570.90 nat. median
$115,043
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $49,183.21 $299,849.40 $91,004.30 nat. median
$65,958
1.4× median
J1299
HCPCS 		Eculizumab 300 Mg/30 Ml IV Soln 14 $11,110.78 $88,886.25 $88,886.25 nat. median
$1,363
outlier · 65.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $51,366.35 $297,848.03 $88,460.86 nat. median
$66,640
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $50,026.83 $259,206.25 $87,176.27 nat. median
$68,581
1.3× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 13 $32,353.56 $285,430.97 $86,628.30 nat. median
$44,841
1.9× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 14 $10,698.13 $85,585.00 $85,585.00 nat. median
$885
outlier · 96.7×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 13 $34,360.22 $275,739.56 $83,686.95 nat. median
$46,518
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $46,788.73 $274,612.78 $83,344.98 nat. median
$63,840
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $36,704.35 $190,177.89 $80,907.56 nat. median
$71,485
1.1× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 13 $33,286.44 $264,870.38 $80,388.16 nat. median
$45,588
1.8× median
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) IV Solr 13 $20,184.59 $161,476.75 $78,962.14 nat. median
$5,934
outlier · 13.3×
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 $22,486.03 $225,974.23 $77,961.11 nat. median
$30,467
outlier · 2.6×
SUP-127191
CDM 		Pacing Kt Diaph Stm Neurx 4 15 $30,238.52 $156,676.25 $77,319.73 nat. median
$105,153
0.7× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 13 $29,806.80 $253,992.62 $77,086.76 nat. median
$41,718
1.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $42,104.62 $218,158.61 $77,009.99 nat. median
$62,262
1.2× median
245
MS_DRG 		Aicd Generator Procedures 13 $32,465.28 $253,522.73 $76,944.15 nat. median
$44,699
1.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $42,025.63 $217,749.27 $76,865.49 nat. median
$59,832
1.3× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 13 $30,176.82 $256,248.94 $76,105.94 nat. median
$40,579
1.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 $41,732.94 $220,057.95 $75,920.00 nat. median
$56,397
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 $43,608.67 $237,512.77 $74,925.82 nat. median
$60,162
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $36,298.91 $188,077.20 $74,142.74 nat. median
$60,895
1.2× median
28
MS_DRG 		Spinal Procedures With Mcc 14 $39,805.66 $206,246.84 $73,457.48 nat. median
$56,970
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 $42,741.96 $226,636.66 $73,436.69 nat. median
$58,419
1.3× median
333
MS_DRG 		Rectal Resection With Cc 13 $16,666.70 $218,627.30 $70,889.90 nat. median
$22,670
outlier · 3.1×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 $28,609.21 $231,578.86 $70,284.18 nat. median
$38,854
1.8× median
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5 Ml IV Soln 13 $17,715.13 $141,721.00 $69,301.57 nat. median
$410
outlier · 168.8×
50020
CPT 		Drainage Perirenal/Renal Abscess Open 15 $1,788.50 $169,974.78 $68,414.89 nat. median
$2,550
outlier · 26.8×
33270
CPT 		Hb Ins/Rep Subq Defibrillator 14 $13,285.75 $200,842.60 $68,176.57 nat. median
$31,963
outlier · 2.1×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml IV Soln 13 $17,420.56 $139,364.50 $68,149.24 nat. median
$331
outlier · 206.0×

Other procedures at this hospital

Browse this hospital's 19,364 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
             
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 26 14 $393,608.25 $275,525.78 30% off $49,201.03 $393,608.25 $393,608.25 2026-04-01
SUP-134367 CDM Imp Kt Pmp Vent Asst Dev Hvad 30 15 $307,373.06 $215,161.12 30% off $59,323.00 $307,373.06 $151,688.61 2026-04-01
C9293 HCPCS Glucarpidase 1000 Units IV Solr 26 14 $291,902.25 $204,331.56 30% off $56,337.13 $291,902.25 $149,599.90 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 $490,842.84 $343,590.00 30% off $69,612.77 $490,408.60 $148,839.02 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 13 $401,007.12 $280,705.00 30% off $43,140.45 $401,007.12 $147,971.62 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 13 $458,957.34 $321,270.12 30% off $77,378.28 $457,971.10 $138,994.23 2026-04-01
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Subq Soln 24 13 $278,728.75 $195,110.12 30% off $34,841.09 $278,728.75 $136,298.36 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 13 $374,359.34 $262,051.55 30% off $72,507.10 $375,684.34 $135,622.05 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 13 $410,333.34 $287,233.34 30% off $59,985.76 $409,871.84 $124,396.11 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 13 $392,174.38 $274,522.06 30% off $38,927.16 $393,254.38 $119,352.70 2026-04-01
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml IV Soln 19 13 $188,398.50 $131,878.95 30% off $36,360.91 $188,398.50 $118,691.06 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 13 $385,430.34 $269,801.22 30% off $54,401.96 $383,418.84 $116,367.61 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 13 $371,836.10 $260,285.27 30% off $54,637.50 $371,422.10 $112,726.60 2026-04-01
