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

ST. CATHERINE HOSPITAL - GARDEN CITY

Garden City, KS · CCN 170023 · Rates published

12,775 distinct procedures filed
10 distinct payers
149,170 rate rows
2024-12-02 last MRF observed · ⚠ 22 mo old
Data quality

148,941 of 149,170 rate rows are consumer-grade (99.8%)

229 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 207
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 12
exceeds 10× this hospital's gross charge — excluded from medians 4
placeholder amount (≤ $0.02) — excluded from medians 4
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8277/480543721_commonspirit-health-st-catherine-garden-city_standardcharges.csv
Found on page https://www.mountain.commonspirit.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint 9784ac08728be894… · 166,893,925 bytes · first seen 2026-05-04

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $4,936,045.63 $4,936,045.63 $4,936,045.63 nat. median
$3,685,267
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,996,884.85 $2,996,884.85 $2,996,884.85 nat. median
$2,455,111
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $562,709.21 $562,709.21 $562,709.21 nat. median
$574,037
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $562,709.21 $562,709.21 $562,709.21 nat. median
$513,770
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $562,709.21 $562,709.21 $562,709.21 nat. median
$562,501
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $562,709.21 $562,709.21 $562,709.21 nat. median
$579,571
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $562,709.21 $562,709.21 $562,709.21 nat. median
$599,737
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $392,941.26 $585,042.32 $392,941.26 nat. median
$168,055
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $289,016.77 $416,543.90 $289,016.77 nat. median
$186,516
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $141,117.02 $281,125.46 $281,125.46 nat. median
$131,925
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $197,826.03 $227,389.02 $227,389.02 nat. median
$145,435
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $123,450.36 $156,781.03 $156,781.03 nat. median
$97,418
1.6× median
7
MS_DRG 		Lung Transplant 5 $118,527.08 $130,825.78 $130,825.78 nat. median
$70,649
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $130,587.93 $248,300.81 $130,587.93 nat. median
$65,418
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $122,234.81 $178,917.56 $122,234.81 nat. median
$72,715
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $114,873.57 $114,873.57 $114,873.57 nat. median
$74,509
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $110,386.64 $157,882.18 $110,386.64 nat. median
$69,922
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 5 $108,944.69 $123,765.84 $108,944.69 nat. median
$73,023
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $103,510.68 $103,950.95 $103,510.68 nat. median
$69,822
1.5× median
453
MS_DRG 		DRG 5 $94,510.16 $95,136.24 $94,510.16 nat. median
$2,106
outlier · 44.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $85,689.89 $90,148.02 $90,148.02 nat. median
$56,428
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $89,047.85 $89,902.72 $89,902.72 nat. median
$59,651
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $86,097.64 $86,551.66 $86,551.66 nat. median
$60,505
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $85,253.69 $100,028.67 $85,253.69 nat. median
$45,605
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $83,185.67 $83,918.99 $83,185.67 nat. median
$55,935
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $82,242.85 $83,431.62 $82,242.85 nat. median
$55,923
1.5× median
90288
CPT 		Botulism Ig IV 1 $81,556.75 $81,556.75 $81,556.75 nat. median
$43,548
1.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $78,718.41 $78,718.41 $78,718.41 nat. median
$63,499
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $72,417.08 $77,137.34 $77,137.34 nat. median
$52,327
1.5× median
33231
CPT 		Hc Insert Generator Only (icd) To Existing Multiple Leads 10 $357.04 $91,524.78 $75,956.13 nat. median
$31,377
outlier · 2.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $75,039.45 $75,039.45 $75,039.45 nat. median
$51,518
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $66,672.00 $74,283.27 $74,283.27 nat. median
$48,611
1.5× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 $48,842.21 $73,801.20 $73,801.20 nat. median
$37,013
2.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $72,395.83 $73,676.42 $73,676.42 nat. median
$47,121
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $66,507.40 $73,298.86 $73,298.86 nat. median
$41,943
