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

HIAWATHA COMMUNITY HOSPITAL

Hiawatha, KS · CCN 171341 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $2,627 across 16 payers · range $551-$3,372

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHiawathaCommunity&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-19

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.

5,014 distinct procedures filed
23 distinct payers
130,684 rate rows
2026-05-22 last MRF observed
Data quality

128,241 of 130,684 rate rows are consumer-grade (98.1%)

2,443 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,314
per-diem day rate — not a per-procedure price 690
placeholder amount (≤ $0.02) — excluded from medians 216
template filing: same amount across many unrelated codes — excluded 107
percent-of-charges filed in the dollar field — excluded from medians 70
exceeds 10× this hospital's gross charge — excluded from medians 40
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbHiawathaCommunity&type=CDMWithoutLabel&fileType=CSV
Found on page https://amberwellhealth.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-17
Content fingerprint 9fa0c8afda115e5b… · 52,028,949 bytes · first seen 2026-05-17

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
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 16 $68.68 $51,402.00 $40,042.16 nat. median
$414
outlier · 96.6×
8084132_1
CDM 		Senza Omnia Kit 15 $14,379.68 $37,698.08 $33,034.40 nat. median
$29,148
1.1× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 $17,632.35 $42,023.16 $29,312.23 nat. median
$45,264
0.6× median
J1628
HCPCS 		Injection, Guselkumab, 1 Mg 16 $159.97 $36,256.00 $28,243.42 nat. median
$229
outlier · 123.5×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $16,996.95 $39,879.30 $27,857.09 nat. median
$43,741
0.6× median
J3357
HCPCS 		Ustekinumab 1 Mg (90 Mg/ml Inj) 23 $179.97 $71,057.00 $25,195.50 nat. median
$14,697
1.7× median
J2329
HCPCS 		Injection, Ublituximab-xiiy, 1mg 16 $10,236.79 $27,667.00 $23,641.45 nat. median
$175
outlier · 134.7×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 16 $9,557.47 $25,831.00 $22,072.59 nat. median
$1,767
outlier · 12.5×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $12,835.08 $28,310.88 $19,961.63 nat. median
$31,913
0.6× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 $10,865.34 $29,060.14 $19,256.94 nat. median
$27,642
0.7× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 4 $9,245.07 $26,296.66 $17,134.90 nat. median
$23,584
0.7× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 4 $8,260.20 $24,998.76 $16,429.09 nat. median
$22,965
0.7× median
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 $9,800.96 $20,159.59 $15,993.35 nat. median
$23,530
0.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 $9,342.30 $21,921.73 $15,750.18 nat. median
$23,195
0.7× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 4 $7,329.82 $22,152.04 $15,732.50 nat. median
$18,831
0.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 4 $8,827.78 $18,972.15 $15,365.77 nat. median
$21,152
0.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 $9,372.15 $20,099.95 $14,366.07 nat. median
$23,553
0.6× median
J2426
HCPCS 		Invega Trinza 819 Mg/2.625 Ml 819 Mg, 2.625 Ml 7 $14.90 $14,953.00 $14,166.00 nat. median
$2,498
outlier · 5.7×
503
MS_DRG 		Foot Procedures With Mcc 4 $7,751.88 $18,020.43 $13,862.80 nat. median
$25,947
0.5× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 4 $7,923.76 $16,462.00 $13,806.64 nat. median
$19,970
0.7× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 $8,196.66 $19,193.39 $13,556.97 nat. median
$21,612
0.6× median
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 $7,370.64 $18,980.79 $13,339.70 nat. median
$21,232
0.6× median
J2323
HCPCS 		Injection, Natalizumab, 1 Mg 23 $27.55 $21,345.00 $13,209.75 nat. median
$180
outlier · 73.5×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 23 $25.42 $23,309.00 $13,034.00 nat. median
$155
outlier · 84.3×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 $7,592.78 $18,340.40 $12,952.99 nat. median
$19,254
0.7× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 $7,641.80 $16,901.67 $12,873.22 nat. median
$19,268
0.7× median