PX-81200000 CDM Hb Lung Transplant Acquisition 30 15 $220,986.00 $154,690.20 30% off $42,650.30 $220,986.00 $109,056.59 2026-04-01
PX-81200008 CDM Hb Heart Acquisition 30 15 $217,433.00 $152,203.10 30% off $41,964.57 $217,433.00 $107,303.18 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 13 $343,633.78 $240,543.66 30% off $37,947.31 $342,192.53 $103,855.44 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 13 $325,100.60 $227,570.40 30% off $59,797.19 $325,893.84 $102,739.97 2026-04-01
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 24 13 $207,571.75 $145,300.22 30% off $25,946.47 $207,571.75 $101,502.59 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 13 $328,840.00 $230,187.98 30% off $38,871.66 $328,926.47 $99,829.19 2026-04-01
215 MS_DRG Other Heart Assist System Implant 27 13 $273,224.38 $191,257.06 30% off $52,721.69 $273,169.38 $99,619.79 2026-04-01
PX-81200002 CDM Hb Liver Acquisition Cadaver 30 15 $185,554.00 $129,887.80 30% off $35,811.92 $185,554.00 $91,570.90 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 13 $299,745.40 $209,821.80 30% off $49,183.21 $299,849.40 $91,004.30 2026-04-01
J1299 HCPCS Eculizumab 300 Mg/30 Ml IV Soln 26 14 $88,886.25 $62,220.37 30% off $11,110.78 $88,886.25 $88,886.25 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 13 $297,845.78 $208,492.05 30% off $51,366.35 $297,848.03 $88,460.86 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 13 $259,242.23 $181,469.56 30% off $50,026.83 $259,206.25 $87,176.27 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 13 $285,396.22 $199,777.34 30% off $32,353.56 $285,430.97 $86,628.30 2026-04-01
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 26 14 $85,585.00 $59,909.50 30% off $10,698.13 $85,585.00 $85,585.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 13 $275,219.30 $192,653.52 30% off $34,360.22 $275,739.56 $83,686.95 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 13 $274,612.78 $192,228.95 30% off $46,788.73 $274,612.78 $83,344.98 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 13 $190,207.89 $133,145.52 30% off $36,704.35 $190,177.89 $80,907.56 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 13 $264,860.62 $185,402.44 30% off $33,286.44 $264,870.38 $80,388.16 2026-04-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) IV Solr 24 13 $161,476.75 $113,033.72 30% off $20,184.59 $161,476.75 $78,962.14 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 13 $225,663.98 $157,964.80 30% off $22,486.03 $225,974.23 $77,961.11 2026-04-01
SUP-127191 CDM Pacing Kt Diaph Stm Neurx 4 30 15 $156,676.25 $109,673.37 30% off $30,238.52 $156,676.25 $77,319.73 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 13 $255,465.39 $178,825.77 30% off $29,806.80 $253,992.62 $77,086.76 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 13 $217,995.61 $152,596.94 30% off $42,104.62 $218,158.61 $77,009.99 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 13 $253,522.73 $177,465.92 30% off $32,465.28 $253,522.73 $76,944.15 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 13 $221,311.02 $154,917.70 30% off $42,025.63 $217,749.27 $76,865.49 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 13 $256,250.70 $179,375.50 30% off $30,176.82 $256,248.94 $76,105.94 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 13 $220,057.97 $154,040.58 30% off $41,732.94 $220,057.95 $75,920.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 13 $238,192.77 $166,734.94 30% off $43,608.67 $237,512.77 $74,925.82 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 $188,077.20 $131,654.05 30% off $36,298.91 $188,077.20 $74,142.74 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 14 $206,286.84 $144,400.80 30% off $39,805.66 $206,246.84 $73,457.48 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 13 $226,650.90 $158,655.62 30% off $42,741.96 $226,636.66 $73,436.69 2026-04-01
333 MS_DRG Rectal Resection With Cc 24 13 $218,630.05 $153,041.03 30% off $16,666.70 $218,627.30 $70,889.90 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 13 $231,587.86 $162,111.50 30% off $28,609.21 $231,578.86 $70,284.18 2026-04-01
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml IV Soln 24 13 $141,721.00 $99,204.70 30% off $17,715.13 $141,721.00 $69,301.57 2026-04-01
50020 CPT Drainage Perirenal/Renal Abscess Open 30 15 $169,974.80 $118,982.35 30% off $1,788.50 $169,974.78 $68,414.89 2026-04-01
33270 CPT Hb Ins/Rep Subq Defibrillator 56 14 $153,564.30 $107,495.01 30% off $13,285.75 $200,842.60 $68,176.57 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 24 13 $139,364.50 $97,555.15 30% off $17,420.56 $139,364.50 $68,149.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 13 $208,246.80 $145,772.77 30% off $22,124.55 $208,224.05 $67,516.65 2026-04-01
PX-81100000 CDM Hb Liver Acquisition, Live Donor 30 15 $135,919.00 $95,143.30 30% off $26,232.37 $135,919.00 $67,076.02 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 13 $203,081.53 $142,157.06 30% off $37,040.76 $203,076.05 $66,851.23 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 13 $183,571.81 $128,500.27 30% off $35,426.95 $183,559.31 $66,473.37 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 13 $239,852.90 $167,897.03 30% off $33,877.06 $239,843.90 $65,499.08 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 13 $157,999.23 $110,599.47 30% off $30,471.33 $157,882.50 $64,830.40 2026-04-01
