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

Continuing Care Hospital, Inc

Lexington, KY · CCN 182002 · Rates published

3,146 distinct procedures filed
8 distinct payers
76,938 rate rows
2026-09-30 last MRF observed
Data quality

70,838 of 76,938 rate rows are consumer-grade (92.1%)

6,100 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
per-diem day rate — not a per-procedure price 4,569
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,500
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/chisj/soky/finance/price-transparency/611400619_continuing-care-hospital-inc_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/saint-joseph-health-price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-11-06
Content fingerprint a66d6a84b4bd2905… · 19,444,982 bytes · first seen 2026-11-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 3 $84,351.12 $584,432.52 $223,932.09 nat. median
$816
outlier · 274.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 6 $185,204.51 $370,409.02 $188,445.60 nat. median
$190,274
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 6 $155,263.80 $310,527.60 $157,980.92 nat. median
$126,240
1.3× median
90378
CPT 		Palivizumab 50 Mg/0.5 Ml Intramuscular Solution 3 $66,167.01 $212,812.67 $129,970.91 nat. median
$2,108
outlier · 61.7×
J0219
HCPCS 		Avalglucosidase Alfa-ngpt 100 Mg Intravenous Solution 3 $60,755.42 $280,631.92 $126,573.73 nat. median
$143
outlier · 883.1×
163
MS_DRG 		Major Chest Procedures With Mcc 6 $122,878.42 $245,756.84 $125,028.80 nat. median
$42,632
outlier · 2.9×
J9053
HCPCS 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 3 $43,303.68 $333,964.94 $122,307.13 nat. median
$44
outlier · 2811.7×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 6 $115,900.21 $231,800.42 $117,928.47 nat. median
$38,353
outlier · 3.1×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 6 $115,900.21 $231,800.42 $117,928.47 nat. median
$35,655
outlier · 3.3×
11
MS_DRG 		Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 $115,900.21 $231,800.42 $117,928.47 nat. median
$49,925
outlier · 2.4×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 $112,764.34 $225,528.68 $114,737.73 nat. median
$43,542
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $106,731.47 $213,462.94 $108,599.27 nat. median
$62,605
1.7× median
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 $105,648.91 $211,297.82 $107,497.77 nat. median
$31,794
outlier · 3.4×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $104,144.50 $208,289.00 $105,967.04 nat. median
$59,289
1.8× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 3 $39,179.70 $180,972.66 $84,889.35 nat. median
$714
outlier · 119.0×
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 3 $36,486.35 $210,102.97 $84,266.09 nat. median
$250
outlier · 336.4×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1000 Mbq/ml) IV Soln 3 $47,737.41 $110,250.69 $84,108.77 nat. median
$432
outlier · 194.5×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $76,282.51 $152,565.02 $77,617.46 nat. median
$58,210
1.3× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 6 $74,813.68 $149,627.36 $76,122.93 nat. median
$37,940
outlier · 2.0×
665
MS_DRG 		Prostatectomy With Mcc 6 $74,813.68 $149,627.36 $76,122.93 nat. median
$29,834
outlier · 2.6×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $74,625.63 $149,251.26 $75,931.58 nat. median
$45,281
1.7× median
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$31,854
outlier · 2.4×
157
MS_DRG 		Dental And Oral Diseases With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$16,364
outlier · 4.6×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$42,583
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$74,260
1.0× median
325
MS_DRG 		Coronary Intravascular Lithotripsy Without Intraluminal Device 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$28,854
outlier · 2.6×
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$30,337
outlier · 2.5×
115
MS_DRG 		Extraocular Procedures Except Orbit 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$14,971
outlier · 5.0×
659
MS_DRG 		Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$24,280
outlier · 3.1×
686
MS_DRG 		Kidney And Urinary Tract Neoplasms With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$17,526
outlier · 4.3×
625
MS_DRG 		Thyroid Parathyroid And Thyroglossal Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$27,778
outlier · 2.7×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$36,325
outlier · 2.1×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$27,774
outlier · 2.7×
817
MS_DRG 		Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$21,613
outlier · 3.5×
739
MS_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$34,577
outlier · 2.2×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$53,708
1.4× median
722
MS_DRG 		Malignancy Male Reproductive System With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$17,212
outlier · 4.4×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$40,647
1.9× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$46,310
