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

HARLAN ARH HOSPITAL

Harlan, KY · CCN 180050 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $11,233 across 6 payers

Source: https://www.arh.org/wp-content/uploads/2025/03/520795508_Harlan-ARH-Hospital_standardcharges.csv · observed 2025-01-22

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.

4,591 distinct procedures filed
38 distinct payers
252,547 rate rows
2026-08-01 last MRF observed
Data quality

236,703 of 252,547 rate rows are consumer-grade (93.7%)

15,844 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 12,450
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,760
placeholder amount (≤ $0.02) — excluded from medians 288
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 256
exceeds 10× this hospital's gross charge — excluded from medians 38
per-diem day rate — not a per-procedure price 32
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2022/03/520795508-Harlan-ARH-Hospital-Standard-Charges.xlsx
Found on page https://www.arh.org/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 670f06786f75c1a8… · 7,289,856 bytes · first seen 2026-07-31

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
C9074
HCPCS 		Lumasiran Sodium 94.5 Mg/0.5 Ml Vial 12 $54,510.50 $298,204.50 $214,322.46 nat. median
$501
outlier · 427.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $123,477.58 $207,442.34 $124,862.08 nat. median
$199,832
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $85,135.79 $200,979.98 $119,630.94 nat. median
$132,706
0.9× median
Q2043
HCPCS 		Sipuleucel-t/lactated Ringers 50,000,000 Cell/250 Ml Piggyback 18 $52,421.58 $339,424.89 $63,286.32 nat. median
$65,655
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $40,337.57 $100,288.30 $59,695.42 nat. median
$65,958
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $40,008.03 $93,365.72 $55,574.83 nat. median
$62,218
0.9× median
90733
CPT 		Meningococ Vac A,c,y,w-135/pf 50 Mcg Vial 12 $13,282.36 $72,662.29 $52,223.09 nat. median
$180
outlier · 290.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $51,321.24 $86,219.69 $51,896.68 nat. median
$83,623
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $45,171.77 $75,888.58 $45,678.26 nat. median
$73,475
0.6× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 17 $29,415.28 $72,365.79 $43,074.88 nat. median
$48,124
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 $28,953.70 $71,657.72 $42,653.40 nat. median
$47,707
0.9× median
J0223
HCPCS 		Givosiran Sodium 189 Mg/ml Vial 24 $112.10 $211,454.10 $40,320.13 nat. median
$152
outlier · 264.7×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 17 $26,159.27 $66,693.94 $39,698.78 nat. median
$44,514
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $36,864.95 $61,933.12 $37,278.30 nat. median
$63,840
0.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 17 $21,417.15 $60,964.05 $36,134.47 nat. median
$39,775
0.9× median
793
MS_DRG 		Full Term Neonate With Major Problems 17 $24,378.37 $60,499.74 $36,011.75 nat. median
$33,329
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 $34,749.88 $58,379.80 $35,139.51 nat. median
$51,433
0.7× median
791
MS_DRG 		Prematurity With Major Problems 17 $23,732.03 $58,894.97 $35,056.53 nat. median
$34,510
1.0× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 13 $23,524.27 $55,707.18 $33,159.04 nat. median
$37,685
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 $21,896.32 $53,273.90 $31,710.65 nat. median
$35,279
0.9× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 $23,001.86 $52,406.22 $31,194.18 nat. median
$34,828
0.9× median
J9228
HCPCS 		Yervoy 5mg/ml Inj 10ml 37 $183.48 $189,497.27 $31,072.96 nat. median
$8,184
outlier · 3.8×
252
MS_DRG 		Other Vascular Procedures With Mcc 17 $19,423.70 $50,614.27 $30,127.54 nat. median
$33,823
0.9× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 $25,030.78 $50,601.21 $30,119.77 nat. median
$35,240
0.9× median
33249
CPT 		Ins/rpl Defib W/lead 18 $13,738.21 $75,156.09 $29,966.22 nat. median
$31,420
1.0× median
33231
CPT 		Ins Defib Pulse Gen W/m 18 $9,011.36 $49,297.44 $29,966.22 nat. median
$29,955
1.0× median
33270
CPT 		Ins/rplc Subq Defib W/e 18 $12,119.47 $66,300.63 $29,966.22 nat. median
$31,963
0.9× median
33264
CPT 		Rmv+repl Cvd Gen Multi 18 $14,008.85 $76,636.65 $29,966.22 nat. median
$31,464
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 8 $29,287.29 $49,202.65 $29,615.68 nat. median
$50,808
0.6× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 $19,556.33 $49,745.14 $29,610.20 nat. median
$33,338
0.9× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 17 $18,915.20 $48,471.18 $28,851.89 nat. median
$32,666
0.9× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 $27,838.82 $46,769.22 $28,150.97 nat. median
