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

HIGHLANDS ARH REGIONAL MEDICAL CENTER

Prestonsburg, KY · CCN 180005 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $5,823 across 15 payers · range $3,832-$8,460

Source: https://www.arh.org/wp-content/uploads/2026/05/822577178_Highlands-ARH-Regional-Medical-Center_standardcharges.csv · observed 2026-01-01

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.

4,964 distinct procedures filed
39 distinct payers
400,109 rate rows
2026-07-31 last MRF observed
Data quality

380,399 of 400,109 rate rows are consumer-grade (95.1%)

19,710 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
professional (physician) fee — not the facility price 11,091
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,384
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 420
placeholder amount (≤ $0.02) — excluded from medians 393
per-diem day rate — not a per-procedure price 300
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 73
exceeds 10× this hospital's gross charge — excluded from medians 40
percent-of-charges filed in the dollar field — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2025/03/822577178_Highlands-ARH-Regional-Medical-Center_standardcharges.csv
Found on page https://www.arh.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 4263d62122ff76eb… · 36,776,328 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $124,869.16 $215,036.55 $159,079.21 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $86,095.25 $148,264.20 $106,301.12 nat. median
$132,706
0.8× median
C9074
HCPCS 		Lumasiran Sodium 94.5 Mg/0.5 Ml Vial 11 $44,891.00 $330,269.50 $88,659.72 nat. median
$501
outlier · 176.9×
215
MS_DRG 		Other Heart Assist System Implant 11 $64,604.29 $124,941.83 $85,996.02 nat. median
$98,002
0.9× median
Q2043
HCPCS 		Sipuleucel-t/lactated Ringers 50,000,000 Cell/250 Ml Piggyback 16 $51,096.22 $375,922.19 $71,613.43 nat. median
$65,655
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $40,792.17 $87,396.54 $59,695.42 nat. median
$65,958
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $40,458.91 $90,276.97 $55,574.83 nat. median
$62,218
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $51,899.62 $111,194.09 $54,468.04 nat. median
$83,623
0.7× median
500
MS_DRG 		Soft Tissue Procedures With Mcc 2 $52,642.26 $52,642.26 $52,642.26 nat. median
$30,787
1.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 $35,141.51 $60,517.01 $51,332.46 nat. median
$51,433
1.0× median
33264
CPT 		Rmv+repl Cvd Gen Multi 19 $11,536.70 $84,877.15 $50,555.47 nat. median
$31,464
1.6× median
33263
CPT 		Rmv+repl Cvd Gen Dual 19 $11,536.70 $84,877.15 $50,555.47 nat. median
$23,228
outlier · 2.2×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $35,820.51 $71,518.12 $49,225.10 nat. median
$51,984
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $45,680.85 $97,870.47 $47,941.51 nat. median
$73,475
0.7× median
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 2 $45,855.22 $45,855.22 $45,855.22 nat. median
$22,559
outlier · 2.0×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 15 $29,617.35 $66,207.75 $45,570.03 nat. median
$50,808
0.9× median
53
MS_DRG 		Spinal Disorders And Injuries Without Cc/mcc 2 $45,436.38 $45,436.38 $45,436.38 nat. median
$10,473
outlier · 4.3×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 11 $32,803.05 $65,318.09 $44,957.69 nat. median
$48,652
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 $29,280.00 $62,731.92 $42,653.40 nat. median
$47,707
0.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 $28,152.56 $61,758.18 $42,507.44 nat. median
$47,513
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 $27,763.67 $59,483.20 $40,521.86 nat. median
$45,808
0.9× median
J0223
HCPCS 		Givlaari 189mg/ml Vial 22 $112.10 $234,191.10 $40,320.13 nat. median
$152
outlier · 264.7×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 11 $30,246.66 $57,953.58 $39,888.78 nat. median
$45,772
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 15 $26,454.08 $57,677.53 $39,698.78 nat. median
$44,514
0.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 $28,007.76 $57,077.72 $39,285.94 nat. median
$43,549
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $37,280.42 $79,872.68 $39,125.35 nat. median
$63,840
0.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 15 $21,658.52 $52,722.27 $36,288.13 nat. median
$39,775
0.9× median
793
MS_DRG 		Full Term Neonate With Major Problems 13 $24,653.11 $42,455.00 $36,011.75 nat. median
$33,329
1.1× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 $24,734.79 $52,112.43 $35,868.38 nat. median
$40,042
0.9× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 2 $34,376.15 $36,185.43 $35,280.79 nat. median
$24,774
1.4× median
791
