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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

ABBEVILLE GENERAL HOSPITAL

Abbeville, LA · CCN 190034 · Rates published

3,096 distinct procedures filed
38 distinct payers
192,819 rate rows
2026-09-28 last MRF observed
Data quality

171,954 of 192,819 rate rows are consumer-grade (89.2%)

20,865 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,154
per-diem day rate — not a per-procedure price 4,939
placeholder amount (≤ $0.02) — excluded from medians 1,656
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,062
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,014
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
exceeds 10× this hospital's gross charge — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.abbevillegeneral.com/wp-content/uploads/720574846_abbeville-general-hospital_standardcharges.csv
Found on page https://abbevillegeneral.com/patients-visitors/for-patients/charges-billing-and-insurance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint bdb189cdd7bfe0c4… · 99,946,453 bytes · first seen 2026-09-28

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $1,140,689.86 $1,462,488.98 $1,163,933.82 nat. median
$168,055
outlier · 6.9×
7
MS_DRG 		Lung Transplant 12 $4,250.00 $1,063,686.68 $874,419.31 nat. median
$70,649
outlier · 12.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $4,250.00 $462,712.90 $370,489.10 nat. median
$97,418
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $4,250.00 $436,446.64 $327,903.00 nat. median
$186,516
1.8× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $292,517.55 $292,517.55 $292,517.55 nat. median
$292,587
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $4,250.00 $360,854.25 $288,935.07 nat. median
$65,418
outlier · 4.4×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $287,766.84 $287,766.84 $287,766.84 nat. median
$220,794
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $4,250.00 $345,821.60 $283,937.53 nat. median
$41,943
outlier · 6.8×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $254,304.32 $254,304.32 $254,304.32 nat. median
$27,663
outlier · 9.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $4,250.00 $324,569.85 $244,243.73 nat. median
$145,435
1.7× median
6
MS_DRG 		Liver Transplant Without Mcc 12 $4,250.00 $279,747.46 $230,837.92 nat. median
$31,278
outlier · 7.4×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $4,250.00 $270,973.74 $222,119.25 nat. median
$32,772
outlier · 6.8×
570
MS_DRG 		Skin Debridement With Mcc 12 $2,550.00 $251,355.68 $209,624.55 nat. median
$20,813
outlier · 10.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $4,250.00 $255,558.94 $208,018.16 nat. median
$47,121
outlier · 4.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $196,926.55 $247,778.42 $200,910.03 nat. median
$49,569
outlier · 4.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $4,250.00 $220,397.22 $172,981.12 nat. median
$69,922
outlier · 2.5×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 $3,400.00 $208,201.44 $170,819.88 nat. median
$32,992
outlier · 5.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $4,250.00 $242,104.40 $169,746.54 nat. median
$131,925
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 12 $3,400.00 $203,515.01 $167,370.38 nat. median
$31,995
outlier · 5.2×
653
MS_DRG 		Major Bladder Procedures With Mcc 11 $152,913.21 $191,167.66 $155,998.46 nat. median
$36,547
outlier · 4.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $4,250.00 $173,259.79 $137,138.65 nat. median
$56,428
outlier · 2.4×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 12 $23,084.00 $169,034.38 $135,291.38 nat. median
$34,932
outlier · 3.9×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 11 $131,963.91 $165,212.55 $134,621.62 nat. median
$35,986
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 $4,250.00 $159,968.36 $129,729.90 nat. median
$38,173
outlier · 3.4×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 $3,400.00 $162,619.86 $129,057.59 nat. median
$38,844
outlier · 3.3×
10
MS_DRG 		Pancreas Transplant 12 $3,400.00 $160,497.03 $127,416.56 nat. median
$23,080