55866 CPT Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot 30 15 $131,118.56 $91,783.00 30% off $10,343.00 $188,825.33 $64,617.61 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 13 $180,594.70 $126,416.30 30% off $34,854.98 $180,595.72 $64,508.04 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 13 $157,334.05 $110,133.83 30% off $30,367.18 $157,342.80 $63,241.42 2026-04-01
J9316 HCPCS Pertuzumab-trastuzumab-hy-zzxf 1,200 Mg-600mg- 30000 Unit/15ml Subq Soln 52 14 $78,300.62 $54,810.44 30% off $7,829.88 $93,962.25 $62,639.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 13 $191,896.10 $134,327.27 30% off $26,137.17 $192,513.10 $62,422.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 13 $191,258.31 $133,880.81 30% off $31,891.74 $191,260.56 $62,016.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 13 $191,164.31 $133,815.02 30% off $22,655.39 $191,226.56 $62,005.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 13 $190,330.31 $133,231.22 30% off $31,882.49 $190,329.31 $61,714.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 13 $190,167.20 $133,117.05 30% off $30,000.35 $190,078.70 $61,633.02 2026-04-01
38571 CPT Laps Surg Bilateral Total Pelvic Lmphadectomy 30 15 $131,554.39 $92,088.07 30% off $3,527.50 $188,825.33 $61,609.38 2026-04-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 48 13 $152,840.12 $106,988.08 30% off $7,642.03 $244,544.00 $61,136.25 2026-04-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subq Syrg 40 14 $96,024.88 $67,217.41 30% off $18,532.78 $96,025.00 $61,086.22 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 13 $171,699.81 $120,189.87 30% off $33,127.49 $171,645.06 $60,172.70 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 13 $119,007.74 $83,305.42 30% off $19,559.29 $119,007.75 $59,503.88 2026-04-01
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 24 13 $121,661.25 $85,162.87 30% off $15,207.66 $121,661.25 $59,492.35 2026-04-01
50541 CPT Laparoscopy Surg Ablation Renal Cysts 30 15 $147,588.11 $103,311.68 30% off $3,081.00 $147,588.12 $59,404.25 2026-04-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subq Syrg 24 13 $121,272.75 $84,890.92 30% off $15,159.09 $121,272.75 $59,302.38 2026-04-01
55650 CPT Vesiculectomy Any Approach 30 15 $147,300.48 $103,110.34 30% off $1,334.00 $147,300.48 $59,288.49 2026-04-01
A9543 HCPCS Hb Y90 Ibritumomab, Rx 21 14 $93,456.00 $65,419.20 30% off $18,037.01 $93,456.00 $58,877.28 2026-04-01
C1826 HCPCS Implant Generator Nrstmltn Scs Rchrgbl Cls Lp Tchnlgy Incptv 977119 30 15 $122,486.99 $85,740.89 30% off $15,310.87 $122,486.99 $58,548.78 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 13 $179,905.48 $125,933.84 30% off $20,963.95 $179,890.23 $58,329.40 2026-04-01
SUP-136104 CDM Impella 5.0 Catheter 30 15 $116,690.00 $81,683.00 30% off $22,521.17 $116,690.00 $57,586.51 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 13 $192,109.39 $134,476.56 30% off $32,864.47 $192,109.39 $57,385.49 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 15 $153,700.73 $107,590.52 30% off $29,539.48 $153,054.25 $57,361.95 2026-04-01
61715 CPT Hb Mrgfus Stereotactic Ablation Target Intracranial 26 14 $115,473.00 $80,831.10 30% off $14,434.13 $115,473.00 $56,985.93 2026-04-01
33289 CPT Hb Tcat Impl Wrls P-art Prs Snr 58 15 $175,984.02 $123,188.81 30% off $11,001.25 $175,984.02 $56,958.60 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 13 $173,951.23 $121,765.87 30% off $25,700.96 $173,951.25 $56,403.69 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 13 $146,307.31 $102,415.12 30% off $28,238.53 $146,313.56 $56,370.63 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 24 13 $170,767.69 $119,537.38 30% off $17,371.88 $170,767.69 $55,371.42 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 15 $201,962.30 $141,373.60 30% off $25,350.87 $202,031.80 $54,630.69 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 13 $153,515.61 $107,460.93 30% off $29,621.81 $153,480.86 $54,609.73 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 24 13 $167,451.20 $117,215.85 30% off $13,621.13 $167,411.72 $54,283.25 2026-04-01
PX-81200005 CDM Hb Kidney Acquisition Cadaver 30 15 $109,584.00 $76,708.80 30% off $21,149.71 $109,584.00 $54,079.71 2026-04-01
J9289 HCPCS Nivolumab-hyaluronidase-nvhy 600 Mg-10,000 Unit/5 Ml Subq Soln 27 15 $53,955.75 $37,769.02 30% off $6,744.47 $53,955.75 $53,955.75 2026-04-01
50543 CPT Laparoscopy Surg Partial Nephrectomy 30 15 $133,937.27 $93,756.08 30% off $7,055.00 $133,937.27 $53,909.79 2026-04-01
J9334 HCPCS Efgartigimod-hyaluronidas-qvfc 1,008 Mg-11,200 Unit/5.6 Ml Subq Soln 24 13 $112,031.50 $78,422.05 30% off $33.84 $112,031.50 $53,551.06 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 13 $139,406.81 $97,584.77 30% off $26,975.51 $139,769.31 $53,326.76 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 13 $214,794.34 $150,356.05 30% off $22,986.99 $214,790.60 $53,321.78 2026-04-01