$47,513
0.6× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 $19,356.52 $46,989.74 $27,970.08 nat. median
$31,313
0.9× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 13 $19,765.57 $46,937.50 $27,938.99 nat. median
$31,014
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 $27,454.26 $46,123.16 $27,762.10 nat. median
$45,808
0.6× median
163
MS_DRG 		Major Chest Procedures With Mcc 8 $27,299.05 $45,862.40 $27,605.14 nat. median
$44,914
0.6× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 8 $26,673.56 $44,811.59 $26,972.64 nat. median
$46,399
0.6× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 13 $18,982.59 $45,193.43 $26,900.85 nat. median
$30,061
0.9× median
510
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 $17,206.65 $43,826.62 $26,087.27 nat. median
$28,696
0.9× median
570
MS_DRG 		Skin Debridement With Mcc 17 $16,924.07 $42,674.55 $25,401.52 nat. median
$29,069
0.9× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 17 $17,078.70 $42,256.67 $25,152.78 nat. median
$29,103
0.9× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 8 $24,780.30 $41,630.91 $25,058.15 nat. median
$42,341
0.6× median
J2505
HCPCS 		Pegfilgrastim (neulasta) 6 Mg/0.6 Ml Syringe 12 $6,360.89 $34,797.81 $25,009.52 nat. median
$6,405
outlier · 3.9×
J1303
HCPCS 		Ravulizumab-cwvz 1,100 Mg/11 Ml Vial 24 $221.67 $127,313.75 $24,223.68 nat. median
$5,613
outlier · 4.3×
C9168
HCPCS 		Omvoh 300 Mg Vial 6 $24,175.97 $24,175.97 $24,175.97 nat. median
$13,908
1.7× median
J3357
HCPCS 		Ustekinumab 45 Mg/0.5 Ml Syringe 18 $7,686.85 $131,160.23 $23,975.53 nat. median
$12,959
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 8 $23,500.95 $39,481.60 $23,764.46 nat. median
$37,053
0.6× median
J2507
HCPCS 		Krystexxa 8mg/ml Injection 38 $3,307.05 $134,721.20 $23,748.84 nat. median
$8,784
outlier · 2.7×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 17 $15,659.19 $39,882.88 $23,739.81 nat. median
$26,590
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $23,404.81 $39,320.08 $23,667.24 nat. median
$41,718
0.6× median

Other procedures at this hospital

Browse this hospital's 4,591 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
             
C9074 HCPCS Lumasiran Sodium 94.5 Mg/0.5 Ml Vial 13 12 $320,650.00 $192,390.00 40% off $54,510.50 $298,204.50 $214,322.46 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 8 — — $123,477.58 $207,442.34 $124,862.08 2025-01-22
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 44 17 — — $85,135.79 $200,979.98 $119,630.94 2026-01-01
Q2043 HCPCS Sipuleucel-t/lactated Ringers 50,000,000 Cell/250 Ml Piggyback 19 18 $364,973.00 $218,983.80 40% off $52,421.58 $339,424.89 $63,286.32 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 17 — — $40,337.57 $100,288.30 $59,695.42 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 17 — — $40,008.03 $93,365.72 $55,574.83 2026-01-01
90733 CPT Meningococ Vac A,c,y,w-135/pf 50 Mcg Vial 13 12 $78,131.50 $46,878.90 40% off $13,282.36 $72,662.29 $52,223.09 2026-08-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 8 — — $51,321.24 $86,219.69 $51,896.68 2025-01-22
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 8 — — $45,171.77 $75,888.58 $45,678.26 2025-01-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 44 17 — — $29,415.28 $72,365.79 $43,074.88 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 17 — — $28,953.70 $71,657.72 $42,653.40 2026-01-01
J0223 HCPCS Givosiran Sodium 189 Mg/ml Vial 25 24 $227,370.00 $136,422.00 40% off $112.10 $211,454.10 $40,320.13 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 17 — — $26,159.27 $66,693.94 $39,698.78 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $36,864.95 $61,933.12 $37,278.30 2025-01-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 17 — — $21,417.15 $60,964.05 $36,134.47 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 44 17 — — $24,378.37 $60,499.74 $36,011.75 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 8 — — $34,749.88 $58,379.80 $35,139.51 2025-01-22
791 MS_DRG Prematurity With Major Problems 44 17 — — $23,732.03 $58,894.97 $35,056.53 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 13 — — $23,524.27 $55,707.18 $33,159.04 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 13 — — $21,896.32 $53,273.90 $31,710.65 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 13 — — $23,001.86 $52,406.22 $31,194.18 2026-01-01
J9228 HCPCS Yervoy 5mg/ml Inj 10ml 110 37 $45,055.50 $27,033.30 40% off $183.48 $189,497.27 $31,072.96 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 44 17 — — $19,423.70 $50,614.27 $30,127.54 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 13 — — $25,030.78 $50,601.21 $30,119.77 2026-01-01
