Price Transparency 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

NATCHITOCHES REGIONAL MEDICAL CENTER

Natchitoches, LA · CCN 190007 · Rates published

15,255 distinct procedures filed
15 distinct payers
554,193 rate rows
2026-03-18 last MRF observed
Data quality

430,096 of 554,193 rate rows are consumer-grade (77.6%)

124,097 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 114,762
per-diem day rate — not a per-procedure price 8,645
placeholder amount (≤ $0.02) — excluded from medians 642
exceeds 10× this hospital's gross charge — excluded from medians 48
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/NatchitochesRegionalMedical/203171304_llc-i%2C-llc_standardcharges.json
Found on page https://www.nrmchospital.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-06-22

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 14 $3,611,511.82 $3,611,511.82 $3,611,511.82 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 14 $3,611,511.82 $3,611,511.82 $3,611,511.82 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,233,599.24 $3,233,599.24 $3,233,599.24 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 14 $3,108,236.45 $3,108,236.45 $3,108,236.45 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 14 $2,889,209.45 $2,889,209.45 $2,889,209.45 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 14 $2,270,093.14 $2,270,093.14 $2,270,093.14 nat. median
$2,448,600
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $99,274.01 $2,339,654.90 $1,779,559.68 nat. median
$2,469,189
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $536,682.67 $536,682.67 $536,682.67 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $514,287.49 $514,287.49 $514,287.49 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $502,774.98 $502,774.98 $502,774.98 nat. median
$674,188
0.7× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $3.14 $550,608.40 $498,087.36 nat. median
$754,974
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $0.95 $979,034.30 $478,378.59 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $475,095.36 $475,095.36 $475,095.36 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $1,200.00 $434,715.45 $198,138.49 nat. median
$370,174
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $1,200.00 $324,695.99 $143,922.01 nat. median
$265,286
0.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $1,200.00 $273,452.72 $130,789.83 nat. median
$206,368
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $1,200.00 $247,042.05 $118,287.69 nat. median
$202,986
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $1,200.00 $162,876.51 $78,445.87 nat. median
$133,176
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $1,200.00 $151,024.45 $69,641.63 nat. median
$117,303
0.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 14 $61,718.93 $154,270.18 $68,910.95 nat. median
$69,774
1.0× median
7
MS_DRG 		Lung Transplant 13 $1,200.00 $150,644.06 $67,583.89 nat. median
$122,708
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $1,200.00 $125,573.99 $60,787.80 nat. median
$102,358
0.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 14 $54,062.19 $134,710.33 $60,318.25 nat. median
$66,682
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 14 $55,316.05 $69,907.68 $59,419.72 nat. median
$62,507
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 14 $1,200.00 $122,126.26 $59,155.74 nat. median
$99,019
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $1,200.00 $120,749.94 $58,504.22 nat. median
$98,905
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $1,200.00 $127,024.08 $57,224.31 nat. median
$108,660
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $1,200.00 $122,755.63 $55,352.19 nat. median
$100,136
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $1,200.00 $111,248.23 $54,006.36 nat. median
$93,672
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $1,200.00 $106,185.57 $51,609.82 nat. median
$83,442
0.6× median
J9226
HCPCS 		Supprelin La Implant 14 $44,060.25 $108,292.73 $51,573.69 nat. median
$60,368
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $1,200.00 $97,678.65 $47,582.86 nat. median
$79,312
0.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $1,200.00 $97,624.47 $47,557.21 nat. median
$81,118
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $1,200.00 $96,142.10 $46,855.50 nat. median
$82,712
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $1,200.00 $92,920.30 $45,330.38 nat. median
$77,576
0.6× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 11 $40,934.37 $60,664.68 $44,581.83 nat. median