outlier · 5.5×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 $4,250.00 $150,403.71 $124,817.63 nat. median
$23,282
outlier · 5.4×
215
MS_DRG 		Other Heart Assist System Implant 12 $4,249.99 $151,052.26 $115,495.25 nat. median
$73,023
1.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 12 $2,550.00 $138,984.35 $113,535.89 nat. median
$30,674
outlier · 3.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $44,987.00 $143,567.56 $109,314.67 nat. median
$59,651
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $48,526.99 $137,188.09 $104,048.46 nat. median
$60,505
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $61,854.00 $135,199.22 $100,504.57 nat. median
$69,822
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $47,914.00 $130,850.72 $99,911.80 nat. median
$55,923
1.8× median
197
MS_DRG 		Interstitial Lung Disease With Cc 12 $1,700.00 $116,021.06 $99,337.78 nat. median
$7,334
outlier · 13.5×
347
MS_DRG 		Anal And Stomal Procedures With Mcc 11 $96,943.41 $117,783.34 $98,886.42 nat. median
$16,717
outlier · 5.9×
970
MS_DRG 		HIV With Extensive O.r. Procedures Without Mcc 12 $3,400.00 $116,058.97 $96,895.68 nat. median
$18,549
outlier · 5.2×
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $93,746.19 $93,746.19 $93,746.19 nat. median
$26,720
outlier · 3.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 $3,400.00 $119,753.61 $93,622.63 nat. median
$40,301
outlier · 2.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 13 $4,250.00 $118,624.26 $88,201.97 nat. median
$2,106
outlier · 41.9×
849
MS_DRG 		Radiotherapy 12 $1,700.00 $104,163.29 $86,986.00 nat. median
$18,565
outlier · 4.7×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 $84,274.63 $84,274.63 $84,274.63 nat. median
$58
outlier · 1459.3×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $78,484.75 $78,484.75 $78,484.75 nat. median
$64,471
1.2× median
745
MS_DRG 		D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 11 $75,807.29 $90,069.29 $77,318.95 nat. median
$8,000
outlier · 9.7×
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 13 $1,020.00 $156,735.93 $76,835.32 nat. median
$2,596
outlier · 29.6×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 12 $1,700.00 $89,781.42 $75,873.40 nat. median
$14,126
outlier · 5.4×
215
OTHER 		Other Heart Assist System Implant 1 $75,356.69 $75,356.69 $75,356.69 nat. median
$229
outlier · 329.5×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 11 $73,133.28 $93,005.77 $74,590.37 nat. median
$29,718
outlier · 2.5×
277
MS_DRG 		Cellulitis Age >17 W Cc 11 $71,665.76 $91,006.82 $73,092.90 nat. median
$33,459
outlier · 2.2×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 $2,550.00 $89,069.02 $72,039.85 nat. median
$23,038
outlier · 3.1×
802
MS_DRG 		Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 $2,550.00 $88,530.24 $71,954.59 nat. median
$25,579
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 3,096 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 11 — — $1,140,689.86 $1,462,488.98 $1,163,933.82 2026-09-28
7 MS_DRG Lung Transplant 13 12 — — $4,250.00 $1,063,686.68 $874,419.31 2026-09-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 12 — — $4,250.00 $462,712.90 $370,489.10 2026-09-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 12 — — $4,250.00 $436,446.64 $327,903.00 2026-09-28
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $292,517.55 $292,517.55 $292,517.55 2026-09-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 12 — — $4,250.00 $360,854.25 $288,935.07 2026-09-28
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $287,766.84 $287,766.84 $287,766.84 2026-09-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 12 — — $4,250.00 $345,821.60 $283,937.53 2026-09-28
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $254,304.32 $254,304.32 $254,304.32 2026-09-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 12 — — $4,250.00 $324,569.85 $244,243.73 2026-09-28
6 MS_DRG Liver Transplant Without Mcc 13 12 — — $4,250.00 $279,747.46 $230,837.92 2026-09-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 12 — — $4,250.00 $270,973.74 $222,119.25 2026-09-28