813
MS_DRG 		Coagulation Disorders 5 $5,796.14 $32,798.00 $12,685.37 nat. median
$14,899
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 $7,107.14 $17,541.87 $12,319.52 nat. median
$18,303
0.7× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 4 $6,989.40 $17,719.90 $12,207.83 nat. median
$19,340
0.6× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 $6,631.38 $18,490.64 $12,166.56 nat. median
$15,491
0.8× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 $7,381.50 $17,192.89 $12,137.88 nat. median
$18,659
0.7× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 4 $5,938.26 $18,910.58 $12,127.76 nat. median
$15,405
0.8× median
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 23 $166.30 $19,263.00 $11,917.75 nat. median
$3,787
outlier · 3.1×
551
MS_DRG 		Medical Back Problems With Mcc 4 $6,369.18 $14,064.26 $11,811.38 nat. median
$16,106
0.7× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 4 $6,894.09 $16,254.20 $11,460.33 nat. median
$18,829
0.6× median
744
MS_DRG 		D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 4 $6,862.32 $15,516.15 $11,263.46 nat. median
$19,083
0.6× median
504
MS_DRG 		Foot Procedures With Cc 4 $7,102.96 $15,339.85 $10,971.75 nat. median
$17,730
0.6× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 4 $5,845.68 $16,292.60 $10,936.49 nat. median
$16,542
0.7× median
988
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 $6,163.38 $15,928.59 $10,688.92 nat. median
$16,264
0.7× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 $6,163.38 $14,848.11 $10,538.97 nat. median
$17,796
0.6× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 4 $6,957.80 $14,560.32 $10,458.50 nat. median
$17,357
0.6× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 $5,623.29 $14,940.58 $10,379.97 nat. median
$16,866
0.6× median
983
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 $6,417.54 $14,871.46 $10,320.55 nat. median
$16,563
0.6× median
884
MS_DRG 		Organic Disturbances And Intellectual Disability 4 $5,305.59 $15,179.38 $10,267.11 nat. median
$14,262
0.7× median
418
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 $5,782.14 $14,596.62 $10,147.44 nat. median
$16,459
0.6× median
438
MS_DRG 		Disorders Of Pancreas Except Malignancy With Mcc 4 $6,194.76 $12,275.00 $9,965.78 nat. median
$15,979
0.6× median
571
MS_DRG 		Skin Debridement With Cc 4 $5,496.21 $14,133.40 $9,923.42 nat. median
$16,367
0.6× median
792
MS_DRG 		Prematurity Without Major Problems 4 $9,306.96 $24,206.00 $9,710.00 nat. median
$20,578
outlier · 0.5×
186
MS_DRG 		Pleural Effusion With Mcc 4 $5,922.30 $14,037.37 $9,670.01 nat. median
$15,136
0.6× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 16 $4,180.26 $11,298.00 $9,654.14 nat. median
$1,659
outlier · 5.8×

Other procedures at this hospital

Browse this hospital's 5,014 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 $65,176.00 $65,176.00 $17,632.35 $42,023.16 $29,312.23 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 $68,245.00 $68,245.00 $16,996.95 $39,879.30 $27,857.09 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
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
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
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 $93,199.00 $93,199.00 $12,835.08 $28,310.88 $19,961.63 2026-02-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 $51,023.52 $51,023.52 $10,865.34 $29,060.14 $19,256.94 2026-02-19
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 $27,319.00 $27,319.00 $9,245.07 $26,296.66 $17,134.90 2026-02-19
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 $63,481.50 $63,481.50 $8,260.20 $24,998.76 $16,429.09 2026-02-19
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 4 $40,635.00 $40,635.00 $9,800.96 $20,159.59 $15,993.35 2026-02-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $43,182.62 $43,182.62 $9,342.30 $21,921.73 $15,750.18 2026-02-19
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 $32,516.21 $32,516.21 $7,329.82 $22,152.04 $15,732.50 2026-02-19
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 $22,699.00 $22,699.00 $8,827.78 $18,972.15 $15,365.77 2026-02-19
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 4 $59,114.05 $59,114.05 $9,372.15 $20,099.95 $14,366.07 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
