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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

BAPTIST HEALTH DEACONESS MADISONVILLE

Madisonville, KY · CCN 180093 · Rates published

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

10,173 distinct procedures filed
26 distinct payers
623,988 rate rows
2026-02-03 last MRF observed
Data quality

284,584 of 623,988 rate rows are consumer-grade (45.6%)

339,404 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 337,180
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,549
placeholder amount (≤ $0.02) — excluded from medians 437
per-diem day rate — not a per-procedure price 80
percent-of-charges filed in the dollar field — excluded from medians 62
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 48
exceeds 10× this hospital's gross charge — excluded from medians 31
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10992/610654587_baptist-health-deaconess-madisonville%2C-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/BaptistHealthDeaconessMadisonville/10992
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 138a3f644371bbef… · 233,891,468 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,599,442.02 $3,689,428.07 $3,599,442.02 nat. median
$3,685,267
1.0× median
C9172
HCPCS 		Outpatient Services: Cpt/hcpcs 6 $3,547,320.00 $3,636,003.00 $3,547,320.00 nat. median
$3,675,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,258,945.68 $4,888,418.52 $3,258,945.68 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,220,280.10 $4,830,420.15 $3,220,280.10 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,908,640.10 $4,653,824.16 $2,908,640.10 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,340,842.05 $4,915,768.31 $2,340,842.05 nat. median
$2,455,111
1.0× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 26 $4,827.48 $1,427,005.16 $567,977.96 nat. median
$6,067
outlier · 93.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $518,641.64 $1,089,147.44 $518,641.64 nat. median
$621,313
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $516,613.60 $1,084,888.56 $516,613.60 nat. median
$599,737
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $516,088.48 $1,083,785.81 $516,088.48 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $506,424.19 $1,063,490.80 $506,424.19 nat. median
$579,571
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $479,699.48 $1,007,368.91 $479,699.48 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $451,352.43 $947,840.10 $451,352.43 nat. median
$513,770
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $261,687.24 $604,427.52 $292,473.97 nat. median
$168,055
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $215,392.62 $452,324.50 $288,453.86 nat. median
$186,516
1.5× median
J9347
HCPCS 		Tremelimumab-actl 300 Mg/15ml IV Soln 26 $165.38 $496,299.71 $197,537.68 nat. median
$355
outlier · 557.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $164,622.68 $380,234.34 $183,990.05 nat. median
$131,925
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $148,713.34 $343,488.03 $166,209.03 nat. median
$145,435
1.1× median
7
MS_DRG 		Lung Transplant 14 $99,740.58 $209,455.22 $155,140.83 nat. median
$70,649
outlier · 2.2×
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 26 $3,412.61 $368,659.18 $146,734.08 nat. median
$4,390
outlier · 33.4×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Sc Sosy 26 $156.82 $340,834.45 $135,659.25 nat. median
$20,264
outlier · 6.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $84,107.72 $176,626.21 $132,469.66 nat. median
$65,418
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $81,275.31 $170,678.15 $127,435.96 nat. median
$69,922
1.8× median
J9043
HCPCS 		Cabazitaxel (jevtana) 10 Mg/ml Dilution 26 $212.99 $759,857.66 $110,573.00 nat. median
$509
outlier · 217.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $98,047.88 $226,464.38 $109,582.92 nat. median
$97,418
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $60,500.44 $166,478.15 $108,900.79 nat. median
$45,605
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $90,912.76 $209,984.15 $101,608.38 nat. median
$72,715
1.4× median
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 26 $58.70 $247,519.13 $98,517.80 nat. median
$133
outlier · 741.0×
10
MS_DRG 		Pancreas Transplant 14 $60,850.77 $127,786.62 $94,821.99 nat. median
$23,080
outlier · 4.1×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 26 $337.11 $216,077.16 $86,003.24 nat. median
$709
outlier · 121.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $75,591.89 $174,597.05 $84,485.05 nat. median
$74,509
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 17 $73,517.69 $169,806.21 $82,166.83 nat. median
$73,023
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $72,736.31 $168,001.43 $81,293.53 nat. median
$2,736
outlier · 29.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $66,968.26 $154,678.78 $74,846.88 nat. median
$69,822
1.1× median
J9334
HCPCS 		Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 26 $65.11 $192,927.11 $74,296.03 nat. median
