Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

WOODLAWN HOSPITAL

Rochester, IN · CCN 151313 · Rates published

2,821 distinct procedures filed
37 distinct payers
108,910 rate rows
2026-03-06 last MRF observed
Data quality

104,785 of 108,910 rate rows are consumer-grade (96.2%)

4,125 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
per-diem day rate — not a per-procedure price 3,105
percent-of-charges filed in the dollar field — excluded from medians 1,007
exceeds 3× this hospital's gross charge for a DRG stay — excluded 11
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWHROCHESTERIN&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18

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
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $41,753.02 $138,351.49 $98,943.17 nat. median
$66,526
1.5× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 $34,580.00 $128,047.69 $91,574.32 nat. median
$28,254
outlier · 3.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 22 $33,778.36 $111,926.89 $84,004.32 nat. median
$62,134
1.4× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 22 $32,388.86 $107,322.69 $76,752.67 nat. median
$33,061
outlier · 2.3×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 $31,378.44 $103,974.61 $74,358.26 nat. median
$31,075
outlier · 2.4×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 22 $26,498.96 $87,806.13 $65,507.14 nat. median
$48,178
1.4× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 22 $26,371.53 $87,383.85 $62,493.25 nat. median
$34,721
1.8× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $26,357.33 $87,336.83 $62,459.62 nat. median
$30,264
outlier · 2.1×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 22 $25,638.78 $84,955.83 $60,756.84 nat. median
$29,218
outlier · 2.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 22 $22,809.23 $75,579.94 $58,315.89 nat. median
$44,810
1.3× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 22 $23,745.49 $78,682.31 $56,270.27 nat. median
$24,346
outlier · 2.3×
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 22 $23,344.07 $77,352.18 $55,319.03 nat. median
$18,249
outlier · 3.0×
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 22 $21,919.60 $72,632.08 $51,943.40 nat. median
$21,380
outlier · 2.4×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 $21,709.64 $71,936.38 $51,445.86 nat. median
$26,748
1.9× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 22 $21,460.01 $71,109.20 $50,854.31 nat. median
$21,532
outlier · 2.4×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 22 $21,377.74 $70,836.61 $50,659.36 nat. median
$27,218
1.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 $19,646.38 $65,099.63 $50,229.51 nat. median
$47,740
1.1× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 22 $20,443.82 $67,741.98 $48,446.21 nat. median
$20,421
outlier · 2.4×
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 22 $20,172.57 $66,843.19 $47,803.43 nat. median
$24,638
1.9× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 $20,303.33 $67,276.48 $45,521.39 nat. median
$32,031
1.4× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 $18,208.91 $60,336.48 $43,150.11 nat. median
$26,699
1.6× median
501
MS_DRG 		Soft Tissue Procedures With Cc 22 $17,960.71 $59,514.04 $42,561.93 nat. median
$17,880
outlier · 2.4×
602
MS_DRG 		Cellulitis With Mcc 22 $17,608.78 $58,347.88 $41,727.95 nat. median
$14,838
outlier · 2.8×
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 37 $201.98 $139,912.00 $40,014.83 nat. median
$739
outlier · 54.2×
201
MS_DRG 		Pneumothorax Without Cc/mcc 22 $9,296.30 $55,620.22 $39,777.24 nat. median
$7,994
outlier · 5.0×
834
MS_DRG 		Acute Leukemia With Mcc 22 $15,386.72 $71,368.70 $39,338.92 nat. median
$53,173
0.7× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 22 $16,514.81 $54,722.95 $39,135.54 nat. median
$20,753
1.9× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 22 $15,977.25 $52,941.71 $37,861.68 nat. median
$20,059
1.9× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 $14,481.74 $47,986.24 $37,025.17 nat. median
$35,325
1.0× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 $15,439.86 $51,161.02 $36,588.21 nat. median
$21,762
1.7× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 22 $15,380.39 $50,963.98 $36,447.29 nat. median
$18,896
1.9× median
200
MS_DRG 		Pneumothorax With Cc 22 $14,290.90 $50,705.16 $36,262.19 nat. median
$11,694
outlier · 3.1×
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 $14,142.82 $46,863.20 $36,158.65 nat. median
$27,782
1.3× median
504
MS_DRG 		Foot Procedures With Cc 22 $14,503.67 $48,058.90 $34,369.71 nat. median
$18,582
1.8× median
416
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 22 $14,196.67 $47,041.63 $33,642.20 nat. median
$14,570
outlier · 2.3×
554
MS_DRG 		Bone Diseases And Arthropathies Without Mcc 22 $10,791.30 $46,929.45 $33,561.97 nat. median
$9,262
outlier · 3.6×
487
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 22 $14,051.74 $46,561.41 $33,298.76 nat. median
$16,418
outlier · 2.0×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 $12,648.99 $59,133.10 $32,339.41 nat. median
$43,966
0.7× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 22 $13,565.51 $44,950.25 $32,146.53 nat. median
$17,704
1.8× median
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 22 $12,767.19 $42,304.94 $30,254.72 nat. median
$17,987
1.7× median
337
MS_DRG 		Peritoneal Adhesiolysis Without Cc/mcc 22 $12,569.32 $41,649.28 $29,785.82 nat. median
$16,200
1.8× median
256
MS_DRG 		Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 22 $12,259.85 $40,623.85 $29,052.47 nat. median
$17,337
1.7× median
