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

CHI HEALTH MISSOURI VALLEY

Missouri Valley, IA · CCN 161309 · Rates published

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You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $24,180 across 4 payers · range $23,706-$24,654

Source: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/420776568_chi-health-missouri-valley_standardcharges.json · observed 2026-02-28

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.

5,829 distinct procedures filed
20 distinct payers
3,139,869 rate rows
2026-02-28 last MRF observed
Data quality

3,065,835 of 3,139,869 rate rows are consumer-grade (97.6%)

74,034 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 48,195
per-diem day rate — not a per-procedure price 18,591
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,524
template filing: same amount across many unrelated codes — excluded 2,037
placeholder amount (≤ $0.02) — excluded from medians 441
exceeds 10× this hospital's gross charge — excluded from medians 153
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 93
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/420776568-1508964123_alegent-health-community-memorial-hospital-of-missouri-valley-iowa_standardcharges.json
Found on page https://www.chihealth.com/patients-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-02
Content fingerprint c6ae53d65984dd60… · 227,005,895 bytes · first seen 2026-07-09

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 4 $614,988.00 $639,587.52 $627,287.76 nat. median
$359,244
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 4 $483,304.00 $502,636.16 $492,970.08 nat. median
$248,541
2.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $346,480.00 $360,339.20 $353,409.60 nat. median
$198,115
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $265,799.00 $276,430.96 $271,114.98 nat. median
$94,943
outlier · 2.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 4 $254,964.00 $265,162.56 $260,063.28 nat. median
$190,359
1.4× median
7
MS_DRG 		Lung Transplant 4 $253,695.00 $263,842.80 $258,768.90 nat. median
$117,977
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $240,248.00 $249,857.92 $245,052.96 nat. median
$103,938
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $230,695.00 $239,922.80 $235,308.90 nat. median
$110,084
outlier · 2.1×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 4 $226,230.00 $235,279.20 $230,754.60 nat. median
$50,763
outlier · 4.5×
652
MS_DRG 		Kidney Transplant 4 $224,379.00 $233,354.16 $228,866.58 nat. median
$29,909
outlier · 7.7×
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
$479
outlier · 451.0×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 20 $473.51 $213,966.34 $198,683.03 nat. median
$818
outlier · 243.0×
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 · 2393.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $183,960.00 $191,318.40 $187,639.20 nat. median
$90,512
outlier · 2.1×
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 20 $384.80 $201,752.60 $187,341.70 nat. median
$30,130
outlier · 6.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 4 $167,132.00 $173,817.28 $170,474.64 nat. median
$126,461
1.3× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 4 $159,791.00 $166,182.64 $162,986.82 nat. median
$42,787
outlier · 3.8×
6
MS_DRG 		Liver Transplant Without Mcc 4 $149,515.00 $155,495.60 $152,505.30 nat. median
$44,153
outlier · 3.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $140,502.00 $146,122.08 $143,312.04 nat. median
$74,298
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 4 $135,554.00 $140,976.16 $138,265.08 nat. median
$93,787
1.5× median
224
MS_DRG 		No Active Code Description 4 $132,766.00 $138,076.64 $135,421.32 nat. median
$39,601
outlier · 3.4×
222
MS_DRG 		No Active Code Description 4 $122,554.00 $127,456.16 $125,005.08 nat. median
$47,543
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 4 $119,173.00 $123,939.92 $121,556.46 nat. median
$77,487
1.6× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 20 $44,741.39 $125,275.87 $116,327.60 nat. median
$92
outlier · 1262.6×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $110,648.00 $115,073.92 $112,860.96 nat. median
$51,462
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $109,753.00 $114,143.12 $111,948.06 nat. median
$66,623
1.7× median
453
MS_DRG 		No Active Code Description 4 $106,563.00 $110,825.52 $108,694.26 nat. median
$70,795
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $106,545.00 $110,806.80 $108,675.90 nat. median
$53,841
outlier · 2.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $104,774.00 $108,964.96 $106,869.48 nat. median
$76,979
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $103,366.00 $107,500.64 $105,433.32 nat. median
$62,577
1.7× median
834
MS_DRG 		Acute Leukemia With Mcc 4 $102,597.00 $106,700.88 $104,648.94 nat. median
$50,314
outlier · 2.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $102,111.00 $106,195.44 $104,153.22 nat. median
$57,798
1.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $102,109.00 $106,193.36 $104,151.18 nat. median
$58,220
1.8× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 $100,078.00 $104,081.12 $102,079.56 nat. median
$53,342
1.9× median
226