$45
outlier · 1639.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $63,921.16 $147,640.77 $71,441.29 nat. median
$2,633
outlier · 27.1×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $41,526.84 $147,197.93 $70,595.62 nat. median
$32,772
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $58,800.55 $135,813.55 $65,718.27 nat. median
$60,505
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $58,767.24 $135,736.61 $65,681.04 nat. median
$59,651
1.1× median
J9228
HCPCS 		Ipilimumab 50 Mg/10ml IV Soln 26 $205.99 $456,040.52 $65,632.27 nat. median
$6,073
outlier · 10.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $57,874.83 $133,675.37 $64,683.64 nat. median
$2,596
outlier · 24.9×
A9543
HCPCS 		Y90 Ibritumomab, Rx 10 $64,428.96 $135,300.82 $64,428.96 nat. median
$65,477
1.0× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 26 $235.16 $159,603.92 $63,525.70 nat. median
$555
outlier · 114.4×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 17 $35,162.87 $100,731.12 $63,293.17 nat. median
$29,718
outlier · 2.1×
93653
CPT 		Hc Ep Comp Study W/ablation Svt/flutter 26 $22,091.47 $158,296.49 $63,106.68 nat. median
$25,502
outlier · 2.5×
93654
CPT 		Hc Ep Comp Study W/ablation Vt W/wo Mapping 26 $22,032.54 $157,716.23 $62,875.35 nat. median
$26,477
outlier · 2.4×
J1628
HCPCS 		Guselkumab 200 Mg/20ml IV Soln 26 $73.01 $174,588.31 $62,813.18 nat. median
$127
outlier · 494.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $55,935.26 $129,195.49 $62,515.88 nat. median
$56,428
1.1× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 10 $62,087.78 $130,384.34 $62,087.78 nat. median
$66,211
0.9× median
6
MS_DRG 		Liver Transplant Without Mcc 14 $37,009.17 $92,607.25 $62,011.44 nat. median
$31,278
2.0× median

Other procedures at this hospital

Browse this hospital's 10,173 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,599,442.02 $3,689,428.07 $3,599,442.02 2026-02-03
C9172 HCPCS Outpatient Services: Cpt/hcpcs 7 6 — — $3,547,320.00 $3,636,003.00 $3,547,320.00 2026-02-03
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,258,945.68 $4,888,418.52 $3,258,945.68 2026-02-03
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 7 — — $3,220,280.10 $4,830,420.15 $3,220,280.10 2026-02-03
J3393 HCPCS Inj, Betibeglogene Autotemce 9 8 — — $2,908,640.10 $4,653,824.16 $2,908,640.10 2026-02-03
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 10 — — $2,340,842.05 $4,915,768.31 $2,340,842.05 2026-02-03
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 47 26 $1,661,240.00 $215,961.20 87% off $4,827.48 $1,427,005.16 $567,977.96 2026-02-03
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 10 — — $518,641.64 $1,089,147.44 $518,641.64 2026-02-03
Q2056 HCPCS Ciltacabtagene Car-pos T 11 10 — — $516,613.60 $1,084,888.56 $516,613.60 2026-02-03
Q2055 HCPCS Idecabtagene Vicleucel Car 11 10 — — $516,088.48 $1,083,785.81 $516,088.48 2026-02-03
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 10 — — $506,424.19 $1,063,490.80 $506,424.19 2026-02-03
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 10 — — $479,699.48 $1,007,368.91 $479,699.48 2026-02-03
Q2053 HCPCS Brexucabtagene Car Pos T 11 10 — — $451,352.43 $947,840.10 $451,352.43 2026-02-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 17 — — $261,687.24 $604,427.52 $292,473.97 2026-02-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 14 — — $215,392.62 $452,324.50 $288,453.86 2026-02-03
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 47 26 $577,764.50 $75,109.39 87% off $165.38 $496,299.71 $197,537.68 2026-02-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 14 — — $164,622.68 $380,234.34 $183,990.05 2026-02-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 14 — — $148,713.34 $343,488.03 $166,209.03 2026-02-03
7 MS_DRG Lung Transplant 16 14 — — $99,740.58 $209,455.22 $155,140.83 2026-02-03
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 47 26 $429,172.50 $55,792.43 87% off $3,412.61 $368,659.18 $146,734.08 2026-02-03
J3357 HCPCS Ustekinumab 90 Mg/ml Sc Sosy 47 26 $396,780.50 $51,581.47 87% off $156.82 $340,834.45 $135,659.25 2026-02-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 14 — — $84,107.72 $176,626.21 $132,469.66 2026-02-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 14 — — $81,275.31 $170,678.15 $127,435.96 2026-02-03
J9043 HCPCS Cabazitaxel (jevtana) 10 Mg/ml Dilution 67 26 $884,584.00 $114,995.92 87% off $212.99 $759,857.66 $110,573.00 2026-02-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 14 — — $98,047.88 $226,464.38 $109,582.92 2026-02-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 17 — — $60,500.44 $166,478.15 $108,900.79 2026-02-03
14 MS_DRG Allogeneic Bone Marrow Transplant 16 14 — — $90,912.76 $209,984.15 $101,608.38 2026-02-03
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 47 26 $288,148.00 $37,459.24 87% off $58.70 $247,519.13 $98,517.80 2026-02-03
10 MS_DRG Pancreas Transplant 16 14 — — $60,850.77 $127,786.62 $94,821.99 2026-02-03