33231 CPT Ins Defib Pulse Gen W/m 19 18 $53,008.00 $31,804.80 40% off $9,011.36 $49,297.44 $29,966.22 2026-08-01
33264 CPT Rmv+repl Cvd Gen Multi 19 18 $82,405.00 $49,443.00 40% off $14,008.85 $76,636.65 $29,966.22 2026-08-01
33249 CPT Ins/rpl Defib W/lead 19 18 $80,813.00 $48,487.80 40% off $13,738.21 $75,156.09 $29,966.22 2026-08-01
33270 CPT Ins/rplc Subq Defib W/e 19 18 $71,291.00 $42,774.60 40% off $12,119.47 $66,300.63 $29,966.22 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 8 — — $29,287.29 $49,202.65 $29,615.68 2025-01-22
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 17 — — $19,556.33 $49,745.14 $29,610.20 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 44 17 — — $18,915.20 $48,471.18 $28,851.89 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 8 — — $27,838.82 $46,769.22 $28,150.97 2025-01-22
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 44 17 — — $19,356.52 $46,989.74 $27,970.08 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 13 — — $19,765.57 $46,937.50 $27,938.99 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 8 — — $27,454.26 $46,123.16 $27,762.10 2025-01-22
163 MS_DRG Major Chest Procedures With Mcc 12 8 — — $27,299.05 $45,862.40 $27,605.14 2025-01-22
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 12 8 — — $26,673.56 $44,811.59 $26,972.64 2025-01-22
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 13 — — $18,982.59 $45,193.43 $26,900.85 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 13 — — $17,206.65 $43,826.62 $26,087.27 2026-01-01
570 MS_DRG Skin Debridement With Mcc 44 17 — — $16,924.07 $42,674.55 $25,401.52 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 44 17 — — $17,078.70 $42,256.67 $25,152.78 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 8 — — $24,780.30 $41,630.91 $25,058.15 2025-01-22
J2505 HCPCS Pegfilgrastim (neulasta) 6 Mg/0.6 Ml Syringe 13 12 $37,417.00 $22,450.20 40% off $6,360.89 $34,797.81 $25,009.52 2026-08-01
J1303 HCPCS Ravulizumab-cwvz 1,100 Mg/11 Ml Vial 44 24 $136,838.00 $82,102.80 40% off $221.67 $127,313.75 $24,223.68 2026-08-01
C9168 HCPCS Omvoh 300 Mg Vial 6 6 $61,205.00 $36,723.00 40% off $24,175.97 $24,175.97 $24,175.97 2025-01-22
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Syringe 38 18 $105,774.50 $63,464.70 40% off $7,686.85 $131,160.23 $23,975.53 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 8 — — $23,500.95 $39,481.60 $23,764.46 2025-01-22
J2507 HCPCS Krystexxa 8mg/ml Injection 73 38 $113,483.00 $68,089.80 40% off $3,307.05 $134,721.20 $23,748.84 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 44 17 — — $15,659.19 $39,882.88 $23,739.81 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 8 — — $23,404.81 $39,320.08 $23,667.24 2025-01-22
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 13 — — $17,376.14 $39,138.53 $23,296.74 2026-01-01
J1951 HCPCS Leuprolide Acetate 45 Mg Syringe 19 18 $131,630.00 $78,978.00 40% off $22,377.10 $122,415.90 $22,868.28 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 8 — — $22,569.67 $37,917.05 $22,822.74 2025-01-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 8 — — $22,460.79 $37,734.13 $22,712.63 2025-01-22
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 8 — — $22,156.15 $37,222.34 $22,404.58 2025-01-22
C1767 HCPCS Generator Aspire Sr 14cc 6 6 $56,677.80 $34,006.68 40% off $22,387.73 $22,387.73 $22,387.73 2025-01-22
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 32 13 — — $15,079.06 $37,423.48 $22,275.88 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 44 17 — — $13,909.57 $36,798.11 $21,903.64 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 8 — — $21,557.31 $36,216.28 $21,799.02 2025-01-22
J9348 HCPCS Naxitamab-gqgk 40 Mg/10 Ml Vial 19 18 $118,745.50 $71,247.30 40% off $20,186.74 $110,433.32 $21,555.32 2026-08-01
C9041 HCPCS Andexanet Alfa 200 Mg/20 Ml Vial 13 12 $32,065.00 $19,239.00 40% off $5,451.05 $29,820.45 $21,432.25 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 8 — — $21,184.91 $35,590.65 $21,422.44 2025-01-22
33263 CPT Rmv+repl Cvd Gen Dual 19 18 $82,405.00 $49,443.00 40% off $14,008.85 $76,636.65 $21,037.03 2026-08-01
33262 CPT Rmv+repl Cvd Gen Single 19 18 $82,405.00 $49,443.00 40% off $14,008.85 $76,636.65 $21,037.03 2026-08-01
33240 CPT Insert Pulse Generator 19 18 $60,087.00 $36,052.20 40% off $10,214.79 $55,880.91 $21,037.03 2026-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 44 17 — — $13,738.14 $34,782.71 $20,703.99 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 44 17 — — $13,423.65 $34,626.00 $20,610.72 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 8 — — $20,191.08 $33,921.02 $20,417.47 2025-01-22
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 8 — — $20,016.76 $33,628.15 $20,241.19 2025-01-22
