|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
12
|
$93,199.00
|
$93,199.00
|
$12,835.08
|
$90,403.03
|
$76,329.98
|
2026-02-19
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
12
|
12
|
$86,403.53
|
$86,403.53
|
$5,750.16
|
$83,811.42
|
$70,764.49
|
2026-02-19
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
12
|
$68,245.00
|
$68,245.00
|
$16,996.95
|
$66,197.65
|
$55,892.65
|
2026-02-19
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
12
|
12
|
$67,337.00
|
$67,337.00
|
$6,989.40
|
$65,316.89
|
$55,149.01
|
2026-02-19
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
12
|
12
|
$65,176.00
|
$65,176.00
|
$17,632.35
|
$63,220.72
|
$53,379.15
|
2026-02-19
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
12
|
12
|
$63,481.50
|
$63,481.50
|
$8,260.20
|
$61,577.06
|
$51,991.35
|
2026-02-19
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
12
|
12
|
$62,877.00
|
$62,877.00
|
$5,689.36
|
$60,990.69
|
$51,496.26
|
2026-02-19
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
12
|
12
|
$59,114.05
|
$59,114.05
|
$9,372.15
|
$57,340.63
|
$48,414.40
|
2026-02-19
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
12
|
12
|
$59,046.00
|
$59,046.00
|
$3,402.90
|
$57,274.62
|
$48,358.68
|
2026-02-19
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
12
|
12
|
$58,726.50
|
$58,726.50
|
$5,496.21
|
$56,964.71
|
$48,097.00
|
2026-02-19
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
12
|
12
|
$51,023.52
|
$51,023.52
|
$10,865.34
|
$49,492.81
|
$41,788.26
|
2026-02-19
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
12
|
12
|
$50,941.00
|
$50,941.00
|
$7,102.96
|
$49,412.77
|
$41,720.68
|
2026-02-19
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
16
|
16
|
$51,402.00
|
$51,402.00
|
$68.68
|
$51,402.00
|
$40,042.16
|
2026-02-19
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
12
|
12
|
$44,959.67
|
$44,959.67
|
$5,938.26
|
$43,610.88
|
$36,821.96
|
2026-02-19
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
12
|
12
|
$44,820.00
|
$44,820.00
|
$7,641.80
|
$43,475.40
|
$36,707.58
|
2026-02-19
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
12
|
12
|
$43,303.00
|
$43,303.00
|
$5,623.29
|
$42,003.91
|
$35,465.15
|
2026-02-19
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
12
|
12
|
$43,182.62
|
$43,182.62
|
$9,342.30
|
$41,887.14
|
$35,366.57
|
2026-02-19
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
12
|
12
|
$43,042.50
|
$43,042.50
|
$5,845.68
|
$41,751.23
|
$35,251.81
|
2026-02-19
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
12
|
12
|
$42,174.00
|
$42,174.00
|
$3,702.72
|
$40,908.78
|
$34,540.50
|
2026-02-19
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
12
|
12
|
$40,750.00
|
$40,750.00
|
$5,219.68
|
$39,527.50
|
$33,374.25
|
2026-02-19
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
12
|
12
|
$40,635.00
|
$40,635.00
|
$9,800.96
|
$39,415.95
|
$33,280.07
|
2026-02-19
|
|
8084132_1
|
CDM
|
Senza Omnia Kit
|
15
|
15
|
$38,864.00
|
$38,864.00
|
$14,379.68
|
$37,698.08
|
$33,034.40
|
2026-02-19
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
12
|
12
|
$39,267.00
|
$39,267.00
|
$8,196.66
|
$38,088.99
|
$32,159.67
|
2026-02-19
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
12
|
12
|
$38,805.00
|
$38,805.00
|
$7,370.64
|
$37,640.85
|
$31,781.29
|
2026-02-19
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
12
|
12
|
$38,026.67
|
$38,026.67
|
$3,001.24
|
$36,885.87
|
$31,143.84
|
2026-02-19
|
|
476
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc…
|
12
|
12
|
$37,184.50
|
$37,184.50
|
$4,479.57
|
$36,068.97
|
$30,454.10
|
2026-02-19
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
12
|
12
|
$37,132.00
|
$37,132.00
|
$5,400.94
|
$36,018.04
|
$30,411.11
|
2026-02-19
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
12
|
12
|
$36,511.00
|
$36,511.00
|
$6,417.54
|
$35,415.67
|
$29,902.51
|
2026-02-19
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
12
|
12
|
$36,455.50
|
$36,455.50
|
$5,459.46
|
$35,361.84
|
$29,857.06
|
2026-02-19
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
12
|
12
|
$36,329.00
|
$36,329.00
|
$5,750.37
|
$35,239.13
|
$29,753.45
|
2026-02-19
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
12
|
12
|
$36,218.00
|
$36,218.00
|
$7,107.14
|
$35,131.46
|
$29,662.54
|
2026-02-19
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
13
|
13
|
$35,063.00
|
$35,063.00
|
$3,068.88
|
$74,927.00
|
$29,382.79
|
2026-02-19
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
12
|
12
|
$34,860.00
|
$34,860.00
|
$7,592.78
|
$33,814.20
|
$28,550.34
|
2026-02-19
|
|
J1628
|
HCPCS
|
Injection, Guselkumab, 1 Mg
|
16
|
16
|
$36,256.00
|
$36,256.00
|
$159.97
|
$36,256.00
|
$28,243.42
|
2026-02-19
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
12
|
12
|
$34,011.00
|
$34,011.00
|
$3,726.66
|
$32,990.67
|
$27,855.01
|
2026-02-19
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
12
|
12
|
$33,938.00
|
$33,938.00
|
$5,782.14
|
$32,919.86
|
$27,795.22
|
2026-02-19
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
12
|
12
|
$33,902.50
|
$33,902.50
|
$3,203.40
|
$32,885.43
|
$27,766.15
|
2026-02-19
|
|
489
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc
|
12
|
12
|
$33,889.60
|