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 47 26 $251,545.00 $32,700.85 87% off $337.11 $216,077.16 $86,003.24 2026-02-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 17 — — $75,591.89 $174,597.05 $84,485.05 2026-02-03
215 MS_DRG Other Heart Assist System Implant 19 17 — — $73,517.69 $169,806.21 $82,166.83 2026-02-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 17 — — $72,736.31 $168,001.43 $81,293.53 2026-02-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 17 — — $66,968.26 $154,678.78 $74,846.88 2026-02-03
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln 47 26 $224,595.00 $29,197.35 87% off $65.11 $192,927.11 $74,296.03 2026-02-03
850 MS_DRG Acute Leukemia With Other Procedures 19 17 — — $63,921.16 $147,640.77 $71,441.29 2026-02-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 14 — — $41,526.84 $147,197.93 $70,595.62 2026-02-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 17 — — $58,800.55 $135,813.55 $65,718.27 2026-02-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $58,767.24 $135,736.61 $65,681.04 2026-02-03
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 67 26 $132,724.50 $17,254.19 87% off $205.99 $456,040.52 $65,632.27 2026-02-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 17 — — $57,874.83 $133,675.37 $64,683.64 2026-02-03
A9543 HCPCS Y90 Ibritumomab, Rx 11 10 — — $64,428.96 $135,300.82 $64,428.96 2026-02-03
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 47 26 $185,802.00 $24,154.26 87% off $235.16 $159,603.92 $63,525.70 2026-02-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 17 — — $35,162.87 $100,731.12 $63,293.17 2026-02-03
93653 CPT Hc Ep Comp Study W/ablation Svt/flutter 48 26 $184,279.97 $23,956.40 87% off $22,091.47 $158,296.49 $63,106.68 2026-02-03
93654 CPT Hc Ep Comp Study W/ablation Vt W/wo Mapping 48 26 $183,604.46 $23,868.58 87% off $22,032.54 $157,716.23 $62,875.35 2026-02-03
J1628 HCPCS Guselkumab 200 Mg/20ml IV Soln 48 26 $203,246.00 $26,421.98 87% off $73.01 $174,588.31 $62,813.18 2026-02-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 17 — — $55,935.26 $129,195.49 $62,515.88 2026-02-03
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 10 — — $62,087.78 $130,384.34 $62,087.78 2026-02-03
6 MS_DRG Liver Transplant Without Mcc 16 14 — — $37,009.17 $92,607.25 $62,011.44 2026-02-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 18 — — $54,237.19 $203,806.71 $60,618.03 2026-02-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 17 — — $53,690.36 $124,010.36 $60,006.87 2026-02-03
C9606 HCPCS Hc Pci Coronary Des Ami Acute Occl Inital Vessel Lc 37 26 $119,859.99 $15,581.80 87% off $688.00 $102,959.73 $59,270.76 2026-02-03
92941 CPT Hc Pci Coronary Ami Acute Occl Initial Vessel Rc 37 26 $119,859.99 $15,581.80 87% off $699.29 $102,959.73 $59,270.76 2026-02-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 17 — — $51,793.81 $119,629.86 $57,887.20 2026-02-03
93656 CPT Hc Ep Comp Study W/ablation Afib W/transseptal 48 26 $174,606.26 $22,698.82 87% off $20,952.75 $149,986.78 $56,982.76 2026-02-03
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 47 26 $162,850.50 $21,170.57 87% off $68.15 $139,888.58 $55,678.59 2026-02-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 17 — — $49,260.92 $113,779.55 $55,056.32 2026-02-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 17 — — $49,037.47 $113,263.44 $54,806.59 2026-02-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 18 — — $48,274.13 $179,391.78 $53,953.44 2026-02-03
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 11 10 — — $53,947.56 $113,289.88 $53,947.56 2026-02-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 17 — — $47,381.72 $109,439.11 $52,956.04 2026-02-03
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 47 26 $152,512.50 $19,826.63 87% off $60.32 $131,008.24 $52,144.02 2026-02-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 17 — — $46,523.32 $107,456.41 $51,996.65 2026-02-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 14 — — $46,344.97 $107,044.50 $51,797.32 2026-02-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 17 — — $46,266.56 $106,863.37 $51,709.68 2026-02-03
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 11 10 — — $50,828.95 $106,740.80 $50,828.95 2026-02-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 18 — — $44,882.14 $154,714.11 $50,162.39 2026-02-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 17 — — $44,810.67 $103,500.64 $50,082.51 2026-02-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 17 — — $43,884.25 $101,360.89 $49,047.11 2026-02-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 17 — — $42,982.82 $99,278.82 $48,039.62 2026-02-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 17 — — $42,927.30 $99,150.60 $47,977.58 2026-02-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 17 — — $42,731.61 $98,698.59 $47,758.86 2026-02-03
J3263 HCPCS Toripalimab-tpzi 240 Mg/6ml IV Soln 47 26 $139,581.50 $18,145.60 87% off $38.19 $119,900.51 $47,722.91 2026-02-03
