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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

WHITESBURG ARH HOSPITAL

Whitesburg, KY · CCN 180002 · Rates published

1,799 distinct procedures filed
18 distinct payers
109,720 rate rows
2026-01-01 last MRF observed
Data quality

108,288 of 109,720 rate rows are consumer-grade (98.7%)

1,432 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,340
placeholder amount (≤ $0.02) — excluded from medians 68
percent-of-charges filed in the dollar field — excluded from medians 16
per-diem day rate — not a per-procedure price 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2026/03/520795508_Whitesburg-ARH-Hospital_standardcharges.csv
Found on page https://www.arh.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 498ddb8e12e54356… · 18,408,150 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $39,876.89 $100,288.30 $59,695.42 nat. median
$66,526
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $39,551.11 $93,365.72 $55,574.83 nat. median
$62,134
0.9× median
834
MS_DRG 		Acute Leukemia With Mcc 14 $32,056.55 $79,656.93 $47,414.84 nat. median
$53,172
0.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 14 $29,079.34 $72,365.79 $43,074.88 nat. median
$48,178
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $28,623.03 $71,657.72 $42,653.40 nat. median
$48,170
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $27,140.72 $68,076.72 $40,521.86 nat. median
$46,084
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 14 $25,860.52 $66,693.94 $39,698.78 nat. median
$44,810
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 14 $24,497.30 $63,738.31 $37,939.47 nat. median
$42,444
0.9× median
793
MS_DRG 		Full Term Neonate With Major Problems 14 $24,099.96 $60,499.74 $36,011.75 nat. median
$34,190
1.1× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 14 $20,468.33 $51,812.77 $30,840.93 nat. median
$35,058
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 $22,659.44 $50,601.21 $30,119.77 nat. median
$35,856
0.8× median
J1303
HCPCS 		Ultomiris 1100mg/11ml 17 $225.11 $133,622.40 $29,938.10 nat. median
$4,664
outlier · 6.4×
264
MS_DRG 		Other Circulatory System O.r. Procedures 14 $18,699.18 $48,471.18 $28,851.89 nat. median
$33,061
0.9× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 $19,135.46 $46,989.74 $27,970.08 nat. median
$31,571
0.9× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 14 $18,566.35 $45,920.37 $27,333.55 nat. median
$31,070
0.9× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 14 $17,184.24 $45,193.43 $26,900.85 nat. median
$30,262
0.9× median
570
MS_DRG 		Skin Debridement With Mcc 14 $16,730.78 $42,674.55 $25,401.52 nat. median
$29,069
0.9× median
J2350
HCPCS 		Ocrevus 300mg/10ml Injection 17 $59.41 $83,974.35 $24,379.65 nat. median
$683
outlier · 35.7×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 $15,480.36 $39,882.88 $23,739.81 nat. median
$26,748
0.9× median
J9333
HCPCS 		Rystiggo 280 Mg/2 Ml Vial 17 $23.16 $74,832.45 $23,334.85 nat. median
$46
outlier · 503.2×
253
MS_DRG 		Other Vascular Procedures With Cc 14 $14,606.09 $37,661.44 $22,417.52 nat. median
$26,079
0.9× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 $14,233.36 $35,672.15 $21,233.43 nat. median
$24,493
0.9× median
783
MS_DRG 		Cesarean Section With Sterilization With Mcc 14 $10,144.28 $35,622.82 $21,204.06 nat. median
$19,234
1.1× median
792
MS_DRG 		Prematurity Without Major Problems 14 $14,156.07 $35,537.21 $21,153.10 nat. median
$20,884
1.0× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 14 $13,581.24 $34,782.71 $20,703.99 nat. median
$24,346
0.9× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 $13,270.35 $34,626.00 $20,610.72 nat. median
$23,829
0.9× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 14 $13,706.62 $33,707.54 $20,064.01 nat. median
$22,361
0.9× median
J2329
HCPCS 		Briumvi 150 Mg Vial 17 $70.75 $65,245.08 $18,942.12 nat. median
$169
outlier · 112.1×
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 14 $12,955.45 $31,613.78 $18,817.73 nat. median
$22,198
0.8× median
814
MS_DRG 		Reticuloendothelial And Immunity Disorders With Mcc 14 $12,184.24 $30,857.83 $18,367.75 nat. median
$20,887
0.9× median
867
MS_DRG 		Other Infectious And Parasitic Diseases Diagnoses With Mcc 14 $11,979.27 $30,371.75 $18,078.42 nat. median
$21,263
0.9× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 14 $11,986.14 $30,255.67 $18,009.33 nat. median
$20,752
0.9× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 14 $11,684.41 $30,152.66 $17,948.01 nat. median
$21,082
0.9× median
