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

GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI

Silvis, IL · CCN 140275 · Rates published

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You selected 93306 (HCPCS)

Echo Pediatric w Doppler/Color

This hospital’s price: $857 across 5 payers · range $462-$2,156

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/genesishealth · observed 2026-03-31

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

24,524 distinct procedures filed
5 distinct payers
190,184 rate rows
2026-03-31 last MRF observed
Data quality

145,616 of 190,184 rate rows are consumer-grade (76.6%)

44,568 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 35,134
per-diem day rate — not a per-procedure price 7,249
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,530
template filing: same amount across many unrelated codes — excluded 315
exceeds 10× this hospital's gross charge — excluded from medians 216
percent-of-charges filed in the dollar field — excluded from medians 106
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
placeholder amount (≤ $0.02) — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/genesishealth
Found on page https://www.mercyone.org/for-patients/billing-and-financial-information/price-estimator
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint a6f4a6d11c86056c… · 4,538,918 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,563,193.55 $4,563,193.55 $4,563,193.55 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $3,075,854.80 $4,613,782.20 $4,130,961.34 nat. median
$2,994,107
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,399,701.68 $4,565,897.00 $3,982,799.34 nat. median
$3,286,000
1.2× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,867,378.20 $3,867,378.20 $3,867,378.20 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $23,609.42 $4,654,400.66 $3,465,600.24 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,556,134.34 $3,834,201.52 $3,432,961.84 nat. median
$2,466,282
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,430,923.44 $3,646,385.16 $3,264,800.00 nat. median
$2,401,960
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $23,609.42 $3,841,595.68 $1,932,602.55 nat. median
$3,703,693
0.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $803,309.70 $1,204,964.55 $1,078,868.00 nat. median
$809,217
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $37,727.52 $904,285.66 $706,255.76 nat. median
$738,272
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $37,727.52 $865,279.74 $675,791.76 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $37,727.52 $846,917.77 $661,450.88 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $37,727.52 $846,331.08 $660,992.68 nat. median
$622,245
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $37,727.52 $833,534.38 $650,998.32 nat. median
$608,101
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $37,727.52 $765,740.88 $598,050.96 nat. median
$591,650
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 4 $283,320.28 $438,761.65 $396,648.39 nat. median
$359,358
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 3 $281,844.31 $422,766.46 $378,525.00 nat. median
$319,951
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $211,815.46 $327,718.17 $296,541.64 nat. median
$249,124
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $178,510.98 $275,997.93 $249,915.37 nat. median
$198,433
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $161,345.92 $249,341.45 $225,884.29 nat. median
$190,557
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $106,644.31 $164,392.52 $149,302.03 nat. median
$126,722
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $98,941.31 $152,430.14 $138,517.83 nat. median
$110,192
1.3× median
7
MS_DRG 		Lung Transplant 4 $98,694.08 $152,046.21 $138,171.71 nat. median
$117,894
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $83,342.78 $128,206.39 $116,679.89 nat. median
$103,967
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $82,400.32 $126,742.79 $115,360.45 nat. median
$97,414
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $80,568.59 $123,898.21 $112,796.03 nat. median
$94,964
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 4 $80,159.54 $123,262.98 $112,223.36 nat. median
$93,917
1.2× median
C1825
HCPCS 		Barostim Neo Ipg System 4 $42,000.00 $131,250.00 $106,968.75 nat. median
$53,125