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 8 — — $20,010.38 $33,617.45 $20,234.75 2025-01-22
357 MS_DRG Other Digestive System O.r. Procedures With Cc 32 13 — — $13,893.83 $33,742.36 $20,084.74 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 44 17 — — $13,864.97 $33,707.54 $20,064.01 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 44 17 — — $14,763.24 $33,308.52 $19,826.50 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 12 8 — — $19,549.96 $32,843.93 $19,769.17 2025-01-22
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 32 13 — — $13,564.32 $33,019.78 $19,654.63 2026-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 32 13 — — $14,374.50 $32,964.64 $19,621.81 2026-01-01
93653 CPT Ep Ablate Suprvnt Arrhy 19 18 $36,576.00 $21,945.60 40% off $6,217.92 $34,015.68 $19,576.31 2026-08-01
93654 CPT Ep Ablate Vent Tachy 19 18 $36,576.00 $21,945.60 40% off $6,217.92 $34,015.68 $19,576.31 2026-08-01
93656 CPT Tx Atrl Fib Pul Vein I 19 18 $36,576.00 $21,945.60 40% off $6,217.92 $34,015.68 $19,576.31 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 8 — — $19,284.70 $32,398.30 $19,500.93 2025-01-22
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 8 — — $19,200.15 $32,256.25 $19,415.43 2025-01-22
783 MS_DRG Cesarean Section With Sterilization With Mcc 44 17 — — $10,261.47 $35,622.82 $19,221.67 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 44 17 — — $12,684.07 $32,036.02 $19,069.06 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 8 — — $18,621.57 $31,284.24 $18,830.36 2025-01-22
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 44 17 — — $13,105.12 $31,613.78 $18,817.73 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 6 6 — — $18,669.99 $18,669.99 $18,669.99 2025-01-22
L8679 HCPCS Neurostimulator F15 42 16 $34,253.94 $20,552.36 40% off $5,480.63 $31,856.16 $18,668.40 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 8 — — $18,414.81 $30,936.88 $18,621.29 2025-01-22
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 8 — — $18,309.99 $30,760.78 $18,515.29 2025-01-22
374 MS_DRG Digestive Malignancy With Mcc 44 17 — — $12,156.46 $31,031.95 $18,471.40 2026-01-01
J3316 HCPCS Triptorelin ER Injection Suspension 22.5 Mg Vial 19 18 $102,964.00 $61,778.40 40% off $17,503.88 $95,756.52 $18,403.51 2026-08-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 44 17 — — $12,232.91 $30,727.24 $18,290.02 2026-01-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 32 13 — — $13,351.18 $30,722.89 $18,287.43 2026-01-01
665 MS_DRG Prostatectomy With Mcc 12 8 — — $17,890.68 $30,056.34 $18,091.28 2025-01-22
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 44 17 — — $12,016.89 $30,390.62 $18,089.65 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 44 17 — — $12,117.66 $30,371.75 $18,078.42 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 44 17 — — $12,124.61 $30,255.67 $18,009.33 2026-01-01
935 MS_DRG Non-extensive Burns 32 13 — — $12,909.10 $29,890.03 $17,791.68 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 8 — — $17,341.06 $29,132.98 $17,535.50 2025-01-22
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 44 17 — — $11,600.47 $29,179.05 $17,368.48 2026-01-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 44 17 — — $10,825.57 $29,113.76 $17,329.62 2026-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam 25 24 $35,693.00 $21,415.80 40% off $6,067.81 $33,194.49 $17,259.85 2026-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 44 17 — — $11,804.34 $28,991.88 $17,257.07 2026-01-01
54401 CPT Insert Penile Prosthesis 6 6 — — $17,215.90 $17,215.90 $17,215.90 2025-01-22
37237 CPT Trnscth Stent Addl Art 13 12 $25,575.00 $15,345.00 40% off $4,347.75 $23,784.75 $17,094.33 2026-08-01
C9608 HCPCS Rev Ch W/des Ea Ad 13 12 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $17,026.15 2026-08-01
C9603 HCPCS Perc Des+ath+plsty 13 12 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $17,026.15 2026-08-01
C9601 HCPCS Perc Des+plsty Add 13 12 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $17,026.15 2026-08-01
C9606 HCPCS Rev Mi W/des 1 Vsl 13 12 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $17,026.15 2026-08-01
C9605 HCPCS Rev Bp Grf W/des 13 12 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $17,026.15 2026-08-01
539 MS_DRG Osteomyelitis With Mcc 44 17 — — $11,492.75 $28,579.80 $17,011.79 2026-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 44 17 — — $11,096.61 $28,558.04 $16,998.83 2026-01-01
33221 CPT Ins Pulse Gen Mult Lead 19 18 $24,932.00 $14,959.20 40% off $4,238.44 $23,186.76 $16,990.51 2026-08-01
33229 CPT Rmv+repl Pm Gen Mult 19 18 $24,932.00 $14,959.20 40% off $4,238.44 $23,186.76 $16,990.51 2026-08-01
