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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

WOODLAWN HOSPITAL

Rochester, IN · CCN 151313 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $809 across 37 payers · range $47-$3,519

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWHROCHESTERIN&type=CDMWithoutLabel · observed 2026-09-22

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

4,936 distinct procedures filed
38 distinct payers
239,173 rate rows
2026-09-22 last MRF observed
Data quality

220,873 of 239,173 rate rows are consumer-grade (92.3%)

18,300 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,665
per-diem day rate — not a per-procedure price 6,765
percent-of-charges filed in the dollar field — excluded from medians 1,822
exceeds 3× this hospital's gross charge for a DRG stay — excluded 26
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14
placeholder amount (≤ $0.02) — excluded from medians 5
exceeds 10× this hospital's gross charge — excluded from medians 3
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 not_modified · 2026-10-23
Content fingerprint a6e4ff26ec2e5c0d… · 48,721,845 bytes · first seen 2026-10-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $89,853.40 $89,853.40 $89,853.40 nat. median
$62,721
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $83,651.10 $83,651.10 $83,651.10 nat. median
$59,384
1.4× median
834
MS_DRG 		Acute Leukemia With Mcc 1 $71,368.70 $71,368.70 $71,368.70 nat. median
$50,391
1.4× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $64,836.20 $64,836.20 $64,836.20 nat. median
$46,224
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $64,201.80 $64,201.80 $64,201.80 nat. median
$45,474
1.4× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $63,982.10 $63,982.10 $63,982.10 nat. median
$45,264
1.4× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $59,754.50 $59,754.50 $59,754.50 nat. median
$42,662
1.4× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 $59,133.10 $59,133.10 $59,133.10 nat. median
$41,690
1.4× median
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $55,448.90 $55,448.90 $55,448.90 nat. median
$38,387
1.4× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $46,269.60 $46,269.60 $46,269.60 nat. median
$33,647
1.4× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 1 $45,845.80 $45,845.80 $45,845.80 nat. median
$32,654
1.4× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 1 $43,427.80 $43,427.80 $43,427.80 nat. median
$31,243
1.4× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $41,952.30 $41,952.30 $41,952.30 nat. median
$30,601
1.4× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $40,491.10 $40,491.10 $40,491.10 nat. median
$28,673
1.4× median
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 37 $201.98 $139,912.00 $40,014.83 nat. median
$735
outlier · 54.5×
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 $39,431.60 $39,431.60 $39,431.60 nat. median
$29,492
1.3× median
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 $39,218.40 $39,218.40 $39,218.40 nat. median
$26,331
1.5× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 1 $37,859.90 $37,859.90 $37,859.90 nat. median
$27,846
1.4× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 $36,034.70 $36,034.70 $36,034.70 nat. median
$25,358
1.4× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 $35,733.10 $35,733.10 $35,733.10 nat. median
$25,409
1.4× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 1 $35,724.00 $35,724.00 $35,724.00 nat. median
$25,679
1.4× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 1 $35,539.40 $35,539.40 $35,539.40 nat. median
$25,757
1.4× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 $34,580.00 $34,580.00 $34,580.00 nat. median
$26,439
1.3× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 $32,969.30 $32,969.30 $32,969.30 nat. median
$23,553
1.4× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 1 $31,916.30 $31,916.30 $31,916.30 nat. median
$18,786
1.7× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 1 $31,774.60 $31,774.60 $31,774.60 nat. median
$23,584
1.3× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $31,163.60 $31,163.60 $31,163.60 nat. median
$22,965
1.4× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $31,023.20 $31,023.20 $31,023.20 nat. median
$22,587
1.4× median
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 1 $30,401.80 $30,401.80 $30,401.80 nat. median
$22,222
1.4× median
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 $28,702.70 $28,702.70 $28,702.70 nat. median
$21,030
1.4× median
141
MS_DRG 		Major Head And Neck Procedures With Cc 1 $28,354.30 $28,354.30 $28,354.30 nat. median
$20,548
1.4× median
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 $28,324.40 $28,324.40 $28,324.40 nat. median
$20,982
1.3× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 $27,530.10 $27,530.10 $27,530.10 nat. median
$20,545
1.3× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 1 $27,228.50 $27,228.50 $27,228.50 nat. median
$20,312
1.3× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 1 $27,184.30 $27,184.30 $27,184.30 nat. median
$20,234
1.3× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 1 $27,107.60 $27,107.60 $27,107.60 nat. median
$19,970
1.4× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 $27,032.20 $27,032.20 $27,032.20 nat. median
$19,680
