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

JEFFERSON COUNTY HEALTH CENTER

Fairfield, IA · CCN 161364 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

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

This hospital’s price: $22 across 20 payers · range $8-$174

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbJCHFAIRFIELDIA&type=CDMWithoutLabel&fileType=CSV · observed 2025-11-18

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.

5,054 distinct procedures filed
26 distinct payers
150,941 rate rows
2025-11-18 last MRF observed
Data quality

145,872 of 150,941 rate rows are consumer-grade (96.6%)

5,069 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 1,594
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,456
template filing: same amount across many unrelated codes — excluded 1,024
percent-of-charges filed in the dollar field — excluded from medians 493
exceeds 10× this hospital's gross charge — excluded from medians 349
exceeds 3× this hospital's gross charge for a DRG stay — excluded 123
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbJCHFAIRFIELDIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Jefferson_County_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint f8b1ebf969c3ccf3… · 86,622,114 bytes · first seen 2026-05-08

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
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $92,897.07 $99,885.81 $92,897.07 nat. median
$71,758
1.3× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 7 $36,671.01 $82,952.26 $81,646.54 nat. median
$20,234
outlier · 4.0×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 7 $26,357.35 $63,456.04 $62,351.20 nat. median
$16,931
outlier · 3.7×
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 7 $26,907.46 $60,844.37 $59,839.97 nat. median
$15,626
outlier · 3.8×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 $22,018.44 $65,542.44 $58,487.08 nat. median
$11,478
outlier · 5.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $58,311.67 $117,430.30 $58,311.67 nat. median
$77,043
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $57,600.36 $76,559.61 $57,600.36 nat. median
$43,741
1.3× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 $54,354.49 $54,440.71 $54,354.49 nat. median
$27,642
2.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 7 $24,038.59 $61,852.44 $50,822.59 nat. median
$49,960
1.0× median
540
MS_DRG 		Osteomyelitis With Cc 8 $19,276.05 $56,768.95 $50,799.03 nat. median
$12,776
outlier · 4.0×
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 $19,276.57 $52,756.57 $47,329.37 nat. median
$18,115
outlier · 2.6×
549
MS_DRG 		Septic Arthritis With Cc 8 $15,942.15 $51,992.01 $46,564.81 nat. median
$12,095
outlier · 3.9×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 $14,701.63 $45,847.83 $45,144.75 nat. median
$10,410
outlier · 4.3×
592
MS_DRG 		Skin Ulcers With Mcc 8 $18,467.49 $49,162.77 $44,278.29 nat. median
$18,752
outlier · 2.4×
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/mcc 7 $21,515.66 $44,951.66 $44,248.58 nat. median
$18,005
outlier · 2.5×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $20,876.11 $44,312.11 $43,609.03 nat. median
$18,659
outlier · 2.3×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 3 $41,778.63 $61,900.44 $41,778.63 nat. median
$46,224
0.9× median
548
MS_DRG 		Septic Arthritis With Mcc 7 $17,133.95 $40,569.95 $39,866.87 nat. median
$18,749
outlier · 2.1×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 3 $39,209.02 $51,512.94 $39,209.02 nat. median
$27,846
1.4× median
682
MS_DRG 		Renal Failure With Mcc 7 $19,153.44 $39,241.44 $38,638.80 nat. median
$14,443
outlier · 2.7×
543
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 $19,144.06 $39,232.06 $38,629.42 nat. median
$10,651
outlier · 3.6×
289
MS_DRG 		Acute And Subacute Endocarditis With Cc 7 $15,190.85 $38,626.85 $37,923.77 nat. median
$16,339
outlier · 2.3×
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 7 $16,713.78 $38,521.38 $37,918.74 nat. median
$11,515
outlier · 3.3×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 3 $37,706.62 $37,706.62 $37,706.62 nat. median
$20,312
1.9× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 3 $36,143.05 $36,143.05 $36,143.05 nat. median
$18,831
1.9× median
570
MS_DRG 		Skin Debridement With Mcc 7 $15,610.00 $35,698.00 $35,095.36 nat. median
$28,050
1.3× median
690
MS_DRG 		Kidney And Urinary Tract Infections Without Mcc 7 $11,640.95 $35,310.11 $34,707.47 nat. median
$8,379
outlier · 4.1×
306
MS_DRG 		Cardiac Congenital And Valvular Disorders With Mcc 4 $34,429.95 $180,958.12 $34,429.95 nat. median
$15,138
outlier · 2.3×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $33,864.95 $33,864.95 $33,864.95 nat. median
$47,579
0.7× median
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 $33,183.31 $36,419.95 $33,183.31 nat. median
$21,312
1.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 3 $32,890.87 $47,058.51 $32,890.87 nat. median
$38,049
0.9× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 $32,477.60 $34,503.79 $32,477.60 nat. median
$25,409
1.3× median
389
MS_DRG 		Gastrointestinal Obstruction With Cc 8 $12,162.54 $35,598.54 $31,799.50 nat. median
$8,347
outlier · 3.8×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 7 $15,419.15 $32,159.15 $31,656.95 nat. median
$18,829
1.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 $30,551.07 $39,809.23 $30,551.07 nat. median
$23,553
1.3× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 $13,682.73 $31,817.85 $30,422.73 nat. median
$19,268
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $30,240.33 $30,240.33 $30,240.33 nat. median
$58,118
0.5× median
444
