Price Transparencybeta Hospital negotiated rates

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

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Hospital

MERCYONE DES MOINES MEDICAL CENTER

Des Moines, IA · CCN 160083 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC Echocardiography Transthoracic 2d Rest & Stress

This hospital’s price: $558 across 109 payers · range $516-$3,348

Source: https://hpt.trinity-health.org/420680448-1508964883_catholic-health-initiatives-iowa-corp_standardcharges.zip · observed 2026-03-31

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.

10,787 distinct procedures filed
783 distinct payers
5,300,919 rate rows
2026-03-31 last MRF observed
Data quality

2,385,796 of 5,300,919 rate rows are consumer-grade (45.0%)

2,915,123 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
professional (physician) fee — not the facility price 2,906,699
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5,226
placeholder amount (≤ $0.02) — excluded from medians 1,569
template filing: same amount across many unrelated codes — excluded 561
percent-of-charges filed in the dollar field — excluded from medians 560
per-diem day rate — not a per-procedure price 325
exceeds 10× this hospital's gross charge — excluded from medians 183
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hpt.trinity-health.org/420680448-1538395975_catholic-health-initiatives-west-iowa-corp_standardcharges.zip
Found on page https://www.mercyone.org/for-patients/billing-and-financial-information/price-estimator
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-21
Content fingerprint c0938359eb28a544… · 45,206,568 bytes · first seen 2026-05-13

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
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 65 $472,425.83 $519,693.31 $519,693.31 nat. median
$259,357
outlier · 2.0×
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 65 $353,188.33 $388,525.77 $388,525.77 nat. median
$6,406
outlier · 60.7×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 65 $295,860.23 $325,461.84 $325,461.84 nat. median
$120,304
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $193,599.92 $397,077.39 $300,899.90 nat. median
$249,036
1.2× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure,moderate 65 $158,256.32 $174,090.29 $174,090.29 nat. median
$12,919
outlier · 13.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $117,440.92 $300,976.98 $151,237.19 nat. median
$190,559
0.8× median
J2326
HCPCS 		Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 110 $1,187.16 $455,355.55 $146,299.20 nat. median
$2,480
outlier · 59.0×
910
APR_DRG 		Craniotomy For Multiple Significant Trauma,extreme 65 $121,899.42 $134,095.79 $134,095.79 nat. median
$43,429
outlier · 3.1×
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 65 $118,081.89 $129,896.30 $129,896.30 nat. median
$86,947
1.5× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 110 $4,909.37 $272,036.50 $124,596.50 nat. median
$8,223
outlier · 15.2×
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 65 $94,022.39 $103,429.58 $103,429.58 nat. median
$53,626
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $95,787.27 $196,747.40 $97,473.57 nat. median
$126,695
0.8× median
29
APR_DRG 		Other Percutaneous Intracranial Procedures,extreme 65 $83,466.39 $91,817.42 $91,817.42 nat. median
$30,545
outlier · 3.0×
178
APR_DRG 		External Heart Assist Devices,minor 65 $82,070.34 $90,281.70 $90,281.70 nat. median
$50,844
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $60,188.74 $156,742.17 $89,951.29 nat. median
$93,276
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $57,067.90 $154,662.93 $88,758.05 nat. median
$97,323
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 17 $69,087.36 $141,699.59 $84,769.23 nat. median
$93,901
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $67,886.81 $139,237.24 $80,975.05 nat. median
$90,551
0.9× median
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 65 $73,348.73 $80,687.46 $80,687.46 nat. median
$71,946
1.1× median
690
APR_DRG 		Acute Leukemia,extreme 65 $30,343.69 $135,071.87 $78,083.18 nat. median
$33,380
outlier · 2.3×
20
APR_DRG 		Open Craniotomy For Trauma,extreme 65 $29,336.83 $134,442.09 $77,243.15 nat. median
$32,272
outlier · 2.4×
179
APR_DRG 		Defibrillator Implants,extreme 65 $58,993.79 $100,954.31 $75,576.19 nat. median
$42,244
1.8× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,extreme 65 $53,300.69 $118,138.02 $74,190.97 nat. median
$57,147
1.3× median
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate 65 $65,984.63 $72,586.57 $72,586.57 nat. median
$68,742
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $54,696.01 $112,182.62 $69,871.33 nat. median
$74,370
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $55,357.76 $120,113.84 $68,931.00 nat. median
$77,028
0.9× median
444
APR_DRG 		Renal Dialysis Access Procedures,extreme 65 $61,967.85 $68,167.90 $68,167.90 nat. median
$18,467
outlier · 3.7×
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Ther 107 $11,062.04 $114,217.34 $66,804.65 nat. median
$63,528
1.1× median
612
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 65 $59,466.66 $83,481.28 $65,416.46 nat. median
$53,141
1.2× median
30
