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

NORTON HOSPITALS, INC

Louisville, KY · CCN 180088 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $5,951 across 12 payers · range $2,298-$10,049

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/12591/610703799-1699514463_norton-hospitals-inc_standardcharges.csv · observed 2026-02-11

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.

14,773 distinct procedures filed
25 distinct payers
5,458,381 rate rows
2026-02-11 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12591/610703799-1699514463_norton-hospitals-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/NortonWestEndHospital/12591
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint a8a386e613554bf9… · 2,167,070,841 bytes · first seen 2026-05-18

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,705,478
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 43 X 10 Ml IV Kit 24 $0.17 $4,610,000.00 $2,250,000.00 nat. median
$3,324,572
0.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cd8+ Cells/ml IV Susp 24 $526,036.83 $2,939,430.04 $1,732,733.44 nat. median
$640,950
outlier · 2.7×
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 24 $395,670.00 $2,210,956.00 $1,303,313.00 nat. median
$608,239
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel 200000000 Cells IV Susp 24 $395,670.00 $2,210,956.00 $1,303,313.00 nat. median
$592,235
outlier · 2.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $770,620.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $591,726.20 $591,726.20 nat. median
$739,658
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.95 $565,868.95 $565,868.95 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $557,317.93 $557,317.93 nat. median
$623,527
0.9× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml It Soln 24 $1,078.51 $679,833.70 $400,747.96 nat. median
$2,492
outlier · 160.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $272,526.65 $609,093.39 $337,883.80 nat. median
$359,244
0.9× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sol Presyrg 24 $4,598.84 $554,609.77 $326,931.03 nat. median
$8,223
outlier · 39.8×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $278,250.00 $278,250.00 nat. median
$319,951
0.9× median
J7330
HCPCS 		Hb Tissue Vericel 81073 24 $79,891.68 $547,712.26 $264,618.68 nat. median
$75,037
outlier · 3.5×
J3403
HCPCS 		Revakinagene, Per Implant 5 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $209,254.59 $395,277.11 $219,501.59 nat. median
$248,541
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $159,572.11 $301,148.80 $167,386.21 nat. median
$198,115
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $158,639.31 $299,381.45 $166,407.73 nat. median
$190,359
0.9× median
C2642
HCPCS 		Hb Therapy Gammatile 4pk Gt04 24 $87.40 $740,974.52 $152,233.17 nat. median
$2,857
outlier · 53.3×
A9607
HCPCS 		Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 24 $255.84 $316,040.23 $121,342.99 nat. median
$432
outlier · 280.6×
J0223
HCPCS 		Givosiran Sodium 189 Mg/ml Sc Soln 24 $105.79 $203,970.15 $120,236.20 nat. median
$153
outlier · 788.1×
J1823
HCPCS 		Inebilizumab-cdon 100 Mg/10ml IV Soln 24 $445.88 $202,913.76 $119,613.48 nat. median
$818
outlier · 146.3×
C1735
HCPCS 		Hb Cath Symplicity Rdn016 24 $34,320.00 $191,776.00 $113,048.00 nat. median
$19,033
outlier · 5.9×
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 24 $12,661.44 $290,906.31 $110,430.81 nat. median
$65,720
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $109,316.28 $109,316.28 $109,316.28 nat. median
$111,503
1.0× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 24 $316.99 $283,482.41 $108,842.49 nat. median
$479
outlier · 227.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $103,742.46 $195,374.00 $108,822.63 nat. median
$126,461
0.9× median
C1826
HCPCS 		Hb Evoke G4 Closed-loop Stimulator System W 60cm Leads Permsys602evk 24 $30,909.60 $271,830.49 $104,513.09 nat. median
$28,776
outlier · 3.6×
J2351
HCPCS 		Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 24 $47.23 $262,627.28 $102,829.12 nat. median
$78
outlier · 1310.5×
C2624
HCPCS 		Hb Guidewire Cardiomems Cm2010 24 $30,207.84 $174,158.42 $102,662.80 nat. median
$32,435
outlier · 3.2×
7
MS_DRG 		Lung Transplant 14 $97,033.14 $182,662.57 $101,784.76 nat. median
$117,977
0.9× median
C1604
HCPCS 		Hb Devices Endocross 24 $29,849.60 $172,008.32 $100,928.96 nat. median
$27,775
outlier · 3.6×
C1822
HCPCS 		Hb Kit Senza Nipg2500, Chgr, Ptrc 24 $23,102.40 $269,685.00 $96,524.71 nat. median
$31,530
outlier · 3.1×
J0567
HCPCS 		Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 24 $120.36 $163,435.42 $96,341.81 nat. median
$171
outlier · 562.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $90,092.31 $169,512.48 $94,504.05 nat. median
$110,084
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 5 $93,216.70 $93,216.70 $93,216.70 nat. median
