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 LAKE FOREST HOSPITAL

Lake Forest, IL · CCN 140130 · Rates published

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You selected 93350 (CPT)

HB Stress Tte Only

This hospital’s price: $1,982 across 15 payers · range $515-$4,021

Source: https://www.nm.org/site_data/362179779_northwestern-lake-forest-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.

22,433 distinct procedures filed
15 distinct payers
1,113,530 rate rows
2026-04-01 last MRF observed
Data quality

1,103,403 of 1,113,530 rate rows are consumer-grade (99.1%)

10,127 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 6,006
template filing: same amount across many unrelated codes — excluded 2,414
per-diem day rate — not a per-procedure price 868
percent-of-charges filed in the dollar field — excluded from medians 390
placeholder amount (≤ $0.02) — excluded from medians 370
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 69
exceeds 3× this hospital's gross charge for a DRG stay — excluded 7
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nm.org/site_data/362179779_northwestern-lake-forest-hospital_standardcharges.json
Found on page https://www.nm.org/patients-and-visitors/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 77fd8f13648c3527… · 2,127,444,306 bytes · first seen 2026-05-14

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
SUP-402967
CDM 		Kit Hvad Pump Implant Quick Connect 15 $104,230.26 $627,893.10 $322,423.13 nat. median
$322,423
1.0× median
SUP-414960
CDM 		Set Ocs Heart Perfusion And Accessories 15 $94,613.19 $569,959.00 $292,673.94 nat. median
$155,656
1.9× median
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 13 $454.55 $486,058.25 $276,810.17 nat. median
$735
outlier · 376.9×
SUP-428986
CDM 		Tile Gamma Seed Brachyth Cesium 131 Thrpy D 10pk 4 Sds/tl 15 $75,690.56 $455,967.20 $234,139.15 nat. median
$160,295
1.5× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 14 $59,836.98 $360,463.75 $230,931.11 nat. median
$30,297
outlier · 7.6×
SUP-428985
CDM 		Tile Gamma Seed Brachyth Cesium 131 Thrpy D 9pk 4 Sds/tl 15 $68,412.62 $412,124.20 $211,625.78 nat. median
$144,882
1.5× median
64913
CPT 		Nerve Repair W/Nerve Allograft Ea Addl Strand 15 $10,582.50 $722,505.20 $208,540.50 nat. median
$1,788
outlier · 116.6×
C2642
HCPCS 		Tile Gamma Seed Brachyth Cesium 131 Thrpy D 13pk 4 Sds/tl 15 $33,478.51 $675,182.20 $201,677.80 nat. median
$2,841
outlier · 71.0×
SUP-428983
CDM 		Tile Gamma Seed Brachyth Cesium 131 Thrpy D 7pk 4 Sds/tl 15 $53,856.74 $324,438.20 $166,599.02 nat. median
$114,056
1.5× median
SUP-127191
CDM 		Pacing Kt Diaph Stm Neurx 4 15 $53,128.95 $320,053.90 $164,347.67 nat. median
$105,153
1.6× median
C1825
HCPCS 		System Neo2 Brstm 15 $40,742.91 $318,304.00 $163,449.10 nat. median
$53,185
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $99,360.59 $201,468.61 $157,289.57 nat. median
$126,695
1.2× median
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subq Soln 13 $29,597.22 $178,296.50 $146,203.12 nat. median
$253
outlier · 578.5×
SUP-378414
CDM 		Edwards 26mm Commander Delivery System 15 $43,667.63 $263,058.00 $135,080.28 nat. median
$135,080
1.0× median
SUP-136104
CDM 		Impella 5.0 Catheter 15 $40,756.45 $245,520.80 $126,074.93 nat. median
$78,316
1.6× median
J9281
HCPCS 		Mitomycin (jelmyto) Intra-pyelocalyceal Chemo (80 Mg/20 Ml) 13 $26,486.40 $206,925.00 $117,843.79 nat. median
$532
outlier · 221.5×
SUP-430752
CDM 		Generator Pulse Smrt Mini Trq Wrench Port Plg Opt 15 $37,845.28 $227,983.60 $117,069.58 nat. median
$117,070
1.0× median
SUP-428980
CDM 		Tile Gamma Seed Brachyth Cesium 131 Thrpy D 4pk 4 Sds/tl 15 $37,845.28 $227,983.60 $117,069.58 nat. median
$80,148
1.5× median
PX-81200000
CDM 		Hb Lung Transplant Acquisition 15 $36,683.68 $220,986.00 $113,476.31 nat. median
$124,834
0.9× median
C1826
HCPCS 		Implant Generator Nrstmltn Scs Rchrgbl Cls Lp Tchnlgy Incptv 977119 15 $24,692.38 $257,717.92 $113,439.15 nat. median
$28,756
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 5 $71,424.79 $144,824.56 $113,066.71 nat. median
$93,901
1.2× median
SUP-438923
CDM 		Kit Surgical Planning Mandible 15 $36,389.69 $219,215.00 $112,566.90 nat. median
$55,439
outlier · 2.0×
SUP-394596
CDM 		Device Endocross Dbl G-wire Delivery Tool 15 $36,389.69 $219,215.00 $112,566.90 nat. median
$1,128
outlier · 99.8×
SUP-153880
CDM 		Impella Cp Catheter With Smart Assist 15 $36,389.69 $219,215.00 $112,566.90 nat. median
$94,262
1.2× median
SUP-431143
CDM 		Catheter Impella Rp Flex Smart Assist 15 $36,389.69 $219,215.00 $112,566.90 nat. median
$112,567
1.0× median
SUP-344907
CDM 		Kit Instrument Stryker Hip Arthroscopy 242-200-000 15 $36,368.45 $219,087.06 $112,501.21 nat. median
$71,981
1.6× median
PX-81200008
CDM 		Hb Heart Acquisition 15 $36,093.88 $217,433.00 $111,651.85 nat. median
$130,460
0.9× median
57425
CPT 		Laparoscopy Colpopexy Suspension Vaginal Apex 15 $7,055.00 $177,668.56 $106,033.33 nat. median
$9,841
outlier · 10.8×
C1822
HCPCS 		Implant Kit Pulse Gen 11 Senza Nipg2500 15 $25,484.78 $227,983.60 $104,329.07 nat. median
$31,540
outlier · 3.3×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml IV Soln 13 $22,028.58 $172,098.25 $98,009.96 nat. median
$470
outlier · 208.7×
PX-81200002
CDM 		Hb Liver Acquisition Cadaver 15 $30,801.96 $185,554.00 $95,281.98 nat. median
$115,043
0.8× median
64912
CPT 		Hb Nerve Repair W/Nerve Allograft First Strand 15 $3,081.00 $718,806.94 $95,133.85 nat. median
$6,781
outlier · 14.0×
J7311
HCPCS 		Fluocinolone 0.59 Mg Ivit Impl 13 $20,529.79 $160,389.00 $91,341.54 nat. median
$440
outlier · 207.4×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subq Syrg 14 $19,684.11 $118,579.00 $91,009.39 nat. median