784
MS_DRG 		Cesarean Section With Sterilization With Cc 22 $12,201.55 $40,430.66 $28,914.31 nat. median
$11,116
outlier · 2.6×
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 22 $12,194.81 $40,408.35 $28,898.35 nat. median
$17,923
1.6× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 $11,638.14 $38,563.78 $28,694.65 nat. median
$22,198
1.3× median
548
MS_DRG 		Septic Arthritis With Mcc 22 $11,958.83 $39,626.41 $28,339.14 nat. median
$19,687
1.4× median
637
MS_DRG 		Diabetes With Mcc 22 $11,754.53 $38,949.45 $27,855.01 nat. median
$14,789
1.9× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 $10,877.29 $36,042.66 $27,809.75 nat. median
$24,757
1.1× median
550
MS_DRG 		Septic Arthritis Without Cc/mcc 22 $11,363.30 $38,775.11 $27,730.33 nat. median
$9,692
outlier · 2.9×
343
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 22 $11,682.61 $38,711.13 $27,684.57 nat. median
$12,397
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 2,821 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 22 $145,633.15 $109,224.86 25% off $41,753.02 $138,351.49 $98,943.17 2026-03-06
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 22 $134,787.04 $101,090.28 25% off $34,580.00 $128,047.69 $91,574.32 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 22 $117,817.78 $88,363.33 25% off $33,778.36 $111,926.89 $84,004.32 2026-03-06
264 MS_DRG Other Circulatory System O.r. Procedures 22 22 $112,971.25 $84,728.44 25% off $32,388.86 $107,322.69 $76,752.67 2026-03-06
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 22 $109,446.96 $82,085.22 25% off $31,378.44 $103,974.61 $74,358.26 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 22 $92,427.50 $69,320.63 25% off $26,498.96 $87,806.13 $65,507.14 2026-03-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 22 $91,983.00 $68,987.25 25% off $26,371.53 $87,383.85 $62,493.25 2026-03-06
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 22 $91,933.50 $68,950.13 25% off $26,357.33 $87,336.83 $62,459.62 2026-03-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 22 $89,427.19 $67,070.39 25% off $25,638.78 $84,955.83 $60,756.84 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 22 $79,557.83 $59,668.37 25% off $22,809.23 $75,579.94 $58,315.89 2026-03-06
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 22 $82,823.48 $62,117.61 25% off $23,745.49 $78,682.31 $56,270.27 2026-03-06
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 22 22 $81,423.35 $61,067.51 25% off $23,344.07 $77,352.18 $55,319.03 2026-03-06
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 22 22 $76,454.82 $57,341.12 25% off $21,919.60 $72,632.08 $51,943.40 2026-03-06
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 22 $75,722.50 $56,791.88 25% off $21,709.64 $71,936.38 $51,445.86 2026-03-06
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 22 22 $74,851.79 $56,138.84 25% off $21,460.01 $71,109.20 $50,854.31 2026-03-06
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 22 $74,564.85 $55,923.64 25% off $21,377.74 $70,836.61 $50,659.36 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 22 $68,525.93 $51,394.45 25% off $19,646.38 $65,099.63 $50,229.51 2026-03-06
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 22 22 $71,307.35 $53,480.51 25% off $20,443.82 $67,741.98 $48,446.21 2026-03-06
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 22 $70,361.25 $52,770.94 25% off $20,172.57 $66,843.19 $47,803.43 2026-03-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 23 $70,817.35 $53,113.01 25% off $20,303.33 $67,276.48 $45,521.39 2026-03-06
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 22 $63,512.08 $47,634.06 25% off $18,208.91 $60,336.48 $43,150.11 2026-03-06
501 MS_DRG Soft Tissue Procedures With Cc 22 22 $62,646.36 $46,984.77 25% off $17,960.71 $59,514.04 $42,561.93 2026-03-06
602 MS_DRG Cellulitis With Mcc 22 22 $61,418.83 $46,064.12 25% off $17,608.78 $58,347.88 $41,727.95 2026-03-06
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 37 37 $139,912.00 $104,934.00 25% off $201.98 $139,912.00 $40,014.83 2026-03-06
201 MS_DRG Pneumothorax Without Cc/mcc 22 22 $58,547.60 $43,910.70 25% off $9,296.30 $55,620.22 $39,777.24 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 22 22 $53,668.37 $40,251.28 25% off $15,386.72 $71,368.70 $39,338.92 2026-03-06
314 MS_DRG Other Circulatory System Diagnoses With Mcc 22 22 $57,603.10 $43,202.33 25% off $16,514.81 $54,722.95 $39,135.54 2026-03-06
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 22 22 $55,728.11 $41,796.09 25% off $15,977.25 $52,941.71 $37,861.68 2026-03-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 22 $50,511.83 $37,883.87 25% off $14,481.74 $47,986.24 $37,025.17 2026-03-06
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 22 $53,853.71 $40,390.28 25% off $15,439.86 $51,161.02 $36,588.21 2026-03-06
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 22 22 $53,646.29 $40,234.72 25% off $15,380.39 $50,963.98 $36,447.29 2026-03-06
200 MS_DRG Pneumothorax With Cc 22 22 $53,373.85 $40,030.39 25% off $14,290.90 $50,705.16 $36,262.19 2026-03-06
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 22 $49,329.68 $36,997.26 25% off $14,142.82 $46,863.20 $36,158.65 2026-03-06
504 MS_DRG Foot Procedures With Cc 22 22 $50,588.32 $37,941.24 25% off $14,503.67 $48,058.90 $34,369.71 2026-03-06
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 22 22 $49,517.51 $37,138.13 25% off $14,196.67 $47,041.63 $33,642.20 2026-03-06
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 22 22 $49,399.42 $37,049.57 25% off $10,791.30 $46,929.45 $33,561.97 2026-03-06