MS_DRG 		No Active Code Description 4 $98,463.00 $102,401.52 $100,432.26 nat. median
$38,225
outlier · 2.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $97,494.00 $101,393.76 $99,443.88 nat. median
$67,908
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $96,621.00 $100,485.84 $98,553.42 nat. median
$72,247
1.4× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $95,346.00 $99,159.84 $97,252.92 nat. median
$58,234
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $95,086.00 $98,889.44 $96,987.72 nat. median
$61,995
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $93,698.00 $97,445.92 $95,571.96 nat. median
$53,768
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $91,593.00 $95,256.72 $93,424.86 nat. median
$61,660
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $91,226.00 $94,875.04 $93,050.52 nat. median
$58,052
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $90,374.00 $93,988.96 $92,181.48 nat. median
$59,324
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $89,121.00 $92,685.84 $90,903.42 nat. median
$71,737
1.3× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $88,445.00 $91,982.80 $90,213.90 nat. median
$53,419
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 4 $88,047.00 $91,568.88 $89,807.94 nat. median
$55,110
1.6× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 20 $58.76 $96,600.07 $89,700.07 nat. median
$518
outlier · 173.2×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 4 $87,057.00 $90,539.28 $88,798.14 nat. median
$47,347
1.9× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 4 $86,548.00 $90,009.92 $88,278.96 nat. median
$40,320
outlier · 2.2×

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 12 4 — — $614,988.00 $639,587.52 $627,287.76 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 99 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 12 4 — — $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 12 4 — — $346,480.00 $360,339.20 $353,409.60 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 4 — — $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 … 12 4 — — $254,964.00 $265,162.56 $260,063.28 2026-02-28
7 MS_DRG Lung Transplant 12 4 — — $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 12 4 — — $240,248.00 $249,857.92 $245,052.96 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 12 4 — — $230,695.00 $239,922.80 $235,308.90 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 4 — — $226,230.00 $235,279.20 $230,754.60 2026-02-28
652 MS_DRG Kidney Transplant 12 4 — — $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 105 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 105 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 99 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… 12 4 — — $183,960.00 $191,318.40 $187,639.20 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 105 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… 12 4 — — $167,132.00 $173,817.28 $170,474.64 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 4 — — $159,791.00 $166,182.64 $162,986.82 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 12 4 — — $149,515.00 $155,495.60 $152,505.30 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 4 — — $140,502.00 $146,122.08 $143,312.04 2026-02-28
215 MS_DRG Other Heart Assist System Implant 12 4 — — $135,554.00 $140,976.16 $138,265.08 2026-02-28
224 MS_DRG No Active Code Description 12 4 — — $132,766.00 $138,076.64 $135,421.32 2026-02-28
222 MS_DRG No Active Code Description 12 4 — — $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… 12 4 — — $119,173.00 $123,939.92 $121,556.46 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 99 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 12 4 — — $110,648.00 $115,073.92 $112,860.96 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 4 — — $109,753.00 $114,143.12 $111,948.06 2026-02-28
453 MS_DRG No Active Code Description 12 4 — — $106,563.00 $110,825.52 $108,694.26 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 4 — — $106,545.00 $110,806.80 $108,675.90 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 4 — — $104,774.00 $108,964.96 $106,869.48 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 4 — — $103,366.00 $107,500.64 $105,433.32 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 12 4 — — $102,597.00 $106,700.88 $104,648.94 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 4 — — $102,111.00 $106,195.44 $104,153.22 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 4 — — $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 12 4 — — $100,078.00 $104,081.12 $102,079.56 2026-02-28
226 MS_DRG No Active Code Description 12 4 — — $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 12 4 — — $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… 12 4 — — $96,621.00 $100,485.84 $98,553.42 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 4 — — $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… 12 4 — — $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 12 4 — — $93,698.00 $97,445.92 $95,571.96 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 4 — — $91,593.00 $95,256.72 $93,424.86 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 4 — — $91,226.00 $94,875.04 $93,050.52 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 4 — — $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 12 4 — — $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… 12 4 — — $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… 12 4 — — $88,047.00 $91,568.88 $89,807.94 2026-02-28