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 14 $10,626.36 $29,421.37 $17,512.72 nat. median
$19,877
0.9× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 $11,467.99 $29,179.05 $17,368.48 nat. median
$20,254
0.9× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 14 $11,669.52 $28,991.88 $17,257.07 nat. median
$20,421
0.8× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 14 $11,474.29 $28,949.80 $17,232.02 nat. median
$20,396
0.8× median
539
MS_DRG 		Osteomyelitis With Mcc 14 $11,361.50 $28,579.80 $17,011.79 nat. median
$19,718
0.9× median
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 14 $10,969.88 $28,558.04 $16,998.83 nat. median
$19,681
0.9× median
380
MS_DRG 		Complicated Peptic Ulcer With Mcc 14 $11,155.96 $28,470.98 $16,947.01 nat. median
$19,314
0.9× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 14 $11,351.19 $28,185.14 $16,776.87 nat. median
$19,634
0.9× median
100
MS_DRG 		Seizures With Mcc 14 $11,350.62 $28,102.43 $16,727.64 nat. median
$19,360
0.9× median
J2327
HCPCS 		Skyrizi 600mg/10ml 17 $14.94 $57,331.71 $16,644.69 nat. median
$2,241
outlier · 7.4×
717
MS_DRG 		Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 14 $10,384.17 $27,430.63 $16,327.76 nat. median
$19,014
0.9× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 $11,362.07 $27,137.54 $16,153.29 nat. median
$19,472
0.8× median
504
MS_DRG 		Foot Procedures With Cc 14 $9,888.35 $27,121.57 $16,143.79 nat. median
$18,582
0.9× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 14 $10,202.10 $26,622.44 $15,846.69 nat. median
$18,899
0.8× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 14 $10,250.20 $26,523.77 $15,787.96 nat. median
$18,249
0.9× median
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 14 $10,531.31 $26,171.19 $15,578.09 nat. median
$18,574
0.8× median
167
MS_DRG 		Other Respiratory System O.r. Procedures With Cc 14 $10,419.10 $26,166.83 $15,575.50 nat. median
$18,895
0.8× median

Other procedures at this hospital

Browse this hospital's 1,799 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
             
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 14 — — $39,876.89 $100,288.30 $59,695.42 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 14 — — $39,551.11 $93,365.72 $55,574.83 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 34 14 — — $32,056.55 $79,656.93 $47,414.84 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $29,079.34 $72,365.79 $43,074.88 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 14 — — $28,623.03 $71,657.72 $42,653.40 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $27,140.72 $68,076.72 $40,521.86 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 14 — — $25,860.52 $66,693.94 $39,698.78 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 14 — — $24,497.30 $63,738.31 $37,939.47 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 34 14 — — $24,099.96 $60,499.74 $36,011.75 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $20,468.33 $51,812.77 $30,840.93 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $22,659.44 $50,601.21 $30,119.77 2026-01-01
J1303 HCPCS Ultomiris 1100mg/11ml 70 17 $143,680.00 $86,208.00 40% off $225.11 $133,622.40 $29,938.10 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 14 — — $18,699.18 $48,471.18 $28,851.89 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 14 — — $19,135.46 $46,989.74 $27,970.08 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 34 14 — — $18,566.35 $45,920.37 $27,333.55 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 14 — — $17,184.24 $45,193.43 $26,900.85 2026-01-01
570 MS_DRG Skin Debridement With Mcc 34 14 — — $16,730.78 $42,674.55 $25,401.52 2026-01-01
J2350 HCPCS Ocrevus 300mg/10ml Injection 44 17 $90,295.00 $54,177.00 40% off $59.41 $83,974.35 $24,379.65 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 14 — — $15,480.36 $39,882.88 $23,739.81 2026-01-01
J9333 HCPCS Rystiggo 280 Mg/2 Ml Vial 70 17 $40,232.50 $24,139.50 40% off $23.16 $74,832.45 $23,334.85 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 34 14 — — $14,606.09 $37,661.44 $22,417.52 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 14 — — $14,233.36 $35,672.15 $21,233.43 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 34 14 — — $10,144.28 $35,622.82 $21,204.06 2026-01-01
792 MS_DRG Prematurity Without Major Problems 34 14 — — $14,156.07 $35,537.21 $21,153.10 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 34 14 — — $13,581.24 $34,782.71 $20,703.99 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 14 — — $13,270.35 $34,626.00 $20,610.72 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 34 14 — — $13,706.62 $33,707.54 $20,064.01 2026-01-01