$14,744
outlier · 6.2×
SUP-153873
CDM 		Impella 2.5 Catheter 15 $29,111.75 $175,372.00 $90,053.52 nat. median
$98,194
0.9× median
J9350
HCPCS 		Mosunetuzumab-axgb 1 Mg/ml IV Soln 13 $19,986.66 $156,145.75 $88,925.01 nat. median
$1,598
outlier · 55.6×
J9309
HCPCS 		Polatuzumab Vedotin-piiq 140 Mg IV Solr 13 $19,862.59 $155,176.50 $88,373.01 nat. median
$4,472
outlier · 19.8×
SUP-316571
CDM 		Tandemheart Proc Kt 31fr Wo Oxy Protek Duo 15 $28,383.96 $170,987.70 $87,802.18 nat. median
$56,178
1.6× median
SUP-316570
CDM 		Tandemheart Proc Kt 29fr Wo Oxy Protek Duo 15 $28,383.96 $170,987.70 $87,802.18 nat. median
$56,178
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $54,660.01 $110,831.45 $86,527.77 nat. median
$67,976
1.3× median
58573
CPT 		Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 15 $7,055.00 $159,236.44 $85,387.17 nat. median
$10,000
outlier · 8.5×
C2624
HCPCS 		Cardiomems Pa Snsr Dlvry Systm 15 $21,886.43 $170,987.70 $84,296.93 nat. median
$32,662
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $51,781.36 $104,994.54 $81,970.81 nat. median
$63,648
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $51,148.67 $103,711.67 $80,969.26 nat. median
$66,649
1.2× median
57250
CPT 		Post Colporrhaphy Rectocele W/wo Perineorrhaphy 15 $7,055.00 $153,513.86 $80,571.82 nat. median
$4,890
outlier · 16.5×
54405
CPT 		Insj Multi-component Inflatable Penile Prosth 15 $14,727.00 $189,153.70 $80,111.05 nat. median
$18,548
outlier · 4.3×
58571
CPT 		Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 15 $7,055.00 $115,351.68 $79,370.09 nat. median
$9,885
outlier · 8.0×
C1767
HCPCS 		Generator 1 Ch 8 Cntct Pri Cell 15 $9,652.47 $337,202.16 $78,905.31 nat. median
$23,896
outlier · 3.3×
SUP-363920
CDM 		Kit Blood Pump Tandemheart Protecduo 31fr 15 $25,472.78 $153,450.50 $78,796.83 nat. median
$32,163
outlier · 2.4×
SUP-380268
CDM 		Kit Protekduo Ls 31fr 15 $25,472.78 $153,450.50 $78,796.83 nat. median
$78,797
1.0× median

Other procedures at this hospital

Browse this hospital's 22,433 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
SUP-402967 CDM Kit Hvad Pump Implant Quick Connect 30 15 $627,893.10 $439,525.20 30% off $104,230.26 $627,893.10 $322,423.13 2026-04-01
SUP-414960 CDM Set Ocs Heart Perfusion And Accessories 30 15 $569,959.00 $398,971.30 30% off $94,613.19 $569,959.00 $292,673.94 2026-04-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 24 13 $486,058.25 $340,240.78 30% off $454.55 $486,058.25 $276,810.17 2026-04-01
SUP-428986 CDM Tile Gamma Seed Brachyth Cesium 131 Thrpy D 10pk 4 Sds/tl 30 15 $455,967.20 $319,177.03 30% off $75,690.56 $455,967.20 $234,139.15 2026-04-01
C9293 HCPCS Glucarpidase 1000 Units IV Solr 26 14 $360,463.75 $252,324.62 30% off $59,836.98 $360,463.75 $230,931.11 2026-04-01
SUP-428985 CDM Tile Gamma Seed Brachyth Cesium 131 Thrpy D 9pk 4 Sds/tl 30 15 $412,124.20 $288,486.94 30% off $68,412.62 $412,124.20 $211,625.78 2026-04-01
64913 CPT Nerve Repair W/Nerve Allograft Ea Addl Strand 28 15 $722,505.20 $505,753.62 30% off $10,582.50 $722,505.20 $208,540.50 2026-04-01
C2642 HCPCS Tile Gamma Seed Brachyth Cesium 131 Thrpy D 13pk 4 Sds/tl 150 15 $587,496.20 $411,247.34 30% off $33,478.51 $675,182.20 $201,677.80 2026-04-01
SUP-428983 CDM Tile Gamma Seed Brachyth Cesium 131 Thrpy D 7pk 4 Sds/tl 30 15 $324,438.20 $227,106.73 30% off $53,856.74 $324,438.20 $166,599.02 2026-04-01
SUP-127191 CDM Pacing Kt Diaph Stm Neurx 4 30 15 $320,053.90 $224,037.73 30% off $53,128.95 $320,053.90 $164,347.67 2026-04-01
C1825 HCPCS System Neo2 Brstm 30 15 $318,304.00 $222,812.80 30% off $40,742.91 $318,304.00 $163,449.10 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 $680,578.75 $476,405.12 30% off $99,360.59 $201,468.61 $157,289.57 2026-04-01
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subq Soln 19 13 $178,296.50 $124,807.55 30% off $29,597.22 $178,296.50 $146,203.12 2026-04-01
SUP-378414 CDM Edwards 26mm Commander Delivery System 30 15 $263,058.00 $184,140.60 30% off $43,667.63 $263,058.00 $135,080.28 2026-04-01
SUP-136104 CDM Impella 5.0 Catheter 30 15 $245,520.80 $171,864.56 30% off $40,756.45 $245,520.80 $126,074.93 2026-04-01
J9281 HCPCS Mitomycin (jelmyto) Intra-pyelocalyceal Chemo (80 Mg/20 Ml) 24 13 $206,925.00 $144,847.50 30% off $26,486.40 $206,925.00 $117,843.79 2026-04-01
SUP-430752 CDM Generator Pulse Smrt Mini Trq Wrench Port Plg Opt 30 15 $227,983.60 $159,588.52 30% off $37,845.28 $227,983.60 $117,069.58 2026-04-01
SUP-428980 CDM Tile Gamma Seed Brachyth Cesium 131 Thrpy D 4pk 4 Sds/tl 30 15 $227,983.60 $159,588.52 30% off $37,845.28 $227,983.60 $117,069.58 2026-04-01
PX-81200000 CDM Hb Lung Transplant Acquisition 30 15 $220,986.00 $154,690.20 30% off $36,683.68 $220,986.00 $113,476.31 2026-04-01
C1826 HCPCS Implant Generator Nrstmltn Scs Rchrgbl Cls Lp Tchnlgy Incptv 977119 90 15 $210,446.40 $147,312.48 30% off $24,692.38 $257,717.92 $113,439.15 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 5 $301,706.34 $211,194.44 30% off $71,424.79 $144,824.56 $113,066.71 2026-04-01
SUP-153880 CDM Impella Cp Catheter With Smart Assist 30 15 $219,215.00 $153,450.50 30% off $36,389.69 $219,215.00 $112,566.90 2026-04-01
SUP-438923 CDM Kit Surgical Planning Mandible 30 15 $219,215.00 $153,450.50 30% off $36,389.69 $219,215.00 $112,566.90 2026-04-01
SUP-394596 CDM Device Endocross Dbl G-wire Delivery Tool 30 15 $219,215.00 $153,450.50 30% off $36,389.69 $219,215.00 $112,566.90 2026-04-01
SUP-431143 CDM Catheter Impella Rp Flex Smart Assist 30 15 $219,215.00 $153,450.50 30% off $36,389.69 $219,215.00 $112,566.90 2026-04-01