1.6× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$33,068
outlier · 2.3×
359
MS_DRG 		Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$29,922
outlier · 2.5×
630
MS_DRG 		Other Endocrine Nutritional And Metabolic O.r. Procedures Without Cc/mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$14,529
outlier · 5.2×
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$35,191
outlier · 2.1×
135
MS_DRG 		Sinus And Mastoid Procedures With Cc/mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$21,624
outlier · 3.5×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$24,491
outlier · 3.1×
628
MS_DRG 		Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$35,150
outlier · 2.1×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$25,369
outlier · 3.0×
67
MS_DRG 		Precerebral Occlusion Without Infarction With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$14,390
outlier · 5.2×
743
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$12,357
outlier · 6.1×
503
MS_DRG 		Foot Procedures With Mcc 6 $73,975.07 $147,950.14 $75,269.64 nat. median
$25,876
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 3,146 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 6 — — $49,533.57 $99,067.14 $50,400.41 2026-09-30
850 MS_DRG Acute Leukemia With Other Procedures 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
283 MS_DRG Acute Myocardial Infarction Expired With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
C9399 HCPCS Amivantamab 1600 Mg-hyaluronidase-lpuj 20000 Unit/10 Ml Subcut Soln 35 3 $79,794.00 $35,380.66 56% off $22,342.32 $113,520.07 $49,153.02 2026-09-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
347 MS_DRG Anal And Stomal Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
302 MS_DRG Atherosclerosis With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
J0219 HCPCS Avalglucosidase Alfa-ngpt 100 Mg Intravenous Solution 14 3 $216,983.50 $96,210.49 56% off $60,755.42 $280,631.92 $126,573.73 2026-09-30
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 6 — — $51,688.53 $103,377.06 $52,593.09 2026-09-30
J9053 HCPCS Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 14 3 $223,698.88 $99,188.08 56% off $43,303.68 $333,964.94 $122,307.13 2026-09-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
202 MS_DRG Bronchitis And Asthma With Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 21 3 $108,300.50 $48,020.45 56% off $36,486.35 $210,102.97 $84,266.09 2026-09-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
783 MS_DRG Cesarean Section With Sterilization With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
286 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
813 MS_DRG Coagulation Disorders 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 6 — — $53,604.61 $107,209.22 $54,542.69 2026-09-30
209 MS_DRG Complex Aortic Arch Procedures 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
380 MS_DRG Complicated Peptic Ulcer With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
919 MS_DRG Complications Of Treatment With Mcc 6 6 — — $50,321.35 $100,642.70 $51,201.98 2026-09-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
158 MS_DRG Dental And Oral Diseases With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
157 MS_DRG Dental And Oral Diseases With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
374 MS_DRG Digestive Malignancy With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 6 6 — — $52,628.78 $105,257.56 $53,549.79 2026-09-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 6 6 — — $185,204.51 $370,409.02 $188,445.60 2026-09-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 6 — — $63,342.59 $126,685.18 $64,451.09 2026-09-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $112,764.34 $225,528.68 $114,737.73 2026-09-30
115 MS_DRG Extraocular Procedures Except Orbit 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
748 MS_DRG Female Reproductive System Reconstructive Procedures 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Implant 7 3 $79,970.25 $35,458.81 56% off $33,587.51 $77,571.15 $59,177.99 2026-09-30
504 MS_DRG Foot Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
503 MS_DRG Foot Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
906 MS_DRG Hand Procedures For Injuries 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
974 MS_DRG HIV With Major Related Condition With Mcc 6 6 — — $52,039.22 $104,078.44 $52,949.91 2026-09-30
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 14 3 $401,671.88 $178,101.32 56% off $84,351.12 $584,432.52 $223,932.09 2026-09-30
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 6 — — $74,625.63 $149,251.26 $75,931.58 2026-09-30
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
386 MS_DRG Inflammatory Bowel Disease With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
385 MS_DRG Inflammatory Bowel Disease With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 6 — — $59,398.60 $118,797.20 $60,438.08 2026-09-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
116 MS_DRG Intraocular Procedures With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
