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

VALLEY WEST COMMUNITY HOSPITAL

Sandwich, IL · CCN 141340 · Rates published

Your selected procedure

You selected 29916 (CPT)

Arthroscopy Hip W/Labral Repair

This hospital’s price: $54,346 across 20 payers · range $6,556-$95,010

Source: https://www.nm.org/site_data/364244337_northwestern-medicine-valley-west-hospital_standardcharges.json · observed 2026-04-01

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

6,128 distinct procedures filed
20 distinct payers
297,549 rate rows
2026-04-01 last MRF observed
Data quality

295,136 of 297,549 rate rows are consumer-grade (99.2%)

2,413 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,882
percent-of-charges filed in the dollar field — excluded from medians 367
exceeds 3× this hospital's gross charge for a DRG stay — excluded 84
placeholder amount (≤ $0.02) — excluded from medians 38
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 24
per-diem day rate — not a per-procedure price 16
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nm.org/site_data/364244337_northwestern-medicine-valley-west-hospital_standardcharges.json
Found on page https://www.nm.org/patients-and-visitors/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint a9f729e3f7a7ace8… · 316,985,591 bytes · first seen 2026-05-09

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 13 $117,723.29 $619,596.25 $403,666.97 nat. median
$65,720
outlier · 6.1×
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 18 $32,185.98 $466,463.50 $293,872.00 nat. median
$738
outlier · 398.1×
PX-81200000
CDM 		Hb Lung Transplant Acquisition 20 $41,987.34 $220,986.00 $148,193.20 nat. median
$124,834
1.2× median
PX-81200008
CDM 		Hb Heart Acquisition 20 $41,312.27 $217,433.00 $145,810.56 nat. median
$130,460
1.1× median
PX-81200002
CDM 		Hb Liver Acquisition Cadaver 20 $35,255.26 $185,554.00 $124,432.51 nat. median
$115,043
1.1× median
PX-81100000
CDM 		Hb Liver Acquisition, Live Donor 20 $25,824.61 $135,919.00 $91,147.28 nat. median
$90,930
1.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 2 $89,552.90 $115,779.29 $89,918.44 nat. median
$37,952
outlier · 2.4×
PX-81200005
CDM 		Hb Kidney Acquisition Cadaver 20 $20,820.96 $109,584.00 $73,487.03 nat. median
$109,584
0.7× median
PX-81200003
CDM 		Hb Pancreas Acquisition 20 $20,310.81 $106,899.00 $71,686.47 nat. median
$106,899
0.7× median
J9316
HCPCS 		Pertuzumab-trastuzumab-hy-zzxf 1,200 Mg-600mg- 30000 Unit/15ml Subq Soln 18 $6,056.79 $131,674.25 $71,640.40 nat. median
$388
outlier · 184.6×
61715
CPT 		Hb Mrgfus Stereotactic Ablation Target Intracranial 19 $7,967.64 $115,473.00 $69,745.69 nat. median
$12,884
outlier · 5.4×
33270
CPT 		Hb Ins/Rep Subq Defibrillator 14 $20,194.34 $106,286.00 $69,245.33 nat. median
$32,114
outlier · 2.2×
J1299
HCPCS 		Eculizumab 300 Mg/30 Ml IV Soln 18 $7,268.37 $105,338.75 $66,363.41 nat. median
$2,928
outlier · 22.7×
J9022
HCPCS 		Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 19 $7,566.21 $109,655.25 $66,231.77 nat. median
$6,910
outlier · 9.6×
0620T
CPT 		Hb Endovascular Venous Arterialization Tibl/Prnl Vn 20 $7,552.46 $109,456.00 $62,608.83 nat. median
$32,709
1.9× median
PX-81100001
CDM 		Hb Kidney Acquisition Living 20 $17,567.21 $92,459.00 $62,003.01 nat. median
$72,319
0.9× median
A9543
HCPCS 		Hb Y90 Ibritumomab, Rx 13 $17,756.64 $93,456.00 $61,003.40 nat. median
$63,504
1.0× median
77371
CPT 		Hb Srs Multisource 13 $17,694.32 $93,128.00 $60,672.89 nat. median
$9,444
outlier · 6.4×
29823
CPT 		Hb Arthro/Surg Shld Debrd Exten 20 $6,948.66 $103,856.52 $59,405.94 nat. median
$3,950
outlier · 15.0×
0571T
CPT 		Hb Insj/Rplcmt Icds W/Substernal Electrode 20 $6,918.29 $100,265.00 $57,351.58 nat. median
$32,226
1.8× median
J9228
HCPCS 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 19 $4,999.21 $289,808.25 $55,063.57 nat. median
$9,011
outlier · 6.1×
29914
CPT 		Arthroscopy Hip W/Femoroplasty 20 $6,608.00 $95,906.93 $54,858.75 nat. median
$7,338
outlier · 7.5×
29916
CPT 		Arthroscopy Hip W/Labral Repair 20 $6,555.70 $95,009.77 $54,345.59 nat. median
$7,419
outlier · 7.3×
29827
CPT 		Hb Arthroscop Rotator Cuff Repr 20 $6,350.42 $94,877.32 $54,269.83 nat. median
$7,189
outlier · 7.5×
29826
CPT 		Hb Arthro/Surg Shld Decompress 20 $6,350.42 $94,877.32 $54,269.83 nat. median
$3,071
outlier · 17.7×
29828
CPT 		Hb Arthroscopy Biceps Tenodesis 20 $6,350.42 $94,877.32 $54,269.83 nat. median
$7,130
outlier · 7.6×
J9301
HCPCS 		Obinutuzumab 1000 Mg/40 Ml IV Soln 18 $5,875.92 $85,158.25 $53,649.70 nat. median
$285
outlier · 188.1×
29915
CPT 		Arthroscopy Hip W/Acetabuloplasty 20 $6,417.60 $93,114.88 $53,261.70 nat. median
$7,301
outlier · 7.3×
545
MS_DRG 		Connective Tissue Disorders With Mcc 2 $52,894.95 $68,385.73 $53,110.86 nat. median
$23,372
outlier · 2.3×
29999
CPT 		Hb Arthroscopy Of Joint - Unlisted 20 $6,185.24 $92,584.69 $52,958.43 nat. median
$1,504
outlier · 35.2×
29822
CPT 		Hb Arthro/Surg Shld Debrd Limit 20 $6,015.84 $92,395.85 $52,850.40 nat. median
$3,755
outlier · 14.1×
0408T
CPT 		Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 20 $5,952.70 $86,271.00 $52,107.68 nat. median
$32,041
1.6× median
33231
CPT 		Hb Insrt Pulse Gen W/Mult Leads 14 $14,715.69 $77,451.00 $50,459.33 nat. median
$30,121
1.7× median
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 2 $49,565.71 $64,081.48 $49,768.03 nat. median
$21,789
outlier · 2.3×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 2 $49,514.55 $64,015.34 $49,716.66 nat. median
$21,142
outlier · 2.4×
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 2 $48,914.13 $48,914.13 $48,914.13 nat. median