$33,889.60
|
$4,225.41
|
$32,872.91
|
$27,755.58
|
2026-02-19
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
12
|
12
|
$33,738.00
|
$33,738.00
|
$6,163.38
|
$32,725.86
|
$27,631.42
|
2026-02-19
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
12
|
12
|
$33,466.00
|
$33,466.00
|
$4,701.96
|
$32,462.02
|
$27,408.65
|
2026-02-19
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
12
|
12
|
$32,516.21
|
$32,516.21
|
$7,329.82
|
$31,540.72
|
$26,630.78
|
2026-02-19
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
13
|
13
|
$31,254.00
|
$31,254.00
|
$3,470.16
|
$67,494.00
|
$26,190.85
|
2026-02-19
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
12
|
12
|
$30,940.67
|
$30,940.67
|
$3,652.94
|
$30,012.45
|
$25,340.40
|
2026-02-19
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
12
|
12
|
$30,848.92
|
$30,848.92
|
$7,381.50
|
$29,923.45
|
$25,265.26
|
2026-02-19
|
|
J3357
|
HCPCS
|
Ustekinumab 1 Mg (90 Mg/ml Inj)
|
35
|
23
|
$27,995.00
|
$18,196.75
35% off
|
$179.97
|
$71,057.00
|
$25,195.50
|
2026-05-22
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
12
|
12
|
$30,553.50
|
$30,553.50
|
$2,395.52
|
$29,636.90
|
$25,023.32
|
2026-02-19
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
12
|
12
|
$29,933.00
|
$29,933.00
|
$6,163.38
|
$29,035.01
|
$24,515.12
|
2026-02-19
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
12
|
12
|
$29,820.00
|
$29,820.00
|
$3,054.82
|
$28,925.40
|
$24,422.58
|
2026-02-19
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
12
|
12
|
$29,819.13
|
$29,819.13
|
$3,708.80
|
$28,924.55
|
$24,421.86
|
2026-02-19
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
12
|
12
|
$29,717.00
|
$29,717.00
|
$6,957.80
|
$28,825.49
|
$24,338.22
|
2026-02-19
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
12
|
12
|
$29,341.80
|
$29,341.80
|
$3,590.01
|
$28,461.55
|
$24,030.93
|
2026-02-19
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
12
|
12
|
$27,319.00
|
$27,319.00
|
$9,245.07
|
$26,499.43
|
$24,027.06
|
2026-02-19
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
12
|
12
|
$29,285.00
|
$29,285.00
|
$5,075.28
|
$28,406.45
|
$23,984.42
|
2026-02-19
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
12
|
12
|
$29,104.67
|
$29,104.67
|
$3,839.14
|
$28,231.53
|
$23,836.72
|
2026-02-19
|
|
J2329
|
HCPCS
|
Injection, Ublituximab-xiiy, 1mg
|
16
|
16
|
$27,667.00
|
$27,667.00
|
$10,236.79
|
$27,667.00
|
$23,641.45
|
2026-02-19
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
13
|
13
|
$27,664.00
|
$27,664.00
|
$3,632.04
|
$63,904.00
|
$23,182.43
|
2026-02-19
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
12
|
12
|
$28,138.50
|
$28,138.50
|
$4,209.26
|
$27,294.35
|
$23,045.43
|
2026-02-19
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
12
|
12
|
$27,605.82
|
$27,605.82
|
$4,878.44
|
$26,777.64
|
$22,609.16
|
2026-02-19
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
16
|
16
|
$25,831.00
|
$25,831.00
|
$9,557.47
|
$25,831.00
|
$22,072.59
|
2026-02-19
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
12
|
12
|
$26,847.67
|
$26,847.67
|
$3,405.56
|
$26,042.24
|
$21,988.24
|
2026-02-19
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
12
|
12
|
$26,837.33
|
$26,837.33
|
$4,161.87
|
$26,032.21
|
$21,979.78
|
2026-02-19
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
12
|
12
|
$26,819.00
|
$26,819.00
|
$2,747.78
|
$26,014.43
|
$21,964.76
|
2026-02-19
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
12
|
12
|
$26,766.00
|
$26,766.00
|
$7,751.88
|
$25,963.02
|
$21,921.35
|
2026-02-19
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
12
|
12
|
$26,639.50
|
$26,639.50
|
$3,480.80
|
$25,840.32
|
$21,817.75
|
2026-02-19
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
12
|
12
|
$26,310.14
|
$26,310.14
|
$4,638.42
|
$25,520.84
|
$21,548.01
|
2026-02-19
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
12
|
12
|
$26,180.00
|
$26,180.00
|
$3,399.39
|
$25,394.60
|
$21,441.42
|
2026-02-19
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
12
|
12
|
$25,652.00
|
$25,652.00
|
$6,369.18
|
$24,882.44
|
$21,008.99
|
2026-02-19
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc
|
12
|
12
|
$25,590.00
|
$25,590.00
|
$4,384.26
|
$24,822.30
|
$20,958.21
|
2026-02-19
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
12
|
12
|
$25,587.25
|
$25,587.25
|
$4,409.14
|
$24,819.63
|
$20,955.96
|
2026-02-19
|
|
349
|
MS_DRG
|
Anal And Stomal Procedures Without Cc/mcc
|
12
|
12
|
$25,513.00
|
$25,513.00
|
$3,304.08
|
$24,747.61
|
$20,895.15
|
2026-02-19
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
12
|
12
|
$25,454.00
|
$25,454.00
|
$4,520.86
|
$24,690.38
|
$20,846.83
|
2026-02-19
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
13
|
13
|
$24,699.00
|
$24,699.00
|
$3,895.00
|
$53,691.00
|
$20,697.76
|
2026-02-19
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
12
|
12
|
$24,917.50
|
$24,917.50
|
$5,336.34
|
$24,169.98
|
$20,407.43
|
2026-02-19
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
12
|
12
|
$24,649.50
|
$24,649.50
|
$3,076.10
|
$23,910.01
|
$20,187.94
|
2026-02-19
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
12
|
12
|
$24,638.00
|
$24,638.00
|
$4,819.54
|
$23,898.86
|
$20,178.52
|