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 105 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 12 4 — — $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… 12 4 — — $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… 12 4 — — $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 12 4 — — $85,966.00 $89,404.64 $87,685.32 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 4 — — $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 12 4 — — $83,364.00 $86,698.56 $85,031.28 2026-02-28
225 MS_DRG No Active Code Description 12 4 — — $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. … 12 4 — — $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 12 4 — — $80,070.00 $83,272.80 $81,671.40 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 4 — — $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 12 4 — — $78,454.00 $81,592.16 $80,023.08 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 4 — — $78,194.00 $81,321.76 $79,757.88 2026-02-28
459 MS_DRG No Active Code Description 12 4 — — $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… 12 4 — — $77,899.00 $81,014.96 $79,456.98 2026-02-28
223 MS_DRG No Active Code Description 12 4 — — $76,476.00 $79,535.04 $78,005.52 2026-02-28
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 105 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 12 4 — — $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 12 4 — — $74,052.00 $77,014.08 $75,533.04 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 4 — — $73,671.00 $76,617.84 $75,144.42 2026-02-28
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 204 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 12 4 — — $71,579.00 $74,442.16 $73,010.58 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 4 — — $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 99 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 12 4 — — $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 12 4 — — $70,153.00 $72,959.12 $71,556.06 2026-02-28
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 105 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 12 4 — — $68,625.00 $71,370.00 $69,997.50 2026-02-28
332 MS_DRG Rectal Resection With Mcc 12 4 — — $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 12 4 — — $68,308.00 $71,040.32 $69,674.16 2026-02-28
227 MS_DRG No Active Code Description 12 4 — — $68,068.00 $70,790.72 $69,429.36 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 12 4 — — $67,401.00 $70,097.04 $68,749.02 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 12 4 — — $67,187.00 $69,874.48 $68,530.74 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 12 4 — — $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… 12 4 — — $66,515.00 $69,175.60 $67,845.30 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 4 — — $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 99 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 12 4 — — $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… 12 4 — — $62,962.00 $65,480.48 $64,221.24 2026-02-28
J1628 HCPCS Guselkumab 200 Mg/2 Ml Subcutaneous Syringe 204 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 12 4 — — $62,053.00 $64,535.12 $63,294.06 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 4 — — $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 12 4 — — $61,101.00 $63,545.04 $62,323.02 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 12 4 — — $60,974.00 $63,412.96 $62,193.48 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 4 — — $60,888.00 $63,323.52 $62,105.76 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 4 — — $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 12 4 — — $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… 12 4 — — $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 12 4 — — $59,614.00 $61,998.56 $60,806.28 2026-02-28
10 MS_DRG Pancreas Transplant 12 4 — — $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… 12 4 — — $59,520.00 $61,900.80 $60,710.40 2026-02-28
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 105 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 12 4 — — $58,515.00 $60,855.60 $59,685.30 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 4 — — $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 12 4 — — $58,116.00 $60,440.64 $59,278.32 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 4 — — $58,095.00 $60,418.80 $59,256.90 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 4 — — $57,894.00 $60,209.76 $59,051.88 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 4 — — $57,102.00 $59,386.08 $58,244.04 2026-02-28
