Price Transparency Hospital negotiated rates

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

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Hospital

NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL

Dekalb, IL · CCN 140286 · Rates published

8,894 distinct procedures filed
24 distinct payers
619,939 rate rows
2026-04-01 last MRF observed
Data quality

619,249 of 619,939 rate rows are consumer-grade (99.9%)

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

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 461
per-diem day rate — not a per-procedure price 83
placeholder amount (≤ $0.02) — excluded from medians 63
template filing: same amount across many unrelated codes — excluded 63
exceeds 3× this hospital's gross charge for a DRG stay — excluded 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nm.org/site_data/237087041_northwestern-medicine-kishwaukee-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 · 2026-05-18
Content fingerprint 47a9bb07a0a7be6c… · 827,937,268 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
Q2043
HCPCS 		Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 22 $41,515.59 $601,675.25 $381,432.02 nat. median
$66,682
outlier · 5.7×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 22 $31,255.05 $452,971.75 $287,161.44 nat. median
$739
outlier · 388.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $51,470.57 $525,308.00 $241,883.50 nat. median
$265,286
0.9× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 16 $18,353.16 $309,101.50 $180,206.19 nat. median
$24,991
outlier · 7.2×
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 $32,624.67 $298,095.38 $173,789.60 nat. median
$45,113
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 16 $52,056.47 $284,461.53 $170,753.12 nat. median
$99,019
1.7× median
PX-81200000
CDM 		Hb Lung Transplant Acquisition 24 $40,440.44 $220,986.00 $168,877.50 nat. median
$129,144
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $50,738.73 $286,083.66 $166,786.77 nat. median
$68,887
outlier · 2.4×
PX-81200008
CDM 		Hb Heart Acquisition 24 $39,790.24 $217,433.00 $166,162.30 nat. median
$133,743
1.2× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 23 $33,044.22 $180,569.50 $155,289.77 nat. median
$21,340
outlier · 7.3×
PX-81200002
CDM 		Hb Liver Acquisition Cadaver 24 $33,956.38 $185,554.00 $141,800.38 nat. median
$116,899
1.2× median
SUP-153880
CDM 		Impella Cp Catheter With Smart Assist 24 $31,904.22 $174,340.00 $133,230.62 nat. median
$130,755
1.0× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 16 $19,554.31 $227,604.69 $132,693.53 nat. median
$27,218
outlier · 4.9×
29889
CPT 		Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj 24 $15,358.22 $222,582.92 $129,765.84 nat. median
$11,801
outlier · 11.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $39,516.76 $215,938.50 $129,347.16 nat. median
$66,526
1.9× median
654
MS_DRG 		Major Bladder Procedures With Cc 16 $19,919.35 $221,355.60 $129,050.31 nat. median
$27,847
outlier · 4.6×
63650
CPT 		Hb Prq Impltj Nstim Electrode Array Epidural 24 $24,789.18 $215,558.05 $125,670.35 nat. median
$7,241
outlier · 17.4×
J1290
HCPCS 		Ecallantide 10 Mg/ml (1 Ml) Subq Soln 22 $24,343.16 $133,022.75 $122,380.93 nat. median
$896
outlier · 136.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $36,954.28 $201,936.02 $114,743.77 nat. median
$60,185
1.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 $36,167.35 $197,635.73 $112,593.72 nat. median
$59,099
1.9× median
SUP-153873
CDM 		Impella 2.5 Catheter 24 $25,523.38 $139,472.00 $106,584.50 nat. median
$109,358
1.0× median
PX-81100000
CDM 		Hb Liver Acquisition, Live Donor 24 $24,873.18 $135,919.00 $103,869.30 nat. median
$91,147
1.1× median
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 22 $10,047.31 $145,613.25 $103,385.41 nat. median
$562
outlier · 184.1×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 15 $25,222.94 $137,830.30 $103,372.73 nat. median
$50,270
outlier · 2.1×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml IV Soln 22 $44.30 $160,383.25 $101,674.96 nat. median
$712
outlier · 142.8×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 15 $32,864.47 $199,844.90 $98,923.23 nat. median
$46,109
outlier · 2.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 15 $28,222.29 $154,220.12 $98,904.24 nat. median
$51,307
1.9× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 $19,724.38 $199,443.70 $98,724.64 nat. median
$26,699
outlier · 3.7×
653
MS_DRG 		Major Bladder Procedures With Mcc 15 $30,059.58 $164,259.80 $97,406.52 nat. median
$51,418
1.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $23,691.72 $129,462.92 $97,097.19 nat. median
$56,697
1.7× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 15 $23,361.16 $127,656.57 $95,742.43 nat. median
$52,753
1.8× median
54405
CPT 		Insj Multi-component Inflatable Penile Prosth 24 $18,855.29 $163,959.08 $95,588.13 nat. median
$18,900
outlier · 5.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 15 $23,855.62 $130,358.55 $93,488.81 nat. median
$48,178
1.9× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 $21,493.37 $189,816.12 $93,009.90 nat. median
$29,046
outlier · 3.2×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 15 $32,535.07 $177,787.27 $92,739.01 nat. median
$50,673
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 $26,285.34 $143,635.60 $92,574.06 nat. median
$48,170
1.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 $26,126.49 $186,094.34 $91,186.23 nat. median
$35,489
outlier · 2.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 15 $32,707.92 $180,191.00 $90,095.51 nat. median