MS_DRG 		Disorders Of The Biliary Tract With Mcc 8 $12,255.81 $32,343.81 $29,087.49 nat. median
$16,175
1.8× median
100
MS_DRG 		Seizures With Mcc 6 $18,368.78 $38,456.78 $28,376.80 nat. median
$18,371
1.5× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 3 $27,961.53 $27,961.53 $27,961.53 nat. median
$16,477
1.7× median
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 4 $22,571.75 $60,379.75 $27,319.40 nat. median
$16,834
1.6× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 7 $10,811.87 $27,551.87 $27,049.67 nat. median
$28,673
0.9× median
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 20 $7,699.93 $90,557.20 $26,718.15 nat. median
$8,966
outlier · 3.0×
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 3 $26,678.55 $26,678.55 $26,678.55 nat. median
$18,519
1.4× median
623
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 $26,530.87 $26,530.87 $26,530.87 nat. median
$17,691
1.5× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 $26,120.67 $26,139.52 $26,120.67 nat. median
$16,459
1.6× median
245
MS_DRG 		Aicd Generator Procedures 2 $26,095.68 $26,095.68 $26,095.68 nat. median
$42,929
0.6× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 3 $26,049.06 $26,049.06 $26,049.06 nat. median
$17,311
1.5× median
700
MS_DRG 		Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 7 $8,451.04 $26,192.86 $25,791.10 nat. median
$7,569
outlier · 3.4×
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 3 $25,081.75 $25,081.75 $25,081.75 nat. median
$15,979
1.6× median

Other procedures at this hospital

Browse this hospital's 5,054 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $92,897.07 $55,738.24 40% off $92,897.07 $99,885.81 $92,897.07 2025-11-18
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 7 7 $39,428.26 $23,656.96 40% off $36,671.01 $82,952.26 $81,646.54 2025-11-18
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 7 7 $26,628.04 $15,976.82 40% off $26,357.35 $63,456.04 $62,351.20 2025-11-18
393 MS_DRG Other Digestive System Diagnoses With Mcc 7 7 $27,364.37 $16,418.62 40% off $26,907.46 $60,844.37 $59,839.97 2025-11-18
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 8 8 $22,018.44 $13,211.06 40% off $22,018.44 $65,542.44 $58,487.08 2025-11-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 $58,311.67 $34,987.00 40% off $58,311.67 $117,430.30 $58,311.67 2025-11-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $57,600.36 $34,560.22 40% off $57,600.36 $76,559.61 $57,600.36 2025-11-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $54,354.49 $32,612.69 40% off $54,354.49 $54,440.71 $54,354.49 2025-11-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 7 $24,038.59 $14,423.15 40% off $24,038.59 $61,852.44 $50,822.59 2025-11-18
540 MS_DRG Osteomyelitis With Cc 8 8 $19,940.95 $11,964.57 40% off $19,276.05 $56,768.95 $50,799.03 2025-11-18
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 8 8 $19,276.57 $11,565.94 40% off $19,276.57 $52,756.57 $47,329.37 2025-11-18
549 MS_DRG Septic Arthritis With Cc 8 8 $18,512.01 $11,107.21 40% off $15,942.15 $51,992.01 $46,564.81 2025-11-18
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 7 7 $22,411.83 $13,447.10 40% off $14,701.63 $45,847.83 $45,144.75 2025-11-18
592 MS_DRG Skin Ulcers With Mcc 8 8 $19,030.77 $11,418.46 40% off $18,467.49 $49,162.77 $44,278.29 2025-11-18
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 7 7 $21,515.66 $12,909.40 40% off $21,515.66 $44,951.66 $44,248.58 2025-11-18
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 7 $20,876.11 $12,525.67 40% off $20,876.11 $44,312.11 $43,609.03 2025-11-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 $41,778.63 $25,067.18 40% off $41,778.63 $61,900.44 $41,778.63 2025-11-18
548 MS_DRG Septic Arthritis With Mcc 7 7 $17,133.95 $10,280.37 40% off $17,133.95 $40,569.95 $39,866.87 2025-11-18
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $39,209.02 $23,525.41 40% off $39,209.02 $51,512.94 $39,209.02 2025-11-18
682 MS_DRG Renal Failure With Mcc 7 7 $19,153.44 $11,492.06 40% off $19,153.44 $39,241.44 $38,638.80 2025-11-18
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 7 7 $19,144.06 $11,486.43 40% off $19,144.06 $39,232.06 $38,629.42 2025-11-18
289 MS_DRG Acute And Subacute Endocarditis With Cc 7 7 $15,190.85 $9,114.51 40% off $15,190.85 $38,626.85 $37,923.77 2025-11-18
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 7 7 $18,433.38 $11,060.03 40% off $16,713.78 $38,521.38 $37,918.74 2025-11-18
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 $56,905.73 $34,143.44 40% off $37,706.62 $37,706.62 $37,706.62 2025-11-18
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 $112,794.68 $67,676.81 40% off $36,143.05 $36,143.05 $36,143.05 2025-11-18
570 MS_DRG Skin Debridement With Mcc 7 7 $15,610.00 $9,366.00 40% off $15,610.00 $35,698.00 $35,095.36 2025-11-18
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 7 7 $15,222.11 $9,133.27 40% off $11,640.95 $35,310.11 $34,707.47 2025-11-18
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 4 4 $60,798.40 $36,479.04 40% off $34,429.95 $180,958.12 $34,429.95 2025-11-18
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 $33,864.95 $20,318.97 40% off $33,864.95 $33,864.95 $33,864.95 2025-11-18
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 $33,183.31 $19,909.99 40% off $33,183.31 $36,419.95 $33,183.31 2025-11-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 $32,890.87 $19,734.52 40% off $32,890.87 $47,058.51 $32,890.87 2025-11-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 $32,477.60 $19,486.56 40% off $32,477.60 $34,503.79 $32,477.60 2025-11-18
389 MS_DRG Gastrointestinal Obstruction With Cc 8 8 $12,162.54 $7,297.52 40% off $12,162.54 $35,598.54 $31,799.50 2025-11-18