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $73,089.60 $112,283.70 $102,325.44 nat. median
$90,581
1.1× median
2745952-5008381
CDM 		Valve Sapien 3 Thv 29mm W Command System 4 $39,000.00 $112,125.00 $99,328.13 nat. median
$57,281
1.7× median
2745420-4840444
CDM 		Valve Sapien 3 Ultra Thv 26mm W Command 4 $39,000.00 $112,125.00 $99,328.13 nat. median
$57,281
1.7× median
2748519-5743634
CDM 		Cmd System 20 Valve Sapien 3 4 $39,000.00 $112,125.00 $99,328.13 nat. median
$57,281
1.7× median
2748519-6963876
CDM 		Valve Sapien 3 Ultra Thv 20mm 4 $39,000.00 $112,125.00 $99,328.13 nat. median
$57,281
1.7× median
2745419-4840443
CDM 		Valve Sapien 3 Ultra Thv 23mm W Command 4 $39,000.00 $112,125.00 $99,328.13 nat. median
$57,281
1.7× median
C1767
HCPCS 		Generator Barostim Neo2 2014 4 $37,800.00 $118,125.00 $96,271.88 nat. median
$23,881
outlier · 4.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $64,270.33 $98,587.81 $89,978.46 nat. median
$77,043
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $64,235.12 $98,533.13 $89,929.17 nat. median
$77,696
1.2× median
Q2043
HCPCS 		Sipuleucel-t - Su 5 $23,609.42 $151,647.10 $87,478.80 nat. median
$65,720
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $61,177.75 $93,785.18 $85,648.85 nat. median
$74,460
1.2× median
10
MS_DRG 		Pancreas Transplant 4 $60,517.73 $92,760.19 $84,724.82 nat. median
$64,903
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $60,175.35 $92,228.51 $84,245.49 nat. median
$66,660
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 4 $59,344.52 $90,938.26 $83,082.33 nat. median
$71,758
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $58,753.42 $90,020.32 $82,254.79 nat. median
$72,473
1.1× median
724063-5825433
CDM 		Carmustine 7.7 Mg Wafer 4 $39,923.64 $114,780.45 $82,030.60 nat. median
$58,638
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $56,705.93 $86,840.67 $79,388.30 nat. median
$68,004
1.2× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $23,609.42 $99,182.69 $77,462.64 nat. median
$68,423
1.1× median
2746447-6961740
CDM 		Set Pump Impella Cp 4 $30,000.00 $86,250.00 $76,406.25 nat. median
$44,062
1.7× median
2749271-6969735
CDM 		Impella Rp W Smart Assist 4 $30,000.00 $86,250.00 $76,406.25 nat. median
$44,062
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $53,730.22 $82,219.53 $75,222.31 nat. median
$66,649
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $52,902.38 $80,933.94 $74,063.33 nat. median
$62,721
1.2× median

Other procedures at this hospital

Browse this hospital's 24,524 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,563,193.55 $4,563,193.55 $4,563,193.55 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $3,075,854.80 $4,613,782.20 $4,130,961.34 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,399,701.68 $4,565,897.00 $3,982,799.34 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,867,378.20 $3,867,378.20 $3,867,378.20 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $23,609.42 $4,654,400.66 $3,465,600.24 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,556,134.34 $3,834,201.52 $3,432,961.84 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,430,923.44 $3,646,385.16 $3,264,800.00 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $23,609.42 $3,841,595.68 $1,932,602.55 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $803,309.70 $1,204,964.55 $1,078,868.00 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $37,727.52 $904,285.66 $706,255.76 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $37,727.52 $865,279.74 $675,791.76 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $37,727.52 $846,917.77 $661,450.88 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $37,727.52 $846,331.08 $660,992.68 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $37,727.52 $833,534.38 $650,998.32 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $37,727.52 $765,740.88 $598,050.96 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 4 — — $283,320.28 $438,761.65 $396,648.39 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 3 — — $281,844.31 $422,766.46 $378,525.00 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $211,815.46 $327,718.17 $296,541.64 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $178,510.98 $275,997.93 $249,915.37 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $161,345.92 $249,341.45 $225,884.29 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $106,644.31 $164,392.52 $149,302.03 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 — — $98,941.31 $152,430.14 $138,517.83 2026-03-31