$44,810
outlier · 2.0×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 $18,046.46 $181,460.16 $88,915.47 nat. median
$24,757
outlier · 3.6×
29888
CPT 		Hb Arthroscopically Knee Aided 24 $10,515.19 $152,394.06 $88,845.75 nat. median
$7,307
outlier · 12.2×
C2624
HCPCS 		Cardiomems Pa Snsr Dlvry Systm 24 $9,382.98 $135,985.20 $88,390.38 nat. median
$32,760
outlier · 2.7×
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 $26,519.29 $180,054.88 $88,226.89 nat. median
$37,237
outlier · 2.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 $23,741.97 $129,737.45 $87,947.79 nat. median
$46,084
1.9× median
J1304
HCPCS 		Tofersen 100 Mg/15 Ml (6.7 Mg/ml) It Soln 22 $159.70 $135,853.00 $86,124.01 nat. median
$195
outlier · 442.2×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 15 $27,319.82 $173,982.47 $85,251.41 nat. median
$38,112
outlier · 2.2×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg IV Solr 22 $8,252.81 $119,606.00 $84,920.26 nat. median
$701
outlier · 121.2×
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 15 $18,166.72 $172,386.78 $84,469.52 nat. median
$26,293
outlier · 3.2×
974
MS_DRG 		HIV With Major Related Condition With Mcc 15 $20,536.29 $171,155.50 $84,176.29 nat. median
$29,015
outlier · 2.9×
163
MS_DRG 		Major Chest Procedures With Mcc 17 $26,583.26 $145,263.77 $84,011.34 nat. median
$44,938
1.9× median
258
MS_DRG 		Cardiac Pacemaker Device Replacement With Mcc 15 $22,358.66 $170,570.10 $83,754.40 nat. median
$29,995
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 8,894 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0408T CPT Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 41 24 $86,271.00 $60,389.70 30% off $5,952.70 $86,271.00 $56,076.15 2026-04-01
0571T CPT Hb Insj/Rplcmt Icds W/Substernal Electrode 41 24 $100,265.00 $70,185.50 30% off $6,918.29 $100,265.00 $59,146.32 2026-04-01
0620T CPT Hb Endovascular Venous Arterialization Tibl/Prnl Vn 41 24 $109,456.00 $76,619.20 30% off $7,552.46 $109,456.00 $64,568.09 2026-04-01
0632T CPT Hb Perq Tcat US Ablation Nerves Innervating P-art 41 24 $56,155.00 $39,308.50 30% off $10,276.37 $56,155.00 $42,913.65 2026-04-01
0796T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 41 24 $60,412.00 $42,288.40 30% off $4,168.43 $60,412.00 $35,637.04 2026-04-01
0797T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 41 24 $59,640.00 $41,748.00 30% off $10,914.12 $59,640.00 $45,576.89 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 16 $279,040.12 $195,328.10 30% off $51,470.57 $525,308.00 $241,883.50 2026-04-01
100 MS_DRG Seizures With Mcc 27 15 $53,810.50 $37,667.35 30% off $9,847.33 $53,810.50 $36,305.32 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 15 $105,920.04 $74,144.03 30% off $19,352.07 $105,749.05 $79,311.79 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 27 15 $87,832.63 $61,482.84 30% off $15,520.34 $87,832.63 $40,884.72 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 27 15 $105,693.47 $73,985.43 30% off $11,359.72 $105,409.72 $51,650.76 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 34 17 $145,263.77 $101,684.64 30% off $26,583.26 $145,263.77 $84,011.34 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 27 15 $141,200.27 $98,840.19 30% off $17,960.36 $141,200.27 $69,519.95 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 15 $75,933.14 $53,153.20 30% off $13,895.79 $75,933.16 $56,949.87 2026-04-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 27 15 $81,110.87 $56,777.61 30% off $9,397.41 $81,110.87 $36,499.90 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 15 $92,316.11 $64,621.28 30% off $16,893.85 $92,316.12 $55,792.62 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 27 15 $86,311.00 $60,417.70 30% off $15,675.09 $85,656.25 $51,524.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 16 $281,606.28 $197,124.39 30% off $52,056.47 $284,461.53 $170,753.12 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 15 $177,787.27 $124,451.08 30% off $32,535.07 $177,787.27 $92,739.01 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 15 $154,181.44 $107,927.00 30% off $22,411.32 $154,181.44 $75,548.90 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 15 $94,922.57 $66,445.80 30% off $17,400.70 $95,085.82 $73,618.79 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 27 15 $165,971.23 $116,179.86 30% off $20,283.68 $166,724.98 $81,695.24 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 15 $98,605.66 $69,023.96 30% off $18,311.20 $100,061.16 $59,849.04 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 27 15 $93,883.11 $65,718.18 30% off $15,163.13 $93,585.61 $42,113.53 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 27 15 $86,122.64 $60,285.85 30% off $12,861.87 $86,122.64 $38,755.19 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 27 15 $73,107.59 $51,175.31 30% off $13,376.83 $73,097.34 $40,910.96 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 15 $114,136.59 $79,895.61 30% off $20,926.56 $114,352.84 $65,388.18 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 34 17 $106,403.40 $74,482.38 30% off $18,469.86 $106,403.40 $51,821.15 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 27 15 $133,772.34 $93,640.64 30% off $12,678.28 $133,711.10 $65,518.44 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 27 15 $48,322.19 $33,825.53 30% off $8,790.43 $50,562.76 $37,467.45 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 15 $171,370.84 $119,959.59 30% off $22,358.66 $170,570.10 $83,754.40 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 15 $67,696.50 $47,387.55 30% off $12,589.67 $68,796.00 $51,597.