SUP-344907 CDM Kit Instrument Stryker Hip Arthroscopy 242-200-000 30 15 $219,087.06 $153,360.95 30% off $36,368.45 $219,087.06 $112,501.21 2026-04-01
PX-81200008 CDM Hb Heart Acquisition 30 15 $217,433.00 $152,203.10 30% off $36,093.88 $217,433.00 $111,651.85 2026-04-01
57425 CPT Laparoscopy Colpopexy Suspension Vaginal Apex 28 15 $156,198.98 $109,339.29 30% off $7,055.00 $177,668.56 $106,033.33 2026-04-01
C1822 HCPCS Implant Kit Pulse Gen 11 Senza Nipg2500 90 15 $206,497.45 $144,548.20 30% off $25,484.78 $227,983.60 $104,329.07 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 24 13 $172,098.25 $120,468.77 30% off $22,028.58 $172,098.25 $98,009.96 2026-04-01
PX-81200002 CDM Hb Liver Acquisition Cadaver 30 15 $185,554.00 $129,887.80 30% off $30,801.96 $185,554.00 $95,281.98 2026-04-01
64912 CPT Hb Nerve Repair W/Nerve Allograft First Strand 28 15 $316,110.06 $221,277.05 30% off $3,081.00 $718,806.94 $95,133.85 2026-04-01
J7311 HCPCS Fluocinolone 0.59 Mg Ivit Impl 24 13 $160,389.00 $112,272.30 30% off $20,529.79 $160,389.00 $91,341.54 2026-04-01
J3357 HCPCS Ustekinumab 90 Mg/ml Subq Syrg 20 14 $118,579.00 $83,005.30 30% off $19,684.11 $118,579.00 $91,009.39 2026-04-01
SUP-153873 CDM Impella 2.5 Catheter 30 15 $175,372.00 $122,760.40 30% off $29,111.75 $175,372.00 $90,053.52 2026-04-01
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml IV Soln 24 13 $156,145.75 $109,302.02 30% off $19,986.66 $156,145.75 $88,925.01 2026-04-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 24 13 $155,176.50 $108,623.55 30% off $19,862.59 $155,176.50 $88,373.01 2026-04-01
SUP-316571 CDM Tandemheart Proc Kt 31fr Wo Oxy Protek Duo 30 15 $170,987.70 $119,691.39 30% off $28,383.96 $170,987.70 $87,802.18 2026-04-01
SUP-316570 CDM Tandemheart Proc Kt 29fr Wo Oxy Protek Duo 30 15 $170,987.70 $119,691.39 30% off $28,383.96 $170,987.70 $87,802.18 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 $299,096.44 $209,367.50 30% off $54,660.01 $110,831.45 $86,527.77 2026-04-01
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 28 15 $127,852.51 $89,496.76 30% off $7,055.00 $159,236.44 $85,387.17 2026-04-01
C2624 HCPCS Cardiomems Pa Snsr Dlvry Systm 30 15 $170,987.70 $119,691.39 30% off $21,886.43 $170,987.70 $84,296.93 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 $250,042.23 $175,029.56 30% off $51,781.36 $104,994.54 $81,970.81 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 $365,176.70 $255,623.69 30% off $51,148.67 $103,711.67 $80,969.26 2026-04-01
57250 CPT Post Colporrhaphy Rectocele W/wo Perineorrhaphy 28 15 $141,478.17 $99,034.72 30% off $7,055.00 $153,513.86 $80,571.82 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 28 15 $182,853.98 $127,997.79 30% off $14,727.00 $189,153.70 $80,111.05 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 28 15 $111,007.10 $77,704.97 30% off $7,055.00 $115,351.68 $79,370.09 2026-04-01
C1767 HCPCS Generator 1 Ch 8 Cntct Pri Cell 780 15 $174,145.49 $121,901.85 30% off $9,652.47 $337,202.16 $78,905.31 2026-04-01
SUP-380268 CDM Kit Protekduo Ls 31fr 30 15 $153,450.50 $107,415.35 30% off $25,472.78 $153,450.50 $78,796.83 2026-04-01
SUP-363920 CDM Kit Blood Pump Tandemheart Protecduo 31fr 30 15 $153,450.50 $107,415.35 30% off $25,472.78 $153,450.50 $78,796.83 2026-04-01
SUP-380267 CDM Kit Protekduo Ls 29fr 30 15 $153,450.50 $107,415.35 30% off $25,472.78 $153,450.50 $78,796.83 2026-04-01
J9334 HCPCS Efgartigimod-hyaluronidas-qvfc 1,008 Mg-11,200 Unit/5.6 Ml Subq Soln 24 13 $138,345.50 $96,841.85 30% off $17,708.22 $138,345.50 $78,787.76 2026-04-01
63655 CPT Lam Impltj Nstim Eltrds Plate/Paddle Edrl 28 15 $292,020.28 $204,414.19 30% off $5,171.50 $292,020.28 $78,553.47 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 $285,450.00 $199,815.00 30% off $49,580.58 $100,532.13 $78,486.95 2026-04-01
J1299 HCPCS Eculizumab 300 Mg/30 Ml IV Soln 26 13 $109,763.75 $76,834.62 30% off $14,049.76 $109,763.75 $78,481.08 2026-04-01
33270 CPT Hb Ins/Rep Subq Defibrillator 56 15 $216,120.75 $151,284.53 30% off $4,001.00 $325,955.53 $76,134.05 2026-04-01
C1882 HCPCS Cobalt Xt MRI Quad Crt D System Mmqm 720 15 $155,364.19 $108,754.93 30% off $505.07 $217,917.25 $74,669.99 2026-04-01
C1721 HCPCS Cobalt Xt Dr MRI System 480 15 $129,284.24 $90,498.97 30% off $13,693.05 $181,948.45 $73,479.41 2026-04-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 48 13 $188,739.00 $132,117.29 30% off $91.74 $301,982.25 $73,079.80 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 $222,212.10 $155,548.45 30% off $46,158.19 $93,592.71 $73,069.24 2026-04-01
J9307 HCPCS Pralatrexate 40 Mg/2 Ml (20 Mg/ml) IV Soln 24 13 $127,885.75 $89,520.02 30% off $16,369.38 $127,885.75 $72,830.93 2026-04-01
SUP-429462 CDM System Cardiac Trnsprt Sherpapak Disp 30 15 $140,867.56 $98,607.29 30% off $23,384.01 $140,867.56 $72,335.49 2026-04-01
38570 CPT Laps Surg Retroperitoneal Lymph Node Bx 1/Mlt 28 15 $112,431.60 $78,702.12 30% off $3,527.50 $126,452.44 $71,942.53 2026-04-01
J9026 HCPCS Tarlatamab-dlle 10 Mg IV Solr 24 13 $125,065.50 $87,545.85 30% off $16,008.38 $125,065.50 $71,224.80 2026-04-01
38530 CPT Bx/Exc Lymph Node Open Int Mammary Node 28 15 $264,532.06 $185,172.45 30% off $9,243.00 $264,532.06 $71,159.15 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 7 $373,881.94 $261,717.36 30% off $42,775.25 $105,087.71 $70,817.78 2026-04-01
0620T CPT Hb Endovascular Venous Arterialization Tibl/Prnl Vn 26 15 $109,456.00 $76,619.20 30% off $14,010.37 $109,456.00 $70,615.54 2026-04-01
PX-81100000 CDM Hb Liver Acquisition, Live Donor 30 15 $135,919.00 $95,143.30 30% off $22,562.55 $135,919.00 $69,794.40 2026-04-01
SUP-380269 CDM Kit Protekduo Rd Ls 31fr 30 15 $135,913.30 $95,139.31 30% off $22,561.61 $135,913.30 $69,791.48 2026-04-01