7 MS_DRG Lung Transplant 5 4 — — $98,694.08 $152,046.21 $138,171.71 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $83,342.78 $128,206.39 $116,679.89 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 4 — — $82,400.32 $126,742.79 $115,360.45 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $80,568.59 $123,898.21 $112,796.03 2026-03-31
215 MS_DRG Other Heart Assist System Implant 5 4 — — $80,159.54 $123,262.98 $112,223.36 2026-03-31
C1825 HCPCS Barostim Neo Ipg System 7 4 $131,250.00 $78,750.00 40% off $42,000.00 $131,250.00 $106,968.75 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $73,089.60 $112,283.70 $102,325.44 2026-03-31
2748519-6963876 CDM Valve Sapien 3 Ultra Thv 20mm 7 4 $121,875.00 $73,125.00 40% off $39,000.00 $112,125.00 $99,328.13 2026-03-31
2745952-5008381 CDM Valve Sapien 3 Thv 29mm W Command System 7 4 $121,875.00 $73,125.00 40% off $39,000.00 $112,125.00 $99,328.13 2026-03-31
2745420-4840444 CDM Valve Sapien 3 Ultra Thv 26mm W Command 7 4 $121,875.00 $73,125.00 40% off $39,000.00 $112,125.00 $99,328.13 2026-03-31
2748519-5743634 CDM Cmd System 20 Valve Sapien 3 7 4 $121,875.00 $73,125.00 40% off $39,000.00 $112,125.00 $99,328.13 2026-03-31
2745419-4840443 CDM Valve Sapien 3 Ultra Thv 23mm W Command 7 4 $121,875.00 $73,125.00 40% off $39,000.00 $112,125.00 $99,328.13 2026-03-31
C1767 HCPCS Generator Barostim Neo2 2014 7 4 $118,125.00 $70,875.00 40% off $37,800.00 $118,125.00 $96,271.88 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $64,270.33 $98,587.81 $89,978.46 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $64,235.12 $98,533.13 $89,929.17 2026-03-31
Q2043 HCPCS Sipuleucel-t - Su 9 5 $164,833.80 $98,900.28 40% off $23,609.42 $151,647.10 $87,478.80 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $61,177.75 $93,785.18 $85,648.85 2026-03-31
10 MS_DRG Pancreas Transplant 5 4 — — $60,517.73 $92,760.19 $84,724.82 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $60,175.35 $92,228.51 $84,245.49 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 5 4 — — $59,344.52 $90,938.26 $83,082.33 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $58,753.42 $90,020.32 $82,254.79 2026-03-31
724063-5825433 CDM Carmustine 7.7 Mg Wafer 6 4 $124,761.36 $74,856.82 40% off $39,923.64 $114,780.45 $82,030.60 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $56,705.93 $86,840.67 $79,388.30 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 3 — — $23,609.42 $99,182.69 $77,462.64 2026-03-31
2746447-6961740 CDM Set Pump Impella Cp 7 4 $93,750.00 $56,250.00 40% off $30,000.00 $86,250.00 $76,406.25 2026-03-31
2749271-6969735 CDM Impella Rp W Smart Assist 7 4 $93,750.00 $56,250.00 40% off $30,000.00 $86,250.00 $76,406.25 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $53,730.22 $82,219.53 $75,222.31 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $52,902.38 $80,933.94 $74,063.33 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 4 3 — — $4,111.69 $92,476.72 $73,981.38 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $51,941.94 $79,442.42 $72,718.72 2026-03-31
C2624 HCPCS Sensor Cardiomems 7 4 $88,125.00 $52,875.00 40% off $28,200.00 $88,125.00 $71,821.88 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $50,822.68 $77,704.26 $71,151.75 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $50,738.02 $77,572.79 $71,033.23 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $35,545.22 $88,852.57 $69,394.71 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $49,236.68 $75,241.28 $68,931.35 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $49,167.01 $75,133.08 $68,833.81 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $48,166.11 $73,578.74 $67,432.55 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 4 — — $47,192.94 $72,067.45 $66,070.12 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $46,921.74 $71,646.28 $65,690.44 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 5 4 — — $46,760.66 $71,396.15 $65,464.92 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $46,550.89 $71,070.39 $65,171.25 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $46,332.14 $70,730.67 $64,865.00 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 4 — — $46,005.50 $70,223.41 $64,407.70 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 4 — — $46,005.50 $70,223.41 $64,407.70 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 5 4 — — $45,667.62 $69,698.70 $63,934.67 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $45,356.71 $69,215.88 $63,499.39 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $45,323.00 $69,163.53 $63,452.20 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $44,869.00 $68,458.49 $62,816.60 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $44,405.26 $67,738.33 $62,167.36 2026-03-31
