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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

8,781 distinct procedures filed
19 distinct payers
140,902 rate rows
2026-05-05 last MRF observed
Data quality

140,582 of 140,902 rate rows are consumer-grade (99.8%)

320 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
exceeds 3× this hospital's gross charge for a DRG stay — excluded 177
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
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 · 2026-05-19
Content fingerprint 6c7a71734338aae3… · 83,125,022 bytes · first seen 2026-05-17

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
$1,449
outlier · 42.3×
63685
HCPCS 		Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 17 $292.25 $91,059.00 $43,972.39 nat. median
$21,347
outlier · 2.1×
J9380
HCPCS 		Injection, Teclistamab-cqyv, 0.5 Mg 12 $34.50 $57,812.99 $41,422.71 nat. median
$1,220
outlier · 33.9×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 16 $59.60 $108,991.33 $34,084.92 nat. median
$712
outlier · 47.9×
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
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
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
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
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
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 14 $14,124.07 $63,034.00 $29,994.73 nat. median
$22,478
1.3× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 17 $10,714.23 $36,545.87 $29,149.28 nat. median
$29,218
1.0× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 $9,227.80 $42,977.22 $28,155.26 nat. median
$37,664
0.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 $9,831.45 $33,997.75 $26,747.57 nat. median
$24,757
1.1× 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
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
501
MS_DRG 		Soft Tissue Procedures With Cc 17 $13,379.17 $45,266.12 $26,501.20 nat. median
$17,880
1.5× median
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 12 $32.61 $34,607.81 $24,796.32 nat. median
$112
outlier · 220.5×
J9309
HCPCS 		Injection, Polatuzumab Vedotin-piiq, 1 Mg 16 $137.23 $77,786.24 $24,408.74 nat. median
$4,472
outlier · 5.5×
482
MS_DRG 		Hip And Femur Procedures Except Major Joint Without Cc/mcc 17 $9,652.42 $32,657.28 $23,230.44 nat. median
$17,028
1.4× median
22869
HCPCS 		Placement Of Stabilizing Device To Lower Spine Level 17 $373.27 $40,732.00 $22,547.37 nat. median
$12,404
1.8× median
858
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 17 $10,831.18 $74,866.04 $22,127.93 nat. median
$14,323
1.5× median
J9042
HCPCS 		Injection, Brentuximab Vedotin, 1 Mg 16 $266.19 $67,469.97 $21,284.43 nat. median
$1,050
outlier · 20.3×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 $6,114.20 $32,780.55 $20,848.80 nat. median
$28,962
0.7× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 17 $7,615.22 $26,264.03 $20,718.08 nat. median
$21,762
1.0× median
37221
HCPCS 		Insertion Of Stent In Groin Artery, Initial Vessel 14 $12,632.52 $29,067.00 $20,201.57 nat. median
$11,953
1.7× median
660
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Cc 17 $10,277.53 $37,990.32 $20,036.97 nat. median
$14,195
1.4× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 $6,048.37 $41,250.37 $19,947.50 nat. median
$35,069
0.6× median
C1764
HCPCS 		Event Recorder, Cardiac (implantable) 14 $12,468.67 $28,690.00 $19,939.55 nat. median
$7,664
outlier · 2.6×
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 16 $94.00 $62,259.70 $19,523.24 nat. median
$6,951
outlier · 2.8×
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 $5,487.52 $28,078.53 $19,117.27 nat. median
$24,493
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