1.4× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 $26,143.00 $26,143.00 $26,143.00 nat. median
$19,268
1.4× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 $26,084.50 $26,084.50 $26,084.50 nat. median
$18,778
1.4× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $25,975.30 $25,975.30 $25,975.30 nat. median
$19,254
1.3× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $25,937.60 $25,937.60 $25,937.60 nat. median
$19,340
1.3× median
539
MS_DRG 		Osteomyelitis With Mcc 1 $25,606.10 $25,606.10 $25,606.10 nat. median
$18,853
1.4× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $25,586.60 $25,586.60 $25,586.60 nat. median
$18,829
1.4× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $25,252.50 $25,252.50 $25,252.50 nat. median
$18,659
1.4× median
100
MS_DRG 		Seizures With Mcc 1 $25,178.40 $25,178.40 $25,178.40 nat. median
$18,371
1.4× median
548
MS_DRG 		Septic Arthritis With Mcc 1 $25,101.70 $25,101.70 $25,101.70 nat. median
$18,749
1.3× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 1 $25,075.70 $25,075.70 $25,075.70 nat. median
$18,831
1.3× median
902
MS_DRG 		Wound Debridements For Injuries With Cc 1 $24,888.50 $24,888.50 $24,888.50 nat. median
$18,451
1.3× median
504
MS_DRG 		Foot Procedures With Cc 1 $24,299.60 $24,299.60 $24,299.60 nat. median
$17,730
1.4× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 $24,243.70 $24,243.70 $24,243.70 nat. median
$18,115
1.3× median

Other procedures at this hospital

Browse this hospital's 4,936 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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 $145,633.15 $109,224.86 25% off $89,853.40 $89,853.40 $89,853.40 2026-09-22
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 $117,817.78 $88,363.33 25% off $83,651.10 $83,651.10 $83,651.10 2026-09-22
834 MS_DRG Acute Leukemia With Mcc 2 1 $53,668.37 $40,251.28 25% off $71,368.70 $71,368.70 $71,368.70 2026-09-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 1 $92,427.50 $69,320.63 25% off $64,836.20 $64,836.20 $64,836.20 2026-09-22
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 $51,276.99 $38,457.74 25% off $64,201.80 $64,201.80 $64,201.80 2026-09-22
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 $68,525.93 $51,394.45 25% off $63,982.10 $63,982.10 $63,982.10 2026-09-22
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 $73,194.77 $54,896.08 25% off $59,754.50 $59,754.50 $59,754.50 2026-09-22
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 $44,119.25 $33,089.44 25% off $59,133.10 $59,133.10 $59,133.10 2026-09-22
140 MS_DRG Major Head And Neck Procedures With Mcc 2 1 $28,706.85 $21,530.14 25% off $55,448.90 $55,448.90 $55,448.90 2026-09-22
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 1 $50,511.83 $37,883.87 25% off $46,269.60 $46,269.60 $46,269.60 2026-09-22
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 $91,983.00 $68,987.25 25% off $45,845.80 $45,845.80 $45,845.80 2026-09-22
264 MS_DRG Other Circulatory System O.r. Procedures 2 1 $112,971.25 $84,728.44 25% off $43,427.80 $43,427.80 $43,427.80 2026-09-22
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 $70,817.35 $53,113.01 25% off $41,952.30 $41,952.30 $41,952.30 2026-09-22
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 $56,736.75 $42,552.57 25% off $40,491.10 $40,491.10 $40,491.10 2026-09-22
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
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 1 $109,446.96 $82,085.22 25% off $39,431.60 $39,431.60 $39,431.60 2026-09-22
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 $49,329.68 $36,997.26 25% off $39,218.40 $39,218.40 $39,218.40 2026-09-22
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 1 $88,360.12 $66,270.09 25% off $37,859.90 $37,859.90 $37,859.90 2026-09-22
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 1 $63,512.08 $47,634.06 25% off $36,034.70 $36,034.70 $36,034.70 2026-09-22
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 $75,722.50 $56,791.88 25% off $35,733.10 $35,733.10 $35,733.10 2026-09-22
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 1 $74,564.85 $55,923.64 25% off $35,724.00 $35,724.00 $35,724.00 2026-09-22
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 $15,700.40 $11,775.30 25% off $35,539.40 $35,539.40 $35,539.40 2026-09-22
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 1 $134,787.04 $101,090.28 25% off $34,580.00 $34,580.00 $34,580.00 2026-09-22
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 1 $37,557.60 $28,168.20 25% off $32,969.30 $32,969.30 $32,969.30 2026-09-22
783 MS_DRG Cesarean Section With Sterilization With Mcc 2 1 $33,029.86 $24,772.40 25% off $31,916.30 $31,916.30 $31,916.30 2026-09-22
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 $70,361.25 $52,770.94 25% off $31,774.60 $31,774.60 $31,774.60 2026-09-22
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 $82,823.48 $62,117.61 25% off $31,163.60 $31,163.60 $31,163.60 2026-09-22
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 $26,632.70 $19,974.53 25% off $31,023.20 $31,023.20 $31,023.20 2026-09-22
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 $43,635.25 $32,726.44 25% off $30,401.80 $30,401.80 $30,401.80 2026-09-22
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 $37,035.10 $27,776.33 25% off $28,702.70 $28,702.70 $28,702.70 2026-09-22
