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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

ST CLAIRE REGIONAL MEDICAL CENTER

Morehead, KY · CCN 180018 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $220 across 19 payers · range $60-$2,435

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbStClaireMoreheadKY&type=CDMWithoutLabel&fileType=CSV · observed 2026-06-18

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.

8,699 distinct procedures filed
21 distinct payers
407,248 rate rows
2026-06-18 last MRF observed
Data quality

403,540 of 407,248 rate rows are consumer-grade (99.1%)

3,708 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 3,040
per-diem day rate — not a per-procedure price 350
percent-of-charges filed in the dollar field — excluded from medians 176
exceeds 10× this hospital's gross charge — excluded from medians 68
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 38
exceeds 3× this hospital's gross charge for a DRG stay — excluded 24
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbStClaireMoreheadKY&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/StClaire_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-02
Content fingerprint e5bd3f51ddad1055… · 81,969,551 bytes · first seen 2026-07-17

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
J1823
HCPCS 		Injection, Inebilizumab-cdon, 1 Mg 19 $495.55 $256,098.70 $136,559.71 nat. median
$818
outlier · 167.0×
J2507
HCPCS 		Injection, Pegloticase, 1 Mg 19 $3,660.83 $201,994.00 $107,709.42 nat. median
$9,222
outlier · 11.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $57,154.48 $135,840.96 $104,493.02 nat. median
$126,461
0.8× median
J3357
HCPCS 		Ustekinumab, For Subcutaneous Injection, 1 Mg 15 $26,783.04 $151,382.40 $83,889.14 nat. median
$14,970
outlier · 5.6×
J0638
HCPCS 		Injection, Canakinumab, 1 Mg 19 $141.60 $133,766.10 $71,328.20 nat. median
$253
outlier · 282.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $31,682.66 $75,301.24 $58,585.43 nat. median
$72,247
0.8× median
J9334
HCPCS 		Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 19 $33.89 $108,512.30 $57,862.10 nat. median
$83
outlier · 698.6×
0915T
OTHER 		Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 $18,988.57 $107,326.70 $57,229.90 nat. median
$33,792
1.7× median
33230
HCPCS 		Insertion Of Defibrillator With Existing Dual Leads 19 $306.31 $108,994.60 $54,363.15 nat. median
$22,483
outlier · 2.4×
33231
HCPCS 		Insertion Of Defibrillator With Existing Multiple Leads 19 $318.01 $108,994.60 $54,363.15 nat. median
$30,121
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $28,519.88 $67,784.16 $52,737.03 nat. median
$62,577
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $28,380.00 $67,451.70 $52,478.38 nat. median
$63,829
0.8× median
J9298
HCPCS 		Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 19 $197.83 $98,017.40 $52,265.89 nat. median
$560
outlier · 93.4×
J1628
HCPCS 		Injection, Guselkumab, 1 Mg 19 $67.81 $95,222.40 $50,775.51 nat. median
$229
outlier · 221.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $26,551.25 $63,105.23 $49,096.76 nat. median
$59,324
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $27,032.78 $53,439.77 $48,175.10 nat. median
$58,052
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 15 $24,791.81 $58,923.52 $45,843.33 nat. median
$54,377
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $24,605.30 $58,480.24 $45,498.45 nat. median
$55,110
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 14 $23,517.62 $55,442.66 $44,989.01 nat. median
$49,873
0.9× median
J9272
HCPCS 		Injection, Dostarlimab-gxly, 10 Mg 19 $247.08 $82,763.20 $44,131.88 nat. median
$794
outlier · 55.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $23,644.71 $56,197.17 $43,722.19 nat. median
$53,419
0.8× median
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 19 $183.48 $230,196.20 $42,763.37 nat. median
$9,011
outlier · 4.7×
834
MS_DRG 		Acute Leukemia With Mcc 15 $22,652.75 $44,781.11 $41,865.80 nat. median
$50,314
0.8× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 15 $21,771.39 $51,744.78 $40,258.17 nat. median
$49,305
0.8× median
0923T
OTHER 		Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 19 $13,293.54 $75,137.40 $40,065.57 nat. median
$24,390
1.6× median
0916T
OTHER 		Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 19 $13,293.54 $75,137.40 $40,065.57 nat. median
$24,431
1.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 15 $21,441.70 $50,961.20 $39,648.53 nat. median
$49,995
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 $20,377.95 $48,432.95 $37,681.52 nat. median
$45,362
0.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 $20,308.21 $48,267.21 $37,552.57 nat. median
$45,172
0.8× median
33240
HCPCS 		Insertion Of Defibrillator With Existing Single Lead 19 $376.96 $75,137.40 $37,476.22 nat. median
$22,137
1.7× median
J2329
HCPCS 		Injection, Ublituximab-xiiy, 1mg 19 $68.75 $67,649.40 $36,072.74 nat. median
$178
outlier · 203.2×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 15 $20,579.31 $40,682.22 $35,910.60 nat. median
$46,201
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 $19,359.59 $46,012.58 $35,798.43 nat. median
$43,609
0.8× median
C1605
HCPCS 		Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 15 $11,422.95 $64,564.50 $35,778.67 nat. median
$21,783
1.6× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 15 $18,966.35 $45,077.97 $35,071.30 nat. median
$42,609
0.8× median
245