SUP-153880 CDM Impella Cp Catheter With Smart Assist 30 15 $107,312.50 $75,118.75 30% off $20,711.31 $107,312.50 $52,958.72 2026-04-01
SUP-312405 CDM Catheter Impella Rp Heart Pump 30 15 $107,312.50 $75,118.75 30% off $20,711.31 $107,312.50 $52,958.72 2026-04-01
SUP-344907 CDM Kit Instrument Stryker Hip Arthroscopy 242-200-000 30 15 $107,249.87 $75,074.91 30% off $20,699.22 $107,249.87 $52,927.82 2026-04-01
PX-81200003 CDM Hb Pancreas Acquisition 30 15 $106,899.00 $74,829.30 30% off $20,631.51 $106,899.00 $52,754.65 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 13 $162,262.10 $113,583.46 30% off $24,701.90 $162,266.83 $52,615.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 13 $104,536.10 $73,175.27 30% off $20,042.31 $103,846.03 $52,404.65 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 13 $141,560.02 $99,092.01 30% off $27,320.82 $141,558.52 $52,404.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 24 13 $159,617.34 $111,732.14 30% off $17,952.53 $159,616.84 $51,755.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 13 $132,042.48 $92,429.74 30% off $25,495.58 $132,101.48 $51,650.52 2026-04-01
50760 CPT Ureteroureterostomy 30 15 $133,239.06 $93,267.34 30% off $1,068.50 $133,239.06 $51,609.94 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 24 13 $158,343.20 $110,840.25 30% off $15,568.73 $158,344.20 $51,343.11 2026-04-01
0620T CPT Hb Endovascular Venous Arterialization Tibl/Prnl Vn 28 14 $109,456.00 $76,619.20 30% off $13,682.00 $109,456.00 $51,280.13 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 13 $157,799.05 $110,459.33 30% off $22,520.19 $157,740.80 $51,147.45 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 13 $156,431.90 $109,502.34 30% off $25,372.21 $156,389.92 $50,709.43 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 13 $158,966.64 $111,276.65 30% off $25,799.87 $155,681.02 $50,479.57 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 13 $155,180.84 $108,626.59 30% off $24,276.37 $155,233.10 $50,334.33 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 24 13 $154,461.77 $108,123.23 30% off $13,727.15 $154,480.27 $50,090.23 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 13 $153,879.30 $107,715.51 30% off $18,928.11 $153,828.30 $49,878.82 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 13 $133,312.95 $93,319.07 30% off $29,985.41 $133,312.95 $49,822.56 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 13 $153,634.69 $107,544.28 30% off $17,960.36 $153,635.19 $49,816.21 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 13 $139,973.89 $97,981.72 30% off $27,015.19 $139,974.88 $49,411.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 13 $139,373.20 $97,561.25 30% off $26,900.12 $139,378.72 $49,200.69 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 13 $148,935.20 $104,254.65 30% off $26,594.00 $148,935.23 $48,537.44 2026-04-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) IV Soln 24 13 $98,301.25 $68,810.87 30% off $12,287.66 $98,301.25 $48,069.32 2026-04-01
J1640 HCPCS Hemin 350 Mg IV Solr 19 13 $75,567.50 $52,897.25 30% off $14,584.53 $75,567.50 $47,607.53 2026-04-01
50548 CPT Laparoscopy Nephrectomy W/Total Ureterectomy 30 15 $118,231.34 $82,761.94 30% off $2,137.00 $118,231.35 $47,588.16 2026-04-01
50947 CPT Laps Urtroneocstost W/Cstsc&Urtrl Stent Plmt 30 15 $134,374.53 $94,062.17 30% off $7,055.00 $134,374.53 $47,568.62 2026-04-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 24 13 $146,435.05 $102,504.53 30% off $8,322.68 $146,443.80 $47,484.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 13 $146,379.50 $102,465.65 30% off $21,493.37 $146,376.50 $47,462.58 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 24 13 $145,852.86 $102,097.00 30% off $10,669.48 $145,865.12 $47,296.77 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 13 $145,583.03 $101,908.12 30% off $22,677.45 $145,828.03 $47,284.74 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 13 $136,641.20 $95,648.85 30% off $26,403.76 $136,806.95 $47,207.03 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 13 $133,101.60 $93,171.11 30% off $25,689.91 $133,108.33 $46,987.24 2026-04-01
0571T CPT Hb Insj/Rplcmt Icds W/Substernal Electrode 28 14 $100,265.00 $70,185.50 30% off $12,533.13 $100,265.00 $46,974.15 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 13 $129,457.69 $90,620.38 30% off $14,273.22 $129,449.68 $46,731.33 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 13 $129,201.87 $90,441.31 30% off $24,935.60 $129,199.86 $46,641.15 2026-04-01
J9326 HCPCS Telisotuzumab Vedotin-tllv 100 Mg IV Solr 30 15 $94,390.75 $66,073.52 30% off $18,217.41 $94,390.75 $46,581.84 2026-04-01
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj 30 15 $131,521.38 $92,064.96 30% off $7,055.00 $131,521.38 $46,558.58 2026-04-01
38570 CPT Laps Surg Retroperitoneal Lymph Node Bx 1/Mlt 30 15 $103,299.19 $72,309.43 30% off $3,527.50 $108,992.89 $46,484.65 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 13 $186,748.89 $130,724.22 30% off $19,724.38 $186,337.11 $46,258.19 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 13 $134,379.84 $94,065.89 30% off $25,935.35 $134,379.88 $45,962.46 2026-04-01
