Price Transparency Hospital negotiated rates

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

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Hospital

CHI HEALTH MISSOURI VALLEY

Missouri Valley, IA · CCN 161309 · Rates published

5,829 distinct procedures filed
20 distinct payers
2,093,246 rate rows
2026-02-28 last MRF observed
Data quality

2,076,066 of 2,093,246 rate rows are consumer-grade (99.2%)

17,180 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 12,394
template filing: same amount across many unrelated codes — excluded 4,328
placeholder amount (≤ $0.02) — excluded from medians 294
exceeds 10× this hospital's gross charge — excluded from medians 102
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 62
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/420776568_chi-health-missouri-valley_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 65daad8b614af2f2… · 227,005,854 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $614,988.00 $639,587.52 $627,287.76 nat. median
$370,174
1.7× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 20 $208,864.25 $584,819.90 $543,047.05 nat. median
$8,223
outlier · 66.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $483,304.00 $502,636.16 $492,970.08 nat. median
$265,286
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $346,480.00 $360,339.20 $353,409.60 nat. median
$206,368
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $265,799.00 $276,430.96 $271,114.98 nat. median
$100,136
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 15 $254,964.00 $265,162.56 $260,063.28 nat. median
$202,986
1.3× median
7
MS_DRG 		Lung Transplant 15 $253,695.00 $263,842.80 $258,768.90 nat. median
$122,708
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $240,248.00 $249,857.92 $245,052.96 nat. median
$108,660
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $230,695.00 $239,922.80 $235,308.90 nat. median
$117,303
outlier · 2.0×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 15 $226,230.00 $235,279.20 $230,754.60 nat. median
$53,171
outlier · 4.3×
652
MS_DRG 		Kidney Transplant 15 $224,379.00 $233,354.16 $228,866.58 nat. median
$31,494
outlier · 7.3×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 20 $279.48 $232,750.00 $216,125.00 nat. median
$468
outlier · 462.1×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 20 $473.51 $213,966.34 $198,683.03 nat. median
$798
outlier · 248.9×
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 20 $72,243.36 $202,281.40 $187,832.73 nat. median
$78
outlier · 2409.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $183,960.00 $191,318.40 $187,639.20 nat. median
$93,672
outlier · 2.0×
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 20 $384.80 $201,752.60 $187,341.70 nat. median
$21,340
outlier · 8.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 15 $167,132.00 $173,817.28 $170,474.64 nat. median
$133,176
1.3× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 15 $159,791.00 $166,182.64 $162,986.82 nat. median
$45,278
outlier · 3.6×
6
MS_DRG 		Liver Transplant Without Mcc 15 $149,515.00 $155,495.60 $152,505.30 nat. median
$46,260
outlier · 3.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $140,502.00 $146,122.08 $143,312.04 nat. median
$77,576
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 15 $135,554.00 $140,976.16 $138,265.08 nat. median
$99,019
1.4× median
224
MS_DRG 		No Active Code Description 15 $132,766.00 $138,076.64 $135,421.32 nat. median
$54,196
outlier · 2.5×
222
MS_DRG 		No Active Code Description 15 $122,554.00 $127,456.16 $125,005.08 nat. median
$63,570
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $119,173.00 $123,939.92 $121,556.46 nat. median
$81,118
1.5× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 20 $44,741.39 $125,275.87 $116,327.60 nat. median
$94
outlier · 1240.4×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 $110,648.00 $115,073.92 $112,860.96 nat. median
$54,066
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $109,753.00 $114,143.12 $111,948.06 nat. median
$71,240
1.6× median
453
MS_DRG 		No Active Code Description 15 $106,563.00 $110,825.52 $108,694.26 nat. median
$87,411
1.2× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 15 $106,545.00 $110,806.80 $108,675.90 nat. median
$56,920
1.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $104,774.00 $108,964.96 $106,869.48 nat. median
$79,312
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $103,366.00 $107,500.64 $105,433.32 nat. median
$66,526
1.6× median
834
MS_DRG 		Acute Leukemia With Mcc 15 $102,597.00 $106,700.88 $104,648.94 nat. median
$53,173
2.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $102,111.00 $106,195.44 $104,153.22 nat. median
