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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

JOHNSON MEMORIAL HOSPITAL

Franklin, IN · CCN 150001 · Rates published

8,799 distinct procedures filed
19 distinct payers
140,546 rate rows
2026-10-22 last MRF observed
Data quality

138,403 of 140,546 rate rows are consumer-grade (98.5%)

2,143 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 1,817
exceeds 3× this hospital's gross charge for a DRG stay — excluded 174
percent-of-charges filed in the dollar field — excluded from medians 61
exceeds 10× this hospital's gross charge — excluded from medians 46
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 29
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 9
placeholder amount (≤ $0.02) — excluded from medians 5
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSJMHFFRANKLININ&type=CDMWithoutLabel&fileType=CSV
Found on page https://johnsonmemorial.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-05
Content fingerprint 7a8b2f43e221f185… · 83,032,370 bytes · first seen 2026-10-23

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
J9321
HCPCS 		Injection, Epcoritamab-bysp, 0.16 Mg 12 $56.92 $85,579.49 $61,317.26 nat. median
$1,442
outlier · 42.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $50,036.16 $73,490.71 $50,036.16 nat. median
$59,324
0.8× median
63685
HCPCS 		Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 17 $292.25 $91,059.00 $43,972.39 nat. median
$21,151
outlier · 2.1×
J9380
HCPCS 		Injection, Teclistamab-cqyv, 0.5 Mg 12 $34.50 $57,812.99 $41,422.71 nat. median
$1,862
outlier · 22.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $16,860.00 $41,978.10 $38,402.50 nat. median
$45,362
0.8× median
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 16 $59.60 $108,991.33 $34,084.92 nat. median
$518
outlier · 65.8×
50762236_1
CDM 		37231 Ather+stent+pta Tib/per 1st Ext 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762232_4
CDM 		37227 Ather+stent+pta Fem/pop 1st Ext 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762232_1
CDM 		37227 Ather+stent+pta Fem/pop 1st Ext 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762235_4
CDM 		37230 Stent+pta Tib/per 1st Vsl 1st Ext 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762234_4
CDM 		37229 Pta Tib/peroneal Ea Addl Vessel 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762236_4
CDM 		37231 Ather+stent+pta Tib/per 1st Ext 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762235_1
CDM 		37230 Stent+pta Tib/per 1st Vsl 1st Ext 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
50762234_1
CDM 		37229 Pta Tib/peroneal Ea Addl Vessel 14 $16,271.85 $45,096.27 $30,114.54 nat. median
$30,115
1.0× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 14 $14,124.07 $63,034.00 $29,994.73 nat. median
$23,793
1.3× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 $28,155.26 $42,977.22 $29,261.05 nat. median
$35,435
0.8× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 $18,448.00 $41,933.34 $28,550.32 nat. median
$33,619
0.8× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 $19,947.50 $41,250.37 $28,085.32 nat. median
$33,159
0.8× median
51755117_4
CDM 		Operating Room Services - General Classification 14 $14,332.50 $39,721.50 $26,525.36 nat. median
$26,525
1.0× median
51755117_1
CDM 		Operating Room Services - General Classification 14 $14,332.50 $39,721.50 $26,525.36 nat. median
$26,525
1.0× median
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 12 $32.61 $34,607.81 $24,796.32 nat. median
$113
outlier · 219.0×
500
MS_DRG 		Soft Tissue Procedures With Mcc 5 $24,609.45 $36,145.18 $24,609.45 nat. median
$29,659
0.8× median
J9309
HCPCS 		Injection, Polatuzumab Vedotin-piiq, 1 Mg 16 $137.23 $77,786.24 $24,408.74 nat. median
$4,472
outlier · 5.5×
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 5 $10,610.18 $35,572.99 $24,219.88 nat. median
$28,649
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 $23,586.13 $34,642.18 $23,586.13 nat. median
$29,441
0.8× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 5 $22,646.02 $33,261.38 $22,646.02 nat. median
$27,794
0.8× median
22869
HCPCS 		Placement Of Stabilizing Device To Lower Spine Level 17 $373.27 $40,732.00 $22,547.37 nat. median
$12,286
1.8× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 $20,848.80 $32,780.55 $22,318.65 nat. median
$27,591
0.8× median
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 16 $266.19 $67,469.97 $21,284.43 nat. median
$971
outlier · 21.9×
37221
HCPCS 		Insertion Of Stent In Groin Artery, Initial Vessel 14 $12,632.52 $29,067.00 $20,201.57 nat. median
$12,097
1.7× median
C1764
HCPCS 		Event Recorder, Cardiac (implantable) 14 $12,468.67 $28,690.00 $19,939.55 nat. median
$7,740
outlier · 2.6×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 $19,720.69 $28,964.80 $19,720.69 nat. median
$23,523
0.8× median
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 16 $94.00 $62,259.70 $19,523.24 nat. median
$6,910
outlier · 2.8×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 $19,117.27 $28,078.53 $19,117.27 nat. median
$23,167
0.8× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 5 $11,411.11 $27,915.21 $19,006.07 nat. median
$23,552
0.8× median
50762230_4
CDM 		37225 Ather+pta Fem/pop 1st Extremity 14 $10,173.45 $28,194.99 $18,828.15 nat. median
$18,828
1.0× median
50762230_1
CDM 		37225 Ather+pta Fem/pop 1st Extremity 14 $10,173.45 $28,194.99 $18,828.15 nat. median
$18,828
1.0× median
50762233_4
CDM 		37228 Pta Tib/peroneal 1st Vsl 1st Ext 14 $10,173.45 $28,194.99 $18,828.15 nat. median
$18,828