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 17 — — $26,501.52 $91,929.80 $47,702.74 2026-02-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 17 — — $42,585.19 $98,360.41 $47,595.21 2026-02-03
33249 CPT Hc Icd Insert Single/dual W/fluoro 48 26 $119,859.99 $15,581.80 87% off $14,383.20 $102,959.73 $47,431.74 2026-02-03
33270 CPT Hc Icd Insert Subq 48 26 $119,749.01 $15,567.38 87% off $14,369.88 $102,864.40 $47,431.74 2026-02-03
33231 CPT Hc Icd Bivent Insert Generator Only W/fluoro 48 26 $119,859.99 $15,581.80 87% off $14,383.20 $102,959.73 $47,431.74 2026-02-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 17 — — $42,388.11 $97,905.19 $47,374.95 2026-02-03
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 47 26 $146,845.50 $19,089.92 87% off $83.02 $126,140.28 $47,269.57 2026-02-03
28 MS_DRG Spinal Procedures With Mcc 19 17 — — $42,185.48 $97,437.17 $47,148.48 2026-02-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 14 — — $41,882.92 $96,738.35 $46,810.32 2026-02-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 14 — — $41,882.92 $96,738.35 $46,810.32 2026-02-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 17 — — $41,569.95 $96,015.47 $46,460.54 2026-02-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 17 — — $41,283.35 $95,353.50 $46,140.22 2026-02-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 15 — — $41,254.90 $106,261.11 $46,108.42 2026-02-03
J1930 HCPCS Somatuline Depot 120 Mg/0.5ml Sc Soln 47 26 $133,486.00 $17,353.18 87% off $49.06 $114,664.47 $45,638.86 2026-02-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 18 — — $40,830.21 $186,094.45 $45,633.76 2026-02-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 17 — — $40,400.66 $93,314.72 $45,153.68 2026-02-03
J3380 HCPCS Vedolizumab 300 Mg IV Solr 47 26 $130,664.50 $16,986.39 87% off $21.92 $112,240.81 $44,674.19 2026-02-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $39,825.38 $91,985.99 $44,510.72 2026-02-03
J9226 HCPCS Supprelin La Implant 11 10 — — $44,475.85 $93,399.29 $44,475.85 2026-02-03
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Re Susp 68 26 $155,325.00 $20,192.25 87% off $62.05 $133,424.18 $44,326.39 2026-02-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 17 — — $39,587.36 $91,436.21 $44,244.69 2026-02-03
0266T CPT Outpatient Services: Cpt/hcpcs 11 10 — — $43,931.18 $92,255.48 $43,931.18 2026-02-03
33276 CPT Insj Phrnc Nrv Stim Sys 11 10 — — $43,931.18 $92,255.48 $43,931.18 2026-02-03
653 MS_DRG Major Bladder Procedures With Mcc 19 17 — — $38,681.76 $89,344.52 $43,232.56 2026-02-03
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 47 26 $125,644.00 $16,333.72 87% off $105.74 $107,928.20 $42,957.68 2026-02-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 17 — — $38,356.30 $88,592.81 $42,868.81 2026-02-03
834 MS_DRG Acute Leukemia With Mcc 19 17 — — $38,353.53 $88,586.38 $42,865.71 2026-02-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 17 — — $38,202.94 $88,238.58 $42,697.41 2026-02-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 17 — — $37,959.37 $87,675.99 $42,425.18 2026-02-03
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 47 26 $123,954.00 $16,114.02 87% off $23.77 $106,476.49 $42,379.87 2026-02-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 17 — — $37,669.99 $87,007.60 $42,101.76 2026-02-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 17 — — $37,477.77 $86,563.62 $41,886.92 2026-02-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 17 — — $37,442.38 $86,481.89 $41,847.37 2026-02-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 17 — — $37,437.52 $86,470.67 $41,841.94 2026-02-03
J9022 HCPCS Atezolizumab 840 Mg/14ml IV Soln 67 26 $113,251.50 $14,722.70 87% off $84.62 $138,975.46 $41,838.25 2026-02-03
33289 CPT Hc Imp Transcath Wireless Pulm Art Pressure Sensor 48 26 $87,117.90 $11,325.33 87% off $10,454.15 $74,834.28 $41,597.93 2026-02-03
34717 CPT Hc Evasc Rpr A-iliac Ndgft 37 26 $84,108.74 $10,934.14 87% off $583.74 $72,249.41 $41,591.78 2026-02-03
34718 CPT Hc Evasc Rpr N/a A-iliac Ndgft 37 26 $84,108.74 $10,934.14 87% off $1,628.51 $72,249.41 $41,591.78 2026-02-03
34707 CPT Hc Endovasc Repair Iliac Ilio-iliac Endgft Non Rupt 37 26 $83,987.93 $10,918.44 87% off $1,546.21 $72,145.63 $41,532.03 2026-02-03
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 47 26 $120,928.50 $15,720.71 87% off $232.17 $103,877.58 $41,345.45 2026-02-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 18 — — $36,917.07 $181,966.27 $41,260.25 2026-02-03
33263 CPT Hc Icd Generator Change Dual Lead W/fluoro 48 26 $118,768.13 $15,439.86 87% off $14,252.18 $102,021.82 $41,153.16 2026-02-03
33230 CPT Hc Icd Insert Generator Only Dual Leads W/fluoro 48 26 $118,768.13 $15,439.86 87% off $14,252.18 $102,021.82 $41,153.16 2026-02-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 17 — — $36,753.30 $84,890.27 $41,077.21 2026-02-03
C9604 HCPCS Hc Pci Coronary Des Graft Initial Vessel Lm 48 26 $119,859.99 $15,581.80 87% off $10,232.74 $102,959.73 $41,046.06 2026-02-03