J9309 HCPCS Polivy 140 Mg Vial 72 18 $117,522.00 $70,513.20 40% off $121.23 $109,295.46 $16,948.83 2026-01-01
34702 CPT Endovasc Rpr A-ao Endgr Rpt 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34808 CPT Endvas Plcmt Iliac Dev 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34701 CPT Endovasc Rpr A-ao Endgrft 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34706 CPT Endovasc Rpr A-biliac Rpt 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34707 CPT Endovasc Rpr Ilio-iliac Endgr 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34704 CPT Endovasc Rpr A-unilac Endg Rpt 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34705 CPT Endovasc Rpr A-biliac Endgr 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
34708 CPT Endovasc Rpr Ilio-iliac Rpt 13 12 $25,347.00 $15,208.20 40% off $4,308.99 $23,572.71 $16,941.93 2026-08-01
J2350 HCPCS Ocrevus 300mg/10ml Injection 67 36 $90,295.00 $54,177.00 40% off $59.41 $92,337.38 $16,878.88 2026-08-01
92925 CPT Ptc Ath+angio Ea Addl Lc 13 12 $25,172.00 $15,103.20 40% off $4,279.24 $23,409.96 $16,824.96 2026-08-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 44 17 — — $11,482.33 $28,185.14 $16,776.87 2026-01-01
100 MS_DRG Seizures With Mcc 44 17 — — $11,481.75 $28,102.43 $16,727.64 2026-01-01
J0802 HCPCS Cortrophin 400 Unit/5ml Vial 6 6 $41,862.00 $25,117.20 40% off $16,535.49 $16,535.49 $16,535.49 2025-01-22
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 8 — — $16,269.62 $27,332.97 $16,452.05 2025-01-22
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 8 — — $16,232.56 $27,270.69 $16,414.56 2025-01-22
196 MS_DRG Interstitial Lung Disease With Mcc 44 17 — — $10,977.30 $27,382.75 $16,299.26 2026-01-01
C1882 HCPCS Defib Momentum Is-1/df-1/lv 6 6 $41,148.54 $24,689.12 40% off $16,253.67 $16,253.67 $16,253.67 2025-01-22
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 17 — — $11,493.33 $27,137.54 $16,153.29 2026-01-01
504 MS_DRG Foot Procedures With Cc 32 13 — — $10,923.18 $27,121.57 $16,143.79 2026-01-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 44 17 — — $10,717.26 $27,059.18 $16,106.66 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 12 8 — — $15,854.37 $26,635.34 $16,032.14 2025-01-22
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 8 — — $15,835.84 $26,604.20 $16,013.40 2025-01-22
23472 CPT Arthroplasty Total Shoulder 6 6 — — $15,905.21 $15,905.21 $15,905.21 2025-01-22
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 44 17 — — $10,192.55 $26,650.01 $15,863.10 2026-01-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 44 17 — — $10,484.44 $26,567.30 $15,813.87 2026-01-01
919 MS_DRG Complications Of Treatment With Mcc 44 17 — — $10,567.84 $26,564.40 $15,812.14 2026-01-01
J3241 HCPCS Teprotumumab-trbw (tepezza) 500 Mg Vial 25 24 $86,867.00 $52,120.20 40% off $328.00 $80,786.31 $15,794.00 2026-08-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 44 17 — — $10,368.61 $26,523.77 $15,787.96 2026-01-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 44 17 — — $10,537.15 $26,149.42 $15,565.13 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 44 17 — — $10,588.11 $26,040.60 $15,500.36 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 44 17 — — $10,780.39 $26,028.99 $15,493.45 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 44 17 — — $10,121.89 $25,727.19 $15,313.80 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 44 17 — — $10,066.87 $25,624.17 $15,252.48 2026-01-01
199 MS_DRG Pneumothorax With Mcc 44 17 — — $10,274.79 $25,596.60 $15,236.07 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 8 — — $15,017.49 $25,229.38 $15,185.88 2025-01-22
91 MS_DRG Other Disorders Of Nervous System With Mcc 44 17 — — $10,362.24 $25,481.98 $15,167.84 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 8 — — $14,993.74 $25,189.49 $15,161.86 2025-01-22
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 32 13 — — $11,035.76 $25,383.31 $15,109.11 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 12 8 — — $14,774.82 $24,821.70 $14,940.49 2025-01-22
164 MS_DRG Major Chest Procedures With Cc 12 8 — — $14,770.77 $24,814.89 $14,936.39 2025-01-22
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 44 17 — — $10,115.52 $25,072.80 $14,924.29 2026-01-01
37227 CPT Fem/pop Plsty+ath+ste Bil 32 18 $58,138.00 $34,882.80 40% off $4,941.73 $54,068.34 $14,883.70 2026-08-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 40 15 — — $10,297.96 $25,320.92 $14,797.01 2026-01-01
J1628 HCPCS Guselkumab 200 Mg/20 Ml 42 16 $92,255.00 $55,353.00 40% off $75.97 $85,797.15 $14,760.80 2026-01-01
0238T CPT Iliac Atherectomy Bil 32 18 $47,120.00 $28,272.00 40% off $4,616.69 $43,821.60 $14,651.53 2026-08-01
92933 CPT Perc Stnt+ath+plsty 1 Lc 19 18 $20,052.00 $12,031.20 40% off $3,408.84 $18,648.36 $14,651.53 2026-08-01