$76,377
0.6× median
38240
CPT 		Transplt Allo Hct/donor 14 $3,100.00 $57,572.30 $44,145.55 nat. median
$15,912
outlier · 2.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $1,200.00 $90,099.64 $43,995.15 nat. median
$73,807
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $1,200.00 $89,190.16 $43,564.63 nat. median
$74,915
0.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $1,200.00 $91,377.99 $42,841.17 nat. median
$71,240
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $1,200.00 $86,039.83 $42,073.34 nat. median
$72,138
0.6× median
10
MS_DRG 		Pancreas Transplant 13 $1,200.00 $91,904.77 $41,821.19 nat. median
$68,882
0.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $1,200.00 $81,872.82 $40,100.79 nat. median
$68,090
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $1,200.00 $81,461.31 $39,905.99 nat. median
$68,887
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $1,200.00 $80,187.58 $39,102.85 nat. median
$66,526
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $1,200.00 $78,709.81 $38,603.50 nat. median
$64,732
0.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $1,200.00 $77,285.08 $37,929.07 nat. median
$63,738
0.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $1,200.00 $76,987.68 $37,788.29 nat. median
$64,027
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $1,200.00 $76,857.43 $37,726.63 nat. median
$65,950
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $1,200.00 $74,440.21 $36,582.38 nat. median
$64,510
0.6× median

Other procedures at this hospital

Browse this hospital's 15,255 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 31 14 — — $3,611,511.82 $3,611,511.82 $3,611,511.82 2026-03-18
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 31 14 — — $3,611,511.82 $3,611,511.82 $3,611,511.82 2026-03-18
J1413 HCPCS Inj Delandistrogene Mox Rokl 31 14 — — $3,233,599.24 $3,233,599.24 $3,233,599.24 2026-03-18
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 31 14 — — $3,108,236.45 $3,108,236.45 $3,108,236.45 2026-03-18
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 31 14 — — $2,889,209.45 $2,889,209.45 $2,889,209.45 2026-03-18
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 31 14 — — $2,270,093.14 $2,270,093.14 $2,270,093.14 2026-03-18
J3399 HCPCS Inj Onase Abepar-xioi Treat 31 14 — — $99,274.01 $2,339,654.90 $1,779,559.68 2026-03-18
Q2056 HCPCS Ciltacabtagene Car-pos T 32 14 — — $536,682.67 $536,682.67 $536,682.67 2026-03-18
Q2055 HCPCS Idecabtagene Vicleucel Car 32 14 — — $514,287.49 $514,287.49 $514,287.49 2026-03-18
Q2054 HCPCS Lisocabtagene Mara Car Pos T 32 14 — — $502,774.98 $502,774.98 $502,774.98 2026-03-18
Q2042 HCPCS Tisagenlecleucel Car-pos T 32 14 — — $3.14 $550,608.40 $498,087.36 2026-03-18
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 32 14 — — $0.95 $979,034.30 $478,378.59 2026-03-18
Q2053 HCPCS Brexucabtagene Car Pos T 32 14 — — $475,095.36 $475,095.36 $475,095.36 2026-03-18
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 13 — — $1,200.00 $434,715.45 $198,138.49 2026-03-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 13 — — $1,200.00 $324,695.99 $143,922.01 2026-03-18
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 14 — — $1,200.00 $273,452.72 $130,789.83 2026-03-18
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 14 — — $1,200.00 $247,042.05 $118,287.69 2026-03-18
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 14 — — $1,200.00 $162,876.51 $78,445.87 2026-03-18
14 MS_DRG Allogeneic Bone Marrow Transplant 30 13 — — $1,200.00 $151,024.45 $69,641.63 2026-03-18
J9029 HCPCS Instill Adstiladrin, Tx Dose 31 14 — — $61,718.93 $154,270.18 $68,910.95 2026-03-18
7 MS_DRG Lung Transplant 29 13 — — $1,200.00 $150,644.06 $67,583.89 2026-03-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 14 — — $1,200.00 $125,573.99 $60,787.80 2026-03-18
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 32 14 — — $54,062.19 $134,710.33 $60,318.25 2026-03-18
A9543 HCPCS Y90 Ibritumomab, Rx 32 14 — — $55,316.05 $69,907.68 $59,419.72 2026-03-18
215 MS_DRG Other Heart Assist System Implant 32 14 — — $1,200.00 $122,126.26 $59,155.74 2026-03-18
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $1,200.00 $120,749.94 $58,504.22 2026-03-18
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 13 — — $1,200.00 $127,024.08 $57,224.31 2026-03-18
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 13 — — $1,200.00 $122,755.63 $55,352.19 2026-03-18
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $1,200.00 $111,248.23 $54,006.36 2026-03-18