$59,899
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $102,109.00 $106,193.36 $104,151.18 nat. median
$60,726
1.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 $100,078.00 $104,081.12 $102,079.56 nat. median
$55,736
1.8× median
226
MS_DRG 		No Active Code Description 15 $98,463.00 $102,401.52 $100,432.26 nat. median
$49,935
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $97,494.00 $101,393.76 $99,443.88 nat. median
$72,138
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $96,621.00 $100,485.84 $98,553.42 nat. median
$74,915
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $95,346.00 $99,159.84 $97,252.92 nat. median
$60,185
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $95,086.00 $98,889.44 $96,987.72 nat. median
$64,510
1.5× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $93,698.00 $97,445.92 $95,571.96 nat. median
$56,697
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $91,593.00 $95,256.72 $93,424.86 nat. median
$64,732
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $91,226.00 $94,875.04 $93,050.52 nat. median
$59,793
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $90,374.00 $93,988.96 $92,181.48 nat. median
$62,134
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $89,121.00 $92,685.84 $90,903.42 nat. median
$73,807
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $88,445.00 $91,982.80 $90,213.90 nat. median
$55,929
1.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $88,047.00 $91,568.88 $89,807.94 nat. median
$58,024
1.5× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 20 $58.76 $96,600.07 $89,700.07 nat. median
$712
outlier · 126.0×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 15 $87,057.00 $90,539.28 $88,798.14 nat. median
$50,673
1.8× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $86,548.00 $90,009.92 $88,278.96 nat. median
$42,730
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,829 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 50 15 — — $614,988.00 $639,587.52 $627,287.76 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 66 20 $596,755.00 $292,409.95 51% off $208,864.25 $584,819.90 $543,047.05 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 15 — — $483,304.00 $502,636.16 $492,970.08 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 15 — — $346,480.00 $360,339.20 $353,409.60 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 15 — — $265,799.00 $276,430.96 $271,114.98 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 50 15 — — $254,964.00 $265,162.56 $260,063.28 2026-02-28
7 MS_DRG Lung Transplant 50 15 — — $253,695.00 $263,842.80 $258,768.90 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 15 — — $240,248.00 $249,857.92 $245,052.96 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 50 15 — — $230,695.00 $239,922.80 $235,308.90 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 15 — — $226,230.00 $235,279.20 $230,754.60 2026-02-28
652 MS_DRG Kidney Transplant 50 15 — — $224,379.00 $233,354.16 $228,866.58 2026-02-28
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 70 20 $237,500.00 $116,375.00 51% off $279.48 $232,750.00 $216,125.00 2026-02-28
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 70 20 $218,333.00 $106,983.17 51% off $473.51 $213,966.34 $198,683.03 2026-02-28
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 66 20 $206,409.59 $101,140.70 51% off $72,243.36 $202,281.40 $187,832.73 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $183,960.00 $191,318.40 $187,639.20 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 70 20 $205,870.00 $100,876.30 51% off $384.80 $201,752.60 $187,341.70 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 50 15 — — $167,132.00 $173,817.28 $170,474.64 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 15 — — $159,791.00 $166,182.64 $162,986.82 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 50 15 — — $149,515.00 $155,495.60 $152,505.30 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 15 — — $140,502.00 $146,122.08 $143,312.04 2026-02-28
215 MS_DRG Other Heart Assist System Implant 50 15 — — $135,554.00 $140,976.16 $138,265.08 2026-02-28
224 MS_DRG No Active Code Description 50 15 — — $132,766.00 $138,076.64 $135,421.32 2026-02-28
222 MS_DRG No Active Code Description 50 15 — — $122,554.00 $127,456.16 $125,005.08 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $119,173.00 $123,939.92 $121,556.46 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 66 20 $127,832.52 $62,637.94 51% off $44,741.39 $125,275.87 $116,327.60 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 15 — — $110,648.00 $115,073.92 $112,860.96 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 15 — — $109,753.00 $114,143.12 $111,948.06 2026-02-28