$21,655
outlier · 2.3×
C9760
HCPCS 		Hb Non-blind Interatrial Shunt 20 $5,934.07 $86,001.00 $48,461.56 nat. median
$27,851
1.7× median
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 19 $5,167.70 $74,894.25 $45,236.13 nat. median
$168
outlier · 270.1×
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 2 $44,443.95 $44,888.10 $44,625.37 nat. median
$19,944
outlier · 2.2×
J2323
HCPCS 		Natalizumab 300 Mg/15 Ml IV Soln 19 $4,956.82 $71,838.00 $43,390.15 nat. median
$206
outlier · 210.3×
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 $42,517.17 $54,968.71 $42,690.71 nat. median
$18,627
outlier · 2.3×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $41,402.45 $53,527.53 $41,571.44 nat. median
$18,625
outlier · 2.2×
196
MS_DRG 		Interstitial Lung Disease With Mcc 2 $40,223.78 $52,003.68 $40,387.97 nat. median
$17,835
outlier · 2.3×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 $39,748.48 $51,389.18 $39,910.72 nat. median
$18,112
outlier · 2.2×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 2 $39,025.93 $50,455.04 $39,185.23 nat. median
$17,319
outlier · 2.3×
919
MS_DRG 		Complications Of Treatment With Mcc 2 $39,021.67 $50,449.52 $39,180.95 nat. median
$17,480
outlier · 2.2×
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 2 $38,961.99 $50,372.37 $39,121.03 nat. median
$17,281
outlier · 2.3×
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 2 $38,870.34 $50,253.88 $39,029.00 nat. median
$17,325
outlier · 2.3×
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml (30 Mg/ml) IV Soln 19 $4,452.83 $64,533.75 $38,978.39 nat. median
$81
outlier · 481.6×
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 2 $38,606.05 $49,912.18 $38,763.63 nat. median
$18,077
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 6,128 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
             
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 23 13 $619,596.25 $433,717.38 30% off $117,723.29 $619,596.25 $403,666.97 2026-04-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 29 18 $466,463.50 $326,524.44 30% off $32,185.98 $466,463.50 $293,872.00 2026-04-01
PX-81200000 CDM Hb Lung Transplant Acquisition 35 20 $220,986.00 $154,690.20 30% off $41,987.34 $220,986.00 $148,193.20 2026-04-01
PX-81200008 CDM Hb Heart Acquisition 35 20 $217,433.00 $152,203.10 30% off $41,312.27 $217,433.00 $145,810.56 2026-04-01
PX-81200002 CDM Hb Liver Acquisition Cadaver 35 20 $185,554.00 $129,887.80 30% off $35,255.26 $185,554.00 $124,432.51 2026-04-01
PX-81100000 CDM Hb Liver Acquisition, Live Donor 35 20 $135,919.00 $95,143.30 30% off $25,824.61 $135,919.00 $91,147.28 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 2 $87,325.50 $61,127.85 30% off $89,552.90 $115,779.29 $89,918.44 2026-04-01
PX-81200005 CDM Hb Kidney Acquisition Cadaver 35 20 $109,584.00 $76,708.80 30% off $20,820.96 $109,584.00 $73,487.03 2026-04-01
PX-81200003 CDM Hb Pancreas Acquisition 35 20 $106,899.00 $74,829.30 30% off $20,310.81 $106,899.00 $71,686.47 2026-04-01
J9316 HCPCS Pertuzumab-trastuzumab-hy-zzxf 1,200 Mg-600mg- 30000 Unit/15ml Subq Soln 58 18 $109,726.88 $76,808.81 30% off $6,056.79 $131,674.25 $71,640.40 2026-04-01
61715 CPT Hb Mrgfus Stereotactic Ablation Target Intracranial 31 19 $115,473.00 $80,831.10 30% off $7,967.64 $115,473.00 $69,745.69 2026-04-01
33270 CPT Hb Ins/Rep Subq Defibrillator 29 14 $106,286.00 $74,400.20 30% off $20,194.34 $106,286.00 $69,245.33 2026-04-01
J1299 HCPCS Eculizumab 300 Mg/30 Ml IV Soln 29 18 $105,338.75 $73,737.12 30% off $7,268.37 $105,338.75 $66,363.41 2026-04-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 29 19 $109,655.25 $76,758.67 30% off $7,566.21 $109,655.25 $66,231.77 2026-04-01
0620T CPT Hb Endovascular Venous Arterialization Tibl/Prnl Vn 35 20 $109,456.00 $76,619.20 30% off $7,552.46 $109,456.00 $62,608.83 2026-04-01
PX-81100001 CDM Hb Kidney Acquisition Living 35 20 $92,459.00 $64,721.30 30% off $17,567.21 $92,459.00 $62,003.01 2026-04-01
A9543 HCPCS Hb Y90 Ibritumomab, Rx 20 13 $93,456.00 $65,419.20 30% off $17,756.64 $93,456.00 $61,003.40 2026-04-01
77371 CPT Hb Srs Multisource 27 13 $93,128.00 $65,189.60 30% off $17,694.32 $93,128.00 $60,672.89 2026-04-01
29823 CPT Hb Arthro/Surg Shld Debrd Exten 35 20 $103,856.51 $72,699.56 30% off $6,948.66 $103,856.52 $59,405.94 2026-04-01
0571T CPT Hb Insj/Rplcmt Icds W/Substernal Electrode 35 20 $100,265.00 $70,185.50 30% off $6,918.29 $100,265.00 $57,351.58 2026-04-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 58 19 $181,130.25 $126,791.17 30% off $4,999.21 $289,808.25 $55,063.57 2026-04-01
29914 CPT Arthroscopy Hip W/Femoroplasty 35 20 $95,906.93 $67,134.85 30% off $6,608.00 $95,906.93 $54,858.75 2026-04-01
29916 CPT Arthroscopy Hip W/Labral Repair 35 20 $95,009.77 $66,506.84 30% off $6,555.70 $95,009.77 $54,345.59 2026-04-01
29827 CPT Hb Arthroscop Rotator Cuff Repr 35 20 $94,877.31 $66,414.12 30% off $6,350.42 $94,877.32 $54,269.83 2026-04-01
29826 CPT Hb Arthro/Surg Shld Decompress 35 20 $94,877.31 $66,414.12 30% off $6,350.42 $94,877.32 $54,269.83 2026-04-01
29828 CPT Hb Arthroscopy Biceps Tenodesis 35 20 $94,877.31 $66,414.12 30% off $6,350.42 $94,877.32 $54,269.83 2026-04-01
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml IV Soln 29 18 $85,158.25 $59,610.77 30% off $5,875.92 $85,158.25 $53,649.70 2026-04-01
29915 CPT Arthroscopy Hip W/Acetabuloplasty 35 20 $93,114.89 $65,180.42 30% off $6,417.60 $93,114.88 $53,261.70 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 7 2 $73,077.74 $51,154.42 30% off $52,894.95 $68,385.73 $53,110.86 2026-04-01