MS_DRG 		Aicd Generator Procedures 15 $18,825.65 $44,743.55 $34,811.11 nat. median
$42,812
0.8× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 $18,769.12 $44,609.19 $34,706.58 nat. median
$41,655
0.8× median
163
MS_DRG 		Major Chest Procedures With Mcc 15 $18,493.07 $43,953.10 $34,196.13 nat. median
$42,636
0.8× median
J9316
HCPCS 		Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 19 $60.23 $91,616.20 $33,845.11 nat. median
$388
outlier · 87.2×
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 19 $14.60 $62,855.00 $33,516.22 nat. median
$2,159
outlier · 15.5×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 19 $55.03 $62,731.50 $33,450.37 nat. median
$213
outlier · 157.1×
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 19 $29.29 $62,604.10 $33,382.43 nat. median
$91
outlier · 366.7×
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 $17,855.98 $42,438.90 $33,018.06 nat. median
$39,010
0.8× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 $17,713.62 $42,100.56 $32,754.83 nat. median
$39,943
0.8× median
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 15 $10,447.29 $59,049.90 $32,722.73 nat. median
$32,435
1.0× median
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 19 $34.05 $61,178.00 $32,621.99 nat. median
$5,088
outlier · 6.4×
37294
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 $10,769.06 $60,868.60 $32,457.01 nat. median
$25,232
1.3× median
37292
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 $10,769.06 $60,868.60 $32,457.01 nat. median
$21,300
1.5× median
37286
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 $10,769.06 $60,868.60 $32,457.01 nat. median
$21,823
1.5× median
37273
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 $10,769.06 $60,868.60 $32,457.01 nat. median
$21,873
1.5× median

Other procedures at this hospital

Browse this hospital's 8,699 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
             
J1823 HCPCS Injection, Inebilizumab-cdon, 1 Mg 38 19 $196,999.00 $147,749.25 25% off $495.55 $256,098.70 $136,559.71 2026-06-18
J2507 HCPCS Injection, Pegloticase, 1 Mg 38 19 $155,380.00 $116,535.00 25% off $3,660.83 $201,994.00 $107,709.42 2026-06-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 9 $252,884.15 $189,663.11 25% off $57,154.48 $135,840.96 $104,493.02 2026-06-18
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 30 15 $116,448.00 $87,336.00 25% off $26,783.04 $151,382.40 $83,889.14 2026-06-18
J0638 HCPCS Injection, Canakinumab, 1 Mg 38 19 $102,897.00 $77,172.75 25% off $141.60 $133,766.10 $71,328.20 2026-06-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 15 $264,529.57 $198,397.18 25% off $31,682.66 $75,301.24 $58,585.43 2026-06-18
J9334 HCPCS Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc 38 19 $83,471.00 $62,603.25 25% off $33.89 $108,512.30 $57,862.10 2026-06-18
0915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 38 19 $82,559.00 $61,919.25 25% off $18,988.57 $107,326.70 $57,229.90 2026-06-18
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 19 19 $83,842.00 $62,881.50 25% off $306.31 $108,994.60 $54,363.15 2026-02-02
33231 HCPCS Insertion Of Defibrillator With Existing Multiple Leads 19 19 $83,842.00 $62,881.50 25% off $318.01 $108,994.60 $54,363.15 2026-02-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 15 $144,016.58 $108,012.43 25% off $28,519.88 $67,784.16 $52,737.03 2026-06-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 15 $90,631.76 $67,973.82 25% off $28,380.00 $67,451.70 $52,478.38 2026-06-18
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 38 19 $75,398.00 $56,548.50 25% off $197.83 $98,017.40 $52,265.89 2026-06-18
J1628 HCPCS Injection, Guselkumab, 1 Mg 38 19 $73,248.00 $54,936.00 25% off $67.81 $95,222.40 $50,775.51 2026-06-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 15 $153,653.68 $115,240.26 25% off $26,551.25 $63,105.23 $49,096.76 2026-06-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 15 $48,175.10 $36,131.33 25% off $27,032.78 $53,439.77 $48,175.10 2026-06-18
28 MS_DRG Spinal Procedures With Mcc 30 15 $75,371.06 $56,528.30 25% off $24,791.81 $58,923.52 $45,843.33 2026-06-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 15 $65,043.45 $48,782.59 25% off $24,605.30 $58,480.24 $45,498.45 2026-06-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 14 $55,442.66 $41,581.99 25% off $23,517.62 $55,442.66 $44,989.01 2026-06-18
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 19 19 $63,664.00 $47,748.00 25% off $247.08 $82,763.20 $44,131.88 2026-06-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 15 $172,005.78 $129,004.34 25% off $23,644.71 $56,197.17 $43,722.19 2026-06-18
J9228 HCPCS Injection, Ipilimumab, 1 Mg 53 19 $177,074.00 $132,805.50 25% off $183.48 $230,196.20 $42,763.37 2026-06-18
834 MS_DRG Acute Leukemia With Mcc 30 15 $41,865.80 $31,399.35 25% off $22,652.75 $44,781.11 $41,865.80 2026-06-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 15 $99,995.42 $74,996.56 25% off $21,771.39 $51,744.78 $40,258.17 2026-06-18
0923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 38 19 $57,798.00 $43,348.50 25% off $13,293.54 $75,137.40 $40,065.57 2026-06-18
0916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 38 19 $57,798.00 $43,348.50 25% off $13,293.54 $75,137.40 $40,065.57 2026-06-18
653 MS_DRG Major Bladder Procedures With Mcc 30 15 $154,919.76 $116,189.82 25% off $21,441.70 $50,961.20 $39,648.53 2026-06-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 15 $104,724.21 $78,543.17 25% off $20,377.95 $48,432.95 $37,681.52 2026-06-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 15 $94,432.23 $70,824.17 25% off $20,308.21 $48,267.21 $37,552.57 2026-06-18