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 15 $153,711.11 $107,597.78 30% off $28,222.29 $154,220.12 $98,904.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 15 $163,033.89 $114,123.72 30% off $25,306.04 $162,859.89 $79,801.35 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 27 15 $172,386.80 $120,670.75 30% off $18,166.72 $172,386.78 $84,469.52 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 16 $287,705.03 $201,393.52 30% off $50,738.73 $286,083.66 $166,786.77 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 15 $197,779.48 $138,445.64 30% off $36,167.35 $197,635.73 $112,593.72 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 15 $199,844.90 $139,891.44 30% off $32,864.47 $199,844.90 $98,923.23 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 15 $137,746.05 $96,422.23 30% off $25,222.94 $137,830.30 $103,372.73 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 27 15 $52,049.50 $36,434.65 30% off $9,499.44 $51,909.50 $37,130.10 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 27 15 $67,760.80 $47,432.56 30% off $12,384.72 $67,676.05 $41,478.94 2026-04-01
29819 CPT Hb Arthroscopy Should Removal 41 24 $109,938.99 $76,957.29 30% off $7,585.79 $109,938.99 $64,094.43 2026-04-01
29822 CPT Hb Arthro/Surg Shld Debrd Limit 41 24 $87,500.06 $61,250.04 30% off $6,037.50 $87,500.06 $51,012.52 2026-04-01
29823 CPT Hb Arthro/Surg Shld Debrd Exten 41 24 $127,348.60 $89,144.02 30% off $8,787.05 $127,348.60 $74,244.25 2026-04-01
29824 CPT Hb Arthro/Surg Shld Mumford Pro 41 24 $106,345.16 $74,441.61 30% off $7,337.82 $175,032.10 $61,999.21 2026-04-01
29825 CPT Hb Shoulder Arthroscopy 41 24 $131,642.84 $92,149.99 30% off $9,083.36 $131,642.84 $76,747.78 2026-04-01
29826 CPT Hb Arthro/Surg Shld Decompress 41 24 $120,818.61 $84,573.03 30% off $8,336.48 $120,818.62 $70,437.26 2026-04-01
29827 CPT Hb Arthroscop Rotator Cuff Repr 41 24 $121,039.16 $84,727.41 30% off $8,351.70 $121,039.16 $70,565.82 2026-04-01
29828 CPT Hb Arthroscopy Biceps Tenodesis 41 24 $107,416.57 $75,191.60 30% off $7,411.74 $107,416.57 $62,623.86 2026-04-01
29875 CPT Hb Arthroscopy Knee Synov Lmtd 41 24 $65,952.81 $46,166.97 30% off $4,550.74 $65,952.82 $38,450.49 2026-04-01
29882 CPT Hb Arthro Meniscus Med Or Lat 41 24 $74,578.01 $52,204.61 30% off $5,145.88 $74,578.01 $43,478.97 2026-04-01
29883 CPT Hb Arthro Meniscus Med And Lat 41 24 $141,231.50 $98,862.05 30% off $9,744.97 $141,231.50 $82,337.95 2026-04-01
29888 CPT Hb Arthroscopically Knee Aided 41 24 $152,394.06 $106,675.84 30% off $10,515.19 $152,394.06 $88,845.75 2026-04-01
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj 41 24 $222,582.90 $155,808.05 30% off $15,358.22 $222,582.92 $129,765.84 2026-04-01
29891 CPT Hb Arthroscopy Ankle Incl Drill 41 24 $136,350.95 $95,445.67 30% off $9,408.22 $136,350.95 $79,492.59 2026-04-01
29892 CPT Arthrs Aid Rpr Les/Talar Dome Fx/Tibl Plafond Fx 41 24 $121,520.74 $85,064.52 30% off $8,384.93 $121,520.75 $70,846.58 2026-04-01
29897 CPT Hb Arthroscopy Ankle Debri Lmtd 41 24 $83,555.29 $58,488.70 30% off $5,765.32 $83,555.29 $48,712.72 2026-04-01
29898 CPT Hb Arthroscopy Ankle Debri Ext 41 24 $84,391.33 $59,073.93 30% off $5,823.00 $84,391.33 $49,200.13 2026-04-01
29999 CPT Hb Arthroscopy Of Joint - Unlisted 41 24 $84,389.67 $59,072.77 30% off $5,822.89 $84,389.67 $49,199.18 2026-04-01
31253 CPT Hb Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl 41 24 $71,799.41 $50,259.59 30% off $4,954.16 $71,799.41 $41,859.05 2026-04-01
31299 CPT Unlisted Procedure Accessory Sinuses 41 24 $72,406.93 $50,684.85 30% off $4,996.08 $72,406.93 $42,213.23 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 27 15 $62,762.74 $43,933.92 30% off $11,377.79 $62,173.75 $39,087.07 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 27 15 $104,933.37 $73,453.36 30% off $19,202.79 $104,933.37 $51,417.35 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 27 15 $82,962.50 $58,073.75 30% off $12,545.21 $82,974.50 $37,338.53 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 15 $163,874.88 $114,712.41 30% off $29,972.65 $163,784.88 $81,117.11 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 27 15 $146,795.77 $102,757.04 30% off $22,421.99 $146,827.02 $71,945.24 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 15 $73,363.57 $51,354.50 30% off $13,425.22 $73,361.82 $55,021.37 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 15 $130,358.54 $91,250.98 30% off $23,855.62 $130,358.55 $93,488.81 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 15 $180,696.00 $126,487.20 30% off $32,707.92 $180,191.00 $90,095.51 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 27 15 $138,361.45 $96,853.02 30% off $17,058.07 $138,301.20 $67,767.59 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 27 15 $123,429.41 $86,400.59 30% off $11,975.23 $123,429.41 $60,480.41 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 15 $161,998.30 $113,398.80 30% off $25,764.30 $161,939.53 $79,350.37 2026-04-01
33221 CPT Hb Insert Pulse Gen Mult Leads 41 24 $47,122.00 $32,985.40 30% off $8,623.33 $47,122.00 $36,010.63 2026-04-01
33231 CPT Hb Insrt Pulse Gen W/Mult Leads 41 24 $77,451.00 $54,215.70 30% off $14,173.53 $77,451.00 $59,188.05 2026-04-01
33270 CPT Hb Ins/Rep Subq Defibrillator 80 24 $106,286.00 $74,400.20 30% off $7,333.73 $288,173.70 $80,086.51 2026-04-01
33274 CPT Hb Tcat Insj/Rpl Perm Ldls Pm 41 24 $58,991.00 $41,293.70 30% off $4,070.38 $58,991.00 $38,344.15 2026-04-01