2746447-5334485 CDM Catheter Impella Cp 6 4 $93,750.00 $56,250.00 40% off $30,000.00 $86,250.00 $61,640.62 2026-03-31
2749271-5810165 CDM Catheter Impella Rp 6 4 $93,750.00 $56,250.00 40% off $30,000.00 $86,250.00 $61,640.62 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $43,784.20 $66,773.84 $61,297.88 2026-03-31
2737657-6950088 CDM Set Pump Impella 2.5 Aic 7 4 $75,000.00 $45,000.00 40% off $24,000.00 $69,000.00 $61,125.00 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $43,527.23 $66,374.79 $60,938.12 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $42,549.56 $64,856.51 $59,569.38 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $42,195.20 $64,306.21 $59,073.28 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $42,195.20 $64,306.21 $59,073.28 2026-03-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 5 4 — — $41,549.42 $63,303.34 $58,169.19 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $41,456.52 $63,159.07 $58,039.13 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $41,249.00 $62,836.80 $57,748.60 2026-03-31
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 5 4 — — $41,210.79 $62,777.47 $57,695.11 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $41,206.29 $62,770.48 $57,688.81 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 5 4 — — $40,643.67 $61,896.75 $56,901.14 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $40,467.61 $61,623.34 $56,654.65 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $19,064.62 $70,364.13 $56,291.31 2026-03-31
J9226 HCPCS Supprelin La Implant 4 3 — — $23,609.42 $71,239.59 $55,638.81 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $39,241.21 $59,718.81 $54,937.69 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $38,953.53 $59,272.05 $54,534.94 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $38,836.66 $59,090.56 $54,371.32 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $38,521.26 $58,600.76 $53,929.76 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $38,298.75 $58,255.22 $53,618.25 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $38,269.54 $58,209.84 $53,577.36 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $38,254.55 $58,186.57 $53,556.37 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $38,119.70 $57,977.16 $53,367.58 2026-03-31
J2351 HCPCS Ocrelizumab-hyaluronidase (920 Mg-23,000 Units/23 Ml) Inj 10 5 $121,933.23 $73,159.94 40% off $49.24 $112,178.57 $53,162.89 2026-03-31
245 MS_DRG Aicd Generator Procedures 5 4 — — $37,396.75 $56,854.45 $52,355.45 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $37,175.74 $56,511.24 $52,046.04 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $37,115.06 $56,417.00 $51,961.08 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $36,562.92 $55,559.55 $51,188.09 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 5 4 — — $36,407.84 $55,318.72 $50,970.98 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $36,401.10 $55,308.25 $50,961.54 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 5 4 — — $36,032.51 $54,735.84 $50,445.51 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $35,843.71 $54,442.66 $50,181.19 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $35,636.94 $54,121.55 $49,891.72 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $35,317.05 $53,624.77 $49,443.87 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $35,302.81 $53,602.66 $49,423.93 2026-03-31
2737657-3038906 CDM Catheter Impella 2.5 6 4 $75,000.00 $45,000.00 40% off $24,000.00 $69,000.00 $49,312.50 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $35,192.68 $53,431.64 $49,269.75 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $35,187.44 $53,423.50 $49,262.42 2026-03-31