29999 CPT Hb Arthroscopy Of Joint - Unlisted 35 20 $92,584.69 $64,809.28 30% off $6,185.24 $92,584.69 $52,958.43 2026-04-01
29822 CPT Hb Arthro/Surg Shld Debrd Limit 35 20 $92,395.84 $64,677.09 30% off $6,015.84 $92,395.85 $52,850.40 2026-04-01
0408T CPT Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 35 20 $86,271.00 $60,389.70 30% off $5,952.70 $86,271.00 $52,107.68 2026-04-01
33231 CPT Hb Insrt Pulse Gen W/Mult Leads 29 14 $77,451.00 $54,215.70 30% off $14,715.69 $77,451.00 $50,459.33 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 7 2 $31,112.29 $21,778.60 30% off $49,565.71 $64,081.48 $49,768.03 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 7 2 $130,072.51 $91,050.76 30% off $49,514.55 $64,015.34 $49,716.66 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 2 $39,214.50 $27,450.15 30% off $48,914.13 $48,914.13 $48,914.13 2026-04-01
C9760 HCPCS Hb Non-blind Interatrial Shunt 35 20 $86,001.00 $60,200.70 30% off $5,934.07 $86,001.00 $48,461.56 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg IV Solr 29 19 $74,894.25 $52,425.97 30% off $5,167.70 $74,894.25 $45,236.13 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 5 2 $16,684.24 $11,678.97 30% off $44,443.95 $44,888.10 $44,625.37 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Soln 29 19 $71,838.00 $50,286.60 30% off $4,956.82 $71,838.00 $43,390.15 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 7 2 $164,787.02 $115,350.91 30% off $42,517.17 $54,968.71 $42,690.71 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 2 $31,497.24 $22,048.07 30% off $41,402.45 $53,527.53 $41,571.44 2026-04-01
196 MS_DRG Interstitial Lung Disease With Mcc 7 2 $22,343.24 $15,640.27 30% off $40,223.78 $52,003.68 $40,387.97 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 7 2 $30,132.24 $21,092.57 30% off $39,748.48 $51,389.18 $39,910.72 2026-04-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 7 2 $30,822.50 $21,575.75 30% off $39,025.93 $50,455.04 $39,185.23 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 7 2 $28,629.50 $20,040.65 30% off $39,021.67 $50,449.52 $39,180.95 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 7 2 $65,850.97 $46,095.68 30% off $38,961.99 $50,372.37 $39,121.03 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 7 2 $24,480.74 $17,136.52 30% off $38,870.34 $50,253.88 $39,029.00 2026-04-01
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) IV Soln 29 19 $64,533.75 $45,173.62 30% off $4,452.83 $64,533.75 $38,978.39 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 7 2 $17,817.24 $12,472.07 30% off $38,606.05 $49,912.18 $38,763.63 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 7 2 $20,351.50 $14,246.05 30% off $37,640.52 $48,663.90 $37,794.17 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 2 $66,855.50 $46,798.85 30% off $37,584.44 $37,584.44 $37,584.44 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 7 2 $42,901.74 $30,031.22 30% off $37,195.06 $48,087.98 $37,346.89 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 7 2 $29,191.74 $20,434.22 30% off $35,724.40 $46,186.61 $35,870.22 2026-04-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 7 2 $30,895.24 $21,626.67 30% off $35,261.88 $45,588.65 $35,405.81 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 7 2 $45,611.00 $31,927.70 30% off $34,839.86 $45,043.04 $34,982.07 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 7 2 $15,508.74 $10,856.12 30% off $34,799.37 $44,990.68 $34,941.41 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 7 2 $27,499.74 $19,249.82 30% off $34,746.08 $44,921.79 $34,887.91 2026-04-01
61624 CPT Hb Tcat Perm Occls/Embolization Perq Cns 29 14 $53,519.00 $37,463.30 30% off $10,168.61 $53,519.00 $34,867.63 2026-04-01
0795T CPT Hb Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 35 20 $60,412.00 $42,288.40 30% off $4,168.43 $60,412.00 $34,555.66 2026-04-01
0796T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 35 20 $60,412.00 $42,288.40 30% off $4,168.43 $60,412.00 $34,555.66 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 2 2 $73,803.24 $51,662.27 30% off $34,432.07 $34,432.07 $34,432.07 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 7 2 $17,410.74 $12,187.52 30% off $34,292.09 $44,334.85 $34,432.07 2026-04-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 7 2 $16,561.00 $11,592.70 30% off $34,087.48 $44,070.31 $34,226.62 2026-04-01
368 MS_DRG Major Esophageal Disorders With Mcc 7 2 $19,970.01 $13,979.01 30% off $33,929.76 $43,866.40 $34,068.25 2026-04-01
33902 CPT Hb Perq P-art Revsc St 1st Abnor Connj Unilateral 35 20 $60,346.00 $42,242.20 30% off $4,163.87 $60,346.00 $34,004.97 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 13 5 $88,920.34 $62,244.24 30% off $20,055.65 $43,601.86 $33,862.80 2026-04-01
0797T CPT Hb Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 35 20 $59,640.00 $41,748.00 30% off $4,115.16 $59,640.00 $33,607.14 2026-04-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 5 2 $13,108.00 $9,175.60 30% off $33,324.44 $33,657.46 $33,460.46 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 7 2 $33,500.74 $23,450.52 30% off $33,307.39 $43,061.76 $33,443.34 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 7 2 $24,572.50 $17,200.75 30% off $33,217.87 $42,946.03 $33,353.46 2026-04-01
669 MS_DRG Transurethral Procedures With Cc 7 2 $46,096.26 $32,267.38 30% off $33,079.33 $42,766.91 $33,214.35 2026-04-01
37286 CPT Hb Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37277 CPT Hb Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