503 MS_DRG Foot Procedures With Mcc 4 4 $26,766.00 $26,766.00 $7,751.88 $18,020.43 $13,862.80 2026-02-19
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 4 $16,462.00 $16,462.00 $7,923.76 $16,462.00 $13,806.64 2026-02-19
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 4 $39,267.00 $39,267.00 $8,196.66 $19,193.39 $13,556.97 2026-02-19
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 4 $38,805.00 $38,805.00 $7,370.64 $18,980.79 $13,339.70 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
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
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 $34,860.00 $34,860.00 $7,592.78 $18,340.40 $12,952.99 2026-02-19
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 $44,820.00 $44,820.00 $7,641.80 $16,901.67 $12,873.22 2026-02-19
813 MS_DRG Coagulation Disorders 5 5 $14,678.00 $14,678.00 $5,796.14 $32,798.00 $12,685.37 2026-02-19
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $36,218.00 $36,218.00 $7,107.14 $17,541.87 $12,319.52 2026-02-19
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 $67,337.00 $67,337.00 $6,989.40 $17,719.90 $12,207.83 2026-02-19
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 4 $20,757.00 $20,757.00 $6,631.38 $18,490.64 $12,166.56 2026-02-19
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $30,848.92 $30,848.92 $7,381.50 $17,192.89 $12,137.88 2026-02-19
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $44,959.67 $44,959.67 $5,938.26 $18,910.58 $12,127.76 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
551 MS_DRG Medical Back Problems With Mcc 4 4 $25,652.00 $25,652.00 $6,369.18 $14,064.26 $11,811.38 2026-02-19
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 $22,845.00 $22,845.00 $6,894.09 $16,254.20 $11,460.33 2026-02-19
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 4 4 $19,996.00 $19,996.00 $6,862.32 $15,516.15 $11,263.46 2026-02-19
504 MS_DRG Foot Procedures With Cc 4 4 $50,941.00 $50,941.00 $7,102.96 $15,339.85 $10,971.75 2026-02-19
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 $43,042.50 $43,042.50 $5,845.68 $16,292.60 $10,936.49 2026-02-19
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $33,738.00 $33,738.00 $6,163.38 $15,928.59 $10,688.92 2026-02-19
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $29,933.00 $29,933.00 $6,163.38 $14,848.11 $10,538.97 2026-02-19
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 $29,717.00 $29,717.00 $6,957.80 $14,560.32 $10,458.50 2026-02-19
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 $43,303.00 $43,303.00 $5,623.29 $14,940.58 $10,379.97 2026-02-19
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 4 $36,511.00 $36,511.00 $6,417.54 $14,871.46 $10,320.55 2026-02-19
884 MS_DRG Organic Disturbances And Intellectual Disability 4 4 $16,487.00 $16,487.00 $5,305.59 $15,179.38 $10,267.11 2026-02-19
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 $33,938.00 $33,938.00 $5,782.14 $14,596.62 $10,147.44 2026-02-19
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 4 4 $12,275.00 $12,275.00 $6,194.76 $12,275.00 $9,965.78 2026-02-19
571 MS_DRG Skin Debridement With Cc 4 4 $58,726.50 $58,726.50 $5,496.21 $14,133.40 $9,923.42 2026-02-19
792 MS_DRG Prematurity Without Major Problems 4 4 $9,710.00 $9,710.00 $9,306.96 $24,206.00 $9,710.00 2026-02-19
186 MS_DRG Pleural Effusion With Mcc 4 4 $21,428.00 $21,428.00 $5,922.30 $14,037.37 $9,670.01 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
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 5 5 $27,664.00 $27,664.00 $3,632.04 $63,904.00 $9,610.20 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
334 MS_DRG Rectal Resection Without Cc/mcc 4 4 $21,131.00 $21,131.00 $6,195.15 $13,435.91 $9,494.07 2026-02-19
682 MS_DRG Renal Failure With Mcc 4 4 $21,842.00 $21,842.00 $4,956.12 $14,041.37 $9,483.55 2026-02-19
602 MS_DRG Cellulitis With Mcc 4 4 $37,132.00 $37,132.00 $5,400.94 $12,531.14 $9,462.88 2026-02-19
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 4 4 $62,877.00 $62,877.00 $5,689.36 $13,261.88 $9,365.20 2026-02-19
949 MS_DRG Aftercare With Cc/mcc 4 4 $25,454.00 $25,454.00 $4,520.86 $12,199.68 $9,352.14 2026-02-19