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 38 19 $57,798.00 $43,348.50 25% off $376.96 $75,137.40 $37,476.22 2026-06-18
J2329 HCPCS Injection, Ublituximab-xiiy, 1mg 38 19 $52,038.00 $39,028.50 25% off $68.75 $67,649.40 $36,072.74 2026-06-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 15 $36,475.96 $27,356.97 25% off $20,579.31 $40,682.22 $35,910.60 2026-06-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 15 $68,846.88 $51,635.16 25% off $19,359.59 $46,012.58 $35,798.43 2026-06-18
C1605 HCPCS Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl… 30 15 $49,665.00 $37,248.75 25% off $11,422.95 $64,564.50 $35,778.67 2026-06-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 15 $134,771.05 $101,078.29 25% off $18,966.35 $45,077.97 $35,071.30 2026-06-18
245 MS_DRG Aicd Generator Procedures 30 15 $223,218.94 $167,414.21 25% off $18,825.65 $44,743.55 $34,811.11 2026-06-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 15 $97,512.95 $73,134.71 25% off $18,769.12 $44,609.19 $34,706.58 2026-06-18
163 MS_DRG Major Chest Procedures With Mcc 30 15 $75,064.27 $56,298.20 25% off $18,493.07 $43,953.10 $34,196.13 2026-06-18
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 68 19 $70,474.00 $52,855.50 25% off $60.23 $91,616.20 $33,845.11 2026-06-18
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 38 19 $48,350.00 $36,262.50 25% off $14.60 $62,855.00 $33,516.22 2026-06-18
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 38 19 $48,255.00 $36,191.25 25% off $55.03 $62,731.50 $33,450.37 2026-06-18
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 38 19 $48,157.00 $36,117.75 25% off $29.29 $62,604.10 $33,382.43 2026-06-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 15 $127,673.63 $95,755.22 25% off $17,855.98 $42,438.90 $33,018.06 2026-06-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 15 $83,202.48 $62,401.86 25% off $17,713.62 $42,100.56 $32,754.83 2026-06-18
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 30 15 $45,423.00 $34,067.25 25% off $10,447.29 $59,049.90 $32,722.73 2026-06-18
J1930 HCPCS Injection, Lanreotide, 1 Mg 38 19 $47,060.00 $35,295.00 25% off $34.05 $61,178.00 $32,621.99 2026-06-18
37294 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37273 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37290 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $46,822.00 $35,116.50 25% off $10,769.06 $60,868.60 $32,457.01 2026-06-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 15 $111,756.36 $83,817.27 25% off $17,426.02 $41,417.01 $32,223.02 2026-06-18
0795T OTHER Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 44 19 $47,805.00 $35,853.75 25% off $476.92 $62,146.50 $32,067.60 2026-06-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 15 $76,017.70 $57,013.28 25% off $17,336.89 $41,205.18 $32,058.21 2026-06-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 15 $79,181.49 $59,386.12 25% off $17,136.36 $40,728.55 $31,687.39 2026-06-18
0823T OTHER Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 25 19 $47,678.00 $35,758.50 25% off $450.58 $61,981.40 $29,979.43 2026-06-18
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 38 19 $42,982.00 $32,236.50 25% off $59.41 $55,876.60 $29,795.12 2026-06-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 15 $88,543.59 $66,407.69 25% off $15,932.32 $37,866.87 $29,460.96 2026-06-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 15 $46,839.79 $35,129.84 25% off $15,841.95 $37,652.09 $29,293.86 2026-06-18
33221 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 38 19 $45,178.00 $33,883.50 25% off $284.52 $58,731.40 $29,293.42 2026-06-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 30 15 $73,944.43 $55,458.32 25% off $15,527.12 $36,903.82 $28,711.69 2026-06-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 15 $31,135.41 $23,351.56 25% off $15,422.72 $31,135.41 $28,518.65 2026-06-18
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 15 $75,237.36 $56,428.02 25% off $15,377.75 $36,548.80 $28,435.48 2026-06-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 30 15 $177,121.22 $132,840.92 25% off $15,156.17 $36,022.17 $28,025.75 2026-06-18
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 15 $115,844.37 $86,883.28 25% off $15,149.98 $36,007.45 $28,014.31 2026-06-18
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 30 15 $37,853.00 $28,389.75 25% off $8,706.19 $49,208.90 $27,269.30 2026-06-18
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 15 $67,313.81 $50,485.35 25% off $14,734.46 $35,019.89 $27,245.97 2026-06-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 15 $95,522.44 $71,641.83 25% off $14,686.18 $34,905.15 $27,156.70 2026-06-18
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 15 $135,223.96 $101,417.98 25% off $14,674.22 $34,876.71 $27,134.57 2026-06-18
J3101 HCPCS Injection, Tenecteplase, 1 Mg 38 19 $39,045.00 $29,283.75 25% off $172.22 $50,758.50 $27,065.99 2026-06-18
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 14 $74,052.43 $55,539.32 25% off $14,146.47 $33,622.39 $27,062.07 2026-06-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 15 $84,496.50 $63,372.37 25% off $14,551.67 $34,585.44 $26,907.96 2026-06-18
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 30 15 $37,188.00 $27,891.00 25% off $8,553.24 $48,344.40 $26,790.24 2026-06-18