713337-421298 CDM Ribavirin For Inhalation 6 Gm 6 4 $73,702.00 $44,221.20 40% off $23,584.64 $67,805.84 $48,459.07 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $34,585.85 $52,489.26 $48,420.19 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $34,384.33 $52,176.30 $48,138.06 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $34,291.43 $52,032.04 $48,008.00 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $33,978.27 $51,545.72 $47,569.58 2026-03-31
C1882 HCPCS Defib Inogen Crt-d G141 63 4 $57,844.00 $34,706.40 40% off $16,894.72 $70,875.00 $47,188.50 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $33,695.84 $51,107.11 $47,174.18 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $33,421.63 $50,132.45 $46,790.29 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $33,202.13 $50,340.41 $46,482.98 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $33,135.45 $50,236.86 $46,389.63 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $32,743.64 $49,628.39 $45,841.10 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $32,696.44 $49,555.09 $45,775.02 2026-03-31
J9347 HCPCS Tremelimumab Actl 300 Mg/15 Ml Inj 9 5 $122,243.75 $73,346.25 40% off $147.16 $112,464.25 $45,474.68 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $32,470.19 $49,203.74 $45,458.27 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $32,181.01 $48,754.66 $45,053.41 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $32,173.52 $48,743.02 $45,042.93 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $32,030.42 $48,520.81 $44,842.59 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $31,957.00 $48,406.79 $44,739.80 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $31,592.91 $47,841.36 $44,230.07 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $31,575.68 $47,814.61 $44,205.95 2026-03-31
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 5 4 — — $31,529.98 $47,743.64 $44,141.97 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $10,803.57 $54,727.83 $43,782.26 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $31,258.03 $47,321.31 $43,761.24 2026-03-31
791 MS_DRG Prematurity With Major Problems 5 4 — — $31,201.84 $47,234.05 $43,682.58 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $30,630.97 $46,347.52 $42,883.36 2026-03-31
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 5 4 — — $30,609.99 $46,314.95 $42,853.99 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $30,346.28 $45,905.42 $42,484.79 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $30,285.60 $45,811.18 $42,399.84 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $30,225.67 $45,718.11 $42,315.94 2026-03-31
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 5 4 — — $30,081.08 $45,493.56 $42,113.51 2026-03-31
2752892-6950388 CDM Device Watchman Llc Bundle 6 4 $63,750.00 $38,250.00 40% off $20,400.00 $58,650.00 $41,915.62 2026-03-31
2752892-6225577 CDM Watchman Laa Device Procedure 6 4 $63,750.00 $38,250.00 40% off $20,400.00 $58,650.00 $41,915.62 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $29,919.25 $45,242.26 $41,886.95 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $29,741.70 $44,966.53 $41,638.38 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 4 — — $29,712.48 $44,921.16 $41,597.47 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 4 — — $29,631.57 $44,795.51 $41,484.20 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $29,422.55 $44,470.91 $41,191.57 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $29,267.47 $44,230.08 $40,974.46 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $29,045.72 $43,885.71 $40,664.01 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $28,820.22 $43,535.51 $40,348.31 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 3 — — $7,786.38 $50,132.45 $40,105.96 2026-03-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 3 — — $22,044.50 $50,132.45 $40,105.96 2026-03-31
33264 HCPCS Ghs Remove/replace Icd Generator Only Bi-v 8 5 $73,778.00 $44,266.80 40% off $1,080.08 $121,398.95 $40,105.96 2026-03-31
69930 HCPCS Implant Cochlear Device 4 3 — — $23,948.78 $49,735.66 $39,788.53 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 4 — — $28,121.24 $42,450.03 $39,369.74 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 — — $27,931.70 $42,155.69 $39,104.38 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 4 — — $27,642.52 $41,706.60 $38,699.53 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $27,641.02 $41,704.28 $38,697.43 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $27,636.52 $41,697.30 $38,691.13 2026-03-31