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 22 22 $49,012.01 $36,759.01 25% off $14,051.74 $46,561.41 $33,298.76 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 22 $44,119.25 $33,089.44 25% off $12,648.99 $59,133.10 $32,339.41 2026-03-06
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 22 22 $47,316.05 $35,487.04 25% off $13,565.51 $44,950.25 $32,146.53 2026-03-06
91 MS_DRG Other Disorders Of Nervous System With Mcc 22 22 $44,531.52 $33,398.64 25% off $12,767.19 $42,304.94 $30,254.72 2026-03-06
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 22 22 $43,841.35 $32,881.01 25% off $12,569.32 $41,649.28 $29,785.82 2026-03-06
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 22 22 $42,761.95 $32,071.46 25% off $12,259.85 $40,623.85 $29,052.47 2026-03-06
784 MS_DRG Cesarean Section With Sterilization With Cc 22 22 $42,558.59 $31,918.94 25% off $12,201.55 $40,430.66 $28,914.31 2026-03-06
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 22 22 $42,535.10 $31,901.33 25% off $12,194.81 $40,408.35 $28,898.35 2026-03-06
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 22 $40,593.45 $30,445.09 25% off $11,638.14 $38,563.78 $28,694.65 2026-03-06
548 MS_DRG Septic Arthritis With Mcc 22 22 $41,712.01 $31,284.01 25% off $11,958.83 $39,626.41 $28,339.14 2026-03-06
637 MS_DRG Diabetes With Mcc 22 22 $40,999.42 $30,749.56 25% off $11,754.53 $38,949.45 $27,855.01 2026-03-06
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 22 $37,939.64 $28,454.73 25% off $10,877.29 $36,042.66 $27,809.75 2026-03-06
550 MS_DRG Septic Arthritis Without Cc/mcc 22 22 $40,815.91 $30,611.93 25% off $11,363.30 $38,775.11 $27,730.33 2026-03-06
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 22 22 $40,748.56 $30,561.42 25% off $11,682.61 $38,711.13 $27,684.57 2026-03-06
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 22 $37,035.10 $27,776.33 25% off $10,617.96 $35,183.35 $27,146.73 2026-03-06
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 22 22 $39,842.23 $29,881.67 25% off $11,422.77 $37,850.12 $27,068.82 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 23 $37,291.05 $27,968.29 25% off $10,691.34 $64,201.80 $26,700.39 2026-03-06
393 MS_DRG Other Digestive System Diagnoses With Mcc 22 22 $39,073.00 $29,304.75 25% off $11,202.23 $37,119.35 $26,546.19 2026-03-06
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 22 22 $38,899.58 $29,174.69 25% off $11,152.51 $36,954.60 $26,428.38 2026-03-06
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 22 22 $38,603.50 $28,952.63 25% off $11,067.62 $36,673.33 $26,227.22 2026-03-06
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 22 22 $38,499.17 $28,874.38 25% off $11,037.71 $36,574.21 $26,156.34 2026-03-06
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 22 22 $37,993.25 $28,494.94 25% off $8,195.20 $36,093.59 $25,812.61 2026-03-06
189 MS_DRG Pulmonary Edema And Respiratory Failure 22 22 $37,893.00 $28,419.75 25% off $10,863.92 $35,998.35 $25,744.50 2026-03-06
100 MS_DRG Seizures With Mcc 22 22 $35,953.12 $26,964.84 25% off $10,307.76 $34,155.46 $25,460.42 2026-03-06
811 MS_DRG Red Blood Cell Disorders With Mcc 22 22 $35,956.89 $26,967.67 25% off $10,308.84 $34,159.05 $24,429.11 2026-03-06
902 MS_DRG Wound Debridements For Injuries With Cc 22 22 $33,395.95 $25,046.96 25% off $9,574.62 $31,726.15 $24,400.00 2026-03-06
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 22 22 $34,062.30 $25,546.73 25% off $9,765.66 $32,359.19 $24,277.15 2026-03-06
783 MS_DRG Cesarean Section With Sterilization With Mcc 22 22 $33,029.86 $24,772.40 25% off $9,469.66 $31,916.30 $24,210.89 2026-03-06
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 22 22 $35,551.44 $26,663.58 25% off $10,192.60 $33,773.87 $24,153.65 2026-03-06
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 23 23 $37,570.47 $28,177.85 25% off $10,771.45 $35,691.95 $24,150.30 2026-03-06
141 MS_DRG Major Head And Neck Procedures With Cc 22 22 $32,924.00 $24,693.00 25% off $9,439.31 $31,277.80 $24,133.29 2026-03-06
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 22 22 $32,188.67 $24,141.50 25% off $9,228.49 $30,579.23 $23,594.29 2026-03-06
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 22 22 $34,615.34 $25,961.51 25% off $9,924.22 $32,884.57 $23,517.66 2026-03-06
505 MS_DRG Foot Procedures Without Cc/mcc 22 22 $32,808.40 $24,606.30 25% off $9,406.17 $31,167.98 $23,398.61 2026-03-06
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 22 22 $32,701.29 $24,525.97 25% off $9,375.46 $31,066.23 $23,078.16 2026-03-06
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 22 22 $30,350.30 $22,762.73 25% off $8,701.43 $28,832.79 $22,246.77 2026-03-06
540 MS_DRG Osteomyelitis With Cc 22 22 $32,348.35 $24,261.26 25% off $9,274.27 $30,730.93 $21,977.47 2026-03-06
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 22 22 $32,282.42 $24,211.81 25% off $8,078.20 $30,668.30 $21,932.67 2026-03-06
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 22 22 $32,157.80 $24,118.35 25% off $9,219.64 $30,549.91 $21,848.00 2026-03-06
388 MS_DRG Gastrointestinal Obstruction With Mcc 22 22 $31,880.75 $23,910.56 25% off $9,140.21 $30,286.71 $21,659.78 2026-03-06
181 MS_DRG Respiratory Neoplasms With Cc 22 22 $31,798.60 $23,848.95 25% off $9,116.66 $30,208.67 $21,603.97 2026-03-06
506 MS_DRG Major Thumb Or Joint Procedures 22 22 $31,269.30 $23,451.98 25% off $8,964.91 $29,705.84 $21,244.36 2026-03-06
541 MS_DRG Osteomyelitis Without Cc/mcc 22 22 $31,091.37 $23,318.52 25% off $8,913.89 $29,536.80 $21,123.47 2026-03-06
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 22 22 $30,562.37 $22,921.78 25% off $8,762.23 $29,034.25 $20,764.08 2026-03-06