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 7 7 $15,419.15 $9,251.49 40% off $15,419.15 $32,159.15 $31,656.95 2025-11-18
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 $30,551.07 $18,330.64 40% off $30,551.07 $39,809.23 $30,551.07 2025-11-18
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 7 7 $13,682.73 $8,209.64 40% off $13,682.73 $31,817.85 $30,422.73 2025-11-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 $30,240.33 $18,144.20 40% off $30,240.33 $30,240.33 $30,240.33 2025-11-18
444 MS_DRG Disorders Of The Biliary Tract With Mcc 8 8 $12,255.81 $7,353.49 40% off $12,255.81 $32,343.81 $29,087.49 2025-11-18
100 MS_DRG Seizures With Mcc 6 6 $18,368.78 $11,021.27 40% off $18,368.78 $38,456.78 $28,376.80 2025-11-18
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 3 3 $54,438.81 $32,663.29 40% off $27,961.53 $27,961.53 $27,961.53 2025-11-18
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 4 4 $22,571.75 $13,543.05 40% off $22,571.75 $60,379.75 $27,319.40 2025-11-18
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 7 $10,811.87 $6,487.12 40% off $10,811.87 $27,551.87 $27,049.67 2025-11-18
J9228 HCPCS Injection, Ipilimumab, 1 Mg 40 20 $56,602.03 $33,961.21 40% off $7,699.93 $90,557.20 $26,718.15 2025-11-18
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 3 $31,507.39 $18,904.43 40% off $26,678.55 $26,678.55 $26,678.55 2025-11-18
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 $33,165.49 $19,899.29 40% off $26,530.87 $26,530.87 $26,530.87 2025-11-18
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 3 $26,120.67 $15,672.40 40% off $26,120.67 $26,139.52 $26,120.67 2025-11-18
245 MS_DRG Aicd Generator Procedures 2 2 $26,095.68 $15,657.41 40% off $26,095.68 $26,095.68 $26,095.68 2025-11-18
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 3 $30,072.35 $18,043.41 40% off $26,049.06 $26,049.06 $26,049.06 2025-11-18
700 MS_DRG Other Kidney And Urinary Tract Diagnoses Without Cc/mcc 7 7 $12,800.86 $7,680.52 40% off $8,451.04 $26,192.86 $25,791.10 2025-11-18
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 $30,459.94 $18,275.96 40% off $25,081.75 $25,081.75 $25,081.75 2025-11-18
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 7 7 $12,048.64 $7,229.18 40% off $12,048.64 $25,440.64 $25,038.88 2025-11-18
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 6 6 $13,012.48 $7,807.49 40% off $13,012.48 $26,404.48 $24,927.18 2025-11-18
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 6 6 $11,286.13 $6,771.68 40% off $11,286.13 $30,754.54 $24,678.13 2025-11-18
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 8 8 $10,534.60 $6,320.76 40% off $10,534.60 $27,274.60 $24,561.00 2025-11-18
602 MS_DRG Cellulitis With Mcc 3 3 $29,320.45 $17,592.27 40% off $24,515.03 $24,515.03 $24,515.03 2025-11-18
177 MS_DRG Respiratory Infections And Inflammations With Mcc 3 3 $24,398.23 $14,638.94 40% off $24,398.23 $27,749.24 $24,398.23 2025-11-18
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 7 7 $11,391.54 $6,834.92 40% off $11,391.54 $24,783.54 $24,381.78 2025-11-18
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 3 3 $35,678.72 $21,407.23 40% off $24,204.90 $24,204.90 $24,204.90 2025-11-18
501 MS_DRG Soft Tissue Procedures With Cc 3 3 $28,641.01 $17,184.61 40% off $23,850.46 $23,850.46 $23,850.46 2025-11-18
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 7 7 $10,839.71 $6,503.83 40% off $10,839.71 $24,231.71 $23,829.95 2025-11-18
292 MS_DRG Heart Failure And Shock With Cc 7 7 $10,802.50 $6,481.50 40% off $10,802.50 $24,194.50 $23,792.74 2025-11-18
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 7 $10,783.29 $6,469.97 40% off $10,783.29 $24,175.29 $23,773.53 2025-11-18
603 MS_DRG Cellulitis Without Mcc 7 7 $10,600.34 $6,360.21 40% off $10,600.34 $23,992.34 $23,590.58 2025-11-18
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 6 6 $10,344.37 $6,206.62 40% off $10,344.37 $24,572.25 $23,535.49 2025-11-18
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 5 5 $19,767.65 $11,860.59 40% off $19,767.65 $39,855.65 $23,466.49 2025-11-18
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 7 7 $10,148.18 $6,088.91 40% off $10,148.18 $23,540.18 $23,138.42 2025-11-18
J9274 HCPCS Injection, Tebentafusp-tebn, 1 Microgram 20 20 $52,485.00 $31,491.00 40% off $17,844.90 $52,485.00 $22,264.14 2025-11-18
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 7 7 $9,149.44 $5,489.66 40% off $9,149.44 $22,541.44 $22,139.68 2025-11-18
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 3 3 $31,859.01 $19,115.41 40% off $21,000.22 $21,000.22 $21,000.22 2025-11-18
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 3 3 $23,023.51 $13,814.11 40% off $20,778.70 $20,778.70 $20,778.70 2025-11-18
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 7 7 $8,924.43 $5,354.66 40% off $8,924.43 $25,664.43 $20,739.43 2025-11-18
643 MS_DRG Endocrine Disorders With Mcc 4 4 $21,742.21 $13,045.33 40% off $20,503.64 $54,824.21 $20,503.64 2025-11-18
SUP-112918_1 CDM Kit Inst Non Sterile 7.0 Fixos (jchc) 20 20 $48,753.00 $29,251.80 40% off $14,625.90 $43,877.70 $20,476.26 2025-11-18
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 3 $20,167.76 $12,100.66 40% off $20,167.76 $20,378.12 $20,167.76 2025-11-18
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 8 8 $8,753.41 $5,252.05 40% off $8,753.41 $22,145.41 $19,974.53 2025-11-18
394 MS_DRG Other Digestive System Diagnoses With Cc 8 8 $8,610.93 $5,166.56 40% off $8,610.93 $22,002.93 $19,832.05 2025-11-18
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 4 4 $13,196.27 $7,917.76 40% off $13,196.27 $26,588.27 $19,747.27 2025-11-18