570 MS_DRG Skin Debridement With Mcc 13 12 — — $2,550.00 $251,355.68 $209,624.55 2026-09-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 12 — — $4,250.00 $255,558.94 $208,018.16 2026-09-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 11 — — $196,926.55 $247,778.42 $200,910.03 2026-09-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 12 — — $4,250.00 $220,397.22 $172,981.12 2026-09-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 12 — — $3,400.00 $208,201.44 $170,819.88 2026-09-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 12 — — $4,250.00 $242,104.40 $169,746.54 2026-09-28
163 MS_DRG Major Chest Procedures With Mcc 13 12 — — $3,400.00 $203,515.01 $167,370.38 2026-09-28
653 MS_DRG Major Bladder Procedures With Mcc 12 11 — — $152,913.21 $191,167.66 $155,998.46 2026-09-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 12 — — $4,250.00 $173,259.79 $137,138.65 2026-09-28
471 MS_DRG Cervical Spinal Fusion With Mcc 15 12 — — $23,084.00 $169,034.38 $135,291.38 2026-09-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 11 — — $131,963.91 $165,212.55 $134,621.62 2026-09-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 12 — — $4,250.00 $159,968.36 $129,729.90 2026-09-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 13 — — $3,400.00 $162,619.86 $129,057.59 2026-09-28
10 MS_DRG Pancreas Transplant 13 12 — — $3,400.00 $160,497.03 $127,416.56 2026-09-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 12 — — $4,250.00 $150,403.71 $124,817.63 2026-09-28
215 MS_DRG Other Heart Assist System Implant 13 12 — — $4,249.99 $151,052.26 $115,495.25 2026-09-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 12 — — $2,550.00 $138,984.35 $113,535.89 2026-09-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 12 — — $44,987.00 $143,567.56 $109,314.67 2026-09-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 12 — — $48,526.99 $137,188.09 $104,048.46 2026-09-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 12 — — $61,854.00 $135,199.22 $100,504.57 2026-09-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $47,914.00 $130,850.72 $99,911.80 2026-09-28
197 MS_DRG Interstitial Lung Disease With Cc 13 12 — — $1,700.00 $116,021.06 $99,337.78 2026-09-28
347 MS_DRG Anal And Stomal Procedures With Mcc 12 11 — — $96,943.41 $117,783.34 $98,886.42 2026-09-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 12 — — $3,400.00 $116,058.97 $96,895.68 2026-09-28
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $93,746.19 $93,746.19 $93,746.19 2026-09-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 13 — — $3,400.00 $119,753.61 $93,622.63 2026-09-28
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 13 — — $4,250.00 $118,624.26 $88,201.97 2026-09-28
849 MS_DRG Radiotherapy 13 12 — — $1,700.00 $104,163.29 $86,986.00 2026-09-28
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $84,274.63 $84,274.63 $84,274.63 2026-09-28
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $78,484.75 $78,484.75 $78,484.75 2026-09-28
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 12 11 — — $75,807.29 $90,069.29 $77,318.95 2026-09-28
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 14 13 — — $1,020.00 $156,735.93 $76,835.32 2026-09-28
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 13 12 — — $1,700.00 $89,781.42 $75,873.40 2026-09-28
215 OTHER Other Heart Assist System Implant 1 1 — — $75,356.69 $75,356.69 $75,356.69 2026-09-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 11 — — $73,133.28 $93,005.77 $74,590.37 2026-09-28
277 MS_DRG Cellulitis Age >17 W Cc 12 11 — — $71,665.76 $91,006.82 $73,092.90 2026-09-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 13 — — $2,550.00 $89,069.02 $72,039.85 2026-09-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 12 — — $2,550.00 $88,530.24 $71,954.59 2026-09-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 12 — — $3,400.00 $88,605.81 $69,841.41 2026-09-28
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $69,287.88 $69,287.88 $69,287.88 2026-09-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 11 — — $66,051.51 $82,583.39 $67,364.07 2026-09-28
333 MS_DRG Rectal Resection With Cc 13 12 — — $2,550.00 $78,961.90 $66,284.02 2026-09-28