33289 CPT Hb Tcat Impl Wrls P-art Prs Snr 82 24 $124,193.92 $86,935.74 30% off $3,609.05 $196,082.84 $40,170.24 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 15 $161,280.40 $112,896.28 30% off $25,409.93 $160,763.90 $78,774.31 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 27 15 $125,392.37 $87,774.66 30% off $15,005.16 $124,943.62 $61,222.37 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 27 15 $111,667.33 $78,167.13 30% off $10,922.80 $111,667.32 $54,716.99 2026-04-01
33902 CPT Hb Perq P-art Revsc St 1st Abnor Connj Unilateral 41 24 $60,346.00 $42,242.20 30% off $11,043.32 $60,346.00 $46,116.41 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 27 15 $143,910.48 $100,737.34 30% off $16,335.11 $145,329.98 $71,211.70 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 27 15 $119,437.19 $83,606.03 30% off $17,731.94 $119,409.18 $58,510.50 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 27 15 $81,601.80 $57,121.26 30% off $9,570.79 $81,495.05 $36,672.77 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 15 $100,577.09 $70,403.96 30% off $18,227.42 $99,603.33 $74,702.50 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 27 15 $55,136.06 $38,595.24 30% off $10,089.33 $55,132.81 $41,349.61 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 27 15 $82,377.54 $57,664.28 30% off $15,113.53 $82,587.55 $45,256.05 2026-04-01
37271 CPT Hb Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37273 CPT Hb Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37275 CPT Hb Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37277 CPT Hb Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37284 CPT Hb Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37286 CPT Hb Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37288 CPT Hb Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37290 CPT Hb Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37292 CPT Hb Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
37294 CPT Hb Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 27 15 $72,435.79 $50,705.05 30% off $13,257.05 $72,442.79 $40,089.93 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 27 15 $70,242.37 $49,169.66 30% off $12,807.37 $69,985.62 $36,781.44 2026-04-01
38129 CPT Unlisted Laparoscopy Procedure Spleen 41 24 $66,704.84 $46,693.39 30% off $4,602.63 $66,704.85 $38,888.93 2026-04-01
38232 CPT Bone Marrow Harvest Transplantation Autologous 41 24 $62,184.90 $43,529.43 30% off $4,290.76 $62,184.90 $36,253.78 2026-04-01
38570 CPT Laps Surg Retroperitoneal Lymph Node Bx 1/Mlt 41 24 $120,987.91 $84,691.54 30% off $8,348.17 $120,987.91 $70,535.96 2026-04-01
38571 CPT Laps Surg Bilateral Total Pelvic Lmphadectomy 41 24 $130,456.99 $91,319.89 30% off $9,001.53 $132,369.66 $76,956.58 2026-04-01
38724 CPT Cervical Lymphadec Modified Radical Neck Dsj 41 24 $67,751.89 $47,426.32 30% off $4,674.88 $67,751.89 $39,499.35 2026-04-01
38900 CPT Intraop Sentinel Lymph Node Id With Contrast Injection 41 24 $68,220.04 $47,754.03 30% off $4,707.18 $68,220.04 $39,772.27 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 27 15 $77,749.14 $54,424.40 30% off $14,228.10 $77,749.17 $44,892.40 2026-04-01
398 MS_DRG Appendix Procedures With Cc 27 15 $104,855.91 $73,399.14 30% off $10,770.52 $104,608.16 $51,258.00 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/mcc 27 15 $80,362.26 $56,253.58 30% off $7,800.29 $80,362.26 $36,163.06 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 15 $98,007.57 $68,605.30 30% off $17,935.40 $98,007.57 $72,378.19 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 27 15 $83,784.21 $58,648.95 30% off $15,541.34 $84,925.22 $41,214.63 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 27 15 $108,366.96 $75,856.87 30% off $16,981.22 $108,306.96 $53,070.41 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 27 15 $110,299.83 $77,209.88 30% off $12,037.14 $110,300.07 $54,047.03 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 17 $129,075.04 $90,352.53 30% off $23,620.76 $129,075.05 $77,847.99 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 27 15 $57,400.31 $40,180.22 30% off $10,503.64 $57,396.82 $36,893.91 2026-04-01
44227 CPT Laps Clsr Ntrstm Lg/Sm Int W/Rescj & Anastomosis 41 24 $114,826.39 $80,378.47 30% off $7,923.02 $114,826.38 $66,943.78 2026-04-01
44238 CPT Unlisted Laparoscopy Px Intestine Xcp Rectum 41 24 $62,749.94 $43,924.96 30% off $4,329.75 $62,749.95 $36,583.22 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 15 $129,752.07 $90,826.45 30% off $23,361.16 $127,656.57 $95,742.43 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 15 $94,275.74 $65,993.02 30% off $17,011.14 $92,957.00 $58,385.05 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 15 $163,662.14 $114,563.50 30% off $25,094.70 $163,189.64 $79,962.92 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 31 16 $228,047.94 $159,633.56 30% off $19,554.31 $227,604.69 $132,693.53 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 15 $121,984.94 $85,389.46 30% off $21,583.74 $121,965.21 $59,762.95 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 27 15 $92,188.19 $64,531.73 30% off $13,725.73 $91,887.93 $41,349.56 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 27 15 $50,255.19 $35,178.63 30% off $9,337.51 $51,024.69 $38,268.52 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 15 $164,414.73 $115,090.31 30% off $24,582.36 $165,410.48 $81,051.14 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 15 $81,420.90 $56,994.63 30% off $14,900.03 $81,420.90 $46,097.70 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 15 $141,765.02 $99,235.51 30% off $20,723.44 $141,215.27 $69,195.48 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 27 15 $119,700.29 $83,790.20 30% off $14,904.11 $119,520.54 $58,565.06 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 27 15 $103,770.56 $72,639.39 30% off $11,605.92 $103,690.81 $50,808.50 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 15 $199,540.70 $139,678.50 30% off $19,724.38 $199,443.70 $98,724.64 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 15 $166,299.53 $116,409.67 30% off $22,963.50 $165,646.28 $81,166.68 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 27 15 $103,944.36 $72,761.05 30% off $14,879.92 $102,660.11 $50,303.45 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 15 $186,350.10 $130,445.06 30% off $26,126.49 $186,094.34 $91,186.23 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 27 15 $181,585.40 $127,109.78 30% off $18,046.46 $181,460.16 $88,915.47 2026-04-01