J2329 HCPCS Briumvi 150 Mg Vial 44 17 $70,156.00 $42,093.60 40% off $70.75 $65,245.08 $18,942.12 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 34 14 — — $12,955.45 $31,613.78 $18,817.73 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 34 14 — — $12,184.24 $30,857.83 $18,367.75 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 34 14 — — $11,979.27 $30,371.75 $18,078.42 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 34 14 — — $11,986.14 $30,255.67 $18,009.33 2026-01-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 34 14 — — $11,684.41 $30,152.66 $17,948.01 2026-01-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 34 14 — — $10,626.36 $29,421.37 $17,512.72 2026-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 34 14 — — $11,467.99 $29,179.05 $17,368.48 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 34 14 — — $11,669.52 $28,991.88 $17,257.07 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 34 14 — — $11,474.29 $28,949.80 $17,232.02 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 34 14 — — $11,361.50 $28,579.80 $17,011.79 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 34 14 — — $10,969.88 $28,558.04 $16,998.83 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 34 14 — — $11,155.96 $28,470.98 $16,947.01 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 34 14 — — $11,351.19 $28,185.14 $16,776.87 2026-01-01
100 MS_DRG Seizures With Mcc 34 14 — — $11,350.62 $28,102.43 $16,727.64 2026-01-01
J2327 HCPCS Skyrizi 600mg/10ml 44 17 $61,647.00 $36,988.20 40% off $14.94 $57,331.71 $16,644.69 2026-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 34 14 — — $10,384.17 $27,430.63 $16,327.76 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 14 — — $11,362.07 $27,137.54 $16,153.29 2026-01-01
504 MS_DRG Foot Procedures With Cc 34 14 — — $9,888.35 $27,121.57 $16,143.79 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 34 14 — — $10,202.10 $26,622.44 $15,846.69 2026-01-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 34 14 — — $10,250.20 $26,523.77 $15,787.96 2026-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 34 14 — — $10,531.31 $26,171.19 $15,578.09 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 34 14 — — $10,419.10 $26,166.83 $15,575.50 2026-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 34 14 — — $10,416.81 $26,149.42 $15,565.13 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 34 14 — — $10,467.19 $26,040.60 $15,500.36 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $10,657.27 $26,028.99 $15,493.45 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 34 14 — — $10,006.29 $25,727.19 $15,313.80 2026-01-01
199 MS_DRG Pneumothorax With Mcc 34 14 — — $10,157.44 $25,596.60 $15,236.07 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 34 14 — — $10,439.71 $25,580.64 $15,226.57 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 34 14 — — $10,243.90 $25,481.98 $15,167.84 2026-01-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 34 14 — — $9,990.26 $25,383.31 $15,109.11 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 34 14 — — $9,937.59 $25,364.45 $15,097.89 2026-01-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 34 14 — — $10,000.00 $25,072.80 $14,924.29 2026-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 34 14 — — $9,892.93 $24,804.37 $14,764.51 2026-01-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 34 14 — — $9,359.32 $24,544.65 $14,609.91 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 34 14 — — $8,839.46 $24,518.53 $14,594.36 2026-01-01
571 MS_DRG Skin Debridement With Cc 34 14 — — $9,686.82 $24,514.18 $14,591.77 2026-01-01
J2997 HCPCS Alteplase Inj 100mg 44 17 $53,850.00 $32,310.00 40% off $94.45 $50,080.50 $14,539.50 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 34 14 — — $9,572.88 $24,418.41 $14,534.77 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 34 14 — — $9,835.10 $24,411.16 $14,530.45 2026-01-01