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
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
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
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
$6,332
outlier · 3.0×
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 $5,851.12 $41,933.34 $18,448.00 nat. median
$35,489
0.5× median
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 17 $7,497.40 $25,366.17 $18,305.48 nat. median
$15,589
1.2× median
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 16 $188.35 $34,215.83 $17,813.72 nat. median
$5,975
outlier · 3.0×
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
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
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 16 $55.03 $55,969.61 $17,520.48 nat. median
$233
outlier · 75.2×
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
$6,224
outlier · 2.8×
398
MS_DRG 		Appendix Procedures With Cc 17 $6,336.34 $22,100.95 $17,238.74 nat. median
$15,924
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $5,027.75 $41,978.10 $16,860.00 nat. median
$48,170
outlier · 0.4×
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 16 $42.75 $67,083.76 $16,761.57 nat. median
$4,612
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 8,781 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
             
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 16 16 $112,362.19 $89,889.75 20% off $59.60 $108,991.33 $34,084.92 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 17 17 $77,181.48 $61,745.18 20% off $10,831.18 $74,866.04 $22,127.93 2026-05-05
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 17 17 $70,577.00 $56,461.60 20% off $6,454.85 $68,459.69 $13,324.77 2026-05-05
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 2026-05-05
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 17 17 $69,376.86 $55,501.49 $5,826.55 $67,295.55 $12,027.76 2026-05-05
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 24 16 $69,158.51 $55,326.81 $42.75 $67,083.76 $16,761.57 2026-05-05
J9022 HCPCS Injection, Atezolizumab, 10 Mg 16 16 $64,185.26 $51,348.21 $94.00 $62,259.70 $19,523.24 2026-05-05
J9380 HCPCS Injection, Teclistamab-cqyv, 0.5 Mg 12 12 $59,601.02 $47,680.82 $34.50 $57,812.99 $41,422.71 2026-05-05
J0870 HCPCS Injection, Imetelstat, 1 Mg 20 12 $58,271.56 $46,617.25 $58.14 $56,523.41 $12,325.73 2026-05-05
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 2026-05-05
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 2026-05-05
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 16 16 $49,549.35 $39,639.48 $81.81 $48,062.87 $15,074.46 2026-05-05
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 2026-05-05
J9228 HCPCS Injection, Ipilimumab, 1 Mg 16 16 $47,706.60 $38,165.28 20% off $187.17 $46,275.40 $14,628.12 2026-05-05
501 MS_DRG Soft Tissue Procedures With Cc 17 17 $46,666.10 $37,332.88 20% off $13,379.17 $45,266.12 $26,501.20 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
J3101 HCPCS Injection, Tenecteplase, 1 Mg 16 16 $42,336.02 $33,868.82 $174.24 $41,065.94 $12,972.20 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 17 17 $39,165.28 $31,332.22 20% off $10,277.53 $37,990.32 $20,036.97 2026-05-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 17 $37,370.87 $29,896.70 $10,714.23 $36,545.87 $29,149.28 2026-05-05
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 2026-05-05
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 2026-05-05
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 17 $34,291.75 $27,433.40 $9,831.45 $33,997.75 $26,747.57 2026-05-05
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 17 17 $33,667.30 $26,933.84 20% off $9,652.42 $32,657.28 $23,230.44 2026-05-05