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 11 — — $64,473.56 $78,528.51 $65,753.92 2026-09-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 12 — — $42,877.00 $87,593.09 $64,592.92 2026-09-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 12 — — $2,550.00 $77,784.25 $63,129.03 2026-09-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 11 — — $61,897.20 $78,455.66 $63,124.98 2026-09-28
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $63,102.38 $63,102.38 $63,102.38 2026-09-28
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $62,303.65 $62,303.65 $62,303.65 2026-09-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 12 — — $4,250.00 $81,316.24 $61,620.62 2026-09-28
503 MS_DRG Foot Procedures With Mcc 12 11 — — $59,990.19 $73,563.22 $61,179.05 2026-09-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 12 — — $4,250.00 $80,022.58 $60,782.79 2026-09-28
908 MS_DRG Other O.r. Procedures For Injuries With Cc 13 12 — — $2,550.00 $69,611.77 $58,969.65 2026-09-28
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 13 12 — — $1,700.00 $68,726.33 $58,789.38 2026-09-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 12 — — $3,400.00 $70,302.82 $58,157.23 2026-09-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 12 — — $3,400.00 $73,170.61 $57,707.02 2026-09-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 11 — — $56,478.36 $68,027.96 $57,595.55 2026-09-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $56,319.79 $57,462.74 $57,462.74 2026-09-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $45,603.00 $57,667.91 $56,520.76 2026-09-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 12 — — $41,183.00 $74,325.74 $55,905.80 2026-09-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 12 — — $2,550.00 $65,241.42 $54,283.43 2026-09-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 11 — — $53,075.74 $71,032.50 $54,123.49 2026-09-28
140 MS_DRG Major Head And Neck Procedures With Mcc 12 11 — — $51,947.32 $66,416.00 $52,972.04 2026-09-28
276 MS_DRG Non-maligant Breast Disorders 4 4 — — $51,738.99 $52,786.03 $52,786.03 2026-09-28
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 13 — — $2,750.00 $64,094.99 $52,628.80 2026-09-28
598 MS_DRG Malignant Breast Disorders With Cc 13 12 — — $1,020.00 $59,208.71 $51,513.29 2026-09-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $36,332.00 $52,412.63 $51,373.25 2026-09-28
399 MS_DRG Reticuloendothelial & Immunity Disorders Without Cc 12 11 — — $50,222.98 $58,877.40 $51,212.51 2026-09-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 12 — — $4,250.00 $69,698.96 $50,877.80 2026-09-28
652 MS_DRG Kidney Transplant 13 12 — — $2,550.00 $60,897.77 $49,907.24 2026-09-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 12 — — $4,250.00 $65,504.93 $49,895.87 2026-09-28
500 MS_DRG Soft Tissue Procedures With Mcc 12 11 — — $48,884.68 $60,686.02 $49,846.90 2026-09-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 12 — — $2,550.00 $61,377.86 $48,892.95 2026-09-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 13 — — $4,250.00 $66,741.87 $48,884.24 2026-09-28
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 14 13 — — $1,020.00 $98,697.52 $48,396.50 2026-09-28
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 13 12 — — $1,700.00 $56,275.56 $48,297.91 2026-09-28
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $48,216.22 $48,216.22 $48,216.22 2026-09-28
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $47,386.43 $47,386.43 $47,386.43 2026-09-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 12 — — $3,400.00 $59,927.34 $47,136.79 2026-09-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 12 — — $2,550.00 $59,128.31 $47,026.64 2026-09-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 11 — — $44,706.26 $58,388.68 $45,583.20 2026-09-28