49329 CPT Unlisted Laparoscopy Px Abd Pertoneum & Omentum 41 24 $132,838.70 $92,987.09 30% off $9,165.87 $132,838.70 $77,444.96 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 27 15 $109,251.04 $76,475.73 30% off $14,277.92 $109,132.05 $53,474.70 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 15 $133,943.23 $93,760.27 30% off $24,506.82 $133,917.00 $67,963.75 2026-04-01
49550 CPT Rpr 1st Fem Hrna Any Age Reducible 41 24 $79,209.09 $55,446.36 30% off $5,465.43 $79,209.09 $46,178.89 2026-04-01
49565 CPT Repair Recurr Incis Hernia,Reduc 41 24 $66,352.44 $46,446.71 30% off $4,578.32 $66,352.45 $38,683.50 2026-04-01
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 41 24 $61,514.87 $43,060.41 30% off $4,244.53 $61,517.67 $35,863.17 2026-04-01
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated 41 24 $65,484.59 $45,839.21 30% off $3,741.42 $84,050.81 $38,177.51 2026-04-01
49595 CPT Rpr Aa Hernia 1st > 10 Cm Reducible 41 24 $82,008.43 $57,405.90 30% off $5,658.58 $82,008.43 $47,810.90 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 15 $150,220.00 $105,154.00 30% off $12,836.25 $150,278.53 $73,636.48 2026-04-01
49613 CPT Rpr Aa Hernia Recr < 3 Cm Reducible 41 24 $62,405.51 $43,683.86 30% off $4,305.98 $62,405.52 $36,382.42 2026-04-01
49614 CPT Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated 41 24 $77,680.20 $54,376.14 30% off $5,359.93 $77,680.20 $45,287.57 2026-04-01
49616 CPT Rpr Aa Hernia Recr 3-10 Cm Ncrc8/Strangulated 41 24 $68,083.97 $47,658.78 30% off $4,697.79 $68,083.97 $39,692.94 2026-04-01
49623 CPT Rmvl Noninfct Mesh/Prosth Aa/Parastomal Hrna Rpr 41 24 $96,658.07 $67,660.65 30% off $6,669.41 $96,658.07 $56,351.67 2026-04-01
49905 CPT Omental Flap Intra-abdominal 41 24 $138,882.12 $97,217.49 30% off $9,582.87 $138,882.12 $80,968.27 2026-04-01
50081 CPT Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations 41 24 $72,355.94 $50,649.16 30% off $4,992.56 $72,355.94 $42,183.52 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 27 15 $88,828.51 $62,179.96 30% off $12,439.19 $88,138.02 $39,662.11 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 27 15 $91,774.94 $64,242.46 30% off $12,757.26 $91,679.45 $41,255.76 2026-04-01
50543 CPT Laparoscopy Surg Partial Nephrectomy 41 24 $138,515.44 $96,960.80 30% off $9,557.56 $138,515.44 $80,754.53 2026-04-01
50544 CPT Laparoscopy Surg Pyeloplasty 41 24 $89,236.14 $62,465.30 30% off $6,157.29 $89,236.14 $52,024.67 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 15 $189,932.88 $132,953.02 30% off $21,493.37 $189,816.12 $93,009.90 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 27 15 $115,840.43 $81,088.30 30% off $14,796.66 $115,738.93 $56,712.08 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 27 15 $140,249.90 $98,174.94 30% off $11,779.55 $140,048.42 $68,623.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 15 $93,037.56 $65,126.29 30% off $17,025.88 $93,037.56 $59,738.44 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 27 15 $91,245.64 $63,871.95 30% off $14,787.41 $91,245.64 $41,060.54 2026-04-01
51999 CPT Unlisted Laparoscopy Procedure Bladder 41 24 $94,380.69 $66,066.48 30% off $6,512.27 $94,380.69 $55,023.94 2026-04-01
52001 CPT Cysto W/Irrig & Evac Multple Obstructing Clots 41 24 $69,384.19 $48,568.93 30% off $4,787.51 $69,384.19 $40,450.98 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 15 $149,186.80 $104,430.76 30% off $20,423.86 $149,328.55 $73,170.99 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 27 15 $123,187.54 $86,231.28 30% off $15,069.20 $122,828.05 $60,185.74 2026-04-01
53605 CPT Dilat Urethral Strix/Vesical Nck Dilat Male Anes 41 24 $127,440.76 $89,208.53 30% off $8,793.41 $127,440.76 $74,297.97 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 27 15 $76,442.50 $53,509.75 30% off $13,877.25 $75,832.00 $36,922.03 2026-04-01
54405 CPT Insj Multi-component Inflatable Penile Prosth 41 24 $163,959.10 $114,771.36 30% off $18,855.29 $163,959.08 $95,588.13 2026-04-01
54406 CPT Rmvl Inflatable Penile Prosth Without Rplcmt Prosth 41 24 $64,076.51 $44,853.56 30% off $4,421.28 $64,076.51 $37,356.60 2026-04-01
55559 CPT Unlisted Laproscopy Procedure Spermatic Cord 41 24 $80,772.90 $56,541.03 30% off $5,573.33 $80,772.90 $47,090.58 2026-04-01
55866 CPT Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot 41 24 $125,224.34 $87,657.04 30% off $8,640.48 $132,369.66 $73,869.85 2026-04-01
55867 CPT Laps Surg Prst8ect Smpl Stot Robotic Assistance 41 24 $121,832.14 $85,282.50 30% off $8,406.42 $121,832.14 $71,028.13 2026-04-01
55875 CPT Transperineal Plmt Ndl/Caths Prostate Radj Insj 41 24 $80,563.76 $56,394.63 30% off $5,558.90 $80,563.76 $46,968.68 2026-04-01