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution 204 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… 12 4 — — $56,441.00 $58,698.64 $57,569.82 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 4 — — $56,069.00 $58,311.76 $57,190.38 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 4 — — $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 12 4 — — $55,787.00 $58,018.48 $56,902.74 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 4 — — $55,580.00 $57,803.20 $56,691.60 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 12 4 — — $55,386.00 $57,601.44 $56,493.72 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 12 4 — — $55,229.00 $57,438.16 $56,333.58 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 12 4 — — $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 … 12 4 — — $55,186.00 $57,393.44 $56,289.72 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 12 4 — — $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 12 4 — — $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 12 4 — — $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 12 4 — — $53,508.00 $55,648.32 $54,578.16 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 4 — — $52,740.00 $54,849.60 $53,794.80 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 4 — — $52,630.00 $54,735.20 $53,682.60 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 12 4 — — $52,617.00 $54,721.68 $53,669.34 2026-02-28
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 105 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 12 4 — — $51,706.00 $53,774.24 $52,740.12 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 4 — — $51,204.00 $53,252.16 $52,228.08 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 4 — — $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… 12 4 — — $50,644.00 $52,669.76 $51,656.88 2026-02-28
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 99 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 204 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 12 4 — — $50,029.00 $52,030.16 $51,029.58 2026-02-28
265 MS_DRG Aicd Lead Procedures 12 4 — — $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 12 4 — — $48,909.00 $50,865.36 $49,887.18 2026-02-28
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 105 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 12 4 — — $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 12 4 — — $48,573.00 $50,515.92 $49,544.46 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 4 — — $48,507.00 $50,447.28 $49,477.14 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 4 — — $48,307.00 $50,239.28 $49,273.14 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 12 4 — — $48,269.00 $50,199.76 $49,234.38 2026-02-28
J9381 HCPCS Teplizumab-mzwv 1 Mg/ml Intravenous Solution 198 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 12 4 — — $47,725.00 $49,634.00 $48,679.50 2026-02-28
J2327 HCPCS Risankizumab-rzaa 150 Mg/ml Subcutaneous Syringe 198 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 105 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 12 4 — — $46,808.00 $48,680.32 $47,744.16 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 99 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… 12 4 — — $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… 12 4 — — $46,628.00 $48,493.12 $47,560.56 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 4 — — $46,580.00 $48,443.20 $47,511.60 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 4 — — $46,144.00 $47,989.76 $47,066.88 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 4 — — $45,961.00 $47,799.44 $46,880.22 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 4 — — $45,961.00 $47,799.44 $46,880.22 2026-02-28
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 105 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 12 4 — — $45,482.00 $47,301.28 $46,391.64 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 4 — — $45,353.00 $47,167.12 $46,260.06 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 4 — — $45,259.00 $47,069.36 $46,164.18 2026-02-28
835 MS_DRG Acute Leukemia With Cc 12 4 — — $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 12 4 — — $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 12 4 — — $43,514.00 $45,254.56 $44,384.28 2026-02-28
503 MS_DRG Foot Procedures With Mcc 12 4 — — $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 12 4 — — $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 12 4 — — $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 99 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… 12 4 — — $42,764.00 $44,474.56 $43,619.28 2026-02-28
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 204 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… 12 4 — — $42,576.00 $44,279.04 $43,427.52 2026-02-28
J0222 HCPCS Patisiran (lipid Complex) 2 Mg/ml Intravenous Solution 105 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 12 4 — — $42,306.00 $43,998.24 $43,152.12 2026-02-28
246 MS_DRG No Active Code Description 12 4 — — $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 12 4 — — $42,033.00 $43,714.32 $42,873.66 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 4 — — $41,987.00 $43,666.48 $42,826.74 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 4 — — $41,931.00 $43,608.24 $42,769.62 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 4 — — $41,931.00 $43,608.24 $42,769.62 2026-02-28
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 105 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 12 4 — — $41,542.00 $43,203.68 $42,372.84 2026-02-28
849 MS_DRG Radiotherapy 12 4 — — $40,980.00 $42,619.20 $41,799.60 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 12 4 — — $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 … 12 4 — — $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 12 4 — — $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 12 4 — — $40,638.00 $42,263.52 $41,450.76 2026-02-28