MS_DRG 		Prematurity With Major Problems 13 $23,999.49 $41,329.40 $35,056.53 nat. median
$34,510
1.0× median
933
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 $19,176.12 $33,633.19 $33,633.19 nat. median
$37,070
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 11 $23,524.27 $48,176.07 $33,159.04 nat. median
$37,685
0.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 $22,713.92 $48,664.20 $32,500.05 nat. median
$37,383
0.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $23,765.80 $100,036.10 $32,281.54 nat. median
$37,053
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 $21,896.32 $46,071.75 $31,710.65 nat. median
$35,279
0.9× median
C9168
HCPCS 		Omvoh 300 Mg Vial 5 $31,385.92 $31,385.92 $31,385.92 nat. median
$13,908
outlier · 2.3×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 8 $29,746.79 $63,732.00 $31,218.90 nat. median
$48,124
0.6× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 11 $22,610.36 $44,808.15 $30,840.93 nat. median
$34,738
0.9× median
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 $22,295.40 $44,704.00 $30,769.25 nat. median
$34,519
0.9× median
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $22,405.85 $55,886.19 $30,739.89 nat. median
$34,945
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 15 $20,242.34 $44,624.95 $30,714.84 nat. median
$35,053
0.9× median
33231
CPT 		Ins Defib Pulse Gen W/m 16 $7,421.12 $54,598.24 $30,547.93 nat. median
$29,955
1.0× median
33249
CPT 		Ins/rpl Defib W/lead 33 $11,313.82 $83,237.39 $30,547.93 nat. median
$31,420
1.0× median
33270
CPT 		Ins/rplc Subq Defib W/e 16 $9,980.74 $73,429.73 $30,547.93 nat. median
$31,963
1.0× median
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 $22,912.05 $44,161.92 $30,396.14 nat. median
$34,805
0.9× median
252
MS_DRG 		Other Vascular Procedures With Mcc 15 $19,642.60 $43,771.68 $30,127.54 nat. median
$33,823
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 $25,030.78 $48,927.21 $30,119.77 nat. median
$35,240
0.9× median
C1767
HCPCS 		Generator Aspire Sr 14cc 5 $29,064.38 $29,064.38 $29,064.38 nat. median
$23,668
1.2× median
163
MS_DRG 		Major Chest Procedures With Mcc 8 $27,606.71 $59,146.91 $28,972.92 nat. median
$44,914
0.6× median

Other procedures at this hospital

Browse this hospital's 4,964 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
             
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 51 15 — — $124,869.16 $215,036.55 $159,079.21 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 16 — — $86,095.25 $148,264.20 $106,301.12 2026-01-01
C9074 HCPCS Lumasiran Sodium 94.5 Mg/0.5 Ml Vial 11 11 $320,650.00 $192,390.00 40% off $44,891.00 $330,269.50 $88,659.72 2026-07-31
215 MS_DRG Other Heart Assist System Implant 39 11 — — $64,604.29 $124,941.83 $85,996.02 2026-01-01
Q2043 HCPCS Sipuleucel-t/lactated Ringers 50,000,000 Cell/250 Ml Piggyback 16 16 $364,973.00 $218,983.80 40% off $51,096.22 $375,922.19 $71,613.43 2026-07-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 15 — — $40,792.17 $87,396.54 $59,695.42 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 17 — — $40,458.91 $90,276.97 $55,574.83 2026-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 8 — — $51,899.62 $111,194.09 $54,468.04 2025-01-22
500 MS_DRG Soft Tissue Procedures With Mcc 3 2 — — $52,642.26 $52,642.26 $52,642.26 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 45 13 — — $35,141.51 $60,517.01 $51,332.46 2026-01-01
33263 CPT Rmv+repl Cvd Gen Dual 21 19 $82,405.00 $49,443.00 40% off $11,536.70 $84,877.15 $50,555.47 2026-07-31
33264 CPT Rmv+repl Cvd Gen Multi 21 19 $82,405.00 $49,443.00 40% off $11,536.70 $84,877.15 $50,555.47 2026-07-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 12 — — $35,820.51 $71,518.12 $49,225.10 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 8 — — $45,680.85 $97,870.47 $47,941.51 2025-01-22
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 2 — — $45,855.22 $45,855.22 $45,855.22 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 15 — — $29,617.35 $66,207.75 $45,570.03 2026-01-01
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 3 2 — — $45,436.38 $45,436.38 $45,436.38 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 39 11 — — $32,803.05 $65,318.09 $44,957.69 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 15 — — $29,280.00 $62,731.92 $42,653.40 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 53 15 — — $28,152.56 $61,758.18 $42,507.44 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 15 — — $27,763.67 $59,483.20 $40,521.86 2026-01-01