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $72,100.81 $73,107.95 $73,107.95 nat. median
$49,569
1.5× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 $62,972.36 $72,721.87 $72,721.87 nat. median
$38,844
1.9× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 10 $466.61 $104,948.55 $71,408.29 nat. median
$544
outlier · 131.3×
459
MS_DRG 		DRG 5 $69,721.37 $70,735.98 $70,735.98 nat. median
$2,106
outlier · 33.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $67,132.77 $67,888.32 $67,888.32 nat. median
$47,458
1.4× median
33249
CPT 		Hc Insert/replace (icd) Single/dual Lead/s System 10 $814.50 $81,137.56 $67,335.81 nat. median
$32,069
outlier · 2.1×
33240
CPT 		Hc Insert Generator Only (icd) To Existing Single Lead 10 $326.51 $81,137.56 $67,335.81 nat. median
$23,398
outlier · 2.9×
33214
CPT 		Hc Replace/upgrade Pacemaker Single To Pacemaker Dual 10 $428.37 $81,137.56 $67,335.81 nat. median
$11,475
outlier · 5.9×
33262
CPT 		Hc Replace Generator Only (icd) Single 10 $333.00 $81,137.56 $67,335.81 nat. median
$23,514
outlier · 2.9×
33230
CPT 		Hc Insert Generator Only (icd) To Existing Dual Leads 10 $342.43 $81,137.56 $67,335.81 nat. median
$23,060
outlier · 2.9×
33264
CPT 		Hc Replace Generator Only (icd) Multiple 10 $360.73 $81,137.56 $67,335.81 nat. median
$32,779
outlier · 2.1×
33263
CPT 		Hc Replace Generator Only (icd) Dual 10 $345.81 $81,137.56 $67,335.81 nat. median
$23,924
outlier · 2.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $66,617.01 $73,478.36 $66,617.01 nat. median
$44,036
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 $33,645.06 $66,318.37 $66,318.37 nat. median
$43,299
1.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $66,234.12 $66,234.12 $66,234.12 nat. median
$43,533
1.5× median

Other procedures at this hospital

Browse this hospital's 12,775 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $4,936,045.63 $4,936,045.63 $4,936,045.63 2024-12-02
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,996,884.85 $2,996,884.85 $2,996,884.85 2024-12-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $562,709.21 $562,709.21 $562,709.21 2024-12-02
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $562,709.21 $562,709.21 $562,709.21 2024-12-02
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $562,709.21 $562,709.21 $562,709.21 2024-12-02
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $562,709.21 $562,709.21 $562,709.21 2024-12-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $562,709.21 $562,709.21 $562,709.21 2024-12-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $392,941.26 $585,042.32 $392,941.26 2024-12-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 5 — — $289,016.77 $416,543.90 $289,016.77 2024-12-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 5 — — $141,117.02 $281,125.46 $281,125.46 2024-12-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 5 — — $197,826.03 $227,389.02 $227,389.02 2024-12-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 6 5 — — $123,450.36 $156,781.03 $156,781.03 2024-12-02
7 MS_DRG Lung Transplant 6 5 — — $118,527.08 $130,825.78 $130,825.78 2024-12-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 5 — — $130,587.93 $248,300.81 $130,587.93 2024-12-02
14 MS_DRG Allogeneic Bone Marrow Transplant 6 5 — — $122,234.81 $178,917.56 $122,234.81 2024-12-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 5 — — $114,873.57 $114,873.57 $114,873.57 2024-12-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 5 — — $110,386.64 $157,882.18 $110,386.64 2024-12-02
215 MS_DRG Other Heart Assist System Implant 6 5 — — $108,944.69 $123,765.84 $108,944.69 2024-12-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $103,510.68 $103,950.95 $103,510.68 2024-12-02
453 MS_DRG DRG 6 5 — — $94,510.16 $95,136.24 $94,510.16 2024-12-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 5 — — $85,689.89 $90,148.02 $90,148.02 2024-12-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $89,047.85 $89,902.72 $89,902.72 2024-12-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 5 — — $86,097.64 $86,551.66 $86,551.66 2024-12-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 5 — — $85,253.69 $100,028.67 $85,253.69 2024-12-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 5 — — $83,185.67 $83,918.99 $83,185.67 2024-12-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $82,242.85 $83,431.62 $82,242.85 2024-12-02
90288 CPT Botulism Ig IV 1 1 — — $81,556.75 $81,556.75 $81,556.75 2024-12-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $78,718.41 $78,718.41 $78,718.41 2024-12-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 5 — — $72,417.08 $77,137.34 $77,137.34 2024-12-02