J2507 HCPCS Injection, Pegloticase, 1 Mg 20 20 $46,114.49 $27,668.69 40% off $15,678.93 $46,114.49 $19,561.77 2025-11-18
252 MS_DRG Other Vascular Procedures With Mcc 2 2 $19,555.53 $11,733.32 40% off $19,555.53 $19,555.53 $19,555.53 2025-11-18
811 MS_DRG Red Blood Cell Disorders With Mcc 7 7 $9,086.15 $5,451.69 40% off $9,086.15 $23,163.75 $19,130.15 2025-11-18
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 6 6 $9,813.45 $5,888.07 40% off $9,813.45 $19,857.45 $18,948.33 2025-11-18
139 MS_DRG Salivary Gland Procedures 3 3 $19,331.31 $11,598.79 40% off $18,927.15 $18,927.15 $18,927.15 2025-11-18
964 MS_DRG Other Multiple Significant Trauma With Cc 3 3 $18,875.33 $11,325.20 40% off $18,875.33 $24,825.16 $18,875.33 2025-11-18
SUP-112917_1 CDM Kit Inst Non Sterile 5.0 Fixos (jchc) 20 20 $44,877.00 $26,926.20 40% off $13,463.10 $40,389.30 $18,848.34 2025-11-18
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 7 7 $8,950.63 $5,370.38 40% off $8,950.63 $18,994.63 $18,693.31 2025-11-18
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 8 8 $7,066.00 $4,239.60 40% off $7,066.00 $20,458.00 $18,597.31 2025-11-18
597 MS_DRG Malignant Breast Disorders With Mcc 6 6 $8,660.41 $5,196.25 40% off $8,660.41 $18,704.41 $18,553.75 2025-11-18
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 3 3 $20,581.86 $12,349.12 40% off $18,524.72 $18,524.72 $18,524.72 2025-11-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $18,189.40 $10,913.64 40% off $18,189.40 $38,371.18 $18,189.40 2025-11-18
71 MS_DRG Other Cerebrovascular Disorders With Cc 6 6 $9,406.47 $5,643.88 40% off $9,406.47 $26,146.47 $18,128.62 2025-11-18
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 $14,614.52 $8,768.71 40% off $14,614.52 $38,244.52 $18,041.82 2025-11-18
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 7 7 $8,036.07 $4,821.64 40% off $8,036.07 $18,080.07 $17,778.75 2025-11-18
684 MS_DRG Renal Failure Without Cc/mcc 7 7 $7,997.79 $4,798.67 40% off $7,997.79 $18,041.79 $17,740.47 2025-11-18
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 7 7 $7,684.06 $4,610.44 40% off $7,684.06 $17,728.06 $17,426.74 2025-11-18
663 MS_DRG Minor Bladder Procedures With Cc 3 3 $48,873.84 $29,324.30 40% off $17,273.12 $17,273.12 $17,273.12 2025-11-18
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 6 $7,286.67 $4,372.00 40% off $7,286.67 $17,330.67 $17,180.01 2025-11-18
369 MS_DRG Major Esophageal Disorders With Cc 4 4 $16,141.83 $9,685.10 40% off $16,141.83 $42,134.83 $17,093.29 2025-11-18
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 3 $20,232.29 $12,139.37 40% off $16,743.32 $16,743.32 $16,743.32 2025-11-18
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 3 3 $16,553.94 $9,932.36 40% off $16,553.94 $18,515.49 $16,553.94 2025-11-18
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 3 $16,520.02 $9,912.01 40% off $16,520.02 $21,727.55 $16,520.02 2025-11-18
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 20 20 $38,564.95 $23,138.97 40% off $13,112.08 $38,564.95 $16,359.25 2025-11-18
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 6 6 $9,851.98 $5,911.19 40% off $9,851.98 $19,895.98 $16,016.75 2025-11-18
550 MS_DRG Septic Arthritis Without Cc/mcc 4 4 $76,064.66 $45,638.80 40% off $15,942.15 $201,303.66 $15,942.15 2025-11-18
683 MS_DRG Renal Failure With Cc 6 6 $9,321.46 $5,592.88 40% off $9,321.46 $22,713.46 $15,931.76 2025-11-18
884 MS_DRG Organic Disturbances And Intellectual Disability 8 8 $6,614.54 $3,968.73 40% off $4,410.54 $17,802.54 $15,631.66 2025-11-18
183 MS_DRG Major Chest Trauma With Mcc 3 3 $15,509.25 $9,305.55 40% off $15,509.25 $18,199.82 $15,509.25 2025-11-18
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 $15,165.33 $9,099.20 40% off $15,165.33 $35,428.64 $15,165.33 2025-11-18
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 3 $15,126.24 $9,075.74 40% off $15,126.24 $39,526.79 $15,126.24 2025-11-18
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 3 3 $14,841.27 $8,904.76 40% off $14,841.27 $20,429.80 $14,841.27 2025-11-18
374 MS_DRG Digestive Malignancy With Mcc 7 7 $5,033.59 $3,020.15 40% off $5,033.59 $15,077.59 $14,776.27 2025-11-18
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 3 $23,614.22 $14,168.53 40% off $14,487.49 $14,487.49 $14,487.49 2025-11-18
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 7 7 $7,021.18 $4,212.71 40% off $7,021.18 $17,065.18 $14,110.18 2025-11-18
J0638 HCPCS Injection, Canakinumab, 1 Mg 20 20 $32,076.53 $19,245.92 40% off $10,906.02 $32,076.53 $13,606.86 2025-11-18
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 8 8 $5,119.82 $3,071.89 40% off $5,119.82 $15,163.82 $13,535.66 2025-11-18
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 20 20 $31,699.50 $19,019.70 40% off $10,777.83 $31,699.50 $13,446.93 2025-11-18
949 MS_DRG Aftercare With Cc/mcc 3 3 $13,431.40 $8,058.84 40% off $13,431.40 $34,698.40 $13,431.40 2025-11-18
184 MS_DRG Major Chest Trauma With Cc 7 7 $6,284.96 $3,770.98 40% off $6,284.96 $16,328.96 $13,390.96 2025-11-18
200 MS_DRG Pneumothorax With Cc 3 3 $13,292.38 $7,975.43 40% off $13,292.38 $15,157.60 $13,292.38 2025-11-18
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 20 20 $30,961.44 $18,576.86 40% off $10,526.89 $30,961.44 $13,133.84 2025-11-18
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 3 $13,128.99 $7,877.39 40% off $13,128.99 $27,224.97 $13,128.99 2025-11-18
571 MS_DRG Skin Debridement With Cc 3 3 $13,004.18 $7,802.51 40% off $13,004.18 $22,423.50 $13,004.18 2025-11-18
304 MS_DRG Hypertension With Mcc 3 3 $12,978.93 $7,787.36 40% off $12,978.93 $15,179.75 $12,978.93 2025-11-18
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 7 7 $6,463.08 $3,877.85 40% off $6,463.08 $13,159.08 $12,958.20 2025-11-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 $12,939.18 $7,763.51 40% off $12,939.18 $12,939.18 $12,939.18 2025-11-18