J9316 HCPCS Pertuzumab-trastuzumab-hy-zzxf 1,200 Mg-600mg- 30000 Unit/15ml Subq Soln 52 13 $96,691.75 $67,684.23 30% off $9,900.99 $116,032.00 $68,786.34 2026-04-01
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) It Soln 24 13 $119,965.25 $83,975.67 30% off $15,355.55 $119,965.25 $68,320.21 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 10 5 $261,697.23 $183,188.06 30% off $43,099.48 $87,390.72 $68,227.25 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 $343,947.22 $240,763.06 30% off $43,087.29 $87,366.00 $68,207.95 2026-04-01
51990 CPT Laparoscopy Urethral Suspension Stress Incont 28 15 $155,560.90 $108,892.64 30% off $10,343.00 $155,560.90 $67,954.33 2026-04-01
55866 CPT Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot 28 15 $155,560.90 $108,892.64 30% off $10,343.00 $155,560.90 $67,954.33 2026-04-01
SUP-123042 CDM Patient Kt Take Hm Heartware V 30 15 $131,529.00 $92,070.30 30% off $21,833.81 $131,529.00 $67,540.14 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 5 $133,168.73 $93,218.12 30% off $42,634.65 $86,448.21 $67,491.42 2026-04-01
A9543 HCPCS Hb Y90 Ibritumomab, Rx 21 14 $93,456.00 $65,419.20 30% off $15,513.70 $93,456.00 $66,821.04 2026-04-01
61715 CPT Hb Mrgfus Stereotactic Ablation Target Intracranial 26 14 $115,473.00 $80,831.10 30% off $14,780.54 $115,473.00 $65,761.88 2026-04-01
SUP-380273 CDM Tandemlife Ls V24 A15 30 15 $127,144.70 $89,001.29 30% off $21,106.02 $127,144.70 $65,288.80 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 $485,279.47 $339,695.62 30% off $41,105.30 $83,347.21 $65,070.42 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 5 $227,310.67 $159,117.47 30% off $40,937.44 $83,006.86 $64,804.71 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 $105,026.00 $73,518.20 30% off $40,884.36 $82,899.23 $64,720.68 2026-04-01
0571T CPT Hb Insj/Rplcmt Icds W/Substernal Electrode 26 15 $100,265.00 $70,185.50 30% off $12,833.92 $100,265.00 $64,685.96 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 $269,958.84 $188,971.19 30% off $40,328.43 $81,771.99 $63,840.62 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 $219,921.53 $153,945.06 30% off $39,928.16 $80,960.38 $63,206.99 2026-04-01
64886 CPT Nerve Graft Head/Neck >4 Cm 28 15 $233,935.44 $163,754.80 30% off $6,162.00 $233,935.44 $62,928.65 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 10 5 $81,687.74 $57,181.42 30% off $39,380.83 $79,850.60 $62,340.56 2026-04-01
33289 CPT Hb Tcat Impl Wrls P-art Prs Snr 54 15 $264,543.06 $185,180.16 30% off $11,265.28 $264,543.06 $62,282.85 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 5 $256,980.69 $179,886.48 30% off $39,241.67 $79,568.42 $62,120.26 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 $233,411.52 $163,388.06 30% off $39,124.03 $79,329.88 $61,934.04 2026-04-01
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 24 13 $105,687.00 $73,980.90 30% off $13,527.94 $105,687.00 $60,188.75 2026-04-01
64885 CPT Nerve Graft Head/Neck < 4 Cm 28 15 $223,308.69 $156,316.08 30% off $6,162.00 $223,308.69 $60,070.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 $239,876.34 $167,913.44 30% off $37,848.61 $76,743.78 $59,915.02 2026-04-01
67999 CPT Unlisted Procedure Eyelids 28 15 $220,804.14 $154,562.90 30% off $5,282.00 $220,804.16 $59,396.33 2026-04-01
C1722 HCPCS Cobalt Xt Vr MRI System 600 15 $118,386.57 $82,870.60 30% off $15.71 $206,062.10 $59,193.29 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 5 $289,434.40 $202,604.10 30% off $37,340.02 $75,712.54 $59,109.92 2026-04-01
C9760 HCPCS Hb Non-blind Interatrial Shunt 26 15 $86,001.00 $60,200.70 30% off $14,276.17 $86,001.00 $58,609.68 2026-04-01
SUP-403224 CDM Cann 31fx51cm Veno Dual Lum W Introducer Protekduo 30 15 $113,991.80 $79,794.26 30% off $18,922.64 $113,991.80 $58,534.79 2026-04-01
SUP-394141 CDM Cann Set Ventrclr Asst Lft Vad 29 Fr 30 15 $113,991.80 $79,794.26 30% off $18,922.64 $113,991.80 $58,534.79 2026-04-01
J3101 HCPCS Tenecteplase 50 Mg IV Solr 38 13 $64,112.25 $44,878.57 30% off $10,640.89 $64,122.75 $57,701.03 2026-04-01
30465 CPT Hb Repair Nasal Vestibular Stenosis 28 15 $90,003.09 $63,002.16 30% off $6,162.00 $112,745.34 $57,535.29 2026-04-01
53445 CPT Insj Inflatable Urethral/Bladder Neck Sphincter 28 15 $213,049.31 $149,134.52 30% off $14,727.00 $213,049.31 $57,310.28 2026-04-01
SUP-403967 CDM Kit Coch Processor Dual Naida Ci M90 30 15 $110,981.98 $77,687.39 30% off $18,423.01 $110,981.98 $56,989.24 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 $168,861.64 $118,203.15 30% off $35,776.24 $72,541.73 $56,634.42 2026-04-01
C1816 HCPCS Implant Kit Receiver Stimq Neurostim Stq4-rcv-a0 60 15 $109,607.50 $76,725.25 30% off $10,101.43 $140,297.60 $56,425.94 2026-04-01
PX-81200005 CDM Hb Kidney Acquisition Cadaver 30 15 $109,584.00 $76,708.80 30% off $18,190.94 $109,584.00 $56,271.38 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 $239,221.44 $167,455.02 30% off $35,489.30 $71,959.93 $56,180.20 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 5 $173,893.77 $121,725.63 30% off $35,426.18 $71,831.94 $56,080.27 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 $92,762.64 $64,933.85 30% off $35,157.90 $71,287.95 $55,655.57 2026-04-01
J9024 HCPCS Atezolizumab-hyaluronidas-tqjs 1,875 Mg-30,000 Unit/15 Ml Subq Soln 24 13 $97,605.75 $68,324.02 30% off $12,493.54 $97,605.75 $55,586.47 2026-04-01
0408T CPT Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 26 15 $86,271.00 $60,389.70 30% off $11,042.69 $86,271.00 $55,269.51 2026-04-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 24 13 $96,628.75 $67,640.12 30% off $91.34 $96,628.75 $55,030.07 2026-04-01