APR_DRG 		Percutaneous Intracranial And Extracranial Vascular Procedures,extreme 65 $45,579.29 $96,998.84 $65,140.30 nat. median
$28,822
outlier · 2.3×
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis,extreme 65 $46,062.79 $90,264.17 $63,708.47 nat. median
$50,671
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $41,661.49 $109,489.91 $62,834.13 nat. median
$72,398
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $42,720.30 $108,664.42 $62,360.40 nat. median
$67,976
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $57,697.74 $119,739.26 $60,763.21 nat. median
$77,632
0.8× median
304
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 65 $55,233.37 $60,759.62 $60,759.62 nat. median
$37,314
1.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $46,514.13 $95,401.43 $60,211.90 nat. median
$60,596
1.0× median
312
APR_DRG 		Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,major 65 $54,388.57 $59,830.30 $59,830.30 nat. median
$24,667
outlier · 2.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $49,114.49 $101,745.28 $58,389.64 nat. median
$66,649
0.9× median
614
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 65 $26,422.54 $57,442.69 $57,442.69 nat. median
$28,040
outlier · 2.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 17 $46,855.25 $96,101.07 $57,279.46 nat. median
$61,728
0.9× median
912
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 65 $51,824.95 $57,010.18 $57,010.18 nat. median
$21,764
outlier · 2.6×
SUP-958196
CDM 		Console Cryo Smartfreeze 28 $32,824.31 $163,305.00 $56,666.84 nat. median
$132,074
outlier · 0.4×
611
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major 65 $20,094.52 $98,524.33 $55,834.15 nat. median
$44,908
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 $42,077.59 $87,581.87 $54,579.42 nat. median
$58,280
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $40,522.45 $109,022.04 $54,500.17 nat. median
$71,748
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $45,781.53 $93,898.86 $53,886.74 nat. median
$59,546
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $44,812.55 $91,911.45 $52,994.71 nat. median
$59,371
0.9× median
SUP-235283
CDM 		Pump Heart Mate Ii Pckt Cntrl 28 $30,232.91 $150,412.50 $52,193.14 nat. median
$120,312
outlier · 0.4×
166
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis,extreme 65 $39,822.43 $96,988.61 $51,368.36 nat. median
$43,807
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $48,117.63 $102,991.96 $50,968.21 nat. median
$63,648
0.8× median

Other procedures at this hospital

Browse this hospital's 10,787 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
             
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 66 65 — — $472,425.83 $519,693.31 $519,693.31 2026-03-31
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 66 65 — — $353,188.33 $388,525.77 $388,525.77 2026-03-31
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 66 65 — — $295,860.23 $325,461.84 $325,461.84 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 16 — $799,513.08 $193,599.92 $397,077.39 $300,899.90 2026-03-31
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,moderate 66 65 — — $158,256.32 $174,090.29 $174,090.29 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 18 — $526,606.79 $117,440.92 $300,976.98 $151,237.19 2026-03-31
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 224 110 $455,355.55 $455,355.55 $1,187.16 $455,355.55 $146,299.20 2026-03-31
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 66 65 — — $121,899.42 $134,095.79 $134,095.79 2026-03-31
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 66 65 — — $118,081.89 $129,896.30 $129,896.30 2026-03-31
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 224 110 $272,036.50 $272,036.50 $4,909.37 $272,036.50 $124,596.50 2026-03-31
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 66 65 — — $94,022.39 $103,429.58 $103,429.58 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 14 — $827,751.02 $95,787.27 $196,747.40 $97,473.57 2026-03-31
29 APR_DRG Other Percutaneous Intracranial Procedures,extreme 66 65 — — $83,466.39 $91,817.42 $91,817.42 2026-03-31
178 APR_DRG External Heart Assist Devices,minor 66 65 — — $82,070.34 $90,281.70 $90,281.70 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 17 — $191,998.70 $60,188.74 $156,742.17 $89,951.29 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 17 — $187,696.22 $57,067.90 $154,662.93 $88,758.05 2026-03-31
215 MS_DRG Other Heart Assist System Implant 18 17 — $155,483.81 $69,087.36 $141,699.59 $84,769.23 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 17 — $384,368.39 $67,886.81 $139,237.24 $80,975.05 2026-03-31
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 66 65 — — $73,348.73 $80,687.46 $80,687.46 2026-03-31
690 APR_DRG Acute Leukemia,extreme 132 65 — — $30,343.69 $135,071.87 $78,083.18 2026-03-31
20 APR_DRG Open Craniotomy For Trauma,extreme 132 65 — — $29,336.83 $134,442.09 $77,243.15 2026-03-31
179 APR_DRG Defibrillator Implants,extreme 198 65 — — $58,993.79 $100,954.31 $75,576.19 2026-03-31
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,extreme 198 65 — — $53,300.69 $118,138.02 $74,190.97 2026-03-31