265 MS_DRG Aicd Lead Procedures 5 4 — — $27,510.66 $41,501.84 $38,514.92 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $27,390.80 $41,315.69 $38,347.12 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 4 — — $27,234.97 $41,073.70 $38,128.96 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 4 3 — — $19,064.62 $47,649.42 $38,119.54 2026-03-31
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 3 — — $19,064.62 $47,649.42 $38,119.54 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 3 — — $19,064.62 $47,649.42 $38,119.54 2026-03-31
61886 HCPCS Implant Neurostim Arrays 4 3 — — $19,064.62 $47,649.42 $38,119.54 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $19,064.62 $47,649.42 $38,119.54 2026-03-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 4 3 — — $6,134.17 $47,649.42 $38,119.54 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 4 — — $27,228.22 $41,063.23 $38,119.51 2026-03-31
33270 HCPCS Ghs Insert Subq Defib W Electrodes 8 5 $65,740.00 $39,444.00 40% off $1,931.08 $121,398.95 $38,076.32 2026-03-31
33231 HCPCS Ghs Insert W No Existing Device Icd Generator Only Bi-v 8 5 $65,740.00 $39,444.00 40% off $21,036.80 $121,398.95 $38,076.32 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $27,161.55 $40,959.68 $38,026.17 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 4 — — $27,035.69 $40,764.23 $37,849.97 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $27,027.45 $40,751.43 $37,838.43 2026-03-31
C1721 HCPCS Defib Lumax 740 Hf-t 365608 42 4 $51,188.00 $30,712.80 40% off $13,113.60 $62,625.00 $37,823.96 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $27,016.96 $40,735.14 $37,823.74 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 5 4 — — $26,970.51 $40,663.01 $37,758.71 2026-03-31
Q2040 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
724063-520849 CDM Carmustine 7.7 Mg Wafer 6 4 $57,296.47 $34,377.88 40% off $18,334.87 $52,712.75 $37,672.43 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 4 — — $26,801.20 $40,400.07 $37,521.68 2026-03-31
332 MS_DRG Rectal Resection With Mcc 5 4 — — $26,772.73 $40,355.86 $37,481.82 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 4 — — $26,744.26 $40,311.65 $37,441.96 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 — — $26,590.68 $40,073.15 $37,226.95 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $26,550.22 $40,010.32 $37,170.31 2026-03-31
665 MS_DRG Prostatectomy With Mcc 5 4 — — $26,509.77 $39,947.50 $37,113.68 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 5 4 — — $26,485.79 $39,910.27 $37,080.11 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $26,446.84 $39,849.77 $37,025.58 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 — — $26,304.49 $39,628.72 $36,826.29 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $26,198.11 $39,463.51 $36,677.35 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $25,933.65 $39,052.82 $36,307.11 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 5 4 — — $25,665.45 $38,636.31 $35,931.63 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 — — $25,523.11 $38,415.26 $35,732.35 2026-03-31
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 1 1 — — $35,545.22 $35,545.22 $35,545.22 2026-03-31
2736942-2815624 CDM Stent Thoracic 37mmx15cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736941-2815623 CDM Stent Thoracic 37mmx10cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736943-2815625 CDM Stent Thoracic 40mmx10cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736940-2815622 CDM Stent Thoracic 34mmx15cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736944-2815626 CDM Stent Thoracic 40mmx15cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736938-2815620 CDM Stent Thoracic 31mmx15cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736939-2815621 CDM Stent Thoracic 34mmx10cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736935-2815617 CDM Stent Thoracic 28mmx10cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736936-2815618 CDM Stent Thoracic 28mmx15cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
2736937-2815619 CDM Stent Thoracic 31mmx10cm 6 4 $53,907.00 $32,344.20 40% off $17,250.24 $49,594.44 $35,443.85 2026-03-31
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 5 4 — — $25,274.38 $38,029.00 $35,384.13 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 — — $25,204.71 $37,920.80 $35,286.59 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 4 — — $25,194.22 $37,904.52 $35,271.91 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 — — $24,904.29 $37,454.27 $34,866.01 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $24,792.66 $37,280.92 $34,709.72 2026-03-31