347 MS_DRG Anal And Stomal Procedures With Mcc 12 4 — — $40,554.00 $42,176.16 $41,365.08 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 12 4 — — $40,460.00 $42,078.40 $41,269.20 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 4 — — $40,440.00 $42,057.60 $41,248.80 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 4 — — $40,387.00 $42,002.48 $41,194.74 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 4 — — $40,259.00 $41,869.36 $41,064.18 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 12 4 — — $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… 12 4 — — $40,142.00 $41,747.68 $40,944.84 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 4 — — $39,814.00 $41,406.56 $40,610.28 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 12 4 — — $39,450.00 $41,028.00 $40,239.00 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 12 4 — — $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 12 4 — — $39,067.00 $40,629.68 $39,848.34 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 4 — — $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 12 4 — — $38,958.00 $40,516.32 $39,737.16 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 12 4 — — $38,449.00 $39,986.96 $39,217.98 2026-02-28
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml Intravenous Solution 105 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 12 4 — — $38,283.00 $39,814.32 $39,048.66 2026-02-28
709 MS_DRG Penis Procedures With Cc/mcc 12 4 — — $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 12 4 — — $37,988.00 $39,507.52 $38,747.76 2026-02-28
263 MS_DRG Vein Ligation And Stripping 12 4 — — $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 12 4 — — $37,948.00 $39,465.92 $38,706.96 2026-02-28
A9604 HCPCS Hc Rp Sm 153 Tx Ds Upto 150mci 105 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 12 4 — — $37,589.00 $39,092.56 $38,340.78 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 12 4 — — $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 12 4 — — $37,194.00 $38,681.76 $37,937.88 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 4 — — $37,123.00 $38,607.92 $37,865.46 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 12 4 — — $36,952.00 $38,430.08 $37,691.04 2026-02-28
945 MS_DRG Rehabilitation With Cc/mcc 12 4 — — $36,884.00 $38,359.36 $37,621.68 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 12 4 — — $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 12 4 — — $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 12 4 — — $36,499.00 $37,958.96 $37,228.98 2026-02-28
949 MS_DRG Aftercare With Cc/mcc 12 4 — — $36,346.00 $37,799.84 $37,072.92 2026-02-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 4 — — $36,332.00 $37,785.28 $37,058.64 2026-02-28
113 MS_DRG Orbital Procedures With Cc/mcc 12 4 — — $36,110.00 $37,554.40 $36,832.20 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 4 — — $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 12 4 — — $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 12 4 — — $35,519.00 $36,939.76 $36,229.38 2026-02-28
C9047 HCPCS Caplacizumab-yhdp 11 Mg Injection Kit 105 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 12 4 — — $35,267.00 $36,677.68 $35,972.34 2026-02-28
711 MS_DRG Testes Procedures With Cc/mcc 12 4 — — $35,095.00 $36,498.80 $35,796.90 2026-02-28
333 MS_DRG Rectal Resection With Cc 12 4 — — $35,051.00 $36,453.04 $35,752.02 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 12 4 — — $34,913.00 $36,309.52 $35,611.26 2026-02-28
655 MS_DRG Major Bladder Procedures Without Cc/mcc 12 4 — — $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 12 4 — — $34,720.00 $36,108.80 $35,414.40 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 4 — — $34,675.00 $36,062.00 $35,368.50 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 198 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 12 4 — — $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 12 4 — — $34,483.00 $35,862.32 $35,172.66 2026-02-28
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 12 4 — — $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. … 12 4 — — $34,453.00 $35,831.12 $35,142.06 2026-02-28
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 4 — — $34,359.00 $35,733.36 $35,046.18 2026-02-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 4 — — $34,320.00 $35,692.80 $35,006.40 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 12 4 — — $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 … 12 4 — — $34,236.00 $35,605.44 $34,920.72 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 4 — — $33,893.00 $35,248.72 $34,570.86 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 12 4 — — $33,677.00 $35,024.08 $34,350.54 2026-02-28
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 4 — — $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 12 4 — — $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 12 4 — — $33,544.00 $34,885.76 $34,214.88 2026-02-28
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 12 4 — — $33,495.00 $34,834.80 $34,164.90 2026-02-28