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 13 12 — — $2,550.00 $52,558.77 $44,577.10 2026-09-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 12 — — $21,664.00 $55,001.06 $44,178.17 2026-09-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 11 — — $42,806.64 $55,796.00 $43,644.82 2026-09-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 12 — — $42,801.95 $59,222.33 $43,640.03 2026-09-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 12 — — $2,550.00 $56,434.01 $43,623.26 2026-09-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 12 — — $3,400.00 $56,800.99 $42,665.31 2026-09-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 12 — — $32,093.00 $55,003.34 $40,903.26 2026-09-28
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $38,765.32 $38,765.32 $38,765.32 2026-09-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 12 — — $3,400.00 $49,923.56 $38,615.34 2026-09-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 12 — — $32,719.00 $51,981.52 $38,430.76 2026-09-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 11 — — $37,517.65 $62,432.99 $38,247.89 2026-09-28
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 13 12 — — $1,700.00 $42,486.80 $38,156.42 2026-09-28
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 12 11 — — $37,399.82 $94,569.82 $38,127.65 2026-09-28
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 13 12 — — $1,700.00 $43,398.86 $37,819.90 2026-09-28
595 OTHER Major Skin Disorders With Mcc 1 1 — — $37,578.95 $37,578.95 $37,578.95 2026-09-28
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 13 — — $4,250.00 $47,913.08 $37,015.10 2026-09-28
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 13 12 — — $1,700.00 $42,385.23 $37,010.41 2026-09-28
7 OTHER Lung Transplant 1 1 — — $36,807.46 $36,807.46 $36,807.46 2026-09-28
800 MS_DRG Splenectomy With Cc 12 11 — — $35,110.97 $43,337.48 $35,792.09 2026-09-28
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 12 — — $1,700.00 $40,465.81 $35,661.50 2026-09-28
52 OTHER Spinal Disorders And Injuries With Cc/mcc 1 1 — — $35,379.62 $35,379.62 $35,379.62 2026-09-28
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $34,560.16 $34,560.16 $34,560.16 2026-09-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 12 — — $2,550.00 $42,556.11 $34,055.52 2026-09-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 12 — — $2,550.00 $43,680.20 $33,682.89 2026-09-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 12 — — $2,550.00 $41,685.17 $33,381.52 2026-09-28
213 OTHER Splenic Procedures Age 0-17 1 1 — — $33,081.14 $33,081.14 $33,081.14 2026-09-28
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 13 12 — — $3,400.00 $37,844.05 $32,899.10 2026-09-28
509 MS_DRG Arthroscopy 13 12 — — $2,550.00 $38,033.66 $32,889.75 2026-09-28
114 MS_DRG Orbital Procedures Without Cc/mcc 13 12 — — $2,550.00 $37,173.82 $32,758.62 2026-09-28
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $32,621.24 $32,621.24 $32,621.24 2026-09-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 5 — — $14,900.00 $32,741.84 $32,105.81 2026-09-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $31,189.30 $31,806.16 $31,806.16 2026-09-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $30,422.46 $31,023.26 $31,023.26 2026-09-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 11 — — $30,417.27 $38,234.56 $31,002.60 2026-09-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 12 11 — — $30,303.21 $36,318.76 $30,886.21 2026-09-28
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 13 12 — — $2,550.00 $35,836.40 $30,676.30 2026-09-28
385 MS_DRG Inflammatory Bowel Disease With Mcc 13 12 — — $1,020.00 $34,976.89 $30,637.71 2026-09-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $29,703.41 $44,490.23 $30,274.17 2026-09-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 11 — — $29,589.83 $37,869.12 $30,158.28 2026-09-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 11 — — $29,563.44 $38,814.39 $30,131.35 2026-09-28
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 12 — — $2,550.00 $36,467.43 $29,964.25 2026-09-28
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $29,322.68 $29,900.46 $29,900.46 2026-09-28
J1628 HCPCS Guselkumab 200 Mg/20 Ml Sol Abb 39 31 $45,884.37 $22,942.19 50% off $65.64 $82,591.87 $29,824.84 2026-09-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 12 — — $2,550.00 $37,317.17 $29,822.71 2026-09-28