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate 66 65 — — $65,984.63 $72,586.57 $72,586.57 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 17 — $243,694.12 $54,696.01 $112,182.62 $69,871.33 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 17 — $334,139.11 $55,357.76 $120,113.84 $68,931.00 2026-03-31
444 APR_DRG Renal Dialysis Access Procedures,extreme 66 65 — — $61,967.85 $68,167.90 $68,167.90 2026-03-31
A9543 HCPCS Yttrium Y-90 Ibritumomab Ther 218 107 $55,035.00 $55,035.00 $11,062.04 $114,217.34 $66,804.65 2026-03-31
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 198 65 — — $59,466.66 $83,481.28 $65,416.46 2026-03-31
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,extreme 198 65 — — $45,579.29 $96,998.84 $65,140.30 2026-03-31
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,extreme 264 65 — — $46,062.79 $90,264.17 $63,708.47 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 17 — $205,902.73 $41,661.49 $109,489.91 $62,834.13 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 17 — $218,780.91 $42,720.30 $108,664.42 $62,360.40 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 19 — $121,847.31 $57,697.74 $119,739.26 $60,763.21 2026-03-31
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 66 65 — — $55,233.37 $60,759.62 $60,759.62 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 17 — $180,669.07 $46,514.13 $95,401.43 $60,211.90 2026-03-31
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,major 66 65 — — $54,388.57 $59,830.30 $59,830.30 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 17 — $182,136.53 $49,114.49 $101,745.28 $58,389.64 2026-03-31
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 198 65 — — $26,422.54 $57,442.69 $57,442.69 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 17 — $205,759.70 $46,855.25 $96,101.07 $57,279.46 2026-03-31
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 66 65 — — $51,824.95 $57,010.18 $57,010.18 2026-03-31
SUP-958196 CDM Console Cryo Smartfreeze 59 28 $163,305.00 $106,148.25 35% off $32,824.31 $163,305.00 $56,666.84 2026-03-31
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major 132 65 — — $20,094.52 $98,524.33 $55,834.15 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 22 — $98,037.65 $42,077.59 $87,581.87 $54,579.42 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 22 — $10,862.75 $40,522.45 $109,022.04 $54,500.17 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 17 — $186,631.93 $45,781.53 $93,898.86 $53,886.74 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 17 — $200,864.01 $44,812.55 $91,911.45 $52,994.71 2026-03-31
SUP-235283 CDM Pump Heart Mate Ii Pckt Cntrl 59 28 $150,412.50 $97,768.12 35% off $30,232.91 $150,412.50 $52,193.14 2026-03-31
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,extreme 264 65 — — $39,822.43 $96,988.61 $51,368.36 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 21 — $131,501.68 $48,117.63 $102,991.96 $50,968.21 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 17 — $163,030.44 $41,562.39 $85,245.31 $50,823.51 2026-03-31
169 APR_DRG Major Abdominal Vascular Procedures,minor 132 65 — — $45,928.63 $51,469.31 $50,523.91 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 18 — $198,002.15 $48,100.61 $98,655.34 $50,482.70 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 17 — $188,693.10 $34,562.45 $70,888.30 $49,850.13 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 18 17 — $180,013.62 $32,445.92 $85,884.26 $49,287.32 2026-03-31
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 198 65 — — $39,829.08 $104,024.29 $49,138.69 2026-03-31
21 APR_DRG Open Craniotomy Except Trauma,extreme 264 65 — — $27,440.02 $118,247.61 $49,132.30 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 22 — $91,061.23 $44,981.91 $93,561.02 $48,917.50 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 22 21 — $74,060.12 $37,693.65 $78,556.59 $48,877.93 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 17 — $157,782.48 $30,062.99 $83,909.54 $48,154.06 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 19 — $149,134.42 $36,187.11 $98,176.16 $47,866.98 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 17 — $177,844.20 $37,196.49 $76,290.76 $47,759.04 2026-03-31
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,major 198 65 — — $32,504.83 $59,327.64 $47,472.93 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 21 — $116,567.78 $30,038.37 $95,470.68 $47,246.11 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 21 — $146,741.09 $45,146.01 $93,898.86 $46,764.52 2026-03-31
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major 66 65 — — $41,966.31 $46,165.15 $46,165.15 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 22 — $96,494.12 $41,241.32 $85,860.21 $45,508.52 2026-03-31
33276 CPT Pr Ins Phrenic Nrv Stim Sys Incl Vessel Cath & Pg Init Anlys W Dx Mode Act 107 105 $75,250.00 $48,912.50 35% off $15,125.25 $85,512.38 $45,000.50 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 17 — $229,137.54 $33,770.82 $78,172.14 $44,861.47 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 21 — $92,706.96 $32,687.65 $68,250.68 $44,430.85 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 17 — $195,162.68 $35,096.53 $76,336.00 $43,807.75 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 18 — $282,073.28 $36,109.28 $84,968.31 $42,906.88 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 17 — $167,131.92 $29,573.70 $74,535.16 $42,774.28 2026-03-31