57260 CPT Cmbnd Anterpost Colporraphy W/Cysto 41 24 $80,710.39 $56,497.27 30% off $5,569.02 $80,710.38 $47,054.17 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 15 $86,998.74 $60,899.12 30% off $15,847.07 $91,872.99 $68,048.26 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 15 $70,231.29 $49,161.90 30% off $12,852.34 $70,231.28 $52,673.46 2026-04-01
58100 CPT Endometrial Bx W/wo Endocervix Bx Without Dilat Spx 41 24 $80,974.84 $56,682.39 30% off $5,587.26 $80,974.85 $47,208.33 2026-04-01
58550 CPT Laps Vaginal Hysterectomy Uterus 250 Gm/< 41 24 $89,121.96 $62,385.37 30% off $6,149.42 $89,121.96 $51,958.11 2026-04-01
58552 CPT Laps W/Vag Hysterect 250 Gm/&Rmvl Tube&/Ovaries 41 24 $72,241.84 $50,569.29 30% off $4,984.69 $72,241.84 $42,116.99 2026-04-01
58554 CPT Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar 41 24 $103,856.71 $72,699.70 30% off $7,166.11 $103,856.72 $60,548.47 2026-04-01
58571 CPT Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary 41 24 $79,746.93 $55,822.85 30% off $5,502.54 $81,176.58 $49,760.72 2026-04-01
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar 41 24 $83,777.53 $58,644.27 30% off $5,780.65 $83,777.53 $48,842.33 2026-04-01
58662 CPT Laps Fulg/Exc Ovary Viscera/Peritoneal Surface 41 24 $71,402.87 $49,982.01 30% off $4,926.80 $71,402.87 $41,627.86 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 27 15 $57,366.24 $40,156.37 30% off $10,505.43 $57,406.75 $36,277.20 2026-04-01
593 MS_DRG Skin Ulcers With Cc 27 15 $147,190.00 $103,033.00 30% off $8,441.51 $147,190.00 $72,123.10 2026-04-01
60650 CPT Laparoscopy Adrenalectomy Prtl/Compl Tabdl 41 24 $100,811.97 $70,568.38 30% off $6,956.03 $100,811.97 $58,773.37 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 15 $72,275.24 $50,592.67 30% off $13,226.39 $72,275.24 $51,681.84 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 15 $81,268.73 $56,888.11 30% off $14,872.20 $81,268.73 $60,951.55 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 15 $80,942.00 $56,659.40 30% off $13,308.74 $80,942.00 $36,423.90 2026-04-01
61715 CPT Hb Mrgfus Stereotactic Ablation Target Intracranial 37 23 $115,473.00 $80,831.10 30% off $7,967.64 $115,473.00 $76,662.52 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 15 $117,621.73 $82,335.21 30% off $21,467.14 $117,306.73 $66,717.20 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 15 $61,509.44 $43,056.61 30% off $11,367.90 $62,119.69 $46,589.77 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 15 $175,918.11 $123,142.68 30% off $26,519.29 $180,054.88 $88,226.89 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 27 15 $81,510.63 $57,057.44 30% off $14,914.95 $81,502.40 $40,841.61 2026-04-01
63650 CPT Hb Prq Impltj Nstim Electrode Array Epidural 41 24 $215,558.05 $150,890.62 30% off $24,789.18 $215,558.05 $125,670.35 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 27 15 $64,334.51 $45,034.16 30% off $11,773.26 $64,334.51 $37,696.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 15 $164,320.05 $115,024.03 30% off $30,059.58 $164,259.80 $97,406.52 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 31 16 $221,547.84 $155,083.48 30% off $19,919.35 $221,355.60 $129,050.31 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 15 $133,220.90 $93,254.64 30% off $22,655.39 $133,074.42 $65,206.47 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 27 15 $141,927.11 $99,348.98 30% off $13,021.97 $141,948.61 $69,554.82 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 15 $89,260.49 $62,482.34 30% off $16,327.40 $89,220.73 $47,629.17 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 15 $95,137.36 $66,596.15 30% off $17,421.65 $95,200.11 $57,387.82 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 15 $182,835.11 $127,984.58 30% off $22,209.94 $170,085.50 $83,341.90 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 27 15 $87,131.06 $60,991.74 30% off $15,999.32 $87,427.81 $54,735.40 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 15 $108,578.99 $76,005.29 30% off $19,869.98 $108,578.98 $78,758.99 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 27 15 $71,415.93 $49,991.15 30% off $13,036.96 $71,240.18 $43,837.06 2026-04-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 27 15 $159,948.84 $111,964.19 30% off $11,679.93 $159,522.84 $78,166.20 2026-04-01
711 MS_DRG Testes Procedures With Cc/mcc 27 15 $104,925.70 $73,447.99 30% off $13,261.46 $104,925.70 $51,413.59 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 27 15 $93,423.87 $65,396.71 30% off $15,920.25 $94,671.87 $42,602.34 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 34 17 $175,715.16 $123,000.61 30% off $12,877.52 $175,715.17 $45,677.74 2026-04-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 27 15 $95,097.16 $66,568.01 30% off $8,326.95 $95,097.16 $42,793.74 2026-04-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 27 15 $95,767.46 $67,037.22 30% off $10,449.60 $95,680.71 $43,056.34 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 27 15 $119,651.64 $83,756.15 30% off $13,056.13 $119,644.88 $58,625.99 2026-04-01
77371 CPT Hb Srs Multisource 39 23 $93,128.00 $65,189.60 30% off $6,425.83 $93,128.00 $61,827.68 2026-04-01