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 22 22 $28,034.30 $21,025.73 25% off $8,037.43 $26,632.59 $20,199.03 2026-03-06
638 MS_DRG Diabetes With Cc 22 22 $29,705.05 $22,278.79 25% off $8,516.44 $28,219.80 $20,181.61 2026-03-06
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 22 22 $27,433.00 $20,574.75 25% off $7,865.04 $26,061.35 $20,108.39 2026-03-06
92 MS_DRG Other Disorders Of Nervous System With Cc 22 22 $29,400.10 $22,050.08 25% off $8,429.01 $27,930.10 $19,974.43 2026-03-06
812 MS_DRG Red Blood Cell Disorders Without Mcc 22 22 $28,933.70 $21,700.28 25% off $8,295.29 $27,487.02 $19,657.56 2026-03-06
787 MS_DRG Cesarean Section Without Sterilization With Cc 22 22 $28,353.69 $21,265.27 25% off $8,129.00 $26,936.01 $19,263.50 2026-03-06
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 22 22 $28,318.00 $21,238.50 25% off $8,118.77 $26,902.10 $19,239.25 2026-03-06
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 22 22 $28,193.46 $21,145.09 25% off $8,083.06 $26,783.78 $19,154.64 2026-03-06
571 MS_DRG Skin Debridement With Cc 22 22 $26,072.00 $19,554.00 25% off $7,474.84 $24,768.40 $19,110.78 2026-03-06
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 22 22 $25,830.25 $19,372.69 25% off $7,405.53 $24,538.74 $18,627.38 2026-03-06
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 22 22 $24,854.00 $18,640.50 25% off $7,125.64 $23,611.30 $18,217.98 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 22 22 $24,642.00 $18,481.50 25% off $7,064.86 $55,448.90 $18,062.58 2026-03-06
921 MS_DRG Complications Of Treatment Without Cc/mcc 22 22 $26,366.00 $19,774.50 25% off $7,559.13 $25,047.70 $17,913.06 2026-03-06
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 37 37 $23,876.00 $17,907.00 25% off $636.92 $23,876.00 $17,907.00 2026-03-06
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 23 23 $24,994.00 $18,745.50 25% off $7,165.78 $23,744.30 $17,895.70 2026-03-06
394 MS_DRG Other Digestive System Diagnoses With Cc 22 22 $26,159.78 $19,619.84 25% off $7,500.01 $24,851.79 $17,772.96 2026-03-06
964 MS_DRG Other Multiple Significant Trauma With Cc 22 22 $24,116.35 $18,087.26 25% off $6,914.16 $22,910.53 $17,677.28 2026-03-06
444 MS_DRG Disorders Of The Biliary Tract With Mcc 22 22 $23,860.92 $17,895.69 25% off $6,840.93 $22,667.87 $17,490.06 2026-03-06
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 22 22 $25,341.20 $19,005.90 25% off $7,265.32 $24,074.14 $17,216.81 2026-03-06
786 MS_DRG Cesarean Section Without Sterilization With Mcc 22 22 $23,168.85 $17,376.64 25% off $6,642.51 $22,010.41 $16,982.77 2026-03-06
908 MS_DRG Other O.r. Procedures For Injuries With Cc 22 22 $23,073.75 $17,305.31 25% off $6,615.24 $25,937.60 $16,913.06 2026-03-06
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 22 22 $24,548.00 $18,411.00 25% off $7,037.91 $23,320.60 $16,677.91 2026-03-06
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 23 23 $23,985.16 $17,988.87 25% off $6,876.55 $22,785.90 $16,666.00 2026-03-06
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 22 22 $23,544.60 $17,658.45 25% off $6,750.24 $22,367.37 $16,254.97 2026-03-06
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 22 22 $22,050.95 $16,538.21 25% off $6,322.01 $20,948.40 $16,163.34 2026-03-06
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 22 22 $23,592.00 $17,694.00 25% off $6,763.83 $22,412.40 $16,028.40 2026-03-06
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 22 22 $21,763.65 $16,322.74 25% off $6,239.64 $20,675.47 $15,952.76 2026-03-06
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 22 22 $21,621.32 $16,215.99 25% off $6,198.83 $25,586.60 $15,848.43 2026-03-06
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 22 22 $21,498.00 $16,123.50 25% off $6,163.48 $20,423.10 $15,758.03 2026-03-06
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 22 22 $22,826.95 $17,120.21 25% off $6,544.49 $21,685.60 $15,508.63 2026-03-06
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 22 22 $20,603.20 $15,452.40 25% off $5,906.94 $19,573.04 $15,102.15 2026-03-06
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 22 22 $22,159.93 $16,619.95 25% off $6,353.25 $21,051.93 $15,055.45 2026-03-06
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 22 22 $21,934.00 $16,450.50 25% off $6,288.48 $20,837.30 $14,901.97 2026-03-06
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 22 22 $21,879.65 $16,409.74 25% off $6,272.90 $20,785.67 $14,865.03 2026-03-06
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 23 23 $20,606.82 $15,455.12 25% off $5,907.98 $19,576.48 $14,754.48 2026-03-06
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 22 22 $20,067.02 $15,050.27 25% off $5,753.21 $20,389.20 $14,709.13 2026-03-06
176 MS_DRG Pulmonary Embolism Without Mcc 22 22 $21,539.10 $16,154.33 25% off $6,175.26 $20,462.15 $14,633.67 2026-03-06
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 22 22 $21,434.30 $16,075.73 25% off $6,145.21 $20,362.58 $14,562.47 2026-03-06
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 22 22 $21,420.00 $16,065.00 25% off $6,141.11 $20,349.00 $14,552.75 2026-03-06
J1744 HCPCS Injection, Icatibant, 1 Mg 37 37 $50,833.00 $38,124.75 25% off $26.25 $50,833.00 $14,538.24 2026-03-06
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 37 37 $49,539.00 $37,154.25 25% off $56.87 $49,539.00 $14,168.15 2026-03-06
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 23 23 $19,451.40 $14,588.55 25% off $5,576.72 $18,478.83 $13,927.20 2026-03-06
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 22 22 $20,400.67 $15,300.50 25% off $5,848.87 $19,380.64 $13,870.39 2026-03-06