141 MS_DRG Major Head And Neck Procedures With Cc 2 1 $32,924.00 $24,693.00 25% off $28,354.30 $28,354.30 $28,354.30 2026-09-22
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 $35,652.22 $26,739.17 25% off $28,324.40 $28,324.40 $28,324.40 2026-09-22
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 $54,553.71 $40,915.28 25% off $27,530.10 $27,530.10 $27,530.10 2026-09-22
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 $57,873.47 $43,405.10 25% off $27,228.50 $27,228.50 $27,228.50 2026-09-22
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 $76,454.82 $57,341.12 25% off $27,184.30 $27,184.30 $27,184.30 2026-09-22
314 MS_DRG Other Circulatory System Diagnoses With Mcc 2 1 $57,603.10 $43,202.33 25% off $27,107.60 $27,107.60 $27,107.60 2026-09-22
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 $51,793.04 $38,844.78 25% off $27,032.20 $27,032.20 $27,032.20 2026-09-22
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 $30,350.30 $22,762.73 25% off $26,143.00 $26,143.00 $26,143.00 2026-09-22
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 $57,767.00 $43,325.25 25% off $26,084.50 $26,084.50 $26,084.50 2026-09-22
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 1 $71,307.35 $53,480.51 25% off $25,975.30 $25,975.30 $25,975.30 2026-09-22
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 1 $23,073.75 $17,305.31 25% off $25,937.60 $25,937.60 $25,937.60 2026-09-22
539 MS_DRG Osteomyelitis With Mcc 2 1 $17,449.07 $13,086.80 25% off $25,606.10 $25,606.10 $25,606.10 2026-09-22
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 $21,621.32 $16,215.99 25% off $25,586.60 $25,586.60 $25,586.60 2026-09-22
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 1 $31,130.57 $23,347.93 25% off $25,252.50 $25,252.50 $25,252.50 2026-09-22
100 MS_DRG Seizures With Mcc 2 1 $35,953.12 $26,964.84 25% off $25,178.40 $25,178.40 $25,178.40 2026-09-22
548 MS_DRG Septic Arthritis With Mcc 2 1 $41,712.01 $31,284.01 25% off $25,101.70 $25,101.70 $25,101.70 2026-09-22
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 $55,728.11 $41,796.09 25% off $25,075.70 $25,075.70 $25,075.70 2026-09-22
902 MS_DRG Wound Debridements For Injuries With Cc 2 1 $33,395.95 $25,046.96 25% off $24,888.50 $24,888.50 $24,888.50 2026-09-22
504 MS_DRG Foot Procedures With Cc 2 1 $50,624.29 $37,968.21 25% off $24,299.60 $24,299.60 $24,299.60 2026-09-22
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 1 1 $104,904.50 $78,678.38 25% off $24,243.70 $24,243.70 $24,243.70 2026-09-22
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 $34,062.30 $25,546.73 25% off $24,165.70 $24,165.70 $24,165.70 2026-09-22
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 $8,600.00 $6,450.00 25% off $23,877.10 $23,877.10 $23,877.10 2026-09-22
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 $81,423.35 $61,067.51 25% off $23,764.00 $23,764.00 $23,764.00 2026-09-22
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 2 1 $15,044.75 $11,283.56 25% off $23,708.10 $23,708.10 $23,708.10 2026-09-22
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 2 1 $53,646.29 $40,234.72 25% off $23,444.20 $23,444.20 $23,444.20 2026-09-22
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 $37,570.47 $28,177.85 25% off $23,331.10 $23,331.10 $23,331.10 2026-09-22
505 MS_DRG Foot Procedures Without Cc/mcc 2 1 $32,808.40 $24,606.30 25% off $23,306.40 $23,306.40 $23,306.40 2026-09-22
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 2 1 $8,800.00 $6,600.00 25% off $22,964.50 $22,964.50 $22,964.50 2026-09-22
180 MS_DRG Respiratory Neoplasms With Mcc 2 1 $11,819.68 $8,864.76 25% off $22,958.00 $22,958.00 $22,958.00 2026-09-22
91 MS_DRG Other Disorders Of Nervous System With Mcc 2 1 $44,531.52 $33,398.64 25% off $22,830.60 $22,830.60 $22,830.60 2026-09-22
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 1 $32,701.29 $24,525.97 25% off $22,742.20 $22,742.20 $22,742.20 2026-09-22
501 MS_DRG Soft Tissue Procedures With Cc 2 1 $62,646.36 $46,984.77 25% off $22,725.30 $22,725.30 $22,725.30 2026-09-22
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 1 $42,535.10 $31,901.33 25% off $22,464.00 $22,464.00 $22,464.00 2026-09-22
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 1 $42,761.95 $32,071.46 25% off $22,072.70 $22,072.70 $22,072.70 2026-09-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 2 1 $38,899.58 $29,174.69 25% off $21,990.80 $21,990.80 $21,990.80 2026-09-22
571 MS_DRG Skin Debridement With Cc 2 1 $26,072.00 $19,554.00 25% off $21,963.50 $21,963.50 $21,963.50 2026-09-22
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 1 $47,167.18 $35,375.39 25% off $21,877.70 $21,877.70 $21,877.70 2026-09-22
444 MS_DRG Disorders Of The Biliary Tract With Mcc 2 1 $24,293.96 $18,220.47 25% off $21,721.70 $21,721.70 $21,721.70 2026-09-22
70 MS_DRG Other Cerebrovascular Disorders With Mcc 1 1 $13,317.00 $9,987.75 25% off $21,642.40 $21,642.40 $21,642.40 2026-09-22
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 2 1 $34,615.34 $25,961.51 25% off $21,520.20 $21,520.20 $21,520.20 2026-09-22
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 2 1 $15,877.25 $11,907.94 25% off $21,507.20 $21,507.20 $21,507.20 2026-09-22
786 MS_DRG Cesarean Section Without Sterilization With Mcc 2 1 $30,699.38 $23,024.53 25% off $21,443.50 $21,443.50 $21,443.50 2026-09-22