92930 CPT Hb Perq Tcat Plmt Ntrac St 2+Les 2+St 2+c Segments 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37275 CPT Hb Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37288 CPT Hb Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37284 CPT Hb Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37273 CPT Hb Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37294 CPT Hb Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37290 CPT Hb Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37292 CPT Hb Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
37271 CPT Hb Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 35 20 $58,934.00 $41,253.80 30% off $4,066.45 $58,934.00 $33,209.31 2026-04-01
813 MS_DRG Coagulation Disorders 5 2 $11,089.24 $7,762.47 30% off $32,510.24 $32,835.13 $32,642.95 2026-04-01
0823T CPT Hb Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 35 20 $56,401.00 $39,480.70 30% off $3,891.67 $56,401.00 $32,261.37 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 2 $33,963.74 $23,774.62 30% off $31,821.15 $31,821.15 $31,821.15 2026-04-01
682 MS_DRG Renal Failure With Mcc 7 2 $18,945.24 $13,261.67 30% off $31,566.03 $40,810.44 $31,694.88 2026-04-01
0632T CPT Hb Perq Tcat US Ablation Nerves Innervating P-art 35 20 $56,155.00 $39,308.50 30% off $3,874.70 $56,155.00 $31,643.34 2026-04-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 7 2 $41,590.74 $29,113.52 30% off $31,476.52 $40,694.70 $31,605.00 2026-04-01
92933 CPT Hb Perq Trluml C Athrc St Angiop 1 Maj C Art&/Brnch 29 14 $48,287.00 $33,800.90 30% off $9,174.53 $48,287.00 $31,458.98 2026-04-01
93582 CPT Hb Perq Transcath Closure Pda 29 14 $47,774.00 $33,441.80 30% off $9,077.06 $47,774.00 $31,124.76 2026-04-01
C8005 HCPCS Hb Pef Bronch Ablt 3d Nav Ebus 35 20 $55,069.00 $38,548.30 30% off $3,799.76 $55,069.00 $31,031.38 2026-04-01
33221 CPT Hb Insert Pulse Gen Mult Leads 29 14 $47,122.00 $32,985.40 30% off $8,953.18 $47,122.00 $30,699.98 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 2 $11,060.00 $7,742.00 30% off $30,368.19 $30,671.67 $30,492.14 2026-04-01
602 MS_DRG Cellulitis With Mcc 7 2 $26,634.00 $18,643.80 30% off $30,293.59 $39,165.34 $30,417.24 2026-04-01
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml IV Soln 31 19 $46,975.00 $32,882.50 30% off $3,241.28 $46,975.00 $29,645.92 2026-04-01
93581 CPT Hb Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt 30 20 $56,398.00 $39,478.60 30% off $3,891.46 $56,398.00 $29,482.06 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 7 2 $31,179.00 $21,825.30 30% off $29,276.91 $37,850.92 $29,396.41 2026-04-01
J9271 HCPCS Pembrolizumab 25 Mg/ml IV Soln 29 19 $48,135.00 $33,694.50 30% off $3,321.32 $48,135.00 $29,073.54 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 2 2 $42,849.24 $29,994.47 30% off $28,583.18 $28,583.18 $28,583.18 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 2 $36,445.24 $25,511.67 30% off $28,015.12 $36,219.61 $28,129.47 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 7 2 $36,325.74 $25,428.02 30% off $28,015.12 $36,219.61 $28,129.47 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 7 2 $28,698.24 $20,088.77 30% off $27,614.42 $35,701.55 $27,727.14 2026-04-01
C9797 HCPCS Hb Vasc Emb/Occ W/Prs Cath 35 20 $45,680.00 $31,976.00 30% off $3,151.92 $45,680.00 $27,590.72 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 7 2 $25,043.74 $17,530.62 30% off $27,362.91 $35,376.39 $27,474.60 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 $22,282.00 $15,597.40 30% off $27,436.08 $27,436.08 $27,436.08 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 7 2 $28,562.00 $19,993.40 30% off $27,055.99 $34,979.59 $27,166.43 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 2 $31,403.00 $21,982.10 30% off $27,032.55 $34,949.27 $27,142.89 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 7 2 $38,992.50 $27,294.75 30% off $26,331.32 $34,042.68 $26,438.80 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 2 2 $32,044.24 $22,430.97 30% off $25,886.65 $25,886.65 $25,886.65 2026-04-01
81416 CPT Hb Ref Exome (Trio), Each Comparator (Inv) 24 13 $39,600.00 $27,720.00 30% off $7,524.00 $39,600.00 $25,799.40 2026-04-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 2 $22,555.24 $15,788.67 30% off $25,662.06 $33,177.42 $25,766.80 2026-04-01
92924 CPT Hb Perq Trluml C Athrc Angiop 1 Maj C Art&/Branches 29 14 $39,208.00 $27,445.60 30% off $7,449.52 $39,208.00 $25,544.01 2026-04-01
304 MS_DRG Hypertension With Mcc 7 2 $30,913.00 $21,639.10 30% off $25,363.66 $32,791.64 $25,467.19 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 2 2 $37,321.00 $26,124.70 30% off $25,460.77 $25,460.77 $25,460.77 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 7 2 $21,653.24 $15,157.27 30% off $24,730.63 $31,973.23 $24,831.58 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 7 2 $18,702.74 $13,091.92 30% off $24,583.57 $31,783.09 $24,683.91 2026-04-01
C1820 HCPCS Charging Kit Neuro Stim Spine Cord Precis Sc-6412-3 105 20 $105,080.00 $73,556.00 30% off $823.03 $127,800.00 $24,282.00 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 2 $40,937.50 $28,656.25 30% off $24,099.67 $24,099.67 $24,099.67 2026-04-01
77372 CPT Hb Srs Linear Based 27 13 $36,724.00 $25,706.80 30% off $6,977.56 $36,724.00 $23,925.69 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 7 2 $25,614.74 $17,930.32 30% off $23,609.52 $30,523.78 $23,705.89 2026-04-01
89 MS_DRG Concussion With Cc 2 2 $24,973.74 $17,481.62 30% off $23,511.14 $23,511.14 $23,511.14 2026-04-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 $12,002.50 $8,401.75 30% off $23,421.25 $23,421.25 $23,421.25 2026-04-01