453 MS_DRG No Active Code Description 50 15 — — $106,563.00 $110,825.52 $108,694.26 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 50 15 — — $106,545.00 $110,806.80 $108,675.90 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 15 — — $104,774.00 $108,964.96 $106,869.48 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 15 — — $103,366.00 $107,500.64 $105,433.32 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 50 15 — — $102,597.00 $106,700.88 $104,648.94 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 15 — — $102,111.00 $106,195.44 $104,153.22 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 50 15 — — $102,109.00 $106,193.36 $104,151.18 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 15 — — $100,078.00 $104,081.12 $102,079.56 2026-02-28
226 MS_DRG No Active Code Description 50 15 — — $98,463.00 $102,401.52 $100,432.26 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 50 15 — — $97,494.00 $101,393.76 $99,443.88 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $96,621.00 $100,485.84 $98,553.42 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 15 — — $95,346.00 $99,159.84 $97,252.92 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $95,086.00 $98,889.44 $96,987.72 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 50 15 — — $93,698.00 $97,445.92 $95,571.96 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 15 — — $91,593.00 $95,256.72 $93,424.86 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 50 15 — — $91,226.00 $94,875.04 $93,050.52 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 15 — — $90,374.00 $93,988.96 $92,181.48 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 50 15 — — $89,121.00 $92,685.84 $90,903.42 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 15 — — $88,445.00 $91,982.80 $90,213.90 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $88,047.00 $91,568.88 $89,807.94 2026-02-28
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 70 20 $98,571.50 $48,300.04 51% off $58.76 $96,600.07 $89,700.07 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 15 — — $87,057.00 $90,539.28 $88,798.14 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $86,548.00 $90,009.92 $88,278.96 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $86,368.00 $89,822.72 $88,095.36 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 15 — — $85,966.00 $89,404.64 $87,685.32 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 50 15 — — $85,856.00 $89,290.24 $87,573.12 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 50 15 — — $83,364.00 $86,698.56 $85,031.28 2026-02-28
225 MS_DRG No Active Code Description 50 15 — — $83,106.00 $86,430.24 $84,768.12 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 15 — — $82,980.00 $86,299.20 $84,639.60 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 50 15 — — $80,070.00 $83,272.80 $81,671.40 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 50 15 — — $80,062.00 $83,264.48 $81,663.24 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 15 — — $78,454.00 $81,592.16 $80,023.08 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 15 — — $78,194.00 $81,321.76 $79,757.88 2026-02-28
459 MS_DRG No Active Code Description 50 15 — — $77,917.00 $81,033.68 $79,475.34 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $77,899.00 $81,014.96 $79,456.98 2026-02-28
223 MS_DRG No Active Code Description 50 15 — — $76,476.00 $79,535.04 $78,005.52 2026-02-28
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 70 20 $85,618.60 $41,953.12 51% off $124.48 $83,906.23 $77,912.93 2026-02-28
245 MS_DRG Aicd Generator Procedures 50 15 — — $74,053.00 $77,015.12 $75,534.06 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 15 — — $74,052.00 $77,014.08 $75,533.04 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 15 — — $73,671.00 $76,617.84 $75,144.42 2026-02-28
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 136 20 $76,930.00 $37,695.70 51% off $3,391.91 $110,749.80 $73,852.80 2026-02-28
454 MS_DRG No Active Code Description 50 15 — — $71,579.00 $74,442.16 $73,010.58 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 50 15 — — $71,102.00 $73,946.08 $72,524.04 2026-02-28
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11200 Unit/5.6 Ml Subcut Soln 66 20 $78,865.00 $38,643.85 51% off $27,602.75 $77,287.70 $71,767.15 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 50 15 — — $70,219.00 $73,027.76 $71,623.38 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 50 15 — — $70,153.00 $72,959.12 $71,556.06 2026-02-28
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 70 20 $77,358.00 $37,905.42 51% off $333.40 $75,810.84 $70,395.78 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 50 15 — — $68,625.00 $71,370.00 $69,997.50 2026-02-28