299 MS_DRG Peripheral Vascular Disorders With Mcc 2 1 $11,154.00 $8,365.50 25% off $21,225.10 $21,225.10 $21,225.10 2026-09-22
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 2 1 $35,551.44 $26,663.58 25% off $21,203.00 $21,203.00 $21,203.00 2026-09-22
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 $39,842.23 $29,881.67 25% off $21,169.20 $21,169.20 $21,169.20 2026-09-22
884 MS_DRG Organic Disturbances And Intellectual Disability 2 1 $10,782.00 $8,086.50 25% off $20,915.70 $20,915.70 $20,915.70 2026-09-22
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 1 $27,433.00 $20,574.75 25% off $20,853.30 $20,853.30 $20,853.30 2026-09-22
393 MS_DRG Other Digestive System Diagnoses With Mcc 2 1 $39,073.00 $29,304.75 25% off $20,790.90 $20,790.90 $20,790.90 2026-09-22
385 MS_DRG Inflammatory Bowel Disease With Mcc 2 1 $13,317.95 $9,988.46 25% off $20,569.90 $20,569.90 $20,569.90 2026-09-22
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 2 1 $11,444.30 $8,583.23 25% off $20,485.40 $20,485.40 $20,485.40 2026-09-22
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 2 1 $34,596.01 $25,947.01 25% off $20,465.90 $20,465.90 $20,465.90 2026-09-22
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 2 1 $20,067.02 $15,050.27 25% off $20,389.20 $20,389.20 $20,389.20 2026-09-22
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 2 1 $49,012.01 $36,759.01 25% off $20,360.60 $20,360.60 $20,360.60 2026-09-22
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 1 $28,034.30 $21,025.73 25% off $20,325.50 $20,325.50 $20,325.50 2026-09-22
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 1 $14,024.00 $10,518.00 25% off $20,315.10 $20,315.10 $20,315.10 2026-09-22
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 2 1 $12,241.00 $9,180.75 25% off $20,304.70 $20,304.70 $20,304.70 2026-09-22
945 MS_DRG Rehabilitation With Cc/mcc 2 1 $17,118.00 $12,838.50 25% off $20,131.80 $20,131.80 $20,131.80 2026-09-22
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 2 1 $38,499.17 $28,874.38 25% off $19,977.10 $19,977.10 $19,977.10 2026-09-22
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 1 $43,841.35 $32,881.01 25% off $19,955.00 $19,955.00 $19,955.00 2026-09-22
964 MS_DRG Other Multiple Significant Trauma With Cc 2 1 $24,116.35 $18,087.26 25% off $19,923.80 $19,923.80 $19,923.80 2026-09-22
813 MS_DRG Coagulation Disorders 2 1 $12,504.60 $9,378.45 25% off $19,828.90 $19,828.90 $19,828.90 2026-09-22
398 MS_DRG Appendix Procedures With Cc 1 1 $45,065.50 $33,799.13 25% off $19,676.80 $19,676.80 $19,676.80 2026-09-22
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 2 1 $24,854.00 $18,640.50 25% off $19,561.10 $19,561.10 $19,561.10 2026-09-22
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 2 1 $21,498.00 $16,123.50 25% off $19,503.90 $19,503.90 $19,503.90 2026-09-22
137 MS_DRG Mouth Procedures With Cc/mcc 1 1 $49,312.00 $36,984.00 25% off $19,411.60 $19,411.60 $19,411.60 2026-09-22
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 2 1 $16,538.71 $12,404.03 25% off $19,329.70 $19,329.70 $19,329.70 2026-09-22
682 MS_DRG Renal Failure With Mcc 1 1 $20,177.85 $15,133.39 25% off $19,253.00 $19,253.00 $19,253.00 2026-09-22
388 MS_DRG Gastrointestinal Obstruction With Mcc 2 1 $31,880.75 $23,910.56 25% off $19,198.40 $19,198.40 $19,198.40 2026-09-22
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 $20,606.82 $15,455.12 25% off $18,891.60 $18,891.60 $18,891.60 2026-09-22
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 2 1 $25,830.25 $19,372.69 25% off $18,760.30 $18,760.30 $18,760.30 2026-09-22
637 MS_DRG Diabetes With Mcc 2 1 $40,999.42 $30,749.56 25% off $18,677.10 $18,677.10 $18,677.10 2026-09-22
602 MS_DRG Cellulitis With Mcc 2 1 $40,237.68 $30,178.26 25% off $18,476.90 $18,476.90 $18,476.90 2026-09-22
811 MS_DRG Red Blood Cell Disorders With Mcc 2 1 $35,956.89 $26,967.67 25% off $18,255.90 $18,255.90 $18,255.90 2026-09-22
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 2 1 $24,994.00 $18,745.50 25% off $18,193.50 $18,193.50 $18,193.50 2026-09-22
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 2 1 $30,562.37 $22,921.78 25% off $18,172.70 $18,172.70 $18,172.70 2026-09-22
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 2 1 $19,451.40 $14,588.55 25% off $17,949.10 $17,949.10 $17,949.10 2026-09-22
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
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 1 $38,603.50 $28,952.63 25% off $17,856.80 $17,856.80 $17,856.80 2026-09-22
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 2 1 $49,517.51 $37,138.13 25% off $17,722.90 $17,722.90 $17,722.90 2026-09-22
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 1 $21,763.65 $16,322.74 25% off $17,183.40 $17,183.40 $17,183.40 2026-09-22
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 1 $12,618.78 $9,464.09 25% off $17,087.20 $17,087.20 $17,087.20 2026-09-22
553 MS_DRG Bone Diseases And Arthropathies With Mcc 2 1 $36,595.24 $27,446.42 25% off $16,851.90 $16,851.90 $16,851.90 2026-09-22
540 MS_DRG Osteomyelitis With Cc 2 1 $32,156.82 $24,117.61 25% off $16,851.90 $16,851.90 $16,851.90 2026-09-22
291 MS_DRG Heart Failure And Shock With Mcc 2 1 $13,051.00 $9,788.25 25% off $16,689.40 $16,689.40 $16,689.40 2026-09-22
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 1 $18,107.58 $13,580.68 25% off $16,666.00 $16,666.00 $16,666.00 2026-09-22