77371 CPT Hb Srs Multisource 26 14 $93,128.00 $65,189.60 30% off $11,641.00 $93,128.00 $45,958.67 2026-04-01
50545 CPT Laparoscopy Radical Nephrectomy 30 15 $113,839.97 $79,687.98 30% off $2,137.00 $113,839.97 $45,820.62 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 13 $132,212.10 $92,548.46 30% off $25,516.55 $132,209.83 $45,809.42 2026-04-01
C1822 HCPCS Implant Kit Pulse Gen 11 Senza Nipg2500 60 15 $96,046.38 $67,232.47 30% off $11,828.41 $97,465.51 $45,715.24 2026-04-01
PX-81100001 CDM Hb Kidney Acquisition Living 30 15 $92,459.00 $64,721.30 30% off $17,844.59 $92,459.00 $45,628.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 13 $126,072.11 $88,250.48 30% off $24,327.94 $126,051.37 $45,504.54 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 13 $133,442.19 $93,409.53 30% off $25,735.88 $133,346.44 $45,446.75 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 13 $134,205.73 $93,944.02 30% off $25,306.04 $134,205.75 $44,890.15 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 13 $138,439.36 $96,907.55 30% off $16,446.11 $138,439.36 $44,888.96 2026-04-01
29914 CPT Arthroscopy Hip W/Femoroplasty 30 15 $111,467.41 $78,027.19 30% off $3,527.50 $111,467.41 $44,865.65 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 24 13 $137,734.17 $96,413.92 30% off $14,233.09 $137,742.67 $44,663.06 2026-04-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml IV Soln 48 13 $104,053.00 $72,837.10 30% off $5,574.28 $163,511.75 $44,594.25 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 24 13 $137,480.70 $96,236.50 30% off $11,042.35 $137,476.70 $44,576.82 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 24 13 $136,987.50 $95,891.25 30% off $15,596.48 $137,114.00 $44,459.21 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 13 $136,599.31 $95,619.52 30% off $20,778.23 $136,604.06 $44,293.87 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 24 13 $134,337.10 $94,035.96 30% off $15,929.50 $134,314.84 $43,551.59 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 24 13 $134,305.98 $94,014.19 30% off $10,385.56 $134,237.73 $43,526.58 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 13 $139,260.64 $97,482.45 30% off $25,094.70 $139,209.90 $43,116.21 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 24 13 $132,989.89 $93,092.92 30% off $13,021.97 $132,956.39 $43,111.10 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 13 $129,461.00 $90,622.70 30% off $24,985.97 $129,461.00 $43,028.18 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 24 13 $132,165.19 $92,515.63 30% off $12,678.28 $132,235.44 $42,877.35 2026-04-01
29883 CPT Hb Arthro Meniscus Med And Lat 30 15 $120,352.86 $84,247.00 30% off $4,551.00 $120,352.86 $42,604.92 2026-04-01
C9760 HCPCS Hb Non-blind Interatrial Shunt 28 14 $86,001.00 $60,200.70 30% off $16,598.19 $86,001.00 $42,441.49 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 13 $107,384.30 $75,169.01 30% off $20,730.69 $107,412.80 $42,387.03 2026-04-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 30 15 $92,683.99 $64,878.79 30% off $7,055.00 $92,683.99 $41,707.83 2026-04-01
57265 CPT Cmbnd Anterpost Colporraphy W/Cysto W/Ntrcl Rpr 30 15 $92,683.99 $64,878.79 30% off $7,055.00 $92,683.99 $41,707.83 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 24 13 $167,805.27 $117,463.69 30% off $12,196.54 $167,798.77 $41,656.06 2026-04-01
0408T CPT Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 28 14 $86,271.00 $60,389.70 30% off $10,783.88 $86,271.00 $41,625.76 2026-04-01
29916 CPT Arthroscopy Hip W/Labral Repair 30 15 $102,976.69 $72,083.68 30% off $7,055.00 $102,976.68 $41,448.15 2026-04-01
SUP-316571 CDM Tandemheart Proc Kt 31fr Wo Oxy Protek Duo 30 15 $83,703.75 $58,592.62 30% off $16,154.82 $83,703.75 $41,307.81 2026-04-01
SUP-316570 CDM Tandemheart Proc Kt 29fr Wo Oxy Protek Duo 30 15 $83,703.75 $58,592.62 30% off $16,154.82 $83,703.75 $41,307.81 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 13 $113,971.61 $79,780.13 30% off $21,996.36 $113,970.62 $41,143.39 2026-04-01
SUP-153873 CDM Impella 2.5 Catheter 30 15 $83,350.00 $58,345.00 30% off $16,086.55 $83,350.00 $41,133.22 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 13 $126,841.73 $88,789.21 30% off $23,771.15 $126,830.00 $40,842.18 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 13 $134,216.73 $93,951.72 30% off $19,619.06 $134,216.75 $40,734.79 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 13 $128,146.41 $89,702.49 30% off $23,426.03 $128,153.41 $40,249.21 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 13 $126,804.67 $88,763.27 30% off $23,423.19 $126,803.92 $40,244.32 2026-04-01
33263 CPT Hb Rmvl & Rplcmt Dfb Gen 2 Lead 58 15 $129,225.90 $90,458.13 30% off $6,928.50 $129,225.90 $40,186.79 2026-04-01
29915 CPT Arthroscopy Hip W/Acetabuloplasty 30 15 $99,774.64 $69,842.25 30% off $3,527.50 $99,774.64 $40,159.32 2026-04-01
C2624 HCPCS Cardiomems Pa Sensor Implant & Delivery System 30 15 $83,703.75 $58,592.62 30% off $10,462.97 $83,703.75 $40,010.39 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 13 $115,906.63 $81,134.64 30% off $22,369.98 $115,906.63 $39,987.79 2026-04-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml IV Soln 24 13 $81,226.50 $56,858.55 30% off $10,153.31 $81,226.50 $39,719.76 2026-04-01