92943 CPT Hc Pci Coronary Chronic Occl Initial Vessl Rc 48 26 $119,859.99 $15,581.80 87% off $10,232.74 $102,959.73 $41,046.06 2026-02-03
33264 CPT Hc Icd Bivent Generator Change W/fluoro 48 26 $119,859.99 $15,581.80 87% off $14,383.20 $102,959.73 $41,046.06 2026-02-03
33274 CPT Hc Tcat Insj/rpl Perm Ldls Pm 48 26 $119,816.78 $15,576.19 87% off $14,378.01 $102,922.61 $41,031.26 2026-02-03
33240 CPT Hc Icd Insert Generator Only Single Lead W/fluor 48 26 $118,018.41 $15,342.40 87% off $14,162.21 $101,377.81 $40,893.38 2026-02-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 17 — — $35,735.98 $82,540.54 $39,940.21 2026-02-03
33262 CPT Hc Icd Generator Change Single Lead W/fluoro 48 26 $118,018.41 $15,342.40 87% off $14,162.21 $101,377.81 $39,907.72 2026-02-03
652 MS_DRG Kidney Transplant 16 14 — — $23,440.90 $88,819.71 $39,849.53 2026-02-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 17 — — $35,618.70 $82,269.66 $39,809.13 2026-02-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 17 — — $35,351.53 $81,652.58 $39,510.53 2026-02-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 18 — — $35,243.28 $197,230.17 $39,389.54 2026-02-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 17 — — $34,950.43 $80,726.14 $39,062.25 2026-02-03
33225 CPT Hc Coronary Sinus Lead Insert W/fluoro 37 26 $78,820.61 $10,246.68 87% off $626.18 $67,706.90 $38,976.79 2026-02-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 17 — — $34,744.33 $80,250.11 $38,831.90 2026-02-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 17 — — $34,717.27 $80,187.60 $38,801.65 2026-02-03
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 47 26 $117,264.00 $15,244.32 87% off $14.44 $100,729.78 $38,790.93 2026-02-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 18 — — $34,707.55 $99,251.78 $38,790.79 2026-02-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 17 — — $34,578.48 $79,867.03 $38,646.53 2026-02-03
37239 CPT Hc Insert Intravas Stent Venous Add W S/i 37 26 $76,843.80 $9,989.70 87% off $202.65 $66,008.82 $37,999.25 2026-02-03
245 MS_DRG Aicd Generator Procedures 19 17 — — $33,909.52 $78,321.92 $37,898.87 2026-02-03
471 MS_DRG Cervical Spinal Fusion With Mcc 19 17 — — $33,704.80 $77,849.08 $37,670.08 2026-02-03
93657 CPT Hc Ep Ablation Addl Afib Atrial 37 26 $76,044.56 $9,885.80 87% off $485.05 $65,322.28 $37,604.04 2026-02-03
36906 CPT Hc Thrombectomy A-v Shunt W Angiop W Stent 48 26 $108,483.94 $14,102.92 87% off $13,018.07 $93,187.70 $37,150.32 2026-02-03
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 47 26 $108,481.00 $14,102.53 87% off $210.61 $93,185.18 $37,089.65 2026-02-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 17 — — $33,137.16 $76,537.97 $37,035.65 2026-02-03
36226 CPT Hc Vertebral Angio W S/i 48 26 $107,942.41 $14,032.52 87% off $5,111.50 $92,722.53 $36,964.88 2026-02-03
799 MS_DRG Splenic Procedures With Mcc 19 17 — — $32,993.51 $76,206.19 $36,875.10 2026-02-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 17 — — $32,992.13 $76,202.97 $36,873.55 2026-02-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 17 — — $32,645.85 $75,403.17 $36,486.54 2026-02-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 17 — — $32,470.97 $74,999.25 $36,291.09 2026-02-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 17 — — $32,283.61 $74,566.51 $36,081.68 2026-02-03
163 MS_DRG Major Chest Procedures With Mcc 20 18 — — $31,983.13 $406,587.05 $35,745.85 2026-02-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 17 — — $31,867.94 $73,606.41 $35,617.11 2026-02-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 18 — — $31,863.77 $126,412.24 $35,612.45 2026-02-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 18 — — $31,305.84 $163,489.92 $34,988.88 2026-02-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 17 — — $31,119.17 $71,876.97 $34,780.25 2026-02-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 17 — — $31,033.12 $71,678.21 $34,684.08 2026-02-03
901 MS_DRG Wound Debridements For Injuries With Mcc 19 17 — — $30,743.06 $71,008.25 $34,359.89 2026-02-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 17 — — $30,481.44 $70,403.97 $34,067.49 2026-02-03
93655 CPT Hc Ep Ablation Addl W/wo Repeat Study 37 26 $68,645.00 $8,923.85 87% off $485.44 $58,966.06 $33,944.96 2026-02-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 14 — — $30,024.83 $69,349.31 $33,557.16 2026-02-03
36908 CPT Hc Angioplasty A-v Shunt W Stent Cent Seg 57 26 $97,671.63 $12,697.32 87% off $281.54 $83,947.42 $33,520.33 2026-02-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 17 — — $29,962.37 $69,205.06 $33,487.36 2026-02-03
33214 CPT Hc Pacemaker Single Upgrade To Dual 48 26 $97,505.65 $12,675.74 87% off $9,932.40 $83,757.35 $33,390.81 2026-02-03
33208 CPT Hc Ppm Insert Dual W/fluoro 48 26 $96,875.65 $12,593.84 87% off $9,932.40 $83,216.18 $33,175.07 2026-02-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 17 — — $29,599.44 $68,366.78 $33,081.73 2026-02-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 18 — — $29,556.41 $327,774.63 $33,033.64 2026-02-03