64628 CPT Hb Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 35 20 $38,556.00 $26,989.20 30% off $2,660.36 $38,556.00 $23,287.82 2026-04-01
181 MS_DRG Respiratory Neoplasms With Cc 2 2 $10,107.50 $7,075.25 30% off $22,920.47 $22,920.47 $22,920.47 2026-04-01
300 MS_DRG Peripheral Vascular Disorders With Cc 7 2 $12,147.50 $8,503.25 30% off $22,752.70 $29,416.03 $22,845.57 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 $35,466.50 $24,826.55 30% off $22,603.74 $22,603.74 $22,603.74 2026-04-01
A9604 HCPCS Hb Sm 153 Lexidronam 26 19 $40,427.00 $28,298.90 30% off $2,789.46 $40,427.00 $22,285.38 2026-04-01
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml IV Soln 31 19 $36,535.25 $25,574.67 30% off $2,520.93 $36,535.25 $22,067.29 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 7 2 $27,182.00 $19,027.40 30% off $21,868.16 $28,272.46 $21,957.43 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 2 $31,606.00 $22,124.20 30% off $21,810.62 $28,198.05 $21,899.64 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 7 2 $16,466.74 $11,526.72 30% off $21,804.22 $28,189.79 $21,893.22 2026-04-01
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subq Syrg 29 19 $36,187.50 $25,331.25 30% off $2,496.94 $36,187.50 $21,857.25 2026-04-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 7 2 $19,603.24 $13,722.27 30% off $21,761.59 $28,134.68 $21,850.42 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 7 2 $25,332.74 $17,732.92 30% off $21,633.71 $27,969.34 $21,722.02 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 2 $40,829.24 $28,580.47 30% off $21,621.43 $21,621.43 $21,621.43 2026-04-01
29884 CPT Hb Arthroscopy Knee Lysis Adhe 35 20 $37,488.67 $26,242.07 30% off $2,573.83 $37,488.67 $21,443.55 2026-04-01
C8004 HCPCS Hb Sim Ang W/Prs Cath Rad Emb 35 20 $35,465.00 $24,825.50 30% off $2,447.09 $35,465.00 $21,420.86 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 2 2 $52,121.24 $36,484.87 30% off $21,356.06 $21,356.06 $21,356.06 2026-04-01
33363 CPT Hb Replace Aortic Valve Open Axillry Artry Approach 24 14 $32,696.00 $22,887.20 30% off $6,212.24 $32,696.00 $21,301.44 2026-04-01
187 MS_DRG Pleural Effusion With Cc 7 2 $15,113.24 $10,579.27 30% off $21,081.68 $27,255.64 $21,167.73 2026-04-01
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr 58 19 $41,920.00 $29,344.00 30% off $2,224.99 $51,593.75 $21,008.43 2026-04-01
33366 CPT Hb Trcath Replace Aortic Valve 24 14 $32,243.00 $22,570.10 30% off $6,126.17 $32,243.00 $21,006.31 2026-04-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 2 $33,692.34 $23,584.64 30% off $20,987.96 $20,987.96 $20,987.96 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 7 2 $31,706.00 $22,194.20 30% off $20,866.41 $26,977.32 $20,951.58 2026-04-01
37258 CPT Hb Revsc Evasc Ivt St Plmt Uni Sf Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37269 CPT Hb Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37282 CPT Hb Revsc Evasc Tpvt Angiop Uni Cplx Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37298 CPT Hb Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37260 CPT Hb Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37280 CPT Hb Revsc Evasc Tpvt Angiop Uni Sf Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37296 CPT Hb Revsc Evasc Imvt Angiop Uni Sf Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
37267 CPT Hb Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl 35 20 $37,113.00 $25,979.10 30% off $2,560.80 $37,113.00 $20,913.18 2026-04-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 7 2 $32,618.50 $22,832.95 30% off $20,802.46 $26,894.66 $20,887.38 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 2 $23,939.50 $16,757.65 30% off $20,768.36 $26,850.57 $20,853.13 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 7 2 $28,380.50 $19,866.35 30% off $20,700.16 $26,762.39 $20,784.65 2026-04-01
92928 CPT Hb Perq Tcat Plmt Ntrac St 1 Les 1+c Segments 29 14 $31,809.00 $22,266.30 30% off $6,043.71 $31,809.00 $20,723.56 2026-04-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 7 2 $42,578.24 $29,804.77 30% off $20,574.40 $26,599.81 $20,658.39 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 7 2 $38,417.50 $26,892.25 30% off $20,531.78 $26,544.69 $20,615.58 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 7 2 $15,608.50 $10,925.95 30% off $20,489.15 $26,489.58 $20,572.78 2026-04-01
52344 CPT Cysto W/Urtroscopy W/Tx Ureteral Stricture 35 20 $35,808.51 $25,065.96 30% off $2,425.49 $35,808.52 $20,482.46 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 7 2 $47,854.24 $33,497.97 30% off $20,058.61 $25,932.95 $20,140.48 2026-04-01
394 MS_DRG Other Digestive System Diagnoses With Cc 7 2 $20,876.74 $14,613.72 30% off $19,943.51 $25,784.15 $20,024.92 2026-04-01
0234T CPT Hb Trluml Peripheral Atherectomy Renal Artery Ea 34 20 $35,465.00 $24,825.50 30% off $2,447.09 $35,465.00 $19,904.74 2026-04-01
376 MS_DRG Digestive Malignancy Without Cc/mcc 7 2 $22,429.00 $15,700.30 30% off $19,700.53 $25,470.01 $19,780.94 2026-04-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 $34,319.74 $24,023.82 30% off $19,669.66 $19,669.66 $19,669.66 2026-04-01
C9901 HCPCS Hb Endo Defect Closure Gi Tract 35 20 $32,559.00 $22,791.30 30% off $2,246.57 $32,559.00 $19,665.64 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 7 2 $31,739.74 $22,217.82 30% off $19,570.51 $25,301.92 $19,650.40 2026-04-01
33464 CPT Hb Percutaneous Tricuspid Annuloplasty Valve Procedure Mitralign Ide G150170 (Pt… 24 14 $30,132.00 $21,092.40 30% off $5,725.08 $30,132.00 $19,631.00 2026-04-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 7 2 $39,991.50 $27,994.05 30% off $19,523.62 $25,241.30 $19,603.32 2026-04-01