$96,983
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $84,984.40 $159,835.04 $89,146.01 nat. median
$103,938
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $71,432.95 $159,651.67 $89,044.49 nat. median
$92,645
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $69,554.79 $155,454.03 $86,081.20 nat. median
$93,226
0.9× median
C9150
HCPCS 		Drugs 2 $85,924.80 $85,924.80 $85,924.80 nat. median
$1,036
outlier · 83.0×
0266T
CPT 		Hb Barostim-imp/repl Carotid Sinus Barorreflx Activation Device-total Sys 24 $13,394.20 $145,216.84 $85,602.34 nat. median
$42,722
outlier · 2.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $68,626.45 $153,379.18 $85,571.64 nat. median
$97,137
0.9× median
J9226
HCPCS 		Histrelin Acetate (cpp) 50 Mg Sc Kit 24 $2,362.07 $233,187.95 $84,979.55 nat. median
$55,159
1.5× median
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 24 $3,077.72 $142,858.99 $84,212.43 nat. median
$9,222
outlier · 9.1×

Other procedures at this hospital

Browse this hospital's 14,773 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 20 5 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-02-11
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 5 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-02-11
J3394 HCPCS Inj, Lovotibeglogene Autotem 20 5 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-02-11
J3393 HCPCS Inj, Betibeglogene Autotemce 20 5 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-02-11
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 5 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2026-02-11
J3392 HCPCS Inj, Exagamglogene Autotem 20 5 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-02-11
J1413 HCPCS Delandistrogene Moxeparvo-rokl 43 X 10 Ml IV Kit 272 24 $5,000,000.00 $1,000,000.00 80% off $0.17 $4,610,000.00 $2,250,000.00 2026-02-11
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cd8+ Cells/ml IV Susp 180 24 $3,188,102.00 $637,620.40 80% off $526,036.83 $2,939,430.04 $1,732,733.44 2026-02-11
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 180 24 $2,398,000.00 $479,600.00 80% off $395,670.00 $2,210,956.00 $1,303,313.00 2026-02-11
Q2053 HCPCS Brexucabtagene Autoleucel 200000000 Cells IV Susp 180 24 $2,398,000.00 $479,600.00 80% off $395,670.00 $2,210,956.00 $1,303,313.00 2026-02-11
Q2057 HCPCS Afamitresgene Autoleucel 20 5 — — $770,620.00 $770,620.00 $770,620.00 2026-02-11
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 5 — — $591,726.20 $591,726.20 $591,726.20 2026-02-11
Q2056 HCPCS Ciltacabtagene Car-pos T 20 5 — — $565,868.95 $565,868.95 $565,868.95 2026-02-11
Q2055 HCPCS Idecabtagene Vicleucel Car 20 5 — — $557,317.93 $557,317.93 $557,317.93 2026-02-11
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 176 24 $737,346.75 $147,469.35 80% off $1,078.51 $679,833.70 $400,747.96 2026-02-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 64 16 — — $272,526.65 $609,093.39 $337,883.80 2026-02-11
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sol Presyrg 176 24 $601,529.04 $120,305.81 80% off $4,598.84 $554,609.77 $326,931.03 2026-02-11
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 5 — — $278,250.00 $278,250.00 $278,250.00 2026-02-11
J7330 HCPCS Hb Tissue Vericel 81073 268 24 $594,048.00 $118,809.60 80% off $79,891.68 $547,712.26 $264,618.68 2026-02-11
J3403 HCPCS Revakinagene, Per Implant 20 5 — — $257,500.00 $257,500.00 $257,500.00 2026-02-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 56 14 — — $209,254.59 $395,277.11 $219,501.59 2026-02-11
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 20 5 — — $205,640.00 $205,640.00 $205,640.00 2026-02-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 14 — — $159,572.11 $301,148.80 $167,386.21 2026-02-11
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 56 14 — — $158,639.31 $299,381.45 $166,407.73 2026-02-11
C2642 HCPCS Hb Therapy Gammatile 4pk Gt04 1,256 24 $325,000.00 $65,000.00 80% off $87.40 $740,974.52 $152,233.17 2026-02-11
A9607 HCPCS Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln 256 24 $342,776.82 $68,555.37 80% off $255.84 $316,040.23 $121,342.99 2026-02-11
J0223 HCPCS Givosiran Sodium 189 Mg/ml Sc Soln 176 24 $221,225.76 $44,245.16 80% off $105.79 $203,970.15 $120,236.20 2026-02-11
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 176 24 $220,080.00 $44,016.00 80% off $445.88 $202,913.76 $119,613.48 2026-02-11
C1735 HCPCS Hb Cath Symplicity Rdn016 164 24 $208,000.00 $41,600.00 80% off $34,320.00 $191,776.00 $113,048.00 2026-02-11
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 268 24 $315,516.60 $63,103.32 80% off $12,661.44 $290,906.31 $110,430.81 2026-02-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 5 — — $109,316.28 $109,316.28 $109,316.28 2026-02-11
A9513 HCPCS Lutetium Lu 177 Dotatate 370 Mbq/ml IV Soln 256 24 $307,464.65 $61,492.94 80% off $316.99 $283,482.41 $108,842.49 2026-02-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 56 14 — — $103,742.46 $195,374.00 $108,822.63 2026-02-11