2026-02-19
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
12
|
12
|
$24,564.00
|
$24,564.00
|
$2,361.32
|
$23,827.08
|
$20,117.92
|
2026-02-19
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
12
|
12
|
$23,610.00
|
$23,610.00
|
$3,059.00
|
$22,901.70
|
$19,336.59
|
2026-02-19
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
12
|
12
|
$23,574.00
|
$23,574.00
|
$3,887.40
|
$22,866.78
|
$19,307.10
|
2026-02-19
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
12
|
12
|
$22,699.00
|
$22,699.00
|
$8,827.78
|
$22,018.03
|
$18,996.96
|
2026-02-19
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
12
|
12
|
$23,173.60
|
$23,173.60
|
$3,041.90
|
$22,478.39
|
$18,979.18
|
2026-02-19
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
12
|
12
|
$23,030.00
|
$23,030.00
|
$2,388.30
|
$22,339.10
|
$18,861.57
|
2026-02-19
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
12
|
12
|
$23,009.50
|
$23,009.50
|
$3,748.86
|
$22,319.22
|
$18,844.78
|
2026-02-19
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
12
|
12
|
$22,845.00
|
$22,845.00
|
$6,894.09
|
$22,159.65
|
$18,710.06
|
2026-02-19
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
13
|
13
|
$22,327.00
|
$22,327.00
|
$3,444.32
|
$51,319.00
|
$18,710.03
|
2026-02-19
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
12
|
12
|
$22,460.70
|
$22,460.70
|
$3,226.20
|
$21,786.88
|
$18,395.32
|
2026-02-19
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
12
|
12
|
$22,440.00
|
$22,440.00
|
$4,923.28
|
$21,766.80
|
$18,378.36
|
2026-02-19
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
12
|
12
|
$22,363.00
|
$22,363.00
|
$3,309.42
|
$21,692.11
|
$18,315.29
|
2026-02-19
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
12
|
12
|
$22,302.00
|
$22,302.00
|
$3,429.88
|
$21,632.94
|
$18,265.34
|
2026-02-19
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
12
|
12
|
$22,171.00
|
$22,171.00
|
$4,384.26
|
$21,505.87
|
$18,158.05
|
2026-02-19
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
12
|
12
|
$21,916.00
|
$21,916.00
|
$2,919.54
|
$21,258.52
|
$17,949.21
|
2026-02-19
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
12
|
12
|
$21,842.00
|
$21,842.00
|
$4,956.12
|
$21,186.74
|
$17,888.60
|
2026-02-19
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
13
|
13
|
$21,315.00
|
$21,315.00
|
$2,764.12
|
$46,683.00
|
$17,861.97
|
2026-02-19
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
12
|
12
|
$21,611.00
|
$21,611.00
|
$5,693.54
|
$20,962.67
|
$17,699.41
|
2026-02-19
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
12
|
12
|
$20,757.00
|
$20,757.00
|
$6,631.38
|
$20,134.29
|
$17,698.18
|
2026-02-19
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
12
|
12
|
$21,428.00
|
$21,428.00
|
$5,922.30
|
$20,785.16
|
$17,549.53
|
2026-02-19
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
12
|
12
|
$21,419.50
|
$21,419.50
|
$2,962.48
|
$20,776.92
|
$17,542.57
|
2026-02-19
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
12
|
12
|
$21,232.00
|
$21,232.00
|
$3,639.64
|
$20,595.04
|
$17,389.01
|
2026-02-19
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
12
|
12
|
$21,171.00
|
$21,171.00
|
$4,575.20
|
$20,535.87
|
$17,339.05
|
2026-02-19
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
12
|
12
|
$21,131.00
|
$21,131.00
|
$6,195.15
|
$20,497.07
|
$17,306.29
|
2026-02-19
|
|
313
|
MS_DRG
|
Chest Pain
|
12
|
12
|
$20,870.50
|
$20,870.50
|
$2,736.00
|
$20,244.39
|
$17,092.94
|
2026-02-19
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
12
|
12
|
$20,752.00
|
$20,752.00
|
$3,196.56
|
$20,129.44
|
$16,995.89
|
2026-02-19
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
12
|
12
|
$20,561.75
|
$20,561.75
|
$2,795.66
|
$19,944.90
|
$16,840.08
|
2026-02-19
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
12
|
12
|
$20,490.71
|
$20,490.71
|
$3,576.18
|
$19,875.99
|
$16,781.90
|
2026-02-19
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
12
|
12
|
$20,408.43
|
$20,408.43
|
$4,574.88
|
$19,796.17
|
$16,714.50
|
2026-02-19
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
12
|
12
|
$20,236.00
|
$20,236.00
|
$2,281.14
|
$19,628.92
|
$16,573.28
|
2026-02-19
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
12
|
12
|
$20,145.50
|
$20,145.50
|
$3,879.80
|
$19,541.14
|
$16,499.17
|
2026-02-19
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
12
|
12
|
$20,025.19
|
$20,025.19
|
$3,062.42
|
$19,424.43
|
$16,400.63
|
2026-02-19
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc
|
12
|
12
|
$19,996.00
|
$19,996.00
|
$6,862.32
|
$19,396.12
|
$16,376.73
|
2026-02-19
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
12
|
12
|
$19,790.60
|
$19,790.60
|
$2,439.60
|
$19,196.88
|
$16,208.50
|
2026-02-19
|
|
90
|
MS_DRG
|
Concussion Without Cc/mcc
|
12
|
12
|
$19,493.00
|
$19,493.00
|
$3,128.16
|
$18,908.21
|
$15,964.76
|
2026-02-19
|
|
798
|
MS_DRG
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
12
|
12
|
$19,445.50
|
$19,445.50
|
$3,636.98
|
$18,862.14
|
$15,925.86
|
2026-02-19
|
|
989
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
12
|
12
|
$19,218.00
|
$19,218.00
|
$4,479.57
|
$18,641.46
|
$15,739.54
|
2026-02-19
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
12
|
12
|
$18,995.00