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 396 65 — — $22,675.41 $86,307.24 $41,734.79 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 18 — $92,102.15 $39,183.58 $81,623.91 $41,421.09 2026-03-31
196 APR_DRG Cardiac Arrest And Shock,extreme 66 65 — — $37,565.65 $41,324.20 $41,324.20 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 21 — $141,930.24 $30,749.28 $82,474.82 $40,814.78 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 16 — $156,584.40 $32,702.49 $81,519.31 $40,751.54 2026-03-31
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia,major 66 65 — — $36,962.60 $40,660.81 $40,660.81 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 21 — $131,926.24 $39,005.32 $81,954.67 $40,557.37 2026-03-31
633 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly,major 198 65 — — $4,824.39 $40,432.87 $40,432.87 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 21 — $115,806.32 $38,217.53 $79,635.13 $40,205.98 2026-03-31
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,major 198 65 — — $33,510.35 $54,342.03 $40,090.94 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 19 — $120,236.80 $38,600.65 $80,423.80 $39,982.08 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 18 17 — $158,121.63 $27,626.85 $69,210.45 $39,718.54 2026-03-31
325 APR_DRG Non-elective Or Complex Knee Joint Replacement,minor 66 65 — — $35,651.57 $39,218.61 $39,218.61 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 21 — $113,655.69 $28,649.07 $59,936.43 $39,018.32 2026-03-31
245 MS_DRG Aicd Generator Procedures 22 21 — $98,439.66 $31,325.44 $65,446.26 $39,008.95 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 21 — $138,829.08 $30,772.31 $78,282.36 $38,740.04 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 21 — $121,015.29 $26,090.66 $78,050.55 $38,625.32 2026-03-31
182 APR_DRG Other Upper Vascular Procedures,extreme 198 65 — — $31,808.80 $110,322.06 $38,619.52 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 17 — $365,947.96 $31,223.41 $64,039.85 $38,188.76 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 22 — $106,343.34 $35,809.03 $75,537.35 $37,761.16 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 18 17 — $167,296.47 $19,199.24 $64,972.71 $37,286.57 2026-03-31
423 APR_DRG Inborn Errors Of Metabolism,moderate 66 65 — — $33,544.89 $36,901.14 $36,901.14 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 22 — $121,246.48 $31,710.62 $66,239.25 $36,334.86 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 17 — $174,606.17 $22,940.43 $63,048.98 $36,182.58 2026-03-31
J2350 HCPCS Pr Ocrelizumab Injection 1 Mg 150 109 $65,142.90 $132,117.95 $58.14 $65,142.90 $35,820.00 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 21 — $116,971.73 $28,780.98 $72,200.02 $35,730.03 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 22 — $85,812.59 $24,884.10 $71,453.73 $35,719.76 2026-03-31
692 APR_DRG Radiotherapy,major 66 65 — — $32,269.72 $35,498.39 $35,498.39 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 22 — $135,998.84 $28,959.70 $70,763.94 $35,374.93 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 22 — $76,116.69 $21,986.47 $70,525.03 $35,255.50 2026-03-31
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,mino… 132 65 — — $29,819.01 $41,474.70 $35,252.48 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 21 — $101,902.51 $25,836.76 $54,146.65 $35,249.20 2026-03-31
J7330 HCPCS Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes 75 36 $100,420.54 $65,273.35 35% off $16,388.63 $100,420.54 $34,845.93 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 17 — $152,853.12 $22,706.90 $60,520.18 $34,731.36 2026-03-31
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 224 110 $94,382.55 $94,382.55 $183.98 $94,382.55 $34,606.40 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 17 — $153,781.12 $27,352.02 $60,165.39 $34,527.75 2026-03-31
69716 CPT Pr Impl Ossintgrt Imp Skull W Magnetic Transcut Attachment Rem <= 100 Sq Mm 84 83 — $47,069.05 $0.36 $64,012.49 $33,686.28 2026-03-31
69930 CPT Pr Implantation Device Cochlear With Or Without Mastoidectomy 166 82 — $76,519.82 $31,121.90 $64,012.49 $33,686.28 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 22 — $131,751.44 $29,912.07 $67,275.34 $33,292.93 2026-03-31
40 APR_DRG Spinal Disorders And Injuries,extreme 132 65 — — $21,612.77 $46,723.33 $33,124.46 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 22 — $86,228.87 $31,742.96 $67,077.46 $33,031.48 2026-03-31
175 APR_DRG Percutaneous Cardiac Intervention Without Ami,minor 132 65 — — $29,941.21 $34,652.36 $32,936.91 2026-03-31
863 APR_DRG Neonatal Aftercare,moderate 66 65 — — $29,846.90 $32,833.16 $32,833.16 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 22 — $120,656.43 $24,815.00 $65,928.26 $32,626.29 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 22 — $84,600.06 $29,916.05 $65,762.92 $32,544.47 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 22 — $82,650.36 $24,782.43 $65,252.62 $32,291.93 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 21 — $130,321.54 $27,602.23 $65,224.36 $32,277.94 2026-03-31
120 APR_DRG Major Respiratory And Chest Procedures,major 198 65 — — $24,929.53 $59,055.86 $32,080.65 2026-03-31