947 MS_DRG Signs And Symptoms With Mcc 1 1 $38,907.00 $29,180.25 25% off $16,502.20 $16,502.20 $16,502.20 2026-09-22
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 2 1 $6,503.00 $4,877.25 25% off $16,487.90 $16,487.90 $16,487.90 2026-09-22
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 $9,628.00 $7,221.00 25% off $16,456.70 $16,456.70 $16,456.70 2026-09-22
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 1 $32,457.00 $24,342.75 25% off $16,060.20 $16,060.20 $16,060.20 2026-09-22
549 MS_DRG Septic Arthritis With Cc 1 1 $40,287.00 $30,215.25 25% off $15,693.60 $15,693.60 $15,693.60 2026-09-22
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 128 36 $21,388.88 $16,041.66 25% off $43.19 $77,435.21 $15,668.84 2026-09-22
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 1 $26,863.05 $20,147.29 25% off $15,652.00 $15,652.00 $15,652.00 2026-09-22
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 2 1 $9,339.83 $7,004.87 25% off $15,632.50 $15,632.50 $15,632.50 2026-09-22
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/mcc 2 1 $20,603.20 $15,452.40 25% off $15,598.70 $15,598.70 $15,598.70 2026-09-22
506 MS_DRG Major Thumb Or Joint Procedures 2 1 $31,269.30 $23,451.98 25% off $15,594.80 $15,594.80 $15,594.80 2026-09-22
949 MS_DRG Aftercare With Cc/mcc 2 1 $15,588.12 $11,691.10 25% off $15,466.10 $15,466.10 $15,466.10 2026-09-22
593 MS_DRG Skin Ulcers With Cc 1 1 $8,359.69 $6,269.77 25% off $15,421.90 $15,421.90 $15,421.90 2026-09-22
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 2 1 $19,846.90 $14,885.18 25% off $15,083.90 $15,083.90 $15,083.90 2026-09-22
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 2 1 $10,884.46 $8,163.35 25% off $14,639.30 $14,639.30 $14,639.30 2026-09-22
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
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 1 $30,727.81 $23,045.85 25% off $14,518.40 $14,518.40 $14,518.40 2026-09-22
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 2 1 $25,622.32 $19,216.74 25% off $14,400.10 $14,400.10 $14,400.10 2026-09-22
200 MS_DRG Pneumothorax With Cc 2 1 $53,373.85 $40,030.39 25% off $14,290.90 $14,290.90 $14,290.90 2026-09-22
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 $44,043.00 $33,032.25 25% off $14,227.20 $14,227.20 $14,227.20 2026-09-22
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/mcc 2 1 $40,748.56 $30,561.42 25% off $14,205.10 $14,205.10 $14,205.10 2026-09-22
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
596 MS_DRG Major Skin Disorders Without Mcc 2 1 $16,609.00 $12,456.75 25% off $14,072.50 $14,072.50 $14,072.50 2026-09-22
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 2 1 $12,798.93 $9,599.19 25% off $14,029.60 $14,029.60 $14,029.60 2026-09-22
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 2 1 $11,629.90 $8,722.42 25% off $13,930.80 $13,930.80 $13,930.80 2026-09-22
181 MS_DRG Respiratory Neoplasms With Cc 2 1 $31,798.60 $23,848.95 25% off $13,923.00 $13,923.00 $13,923.00 2026-09-22
300 MS_DRG Peripheral Vascular Disorders With Cc 1 1 $13,634.00 $10,225.50 25% off $13,877.50 $13,877.50 $13,877.50 2026-09-22
184 MS_DRG Major Chest Trauma With Cc 1 1 $5,643.00 $4,232.25 25% off $13,833.30 $13,833.30 $13,833.30 2026-09-22
784 MS_DRG Cesarean Section With Sterilization With Cc 2 1 $42,558.59 $31,918.94 25% off $13,781.30 $13,781.30 $13,781.30 2026-09-22
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 1 $21,434.30 $16,075.73 25% off $13,730.60 $13,730.60 $13,730.60 2026-09-22
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 2 1 $17,835.30 $13,376.48 25% off $13,404.30 $13,404.30 $13,404.30 2026-09-22
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 $5,092.01 $3,819.01 25% off $13,364.00 $13,364.00 $13,364.00 2026-09-22
644 MS_DRG Endocrine Disorders With Cc 2 1 $14,685.00 $11,013.75 25% off $13,325.00 $13,325.00 $13,325.00 2026-09-22
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 1 $13,639.00 $10,229.25 25% off $13,302.90 $13,302.90 $13,302.90 2026-09-22
92 MS_DRG Other Disorders Of Nervous System With Cc 2 1 $29,400.10 $22,050.08 25% off $13,299.00 $13,299.00 $13,299.00 2026-09-22
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 2 1 $18,716.68 $14,037.51 25% off $13,273.00 $13,273.00 $13,273.00 2026-09-22
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $5,447.00 $4,085.25 25% off $13,195.00 $13,195.00 $13,195.00 2026-09-22
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 2 1 $18,049.37 $13,537.03 25% off $13,182.00 $13,182.00 $13,182.00 2026-09-22
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 2 1 $23,305.59 $17,479.19 25% off $13,133.90 $13,133.90 $13,133.90 2026-09-22
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 72 37 $33,929.00 $25,446.75 25% off $51.82 $56,923.74 $13,092.46 2026-09-22
770 MS_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 2 1 $22,826.95 $17,120.21 25% off $13,035.10 $13,035.10 $13,035.10 2026-09-22
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 1 1 $26,190.02 $19,642.52 25% off $13,005.20 $13,005.20 $13,005.20 2026-09-22
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
378 MS_DRG Gastrointestinal Hemorrhage With Cc 2 1 $11,695.70 $8,771.78 25% off $12,749.10 $12,749.10 $12,749.10 2026-09-22
178 MS_DRG Respiratory Infections And Inflammations With Cc 2 1 $6,706.00 $5,029.50 25% off $12,688.00 $12,688.00 $12,688.00 2026-09-22