1.0× median
50762231_1
CDM 		37226 Stent+pta Fem/pop 1st Extremity 14 $10,173.45 $28,194.99 $18,828.15 nat. median
$18,828
1.0× median
50762231_4
CDM 		37226 Stent+pta Fem/pop 1st Extremity 14 $10,173.45 $28,194.99 $18,828.15 nat. median
$18,828
1.0× median
50762233_1
CDM 		37228 Pta Tib/peroneal 1st Vsl 1st Ext 14 $10,173.45 $28,194.99 $18,828.15 nat. median
$18,828
1.0× median
93457
HCPCS 		Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 17 $3,430.00 $30,933.00 $18,729.93 nat. median
$5,993
outlier · 3.1×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 3 $6,490.71 $18,640.60 $18,640.60 nat. median
$22,935
0.8× median
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 16 $188.35 $34,215.83 $17,813.72 nat. median
$5,568
outlier · 3.2×
51755118_4
CDM 		Operating Room Services - General Classification 14 $9,555.00 $26,481.00 $17,683.58 nat. median
$17,684
1.0× median
51755118_1
CDM 		Operating Room Services - General Classification 14 $9,555.00 $26,481.00 $17,683.58 nat. median
$17,684
1.0× median
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 16 $55.03 $55,969.61 $17,520.48 nat. median
$213
outlier · 82.3×
93456
HCPCS 		Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 17 $3,430.00 $28,704.00 $17,380.27 nat. median
$5,928
outlier · 2.9×
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 $5,839.84 $18,688.95 $17,097.07 nat. median
$21,293
0.8× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 $11,088.27 $24,884.07 $16,942.33 nat. median
$20,932
0.8× median

Other procedures at this hospital

Browse this hospital's 8,799 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
             
J9321 HCPCS Injection, Epcoritamab-bysp, 0.16 Mg 12 12 $88,226.28 $70,581.02 20% off $56.92 $85,579.49 $61,317.26 2026-10-22
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 $141,295.23 $113,036.18 20% off $50,036.16 $73,490.71 $50,036.16 2026-10-22
63685 HCPCS Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 23 17 $91,059.00 $72,847.20 20% off $292.25 $91,059.00 $43,972.39 2026-10-22
J9380 HCPCS Injection, Teclistamab-cqyv, 0.5 Mg 12 12 $59,601.02 $47,680.82 $34.50 $57,812.99 $41,422.71 2026-10-22
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 $17,536.63 $14,029.30 20% off $16,860.00 $41,978.10 $38,402.50 2026-10-22
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 16 16 $112,362.19 $89,889.75 20% off $59.60 $108,991.33 $34,084.92 2026-10-22
50762236_1 CDM 37231 Ather+stent+pta Tib/per 1st Ext 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762232_4 CDM 37227 Ather+stent+pta Fem/pop 1st Ext 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762232_1 CDM 37227 Ather+stent+pta Fem/pop 1st Ext 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762235_4 CDM 37230 Stent+pta Tib/per 1st Vsl 1st Ext 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762234_4 CDM 37229 Pta Tib/peroneal Ea Addl Vessel 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762236_4 CDM 37231 Ather+stent+pta Tib/per 1st Ext 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762235_1 CDM 37230 Stent+pta Tib/per 1st Vsl 1st Ext 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
50762234_1 CDM 37229 Pta Tib/peroneal Ea Addl Vessel 14 14 $46,491.00 $37,192.80 $16,271.85 $45,096.27 $30,114.54 2026-10-22
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 28 14 $47,766.50 $38,213.20 20% off $14,124.07 $63,034.00 $29,994.73 2026-10-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 $32,186.26 $25,749.01 $28,155.26 $42,977.22 $29,261.05 2026-10-22
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 $20,408.50 $16,326.80 20% off $18,448.00 $41,933.34 $28,550.32 2026-10-22
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 5 $21,096.50 $16,877.20 $19,947.50 $41,250.37 $28,085.32 2026-10-22
51755117_4 CDM Operating Room Services - General Classification 14 14 $40,950.00 $32,760.00 20% off $14,332.50 $39,721.50 $26,525.36 2026-10-22
51755117_1 CDM Operating Room Services - General Classification 14 14 $40,950.00 $32,760.00 20% off $14,332.50 $39,721.50 $26,525.36 2026-10-22
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 12 12 $35,678.15 $28,542.52 20% off $32.61 $34,607.81 $24,796.32 2026-10-22
500 MS_DRG Soft Tissue Procedures With Mcc 5 5 $98,900.73 $79,120.58 20% off $24,609.45 $36,145.18 $24,609.45 2026-10-22
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 16 16 $80,192.00 $64,153.60 20% off $137.23 $77,786.24 $24,408.74 2026-10-22
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 $12,360.18 $9,888.14 20% off $10,610.18 $35,572.99 $24,219.88 2026-10-22
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 5 $123,876.25 $99,101.00 20% off $23,586.13 $34,642.18 $23,586.13 2026-10-22
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 5 $37,370.87 $29,896.70 $22,646.02 $33,261.38 $22,646.02 2026-10-22
22869 HCPCS Placement Of Stabilizing Device To Lower Spine Level 25 17 $40,732.00 $32,585.60 20% off $373.27 $40,732.00 $22,547.37 2026-10-22
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 5 $21,326.14 $17,060.91 20% off $20,848.80 $32,780.55 $22,318.65 2026-10-22
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 16 16 $69,556.67 $55,645.33 20% off $266.19 $67,469.97 $21,284.43 2026-10-22
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 14 14 $29,067.00 $23,253.60 20% off $12,632.52 $29,067.00 $20,201.57 2026-10-22
C1764 HCPCS Event Recorder, Cardiac (implantable) 14 14 $28,690.00 $22,952.00 20% off $12,468.67 $28,690.00 $19,939.55 2026-10-22
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 5 $34,291.75 $27,433.40 $19,720.69 $28,964.80 $19,720.69 2026-10-22