784 MS_DRG Cesarean Section With Sterilization With Cc 20 14 $51,454.66 $36,018.26 30% off $7,543.49 $51,515.18 $39,692.44 2026-04-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 20 14 $47,836.49 $33,485.54 30% off $6,815.54 $47,911.49 $36,915.81 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 15 $70,494.24 $49,345.97 30% off $13,676.08 $111,410.91 $60,625.05 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 27 15 $101,285.41 $70,899.79 30% off $13,227.62 $101,011.17 $49,495.47 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 27 15 $78,361.91 $54,853.34 30% off $12,173.25 $66,520.41 $41,387.09 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 27 15 $59,051.24 $41,335.87 30% off $11,057.00 $60,420.75 $39,864.99 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 27 15 $77,091.34 $53,963.94 30% off $14,104.91 $77,075.87 $42,768.59 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 27 15 $99,779.50 $69,845.65 30% off $16,263.95 $99,779.50 $44,900.78 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 15 $129,927.41 $90,949.19 30% off $23,691.72 $129,462.92 $97,097.19 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 16 $305,990.88 $214,193.60 30% off $32,624.67 $298,095.38 $173,789.60 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 27 15 $74,828.89 $52,380.22 30% off $13,693.70 $74,828.89 $42,468.67 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 15 $117,371.44 $82,160.01 30% off $16,446.11 $117,363.96 $57,508.34 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 15 $84,127.54 $58,889.28 30% off $15,395.34 $102,908.18 $72,349.69 2026-04-01
835 MS_DRG Acute Leukemia With Cc 27 15 $118,866.24 $83,206.37 30% off $14,842.20 $118,866.24 $58,244.46 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 15 $69,386.84 $48,570.79 30% off $12,697.80 $69,386.85 $52,040.14 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 27 15 $73,052.24 $51,136.57 30% off $13,368.57 $73,052.25 $37,392.53 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 27 15 $109,904.74 $76,933.32 30% off $18,447.80 $106,250.75 $52,062.87 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 15 $144,454.84 $101,118.39 30% off $26,285.34 $143,635.60 $92,574.06 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 27 15 $70,867.29 $49,607.10 30% off $12,968.70 $70,867.29 $37,454.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 15 $80,208.06 $56,145.64 30% off $14,675.77 $85,265.38 $63,154.15 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 27 15 $73,971.43 $51,780.00 30% off $13,536.76 $73,971.42 $40,142.42 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 16 $218,618.00 $153,032.60 30% off $39,516.76 $215,938.50 $129,347.16 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 34 17 $63,515.81 $44,461.07 30% off $11,722.74 $64,058.56 $36,412.16 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 15 $78,849.69 $55,194.78 30% off $14,428.51 $78,844.44 $59,133.33 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 15 $109,776.81 $76,843.77 30% off $20,174.51 $110,243.07 $78,665.27 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 15 $174,978.97 $122,485.28 30% off $27,319.82 $173,982.47 $85,251.41 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 27 15 $51,634.91 $36,144.44 30% off $9,504.00 $51,934.42 $37,400.02 2026-04-01
92930 CPT Hb Perq Tcat Plmt Ntrac St 2+Les 2+St 2+c Segments 41 24 $58,934.00 $41,253.80 30% off $10,784.92 $58,934.00 $45,037.36 2026-04-01
93581 CPT Hb Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt 36 24 $56,398.00 $39,478.60 30% off $10,320.83 $56,398.00 $48,502.28 2026-04-01
93582 CPT Hb Perq Transcath Closure Pda 41 24 $47,774.00 $33,441.80 30% off $8,742.64 $47,774.00 $36,508.89 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 15 $111,549.74 $78,084.82 30% off $20,330.90 $111,097.75 $65,971.15 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 31 16 $308,023.00 $215,616.11 30% off $18,353.16 $309,101.50 $180,206.19 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 27 15 $44,669.50 $31,268.65 30% off $8,174.52 $51,245.08 $37,956.08 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 15 $203,408.27 $142,385.80 30% off $36,954.28 $201,936.02 $114,743.77 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 15 $173,151.23 $121,205.87 30% off $20,536.29 $171,155.50 $84,176.29 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 $129,028.94 $90,320.26 30% off $23,741.97 $129,737.45 $87,947.79 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 27 15 $77,888.89 $54,522.22 30% off $14,226.59 $77,740.88 $46,084.58 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 27 15 $111,568.90 $78,098.23 30% off $12,196.54 $110,743.65 $54,264.39 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 15 $92,427.34 $64,699.14 30% off $16,914.21 $92,427.35 $64,265.36 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 27 15 $101,321.70 $70,925.19 30% off $11,695.58 $102,498.45 $50,224.24 2026-04-01
A9543 HCPCS Hb Y90 Ibritumomab, Rx 32 23 $93,456.00 $65,419.20 30% off $17,102.45 $93,456.00 $80,372.16 2026-04-01
C1721 HCPCS Defib Cardiac Icd Mr Cond Model Ilivia 7 Dr-t Df4 Connct 205 24 $102,783.89 $71,948.72 30% off $5,989.23 $108,585.93 $61,628.28 2026-04-01
C1722 HCPCS Defibrillator Cardiac 29 5cc W5.37xH7.36CM D0.99cm 68.9gm Single Chamber Rv Df-4… 205 24 $90,656.80 $63,459.76 30% off $5,463.30 $128,523.45 $56,951.19 2026-04-01
C1767 HCPCS Generator Pulse Eterna Control System 246 24 $124,149.00 $86,904.30 30% off $0.58 $132,498.40 $52,991.36 2026-04-01
C1820 HCPCS Implant Kit Generator Pulse Implantable Wavewriter Alpha Ipg Sc-1216 211 24 $101,317.00 $70,921.90 30% off $799.52 $128,430.00 $39,245.21 2026-04-01
C1882 HCPCS Defib Cardiac Icd Mr Cond Mdl Ilivia 7 Hf-t Qp Df4 Connct 164 24 $116,957.73 $81,870.41 30% off $7,022.80 $128,239.83 $72,257.91 2026-04-01
C2616 HCPCS Hb Microsphere Therapy Dose 41 24 $90,728.00 $63,509.60 30% off $6,260.23 $90,728.00 $58,973.20 2026-04-01
C2624 HCPCS Cardiomems Pa Snsr Dlvry Systm 41 24 $135,985.20 $95,189.64 30% off $9,382.98 $135,985.20 $88,390.38 2026-04-01