252 MS_DRG Other Vascular Procedures With Mcc 30 15 $98,042.38 $73,531.79 25% off $14,393.63 $34,209.83 $26,615.73 2026-06-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 15 $87,279.02 $65,459.26 25% off $14,389.92 $34,201.00 $26,608.86 2026-06-18
264 MS_DRG Other Circulatory System O.r. Procedures 28 14 $66,122.58 $49,591.94 25% off $13,784.18 $32,761.33 $26,369.03 2026-06-18
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 30 15 $34,021.80 $25,516.35 25% off $14,077.15 $33,457.63 $26,030.51 2026-06-18
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 24 12 $94,594.83 $70,946.13 25% off $12,359.80 $29,375.95 $25,790.40 2026-06-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 15 $25,609.07 $19,206.79 25% off $14,323.90 $28,316.21 $25,508.83 2026-06-18
Q4116 HCPCS Alloderm, Per Square Centimeter 38 19 $36,394.00 $27,295.50 25% off $113.13 $47,312.20 $25,228.32 2026-06-18
37 MS_DRG Extracranial Procedures With Mcc 30 15 $115,230.39 $86,422.79 25% off $13,584.06 $32,285.69 $25,118.72 2026-06-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 15 $64,027.29 $48,020.47 25% off $13,421.90 $31,900.27 $24,818.86 2026-06-18
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 15 $45,772.17 $34,329.12 25% off $13,362.89 $31,760.03 $24,709.76 2026-06-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 15 $64,181.39 $48,136.04 25% off $13,174.32 $31,311.85 $24,361.06 2026-06-18
J9223 HCPCS Injection, Lurbinectedin, 0.1 Mg 38 19 $35,102.00 $26,326.50 25% off $207.13 $45,632.60 $24,332.71 2026-06-18
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 15 $109,083.25 $81,812.43 25% off $13,149.98 $31,253.99 $24,316.05 2026-06-18
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 15 $117,278.33 $87,958.75 25% off $13,137.19 $31,223.59 $24,292.39 2026-06-18
33224 HCPCS Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 19 19 $37,267.00 $27,950.25 25% off $370.55 $48,447.10 $24,163.92 2026-02-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 15 $64,910.97 $48,683.23 25% off $13,038.98 $30,990.18 $24,110.80 2026-06-18
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 15 $108,745.37 $81,559.03 25% off $13,001.85 $30,901.92 $24,042.13 2026-06-18
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 15 $91,398.41 $68,548.81 25% off $12,965.12 $30,814.64 $23,974.22 2026-06-18
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 15 $37,747.40 $28,310.56 25% off $12,852.06 $30,545.93 $23,765.16 2026-06-18
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 15 $61,686.39 $46,264.79 25% off $12,829.37 $30,491.99 $23,723.20 2026-06-18
662 MS_DRG Minor Bladder Procedures With Mcc 30 15 $70,349.78 $52,762.34 25% off $12,632.55 $30,024.19 $23,359.25 2026-06-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 7 $21,560.34 $16,170.26 25% off $15,947.58 $29,156.26 $23,334.84 2026-06-18
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 15 $77,150.31 $57,862.72 25% off $12,515.77 $29,746.65 $23,143.32 2026-06-18
J9333 HCPCS Injection, Rozanolixizumab-noli, 1 Mg 68 19 $32,017.00 $24,012.75 25% off $23.17 $84,284.20 $23,065.05 2026-06-18
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 24 12 $59,111.73 $44,333.79 25% off $10,961.41 $26,052.35 $22,872.47 2026-06-18
472 MS_DRG Cervical Spinal Fusion With Cc 30 15 $130,028.91 $97,521.68 25% off $12,156.37 $28,892.46 $22,478.74 2026-06-18
570 MS_DRG Skin Debridement With Mcc 30 15 $50,205.80 $37,654.36 25% off $12,135.74 $28,843.43 $22,440.59 2026-06-18
668 MS_DRG Transurethral Procedures With Mcc 30 15 $44,297.73 $33,223.30 25% off $12,048.68 $28,636.50 $22,279.60 2026-06-18
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 15 $71,357.57 $53,518.18 25% off $12,016.91 $28,560.98 $22,220.85 2026-06-18
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 15 $51,017.56 $38,263.17 25% off $11,966.98 $28,442.32 $22,128.53 2026-06-18
619 MS_DRG O.r. Procedures For Obesity With Mcc 30 15 $139,853.31 $104,889.98 25% off $11,914.16 $28,316.79 $22,030.86 2026-06-18
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 19 19 $31,737.00 $23,802.75 25% off $32.61 $41,258.10 $22,000.09 2026-06-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 15 $90,401.12 $67,800.85 25% off $11,843.19 $28,148.11 $21,899.63 2026-06-18
64628 HCPCS Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 38 19 $33,563.00 $25,172.25 25% off $375.88 $43,631.90 $21,762.25 2026-06-18
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 15 $47,662.59 $35,746.94 25% off $11,761.90 $27,954.91 $21,749.32 2026-06-18
654 MS_DRG Major Bladder Procedures With Cc 30 15 $77,260.54 $57,945.40 25% off $11,550.64 $27,452.79 $21,358.66 2026-06-18
503 MS_DRG Foot Procedures With Mcc 30 15 $81,210.86 $60,908.15 25% off $11,516.80 $27,372.37 $21,296.09 2026-06-18
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 15 $92,200.59 $69,150.44 25% off $11,376.51 $27,038.93 $21,036.67 2026-06-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 30 15 $101,994.61 $76,495.96 25% off $11,341.85 $26,956.56 $20,972.58 2026-06-18
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 15 $39,153.79 $29,365.34 25% off $11,338.96 $26,949.69 $20,967.24 2026-06-18
87241 HCPCS Operating Room Services - Minor Surgery 30 15 $29,041.00 $21,780.75 25% off $7,013.40 $37,753.30 $20,921.14 2026-06-18
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 30 15 $90,618.10 $67,963.57 25% off $11,226.73 $26,682.94 $20,759.70 2026-06-18