J0223 HCPCS Givlaari 189mg/ml Vial 24 22 $238,739.00 $143,243.40 40% off $112.10 $234,191.10 $40,320.13 2026-07-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 11 — — $30,246.66 $57,953.58 $39,888.78 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 15 — — $26,454.08 $57,677.53 $39,698.78 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 11 — — $28,007.76 $57,077.72 $39,285.94 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $37,280.42 $79,872.68 $39,125.35 2025-01-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 15 — — $21,658.52 $52,722.27 $36,288.13 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 45 13 — — $24,653.11 $42,455.00 $36,011.75 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 11 — — $24,734.79 $52,112.43 $35,868.38 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $34,376.15 $36,185.43 $35,280.79 2026-01-01
791 MS_DRG Prematurity With Major Problems 45 13 — — $23,999.49 $41,329.40 $35,056.53 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 11 — — $19,176.12 $33,633.19 $33,633.19 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 39 11 — — $23,524.27 $48,176.07 $33,159.04 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 53 15 — — $22,713.92 $48,664.20 $32,500.05 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 16 — — $23,765.80 $100,036.10 $32,281.54 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 39 11 — — $21,896.32 $46,071.75 $31,710.65 2026-01-01
C9168 HCPCS Omvoh 300 Mg Vial 11 5 $61,205.00 $36,723.00 40% off $31,385.92 $31,385.92 $31,385.92 2025-01-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 8 — — $29,746.79 $63,732.00 $31,218.90 2025-01-22
335 MS_DRG Peritoneal Adhesiolysis With Mcc 39 11 — — $22,610.36 $44,808.15 $30,840.93 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 11 — — $22,295.40 $44,704.00 $30,769.25 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 56 16 — — $22,405.85 $55,886.19 $30,739.89 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 53 15 — — $20,242.34 $44,624.95 $30,714.84 2026-01-01
33270 CPT Ins/rplc Subq Defib W/e 16 16 $71,291.00 $42,774.60 40% off $9,980.74 $73,429.73 $30,547.93 2026-07-31
33231 CPT Ins Defib Pulse Gen W/m 16 16 $53,008.00 $31,804.80 40% off $7,421.12 $54,598.24 $30,547.93 2026-07-31
33249 CPT Ins/rpl Defib W/lead 78 33 $93,552.00 $56,131.20 40% off $11,313.82 $83,237.39 $30,547.93 2026-07-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 11 — — $22,912.05 $44,161.92 $30,396.14 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 53 15 — — $19,642.60 $43,771.68 $30,127.54 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 41 12 — — $25,030.78 $48,927.21 $30,119.77 2026-01-01
C1767 HCPCS Generator Aspire Sr 14cc 11 5 $56,677.80 $34,006.68 40% off $29,064.38 $29,064.38 $29,064.38 2025-01-22
163 MS_DRG Major Chest Procedures With Mcc 14 8 — — $27,606.71 $59,146.91 $28,972.92 2025-01-22
264 MS_DRG Other Circulatory System O.r. Procedures 53 15 — — $19,128.37 $41,918.32 $28,851.89 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 39 11 — — $20,496.69 $41,304.71 $28,429.56 2026-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 14 8 — — $26,974.17 $57,791.71 $28,309.08 2025-01-22
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 53 15 — — $19,574.66 $41,938.39 $27,970.08 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 39 11 — — $19,765.57 $40,591.98 $27,938.99 2026-01-01
J1951 HCPCS Leuprolide Acetate 45 Mg Syringe 16 16 $131,630.00 $78,978.00 40% off $18,428.20 $135,578.90 $27,808.91 2026-07-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 53 15 — — $18,516.34 $39,989.67 $27,524.43 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 11 — — $18,775.14 $39,539.19 $27,214.37 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 9 — — $25,059.58 $59,655.81 $26,974.08 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 11 — — $18,982.59 $39,083.69 $26,900.85 2026-01-01
C1882 HCPCS Icd Gallant Hfcrt-d 68 19 $54,390.00 $32,634.00 40% off $15,773.10 $37,692.27 $26,732.69 2026-01-01
570 MS_DRG Skin Debridement With Mcc 53 15 — — $17,114.80 $36,905.33 $25,401.52 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 53 15 — — $17,271.18 $37,003.21 $25,152.78 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 39 11 — — $18,494.96 $36,414.70 $25,063.82 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 8 — — $23,668.58 $50,709.54 $24,839.90 2025-01-22
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 53 15 — — $17,536.49 $37,571.64 $24,789.17 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 53 15 — — $16,452.98 $35,768.47 $24,619.03 2026-01-01
33262 CPT Rmv+repl Cvd Gen Single 16 16 $82,405.00 $49,443.00 40% off $11,536.70 $84,877.15 $24,319.53 2026-07-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 8 — — $22,824.03 $48,900.10 $23,953.54 2025-01-22