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 2 2 $55,343.50 $38,740.45 30% off $19,543.39 $19,543.39 $19,543.39 2026-04-01
33900 CPT Hb Perq P-art Revsc St 1st Nmlnative Connj Uni 30 20 $37,292.00 $26,104.40 30% off $2,573.15 $37,292.00 $19,494.39 2026-04-01
0505T CPT Hb Ev Fempop Artl Revsc Tcat Plmt IV St Grf & Clsr 35 20 $34,073.00 $23,851.10 30% off $2,351.04 $34,073.00 $19,489.76 2026-04-01
158 MS_DRG Dental And Oral Diseases With Cc 7 2 $12,256.74 $8,579.72 30% off $19,391.48 $25,070.45 $19,470.63 2026-04-01
63685 CPT Hb Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj 64 20 $139,824.30 $97,877.01 30% off $3,940.41 $139,824.30 $19,442.82 2026-04-01
101 MS_DRG Seizures Without Mcc 2 2 $30,980.74 $21,686.52 30% off $19,316.54 $19,316.54 $19,316.54 2026-04-01
38999 CPT Hb Angioplasty Thoracic Lymphatic Duct - Unlisted 35 20 $34,174.00 $23,921.80 30% off $2,358.01 $34,174.00 $19,257.05 2026-04-01
43889 CPT Hb Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj 35 20 $34,173.00 $23,921.10 30% off $2,357.94 $34,173.00 $19,256.49 2026-04-01
638 MS_DRG Diabetes With Cc 7 2 $26,403.74 $18,482.62 30% off $19,101.61 $24,695.69 $19,179.58 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 2 $9,588.50 $6,711.95 30% off $19,086.69 $24,676.40 $19,164.60 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 7 2 $18,767.74 $13,137.42 30% off $19,037.66 $24,613.02 $19,115.37 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 2 2 $18,655.50 $13,058.85 30% off $18,997.67 $18,997.67 $18,997.67 2026-04-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 7 2 $16,028.24 $11,219.77 30% off $18,816.00 $24,326.44 $18,892.80 2026-04-01
37299 CPT Hb Revsc Evasc Imvt Angiop Uni Cplx Les Ea Addl Vsl 35 20 $33,402.00 $23,381.40 30% off $2,304.74 $33,402.00 $18,822.03 2026-04-01
37297 CPT Hb Revsc Evasc Imvt Angiop Uni Sf Les Ea Addl Vsl 35 20 $33,402.00 $23,381.40 30% off $2,304.74 $33,402.00 $18,822.03 2026-04-01
683 MS_DRG Renal Failure With Cc 7 2 $23,163.00 $16,214.10 30% off $18,666.80 $24,133.54 $18,743.00 2026-04-01
0569T CPT Hb Ttvr Percutaneous Approach Initial Prosthesis 35 20 $33,202.00 $23,241.40 30% off $2,290.94 $33,202.00 $18,709.33 2026-04-01
312 MS_DRG Syncope And Collapse 7 2 $14,382.00 $10,067.40 30% off $18,577.28 $24,017.81 $18,653.11 2026-04-01
603 MS_DRG Cellulitis Without Mcc 7 2 $24,510.50 $17,157.35 30% off $18,562.36 $23,998.52 $18,638.13 2026-04-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 7 2 $30,533.50 $21,373.45 30% off $18,219.21 $23,554.87 $18,293.57 2026-04-01
37285 CPT Hb Revsc Evasc Tpvt St Plmt Uni Sf Les Ea Addl Vsl 35 20 $32,339.00 $22,637.30 30% off $2,231.39 $32,339.00 $18,223.03 2026-04-01
37287 CPT Hb Revsc Evasc Tpvt St Plmt Uni Cplx Les Ea Add Vsl 35 20 $32,339.00 $22,637.30 30% off $2,231.39 $32,339.00 $18,223.03 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 2 2 $26,935.00 $18,854.50 30% off $18,169.45 $18,169.45 $18,169.45 2026-04-01
93590 CPT Hb Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 29 14 $27,817.00 $19,471.90 30% off $5,285.23 $27,817.00 $18,122.78 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 7 2 $55,667.00 $38,966.90 30% off $17,967.70 $23,229.71 $18,041.04 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 13 5 $26,975.24 $18,882.67 30% off $10,662.21 $23,180.11 $18,002.52 2026-04-01
103 MS_DRG Headaches Without Mcc 7 2 $39,456.74 $27,619.72 30% off $17,824.90 $23,045.08 $17,897.66 2026-04-01
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 2 2 $39,915.74 $27,941.02 30% off $17,895.52 $17,895.52 $17,895.52 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 7 2 $10,703.50 $7,492.45 30% off $17,703.41 $22,888.01 $17,775.67 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 2 2 $34,021.74 $23,815.22 30% off $17,764.97 $17,764.97 $17,764.97 2026-04-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 11 4 $43,799.00 $30,659.30 30% off $10,486.03 $22,797.08 $17,705.05 2026-04-01
J7189 HCPCS Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) IV Solr 58 19 $56,958.62 $39,871.03 30% off $1,541.24 $91,580.50 $17,400.30 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 7 2 $19,010.24 $13,307.17 30% off $17,253.68 $22,306.58 $17,324.11 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 7 2 $33,287.00 $23,300.90 30% off $17,213.19 $22,254.23 $17,283.45 2026-04-01
204 MS_DRG Respiratory Signs And Symptoms 7 2 $7,710.74 $5,397.52 30% off $17,208.92 $22,248.71 $17,279.17 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 2 $24,887.74 $17,421.42 30% off $17,176.95 $22,207.38 $17,247.07 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 7 2 $15,373.00 $10,761.10 30% off $17,157.77 $22,182.58 $17,227.81 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 2 $39,684.74 $27,779.32 30% off $17,204.26 $17,204.26 $17,204.26 2026-04-01
33271 CPT Hb Insj Subq Impltbl Dfb Elctrd 24 14 $26,312.00 $18,418.40 30% off $4,999.28 $26,312.00 $17,142.27 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 2 2 $46,925.24 $32,847.67 30% off $17,131.50 $17,131.50 $17,131.50 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 2 2 $53,002.24 $37,101.57 30% off $17,041.62 $17,041.62 $17,041.62 2026-04-01
37289 CPT Hb Revsc Evasc Tpvt Athrc Uni Sf Les Ea Addl Vsl 35 20 $30,064.00 $21,044.80 30% off $2,074.42 $30,064.00 $16,941.06 2026-04-01
37291 CPT Hb Revsc Evasc Tpvt Athrc Uni Cplx Les Ea Addl Vsl 35 20 $30,064.00 $21,044.80 30% off $2,074.42 $30,064.00 $16,941.06 2026-04-01
C9605 HCPCS Hb Perc D-e Cor Revasc T Cabg B 35 20 $27,834.00 $19,483.80 30% off $1,920.55 $27,834.00 $16,811.74 2026-04-01