J9022 HCPCS Injection, Atezolizumab, 10 Mg 16 16 $64,185.26 $51,348.21 $94.00 $62,259.70 $19,523.24 2026-10-22
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 $19,140.27 $15,312.22 $19,117.27 $28,078.53 $19,117.27 2026-10-22
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 5 5 $11,697.11 $9,357.69 $11,411.11 $27,915.21 $19,006.07 2026-10-22
50762230_4 CDM 37225 Ather+pta Fem/pop 1st Extremity 14 14 $29,067.00 $23,253.60 20% off $10,173.45 $28,194.99 $18,828.15 2026-10-22
50762230_1 CDM 37225 Ather+pta Fem/pop 1st Extremity 14 14 $29,067.00 $23,253.60 20% off $10,173.45 $28,194.99 $18,828.15 2026-10-22
50762233_4 CDM 37228 Pta Tib/peroneal 1st Vsl 1st Ext 14 14 $29,067.00 $23,253.60 20% off $10,173.45 $28,194.99 $18,828.15 2026-10-22
50762231_1 CDM 37226 Stent+pta Fem/pop 1st Extremity 14 14 $29,067.00 $23,253.60 20% off $10,173.45 $28,194.99 $18,828.15 2026-10-22
50762231_4 CDM 37226 Stent+pta Fem/pop 1st Extremity 14 14 $29,067.00 $23,253.60 20% off $10,173.45 $28,194.99 $18,828.15 2026-10-22
50762233_1 CDM 37228 Pta Tib/peroneal 1st Vsl 1st Ext 14 14 $29,067.00 $23,253.60 20% off $10,173.45 $28,194.99 $18,828.15 2026-10-22
93457 HCPCS Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 17 17 $30,933.00 $24,746.40 $3,430.00 $30,933.00 $18,729.93 2026-10-22
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 $6,576.88 $5,261.51 $6,490.71 $18,640.60 $18,640.60 2026-10-22
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 24 16 $35,274.05 $28,219.24 20% off $188.35 $34,215.83 $17,813.72 2026-10-22
51755118_4 CDM Operating Room Services - General Classification 14 14 $27,300.00 $21,840.00 20% off $9,555.00 $26,481.00 $17,683.58 2026-10-22
51755118_1 CDM Operating Room Services - General Classification 14 14 $27,300.00 $21,840.00 20% off $9,555.00 $26,481.00 $17,683.58 2026-10-22
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 16 16 $57,700.63 $46,160.50 20% off $55.03 $55,969.61 $17,520.48 2026-10-22
93456 HCPCS Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 17 17 $28,704.00 $22,963.20 20% off $3,430.00 $28,704.00 $17,380.27 2026-10-22
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 4 $8,225.84 $6,580.67 20% off $5,839.84 $18,688.95 $17,097.07 2026-10-22
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 5 5 $11,088.27 $8,870.62 $11,088.27 $24,884.07 $16,942.33 2026-10-22
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 24 16 $69,158.51 $55,326.81 $42.75 $67,083.76 $16,761.57 2026-10-22
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 5 $26,561.65 $21,249.32 20% off $16,467.21 $24,186.25 $16,467.21 2026-10-22
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 5 5 $11,631.16 $9,304.93 $11,356.49 $23,921.28 $16,286.81 2026-10-22
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 5 $16,422.56 $13,138.05 $16,260.37 $23,882.45 $16,260.37 2026-10-22
835 MS_DRG Acute Leukemia With Cc 5 5 $25,823.01 $20,658.41 $16,219.16 $23,821.92 $16,219.16 2026-10-22
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 16 16 $53,401.48 $42,721.18 20% off $20.98 $51,799.44 $16,192.28 2026-10-22
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 5 5 $15,500.02 $12,400.02 $15,206.02 $23,158.36 $15,767.37 2026-10-22
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 5 5 $8,596.12 $6,876.89 20% off $8,596.12 $22,820.30 $15,537.21 2026-10-22
J9299 HCPCS Injection, Nivolumab, 1 Mg 32 16 $20,423.73 $16,338.99 $33.62 $43,575.61 $15,523.49 2026-10-22
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 5 5 $26,848.19 $21,478.55 20% off $15,402.68 $22,622.72 $15,402.68 2026-10-22
48607059_4 CDM Ccl Cath Plcmt Stent Add Vsl 14 14 $23,510.00 $18,808.00 20% off $8,228.50 $22,804.70 $15,228.60 2026-10-22
48607059_1 CDM Ccl Cath Plcmt Stent Add Vsl 14 14 $23,510.00 $18,808.00 20% off $8,228.50 $22,804.70 $15,228.60 2026-10-22
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 16 16 $49,549.35 $39,639.48 $81.81 $48,062.87 $15,074.46 2026-10-22
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 5 5 $18,582.20 $14,865.76 20% off $14,999.11 $22,029.97 $14,999.11 2026-10-22
49959080_1 CDM Allogen 2ml Allograft Alb-0200s 14 14 $22,687.00 $18,149.60 20% off $7,940.45 $22,006.39 $14,695.51 2026-10-22
49959080_4 CDM Allogen 2ml Allograft Alb-0200s 14 14 $22,687.00 $18,149.60 20% off $7,940.45 $22,006.39 $14,695.51 2026-10-22
J9228 HCPCS Injection, Ipilimumab, 1 Mg 16 16 $47,706.60 $38,165.28 20% off $187.17 $46,275.40 $14,628.12 2026-10-22
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 5 $8,811.26 $7,049.01 $8,235.76 $21,360.70 $14,543.43 2026-10-22
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 17 17 $21,263.00 $17,010.40 $8,755.45 $21,263.00 $14,533.28 2026-10-22
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 17 17 $23,510.00 $18,808.00 20% off $5,514.02 $22,804.70 $14,235.31 2026-10-22
93461 HCPCS Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 17 17 $23,510.00 $18,808.00 20% off $3,430.00 $23,510.00 $14,235.31 2026-10-22
93460 HCPCS Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 17 17 $23,510.00 $18,808.00 20% off $3,430.00 $23,510.00 $14,235.31 2026-10-22
93459 HCPCS Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 17 17 $23,510.00 $18,808.00 20% off $3,430.00 $23,510.00 $14,235.31 2026-10-22
93458 HCPCS Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 17 17 $23,510.00 $18,808.00 20% off $3,430.00 $23,510.00 $14,235.31 2026-10-22
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 5 5 $33,112.92 $26,490.34 $14,214.51 $20,877.59 $14,214.51 2026-10-22