PX-81200003 CDM Hb Pancreas Acquisition 30 15 $106,899.00 $74,829.30 30% off $17,745.23 $106,899.00 $54,892.63 2026-04-01
J3055 HCPCS Talquetamab-tgvs 40 Mg/ml Subq Soln 24 13 $96,325.75 $67,428.02 30% off $12,329.70 $96,325.75 $54,857.51 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 10 5 $161,507.70 $113,055.40 30% off $34,637.83 $70,233.44 $54,832.30 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 $78,172.24 $54,720.57 30% off $34,462.80 $69,878.54 $54,555.22 2026-04-01
C1820 HCPCS Cable 8 Contact 540 15 $151,126.82 $105,788.77 30% off $168.36 $229,737.31 $53,929.55 2026-04-01
90396 HCPCS Varicella-zoster I.glob-maltos 125 Unit/1.2 Ml IM Soln 26 14 $94,456.75 $66,119.72 30% off $12,090.46 $94,456.75 $53,793.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 $216,065.70 $151,245.98 30% off $33,655.80 $68,242.23 $53,277.74 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 $92,959.51 $65,071.66 30% off $33,555.38 $68,038.60 $53,118.76 2026-04-01
77371 CPT Hb Srs Multisource 26 14 $93,128.00 $65,189.60 30% off $11,920.38 $93,128.00 $53,036.40 2026-04-01
33231 CPT Hb Insrt Pulse Gen W/Mult Leads 26 15 $77,451.00 $54,215.70 30% off $12,856.87 $77,451.00 $52,782.86 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 5 $301,931.50 $211,352.05 30% off $33,130.00 $67,176.08 $52,445.38 2026-04-01
58575 CPT Laps Tot Hysterectomy Resj Malignancy W/Omntc 28 15 $194,077.27 $135,854.08 30% off $5,282.00 $194,077.27 $52,206.78 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 $191,570.83 $134,099.58 30% off $32,972.19 $66,856.09 $52,195.56 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 $379,331.10 $265,531.75 30% off $32,888.26 $66,685.92 $52,062.70 2026-04-01
SUP-362463 CDM Device Coag Epi Sense Guided 6130 3cm Cdp-4330-1p 30 15 $100,838.90 $70,587.23 30% off $16,739.26 $100,838.90 $51,780.77 2026-04-01
SUP-419335 CDM Dev Coag 3cm Min Invasive Clsd Chst Epi-sense 30 15 $100,838.90 $70,587.23 30% off $16,739.26 $100,838.90 $51,780.77 2026-04-01
SUP-357779 CDM Dev Abltn Guided Coag Model 6130 Epi-sense 3cm 30 15 $100,838.90 $70,587.23 30% off $16,739.26 $100,838.90 $51,780.77 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 $101,131.94 $70,792.36 30% off $32,629.30 $66,160.84 $51,652.76 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 5 $280,504.66 $196,353.27 30% off $32,614.95 $66,131.75 $51,630.06 2026-04-01
38900 CPT Intraop Sentinel Lymph Node Id With Contrast Injection 28 15 $75,920.01 $53,144.01 30% off $3,577.00 $288,710.30 $51,479.87 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 5 $122,276.46 $85,593.52 30% off $32,487.27 $65,872.85 $51,427.93 2026-04-01
38589 CPT Unlisted Laparoscopy Px Lymphatic System 28 15 $189,508.44 $132,655.90 30% off $3,081.00 $189,508.45 $50,977.78 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 10 5 $176,704.30 $123,693.01 30% off $32,149.41 $65,187.78 $50,893.08 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 $123,186.34 $86,230.44 30% off $31,510.98 $63,893.28 $49,882.44 2026-04-01
C1839 HCPCS Iris Customflex Artifical Fiber Free 30 15 $100,838.90 $70,587.23 30% off $12,907.38 $100,838.90 $49,713.58 2026-04-01
J9380 HCPCS Teclistamab-cqyv 90 Mg/ml Subq Soln 24 13 $87,108.75 $60,976.12 30% off $11,149.92 $87,108.75 $49,608.43 2026-04-01
SUP-367333 CDM Pump Blood Lt Vad Centrimag 102953 30 15 $96,454.60 $67,518.22 30% off $16,011.46 $96,454.60 $49,529.43 2026-04-01
58262 CPT Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary 28 15 $86,967.37 $60,877.16 30% off $2,641.00 $141,786.67 $49,522.57 2026-04-01
62350 CPT Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp Without Lam 28 15 $182,974.20 $128,081.94 30% off $3,081.00 $182,974.20 $49,220.06 2026-04-01
62362 CPT Impltj/Rplcmt Ithcl/Edrl Drug Nfs Prgrbl Pump 28 15 $182,974.20 $128,081.94 30% off $16,199.00 $182,974.20 $49,220.06 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 $226,588.30 $158,611.80 30% off $31,041.84 $62,942.03 $49,139.79 2026-04-01
30930 CPT Fracture Nasal Inferior Turbinate Therapeutic 28 15 $76,497.29 $53,548.10 30% off $7,923.00 $76,733.04 $48,974.49 2026-04-01
58570 CPT Laparoscopy W Total Hysterectomy Uterus 250 Gm/< 28 15 $111,703.73 $78,192.61 30% off $7,055.00 $122,918.53 $48,750.18 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 5 $140,574.06 $98,401.84 30% off $30,794.36 $62,440.23 $48,748.03 2026-04-01
V5267 HCPCS Kit Processor Sound Dual N8 K2 30 15 $94,700.88 $66,290.62 30% off $15,720.35 $94,700.88 $48,628.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 5 $235,960.40 $165,172.30 30% off $30,420.63 $61,682.44 $48,156.40 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 $238,735.56 $167,114.90 30% off $30,294.38 $61,426.44 $47,956.55 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 $169,739.23 $118,817.47 30% off $30,227.67 $61,291.18 $47,850.94 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 $145,210.80 $101,647.55 30% off $30,139.44 $61,112.27 $47,711.27 2026-04-01
PX-81100001 CDM Hb Kidney Acquisition Living 30 15 $92,459.00 $64,721.30 30% off $15,348.19 $92,459.00 $47,477.69 2026-04-01
SUP-63110 CDM Flap Custom Cranial Gibson 30 15 $92,070.30 $64,449.21 30% off $15,283.67 $92,070.30 $47,278.10 2026-04-01
33361 CPT Hb Replace Aortic Valve Perq 23 15 $66,059.00 $46,241.30 30% off $10,965.79 $66,059.00 $47,232.19 2026-04-01
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subq Syrg 24 13 $82,910.25 $58,037.17 30% off $51.07 $82,910.25 $47,217.39 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 $178,462.97 $124,924.08 30% off $29,790.82 $60,405.39 $47,159.39 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 $279,091.40 $195,363.98 30% off $46,995.32 $72,510.90 $46,995.32 2026-04-01