36830 CPT Hb Creation Of Av Fistula By Other Than Direct Av Anastomosis 29 14 $25,742.00 $18,019.40 30% off $4,890.98 $25,742.00 $16,770.91 2026-04-01
C9766 HCPCS Hb Revasc Intra Lithotrip-ather 35 20 $29,304.00 $20,512.80 30% off $2,021.98 $29,304.00 $16,761.89 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 7 2 $23,087.24 $16,161.07 30% off $16,616.39 $21,482.66 $16,684.22 2026-04-01
G2170 HCPCS Hb Avf By Tissue W Thermal E 35 20 $29,573.00 $20,701.10 30% off $2,040.54 $29,573.00 $16,664.39 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 2 $13,888.24 $9,721.77 30% off $16,654.26 $16,654.26 $16,654.26 2026-04-01
34847 CPT Hb Viscer And Infrarenal Abdom Aorta 3 Prosthesis 29 14 $25,533.00 $17,873.10 30% off $4,851.27 $25,533.00 $16,634.75 2026-04-01
37234 CPT Hb Revsc Opn/Prq Tib/Pero Stent 24 14 $25,483.00 $17,838.10 30% off $4,841.77 $25,483.00 $16,602.17 2026-04-01
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subq Syrg 23 13 $25,425.00 $17,797.50 30% off $4,830.75 $25,425.00 $16,564.39 2026-04-01
52332 CPT Cysto W/Insert Ureteral Stent 35 20 $28,746.24 $20,122.37 30% off $1,937.54 $28,746.24 $16,442.86 2026-04-01
52352 CPT Cysto W/Ureteroscopy W/Rmvl/Manj Stones 35 20 $28,746.24 $20,122.37 30% off $1,937.54 $28,746.24 $16,442.86 2026-04-01
93655 CPT Hb Ablate Arrhythmia Add On 29 14 $25,169.00 $17,618.30 30% off $4,782.11 $25,169.00 $16,397.60 2026-04-01
C9608 HCPCS Hb Perc D-e Cor Revasc Chro Add 35 20 $28,828.00 $20,179.60 30% off $1,989.13 $28,828.00 $16,244.58 2026-04-01
92934 CPT Hb Baln+Stnt+Orbtl Ather Addl Bms 35 20 $28,828.00 $20,179.60 30% off $1,989.13 $28,828.00 $16,244.58 2026-04-01
0483T OTHER Hb Tmvr Percutaneous Femoral Approach 35 20 $28,796.00 $20,157.20 30% off $1,986.92 $28,796.00 $16,226.55 2026-04-01
0484T OTHER Hb Tmvr Trans Apical Approach 35 20 $28,796.00 $20,157.20 30% off $1,986.92 $28,796.00 $16,226.55 2026-04-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 7 2 $19,793.74 $13,855.62 30% off $16,092.07 $20,804.78 $16,157.76 2026-04-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 2 $44,580.74 $31,206.52 30% off $16,149.19 $16,149.19 $16,149.19 2026-04-01
21462 CPT Hb Open Tx Mandibular Fx W/Interdental Fixation 24 14 $24,703.00 $17,292.10 30% off $4,693.57 $24,703.00 $16,094.00 2026-04-01
149 MS_DRG Dysequilibrium 7 2 $57,171.00 $40,019.70 30% off $16,019.60 $20,711.09 $16,084.99 2026-04-01
52354 CPT Cysto/Pyeloscopy Bx&/Fulguration Pelivc Lesion 35 20 $27,733.13 $19,413.19 30% off $1,895.57 $27,733.13 $15,863.34 2026-04-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 $16,829.00 $11,780.30 30% off $15,744.72 $15,744.72 $15,744.72 2026-04-01
92938 CPT Hb Prq Revasc Byp Graft Addl 35 20 $27,834.00 $19,483.80 30% off $1,920.55 $27,834.00 $15,684.46 2026-04-01
35371 CPT Hb Teaec W/wo Patch Graft Common Femoral 29 14 $23,865.00 $16,705.50 30% off $4,534.35 $23,865.00 $15,548.05 2026-04-01
J9400 HCPCS Ziv-aflibercept 200 Mg/8 Ml (25 Mg/ml) IV Soln 29 19 $25,605.25 $17,923.67 30% off $1,766.76 $25,605.25 $15,465.57 2026-04-01
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 7 2 $19,513.74 $13,659.62 30% off $15,388.71 $19,895.43 $15,451.52 2026-04-01
23107 CPT Hb Arthrt Glenohmrl Jt W/Jt Expl W/wo Rmvl Loose/FB 24 14 $23,328.00 $16,329.60 30% off $4,432.32 $23,328.00 $15,198.19 2026-04-01
C9785 HCPCS Hb Endo Outlet Restrict W/Tube 35 20 $25,095.00 $17,566.50 30% off $1,731.56 $25,095.00 $15,157.38 2026-04-01
93610 CPT Hb Intra-atrial Pacing 29 14 $23,130.00 $16,191.00 30% off $4,394.70 $23,130.00 $15,069.20 2026-04-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 7 2 $16,047.00 $11,232.90 30% off $14,913.41 $19,280.93 $14,974.28 2026-04-01
J9358 HCPCS Fam-trastuzumab Deruxtecn-nxki 100 Mg IV Solr 30 19 $24,696.75 $17,287.72 30% off $1,704.08 $24,696.75 $14,916.84 2026-04-01
35903 CPT Hb Excision Infected Graft Extremity 29 14 $22,880.00 $16,016.00 30% off $4,347.20 $22,880.00 $14,906.32 2026-04-01
52235 CPT Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum 35 20 $26,192.91 $18,335.04 30% off $1,764.75 $26,192.91 $14,778.45 2026-04-01
J9205 HCPCS Irinotecan Liposomal 4.3 Mg/ml IV Disp 29 19 $24,429.00 $17,100.30 30% off $1,685.60 $24,429.00 $14,755.12 2026-04-01
696 MS_DRG Kidney And Urinary Tract Signs And Symptoms Without Mcc 5 2 $5,051.50 $3,536.05 30% off $14,685.35 $14,832.10 $14,745.29 2026-04-01
47562 CPT Hb Laparoscopy Surg Cholecystectomy 24 14 $22,604.00 $15,822.80 30% off $4,294.76 $22,604.00 $14,726.51 2026-04-01
54860 CPT Epididymectomy Unilateral 35 20 $25,696.51 $17,987.56 30% off $1,751.91 $25,696.51 $14,698.40 2026-04-01
0918T CPT Hb Insj Perm Ccm-d Sys Dual Transvns Leads Only 35 20 $25,881.00 $18,116.70 30% off $1,785.79 $25,881.00 $14,583.94 2026-04-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 7 2 $10,940.24 $7,658.17 30% off $14,521.23 $18,773.90 $14,580.50 2026-04-01
52356 CPT Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt 35 20 $25,304.73 $17,713.31 30% off $1,644.71 $25,304.73 $14,474.31 2026-04-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 7 2 $18,130.24 $12,691.17 30% off $14,280.38 $18,462.52 $14,338.67 2026-04-01
0211U CPT Hb Ref Mi Cancer Seek (Caris) 32 20 $25,365.00 $17,755.50 30% off $1,750.19 $25,365.00 $14,236.11 2026-04-01
92925 CPT Hb Prq Card Angio/Athrect Addl 35 20 $24,792.00 $17,354.40 30% off $1,710.65 $24,792.00 $14,181.02 2026-04-01
34201 CPT Hb Emblc/Thrmbc Femoral Popliteal Aorto-iliac Art 29 14 $21,756.00 $15,229.20 30% off $4,133.64 $21,756.00 $14,174.03 2026-04-01