117 MS_DRG Intraocular Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 21 3 $72,741.75 $32,253.70 56% off $16,337.69 $211,678.01 $53,828.90 2026-09-30
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 6 6 — — $59,398.60 $118,797.20 $60,438.08 2026-09-30
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
688 MS_DRG Kidney And Urinary Tract Neoplasms Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 28 3 $77,350.25 $34,297.11 56% off $28,877.42 $83,366.65 $56,723.59 2026-09-30
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1000 Mbq/ml) IV Soln 7 3 $113,660.50 $50,397.07 56% off $47,737.41 $110,250.69 $84,108.77 2026-09-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 6 6 — — $62,087.22 $124,174.44 $63,173.75 2026-09-30
654 MS_DRG Major Bladder Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
653 MS_DRG Major Bladder Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
655 MS_DRG Major Bladder Procedures Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
164 MS_DRG Major Chest Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
163 MS_DRG Major Chest Procedures With Mcc 6 6 — — $122,878.42 $245,756.84 $125,028.80 2026-09-30
165 MS_DRG Major Chest Procedures Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
141 MS_DRG Major Head And Neck Procedures With Cc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
140 MS_DRG Major Head And Neck Procedures With Mcc 6 6 — — $115,900.21 $231,800.42 $117,928.47 2026-09-30
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
754 MS_DRG Malignancy Female Reproductive System With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
722 MS_DRG Malignancy Male Reproductive System With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 6 6 — — $68,353.88 $136,707.76 $69,550.07 2026-09-30
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 6 6 — — $50,905.83 $101,811.66 $51,796.68 2026-09-30
551 MS_DRG Medical Back Problems With Mcc 6 6 — — $59,632.40 $119,264.80 $60,675.97 2026-09-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
137 MS_DRG Mouth Procedures With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
138 MS_DRG Mouth Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 6 — — $53,604.61 $107,209.22 $54,542.69 2026-09-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 6 — — $53,604.61 $107,209.22 $54,542.69 2026-09-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 6 — — $62,087.22 $124,174.44 $63,173.75 2026-09-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 6 — — $62,087.22 $124,174.44 $63,173.75 2026-09-30
54 MS_DRG Nervous System Neoplasms With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
55 MS_DRG Nervous System Neoplasms Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 6 — — $51,012.56 $102,025.12 $51,905.29 2026-09-30
935 MS_DRG Non-extensive Burns 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 6 — — $105,648.91 $211,297.82 $107,497.77 2026-09-30
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 6 — — $64,796.17 $129,592.34 $65,930.11 2026-09-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 6 — — $51,154.87 $102,309.74 $52,050.08 2026-09-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 6 — — $58,412.61 $116,825.22 $59,434.83 2026-09-30
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 6 6 — — $51,154.87 $102,309.74 $52,050.08 2026-09-30
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 15 3 $93,285.00 $41,362.57 56% off $39,179.70 $180,972.66 $84,889.35 2026-09-30
113 MS_DRG Orbital Procedures With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
114 MS_DRG Orbital Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
539 MS_DRG Osteomyelitis With Mcc 6 6 — — $49,111.72 $98,223.44 $49,971.18 2026-09-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
264 MS_DRG Other Circulatory System O.r. Procedures 6 6 — — $58,021.26 $116,042.52 $59,036.64 2026-09-30
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 6 — — $53,126.86 $106,253.72 $54,056.58 2026-09-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 6 — — $71,398.27 $142,796.54 $72,647.74 2026-09-30
154 MS_DRG Other Ear Nose Mouth And Throat Diagnoses With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
144 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Cc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
145 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
629 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
630 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
215 MS_DRG Other Heart Assist System Implant 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 6 — — $52,105.29 $104,210.58 $53,017.13 2026-09-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 6 — — $74,813.68 $149,627.36 $76,122.93 2026-09-30
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 6 — — $54,753.24 $109,506.48 $55,711.43 2026-09-30
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 6 — — $61,040.24 $122,080.48 $62,108.45 2026-09-30
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