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 1 1 $24,502.00 $18,376.50 25% off $12,667.20 $12,667.20 $12,667.20 2026-09-22
202 MS_DRG Bronchitis And Asthma With Cc/mcc 2 1 $17,518.72 $13,139.05 25% off $12,625.60 $12,625.60 $12,625.60 2026-09-22
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 2 1 $21,879.65 $16,409.74 25% off $12,548.90 $12,548.90 $12,548.90 2026-09-22
315 MS_DRG Other Circulatory System Diagnoses With Cc 2 1 $15,193.85 $11,395.39 25% off $12,522.90 $12,522.90 $12,522.90 2026-09-22
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 1 $29,204.01 $21,903.00 25% off $12,464.40 $12,464.40 $12,464.40 2026-09-22
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 1 $22,159.93 $16,619.95 25% off $12,451.40 $12,451.40 $12,451.40 2026-09-22
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 2 1 $22,672.01 $17,004.01 25% off $12,442.30 $12,442.30 $12,442.30 2026-09-22
197 MS_DRG Interstitial Lung Disease With Cc 2 1 $20,597.30 $15,447.98 25% off $12,338.30 $12,338.30 $12,338.30 2026-09-22
394 MS_DRG Other Digestive System Diagnoses With Cc 2 1 $26,159.78 $19,619.84 25% off $12,164.10 $12,164.10 $12,164.10 2026-09-22
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 1 $7,596.88 $5,697.66 25% off $11,948.30 $11,948.30 $11,948.30 2026-09-22
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 1 $28,933.70 $21,700.28 25% off $11,936.60 $11,936.60 $11,936.60 2026-09-22
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 2 1 $6,056.92 $4,542.69 25% off $11,908.00 $11,908.00 $11,908.00 2026-09-22
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 2 1 $10,578.00 $7,933.50 25% off $11,891.10 $11,891.10 $11,891.10 2026-09-22
638 MS_DRG Diabetes With Cc 2 1 $20,082.03 $15,061.52 25% off $11,650.60 $11,650.60 $11,650.60 2026-09-22
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 $9,278.67 $6,959.00 25% off $11,641.50 $11,641.50 $11,641.50 2026-09-22
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 1 $15,070.36 $11,302.77 25% off $11,611.60 $11,611.60 $11,611.60 2026-09-22
138 MS_DRG Mouth Procedures Without Cc/mcc 1 1 $21,188.00 $15,891.00 25% off $11,520.60 $11,520.60 $11,520.60 2026-09-22
914 MS_DRG Traumatic Injury Without Mcc 2 1 $9,548.65 $7,161.49 25% off $11,511.50 $11,511.50 $11,511.50 2026-09-22
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 1 $14,014.75 $10,511.06 25% off $11,476.40 $11,476.40 $11,476.40 2026-09-22
683 MS_DRG Renal Failure With Cc 2 1 $16,986.41 $12,739.81 25% off $11,385.40 $11,385.40 $11,385.40 2026-09-22
550 MS_DRG Septic Arthritis Without Cc/mcc 2 1 $40,815.91 $30,611.93 25% off $11,363.30 $11,363.30 $11,363.30 2026-09-22
312 MS_DRG Syncope And Collapse 1 1 $3,980.00 $2,985.00 25% off $11,330.80 $11,330.80 $11,330.80 2026-09-22
603 MS_DRG Cellulitis Without Mcc 2 1 $15,952.29 $11,964.21 25% off $11,321.70 $11,321.70 $11,321.70 2026-09-22
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 2 1 $9,395.40 $7,046.55 25% off $11,142.30 $11,142.30 $11,142.30 2026-09-22
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 2 1 $18,831.17 $14,123.38 25% off $11,112.40 $11,112.40 $11,112.40 2026-09-22
292 MS_DRG Heart Failure And Shock With Cc 2 1 $13,403.44 $10,052.58 25% off $11,037.00 $11,037.00 $11,037.00 2026-09-22
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 2 1 $12,368.00 $9,276.00 25% off $10,959.00 $10,959.00 $10,959.00 2026-09-22
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 2 1 $20,653.60 $15,490.20 25% off $10,935.60 $10,935.60 $10,935.60 2026-09-22
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 1 1 $7,957.00 $5,967.75 25% off $10,797.80 $10,797.80 $10,797.80 2026-09-22
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 $49,399.42 $37,049.57 25% off $10,791.30 $10,791.30 $10,791.30 2026-03-06
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 2 1 $23,592.00 $17,694.00 25% off $10,545.60 $10,545.60 $10,545.60 2026-09-22
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 2 1 $13,248.55 $9,936.42 25% off $10,523.50 $10,523.50 $10,523.50 2026-09-22
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 2 1 $14,025.78 $10,519.34 25% off $10,498.80 $10,498.80 $10,498.80 2026-09-22
204 MS_DRG Respiratory Signs And Symptoms 2 1 $11,560.00 $8,670.00 25% off $10,496.20 $10,496.20 $10,496.20 2026-09-22
534 MS_DRG Fractures Of Femur Without Mcc 2 1 $12,691.50 $9,518.62 25% off $10,479.30 $10,479.30 $10,479.30 2026-09-22
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 2 1 $16,210.33 $12,157.75 25% off $10,476.70 $10,476.70 $10,476.70 2026-09-22
176 MS_DRG Pulmonary Embolism Without Mcc 2 1 $21,539.10 $16,154.33 25% off $10,465.00 $10,465.00 $10,465.00 2026-09-22
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 2 1 $14,974.37 $11,230.78 25% off $10,450.70 $10,450.70 $10,450.70 2026-09-22
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 2 1 $16,517.55 $12,388.16 25% off $10,407.80 $10,407.80 $10,407.80 2026-09-22
948 MS_DRG Signs And Symptoms Without Mcc 2 1 $8,061.50 $6,046.12 25% off $10,406.50 $10,406.50 $10,406.50 2026-09-22
69 MS_DRG Transient Ischemia Without Thrombolytic 1 1 $7,090.00 $5,317.50 25% off $10,384.40 $10,384.40 $10,384.40 2026-09-22
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 2 1 $7,636.30 $5,727.23 25% off $10,351.90 $10,351.90 $10,351.90 2026-09-22