C1826 HCPCS Hb Evoke G4 Closed-loop Stimulator System W 60cm Leads Permsys602evk 276 24 $193,185.00 $38,637.00 80% off $30,909.60 $271,830.49 $104,513.09 2026-02-11
J2351 HCPCS Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln 264 24 $284,845.21 $56,969.05 80% off $47.23 $262,627.28 $102,829.12 2026-02-11
C2624 HCPCS Hb Guidewire Cardiomems Cm2010 280 24 $188,892.00 $37,778.40 80% off $30,207.84 $174,158.42 $102,662.80 2026-02-11
7 MS_DRG Lung Transplant 56 14 — — $97,033.14 $182,662.57 $101,784.76 2026-02-11
C1604 HCPCS Hb Devices Endocross 160 24 $186,560.00 $37,312.00 80% off $29,849.60 $172,008.32 $100,928.96 2026-02-11
C1822 HCPCS Hb Kit Senza Nipg2500, Chgr, Ptrc 392 24 $184,508.00 $36,901.60 80% off $23,102.40 $269,685.00 $96,524.71 2026-02-11
J0567 HCPCS Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 172 24 $177,261.84 $35,452.37 80% off $120.36 $163,435.42 $96,341.81 2026-02-11
14 MS_DRG Allogeneic Bone Marrow Transplant 56 14 — — $90,092.31 $169,512.48 $94,504.05 2026-02-11
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 20 5 — — $93,216.70 $93,216.70 $93,216.70 2026-02-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 56 14 — — $84,984.40 $159,835.04 $89,146.01 2026-02-11
209 MS_DRG Complex Aortic Arch Procedures 64 16 — — $71,432.95 $159,651.67 $89,044.49 2026-02-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 16 — — $69,554.79 $155,454.03 $86,081.20 2026-02-11
C9150 HCPCS Drugs 8 2 — — $85,924.80 $85,924.80 $85,924.80 2026-02-11
0266T CPT Hb Barostim-imp/repl Carotid Sinus Barorreflx Activation Device-total Sys 184 24 $157,502.00 $31,500.40 80% off $13,394.20 $145,216.84 $85,602.34 2026-02-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 64 16 — — $68,626.45 $153,379.18 $85,571.64 2026-02-11
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 256 24 $252,915.35 $50,583.07 80% off $2,362.07 $233,187.95 $84,979.55 2026-02-11
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 176 24 $154,944.68 $30,988.94 80% off $3,077.72 $142,858.99 $84,212.43 2026-02-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 14 — — $77,380.96 $145,429.60 $81,170.23 2026-02-11
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 176 24 $148,426.70 $29,685.34 80% off $2,162.53 $136,849.42 $80,669.91 2026-02-11
215 MS_DRG Other Heart Assist System Implant 64 16 — — $62,838.63 $140,443.49 $78,409.62 2026-02-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 16 — — $62,453.40 $137,986.39 $76,996.15 2026-02-11
C9293 HCPCS Glucarpidase 1000 Units IV Solr 252 24 $207,516.96 $41,503.40 80% off $635.85 $191,330.64 $72,630.94 2026-02-11
C1882 HCPCS Hb Cath Micro 15x150 Mc212150s 7,008 24 $175,666.00 $35,133.20 80% off $1,187.67 $297,636.35 $71,491.07 2026-02-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 64 16 — — $56,859.59 $127,080.41 $70,487.56 2026-02-11
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 176 24 $125,722.80 $25,144.56 80% off $279.65 $115,916.42 $68,330.34 2026-02-11
850 MS_DRG Acute Leukemia With Other Procedures 64 16 — — $54,650.10 $122,142.25 $68,276.90 2026-02-11
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 5 — — $67,452.66 $67,452.66 $67,452.66 2026-02-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 16 — — $53,655.71 $118,529.96 $66,276.91 2026-02-11
79403 CPT Hb DRG Zevalin Per 40unit Dose 272 24 $197,011.00 $39,402.20 80% off $90.10 $181,644.14 $66,195.70 2026-02-11
L8619 HCPCS Hb Kit Processor Sonnet 2 S2200 268 24 $121,647.00 $24,329.40 80% off $9,856.83 $112,158.53 $66,115.15 2026-02-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 64 16 — — $53,816.48 $118,903.74 $65,993.79 2026-02-11
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 184 24 $117,547.92 $23,509.59 80% off $19,395.41 $108,379.18 $63,887.29 2026-02-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 28 7 — — $63,342.28 $99,144.00 $63,342.28 2026-02-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 64 16 — — $49,660.00 $110,989.42 $62,102.01 2026-02-11
460 MS_DRG Spine Ortho 8 2 — — $46,432.00 $83,427.00 $61,137.50 2026-02-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 64 16 — — $49,018.27 $108,302.42 $60,614.31 2026-02-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 64 16 — — $48,089.19 $107,478.69 $60,158.23 2026-02-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 16 — — $48,806.96 $107,835.55 $59,910.93 2026-02-11
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 220 24 $135,148.36 $27,029.68 80% off $0.03 $124,606.78 $59,586.91 2026-02-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 16 — — $45,556.58 $101,818.35 $57,024.31 2026-02-11
10 MS_DRG Pancreas Transplant 56 14 — — $54,042.85 $101,213.25 $56,689.28 2026-02-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 14 — — $54,020.52 $101,170.93 $56,665.85 2026-02-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 64 16 — — $45,026.46 $100,633.53 $56,368.32 2026-02-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 64 16 — — $44,999.95 $100,574.29 $56,335.54 2026-02-11