29867 CPT Arthroscopy Knee Osteochondral Allograft 30 15 $104,646.49 $73,252.54 30% off $7,055.00 $104,646.49 $39,331.43 2026-04-01
33264 CPT Hb Rmvl & Rplcmt Dfb Gen Mlt Ld 58 15 $131,766.62 $92,236.64 30% off $6,387.00 $131,766.62 $39,156.58 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 13 $44,428.50 $31,099.95 30% off $8,574.71 $67,119.52 $39,065.21 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 13 $108,166.54 $75,716.58 30% off $20,880.51 $108,189.05 $39,056.25 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 13 $107,582.44 $75,307.71 30% off $20,839.74 $107,977.94 $38,980.04 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 13 $107,444.67 $75,211.27 30% off $20,792.95 $107,735.42 $38,863.64 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 13 $110,236.89 $77,165.82 30% off $21,280.70 $110,262.64 $38,840.68 2026-04-01
50544 CPT Laparoscopy Surg Pyeloplasty 30 15 $96,356.81 $67,449.77 30% off $7,055.00 $96,356.81 $38,783.65 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 23 13 $128,095.46 $89,666.82 30% off $17,731.94 $127,700.46 $38,757.09 2026-04-01
J9024 HCPCS Atezolizumab-hyaluronidas-tqjs 1,875 Mg-30,000 Unit/15 Ml Subq Soln 24 13 $79,040.75 $55,328.52 30% off $9,880.09 $79,040.75 $38,650.93 2026-04-01
49618 CPT Rpr Aa Hernia Recr > 10 Cm Ncrc8/Strangulated 30 15 $95,909.47 $67,136.63 30% off $7,055.00 $95,909.47 $38,603.60 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 13 $129,806.93 $90,864.85 30% off $22,411.32 $129,806.93 $38,505.79 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 23 13 $111,182.44 $77,827.71 30% off $21,442.69 $111,101.95 $38,330.17 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 13 $105,930.50 $74,151.35 30% off $18,856.59 $105,930.50 $38,240.91 2026-04-01
33231 CPT Hb Insrt Pulse Gen W/Mult Leads 28 14 $77,451.00 $54,215.70 30% off $14,948.04 $77,451.00 $38,222.07 2026-04-01
58554 CPT Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar 30 15 $93,103.96 $65,172.77 30% off $7,055.00 $93,103.96 $37,474.37 2026-04-01
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml IV Soln 24 13 $76,529.75 $53,570.82 30% off $9,566.22 $76,529.75 $37,423.05 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 13 $135,699.89 $94,989.92 30% off $19,360.76 $135,699.89 $37,224.71 2026-04-01
SUP-363920 CDM Kit Blood Pump Tandemheart Protecduo 31fr 30 15 $75,118.75 $52,583.12 30% off $14,497.92 $75,118.75 $37,071.10 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 13 $102,536.50 $71,775.55 30% off $19,256.87 $102,536.50 $37,015.68 2026-04-01
57283 CPT Colpopexy Vaginal Intraperitoneal Approach 30 15 $84,993.01 $59,495.11 30% off $6,162.00 $84,993.01 $36,709.35 2026-04-01
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml IV Soln 24 13 $75,013.00 $52,509.10 30% off $9,376.63 $75,013.00 $36,681.35 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 23 13 $120,600.51 $84,420.36 30% off $14,233.80 $120,665.02 $36,621.83 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 13 $105,688.47 $73,981.93 30% off $20,397.16 $105,684.72 $36,461.23 2026-04-01
29891 CPT Hb Arthroscopy Ankle Incl Drill 30 15 $102,289.57 $71,602.70 30% off $4,551.00 $102,289.57 $36,210.53 2026-04-01
49596 CPT Rpr Aa Hernia 1st > 10 Cm Ncrc8/Strangulated 30 15 $80,116.49 $56,081.54 30% off $7,055.00 $112,141.09 $36,052.42 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 13 $139,613.94 $97,729.76 30% off $17,235.97 $139,621.20 $35,994.43 2026-04-01
C1767 HCPCS Generator Kt Imp Plse Spine Crd Stim Precis Spectr 750 15 $76,191.88 $53,334.32 30% off $4,488.35 $154,522.56 $35,906.76 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 23 13 $117,771.34 $82,439.94 30% off $10,917.11 $117,754.10 $35,738.37 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 13 $110,040.14 $77,028.10 30% off $20,723.44 $110,049.39 $35,605.78 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 23 13 $116,897.44 $81,828.21 30% off $11,655.02 $116,912.44 $35,482.93 2026-04-01
33249 CPT Hb Insj/Rplcmt Defib W/Lead(S) 58 15 $137,414.16 $96,189.91 30% off $5,703.13 $137,414.16 $35,359.38 2026-04-01
33361 CPT Hb Replace Aortic Valve Perq 23 14 $66,059.00 $46,241.30 30% off $12,749.39 $66,059.00 $35,143.39 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 13 $105,982.99 $74,188.09 30% off $20,423.86 $105,962.98 $35,091.07 2026-04-01
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Subq Soln 24 13 $71,379.75 $49,965.82 30% off $55.57 $71,379.75 $34,904.70 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 13 $101,425.31 $70,997.72 30% off $19,575.05 $101,425.06 $34,850.21 2026-04-01
50081 CPT Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations 30 15 $86,536.99 $60,575.89 30% off $6,162.00 $86,536.98 $34,831.18 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 13 $96,305.44 $67,413.81 30% off $18,581.16 $96,275.45 $34,755.44 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 13 $100,604.36 $70,423.05 30% off $19,415.27 $100,597.36 $34,706.09 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 13 $95,905.61 $67,133.93 30% off $18,508.47 $95,898.62 $34,619.40 2026-04-01