332 MS_DRG Rectal Resection With Mcc 50 15 — — $68,531.00 $71,272.24 $69,901.62 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 15 — — $68,308.00 $71,040.32 $69,674.16 2026-02-28
227 MS_DRG No Active Code Description 50 15 — — $68,068.00 $70,790.72 $69,429.36 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 50 15 — — $67,401.00 $70,097.04 $68,749.02 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 50 15 — — $67,187.00 $69,874.48 $68,530.74 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 50 15 — — $67,131.00 $69,816.24 $68,473.62 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $66,515.00 $69,175.60 $67,845.30 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 50 15 — — $64,990.00 $67,589.60 $66,289.80 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 66 20 $72,662.40 $35,604.58 51% off $25,431.84 $71,209.16 $66,122.79 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 50 15 — — $63,333.00 $65,866.32 $64,599.66 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 15 — — $62,962.00 $65,480.48 $64,221.24 2026-02-28
J1628 HCPCS Guselkumab 200 Mg/2 Ml Subcutaneous Syringe 136 20 $70,283.05 $34,438.70 51% off $138.73 $68,877.39 $63,694.02 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 50 15 — — $62,053.00 $64,535.12 $63,294.06 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 50 15 — — $61,821.00 $64,293.84 $63,057.42 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 15 — — $61,101.00 $63,545.04 $62,323.02 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 50 15 — — $60,974.00 $63,412.96 $62,193.48 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 15 — — $60,888.00 $63,323.52 $62,105.76 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 50 15 — — $60,836.00 $63,269.44 $62,052.72 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 15 — — $60,538.00 $62,959.52 $61,748.76 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 15 — — $59,872.00 $62,266.88 $61,069.44 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 50 15 — — $59,614.00 $61,998.56 $60,806.28 2026-02-28
10 MS_DRG Pancreas Transplant 50 15 — — $59,600.00 $61,984.00 $60,792.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 50 15 — — $59,520.00 $61,900.80 $60,710.40 2026-02-28
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 70 20 $66,589.00 $32,628.61 51% off $140.23 $65,257.22 $60,595.99 2026-02-28
455 MS_DRG No Active Code Description 50 15 — — $58,515.00 $60,855.60 $59,685.30 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 15 — — $58,177.00 $60,504.08 $59,340.54 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 15 — — $58,116.00 $60,440.64 $59,278.32 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 50 15 — — $58,095.00 $60,418.80 $59,256.90 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 15 — — $57,894.00 $60,209.76 $59,051.88 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 50 15 — — $57,102.00 $59,386.08 $58,244.04 2026-02-28
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 136 20 $60,477.05 $29,633.76 51% off $152.57 $68,921.40 $57,755.58 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 15 — — $56,441.00 $58,698.64 $57,569.82 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 50 15 — — $56,069.00 $58,311.76 $57,190.38 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 50 15 — — $55,908.00 $58,144.32 $57,026.16 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 50 15 — — $55,787.00 $58,018.48 $56,902.74 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 50 15 — — $55,580.00 $57,803.20 $56,691.60 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 50 15 — — $55,386.00 $57,601.44 $56,493.72 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 50 15 — — $55,229.00 $57,438.16 $56,333.58 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 50 15 — — $55,196.00 $57,403.84 $56,299.92 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 15 — — $55,186.00 $57,393.44 $56,289.72 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 50 15 — — $54,661.00 $56,847.44 $55,754.22 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 50 15 — — $54,336.00 $56,509.44 $55,422.72 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 50 15 — — $53,707.00 $55,855.28 $54,781.14 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 15 — — $53,508.00 $55,648.32 $54,578.16 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 50 15 — — $52,740.00 $54,849.60 $53,794.80 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 15 — — $52,630.00 $54,735.20 $53,682.60 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 50 15 — — $52,617.00 $54,721.68 $53,669.34 2026-02-28