850 MS_DRG Acute Leukemia With Other Procedures 32 14 — — $1,200.00 $106,185.57 $51,609.82 2026-03-18
J9226 HCPCS Supprelin La Implant 32 14 — — $44,060.25 $108,292.73 $51,573.69 2026-03-18
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 14 — — $1,200.00 $97,678.65 $47,582.86 2026-03-18
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $1,200.00 $97,624.47 $47,557.21 2026-03-18
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $1,200.00 $96,142.10 $46,855.50 2026-03-18
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 14 — — $1,200.00 $92,920.30 $45,330.38 2026-03-18
J7330 HCPCS Cultured Chondrocytes Implnt 20 11 — — $40,934.37 $60,664.68 $44,581.83 2026-03-18
38240 CPT Transplt Allo Hct/donor 32 14 — — $3,100.00 $57,572.30 $44,145.55 2026-03-18
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 14 — — $1,200.00 $90,099.64 $43,995.15 2026-03-18
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $1,200.00 $89,190.16 $43,564.63 2026-03-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 13 — — $1,200.00 $91,377.99 $42,841.17 2026-03-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 14 — — $1,200.00 $86,039.83 $42,073.34 2026-03-18
10 MS_DRG Pancreas Transplant 29 13 — — $1,200.00 $91,904.77 $41,821.19 2026-03-18
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $1,200.00 $81,872.82 $40,100.79 2026-03-18
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 14 — — $1,200.00 $81,461.31 $39,905.99 2026-03-18
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 14 — — $1,200.00 $80,187.58 $39,102.85 2026-03-18
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 14 — — $1,200.00 $78,709.81 $38,603.50 2026-03-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 14 — — $1,200.00 $77,285.08 $37,929.07 2026-03-18
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 14 — — $1,200.00 $76,987.68 $37,788.29 2026-03-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 14 — — $1,200.00 $76,857.43 $37,726.63 2026-03-18
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $1,200.00 $74,440.21 $36,582.38 2026-03-18
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 14 — — $1,200.00 $74,547.41 $36,432.94 2026-03-18
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 14 — — $1,200.00 $72,900.21 $35,853.38 2026-03-18
571T OTHER Insj/rplcmt Icds Ss Eltrd 32 14 — — $4,700.00 $115,519.47 $35,338.92 2026-03-18
33270 CPT Ins/rep Subq Defibrillator 32 14 — — $3,200.00 $115,519.47 $35,231.78 2026-03-18
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 14 — — $1,200.00 $71,402.85 $35,144.57 2026-03-18
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 14 — — $1,200.00 $71,310.63 $35,100.92 2026-03-18
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $1,200.00 $70,985.57 $34,947.04 2026-03-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 14 — — $1,200.00 $70,414.98 $34,676.94 2026-03-18
28 MS_DRG Spinal Procedures With Mcc 32 14 — — $1,200.00 $70,078.40 $34,517.61 2026-03-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 14 — — $1,200.00 $69,575.82 $34,079.51 2026-03-18
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 14 — — $1,200.00 $69,055.95 $34,033.61 2026-03-18
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $1,200.00 $68,577.58 $33,807.16 2026-03-18
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 14 — — $1,200.00 $70,737.74 $33,530.34 2026-03-18
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $1,200.00 $67,827.17 $33,451.93 2026-03-18
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 32 14 — — $3,200.00 $89,648.24 $33,383.83 2026-03-18
33231 CPT Insrt Pulse Gen W/mult Leads 32 14 — — $3,200.00 $89,648.24 $33,383.83 2026-03-18
33276 CPT Insj Phrnc Nrv Stim Sys 32 14 — — $468.30 $168,679.33 $33,373.21 2026-03-18
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 14 — — $1,200.00 $67,113.65 $33,114.17 2026-03-18
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 13 — — $1,200.00 $69,575.82 $32,749.75 2026-03-18
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $1,200.00 $66,158.06 $32,661.82 2026-03-18
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $1,200.00 $65,762.69 $32,474.66 2026-03-18
653 MS_DRG Major Bladder Procedures With Mcc 32 14 — — $1,200.00 $64,258.41 $31,762.57 2026-03-18
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 14 — — $1,200.00 $63,713.19 $31,504.48 2026-03-18
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $1,200.00 $63,445.76 $31,377.88 2026-03-18
834 MS_DRG Acute Leukemia With Mcc 32 14 — — $1,200.00 $63,713.19 $31,304.29 2026-03-18