J2507 HCPCS Krystexxa 8mg/ml Injection 24 22 $108,079.00 $64,847.40 40% off $3,307.05 $149,207.35 $23,748.84 2026-07-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 58 17 — — $15,835.67 $50,466.82 $23,739.81 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 39 11 — — $16,884.09 $34,482.29 $23,733.76 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 39 11 — — $18,181.26 $34,140.98 $23,498.84 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 8 — — $21,800.26 $46,706.69 $22,879.11 2025-01-22
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 8 — — $21,423.66 $45,899.84 $22,483.88 2025-01-22
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 2 2 — — $21,876.94 $23,028.37 $22,452.65 2026-01-01
93656 CPT Tx Atrl Fib Pul Vein I 21 19 $36,576.00 $21,945.60 40% off $5,120.64 $37,673.28 $22,439.38 2026-07-31
93653 CPT Ep Ablate Suprvnt Arrhy 21 19 $36,576.00 $21,945.60 40% off $5,120.64 $37,673.28 $22,439.38 2026-07-31
253 MS_DRG Other Vascular Procedures With Cc 53 15 — — $14,941.33 $32,569.95 $22,417.52 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 39 11 — — $17,331.87 $32,409.34 $22,306.97 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 39 11 — — $15,428.81 $32,035.40 $22,049.60 2026-01-01
J3316 HCPCS Triptorelin ER Injection Suspension 22.5 Mg Vial 16 16 $102,964.00 $61,778.40 40% off $14,414.96 $106,052.92 $22,010.47 2026-07-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 53 15 — — $14,066.32 $31,823.34 $21,903.64 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 11 — — $19,776.72 $91,163.38 $21,713.38 2026-01-01
90733 CPT Meningococ Vac A,c,y,w-135/pf 50 Mcg Vial 11 11 $78,131.50 $46,878.90 40% off $10,938.41 $80,475.45 $21,603.36 2026-07-31
J9348 HCPCS Naxitamab-gqgk 40 Mg/10 Ml Vial 15 15 $118,745.50 $71,247.30 40% off $16,624.37 $122,307.87 $21,555.32 2026-07-31
33240 CPT Insert Pulse Generator 16 16 $60,087.00 $36,052.20 40% off $8,412.18 $61,889.61 $21,445.40 2026-07-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 8 — — $20,418.63 $43,746.58 $21,429.12 2025-01-22
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 53 15 — — $13,960.90 $30,858.39 $21,239.47 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 8 — — $20,235.90 $43,355.08 $21,237.33 2025-01-22
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 53 15 — — $14,560.05 $31,194.68 $21,233.43 2026-01-01
792 MS_DRG Prematurity Without Major Problems 45 13 — — $14,480.99 $24,937.63 $21,153.10 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 14 8 — — $19,770.28 $42,357.50 $20,748.67 2025-01-22
330 MS_DRG Major Small And Large Bowel Procedures With Cc 53 15 — — $13,892.96 $30,080.40 $20,703.99 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 53 15 — — $13,574.94 $29,944.88 $20,610.72 2026-01-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 2 2 — — $19,996.33 $21,048.77 $20,522.55 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 8 — — $19,502.04 $41,782.80 $20,467.16 2025-01-22
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 8 — — $19,416.53 $41,599.59 $20,377.42 2025-01-22
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 39 11 — — $15,066.41 $29,345.08 $20,197.88 2026-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam 25 20 $35,693.00 $21,415.80 40% off $4,997.02 $36,763.79 $20,179.71 2026-07-31
93654 CPT Ep Ablate Vent Tachy 16 16 $36,576.00 $21,945.60 40% off $5,120.64 $37,673.28 $19,956.33 2026-07-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 8 — — $18,831.43 $40,346.03 $19,763.36 2025-01-22
37227 CPT Fem/pop Plsty+ath+ste Bil 32 19 $45,093.00 $27,055.80 40% off $4,069.66 $59,882.14 $19,672.44 2026-07-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 39 11 — — $13,564.32 $28,555.80 $19,654.63 2026-01-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Syringe 32 16 $105,774.50 $63,464.70 40% off $7,686.85 $145,263.48 $19,621.18 2026-07-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 8 — — $18,622.34 $39,898.07 $19,543.93 2025-01-22
C1721 HCPCS Icd Gallant Dr 68 19 $39,690.00 $23,814.00 40% off $11,510.10 $39,690.00 $19,507.63 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 53 15 — — $12,624.96 $27,766.52 $19,111.38 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 53 15 — — $12,827.02 $27,705.04 $19,069.06 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 53 15 — — $13,064.81 $27,991.14 $18,989.60 2026-01-01
665 MS_DRG Prostatectomy With Mcc 14 8 — — $18,092.30 $38,762.46 $18,987.65 2025-01-22
61885 CPT Insrt/redo Neurostim 1 Array 8 6 — — $503.36 $18,872.79 $18,872.79 2025-01-22