C9602 HCPCS Perc Des+ath+plsty 19 18 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $14,651.53 2026-08-01
C9607 HCPCS Rev Ch W/des 1 Vsl 19 18 $25,473.00 $15,283.80 40% off $4,330.41 $23,689.89 $14,651.53 2026-08-01
37230 CPT Tib/per Plasty W/ste Bil 32 18 $37,306.00 $22,383.60 40% off $3,171.01 $34,694.58 $14,651.53 2026-08-01
36906 CPT Perq Thrombo Dialy Circ 31 26 $24,774.00 $14,864.40 40% off $4,211.58 $23,039.82 $14,651.53 2026-08-01
37231 CPT Tib/per Plsty+ath+ste Bil 32 18 $48,668.00 $29,200.80 40% off $4,136.78 $45,261.24 $14,651.53 2026-08-01
37229 CPT Tib/per Plasty W/ath Bil 32 18 $44,194.00 $26,516.40 40% off $3,756.49 $41,100.42 $14,651.53 2026-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 8 — — $14,463.82 $24,299.21 $14,625.99 2025-01-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 44 17 — — $9,467.45 $24,544.65 $14,609.91 2026-01-01
571 MS_DRG Skin Debridement With Cc 44 17 — — $9,798.72 $24,514.18 $14,591.77 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 8 — — $14,397.79 $24,188.29 $14,559.23 2025-01-22
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 8 — — $14,387.37 $24,170.78 $14,548.69 2025-01-22
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 44 17 — — $9,683.47 $24,418.41 $14,534.77 2026-01-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 32 13 — — $10,864.36 $24,411.16 $14,530.45 2026-01-01
792 MS_DRG Prematurity Without Major Problems 12 8 — — $14,319.61 $24,056.94 $14,480.17 2025-01-22
444 MS_DRG Disorders Of The Biliary Tract With Mcc 44 17 — — $9,458.76 $24,244.30 $14,431.13 2026-01-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 44 17 — — $10,363.98 $24,155.79 $14,378.44 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 44 17 — — $9,581.54 $24,004.89 $14,288.62 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 44 17 — — $10,132.32 $23,933.79 $14,246.30 2026-01-01
643 MS_DRG Endocrine Disorders With Mcc 44 17 — — $9,527.68 $23,884.46 $14,216.94 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 44 17 — — $9,128.64 $23,690.03 $14,101.21 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 8 — — $13,899.72 $23,351.53 $14,055.57 2025-01-22
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 8 — — $13,805.32 $23,192.93 $13,960.11 2025-01-22
884 MS_DRG Organic Disturbances And Intellectual Disability 40 15 — — $10,175.17 $23,344.69 $13,895.65 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 44 17 — — $9,188.29 $23,275.05 $13,854.19 2026-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 44 17 — — $9,379.99 $23,205.40 $13,812.74 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 12 8 — — $13,614.78 $22,872.82 $13,767.44 2025-01-22
368 MS_DRG Major Esophageal Disorders With Mcc 44 17 — — $9,567.64 $23,098.03 $13,748.83 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 44 17 — — $9,242.73 $22,757.05 $13,545.86 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 44 17 — — $9,824.79 $22,674.34 $13,496.63 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 44 17 — — $9,285.01 $22,662.74 $13,489.72 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 44 17 — — $8,989.06 $22,613.40 $13,460.36 2026-01-01
92944 CPT Revs Chr W/stnt Ea Ad Lc 13 12 $20,052.00 $12,031.20 40% off $3,408.84 $18,648.36 $13,402.76 2026-08-01
92941 CPT Revs Mi W/stnt 1 Vsl Lc 13 12 $20,052.00 $12,031.20 40% off $3,408.84 $18,648.36 $13,402.76 2026-08-01
92938 CPT Revs Bp Grf W/stnt Ea Lc 13 12 $20,052.00 $12,031.20 40% off $3,408.84 $18,648.36 $13,402.76 2026-08-01
92934 CPT Perc Stnt+ath+plsty E Lc 13 12 $20,052.00 $12,031.20 40% off $3,408.84 $18,648.36 $13,402.76 2026-08-01
92929 CPT Perc Stnt+plsty Addl Lc 13 12 $20,052.00 $12,031.20 40% off $3,408.84 $18,648.36 $13,402.76 2026-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 12 8 — — $13,190.83 $22,160.60 $13,338.74 2025-01-22
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 32 13 — — $9,878.36 $22,397.21 $13,331.67 2026-01-01
813 MS_DRG Coagulation Disorders 44 17 — — $9,034.82 $22,131.68 $13,173.62 2026-01-01
398 MS_DRG Appendix Procedures With Cc 32 13 — — $9,570.98 $21,961.92 $13,072.57 2026-01-01
606 MS_DRG Minor Skin Disorders With Mcc 32 13 — — $10,029.51 $21,956.11 $13,069.11 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 12 8 — — $12,919.21 $21,704.27 $13,064.06 2025-01-22
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 32 13 — — $9,743.64 $21,832.78 $12,995.70 2026-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 12 8 — — $12,791.80 $21,490.22 $12,935.22 2025-01-22
J9316 HCPCS Pertuzumab-trastuzumab-hy-zzxf 10 Ml Vial 44 24 $49,386.00 $29,631.60 40% off $67.91 $68,896.26 $12,897.18 2026-08-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 44 17 — — $9,016.29 $21,574.51 $12,841.97 2026-01-01