38900 CPT Intraop Sentinel Lymph Node Id With Contrast Injection 30 15 $67,441.69 $47,209.18 30% off $3,577.00 $74,042.74 $34,563.89 2026-04-01
43860 CPT Revj Gstr/Jj Anast W/Rcnstj Without Vgtmy 30 15 $85,586.64 $59,910.65 30% off $1,068.50 $85,586.65 $34,448.68 2026-04-01
J0596 HCPCS C1 Esterase Inhibitor, Recomb 2100 Units IV Solr 19 13 $54,521.25 $38,164.87 30% off $10,522.60 $54,521.25 $34,348.39 2026-04-01
33533 CPT Cabg W/Arterial Graft Single Arterial Graft 30 15 $85,251.74 $59,676.22 30% off $2,137.00 $85,251.74 $34,313.86 2026-04-01
61782 CPT Hb Strtctc Cptr Asstd Px Extradural Cranial 30 15 $73,240.11 $51,268.08 30% off $6,162.00 $108,733.50 $34,305.72 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 13 $107,446.26 $75,212.38 30% off $19,919.35 $107,407.01 $34,224.24 2026-04-01
60240 CPT Thyroidectomy Total/Complete 30 15 $69,058.17 $48,340.72 30% off $7,055.00 $72,629.42 $34,056.35 2026-04-01
49020 CPT Drainage Periton Abscess/Local Peritonitis Open 30 15 $84,586.20 $59,210.34 30% off $1,068.50 $84,586.20 $34,046.03 2026-04-01
665 MS_DRG Prostatectomy With Mcc 23 13 $97,732.06 $68,412.44 30% off $18,860.09 $97,720.55 $33,949.29 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 13 $93,928.66 $65,750.06 30% off $18,129.31 $93,934.16 $33,910.23 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 13 $93,855.86 $65,699.10 30% off $18,115.31 $93,861.61 $33,884.04 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 13 $93,687.51 $65,581.26 30% off $18,081.59 $93,687.02 $33,794.76 2026-04-01
43644 CPT Laps Gstr Rstcv Px W/Byp Roux-en-y Limb <150 Cm 30 15 $68,605.06 $48,023.54 30% off $7,055.00 $84,929.31 $33,726.75 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 30 15 $95,064.29 $66,545.00 30% off $4,551.00 $95,064.28 $33,652.77 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 23 13 $124,484.31 $87,139.02 30% off $19,554.31 $124,481.56 $33,597.05 2026-04-01
29999 CPT Hb Arthroscopy Of Joint - Unlisted 30 15 $69,638.63 $48,747.04 30% off $346.00 $127,675.61 $33,580.88 2026-04-01
29828 CPT Hb Arthroscopy Biceps Tenodesis 30 15 $83,212.73 $58,248.91 30% off $3,527.50 $83,212.73 $33,493.14 2026-04-01
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml IV Soln 24 13 $70,043.75 $49,030.62 30% off $14.84 $70,043.75 $33,480.91 2026-04-01
791 MS_DRG Prematurity With Major Problems 23 13 $87,932.00 $61,552.40 30% off $16,969.97 $87,927.25 $33,109.26 2026-04-01
29905 CPT Arthroscopy Subtalar Joint With Synovectomy 30 15 $83,935.19 $58,754.63 30% off $5,282.00 $83,935.18 $33,000.61 2026-04-01
37227 CPT Hb Revsc Opn/Prq Fem/Pop W/Stnt/Athrc/Angiop Sm Vsl 56 14 $76,306.17 $53,414.32 30% off $5,454.88 $108,973.33 $32,901.34 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 13 $91,294.33 $63,906.03 30% off $17,619.23 $91,291.34 $32,849.63 2026-04-01
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subq Syrg 24 13 $67,140.50 $46,998.35 30% off $34.05 $67,140.50 $32,831.71 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 13 $94,017.41 $65,812.19 30% off $18,145.36 $94,017.41 $32,813.73 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 30 15 $60,648.01 $42,453.61 30% off $7,055.00 $95,598.20 $32,810.58 2026-04-01
J3101 HCPCS Tenecteplase 50 Mg IV Solr 38 13 $51,918.00 $36,342.60 30% off $10,018.53 $51,926.50 $32,708.35 2026-04-01
49623 CPT Rmvl Noninfct Mesh/Prosth Aa/Parastomal Hrna Rpr 30 15 $80,661.39 $56,462.97 30% off $346.00 $80,661.39 $32,466.22 2026-04-01
43281 CPT Laps Rpr Paraesphgl Hrna Incl Fundplsty Without Mesh 30 15 $72,084.53 $50,459.17 30% off $7,055.00 $72,084.53 $32,438.08 2026-04-01
63048 CPT Lam Facetectomy&Foramot 1 Vrt Sgm Ea Addl Sgm 30 15 $80,282.97 $56,198.08 30% off $346.00 $80,282.97 $32,313.95 2026-04-01
57260 CPT Cmbnd Anterpost Colporraphy W/Cysto 30 15 $71,772.20 $50,240.54 30% off $6,162.00 $75,962.61 $32,297.52 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 13 $113,673.24 $79,571.27 30% off $16,981.22 $113,668.75 $32,287.31 2026-04-01
42410 CPT Exc Prtd Tum/Prtd Glnd Lat Lobe Without Nrv Dsj 30 15 $91,121.66 $63,785.16 30% off $6,162.00 $91,121.66 $32,257.10 2026-04-01
63267 CPT Lam Exc/Evac Ispi Lesion Oth/Thn Neo Xdrl Lumbar 30 15 $79,834.87 $55,884.41 30% off $3,577.00 $79,834.87 $32,133.58 2026-04-01
36500 CPT Hb Percutaneous Portal Vein Catheter 30 15 $79,822.09 $55,875.46 30% off $346.00 $79,822.08 $32,128.42 2026-04-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 48 13 $66,512.12 $46,558.49 30% off $91.34 $78,249.50 $31,824.13 2026-04-01
49507 CPT Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated 30 15 $89,676.10 $62,773.27 30% off $5,282.00 $89,676.10 $31,745.38 2026-04-01
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) IV Soln 24 13 $64,772.00 $45,340.40 30% off $8,096.50 $64,772.00 $31,673.51 2026-04-01
31259 CPT Hb Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl 30 15 $78,471.51 $54,930.06 30% off $6,162.00 $78,471.52 $31,584.81 2026-04-01