33231 CPT Hc Insert Generator Only (icd) To Existing Multiple Leads 21 10 $94,355.44 $37,742.18 60% off $357.04 $91,524.78 $75,956.13 2024-12-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $75,039.45 $75,039.45 $75,039.45 2024-12-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 5 — — $66,672.00 $74,283.27 $74,283.27 2024-12-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 5 — — $48,842.21 $73,801.20 $73,801.20 2024-12-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 5 — — $72,395.83 $73,676.42 $73,676.42 2024-12-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 5 — — $66,507.40 $73,298.86 $73,298.86 2024-12-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 5 — — $72,100.81 $73,107.95 $73,107.95 2024-12-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 5 — — $62,972.36 $72,721.87 $72,721.87 2024-12-02
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 15 10 $108,194.38 $43,277.75 60% off $466.61 $104,948.55 $71,408.29 2024-12-02
459 MS_DRG DRG 6 5 — — $69,721.37 $70,735.98 $70,735.98 2024-12-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $67,132.77 $67,888.32 $67,888.32 2024-12-02
33262 CPT Hc Replace Generator Only (icd) Single 21 10 $83,646.97 $33,458.79 60% off $333.00 $81,137.56 $67,335.81 2024-12-02
33240 CPT Hc Insert Generator Only (icd) To Existing Single Lead 21 10 $83,646.97 $33,458.79 60% off $326.51 $81,137.56 $67,335.81 2024-12-02
33230 CPT Hc Insert Generator Only (icd) To Existing Dual Leads 21 10 $83,646.97 $33,458.79 60% off $342.43 $81,137.56 $67,335.81 2024-12-02
33249 CPT Hc Insert/replace (icd) Single/dual Lead/s System 21 10 $83,646.97 $33,458.79 60% off $814.50 $81,137.56 $67,335.81 2024-12-02
33214 CPT Hc Replace/upgrade Pacemaker Single To Pacemaker Dual 21 10 $83,646.97 $33,458.79 60% off $428.37 $81,137.56 $67,335.81 2024-12-02
33264 CPT Hc Replace Generator Only (icd) Multiple 21 10 $83,646.97 $33,458.79 60% off $360.73 $81,137.56 $67,335.81 2024-12-02
33263 CPT Hc Replace Generator Only (icd) Dual 21 10 $83,646.97 $33,458.79 60% off $345.81 $81,137.56 $67,335.81 2024-12-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 5 — — $66,617.01 $73,478.36 $66,617.01 2024-12-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $33,645.06 $66,318.37 $66,318.37 2024-12-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 5 — — $66,234.12 $66,234.12 $66,234.12 2024-12-02
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 22 10 $100,210.60 $40,084.24 60% off $4,870.85 $97,204.28 $66,138.99 2024-12-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 5 — — $65,880.03 $107,908.91 $65,880.03 2024-12-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 5 — — $63,183.01 $65,880.03 $65,880.03 2024-12-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 5 — — $64,936.93 $65,500.34 $65,500.34 2024-12-02
454 MS_DRG DRG 6 5 — — $65,232.64 $68,137.14 $65,232.64 2024-12-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $64,954.27 $66,734.50 $64,954.27 2024-12-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $62,685.40 $64,795.36 $64,795.36 2024-12-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 5 — — $64,490.33 $72,557.71 $64,490.33 2024-12-02
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 15 10 $97,449.98 $38,979.99 60% off $226.02 $94,526.48 $64,316.99 2024-12-02
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $60,294.70 $64,270.62 $64,270.62 2024-12-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 5 — — $58,731.21 $63,993.32 $63,993.32 2024-12-02
J9226 HCPCS Supprelin La Implant 1 1 — — $63,614.77 $63,614.77 $63,614.77 2024-12-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 5 — — $60,834.14 $63,444.05 $63,444.05 2024-12-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 5 — — $62,718.81 $68,646.79 $62,718.81 2024-12-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $50,542.01 $60,757.45 $60,757.45 2024-12-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 5 — — $37,591.80 $60,612.40 $60,612.40 2024-12-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $58,729.13 $60,459.88 $60,459.88 2024-12-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $55,606.26 $60,405.49 $60,405.49 2024-12-02
834 MS_DRG Acute Leukemia With Mcc 6 5 — — $59,715.44 $64,047.32 $59,715.44 2024-12-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 5 — — $58,715.03 $59,409.41 $58,715.03 2024-12-02
653 MS_DRG Major Bladder Procedures With Mcc 6 5 — — $56,526.75 $57,738.08 $57,738.08 2024-12-02
A9543 HCPCS Y-90 Zevalin 16 10 $70,810.44 $28,324.18 60% off $24,783.65 $68,686.13 $57,002.40 2024-12-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 5 — — $56,118.01 $84,325.96 $56,118.01 2024-12-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $55,935.64 $56,769.71 $55,935.64 2024-12-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 5 — — $55,437.56 $67,677.42 $55,437.56 2024-12-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 5 — — $55,317.04 $55,351.52 $55,317.04 2024-12-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 5 — — $54,993.88 $56,604.24 $54,993.88 2024-12-02