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 3 3 $4,707.29 $3,765.83 20% off $4,707.29 $14,013.89 $14,013.89 2026-10-22
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 5 5 $8,963.74 $7,170.99 20% off $8,081.74 $20,497.27 $13,955.57 2026-10-22
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 5 $16,702.35 $13,361.88 20% off $13,949.35 $20,488.13 $13,949.35 2026-10-22
180 MS_DRG Respiratory Neoplasms With Mcc 5 5 $52,334.27 $41,867.41 20% off $13,732.40 $20,169.49 $13,732.40 2026-10-22
199 MS_DRG Pneumothorax With Mcc 5 5 $8,304.07 $6,643.25 20% off $8,077.57 $20,147.79 $13,717.62 2026-10-22
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 4 $6,013.18 $4,810.54 20% off $3,599.18 $14,936.20 $13,663.97 2026-10-22
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 5 $65,112.31 $52,089.85 $13,656.19 $20,057.56 $13,656.19 2026-10-22
501 MS_DRG Soft Tissue Procedures With Cc 5 5 $46,666.10 $37,332.88 20% off $13,593.21 $19,965.05 $13,593.21 2026-10-22
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 4 $6,435.94 $5,148.75 20% off $6,435.94 $14,833.35 $13,569.88 2026-10-22
51755119_4 CDM Operating Room Services - General Classification 14 14 $20,909.00 $16,727.20 $7,318.15 $20,281.73 $13,543.81 2026-10-22
51755119_1 CDM Operating Room Services - General Classification 14 14 $20,909.00 $16,727.20 $7,318.15 $20,281.73 $13,543.81 2026-10-22
157 MS_DRG Dental And Oral Diseases With Mcc 3 3 $4,545.28 $3,636.22 20% off $1,198.78 $13,349.82 $13,349.82 2026-10-22
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 5 5 $18,378.47 $14,702.78 $13,328.05 $19,575.59 $13,328.05 2026-10-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 5 $6,878.39 $5,502.71 20% off $6,878.39 $19,319.76 $13,153.86 2026-10-22
571 MS_DRG Skin Debridement With Cc 5 5 $14,850.56 $11,880.45 $13,137.54 $19,295.78 $13,137.54 2026-10-22
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 5 5 $6,979.47 $5,583.58 $6,979.47 $19,220.40 $13,086.21 2026-10-22
J3101 HCPCS Injection, Tenecteplase, 1 Mg 16 16 $42,336.02 $33,868.82 $174.24 $41,065.94 $12,972.20 2026-10-22
70 MS_DRG Other Cerebrovascular Disorders With Mcc 5 5 $8,211.14 $6,568.91 20% off $7,674.39 $19,013.68 $12,945.47 2026-10-22
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 12 12 $18,539.00 $14,831.20 $127.38 $17,982.83 $12,884.60 2026-10-22
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 $5,002.28 $4,001.82 20% off $5,002.28 $14,020.75 $12,826.50 2026-10-22
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 $18,627.02 $14,901.62 $12,780.62 $18,771.56 $12,780.62 2026-10-22
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 $5,202.13 $4,161.70 20% off $5,202.13 $13,877.95 $12,695.86 2026-10-22
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 5 5 $14,804.22 $11,843.38 $12,682.64 $18,627.65 $12,682.64 2026-10-22
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 16 16 $41,112.89 $32,890.31 20% off $212.10 $39,879.50 $12,654.49 2026-10-22
884 MS_DRG Organic Disturbances And Intellectual Disability 5 5 $9,040.81 $7,232.65 $9,040.81 $18,375.25 $12,510.79 2026-10-22
92997 HCPCS Balloon Dilation Of Pulmonary Artery, Single Vessel 17 17 $18,108.00 $14,486.40 20% off $7,869.74 $20,273.97 $12,494.52 2026-10-22
393 MS_DRG Other Digestive System Diagnoses With Mcc 5 5 $14,954.40 $11,963.52 $12,436.14 $18,265.61 $12,436.14 2026-10-22
J0870 HCPCS Injection, Imetelstat, 1 Mg 20 12 $58,271.56 $46,617.25 $58.14 $56,523.41 $12,325.73 2026-10-22
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 5 5 $22,805.32 $18,244.26 $12,253.41 $17,997.21 $12,253.41 2026-10-22
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 4 $5,645.14 $4,516.11 20% off $5,645.14 $13,331.40 $12,195.86 2026-10-22
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 5 5 $6,430.37 $5,144.29 20% off $5,063.37 $17,887.57 $12,178.76 2026-10-22
177 MS_DRG Respiratory Infections And Inflammations With Mcc 5 5 $8,329.52 $6,663.62 $7,769.90 $17,847.60 $12,151.54 2026-10-22
186 MS_DRG Pleural Effusion With Mcc 5 5 $30,297.92 $24,238.34 $12,118.88 $17,799.63 $12,118.88 2026-10-22
28202 HCPCS Secondary Repair Of Tendon On Sole Of Foot With Graft 23 17 $24,586.00 $19,668.80 20% off $382.88 $24,586.00 $11,872.58 2026-10-22
28760 HCPCS Fusion Of Big Toe Between Toe Joints With Tendon Transfer 23 17 $24,586.00 $19,668.80 20% off $503.83 $24,586.00 $11,872.58 2026-10-22
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 5 5 $26,150.69 $20,920.55 20% off $11,854.50 $17,411.31 $11,854.50 2026-10-22
398 MS_DRG Appendix Procedures With Cc 5 5 $22,100.95 $17,680.76 20% off $11,769.74 $17,286.83 $11,769.74 2026-10-22
93455 HCPCS Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist 17 17 $19,276.00 $15,420.80 20% off $3,430.00 $19,276.00 $11,671.62 2026-10-22
865 MS_DRG Viral Illness With Mcc 4 4 $5,485.64 $4,388.51 20% off $5,485.64 $12,735.55 $11,650.77 2026-10-22
28238 HCPCS Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone 25 17 $24,586.00 $19,668.80 20% off $430.66 $24,586.00 $11,525.92 2026-10-22
682 MS_DRG Renal Failure With Mcc 5 5 $6,736.81 $5,389.45 $6,320.69 $16,914.50 $11,516.24 2026-10-22
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 $4,442.82 $3,554.26 $4,442.82 $12,552.80 $11,483.58 2026-10-22
637 MS_DRG Diabetes With Mcc 5 5 $7,531.27 $6,025.01 20% off $6,337.27 $16,408.55 $11,171.76 2026-10-22
602 MS_DRG Cellulitis With Mcc 5 5 $17,467.70 $13,974.16 20% off $11,052.01 $16,232.67 $11,052.01 2026-10-22
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $4,300.32 $3,440.25 20% off $3,924.65 $11,936.55 $10,919.82 2026-10-22