33270 CPT Pr Insertion/Replacement Perm Subq Implantable Defibrillator W/Electrode 110 108 $41,771.00 $27,151.15 35% off $8,395.97 $60,938.73 $32,068.73 2026-03-31
33231 CPT Hc Insertion Implantable Defibrillator Pulse Generator Only With Existing Multip… 110 108 $36,409.00 $23,665.85 35% off $7,318.21 $60,938.73 $32,068.73 2026-03-31
33264 CPT Pr Removal/Replacement Implantable Defibrillator Pg W/Lead Mult Lead System 111 108 $30,610.00 $19,896.50 35% off $2.28 $60,938.73 $32,068.73 2026-03-31
33225 CPT Pr Insertion Pacing Electrode Lv Pacing W Insertion Ppm/Impl Defibrillator 137 108 $9,144.00 $79,652.18 $2.28 $60,938.73 $32,068.73 2026-03-31
0408T CPT Hc Insertion/Replacement Cardiac Modulation System Pulse Generator With Transven… 108 105 $64,765.00 $42,097.25 35% off $2.28 $64,765.00 $32,068.73 2026-03-31
0915T CPT Hc Insertion Permanent Cardiac Contractility Modulation-defibrillation System Co… 107 105 $25,970.00 $16,880.50 35% off $5,219.97 $60,938.73 $32,068.73 2026-03-31
33249 CPT Pr Insertion/Replacement Implantable Defibrillator W/Lead Sgl/Dual Chamber 219 109 $24,681.00 $16,042.65 35% off $4,960.88 $60,938.73 $32,068.73 2026-03-31
0571T CPT Pr Insert/Repl Icd Sys W Substrnl Eltrd Incl All Imgng Guid & Ep Eval 107 105 $25,390.00 $16,503.50 35% off $5,103.39 $60,938.73 $32,068.73 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 22 21 — $100,731.31 $26,624.43 $64,307.00 $31,823.97 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 21 — $106,623.55 $29,475.05 $61,636.87 $31,819.53 2026-03-31
539 APR_DRG Cesarean Section With Sterilization,extreme 132 65 — — $18,884.44 $46,884.06 $31,696.86 2026-03-31
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures,major 198 65 — — $13,506.15 $31,645.21 $31,645.21 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 21 — $111,692.21 $29,117.33 $60,900.45 $31,632.76 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 21 — $93,621.38 $27,604.75 $57,786.45 $31,596.04 2026-03-31
181 APR_DRG Lower Vascular Procedures,major 198 65 — — $18,258.81 $45,533.91 $31,579.45 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 392 110 $87,089.35 $87,089.35 $197.84 $87,089.35 $31,546.27 2026-03-31
63685 CPT Pr Ins/Repl Spn Nstim Pg/Rec Req Pckt Creation Btw Eltrd Array & Pg/Rec 110 108 $14,456.00 $72,943.01 $2,905.66 $59,907.52 $31,526.06 2026-03-31
61885 CPT Pr Insert/Repl Cranial Nstim Pg/Recvr Coupling W Connection To Sgl Array|ASSISTA… 164 81 — $86,276.23 $29,126.13 $59,907.52 $31,526.06 2026-03-31
61886 CPT Pr Insert/Repl Cranial Nstim Pg/Recvr Coupling W Connection To 2 Or > Array 82 81 — $74,433.58 $29,126.13 $59,907.52 $31,526.06 2026-03-31
63655 CPT Pr Lam For Implantation Of Nstim Electrodes Plate/Paddle Epidural|MULTIPLE Proce… 82 81 — $72,943.01 $29,126.13 $59,907.52 $31,526.06 2026-03-31
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures,moderate 198 65 — — $28,438.90 $42,716.72 $31,284.29 2026-03-31
322 APR_DRG Shoulder And Elbow Joint Replacement,minor 66 65 — — $28,093.55 $30,904.38 $30,904.38 2026-03-31
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 66 65 — — $28,021.82 $30,825.48 $30,825.48 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 39 20 — $46,563.20 $28,813.86 $60,275.64 $30,587.64 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 22 21 — $139,388.37 $20,834.71 $61,246.71 $30,309.51 2026-03-31
SUP-962194 CDM Power Cntrl/ 5 Ellipsys Vas Caths 59 28 $87,239.25 $56,705.51 35% off $17,535.09 $87,239.25 $30,272.02 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 21 — $98,255.93 $24,258.99 $60,651.63 $30,015.01 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 21 — $76,353.41 $24,802.29 $60,346.33 $29,863.93 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 44 22 — $102,703.17 $24,437.47 $51,265.91 $29,829.47 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 21 — $121,750.15 $24,417.56 $51,224.95 $29,677.17 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 44 22 — $27,932.90 $4,786.50 $59,894.00 $29,640.08 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 21 — $96,265.24 $25,281.26 $59,659.33 $29,523.95 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 22 — $110,068.12 $21,921.76 $46,086.81 $29,509.31 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 21 — $113,047.75 $23,276.42 $59,270.64 $29,331.59 2026-03-31
33289 CPT Pr Implementation Transcatheter Wireless Pulmonary Artery Pressure Sensor 107 105 $59,934.00 $38,957.10 35% off $12,046.73 $59,934.00 $29,304.62 2026-03-31
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 224 110 $89,232.75 $89,232.75 $2,398.16 $89,232.75 $29,288.40 2026-03-31
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 224 110 $95,364.75 $95,364.75 $3,610.60 $95,364.75 $29,110.88 2026-03-31
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,e… 132 65 — — $16,164.08 $44,131.16 $28,949.33 2026-03-31
791 MS_DRG Prematurity With Major Problems 44 22 — $77,441.18 $9,484.84 $58,330.66 $28,866.42 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 21 — $57,745.40 $27,354.83 $57,271.94 $28,810.97 2026-03-31
265 MS_DRG Aicd Lead Procedures 22 21 — $32,264.55 $24,842.56 $52,099.88 $28,474.28 2026-03-31
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,minor 264 65 — — $22,097.60 $88,623.24 $28,417.97 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 22 — $111,482.57 $21,634.77 $45,495.97 $28,328.23 2026-03-31