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 16 16 $33,350.57 $26,680.46 $61.25 $32,350.05 $10,158.64 2026-05-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 17 $32,186.26 $25,749.01 $9,227.80 $42,977.22 $28,155.26 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 17 17 $26,561.65 $21,249.32 20% off $7,615.22 $26,264.03 $20,718.08 2026-05-05
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 17 17 $26,150.69 $20,920.55 20% off $7,497.40 $25,366.17 $18,305.48 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
J9173 HCPCS Injection, Durvalumab, 10 Mg 16 16 $24,313.03 $19,450.42 20% off $86.15 $23,583.64 $7,449.45 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 17 17 $22,810.25 $18,248.20 $6,539.70 $22,125.94 $15,967.17 2026-05-05
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 2026-05-05
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 2026-05-05
398 MS_DRG Appendix Procedures With Cc 17 17 $22,100.95 $17,680.76 20% off $6,336.34 $22,100.95 $17,238.74 2026-05-05
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 17 17 $21,646.55 $17,317.24 $6,206.07 $20,997.15 $15,152.59 2026-05-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 17 $21,326.14 $17,060.91 20% off $6,114.20 $32,780.55 $20,848.80 2026-05-05
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 2026-05-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 17 $21,096.50 $16,877.20 $6,048.37 $41,250.37 $19,947.50 2026-05-05
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 2026-05-05
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 2026-05-05
399 MS_DRG Appendix Procedures Without Cc/mcc 17 17 $20,630.18 $16,504.14 20% off $5,914.67 $20,011.27 $14,441.12 2026-05-05
J9299 HCPCS Injection, Nivolumab, 1 Mg 32 16 $20,423.73 $16,338.99 $33.62 $43,575.61 $15,523.49 2026-05-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 17 17 $20,408.50 $16,326.80 20% off $5,851.12 $41,933.34 $18,448.00 2026-05-05
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 2026-05-05
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 17 $19,140.27 $15,312.22 $5,487.52 $28,078.53 $19,117.27 2026-05-05
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 17 17 $18,627.02 $14,901.62 $5,340.37 $18,771.56 $14,529.08 2026-05-05
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 16 16 $18,593.80 $14,875.04 $12.90 $18,035.98 $5,650.61 2026-05-05
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 17 17 $18,582.20 $14,865.76 20% off $5,327.52 $22,029.97 $14,999.11 2026-05-05
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 2026-05-05
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 17 17 $18,378.47 $14,702.78 $5,269.11 $19,575.59 $14,518.99 2026-05-05
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 2026-05-05
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 2026-05-05
J1437 HCPCS Injection, Ferric Derisomaltose, 10 Mg 16 16 $17,953.64 $14,362.91 20% off $21.93 $17,415.03 $5,463.32 2026-05-05
J2182 HCPCS Injection, Mepolizumab, 1 Mg 16 16 $17,915.00 $14,332.00 20% off $31.82 $17,377.55 $5,456.83 2026-05-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 16 $17,536.63 $14,029.30 20% off $5,027.75 $41,978.10 $16,860.00 2026-05-05
602 MS_DRG Cellulitis With Mcc 17 17 $17,467.70 $13,974.16 20% off $5,007.99 $17,135.70 $13,624.81 2026-05-05
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 2026-05-05
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 16 16 $17,055.04 $13,644.03 20% off $31.26 $16,543.39 $5,191.73 2026-05-05
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 2026-05-05
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 17 $16,702.35 $13,361.88 20% off $4,788.56 $20,488.13 $13,949.35 2026-05-05