|
$18,995.00
|
$3,660.54
|
$18,425.15
|
$15,556.90
|
2026-02-19
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
12
|
12
|
$18,992.00
|
$18,992.00
|
$4,279.18
|
$18,422.24
|
$15,554.45
|
2026-02-19
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
12
|
12
|
$18,647.00
|
$18,647.00
|
$2,869.38
|
$18,087.59
|
$15,271.90
|
2026-02-19
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
12
|
12
|
$18,543.33
|
$18,543.33
|
$3,888.54
|
$17,987.03
|
$15,186.99
|
2026-02-19
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
12
|
12
|
$18,529.50
|
$18,529.50
|
$3,035.44
|
$17,973.62
|
$15,175.66
|
2026-02-19
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
12
|
12
|
$18,386.00
|
$18,386.00
|
$4,177.34
|
$17,834.42
|
$15,058.13
|
2026-02-19
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
12
|
12
|
$18,302.33
|
$18,302.33
|
$2,067.20
|
$17,753.26
|
$14,989.61
|
2026-02-19
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
12
|
12
|
$18,066.00
|
$18,066.00
|
$3,489.16
|
$17,524.02
|
$14,796.06
|
2026-02-19
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
12
|
12
|
$16,462.00
|
$16,462.00
|
$7,923.76
|
$16,462.00
|
$14,478.33
|
2026-02-19
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
12
|
12
|
$17,647.00
|
$17,647.00
|
$3,492.58
|
$17,117.59
|
$14,452.90
|
2026-02-19
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
12
|
12
|
$16,487.00
|
$16,487.00
|
$5,305.59
|
$15,992.39
|
$14,291.37
|
2026-02-19
|
|
J2426
|
HCPCS
|
Invega Trinza 819 Mg/2.625 Ml 819 Mg, 2.625 Ml
|
7
|
7
|
$15,740.00
|
$10,231.00
35% off
|
$14.90
|
$14,953.00
|
$14,166.00
|
2026-05-22
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
12
|
12
|
$16,851.00
|
$16,851.00
|
$4,823.72
|
$16,345.47
|
$13,800.97
|
2026-02-19
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
12
|
12
|
$16,798.00
|
$16,798.00
|
$4,043.58
|
$16,294.06
|
$13,757.56
|
2026-02-19
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
12
|
12
|
$16,551.61
|
$16,551.61
|
$2,957.16
|
$16,055.07
|
$13,555.77
|
2026-02-19
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
29
|
23
|
$21,345.00
|
$21,345.00
|
$27.55
|
$21,345.00
|
$13,209.75
|
2026-05-22
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
12
|
12
|
$16,093.67
|
$16,093.67
|
$3,328.04
|
$15,610.86
|
$13,180.71
|
2026-02-19
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
29
|
23
|
$23,309.00
|
$23,309.00
|
$25.42
|
$23,309.00
|
$13,034.00
|
2026-05-22
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
12
|
12
|
$15,764.23
|
$15,764.23
|
$2,827.53
|
$15,291.30
|
$12,910.90
|
2026-02-19
|
|
152
|
MS_DRG
|
Otitis Media And Uri With Mcc
|
12
|
12
|
$15,670.00
|
$15,670.00
|
$3,431.16
|
$15,199.90
|
$12,833.73
|
2026-02-19
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc/mcc
|
12
|
12
|
$15,503.00
|
$15,503.00
|
$3,293.84
|
$15,037.91
|
$12,696.95
|
2026-02-19
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
13
|
13
|
$14,678.00
|
$14,678.00
|
$5,796.14
|
$32,798.00
|
$12,685.37
|
2026-02-19
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
12
|
12
|
$15,244.53
|
$15,244.53
|
$2,561.96
|
$14,787.20
|
$12,485.27
|
2026-02-19
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
12
|
12
|
$14,096.00
|
$14,096.00
|
$4,733.73
|
$13,673.12
|
$11,960.45
|
2026-02-19
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
29
|
23
|
$19,263.00
|
$19,263.00
|
$166.30
|
$19,263.00
|
$11,917.75
|
2026-05-22
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
12
|
12
|
$14,150.00
|
$14,150.00
|
$3,853.20
|
$13,725.50
|
$11,588.85
|
2026-02-19
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
12
|
12
|
$14,011.00
|
$14,011.00
|
$3,690.56
|
$13,590.67
|
$11,475.01
|
2026-02-19
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
12
|
12
|
$13,761.00
|
$13,761.00
|
$2,150.80
|
$13,348.17
|
$11,270.26
|
2026-02-19
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
12
|
12
|
$13,757.67
|
$13,757.67
|
$3,354.64
|
$13,344.94
|
$11,267.52
|
2026-02-19
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
13
|
13
|
$13,212.00
|
$13,212.00
|
$3,025.94
|
$27,708.00
|
$11,071.66
|
2026-02-19
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
13
|
13
|
$12,907.00
|
$12,907.00
|
$3,063.18
|
$31,027.00
|
$10,816.07
|
2026-02-19
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
12
|
12
|
$12,275.00
|
$12,275.00
|
$6,194.76
|
$12,275.00
|
$10,795.86
|
2026-02-19
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
12
|
12
|
$12,537.00
|
$12,537.00
|
$4,925.94
|
$12,160.89
|
$10,727.75
|
2026-02-19
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
12
|
12
|
$12,442.00
|
$12,442.00
|
$4,587.36
|
$12,068.74
|
$10,557.04
|
2026-02-19
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
12
|
12
|
$12,709.25
|
$12,709.25
|
$2,151.18
|
$12,327.97
|
$10,408.88
|
2026-02-19
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
12
|
12
|
$12,456.00
|
$12,456.00
|
$2,350.98
|
$12,082.32
|
$10,201.47
|
2026-02-19
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
12
|
12
|
$12,438.00
|
$12,438.00
|
$2,600.72
|
$12,064.86
|
$10,186.72
|
2026-02-19
|
|
204
|
MS_DRG
|
Respiratory Signs And Symptoms
|
12
|
12
|
$12,326.00
|
$12,326.00
|
$3,068.12
|
$11,956.22
|
$10,094.99
|