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 32 14 — — $31,210.45 $31,210.45 $31,210.45 2026-03-18
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 14 — — $1,200.00 $63,058.45 $31,194.54 2026-03-18
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 14 — — $1,200.00 $62,576.62 $30,966.46 2026-03-18
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $1,200.00 $62,257.33 $30,815.31 2026-03-18
33249 CPT Insj/rplcmt Defib W/lead(s) 32 14 — — $4,700.00 $51,863.49 $30,792.06 2026-03-18
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 14 — — $1,200.00 $62,198.54 $30,787.48 2026-03-18
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $1,200.00 $62,191.62 $30,784.21 2026-03-18
J9266 HCPCS Pegaspargase Injection 32 14 — — $26,351.90 $62,629.48 $30,756.86 2026-03-18
C9760 HCPCS Non-blind Interatrial Shunt 32 14 — — $3,200.00 $103,082.54 $30,537.71 2026-03-18
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 14 — — $1,200.00 $61,325.95 $30,374.42 2026-03-18
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $1,200.00 $61,055.06 $30,246.19 2026-03-18
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 14 — — $1,400.00 $68,525.71 $30,212.97 2026-03-18
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 14 — — $1,200.00 $59,365.20 $29,446.25 2026-03-18
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 14 — — $1,200.00 $59,168.09 $29,352.95 2026-03-18
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 14 — — $1,200.00 $58,725.45 $29,143.41 2026-03-18
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 14 — — $1,200.00 $58,545.63 $29,058.29 2026-03-18
266T OTHER Implt/rpl Crtd Sns Dev Total 32 14 — — $280.64 $43,805.89 $29,052.28 2026-03-18
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 13 — — $1,200.00 $62,719.56 $29,020.73 2026-03-18
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 14 — — $1,200.00 $58,060.35 $28,828.57 2026-03-18
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $1,200.00 $57,673.04 $28,645.23 2026-03-18
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 14 — — $1,200.00 $57,649.99 $28,634.32 2026-03-18
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 14 — — $1,200.00 $57,442.50 $28,536.10 2026-03-18
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 14 — — $1,200.00 $57,717.99 $28,466.32 2026-03-18
C1882 HCPCS Unify Assura Icd U Pr 118 11 $88,843.00 $35,537.20 60% off $12,623.04 $71,074.40 $28,411.96 2026-03-18
245 MS_DRG Aicd Generator Procedures 32 14 — — $1,200.00 $56,330.14 $28,009.53 2026-03-18
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 32 14 — — $3,500.00 $34,071.35 $27,960.67 2026-03-18
471 MS_DRG Cervical Spinal Fusion With Mcc 32 14 — — $1,200.00 $55,990.10 $27,848.57 2026-03-18
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 14 — — $1,200.00 $55,047.19 $27,402.22 2026-03-18
268T OTHER Implt/rpl Crtd Sns Dev Gen 32 14 — — $3,200.00 $56,933.44 $27,381.81 2026-03-18
799 MS_DRG Splenic Procedures With Mcc 32 14 — — $1,200.00 $54,808.58 $27,289.26 2026-03-18
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $1,200.00 $54,798.21 $27,284.35 2026-03-18
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 14 — — $1,200.00 $54,231.08 $27,015.89 2026-03-18
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 14 — — $1,200.00 $53,940.60 $26,878.39 2026-03-18
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 14 — — $1,200.00 $53,622.45 $26,727.78 2026-03-18
163 MS_DRG Major Chest Procedures With Mcc 32 14 — — $1,200.00 $53,130.25 $26,494.79 2026-03-18
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $1,200.00 $52,938.90 $26,404.20 2026-03-18
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 14 — — $1,200.00 $52,930.83 $26,400.39 2026-03-18
6 MS_DRG Liver Transplant Without Mcc 29 13 — — $1,200.00 $55,896.73 $26,028.28 2026-03-18
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 14 — — $1,200.00 $52,005.21 $25,962.22 2026-03-18
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 14 — — $1,200.00 $51,695.14 $25,815.44 2026-03-18
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 14 — — $1,200.00 $51,552.20 $25,747.78 2026-03-18
901 MS_DRG Wound Debridements For Injuries With Mcc 32 14 — — $1,200.00 $51,070.37 $25,519.69 2026-03-18
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 13 — — $1,200.00 $53,108.35 $25,507.07 2026-03-18
33230 CPT Insrt Pulse Gen W/dual Leads 32 14 — — $3,200.00 $89,648.24 $25,360.86 2026-03-18
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 32 14 — — $3,200.00 $89,648.24 $25,360.86 2026-03-18