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 53 15 — — $13,768.21 $29,498.17 $18,849.69 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 53 15 — — $13,252.81 $28,393.93 $18,817.73 2026-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 53 15 — — $12,508.41 $26,871.84 $18,495.58 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 53 15 — — $12,293.47 $26,836.71 $18,471.40 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 53 15 — — $13,339.49 $28,579.64 $18,404.03 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 53 15 — — $12,463.90 $26,703.70 $18,367.75 2026-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 53 15 — — $12,370.78 $26,573.20 $18,290.02 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 53 15 — — $12,330.36 $26,460.26 $18,212.29 2026-01-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 53 15 — — $12,152.32 $26,282.08 $18,089.65 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 53 15 — — $12,254.22 $26,265.77 $18,078.42 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 53 15 — — $11,762.25 $26,239.42 $18,060.29 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 53 15 — — $12,261.25 $26,269.53 $18,009.33 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 53 15 — — $11,677.33 $26,092.60 $17,959.24 2026-01-01
J2350 HCPCS Ocrevus 300mg/10ml Injection 81 35 $90,295.00 $54,177.00 40% off $59.41 $102,266.13 $17,672.10 2026-07-31
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 39 11 — — $11,738.42 $25,443.86 $17,512.72 2026-01-01
54401 CPT Insert Penile Prosthesis 8 6 — — $577.20 $17,402.91 $17,402.91 2025-01-22
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 55 16 — — $11,731.21 $28,213.75 $17,368.48 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 53 15 — — $10,947.57 $25,177.84 $17,329.62 2026-01-01
C9605 HCPCS Rev Bp Grf W/des 16 14 $25,473.00 $15,283.80 40% off $3,566.22 $26,237.19 $17,264.27 2026-07-31
C9603 HCPCS Perc Des+ath+plsty 16 14 $25,473.00 $15,283.80 40% off $3,566.22 $26,237.19 $17,264.27 2026-07-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 53 15 — — $11,937.37 $25,575.62 $17,257.07 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 53 15 — — $11,737.65 $25,147.73 $17,232.02 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 8 — — $16,415.50 $35,169.93 $17,227.87 2025-01-22
34702 CPT Endovasc Rpr A-ao Endgr Rpt 16 14 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $17,178.81 2026-07-31
34705 CPT Endovasc Rpr A-biliac Endgr 16 14 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $17,178.81 2026-07-31
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 56 16 — — $11,546.13 $40,367.47 $17,107.65 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 55 16 — — $11,221.67 $27,613.28 $16,998.83 2026-01-01
33221 CPT Ins Pulse Gen Mult Lead 21 19 $24,932.00 $14,959.20 40% off $3,490.48 $25,679.96 $16,897.80 2026-07-31
654 MS_DRG Major Bladder Procedures With Cc 14 8 — — $16,033.04 $34,350.53 $16,826.49 2025-01-22
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 8 — — $16,014.30 $34,310.38 $16,806.83 2025-01-22
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 58 17 — — $11,611.73 $36,281.57 $16,776.87 2026-01-01
100 MS_DRG Seizures With Mcc 53 15 — — $11,611.15 $24,876.69 $16,727.64 2026-01-01
592 MS_DRG Skin Ulcers With Mcc 55 16 — — $12,241.34 $27,151.70 $16,714.68 2026-01-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 53 15 — — $11,020.78 $24,204.11 $16,659.41 2026-01-01
J0802 HCPCS Cortrophin 400 Unit/5ml Vial 11 5 $41,862.00 $25,117.20 40% off $4,090.16 $16,550.26 $16,550.26 2025-01-22
902 MS_DRG Wound Debridements For Injuries With Cc 39 11 — — $11,919.93 $24,023.41 $16,535.04 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 53 15 — — $11,101.02 $23,783.74 $16,299.26 2026-01-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 53 15 — — $11,622.86 $24,901.78 $16,153.29 2026-01-01
504 MS_DRG Foot Procedures With Cc 42 12 — — $10,923.18 $27,297.73 $16,143.79 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 8 — — $15,186.73 $32,537.33 $15,938.30 2025-01-22
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 8 — — $15,162.72 $32,485.88 $15,913.10 2025-01-22
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 53 15 — — $10,307.42 $23,047.17 $15,863.10 2026-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 39 11 — — $11,269.76 $23,023.33 $15,846.69 2026-01-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml 20 17 $92,255.00 $55,353.00 40% off $88.29 $81,184.40 $15,840.18 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 53 15 — — $10,602.60 $22,975.64 $15,813.87 2026-01-01
J3241 HCPCS Tepezza 500mg 24 22 $86,830.00 $52,098.00 40% off $328.00 $89,473.01 $15,794.00 2026-07-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 55 16 — — $10,485.46 $25,646.31 $15,787.96 2026-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 11 — — $11,832.02 $22,884.04 $15,750.82 2026-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 56 16 — — $10,788.26 $39,380.19 $15,750.82 2026-01-01
J1303 HCPCS Ultomiris 1100mg/11ml 40 22 $136,838.00 $82,102.80 40% off $221.67 $141,003.39 $15,743.11 2026-07-31
37237 CPT Trnscth Stent Addl Art 11 11 $25,575.00 $15,345.00 40% off $3,580.50 $26,342.25 $15,690.26 2026-07-31