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 5 5 $77,181.48 $61,745.18 20% off $10,831.18 $15,908.31 $10,831.18 2026-10-22
92920 HCPCS Balloon Dilation Of Single Coronary Artery Or Branch 17 17 $18,108.00 $14,486.40 20% off $3,395.01 $17,564.76 $10,770.64 2026-10-22
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 36 17 $15,875.00 $12,700.00 20% off $353.38 $17,828.00 $10,699.47 2026-10-22
28485 HCPCS Treatment Of Broken Midportion Of Foot 27 17 $24,586.00 $19,668.80 20% off $505.18 $24,586.00 $10,685.08 2026-10-22
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 5 5 $5,283.42 $4,226.74 $5,283.42 $15,687.89 $10,681.10 2026-10-22
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 5 5 $7,334.12 $5,867.30 $7,002.12 $15,598.80 $10,620.45 2026-10-22
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 5 5 $50,194.91 $40,155.93 $10,492.92 $15,411.50 $10,492.92 2026-10-22
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 5 5 $47,731.15 $38,184.92 20% off $10,465.70 $15,371.52 $10,465.70 2026-10-22
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 5 5 $5,389.48 $4,311.58 20% off $3,439.48 $15,361.25 $10,458.71 2026-10-22
48714303_4 CDM Laparscopic Roux En Y Kit 14 14 $16,049.00 $12,839.20 $5,617.15 $15,567.53 $10,395.74 2026-10-22
48714303_1 CDM Laparscopic Roux En Y Kit 14 14 $16,049.00 $12,839.20 $5,617.15 $15,567.53 $10,395.74 2026-10-22
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 $7,408.47 $5,926.78 $7,334.47 $15,253.89 $10,385.61 2026-10-22
93454 HCPCS Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist 17 17 $17,050.00 $13,640.00 20% off $3,430.00 $17,050.00 $10,323.78 2026-10-22
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 5 5 $39,165.28 $31,332.22 20% off $10,277.53 $15,095.14 $10,277.53 2026-10-22
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 3 3 $3,539.55 $2,831.64 20% off $3,236.88 $10,220.76 $10,220.76 2026-10-22
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 16 16 $33,350.57 $26,680.46 $61.25 $32,350.05 $10,158.64 2026-10-22
49325 HCPCS Revision Of Abdominal Cavity Tube Using An Endoscope 17 17 $14,645.00 $11,716.00 20% off $6,364.72 $14,645.00 $10,105.05 2026-10-22
49324 HCPCS Insertion Of Abdominal Cavity Tube Using An Endoscope 17 17 $14,645.00 $11,716.00 20% off $6,364.72 $14,645.00 $10,105.05 2026-10-22
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 5 $8,882.11 $7,105.69 $8,716.11 $14,797.05 $10,074.57 2026-10-22
C1778 HCPCS Lead, Neurostimulator (implantable) 28 14 $16,362.00 $13,089.60 20% off $5,372.09 $20,363.00 $10,007.40 2026-10-22
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $4,029.16 $3,223.33 $3,809.93 $10,912.30 $9,982.82 2026-10-22
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 14 14 $14,348.00 $11,478.40 20% off $6,235.64 $14,348.00 $9,971.86 2026-10-22
947 MS_DRG Signs And Symptoms With Mcc 5 5 $9,242.90 $7,394.32 20% off $8,948.90 $14,497.82 $9,870.84 2026-10-22
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 3 $3,353.56 $2,682.84 20% off $3,291.96 $9,862.29 $9,862.29 2026-10-22
93452 HCPCS Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 17 17 $16,172.00 $12,937.60 20% off $3,430.00 $16,172.00 $9,792.15 2026-10-22
93453 HCPCS Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By … 17 17 $16,172.00 $12,937.60 20% off $3,430.00 $16,172.00 $9,792.15 2026-10-22
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 5 5 $64,144.44 $51,315.55 20% off $9,649.23 $14,172.32 $9,649.23 2026-10-22
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 5 5 $22,810.25 $18,248.20 $9,647.67 $14,170.03 $9,647.67 2026-10-22
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $4,470.18 $3,576.14 20% off $4,224.82 $10,500.90 $9,606.46 2026-10-22
36819 HCPCS Relocation Of Upper Arm Surface Vein With Connection To Arm Artery For Hemodialy… 17 17 $13,806.00 $11,044.80 20% off $5,887.28 $13,806.00 $9,526.14 2026-10-22
36830 HCPCS Creation Of Artery-vein Connection Using Tube Graft For Hemodialysis 17 17 $13,806.00 $11,044.80 20% off $5,887.28 $13,806.00 $9,526.14 2026-10-22
36833 HCPCS Revision Of Hemodialysis Graft With Removal Of Blood Clot 17 17 $13,806.00 $11,044.80 20% off $5,887.28 $13,806.00 $9,526.14 2026-10-22
36818 HCPCS Relocation Of Major Upper Arm Vein With Connection To Arm Artery For Hemodialysi… 17 17 $13,806.00 $11,044.80 20% off $5,887.28 $13,806.00 $9,526.14 2026-10-22
36831 HCPCS Removal Of Blood Clot From Hemodialysis Graft 17 17 $13,806.00 $11,044.80 20% off $5,887.28 $13,806.00 $9,526.14 2026-10-22
36832 HCPCS Revision Of Hemodialysis Graft 17 17 $13,806.00 $11,044.80 20% off $5,887.28 $13,806.00 $9,526.14 2026-10-22
375 MS_DRG Digestive Malignancy With Cc 5 5 $9,541.23 $7,632.98 20% off $9,405.84 $13,814.84 $9,405.84 2026-10-22
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 29 17 $13,613.00 $10,890.40 20% off $3,325.83 $13,391.82 $9,392.97 2026-10-22
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 5 5 $4,744.36 $3,795.49 $4,742.80 $13,750.88 $9,362.29 2026-10-22
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 4 4 $3,845.58 $3,076.46 20% off $3,824.15 $10,199.15 $9,330.41 2026-10-22
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 5 5 $21,646.55 $17,317.24 $9,324.97 $13,696.06 $9,324.97 2026-10-22
50762229_4 CDM 37224 Pta Fem/pop 1st Extremity 14 14 $14,348.00 $11,478.40 20% off $5,021.80 $13,917.56 $9,293.92 2026-10-22
50762229_1 CDM 37224 Pta Fem/pop 1st Extremity 14 14 $14,348.00 $11,478.40 20% off $5,021.80 $13,917.56 $9,293.92 2026-10-22
304 MS_DRG Hypertension With Mcc 5 5 $6,613.08 $5,290.47 $6,613.08 $13,590.99 $9,253.43 2026-10-22