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 15 10 $82,845.00 $33,138.00 60% off $423.33 $80,359.65 $54,677.70 2024-12-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 5 — — $54,169.45 $55,047.10 $54,169.45 2024-12-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 5 — — $53,708.28 $53,933.74 $53,933.74 2024-12-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 6 — — $6,902.00 $68,426.08 $53,739.63 2024-12-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 5 — — $51,438.60 $53,319.42 $53,319.42 2024-12-02
799 MS_DRG Splenic Procedures With Mcc 6 5 — — $52,842.68 $53,298.25 $52,842.68 2024-12-02
C2616 HCPCS Yttrium-90 Brachytx Src Non-stranded 14 10 $79,875.00 $31,950.00 60% off $27,956.25 $77,478.75 $52,717.50 2024-12-02
471 MS_DRG Cervical Spinal Fusion With Mcc 6 5 — — $51,975.99 $52,462.99 $52,462.99 2024-12-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 5 — — $52,049.17 $63,515.94 $52,049.17 2024-12-02
6 MS_DRG Liver Transplant Without Mcc 6 5 — — $51,587.36 $73,922.02 $51,587.36 2024-12-02
10 MS_DRG Pancreas Transplant 6 5 — — $51,338.86 $59,025.41 $51,338.86 2024-12-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 5 — — $50,349.00 $51,266.33 $51,266.33 2024-12-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 5 — — $51,006.10 $51,006.10 $51,006.10 2024-12-02
222 MS_DRG Cv DRG 2 2 — — $6,902.00 $94,922.12 $50,912.06 2024-12-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 5 — — $50,730.93 $59,012.83 $50,730.93 2024-12-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $47,780.39 $50,558.15 $50,558.15 2024-12-02
163 MS_DRG Major Chest Procedures With Mcc 7 6 — — $6,902.00 $51,842.42 $50,272.31 2024-12-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 5 — — $49,579.07 $51,746.85 $49,579.07 2024-12-02
455 MS_DRG DRG 6 5 — — $49,120.46 $50,828.93 $49,120.46 2024-12-02
245 MS_DRG Aicd Generator Procedures 6 5 — — $48,329.08 $59,989.50 $48,329.08 2024-12-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $47,768.62 $48,324.82 $48,324.82 2024-12-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 5 — — $48,173.37 $50,593.67 $48,173.37 2024-12-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 5 — — $48,014.45 $50,142.84 $48,014.45 2024-12-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 5 — — $47,967.53 $67,764.36 $47,967.53 2024-12-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $47,571.85 $47,571.85 $47,571.85 2024-12-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 5 — — $47,230.55 $48,291.89 $47,230.55 2024-12-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 5 — — $46,567.89 $47,098.30 $47,098.30 2024-12-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 5 — — $46,808.20 $55,369.83 $46,808.20 2024-12-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 5 — — $42,350.19 $46,521.31 $46,521.31 2024-12-02
901 MS_DRG Wound Debridements For Injuries With Mcc 6 5 — — $44,199.82 $46,157.62 $46,157.62 2024-12-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 5 — — $42,205.57 $45,890.98 $45,890.98 2024-12-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 5 — — $44,604.69 $45,633.95 $45,633.95 2024-12-02
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 15 10 $69,000.33 $27,600.13 60% off $85.98 $66,930.32 $45,540.22 2024-12-02
793 MS_DRG Full Term Neonate With Major Problems 6 5 — — $43,249.10 $44,893.77 $44,893.77 2024-12-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 5 — — $44,353.04 $44,680.28 $44,353.04 2024-12-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $44,154.65 $44,154.65 $44,154.65 2024-12-02
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 15 10 $66,587.50 $26,635.00 60% off $489.99 $64,589.88 $43,947.75 2024-12-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 5 — — $37,655.32 $43,905.09 $43,905.09 2024-12-02
791 MS_DRG Prematurity With Major Problems 6 5 — — $40,110.87 $43,703.51 $43,703.51 2024-12-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 5 — — $38,554.61 $43,277.97 $43,277.97 2024-12-02
224 MS_DRG Cv DRG 2 2 — — $6,902.00 $79,590.58 $43,246.29 2024-12-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 5 — — $43,139.32 $43,547.50 $43,139.32 2024-12-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 5 — — $43,100.92 $50,327.72 $43,100.92 2024-12-02
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 15 10 $65,104.83 $26,041.93 60% off $22,786.69 $63,151.69 $42,969.19 2024-12-02