C1721 HCPCS Hb Icd Epic Ii Dr V255 7,120 24 $137,665.00 $27,533.00 80% off $697.12 $218,561.94 $55,975.45 2026-02-11
90288 CPT Botulism Immune Globulin Human 100 Mg IV Solr 168 24 $102,600.00 $20,520.00 80% off $16,929.00 $94,597.20 $55,763.10 2026-02-11
38240 CPT Transplt Allo Hct/donor 28 7 — — $2,555.06 $55,441.20 $55,441.20 2026-02-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 64 16 — — $43,620.37 $97,490.94 $54,628.39 2026-02-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 64 16 — — $43,406.43 $97,012.78 $53,962.93 2026-02-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 64 16 — — $42,479.97 $94,942.17 $53,217.22 2026-02-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 16 — — $42,167.58 $94,243.97 $52,830.65 2026-02-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 64 16 — — $42,198.50 $94,313.08 $52,479.23 2026-02-11
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 256 24 $146,342.11 $29,268.43 80% off $82.08 $134,927.43 $52,463.65 2026-02-11
J1246 HCPCS Dinutuximab 17.5 Mg/5ml IV Soln 168 24 $95,998.22 $19,199.65 80% off $15,839.71 $88,510.36 $52,175.04 2026-02-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 16 — — $41,976.72 $92,744.61 $52,000.53 2026-02-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 16 — — $41,976.72 $92,744.61 $52,000.53 2026-02-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 64 16 — — $41,345.89 $92,407.50 $51,813.87 2026-02-11
C1722 HCPCS Hb Icd Maximo Ii Vr D284vrc 5,612 24 $126,171.00 $25,234.20 80% off $12,214.40 $192,397.43 $51,496.76 2026-02-11
C2616 HCPCS Hb DRG Sirsphere Yttrium 90 508 24 $120,105.00 $24,021.00 80% off $15,543.83 $125,659.38 $51,200.42 2026-02-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 64 16 — — $40,609.39 $90,761.44 $50,902.51 2026-02-11
C1816 HCPCS Hb Receiver Neuro Q4sp2us 392 24 $120,145.00 $24,029.00 80% off $10,109.12 $130,554.28 $50,304.63 2026-02-11
C1820 HCPCS Hb Stimulator Neuro Q4sp1us 3,292 24 $130,326.00 $26,065.20 80% off $801.76 $195,435.42 $49,087.74 2026-02-11
L7181 HCPCS Electronic Elbo Simultaneous 20 5 — — $48,632.79 $48,632.79 $48,632.79 2026-02-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 64 16 — — $38,676.33 $103,799.00 $48,510.48 2026-02-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 64 16 — — $38,631.52 $86,340.94 $48,455.04 2026-02-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 64 16 — — $38,703.64 $85,512.97 $47,996.63 2026-02-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 64 16 — — $37,907.65 $84,723.09 $47,559.29 2026-02-11
C1767 HCPCS Hb Generator Aspire Hc 105 5,032 24 $137,900.00 $27,580.00 80% off $537.28 $432,822.76 $47,385.00 2026-02-11
28 MS_DRG Spinal Procedures With Mcc 64 16 — — $31,029.00 $84,747.07 $47,221.91 2026-02-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 16 — — $38,074.39 $84,109.53 $47,219.59 2026-02-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 56 14 — — $44,766.59 $83,638.42 $46,958.76 2026-02-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 11 — — $44,869.32 $68,255.15 $46,719.60 2026-02-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 64 16 — — $37,012.75 $82,723.00 $46,451.91 2026-02-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 64 16 — — $37,465.14 $82,776.60 $46,138.99 2026-02-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 16 — — $36,163.92 $80,825.88 $45,401.56 2026-02-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 64 16 — — $36,396.17 $81,344.95 $45,352.18 2026-02-11
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 64 16 — — $36,016.25 $80,495.82 $45,218.80 2026-02-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 64 16 — — $35,969.54 $80,391.45 $45,161.03 2026-02-11
0620T CPT Hb Ev Venous Arterialization Tibl/prnl Vn 180 24 $82,502.00 $16,500.40 80% off $2,297.92 $76,066.84 $44,839.83 2026-02-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 16 — — $35,480.44 $79,298.31 $44,555.79 2026-02-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 14 — — $42,346.27 $79,052.88 $44,419.93 2026-02-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 16 — — $35,128.29 $78,511.25 $44,120.01 2026-02-11
834 MS_DRG Acute Leukemia With Mcc 64 16 — — $34,646.76 $77,435.04 $43,524.18 2026-02-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 64 16 — — $24,960.00 $77,901.92 $43,459.96 2026-02-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 64 16 — — $34,524.33 $77,161.40 $43,372.66 2026-02-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 64 16 — — $34,873.88 $77,051.38 $43,311.76 2026-02-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 64 16 — — $34,420.83 $76,930.08 $43,244.58 2026-02-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 56 14 — — $41,063.50 $76,622.59 $43,074.35 2026-02-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 64 16 — — $34,044.60 $75,219.14 $42,297.32 2026-02-11