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 70 20 $58,710.00 $28,767.90 51% off $252.51 $57,535.80 $53,426.10 2026-02-28
460 MS_DRG No Active Code Description 50 15 — — $51,706.00 $53,774.24 $52,740.12 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 50 15 — — $51,204.00 $53,252.16 $52,228.08 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 50 15 — — $50,771.00 $52,801.84 $51,786.42 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 15 — — $50,644.00 $52,669.76 $51,656.88 2026-02-28
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 66 20 $56,681.95 $27,774.16 51% off $19,838.69 $55,548.32 $51,580.58 2026-02-28
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 136 20 $56,456.48 $27,663.68 51% off $231.74 $55,446.15 $51,430.56 2026-02-28
665 MS_DRG Prostatectomy With Mcc 50 15 — — $50,029.00 $52,030.16 $51,029.58 2026-02-28
265 MS_DRG Aicd Lead Procedures 50 15 — — $49,822.00 $51,814.88 $50,818.44 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 50 15 — — $48,909.00 $50,865.36 $49,887.18 2026-02-28
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 70 20 $54,702.45 $26,804.21 51% off $31.35 $53,608.41 $49,779.23 2026-02-28
248 MS_DRG No Active Code Description 50 15 — — $48,773.00 $50,723.92 $49,748.46 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 50 15 — — $48,573.00 $50,515.92 $49,544.46 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 50 15 — — $48,507.00 $50,447.28 $49,477.14 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 50 15 — — $48,307.00 $50,239.28 $49,273.14 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 50 15 — — $48,269.00 $50,199.76 $49,234.38 2026-02-28
J9381 HCPCS Teplizumab-mzwv 1 Mg/ml Intravenous Solution 132 20 $52,806.65 $25,875.26 51% off $18,009.83 $53,073.52 $49,083.19 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 15 — — $47,725.00 $49,634.00 $48,679.50 2026-02-28
J2327 HCPCS Risankizumab-rzaa 150 Mg/ml Subcutaneous Syringe 132 20 $79,024.33 $38,721.93 51% off $17,516.91 $105,840.35 $48,046.37 2026-02-28
J9144 HCPCS Daratumumab 1800 Mg-hyaluronidase-fihj 30000 Unit/15 Ml Subcut Soln 70 20 $52,595.03 $25,771.57 51% off $53.40 $51,543.13 $47,861.48 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 50 15 — — $46,808.00 $48,680.32 $47,744.16 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 66 20 $52,362.51 $25,657.63 51% off $18,326.88 $51,315.26 $47,649.89 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 15 — — $46,628.00 $48,493.12 $47,560.56 2026-02-28
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 50 15 — — $46,628.00 $48,493.12 $47,560.56 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 50 15 — — $46,580.00 $48,443.20 $47,511.60 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 50 15 — — $46,144.00 $47,989.76 $47,066.88 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 50 15 — — $45,961.00 $47,799.44 $46,880.22 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 50 15 — — $45,961.00 $47,799.44 $46,880.22 2026-02-28
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 70 20 $51,489.10 $25,229.66 51% off $30.18 $50,459.32 $46,855.09 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 50 15 — — $45,482.00 $47,301.28 $46,391.64 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 50 15 — — $45,353.00 $47,167.12 $46,260.06 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 50 15 — — $45,259.00 $47,069.36 $46,164.18 2026-02-28
835 MS_DRG Acute Leukemia With Cc 50 15 — — $45,180.00 $46,987.20 $46,083.60 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 50 15 — — $44,856.00 $46,650.24 $45,753.12 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 50 15 — — $43,514.00 $45,254.56 $44,384.28 2026-02-28
503 MS_DRG Foot Procedures With Mcc 50 15 — — $43,308.00 $45,040.32 $44,174.16 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 50 15 — — $43,299.00 $45,030.96 $44,164.98 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 15 — — $42,978.00 $44,697.12 $43,837.56 2026-02-28
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 66 20 $47,966.10 $23,503.39 51% off $16,788.14 $47,006.78 $43,649.16 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 50 15 — — $42,764.00 $44,474.56 $43,619.28 2026-02-28
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 136 20 $177,543.60 $86,996.37 51% off $189.00 $173,992.73 $43,498.28 2026-02-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 50 15 — — $42,576.00 $44,279.04 $43,427.52 2026-02-28
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 70 20 $47,500.00 $23,275.00 51% off $99.20 $46,550.00 $43,225.00 2026-02-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 50 15 — — $42,306.00 $43,998.24 $43,152.12 2026-02-28