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 22 22 $19,895.40 $14,921.55 25% off $5,704.01 $18,900.63 $13,516.94 2026-03-06
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 66 36 $19,744.00 $14,808.00 25% off $43.19 $56,380.60 $13,371.81 2026-03-06
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 22 22 $18,716.68 $14,037.51 25% off $5,366.07 $17,780.84 $13,337.07 2026-03-06
197 MS_DRG Interstitial Lung Disease With Cc 23 23 $20,597.30 $15,447.98 25% off $5,905.25 $19,567.44 $13,239.94 2026-03-06
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 22 22 $19,300.50 $14,475.38 25% off $5,533.45 $18,335.48 $13,112.76 2026-03-06
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 22 22 $19,203.02 $14,402.26 25% off $5,505.50 $18,242.87 $13,095.83 2026-03-06
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 22 22 $17,835.30 $13,376.48 25% off $5,113.38 $16,943.54 $13,073.27 2026-03-06
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 22 22 $18,049.37 $13,537.03 25% off $5,174.75 $17,146.90 $13,052.67 2026-03-06
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 36 36 $44,668.00 $33,501.00 25% off $139.59 $44,668.00 $12,922.45 2026-03-06
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 37 37 $44,928.00 $33,696.00 25% off $24.49 $44,928.00 $12,849.41 2026-03-06
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 22 22 $18,831.17 $14,123.38 25% off $5,398.90 $17,889.61 $12,793.90 2026-03-06
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 22 22 $18,703.67 $14,027.75 25% off $5,362.34 $17,768.48 $12,707.27 2026-03-06
950 MS_DRG Aftercare Without Cc/mcc 22 22 $18,608.00 $13,956.00 25% off $5,334.91 $17,677.60 $12,642.27 2026-03-06
945 MS_DRG Rehabilitation With Cc/mcc 22 22 $17,118.00 $12,838.50 25% off $4,907.73 $20,131.80 $12,547.49 2026-03-06
949 MS_DRG Aftercare With Cc/mcc 22 22 $17,056.00 $12,792.00 25% off $4,889.96 $16,203.20 $12,502.05 2026-03-06
J9022 HCPCS Injection, Atezolizumab, 10 Mg 67 37 $27,815.00 $20,861.25 25% off $80.45 $42,705.00 $12,495.48 2026-03-06
J9308 HCPCS Injection, Ramucirumab, 5 Mg 37 37 $42,323.00 $31,742.25 25% off $63.39 $42,323.00 $12,104.38 2026-03-06
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 22 22 $17,641.85 $13,231.39 25% off $5,057.92 $16,759.76 $11,985.87 2026-03-06
596 MS_DRG Major Skin Disorders Without Mcc 23 23 $16,609.00 $12,456.75 25% off $4,761.80 $15,778.55 $11,892.04 2026-03-06
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 22 22 $17,446.00 $13,084.50 25% off $5,001.77 $16,573.70 $11,852.82 2026-03-06
683 MS_DRG Renal Failure With Cc 22 22 $16,986.41 $12,739.81 25% off $4,870.00 $16,137.09 $11,773.83 2026-03-06
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 22 22 $17,002.85 $12,752.14 25% off $4,874.72 $16,152.71 $11,551.74 2026-03-06
J3101 HCPCS Injection, Tenecteplase, 1 Mg 37 37 $39,827.00 $29,870.25 25% off $130.60 $39,827.00 $11,390.52 2026-03-06
603 MS_DRG Cellulitis Without Mcc 22 22 $15,952.29 $11,964.21 25% off $4,573.52 $15,154.67 $11,371.77 2026-03-06
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 23 $15,700.40 $11,775.30 25% off $4,501.30 $35,539.40 $11,241.49 2026-03-06
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 22 22 $16,517.55 $12,388.16 25% off $4,735.58 $15,691.67 $11,222.02 2026-03-06
315 MS_DRG Other Circulatory System Diagnoses With Cc 22 22 $15,193.85 $11,395.39 25% off $4,356.08 $14,434.16 $11,137.09 2026-03-06
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 22 22 $15,070.36 $11,302.77 25% off $4,320.67 $14,316.84 $11,046.58 2026-03-06
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 22 22 $16,210.33 $12,157.75 25% off $4,647.50 $15,399.82 $11,041.65 2026-03-06
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 22 22 $15,044.75 $11,283.56 25% off $4,313.33 $23,708.10 $11,027.80 2026-03-06
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 22 22 $15,017.00 $11,262.75 25% off $4,305.37 $30,401.80 $11,007.46 2026-03-06
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 22 22 $15,803.31 $11,852.48 25% off $4,530.81 $15,013.15 $10,882.94 2026-03-06
644 MS_DRG Endocrine Disorders With Cc 22 22 $14,685.00 $11,013.75 25% off $4,210.19 $13,950.75 $10,764.10 2026-03-06
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 22 22 $14,565.22 $10,923.92 25% off $4,175.85 $13,836.96 $10,463.75 2026-03-06
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 22 22 $14,076.00 $10,557.00 25% off $4,035.59 $21,507.20 $10,317.71 2026-03-06
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 22 22 $14,039.50 $10,529.63 25% off $4,025.12 $13,337.53 $10,290.95 2026-03-06
177 MS_DRG Respiratory Infections And Inflammations With Mcc 22 22 $14,024.00 $10,518.00 25% off $4,020.68 $20,315.10 $10,279.59 2026-03-06
J9306 HCPCS Injection, Pertuzumab, 1 Mg 37 37 $35,904.00 $26,928.00 25% off $13.23 $35,904.00 $10,268.54 2026-03-06
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 22 22 $13,863.14 $10,397.36 25% off $3,974.56 $15,083.90 $10,161.69 2026-03-06
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 22 22 $13,639.00 $10,229.25 25% off $3,910.30 $13,302.90 $9,997.39 2026-03-06
385 MS_DRG Inflammatory Bowel Disease With Mcc 22 22 $13,317.95 $9,988.46 25% off $3,818.26 $20,569.90 $9,762.06 2026-03-06
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 37 37 $33,929.00 $25,446.75 25% off $51.82 $33,929.00 $9,703.69 2026-03-06
291 MS_DRG Heart Failure And Shock With Mcc 22 22 $13,051.00 $9,788.25 25% off $3,741.72 $16,689.40 $9,566.39 2026-03-06
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 22 22 $12,798.93 $9,599.19 25% off $3,669.45 $14,029.60 $9,381.61 2026-03-06