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 15 $51,699.06 $38,774.29 25% off $11,166.48 $26,539.76 $20,648.31 2026-06-18
37280 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
37260 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
92945 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Single C… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
37298 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
37267 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
37269 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
37282 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
37296 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 19 19 $29,486.00 $22,114.50 25% off $6,781.78 $38,331.80 $20,439.70 2026-06-18
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 14 $62,892.35 $47,169.26 25% off $10,642.45 $25,294.27 $20,358.92 2026-06-18
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 28 14 $41,123.34 $30,842.51 25% off $10,642.45 $25,294.27 $20,358.92 2026-06-18
253 MS_DRG Other Vascular Procedures With Cc 30 15 $78,640.21 $58,980.16 25% off $10,710.12 $25,455.10 $19,804.43 2026-06-18
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 15 $46,674.89 $35,006.17 25% off $10,657.30 $25,329.57 $19,706.76 2026-06-18
C9364 HCPCS Porcine Implant, Permacol, Per Square Centimeter 30 15 $27,220.00 $20,415.00 25% off $6,260.60 $35,386.00 $19,609.29 2026-06-18
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 30 15 $42,617.29 $31,962.97 25% off $10,594.59 $25,180.50 $19,590.79 2026-06-18
545 MS_DRG Connective Tissue Disorders With Mcc 28 14 $27,572.70 $20,679.52 25% off $10,240.14 $24,338.08 $19,589.30 2026-06-18
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 60 15 $32,815.00 $24,611.25 25% off $4,870.48 $57,790.20 $19,587.80 2026-06-18
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 30 15 $55,541.11 $41,655.83 25% off $10,534.34 $25,037.32 $19,479.39 2026-06-18
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 24 12 $24,278.94 $18,209.21 25% off $9,321.22 $22,154.06 $19,449.99 2026-06-18
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 15 $55,156.53 $41,367.40 25% off $10,484.41 $24,918.66 $19,387.07 2026-06-18
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 15 $71,908.93 $53,931.70 25% off $10,464.61 $24,871.58 $19,350.44 2026-06-18
164 MS_DRG Major Chest Procedures With Cc 30 15 $51,990.30 $38,992.72 25% off $10,414.68 $24,752.92 $19,258.12 2026-06-18
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 30 15 $33,596.54 $25,197.41 25% off $10,410.14 $24,742.13 $19,249.73 2026-06-18
974 MS_DRG HIV With Major Related Condition With Mcc 30 15 $19,192.36 $14,394.27 25% off $11,908.39 $23,541.10 $19,192.36 2026-06-18
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 60 15 $26,498.50 $19,873.88 25% off $5,642.59 $37,003.20 $19,093.65 2026-06-18
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 38 19 $29,041.00 $21,780.75 25% off $568.69 $37,753.30 $18,830.18 2026-06-18
37243 HCPCS Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 38 19 $29,041.00 $21,780.75 25% off $487.47 $37,753.30 $18,830.18 2026-06-18
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 15 $33,666.22 $25,249.67 25% off $10,147.30 $24,117.42 $18,763.70 2026-06-18
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 15 $42,772.18 $32,079.14 25% off $10,144.41 $24,110.56 $18,758.36 2026-06-18
56 MS_DRG Degenerative Nervous System Disorders With Mcc 28 14 $38,448.65 $28,836.49 25% off $9,585.71 $22,782.69 $18,337.39 2026-06-18
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 15 $61,098.32 $45,823.74 25% off $9,891.47 $23,509.39 $18,290.64 2026-06-18
397 MS_DRG Appendix Procedures With Mcc 30 15 $24,945.65 $18,709.24 25% off $9,881.98 $23,486.83 $18,273.09 2026-06-18
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 30 15 $35,102.49 $26,326.87 25% off $9,846.91 $23,403.47 $18,208.23 2026-06-18
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 28 14 $27,214.23 $20,410.67 25% off $9,469.35 $22,506.13 $18,114.79 2026-06-18
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 30 15 $27,047.15 $20,285.36 25% off $9,649.67 $22,934.70 $17,843.52 2026-06-18
709 MS_DRG Penis Procedures With Cc/mcc 30 15 $122,193.52 $91,645.14 25% off $9,602.22 $22,821.92 $17,755.77 2026-06-18
347 MS_DRG Anal And Stomal Procedures With Mcc 30 15 $94,675.76 $71,006.82 25% off $9,472.24 $22,513.00 $17,515.43 2026-06-18
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 30 15 $42,982.31 $32,236.73 25% off $9,430.98 $22,414.92 $17,439.13 2026-06-18
J0491 HCPCS Injection, Anifrolumab-fnia, 1 Mg 38 19 $25,101.00 $18,825.75 25% off $18.08 $32,631.30 $17,400.01 2026-06-18
Q4108 HCPCS Integra Matrix, Per Square Centimeter 38 19 $25,071.00 $18,803.25 25% off $113.13 $32,592.30 $17,379.22 2026-06-18
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 30 15 $56,444.57 $42,333.43 25% off $9,390.13 $22,317.84 $17,363.59 2026-06-18
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 30 15 $20,869.82 $15,652.36 25% off $9,374.45 $20,869.82 $17,334.60 2026-06-18
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
92944 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation, Each Additional C… 15 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-02-02
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 30 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 30 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 30 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 30 15 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $17,322.74 2026-06-18