140 MS_DRG Major Head And Neck Procedures With Mcc 19 17 — — $29,346.84 $67,783.36 $32,799.41 2026-02-03
93591 CPT Hc Perq Transcath Cls Aortic 48 26 $94,492.97 $12,284.09 87% off $11,339.16 $81,169.46 $32,741.82 2026-02-03
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 47 26 $95,214.50 $12,377.89 87% off $48.44 $81,789.26 $32,553.84 2026-02-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 17 — — $29,078.29 $67,163.06 $32,499.26 2026-02-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 18 — — $29,076.21 $98,973.79 $32,496.94 2026-02-03
793 MS_DRG Full Term Neonate With Major Problems 17 15 — — $11,575.33 $66,847.31 $32,346.47 2026-02-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 18 — — $28,870.80 $317,292.93 $32,267.36 2026-02-03
37236 CPT Hc Insert Intravascular Stent Initial W S/i 48 26 $97,727.24 $12,704.55 87% off $9,509.05 $83,947.70 $31,893.28 2026-02-03
37238 CPT Hc Insert Intravascular Stent Venous Initial W S/i 48 26 $97,726.91 $12,704.50 87% off $8,537.42 $83,947.42 $31,893.18 2026-02-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 18 — — $28,533.54 $126,581.63 $31,890.43 2026-02-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 17 — — $28,517.58 $65,867.99 $31,872.59 2026-02-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 17 — — $28,475.25 $65,770.22 $31,825.28 2026-02-03
C9608 HCPCS Hc Pci Coronary Des Chronic Occl Each Addl Vessel Rc 38 26 $64,313.83 $8,360.80 87% off $7,074.52 $55,245.58 $31,803.19 2026-02-03
C9603 HCPCS Hc Atherectomy Coronary Des Each Addl Branch Ld 38 26 $64,313.83 $8,360.80 87% off $7,074.52 $55,245.58 $31,803.19 2026-02-03
C9605 HCPCS Hc Pci Coronary Des Graft Each Addl Branch Lc 38 26 $64,313.83 $8,360.80 87% off $7,074.52 $55,245.58 $31,803.19 2026-02-03
C9601 HCPCS Hc Stent Coronary Des Each Addl Branch Rc 37 26 $64,313.83 $8,360.80 87% off $627.98 $55,245.58 $31,803.19 2026-02-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 17 — — $28,335.07 $65,446.44 $31,668.61 2026-02-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 17 — — $28,223.35 $65,188.39 $31,543.74 2026-02-03
791 MS_DRG Prematurity With Major Problems 17 15 — — $28,174.77 $84,796.47 $31,489.45 2026-02-03
36903 CPT Hc Angiogram A-v Shunt W Angiop W Stent 68 26 $97,277.81 $12,646.12 87% off $10,232.74 $83,561.64 $31,304.87 2026-02-03
69930 CPT Pr Cochlear Device Implantation W/wo Mastoidectomy 11 10 — — $31,192.16 $65,503.54 $31,192.16 2026-02-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 17 — — $27,643.21 $63,848.42 $30,895.36 2026-02-03
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 17 — — $27,623.78 $63,803.54 $30,873.64 2026-02-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 17 — — $27,385.07 $63,252.17 $30,606.84 2026-02-03
0408T CPT Pr Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 11 10 — — $30,601.12 $64,262.35 $30,601.12 2026-02-03
0571T CPT Insj/rplcmt Icds Ss Eltrd 11 10 — — $30,601.12 $64,262.35 $30,601.12 2026-02-03
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 17 — — $27,322.61 $63,107.92 $30,537.04 2026-02-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 13 — — $27,267.79 $53,983.98 $30,475.77 2026-02-03
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 17 — — $27,266.40 $62,978.10 $30,474.21 2026-02-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 17 — — $27,133.17 $62,670.36 $30,325.30 2026-02-03
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 17 — — $26,983.97 $62,325.75 $30,158.55 2026-02-03
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 17 — — $26,820.20 $61,947.48 $29,975.51 2026-02-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 17 — — $26,792.44 $61,883.37 $29,944.49 2026-02-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 18 — — $26,723.74 $267,672.18 $29,867.71 2026-02-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 17 — — $26,523.88 $61,263.07 $29,644.34 2026-02-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 17 — — $26,379.54 $60,929.69 $29,483.02 2026-02-03
37237 CPT Hc Insert Intravascular Stent Addl W S/i 57 26 $70,825.68 $9,207.34 87% off $280.83 $76,322.73 $29,391.80 2026-02-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 17 — — $26,174.14 $60,455.26 $29,253.45 2026-02-03
J0775 HCPCS Collagenase Clostrid Histolyt 0.9 Mg Ij Solr 47 26 $85,147.50 $11,069.18 87% off $69.75 $73,141.70 $29,111.93 2026-02-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 17 — — $25,981.22 $60,009.66 $29,037.83 2026-02-03
C9767 HCPCS Hc Revasc Intra Lithtrip Stent Ather 48 26 $82,024.37 $10,663.17 87% off $9,842.92 $70,458.93 $29,033.53 2026-02-03
33224 CPT Hc Coronary Sinus Lead Insert Only W/fluoro 48 26 $84,581.76 $10,995.63 87% off $9,932.40 $72,655.73 $28,965.02 2026-02-03
61886 CPT Pr Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 11 10 — — $28,883.25 $60,654.83 $28,883.25 2026-02-03
0268T CPT Outpatient Services: Cpt/hcpcs 11 10 — — $28,883.25 $60,654.83 $28,883.25 2026-02-03