31299 CPT Unlisted Procedure Accessory Sinuses 28 15 $174,432.89 $122,103.02 30% off $6,162.00 $174,432.88 $46,922.45 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 $84,380.61 $59,066.43 30% off $29,593.55 $60,005.40 $46,847.11 2026-04-01
64581 CPT Open Implantation Nea Sacral Nerve 28 15 $174,016.14 $121,811.30 30% off $5,171.50 $174,016.16 $46,810.35 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 5 $68,030.74 $47,621.52 30% off $29,116.52 $59,038.16 $46,091.98 2026-04-01
33264 CPT Hb Rmvl & Rplcmt Dfb Gen Mlt Ld 54 15 $214,279.30 $149,995.50 30% off $6,540.29 $214,279.30 $45,696.09 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 $208,626.47 $146,038.53 30% off $28,840.35 $58,478.17 $45,654.79 2026-04-01
61782 CPT Hb Strtctc Cptr Asstd Px Extradural Cranial 28 15 $67,341.59 $47,139.11 30% off $5,365.50 $95,556.63 $45,590.25 2026-04-01
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) IV Soln 24 13 $79,985.50 $55,989.85 30% off $10,238.14 $79,985.50 $45,551.74 2026-04-01
C2622 HCPCS Cylinder Set Pros Penl Mal Gen 11mmx25cm 90 15 $94,023.94 $65,816.76 30% off $9,773.69 $94,578.12 $45,262.83 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 $76,688.44 $53,681.91 30% off $28,579.24 $57,948.73 $45,241.45 2026-04-01
93581 CPT Hb Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt 23 15 $56,398.00 $39,478.60 30% off $9,362.07 $56,398.00 $45,118.40 2026-04-01
SUP-414753 CDM Set TB Cardio Beq Hls 7050 Bioline CT 7.0 Oxy 30 15 $87,686.00 $61,380.20 30% off $14,555.88 $87,686.00 $45,026.76 2026-04-01
SUP-421084 CDM Electrode Pain Mgmnt 1.1x4mm Tip 250mm Shft Lnght 30 15 $87,686.00 $61,380.20 30% off $14,555.88 $87,686.00 $45,026.76 2026-04-01
SUP-403225 CDM Set Oxy Cardiohelp Hls Ag Adv 7.0 Cardiopul 30 15 $87,686.00 $61,380.20 30% off $14,555.88 $87,686.00 $45,026.76 2026-04-01
32667 CPT Thoracoscopy W/Thera Wedge Resexn Addl Ipsilatrl 28 15 $165,952.31 $116,166.62 30% off $3,577.00 $165,952.31 $44,641.18 2026-04-01
32663 CPT Thoracoscopy W/Lobectomy Single Lobe 28 15 $165,952.31 $116,166.62 30% off $1,068.50 $165,952.31 $44,641.18 2026-04-01
32666 CPT Thoracoscopy W/Thera Wedge Resexn Initial Unilat 28 15 $165,952.31 $116,166.62 30% off $3,577.00 $165,952.31 $44,641.18 2026-04-01
32674 CPT Thorcoscpy W/Mediastinl & Regionl Lymphdenectomy 28 15 $165,952.31 $116,166.62 30% off $3,577.00 $165,952.31 $44,641.18 2026-04-01
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rect Enem 24 13 $78,168.00 $54,717.60 30% off $10,005.50 $78,168.00 $44,516.68 2026-04-01
58563 CPT Hysteroscopy Endometrial Ablation 28 15 $69,598.11 $48,718.68 30% off $5,282.00 $97,237.79 $44,511.90 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg IV Solr 24 13 $78,040.25 $54,628.17 30% off $9,989.15 $78,040.25 $44,443.93 2026-04-01
SUP-445274 CDM Catheter Sctn 80cm Slct 105cm Ber Tip Cat16 Htorq 30 15 $85,669.22 $59,968.45 30% off $14,221.09 $85,669.22 $43,991.15 2026-04-01
SUP-445275 CDM Catheter Sctn 100cm Slct 135cm H1 Tip Cat16 Htorq 30 15 $85,669.22 $59,968.45 30% off $14,221.09 $85,669.22 $43,991.15 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 $220,479.81 $154,335.88 30% off $27,765.79 $56,299.33 $43,953.74 2026-04-01
33249 CPT Hb Insj/Rplcmt Defib W/Lead(S) 54 15 $218,411.81 $152,888.27 30% off $5,840.00 $218,411.81 $43,927.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 $110,001.24 $77,000.87 30% off $27,724.18 $56,214.97 $43,887.87 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 5 $124,511.74 $87,158.22 30% off $27,697.64 $56,161.15 $43,845.85 2026-04-01
33263 CPT Hb Rmvl & Rplcmt Dfb Gen 2 Lead 54 15 $184,874.14 $129,411.90 30% off $7,094.78 $184,874.16 $43,709.04 2026-04-01
33902 CPT Hb Perq P-art Revsc St 1st Abnor Connj Unilateral 26 15 $60,346.00 $42,242.20 30% off $10,017.44 $60,346.00 $43,690.51 2026-04-01
37227 CPT Hb Revsc Opn/Prq Fem/Pop W/Stnt/Athrc/Angiop Sm Vsl 56 15 $126,218.28 $88,352.80 30% off $5,585.79 $208,797.56 $43,639.00 2026-04-01
35840 CPT Expl Po Hemrrg Thrombosis/Infctj Abd 28 15 $160,823.73 $112,576.62 30% off $1,068.50 $160,823.73 $43,261.62 2026-04-01
0797T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 26 15 $59,640.00 $41,748.00 30% off $9,900.24 $59,640.00 $43,179.36 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 8 $54,574.56 $38,202.19 30% off $26,028.41 $63,945.06 $43,092.07 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 $250,695.39 $175,486.77 30% off $26,993.22 $54,732.84 $42,730.74 2026-04-01
55867 CPT Laps Surg Prst8ect Smpl Stot Robotic Assistance 28 15 $158,804.05 $111,162.83 30% off $7,055.00 $158,804.05 $42,718.33 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Soln 24 13 $74,855.75 $52,399.02 30% off $9,581.54 $74,855.75 $42,630.35 2026-04-01
J9289 HCPCS Nivolumab-hyaluronidase-nvhy 600 Mg-10,000 Unit/5 Ml Subq Soln 25 14 $66,628.75 $46,640.12 30% off $13.68 $66,628.75 $42,575.77 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 $54,631.74 $38,242.22 30% off $26,875.58 $54,494.30 $42,544.51 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 $157,013.50 $109,909.45 30% off $26,811.73 $54,364.85 $42,443.45 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 $342,442.34 $239,709.64 30% off $26,808.87 $54,359.03 $42,438.91 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 5 $123,031.91 $86,122.34 30% off $26,733.55 $54,206.31 $42,319.68 2026-04-01
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Subq Soln 24 13 $88,145.25 $61,701.67 30% off $53.54 $88,145.25 $42,089.36 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 5 $103,207.24 $72,245.07 30% off $26,348.34 $53,425.24 $41,709.89 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 $108,956.39 $76,269.47 30% off $26,337.58 $53,403.42 $41,692.85 2026-04-01