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 38 19 $26,415.00 $19,811.25 25% off $517.11 $34,339.50 $17,127.49 2026-06-18
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 90 15 $23,577.00 $17,682.75 25% off $4,867.72 $42,984.50 $16,984.87 2026-06-18
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 15 $44,956.87 $33,717.66 25% off $9,130.59 $21,700.97 $16,883.66 2026-06-18
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 15 $57,691.97 $43,268.98 25% off $9,110.37 $21,652.92 $16,846.28 2026-06-18
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 50 19 $24,046.00 $18,034.50 25% off $1,847.38 $31,259.80 $16,832.20 2026-06-18
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 30 15 $43,235.58 $32,426.68 25% off $9,072.41 $21,562.69 $16,776.08 2026-06-18
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 15 $16,681.78 $12,511.33 25% off $13,348.04 $26,387.08 $16,681.78 2026-06-18
J9022 HCPCS Injection, Atezolizumab, 10 Mg 68 19 $23,145.00 $17,358.75 25% off $91.34 $43,408.30 $16,673.66 2026-06-18
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 21 15 $24,046.00 $18,034.50 25% off $76.25 $31,259.80 $16,668.69 2026-02-02
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-06-18
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-06-18
92938 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel… 21 15 $24,046.00 $18,034.50 25% off $76.25 $31,259.80 $16,668.69 2026-02-02
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-06-18
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 38 19 $24,046.00 $18,034.50 25% off $5,530.58 $31,259.80 $16,668.69 2026-06-18
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 30 15 $59,575.43 $44,681.57 25% off $9,005.56 $21,403.82 $16,652.48 2026-06-18
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 30 15 $43,532.45 $32,649.33 25% off $8,990.30 $21,367.54 $16,624.24 2026-06-18
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 24 12 $76,868.28 $57,651.21 25% off $7,879.09 $18,726.50 $16,440.79 2026-06-18
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 30 15 $34,106.81 $25,580.10 25% off $8,836.39 $21,001.73 $16,339.65 2026-06-18
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 30 15 $37,753.89 $28,315.42 25% off $8,833.08 $20,993.89 $16,333.54 2026-06-18
374 MS_DRG Digestive Malignancy With Mcc 30 15 $19,415.53 $14,561.64 25% off $8,824.83 $19,415.53 $16,318.28 2026-06-18
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 68 19 $20,511.00 $15,383.25 25% off $41.98 $81,593.20 $16,295.93 2026-06-18
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 38 19 $23,469.00 $17,601.75 25% off $227.28 $30,509.70 $16,268.71 2026-06-18
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 30 15 $66,558.53 $49,918.90 25% off $8,792.65 $20,897.78 $16,258.77 2026-06-18
37279 HCPCS Intravascular Lithotripsy(ies), Femoral And Popliteal Vascular Territory, Includ… 19 19 $23,411.00 $17,558.25 25% off $177.07 $30,434.30 $16,228.51 2026-06-18
37287 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $23,411.00 $17,558.25 25% off $223.21 $30,434.30 $16,228.51 2026-06-18
37291 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $23,411.00 $17,558.25 25% off $285.68 $30,434.30 $16,228.51 2026-06-18
37278 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $23,411.00 $17,558.25 25% off $264.23 $30,434.30 $16,228.51 2026-06-18
37276 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $23,411.00 $17,558.25 25% off $187.94 $30,434.30 $16,228.51 2026-06-18
37274 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $23,411.00 $17,558.25 25% off $243.57 $30,434.30 $16,228.51 2026-06-18
37272 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 19 19 $23,411.00 $17,558.25 25% off $176.84 $30,434.30 $16,228.51 2026-06-18
37295 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $23,411.00 $17,558.25 25% off $366.39 $30,434.30 $16,228.51 2026-06-18
37285 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $23,411.00 $17,558.25 25% off $148.42 $30,434.30 $16,228.51 2026-06-18
37289 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $23,411.00 $17,558.25 25% off $209.42 $30,434.30 $16,228.51 2026-06-18
37293 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 19 19 $23,411.00 $17,558.25 25% off $290.72 $30,434.30 $16,228.51 2026-06-18
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 30 15 $32,482.61 $24,361.96 25% off $8,775.32 $20,856.59 $16,226.72 2026-06-18
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 30 15 $58,290.38 $43,717.79 25% off $8,738.18 $20,768.33 $16,158.05 2026-06-18
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 30 15 $24,847.77 $18,635.82 25% off $8,736.94 $20,765.38 $16,155.76 2026-06-18
655 MS_DRG Major Bladder Procedures Without Cc/mcc 30 15 $45,757.69 $34,318.27 25% off $8,733.64 $20,757.54 $16,149.66 2026-06-18
336 MS_DRG Peritoneal Adhesiolysis With Cc 30 15 $51,601.90 $38,701.43 25% off $8,701.04 $20,680.06 $16,089.38 2026-06-18
33214 HCPCS Insertion Of 2 Chamber Pacemaker System 38 19 $24,770.00 $18,577.50 25% off $388.62 $32,201.00 $16,060.87 2026-06-18
412 MS_DRG Cholecystectomy With C.d.e. With Cc 30 15 $72,656.99 $54,492.74 25% off $8,675.46 $20,619.26 $16,042.08 2026-06-18
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 30 15 $50,354.45 $37,765.83 25% off $8,642.45 $20,540.80 $15,981.04 2026-06-18
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 30 15 $39,280.90 $29,460.67 25% off $8,637.09 $20,528.05 $15,971.12 2026-06-18