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 5 — — $38,097.98 $42,816.15 $42,816.15 2024-12-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 5 — — $42,213.59 $42,713.77 $42,713.77 2024-12-02
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 5 — — $41,067.63 $42,210.36 $42,210.36 2024-12-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 5 — — $38,080.03 $41,711.22 $41,711.22 2024-12-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 5 — — $33,585.14 $41,609.90 $41,609.90 2024-12-02
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 5 — — $30,160.07 $41,562.98 $41,562.98 2024-12-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 5 — — $41,458.45 $44,116.99 $41,458.45 2024-12-02
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 5 — — $41,362.46 $50,144.17 $41,362.46 2024-12-02
223 MS_DRG Cv DRG 2 2 — — $6,902.00 $75,468.73 $41,185.36 2024-12-02
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 5 — — $40,017.69 $41,067.03 $41,067.03 2024-12-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 5 — — $37,430.12 $40,801.47 $40,801.47 2024-12-02
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 5 — — $40,408.98 $40,785.98 $40,408.98 2024-12-02
140 MS_DRG Major Head And Neck Procedures With Mcc 6 5 — — $40,294.86 $42,190.74 $40,294.86 2024-12-02
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 15 10 $60,331.15 $24,132.46 60% off $203.84 $58,521.22 $39,818.56 2024-12-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 5 — — $30,431.54 $39,797.85 $39,797.85 2024-12-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 5 — — $38,859.02 $39,698.66 $39,698.66 2024-12-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 5 — — $39,669.87 $40,881.26 $39,669.87 2024-12-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 5 — — $35,912.18 $39,440.56 $39,440.56 2024-12-02
226 MS_DRG Cv DRG 2 2 — — $6,902.00 $71,684.45 $39,293.22 2024-12-02
460 MS_DRG DRG 6 5 — — $39,012.88 $44,912.36 $39,012.88 2024-12-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 5 — — $37,140.20 $38,947.82 $38,947.82 2024-12-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 5 — — $38,788.91 $38,936.69 $38,788.91 2024-12-02
332 MS_DRG Rectal Resection With Mcc 6 5 — — $38,689.72 $42,696.57 $38,689.72 2024-12-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 5 — — $37,668.27 $38,637.46 $38,637.46 2024-12-02
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 5 — — $38,569.20 $39,595.23 $38,569.20 2024-12-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 5 — — $37,709.70 $38,194.84 $38,194.84 2024-12-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 5 — — $38,128.72 $40,521.95 $38,128.72 2024-12-02
265 MS_DRG Aicd Lead Procedures 6 5 — — $34,302.85 $37,692.51 $37,692.51 2024-12-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 5 — — $32,257.47 $37,597.58 $37,597.58 2024-12-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 5 — — $37,182.70 $38,653.41 $37,182.70 2024-12-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 5 — — $37,080.31 $49,582.43 $37,080.31 2024-12-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 5 — — $35,929.76 $36,924.60 $36,924.60 2024-12-02
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 5 — — $36,885.14 $55,464.05 $36,885.14 2024-12-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 5 — — $36,861.67 $36,917.58 $36,861.67 2024-12-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 6 — — $6,902.00 $48,812.82 $36,849.94 2024-12-02
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 15 10 $55,721.05 $22,288.42 60% off $478.31 $54,049.42 $36,775.89 2024-12-02
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 5 — — $34,136.40 $36,563.05 $36,563.05 2024-12-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 5 — — $23,865.71 $36,324.14 $36,324.14 2024-12-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 5 — — $36,158.82 $38,000.27 $36,158.82 2024-12-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $33,919.98 $36,013.78 $36,013.78 2024-12-02
37 MS_DRG Extracranial Procedures With Mcc 6 5 — — $33,937.59 $36,002.04 $36,002.04 2024-12-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 5 — — $28,711.80 $35,931.65 $35,931.65 2024-12-02
252 MS_DRG Other Vascular Procedures With Mcc 7 6 — — $6,902.00 $36,447.27 $35,769.54 2024-12-02
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 5 — — $32,563.55 $35,645.82 $35,645.82 2024-12-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 5 — — $35,340.66 $35,513.57 $35,513.57 2024-12-02
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 5 — — $23,357.56 $35,468.78 $35,468.78 2024-12-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 6 — — $6,902.00 $36,937.26 $35,357.85 2024-12-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 5 — — $35,131.75 $35,304.37 $35,131.75 2024-12-02