164 MS_DRG Major Chest Procedures With Cc 14 8 — — $14,937.23 $32,002.78 $15,676.45 2025-01-22
347 MS_DRG Anal And Stomal Procedures With Mcc 14 8 — — $14,929.62 $31,986.46 $15,668.45 2025-01-22
C9608 HCPCS Rev Ch W/des Ea Ad 11 11 $25,473.00 $15,283.80 40% off $3,566.22 $26,237.19 $15,627.69 2026-07-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 45 13 — — $10,655.90 $18,350.47 $15,565.13 2026-01-01
34808 CPT Endvas Plcmt Iliac Dev 11 11 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $15,550.38 2026-07-31
34704 CPT Endovasc Rpr A-unilac Endg Rpt 11 11 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $15,550.38 2026-07-31
34701 CPT Endovasc Rpr A-ao Endgrft 11 11 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $15,550.38 2026-07-31
34706 CPT Endovasc Rpr A-biliac Rpt 11 11 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $15,550.38 2026-07-31
34707 CPT Endovasc Rpr Ilio-iliac Endgr 11 11 $25,347.00 $15,208.20 40% off $3,548.58 $26,107.41 $15,550.38 2026-07-31
0238T CPT Iliac Atherectomy Bil 27 16 $47,120.00 $28,272.00 40% off $3,801.98 $48,533.60 $15,549.60 2026-07-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 55 16 — — $10,707.44 $25,179.12 $15,500.36 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 53 15 — — $10,901.88 $23,357.11 $15,493.45 2026-01-01
505 MS_DRG Foot Procedures Without Cc/mcc 53 15 — — $9,989.98 $22,496.31 $15,483.95 2026-01-01
92924 CPT Ptc Ath+angio Sngl Lc 21 19 $25,172.00 $15,103.20 40% off $3,524.08 $25,927.16 $15,443.02 2026-07-31
92925 CPT Ptc Ath+angio Ea Addl Lc 11 11 $25,172.00 $15,103.20 40% off $3,524.08 $25,927.16 $15,443.02 2026-07-31
37225 CPT Fem/pop Plasty W/ath Bil 32 19 $41,002.00 $24,601.20 40% off $3,173.10 $58,726.48 $15,431.47 2026-07-31
254 MS_DRG Other Vascular Procedures Without Cc/mcc 53 15 — — $10,162.17 $22,357.02 $15,388.08 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 8 — — $14,626.82 $31,337.72 $15,350.67 2025-01-22
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 53 15 — — $10,235.96 $22,249.11 $15,313.80 2026-01-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 53 15 — — $12,337.98 $26,433.91 $15,277.53 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 8 — — $14,549.51 $31,172.09 $15,269.54 2025-01-22
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 39 11 — — $11,534.13 $22,166.29 $15,256.80 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 53 15 — — $10,180.32 $22,160.02 $15,252.48 2026-01-01
199 MS_DRG Pneumothorax With Mcc 53 15 — — $10,390.58 $22,261.66 $15,236.07 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 39 11 — — $11,532.23 $22,122.37 $15,226.57 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 53 15 — — $10,479.02 $22,451.13 $15,167.84 2026-01-01
36906 CPT Perq Thrombo Dialy Circ 32 24 $26,044.00 $15,626.40 40% off $3,468.36 $25,517.22 $15,163.51 2026-07-31
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 39 11 — — $11,035.76 $21,951.72 $15,109.11 2026-01-01
501 MS_DRG Soft Tissue Procedures With Cc 53 15 — — $10,165.68 $21,935.40 $15,097.89 2026-01-01
37229 CPT Tib/per Plasty W/ath Bil 32 19 $34,278.00 $20,566.80 40% off $3,093.58 $45,519.82 $14,980.95 2026-07-31
37231 CPT Tib/per Plsty+ath+ste Bil 27 16 $48,668.00 $29,200.80 40% off $3,406.76 $50,128.04 $14,935.94 2026-07-31
37230 CPT Tib/per Plasty W/ste Bil 32 19 $28,935.50 $17,361.30 40% off $2,611.42 $38,425.18 $14,935.94 2026-07-31
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 53 15 — — $10,229.52 $21,916.58 $14,924.29 2026-01-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 39 11 — — $10,341.95 $21,507.51 $14,803.37 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 8 — — $14,056.37 $30,115.54 $14,751.99 2025-01-22
56 MS_DRG Degenerative Nervous System Disorders With Mcc 14 8 — — $14,021.23 $30,040.25 $14,715.11 2025-01-22
C1820 HCPCS Neuro Interstim Micro 6 3 $24,671.00 $14,802.60 40% off $14,632.37 $14,632.37 $14,632.37 2025-01-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 53 15 — — $9,574.14 $21,226.43 $14,609.91 2026-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 39 11 — — $9,764.52 $21,203.85 $14,594.36 2026-01-01
571 MS_DRG Skin Debridement With Cc 55 16 — — $9,909.15 $23,703.20 $14,591.77 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 53 15 — — $9,792.60 $21,117.26 $14,534.77 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 39 11 — — $10,864.36 $21,110.99 $14,530.45 2026-01-01
C9601 HCPCS Perc Des+plsty Add Ld 130 28 $29,488.00 $17,692.80 40% off $3,566.22 $26,237.19 $14,493.35 2026-07-31
C9606 HCPCS Rev Mi W/des 1 Vsl Lc 187 28 $29,488.00 $17,692.80 40% off $3,566.22 $26,237.19 $14,493.35 2026-07-31
551 MS_DRG Medical Back Problems With Mcc 53 15 — — $9,967.72 $21,355.68 $14,476.04 2026-01-01
37239 CPT Trnscth Stent Addl Vein 21 16 $25,575.00 $15,345.00 40% off $3,580.50 $26,342.25 $14,459.42 2026-07-31