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 $3,558.00 $2,668.50 25% off $10,267.40 $10,267.40 $10,267.40 2026-03-06
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 1 $22,299.42 $16,724.57 25% off $10,134.80 $10,134.80 $10,134.80 2026-09-22
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 1 $11,277.00 $8,457.75 25% off $10,116.60 $10,116.60 $10,116.60 2026-09-22
541 MS_DRG Osteomyelitis Without Cc/mcc 2 1 $31,097.84 $23,323.38 25% off $10,029.50 $10,029.50 $10,029.50 2026-09-22
J9299 HCPCS Injection, Nivolumab, 1 Mg 162 37 $22,400.00 $16,800.00 25% off $28.79 $51,738.62 $9,954.34 2026-09-22
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 70 36 $44,668.00 $33,501.00 25% off $139.59 $44,668.00 $9,925.23 2026-09-22
305 MS_DRG Hypertension Without Mcc 1 1 $9,308.63 $6,981.47 25% off $9,816.30 $9,816.30 $9,816.30 2026-09-22
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 2 1 $17,641.85 $13,231.39 25% off $9,815.00 $9,815.00 $9,815.00 2026-09-22
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 2 1 $8,051.76 $6,038.82 25% off $9,802.00 $9,802.00 $9,802.00 2026-09-22
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 1 1 $6,733.00 $5,049.75 25% off $9,740.90 $9,740.90 $9,740.90 2026-09-22
153 MS_DRG Otitis Media And Uri Without Mcc 1 1 $19,200.00 $14,400.00 25% off $9,596.60 $9,596.60 $9,596.60 2026-09-22
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 1 $28,318.00 $21,238.50 25% off $9,564.10 $9,564.10 $9,564.10 2026-09-22
J9022 HCPCS Injection, Atezolizumab, 10 Mg 102 37 $27,815.00 $20,861.25 25% off $80.45 $42,705.00 $9,489.05 2026-09-22
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 1 1 $5,001.00 $3,750.75 25% off $9,456.20 $9,456.20 $9,456.20 2026-09-22
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 $25,063.00 $18,797.25 25% off $9,400.30 $9,400.30 $9,400.30 2026-09-22
J9306 HCPCS Injection, Pertuzumab, 1 Mg 72 37 $35,904.00 $26,928.00 25% off $13.23 $35,904.00 $9,387.07 2026-09-22
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 1 1 $4,079.96 $3,059.97 25% off $9,356.10 $9,356.10 $9,356.10 2026-09-22
J9308 HCPCS Injection, Ramucirumab, 5 Mg 72 37 $42,323.00 $31,742.25 25% off $63.39 $42,323.00 $9,311.06 2026-09-22
201 MS_DRG Pneumothorax Without Cc/mcc 2 1 $58,547.60 $43,910.70 25% off $9,296.30 $9,296.30 $9,296.30 2026-09-22
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 2 1 $19,895.40 $14,921.55 25% off $9,096.10 $9,096.10 $9,096.10 2026-09-22
01208522_1 CDM Operating Room Services - General Classification 30 30 $20,658.00 $15,493.50 25% off $4,751.34 $19,625.10 $9,058.53 2026-09-22
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 1 1 $7,183.00 $5,387.25 25% off $8,968.70 $8,968.70 $8,968.70 2026-09-22
921 MS_DRG Complications Of Treatment Without Cc/mcc 2 1 $26,366.00 $19,774.50 25% off $8,949.20 $8,949.20 $8,949.20 2026-09-22
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 176 36 $15,896.00 $11,922.00 25% off $1,783.32 $30,472.00 $8,944.17 2026-09-22
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
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 1 $8,592.22 $6,444.16 25% off $8,897.20 $8,897.20 $8,897.20 2026-09-22
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 1 1 $37,143.00 $27,857.25 25% off $8,867.30 $8,867.30 $8,867.30 2026-09-22
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 2 1 $24,548.00 $18,411.00 25% off $8,856.90 $8,856.90 $8,856.90 2026-09-22
J9303 HCPCS Injection, Panitumumab, 10 Mg 130 37 $24,523.00 $18,392.25 25% off $134.71 $40,871.00 $8,838.46 2026-09-22
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 2 1 $8,299.42 $6,224.57 25% off $8,764.60 $8,764.60 $8,764.60 2026-09-22
J3101 HCPCS Injection, Tenecteplase, 1 Mg 72 37 $39,827.00 $29,870.25 25% off $130.60 $39,827.00 $8,761.94 2026-09-22
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
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 2 1 $18,431.75 $13,823.81 25% off $8,710.00 $8,710.00 $8,710.00 2026-09-22
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 1 $21,578.00 $16,183.50 25% off $8,511.10 $8,511.10 $8,511.10 2026-09-22
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 2 1 $21,420.00 $16,065.00 25% off $8,437.00 $8,437.00 $8,437.00 2026-09-22
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 70 36 $28,873.00 $21,654.75 25% off $252.64 $28,873.00 $8,352.96 2026-09-22
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 1 $18,703.67 $14,027.75 25% off $8,346.00 $8,346.00 $8,346.00 2026-09-22
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 2 1 $37,993.25 $28,494.94 25% off $8,195.20 $8,195.20 $8,195.20 2026-09-22
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 2 1 $17,446.00 $13,084.50 25% off $8,170.50 $8,170.50 $8,170.50 2026-09-22
950 MS_DRG Aftercare Without Cc/mcc 2 1 $24,605.83 $18,454.38 25% off $8,160.10 $8,160.10 $8,160.10 2026-09-22
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 1 $30,043.21 $22,532.40 25% off $8,078.20 $8,078.20 $8,078.20 2026-09-22
639 MS_DRG Diabetes Without Cc/mcc 2 1 $5,954.11 $4,465.58 25% off $8,075.60 $8,075.60 $8,075.60 2026-09-22
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 258 37 $15,286.00 $11,464.50 25% off $474.27 $36,316.00 $8,069.42 2026-09-22
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
684 MS_DRG Renal Failure Without Cc/mcc 2 1 $7,231.02 $5,423.26 25% off $7,803.90 $7,803.90 $7,803.90 2026-09-22