49905 CPT Omental Flap Intra-abdominal 28 15 $153,458.02 $107,420.61 30% off $3,081.00 $153,458.02 $41,280.23 2026-04-01
30630 CPT Hb Repair Nasal Septal Perforations 28 15 $153,322.60 $107,325.81 30% off $6,162.00 $153,322.60 $41,243.78 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 5 $85,183.09 $59,628.16 30% off $25,908.61 $52,533.63 $41,013.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 $132,973.86 $93,081.70 30% off $25,869.88 $52,455.09 $40,952.48 2026-04-01
58662 CPT Laps Fulg/Exc Ovary Viscera/Peritoneal Surface 28 15 $63,417.74 $44,392.42 30% off $8,117.47 $87,665.44 $40,804.89 2026-04-01
49329 CPT Unlisted Laparoscopy Px Abd Pertoneum & Omentum 28 15 $93,364.44 $65,355.11 30% off $3,081.00 $161,441.77 $40,721.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 $167,078.52 $116,954.96 30% off $25,700.59 $52,111.83 $40,684.49 2026-04-01
0632T CPT Hb Perq Tcat US Ablation Nerves Innervating P-art 26 15 $56,155.00 $39,308.50 30% off $9,321.73 $56,155.00 $40,656.22 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 $147,287.73 $103,101.42 30% off $25,641.05 $51,991.10 $40,590.24 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 $60,931.44 $42,652.01 30% off $25,615.22 $51,938.74 $40,549.35 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 5 $202,266.40 $141,586.48 30% off $25,555.69 $51,818.02 $40,455.10 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 $142,213.61 $99,549.53 30% off $25,531.30 $51,768.56 $40,416.50 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 $200,772.02 $140,540.40 30% off $25,510.49 $51,726.38 $40,383.57 2026-04-01
SUP-322036 CDM Neuroblate Laser Probe 3.3mm Sidefire Sz#1 (nbp101-01) 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-322038 CDM Probe Laser Tip Diff Sel Ff Nb 2.3mm Od Sz #00 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-340553 CDM Probe Laser Tip Diff Sel Ff Nb Ffs522-01 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-331925 CDM Probe Neuro Sz4 Fullfire Select Neuroblate 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-334334 CDM Neuroblate Laser Probe 3.3mm Fullfire Sz#000 (dtp000-01) 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-322034 CDM Neuroblate Laser Probe 3.3mm Sidefire Sz#000 (nbp000-01) 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-377601 CDM Probe Neuro 3.3x259mm Sz5 Lazer Diffusing Strl Neuroblate 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-322035 CDM Neuroblate Laser Probe 3.3mm Sidefire Sz#00 (nbp001-01) 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-322037 CDM Probe Laser Tip Diff Sel Ff Nb 2.3mm Od Sz #000 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-322039 CDM Neuroblate Laser Probe 2.2mm Fullfire Sz#1 (ffs122-01) 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-390664 CDM Probe Diffuse Tip 3.3mm Sz 2 Neuroblate Sysfullfire 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
SUP-339715 CDM Neuroblate Laser Probe 3.3mm Fullfire Sz#00 (dtp-001-01) 30 15 $78,592.96 $55,015.07 30% off $13,046.43 $78,592.96 $40,357.49 2026-04-01
44604 CPT Sutr Lg Intestine 1/Mult Perforat Without Colostomy 28 15 $149,083.77 $104,358.63 30% off $1,068.50 $149,083.77 $40,103.55 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 5 $242,143.19 $169,500.23 30% off $25,297.45 $51,294.40 $40,046.31 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 $196,490.45 $137,543.31 30% off $25,245.80 $51,189.67 $39,964.54 2026-04-01
58546 CPT Laps Myomectomy Exc 5/> Myomas >250 Grams 28 15 $148,252.39 $103,776.67 30% off $7,055.00 $148,252.39 $39,879.90 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 10 5 $143,734.23 $100,613.97 30% off $25,022.71 $50,737.32 $39,611.39 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 $109,415.50 $76,590.85 30% off $25,016.25 $50,724.23 $39,601.17 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 $91,070.13 $63,749.09 30% off $24,901.48 $50,491.51 $39,419.49 2026-04-01
43280 CPT Laps Surg Esopg/Gstr Fundoplasty 28 15 $146,326.00 $102,428.20 30% off $7,055.00 $146,326.00 $39,361.70 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 5 $195,003.31 $136,502.31 30% off $24,780.97 $50,247.16 $39,228.71 2026-04-01
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 24 13 $68,786.00 $48,150.20 30% off $8,804.61 $68,786.00 $39,173.62 2026-04-01
38571 CPT Laps Surg Bilateral Total Pelvic Lmphadectomy 28 15 $145,213.34 $101,649.34 30% off $3,527.50 $145,213.34 $39,062.39 2026-04-01
0796T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 26 15 $60,412.00 $42,288.40 30% off $7,732.74 $60,412.00 $38,974.81 2026-04-01
0795T CPT Hb Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 26 15 $60,412.00 $42,288.40 30% off $7,732.74 $60,412.00 $38,974.81 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 $123,178.57 $86,225.00 30% off $24,593.03 $49,866.08 $38,931.19 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 5 $147,213.03 $103,049.12 30% off $24,472.51 $49,621.72 $38,740.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 $66,784.46 $46,749.12 30% off $24,440.23 $49,556.27 $38,689.32 2026-04-01
29915 CPT Arthroscopy Hip W/Acetabuloplasty 28 15 $143,492.98 $100,445.09 30% off $3,527.50 $143,492.98 $38,599.61 2026-04-01
29914 CPT Arthroscopy Hip W/Femoroplasty 28 15 $143,492.98 $100,445.09 30% off $7,055.00 $143,492.98 $38,599.61 2026-04-01
60252 CPT Thyroidectomy Total/Subtotal Lmtd Neck Dissect 28 15 $142,687.33 $99,881.13 30% off $6,162.00 $142,687.33 $38,382.89 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 $154,918.40 $108,442.88 30% off $23,963.21 $48,589.03 $37,934.18 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 $9,783.04 $58,934.00 $37,756.07 2026-04-01