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 12 — — $22,038.00 $36,964.20 $29,800.99 2026-09-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 12 — — $2,550.00 $37,369.80 $29,584.94 2026-09-28
668 MS_DRG Transurethral Procedures With Mcc 12 11 — — $28,731.13 $35,662.66 $29,282.05 2026-09-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 11 — — $28,598.53 $36,762.58 $29,146.74 2026-09-28
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $28,464.21 $29,024.01 $29,024.01 2026-09-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $3,400.00 $50,149.83 $28,927.78 2026-09-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 12 — — $2,550.00 $34,578.84 $28,652.19 2026-09-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $28,030.33 $28,581.05 $28,581.05 2026-09-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 11 — — $27,355.31 $39,534.55 $27,878.15 2026-09-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 12 — — $2,550.00 $39,685.64 $27,534.76 2026-09-28
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $26,975.95 $27,504.60 $27,504.60 2026-09-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 16 13 — — $2,550.00 $32,833.45 $27,439.94 2026-09-28
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $27,181.32 $27,181.32 $27,181.32 2026-09-28
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $26,631.21 $27,152.63 $27,152.63 2026-09-28
252 MS_DRG Other Vascular Procedures With Mcc 15 12 — — $18,325.00 $34,585.74 $26,996.74 2026-09-28
786 MS_DRG Cesarean Section Without Sterilization With Mcc 14 13 — — $3,500.00 $31,086.01 $26,980.60 2026-09-28
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 12 — — $1,700.00 $30,307.73 $26,956.02 2026-09-28
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $26,747.85 $26,747.85 $26,747.85 2026-09-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 11 — — $26,178.44 $33,994.01 $26,677.27 2026-09-28
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $26,629.47 $26,629.47 $26,629.47 2026-09-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 12 — — $25,842.51 $51,601.42 $26,334.48 2026-09-28
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 13 12 — — $1,700.00 $29,537.19 $26,219.24 2026-09-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $25,634.84 $26,135.41 $26,135.41 2026-09-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $25,367.46 $25,862.42 $25,862.42 2026-09-28
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $25,532.87 $25,532.87 $25,532.87 2026-09-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 5 — — $19,835.00 $26,010.07 $25,512.07 2026-09-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 11 — — $24,601.68 $36,638.22 $25,068.33 2026-09-28
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $25,018.83 $25,018.83 $25,018.83 2026-09-28
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $24,994.47 $24,994.47 $24,994.47 2026-09-28
253 MS_DRG Other Vascular Procedures With Cc 15 12 — — $14,982.00 $30,557.58 $24,964.67 2026-09-28
665 MS_DRG Prostatectomy With Mcc 13 12 — — $2,550.00 $30,856.54 $24,961.75 2026-09-28
862 OTHER Postoperative And Post-traumatic Infections With Mcc 1 1 — — $24,823.63 $24,823.63 $24,823.63 2026-09-28
J9022 HCPCS Atezolizumab 1200 Mg/20 Ml Sol Abb 79 32 $38,048.00 $19,024.00 50% off $84.52 $68,486.40 $24,731.20 2026-09-28
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 4 4 — — $24,111.28 $24,579.95 $24,579.95 2026-09-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 5 — — $13,233.00 $25,018.59 $24,540.92 2026-09-28
J9228 HCPCS Ipilimumab 200 Mg/40 Ml Sol Abb 128 33 $74,255.76 $37,127.88 50% off $168.14 $213,046.85 $24,121.72 2026-09-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 12 — — $3,400.00 $28,509.39 $23,944.04 2026-09-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 13 — — $2,550.00 $29,505.70 $23,885.06 2026-09-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 13 12 — — $1,700.00 $28,058.25 $23,785.44 2026-09-28
J9119 HCPCS Cemiplimab 350 Mg/7 Ml Sol Abb 79 32 $36,584.61 $18,292.31 50% off $25.82 $65,852.30 $23,780.00 2026-09-28
263 MS_DRG Vein Ligation And Stripping 16 13 — — $1,700.00 $29,582.74 $23,519.92 2026-09-28