246 MS_DRG No Active Code Description 50 15 — — $42,194.00 $43,881.76 $43,037.88 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 50 15 — — $42,033.00 $43,714.32 $42,873.66 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 50 15 — — $41,987.00 $43,666.48 $42,826.74 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 15 — — $41,931.00 $43,608.24 $42,769.62 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 15 — — $41,931.00 $43,608.24 $42,769.62 2026-02-28
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 70 20 $46,799.55 $22,931.78 51% off $21.85 $45,863.56 $42,587.60 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 50 15 — — $41,542.00 $43,203.68 $42,372.84 2026-02-28
849 MS_DRG Radiotherapy 50 15 — — $40,980.00 $42,619.20 $41,799.60 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 50 15 — — $40,905.00 $42,541.20 $41,723.10 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 15 — — $40,885.00 $42,520.40 $41,702.70 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 50 15 — — $40,819.00 $42,451.76 $41,635.38 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 15 — — $40,638.00 $42,263.52 $41,450.76 2026-02-28
347 MS_DRG Anal And Stomal Procedures With Mcc 50 15 — — $40,554.00 $42,176.16 $41,365.08 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 50 15 — — $40,460.00 $42,078.40 $41,269.20 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 50 15 — — $40,440.00 $42,057.60 $41,248.80 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 50 15 — — $40,387.00 $42,002.48 $41,194.74 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 50 15 — — $40,259.00 $41,869.36 $41,064.18 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 50 15 — — $40,175.00 $41,782.00 $40,978.50 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 50 15 — — $40,142.00 $41,747.68 $40,944.84 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 50 15 — — $39,814.00 $41,406.56 $40,610.28 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 50 15 — — $39,450.00 $41,028.00 $40,239.00 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 50 15 — — $39,445.00 $41,022.80 $40,233.90 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 15 — — $39,067.00 $40,629.68 $39,848.34 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 50 15 — — $38,976.00 $40,535.04 $39,755.52 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 50 15 — — $38,958.00 $40,516.32 $39,737.16 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 50 15 — — $38,449.00 $39,986.96 $39,217.98 2026-02-28
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml Intravenous Solution 70 20 $43,063.60 $21,101.17 51% off $76.84 $42,202.33 $39,187.88 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 50 15 — — $38,283.00 $39,814.32 $39,048.66 2026-02-28
709 MS_DRG Penis Procedures With Cc/mcc 50 15 — — $38,088.00 $39,611.52 $38,849.76 2026-02-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 50 15 — — $37,988.00 $39,507.52 $38,747.76 2026-02-28
263 MS_DRG Vein Ligation And Stripping 50 15 — — $37,970.00 $39,488.80 $38,729.40 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 50 15 — — $37,948.00 $39,465.92 $38,706.96 2026-02-28
A9604 HCPCS Hc Rp Sm 153 Tx Ds Upto 150mci 70 20 $42,326.00 $20,739.74 51% off $14,814.10 $41,479.48 $38,516.66 2026-02-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 50 15 — — $37,589.00 $39,092.56 $38,340.78 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 50 15 — — $37,492.00 $38,991.68 $38,241.84 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 50 15 — — $37,194.00 $38,681.76 $37,937.88 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 50 15 — — $37,123.00 $38,607.92 $37,865.46 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 50 15 — — $36,952.00 $38,430.08 $37,691.04 2026-02-28
945 MS_DRG Rehabilitation With Cc/mcc 50 15 — — $36,884.00 $38,359.36 $37,621.68 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 50 15 — — $36,823.00 $38,295.92 $37,559.46 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 50 15 — — $36,612.00 $38,076.48 $37,344.24 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 50 15 — — $36,499.00 $37,958.96 $37,228.98 2026-02-28
949 MS_DRG Aftercare With Cc/mcc 50 15 — — $36,346.00 $37,799.84 $37,072.92 2026-02-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 50 15 — — $36,332.00 $37,785.28 $37,058.64 2026-02-28
113 MS_DRG Orbital Procedures With Cc/mcc 50 15 — — $36,110.00 $37,554.40 $36,832.20 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 50 15 — — $35,978.00 $37,417.12 $36,697.56 2026-02-28
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 50 15 — — $35,955.00 $37,393.20 $36,674.10 2026-02-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 50 15 — — $35,519.00 $36,939.76 $36,229.38 2026-02-28