548 MS_DRG Septic Arthritis With Mcc 12 4 — — $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… 12 4 — — $33,345.00 $34,678.80 $34,011.90 2026-02-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 12 4 — — $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 12 4 — — $33,261.00 $34,591.44 $33,926.22 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 12 4 — — $33,191.00 $34,518.64 $33,854.82 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 4 — — $33,175.00 $34,502.00 $33,838.50 2026-02-28
595 MS_DRG Major Skin Disorders With Mcc 12 4 — — $33,149.00 $34,474.96 $33,811.98 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 4 — — $33,149.00 $34,474.96 $33,811.98 2026-02-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 12 4 — — $32,719.00 $34,027.76 $33,373.38 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 4 — — $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… 12 4 — — $32,495.00 $33,794.80 $33,144.90 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 12 4 — — $32,398.00 $33,693.92 $33,045.96 2026-02-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 4 — — $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 … 12 4 — — $32,248.00 $33,537.92 $32,892.96 2026-02-28
J1440 HCPCS Fecal Microbiota Live-jslm 150 Ml Rectal Suspension Enema 99 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 12 4 — — $32,053.00 $33,335.12 $32,694.06 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 4 — — $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 12 4 — — $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 12 4 — — $31,610.00 $32,874.40 $32,242.20 2026-02-28
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 4 — — $31,610.00 $32,874.40 $32,242.20 2026-02-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 4 — — $31,490.00 $32,749.60 $32,119.80 2026-02-28
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 12 4 — — $31,449.00 $32,706.96 $32,077.98 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 4 — — $31,238.00 $32,487.52 $31,862.76 2026-02-28
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 12 4 — — $31,149.00 $32,394.96 $31,771.98 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 4 — — $30,785.00 $32,016.40 $31,400.70 2026-02-28
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 105 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 204 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 12 4 — — $30,744.00 $31,973.76 $31,358.88 2026-02-28
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 12 4 — — $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 12 4 — — $30,711.00 $31,939.44 $31,325.22 2026-02-28
30 MS_DRG Spinal Procedures Without Cc/mcc 12 4 — — $30,571.00 $31,793.84 $31,182.42 2026-02-28
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 12 4 — — $30,416.00 $31,632.64 $31,024.32 2026-02-28
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 99 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 105 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 12 4 — — $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 12 4 — — $29,924.00 $31,120.96 $30,522.48 2026-02-28
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 12 4 — — $29,780.00 $30,971.20 $30,375.60 2026-02-28
906 MS_DRG Hand Procedures For Injuries 12 4 — — $29,721.00 $30,909.84 $30,315.42 2026-02-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 12 4 — — $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 12 4 — — $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… 12 4 — — $29,611.00 $30,795.44 $30,203.22 2026-02-28
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 12 4 — — $29,530.00 $30,711.20 $30,120.60 2026-02-28
671 MS_DRG Urethral Procedures With Cc/mcc 12 4 — — $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 12 4 — — $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… 12 4 — — $29,262.00 $30,432.48 $29,847.24 2026-02-28
J0584 HCPCS Burosumab-twza 20 Mg/ml Subcutaneous Solution 501 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 204 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 12 4 — — $29,064.00 $30,226.56 $29,645.28 2026-02-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 4 — — $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 12 4 — — $29,013.00 $30,173.52 $29,593.26 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 99 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 12 4 — — $28,904.00 $30,060.16 $29,482.08 2026-02-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 4 — — $28,889.00 $30,044.56 $29,466.78 2026-02-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 12 4 — — $28,865.00 $30,019.60 $29,442.30 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 12 4 — — $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 99 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 12 4 — — $28,647.00 $29,792.88 $29,219.94 2026-02-28
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 12 4 — — $28,611.00 $29,755.44 $29,183.22 2026-02-28
J3101 HCPCS Tenecteplase 50 Mg Intravenous Kit 204 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 12 4 — — $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 12 4 — — $28,395.00 $29,530.80 $28,962.90 2026-02-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 4 — — $28,389.00 $29,524.56 $28,956.78 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 99 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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