152 MS_DRG Otitis Media And Uri With Mcc 5 5 $20,567.80 $16,454.24 $9,192.78 $13,501.91 $9,192.78 2026-10-22
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 5 5 $43,181.89 $34,545.51 20% off $9,177.22 $13,479.06 $9,177.22 2026-10-22
51661331_1 CDM Operating Room Services - General Classification 14 14 $13,939.00 $11,151.20 $4,878.65 $13,520.83 $9,028.99 2026-10-22
51661331_4 CDM Operating Room Services - General Classification 14 14 $13,939.00 $11,151.20 $4,878.65 $13,520.83 $9,028.99 2026-10-22
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $3,588.14 $2,870.51 20% off $3,329.64 $9,862.55 $9,022.48 2026-10-22
546 MS_DRG Connective Tissue Disorders With Cc 5 5 $5,124.77 $4,099.82 $4,853.77 $13,172.98 $8,968.83 2026-10-22
Q5136 HCPCS Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 21 12 $28,231.02 $22,584.82 $27.91 $28,231.02 $8,917.75 2026-10-22
399 MS_DRG Appendix Procedures Without Cc/mcc 5 5 $20,630.18 $16,504.14 20% off $8,901.18 $13,073.62 $8,901.18 2026-10-22
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 5 $36,147.86 $28,918.29 $8,756.54 $12,861.19 $8,756.54 2026-10-22
51755120_4 CDM Operating Room Services - General Classification 14 14 $13,467.00 $10,773.60 20% off $4,713.45 $13,062.99 $8,723.25 2026-10-22
51755120_1 CDM Operating Room Services - General Classification 14 14 $13,467.00 $10,773.60 20% off $4,713.45 $13,062.99 $8,723.25 2026-10-22
300 MS_DRG Peripheral Vascular Disorders With Cc 4 4 $5,031.50 $4,025.20 20% off $8,300.87 $12,191.92 $8,687.31 2026-10-22
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 5 5 $78,737.20 $62,989.76 $8,684.23 $12,754.97 $8,684.23 2026-10-22
787 MS_DRG Cesarean Section Without Sterilization With Cc 4 4 $3,868.38 $3,094.70 20% off $3,695.38 $9,492.80 $8,684.23 2026-10-22
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 5 5 $4,832.84 $3,866.27 20% off $4,695.11 $12,651.04 $8,613.46 2026-10-22
200 MS_DRG Pneumothorax With Cc 5 5 $9,833.50 $7,866.80 20% off $8,548.15 $12,555.11 $8,548.15 2026-10-22
445 MS_DRG Disorders Of The Biliary Tract With Cc 5 5 $6,926.46 $5,541.17 $6,926.46 $12,499.14 $8,510.04 2026-10-22
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 5 5 $5,461.75 $4,369.40 20% off $5,444.08 $12,238.74 $8,332.75 2026-10-22
784 MS_DRG Cesarean Section With Sterilization With Cc 5 5 $4,340.89 $3,472.71 20% off $4,340.89 $12,107.40 $8,243.33 2026-10-22
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 5 5 $6,340.66 $5,072.52 20% off $5,980.32 $12,062.86 $8,213.00 2026-10-22
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $8,487.76 $6,790.21 $8,193.76 $8,193.76 $8,193.76 2026-10-22
28200 HCPCS Repair Of Tendon On Sole Of Foot 23 17 $17,364.00 $13,891.20 $293.14 $17,364.00 $8,140.24 2026-10-22
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 5 5 $7,119.22 $5,695.38 $6,825.22 $11,825.30 $8,051.26 2026-10-22
49976291_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-102 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49985560_4 CDM Triathlon Cr Rem Component - Cemented 5510-f-101 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976291_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-102 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976295_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-502 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976295_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-502 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49985561_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-201 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49985560_1 CDM Triathlon Cr Rem Component - Cemented 5510-f-101 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976293_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-302 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976292_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-202 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49985561_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-201 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976296_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-602 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976293_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-302 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49985559_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-802 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976292_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-202 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49976296_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-602 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
49985559_1 CDM Triathlon Cr Fem Component - Cemented 5510-f-802 14 14 $12,421.00 $9,936.80 20% off $4,347.35 $12,048.37 $8,045.70 2026-10-22
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 $3,544.77 $2,835.82 $3,544.77 $8,738.00 $7,993.72 2026-10-22
71 MS_DRG Other Cerebrovascular Disorders With Cc 4 4 $3,053.51 $2,442.81 $2,318.61 $8,721.00 $7,978.17 2026-10-22
644 MS_DRG Endocrine Disorders With Cc 3 3 $2,824.02 $2,259.21 20% off $989.39 $7,970.39 $7,970.39 2026-10-22
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 5 $4,550.59 $3,640.47 20% off $4,292.74 $11,687.11 $7,957.17 2026-10-22
92 MS_DRG Other Disorders Of Nervous System With Cc 5 5 $9,406.70 $7,525.36 20% off $7,954.84 $11,683.68 $7,954.84 2026-10-22
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 5 5 $5,864.62 $4,691.70 $5,357.45 $11,660.84 $7,939.29 2026-10-22
55 MS_DRG Nervous System Neoplasms Without Mcc 5 5 $18,299.38 $14,639.50 20% off $7,928.40 $11,644.85 $7,928.40 2026-10-22