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 17 17 $16,422.56 $13,138.05 $4,708.35 $23,882.45 $16,260.37 2026-05-05
C1778 HCPCS Lead, Neurostimulator (implantable) 28 14 $16,362.00 $13,089.60 20% off $5,372.09 $20,363.00 $10,007.40 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 17 17 $15,500.02 $12,400.02 $4,443.86 $23,158.36 $15,206.02 2026-05-05
J3262 HCPCS Injection, Tocilizumab, 1 Mg 16 16 $15,162.30 $12,129.84 $5.53 $14,707.43 $4,597.08 2026-05-05
393 MS_DRG Other Digestive System Diagnoses With Mcc 17 17 $14,954.40 $11,963.52 $4,287.43 $18,265.61 $12,436.14 2026-05-05
571 MS_DRG Skin Debridement With Cc 17 17 $14,850.56 $11,880.45 $4,257.66 $19,295.78 $13,137.54 2026-05-05
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 17 17 $14,691.10 $11,752.88 20% off $4,211.94 $14,250.37 $11,459.06 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
J9317 HCPCS Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 16 16 $14,322.42 $11,457.94 $36.80 $13,892.75 $4,372.06 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 17 17 $12,514.94 $10,011.95 20% off $3,588.03 $12,139.49 $9,761.65 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 17 $12,360.18 $9,888.14 20% off $3,543.66 $35,572.99 $10,610.18 2026-05-05
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 2026-05-05
36475 HCPCS Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima… 23 17 $11,870.00 $9,496.00 20% off $224.17 $11,870.00 $5,564.66 2026-05-05
999 MS_DRG Ungroupable 9 9 $11,857.44 $9,485.95 20% off $3,399.53 $11,501.71 $8,300.21 2026-05-05
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 2026-05-05
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 2026-05-05
78813 HCPCS Nuclear Medicine Study Whole Body 17 17 $11,742.00 $9,393.60 $777.75 $11,389.74 $6,984.14 2026-05-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 17 17 $11,697.11 $9,357.69 $3,353.56 $27,915.21 $11,411.11 2026-05-05
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 2026-05-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 17 17 $11,631.16 $9,304.93 $3,334.65 $23,921.28 $11,356.49 2026-05-05
37765 HCPCS Removal Of Varicose Veins Of Arm Or Leg, 10-20 Incisions 23 17 $11,480.00 $9,184.00 20% off $222.93 $11,480.00 $5,543.69 2026-05-05
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 2026-05-05
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 2026-05-05
C1787 HCPCS Patient Programmer, Neurostimulator 14 14 $11,200.00 $8,960.00 20% off $4,867.52 $11,200.00 $7,784.00 2026-05-05
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 17 17 $11,088.27 $8,870.62 $3,179.01 $24,884.07 $11,088.27 2026-05-05
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 23 17 $11,065.00 $8,852.00 20% off $152.01 $11,065.00 $5,343.29 2026-05-05
28003 HCPCS Drainage Of Fluid Filled Sacs Beneath Connective Tissue In Multiple Foot Joints 25 17 $11,065.00 $8,852.00 20% off $218.55 $11,065.00 $5,187.27 2026-05-05
28208 HCPCS Repair Of Tendon Of Top Side Of Foot 23 17 $11,064.00 $8,851.20 $289.50 $11,064.00 $5,342.81 2026-05-05
27635 HCPCS Removal Of Cyst Or Growth Of Lower Leg Bone 23 17 $11,064.00 $8,851.20 $504.55 $11,064.00 $5,342.81 2026-05-05
28295 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle 23 17 $11,064.00 $8,851.20 $524.13 $11,064.00 $5,342.81 2026-05-05
28289 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe 23 17 $11,064.00 $8,851.20 $410.89 $11,064.00 $5,342.81 2026-05-05
28285 HCPCS Correction Of Toe Joint Deformity 25 17 $11,064.00 $8,851.20 $347.91 $11,064.00 $5,186.80 2026-05-05
48607054_1 CDM Ccl Cardiac Procedure 14 14 $11,057.00 $8,845.60 $3,869.95 $10,725.29 $7,162.17 2026-05-05
48607054_4 CDM Ccl Cardiac Procedure 14 14 $11,057.00 $8,845.60 $3,869.95 $10,725.29 $7,162.17 2026-05-05
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 2026-05-05