291 MS_DRG Heart Failure And Shock With Mcc 4 4 $27,605.82 $27,605.82 $4,878.44 $13,521.13 $9,329.49 2026-02-19
540 MS_DRG Osteomyelitis With Cc 4 4 $12,537.00 $12,537.00 $4,925.94 $11,248.65 $9,314.36 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
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 $22,440.00 $22,440.00 $4,923.28 $10,953.95 $9,094.95 2026-02-19
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 4 4 $36,329.00 $36,329.00 $5,750.37 $12,900.16 $9,024.12 2026-02-19
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 $22,171.00 $22,171.00 $4,384.26 $13,089.43 $9,023.40 2026-02-19
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 4 4 $40,750.00 $40,750.00 $5,219.68 $13,360.79 $8,999.17 2026-02-19
549 MS_DRG Septic Arthritis With Cc 4 4 $12,442.00 $12,442.00 $4,587.36 $10,801.84 $8,832.08 2026-02-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 $8,788.00 $8,788.00 $8,788.00 $10,579.41 $8,788.00 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
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 4 4 $18,992.00 $18,992.00 $4,279.18 $9,298.96 $8,721.84 2026-02-19
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 4 4 $14,096.00 $14,096.00 $4,733.73 $12,399.74 $8,707.39 2026-02-19
947 MS_DRG Signs And Symptoms With Mcc 4 4 $16,851.00 $16,851.00 $4,823.72 $10,318.75 $8,666.15 2026-02-19
811 MS_DRG Red Blood Cell Disorders With Mcc 4 4 $24,917.50 $24,917.50 $5,336.34 $11,920.13 $8,648.44 2026-02-19
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 4 4 $24,638.00 $24,638.00 $4,819.54 $10,795.80 $8,606.82 2026-02-19
606 MS_DRG Minor Skin Disorders With Mcc 4 4 $86,403.53 $86,403.53 $5,750.16 $10,550.63 $8,553.91 2026-02-19
189 MS_DRG Pulmonary Edema And Respiratory Failure 4 4 $26,310.14 $26,310.14 $4,638.42 $12,987.81 $8,516.47 2026-02-19
637 MS_DRG Diabetes With Mcc 4 4 $36,455.50 $36,455.50 $5,459.46 $11,896.81 $8,430.86 2026-02-19
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 4 4 $25,590.00 $25,590.00 $4,384.26 $12,291.76 $8,428.85 2026-02-19
865 MS_DRG Viral Illness With Mcc 4 4 $21,611.00 $21,611.00 $5,693.54 $11,455.29 $8,427.65 2026-02-19
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 4 4 $33,466.00 $33,466.00 $4,701.96 $11,898.53 $8,393.69 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
644 MS_DRG Endocrine Disorders With Cc 5 5 $24,699.00 $24,699.00 $3,895.00 $53,691.00 $8,372.62 2026-02-19
534 MS_DRG Fractures Of Femur Without Mcc 5 5 $12,907.00 $12,907.00 $3,063.18 $31,027.00 $8,326.79 2026-02-19
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 4 $20,408.43 $20,408.43 $4,574.88 $11,999.76 $8,197.25 2026-02-19
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 4 4 $29,104.67 $29,104.67 $3,839.14 $11,061.23 $8,192.81 2026-02-19
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 4 4 $37,184.50 $37,184.50 $4,479.57 $12,373.85 $8,119.96 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{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{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{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{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 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
178 MS_DRG Respiratory Infections And Inflammations With Cc 4 4 $29,819.13 $29,819.13 $3,708.80 $12,788.25 $7,964.73 2026-02-19
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 4 4 $25,587.25 $25,587.25 $4,409.14 $9,629.10 $7,862.02 2026-02-19
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 $28,138.50 $28,138.50 $4,209.26 $11,189.65 $7,856.68 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
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 4 4 $21,171.00 $21,171.00 $4,575.20 $10,378.38 $7,804.91 2026-02-19
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 4 4 $29,285.00 $29,285.00 $5,075.28 $10,636.77 $7,705.26 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
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
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
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
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 4 4 $33,889.60 $33,889.60 $4,225.41 $11,389.54 $7,531.95 2026-02-19