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 4 4 $3,556.39 $2,845.11 20% off $3,556.39 $8,627.50 $7,892.63 2026-10-22
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 5 5 $5,203.08 $4,162.46 20% off $4,541.58 $11,580.89 $7,884.85 2026-10-22
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 5 $5,473.41 $4,378.73 $5,345.19 $11,538.64 $7,856.08 2026-10-22
920 MS_DRG Complications Of Treatment With Cc 5 5 $22,508.24 $18,006.59 20% off $7,793.87 $11,447.27 $7,793.87 2026-10-22
C1787 HCPCS Patient Programmer, Neurostimulator 14 14 $11,200.00 $8,960.00 20% off $4,867.52 $11,200.00 $7,784.00 2026-10-22
369 MS_DRG Major Esophageal Disorders With Cc 5 5 $7,197.73 $5,758.18 20% off $7,144.73 $11,423.28 $7,777.55 2026-10-22
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 14 14 $11,996.08 $9,596.86 20% off $838.95 $11,636.20 $7,770.47 2026-10-22
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 17 17 $12,915.00 $10,332.00 20% off $777.75 $12,527.55 $7,681.84 2026-10-22
378 MS_DRG Gastrointestinal Hemorrhage With Cc 5 5 $8,329.39 $6,663.51 20% off $7,625.91 $11,200.57 $7,625.91 2026-10-22
78609 HCPCS Nuclear Medicine Study Of Brain With Blood Flow Evaluation 14 14 $11,742.00 $9,393.60 $777.75 $11,389.74 $7,605.88 2026-10-22
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 5 $7,338.41 $5,870.73 $7,338.41 $11,146.90 $7,589.37 2026-10-22
202 MS_DRG Bronchitis And Asthma With Cc/mcc 5 5 $3,816.77 $3,053.42 $3,650.77 $11,092.08 $7,552.04 2026-10-22
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 5 5 $4,420.64 $3,536.51 20% off $4,375.64 $11,024.69 $7,506.16 2026-10-22
315 MS_DRG Other Circulatory System Diagnoses With Cc 5 5 $7,857.55 $6,286.04 20% off $7,380.55 $11,001.85 $7,490.61 2026-10-22
552 MS_DRG Medical Back Problems Without Mcc 4 4 $3,097.01 $2,477.61 $2,655.26 $8,171.05 $7,475.06 2026-10-22
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 5 5 $5,389.66 $4,311.73 $5,157.15 $10,950.45 $7,455.62 2026-10-22
J9173 HCPCS Injection, Durvalumab, 10 Mg 16 16 $24,313.03 $19,450.42 20% off $86.15 $23,583.64 $7,449.45 2026-10-22
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 5 5 $12,514.94 $10,011.95 20% off $7,447.84 $10,939.03 $7,447.84 2026-10-22
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 5 5 $21,706.01 $17,364.81 $7,420.63 $10,899.06 $7,420.63 2026-10-22
197 MS_DRG Interstitial Lung Disease With Cc 5 5 $28,076.01 $22,460.81 $7,380.19 $10,839.67 $7,380.19 2026-10-22
48712858_4 CDM Lag Screw Step Drill 357.403 14 14 $11,314.00 $9,051.20 $3,959.90 $10,974.58 $7,328.65 2026-10-22
48712858_1 CDM Lag Screw Step Drill 357.403 14 14 $11,314.00 $9,051.20 $3,959.90 $10,974.58 $7,328.65 2026-10-22
48607054_1 CDM Ccl Cardiac Procedure 14 14 $11,057.00 $8,845.60 $3,869.95 $10,725.29 $7,162.17 2026-10-22
48607054_4 CDM Ccl Cardiac Procedure 14 14 $11,057.00 $8,845.60 $3,869.95 $10,725.29 $7,162.17 2026-10-22
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 5 5 $40,784.65 $32,627.72 20% off $7,146.91 $10,497.04 $7,146.91 2026-10-22
812 MS_DRG Red Blood Cell Disorders Without Mcc 5 5 $4,871.60 $3,897.28 20% off $4,755.55 $10,486.76 $7,139.91 2026-10-22
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 5 5 $34,500.93 $27,600.74 20% off $7,126.69 $10,467.35 $7,126.69 2026-10-22
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 5 5 $9,726.12 $7,780.90 $7,122.81 $10,461.64 $7,122.81 2026-10-22
93451 HCPCS Insertion Of Tube In Right Heart Chambers For Measurement 17 17 $11,663.00 $9,330.40 20% off $3,430.00 $11,663.00 $7,061.95 2026-10-22
101 MS_DRG Seizures Without Mcc 4 4 $3,261.33 $2,609.07 $3,150.67 $7,672.10 $7,018.61 2026-10-22
78813 HCPCS Nuclear Medicine Study Whole Body 17 17 $11,742.00 $9,393.60 $777.75 $11,389.74 $6,984.14 2026-10-22
78814 HCPCS Nuclear Medicine Study Limited Area With CT Scan 17 17 $11,742.00 $9,393.60 $777.75 $11,389.74 $6,984.14 2026-10-22
638 MS_DRG Diabetes With Cc 5 5 $4,409.65 $3,527.72 20% off $4,168.65 $10,235.50 $6,968.84 2026-10-22
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 5 5 $4,587.62 $3,670.09 20% off $4,308.87 $10,227.51 $6,963.40 2026-10-22
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 4 4 $3,296.55 $2,637.24 20% off $3,123.80 $7,592.20 $6,945.51 2026-10-22
864 MS_DRG Fever And Inflammatory Conditions 5 5 $22,946.81 $18,357.45 $6,902.75 $10,138.42 $6,902.75 2026-10-22
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 $2,934.48 $2,347.58 20% off $2,818.15 $7,503.80 $6,864.64 2026-10-22
683 MS_DRG Renal Failure With Cc 5 5 $4,641.57 $3,713.25 20% off $4,602.85 $10,002.51 $6,810.21 2026-10-22
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 $7,345.87 $5,876.69 20% off $6,779.20 $6,779.20 $6,779.20 2026-10-22
312 MS_DRG Syncope And Collapse 5 5 $3,706.85 $2,965.48 20% off $2,969.69 $9,954.54 $6,777.55 2026-10-22
603 MS_DRG Cellulitis Without Mcc 3 3 $2,393.74 $1,914.99 20% off $1,331.87 $6,772.11 $6,772.11 2026-10-22
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 5 5 $3,883.49 $3,106.80 $3,852.49 $9,788.94 $6,664.80 2026-10-22
19081 HCPCS Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, First… 41 17 $9,340.00 $7,472.00 20% off $702.08 $16,471.57 $6,622.98 2026-10-22
49976294_4 CDM Triathlon Cr Fem Component - Cemented 5510-f-402 14 14 $10,217.50 $8,174.00 20% off $3,576.13 $9,910.98 $6,618.39 2026-10-22
292 MS_DRG Heart Failure And Shock With Cc 5 5 $4,707.87 $3,766.30 $4,672.87 $9,696.43 $6,601.82 2026-10-22
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 5 5 $4,748.24 $3,798.59 20% off $4,748.24 $9,627.90 $6,555.16 2026-10-22