205 MS_DRG Other Respiratory System Diagnoses With Mcc 6 6 — — $60,201.63 $120,403.26 $61,255.16 2026-09-30
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 6 — — $115,900.21 $231,800.42 $117,928.47 2026-09-30
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
580 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Cc 6 6 — — $50,905.83 $101,811.66 $51,796.68 2026-09-30
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 6 6 — — $68,353.88 $136,707.76 $69,550.07 2026-09-30
252 MS_DRG Other Vascular Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
152 MS_DRG Otitis Media And Uri With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
90378 CPT Palivizumab 50 Mg/0.5 Ml Intramuscular Solution 14 3 $188,467.50 $83,566.49 56% off $66,167.01 $212,812.67 $129,970.91 2026-09-30
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
734 MS_DRG Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
735 MS_DRG Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
709 MS_DRG Penis Procedures With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 6 6 — — $72,780.70 $145,561.40 $74,054.37 2026-09-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 6 — — $62,087.22 $124,174.44 $63,173.75 2026-09-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 6 — — $62,087.22 $124,174.44 $63,173.75 2026-09-30
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
666 MS_DRG Prostatectomy With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
665 MS_DRG Prostatectomy With Mcc 6 6 — — $74,813.68 $149,627.36 $76,122.93 2026-09-30
667 MS_DRG Prostatectomy Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
332 MS_DRG Rectal Resection With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 6 — — $59,713.72 $119,427.44 $60,758.71 2026-09-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 6 — — $104,144.50 $208,289.00 $105,967.04 2026-09-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
139 MS_DRG Salivary Gland Procedures 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 6 — — $106,731.47 $213,462.94 $108,599.27 2026-09-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
570 MS_DRG Skin Debridement With Mcc 6 6 — — $61,411.26 $122,822.52 $62,485.96 2026-09-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $76,282.51 $152,565.02 $77,617.46 2026-09-30
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 6 6 — — $64,796.17 $129,592.34 $65,930.11 2026-09-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
501 MS_DRG Soft Tissue Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 — — $64,872.40 $129,744.80 $66,007.68 2026-09-30
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 6 6 — — $53,604.61 $107,209.22 $54,542.69 2026-09-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
28 MS_DRG Spinal Procedures With Mcc 6 6 — — $72,780.70 $145,561.40 $74,054.37 2026-09-30
800 MS_DRG Splenic Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
799 MS_DRG Splenic Procedures With Mcc 6 6 — — $71,398.27 $142,796.54 $72,647.74 2026-09-30
801 MS_DRG Splenic Procedures Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 7 3 $75,228.00 $33,356.10 56% off $31,595.76 $72,971.16 $55,668.72 2026-09-30
C2616 HCPCS Therasphere Y-90 15 Gbq Uscomm M00139552us1500 7 3 $81,320.00 $36,057.29 56% off $52,858.00 $78,880.40 $74,001.20 2026-09-30
626 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
627 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 7 3 $77,162.50 $34,213.86 56% off $32,408.25 $74,847.63 $57,100.25 2026-09-30
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $115,900.21 $231,800.42 $117,928.47 2026-09-30
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 6 6 — — $155,263.80 $310,527.60 $157,980.92 2026-09-30
2740000000 CDM Transmitter Spirit 01-1010 7 3 $58,050.00 $25,739.37 56% off $37,732.50 $56,308.50 $52,825.50 2026-09-30
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
604 MS_DRG Trauma To The Skin Subcutaneous Tissue And Breast With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 6 — — $58,046.67 $116,093.34 $59,062.50 2026-09-30
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 14 3 $101,661.88 $45,076.88 56% off $21,349.02 $147,917.97 $56,676.51 2026-09-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 6 — — $72,399.51 $144,799.02 $73,666.51 2026-09-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
693 MS_DRG Urinary Stones With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe 14 3 $97,057.00 $43,035.07 56% off $26,299.35 $127,551.61 $56,105.23 2026-09-30
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
32 MS_DRG Ventricular Shunt Procedures With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
865 MS_DRG Viral Illness With Mcc 6 6 — — $73,975.07 $147,950.14 $75,269.64 2026-09-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 6 — — $63,240.94 $126,481.88 $64,347.66 2026-09-30
902 MS_DRG Wound Debridements For Injuries With Cc 6 6 — — $48,110.48 $96,220.96 $48,952.42 2026-09-30
901 MS_DRG Wound Debridements For Injuries With Mcc 6 6 — — $60,760.70 $121,521.40 $61,824.02 2026-09-30
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