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

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
$735
outlier · 400.1×
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
$38,049
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
$384
outlier · 186.8×
61715
CPT 		Hb Mrgfus Stereotactic Ablation Target Intracranial 19 $7,967.64 $115,473.00 $69,745.69 nat. median
$12,908
outlier · 5.4×
33270
CPT 		Hb Ins/Rep Subq Defibrillator 14 $20,194.34 $106,286.00 $69,245.33 nat. median
$32,113
outlier · 2.2×
J1299
HCPCS 		Eculizumab 300 Mg/30 Ml IV Soln 18 $7,268.37 $105,338.75 $66,363.41 nat. median
$2,885
outlier · 23.0×
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
$6,720
outlier · 9.9×
0620T
CPT 		Hb Endovascular Venous Arterialization Tibl/Prnl Vn 20 $7,552.46 $109,456.00 $62,608.83 nat. median
$32,735
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
$63,643
1.0× median
77371
CPT 		Hb Srs Multisource 13 $17,694.32 $93,128.00 $60,672.89 nat. median
$9,378
outlier · 6.5×
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
$32,221
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
$8,966
outlier · 6.1×
29914
CPT 		Arthroscopy Hip W/Femoroplasty 20 $6,608.00 $95,906.93 $54,858.75 nat. median
$7,347
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×
29828
CPT 		Hb Arthroscopy Biceps Tenodesis 20 $6,350.42 $94,877.32 $54,269.83 nat. median
$7,131
outlier · 7.6×
29826
CPT 		Hb Arthro/Surg Shld Decompress 20 $6,350.42 $94,877.32 $54,269.83 nat. median
$3,122
outlier · 17.4×
29827
CPT 		Hb Arthroscop Rotator Cuff Repr 20 $6,350.42 $94,877.32 $54,269.83 nat. median
$7,187
outlier · 7.6×
J9301
HCPCS 		Obinutuzumab 1000 Mg/40 Ml IV Soln 18 $5,875.92 $85,158.25 $53,649.70 nat. median
$286
outlier · 187.4×
29915
CPT 		Arthroscopy Hip W/Acetabuloplasty 20 $6,417.60 $93,114.88 $53,261.70 nat. median
$7,292
outlier · 7.3×
545
MS_DRG 		Connective Tissue Disorders With Mcc 2 $52,894.95 $68,385.73 $53,110.86 nat. median
$23,409
outlier · 2.3×
29999
CPT 		Hb Arthroscopy Of Joint - Unlisted 20 $6,185.24 $92,584.69 $52,958.43 nat. median
$1,473
outlier · 36.0×
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
$21,819
outlier · 2.3×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 2 $49,514.55 $64,015.34 $49,716.66 nat. median
$21,152
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
$21,717
outlier · 2.3×
C9760
HCPCS 		Hb Non-blind Interatrial Shunt 20 $5,934.07 $86,001.00 $48,461.56 nat. median
$27,848
1.7× median
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 19 $5,167.70 $74,894.25 $45,236.13 nat. median
$155
outlier · 292.7×
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 2 $44,443.95 $44,888.10 $44,625.37 nat. median
$19,970
outlier · 2.2×
J2323
HCPCS 		Natalizumab 300 Mg/15 Ml IV Soln 19 $4,956.82 $71,838.00 $43,390.15 nat. median
$180
outlier · 241.5×
843
MS_DRG 		Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 $42,517.17 $54,968.71 $42,690.71 nat. median
$18,663
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
$18,659
outlier · 2.2×
196
MS_DRG 		Interstitial Lung Disease With Mcc 2 $40,223.78 $52,003.68 $40,387.97 nat. median
$17,877
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
$18,115
outlier · 2.2×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 2 $39,025.93 $50,455.04 $39,185.23 nat. median
$17,357
outlier · 2.3×
919
MS_DRG 		Complications Of Treatment With Mcc 2 $39,021.67 $50,449.52 $39,180.95 nat. median
$17,519
outlier · 2.2×
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 2 $38,961.99 $50,372.37 $39,121.03 nat. median
$17,311
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
$17,367
outlier · 2.2×
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml (30 Mg/ml) IV Soln 19 $4,452.83 $64,533.75 $38,978.39 nat. median
$75
outlier · 519.2×
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 2 $38,606.05 $49,912.18 $38,763.63 nat. median
$18,095
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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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-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-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
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-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
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
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
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
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
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
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
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