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) IV Soln 24 13 $64,294.75 $45,006.32 30% off $8,036.84 $64,294.75 $31,440.14 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 13 $90,451.14 $63,315.80 30% off $17,457.07 $90,451.15 $31,205.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 13 $85,947.96 $60,163.57 30% off $16,591.50 $85,966.21 $31,033.80 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 13 $123,457.17 $86,420.02 30% off $18,046.46 $123,434.42 $31,006.36 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg IV Solr 24 13 $63,196.75 $44,237.72 30% off $7,899.59 $63,196.75 $30,903.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 13 $85,509.04 $59,856.33 30% off $16,503.27 $85,509.05 $30,868.77 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 13 $59,028.00 $41,319.60 30% off $11,306.72 $58,584.00 $30,611.94 2026-04-01
66986 CPT Hb Exchange Intraocular Lens 30 15 $86,247.81 $60,373.47 30% off $1,788.50 $86,247.81 $30,531.74 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 13 $84,500.50 $59,150.35 30% off $16,183.72 $83,853.25 $30,488.42 2026-04-01
50080 CPT Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location 30 15 $75,579.50 $52,905.65 30% off $6,162.00 $75,579.50 $30,420.78 2026-04-01
63030 CPT Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr 30 15 $75,040.44 $52,528.31 30% off $7,055.00 $75,040.44 $30,203.81 2026-04-01
C1882 HCPCS Crt-d Vigilant Is1df4is4 570 15 $73,293.93 $51,305.75 30% off $241.45 $106,677.21 $30,073.07 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 13 $108,739.26 $76,117.48 30% off $17,494.27 $109,514.51 $30,057.62 2026-04-01
93581 CPT Hb Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt 23 14 $56,398.00 $39,478.60 30% off $10,884.81 $56,398.00 $30,003.74 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 13 $61,898.87 $43,329.21 30% off $11,946.48 $61,898.87 $29,862.30 2026-04-01
49616 CPT Rpr Aa Hernia Recr 3-10 Cm Ncrc8/Strangulated 30 15 $66,280.81 $46,396.57 30% off $7,055.00 $82,173.80 $29,826.39 2026-04-01
33902 CPT Hb Perq P-art Revsc St 1st Abnor Connj Unilateral 28 14 $60,346.00 $42,242.20 30% off $11,646.78 $60,346.00 $29,780.75 2026-04-01
43284 CPT Laps Esophgl Sphnctr Agmntj Plmt Dev Crrpl 30 15 $66,291.19 $46,403.83 30% off $7,055.00 $68,108.65 $29,773.85 2026-04-01
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml IV Soln 24 13 $60,768.50 $42,537.95 30% off $7,596.06 $60,768.50 $29,715.79 2026-04-01
43775 CPT Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy 29 14 $58,160.87 $40,712.61 30% off $7,055.00 $75,146.49 $29,707.18 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Soln 24 13 $60,618.00 $42,432.60 30% off $7,577.25 $60,618.00 $29,642.20 2026-04-01
60271 CPT Thyroidectomy Substernal Cervical Approach 30 15 $73,190.84 $51,233.59 30% off $6,162.00 $73,190.84 $29,459.33 2026-04-01
0797T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 28 14 $59,640.00 $41,748.00 30% off $11,510.52 $59,640.00 $29,432.34 2026-04-01
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 30 15 $73,230.30 $51,261.21 30% off $7,055.00 $73,230.30 $29,401.99 2026-04-01
62145 CPT Cranioplasty Skull Defect Reparative Brain Surg 30 15 $72,907.41 $51,035.19 30% off $5,282.00 $72,907.41 $29,345.29 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 13 $105,397.61 $73,778.33 30% off $17,058.07 $105,544.37 $29,308.17 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 23 13 $92,740.01 $64,918.01 30% off $17,041.71 $92,728.01 $29,280.05 2026-04-01
63047 CPT Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar 30 15 $72,410.13 $50,687.09 30% off $7,055.00 $72,410.13 $29,145.13 2026-04-01
29888 CPT Hb Arthroscopically Knee Aided 30 15 $82,288.69 $57,602.08 30% off $7,055.00 $82,288.68 $29,130.21 2026-04-01
37273 CPT Hb Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37271 CPT Hb Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37294 CPT Hb Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37286 CPT Hb Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37290 CPT Hb Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37277 CPT Hb Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37288 CPT Hb Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37284 CPT Hb Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37292 CPT Hb Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
37275 CPT Hb Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
92930 CPT Hb Perq Tcat Plmt Ntrac St 2+Les 2+St 2+c Segments 30 15 $58,934.00 $41,253.80 30% off $11,374.26 $58,934.00 $29,083.93 2026-04-01
C1721 HCPCS Defib Cardiac Icd Mr Cond Model Ilivia 7 Dr-t Df4 Connct 300 15 $63,288.62 $44,302.04 30% off $6,058.24 $79,067.85 $29,081.49 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 13 $61,253.74 $42,877.62 30% off $11,818.38 $61,235.01 $29,032.39 2026-04-01
43632 CPT Gstrct Prtl Dstl W/Gastrojejunostomy 30 15 $72,084.53 $50,459.17 30% off $1,068.50 $72,084.53 $29,014.07 2026-04-01
58262 CPT Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary 30 15 $71,772.20 $50,240.54 30% off $2,641.00 $71,772.20 $28,888.33 2026-04-01
38220 CPT Hb Diagnostic Bone Marrow Aspirations 30 15 $71,458.93 $50,021.25 30% off $667.00 $71,458.93 $28,762.25 2026-04-01
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