644 MS_DRG Endocrine Disorders With Cc 3 3 $27,584.89 $16,550.93 40% off $12,938.69 $12,938.69 $12,938.69 2025-11-18
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 40 20 $28,259.48 $16,955.69 40% off $3,393.35 $46,538.53 $12,901.76 2025-11-18
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 3 3 $30,928.51 $18,557.11 40% off $12,899.92 $12,899.92 $12,899.92 2025-11-18
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 20 20 $30,085.68 $18,051.41 40% off $10,229.13 $30,085.68 $12,762.35 2025-11-18
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 $12,635.37 $7,581.22 40% off $12,635.37 $12,635.37 $12,635.37 2025-11-18
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 20 20 $29,729.40 $17,837.64 40% off $10,108.00 $29,729.40 $12,611.22 2025-11-18
638 MS_DRG Diabetes With Cc 3 3 $19,770.49 $11,862.29 40% off $12,586.10 $12,586.10 $12,586.10 2025-11-18
637 MS_DRG Diabetes With Mcc 6 6 $5,733.62 $3,440.17 40% off $5,733.62 $12,429.62 $12,329.18 2025-11-18
950 MS_DRG Aftercare Without Cc/mcc 7 7 $5,183.76 $3,110.26 40% off $5,183.76 $15,227.76 $12,272.76 2025-11-18
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 4 4 $17,465.60 $10,479.36 40% off $12,242.75 $43,458.60 $12,242.75 2025-11-18
948 MS_DRG Signs And Symptoms Without Mcc 7 7 $5,029.75 $3,017.85 40% off $5,029.75 $15,073.75 $12,118.75 2025-11-18
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 4 4 $17,403.35 $10,442.01 40% off $12,063.68 $48,122.35 $12,063.68 2025-11-18
141 MS_DRG Major Head And Neck Procedures With Cc 3 3 $11,949.71 $7,169.83 40% off $11,949.71 $29,442.03 $11,949.71 2025-11-18
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 $11,890.09 $7,134.05 40% off $11,890.09 $11,890.09 $11,890.09 2025-11-18
311 MS_DRG Angina Pectoris 7 7 $5,234.78 $3,140.87 40% off $5,234.78 $11,930.78 $11,729.90 2025-11-18
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 3 3 $12,803.98 $7,682.39 40% off $11,698.17 $11,698.17 $11,698.17 2025-11-18
552 MS_DRG Medical Back Problems Without Mcc 4 4 $26,825.23 $16,095.14 40% off $11,609.56 $78,811.23 $11,609.56 2025-11-18
J9022 HCPCS Injection, Atezolizumab, 10 Mg 40 20 $24,637.41 $14,782.44 40% off $6,899.08 $28,983.40 $11,593.36 2025-11-18
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 20 20 $27,322.41 $16,393.45 40% off $9,289.62 $27,322.41 $11,590.17 2025-11-18
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 3 3 $23,463.91 $14,078.35 40% off $11,580.03 $11,580.03 $11,580.03 2025-11-18
176 MS_DRG Pulmonary Embolism Without Mcc 7 7 $5,808.88 $3,485.33 40% off $4,849.81 $14,120.14 $11,545.81 2025-11-18
149 MS_DRG Dysequilibrium 3 3 $13,406.97 $8,044.18 40% off $11,436.04 $11,436.04 $11,436.04 2025-11-18
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 20 20 $26,942.16 $16,165.30 40% off $9,160.33 $26,942.16 $11,428.86 2025-11-18
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 20 20 $26,439.66 $15,863.80 40% off $8,989.48 $26,439.66 $11,215.70 2025-11-18
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 8 8 $4,541.96 $2,725.18 40% off $4,541.96 $11,633.56 $11,137.52 2025-11-18
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 3 $11,058.39 $6,635.03 40% off $11,058.39 $22,513.95 $11,058.39 2025-11-18
312 MS_DRG Syncope And Collapse 4 4 $9,653.63 $5,792.18 40% off $9,653.63 $26,194.63 $10,875.27 2025-11-18
316 MS_DRG Other Circulatory System Diagnoses Without Cc/mcc 8 8 $4,621.74 $2,773.04 40% off $4,621.74 $11,317.74 $10,736.49 2025-11-18
812 MS_DRG Red Blood Cell Disorders Without Mcc 3 3 $10,425.60 $6,255.36 40% off $10,425.60 $14,245.67 $10,425.60 2025-11-18
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 3 3 $10,234.83 $6,140.90 40% off $10,234.83 $14,755.17 $10,234.83 2025-11-18
199 MS_DRG Pneumothorax With Mcc 3 3 $10,151.89 $6,091.13 40% off $10,151.89 $23,049.29 $10,151.89 2025-11-18
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 2 $10,150.02 $6,090.01 40% off $10,150.02 $10,150.02 $10,150.02 2025-11-18
180 MS_DRG Respiratory Neoplasms With Mcc 6 6 $4,518.46 $2,711.08 40% off $4,518.46 $11,214.46 $10,129.02 2025-11-18
864 MS_DRG Fever And Inflammatory Conditions 3 3 $10,116.12 $6,069.67 40% off $10,116.12 $11,633.56 $10,116.12 2025-11-18
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 8 8 $3,920.42 $2,352.25 40% off $3,920.42 $10,616.42 $10,048.94 2025-11-18
305 MS_DRG Hypertension Without Mcc 3 3 $9,985.49 $5,991.29 40% off $9,985.49 $11,696.33 $9,985.49 2025-11-18
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 3 3 $18,669.27 $11,201.56 40% off $9,868.77 $9,868.77 $9,868.77 2025-11-18
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 20 20 $22,510.70 $13,506.42 40% off $7,653.64 $22,510.70 $9,549.03 2025-11-18
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 3 3 $9,544.23 $5,726.54 40% off $9,544.23 $11,399.12 $9,544.23 2025-11-18
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 4 4 $12,503.25 $7,501.95 40% off $9,185.75 $33,770.25 $9,185.75 2025-11-18
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 3 3 $20,776.94 $12,466.16 40% off $9,043.61 $9,043.61 $9,043.61 2025-11-18
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 $8,830.72 $5,298.43 40% off $8,830.72 $8,830.72 $8,830.72 2025-11-18
607 MS_DRG Minor Skin Disorders Without Mcc 3 3 $8,763.95 $5,258.37 40% off $8,763.95 $9,765.40 $8,763.95 2025-11-18
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 20 20 $20,635.00 $12,381.00 40% off $7,015.90 $20,635.00 $8,753.37 2025-11-18
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 3 3 $8,474.71 $5,084.82 40% off $8,474.71 $12,368.27 $8,474.71 2025-11-18