682 MS_DRG Renal Failure With Mcc 44 17 — — $8,691.96 $21,488.90 $12,791.01 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 12 8 — — $12,623.84 $21,208.05 $12,765.39 2025-01-22
388 MS_DRG Gastrointestinal Obstruction With Mcc 44 17 — — $8,418.02 $21,427.96 $12,754.74 2026-01-01
794 MS_DRG Neonate With Other Significant Problems 44 17 — — $8,628.83 $21,414.90 $12,746.96 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 12 8 — — $12,547.97 $21,080.59 $12,688.67 2025-01-22
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 44 17 — — $8,206.05 $21,310.43 $12,684.78 2026-01-01
90378 CPT Palivizumab 100 Mg/ml Vial 26 12 $21,817.75 $13,090.65 40% off $3,047.34 $23,910.30 $12,676.91 2026-08-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 8 — — $12,484.27 $20,973.57 $12,624.25 2025-01-22
J9307 HCPCS PRALAtrexate 20 Mg/ml Vial 44 24 $35,849.50 $21,509.70 40% off $298.18 $66,680.07 $12,610.99 2026-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 12 8 — — $12,369.01 $20,779.94 $12,507.70 2025-01-22
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 44 17 — — $7,799.48 $20,938.98 $12,463.68 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 12 8 — — $12,325.00 $20,706.00 $12,463.19 2025-01-22
711 MS_DRG Testes Procedures With Cc/mcc 12 8 — — $12,294.88 $20,655.40 $12,432.74 2025-01-22
637 MS_DRG Diabetes With Mcc 44 17 — — $8,393.69 $20,846.12 $12,408.40 2026-01-01
37225 CPT Fem/pop Plasty W/ath Bil 32 18 $57,016.00 $34,209.60 40% off $3,853.05 $53,024.88 $12,355.36 2026-08-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 12 8 — — $12,200.48 $20,496.81 $12,337.28 2025-01-22
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 8 — — $12,192.95 $20,484.16 $12,329.67 2025-01-22
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 44 17 — — $8,807.21 $20,673.45 $12,305.63 2026-01-01
602 MS_DRG Cellulitis With Mcc 44 17 — — $8,614.93 $20,622.67 $12,275.40 2026-01-01
592 MS_DRG Skin Ulcers With Mcc 12 8 — — $12,104.92 $20,336.26 $12,240.65 2025-01-22
93657 CPT Tx L/r Atrl Fib Add-on 13 12 $18,285.00 $10,971.00 40% off $3,108.45 $17,005.05 $12,221.69 2026-08-01
93655 CPT Ablate Arrhy Add-on 13 12 $18,285.00 $10,971.00 40% off $3,108.45 $17,005.05 $12,221.69 2026-08-01
811 MS_DRG Red Blood Cell Disorders With Mcc 44 17 — — $8,129.02 $20,376.00 $12,128.57 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 44 17 — — $8,125.54 $19,930.56 $11,863.43 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 44 17 — — $7,605.46 $19,817.38 $11,796.06 2026-01-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 32 13 — — $8,469.87 $19,781.11 $11,774.47 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 12 8 — — $11,631.17 $19,540.37 $11,761.58 2025-01-22
908 MS_DRG Other O.r. Procedures For Injuries With Cc 12 8 — — $11,606.85 $19,499.50 $11,736.99 2025-01-22
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 8 — — $11,547.19 $19,399.28 $11,676.67 2025-01-22
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 8 — — $11,510.71 $19,337.99 $11,639.77 2025-01-22
J7189 HCPCS Coagulation Factor Viia,recomb 1 Mg Vial 38 18 $47,048.25 $28,228.95 40% off $2,307.00 $72,924.56 $11,617.26 2026-08-01
693 MS_DRG Urinary Stones With Mcc 44 17 — — $8,202.57 $19,508.32 $11,612.10 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 12 8 — — $11,442.94 $19,224.15 $11,571.24 2025-01-22
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 12 8 — — $11,417.46 $19,181.34 $11,545.48 2025-01-22
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 44 17 — — $7,617.05 $19,379.19 $11,535.23 2026-01-01
J9043 HCPCS Jevtana 60mg/6ml Injection 61 34 $60,085.00 $36,051.00 40% off $227.28 $58,627.67 $11,478.66 2026-08-01
548 MS_DRG Septic Arthritis With Mcc 12 8 — — $11,292.36 $18,971.17 $11,418.98 2025-01-22
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 44 17 — — $7,794.85 $19,177.50 $11,415.18 2026-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 12 8 — — $11,284.84 $18,958.52 $11,411.37 2025-01-22
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 12 8 — — $11,261.67 $18,919.60 $11,387.94 2025-01-22
885 MS_DRG Psychoses 40 15 — — $7,913.57 $20,267.18 $11,370.92 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 44 17 — — $7,683.07 $19,071.58 $11,352.13 2026-01-01
348 MS_DRG Anal And Stomal Procedures With Cc 44 17 — — $7,537.12 $18,990.33 $11,303.77 2026-01-01
C1722 HCPCS Icd Gallant Vr 6 6 $28,531.03 $17,118.62 40% off $11,269.76 $11,269.76 $11,269.76 2025-01-22
27870 CPT Arthrodesis Ankle Opn 6 6 — — $11,232.56 $11,232.56 $11,232.56 2025-01-22
27447 CPT Total Knee Replacement 6 6 — — $11,232.56 $11,232.56 $11,232.56 2025-01-22
27130 CPT Total Hip Replacement 6 6 — — $11,232.56 $11,232.56 $11,232.56 2025-01-22