33276 CPT Insj Phrnc Nrv Stim Sys 20 5 — — $42,184.37 $42,184.37 $42,184.37 2026-02-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 64 16 — — $33,409.17 $74,669.05 $41,992.74 2026-02-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 64 16 — — $33,635.11 $75,174.01 $41,960.74 2026-02-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 64 16 — — $33,298.73 $74,422.21 $41,547.57 2026-02-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 64 16 — — $32,851.28 $73,422.17 $41,302.39 2026-02-11
J9381 HCPCS Teplizumab-mzwv 2 Mg/2ml IV Soln 500 24 $99,435.58 $19,887.12 80% off $37.66 $98,788.43 $41,265.90 2026-02-11
653 MS_DRG Major Bladder Procedures With Mcc 64 16 — — $32,794.48 $73,295.22 $41,232.09 2026-02-11
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 264 24 $111,010.37 $22,202.08 80% off $33.89 $102,351.56 $40,074.74 2026-02-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 64 16 — — $32,176.64 $71,092.02 $40,012.26 2026-02-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 64 16 — — $31,475.48 $70,347.28 $39,599.95 2026-02-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 64 16 — — $31,584.20 $69,783.08 $39,287.57 2026-02-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 64 16 — — $31,167.50 $69,658.95 $39,218.85 2026-02-11
L7180 HCPCS Electronic Elbow Sequential 20 5 — — $39,208.42 $39,208.42 $39,208.42 2026-02-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 64 16 — — $31,060.85 $69,420.58 $39,086.18 2026-02-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 64 16 — — $30,931.47 $69,131.43 $38,924.71 2026-02-11
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 346 24 $71,571.63 $14,314.33 80% off $14.94 $142,399.30 $38,899.18 2026-02-11
L8614 HCPCS Hb Processor Baha Chestnut 91303 4,600 24 $122,010.00 $24,402.00 80% off $1,750.56 $294,328.22 $38,607.62 2026-02-11
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 20 5 — — $38,606.32 $38,606.32 $38,606.32 2026-02-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 64 16 — — $30,319.94 $67,764.65 $38,161.54 2026-02-11
471 MS_DRG Cervical Spinal Fusion With Mcc 64 16 — — $24,647.00 $68,108.81 $38,077.85 2026-02-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 64 16 — — $30,045.41 $77,938.00 $37,818.94 2026-02-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 64 16 — — $29,670.54 $66,313.25 $37,351.11 2026-02-11
Q0479 HCPCS Hb Unit Power Mobile Lvad 107754 176 24 $68,654.00 $13,730.80 80% off $11,327.91 $63,298.99 $37,313.45 2026-02-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 64 16 — — $29,609.95 $66,177.84 $37,275.50 2026-02-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 64 16 — — $29,521.60 $65,980.37 $37,165.24 2026-02-11
6 MS_DRG Liver Transplant Without Mcc 56 14 — — $35,142.61 $65,404.89 $36,843.89 2026-02-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 64 16 — — $29,147.35 $65,143.94 $36,698.19 2026-02-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 16 — — $29,008.51 $64,833.63 $36,524.93 2026-02-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 64 16 — — $28,934.67 $64,668.60 $36,432.78 2026-02-11
245 MS_DRG Aicd Generator Procedures 64 16 — — $28,793.31 $64,352.65 $36,256.36 2026-02-11
C1982 HCPCS Hb Sys Lv Infusion Trinav 025x120cm Tvm-25120-50 164 24 $66,542.00 $13,308.40 80% off $10,979.43 $61,351.72 $36,165.57 2026-02-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 64 16 — — $28,706.85 $64,159.41 $36,148.46 2026-02-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 64 16 — — $28,694.22 $64,131.20 $36,132.71 2026-02-11
799 MS_DRG Splenic Procedures With Mcc 64 16 — — $28,581.89 $63,880.13 $35,992.51 2026-02-11
163 MS_DRG Major Chest Procedures With Mcc 64 16 — — $28,284.64 $63,215.79 $35,621.56 2026-02-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 64 16 — — $28,276.44 $63,197.45 $35,611.31 2026-02-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 64 16 — — $28,165.36 $62,949.20 $35,472.70 2026-02-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 64 16 — — $27,722.96 $61,960.44 $34,920.60 2026-02-11
0643T CPT Hb Transcatheter Left Ventr Restoration Device Implantation 168 24 $63,577.00 $12,715.40 80% off $10,490.21 $58,617.99 $34,554.10 2026-02-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 64 16 — — $27,310.22 $61,037.98 $34,405.50 2026-02-11
L8701 HCPCS Ewh S/d Uprt Micro Sensor 20 5 — — $34,284.44 $34,284.44 $34,284.44 2026-02-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 64 16 — — $27,092.49 $60,551.35 $34,133.79 2026-02-11
140 MS_DRG Major Head And Neck Procedures With Mcc 64 16 — — $26,918.31 $60,162.06 $33,916.43 2026-02-11
0825T CPT Hb Tcat Rmv&rpl Single Chmb Ldls Pm Ra 180 24 $61,761.00 $12,352.20 80% off $10,190.57 $56,943.64 $33,567.11 2026-02-11