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 30 15 $32,301.18 $24,225.88 25% off $8,628.42 $20,507.46 $15,955.09 2026-06-18
314 MS_DRG Other Circulatory System Diagnoses With Mcc 30 15 $40,615.94 $30,461.96 25% off $8,604.08 $20,449.60 $15,910.08 2026-06-18
711 MS_DRG Testes Procedures With Cc/mcc 30 15 $70,841.87 $53,131.40 25% off $8,598.30 $20,435.87 $15,899.39 2026-06-18
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 28 14 $35,061.82 $26,296.37 25% off $8,297.91 $19,721.92 $15,873.83 2026-06-18
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 30 15 $50,652.10 $37,989.07 25% off $8,580.15 $20,392.72 $15,865.82 2026-06-18
886 MS_DRG Behavioral And Developmental Disorders 14 7 $17,501.88 $13,126.41 25% off $8,563.23 $17,501.88 $15,655.77 2026-06-18
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 24 12 $70,212.56 $52,659.42 25% off $7,496.18 $17,816.41 $15,641.78 2026-06-18
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 30 15 $37,766.46 $28,324.85 25% off $8,455.12 $20,095.56 $15,634.63 2026-06-18
Q4128 HCPCS Flex Hd, Or Allopatch Hd, Per Square Centimeter 68 19 $21,697.00 $16,272.75 25% off $113.13 $42,572.40 $15,630.52 2026-06-18
935 MS_DRG Non-extensive Burns 18 9 $17,140.96 $12,855.72 25% off $8,500.10 $17,140.96 $15,540.35 2026-06-18
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 30 15 $24,142.47 $18,106.85 25% off $8,366.82 $19,885.69 $15,471.35 2026-06-18
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 30 15 $45,934.21 $34,450.66 25% off $8,343.71 $19,830.78 $15,428.62 2026-06-18
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 38 19 $22,094.00 $16,570.50 25% off $106.33 $28,722.20 $15,315.56 2026-06-18
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 30 15 $58,512.11 $43,884.08 25% off $8,279.34 $19,677.79 $15,309.60 2026-06-18
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 15 $20,247.85 $15,185.89 25% off $6,965.13 $16,554.25 $15,298.34 2026-06-18
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 30 15 $55,088.72 $41,316.54 25% off $8,253.35 $19,616.00 $15,261.53 2026-06-18
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 30 15 $39,050.10 $29,287.58 25% off $8,244.68 $19,595.41 $15,245.50 2026-06-18
548 MS_DRG Septic Arthritis With Mcc 28 14 $76,194.87 $57,146.15 25% off $7,967.40 $18,936.37 $15,241.56 2026-06-18
908 MS_DRG Other O.r. Procedures For Injuries With Cc 30 15 $26,524.43 $19,893.32 25% off $8,232.71 $19,566.97 $15,223.38 2026-06-18
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 30 15 $28,439.07 $21,329.30 25% off $8,231.06 $19,563.04 $15,220.32 2026-06-18
539 MS_DRG Osteomyelitis With Mcc 30 15 $39,198.50 $29,398.88 25% off $8,127.49 $19,316.89 $15,028.81 2026-06-18
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 30 15 $37,262.40 $27,946.80 25% off $8,121.30 $19,302.18 $15,017.37 2026-06-18
380 MS_DRG Complicated Peptic Ulcer With Mcc 30 15 $49,869.81 $37,402.36 25% off $8,096.55 $19,243.33 $14,971.59 2026-06-18
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 30 15 $35,368.58 $26,526.43 25% off $8,015.26 $19,050.14 $14,821.28 2026-06-18
100 MS_DRG Seizures With Mcc 30 15 $27,745.35 $20,809.01 25% off $7,991.74 $18,994.24 $14,777.78 2026-06-18
0917T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 38 19 $21,311.00 $15,983.25 25% off $4,901.53 $27,704.30 $14,772.79 2026-06-18
0918T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 38 19 $21,311.00 $15,983.25 25% off $4,901.53 $27,704.30 $14,772.79 2026-06-18
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 28 14 $33,032.94 $24,774.70 25% off $7,695.06 $18,289.11 $14,720.59 2026-06-18
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 30 15 $55,570.20 $41,677.65 25% off $7,959.14 $18,916.76 $14,717.51 2026-06-18
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 30 15 $33,591.36 $25,193.53 25% off $7,949.65 $18,894.20 $14,699.96 2026-06-18
75 MS_DRG Viral Meningitis With Cc/mcc 30 15 $46,461.40 $34,846.05 25% off $7,912.10 $18,804.96 $14,630.53 2026-06-18
33282 HCPCS Implant Pat-active Ht Record 21 15 $21,095.00 $15,821.25 25% off $209.35 $27,423.50 $14,623.05 2026-02-02
902 MS_DRG Wound Debridements For Injuries With Cc 30 15 $59,143.38 $44,357.53 25% off $7,899.72 $18,775.54 $14,607.64 2026-06-18
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 21 15 $51,662.00 $38,746.50 25% off $693.98 $67,160.60 $14,506.69 2026-02-02
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 30 15 $43,210.23 $32,407.67 25% off $7,800.69 $18,540.17 $14,424.52 2026-06-18
196 MS_DRG Interstitial Lung Disease With Mcc 30 15 $23,534.50 $17,650.88 25% off $7,787.08 $18,507.81 $14,399.34 2026-06-18
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 38 19 $20,771.00 $15,578.25 25% off $131.16 $27,002.30 $14,398.46 2026-06-18
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 15 $42,113.43 $31,585.08 25% off $7,717.34 $18,342.07 $14,270.39 2026-06-18
504 MS_DRG Foot Procedures With Cc 30 15 $52,266.18 $39,199.63 25% off $7,712.81 $18,331.28 $14,262.00 2026-06-18
C1813 HCPCS Prosthesis, Penile, Inflatable 30 15 $19,780.00 $14,835.00 25% off $4,549.40 $25,714.00 $14,249.51 2026-06-18
754 MS_DRG Malignancy, Female Reproductive System With Mcc 30 15 $73,869.58 $55,402.19 25% off $7,599.33 $18,061.59 $14,052.17 2026-06-18
J9204 HCPCS Injection, Mogamulizumab-kpkc, 1 Mg 38 19 $20,271.00 $15,203.25 25% off $248.50 $26,352.30 $14,051.86 2026-06-18
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 24 12 $64,760.44 $48,570.33 25% off $6,719.20 $15,969.75 $14,020.53 2026-06-18