323 APR_DRG Non-elective Or Complex Hip Joint Replacement,minor 132 65 — — $23,510.91 $33,378.19 $28,102.80 2026-03-31
305 APR_DRG Amputation Of Lower Limb Except Toes,major 132 65 — — $17,194.84 $40,616.98 $27,919.00 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 21 — $79,082.29 $22,731.53 $56,251.36 $27,837.43 2026-03-31
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 113 109 $66,330.00 $66,330.00 $299.94 $66,330.00 $27,789.60 2026-03-31
22859 CPT Pr Ins IV Biomechanical Disk Space/Vert Body Defect Wo Arthrds Ea Defect 82 81 — $72,410.88 $25,611.40 $52,678.33 $27,721.73 2026-03-31
22842 CPT Pr Instrumentation Posterior Segmental 3 To 6 Vertebral Segments 82 81 — $95,582.64 $25,611.40 $52,678.33 $27,721.73 2026-03-31
22634 CPT Pr Arthrds Post Intrbdy Tech Incl Lam And/or Discetomy Sgl Intrspc Ea Add 82 81 — $92,133.01 $25,611.40 $52,678.33 $27,721.73 2026-03-31
22633 CPT Pr Arthrds W Post I-b Tech Incl Lam/Discectomy Prep Interspace Single Lumb 82 81 — $84,158.55 $25,611.40 $52,678.33 $27,721.73 2026-03-31
22614 CPT Pr Arthrodesis Post/Posterolateral Tech Sgl Interspace Each Addl Interspace 82 81 — $96,004.56 $25,611.40 $52,678.33 $27,721.73 2026-03-31
22558 CPT Pr Arthrds Ant I-b Tech Incl Minimal Discectomy To Prepare Interspace Lumb|ASSIS… 82 81 — $81,838.10 $25,611.40 $52,678.33 $27,721.73 2026-03-31
61783 CPT Pr Stereotactic Computer Assisted Procedure Spinal 82 81 — $80,407.77 $25,611.40 $52,678.33 $27,721.73 2026-03-31
20931 CPT Pr Allograft Structural Spine Surgery Only 82 81 — $72,410.88 $25,611.40 $52,678.33 $27,721.73 2026-03-31
20930 CPT Pr Allograft Morselized/Placement Osteopromotive Mat Spine Surgery Only 82 81 — $72,037.86 $25,611.40 $52,678.33 $27,721.73 2026-03-31
63053 CPT Pr Lam Facetectomy/Foraminotomy Dur Post I-b Arthrds Lumbar Ea Add Segm 82 81 — $94,188.36 $25,611.40 $52,678.33 $27,721.73 2026-03-31
22630 CPT Pr Arthrodesis Post Incl Laminectomy &/or Discectomy Sgl Interspace Lumbar 82 81 — $74,586.07 $25,611.40 $52,678.33 $27,721.73 2026-03-31
63052 CPT Pr Lam Facetectomy/Foraminotomy Dur Post I-b Arthrds Lumbar Sgl Vert Segm 82 81 — $87,409.86 $25,611.40 $52,678.33 $27,721.73 2026-03-31
230 APR_DRG Major Small Bowel Procedures,moderate 264 65 — — $17,659.75 $36,753.56 $27,615.22 2026-03-31
121 APR_DRG Other Respiratory And Chest Procedures,major 198 65 — — $22,987.56 $47,996.04 $27,610.84 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 21 — $65,264.12 $15,916.36 $55,669.02 $27,549.24 2026-03-31
308 APR_DRG Hip And Femur Fracture Repair,major 198 65 — — $17,295.79 $42,260.83 $27,524.62 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 44 22 — $86,599.80 $20,788.65 $55,534.71 $27,482.78 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 21 — $93,072.27 $19,436.73 $55,225.17 $27,329.59 2026-03-31
462 APR_DRG Nephritis And Nephrosis,major 66 65 — — $24,736.93 $27,211.93 $27,211.93 2026-03-31
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical,major 132 65 — — $21,781.46 $33,253.99 $27,095.10 2026-03-31
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,minor 132 65 — — $23,104.45 $31,557.54 $27,051.71 2026-03-31
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,major 132 65 — — $21,638.01 $33,113.71 $26,952.44 2026-03-31
260 APR_DRG Major Pancreas, Liver And Shunt Procedures,minor 132 65 — — $22,581.10 $31,954.98 $26,944.50 2026-03-31
SUP-878598 CDM Device Impella 5.5 Smartassist 59 28 $77,355.00 $50,280.75 35% off $15,548.36 $77,355.00 $26,842.19 2026-03-31
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 59 28 $77,352.35 $77,352.35 $15,547.82 $77,352.35 $26,841.27 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 44 22 — $78,213.74 $23,834.63 $50,024.86 $26,749.93 2026-03-31
93653 CPT Pr Evaluation Electrophysiologic W/Ins Multi Electrode & Svt Ablation 110 108 $30,828.00 $20,038.20 35% off $6,196.43 $50,744.36 $26,703.99 2026-03-31
93657 CPT Pr Addl Linear/Focal I-cardiac Cath Abltn L/r Atrium Tx Atrial Fibrillation 111 108 $4,624.00 $80,907.67 $2.28 $50,744.36 $26,703.99 2026-03-31
93656 CPT Pr Eval Electrophysiologic Comprehensive Transeptal Cath 115 108 $30,828.00 $20,038.20 35% off $6,196.43 $50,744.36 $26,703.99 2026-03-31
93654 CPT Pr Eval Electrophysiologic W/Ins Multi Electrode & Vt Abltn Tx Tachycardia 110 108 $30,828.00 $20,038.20 35% off $6,196.43 $50,744.36 $26,703.99 2026-03-31
G0269 HCPCS Hc Placement Occlusive Device Venous/Arterial Access Site Post Procedure 136 108 $263.00 $76,856.42 $52.86 $50,744.36 $26,703.99 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 22 — $64,576.92 $22,691.01 $53,789.03 $26,618.88 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 21 — $101,413.24 $16,706.69 $53,783.40 $26,616.10 2026-03-31
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 224 110 $73,182.85 $73,182.85 $2,514.57 $73,182.85 $26,573.31 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 21 — $115,234.98 $17,713.09 $53,634.94 $26,542.62 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 21 — $76,839.69 $22,179.93 $46,618.29 $26,410.92 2026-03-31
240 APR_DRG Digestive Malignancy,major 198 65 — — $12,157.93 $26,216.85 $26,216.85 2026-03-31