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 32 14 — — $3,200.00 $89,648.24 $25,360.86 2026-03-18
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 14 — — $1,200.00 $50,635.81 $25,313.98 2026-03-18
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $1,200.00 $49,773.59 $24,905.83 2026-03-18
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 14 — — $1,200.00 $49,876.18 $24,754.21 2026-03-18
J9600 HCPCS Porfimer Sodium Injection 32 14 — — $22,326.97 $47,740.28 $24,695.62 2026-03-18
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $1,200.00 $49,170.72 $24,620.45 2026-03-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 14 — — $1,200.00 $49,098.10 $24,586.07 2026-03-18
140 MS_DRG Major Head And Neck Procedures With Mcc 32 14 — — $1,200.00 $48,749.99 $24,421.28 2026-03-18
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 14 — — $1,200.00 $48,305.05 $24,210.66 2026-03-18
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 14 — — $1,200.00 $48,293.52 $24,205.20 2026-03-18
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 32 14 — — $1,900.00 $29,664.62 $24,198.36 2026-03-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 14 — — $1,200.00 $47,960.39 $24,047.51 2026-03-18
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 21 11 — — $23,383.78 $25,745.02 $23,856.03 2026-03-18
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 14 — — $1,200.00 $47,400.18 $23,782.31 2026-03-18
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 14 — — $1,200.00 $47,373.66 $23,769.76 2026-03-18
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 14 — — $1,200.00 $47,303.35 $23,736.48 2026-03-18
33240 CPT Insrt Pulse Gen W/singl Lead 32 14 — — $4,700.00 $63,913.97 $23,629.84 2026-03-18
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $1,200.00 $47,070.50 $23,626.26 2026-03-18
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 14 — — $1,200.00 $46,884.92 $23,538.41 2026-03-18
408T OTHER Insj/rplc Cardiac Modulj Sys 32 14 — — $936.79 $34,831.47 $23,172.45 2026-03-18
J9028 HCPCS Injection, Nogapendekin Alfa Inbakicept-pmln, For Intravesical Use, 1 Microgram 32 14 $71,600.00 $28,640.00 60% off $92.35 $57,280.00 $23,161.86 2026-03-18
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 14 — — $1,200.00 $45,920.11 $23,081.69 2026-03-18
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 14 — — $1,200.00 $45,887.83 $23,066.41 2026-03-18
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 14 — — $1,200.00 $45,482.08 $22,874.34 2026-03-18
515T OTHER Insj Wcs Lv Compl Sys 32 14 — — $21,850.32 $34,936.98 $22,856.99 2026-03-18
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 14 — — $1,200.00 $45,388.72 $22,830.14 2026-03-18
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 14 — — $1,200.00 $45,095.93 $22,691.54 2026-03-18
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 14 — — $1,200.00 $45,074.03 $22,681.18 2026-03-18
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 14 — — $1,200.00 $44,825.04 $22,563.31 2026-03-18
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 14 — — $1,200.00 $44,551.86 $22,433.99 2026-03-18
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 14 — — $1,200.00 $44,506.90 $22,412.71 2026-03-18
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 14 — — $1,200.00 $44,382.41 $22,353.78 2026-03-18
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 14 — — $1,200.00 $44,060.80 $22,201.54 2026-03-18
S2067 HCPCS Breast ""stacked"" Diep/gap 21 11 — — $3,200.00 $27,945.79 $22,112.76 2026-03-18
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $1,200.00 $43,822.20 $22,088.59 2026-03-18
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 14 — — $1,200.00 $43,481.00 $21,927.08 2026-03-18
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 32 14 — — $21,850.32 $21,850.32 $21,850.32 2026-03-18
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 32 14 — — $21,850.32 $21,850.32 $21,850.32 2026-03-18
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 14 — — $1,200.00 $43,134.03 $21,762.83 2026-03-18
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 32 14 — — $4,300.00 $36,594.69 $21,649.90 2026-03-18
793 MS_DRG Full Term Neonate With Major Problems 32 14 — — $1,262.00 $48,073.35 $21,568.06 2026-03-18
409T OTHER Insj/rplc Car Modulj Pls Gn 32 14 — — $4,700.00 $34,831.47 $21,552.52 2026-03-18
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 32 14 — — $4,700.00 $34,831.47 $21,552.52 2026-03-18
93654 CPT Compre Ep Eval Tx Vt 32 14 — — $4,700.00 $33,635.22 $21,408.24 2026-03-18