J0897 HCPCS Injection, Denosumab, 1 Mg 36 16 $10,749.36 $8,599.49 $26.52 $16,585.99 $6,051.89 2026-05-05
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 2026-05-05
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 17 17 $10,116.58 $8,093.26 20% off $2,900.42 $9,813.08 $7,081.61 2026-05-05
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 40 16 $9,929.80 $7,943.84 $47.04 $13,946.21 $4,191.67 2026-05-05
52318 HCPCS Crushing, Fragmenting, And Removal Of Bladder Stones, More Than 2.5 Cm 23 17 $9,892.00 $7,913.60 $388.67 $9,892.00 $4,776.85 2026-05-05
52317 HCPCS Crushing, Fragmenting, And Removal Of Bladder Stones, Less Than 2.5 Cm 23 17 $9,892.00 $7,913.60 $285.50 $9,892.00 $4,776.85 2026-05-05
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 2026-05-05
200 MS_DRG Pneumothorax With Cc 17 17 $9,833.50 $7,866.80 20% off $2,819.26 $12,555.11 $8,548.15 2026-05-05
639 MS_DRG Diabetes Without Cc/mcc 17 17 $9,828.34 $7,862.67 20% off $2,817.78 $9,533.48 $5,280.20 2026-05-05
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 2026-05-05
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 2026-05-05
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 17 17 $9,726.12 $7,780.90 $2,788.48 $10,461.64 $7,683.63 2026-05-05
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 25 17 $9,603.00 $7,682.40 20% off $227.26 $9,603.00 $4,501.89 2026-05-05
375 MS_DRG Digestive Malignancy With Cc 17 17 $9,541.23 $7,632.98 20% off $2,735.47 $13,814.84 $9,405.84 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 23 17 $9,424.00 $7,539.20 20% off $277.83 $9,424.00 $4,550.85 2026-05-05
92 MS_DRG Other Disorders Of Nervous System With Cc 17 17 $9,406.70 $7,525.36 20% off $2,696.90 $11,683.68 $7,954.84 2026-05-05
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 2026-05-05
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 2026-05-05
947 MS_DRG Signs And Symptoms With Mcc 17 17 $9,242.90 $7,394.32 20% off $2,649.94 $14,497.82 $8,948.90 2026-05-05
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 2026-05-05
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 2026-05-05
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 2026-05-05
75710 HCPCS Review By Radiologist Of Arm Or Leg Artery Image 17 17 $9,195.00 $7,356.00 20% off $83.89 $8,919.15 $5,545.19 2026-05-05
75625 HCPCS Review By Radiologist Of Abdominal Aorta Image 17 17 $9,195.00 $7,356.00 20% off $66.55 $8,919.15 $5,545.19 2026-05-05
75630 HCPCS Review By Radiologist Of Abdominal Aorta And Both Leg Arteries Image 17 17 $9,195.00 $7,356.00 20% off $66.06 $8,919.15 $5,545.19 2026-05-05
75716 HCPCS Review By Radiologist Of Both Arms Or Legs Arteries Image 17 17 $9,195.00 $7,356.00 20% off $101.07 $8,919.15 $5,545.19 2026-05-05
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 2026-05-05
884 MS_DRG Organic Disturbances And Intellectual Disability 17 17 $9,040.81 $7,232.65 $2,592.00 $18,375.25 $9,040.81 2026-05-05
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 17 17 $8,963.74 $7,170.99 20% off $2,569.90 $20,497.27 $8,081.74 2026-05-05
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 17 17 $8,882.11 $7,105.69 $2,546.50 $14,797.05 $8,716.11 2026-05-05
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 17 $8,811.26 $7,049.01 $2,526.19 $21,360.70 $8,235.76 2026-05-05
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 17 17 $8,596.12 $6,876.89 20% off $2,464.51 $22,820.30 $8,596.12 2026-05-05
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 17 17 $8,565.51 $6,852.40 20% off $2,455.73 $8,549.26 $6,681.09 2026-05-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 13 $8,487.76 $6,790.21 $2,433.44 $8,233.13 $7,638.98 2026-05-05