174 APR_DRG Percutaneous Cardiac Intervention With Ami,minor 330 65 — — $20,979.17 $52,103.47 $26,206.62 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 21 — $51,564.05 $19,748.89 $52,875.92 $26,167.00 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 44 22 — $124,015.06 $24,486.95 $52,854.72 $26,156.51 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 44 22 — $76,895.67 $19,706.79 $41,526.82 $26,035.85 2026-03-31
60 APR_DRG Head Trauma With Coma < 1 Hour,major 66 65 — — $23,666.32 $26,034.20 $26,034.20 2026-03-31
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,major 132 65 — — $17,326.35 $36,198.31 $25,982.94 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 21 — $138,748.42 $24,913.28 $52,245.49 $25,855.01 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 22 — $79,773.25 $24,213.64 $50,805.12 $25,846.01 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 44 22 — $120,543.46 $23,950.67 $50,263.75 $25,799.15 2026-03-31
180 APR_DRG Other Peripheral Vascular And Circulatory Procedures,major 66 65 — — $23,444.50 $25,790.18 $25,790.18 2026-03-31
229 APR_DRG Other Digestive System And Abdominal Procedures,major 132 65 — — $13,852.84 $39,974.05 $25,788.58 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 21 — $81,960.13 $24,179.55 $51,933.11 $25,700.44 2026-03-31
20939 CPT Pr Bma For Bone Grafting Spine Surg Only Through Sep Skin/Fascial Incision 164 81 — $75,013.05 $16,549.91 $52,678.33 $25,683.96 2026-03-31
231 APR_DRG Major Large Bowel Procedures,major 330 65 — — $19,747.84 $36,652.74 $25,632.37 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 42 22 — $58,676.68 $18,790.96 $52,009.43 $25,611.41 2026-03-31
313 APR_DRG Knee And Lower Leg Procedures Except Foot,minor 264 65 — — $20,765.31 $47,868.91 $25,497.47 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 22 — $108,342.36 $23,215.26 $51,431.30 $25,452.10 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 44 22 — $79,366.07 $16,458.08 $51,313.99 $25,394.04 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 18 — $131,169.00 $23,609.43 $49,561.23 $25,150.48 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 21 — $91,385.86 $24,164.20 $50,703.36 $25,113.47 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 22 — $67,791.93 $17,238.09 $49,787.36 $24,888.72 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 22 — $96,510.37 $19,628.95 $50,251.03 $24,868.00 2026-03-31
50 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis,major 132 65 — — $15,413.59 $35,888.53 $24,790.07 2026-03-31
193 APR_DRG Acute And Subacute Endocarditis,major 66 65 — — $22,389.82 $24,629.99 $24,629.99 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 44 22 — $68,127.82 $21,624.47 $45,474.76 $24,580.67 2026-03-31
326 APR_DRG Elective Knee Joint Replacement,minor 132 65 — — $21,616.75 $27,838.78 $24,543.17 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 22 — $69,622.33 $19,171.43 $49,417.04 $24,455.29 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 21 — $43,905.70 $20,760.85 $49,179.55 $24,337.76 2026-03-31
441 APR_DRG Major Bladder Procedures,minor 66 65 — — $21,942.19 $24,137.56 $24,137.56 2026-03-31
44 APR_DRG Intracranial Hemorrhage,extreme 264 65 — — $12,200.44 $69,265.26 $23,985.71 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 22 21 — $72,388.35 $21,729.52 $45,691.00 $23,853.48 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 22 22 — $34,831.00 $20,308.88 $48,175.98 $23,841.11 2026-03-31
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 224 110 $107,550.00 $107,550.00 $203.61 $107,550.00 $23,757.00 2026-03-31
548 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure,major 198 65 — — $7,698.83 $23,696.28 $23,696.28 2026-03-31
314 APR_DRG Foot And Toe Procedures,major 132 65 — — $18,052.93 $30,131.41 $23,625.02 2026-03-31
222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures,moderate 66 65 — — $21,460.01 $23,607.15 $23,607.15 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 42 22 — $82,736.11 $20,738.75 $43,651.31 $23,541.18 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 22 21 — $91,885.27 $22,603.56 $47,490.43 $23,501.86 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 21 — $53,771.20 $22,559.16 $47,484.78 $23,499.06 2026-03-31
SUP-977545 CDM Kit Triclip G4 Sys W/any 3 Clips 59 28 $67,041.00 $43,576.65 35% off $13,475.24 $67,041.00 $23,263.23 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 21 — $78,437.23 $19,585.26 $46,934.91 $23,226.94 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 22 — $105,791.32 $19,335.06 $46,732.80 $23,126.92 2026-03-31
550 MS_DRG Septic Arthritis Without Cc/mcc 22 22 — $92,803.23 $15,414.35 $46,571.66 $23,047.18 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 44 22 — $81,878.17 $15,414.35 $46,571.66 $23,047.18 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 21 — $87,778.48 $22,042.61 $46,335.61 $23,044.23 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 22 — $88,849.24 $21,415.36 $46,003.43 $22,878.13 2026-03-31
133 APR_DRG Respiratory Failure,major 330 65 — — $10,247.83 $32,849.24 $22,876.55 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 21 — $77,354.75 $4,658.00 $46,681.91 $22,874.14 2026-03-31
92 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,minor 66 65 — — $20,685.62 $22,755.27 $22,755.27 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 22 — $43,938.10 $17,491.47 $45,959.61 $22,744.29 2026-03-31