2026-02-19
|
|
149
|
MS_DRG
|
Dysequilibrium
|
12
|
12
|
$11,954.00
|
$11,954.00
|
$2,192.13
|
$11,595.38
|
$9,790.33
|
2026-02-19
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
16
|
16
|
$11,298.00
|
$11,298.00
|
$4,180.26
|
$11,298.00
|
$9,654.14
|
2026-02-19
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
16
|
16
|
$12,391.00
|
$12,391.00
|
$56.63
|
$12,391.00
|
$9,652.59
|
2026-02-19
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
12
|
12
|
$11,737.00
|
$11,737.00
|
$3,555.66
|
$11,384.89
|
$9,612.60
|
2026-02-19
|
|
J9310
|
HCPCS
|
Rituximab 100 Mg (500 Mg Vl)
|
12
|
6
|
$10,367.00
|
$6,738.55
35% off
|
$3,659.04
|
$10,041.50
|
$9,584.40
|
2026-05-22
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
29
|
23
|
$11,744.00
|
$11,744.00
|
$92.19
|
$11,744.00
|
$9,513.00
|
2026-05-22
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
12
|
12
|
$11,431.00
|
$11,431.00
|
$2,546.00
|
$11,088.07
|
$9,361.99
|
2026-02-19
|
|
156
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc
|
12
|
12
|
$11,350.00
|
$11,350.00
|
$2,001.51
|
$11,009.50
|
$9,295.65
|
2026-02-19
|
|
5040378_1
|
CDM
|
Labor Room/delivery - General Classification
|
15
|
15
|
$10,878.00
|
$10,878.00
|
$4,024.86
|
$10,551.66
|
$9,246.30
|
2026-02-19
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
13
|
13
|
$9,710.00
|
$9,710.00
|
$7,282.50
|
$24,206.00
|
$9,224.50
|
2026-02-19
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
12
|
12
|
$11,031.00
|
$11,031.00
|
$2,160.36
|
$10,700.07
|
$9,034.39
|
2026-02-19
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
13
|
13
|
$10,646.28
|
$10,646.28
|
$2,112.80
|
$21,518.28
|
$8,921.59
|
2026-02-19
|
|
541
|
MS_DRG
|
Osteomyelitis Without Cc/mcc
|
12
|
12
|
$10,777.00
|
$10,777.00
|
$2,931.70
|
$10,453.69
|
$8,826.36
|
2026-02-19
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
13
|
13
|
$10,455.00
|
$10,455.00
|
$2,717.38
|
$21,327.00
|
$8,761.29
|
2026-02-19
|
|
J2505
|
HCPCS
|
Pegfilgrastim 6 Mg/0.6 Ml Inj
|
19
|
7
|
$11,255.00
|
$7,315.75
35% off
|
$3,308.85
|
$11,761.48
|
$8,745.14
|
2026-05-22
|
|
76
|
MS_DRG
|
Viral Meningitis Without Cc/mcc
|
12
|
12
|
$10,612.00
|
$10,612.00
|
$2,845.44
|
$10,293.64
|
$8,702.26
|
2026-02-19
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
12
|
12
|
$10,438.00
|
$10,438.00
|
$2,732.22
|
$10,124.86
|
$8,548.72
|
2026-02-19
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
12
|
12
|
$8,788.00
|
$8,788.00
|
$6,591.00
|
$10,579.41
|
$8,436.48
|
2026-02-19
|
|
6110505_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$9,861.00
|
$9,861.00
|
$3,648.57
|
$9,565.17
|
$8,381.85
|
2026-02-19
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
12
|
12
|
$10,068.33
|
$10,068.33
|
$2,255.67
|
$9,766.28
|
$8,245.97
|
2026-02-19
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
23
|
23
|
$10,610.00
|
$10,610.00
|
$246.45
|
$10,610.00
|
$8,110.29
|
2026-05-22
|
|
5507850_1{2}
|
CDM
|
Zinplava 1,000 Mg/40 Ml Vial
|
15
|
15
|
$9,463.00
|
$9,463.00
|
$3,501.31
|
$9,179.11
|
$8,043.55
|
2026-02-19
|
|
5507850_1{3}
|
CDM
|
Zinplava 1,000 Mg/40 Ml Vial
|
15
|
15
|
$9,463.00
|
$9,463.00
|
$3,501.31
|
$9,179.11
|
$8,043.55
|
2026-02-19
|
|
5507850_1{5}
|
CDM
|
Zinplava 1,000 Mg/40 Ml Vial
|
15
|
15
|
$9,463.00
|
$9,463.00
|
$3,501.31
|
$9,179.11
|
$8,043.55
|
2026-02-19
|
|
5507850_1{4}
|
CDM
|
Zinplava 1,000 Mg/40 Ml Vial
|
15
|
15
|
$9,463.00
|
$9,463.00
|
$3,501.31
|
$9,179.11
|
$8,043.55
|
2026-02-19
|
|
5507850_1
|
CDM
|
Zinplava 1,000 Mg/40 Ml Vial
|
15
|
15
|
$9,463.00
|
$9,463.00
|
$3,501.31
|
$9,179.11
|
$8,043.55
|
2026-02-19
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
13
|
13
|
$9,466.00
|
$9,466.00
|
$1,906.20
|
$27,586.00
|
$7,932.51
|
2026-02-19
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
12
|
12
|
$9,608.00
|
$9,608.00
|
$3,143.74
|
$9,319.76
|
$7,868.95
|
2026-02-19
|
|
J1729
|
HCPCS
|
Injection, Hydroxyprogesterone Caproate, Not Otherwise Specified, 10 Mg
|
16
|
16
|
$10,038.00
|
$10,038.00
|
$17.77
|
$10,038.00
|
$7,819.60
|
2026-02-19
|
|
36482
|
HCPCS
|
Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida…
|
16
|
16
|
$9,861.00
|
$9,861.00
|
$3,461.88
|
$9,861.00
|
$7,681.72
|
2026-02-19
|
|
36475
|
HCPCS
|
Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima…
|
16
|
16
|
$9,861.00
|
$9,861.00
|
$3,406.19
|
$9,861.00
|
$7,681.72
|
2026-02-19
|
|
36465
|
HCPCS
|
Injection Of Chemical Agent Into Single Incompetent Vein Of Leg Using Ultrasound…
|
16
|
16
|
$9,861.00
|
$9,861.00
|
$382.84
|
$9,861.00
|
$7,681.72
|
2026-02-19
|
|
5040374_1
|
CDM
|
Labor Room/delivery - General Classification
|
15
|
15
|
$9,002.00
|
$9,002.00
|
$3,330.74
|
$8,731.94
|
$7,651.70
|
2026-02-19
|
|
50200
|
HCPCS
|
Needle Biopsy Of Kidney
|
30
|
16
|
$9,444.00
|
$9,444.00
|
$2,377.64
|
$9,444.00
|
$7,630.34
|
2026-02-19
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
16
|
16
|
$9,446.00
|
$9,446.00
|
$38.32
|
$9,446.00
|
$7,358.43
|
2026-02-19
|
|
21550
|
HCPCS
|
Biopsy Of Soft Tissue Of Neck Or Chest
|
16
|
16
|
$9,443.00
|
$9,443.00
|
$674.53
|
$9,443.00
|
$7,356.09
|
2026-02-19
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
12
|
12
|
$8,286.00
|
$8,286.00
|
$3,668.14
|
$8,286.00
|
$7,287.53
|
2026-02-19