264 MS_DRG Other Circulatory System O.r. Procedures 6 5 — — $33,689.08 $34,833.12 $34,833.12 2024-12-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 5 — — $34,728.60 $38,590.86 $34,728.60 2024-12-02
225 MS_DRG Cv DRG 2 2 — — $6,902.00 $62,436.40 $34,669.20 2024-12-02
500 MS_DRG Soft Tissue Procedures With Mcc 6 5 — — $33,025.35 $34,585.68 $34,585.68 2024-12-02
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 5 — — $34,030.78 $34,564.36 $34,564.36 2024-12-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 5 — — $21,184.91 $34,294.52 $34,294.52 2024-12-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 5 — — $34,292.39 $34,941.97 $34,292.39 2024-12-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 5 — — $34,137.73 $36,411.26 $34,137.73 2024-12-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $34,135.61 $34,135.61 $34,135.61 2024-12-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 6 — — $6,902.00 $50,192.12 $33,911.63 2024-12-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 5 — — $33,378.28 $33,718.59 $33,718.59 2024-12-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 5 — — $33,636.46 $37,605.14 $33,636.46 2024-12-02
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 15 10 $50,863.68 $20,345.47 60% off $264.38 $49,337.77 $33,570.03 2024-12-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 5 — — $33,463.69 $34,074.99 $33,463.69 2024-12-02
33213 CPT Hc Insert Generator Only (pacemaker) To Existing Dual Leads 21 10 $41,427.37 $16,570.95 60% off $300.03 $40,184.55 $33,349.04 2024-12-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 5 — — $33,331.44 $33,346.35 $33,331.44 2024-12-02
33224 CPT Hc Insert Lead Only Biv/lt Vent Lead To Existing Icd/pacemaker Generator 21 10 $41,231.10 $16,492.44 60% off $455.82 $39,994.17 $33,191.04 2024-12-02
92943 CPT Hc Cor Revasc Chronic Occ Bare Metal Stent/pta/atherect Initial Ves 21 10 $40,968.85 $16,387.54 60% off $581.33 $39,739.78 $32,979.92 2024-12-02
C9607 HCPCS Hc Cor Revasc Chronic Occ Drug-eluting Stent/pta/atherect Initial Ves 16 10 $40,968.85 $16,387.54 60% off $1,267.00 $39,739.78 $32,979.92 2024-12-02
92933 CPT Hc Cor Atherectomy & Bare Metal Stent Initial Vessel 21 10 $40,968.85 $16,387.54 60% off $580.19 $39,739.78 $32,979.92 2024-12-02
C9604 HCPCS Hc Cor Revasc Graft Drug Eluting Stent/pta/atherect Initial Vessel Fa 16 10 $40,968.85 $16,387.54 60% off $1,267.00 $39,739.78 $32,979.92 2024-12-02
C9606 HCPCS Hc Cor Revasc Acute Mi Drug-eluting Stent/pta/atherect Initial Ves 16 10 $40,968.85 $16,387.54 60% off $1,267.00 $39,739.78 $32,979.92 2024-12-02
92937 CPT Hc Cor Grft Intervn Bms IM 21 10 $40,968.85 $16,387.54 60% off $517.03 $39,739.78 $32,979.92 2024-12-02
92941 CPT Hc Cor Revasc Acute Mi Bare Metal Stent/pta/atherect Initial Ves 21 10 $40,968.85 $16,387.54 60% off $581.13 $39,739.78 $32,979.92 2024-12-02
665 MS_DRG Prostatectomy With Mcc 6 5 — — $28,663.71 $32,946.41 $32,946.41 2024-12-02
33208 CPT Hc Insert/replace (pacemaker) Dual Rt Atrial & Rt Ventricular Lead System 21 10 $40,778.86 $16,311.54 60% off $462.02 $39,555.49 $32,826.98 2024-12-02
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 5 — — $32,796.03 $32,796.03 $32,796.03 2024-12-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 5 — — $23,126.81 $32,337.42 $32,337.42 2024-12-02
652 MS_DRG Kidney Transplant 6 5 — — $32,043.06 $50,665.67 $32,043.06 2024-12-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $32,011.06 $33,390.89 $32,011.06 2024-12-02
662 MS_DRG Minor Bladder Procedures With Mcc 6 5 — — $27,263.43 $31,960.94 $31,960.94 2024-12-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 5 — — $31,934.27 $34,817.68 $31,934.27 2024-12-02
227 MS_DRG Cv DRG 2 2 — — $6,902.00 $56,921.62 $31,911.81 2024-12-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 5 — — $31,661.23 $31,661.23 $31,661.23 2024-12-02
472 MS_DRG Cervical Spinal Fusion With Cc 6 5 — — $31,520.46 $31,619.23 $31,520.46 2024-12-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 5 — — $31,495.93 $31,705.17 $31,495.93 2024-12-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 5 — — $31,451.13 $33,536.04 $31,451.13 2024-12-02
J9307 HCPCS Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution 22 10 $47,512.64 $19,005.06 60% off $494.82 $46,087.26 $31,358.34 2024-12-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 5 — — $31,188.76 $31,321.03 $31,188.76 2024-12-02
570 MS_DRG Skin Debridement With Mcc 6 5 — — $29,424.10 $31,166.36 $31,166.36 2024-12-02
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 5 — — $22,593.38 $31,155.70 $31,155.70 2024-12-02
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $31,143.63 $31,143.63 $31,143.63 2024-12-02