93656 CPT Compre Ep Eval Abltj Atr Fib 32 14 — — $4,700.00 $33,635.22 $21,408.24 2026-03-18
93653 CPT Compre Ep Eval Tx Svt 32 14 — — $4,700.00 $33,635.22 $21,408.24 2026-03-18
64568 CPT Opn Impltj Crnl Nrv Nea&pg 32 14 — — $535.50 $85,479.81 $21,324.50 2026-03-18
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 14 — — $1,200.00 $41,766.93 $21,115.68 2026-03-18
791 MS_DRG Prematurity With Major Problems 32 14 — — $1,400.00 $46,798.47 $21,100.67 2026-03-18
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 14 — — $1,200.00 $42,058.56 $21,053.55 2026-03-18
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 14 — — $1,200.00 $41,321.99 $20,905.06 2026-03-18
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 14 — — $1,200.00 $41,312.77 $20,900.69 2026-03-18
69930 CPT Implant Cochlear Device 32 14 — — $1,044.75 $53,675.96 $20,822.44 2026-03-18
265 MS_DRG Aicd Lead Procedures 32 14 — — $1,200.00 $41,119.11 $20,809.02 2026-03-18
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 14 — — $1,200.00 $40,934.68 $20,721.72 2026-03-18
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 14 — — $1,200.00 $41,319.68 $20,703.78 2026-03-18
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 14 — — $1,200.00 $40,694.92 $20,608.22 2026-03-18
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 14 — — $1,200.00 $40,684.55 $20,603.31 2026-03-18
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 14 — — $1,200.00 $40,581.96 $20,554.74 2026-03-18
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 14 — — $1,200.00 $40,388.30 $20,463.07 2026-03-18
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $1,200.00 $40,375.62 $20,457.07 2026-03-18
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 14 — — $1,200.00 $40,359.49 $20,449.43 2026-03-18
264 MS_DRG Other Circulatory System O.r. Procedures 32 14 — — $1,200.00 $40,288.02 $20,415.60 2026-03-18
C1721 HCPCS Tiered-therapy Cardiverter/def 118 11 $56,304.00 $22,521.60 60% off $9,490.90 $45,043.20 $20,361.67 2026-03-18
332 MS_DRG Rectal Resection With Mcc 32 14 — — $1,200.00 $39,983.70 $20,271.55 2026-03-18
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 14 — — $1,200.00 $39,939.90 $20,250.81 2026-03-18
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 14 — — $1,200.00 $39,703.60 $20,138.95 2026-03-18
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 14 — — $1,200.00 $39,641.35 $20,109.49 2026-03-18
665 MS_DRG Prostatectomy With Mcc 32 14 — — $1,200.00 $39,579.11 $20,080.02 2026-03-18
252 MS_DRG Other Vascular Procedures With Mcc 32 14 — — $1,200.00 $39,542.22 $20,062.56 2026-03-18
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 14 — — $1,200.00 $39,482.28 $20,034.19 2026-03-18
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 14 — — $1,200.00 $39,263.27 $19,930.51 2026-03-18
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 14 — — $1,200.00 $39,099.58 $19,853.03 2026-03-18
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 31 14 — — $600.00 $36,119.86 $19,704.82 2026-03-18
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 14 — — $1,200.00 $38,692.68 $19,660.41 2026-03-18
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 13 — — $1,200.00 $40,027.51 $19,582.15 2026-03-18
37 MS_DRG Extracranial Procedures With Mcc 32 14 — — $1,200.00 $38,280.01 $19,465.06 2026-03-18
686T OTHER Histotripsy Mal Hepatcel Tis 32 14 — — $3,500.00 $46,856.72 $19,440.00 2026-03-18
C2616 HCPCS Brachytx, Non-str,yttrium-90 32 14 — — $16,747.84 $58,409.92 $19,391.32 2026-03-18
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 14 — — $1,200.00 $38,061.00 $19,361.39 2026-03-18
61886 CPT Implant Neurostim Arrays 32 14 — — $535.50 $42,586.40 $19,310.53 2026-03-18
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 14 — — $1,200.00 $37,571.10 $19,129.48 2026-03-18
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 14 — — $1,200.00 $37,554.97 $19,121.85 2026-03-18
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 32 14 — — $3,500.00 $39,376.13 $19,112.22 2026-03-18
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 32 14 — — $1,200.00 $37,108.87 $18,910.68 2026-03-18
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $1,200.00 $36,937.12 $18,829.37 2026-03-18
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 32 14 — — $535.50 $47,749.83 $18,786.28 2026-03-18
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 14 — — $1,200.00 $36,829.92 $18,778.63 2026-03-18
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 32 14 — — $468.30 $46,991.90 $18,758.90 2026-03-18