C1772 HCPCS Hb Pump Infusion Prometra 11827 856 24 $80,302.00 $16,060.40 80% off $7,451.52 $102,208.31 $33,560.89 2026-02-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 64 16 — — $26,607.18 $59,466.68 $33,528.13 2026-02-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 64 16 — — $26,763.69 $59,816.48 $33,520.52 2026-02-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 64 16 — — $26,593.92 $59,437.06 $33,511.60 2026-02-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 64 16 — — $26,516.30 $59,263.57 $33,414.72 2026-02-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 64 16 — — $26,652.62 $59,568.24 $33,384.08 2026-02-11
901 MS_DRG Wound Debridements For Injuries With Mcc 64 16 — — $26,484.74 $59,193.04 $33,375.33 2026-02-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 64 16 — — $26,741.30 $59,083.02 $33,313.92 2026-02-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 16 — — $26,642.05 $58,854.52 $33,186.32 2026-02-11
63685 CPT Hb Ins/repl Of Spinal Neurostimulator Pls Gen ,pocket Create And Connect 180 24 $60,948.00 $12,189.60 80% off $1,565.20 $56,194.06 $33,125.24 2026-02-11
Q0481 HCPCS Hb Kit Controller 1403us 176 24 $60,904.00 $12,180.80 80% off $10,049.16 $56,153.49 $33,101.32 2026-02-11
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg IV Solr 164 24 $60,902.62 $12,180.53 80% off $43.62 $56,152.22 $33,100.57 2026-02-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 64 16 — — $26,209.58 $58,578.07 $33,031.96 2026-02-11
793 MS_DRG Full Term Neonate With Major Problems 44 11 — — $31,662.90 $47,883.69 $32,968.58 2026-02-11
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 260 24 $93,801.50 $18,760.30 80% off $113.78 $86,484.98 $32,830.52 2026-02-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 64 16 — — $26,036.03 $58,190.18 $32,815.36 2026-02-11
92990 CPT Hb Pulmonary Valvuloplasty 176 24 $59,394.00 $11,878.80 80% off $9,800.01 $54,761.27 $32,280.64 2026-02-11
791 MS_DRG Prematurity With Major Problems 44 11 — — $30,839.48 $46,613.56 $32,111.21 2026-02-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 64 16 — — $25,373.38 $56,709.15 $31,946.89 2026-02-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 64 16 — — $25,143.66 $56,195.73 $31,701.71 2026-02-11
J9038 HCPCS Axatilimab-csfr 22 Mg/0.44ml IV Soln 172 24 $58,212.00 $11,642.40 80% off $55.65 $53,671.46 $31,638.22 2026-02-11
33289 CPT Hb Right Heart Cath W Pa Sensor 180 24 $57,797.00 $11,559.40 80% off $3,643.82 $53,288.83 $31,412.67 2026-02-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 16 — — $24,688.00 $75,274.00 $31,133.07 2026-02-11
C1832 HCPCS Hb Device Autologous Cell Harvesting Avrl0101 160 24 $57,312.00 $11,462.40 80% off $9,169.92 $52,841.66 $31,005.79 2026-02-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 14 — — $29,612.61 $54,927.69 $30,993.67 2026-02-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 56 14 — — $29,394.44 $54,514.41 $30,762.90 2026-02-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 64 16 — — $24,368.03 $54,462.23 $30,733.74 2026-02-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 64 16 — — $15,601.00 $54,596.22 $30,651.55 2026-02-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 64 16 — — $24,229.82 $54,153.33 $30,561.26 2026-02-11
0268T CPT Hb Barostim-imp/repl Carotid Sinus Baroeflex Activation Dvic-plse Gen Only 184 24 $56,000.00 $11,200.00 80% off $9,240.00 $51,632.00 $30,436.00 2026-02-11
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 32 8 — — $1,808.58 $30,055.17 $30,055.17 2026-02-11
33270 CPT Ins/rep Subq Defibrillator 32 8 — — $1,808.58 $30,055.17 $30,055.17 2026-02-11
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 20 5 — — $30,055.17 $30,055.17 $30,055.17 2026-02-11
33249 CPT Insj/rplcmt Defib W/lead(s) 32 8 — — $3,643.82 $30,055.17 $30,055.17 2026-02-11
0408T CPT Insj/rplc Cardiac Modulj Sys 32 8 — — $3,643.82 $30,055.17 $30,055.17 2026-02-11
33231 CPT Insrt Pulse Gen W/mult Leads 32 8 — — $1,808.58 $30,055.17 $30,055.17 2026-02-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 64 16 — — $23,748.29 $53,077.12 $29,960.34 2026-02-11
J9331 HCPCS Sirolimus Protein-bound Part 100 Mg IV Susr 176 24 $55,051.88 $11,010.38 80% off $84.57 $50,757.83 $29,920.69 2026-02-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 64 16 — — $23,644.79 $52,845.79 $29,831.18 2026-02-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 64 16 — — $23,588.62 $52,720.26 $29,761.08 2026-02-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 64 16 — — $23,519.83 $52,566.51 $29,675.23 2026-02-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 64 16 — — $14,467.00 $52,714.62 $29,617.45 2026-02-11
0823T CPT Hb Tcat Ins Single Chmbr Ldls Pm Ra 180 24 $54,352.00 $10,870.40 80% off $8,968.08 $50,112.54 $29,540.31 2026-02-11
C2621 HCPCS Hb Pacemaker Crt-p Syncra C2tr01 2,248 24 $66,182.00 $13,236.40 80% off $7,921.12 $211,119.56 $29,515.05 2026-02-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 64 16 — — $23,387.30 $52,270.31 $29,509.83 2026-02-11