974 MS_DRG HIV With Major Related Condition With Mcc 6 5 — — $30,187.11 $31,105.57 $31,105.57 2024-12-02
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 5 — — $30,795.21 $31,810.04 $30,795.21 2024-12-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 5 — — $30,721.62 $32,907.24 $30,721.62 2024-12-02
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 5 — — $30,659.76 $30,659.76 $30,659.76 2024-12-02
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 5 — — $30,356.86 $38,992.02 $30,356.86 2024-12-02
263 MS_DRG Vein Ligation And Stripping 6 5 — — $16,937.75 $30,131.82 $30,131.82 2024-12-02
668 MS_DRG Transurethral Procedures With Mcc 6 5 — — $22,677.75 $30,055.03 $30,055.03 2024-12-02
800 MS_DRG Splenic Procedures With Cc 6 5 — — $28,619.62 $30,051.83 $30,051.83 2024-12-02
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 5 — — $29,961.18 $33,382.05 $29,961.18 2024-12-02
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 5 — — $29,892.92 $31,124.08 $29,892.92 2024-12-02
33212 CPT Hc Insert Generator Only (pacemaker) To Existing Single Lead 21 10 $36,725.74 $14,690.30 60% off $286.61 $35,623.97 $29,564.22 2024-12-02
33227 CPT Hc Replace Generator Only (pacemaker) Single 21 10 $36,725.74 $14,690.30 60% off $302.78 $35,623.97 $29,564.22 2024-12-02
33228 CPT Hc Replace Generator Only (pacemaker) Dual 21 10 $36,725.74 $14,690.30 60% off $316.32 $35,623.97 $29,564.22 2024-12-02
33207 CPT Hc Insert/replace (pacemaker) Single Rt Ventricular Lead System 21 10 $36,725.74 $14,690.30 60% off $426.56 $35,623.97 $29,564.22 2024-12-02
33229 CPT Hc Replace Generator Only (pacemaker) Multiple 21 10 $36,725.74 $14,690.30 60% off $334.28 $35,623.97 $29,564.22 2024-12-02
33206 CPT Hc Insert/replace (pacemaker) Single Rt Atrial Lead System 21 10 $36,725.74 $14,690.30 60% off $406.50 $35,623.97 $29,564.22 2024-12-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 5 — — $26,251.51 $29,302.06 $29,302.06 2024-12-02
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 5 — — $29,182.85 $29,227.39 $29,227.39 2024-12-02
654 MS_DRG Major Bladder Procedures With Cc 6 5 — — $29,196.46 $30,056.76 $29,196.46 2024-12-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 5 — — $28,907.45 $29,162.34 $29,162.34 2024-12-02
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 5 — — $20,742.96 $29,016.22 $29,016.22 2024-12-02
338 MS_DRG DRG 1 1 — — $28,964.37 $28,964.37 $28,964.37 2024-12-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 6 — — $6,902.00 $29,485.25 $28,888.23 2024-12-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 5 — — $28,837.05 $41,395.07 $28,837.05 2024-12-02
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $28,752.04 $28,752.04 $28,752.04 2024-12-02
849 MS_DRG Radiotherapy 6 5 — — $14,399.80 $28,704.80 $28,704.80 2024-12-02
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 5 — — $28,203.32 $28,644.00 $28,644.00 2024-12-02
503 MS_DRG Foot Procedures With Mcc 6 5 — — $21,179.48 $28,603.48 $28,603.48 2024-12-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 5 — — $28,472.29 $30,424.52 $28,472.29 2024-12-02
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 5 — — $17,378.82 $28,285.64 $28,285.64 2024-12-02
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 5 — — $17,979.57 $28,253.65 $28,253.65 2024-12-02
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 5 — — $28,202.45 $28,202.45 $28,202.45 2024-12-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 5 — — $19,476.32 $27,847.30 $27,847.30 2024-12-02
A9604 HCPCS Samarium-153 Lexidronam 16 10 $34,492.50 $13,797.00 60% off $254.95 $33,457.73 $27,766.47 2024-12-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 5 — — $27,655.33 $27,805.70 $27,655.33 2024-12-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 5 — — $27,611.59 $27,630.37 $27,611.59 2024-12-02
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 6 — — $19,294.00 $29,848.01 $27,607.33 2024-12-02
253 MS_DRG Other Vascular Procedures With Cc 7 6 — — $6,902.00 $28,381.20 $27,208.45 2024-12-02
164 MS_DRG Major Chest Procedures With Cc 7 6 — — $6,902.00 $30,805.21 $27,200.98 2024-12-02
347 MS_DRG Anal And Stomal Procedures With Mcc 6 5 — — $23,800.36 $27,187.11 $27,187.11 2024-12-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 5 — — $27,009.00 $30,947.17 $27,009.00 2024-12-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 5 — — $26,846.88 $28,099.78 $26,846.88 2024-12-02
113 MS_DRG Orbital Procedures With Cc/mcc 6 5 — — $16,889.67 $26,741.30 $26,741.30 2024-12-02
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 5 — — $26,635.71 $31,815.58 $26,635.71 2024-12-02