177 MS_DRG Respiratory Infections And Inflammations With Mcc 17 17 $8,329.52 $6,663.62 $2,388.07 $17,847.60 $7,769.90 2026-05-05
378 MS_DRG Gastrointestinal Hemorrhage With Cc 17 17 $8,329.39 $6,663.51 20% off $2,388.04 $11,200.57 $7,625.91 2026-05-05
199 MS_DRG Pneumothorax With Mcc 17 17 $8,304.07 $6,643.25 20% off $2,380.78 $20,147.79 $8,077.57 2026-05-05
37722 HCPCS Tying, Incision, And Stripping Of Long Leg Vein 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
49422 HCPCS Removal Of Abdominal Cavity Tube 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
37607 HCPCS Tying Or Banding Of Surgically Created Artery-vein Connection 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
37700 HCPCS Tying And Division Of Long Leg Vein 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
37718 HCPCS Tying, Incision, And Stripping Of Short Leg Vein 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
36821 HCPCS Relocation Of Arm Vein With Connection To Arm Artery For Hemodialysis 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
36581 HCPCS Replacement Of Tunneled Central Venous Tube 17 17 $8,286.00 $6,628.80 20% off $3,340.65 $8,286.00 $5,545.19 2026-05-05
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 16 $8,225.84 $6,580.67 20% off $2,358.35 $18,688.95 $5,839.84 2026-05-05
70 MS_DRG Other Cerebrovascular Disorders With Mcc 17 17 $8,211.14 $6,568.91 20% off $2,354.13 $19,013.68 $7,674.39 2026-05-05
J2357 HCPCS Injection, Omalizumab, 5 Mg 24 16 $8,096.87 $6,477.49 20% off $41.82 $8,103.00 $5,715.90 2026-05-05
J9349 HCPCS Injection, Tafasitamab-cxix, 2 Mg 24 16 $7,966.44 $6,373.15 20% off $14.17 $7,727.45 $4,769.43 2026-05-05
J9308 HCPCS Injection, Ramucirumab, 5 Mg 24 16 $7,928.81 $6,343.05 $75.47 $38,381.89 $5,994.18 2026-05-05
49400111_1 CDM Myosure Xl 50-503xl 14 14 $7,911.00 $6,328.80 20% off $2,768.85 $7,673.67 $5,124.35 2026-05-05
49400111_4 CDM Myosure Xl 50-503xl 14 14 $7,911.00 $6,328.80 20% off $2,768.85 $7,673.67 $5,124.35 2026-05-05
315 MS_DRG Other Circulatory System Diagnoses With Cc 17 17 $7,857.55 $6,286.04 20% off $2,252.76 $11,001.85 $7,380.55 2026-05-05
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 30 17 $7,743.00 $6,194.40 20% off $3,340.65 $8,286.00 $5,482.65 2026-05-05
49192861_1 CDM Axis Graft 8x12 14 14 $7,683.00 $6,146.40 20% off $2,689.05 $7,452.51 $4,976.67 2026-05-05
49192861_4 CDM Axis Graft 8x12 14 14 $7,683.00 $6,146.40 20% off $2,689.05 $7,452.51 $4,976.67 2026-05-05
637 MS_DRG Diabetes With Mcc 17 17 $7,531.27 $6,025.01 20% off $2,159.21 $16,408.55 $6,337.27 2026-05-05
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 17 17 $7,408.47 $5,926.78 $2,124.01 $15,253.89 $7,334.47 2026-05-05
A9570 HCPCS Indium In-111 Labeled Autologous White Blood Cells, Diagnostic, Per Study Dose 16 16 $7,376.00 $5,900.80 20% off $1,103.19 $7,376.00 $4,777.81 2026-05-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 13 $7,345.87 $5,876.69 20% off $2,106.06 $7,125.49 $6,611.28 2026-05-05
178 MS_DRG Respiratory Infections And Inflammations With Cc 17 17 $7,338.41 $5,870.73 $2,103.92 $11,146.90 $7,338.41 2026-05-05
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 17 17 $7,334.12 $5,867.30 $2,102.69 $15,598.80 $7,002.12 2026-05-05
J7401 HCPCS Mometasone Furoate Sinus Implant, 10 Micrograms 14 14 $7,289.00 $5,831.20 20% off $3,167.80 $7,289.00 $5,065.85 2026-05-05
48713055_4 CDM Sinuplasty Frontal Balloon Sys 14 14 $7,276.00 $5,820.80 20% off $2,546.60 $7,057.72 $4,713.03 2026-05-05
48713055_1 CDM Sinuplasty Frontal Balloon Sys 14 14 $7,276.00 $5,820.80 20% off $2,546.60 $7,057.72 $4,713.03 2026-05-05
J9999 HCPCS Not Otherwise Classified, Antineoplastic Drugs 20 10 $7,266.20 $5,812.96 20% off $2,430.40 $9,671.60 $4,848.30 2026-05-05