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
16
|
16
|
$8,419.00
|
$8,419.00
|
$3,115.03
|
$8,419.00
|
$7,194.03
|
2026-02-19
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
12
|
12
|
$8,178.00
|
$8,178.00
|
$4,257.18
|
$8,178.00
|
$7,192.55
|
2026-02-19
|
|
8082672_1
|
CDM
|
Kit Serosafuse Implantable Car
|
15
|
15
|
$8,234.00
|
$8,234.00
|
$3,046.58
|
$7,986.98
|
$6,998.90
|
2026-02-19
|
|
8083947_1
|
CDM
|
Cr-flex Gsf Prect Femoral, S
|
15
|
15
|
$8,104.00
|
$8,104.00
|
$2,998.48
|
$7,860.88
|
$6,888.40
|
2026-02-19
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab Per Vial
|
35
|
23
|
$8,356.70
|
$5,431.86
35% off
|
$2,604.96
|
$11,548.00
|
$6,874.20
|
2026-05-22
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
12
|
12
|
$7,596.00
|
$7,596.00
|
$3,917.04
|
$7,596.00
|
$6,680.68
|
2026-02-19
|
|
90378
|
HCPCS
|
Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle
|
16
|
16
|
$8,562.00
|
$8,562.00
|
$1,982.15
|
$8,562.00
|
$6,669.80
|
2026-02-19
|
|
5040352_1
|
CDM
|
Labor Room/delivery - General Classification
|
15
|
15
|
$7,752.00
|
$7,752.00
|
$2,868.24
|
$7,519.44
|
$6,589.20
|
2026-02-19
|
|
8084008_1
|
CDM
|
Denovo Nt Graft
|
15
|
15
|
$7,711.00
|
$7,711.00
|
$2,853.07
|
$7,479.67
|
$6,554.35
|
2026-02-19
|
|
8057473_1
|
CDM
|
Lap Band Ap Standard W Access
|
15
|
15
|
$7,606.00
|
$7,606.00
|
$2,814.22
|
$7,377.82
|
$6,465.10
|
2026-02-19
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
16
|
16
|
$8,110.00
|
$8,110.00
|
$165.58
|
$8,110.00
|
$6,317.69
|
2026-02-19
|
|
8084003_1
|
CDM
|
Femoral Stem,12/14 Nck Tpr
|
15
|
15
|
$7,228.00
|
$7,228.00
|
$2,674.36
|
$7,011.16
|
$6,143.80
|
2026-02-19
|
|
8082683_1
|
CDM
|
Device Fastener Serofust
|
15
|
15
|
$7,217.00
|
$7,217.00
|
$2,670.29
|
$7,000.49
|
$6,134.45
|
2026-02-19
|
|
J2182
|
HCPCS
|
Mepolizumab Per 1 Mg (100 Mg Kit)
|
19
|
7
|
$6,800.00
|
$4,420.00
35% off
|
$37.68
|
$6,745.48
|
$6,132.25
|
2026-05-22
|
|
38505
|
HCPCS
|
Needle Biopsy Or Removal Of Surface Lymph Nodes
|
16
|
16
|
$7,586.00
|
$7,586.00
|
$635.19
|
$7,586.00
|
$5,909.49
|
2026-02-19
|
|
J0717
|
HCPCS
|
Certolizumab 1 Mg (400 Mg Kit)
|
41
|
23
|
$6,799.10
|
$4,419.42
35% off
|
$5.65
|
$11,953.00
|
$5,807.35
|
2026-05-22
|
|
8083925_1
|
CDM
|
Ligasure Impact
|
15
|
15
|
$6,812.00
|
$6,812.00
|
$2,520.44
|
$6,607.64
|
$5,790.20
|
2026-02-19
|
|
81455
|
HCPCS
|
Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen…
|
16
|
16
|
$6,697.00
|
$6,697.00
|
$2,477.89
|
$6,697.00
|
$5,722.59
|
2026-02-19
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
16
|
16
|
$7,210.00
|
$7,210.00
|
$26.07
|
$7,210.00
|
$5,616.59
|
2026-02-19
|
|
38222
|
HCPCS
|
Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis
|
16
|
16
|
$6,307.00
|
$6,307.00
|
$2,333.59
|
$6,307.00
|
$5,389.33
|
2026-02-19
|
|
6110526_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$6,307.00
|
$6,307.00
|
$2,333.59
|
$6,117.79
|
$5,360.95
|
2026-02-19
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
13
|
13
|
$5,438.95
|
$5,438.95
|
$1,239.03
|
$12,686.95
|
$5,167.00
|
2026-02-19
|
|
6110585_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$6,064.00
|
$6,064.00
|
$2,243.68
|
$5,882.08
|
$5,154.40
|
2026-02-19
|
|
6110364_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$5,962.00
|
$5,962.00
|
$2,205.94
|
$5,783.14
|
$5,067.70
|
2026-02-19
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
13
|
13
|
$5,296.00
|
$5,296.00
|
$3,972.00
|
$12,544.00
|
$5,031.20
|
2026-02-19
|
|
5040365_1
|
CDM
|
Labor Room/delivery - General Classification
|
15
|
15
|
$5,910.00
|
$5,910.00
|
$2,186.70
|
$5,732.70
|
$5,023.50
|
2026-02-19
|
|
8083924_1
|
CDM
|
Ligasure Maryland
|
15
|
15
|
$5,900.00
|
$5,900.00
|
$2,183.00
|
$5,723.00
|
$5,015.00
|
2026-02-19
|
|
8083556_1
|
CDM
|
Mesh Patch, 5.6 X 6
|
15
|
15
|
$5,789.00
|
$5,789.00
|
$2,141.93
|
$5,615.33
|
$4,920.65
|
2026-02-19
|
|
5542308_1
|
CDM
|
Soliris 300 Mg/30 Ml Vial
|
3
|
3
|
$16,308.00
|
$16,308.00
|
$4,077.00
|
$13,861.80
|
$4,892.40
|
2026-02-19
|
|
6110533_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$5,619.00
|
$5,619.00
|
$2,079.03
|
$5,450.43
|
$4,776.15
|
2026-02-19
|
|
5040118_1
|
CDM
|
Labor Room/delivery - General Classification
|
15
|
15
|
$5,583.00
|
$5,583.00
|
$2,065.71
|
$5,415.51
|
$4,745.55
|
2026-02-19
|
|
J0630
|
HCPCS
|
Calcitonin-salmon Up To 400 Units/2 Ml
|
13
|
7
|
$4,932.00
|
$3,205.80
35% off
|
$1,775.52
|
$5,153.94
|
$4,685.40
|
2026-05-22
|
|
6110571_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$5,504.00
|
$5,504.00
|
$2,036.48
|
$5,338.88
|
$4,678.40
|
2026-02-19
|
|
6110350_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$5,504.00
|
$5,504.00
|
$2,036.48
|
$5,338.88
|
$4,678.40
|
2026-02-19
|
|
8083749_1
|
CDM
|
Novasure Kit
|
15
|
15
|
$5,391.00
|
$5,391.00
|
$1,994.67
|
$5,229.27
|
$4,582.35
|
2026-02-19
|
|
62328
|
HCPCS
|
Removal Of Spinal Fluid With Lower Back Spinal Tap For Diagnostic Test Using Ima…
|
16
|
16
|
$5,822.00
|
$5,822.00
|
$634.96
|
$5,822.00
|
$4,535.34
|
2026-02-19
|
|
J0490
|
HCPCS
|
Injection, Belimumab, 10 Mg
|
16
|
16
|
$5,796.00
|
$5,796.00
|
$66.11
|
$5,796.00
|
$4,515.09
|
2026-02-19
|
|
8083822_1
|
CDM
|
Enseal X1 Lg Jaw Tissue Sealer
|
15
|
15
|
$5,221.00
|