69714 CPT Implantation Osseo Implant 6 6 — — $11,232.56 $11,232.56 $11,232.56 2025-01-22
540 MS_DRG Osteomyelitis With Cc 44 17 — — $7,518.59 $18,808.95 $11,195.81 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 44 17 — — $7,895.04 $18,798.80 $11,189.76 2026-01-01
37239 CPT Trnscth Stent Addl Vein 19 18 $25,575.00 $15,345.00 40% off $4,347.75 $23,784.75 $11,137.82 2026-08-01
291 MS_DRG Heart Failure And Shock With Mcc 44 17 — — $7,435.77 $18,627.58 $11,087.85 2026-01-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 44 17 — — $7,509.90 $18,601.47 $11,072.30 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 12 8 — — $10,898.54 $18,309.55 $11,020.74 2025-01-22
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 8 — — $10,897.96 $18,308.57 $11,020.15 2025-01-22
947 MS_DRG Signs And Symptoms With Mcc 44 17 — — $7,248.70 $18,418.64 $10,963.48 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 44 17 — — $7,388.28 $18,402.68 $10,953.98 2026-01-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 44 17 — — $6,975.34 $18,367.86 $10,933.25 2026-01-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 12 8 — — $10,795.45 $18,136.35 $10,916.50 2025-01-22
93531 CPT Combined Lt+rt Hc Cong 13 12 $16,160.00 $9,696.00 40% off $2,747.20 $15,028.80 $10,801.34 2026-08-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 8 — — $10,668.04 $17,922.30 $10,787.66 2025-01-22
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 12 8 — — $10,652.98 $17,897.00 $10,772.42 2025-01-22
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 32 13 — — $7,349.16 $18,002.21 $10,715.60 2026-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 12 8 — — $10,595.64 $17,800.68 $10,714.44 2025-01-22
37223 CPT Iliac Revas W/stent A Bil 26 12 $22,692.50 $13,615.50 40% off $2,571.76 $28,139.01 $10,698.52 2026-08-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 44 17 — — $7,135.19 $17,925.31 $10,669.83 2026-01-01
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg Vial 19 18 $52,250.50 $31,350.30 40% off $8,882.59 $48,592.97 $10,555.60 2026-08-01
J0896 HCPCS Reblozyl 25mg Vial 110 36 $21,057.00 $12,634.20 40% off $39.20 $57,665.12 $10,540.94 2026-08-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 44 17 — — $6,962.60 $17,469.71 $10,398.63 2026-01-01
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 32 13 — — $6,800.82 $17,447.94 $10,385.68 2026-01-01
302 MS_DRG Atherosclerosis With Mcc 44 17 — — $6,492.91 $17,362.33 $10,334.72 2026-01-01
304 MS_DRG Hypertension With Mcc 44 17 — — $6,654.49 $17,266.57 $10,277.72 2026-01-01
949 MS_DRG Aftercare With Cc/mcc 32 13 — — $6,785.01 $17,262.22 $10,275.13 2026-01-01
593 MS_DRG Skin Ulcers With Cc 44 17 — — $7,007.20 $17,212.88 $10,245.76 2026-01-01
152 MS_DRG Otitis Media And Uri With Mcc 32 13 — — $7,514.86 $17,153.39 $10,210.35 2026-01-01
24586 CPT Opn Tx Periarticular Fx Elb Bi 56 26 $23,442.00 $14,065.20 40% off $1,992.74 $21,801.06 $10,209.57 2026-08-01
501 MS_DRG Soft Tissue Procedures With Cc 12 8 — — $10,052.39 $16,888.02 $10,165.10 2025-01-22
254 MS_DRG Other Vascular Procedures Without Cc/mcc 12 8 — — $10,048.92 $16,882.18 $10,161.60 2025-01-22
352 MS_DRG Inguinal And Femoral Hernia Procedures Without Cc/mcc 32 13 — — $7,013.96 $16,944.45 $10,085.98 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 44 17 — — $6,801.60 $16,835.63 $10,021.21 2026-01-01
505 MS_DRG Foot Procedures Without Cc/mcc 12 8 — — $9,878.65 $16,596.13 $9,989.42 2025-01-22
551 MS_DRG Medical Back Problems With Mcc 12 8 — — $9,856.64 $16,559.15 $9,967.15 2025-01-22
33225 CPT Ins Elec Time Ins Pcmkr 13 12 $14,909.00 $8,945.40 40% off $2,534.53 $13,865.37 $9,965.18 2026-08-01
546 MS_DRG Connective Tissue Disorders With Cc 44 17 — — $6,945.81 $16,735.51 $9,961.62 2026-01-01
399 MS_DRG Appendix Procedures Without Cc/mcc 32 13 — — $7,039.89 $16,609.28 $9,886.48 2026-01-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 32 13 — — $7,564.19 $16,596.22 $9,878.70 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 12 8 — — $9,664.94 $16,237.10 $9,773.31 2025-01-22
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 32 13 — — $6,961.46 $16,411.95 $9,769.02 2026-01-01
C1721 HCPCS Icd Fortify Cd2357-40c 6 6 $24,681.00 $14,808.60 40% off $9,749.00 $9,749.00 $9,749.00 2025-01-22
787 MS_DRG Cesarean Section Without Sterilization With Cc 44 17 — — $6,087.50 $16,204.46 $9,645.51 2026-01-01
865 MS_DRG Viral Illness With Mcc 12 8 — — $9,497.56 $15,955.91 $9,604.06 2025-01-22
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 12 8 — — $9,496.40 $15,953.96 $9,602.88 2025-01-22
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 44 17 — — $6,382.29 $16,072.42 $9,566.92 2026-01-01
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