C8005 HCPCS Hb Pef Bronch Ablt 3d Nav Ebus 41 24 $55,069.00 $38,548.30 30% off $10,077.63 $55,069.00 $42,083.73 2026-04-01
C9293 HCPCS Glucarpidase 1000 Units IV Solr 37 23 $180,569.50 $126,398.65 30% off $33,044.22 $180,569.50 $155,289.77 2026-04-01
C9760 HCPCS Hb Non-blind Interatrial Shunt 41 24 $86,001.00 $60,200.70 30% off $15,738.18 $86,001.00 $65,721.96 2026-04-01
J1290 HCPCS Ecallantide 10 Mg/ml (1 Ml) Subq Soln 29 22 $133,022.75 $93,115.92 30% off $24,343.16 $133,022.75 $122,380.93 2026-04-01
J1299 HCPCS Eculizumab 300 Mg/30 Ml IV Soln 33 22 $102,292.00 $71,604.40 30% off $7,058.15 $102,292.00 $72,627.32 2026-04-01
J1304 HCPCS Tofersen 100 Mg/15 Ml (6.7 Mg/ml) It Soln 34 22 $135,853.00 $95,097.10 30% off $159.70 $135,853.00 $86,124.01 2026-04-01
J1640 HCPCS Hemin 350 Mg IV Solr 29 22 $46,745.75 $32,722.02 30% off $8,554.47 $46,745.75 $43,006.09 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Soln 34 22 $69,760.25 $48,832.17 30% off $42.60 $69,760.25 $44,224.51 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 34 22 $160,383.25 $112,268.27 30% off $44.30 $160,383.25 $101,674.96 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg IV Solr 34 22 $72,728.00 $50,909.60 30% off $5,018.23 $72,728.00 $46,105.92 2026-04-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 68 22 $93,012.12 $65,108.49 30% off $91.34 $109,426.00 $55,916.73 2026-04-01
J9024 HCPCS Atezolizumab-hyaluronidas-tqjs 1,875 Mg-30,000 Unit/15 Ml Subq Soln 34 22 $110,532.25 $77,372.57 30% off $7,626.73 $110,532.25 $70,071.92 2026-04-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 34 22 $452,971.75 $317,080.22 30% off $31,255.05 $452,971.75 $287,161.44 2026-04-01
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml IV Soln 34 22 $64,038.75 $44,827.12 30% off $4,418.67 $64,038.75 $40,597.37 2026-04-01
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Subq Soln 34 22 $82,145.00 $57,501.50 30% off $55.57 $82,145.00 $52,075.82 2026-04-01
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 34 22 $64,103.75 $44,872.62 30% off $4,423.16 $64,103.75 $40,638.57 2026-04-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 68 22 $175,891.38 $123,123.96 30% off $4,854.62 $281,426.00 $57,692.54 2026-04-01
J9289 HCPCS Nivolumab-hyaluronidase-nvhy 600 Mg-10,000 Unit/5 Ml Subq Soln 35 23 $62,093.25 $43,465.27 30% off $27.36 $62,093.25 $40,360.61 2026-04-01
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 33 22 $145,613.25 $101,929.27 30% off $10,047.31 $145,613.25 $103,385.41 2026-04-01
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml IV Soln 34 22 $84,980.00 $59,486.00 30% off $5,863.62 $84,980.00 $53,873.07 2026-04-01
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) IV Soln 34 22 $64,398.50 $45,078.95 30% off $7.35 $64,398.50 $40,825.43 2026-04-01
J9311 HCPCS Rituximab-hyaluronidase,human 1400 Mg/11.7 Ml (120 Mg/ml) Subq Soln 34 22 $62,095.75 $43,467.02 30% off $36.69 $62,095.75 $39,365.60 2026-04-01
J9316 HCPCS Pertuzumab-trastuzumab-hy-zzxf 1,200 Mg-600mg- 30000 Unit/15ml Subq Soln 68 22 $109,497.25 $76,648.07 30% off $6,044.11 $131,398.75 $63,944.90 2026-04-01
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20 Ml IV Soln 33 22 $114,555.25 $80,188.67 30% off $7,904.31 $114,555.25 $81,334.23 2026-04-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 33 22 $119,606.00 $83,724.20 30% off $8,252.81 $119,606.00 $84,920.26 2026-04-01
PX-81100000 CDM Hb Liver Acquisition, Live Donor 41 24 $135,919.00 $95,143.30 30% off $24,873.18 $135,919.00 $103,869.30 2026-04-01
PX-81100001 CDM Hb Kidney Acquisition Living 41 24 $92,459.00 $64,721.30 30% off $16,920.00 $92,459.00 $70,657.17 2026-04-01
PX-81200000 CDM Hb Lung Transplant Acquisition 41 24 $220,986.00 $154,690.20 30% off $40,440.44 $220,986.00 $168,877.50 2026-04-01
PX-81200002 CDM Hb Liver Acquisition Cadaver 41 24 $185,554.00 $129,887.80 30% off $33,956.38 $185,554.00 $141,800.38 2026-04-01
PX-81200003 CDM Hb Pancreas Acquisition 41 24 $106,899.00 $74,829.30 30% off $19,562.52 $106,899.00 $81,692.22 2026-04-01
PX-81200005 CDM Hb Kidney Acquisition Cadaver 41 24 $109,584.00 $76,708.80 30% off $20,053.87 $109,584.00 $83,744.09 2026-04-01
PX-81200008 CDM Hb Heart Acquisition 41 24 $217,433.00 $152,203.10 30% off $39,790.24 $217,433.00 $166,162.30 2026-04-01
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 34 22 $601,675.25 $421,172.66 30% off $41,515.59 $601,675.25 $381,432.02 2026-04-01
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml IV Soln 37 23 $45,616.50 $31,931.55 30% off $8,347.82 $45,616.50 $39,230.19 2026-04-01
SUP-123042 CDM Patient Kt Take Hm Heartware V 41 24 $104,604.00 $73,222.80 30% off $19,142.53 $104,604.00 $79,938.38 2026-04-01
SUP-153873 CDM Impella 2.5 Catheter 41 24 $139,472.00 $97,630.40 30% off $25,523.38 $139,472.00 $106,584.50 2026-04-01
SUP-153880 CDM Impella Cp Catheter With Smart Assist 41 24 $174,340.00 $122,038.00 30% off $31,904.22 $174,340.00 $133,230.62 2026-04-01
SUP-310700 CDM Retriever Trevo Xp Provue 6x25 41 24 $53,665.97 $37,566.18 30% off $9,820.87 $53,665.97 $41,011.53 2026-04-01
SUP-310704 CDM Kit 2-partretriever Trevo Xp P 41 24 $53,665.97 $37,566.18 30% off $9,820.87 $53,665.97 $41,011.53 2026-04-01
SUP-310819 CDM Delivery Dev Sut Endoscp Laria 41 24 $48,466.52 $33,926.56 30% off $8,869.37 $48,466.52 $37,038.11 2026-04-01
SUP-332593 CDM Retriever Trevo Xp Provue 4x20mm 41 24 $51,652.20 $36,156.54 30% off $9,452.35 $51,652.20 $39,472.61 2026-04-01
SUP-332595 CDM Retriever Trevo Xp Provue 4x30mm 41 24 $51,652.20 $36,156.54 30% off $9,452.35 $51,652.20 $39,472.61 2026-04-01
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