33262 CPT Pr Removal/Repl Implantable Defibrillator Pg W/Lead Single Lead System 220 109 $30,610.00 $25,253.25 $2.28 $43,183.96 $22,725.36 2026-03-31
33263 CPT Pr Removal/Replacement Implantable Defibrillator Pg W/Lead Dual Lead System 110 108 $56,934.00 $37,007.10 35% off $11,443.73 $56,934.00 $22,725.36 2026-03-31
33230 CPT Hc Insertion Implantable Defibrillator Pulse Generator Only With Existing Dual L… 110 108 $36,409.00 $23,665.85 35% off $7,318.21 $43,183.96 $22,725.36 2026-03-31
136 APR_DRG Respiratory Malignancy,extreme 132 65 — — $19,775.73 $25,876.39 $22,638.60 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 21 — $72,889.41 $16,382.62 $45,623.16 $22,577.79 2026-03-31
37226 CPT Hc Revascularization Endovascular Open/Perc Femoral/Popliteal Artery W/Translumi… 214 108 $81,160.00 $46,284.82 43% off $125.94 $97,392.00 $22,530.02 2026-03-31
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment,extrem… 264 65 — — $11,875.00 $73,074.61 $22,511.84 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 21 — $85,042.88 $21,252.53 $44,905.09 $22,222.43 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 22 — $77,970.63 $16,958.49 $44,982.86 $22,151.26 2026-03-31
346 APR_DRG Connective Tissue Disorders,major 132 65 — — $13,438.41 $32,155.17 $22,006.76 2026-03-31
263 MS_DRG Vein Ligation And Stripping 22 21 — $106,069.05 $20,992.11 $44,172.91 $21,860.10 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 44 22 — $66,740.40 $16,364.35 $43,830.84 $21,690.81 2026-03-31
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 198 65 — — $16,694.07 $98,123.96 $21,614.07 2026-03-31
SUP-968130 CDM Implant Bear 59 28 $62,074.29 $40,348.29 35% off $9,943.58 $62,074.29 $21,539.78 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 41 22 — $55,417.78 $20,056.29 $43,599.03 $21,469.81 2026-03-31
724 APR_DRG Other Infectious And Parasitic Diseases,major 132 65 — — $19,409.12 $21,351.05 $21,351.05 2026-03-31
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,minor 66 65 — — $19,407.79 $21,349.59 $21,349.59 2026-03-31
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 224 110 $56,796.70 $56,796.70 $22.32 $56,796.70 $21,294.00 2026-03-31
815 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses,major 66 65 — — $19,345.36 $21,280.92 $21,280.92 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 21 — $89,543.28 $19,912.77 $41,950.83 $21,258.78 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 21 — $49,246.80 $20,214.19 $42,571.42 $21,248.60 2026-03-31
54401 CPT Pr Insertion Of Penile Prosthesis Inflatable 80 79 — $45,962.19 $19,618.51 $40,237.95 $21,175.04 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 22 21 — $86,437.31 $19,510.60 $42,599.64 $21,081.52 2026-03-31
570 MS_DRG Skin Debridement With Mcc 22 21 — $61,667.31 $12,129.10 $42,529.01 $21,046.57 2026-03-31
363 APR_DRG Breast Procedures Except Mastectomy,minor 132 65 — — $17,267.90 $25,306.52 $21,000.22 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 40 22 — $48,924.96 $17,044.27 $41,976.30 $20,983.97 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 22 21 — $118,305.83 $12,484.15 $42,230.76 $20,898.97 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 21 — $50,341.55 $18,520.35 $39,084.25 $20,885.76 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 17 — $181,714.09 $14,090.24 $36,179.52 $20,762.72 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 44 22 — $61,662.82 $17,068.89 $41,750.15 $20,661.13 2026-03-31
134 APR_DRG Pulmonary Embolism,extreme 462 65 — — $9,557.12 $29,045.73 $20,645.29 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 44 22 — $47,733.48 $15,950.40 $33,793.49 $20,631.38 2026-03-31
224 APR_DRG Peritoneal Adhesiolysis,minor 198 65 — — $18,610.81 $20,884.93 $20,472.87 2026-03-31
469 APR_DRG Acute Kidney Injury,major 198 65 — — $18,562.99 $59,071.93 $20,420.27 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 44 22 — $71,545.73 $15,731.29 $41,248.36 $20,412.81 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 44 22 — $86,533.40 $14,380.84 $42,121.88 $20,379.90 2026-03-31
52 APR_DRG Alteration In Consciousness,major 198 65 — — $7,810.40 $20,281.46 $20,281.46 2026-03-31
SUP-943847 CDM Valve Sapien Thv Edwards Resilia 23mm 59 28 $58,446.00 $37,989.90 35% off $11,747.65 $58,446.00 $20,280.76 2026-03-31
SUP-775386 CDM Implant Gammatile Therapy Device 6pk 59 28 $58,308.48 $37,900.51 35% off $11,720.00 $58,308.48 $20,233.04 2026-03-31
C1825 HCPCS Generator Stim Baroreceptor Neo Legacy Implant Pulse 118 28 $49,421.25 $35,196.52 29% off $8,983.49 $57,801.38 $20,057.08 2026-03-31
634 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 330 65 — — $16,619.69 $84,211.88 $20,041.82 2026-03-31
41 APR_DRG Nervous System Malignancy,extreme 198 65 — — $12,556.42 $29,476.79 $19,894.24 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 44 22 — $97,600.02 $16,725.76 $40,137.33 $19,862.99 2026-03-31
64590 CPT Pr Ins/Repl Peri/Sacral/Gastric Nstim Pg/Rec Req Pocket Creation/Conn 83 82 — $42,016.18 $18,311.48 $37,663.62 $19,820.31 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 21 — $90,999.79 $15,913.18 $39,928.13 $19,759.46 2026-03-31
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