551 MS_DRG Medical Back Problems With Mcc 34 14 — — $9,744.07 $24,319.75 $14,476.04 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 34 14 — — $10,245.62 $24,155.79 $14,378.44 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 34 14 — — $9,472.11 $24,004.89 $14,288.62 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 34 14 — — $10,016.60 $23,933.79 $14,246.30 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 14 — — $9,716.02 $23,848.18 $14,195.35 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 34 14 — — $9,024.39 $23,690.03 $14,101.21 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 34 14 — — $9,008.93 $23,671.16 $14,089.98 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 34 14 — — $9,554.56 $23,653.75 $14,079.61 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 34 14 — — $9,083.36 $23,275.05 $13,854.19 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 34 14 — — $9,272.87 $23,205.40 $13,812.74 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 34 14 — — $8,971.14 $22,958.74 $13,665.91 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 34 14 — — $9,137.18 $22,757.05 $13,545.86 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 34 14 — — $8,806.82 $22,685.95 $13,503.54 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 34 14 — — $9,712.58 $22,674.34 $13,496.63 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 34 14 — — $8,886.40 $22,613.40 $13,460.36 2026-01-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 34 14 — — $8,942.51 $22,397.21 $13,331.67 2026-01-01
398 MS_DRG Appendix Procedures With Cc 34 14 — — $8,664.26 $21,961.92 $13,072.57 2026-01-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 34 14 — — $8,820.56 $21,832.78 $12,995.70 2026-01-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 34 14 — — $9,171.53 $21,768.94 $12,957.70 2026-01-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 34 14 — — $8,541.73 $21,755.88 $12,949.93 2026-01-01
865 MS_DRG Viral Illness With Mcc 34 14 — — $9,389.09 $21,739.92 $12,940.43 2026-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 34 14 — — $8,913.31 $21,574.51 $12,841.97 2026-01-01
682 MS_DRG Renal Failure With Mcc 34 14 — — $8,592.69 $21,488.90 $12,791.01 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 34 14 — — $8,321.88 $21,427.96 $12,754.74 2026-01-01
794 MS_DRG Neonate With Other Significant Problems 34 14 — — $8,530.28 $21,414.90 $12,746.96 2026-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 34 14 — — $7,710.41 $20,938.98 $12,463.68 2026-01-01
637 MS_DRG Diabetes With Mcc 34 14 — — $8,297.83 $20,846.12 $12,408.40 2026-01-01
642 MS_DRG Inborn And Other Disorders Of Metabolism 34 14 — — $7,461.92 $20,634.28 $12,282.31 2026-01-01
602 MS_DRG Cellulitis With Mcc 34 14 — — $8,516.54 $20,622.67 $12,275.40 2026-01-01
811 MS_DRG Red Blood Cell Disorders With Mcc 34 14 — — $8,036.18 $20,376.00 $12,128.57 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 34 14 — — $8,032.75 $19,930.56 $11,863.43 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 34 14 — — $7,518.60 $19,817.38 $11,796.06 2026-01-01
693 MS_DRG Urinary Stones With Mcc 34 14 — — $8,108.89 $19,508.32 $11,612.10 2026-01-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 34 14 — — $7,530.06 $19,379.19 $11,535.23 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 34 14 — — $7,595.32 $19,071.58 $11,352.13 2026-01-01
540 MS_DRG Osteomyelitis With Cc 34 14 — — $7,432.72 $18,808.95 $11,195.81 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 34 14 — — $7,804.87 $18,798.80 $11,189.76 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 34 14 — — $7,350.85 $18,627.58 $11,087.85 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 34 14 — — $7,424.14 $18,601.47 $11,072.30 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 34 14 — — $7,303.90 $18,402.68 $10,953.98 2026-01-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 34 14 — — $6,652.92 $18,002.21 $10,715.60 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 34 14 — — $7,053.70 $17,925.31 $10,669.83 2026-01-01
Q4133 HCPCS Stravix Pl 18 Sq Cm/per Sqcm 30 13 $17,659.50 $10,595.70 40% off $160.59 $16,423.33 $10,595.70 2026-01-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 34 14 — — $6,883.08 $17,469.71 $10,398.63 2026-01-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 34 14 — — $6,156.53 $17,447.94 $10,385.68 2026-01-01
304 MS_DRG Hypertension With Mcc 34 14 — — $6,578.49 $17,266.57 $10,277.72 2026-01-01
949 MS_DRG Aftercare With Cc/mcc 34 14 — — $6,142.22 $17,262.22 $10,275.13 2026-01-01
593 MS_DRG Skin Ulcers With Cc 34 14 — — $6,927.17 $17,212.88 $10,245.76 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 34 14 — — $6,723.92 $16,835.63 $10,021.21 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/mcc 34 14 — — $6,372.95 $16,609.28 $9,886.48 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 34 14 — — $6,481.73 $16,339.40 $9,725.83 2026-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 34 14 — — $6,017.98 $16,204.46 $9,645.51 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 34 14 — — $6,309.40 $16,072.42 $9,566.92 2026-01-01
J3101 HCPCS Tnkase 50mg Inj 44 17 $35,210.00 $21,126.00 40% off $172.22 $32,745.30 $9,506.70 2026-01-01