444 MS_DRG Disorders Of The Biliary Tract With Mcc 55 16 — — $9,565.36 $23,442.24 $14,431.13 2026-01-01
34708 CPT Endovasc Rpr Ilio-iliac Rpt 68 28 $29,342.00 $17,605.20 40% off $3,548.58 $26,107.41 $14,421.59 2026-07-31
70 MS_DRG Other Cerebrovascular Disorders With Mcc 53 15 — — $10,480.78 $22,454.90 $14,378.44 2026-01-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 39 11 — — $10,206.60 $20,772.19 $14,297.26 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 58 17 — — $9,689.52 $37,841.56 $14,288.62 2026-01-01
33214 CPT Upgrade Pacemaker System 5 3 $24,079.00 $14,447.40 40% off $14,281.25 $14,281.25 $14,281.25 2025-01-22
786 MS_DRG Cesarean Section Without Sterilization With Mcc 53 15 — — $10,246.51 $21,952.97 $14,246.30 2026-01-01
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 57 17 $38,142.32 $22,885.39 40% off $11,061.27 $26,432.63 $14,234.18 2026-01-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 57 17 $38,142.32 $22,885.39 40% off $11,061.27 $26,432.63 $14,234.18 2026-01-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 57 17 $38,142.32 $22,885.39 40% off $11,061.27 $26,432.63 $14,234.18 2026-01-01
33229 CPT Rmv+repl Pm Gen Mult 78 33 $28,862.00 $17,317.20 40% off $3,490.48 $25,679.96 $14,234.18 2026-07-31
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 57 17 $38,142.32 $22,885.39 40% off $11,061.27 $26,432.63 $14,234.18 2026-01-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 57 17 $38,142.32 $22,885.39 40% off $11,061.27 $26,432.63 $14,234.18 2026-01-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 57 17 $38,142.32 $22,885.39 40% off $11,061.27 $26,432.63 $14,234.18 2026-01-01
643 MS_DRG Endocrine Disorders With Mcc 53 15 — — $9,635.05 $20,655.49 $14,216.94 2026-01-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 39 11 — — $10,732.81 $20,624.12 $14,195.35 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 53 15 — — $9,231.52 $20,487.35 $14,101.21 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 39 11 — — $9,951.72 $20,471.04 $14,089.98 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 53 15 — — $9,302.97 $20,466.02 $14,086.52 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 55 16 — — $9,773.86 $22,871.23 $14,079.61 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 55 16 — — $9,291.84 $22,505.06 $13,854.19 2026-01-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 39 11 — — $10,102.25 $20,105.88 $13,838.65 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 53 15 — — $9,485.71 $20,322.97 $13,812.74 2026-01-01
368 MS_DRG Major Esophageal Disorders With Mcc 53 15 — — $9,675.47 $20,729.53 $13,748.83 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 53 15 — — $9,177.05 $19,854.92 $13,665.91 2026-01-01
C9766 HCPCS Revasc Intra Lithotrip Ather 5 3 $22,945.00 $13,767.00 40% off $13,608.68 $13,608.68 $13,608.68 2025-01-22
92933 CPT Perc Stnt+ath+plsty 1 Lc 21 19 $20,052.00 $12,031.20 40% off $2,807.28 $20,653.56 $13,590.50 2026-07-31
92929 CPT Perc Stnt+plsty Addl Lc 16 14 $20,052.00 $12,031.20 40% off $2,807.28 $20,653.56 $13,590.50 2026-07-31
92938 CPT Revs Bp Grf W/stnt Ea Lc 16 14 $20,052.00 $12,031.20 40% off $2,807.28 $20,653.56 $13,590.50 2026-07-31
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 14 8 — — $12,935.96 $27,715.08 $13,576.14 2025-01-22
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 53 15 — — $9,346.90 $20,025.58 $13,545.86 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 55 16 — — $9,935.51 $21,924.23 $13,496.63 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 55 16 — — $9,090.37 $21,865.30 $13,460.36 2026-01-01
C9607 HCPCS Rev Ch W/des 1 Vsl Rc 78 33 $29,488.00 $17,692.80 40% off $3,566.22 $26,237.19 $13,402.39 2026-07-31
C9765 HCPCS Revasc Intra Lithotrip Stent 62 17 $24,092.00 $14,455.20 40% off $6,986.68 $16,695.76 $13,402.39 2026-01-01
37242 CPT Vasc Occlusion Arterial 78 33 $28,439.00 $17,063.40 40% off $3,439.38 $25,304.01 $13,402.39 2026-07-31
C9602 HCPCS Perc Des+ath+plsty Ld 78 33 $29,488.00 $17,692.80 40% off $3,566.22 $26,237.19 $13,402.39 2026-07-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 8 — — $12,766.11 $27,351.18 $13,397.89 2025-01-22
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 39 11 — — $9,878.36 $19,369.31 $13,331.67 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 8 — — $12,689.39 $27,186.80 $13,317.36 2025-01-22
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 39 11 — — $9,451.45 $19,282.73 $13,272.08 2026-01-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 39 11 — — $9,464.10 $19,261.39 $13,257.40 2026-01-01
813 MS_DRG Coagulation Disorders 53 15 — — $9,136.64 $19,575.10 $13,173.62 2026-01-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 39 11 — — $9,206.06 $19,129.64 $13,166.71 2026-01-01