545 MS_DRG Connective Tissue Disorders With Mcc 6 5 — — $22,997.21 $26,590.92 $26,590.92 2024-12-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 5 — — $26,264.97 $26,514.13 $26,514.13 2024-12-02
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 5 — — $24,925.64 $26,494.93 $26,494.93 2024-12-02
792 MS_DRG Prematurity Without Major Problems 6 5 — — $24,202.36 $26,370.14 $26,370.14 2024-12-02
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 6 5 — — $26,243.22 $26,289.83 $26,243.22 2024-12-02
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 15 10 $39,557.00 $15,822.80 60% off $311.77 $38,370.29 $26,107.62 2024-12-02
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 5 — — $26,066.18 $27,676.27 $26,066.18 2024-12-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 5 — — $26,018.19 $27,835.73 $26,018.19 2024-12-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 5 — — $25,947.79 $26,034.08 $25,947.79 2024-12-02
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 5 — — $25,643.83 $29,555.67 $25,643.83 2024-12-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 5 — — $24,082.25 $25,615.03 $25,615.03 2024-12-02
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 5 — — $22,565.59 $25,596.90 $25,596.90 2024-12-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 5 — — $22,731.01 $25,532.91 $25,532.91 2024-12-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 5 — — $25,428.39 $25,961.59 $25,428.39 2024-12-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 5 — — $24,419.83 $25,423.06 $25,423.06 2024-12-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 5 — — $24,676.61 $25,407.06 $25,407.06 2024-12-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 5 — — $25,299.34 $30,245.28 $25,299.34 2024-12-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 7 6 — — $6,902.00 $28,319.91 $25,072.16 2024-12-02
37225 CPT Hc Revasc Arterial Fem/pop W Atherect W/wo Angioplas 21 10 $31,069.17 $12,427.67 60% off $526.19 $30,137.09 $25,010.68 2024-12-02
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 15 10 $37,845.70 $15,138.28 60% off $291.04 $36,710.33 $24,978.17 2024-12-02
246 MS_DRG Cv DRG 2 2 — — $6,902.00 $42,812.87 $24,857.44 2024-12-02
30 MS_DRG Spinal Procedures Without Cc/mcc 6 5 — — $24,403.25 $24,733.00 $24,733.00 2024-12-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 5 — — $24,720.21 $25,102.17 $24,720.21 2024-12-02
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 5 — — $18,415.62 $24,713.81 $24,713.81 2024-12-02
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 5 — — $20,064.15 $24,525.03 $24,525.03 2024-12-02
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 15 10 $37,120.72 $14,848.29 60% off $118.22 $36,007.10 $24,499.67 2024-12-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 5 — — $24,012.69 $24,298.92 $24,298.92 2024-12-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 7 6 — — $6,902.00 $34,709.83 $24,291.47 2024-12-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 5 — — $17,941.48 $24,240.27 $24,240.27 2024-12-02
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 15 10 $36,653.76 $14,661.50 60% off $12,828.82 $35,554.15 $24,191.49 2024-12-02
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 5 — — $24,133.62 $24,284.19 $24,133.62 2024-12-02
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 22 10 $36,446.76 $14,578.70 60% off $42.33 $35,353.36 $24,054.87 2024-12-02
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 5 — — $24,050.43 $27,106.03 $24,050.43 2024-12-02
341 MS_DRG DRG 1 1 — — $24,047.06 $24,047.06 $24,047.06 2024-12-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 5 — — $24,022.69 $30,804.27 $24,022.69 2024-12-02
397 MS_DRG Appendix Procedures With Mcc 5 5 — — $23,960.83 $23,960.83 $23,960.83 2024-12-02
835 MS_DRG Acute Leukemia With Cc 6 5 — — $23,842.45 $25,237.09 $23,842.45 2024-12-02
J3285 HCPCS Treprostinil Sodium 2.5 Mg/ml Injection Solution 36 10 $36,289.68 $14,515.87 60% off $80.97 $37,053.61 $23,836.57 2024-12-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 5 — — $23,814.72 $25,661.69 $23,814.72 2024-12-02
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 5 — — $23,806.19 $25,996.71 $23,806.19 2024-12-02
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 5 — — $23,791.25 $24,329.74 $23,791.25 2024-12-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 5 — — $23,741.13 $24,245.98 $23,741.13 2024-12-02
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 5 — — $12,413.90 $23,556.61 $23,556.61 2024-12-02
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 6 5 — — $20,932.46 $23,543.81 $23,543.81 2024-12-02
36905 CPT Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Pta 21 10 $29,213.22 $11,685.29 60% off $399.96 $28,336.82 $23,516.64 2024-12-02
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