J9266 HCPCS Pegaspargase 750 I-units/ml Inj 5 Ml 15 5 $39,824.08 $23,894.45 40% off $12,743.71 $72,889.14 $34,646.95 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 — — $24,722.99 $37,172.72 $34,612.19 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 4 — — $24,677.29 $37,101.75 $34,548.21 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 5 4 — — $24,612.86 $37,001.70 $34,458.00 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 4 3 — — $14,350.91 $43,000.61 $34,400.49 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 — — $24,564.91 $36,927.24 $34,390.87 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 5 4 — — $24,525.21 $36,865.57 $34,335.29 2026-03-31
2747714-5427000 CDM Catheter Cardiohelp Set 7.0 6 4 $51,679.00 $31,007.40 40% off $16,537.28 $47,544.68 $33,978.94 2026-03-31
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 5 4 — — $24,167.85 $36,310.62 $33,834.99 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 5 4 — — $24,157.36 $36,294.33 $33,820.30 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $24,057.72 $36,139.60 $33,680.81 2026-03-31
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Inj 16 5 $64,541.35 $38,724.81 40% off $164.37 $79,170.70 $33,539.99 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 — — $23,953.59 $35,977.88 $33,535.03 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 4 — — $23,889.16 $35,877.82 $33,444.82 2026-03-31
652 MS_DRG Kidney Transplant 5 4 — — $23,796.26 $35,733.56 $33,314.76 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 4 — — $23,775.29 $35,700.98 $33,285.41 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $23,700.37 $35,584.64 $33,180.52 2026-03-31
33289 HCPCS Ghs Right Heart Cath W Pressure Sensor 8 5 $55,962.00 $33,577.20 40% off $17,907.84 $51,485.04 $33,004.78 2026-03-31
C1722 HCPCS Defib Inogen Vr Df4 D140 42 4 $44,299.00 $26,579.40 40% off $11,383.36 $75,000.00 $33,002.33 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 3 3 — — $23,454.97 $35,182.46 $32,836.96 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 3 3 — — $23,454.97 $35,182.46 $32,836.96 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 3 3 — — $23,398.36 $35,097.54 $32,757.70 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 3 3 — — $23,398.36 $35,097.54 $32,757.70 2026-03-31
570 MS_DRG Skin Debridement With Mcc 5 4 — — $23,337.77 $35,021.54 $32,672.88 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $23,157.97 $34,742.32 $32,421.16 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $22,876.28 $34,314.42 $32,026.79 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 4 — — $22,819.34 $34,229.01 $31,947.08 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 4 — — $22,759.41 $34,139.12 $31,863.17 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 5 4 — — $22,634.30 $33,951.45 $31,688.02 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $22,622.31 $33,933.47 $31,671.23 2026-03-31
800 MS_DRG Splenic Procedures With Cc 5 4 — — $22,615.57 $33,923.36 $31,661.80 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 5 4 — — $22,603.58 $33,905.37 $31,645.01 2026-03-31
27224842-6910927 CDM Excluder Aort Ibc 23x14x10 Fa 7 4 $38,824.00 $23,294.40 40% off $12,423.68 $35,718.08 $31,641.56 2026-03-31
C1772 HCPCS Pump Infuse Pain Mgmt 40ml Whe 14 4 $37,125.00 $22,275.00 40% off $11,880.00 $38,704.00 $31,543.76 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 5 4 — — $22,491.20 $33,736.80 $31,487.68 2026-03-31
27219359-6910925 CDM Stent-graft 28.5x14.5mm 12cm 16fr Lg Exc 7 4 $38,438.00 $23,062.80 40% off $12,300.16 $35,362.96 $31,326.97 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 4 — — $22,265.70 $33,398.55 $31,171.98 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 5 4 — — $22,240.98 $33,361.47 $31,137.37 2026-03-31
J9359 HCPCS Loncastuximab Tesirine 10 Mg Inj 9 5 $83,674.75 $50,204.85 40% off $225.93 $76,980.77 $31,127.01 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 4 — — $22,228.24 $33,342.36 $31,119.54 2026-03-31
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 5 4 — — $22,198.28 $33,297.42 $31,077.59 2026-03-31
0451T OTHER Insj/rplcmt Aortic Ventr Sys 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