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 30 15 $47,297.35 $35,473.01 25% off $7,578.70 $18,012.55 $14,014.02 2026-06-18
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 30 15 $33,755.15 $25,316.36 25% off $7,570.86 $17,993.92 $13,999.52 2026-06-18
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 30 15 $13,981.69 $10,486.27 25% off $7,670.30 $15,163.05 $13,981.69 2026-06-18
205 MS_DRG Other Respiratory System Diagnoses With Mcc 30 15 $37,880.93 $28,410.69 25% off $7,555.18 $17,956.65 $13,970.53 2026-06-18
919 MS_DRG Complications Of Treatment With Mcc 30 15 $37,537.58 $28,153.19 25% off $7,554.36 $17,954.69 $13,969.00 2026-06-18
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 30 15 $46,328.16 $34,746.12 25% off $7,551.06 $17,946.85 $13,962.90 2026-06-18
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 30 15 $37,739.16 $28,304.37 25% off $7,542.80 $17,927.23 $13,947.64 2026-06-18
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 28 14 $41,757.32 $31,317.99 25% off $7,289.04 $17,324.10 $13,943.87 2026-06-18
0275T OTHER Removal Of Bone From Lower Spine For Decompression Of Nerve Tissue Using Imaging… 15 15 $19,345.00 $14,508.75 25% off $4,449.35 $25,148.50 $13,936.14 2026-02-02
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 30 15 $31,928.68 $23,946.51 25% off $7,525.06 $17,885.06 $13,914.83 2026-06-18
91 MS_DRG Other Disorders Of Nervous System With Mcc 28 14 $45,696.27 $34,272.20 25% off $7,246.54 $17,223.09 $13,862.56 2026-06-18
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 30 15 $47,038.99 $35,279.24 25% off $7,468.53 $17,750.71 $13,810.30 2026-06-18
722 MS_DRG Malignancy, Male Reproductive System With Mcc 30 15 $17,984.01 $13,488.01 25% off $7,467.29 $17,747.76 $13,808.01 2026-06-18
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 30 15 $54,763.91 $41,072.93 25% off $7,458.22 $17,726.19 $13,791.23 2026-06-18
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 38 19 $19,894.00 $14,920.50 25% off $136.67 $25,862.20 $13,790.52 2026-06-18
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 30 15 $54,057.16 $40,542.87 25% off $7,442.54 $17,688.92 $13,762.23 2026-06-18
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 30 15 $43,133.35 $32,350.01 25% off $7,441.30 $17,685.98 $13,759.94 2026-06-18
671 MS_DRG Urethral Procedures With Cc/mcc 30 15 $24,882.83 $18,662.12 25% off $7,406.64 $17,603.60 $13,695.85 2026-06-18
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 30 15 $65,218.00 $48,913.50 25% off $7,405.40 $17,600.66 $13,693.56 2026-06-18
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 15 $66,675.47 $50,006.60 25% off $7,402.10 $17,592.81 $13,687.46 2026-06-18
505 MS_DRG Foot Procedures Without Cc/mcc 30 15 $60,870.75 $45,653.06 25% off $7,397.56 $17,582.03 $13,679.06 2026-06-18
254 MS_DRG Other Vascular Procedures Without Cc/mcc 30 15 $68,204.42 $51,153.32 25% off $7,351.76 $17,473.17 $13,594.37 2026-06-18
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 30 15 $42,662.04 $31,996.53 25% off $7,316.27 $17,388.83 $13,528.75 2026-06-18
180 MS_DRG Respiratory Neoplasms With Mcc 30 15 $43,926.12 $32,944.59 25% off $7,286.98 $17,319.20 $13,474.58 2026-06-18
199 MS_DRG Pneumothorax With Mcc 30 15 $18,677.47 $14,008.10 25% off $7,279.14 $17,300.56 $13,460.08 2026-06-18
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 30 15 $74,504.51 $55,878.38 25% off $7,274.60 $17,289.78 $13,451.69 2026-06-18
J9061 HCPCS Injection, Amivantamab-vmjw, 2 Mg 38 19 $19,296.00 $14,472.00 25% off $22.54 $25,084.80 $13,375.99 2026-06-18
501 MS_DRG Soft Tissue Procedures With Cc 30 15 $32,783.80 $24,587.85 25% off $7,213.12 $17,143.65 $13,338.00 2026-06-18
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 30 15 $15,043.21 $11,282.41 25% off $7,167.73 $15,043.21 $13,254.07 2026-06-18
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 30 15 $28,814.28 $21,610.71 25% off $7,130.18 $16,946.53 $13,184.64 2026-06-18
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 30 15 $48,166.49 $36,124.87 25% off $7,128.94 $16,943.59 $13,182.35 2026-06-18
42502795 CDM Abra Abdominal Wall Closure 12 12 $18,916.00 $14,187.00 25% off $4,350.68 $16,078.60 $13,176.89 2026-02-02
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 18 9 $33,589.51 $25,192.13 25% off $7,200.74 $17,114.23 $13,164.79 2026-06-18
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 30 15 $88,788.14 $66,591.11 25% off $7,115.32 $16,911.23 $13,157.17 2026-06-18
157 MS_DRG Dental And Oral Diseases With Mcc 30 15 $22,730.17 $17,047.63 25% off $7,083.96 $16,836.69 $13,099.18 2026-06-18
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 30 15 $29,127.44 $21,845.58 25% off $7,072.41 $16,809.23 $13,077.82 2026-06-18
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 30 15 $64,360.04 $48,270.03 25% off $7,053.84 $16,765.10 $13,043.49 2026-06-18
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 15 $32,210.35 $24,157.76 25% off $7,030.32 $16,709.20 $12,999.99 2026-06-18
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 30 15 $35,909.18 $26,931.89 25% off $7,005.98 $16,651.34 $12,954.98 2026-06-18
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 30 15 $43,745.79 $32,809.35 25% off $6,979.98 $16,589.56 $12,906.91 2026-06-18
C1786 HCPCS Pacemaker, Single Chamber, Rate-responsive (implantable) 90 15 $18,602.00 $13,951.50 25% off $2,303.68 $35,570.60 $12,894.91 2026-06-18
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