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 5 5 $4,038.09 $3,230.48 $3,959.18 $9,607.35 $6,541.16 2026-10-22
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 17 17 $10,978.00 $8,782.40 20% off $777.75 $10,648.66 $6,529.71 2026-10-22
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 5 5 $19,863.08 $15,890.46 20% off $6,458.74 $9,486.28 $6,458.74 2026-10-22
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 5 5 $70,577.00 $56,461.60 20% off $6,454.85 $9,480.57 $6,454.85 2026-10-22
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 5 5 $3,861.57 $3,089.26 $3,567.57 $9,448.59 $6,433.08 2026-10-22
90 MS_DRG Concussion Without Cc/mcc 5 5 $47,607.90 $38,086.32 20% off $6,401.20 $9,401.77 $6,401.20 2026-10-22
75724 HCPCS Irpv Angiography Renal Bilat 14 14 $9,195.00 $7,356.00 20% off $3,996.15 $9,195.00 $6,390.52 2026-10-22
75722 HCPCS Irpv Angiography Renal Unil Lt 14 14 $9,195.00 $7,356.00 20% off $3,996.15 $9,195.00 $6,390.52 2026-10-22
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 40 16 $9,136.67 $7,309.33 20% off $6.02 $9,078.01 $6,365.56 2026-10-22
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 3 3 $2,969.17 $2,375.34 $6,307.88 $6,895.20 $6,307.88 2026-10-22
49996190_1 CDM Latera 24mm Kit Latsys01 14 14 $9,733.00 $7,786.40 20% off $3,406.55 $9,441.01 $6,304.55 2026-10-22
49996190_4 CDM Latera 24mm Kit Latsys01 14 14 $9,733.00 $7,786.40 20% off $3,406.55 $9,441.01 $6,304.55 2026-10-22
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 5 5 $4,967.67 $3,974.14 $4,897.88 $9,245.30 $6,294.66 2026-10-22
49421 HCPCS Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis 17 17 $9,213.00 $7,370.40 20% off $3,788.10 $9,213.00 $6,287.93 2026-10-22
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $5,262.43 $4,209.94 20% off $3,893.93 $9,223.60 $6,279.89 2026-10-22
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 5 5 $4,077.29 $3,261.84 $3,914.85 $9,204.18 $6,266.67 2026-10-22
176 MS_DRG Pulmonary Embolism Without Mcc 5 5 $3,096.07 $2,476.85 20% off $2,062.82 $9,193.91 $6,259.67 2026-10-22
948 MS_DRG Signs And Symptoms Without Mcc 5 5 $3,948.39 $3,158.71 20% off $3,713.39 $9,142.51 $6,224.68 2026-10-22
69 MS_DRG Transient Ischemia Without Thrombolytic 5 5 $3,376.87 $2,701.50 $3,171.71 $9,123.09 $6,211.46 2026-10-22
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 5 5 $4,663.29 $3,730.63 20% off $4,454.62 $9,094.54 $6,192.02 2026-10-22
389 MS_DRG Gastrointestinal Obstruction With Cc 5 5 $3,583.09 $2,866.47 20% off $961.09 $9,020.31 $6,141.48 2026-10-22
51661333_1 CDM Operating Room Services - General Classification 14 14 $9,450.00 $7,560.00 20% off $3,307.50 $9,166.50 $6,121.24 2026-10-22
51661333_4 CDM Operating Room Services - General Classification 14 14 $9,450.00 $7,560.00 20% off $3,307.50 $9,166.50 $6,121.24 2026-10-22
51661332_4 CDM Operating Room Services - General Classification 14 14 $9,450.00 $7,560.00 20% off $3,307.50 $9,166.50 $6,121.24 2026-10-22
51661332_1 CDM Operating Room Services - General Classification 14 14 $9,450.00 $7,560.00 20% off $3,307.50 $9,166.50 $6,121.24 2026-10-22
51653072_4 CDM Operating Room Services - General Classification 14 14 $9,450.00 $7,560.00 20% off $3,307.50 $9,166.50 $6,121.24 2026-10-22
51653072_1 CDM Operating Room Services - General Classification 14 14 $9,450.00 $7,560.00 20% off $3,307.50 $9,166.50 $6,121.24 2026-10-22
694 MS_DRG Urinary Stones Without Mcc 4 4 $2,971.34 $2,377.07 20% off $2,784.34 $6,644.45 $6,078.49 2026-10-22
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 5 5 $4,965.45 $3,972.36 $4,889.93 $8,903.81 $6,062.16 2026-10-22
J0897 HCPCS Injection, Denosumab, 1 Mg 36 16 $10,749.36 $8,599.49 $26.52 $16,585.99 $6,051.89 2026-10-22
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 5 5 $4,275.08 $3,420.06 20% off $4,072.79 $8,887.82 $6,051.28 2026-10-22
J9308 HCPCS Injection, Ramucirumab, 5 Mg 24 16 $7,928.81 $6,343.05 $75.47 $38,381.89 $5,994.18 2026-10-22
645 MS_DRG Endocrine Disorders Without Cc/mcc 4 4 $2,692.60 $2,154.08 20% off $2,692.60 $6,530.55 $5,974.29 2026-10-22
38222 HCPCS Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis 17 17 $9,860.00 $7,888.00 20% off $3,073.22 $9,860.00 $5,970.23 2026-10-22
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 4 4 $2,779.56 $2,223.65 $2,447.56 $6,427.70 $5,880.20 2026-10-22
305 MS_DRG Hypertension Without Mcc 5 5 $5,130.50 $4,104.40 20% off $4,572.50 $8,624.00 $5,871.65 2026-10-22
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 5 5 $4,756.50 $3,805.20 20% off $4,756.50 $8,611.43 $5,863.10 2026-10-22
149 MS_DRG Dysequilibrium 5 5 $4,016.10 $3,212.88 $4,016.10 $8,584.02 $5,844.43 2026-10-22
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 5 5 $69,376.86 $55,501.49 $5,826.55 $8,557.76 $5,826.55 2026-10-22
153 MS_DRG Otitis Media And Uri Without Mcc 5 5 $19,273.36 $15,418.69 $5,740.24 $8,430.98 $5,740.24 2026-10-22
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 5 5 $5,514.47 $4,411.58 $4,990.55 $8,402.43 $5,720.80 2026-10-22
J2357 HCPCS Injection, Omalizumab, 5 Mg 24 16 $8,096.87 $6,477.49 20% off $41.82 $8,103.00 $5,715.90 2026-10-22
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 16 16 $18,593.80 $14,875.04 $12.90 $18,035.98 $5,650.61 2026-10-22
37766 HCPCS Removal Of Varicose Veins Of Arm Or Leg, More Than 20 Incisions 38 17 $9,384.00 $7,507.20 20% off $273.68 $11,480.00 $5,631.81 2026-10-22
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 4 4 $3,000.05 $2,400.04 20% off $5,373.99 $7,893.05 $5,624.17 2026-10-22
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