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 70 20 $39,625.00 $19,416.25 51% off $749.27 $38,832.50 $36,058.75 2026-02-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 50 15 — — $35,267.00 $36,677.68 $35,972.34 2026-02-28
711 MS_DRG Testes Procedures With Cc/mcc 50 15 — — $35,095.00 $36,498.80 $35,796.90 2026-02-28
333 MS_DRG Rectal Resection With Cc 50 15 — — $35,051.00 $36,453.04 $35,752.02 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 50 15 — — $34,913.00 $36,309.52 $35,611.26 2026-02-28
655 MS_DRG Major Bladder Procedures Without Cc/mcc 50 15 — — $34,913.00 $36,309.52 $35,611.26 2026-02-28
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 50 15 — — $34,720.00 $36,108.80 $35,414.40 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 15 — — $34,675.00 $36,062.00 $35,368.50 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 132 20 $39,165.00 $19,190.85 51% off $12,862.50 $40,748.40 $35,280.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 50 15 — — $34,512.00 $35,892.48 $35,202.24 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 15 — — $34,483.00 $35,862.32 $35,172.66 2026-02-28
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 50 15 — — $34,465.00 $35,843.60 $35,154.30 2026-02-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 50 15 — — $34,453.00 $35,831.12 $35,142.06 2026-02-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 15 — — $34,359.00 $35,733.36 $35,046.18 2026-02-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 50 15 — — $34,320.00 $35,692.80 $35,006.40 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 50 15 — — $34,305.00 $35,677.20 $34,991.10 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 50 15 — — $34,236.00 $35,605.44 $34,920.72 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 50 15 — — $33,893.00 $35,248.72 $34,570.86 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 50 15 — — $33,677.00 $35,024.08 $34,350.54 2026-02-28
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 50 15 — — $33,643.00 $34,988.72 $34,315.86 2026-02-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 50 15 — — $33,544.00 $34,885.76 $34,214.88 2026-02-28
511 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc 50 15 — — $33,544.00 $34,885.76 $34,214.88 2026-02-28
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 50 15 — — $33,495.00 $34,834.80 $34,164.90 2026-02-28
548 MS_DRG Septic Arthritis With Mcc 50 15 — — $33,437.00 $34,774.48 $34,105.74 2026-02-28
62 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 50 15 — — $33,345.00 $34,678.80 $34,011.90 2026-02-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 50 15 — — $33,317.00 $34,649.68 $33,983.34 2026-02-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 50 15 — — $33,261.00 $34,591.44 $33,926.22 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 50 15 — — $33,191.00 $34,518.64 $33,854.82 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 50 15 — — $33,175.00 $34,502.00 $33,838.50 2026-02-28
595 MS_DRG Major Skin Disorders With Mcc 50 15 — — $33,149.00 $34,474.96 $33,811.98 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 15 — — $33,149.00 $34,474.96 $33,811.98 2026-02-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 50 15 — — $32,719.00 $34,027.76 $33,373.38 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 50 15 — — $32,681.00 $33,988.24 $33,334.62 2026-02-28
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 50 15 — — $32,495.00 $33,794.80 $33,144.90 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 50 15 — — $32,398.00 $33,693.92 $33,045.96 2026-02-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 50 15 — — $32,312.00 $33,604.48 $32,958.24 2026-02-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 50 15 — — $32,248.00 $33,537.92 $32,892.96 2026-02-28
J1440 HCPCS Fecal Microbiota Live-jslm 150 Ml Rectal Suspension Enema 66 20 $36,000.00 $17,640.00 51% off $12,600.00 $35,280.00 $32,760.00 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 50 15 — — $32,053.00 $33,335.12 $32,694.06 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 15 — — $32,002.00 $33,282.08 $32,642.04 2026-02-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 50 15 — — $31,699.00 $32,966.96 $32,332.98 2026-02-28
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 50 15 — — $31,610.00 $32,874.40 $32,242.20 2026-02-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 50 15 — — $31,610.00 $32,874.40 $32,242.20 2026-02-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 50 15 — — $31,490.00 $32,749.60 $32,119.80 2026-02-28