69990 CPT Microsurg Tqs Req Use Operating Microscope 28 15 $86,596.04 $60,617.23 30% off $346.00 $86,596.04 $37,746.49 2026-04-01
30150 CPT Rhinectomy Partial 28 15 $140,298.73 $98,209.12 30% off $6,162.00 $140,298.75 $37,740.40 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 10 5 $208,082.67 $145,657.88 30% off $23,615.30 $47,883.59 $37,383.44 2026-04-01
58580 CPT Transcervical Ablation Uterine Fibroid Rf 28 15 $84,998.06 $59,498.64 30% off $6,162.00 $88,335.63 $37,261.60 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 $152,491.02 $106,743.71 30% off $23,333.39 $47,311.98 $36,937.17 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 $97,044.81 $67,931.37 30% off $23,230.81 $47,103.98 $36,774.79 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 $94,743.07 $66,320.15 30% off $23,204.99 $47,051.62 $36,733.90 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 5 $299,920.03 $209,944.03 30% off $23,172.71 $46,986.17 $36,682.81 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 5 $194,759.73 $136,331.81 30% off $23,149.04 $46,938.17 $36,645.33 2026-04-01
58544 CPT Laps Supracrv Hysterec >250 G Rmvl Tube/Ovary 28 15 $135,984.39 $95,189.07 30% off $7,055.00 $135,984.38 $36,579.82 2026-04-01
57283 CPT Colpopexy Vaginal Intraperitoneal Approach 28 15 $135,839.14 $95,087.40 30% off $7,055.00 $135,839.16 $36,540.75 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 $176,618.89 $123,633.22 30% off $23,029.24 $46,695.27 $36,455.70 2026-04-01
0823T CPT Hb Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 26 15 $56,401.00 $39,480.70 30% off $7,219.33 $56,401.00 $36,387.10 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 $148,241.16 $103,768.81 30% off $22,902.99 $46,439.28 $36,255.84 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 5 $121,556.49 $85,089.54 30% off $22,860.67 $46,353.46 $36,188.85 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 5 $133,320.06 $93,324.04 30% off $22,838.43 $46,308.37 $36,153.64 2026-04-01
35820 CPT Expl Po Hemrrg Thrombosis/Infctj Ch 51 15 $281,911.20 $197,337.83 30% off $1,216.45 $281,911.20 $36,084.63 2026-04-01
57288 CPT Sling Operation Stress Incontinence 28 15 $55,865.39 $39,105.77 30% off $5,184.36 $177,668.56 $35,979.62 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 $130,205.13 $91,143.59 30% off $22,702.14 $46,032.02 $35,937.89 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 $113,556.23 $79,489.36 30% off $22,667.71 $45,962.20 $35,883.38 2026-04-01
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml IV Soln 24 13 $75,041.75 $52,529.22 30% off $417.84 $75,041.75 $35,832.44 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 $178,774.10 $125,141.87 30% off $22,603.15 $45,831.30 $35,781.18 2026-04-01
L8614 HCPCS Imp Cchlr Advntg Hifocus 1j 90 K 300 15 $129,147.23 $90,403.07 30% off $2,426.59 $179,024.12 $35,776.10 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 $143,945.44 $100,761.80 30% off $22,592.39 $45,809.48 $35,764.15 2026-04-01
665 MS_DRG Prostatectomy With Mcc 10 5 $102,051.27 $71,435.89 30% off $22,389.38 $45,397.85 $35,442.79 2026-04-01
44626 CPT Clsr Ntrstm Lg/Sm Rescj & Colorectal Anastomosis 28 15 $131,508.73 $92,056.12 30% off $2,137.00 $131,508.75 $35,375.88 2026-04-01
44310 CPT Ileostomy/Jejunostomy Non-tube 28 15 $131,508.73 $92,056.12 30% off $1,068.50 $131,508.75 $35,375.88 2026-04-01
33262 CPT Hb Rmvl& Replc Pulse Gen 1 Lead 54 15 $151,087.06 $105,760.95 30% off $5,547.39 $151,087.06 $35,370.64 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 $223,550.77 $156,485.53 30% off $22,303.30 $45,223.31 $35,306.52 2026-04-01
SUP-420219 CDM Bundle Svp Ti Recon Mand/maxi Case 30 15 $68,692.51 $48,084.76 30% off $11,402.96 $68,692.51 $35,273.60 2026-04-01
58145 CPT Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr 28 15 $130,404.84 $91,283.39 30% off $3,577.00 $130,404.85 $35,078.92 2026-04-01
58291 CPT Vag Hyst > 250 Gm Rmvl Tube&/Ovary 28 15 $129,490.83 $90,643.58 30% off $6,162.00 $129,490.83 $34,833.05 2026-04-01
51860 CPT Cystorrhaphy Sutr Bldr Wnd Inj/Rpt Simple 28 15 $129,490.83 $90,643.58 30% off $1,788.50 $129,490.83 $34,833.05 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 5 $111,873.80 $78,311.66 30% off $21,961.13 $44,529.52 $34,764.86 2026-04-01
SUP-447913 CDM Catheter Cat6 132cm With Bolt Aspiration Tubing 30 15 $67,693.59 $47,385.51 30% off $11,237.14 $67,693.59 $34,760.66 2026-04-01
263 MS_DRG Vein Ligation And Stripping 10 5 $118,218.51 $82,752.96 30% off $21,931.72 $44,469.88 $34,718.31 2026-04-01
SUP-404112 CDM Stent Trevo Xp 6x37mm Trak 21 Mic Cath Pr 2pk 30 15 $67,479.55 $47,235.68 30% off $11,201.61 $67,479.55 $34,650.75 2026-04-01
SUP-404109 CDM Stent Trevo Xp 3x32mm Trak 21 Mic Cath Pr 2pk 30 15 $67,479.55 $47,235.68 30% off $11,201.61 $67,479.55 $34,650.75 2026-04-01
SUP-310704 CDM Kit 2-partretriever Trevo Xp P 30 15 $67,479.55 $47,235.68 30% off $11,201.61 $67,479.55 $34,650.75 2026-04-01
SUP-310700 CDM Retriever Trevo Xp Provue 6x25 30 15 $67,479.55 $47,235.68 30% off $11,201.61 $67,479.55 $34,650.75 2026-04-01
SUP-404110 CDM Stent Trevo Xp 4x28mm Trak 21 Mic Cath Pr 2pk 30 15 $67,479.55 $47,235.68 30% off $11,201.61 $67,479.55 $34,650.75 2026-04-01
SUP-404111 CDM Stent Trevo Xp 4x41mm Trak 21 Mic Cath Pr 2pk 30 15 $67,479.55 $47,235.68 30% off $11,201.61 $67,479.55 $34,650.75 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 5 $136,259.94 $95,381.96 30% off $21,758.13 $44,117.89 $34,443.51 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 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 $9,783.04 $58,934.00 $34,358.53 2026-04-01
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