369 MS_DRG Major Esophageal Disorders With Cc 17 17 $7,197.73 $5,758.18 20% off $2,063.59 $11,423.28 $7,144.73 2026-05-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 13 $7,113.79 $5,691.03 20% off $2,039.52 $6,900.38 $4,307.40 2026-05-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 13 $7,098.79 $5,679.03 20% off $2,035.22 $6,885.83 $5,373.79 2026-05-05
52873913_1 CDM US Venaseal System Vpk1-11 ( (kit Includes Item Vs-404, Cfp, Mis-7f11) 14 14 $7,026.00 $5,620.80 20% off $2,459.10 $6,815.22 $4,551.09 2026-05-05
52873913_4 CDM US Venaseal System Vpk1-11 ( (kit Includes Item Vs-404, Cfp, Mis-7f11) 14 14 $7,026.00 $5,620.80 20% off $2,459.10 $6,815.22 $4,551.09 2026-05-05
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 17 17 $6,979.47 $5,583.58 $2,001.01 $19,220.40 $6,979.47 2026-05-05
445 MS_DRG Disorders Of The Biliary Tract With Cc 17 17 $6,926.46 $5,541.17 $1,985.82 $12,499.14 $6,926.46 2026-05-05
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 17 17 $6,878.39 $5,502.71 20% off $1,972.03 $19,319.76 $6,878.39 2026-05-05
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 17 17 $6,854.03 $5,483.22 20% off $1,965.05 $8,219.69 $5,596.38 2026-05-05
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 17 17 $6,848.09 $5,478.47 20% off $1,963.35 $8,258.53 $5,622.82 2026-05-05
49192801_1 CDM Xpress Ultra Sinus Balloon Ulf-106 14 14 $6,744.00 $5,395.20 20% off $2,360.40 $6,541.68 $4,368.42 2026-05-05
49192801_4 CDM Xpress Ultra Sinus Balloon Ulf-106 14 14 $6,744.00 $5,395.20 20% off $2,360.40 $6,541.68 $4,368.42 2026-05-05
682 MS_DRG Renal Failure With Mcc 17 17 $6,736.81 $5,389.45 $1,931.44 $16,914.50 $6,320.69 2026-05-05
304 MS_DRG Hypertension With Mcc 17 17 $6,613.08 $5,290.47 $1,895.97 $13,590.99 $6,613.08 2026-05-05
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 17 17 $6,604.28 $5,283.42 20% off $1,893.45 $11,592.32 $6,604.28 2026-05-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 15 $6,576.88 $5,261.51 $1,885.59 $18,640.60 $6,379.57 2026-05-05
48713486_4 CDM Essure Permanent Birth Control 14 14 $6,442.00 $5,153.60 $2,254.70 $6,248.74 $4,172.81 2026-05-05
48713486_1 CDM Essure Permanent Birth Control 14 14 $6,442.00 $5,153.60 $2,254.70 $6,248.74 $4,172.81 2026-05-05
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 17 17 $6,439.42 $5,151.54 $1,846.18 $7,412.23 $4,507.59 2026-05-05
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 16 16 $6,435.94 $5,148.75 20% off $1,845.18 $14,833.35 $6,339.40 2026-05-05
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 17 17 $6,430.37 $5,144.29 20% off $1,843.59 $17,887.57 $5,063.37 2026-05-05
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 17 17 $6,403.70 $5,122.96 20% off $1,835.94 $7,816.53 $5,321.89 2026-05-05
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 17 17 $6,340.66 $5,072.52 20% off $1,817.87 $12,062.86 $5,980.32 2026-05-05
C1880 HCPCS Vena Cava Filter 14 14 $6,245.00 $4,996.00 20% off $2,714.08 $6,245.00 $4,340.27 2026-05-05
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 16 $6,013.18 $4,810.54 20% off $1,723.98 $14,936.20 $4,179.16 2026-05-05
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 16 16 $6,003.51 $4,802.81 $1,841.02 $6,032.19 $4,712.76 2026-05-05
313 MS_DRG Chest Pain 17 17 $5,993.87 $4,795.10 $1,718.44 $8,223.12 $5,598.71 2026-05-05
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 17 17 $5,864.62 $4,691.70 $1,681.39 $11,660.84 $5,357.45 2026-05-05
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 16 16 $5,645.14 $4,516.11 20% off $1,618.46 $13,331.40 $5,560.47 2026-05-05
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 17 17 $5,514.47 $4,411.58 $1,581.00 $8,402.43 $4,990.55 2026-05-05
865 MS_DRG Viral Illness With Mcc 16 16 $5,485.64 $4,388.51 20% off $1,572.73 $12,735.55 $5,403.35 2026-05-05