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 14 — — $1,200.00 $36,660.47 $18,698.41 2026-03-18
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 14 — — $1,200.00 $36,586.70 $18,663.49 2026-03-18
500 MS_DRG Soft Tissue Procedures With Mcc 32 14 — — $1,200.00 $36,525.60 $18,634.57 2026-03-18
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 14 — — $1,200.00 $37,678.30 $18,598.50 2026-03-18
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 14 — — $1,200.00 $36,759.60 $18,545.16 2026-03-18
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 32 14 — — $2,600.00 $33,104.68 $18,481.62 2026-03-18
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 32 14 — — $2,600.00 $33,104.68 $18,481.62 2026-03-18
C9782 HCPCS Blind Myocar Trpl Bon Marrow 32 14 — — $3,200.00 $65,598.66 $18,451.86 2026-03-18
33289 CPT Tcat Impl Wrls P-art Prs Snr 32 14 — — $468.30 $46,601.88 $18,413.01 2026-03-18
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 14 — — $1,200.00 $35,975.77 $18,374.29 2026-03-18
662 MS_DRG Minor Bladder Procedures With Mcc 32 14 — — $1,200.00 $35,959.63 $18,366.65 2026-03-18
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 14 — — $1,200.00 $35,806.32 $18,294.08 2026-03-18
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 14 — — $1,200.00 $35,646.09 $18,218.23 2026-03-18
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $1,200.00 $35,572.32 $18,183.31 2026-03-18
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 14 — — $1,200.00 $35,546.96 $18,171.31 2026-03-18
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 14 — — $1,200.00 $35,371.75 $18,088.37 2026-03-18
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 14 — — $1,200.00 $35,256.48 $18,033.80 2026-03-18
37227 CPT Fem/popl Revasc Stnt & Ather 32 14 — — $3,500.00 $52,097.75 $17,959.88 2026-03-18
37231 CPT Tib/per Revasc Stent & Ather 32 14 — — $3,500.00 $52,097.75 $17,959.88 2026-03-18
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 32 14 — — $468.30 $29,664.62 $17,830.65 2026-03-18
570 MS_DRG Skin Debridement With Mcc 32 14 — — $1,200.00 $34,698.58 $17,769.70 2026-03-18
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 32 14 — — $4,750.00 $29,487.35 $17,451.06 2026-03-18
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 32 14 — — $4,750.00 $29,487.35 $17,451.06 2026-03-18
974 MS_DRG HIV With Major Related Condition With Mcc 32 14 — — $1,200.00 $34,421.93 $17,438.56 2026-03-18
C1722 HCPCS Generator Hv, Cd1357-40c 54 11 $38,739.00 $15,495.60 60% off $8,976.38 $30,991.20 $17,437.99 2026-03-18
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $1,200.00 $33,988.51 $17,433.57 2026-03-18
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 14 — — $1,200.00 $33,808.69 $17,348.45 2026-03-18
63655 CPT Implant Neuroelectrodes 32 14 — — $4,300.00 $20,875.11 $17,314.69 2026-03-18
J1632 HCPCS Inj., Brexanolone, 1 Mg 21 11 $32,892.00 $13,156.80 60% off $80.46 $32,892.00 $17,293.21 2026-03-18
C9758 HCPCS Blind Interatrial Shunt Ide 32 14 — — $3,200.00 $46,856.72 $17,280.49 2026-03-18
J7310 HCPCS Ganciclovir Long Act Implant 20 11 — — $17,280.00 $17,280.00 $17,280.00 2026-03-18
668 MS_DRG Transurethral Procedures With Mcc 32 14 — — $1,200.00 $33,616.19 $17,257.33 2026-03-18
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 14 — — $1,200.00 $33,597.75 $17,248.60 2026-03-18
800 MS_DRG Splenic Procedures With Cc 32 14 — — $1,200.00 $33,587.37 $17,243.69 2026-03-18
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 14 — — $1,200.00 $33,568.93 $17,234.95 2026-03-18
64580 CPT Opn Impltj Nea Neuromuscular 32 14 — — $2,100.00 $20,875.11 $17,177.19 2026-03-18
680T OTHER Insj/rplcmt Pg Only Isdss 32 14 — — $1,900.00 $20,875.11 $17,166.75 2026-03-18
472 MS_DRG Cervical Spinal Fusion With Cc 32 14 — — $1,200.00 $33,396.02 $17,153.11 2026-03-18
54405 CPT Insert Multi-comp Penis Pros 32 14 — — $3,200.00 $19,594.21 $17,078.64 2026-03-18
54401 CPT Insert Self-contd Prosthesis 32 14 — — $3,200.00 $19,594.21 $17,078.64 2026-03-18
652 MS_DRG Kidney Transplant 29 13 — — $1,200.00 $35,404.03 $17,040.31 2026-03-18
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 14 — — $1,200.00 $33,049.06 $16,988.87 2026-03-18
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 14 — — $1,200.00 $32,991.43 $16,961.58 2026-03-18
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 14 — — $1,200.00 $32,945.32 $16,939.75 2026-03-18
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 32 14 — — $1,200.00 $32,815.06 $16,878.09 2026-03-18
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 14 — — $1,200.00 $33,900.91 $16,869.27 2026-03-18