534 MS_DRG Fractures Of Femur Without Mcc 22 22 $12,768.00 $9,576.00 25% off $3,660.59 $12,129.60 $9,358.94 2026-03-06
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 22 22 $12,618.78 $9,464.09 25% off $3,617.80 $17,087.20 $9,249.57 2026-03-06
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 22 22 $12,527.73 $9,395.80 25% off $3,591.70 $11,901.34 $9,182.83 2026-03-06
813 MS_DRG Coagulation Disorders 22 22 $12,504.60 $9,378.45 25% off $3,585.07 $19,828.90 $9,165.87 2026-03-06
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 22 22 $12,368.00 $9,276.00 25% off $3,545.91 $11,749.60 $9,065.74 2026-03-06
J9303 HCPCS Injection, Panitumumab, 10 Mg 67 37 $10,218.00 $7,663.50 25% off $134.71 $40,871.00 $8,991.62 2026-03-06
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 22 22 $12,241.00 $9,180.75 25% off $3,509.49 $20,304.70 $8,972.65 2026-03-06
J2783 HCPCS Injection, Rasburicase, 0.5 Mg 37 37 $31,218.00 $23,413.50 25% off $319.15 $31,218.00 $8,928.35 2026-03-06
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 36 36 $30,807.00 $23,105.25 25% off $561.57 $30,807.00 $8,912.47 2026-03-06
01208522 CDM Operating Room Services - General Classification 30 30 $20,253.00 $15,189.75 25% off $4,455.66 $19,240.35 $8,744.23 2026-03-06
180 MS_DRG Respiratory Neoplasms With Mcc 22 22 $11,819.68 $8,864.76 25% off $3,388.70 $22,958.00 $8,663.83 2026-03-06
378 MS_DRG Gastrointestinal Hemorrhage With Cc 22 22 $11,695.70 $8,771.78 25% off $3,353.16 $12,749.10 $8,572.95 2026-03-06
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 22 22 $11,629.90 $8,722.42 25% off $3,334.29 $13,930.80 $8,524.72 2026-03-06
204 MS_DRG Respiratory Signs And Symptoms 22 22 $11,560.00 $8,670.00 25% off $3,314.25 $10,982.00 $8,473.48 2026-03-06
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 22 22 $11,444.30 $8,583.23 25% off $3,281.08 $20,485.40 $8,388.67 2026-03-06
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 36 36 $28,873.00 $21,654.75 25% off $252.64 $28,873.00 $8,352.96 2026-03-06
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 22 22 $11,277.00 $8,457.75 25% off $3,233.12 $10,713.15 $8,266.04 2026-03-06
299 MS_DRG Peripheral Vascular Disorders With Mcc 22 22 $11,154.00 $8,365.50 25% off $3,197.85 $21,225.10 $8,175.88 2026-03-06
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 187 37 $15,286.00 $11,464.50 25% off $474.27 $36,316.00 $7,989.52 2026-03-06
884 MS_DRG Organic Disturbances And Intellectual Disability 22 22 $10,782.00 $8,086.50 25% off $3,091.20 $20,915.70 $7,903.20 2026-03-06
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 36 36 $30,686.00 $23,014.50 25% off $19.04 $29,151.70 $7,864.83 2026-03-06
J9312 HCPCS Injection, Rituximab, 10 Mg 37 37 $26,495.00 $19,871.25 25% off $98.65 $26,495.00 $7,577.57 2026-03-06
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 23 23 $10,578.00 $7,933.50 25% off $3,032.71 $11,891.10 $7,573.85 2026-03-06
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 36 36 $25,517.00 $19,137.75 25% off $18.61 $25,517.00 $7,382.07 2026-03-06
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 36 36 $25,373.00 $19,029.75 25% off $61.67 $25,373.00 $7,340.41 2026-03-06
999 MS_DRG Ungroupable 21 21 $10,168.00 $7,626.00 25% off $2,915.17 $9,659.60 $7,280.29 2026-03-06
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 108 36 $15,857.00 $11,892.75 25% off $1,783.32 $15,896.00 $7,214.34 2026-03-06
J9299 HCPCS Injection, Nivolumab, 1 Mg 127 37 $18,667.00 $14,000.25 25% off $28.79 $44,799.00 $7,093.65 2026-03-06
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 22 $9,628.00 $7,221.00 25% off $2,760.35 $16,456.70 $7,057.32 2026-03-06
914 MS_DRG Traumatic Injury Without Mcc 22 22 $9,548.65 $7,161.49 25% off $2,737.60 $11,511.50 $6,999.16 2026-03-06
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 22 22 $9,395.40 $7,046.55 25% off $2,693.66 $11,142.30 $6,886.83 2026-03-06
169288_ERX CDM Dantrolene 250 Mg IV Susr 30 30 $15,909.00 $11,931.75 25% off $3,499.98 $15,113.55 $6,868.71 2026-03-06
J0600 HCPCS Injection, Edetate Calcium Disodium, Up To 1000 Mg 37 37 $25,851.00 $19,388.25 25% off $5,654.74 $24,558.45 $6,847.89 2026-03-06
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 22 22 $9,339.83 $7,004.87 25% off $2,677.73 $15,632.50 $6,846.09 2026-03-06
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 22 22 $10,045.00 $7,533.75 25% off $2,879.90 $9,542.75 $6,824.58 2026-03-06
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 22 22 $9,287.75 $6,965.81 25% off $2,662.80 $11,948.30 $6,807.92 2026-03-06
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 22 22 $8,936.29 $6,702.22 25% off $2,562.04 $14,639.30 $6,550.31 2026-03-06
J7195 HCPCS Injection, Factor Ix (antihemophilic Factor, Recombinant) Per Iu, Not Otherwise … 36 36 $8,360.00 $6,270.00 25% off $1,839.20 $8,360.00 $6,311.80 2026-03-06
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 22 22 $8,600.00 $6,450.00 25% off $2,465.62 $23,877.10 $6,303.80 2026-03-06
539 MS_DRG Osteomyelitis With Mcc 23 23 $8,641.55 $6,481.16 25% off $2,477.53 $25,606.10 $6,187.35 2026-03-06
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 37 37 $21,601.00 $16,200.75 25% off $69.82 $21,601.00 $6,177.89 2026-03-06
Q5136 HCPCS Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 72 36 $11,550.00 $8,662.50 25% off $1,694.00 $15,400.00 $6,110.72 2026-03-06
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 22 22 $8,192.00 $6,144.00 25% off $2,348.65 $7,782.40 $6,004.74 2026-03-06
553 MS_DRG Bone Diseases And Arthropathies With Mcc 22 22 $8,091.00 $6,068.25 25% off $2,319.69 $16,851.90 $5,930.70 2026-03-06
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 22 22 $8,058.36 $6,043.77 25% off $2,310.33 $8,764.60 $5,906.77 2026-03-06