33895 CPT Hb Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch 35 20 $25,153.00 $17,607.10 30% off $1,735.56 $25,153.00 $14,173.72 2026-04-01
C9784 HCPCS Hb Endo Sleeve Gastro W/Tube 35 20 $25,095.00 $17,566.50 30% off $1,731.56 $25,095.00 $14,141.03 2026-04-01
29875 CPT Hb Arthroscopy Knee Synov Lmtd 35 20 $24,650.67 $17,255.47 30% off $1,691.32 $24,650.67 $14,100.19 2026-04-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 7 2 $26,709.24 $18,696.47 30% off $13,832.79 $17,883.84 $13,889.25 2026-04-01
54830 CPT Excision Local Lesion Epididymis 35 20 $24,244.07 $16,970.85 30% off $1,649.26 $24,244.07 $13,867.62 2026-04-01
93454 CPT Hb Coronary Artery Angio S&i 29 14 $21,146.00 $14,802.20 30% off $4,017.74 $21,146.00 $13,776.62 2026-04-01
33362 CPT Hb Replace Tavr-open Femoral 24 14 $21,118.00 $14,782.60 30% off $4,012.42 $21,118.00 $13,758.38 2026-04-01
33365 CPT Hb Replace Tavr-transaortic 24 14 $21,118.00 $14,782.60 30% off $4,012.42 $21,118.00 $13,758.38 2026-04-01
37261 CPT Hb Revsc Evasc Ivt St Plmt Uni Cplx Les Ea Addl Vsl 35 20 $24,413.00 $17,089.10 30% off $1,684.50 $24,413.00 $13,756.73 2026-04-01
37259 CPT Hb Revsc Evasc Ivt St Plmt Uni Sf Les Ea Addl Vsl 35 20 $24,413.00 $17,089.10 30% off $1,684.50 $24,413.00 $13,756.73 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 7 2 $16,212.24 $11,348.57 30% off $13,683.59 $17,690.95 $13,739.44 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 7 2 $12,830.74 $8,981.52 30% off $13,395.85 $17,318.95 $13,450.53 2026-04-01
0646T CPT Hb Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 35 20 $23,697.00 $16,587.90 30% off $1,635.09 $23,697.00 $13,353.26 2026-04-01
SUP-336690 CDM Implant Scp Knee Kit For Subchondroplasty Knee 414.502 35 20 $19,851.60 $13,896.12 30% off $3,771.80 $19,851.60 $13,312.48 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 7 2 $41,938.24 $29,356.77 30% off $13,244.52 $17,123.30 $13,298.58 2026-04-01
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 13 5 $25,404.50 $17,783.15 30% off $7,819.21 $16,999.30 $13,202.28 2026-04-01
C9774 HCPCS Hb Revasc Lithotr-ather Tib/Per 35 20 $23,394.00 $16,375.80 30% off $1,614.19 $23,394.00 $13,182.52 2026-04-01
C9767 HCPCS Hb Ivl + Stent + Atherectomy With Angioplasty Above Knee 35 20 $23,394.00 $16,375.80 30% off $1,614.19 $23,394.00 $13,182.52 2026-04-01
C9773 HCPCS Hb Revasc Lithotr-stent Tib/Per 35 20 $23,394.00 $16,375.80 30% off $1,614.19 $23,394.00 $13,182.52 2026-04-01
47563 CPT Hb Laps Surg Cholecystectomy W/Cholangiography 24 14 $20,232.00 $14,162.40 30% off $3,844.08 $20,232.00 $13,181.15 2026-04-01
62230 CPT Hb Replace/Revise Brain Shunt 21 13 $20,200.00 $14,140.00 30% off $3,838.00 $20,200.00 $13,160.30 2026-04-01
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 29 19 $21,612.50 $15,128.75 30% off $1,491.26 $21,612.50 $13,053.95 2026-04-01
35875 CPT Hb Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl 24 14 $19,724.00 $13,806.80 30% off $3,747.56 $19,724.00 $12,850.19 2026-04-01
33230 CPT Hb Insrt Pulse Gen W/Dual Leads 29 14 $19,582.00 $13,707.40 30% off $3,720.58 $19,582.00 $12,757.67 2026-04-01
29895 CPT Arthroscopy Ankle Surgical Synovectomy Partial 35 20 $22,044.74 $15,431.32 30% off $1,518.64 $22,044.74 $12,609.59 2026-04-01
J3262 HCPCS Tocilizumab 400 Mg/20 Ml (20 Mg/ml) IV Soln 29 19 $20,735.25 $14,514.67 30% off $1,430.73 $20,735.25 $12,524.09 2026-04-01
C9772 HCPCS Hb Ivl With Angioplasty Below Knee 35 20 $21,845.00 $15,291.50 30% off $1,507.31 $21,845.00 $12,495.34 2026-04-01
49320 CPT Hb Laps Abd Prtm&Omentum Dx W/wo Spec Br/Wa Spx 24 14 $19,176.00 $13,423.20 30% off $3,643.44 $19,176.00 $12,493.16 2026-04-01
37281 CPT Hb Revsc Evasc Tpvt Angiop Uni Sf Les Ea Addl Vsl 35 20 $22,133.00 $15,493.10 30% off $1,527.18 $22,133.00 $12,471.95 2026-04-01
37283 CPT Hb Revsc Evasc Tpvt Angiop Uni Cplx Les Ea Addl Vsl 35 20 $22,133.00 $15,493.10 30% off $1,527.18 $22,133.00 $12,471.95 2026-04-01
34203 CPT Hb Emblc/Thrmbc Popliteal-tibio-proneal Art Leg Inc 29 14 $18,975.00 $13,282.50 30% off $3,605.25 $18,975.00 $12,362.21 2026-04-01
35372 CPT Hb Teaec W/wo Patch Graft Deep Profunda Femoral 29 14 $18,974.00 $13,281.80 30% off $3,605.06 $18,974.00 $12,361.56 2026-04-01
33226 CPT Hb Reposition L Ventric Lead 29 14 $18,818.00 $13,172.60 30% off $3,575.42 $18,818.00 $12,259.93 2026-04-01
33233 CPT Hb Removal Of Pm Generator 29 14 $18,731.00 $13,111.70 30% off $3,558.89 $18,731.00 $12,203.25 2026-04-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 7 2 $7,127.50 $4,989.25 30% off $12,065.86 $15,599.45 $12,115.11 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/mcc 7 2 $12,190.00 $8,533.00 30% off $12,063.72 $15,596.70 $12,112.97 2026-04-01
93592 CPT Hb Perq Transcath Cls Paravalvr Leak Each Occls Dev 29 14 $18,321.00 $12,824.70 30% off $3,480.99 $18,321.00 $11,936.13 2026-04-01
J9176 HCPCS Elotuzumab 300 Mg IV Solr 58 19 $21,668.62 $15,168.03 30% off $1,281.55 $24,764.00 $11,900.81 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 7 2 $6,659.74 $4,661.82 30% off $11,850.58 $15,321.14 $11,898.96 2026-04-01
36522 CPT Hb Photopheresis 29 14 $18,169.00 $12,718.30 30% off $3,452.11 $18,169.00 $11,837.10 2026-04-01
0914T CPT Hb Perq Tcat Ther Rx Dlvr Ntrac Rx Balo Separate 35 20 $20,465.00 $14,325.50 30% off $1,412.09 $20,465.00 $11,705.98 2026-04-01
64629 CPT Hb Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac 35 20 $19,277.00 $13,493.90 30% off $1,330.11 $19,277.00 $11,643.31 2026-04-01
SUP-317371 CDM Fixator Adjustable Large 35 20 $17,296.28 $12,107.40 30% off $3,286.29 $17,296.28 $11,598.89 2026-04-01
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