398 MS_DRG Appendix Procedures With Cc 39 11 — — $9,570.98 $18,992.86 $13,072.57 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 14 8 — — $12,433.44 $26,638.45 $13,048.75 2025-01-22
C1722 HCPCS Icd Ellipse Cd1411-36q 11 5 $21,777.00 $13,066.20 40% off $12,915.94 $14,630.71 $12,915.94 2025-01-22
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 53 15 — — $9,294.19 $19,912.64 $12,907.61 2026-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 53 15 — — $9,117.90 $19,534.94 $12,841.97 2026-01-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 39 11 — — $10,252.14 $18,607.64 $12,807.42 2026-01-01
682 MS_DRG Renal Failure With Mcc 55 16 — — $8,789.92 $20,778.00 $12,791.01 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 53 15 — — $8,512.89 $18,531.09 $12,754.74 2026-01-01
794 MS_DRG Neonate With Other Significant Problems 45 13 — — $8,726.08 $15,027.13 $12,746.96 2026-01-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 53 15 — — $8,821.54 $18,900.01 $12,714.14 2026-01-01
J2506 HCPCS Neulasta 6mg 0.6ml Injection 95 19 $33,007.00 $19,804.20 40% off $64.77 $30,010.37 $12,558.45 2026-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 55 16 — — $7,887.38 $20,246.27 $12,463.68 2026-01-01
637 MS_DRG Diabetes With Mcc 56 16 — — $8,488.29 $37,790.28 $12,408.40 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 53 15 — — $8,906.47 $19,081.96 $12,305.63 2026-01-01
92944 CPT Revs Chr W/stnt Ea Ad Lc 11 11 $20,052.00 $12,031.20 40% off $2,807.28 $20,653.56 $12,301.90 2026-07-31
92934 CPT Perc Stnt+ath+plsty E Lc 11 11 $20,052.00 $12,031.20 40% off $2,807.28 $20,653.56 $12,301.90 2026-07-31
642 MS_DRG Inborn And Other Disorders Of Metabolism 53 15 — — $7,633.19 $17,844.71 $12,282.31 2026-01-01
602 MS_DRG Cellulitis With Mcc 53 15 — — $8,712.02 $18,665.36 $12,275.40 2026-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 8 — — $11,640.43 $24,939.43 $12,216.49 2025-01-22
539 MS_DRG Osteomyelitis With Mcc 14 8 — — $11,622.27 $24,900.53 $12,197.44 2025-01-22
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 14 8 — — $11,571.90 $24,792.62 $12,144.58 2025-01-22
C2621 HCPCS Pacmkr Bi Vent Quadra Pm3262 5 3 $20,475.00 $12,285.00 40% off $12,143.72 $12,143.72 $12,143.72 2025-01-22
811 MS_DRG Red Blood Cell Disorders With Mcc 53 15 — — $8,220.63 $17,621.35 $12,128.57 2026-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 39 11 — — $9,403.38 $17,615.08 $12,124.26 2026-01-01
885 MS_DRG Psychoses 45 13 — — $8,002.76 $13,781.51 $12,063.80 2026-01-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 53 15 — — $7,516.64 $17,478.30 $12,030.12 2026-01-01
548 MS_DRG Septic Arthritis With Mcc 14 8 — — $11,419.63 $24,466.36 $11,984.76 2025-01-22
380 MS_DRG Complicated Peptic Ulcer With Mcc 14 8 — — $11,412.01 $24,450.05 $11,976.78 2025-01-22
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 14 8 — — $11,388.59 $24,399.86 $11,952.18 2025-01-22
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 53 15 — — $8,217.12 $17,605.04 $11,863.43 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 53 15 — — $7,691.18 $17,138.25 $11,796.06 2026-01-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 2 2 — — $11,458.27 $12,061.34 $11,759.81 2026-01-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 39 11 — — $8,744.99 $16,888.54 $11,624.19 2026-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 53 15 — — $7,980.50 $17,098.10 $11,616.42 2026-01-01
693 MS_DRG Urinary Stones With Mcc 53 15 — — $8,295.01 $17,771.93 $11,612.10 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 14 8 — — $11,021.36 $23,613.09 $11,566.79 2025-01-22
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 55 16 — — $7,702.89 $18,738.08 $11,535.23 2026-01-01
150 MS_DRG Epistaxis With Mcc 53 15 — — $7,698.79 $16,707.85 $11,499.82 2026-01-01
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml Vial 15 15 $63,040.50 $37,824.30 40% off $8,825.67 $64,931.72 $11,478.66 2026-07-31
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 14 8 — — $10,917.11 $23,389.73 $11,457.38 2025-01-22
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 39 11 — — $8,848.08 $16,586.13 $11,416.04 2026-01-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 53 15 — — $7,882.69 $16,888.54 $11,415.18 2026-01-01
92941 CPT Prq Card Revasc Mi 1 Vsl Lc 208 28 $23,213.00 $13,927.80 40% off $541.56 $20,653.56 $11,409.19 2026-07-31
J9228 HCPCS Yervoy 5mg/ml Inj 10ml 90 32 $39,863.00 $23,917.80 40% off $165.77 $209,873.32 $11,385.04 2026-07-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 14 8 — — $10,838.05 $23,220.33 $11,374.40 2025-01-22
27870 CPT Arthrodesis Ankle Opn 8 6 — — $711.36 $11,354.57 $11,354.57 2025-01-22
69714 CPT Impl Oi Implt Skull Perq Esp 8 6 — — $811.20 $11,354.57 $11,354.57 2025-01-22
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