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 17 17 $5,473.41 $4,378.73 $1,569.23 $11,538.64 $5,345.19 2026-05-05
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 17 17 $5,461.75 $4,369.40 20% off $1,565.88 $12,238.74 $5,444.08 2026-05-05
21461 HCPCS Treatment Of Broken Lower Jaw Bone 17 17 $5,408.00 $4,326.40 20% off $2,350.32 $10,396.45 $4,218.24 2026-05-05
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 17 17 $5,389.66 $4,311.73 $1,545.22 $10,950.45 $5,157.15 2026-05-05
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 17 17 $5,283.42 $4,226.74 $1,514.76 $15,687.89 $5,283.42 2026-05-05
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 17 17 $5,282.25 $4,225.80 $1,514.42 $7,332.28 $4,992.19 2026-05-05
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 17 17 $5,203.08 $4,162.46 20% off $1,491.72 $11,580.89 $4,541.58 2026-05-05
299 MS_DRG Peripheral Vascular Disorders With Mcc 16 16 $5,202.13 $4,161.70 20% off $1,491.45 $13,877.95 $5,124.10 2026-05-05
305 MS_DRG Hypertension Without Mcc 17 17 $5,130.50 $4,104.40 20% off $1,470.92 $8,624.00 $4,572.50 2026-05-05
546 MS_DRG Connective Tissue Disorders With Cc 17 17 $5,124.77 $4,099.82 $1,469.27 $13,172.98 $4,853.77 2026-05-05
786 MS_DRG Cesarean Section Without Sterilization With Mcc 16 16 $5,002.28 $4,001.82 20% off $1,434.15 $14,020.75 $4,927.24 2026-05-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 13 $4,989.69 $3,991.75 20% off $1,430.54 $4,966.35 $4,490.72 2026-05-05
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 17 17 $4,967.67 $3,974.14 $1,424.23 $9,245.30 $4,897.88 2026-05-05
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 17 17 $4,965.45 $3,972.36 $1,423.60 $8,903.81 $4,889.93 2026-05-05
812 MS_DRG Red Blood Cell Disorders Without Mcc 17 17 $4,871.60 $3,897.28 20% off $1,396.69 $10,486.76 $4,755.55 2026-05-05
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 17 17 $4,832.84 $3,866.27 20% off $1,385.57 $12,651.04 $4,695.11 2026-05-05
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 17 17 $4,756.50 $3,805.20 20% off $1,363.69 $8,611.43 $4,756.50 2026-05-05
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 17 17 $4,744.36 $3,795.49 $1,360.21 $13,750.88 $4,742.80 2026-05-05
292 MS_DRG Heart Failure And Shock With Cc 17 17 $4,707.87 $3,766.30 $1,349.75 $9,696.43 $4,672.87 2026-05-05
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 15 15 $4,707.29 $3,765.83 20% off $1,349.58 $14,013.89 $4,566.07 2026-05-05
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 17 17 $4,663.29 $3,730.63 20% off $1,336.97 $9,094.54 $4,454.62 2026-05-05
683 MS_DRG Renal Failure With Cc 17 17 $4,641.57 $3,713.25 20% off $1,330.74 $10,002.51 $4,602.85 2026-05-05
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 17 17 $4,587.62 $3,670.09 20% off $1,315.27 $10,227.51 $4,308.87 2026-05-05
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 17 17 $4,550.59 $3,640.47 20% off $1,304.65 $11,687.11 $4,292.74 2026-05-05
189 MS_DRG Pulmonary Edema And Respiratory Failure 16 16 $4,470.18 $3,576.14 20% off $1,281.60 $10,500.90 $4,224.82 2026-05-05
388 MS_DRG Gastrointestinal Obstruction With Mcc 16 16 $4,442.82 $3,554.26 $1,273.76 $12,552.80 $4,376.18 2026-05-05
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 17 17 $4,420.64 $3,536.51 20% off $1,267.40 $11,024.69 $4,375.64 2026-05-05
638 MS_DRG Diabetes With Cc 17 17 $4,409.65 $3,527.72 20% off $1,264.25 $10,235.50 $4,168.65 2026-05-05
784 MS_DRG Cesarean Section With Sterilization With Cc 17 17 $4,340.89 $3,472.71 20% off $1,244.53 $12,107.40 $4,340.89 2026-05-05
881 MS_DRG Depressive Neuroses 4 4 — — $7,316.43 $10,746.02 $7,657.04 2026-05-05
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