$5,221.00
|
$1,931.77
|
$5,064.37
|
$4,437.85
|
2026-02-19
|
|
J2802
|
HCPCS
|
Injection, Romiplostim, 1 Microgram
|
32
|
16
|
$8,740.50
|
$8,740.50
|
$1,395.27
|
$13,710.00
|
$4,421.85
|
2026-02-19
|
|
6110336_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$5,160.00
|
$5,160.00
|
$1,909.20
|
$5,005.20
|
$4,386.00
|
2026-02-19
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
16
|
16
|
$5,099.00
|
$5,099.00
|
$1,886.63
|
$5,099.00
|
$4,357.09
|
2026-02-19
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
13
|
13
|
$4,413.00
|
$4,413.00
|
$3,309.75
|
$11,661.00
|
$4,192.35
|
2026-02-19
|
|
6110476_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,931.00
|
$4,931.00
|
$1,824.47
|
$4,783.07
|
$4,191.35
|
2026-02-19
|
|
6110014_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,931.00
|
$4,931.00
|
$1,824.47
|
$4,783.07
|
$4,191.35
|
2026-02-19
|
|
8083364_1
|
CDM
|
Reload, Gold
|
15
|
15
|
$4,914.00
|
$4,914.00
|
$1,818.18
|
$4,766.58
|
$4,176.90
|
2026-02-19
|
|
8083396_1
|
CDM
|
Sonicision Curved Jaw Dissecto
|
15
|
15
|
$4,888.00
|
$4,888.00
|
$1,808.56
|
$4,741.36
|
$4,154.80
|
2026-02-19
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
12
|
12
|
$4,427.50
|
$4,427.50
|
$3,208.77
|
$4,427.50
|
$4,095.44
|
2026-02-19
|
|
6110098_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,816.00
|
$4,816.00
|
$1,781.92
|
$4,671.52
|
$4,093.60
|
2026-02-19
|
|
62304
|
HCPCS
|
X-ray Of Lower Spinal Canal With Review By Radiologist
|
16
|
16
|
$5,249.00
|
$5,249.00
|
$1,942.13
|
$5,249.00
|
$4,088.97
|
2026-02-19
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
16
|
16
|
$5,173.00
|
$5,173.00
|
$22.07
|
$5,173.00
|
$4,029.76
|
2026-02-19
|
|
8083584_1
|
CDM
|
Enseal Trio Device Curved 3mm-
|
15
|
15
|
$4,713.00
|
$4,713.00
|
$1,743.81
|
$4,571.61
|
$4,006.05
|
2026-02-19
|
|
6110322_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,702.00
|
$4,702.00
|
$1,739.74
|
$4,560.94
|
$3,996.70
|
2026-02-19
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
16
|
16
|
$5,124.00
|
$5,124.00
|
$1,057.85
|
$5,124.00
|
$3,991.59
|
2026-02-19
|
|
32550
|
HCPCS
|
Insertion Of Permanent Catheter For Drainage Of Lung Fluid
|
12
|
6
|
$4,391.00
|
$2,854.15
35% off
|
$1,505.52
|
$4,370.00
|
$3,972.90
|
2026-05-22
|
|
5059754_1
|
CDM
|
Trauma Tm Act Wo Cc W Prenotic
|
15
|
15
|
$5,284.00
|
$5,284.00
|
$0.95
|
$5,125.48
|
$3,963.00
|
2026-02-19
|
|
6110392_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,645.00
|
$4,645.00
|
$1,718.65
|
$4,505.65
|
$3,948.25
|
2026-02-19
|
|
78803
|
HCPCS
|
Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day …
|
16
|
16
|
$4,593.00
|
$4,593.00
|
$1,699.41
|
$4,593.00
|
$3,924.72
|
2026-02-19
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant, Per 3.6 Mg
|
29
|
23
|
$8,031.00
|
$8,031.00
|
$692.39
|
$8,031.00
|
$3,879.80
|
2026-05-22
|
|
795
|
MS_DRG
|
Normal Newborn
|
13
|
13
|
$4,538.33
|
$4,538.33
|
$759.24
|
$11,786.33
|
$3,803.12
|
2026-02-19
|
|
6110000_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,472.00
|
$4,472.00
|
$1,654.64
|
$4,337.84
|
$3,801.20
|
2026-02-19
|
|
6110462_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,472.00
|
$4,472.00
|
$1,654.64
|
$4,337.84
|
$3,801.20
|
2026-02-19
|
|
6110084_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$4,358.00
|
$4,358.00
|
$1,612.46
|
$4,227.26
|
$3,704.30
|
2026-02-19
|
|
J1568
|
HCPCS
|
Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui…
|
16
|
16
|
$4,715.00
|
$4,715.00
|
$57.42
|
$4,715.00
|
$3,672.98
|
2026-02-19
|
|
42400
|
HCPCS
|
Needle Biopsy Of Saliva Gland
|
16
|
16
|
$4,280.00
|
$4,280.00
|
$1,583.60
|
$4,280.00
|
$3,657.26
|
2026-02-19
|
|
8083824_1
|
CDM
|
Allograft
|
15
|
15
|
$4,300.00
|
$4,300.00
|
$1,591.00
|
$4,171.00
|
$3,655.00
|
2026-02-19
|
|
C8929
|
HCPCS
|
Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…
|
16
|
16
|
$4,685.00
|
$4,685.00
|
$1,455.56
|
$4,685.00
|
$3,649.61
|
2026-02-19
|
|
C8930
|
HCPCS
|
Transthoracic Echocardiography, With Contrast, Or Without Contrast Followed By W…
|
16
|
16
|
$4,685.00
|
$4,685.00
|
$1,455.56
|
$4,685.00
|
$3,649.61
|
2026-02-19
|
|
8083585_1
|
CDM
|
Or-enseal Trio Device Cruved 1
|
15
|
15
|
$4,277.00
|
$4,277.00
|
$1,582.49
|
$4,148.69
|
$3,635.45
|
2026-02-19
|
|
L8699
|
HCPCS
|
Mba Implant 10mm
|
12
|
6
|
$3,987.50
|
$2,591.88
35% off
|
$1,367.28
|
$3,968.15
|
$3,608.10
|
2026-05-22
|
|
J9330
|
HCPCS
|
Temsirolimus Per 1 Mg (25 Mg Vial)
|
13
|
7
|
$3,787.00
|
$2,461.55
35% off
|
$55.13
|
$3,957.42
|
$3,597.65
|
2026-05-22
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
29
|
23
|
$4,593.00
|
$4,593.00
|
$1,000.00
|
$4,593.00
|
$3,506.45
|
2026-05-22
|
|
Q4171
|
HCPCS
|
Interfyl
|
12
|
6
|
$3,864.00
|
$2,511.60
35% off
|
$1,324.80
|
$3,845.60
|
$3,496.00
|
2026-05-22
|
|
8083907_1
|
CDM
|
15mm (11g) Ivas Elite Bi_ped K
|
15
|
15
|
$4,108.00
|
$4,108.00
|
$1,519.96
|
$3,984.76
|
$3,491.80
|
2026-02-19
|
|
8083565_1
|
CDM
|
Sorbafix
|
15
|
15
|
$4,100.00
|
$4,100.00
|
$1,517.00
|
$3,977.00
|
$3,485.00
|
2026-02-19
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
43
|
20
|
$4,013.00
|
$4,013.00
|
$257.36
|
$4,586.00
|
$3,439.50
|
2026-05-22
|
|
8083834_1
|
CDM
|
Allograft Graftlin: D=8.5 L=66
|
15
|
15
|
$4,036.00