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 50 15 — — $31,449.00 $32,706.96 $32,077.98 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 50 15 — — $31,238.00 $32,487.52 $31,862.76 2026-02-28
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 50 15 — — $31,149.00 $32,394.96 $31,771.98 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 15 — — $30,785.00 $32,016.40 $31,400.70 2026-02-28
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 70 20 $34,491.60 $16,900.89 51% off $218.34 $33,801.77 $31,387.36 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 136 20 $32,020.01 $15,689.81 51% off $221.75 $117,359.71 $31,379.61 2026-02-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 50 15 — — $30,744.00 $31,973.76 $31,358.88 2026-02-28
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 50 15 — — $30,719.00 $31,947.76 $31,333.38 2026-02-28
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 50 15 — — $30,711.00 $31,939.44 $31,325.22 2026-02-28
30 MS_DRG Spinal Procedures Without Cc/mcc 50 15 — — $30,571.00 $31,793.84 $31,182.42 2026-02-28
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 50 15 — — $30,416.00 $31,632.64 $31,024.32 2026-02-28
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 66 20 $34,068.85 $16,693.74 51% off $11,924.10 $33,387.48 $31,002.66 2026-02-28
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 70 20 $33,983.11 $16,651.73 51% off $16.87 $33,303.45 $30,924.64 2026-02-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 50 15 — — $30,067.00 $31,269.68 $30,668.34 2026-02-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 50 15 — — $29,924.00 $31,120.96 $30,522.48 2026-02-28
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 50 15 — — $29,780.00 $30,971.20 $30,375.60 2026-02-28
906 MS_DRG Hand Procedures For Injuries 50 15 — — $29,721.00 $30,909.84 $30,315.42 2026-02-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 50 15 — — $29,715.00 $30,903.60 $30,309.30 2026-02-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 50 15 — — $29,673.00 $30,859.92 $30,266.46 2026-02-28
63 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 50 15 — — $29,611.00 $30,795.44 $30,203.22 2026-02-28
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 50 15 — — $29,530.00 $30,711.20 $30,120.60 2026-02-28
671 MS_DRG Urethral Procedures With Cc/mcc 50 15 — — $29,271.00 $30,441.84 $29,856.42 2026-02-28
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 50 15 — — $29,267.00 $30,437.68 $29,852.34 2026-02-28
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 15 — — $29,262.00 $30,432.48 $29,847.24 2026-02-28
J0584 HCPCS Burosumab-twza 20 Mg/ml Subcutaneous Solution 334 20 $42,394.80 $20,773.46 51% off $447.86 $62,320.16 $29,768.25 2026-02-28
J9022 HCPCS Atezolizumab 1200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 136 20 $56,259.10 $27,566.96 51% off $91.86 $55,133.92 $29,697.43 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 50 15 — — $29,064.00 $30,226.56 $29,645.28 2026-02-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 50 15 — — $29,049.00 $30,210.96 $29,629.98 2026-02-28
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 50 15 — — $29,013.00 $30,173.52 $29,593.26 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 66 20 $32,435.80 $15,893.55 51% off $11,352.53 $31,787.09 $29,516.58 2026-02-28
407 MS_DRG Pancreas Liver And Shunt Procedures Without Cc/mcc 50 15 — — $28,904.00 $30,060.16 $29,482.08 2026-02-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 50 15 — — $28,889.00 $30,044.56 $29,466.78 2026-02-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 50 15 — — $28,865.00 $30,019.60 $29,442.30 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 50 15 — — $28,845.00 $29,998.80 $29,421.90 2026-02-28
J0741 HCPCS Cabotegravir ER 600 Mg/3 Ml-rilpivirine ER 900 Mg/3ml IM Suspensioner 66 20 $32,146.71 $15,751.89 51% off $11,251.35 $31,503.78 $29,253.51 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 50 15 — — $28,647.00 $29,792.88 $29,219.94 2026-02-28
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 50 15 — — $28,611.00 $29,755.44 $29,183.22 2026-02-28
J3101 HCPCS Tenecteplase 50 Mg Intravenous Kit 136 20 $30,316.95 $14,855.31 51% off $153.11 $39,233.62 $29,104.28 2026-02-28
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 50 15 — — $28,422.00 $29,558.88 $28,990.44 2026-02-28
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 50 15 — — $28,395.00 $29,530.80 $28,962.90 2026-02-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 50 15 — — $28,389.00 $29,524.56 $28,956.78 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 66 20 $31,760.00 $15,562.40 51% off $11,116.00 $31,124.80 $28,901.60 2026-02-28
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