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 4 4 $8,178.00 $8,178.00 $4,257.18 $8,178.00 $7,513.18 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
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 4 4 $17,647.00 $17,647.00 $3,492.58 $9,719.78 $7,333.23 2026-02-19
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 4 4 $26,837.33 $26,837.33 $4,161.87 $10,217.07 $7,210.44 2026-02-19
92 MS_DRG Other Disorders Of Nervous System With Cc 4 4 $23,574.00 $23,574.00 $3,887.40 $8,546.23 $7,204.69 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
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 5 5 $31,254.00 $31,254.00 $3,470.16 $67,494.00 $7,146.03 2026-02-19
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 4 $19,218.00 $19,218.00 $4,479.57 $10,238.48 $7,141.76 2026-02-19
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 4 4 $42,174.00 $42,174.00 $3,702.72 $8,722.53 $7,129.58 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
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 4 $18,543.33 $18,543.33 $3,888.54 $9,753.29 $6,983.80 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
607 MS_DRG Minor Skin Disorders Without Mcc 5 5 $22,327.00 $22,327.00 $3,444.32 $51,319.00 $6,799.56 2026-02-19
787 MS_DRG Cesarean Section Without Sterilization With Cc 4 4 $23,009.50 $23,009.50 $3,748.86 $9,755.59 $6,755.82 2026-02-19
184 MS_DRG Major Chest Trauma With Cc 4 4 $16,798.00 $16,798.00 $4,043.58 $9,894.19 $6,748.90 2026-02-19
378 MS_DRG Gastrointestinal Hemorrhage With Cc 4 4 $34,011.00 $34,011.00 $3,726.66 $9,144.07 $6,742.07 2026-02-19
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 4 4 $20,145.50 $20,145.50 $3,879.80 $9,831.88 $6,719.31 2026-02-19
683 MS_DRG Renal Failure With Cc 4 4 $16,093.67 $16,093.67 $3,328.04 $9,762.09 $6,686.16 2026-02-19
152 MS_DRG Otitis Media And Uri With Mcc 4 4 $15,670.00 $15,670.00 $3,431.16 $9,337.85 $6,681.66 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
948 MS_DRG Signs And Symptoms Without Mcc 4 4 $23,173.60 $23,173.60 $3,041.90 $7,116.48 $6,632.19 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
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 4 4 $14,150.00 $14,150.00 $3,853.20 $9,134.64 $6,578.74 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
200 MS_DRG Pneumothorax With Cc 4 4 $18,386.00 $18,386.00 $4,177.34 $9,303.28 $6,547.65 2026-02-19
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 5 5 $35,063.00 $35,063.00 $3,068.88 $74,927.00 $6,520.12 2026-02-19
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 4 4 $26,180.00 $26,180.00 $3,399.39 $9,434.41 $6,517.39 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
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 5 5 $13,212.00 $13,212.00 $3,025.94 $27,708.00 $6,421.91 2026-02-19
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 4 4 $59,046.00 $59,046.00 $3,402.90 $7,537.69 $6,328.51 2026-02-19
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 4 4 $20,025.19 $20,025.19 $3,062.42 $8,907.41 $6,327.84 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
552 MS_DRG Medical Back Problems Without Mcc 4 4 $30,940.67 $30,940.67 $3,652.94 $8,153.01 $6,303.09 2026-02-19
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 4 4 $26,819.00 $26,819.00 $2,747.78 $7,703.61 $6,248.47 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
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 4 4 $8,286.00 $8,286.00 $3,668.14 $8,286.00 $6,138.05 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
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 4 4 $7,596.00 $7,596.00 $3,917.04 $7,596.00 $6,133.09 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
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 5 5 $21,315.00 $21,315.00 $2,764.12 $46,683.00 $6,113.20 2026-02-19
315 MS_DRG Other Circulatory System Diagnoses With Cc 4 4 $18,995.00 $18,995.00 $3,660.54 $8,412.27 $6,108.53 2026-02-19
202 MS_DRG Bronchitis And Asthma With Cc/mcc 4 4 $14,011.00 $14,011.00 $3,690.56 $8,702.53 $6,055.78 2026-02-19
389 MS_DRG Gastrointestinal Obstruction With Cc 4 4 $38,026.67 $38,026.67 $3,001.24 $7,877.99 $5,918.29 2026-02-19
76 MS_DRG Viral Meningitis Without Cc/mcc 4 4 $10,612.00 $10,612.00 $2,845.44 $8,511.67 $5,917.48 2026-02-19