J2802 HCPCS Injection, Romiplostim, 1 Microgram 96 36 $13,214.00 $9,910.50 25% off $11.56 $26,428.00 $5,814.16 2026-03-06
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 37 37 $20,040.00 $15,030.00 25% off $365.31 $20,040.00 $5,731.44 2026-03-06
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 22 22 $7,813.00 $5,859.75 25% off $2,239.99 $22,964.50 $5,726.93 2026-03-06
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 22 22 $7,636.30 $5,727.23 25% off $2,189.33 $10,351.90 $5,597.41 2026-03-06
J9035 HCPCS Injection, Bevacizumab, 10 Mg 37 37 $19,178.00 $14,383.50 25% off $83.68 $19,178.00 $5,484.91 2026-03-06
28700710 CDM Hc Ortholoc Femoral Implant M/rt 30 30 $12,567.70 $9,425.78 25% off $2,764.89 $11,939.32 $5,426.11 2026-03-06
Q5117 HCPCS Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg 66 36 $21,479.00 $16,109.25 25% off $95.20 $21,479.00 $5,354.36 2026-03-06
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 37 37 $18,648.00 $13,986.00 25% off $77.84 $18,648.00 $5,333.33 2026-03-06
01208520 CDM Operating Room Services - General Classification 30 30 $12,318.00 $9,238.50 25% off $2,709.96 $11,702.10 $5,318.30 2026-03-06
684 MS_DRG Renal Failure Without Cc/mcc 22 22 $7,192.02 $5,394.01 25% off $2,061.95 $7,803.90 $5,271.74 2026-03-06
948 MS_DRG Signs And Symptoms Without Mcc 22 22 $7,080.81 $5,310.61 25% off $2,030.07 $10,406.50 $5,190.23 2026-03-06
292 MS_DRG Heart Failure And Shock With Cc 22 22 $7,066.20 $5,299.65 25% off $2,025.88 $11,037.00 $5,179.52 2026-03-06
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 22 22 $7,060.43 $5,295.32 25% off $2,024.23 $8,897.20 $5,175.30 2026-03-06
Q5126 HCPCS Injection, Bevacizumab-maly, Biosimilar, (alymsys), 10 Mg 36 36 $17,293.00 $12,969.75 25% off $75.45 $17,293.00 $5,002.86 2026-03-06
01208518 CDM Operating Room Services - General Classification 30 30 $11,585.00 $8,688.75 25% off $2,548.70 $11,005.75 $5,001.82 2026-03-06
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 22 22 $6,768.35 $5,076.26 25% off $1,940.49 $9,802.00 $4,961.20 2026-03-06
178 MS_DRG Respiratory Infections And Inflammations With Cc 22 22 $6,706.00 $5,029.50 25% off $1,922.61 $12,688.00 $4,915.50 2026-03-06
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 22 22 $6,660.35 $4,995.26 25% off $1,909.52 $19,329.70 $4,882.03 2026-03-06
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 22 22 $6,503.00 $4,877.25 25% off $1,864.41 $16,487.90 $4,766.70 2026-03-06
J9145 HCPCS Injection, Daratumumab, 10 Mg 37 37 $16,589.00 $12,441.75 25% off $58.35 $16,589.00 $4,744.45 2026-03-06
Q5129 HCPCS Injection, Bevacizumab-adcd (vegzelma), Biosimilar, 10 Mg 36 36 $16,301.00 $12,225.75 25% off $71.13 $16,301.00 $4,715.88 2026-03-06
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 21 21 $6,436.11 $4,827.08 25% off $1,845.23 $6,114.30 $4,608.25 2026-03-06
01208516 CDM Operating Room Services - General Classification 30 30 $10,558.00 $7,918.50 25% off $2,322.76 $10,030.10 $4,558.42 2026-03-06
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 22 22 $6,056.92 $4,542.69 25% off $1,736.52 $11,908.00 $4,439.72 2026-03-06
639 MS_DRG Diabetes Without Cc/mcc 22 22 $5,954.11 $4,465.58 25% off $1,707.04 $8,075.60 $4,364.36 2026-03-06
202 MS_DRG Bronchitis And Asthma With Cc/mcc 22 22 $5,923.95 $4,442.96 25% off $1,698.40 $12,625.60 $4,342.26 2026-03-06
01208514 CDM Operating Room Services - General Classification 30 30 $10,031.00 $7,523.25 25% off $2,206.82 $9,529.45 $4,330.89 2026-03-06
J9305 HCPCS Injection, Pemetrexed, Not Otherwise Specified, 10 Mg 67 37 $22,803.00 $17,102.25 25% off $1.05 $22,803.00 $4,241.73 2026-03-06
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 127 37 $7,140.00 $5,355.00 25% off $64.14 $28,559.00 $4,084.08 2026-03-06
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 37 37 $13,953.00 $10,464.75 25% off $25.97 $13,953.00 $3,990.56 2026-03-06
792 MS_DRG Prematurity Without Major Problems 21 21 $5,451.61 $4,088.71 25% off $1,562.98 $5,179.03 $3,903.35 2026-03-06
77049 HCPCS MRI Scan Of Both Breasts 36 36 $5,323.00 $3,992.25 25% off $1,171.06 $5,323.00 $3,901.76 2026-03-06
J9036 HCPCS Injection, Bendamustine Hydrochloride, (belrapzo/bendamustine), 1 Mg 37 37 $13,198.00 $9,898.50 25% off $24.57 $13,198.00 $3,774.63 2026-03-06
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 21 21 $5,258.03 $3,943.52 25% off $1,507.48 $4,995.13 $3,764.75 2026-03-06
794 MS_DRG Neonate With Other Significant Problems 21 21 $5,240.94 $3,930.70 25% off $1,502.58 $4,978.89 $3,752.51 2026-03-06
J0897 HCPCS Injection, Denosumab, 1 Mg 67 37 $9,003.00 $6,752.25 25% off $20.58 $15,731.05 $3,752.27 2026-03-06
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 21 21 $5,155.90 $3,866.93 25% off $1,478.20 $4,898.11 $3,691.62 2026-03-06
A9520 HCPCS Technetium Tc-99m Tilmanocept, Diagnostic, Up To 0.5 Millicuries 36 36 $4,744.00 $3,558.00 25% off $1,043.68 $4,744.00 $3,477.35 2026-03-06
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 36 36 $12,000.00 $9,000.00 25% off $218.75 $12,000.00 $3,471.60 2026-03-06
793 MS_DRG Full Term Neonate With Major Problems 21 21 $4,685.06 $3,513.79 25% off $1,343.21 $4,450.80 $3,354.50 2026-03-06
795 MS_DRG Normal Newborn 22 22 $4,742.81 $3,557.10 25% off $1,359.76 $4,505.67 $3,222.26 2026-03-06
J9047 HCPCS Injection, Carfilzomib, 1 Mg 97 37 $9,975.00 $7,481.25 25% off $42.62 $19,950.00 $3,158.75 2026-03-06
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 21 21 $4,264.98 $3,198.74 25% off $1,222.77 $4,051.73 $3,053.73 2026-03-06
951 MS_DRG Other Factors Influencing Health Status 22 22 $3,998.11 $2,998.58 25% off $1,146.26 $7,228.00 $2,930.61 2026-03-06