63685 CPT Pr Insj/rplcmt Spi Npgr Dir/induxive Coupling 11 10 — — $28,883.25 $60,654.83 $28,883.25 2026-02-03
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 11 10 — — $28,883.25 $60,654.83 $28,883.25 2026-02-03
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 11 10 — — $28,883.25 $60,654.83 $28,883.25 2026-02-03
64582 CPT Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 11 10 — — $28,883.25 $60,654.83 $28,883.25 2026-02-03
C9607 HCPCS Hc Pci Coronary Des Chronic Occl Inital Vessel Lc 48 26 $79,053.70 $10,276.99 87% off $9,486.44 $67,907.13 $28,513.67 2026-02-03
C9602 HCPCS Hc Atherectomy Coronary Des Initial Vessel Ri 48 26 $79,053.70 $10,276.99 87% off $9,486.44 $67,907.13 $28,513.67 2026-02-03
J9332 HCPCS Efgartigimod Alfa-fcab 400 Mg/20ml IV Soln 47 26 $83,062.00 $10,798.06 87% off $64.56 $71,350.26 $28,398.90 2026-02-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 17 — — $25,317.81 $58,477.38 $28,296.38 2026-02-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 18 — — $25,147.80 $234,694.83 $28,106.36 2026-02-03
33229 CPT Hc Ppm Bivent Generator Change W/fluoro 48 26 $70,384.38 $9,149.97 87% off $8,446.13 $60,460.18 $28,092.50 2026-02-03
33221 CPT Hc Ppm Bivent Insert Generator Only W/fluoro 48 26 $69,970.46 $9,096.16 87% off $8,396.46 $60,104.63 $28,092.50 2026-02-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 17 — — $24,876.46 $57,457.97 $27,803.11 2026-02-03
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 17 — — $24,875.08 $57,454.76 $27,801.56 2026-02-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 17 — — $24,869.52 $57,441.95 $27,795.35 2026-02-03
265 MS_DRG Aicd Lead Procedures 19 17 — — $24,752.25 $57,171.07 $27,664.28 2026-02-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 17 — — $24,641.91 $56,916.22 $27,540.96 2026-02-03
J9309 HCPCS Polatuzumab Vedotin-piiq 30 Mg IV Solr 67 26 $55,675.00 $7,237.75 87% off $159.83 $223,181.51 $27,531.29 2026-02-03
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 17 — — $24,498.96 $56,586.03 $27,381.19 2026-02-03
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 17 — — $24,490.63 $56,566.80 $27,371.88 2026-02-03
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 17 — — $24,428.87 $56,424.17 $27,302.86 2026-02-03
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 17 — — $24,312.98 $56,156.48 $27,173.33 2026-02-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 18 — — $24,308.82 $192,039.15 $27,168.68 2026-02-03
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 17 — — $24,295.63 $56,116.41 $27,153.94 2026-02-03
264 MS_DRG Other Circulatory System O.r. Procedures 20 18 — — $24,252.61 $165,539.19 $27,105.86 2026-02-03
332 MS_DRG Rectal Resection With Mcc 19 17 — — $24,069.41 $55,593.89 $26,901.10 2026-02-03
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 17 — — $24,043.04 $55,532.99 $26,871.63 2026-02-03
C9760 HCPCS Non-blind Interatrial Shunt 11 10 — — $26,847.02 $56,378.74 $26,847.02 2026-02-03
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 11 10 — — $26,847.02 $56,378.74 $26,847.02 2026-02-03
33207 CPT Hc Ppm Insert Single W/fluoro 48 26 $78,283.50 $10,176.86 87% off $9,394.02 $67,245.53 $26,808.19 2026-02-03
33206 CPT Hc Ppm Insert Single Atrial W/fluoro 48 26 $78,283.50 $10,176.86 87% off $9,394.02 $67,245.53 $26,808.19 2026-02-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 17 — — $23,902.17 $55,207.61 $26,714.19 2026-02-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 17 — — $23,863.31 $55,117.86 $26,670.75 2026-02-03
665 MS_DRG Prostatectomy With Mcc 19 17 — — $23,825.83 $55,031.30 $26,628.87 2026-02-03
252 MS_DRG Other Vascular Procedures With Mcc 20 18 — — $23,803.63 $373,910.18 $26,604.05 2026-02-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 17 — — $23,766.85 $54,895.07 $26,562.95 2026-02-03
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 11 10 — — $26,561.76 $55,779.70 $26,561.76 2026-02-03
77373 CPT Hc Sbrt Delivery 47 26 $80,044.34 $10,405.77 87% off $1,659.72 $68,758.09 $26,478.67 2026-02-03
37241 CPT Hc Embolization Venous W S/i 48 26 $77,227.72 $10,039.61 87% off $9,267.33 $66,338.61 $26,446.64 2026-02-03
37243 CPT Hc Embolization Tumor/organ W S/i 48 26 $77,227.72 $10,039.61 87% off $9,267.33 $66,338.61 $26,446.64 2026-02-03
37244 CPT Hc Embolization Art/venous Bleed W S/i 48 26 $77,227.72 $10,039.61 87% off $9,267.33 $66,338.61 $26,446.64 2026-02-03
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 18 — — $23,641.25 $242,955.61 $26,422.57 2026-02-03
37242 CPT Hc Vasc Emoblization Arterial W S&i 68 26 $77,271.43 $10,045.29 87% off $9,267.33 $66,376.16 $26,411.63 2026-02-03
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 18 — — $23,538.54 $279,313.32 $26,307.78 2026-02-03
A9572 HCPCS Indium In-111 Pentetreotide IV Kit 61 26 $69,854.50 $9,081.09 87% off $5,448.96 $64,204.97 $26,160.35 2026-02-03
0795T CPT Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 48 26 $53,055.95 $6,897.28 87% off $6,366.71 $45,575.06 $26,103.53 2026-02-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 17 — — $23,292.19 $53,798.72 $26,032.45 2026-02-03