200 MS_DRG Pneumothorax With Cc 34 14 — — $6,166.26 $15,950.54 $9,494.37 2026-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 34 14 — — $6,222.37 $15,879.44 $9,452.05 2026-01-01
596 MS_DRG Major Skin Disorders Without Mcc 34 14 — — $5,776.94 $15,706.78 $9,349.27 2026-01-01
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 34 14 — — $5,772.36 $15,658.89 $9,320.77 2026-01-01
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 34 14 — — $6,974.12 $15,548.62 $9,255.13 2026-01-01
Q4158 HCPCS Kerecis Mesh 38 Sqcm/sq Cm 74 17 $12,103.00 $7,261.80 40% off $1,975.21 $21,225.39 $9,246.69 2026-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 34 14 — — $6,109.01 $15,489.13 $9,219.72 2026-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 34 14 — — $5,863.39 $15,381.76 $9,155.81 2026-01-01
J3380 HCPCS Vedolizumab 300mg/5ml Vial 44 17 $33,883.00 $20,329.80 40% off $21.31 $31,511.19 $9,148.41 2026-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 34 14 — — $5,902.89 $15,325.17 $9,122.12 2026-01-01
J7169 HCPCS Andexxa 200mg Vial 44 17 $33,655.00 $20,193.00 40% off $131.38 $31,299.15 $9,086.85 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 34 14 — — $5,875.41 $14,956.62 $8,902.75 2026-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 34 14 — — $6,244.70 $14,916.00 $8,878.57 2026-01-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 34 14 — — $6,079.24 $14,886.98 $8,861.30 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 34 14 — — $5,896.60 $14,847.80 $8,837.98 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 34 14 — — $5,874.84 $14,843.45 $8,835.39 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 34 14 — — $5,967.59 $14,814.43 $8,818.11 2026-01-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 34 14 — — $5,844.50 $14,727.37 $8,766.29 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 34 14 — — $5,819.30 $14,659.17 $8,725.70 2026-01-01
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 34 14 — — $5,699.07 $14,618.55 $8,701.52 2026-01-01
187 MS_DRG Pleural Effusion With Cc 34 14 — — $5,704.22 $14,351.57 $8,542.60 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 34 14 — — $5,632.66 $14,229.69 $8,470.05 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 34 14 — — $5,649.26 $14,161.49 $8,429.46 2026-01-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 34 14 — — $5,721.97 $14,138.27 $8,415.64 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 34 14 — — $5,482.08 $14,091.84 $8,388.00 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 34 14 — — $5,447.72 $14,006.24 $8,337.05 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 34 14 — — $5,538.19 $13,977.22 $8,319.77 2026-01-01
552 MS_DRG Medical Back Problems Without Mcc 34 14 — — $5,532.46 $13,948.20 $8,302.50 2026-01-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 30 12 — — $5,465.47 $13,932.24 $8,293.00 2026-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 34 14 — — $4,895.22 $13,911.92 $8,280.91 2026-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 34 14 — — $4,959.92 $13,897.41 $8,272.27 2026-01-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 34 14 — — $5,265.66 $13,868.39 $8,255.00 2026-01-01
394 MS_DRG Other Digestive System Diagnoses With Cc 34 14 — — $5,364.13 $13,576.75 $8,081.40 2026-01-01
J2406 HCPCS Kimyrsa 1200mg Vial 44 17 $29,886.00 $17,931.60 40% off $42.48 $27,793.98 $8,069.22 2026-01-01
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 34 14 — — $5,227.30 $13,335.89 $7,938.03 2026-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 34 14 — — $5,156.87 $13,322.83 $7,930.25 2026-01-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 34 14 — — $5,203.25 $13,290.91 $7,911.25 2026-01-01
158 MS_DRG Dental And Oral Diseases With Cc 34 14 — — $5,373.29 $13,200.95 $7,857.71 2026-01-01
607 MS_DRG Minor Skin Disorders Without Mcc 34 14 — — $5,115.65 $13,151.61 $7,828.34 2026-01-01
101 MS_DRG Seizures Without Mcc 34 14 — — $5,207.83 $13,096.48 $7,795.52 2026-01-01
638 MS_DRG Diabetes With Cc 34 14 — — $5,149.43 $13,003.61 $7,740.25 2026-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 30 12 — — $4,898.66 $12,809.18 $7,624.51 2026-01-01
683 MS_DRG Renal Failure With Cc 34 14 — — $5,157.45 $12,707.62 $7,564.06 2026-01-01
312 MS_DRG Syncope And Collapse 34 14 — — $4,943.89 $12,646.67 $7,527.78 2026-01-01
603 MS_DRG Cellulitis Without Mcc 34 14 — — $5,065.27 $12,636.52 $7,521.74 2026-01-01
349 MS_DRG Anal And Stomal Procedures Without Cc/mcc 34 14 — — $5,586.85 $12,632.17 $7,519.15 2026-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 34 14 — — $4,929.00 $12,436.28 $7,402.55 2026-01-01