C1767 HCPCS Generator, Neuro Non-recharg 21 11 — — $0.02 $21,718.16 $16,770.53 2026-03-18
654 MS_DRG Major Bladder Procedures With Cc 32 14 — — $1,200.00 $32,530.35 $16,743.32 2026-03-18
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 14 — — $1,200.00 $32,372.43 $16,668.56 2026-03-18
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 32 14 — — $4,700.00 $29,487.35 $16,654.12 2026-03-18
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 14 — — $1,200.00 $32,339.00 $16,652.74 2026-03-18
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 32 14 — — $4,300.00 $29,487.35 $16,629.12 2026-03-18
S2068 HCPCS Breast Diep Or Siea Flap 21 11 — — $3,200.00 $20,812.15 $16,604.25 2026-03-18
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 32 14 — — $3,800.00 $29,487.35 $16,597.87 2026-03-18
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 32 14 — — $3,800.00 $29,487.35 $16,597.87 2026-03-18
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 14 — — $1,200.00 $33,011.02 $16,596.08 2026-03-18
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 32 14 — — $3,500.00 $29,487.35 $16,579.12 2026-03-18
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 32 14 — — $3,500.00 $29,487.35 $16,579.12 2026-03-18
22856 CPT Tot Disc Arthrp 1ntrspc Crv 32 14 — — $3,614.00 $38,323.52 $16,542.12 2026-03-18
525T OTHER Insj/rplcmt Compl Iims 32 14 — — $4,750.00 $18,564.88 $16,531.33 2026-03-18
33229 CPT Remv&replc Pm Gen Mult Leads 32 14 — — $3,200.00 $27,121.76 $16,412.52 2026-03-18
33221 CPT Insert Pulse Gen Mult Leads 32 14 — — $3,200.00 $27,121.76 $16,412.52 2026-03-18
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 14 — — $1,200.00 $31,542.48 $16,275.69 2026-03-18
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 14 — — $1,200.00 $31,428.37 $16,221.67 2026-03-18
93590 CPT Perq Transcath Cls Mitral 32 14 — — $4,000.00 $23,478.47 $16,202.43 2026-03-18
93591 CPT Perq Transcath Cls Aortic 32 14 — — $4,000.00 $23,478.47 $16,202.43 2026-03-18
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 14 — — $1,200.00 $31,486.00 $16,048.77 2026-03-18
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 14 — — $1,200.00 $31,059.50 $16,047.06 2026-03-18
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 32 14 — — $4,750.00 $17,901.86 $16,023.02 2026-03-18
54411 CPT Remov/replc Penis Pros Comp 32 14 — — $1,200.00 $19,594.21 $16,011.10 2026-03-18
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 32 14 — — $4,300.00 $19,130.68 $15,992.31 2026-03-18
263 MS_DRG Vein Ligation And Stripping 32 14 — — $1,200.00 $30,916.57 $15,979.40 2026-03-18
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 14 — — $1,200.00 $31,315.40 $15,968.01 2026-03-18
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 21 11 — — $15,038.21 $19,661.13 $15,962.79 2026-03-18
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 14 — — $1,200.00 $31,162.09 $15,895.44 2026-03-18
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 14 — — $1,200.00 $30,694.10 $15,874.08 2026-03-18
C9602 HCPCS Perc D-e Cor Stent Ather S 32 14 — — $4,750.00 $29,099.40 $15,847.49 2026-03-18
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 32 14 — — $4,750.00 $29,099.40 $15,847.49 2026-03-18
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 14 — — $1,200.00 $30,584.59 $15,822.24 2026-03-18
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 32 14 — — $1,200.00 $30,546.55 $15,804.24 2026-03-18
37230 CPT Tib/per Revasc W/stent 32 14 — — $3,500.00 $30,081.75 $15,802.63 2026-03-18
37229 CPT Tib/per Revasc W/ather 32 14 — — $3,500.00 $30,081.75 $15,802.63 2026-03-18
37225 CPT Fem/popl Revas W/ather 32 14 — — $3,500.00 $30,081.75 $15,802.63 2026-03-18
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 14 — — $1,200.00 $30,936.16 $15,788.49 2026-03-18
503 MS_DRG Foot Procedures With Mcc 32 14 — — $1,200.00 $30,507.36 $15,785.69 2026-03-18
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 32 14 — — $1,200.00 $30,476.24 $15,770.95 2026-03-18
849 MS_DRG Radiotherapy 32 14 — — $1,200.00 $30,789.77 $15,719.19 2026-03-18
C9767 HCPCS Revasc Lithotrip-stent-ather 32 14 — — $3,800.00 $25,514.45 $15,696.11 2026-03-18
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 32 14 — — $1,200.00 $30,238.78 $15,658.55 2026-03-18
793T OTHER Prq Tcat Thrm Ablt Nrv P-art 32 14 — — $4,700.00 $26,536.22 $15,656.04 2026-03-18
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 14 — — $1,200.00 $30,160.40 $15,621.44 2026-03-18
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