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 87 26 $81,941.50 $10,652.40 87% off $89.69 $70,723.62 $26,005.60 2026-02-03
37 MS_DRG Extracranial Procedures With Mcc 19 17 — — $23,043.76 $53,224.92 $25,754.79 2026-02-03
33227 CPT Hc Ppm Generator Change Single Lead W/fluoro 48 26 $78,483.17 $10,202.82 87% off $6,510.41 $67,417.04 $25,612.98 2026-02-03
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 17 — — $22,911.91 $52,920.38 $25,607.43 2026-02-03
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 17 — — $22,681.52 $52,388.24 $25,349.94 2026-02-03
33213 CPT Hc Ppm Insert Generator Only Dual Leads W/fluor 48 26 $73,863.23 $9,602.22 87% off $8,863.59 $63,448.51 $25,294.47 2026-02-03
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 17 — — $22,616.29 $52,237.58 $25,277.03 2026-02-03
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 18 — — $22,606.58 $187,492.07 $25,266.17 2026-02-03
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 17 — — $22,369.94 $51,668.59 $25,001.70 2026-02-03
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 17 — — $22,235.32 $51,357.64 $24,851.24 2026-02-03
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 17 — — $22,171.47 $51,210.18 $24,779.88 2026-02-03
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 17 — — $22,132.61 $51,120.43 $24,736.45 2026-02-03
C9766 HCPCS Hc Revasc Intra Lithotrip Ather 48 26 $50,984.77 $6,628.03 87% off $6,118.17 $43,795.92 $24,711.25 2026-02-03
J0517 HCPCS Benralizumab 30 Mg/ml Sc Sosy 47 26 $72,238.00 $9,390.94 87% off $163.95 $62,052.44 $24,698.17 2026-02-03
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 14 — — $22,068.77 $50,972.96 $24,665.10 2026-02-03
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 17 — — $22,024.36 $50,870.38 $24,615.46 2026-02-03
500 MS_DRG Soft Tissue Procedures With Mcc 19 17 — — $21,987.58 $50,785.43 $24,574.35 2026-02-03
C9600 HCPCS Hc Stent Coronary Des Initial Vessel Lc 48 26 $79,053.70 $10,276.99 87% off $7,407.55 $67,907.13 $24,431.55 2026-02-03
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 17 — — $21,656.57 $50,020.89 $24,204.40 2026-02-03
662 MS_DRG Minor Bladder Procedures With Mcc 19 17 — — $21,646.85 $49,998.44 $24,193.54 2026-02-03
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 18 — — $21,554.56 $145,945.08 $24,090.39 2026-02-03
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 17 — — $21,458.10 $49,562.48 $23,982.58 2026-02-03
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 51 26 $68,423.50 $8,895.06 87% off $4,790.36 $58,775.79 $23,948.23 2026-02-03
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 17 — — $21,413.69 $49,459.89 $23,932.95 2026-02-03
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 17 — — $21,398.42 $49,424.63 $23,915.88 2026-02-03
J1932 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 47 26 $69,775.50 $9,070.82 87% off $36.15 $59,937.15 $23,856.24 2026-02-03
22513 CPT Hc Perq Vertebral Augmentation Thoracic 48 26 $70,892.29 $9,216.00 87% off $6,654.36 $60,896.48 $23,844.62 2026-02-03
22514 CPT Hc Perq Vertebral Augmentation Lumbar 48 26 $70,892.29 $9,216.00 87% off $5,619.71 $60,896.48 $23,844.62 2026-02-03
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 17 — — $21,292.94 $49,180.99 $23,797.99 2026-02-03
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 17 — — $21,223.55 $49,020.72 $23,720.44 2026-02-03
J0896 HCPCS Luspatercept-aamt 25 Mg Sc Solr 67 26 $60,290.50 $7,837.77 87% off $39.82 $155,368.19 $23,513.23 2026-02-03
J9600 HCPCS Porfimer Sodium Injection 11 10 — — $23,425.38 $49,193.30 $23,425.38 2026-02-03
570 MS_DRG Skin Debridement With Mcc 19 17 — — $20,890.46 $48,251.36 $23,348.16 2026-02-03
974 MS_DRG HIV With Major Related Condition With Mcc 19 17 — — $20,721.13 $47,860.28 $23,158.91 2026-02-03
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 17 — — $20,461.60 $47,260.82 $22,868.85 2026-02-03
36909 CPT Hc Embolization A-v Shunt 57 26 $66,613.42 $8,659.75 87% off $273.82 $57,220.93 $22,848.40 2026-02-03
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 18 — — $20,408.86 $247,626.89 $22,809.90 2026-02-03
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 18 — — $20,351.96 $124,241.65 $22,746.30 2026-02-03
668 MS_DRG Transurethral Procedures With Mcc 19 17 — — $20,236.07 $46,739.91 $22,616.78 2026-02-03
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 17 — — $20,225.66 $46,715.87 $22,605.15 2026-02-03
800 MS_DRG Splenic Procedures With Cc 19 17 — — $20,218.72 $46,699.84 $22,597.39 2026-02-03
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 17 — — $20,207.62 $46,674.18 $22,584.98 2026-02-03
93609 CPT Hc Ep Mapping 37 26 $45,442.76 $5,907.56 87% off $119.65 $39,035.33 $22,471.44 2026-02-03
93613 CPT Hc Ep 3d Mapping 37 26 $45,442.76 $5,907.56 87% off $95.16 $39,035.33 $22,471.44 2026-02-03
472 MS_DRG Cervical Spinal Fusion With Cc 19 17 — — $20,103.52 $46,433.77 $22,468.64 2026-02-03
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