598 MS_DRG Malignant Breast Disorders With Cc 4 4 $5,198.98 $3,119.39 40% off $5,198.98 $14,650.98 $8,346.12 2025-11-18
153 MS_DRG Otitis Media And Uri Without Mcc 3 3 $13,115.42 $7,869.25 40% off $8,199.98 $8,199.98 $8,199.98 2025-11-18
291 MS_DRG Heart Failure And Shock With Mcc 3 3 $8,171.13 $4,902.68 40% off $8,171.13 $21,768.16 $8,171.13 2025-11-18
SUP-112948_1 CDM Bone Viable Matrix Bio4 10cc (jchc) 20 20 $19,200.00 $11,520.00 40% off $5,760.00 $17,280.00 $8,064.00 2025-11-18
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 4 4 $5,438.40 $3,263.04 40% off $5,438.40 $14,890.40 $8,015.40 2025-11-18
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 3 $7,941.59 $4,764.95 40% off $7,941.59 $19,096.98 $7,941.59 2025-11-18
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 20 20 $18,509.06 $11,105.44 40% off $6,293.08 $18,509.06 $7,851.55 2025-11-18
378 MS_DRG Gastrointestinal Hemorrhage With Cc 3 3 $7,785.76 $4,671.46 40% off $7,785.76 $17,071.91 $7,785.76 2025-11-18
694 MS_DRG Urinary Stones Without Mcc 3 3 $7,773.85 $4,664.31 40% off $7,773.85 $10,586.87 $7,773.85 2025-11-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 $7,672.05 $4,603.23 40% off $7,672.05 $7,672.05 $7,672.05 2025-11-18
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 2 2 $7,277.33 $4,366.40 40% off $7,277.33 $7,277.33 $7,277.33 2025-11-18
J9306 HCPCS Injection, Pertuzumab, 1 Mg 20 20 $17,061.23 $10,236.74 40% off $5,800.82 $17,061.23 $7,237.38 2025-11-18
178 MS_DRG Respiratory Infections And Inflammations With Cc 3 3 $6,534.45 $3,920.67 40% off $6,534.45 $18,349.45 $6,534.45 2025-11-18
639 MS_DRG Diabetes Without Cc/mcc 3 3 $6,406.41 $3,843.85 40% off $6,406.41 $10,302.59 $6,406.41 2025-11-18
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 40 20 $12,976.29 $7,785.77 40% off $3,394.59 $15,968.50 $6,387.40 2025-11-18
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 20 20 $14,754.30 $8,852.58 40% off $5,016.46 $14,754.30 $6,258.77 2025-11-18
201 MS_DRG Pneumothorax Without Cc/mcc 3 3 $6,239.48 $3,743.69 40% off $6,239.48 $12,545.49 $6,239.48 2025-11-18
Q4150 HCPCS Allowrap Ds Or Dry, Per Square Centimeter 82 22 $9,172.80 $5,503.68 40% off $1,810.43 $19,968.00 $5,990.40 2025-11-18
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 20 20 $14,039.87 $8,423.92 40% off $4,773.56 $14,039.87 $5,955.72 2025-11-18
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 5 5 $2,637.58 $1,582.55 40% off $2,637.58 $5,985.58 $5,885.14 2025-11-18
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 $5,687.68 $3,412.61 40% off $5,687.68 $5,687.68 $5,687.68 2025-11-18
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 6 6 $2,365.75 $1,419.45 40% off $2,365.75 $5,713.75 $5,663.53 2025-11-18
J1932 HCPCS Injection, Lanreotide, (cipla), 1 Mg 20 20 $13,338.99 $8,003.39 40% off $4,535.26 $13,338.99 $5,658.40 2025-11-18
J2323 HCPCS Injection, Natalizumab, 1 Mg 20 20 $13,318.83 $7,991.30 40% off $4,528.40 $13,318.83 $5,649.85 2025-11-18
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 $3,279.05 $1,967.43 40% off $3,205.05 $9,700.17 $5,568.05 2025-11-18
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 7 7 $2,257.94 $1,354.76 40% off $2,257.94 $5,605.94 $5,505.50 2025-11-18
J9303 HCPCS Injection, Panitumumab, 10 Mg 40 20 $11,332.81 $6,799.69 40% off $1,543.30 $18,126.50 $5,351.07 2025-11-18
J3101 HCPCS Injection, Tenecteplase, 1 Mg 20 20 $12,445.89 $7,467.53 40% off $4,231.60 $12,445.89 $5,279.55 2025-11-18
951 MS_DRG Other Factors Influencing Health Status 4 4 $2,878.94 $1,727.37 40% off $2,878.94 $8,122.45 $5,241.94 2025-11-18
J9207 HCPCS Injection, Ixabepilone, 1 Mg 40 20 $10,082.80 $6,049.68 40% off $1,715.78 $15,119.20 $5,093.47 2025-11-18
595 MS_DRG Major Skin Disorders With Mcc 2 2 $5,025.70 $3,015.42 40% off $5,025.70 $5,025.70 $5,025.70 2025-11-18
SUP-112919_1 CDM Handle Teardrop Ao Med Cann (jchc) 20 20 $11,801.70 $7,081.02 40% off $3,540.51 $10,621.53 $4,956.71 2025-11-18
SUP-112781_1 CDM Cement Ha Bone Substitute 10cc Hydro Set Inject(JCHC) 20 20 $11,718.00 $7,030.80 40% off $3,515.40 $10,546.20 $4,921.56 2025-11-18
45307 HCPCS Removal Of Foreign Bodies From Rectum And/or Lower Large Bowel Using A Rigid End… 36 22 $12,397.00 $7,438.20 40% off $64.80 $12,397.00 $4,884.42 2025-11-18
SUP-112947_1 CDM Bone Viable Matrix Bio4 5cc (jchc) 20 20 $11,625.00 $6,975.00 40% off $3,487.50 $10,462.50 $4,882.50 2025-11-18
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 6 6 $2,539.05 $1,523.43 40% off $1,831.55 $5,179.55 $4,636.83 2025-11-18
J2427 HCPCS Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr… 20 20 $10,707.71 $6,424.63 40% off $3,640.62 $10,707.71 $4,542.21 2025-11-18
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 2 $4,294.86 $2,576.92 40% off $4,294.86 $4,294.86 $4,294.86 2025-11-18
J9177 HCPCS Injection, Enfortumab Vedotin-ejfv, 0.25 Mg 40 20 $8,788.12 $5,272.88 40% off $2,391.05 $10,543.75 $4,217.50 2025-11-18
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 60 20 $6,924.45 $4,154.67 40% off $1,796.95 $10,368.84 $4,147.54 2025-11-18
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 20 20 $9,626.99 $5,776.19 40% off $3,273.18 $9,626.99 $4,083.77 2025-11-18
J9061 HCPCS Injection, Amivantamab-vmjw, 2 Mg 20 20 $9,526.69 $5,716.01 40% off $3,239.07 $9,526.69 $4,041.22 2025-11-18
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 3 3 $4,028.00 $2,416.80 40% off $4,028.00 $11,117.00 $4,028.00 2025-11-18
101 MS_DRG Seizures Without Mcc 3 3 $4,004.06 $2,402.44 40% off $4,004.06 $9,957.38 $4,004.06 2025-11-18
HB-036001759_1 CDM Operating Room Services - General Classification 20 20 $9,367.00 $5,620.20 40% off $2,810.10 $8,430.30 $3,934.14 2025-11-18