93591 CPT Hb Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 180 24 $54,000.00 $10,800.00 80% off $4,177.88 $49,788.00 $29,349.00 2026-02-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 64 16 — — $23,180.93 $51,809.08 $29,252.29 2026-02-11
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 260 24 $90,815.51 $18,163.11 80% off $310.07 $83,731.90 $29,242.59 2026-02-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 64 16 — — $23,171.47 $51,787.92 $29,240.47 2026-02-11
L5856 HCPCS Elec Knee-shin Swing/stance 20 5 — — $29,137.22 $29,137.22 $29,137.22 2026-02-11
L6880 HCPCS Elec Hand Ind Art Digits 20 5 — — $28,999.68 $28,999.68 $28,999.68 2026-02-11
L6700 HCPCS Ue Add Ext Power Myoel 20 5 — — $28,931.56 $28,931.56 $28,931.56 2026-02-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 64 16 — — $22,899.46 $51,179.99 $28,901.02 2026-02-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 64 16 — — $22,881.79 $51,140.50 $28,878.97 2026-02-11
332 MS_DRG Rectal Resection With Mcc 64 16 — — $22,850.24 $51,069.97 $28,839.60 2026-02-11
265 MS_DRG Aicd Lead Procedures 64 16 — — $22,834.46 $51,034.71 $28,819.90 2026-02-11
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 64 16 — — $22,794.07 $50,944.44 $28,769.50 2026-02-11
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 16 — — $22,759.99 $50,868.27 $28,726.97 2026-02-11
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 28 7 — — $1,808.58 $28,566.55 $28,566.55 2026-02-11
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 20 5 — — $28,566.55 $28,566.55 $28,566.55 2026-02-11
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 32 8 — — $1,565.20 $28,566.55 $28,566.55 2026-02-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 64 16 — — $22,611.05 $50,535.39 $28,541.10 2026-02-11
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 260 24 $81,381.25 $16,276.25 80% off $215.75 $75,033.51 $28,483.44 2026-02-11
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 64 16 — — $22,558.67 $50,418.32 $28,475.73 2026-02-11
335 MS_DRG Peritoneal Adhesiolysis With Mcc 64 16 — — $22,535.95 $50,367.54 $28,447.37 2026-02-11
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 64 16 — — $22,502.50 $50,292.79 $28,405.63 2026-02-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 64 16 — — $22,483.57 $50,250.47 $28,382.00 2026-02-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 64 16 — — $22,462.11 $50,202.52 $28,355.23 2026-02-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 64 16 — — $22,443.81 $50,161.61 $28,214.37 2026-02-11
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 64 16 — — $22,256.37 $49,742.69 $28,098.47 2026-02-11
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 64 16 — — $22,210.93 $49,641.14 $28,041.76 2026-02-11
C1884 HCPCS Hb Filter Spider Fx Spd2us060320 3,680 24 $100,087.00 $20,017.40 80% off $1,475.93 $117,103.22 $27,899.21 2026-02-11
252 MS_DRG Other Vascular Procedures With Mcc 64 16 — — $22,014.66 $49,202.47 $27,796.82 2026-02-11
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 64 16 — — $22,008.98 $49,189.78 $27,789.74 2026-02-11
93653 CPT Hb Ep & Ablate Supravent Arrhyt 180 24 $51,108.00 $10,221.60 80% off $3,643.82 $47,121.58 $27,777.20 2026-02-11
93654 CPT Hb Ep & Ablate Ventric Tachy 180 24 $51,108.00 $10,221.60 80% off $3,643.82 $47,121.58 $27,777.20 2026-02-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 64 16 — — $21,908.01 $48,964.10 $27,663.71 2026-02-11
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 64 16 — — $21,801.98 $48,727.13 $27,531.41 2026-02-11
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 64 16 — — $21,701.00 $48,501.45 $27,405.40 2026-02-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 64 16 — — $21,636.63 $48,357.58 $27,325.06 2026-02-11
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 64 16 — — $21,783.07 $48,120.62 $27,192.74 2026-02-11
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 64 16 — — $21,502.21 $48,057.15 $27,157.30 2026-02-11
93590 CPT Hb Perc Trnscth Cls Vlv Lk 1stdev 180 24 $49,650.00 $9,930.00 80% off $4,177.88 $45,777.30 $26,984.78 2026-02-11
J0222 HCPCS Patisiran Sodium 10 Mg/5ml IV Soln 176 24 $49,316.40 $9,863.28 80% off $97.05 $45,469.72 $26,803.47 2026-02-11
Q4182 HCPCS Hb Polymer Resorbable 16.5x20 P201631620g 156 24 $49,301.00 $9,860.20 80% off $64.99 $45,455.52 $26,671.84 2026-02-11
264 MS_DRG Other Circulatory System O.r. Procedures 64 16 — — $21,082.53 $47,119.16 $26,542.31 2026-02-11
C9610 HCPCS Hb Cath Dcb Agent 35/15 H749396081535 164 24 $48,511.00 $9,702.20 80% off $8,004.32 $44,727.14 $26,365.73 2026-02-11
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 64 16 — — $20,847.13 $46,593.05 $26,339.77 2026-02-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 64 16 — — $20,773.92 $46,429.43 $26,248.42 2026-02-11