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
292 MS_DRG Heart Failure And Shock With Cc 4 4 $22,460.70 $22,460.70 $3,226.20 $7,462.50 $5,879.78 2026-02-19
541 MS_DRG Osteomyelitis Without Cc/mcc 4 4 $10,777.00 $10,777.00 $2,931.70 $7,287.07 $5,875.88 2026-02-19
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 4 4 $26,639.50 $26,639.50 $3,480.80 $7,811.65 $5,855.01 2026-02-19
201 MS_DRG Pneumothorax Without Cc/mcc 5 5 $10,455.00 $10,455.00 $2,717.38 $21,327.00 $5,825.85 2026-02-19
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 4 4 $13,757.67 $13,757.67 $3,354.64 $8,589.43 $5,811.44 2026-02-19
603 MS_DRG Cellulitis Without Mcc 4 4 $22,363.00 $22,363.00 $3,309.42 $8,017.56 $5,809.85 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
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 4 4 $21,232.00 $21,232.00 $3,639.64 $7,703.66 $5,740.17 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
394 MS_DRG Other Digestive System Diagnoses With Cc 4 4 $11,737.00 $11,737.00 $3,555.66 $8,131.42 $5,720.97 2026-02-19
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 4 4 $29,820.00 $29,820.00 $3,054.82 $6,848.04 $5,715.00 2026-02-19
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 4 4 $19,445.50 $19,445.50 $3,636.98 $7,642.22 $5,710.99 2026-02-19
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 4 4 $29,341.80 $29,341.80 $3,590.01 $8,167.17 $5,701.12 2026-02-19
176 MS_DRG Pulmonary Embolism Without Mcc 4 4 $23,610.00 $23,610.00 $3,059.00 $8,722.23 $5,699.79 2026-02-19
812 MS_DRG Red Blood Cell Disorders Without Mcc 4 4 $18,066.00 $18,066.00 $3,489.16 $7,607.70 $5,694.59 2026-02-19
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 4 4 $16,551.61 $16,551.61 $2,957.16 $7,060.10 $5,688.65 2026-02-19
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 4 4 $25,513.00 $25,513.00 $3,304.08 $8,463.27 $5,674.19 2026-02-19
951 MS_DRG Other Factors Influencing Health Status 5 5 $10,646.28 $10,646.28 $2,112.80 $21,518.28 $5,646.07 2026-02-19
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 4 4 $20,752.00 $20,752.00 $3,196.56 $7,304.35 $5,629.93 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
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 4 4 $33,902.50 $33,902.50 $3,203.40 $8,382.63 $5,602.02 2026-02-19
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 4 $24,649.50 $24,649.50 $3,076.10 $7,499.28 $5,579.56 2026-02-19
638 MS_DRG Diabetes With Cc 4 4 $26,847.67 $26,847.67 $3,405.56 $7,997.88 $5,530.46 2026-02-19
101 MS_DRG Seizures Without Mcc 4 4 $22,302.00 $22,302.00 $3,429.88 $7,677.70 $5,505.45 2026-02-19
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 4 4 $20,490.71 $20,490.71 $3,576.18 $7,656.95 $5,447.94 2026-02-19
794 MS_DRG Neonate With Other Significant Problems 5 5 $5,438.95 $5,438.95 $1,239.03 $12,686.95 $5,438.95 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
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 4 4 $12,438.00 $12,438.00 $2,600.72 $8,031.16 $5,355.65 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 $5,296.00 $5,296.00 $5,296.00 $12,544.00 $5,296.00 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
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 4 4 $21,419.50 $21,419.50 $2,962.48 $7,171.29 $5,153.72 2026-02-19
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 4 4 $15,764.23 $15,764.23 $2,827.53 $7,786.73 $5,131.30 2026-02-19
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 4 4 $9,608.00 $9,608.00 $3,143.74 $7,057.18 $5,099.51 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
69 MS_DRG Transient Ischemia Without Thrombolytic 4 4 $18,529.50 $18,529.50 $3,035.44 $6,802.25 $5,041.96 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
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 4 4 $23,030.00 $23,030.00 $2,388.30 $6,807.04 $5,012.47 2026-02-19
305 MS_DRG Hypertension Without Mcc 4 4 $18,647.00 $18,647.00 $2,869.38 $6,565.59 $4,945.43 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
204 MS_DRG Respiratory Signs And Symptoms 4 4 $12,326.00 $12,326.00 $3,068.12 $7,061.80 $4,911.09 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
90 MS_DRG Concussion Without Cc/mcc 4 4 $19,493.00 $19,493.00 $3,128.16 $6,318.82 $4,859.99 2026-02-19