HB-036002121_1 CDM Operating Room Services - General Classification 20 20 $9,347.00 $5,608.20 40% off $2,804.10 $8,412.30 $3,925.74 2025-11-18
HB-036001758_1 CDM Operating Room Services - General Classification 20 20 $9,301.00 $5,580.60 40% off $2,790.30 $8,370.90 $3,906.42 2025-11-18
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 20 20 $8,999.15 $5,399.49 40% off $3,059.71 $8,999.15 $3,817.44 2025-11-18
47379 HCPCS Other Procedure On Liver Using An Endoscope 4 4 $3,808.00 $2,284.80 40% off $1,332.80 $3,808.00 $3,808.00 2025-11-18
SUP-132510_1 CDM Pk Cutting Forcep 5mm 33cm (jchc) 20 20 $9,056.25 $5,433.75 40% off $2,716.88 $8,150.63 $3,803.63 2025-11-18
A6215 HCPCS Foam Dressing, Wound Filler, Sterile, Per Gram 160 20 $6,708.45 $4,025.07 40% off $885.11 $17,415.00 $3,736.28 2025-11-18
HB-036001837_1 CDM Operating Room Services - General Classification 20 20 $8,877.00 $5,326.20 40% off $2,663.10 $7,989.30 $3,728.34 2025-11-18
J0517 HCPCS Injection, Benralizumab, 1 Mg 20 20 $8,770.58 $5,262.35 40% off $2,982.00 $8,770.58 $3,720.48 2025-11-18
HB-036001788_1 CDM Operating Room Services - General Classification 20 20 $8,741.00 $5,244.60 40% off $2,622.30 $7,866.90 $3,671.22 2025-11-18
HB-036001785_1 CDM Operating Room Services - General Classification 20 20 $8,445.00 $5,067.00 40% off $2,533.50 $7,600.50 $3,546.90 2025-11-18
HB-036001925_1 CDM Operating Room Services - General Classification 20 20 $8,440.00 $5,064.00 40% off $2,532.00 $7,596.00 $3,544.80 2025-11-18
J9299 HCPCS Injection, Nivolumab, 1 Mg 60 20 $8,284.00 $4,970.40 40% off $1,128.67 $19,867.72 $3,514.07 2025-11-18
43760 HCPCS Change Gastrostomy Tube 26 22 $8,764.00 $5,258.40 40% off $452.55 $8,764.00 $3,505.60 2025-11-18
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 20 20 $8,160.96 $4,896.58 40% off $2,774.73 $8,160.96 $3,461.88 2025-11-18
C1763 HCPCS Connective Tissue, Non-human (includes Synthetic) 142 22 $7,935.13 $4,761.08 40% off $734.83 $9,080.41 $3,424.44 2025-11-18
HB-036001760_1 CDM Operating Room Services - General Classification 20 20 $8,063.00 $4,837.80 40% off $2,418.90 $7,256.70 $3,386.46 2025-11-18
J2802 HCPCS Injection, Romiplostim, 1 Microgram 40 20 $6,194.28 $3,716.57 40% off $1,404.04 $8,259.03 $3,303.61 2025-11-18
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 20 20 $7,726.18 $4,635.71 40% off $2,626.90 $7,726.18 $3,277.45 2025-11-18
L8699 HCPCS Prosthetic Implant, Not Otherwise Specified 80 20 $6,378.84 $3,827.31 40% off $944.78 $9,142.88 $3,276.00 2025-11-18
27613 HCPCS Biopsy Of Surface Tissue Of Leg Or Ankle 35 22 $8,101.00 $4,860.60 40% off $142.28 $8,101.00 $3,240.40 2025-11-18
J9400 HCPCS Injection, Ziv-aflibercept, 1 Mg 40 20 $6,010.00 $3,606.00 40% off $1,363.40 $8,010.00 $3,204.00 2025-11-18
SUP-112940_1 CDM Wedge Cotton Allogrft 10x22x20 (jchc) 20 20 $7,623.00 $4,573.80 40% off $2,286.90 $6,860.70 $3,201.66 2025-11-18
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 20 20 $7,461.00 $4,476.60 40% off $2,536.74 $7,461.00 $3,164.95 2025-11-18
27599 HCPCS Other Procedure On Thigh Or Knee 4 4 $3,146.00 $1,887.60 40% off $1,101.10 $3,146.00 $3,146.00 2025-11-18
HB-036001932_1 CDM Operating Room Services - General Classification 20 20 $7,443.00 $4,465.80 40% off $2,232.90 $6,698.70 $3,126.06 2025-11-18
J9035 HCPCS Injection, Bevacizumab, 10 Mg 20 20 $7,341.85 $4,405.11 40% off $2,496.23 $7,341.85 $3,114.41 2025-11-18
C1762 HCPCS Connective Tissue, Human (includes Fascia Lata) 62 22 $7,203.74 $4,322.24 40% off $1,824.63 $7,623.00 $3,067.64 2025-11-18
SUP-144966_1 CDM Fixation Pack Lapiplasty Lesser Tmt (jchc) 20 20 $7,279.65 $4,367.79 40% off $2,183.90 $6,551.69 $3,057.45 2025-11-18
J9325 HCPCS Injection, Talimogene Laherparepvec, Per 1 Million Plaque Forming Units 40 20 $8,822.59 $5,293.56 40% off $58.04 $17,474.48 $3,056.01 2025-11-18
SUP-104413_1 CDM Wedge Evans (jchc) 20 20 $7,203.74 $4,322.24 40% off $2,161.12 $6,483.37 $3,025.57 2025-11-18
SUP-113155_1 CDM Forceps Plate Cut 1.5-2.7mm (jchc) 20 20 $7,174.50 $4,304.70 40% off $2,152.35 $6,457.05 $3,013.29 2025-11-18
HB-036001752_1 CDM Operating Room Services - General Classification 20 20 $7,060.00 $4,236.00 40% off $2,118.00 $6,354.00 $2,965.20 2025-11-18
49659 HCPCS Other Repair Of Hernia Using An Endoscope 4 4 $2,960.00 $1,776.00 40% off $1,036.00 $2,960.00 $2,960.00 2025-11-18
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 3 3 $2,951.05 $1,770.63 40% off $2,951.05 $7,677.05 $2,951.05 2025-11-18
26952 HCPCS Amputation Of Finger Or Thumb With Tissue Flap 22 22 $6,343.00 $3,805.80 40% off $2,156.62 $6,343.00 $2,912.70 2025-11-18
SUP-112946_1 CDM Bone Viable Matrix Bio4 2.5cc (jchc) 20 20 $6,693.75 $4,016.25 40% off $2,008.13 $6,024.38 $2,811.38 2025-11-18
SUP-132479_1 CDM Mpfl Biocomposite (jchc) 20 20 $6,693.75 $4,016.25 40% off $2,008.13 $6,024.38 $2,811.38 2025-11-18
HB-036001783_1 CDM Operating Room Services - General Classification 20 20 $6,621.00 $3,972.60 40% off $1,986.30 $5,958.90 $2,780.82 2025-11-18
J1950 HCPCS Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg 60 20 $6,498.83 $3,899.30 40% off $918.57 $19,496.57 $2,756.81 2025-11-18
J9317 HCPCS Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 20 20 $6,418.75 $3,851.25 40% off $2,182.38 $6,418.75 $2,722.84 2025-11-18
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 $2,720.49 $1,632.29 40% off $2,720.49 $7,446.49 $2,720.49 2025-11-18
754 MS_DRG Malignancy, Female Reproductive System With Mcc 3 3 $2,689.71 $1,613.83 40% off $2,689.71 $7,415.71 $2,689.71 2025-11-18
J9032 HCPCS Injection, Belinostat, 10 Mg 20 20 $6,335.70 $3,801.42 40% off $2,154.14 $6,335.70 $2,687.60 2025-11-18