0452T OTHER Insj/rplcmt Dev Vasc Seal 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
33979 HCPCS Insert Intracorporeal Device 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
0454T OTHER Insj/rplcmt Subq Electrode 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
33982 HCPCS Replace Vad Intra Without Bp 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
33983 HCPCS Replace Vad Intra W/bp 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
33981 HCPCS Replace Vad Pump Ext 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
33995 HCPCS Insj Perq Vad R Hrt Venous 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
0459T OTHER Relocaj Rplcmt Aortic Ventr 1 1 — — $31,037.13 $31,037.13 $31,037.13 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 5 4 — — $22,113.62 $33,170.43 $30,959.07 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 5 4 — — $21,928.58 $32,892.87 $30,700.01 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 5 4 — — $21,825.94 $32,738.91 $30,556.32 2026-03-31
2738354-3489050 CDM Axialif 360 Stabilization Sys 7 4 $37,482.00 $22,489.20 40% off $11,994.24 $34,483.44 $30,547.83 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 — — $21,804.21 $32,706.32 $30,525.89 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 4 — — $21,286.53 $31,929.80 $29,801.14 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 4 — — $21,249.82 $31,874.73 $29,749.75 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 4 — — $21,212.37 $31,818.56 $29,697.32 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 5 4 — — $21,138.95 $31,708.43 $29,594.53 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 4 3 — — $23,609.42 $37,884.28 $29,587.99 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $21,039.31 $31,558.97 $29,455.03 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 4 — — $20,972.63 $31,458.95 $29,361.68 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 5 4 — — $20,892.47 $31,338.71 $29,249.46 2026-03-31
263 MS_DRG Vein Ligation And Stripping 5 4 — — $20,879.73 $31,319.60 $29,231.62 2026-03-31
849 MS_DRG Radiotherapy 5 4 — — $20,797.32 $31,195.98 $29,116.25 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 4 — — $20,735.14 $31,102.71 $29,029.20 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 4 — — $20,663.97 $30,995.96 $28,929.56 2026-03-31
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 5 4 — — $20,639.25 $30,958.88 $28,894.95 2026-03-31
Q4128 HCPCS Graft Tiss Flexhd Pliable Thic 14 4 $32,275.00 $19,365.00 40% off $10,328.00 $38,956.00 $28,886.12 2026-03-31
503 MS_DRG Foot Procedures With Mcc 5 4 — — $20,613.78 $30,920.67 $28,859.29 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 5 4 — — $20,593.55 $30,890.33 $28,830.97 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 5 4 — — $20,439.22 $30,658.83 $28,614.91 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 4 — — $20,388.28 $30,582.42 $28,543.59 2026-03-31
2740700-6950380 CDM Stent Endur Aaa Bif 25x14x103 7 4 $35,010.00 $21,006.00 40% off $11,203.20 $32,209.20 $28,533.15 2026-03-31
2753004-6950479 CDM Stent Endur Aaa Bif 28x14x103 7 4 $35,010.00 $21,006.00 40% off $11,203.20 $32,209.20 $28,533.15 2026-03-31
2753003-6950484 CDM Stent Endur Aaa Bif 23x14x103 7 4 $35,010.00 $21,006.00 40% off $11,203.20 $32,209.20 $28,533.15 2026-03-31
2740712-6950475 CDM Stent Endur Aaa Bif 32x14x103 7 4 $35,010.00 $21,006.00 40% off $11,203.20 $32,209.20 $28,533.15 2026-03-31
2740717-6950240 CDM Stent Endur Aaa Bif 36x14x103 7 4 $35,010.00 $21,006.00 40% off $11,203.20 $32,209.20 $28,533.15 2026-03-31
33262 HCPCS Ghs Remove/replace Icd Generator Only Single 8 5 $55,333.00 $33,199.80 40% off $17,706.56 $121,398.95 $28,364.48 2026-03-31
33230 HCPCS Ghs Insert W No Existing Device Icd Generator Only Dual Lead 8 5 $59,928.00 $35,956.80 40% off $19,176.96 $121,398.95 $28,364.48 2026-03-31
33263 HCPCS Ghs Remove/replace Icd Generator Only Dual 8 5 $70,753.00 $42,451.80 40% off $22,044.50 $121,398.95 $28,364.48 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 5 4 — — $20,179.26 $30,268.89 $28,250.96 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 5 4 — — $20,147.04 $30,220.56 $28,205.86 2026-03-31
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 3 — — $22,044.50 $35,097.54 $28,078.03 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $22,044.50 $35,097.54 $28,078.03 2026-03-31
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