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 34 14 — — $5,013.74 $12,402.91 $7,382.69 2026-01-01
Q5115 HCPCS Truxima 500mg/50ml 44 17 $27,176.00 $16,305.60 40% off $29.38 $25,273.68 $7,337.52 2026-01-01
292 MS_DRG Heart Failure And Shock With Cc 34 14 — — $4,903.81 $12,318.75 $7,332.59 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 34 14 — — $4,860.87 $12,231.70 $7,280.77 2026-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 34 14 — — $4,896.37 $12,205.58 $7,265.23 2026-01-01
J0517 HCPCS Fasenra 30 Mg/1 Ml Syringe 44 17 $26,803.00 $16,081.80 40% off $164.59 $24,926.79 $7,236.81 2026-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 34 14 — — $4,720.03 $12,051.78 $7,173.68 2026-01-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 34 14 — — $4,705.14 $12,044.52 $7,169.36 2026-01-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 34 14 — — $4,588.91 $12,003.89 $7,145.18 2026-01-01
J9312 HCPCS Rituxan 10mg/ml Inj 50ml 44 17 $26,103.00 $15,661.80 40% off $75.22 $24,275.79 $7,047.81 2026-01-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 34 14 — — $4,580.90 $11,770.29 $7,006.12 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 34 14 — — $4,619.83 $11,745.62 $6,991.44 2026-01-01
204 MS_DRG Respiratory Signs And Symptoms 34 14 — — $4,711.44 $11,715.15 $6,973.30 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 34 14 — — $4,707.43 $11,693.39 $6,960.35 2026-01-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 34 14 — — $4,466.96 $11,664.37 $6,943.08 2026-01-01
948 MS_DRG Signs And Symptoms Without Mcc 34 14 — — $4,586.05 $11,615.03 $6,913.71 2026-01-01
69 MS_DRG Transient Ischemia Without Thrombolytic 34 14 — — $4,572.88 $11,590.37 $6,899.03 2026-01-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 34 14 — — $4,433.76 $11,554.09 $6,877.44 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 34 14 — — $4,559.71 $11,459.78 $6,821.30 2026-01-01
694 MS_DRG Urinary Stones Without Mcc 34 14 — — $4,481.28 $11,342.25 $6,751.34 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 34 14 — — $4,497.88 $11,311.78 $6,733.20 2026-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 34 14 — — $4,473.83 $11,291.47 $6,721.11 2026-01-01
J0565 HCPCS Zinplava 1000mg/40ml Vial 44 17 $24,426.00 $14,655.60 40% off $39.83 $22,716.18 $6,595.02 2026-01-01
305 MS_DRG Hypertension Without Mcc 34 14 — — $4,314.09 $10,956.29 $6,521.60 2026-01-01
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 34 14 — — $4,275.16 $10,940.33 $6,512.10 2026-01-01
153 MS_DRG Otitis Media And Uri Without Mcc 34 14 — — $4,207.03 $10,711.08 $6,375.64 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 34 14 — — $4,263.71 $10,674.80 $6,354.05 2026-01-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 34 14 — — $4,111.41 $10,491.98 $6,245.23 2026-01-01
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 34 14 — — $4,223.63 $10,470.22 $6,232.27 2026-01-01
313 MS_DRG Chest Pain 34 14 — — $4,142.90 $10,447.00 $6,218.45 2026-01-01
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 34 14 — — $4,063.89 $10,442.65 $6,215.86 2026-01-01
159 MS_DRG Dental And Oral Diseases Without Cc/mcc 34 14 — — $3,865.79 $10,280.14 $6,119.13 2026-01-01
443 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C… 34 14 — — $4,091.95 $10,152.45 $6,043.13 2026-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 34 14 — — $3,936.22 $9,930.45 $5,910.98 2026-01-01
J2182 HCPCS Nucala 100mg Vial 70 17 $16,177.00 $9,706.20 40% off $31.27 $18,932.94 $5,903.82 2026-01-01
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 34 14 — — $3,746.13 $9,782.46 $5,822.89 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 34 14 — — $3,767.89 $9,767.95 $5,814.25 2026-01-01
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 34 14 — — $3,978.59 $9,721.51 $5,786.62 2026-01-01
J1561 HCPCS Gamunex-c 10 Gm/100 Ml Bottle 96 17 $13,906.00 $8,343.60 40% off $48.96 $25,864.23 $5,785.73 2026-01-01
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 34 14 — — $4,103.40 $9,499.52 $5,654.47 2026-01-01
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 34 14 — — $3,707.20 $9,416.81 $5,605.24 2026-01-01
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 34 14 — — $3,625.33 $9,146.93 $5,444.60 2026-01-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 34 14 — — $3,581.81 $9,119.36 $5,428.19 2026-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 34 14 — — $3,524.56 $9,016.34 $5,366.87 2026-01-01
639 MS_DRG Diabetes Without Cc/mcc 34 14 — — $3,564.07 $9,013.44 $5,365.14 2026-01-01
Q4196 HCPCS Puraply Am Fene 12sqcm/persqcm 30 13 $8,778.00 $5,266.80 40% off $116.20 $8,163.54 $5,266.80 2026-01-01