64568 CPT Opn Impltj Crnl Nrv Nea&pg 40 10 — — $1,487.00 $28,566.55 $26,213.14 2026-02-11
37 MS_DRG Extracranial Procedures With Mcc 64 16 — — $15,601.00 $46,435.07 $26,166.32 2026-02-11
C9775 HCPCS Hb Tib/per Revsc W Litho/stnt/ath 184 24 $48,135.00 $9,627.00 80% off $2,297.92 $44,380.47 $26,161.38 2026-02-11
C9767 HCPCS Hb Lwr Ext Art Rvsc Lith/stnt/ath 184 24 $47,935.00 $9,587.00 80% off $2,555.06 $44,196.07 $26,052.67 2026-02-11
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 64 16 — — $20,528.42 $45,880.74 $25,942.03 2026-02-11
C2619 HCPCS Hb Pacemaker Entity Dc 5226r 160 24 $47,818.00 $9,563.60 80% off $7,650.88 $44,088.20 $25,869.54 2026-02-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 64 16 — — $20,438.17 $45,679.04 $25,829.42 2026-02-11
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 64 16 — — $20,415.45 $45,628.26 $25,801.06 2026-02-11
C9760 HCPCS Non-blind Interatrial Shunt 20 5 — — $25,779.52 $25,779.52 $25,779.52 2026-02-11
652 MS_DRG Kidney Transplant 56 14 — — $24,663.98 $45,552.10 $25,758.53 2026-02-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 64 16 — — $20,366.23 $45,518.25 $25,739.63 2026-02-11
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 56 14 — — $24,599.22 $45,429.38 $25,690.01 2026-02-11
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 64 16 — — $20,387.05 $45,564.79 $25,688.05 2026-02-11
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 64 16 — — $20,260.83 $45,282.69 $25,608.10 2026-02-11
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 64 16 — — $20,149.76 $45,034.44 $25,469.49 2026-02-11
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 64 16 — — $20,112.53 $44,951.22 $25,423.01 2026-02-11
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 64 16 — — $20,092.96 $44,907.50 $25,398.61 2026-02-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 64 16 — — $20,052.57 $44,817.23 $25,348.20 2026-02-11
500 MS_DRG Soft Tissue Procedures With Mcc 64 16 — — $19,973.05 $44,639.50 $25,248.96 2026-02-11
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 64 16 — — $19,942.76 $44,571.80 $25,211.15 2026-02-11
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 64 16 — — $19,885.96 $44,444.86 $25,140.27 2026-02-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 64 16 — — $20,106.41 $53,407.00 $25,128.47 2026-02-11
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 64 16 — — $19,829.79 $44,319.32 $25,070.17 2026-02-11
665 MS_DRG Prostatectomy With Mcc 64 16 — — $19,697.89 $44,024.53 $24,905.56 2026-02-11
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 64 16 — — $19,656.87 $43,932.84 $24,854.38 2026-02-11
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 64 16 — — $19,622.16 $43,855.27 $24,811.05 2026-02-11
93656 CPT Hb Tx Atrial Fib Pulm Vein Isol 180 24 $51,108.00 $10,221.60 80% off $3,643.82 $47,121.58 $24,574.12 2026-02-11
662 MS_DRG Minor Bladder Procedures With Mcc 64 16 — — $19,321.13 $43,182.46 $24,435.38 2026-02-11
263 MS_DRG Vein Ligation And Stripping 64 16 — — $19,295.25 $43,124.63 $24,403.08 2026-02-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 64 16 — — $17,851.00 $42,783.29 $24,159.38 2026-02-11
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 64 16 — — $19,062.38 $42,604.15 $24,112.47 2026-02-11
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 64 16 — — $19,059.85 $42,598.51 $24,109.32 2026-02-11
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 64 16 — — $19,039.02 $42,551.96 $24,083.33 2026-02-11
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 64 16 — — $18,784.06 $41,982.12 $23,765.14 2026-02-11
Q4130 HCPCS Hb Mesh Stratice P 16x20 1620002p 2,016 24 $71,177.00 $14,235.40 80% off $1,588.64 $173,533.31 $23,679.32 2026-02-11
Q4114 HCPCS Hb Matrix Wnd Flowable Fwd301 160 24 $43,587.00 $8,717.40 80% off $2,490.83 $40,187.21 $23,580.56 2026-02-11
472 MS_DRG Cervical Spinal Fusion With Cc 64 16 — — $18,810.85 $41,554.74 $23,526.50 2026-02-11
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 64 16 — — $18,580.22 $41,526.53 $23,510.74 2026-02-11
570 MS_DRG Skin Debridement With Mcc 64 16 — — $18,561.28 $41,484.22 $23,487.12 2026-02-11
C9774 HCPCS Hb Tib/per Revasc W Litho/atherec 184 24 $42,953.00 $8,590.60 80% off $2,297.92 $39,602.67 $23,344.96 2026-02-11
93580 CPT Hb Atrial Sep Defect Repair 180 24 $42,944.00 $8,588.80 80% off $4,177.88 $39,594.37 $23,340.06 2026-02-11
93582 CPT Hb Perq Transcath Closure Pda 180 24 $42,944.00 $8,588.80 80% off $4,177.88 $39,594.37 $23,340.06 2026-02-11
93583 CPT Hb Perq Transcath Septal Reduxn 176 24 $42,944.00 $8,588.80 80% off $674.19 $39,594.37 $23,340.06 2026-02-11
668 MS_DRG Transurethral Procedures With Mcc 64 16 — — $18,428.12 $41,186.60 $23,320.92 2026-02-11
J9043 HCPCS Cabazitaxel 60 Mg/6ml IV Soln 260 24 $72,368.10 $14,473.62 80% off $191.90 $66,723.39 $23,302.53 2026-02-11
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