38222 HCPCS Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis 36 36 $3,899.00 $2,924.25 25% off $857.78 $3,899.00 $2,857.97 2026-03-06
J9055 HCPCS Injection, Cetuximab, 10 Mg 67 37 $9,436.00 $7,077.00 25% off $69.98 $9,436.00 $2,698.70 2026-03-06
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 36 36 $9,313.00 $6,984.75 25% off $20.37 $9,313.00 $2,694.25 2026-03-06
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 37 37 $9,244.00 $6,933.00 25% off $13.44 $9,244.00 $2,643.78 2026-03-06
99291 HCPCS Critical Care, First 30-74 Minutes 37 37 $3,870.00 $2,902.50 25% off $30.00 $3,870.00 $2,631.60 2026-03-06
28701350 CDM Hc Wlh New Implant 30 30 $6,056.82 $4,542.62 25% off $1,332.50 $5,753.98 $2,615.03 2026-03-06
389 MS_DRG Gastrointestinal Obstruction With Cc 22 22 $3,558.00 $2,668.50 25% off $1,020.08 $10,267.40 $2,608.02 2026-03-06
28700665 CDM Hc Ortholoc Ii Tibial Base Lg 30 30 $5,863.00 $4,397.25 25% off $1,289.86 $5,569.85 $2,531.35 2026-03-06
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 36 36 $3,450.00 $2,587.50 25% off $759.00 $3,450.00 $2,528.85 2026-03-06
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 37 37 $8,790.00 $6,592.50 25% off $109.09 $8,790.00 $2,513.94 2026-03-06
28700600 CDM Hc Rim Liner 30 30 $5,660.95 $4,245.71 25% off $1,245.41 $5,377.90 $2,444.11 2026-03-06
J3262 HCPCS Injection, Tocilizumab, 1 Mg 97 37 $7,490.00 $5,617.50 25% off $6.05 $14,979.00 $2,422.50 2026-03-06
93351 HCPCS Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis… 36 36 $3,295.00 $2,471.25 25% off $724.90 $3,295.00 $2,415.23 2026-03-06
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 22 22 $3,190.00 $2,392.50 25% off $914.57 $6,797.70 $2,338.27 2026-03-06
28701347 CDM Hc Wlh New Implant 30 30 $5,250.00 $3,937.50 25% off $1,155.00 $4,987.50 $2,266.69 2026-03-06
10040008 CDM Intensive Care Unit - General Classification 21 21 $3,105.00 $2,328.75 25% off $890.20 $2,949.75 $2,223.18 2026-03-06
28700654 CDM Hc Kugel Hernia Patch X-large Oval 30 30 $5,145.00 $3,858.75 25% off $1,131.90 $4,887.75 $2,221.36 2026-03-06
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 37 37 $7,732.00 $5,799.00 25% off $1.46 $7,732.00 $2,211.35 2026-03-06
28700861 CDM Hc 2.5cc Bio4 Viable Bone Matrix 30 30 $5,096.80 $3,822.60 25% off $1,121.30 $4,841.96 $2,200.55 2026-03-06
28700897 CDM Hc Calcaneus Mesh Plate Medium 30 30 $5,096.80 $3,822.60 25% off $1,121.30 $4,841.96 $2,200.55 2026-03-06
Q5112 HCPCS Injection, Trastuzumab-dttb, Biosimilar, (ontruzant), 10 Mg 37 37 $7,472.00 $5,604.00 25% off $92.73 $7,472.00 $2,136.99 2026-03-06
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 36 36 $2,829.00 $2,121.75 25% off $622.38 $2,829.00 $2,073.65 2026-03-06
J1451 HCPCS Injection, Fomepizole, 15 Mg 37 37 $7,200.00 $5,400.00 25% off $10.34 $7,200.00 $2,059.20 2026-03-06
28701349 CDM Hc Wlh New Implant 30 30 $4,608.00 $3,456.00 25% off $1,013.76 $4,377.60 $1,989.50 2026-03-06
Q5116 HCPCS Injection, Trastuzumab-qyyp, Biosimilar, (trazimera), 10 Mg 36 36 $6,831.00 $5,123.25 25% off $84.78 $6,831.00 $1,976.21 2026-03-06
90381 HCPCS Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle 36 36 $2,670.00 $2,002.50 25% off $587.40 $2,670.00 $1,957.11 2026-03-06
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 36 36 $2,670.00 $2,002.50 25% off $587.40 $2,670.00 $1,957.11 2026-03-06
28700615 CDM Hc Ortholoc Tibial Insert 30 30 $4,445.95 $3,334.46 25% off $978.11 $4,223.65 $1,919.54 2026-03-06
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 36 36 $2,607.28 $1,955.46 25% off $573.60 $2,607.28 $1,911.13 2026-03-06
32408 HCPCS Core Needle Biopsy Of Lung Or Center Cavity Of Chest (mediastinum), Accessed Thr… 36 36 $2,581.00 $1,935.75 25% off $567.82 $2,581.00 $1,891.88 2026-03-06
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 37 37 $6,587.00 $4,940.25 25% off $49.88 $6,587.00 $1,883.88 2026-03-06
j7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 37 37 $6,575.00 $4,931.25 25% off $29.96 $6,575.00 $1,880.45 2026-03-06
01208512 CDM Operating Room Services - Minor Surgery 30 30 $4,231.00 $3,173.25 25% off $930.82 $4,019.45 $1,826.74 2026-03-06
864 MS_DRG Fever And Inflammatory Conditions 21 21 $2,550.00 $1,912.50 25% off $731.09 $2,422.50 $1,825.80 2026-03-06
28700514 CDM Hc Mesh Surg Ultrapro 6x12cm Monofil Poliglecaprone-25 Pp 2layer Macroporous Par… 30 30 $4,129.80 $3,097.35 25% off $908.56 $3,923.31 $1,783.04 2026-03-06
28700631 CDM Hc Kugel Hernia Patch X-large Oval 30 30 $4,117.90 $3,088.43 25% off $905.94 $3,912.01 $1,777.90 2026-03-06
Q5113 HCPCS Injection, Trastuzumab-pkrb, Biosimilar, (herzuma), 10 Mg 37 37 $6,152.00 $4,614.00 25% off $76.35 $6,152.00 $1,759.47 2026-03-06
110896_ERX CDM Peg 3350-electrolyte Solution 30 30 $4,000.00 $3,000.00 25% off $880.00 $3,800.00 $1,727.00 2026-03-06
73720 HCPCS MRI Scan Of Leg Before And After Contrast 111 37 $5,219.00 $3,914.25 25% off $284.54 $7,437.55 $1,722.38 2026-03-06
73220 HCPCS MRI Scan Of Arm Before And After Contrast 111 37 $5,219.00 $3,914.25 25% off $282.31 $7,437.55 $1,722.38 2026-03-06
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 36 36 $2,252.00 $1,689.00 25% off $495.44 $2,252.00 $1,700.26 2026-03-06
19084 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio… 36 36 $2,304.00 $1,728.00 25% off $506.88 $2,304.00 $1,688.83 2026-03-06
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 37 37 $7,440.00 $5,580.00 25% off $49.37 $7,068.00 $1,685.90 2026-03-06
73719 HCPCS MRI Scan Of Leg With Contrast 111 37 $5,096.00 $3,822.00 25% off $235.25 $7,261.80 $1,681.68 2026-03-06
See an error in this hospital's data? Submit a correction