684 MS_DRG Renal Failure Without Cc/mcc 34 14 — — $3,483.91 $8,710.19 $5,184.64 2026-01-01
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 34 14 — — $3,467.31 $8,277.80 $4,927.26 2026-01-01
J0840 HCPCS Crofab 1 Ea 44 17 $18,122.00 $10,873.20 40% off $1,828.71 $16,853.46 $4,892.94 2026-01-01
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 34 14 — — $3,166.15 $8,213.95 $4,889.26 2026-01-01
951 MS_DRG Other Factors Influencing Health Status 34 14 — — $3,377.99 $8,067.41 $4,802.03 2026-01-01
0200 RC — 4 2 $5,070.00 $3,042.00 40% off $4,715.10 $4,715.10 $4,715.10 2026-01-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 34 14 — — $3,200.50 $7,893.29 $4,698.39 2026-01-01
Q0249 HCPCS Actemra 200mg/10ml Vial 56 13 $6,069.00 $3,641.40 40% off $8.93 $11,287.41 $4,636.72 2026-01-01
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 34 14 — — $2,930.26 $7,587.13 $4,516.15 2026-01-01
J1569 HCPCS Gammagard 10% 30gm 122 17 $14,809.00 $8,885.40 40% off $45.31 $23,665.71 $4,294.61 2026-01-01
J0630 HCPCS Calcitonin 400 Iu2ml Inj 44 17 $15,021.00 $9,012.60 40% off $484.97 $13,969.53 $4,055.67 2026-01-01
90377 CPT Kedrab 1500unit/10ml 70 17 $22,799.00 $13,679.40 40% off $222.25 $21,203.07 $3,816.18 2026-01-01
C1771 HCPCS System Tvt Exact Tvtrl 44 17 $6,051.75 $3,631.05 40% off $987.65 $5,628.13 $3,678.39 2026-01-01
J0897 HCPCS Prolia 60mg/ml Injection 70 17 $6,578.00 $3,946.80 40% off $29.38 $11,458.53 $3,573.09 2026-01-01
J0349 HCPCS Rezzayo 200 Mg Vial 44 17 $13,064.00 $7,838.40 40% off $10.63 $12,149.52 $3,527.28 2026-01-01
J3358 HCPCS Stelara 130 Mg Vial 44 17 $12,400.00 $7,440.00 40% off $12.99 $11,532.00 $3,348.00 2026-01-01
J3240 HCPCS Thyrogen 1.1mg Injection 44 17 $11,410.00 $6,846.00 40% off $1,862.11 $10,611.30 $3,080.70 2026-01-01
C1783 HCPCS Sys Istent Infinite 44 17 $5,439.00 $3,263.40 40% off $887.64 $5,058.27 $2,972.95 2026-01-01
36557 CPT Ins Tnld Cv Cath < 5 Yrs Old 44 17 $3,989.00 $2,393.40 40% off $651.00 $3,709.77 $2,870.35 2026-01-01
J1602 HCPCS Simponi Aria 50mg/4ml Vial 44 17 $9,634.00 $5,780.40 40% off $11.04 $8,959.62 $2,601.18 2026-01-01
70543 CPT Mr Orbit/face/neck W/wo Cntrst 44 17 $8,858.00 $5,314.80 40% off $189.63 $8,237.94 $2,391.66 2026-01-01
74174 CPT CT Ang Abd+plvs W Or Wo Cntrs 44 17 $8,618.00 $5,170.80 40% off $189.63 $8,014.74 $2,326.86 2026-01-01
J0875 HCPCS Dalvance 500mg Vial 44 17 $8,529.00 $5,117.40 40% off $15.61 $7,931.97 $2,302.83 2026-01-01
72156 CPT Mr C-spine W/wo Contrast 44 17 $8,420.00 $5,052.00 40% off $189.63 $7,830.60 $2,273.40 2026-01-01
72157 CPT Mr Thoracic W/wo Contrast 44 17 $8,420.00 $5,052.00 40% off $189.63 $7,830.60 $2,273.40 2026-01-01
78815 CPT Pt/ct Pi Skull Base To Mid Thi 104 17 $8,214.00 $4,928.40 40% off $106.85 $7,639.02 $2,217.78 2026-01-01
0122 RC — 4 2 $2,310.00 $1,386.00 40% off $2,148.30 $2,148.30 $2,148.30 2026-01-01
0120 RC — 4 2 $2,310.00 $1,386.00 40% off $2,148.30 $2,148.30 $2,148.30 2026-01-01
C1776 HCPCS Implant Bioinductive Lrg 194 17 $5,077.14 $3,046.28 40% off $152.81 $6,288.66 $1,960.98 2026-01-01
0170 RC — 8 2 $2,062.50 $1,237.50 40% off $1,169.94 $2,666.31 $1,918.12 2026-01-01
90380 CPT Beyfortus 0.5 Ml Syringe 44 17 $3,317.00 $1,990.20 40% off $541.33 $3,084.81 $1,813.07 2026-01-01
43632 CPT Removal Stomach Partial 16 7 $3,715.00 $2,229.00 40% off $928.88 $2,676.51 $1,810.86 2026-01-01
J2357 HCPCS Xolair 150mg Injection 1 Vial 70 17 $5,910.00 $3,546.00 40% off $44.60 $5,606.97 $1,765.32 2026-01-01
36569 CPT Insert Picc Wo Imaging >/=5 74 17 $2,932.00 $1,759.20 40% off $463.49 $2,726.76 $1,759.20 2026-01-01
J1745 HCPCS Infliximab 100mg Inj 44 17 $6,491.00 $3,894.60 40% off $31.09 $6,036.63 $1,752.57 2026-01-01
795 MS_DRG Normal Newborn 34 14 — — $1,154.81 $2,899.04 $1,725.62 2026-01-01
69300 CPT Otoplasty W Or Wo Size Reduct 18 8 $3,930.00 $2,358.00 40% off $982.50 $3,002.52 $1,722.02 2026-01-01
70552 CPT Mr Head W/contrast 44 17 $6,240.00 $3,744.00 40% off $189.63 $5,803.20 $1,684.80 2026-01-01
36410 CPT Midline Placement 44 17 $2,932.00 $1,759.20 40% off $478.50 $2,932.00 $1,680.91 2026-01-01
J1740 HCPCS Boniva 3mg/3ml 30 13 $2,787.00 $1,672.20 40% off $36.33 $2,591.91 $1,672.20 2026-01-01
36556 CPT Insert Non-tunneled Cv Cath >5 44 17 $2,693.00 $1,615.80 40% off $439.50 $2,504.49 $1,671.28 2026-01-01
19083 CPT US Bx Breast 1st Les Lt 88 17 $5,673.00 $3,403.80 40% off $860.32 $5,275.89 $1,669.85 2026-01-01
27752 CPT Cls Tx Tibial Shft Fx W/man Lt 88 17 $5,671.00 $3,402.60 40% off $849.79 $5,274.03 $1,669.26 2026-01-01
23605 CPT Cls Tx Prox Hum Fx W/man Rt 44 17 $5,671.00 $3,402.60 40% off $849.79 $5,274.03 $1,669.26 2026-01-01