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 4 4 $20,561.75 $20,561.75 $2,795.66 $7,176.95 $4,838.70 2026-02-19
645 MS_DRG Endocrine Disorders Without Cc/mcc 4 4 $21,916.00 $21,916.00 $2,919.54 $6,642.36 $4,823.05 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
313 MS_DRG Chest Pain 4 4 $20,870.50 $20,870.50 $2,736.00 $6,619.98 $4,717.10 2026-02-19
594 MS_DRG Skin Ulcers Without Cc/mcc 4 4 $15,503.00 $15,503.00 $3,293.84 $5,586.64 $4,686.94 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
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
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
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 4 4 $19,790.60 $19,790.60 $2,439.60 $7,223.86 $4,670.36 2026-02-19
684 MS_DRG Renal Failure Without Cc/mcc 4 4 $20,236.00 $20,236.00 $2,281.14 $7,015.17 $4,603.00 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
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 4 4 $10,438.00 $10,438.00 $2,732.22 $6,726.20 $4,565.99 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
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 4 4 $11,431.00 $11,431.00 $2,546.00 $6,532.62 $4,532.65 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
149 MS_DRG Dysequilibrium 4 4 $11,954.00 $11,954.00 $2,192.13 $6,369.27 $4,453.44 2026-02-19
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 4 4 $24,564.00 $24,564.00 $2,361.32 $5,829.55 $4,452.84 2026-02-19
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 5 5 $9,466.00 $9,466.00 $1,906.20 $27,586.00 $4,448.40 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
793 MS_DRG Full Term Neonate With Major Problems 4 4 $4,427.50 $4,427.50 $3,208.77 $4,427.50 $4,427.50 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
300 MS_DRG Peripheral Vascular Disorders With Cc 5 5 $4,413.00 $4,413.00 $4,056.50 $11,661.00 $4,413.00 2026-02-19
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 4 4 $11,350.00 $11,350.00 $2,001.51 $6,498.66 $4,399.95 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
153 MS_DRG Otitis Media And Uri Without Mcc 4 4 $11,031.00 $11,031.00 $2,160.36 $6,163.58 $4,330.28 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
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
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
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 4 4 $18,302.33 $18,302.33 $2,067.20 $5,509.39 $4,094.27 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
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 4 4 $30,553.50 $30,553.50 $2,395.52 $5,506.78 $4,077.14 2026-02-19
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 4 4 $12,456.00 $12,456.00 $2,350.98 $5,868.67 $4,031.55 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
293 MS_DRG Heart Failure And Shock Without Cc/mcc 4 4 $13,761.00 $13,761.00 $2,150.80 $5,634.31 $4,010.64 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
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 4 4 $15,244.53 $15,244.53 $2,561.96 $5,594.39 $3,991.68 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
639 MS_DRG Diabetes Without Cc/mcc 4 4 $10,068.33 $10,068.33 $2,255.67 $5,796.76 $3,933.74 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
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
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 4 4 $12,709.25 $12,709.25 $2,151.18 $5,267.86 $3,630.07 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
Q4125 HCPCS Arthroflex, Per Square Centimeter 15 15 $3,892.00 $3,892.00 $33.33 $3,892.00 $3,144.74 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
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
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
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
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
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
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
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
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
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
J0897 HCPCS Injection, Denosumab, 1 Mg 69 23 $4,529.00 $3,392.68 25% off $10.73 $7,609.00 $2,646.99 2026-05-22
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