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
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
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 2 1 $11,533.42 $8,650.07 25% off $7,359.30 $7,359.30 $7,359.30 2026-09-22
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 70 36 $25,373.00 $19,029.75 25% off $61.67 $25,373.00 $7,340.41 2026-09-22
951 MS_DRG Other Factors Influencing Health Status 2 1 $3,998.11 $2,998.58 25% off $7,228.00 $7,228.00 $7,228.00 2026-09-22
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 2 1 $8,192.00 $6,144.00 25% off $7,072.00 $7,072.00 $7,072.00 2026-09-22
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
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 2 1 $3,190.00 $2,392.50 25% off $6,797.70 $6,797.70 $6,797.70 2026-09-22
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 70 36 $9,313.00 $6,984.75 25% off $20.37 $27,563.50 $6,339.61 2026-09-22
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
Q5136 HCPCS Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg 151 36 $7,700.00 $5,775.00 25% off $11.55 $15,400.00 $5,852.00 2026-09-22
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 100 37 $20,040.00 $15,030.00 25% off $365.31 $20,040.00 $5,684.75 2026-09-22
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 72 37 $21,601.00 $16,200.75 25% off $69.82 $21,601.00 $5,647.59 2026-09-22
28700710_1 CDM Hc Ortholoc Femoral Implant M/rt 30 30 $12,567.70 $9,425.78 25% off $2,890.57 $11,939.32 $5,510.94 2026-09-22
01208520_1 CDM Operating Room Services - General Classification 30 30 $12,564.00 $9,423.00 25% off $2,889.72 $11,935.80 $5,509.32 2026-09-22
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 128 36 $21,479.00 $16,109.25 25% off $95.20 $21,479.00 $5,354.36 2026-09-22
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
01208518_1 CDM Operating Room Services - General Classification 30 30 $11,817.00 $8,862.75 25% off $2,717.91 $11,226.15 $5,181.76 2026-09-22
J2802 HCPCS Injection, Romiplostim, 1 Microgram 130 36 $6,608.00 $4,956.00 25% off $11.56 $26,428.00 $5,074.75 2026-09-22
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
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
01208516_1 CDM Operating Room Services - General Classification 30 30 $10,769.00 $8,076.75 25% off $2,476.87 $10,230.55 $4,722.20 2026-09-22
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
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 72 37 $13,953.00 $10,464.75 25% off $25.97 $20,231.00 $4,653.13 2026-09-22
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 10 10 $4,635.00 $3,476.25 25% off $1,622.25 $5,191.20 $4,635.00 2026-09-22
J9173 HCPCS Injection, Durvalumab, 10 Mg 72 37 $5,814.00 $4,360.50 25% off $78.12 $72,018.27 $4,613.99 2026-09-22
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
J9036 HCPCS Injection, Bendamustine Hydrochloride, (belrapzo/bendamustine), 1 Mg 72 37 $13,198.00 $9,898.50 25% off $24.57 $19,533.00 $4,492.59 2026-09-22
01208514_1 CDM Operating Room Services - General Classification 30 30 $10,232.00 $7,674.00 25% off $2,353.36 $9,720.40 $4,486.74 2026-09-22
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
28701107_1 CDM Hc Cartimax Viable Cartilage Matrix 30 30 $9,108.00 $6,831.00 25% off $2,094.84 $8,652.60 $3,993.86 2026-09-22
77049 HCPCS MRI Scan Of Both Breasts 70 36 $5,323.00 $3,992.25 25% off $1,171.06 $5,429.00 $3,939.70 2026-09-22
J9055 HCPCS Injection, Cetuximab, 10 Mg 102 37 $9,436.00 $7,077.00 25% off $69.98 $21,642.94 $3,871.82 2026-09-22
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 72 37 $4,605.00 $3,453.75 25% off $76.13 $19,484.38 $3,654.53 2026-09-22
J0897 HCPCS Injection, Denosumab, 1 Mg 139 37 $9,003.00 $6,752.25 25% off $19.40 $15,731.05 $3,642.98 2026-09-22
A9520 HCPCS Technetium Tc-99m Tilmanocept, Diagnostic, Up To 0.5 Millicuries 70 36 $4,744.00 $3,558.00 25% off $1,043.68 $6,325.00 $3,605.44 2026-09-22
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 68 34 $6,279.00 $4,709.25 25% off $1,089.74 $7,820.00 $3,600.88 2026-09-22
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 70 36 $12,000.00 $9,000.00 25% off $218.75 $12,000.00 $3,471.60 2026-09-22
C1734 HCPCS Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (… 34 34 $4,608.00 $3,456.00 25% off $1,059.84 $4,608.00 $3,377.66 2026-09-22
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 72 37 $4,191.00 $3,143.25 25% off $74.96 $40,975.33 $3,325.98 2026-09-22
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 70 36 $4,043.00 $3,032.25 25% off $75.26 $16,171.50 $3,317.89 2026-09-22
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 190 37 $7,140.00 $5,355.00 25% off $64.14 $28,559.00 $3,284.40 2026-09-22
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
28701087_1 CDM Hc Synchfix Evt Syndesmosis No 5 Suture 30 30 $6,624.00 $4,968.00 25% off $1,523.52 $6,292.80 $2,904.62 2026-09-22
38222 HCPCS Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis 70 36 $3,899.00 $2,924.25 25% off $857.78 $3,977.00 $2,885.89 2026-09-22
Q5107 HCPCS Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg 72 37 $3,936.00 $2,952.00 25% off $71.13 $11,658.86 $2,681.54 2026-09-22
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
795 MS_DRG Normal Newborn 2 1 $4,438.32 $3,328.73 25% off $2,597.40 $2,597.40 $2,597.40 2026-09-22
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