73206 CPT CT Ang U Ext W Or Wo Con Bil 158 17 $3,735.00 $2,241.00 40% off $94.53 $6,948.03 $1,642.25 2026-01-01
19084 CPT US Bx Breast Ea Ad Les Lt 88 17 $2,839.00 $1,703.40 40% off $463.32 $9,359.00 $1,627.60 2026-01-01
A9552 HCPCS Fdg/dose Up To 45 Mci 44 17 $2,382.00 $1,429.20 40% off $388.74 $2,382.00 $1,624.53 2026-01-01
J0129 HCPCS Orencia 250mg/10ml Injection 44 17 $5,815.00 $3,489.00 40% off $44.11 $5,407.95 $1,570.05 2026-01-01
72149 CPT Mr Lumbar Spine W/contrast 44 17 $5,782.00 $3,469.20 40% off $189.63 $5,377.26 $1,561.14 2026-01-01
73723 CPT Mr Low Ext Jnt W+wo Con Lt 88 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
73719 CPT Mr Low Ext Non Jnt W Con Lt 44 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
73223 CPT Mr Up Ext Jnt W+wo Con Lt 88 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
73722 CPT Mr Low Ext Jnt W Con Rt 44 17 $5,542.00 $3,325.20 40% off $419.51 $5,154.06 $1,496.34 2026-01-01
72197 CPT Mr Pelvis W/wo Contrast 44 17 $5,542.00 $3,325.20 40% off $189.63 $5,154.06 $1,496.34 2026-01-01
72195 CPT Mr Pelvis Without Contrast 44 17 $5,542.00 $3,325.20 40% off $128.35 $5,154.06 $1,496.34 2026-01-01
72147 CPT Mr Thoracic W/contrast 44 17 $5,540.00 $3,324.00 40% off $189.63 $5,152.20 $1,495.80 2026-01-01
72142 CPT Mr C-spine W/contrast 44 17 $5,540.00 $3,324.00 40% off $189.63 $5,152.20 $1,495.80 2026-01-01
81420 CPT Cell Free DNA Prenatal Screen 44 17 $3,789.00 $2,273.40 40% off $759.05 $3,523.77 $1,491.06 2026-01-01
J1439 HCPCS Injectafer 750mg/15ml Vial 44 17 $5,517.00 $3,310.20 40% off $1.11 $5,130.81 $1,489.59 2026-01-01
44143 CPT Partial Removal Of Colon 16 7 $3,632.00 $2,179.20 40% off $832.65 $2,187.77 $1,474.37 2026-01-01
99285 CPT Critical Care 1st 30-74m 148 17 $3,764.00 $2,258.40 40% off $301.76 $4,612.80 $1,459.97 2026-01-01
49020 CPT Drain Abdominal Abscess 16 7 $2,736.00 $1,641.60 40% off $417.25 $2,092.84 $1,431.85 2026-01-01
Q5103 HCPCS Inflectra 100mg Vial 44 17 $5,259.00 $3,155.40 40% off $19.99 $4,890.87 $1,419.93 2026-01-01
J0885 HCPCS Epoetin Alfa Human 20mu/ml Per 70 17 $1,844.00 $1,106.40 40% off $8.54 $5,317.74 $1,408.82 2026-01-01
0450 RC — 44 17 $2,520.00 $1,512.00 40% off $411.26 $2,343.60 $1,377.43 2026-01-01
95811 CPT Sleep Study>3prmt W/cp+tch-int 44 17 $4,659.00 $2,795.40 40% off $540.22 $4,332.87 $1,371.38 2026-01-01
J3111 HCPCS Evenity 105mg Syringe 44 17 $5,071.00 $3,042.60 40% off $12.07 $4,716.03 $1,369.17 2026-01-01
44204 CPT Lap Colectomy Partial Anastomo 16 7 $3,766.00 $2,259.60 40% off $1,037.52 $2,027.48 $1,363.59 2026-01-01
28190 CPT Rmv Fb Foot Simp Bil 88 17 $3,469.50 $2,081.70 40% off $373.60 $4,302.18 $1,341.54 2026-01-01
72191 CPT CT Ang Pelv W Or Wo Contr 44 17 $4,881.00 $2,928.60 40% off $94.53 $4,539.33 $1,317.87 2026-01-01
70549 CPT Mr Angio Neck W/wo Contrast 44 17 $4,813.00 $2,887.80 40% off $189.63 $4,476.09 $1,299.51 2026-01-01
70546 CPT Mr Angio Head W/wo Contrast 44 17 $4,813.00 $2,887.80 40% off $189.63 $4,476.09 $1,299.51 2026-01-01
72127 CPT CT C-spine W/wo Contrast 44 17 $4,791.00 $2,874.60 40% off $94.53 $4,455.63 $1,293.57 2026-01-01
72130 CPT CT Thoracic Spine W/wo Contrst 44 17 $4,791.00 $2,874.60 40% off $94.53 $4,455.63 $1,293.57 2026-01-01
72194 CPT CT Pelvis W/wo Contrast 44 17 $4,791.00 $2,874.60 40% off $94.53 $4,455.63 $1,293.57 2026-01-01
70540 CPT Mr Orbit/face/neck Wo Cntrst 44 17 $4,789.00 $2,873.40 40% off $128.35 $4,453.77 $1,293.03 2026-01-01
44602 CPT Suture Small Intestine 16 7 $2,454.00 $1,472.40 40% off $529.77 $1,860.11 $1,247.81 2026-01-01
28665 CPT Cls Tx Toe Dslc W/anes T5 44 17 $4,232.00 $2,539.20 40% off $141.02 $3,935.76 $1,245.69 2026-01-01
26775 CPT Cls Tx Fngr Dsl W/man W/an F3 176 17 $4,232.00 $2,539.20 40% off $141.02 $3,935.76 $1,245.69 2026-01-01
23655 CPT Cls Tx Dslc Shld W/man W/m Rt 44 17 $4,232.00 $2,539.20 40% off $690.66 $3,935.76 $1,245.69 2026-01-01
95810 CPT Sleep Study>3parmtrs W/t-int 44 17 $4,194.00 $2,516.40 40% off $540.22 $3,900.42 $1,234.51 2026-01-01
0160 RC — 4 2 $1,323.00 $793.80 40% off $1,230.39 $1,230.39 $1,230.39 2026-01-01
36573 CPT Insert Picc W Imaging >/=5 44 17 $4,163.00 $2,497.80 40% off $679.40 $3,871.59 $1,225.38 2026-01-01
43840 CPT Repair Of Stomach Lesion 16 7 $2,546.00 $1,527.60 40% off $557.26 $1,784.42 $1,224.90 2026-01-01
78452 CPT Heart Muscle Image Spect/mult 44 17 $4,150.00 $2,490.00 40% off $677.28 $3,859.50 $1,221.55 2026-01-01
44140 CPT Partial Removal Of Colon 16 7 $3,478.00 $2,086.80 40% off $920.07 $1,763.80 $1,203.76 2026-01-01
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