HB-036001835_1 CDM Operating Room Services - General Classification 20 20 $6,391.00 $3,834.60 40% off $1,917.30 $5,751.90 $2,684.22 2025-11-18
SUP-112780_1 CDM Cement Ha Bone Substitute 5cc Hydro Set Inject(JCHC) 20 20 $6,355.20 $3,813.12 40% off $1,906.56 $5,719.68 $2,669.18 2025-11-18
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 20 20 $6,194.50 $3,716.70 40% off $2,106.13 $6,194.50 $2,627.70 2025-11-18
HB-036002127_1 CDM Operating Room Services - General Classification 20 20 $6,200.00 $3,720.00 40% off $1,860.00 $5,580.00 $2,604.00 2025-11-18
HB-036001750_1 CDM Operating Room Services - General Classification 20 20 $6,141.00 $3,684.60 40% off $1,842.30 $5,526.90 $2,579.22 2025-11-18
SUP-146297_1 CDM Probe Coolief Multi-cooled 17g X 100mm X 4mm (jchc) 20 20 $6,112.00 $3,667.20 40% off $1,833.60 $5,500.80 $2,567.04 2025-11-18
SUP-146298_1 CDM Probe Coolief Multi-cooled 17g X 75mm X 4mm (jchc) 20 20 $6,112.00 $3,667.20 40% off $1,833.60 $5,500.80 $2,567.04 2025-11-18
73222 HCPCS MRI Scan Of Arm Joint With Contrast 22 22 $6,110.00 $3,666.00 40% off $1,113.56 $6,110.00 $2,566.20 2025-11-18
C1776 HCPCS Joint Device (implantable) 920 20 $4,966.40 $2,979.84 40% off $209.81 $17,478.45 $2,560.00 2025-11-18
49566 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 4 4 $2,550.00 $1,530.00 40% off $892.50 $2,550.00 $2,550.00 2025-11-18
HB-036001751_1 CDM Operating Room Services - General Classification 20 20 $6,013.00 $3,607.80 40% off $1,803.90 $5,411.70 $2,525.46 2025-11-18
49561 HCPCS Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated 4 4 $2,512.00 $1,507.20 40% off $879.20 $2,512.00 $2,512.00 2025-11-18
HB-036001891_1 CDM Operating Room Services - General Classification 20 20 $5,951.00 $3,570.60 40% off $1,785.30 $5,355.90 $2,499.42 2025-11-18
HB-036001897_1 CDM Operating Room Services - General Classification 20 20 $5,951.00 $3,570.60 40% off $1,785.30 $5,355.90 $2,499.42 2025-11-18
Q5120 HCPCS Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg 20 20 $5,888.30 $3,532.98 40% off $2,002.02 $5,888.30 $2,497.82 2025-11-18
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 20 20 $5,887.50 $3,532.50 40% off $2,001.75 $5,887.50 $2,497.48 2025-11-18
22999 HCPCS Other Procedure On Abdominal Muscle Or Bone 4 4 $2,422.00 $1,453.20 40% off $847.70 $2,422.00 $2,422.00 2025-11-18
J0565 HCPCS Injection, Bezlotoxumab, 10 Mg 20 20 $5,700.00 $3,420.00 40% off $1,938.00 $5,700.00 $2,417.94 2025-11-18
27562 HCPCS Closed Treatment Of Dislocated Kneecap Under Anesthesia 35 22 $5,997.00 $3,598.20 40% off $436.16 $5,997.00 $2,398.80 2025-11-18
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 22 22 $5,703.00 $3,421.80 40% off $420.17 $5,703.00 $2,395.26 2025-11-18
HB-036001923_1 CDM Operating Room Services - General Classification 20 20 $5,700.00 $3,420.00 40% off $1,710.00 $5,130.00 $2,394.00 2025-11-18
HB-036001799_1 CDM Operating Room Services - General Classification 20 20 $5,647.00 $3,388.20 40% off $1,694.10 $5,082.30 $2,371.74 2025-11-18
HB-036001784_1 CDM Operating Room Services - General Classification 20 20 $5,600.00 $3,360.00 40% off $1,680.00 $5,040.00 $2,352.00 2025-11-18
70551 HCPCS MRI Scan Of Brain Without Contrast 22 22 $5,500.00 $3,300.00 40% off $806.94 $5,500.00 $2,310.00 2025-11-18
J2182 HCPCS Injection, Mepolizumab, 1 Mg 20 20 $5,404.23 $3,242.54 40% off $1,837.44 $5,404.23 $2,292.48 2025-11-18
SUP-112911_1 CDM Screw Rack 7.0mm (jchc) 20 20 $5,440.00 $3,264.00 40% off $1,632.00 $4,896.00 $2,284.80 2025-11-18
J1306 HCPCS Injection, Inclisiran, 1 Mg 20 20 $5,381.60 $3,228.96 40% off $1,829.74 $5,381.60 $2,282.88 2025-11-18
Q5123 HCPCS Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg 20 20 $5,376.00 $3,225.60 40% off $1,827.84 $5,376.00 $2,280.50 2025-11-18
HB-036001800_1 CDM Operating Room Services - General Classification 20 20 $5,410.00 $3,246.00 40% off $1,623.00 $4,869.00 $2,272.20 2025-11-18
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 160 20 $3,642.34 $2,185.40 40% off $230.36 $19,316.99 $2,262.97 2025-11-18
44979 HCPCS Other Procedure On Appendix Using An Endoscope 4 4 $2,239.00 $1,343.40 40% off $783.65 $2,239.00 $2,239.00 2025-11-18
SUP-101791_1 CDM Femoral 17mmx170mm Standard (jchc) 20 20 $5,324.80 $3,194.88 40% off $1,597.44 $4,792.32 $2,236.42 2025-11-18
SUP-101793_1 CDM Femoral 9mmx130mm Standard (jchc) 20 20 $5,324.80 $3,194.88 40% off $1,597.44 $4,792.32 $2,236.42 2025-11-18
SUP-101789_1 CDM Femoral 13mmx150mm Standard (jchc) 20 20 $5,324.80 $3,194.88 40% off $1,597.44 $4,792.32 $2,236.42 2025-11-18
SUP-101792_1 CDM Femoral 7mmx120mm Standard (jchc) 20 20 $5,324.80 $3,194.88 40% off $1,597.44 $4,792.32 $2,236.42 2025-11-18
J9023 HCPCS Injection, Avelumab, 10 Mg 20 20 $5,245.05 $3,147.03 40% off $1,783.32 $5,245.05 $2,224.95 2025-11-18
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 20 20 $5,238.30 $3,142.98 40% off $1,781.02 $5,238.30 $2,222.09 2025-11-18
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 22 22 $5,251.00 $3,150.60 40% off $420.17 $5,251.00 $2,205.42 2025-11-18
J9033 HCPCS Injection, Bendamustine Hydrochloride, 1 Mg 40 20 $4,653.44 $2,792.06 40% off $634.91 $7,439.50 $2,198.40 2025-11-18
HB-036001930_1 CDM Operating Room Services - General Classification 20 20 $5,179.00 $3,107.40 40% off $1,553.70 $4,661.10 $2,175.18 2025-11-18
HB-036001763_1 CDM Operating Room Services - General Classification 20 20 $5,153.00 $3,091.80 40% off $1,545.90 $4,637.70 $2,164.26 2025-11-18
62322 HCPCS Injection Of Substance Into Lower Spine Canal 38 22 $5,800.00 $3,480.00 40% off $68.98 $5,800.00 $2,111.20 2025-11-18
J1944 HCPCS Injection, Aripiprazole Lauroxil, (aristada), 1 Mg 80 20 $4,177.73 $2,506.64 40% off $811.41 $5,757.92 $2,096.30 2025-11-18
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