|
$4,036.00
|
$1,493.32
|
$3,914.92
|
$3,430.60
|
2026-02-19
|
|
6110413_1
|
CDM
|
Specialty Services - Treatment Room
|
15
|
15
|
$4,013.00
|
$4,013.00
|
$1,484.81
|
$3,892.61
|
$3,411.05
|
2026-02-19
|
|
J9355
|
HCPCS
|
Trastuzumab Per 10 Mg Inj (150 Mg Sdv)
|
19
|
7
|
$3,745.50
|
$2,434.58
35% off
|
$115.28
|
$8,942.35
|
$3,370.95
|
2026-05-22
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
16
|
16
|
$4,317.00
|
$4,317.00
|
$18.67
|
$4,317.00
|
$3,362.94
|
2026-02-19
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
29
|
23
|
$5,358.00
|
$5,358.00
|
$13.79
|
$5,358.00
|
$3,358.25
|
2026-05-22
|
|
8083770_1
|
CDM
|
Mba Implant 10mm
|
15
|
15
|
$3,929.00
|
$3,929.00
|
$1,453.73
|
$3,811.13
|
$3,339.65
|
2026-02-19
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
27
|
20
|
$4,013.00
|
$4,013.00
|
$1,527.12
|
$4,816.00
|
$3,299.00
|
2026-05-22
|
|
8082763_1
|
CDM
|
Graft Semitend Anterior Tibial
|
15
|
15
|
$3,851.00
|
$3,851.00
|
$1,424.87
|
$3,735.47
|
$3,273.35
|
2026-02-19
|
|
81162
|
HCPCS
|
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…
|
16
|
16
|
$4,186.00
|
$4,186.00
|
$1,548.82
|
$4,186.00
|
$3,260.89
|
2026-02-19
|
|
36558
|
HCPCS
|
Insertion Of Central Venous Catheter For Infusion, Patient 5 Years Or Older
|
13
|
7
|
$3,380.00
|
$2,197.00
35% off
|
$1,216.80
|
$3,532.10
|
$3,211.00
|
2026-05-22
|
|
8083951_1
|
CDM
|
Puros Dbm Putty W/chips 20cc
|
15
|
15
|
$3,765.00
|
$3,765.00
|
$1,393.05
|
$3,652.05
|
$3,200.25
|
2026-02-19
|
|
8083729_1
|
CDM
|
Aspira Pleural Drainage Kit
|
15
|
15
|
$3,722.00
|
$3,722.00
|
$1,377.14
|
$3,610.34
|
$3,163.70
|
2026-02-19
|
|
6110308_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,669.00
|
$3,669.00
|
$1,357.53
|
$3,558.93
|
$3,118.65
|
2026-02-19
|
|
6110448_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,669.00
|
$3,669.00
|
$1,357.53
|
$3,558.93
|
$3,118.65
|
2026-02-19
|
|
8082765_1
|
CDM
|
Graft Achilles Tendon W Bone
|
15
|
15
|
$3,639.00
|
$3,639.00
|
$1,346.43
|
$3,529.83
|
$3,093.15
|
2026-02-19
|
|
6110266_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,612.00
|
$3,612.00
|
$1,336.44
|
$3,503.64
|
$3,070.20
|
2026-02-19
|
|
29867
|
HCPCS
|
Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope
|
14
|
14
|
$3,499.00
|
$3,499.00
|
$1,294.63
|
$3,499.00
|
$3,061.62
|
2026-02-19
|
|
Q4125
|
HCPCS
|
Arthroflex, Per Square Centimeter
|
16
|
16
|
$3,892.00
|
$3,892.00
|
$31.66
|
$3,892.00
|
$3,031.87
|
2026-02-19
|
|
44500
|
HCPCS
|
Dilation Of Stomach And/or Small Bowel Using Long Gastrointestinal Tube
|
16
|
16
|
$3,492.00
|
$3,492.00
|
$1,292.04
|
$3,492.00
|
$2,983.91
|
2026-02-19
|
|
5540327_1
|
CDM
|
Remdesivir 100 Mg Vial
|
15
|
15
|
$3,504.00
|
$3,504.00
|
$1,296.48
|
$3,398.88
|
$2,978.40
|
2026-02-19
|
|
6110208_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,499.00
|
$3,499.00
|
$1,294.63
|
$3,394.03
|
$2,974.15
|
2026-02-19
|
|
Q4197
|
HCPCS
|
Puraply Xt, Per Square Centimeter
|
16
|
16
|
$3,785.00
|
$3,785.00
|
$36.46
|
$3,785.00
|
$2,948.52
|
2026-02-19
|
|
20220
|
HCPCS
|
Biopsy Of Bone Using Needle Or Trocar
|
41
|
23
|
$3,611.00
|
$2,347.15
35% off
|
$104.76
|
$7,947.00
|
$2,940.39
|
2026-05-22
|
|
54161
|
HCPCS
|
Removal Of Foreskin (older Than 28 Days)
|
16
|
16
|
$3,758.00
|
$3,758.00
|
$1,390.46
|
$3,758.00
|
$2,927.48
|
2026-02-19
|
|
6110238_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,440.00
|
$3,440.00
|
$1,272.80
|
$3,336.80
|
$2,924.00
|
2026-02-19
|
|
8083312_1
|
CDM
|
Linear Cutter Reloads Blue
|
15
|
15
|
$3,378.00
|
$3,378.00
|
$1,249.86
|
$3,276.66
|
$2,871.30
|
2026-02-19
|
|
8083365_1
|
CDM
|
Reload, Green
|
15
|
15
|
$3,378.00
|
$3,378.00
|
$1,249.86
|
$3,276.66
|
$2,871.30
|
2026-02-19
|
|
8083313_1
|
CDM
|
Reload, Staper
|
15
|
15
|
$3,378.00
|
$3,378.00
|
$1,249.86
|
$3,276.66
|
$2,871.30
|
2026-02-19
|
|
J9035
|
HCPCS
|
Bevacizumab Per 10 Mg Inj (400 Mg Vial)
|
31
|
7
|
$6,998.00
|
$4,548.70
35% off
|
$89.23
|
$7,495.79
|
$2,840.51
|
2026-05-22
|
|
6110056_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,326.00
|
$3,326.00
|
$1,230.62
|
$3,226.22
|
$2,827.10
|
2026-02-19
|
|
8083937_1
|
CDM
|
Graft Double Strand Semitendin
|
15
|
15
|
$3,226.00
|
$3,226.00
|
$1,193.62
|
$3,129.22
|
$2,742.10
|
2026-02-19
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
16
|
16
|
$3,505.00
|
$3,505.00
|
$1,296.85
|
$3,505.00
|
$2,730.39
|
2026-02-19
|
|
6110434_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,210.00
|
$3,210.00
|
$1,187.70
|
$3,113.70
|
$2,728.50
|
2026-02-19
|
|
6110556_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,210.00
|
$3,210.00
|
$1,187.70
|
$3,113.70
|
$2,728.50
|
2026-02-19
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
16
|
16
|
$3,465.00
|
$3,465.00
|
$209.18
|
$3,465.00
|
$2,699.23
|
2026-02-19
|
|
C1783
|
HCPCS
|
Ocular Implant, Aqueous Drainage Assist Device
|
28
|
22
|
$3,226.00
|
$3,226.00
|
$1,022.40
|
$3,226.00
|
$2,698.00
|
2026-05-22
|
|
6110252_1
|
CDM
|
Operating Room Services - General Classification
|
15
|
15
|
$3,154.00
|
$3,154.00
|
$1,166.98
|
$3,059.38
|
$2,680.90
|
2026-02-19
|
|
J9303
|
HCPCS
|
Panitumumab Per 10 Mg (100 Mg Vl)
|
25
|
7
|
$2,792.90
|
$1,815.39
35% off
|
$151.11
|
$10,611.98
|
$2,653.26
|
2026-05-22
|