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 12 — — $2,550.00 $26,204.29 $23,376.05 2026-09-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 4 — — $22,598.63 $23,035.64 $23,035.64 2026-09-28
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 12 — — $1,700.00 $25,244.83 $22,929.77 2026-09-28
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Sol Abb 79 32 $35,201.63 $17,600.82 50% off $28.35 $63,362.93 $22,881.06 2026-09-28
682 MS_DRG Renal Failure With Mcc 13 12 — — $1,020.00 $25,448.78 $22,812.65 2026-09-28
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml Sol Abb 81 33 $45,230.03 $22,615.02 50% off $207.72 $81,414.05 $22,615.02 2026-09-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 4 — — $22,186.62 $22,615.01 $22,615.01 2026-09-28
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $22,588.92 $22,588.92 $22,588.92 2026-09-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 5 — — $11,426.00 $22,994.42 $22,558.27 2026-09-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 13 — — $2,550.00 $29,146.76 $22,540.64 2026-09-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 12 — — $22,044.70 $47,001.97 $22,459.16 2026-09-28
599 MS_DRG Malignant Breast Disorders Without Cc/mcc 13 12 — — $1,020.00 $23,604.20 $22,264.63 2026-09-28
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $22,230.57 $22,230.57 $22,230.57 2026-09-28
398 OTHER Major Head And Neck Procedures Without Cc/mcc 1 1 — — $21,885.93 $21,885.93 $21,885.93 2026-09-28
460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $21,829.69 $21,829.69 $21,829.69 2026-09-28
397 MS_DRG Coagulation Disorders 4 4 — — $21,371.03 $21,782.35 $21,782.35 2026-09-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 7 5 — — $12,928.00 $22,180.65 $21,761.17 2026-09-28
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $21,744.61 $21,744.61 $21,744.61 2026-09-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $21,299.54 $21,709.35 $21,709.35 2026-09-28
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $21,605.43 $21,605.43 $21,605.43 2026-09-28
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 13 12 — — $1,700.00 $23,801.25 $21,565.74 2026-09-28
411 OTHER Cholecystectomy With C.d.e. With Mcc 1 1 — — $21,337.84 $21,337.84 $21,337.84 2026-09-28
950 MS_DRG Aftercare Without Cc/mcc 13 12 — — $1,020.00 $22,171.22 $21,322.33 2026-09-28
J2327 HCPCS Risankizumab Rzaa 600 mg/10mL Sol Abb 79 32 $32,674.01 $16,337.01 50% off $13.44 $58,813.22 $21,238.11 2026-09-28
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $21,229.98 $21,229.98 $21,229.98 2026-09-28
472 OTHER Cervical Spinal Fusion With Cc 1 1 — — $20,850.23 $20,850.23 $20,850.23 2026-09-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 12 — — $20,454.96 $37,042.55 $20,836.98 2026-09-28
78 OTHER Hypertensive Encephalopathy With Cc 1 1 — — $20,785.47 $20,785.47 $20,785.47 2026-09-28
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $20,764.06 $20,764.06 $20,764.06 2026-09-28
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $20,741.75 $20,741.75 $20,741.75 2026-09-28
J9144 HCPCS Daratumumabhyaluronidase 1800 Mg30000 Units/15 Ml 79 32 $31,715.55 $15,857.78 50% off $49.55 $57,087.99 $20,615.11 2026-09-28
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $20,554.38 $20,554.38 $20,554.38 2026-09-28
10 OTHER Pancreas Transplant 1 1 — — $20,242.93 $20,242.93 $20,242.93 2026-09-28
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $20,207.31 $20,207.31 $20,207.31 2026-09-28
583 OTHER Mastectomy For Malignancy Without Cc/mcc 1 1 — — $20,057.76 $20,057.76 $20,057.76 2026-09-28
199 MS_DRG Pneumothorax With Mcc 13 12 — — $1,020.00 $22,607.50 $20,036.84 2026-09-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 12 — — $2,550.00 $31,435.31 $19,896.80 2026-09-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 12 — — $2,550.00 $31,979.55 $19,888.21 2026-09-28
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 4 — — $19,480.01 $19,851.74 $19,851.74 2026-09-28
J3101 HCPCS Tenecteplase (TNKase) 25 Mg IV Inj Abb 57 32 $26,136.36 $13,068.18 50% off $92.00 $47,045.47 $19,602.27 2026-09-28
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $19,575.87 $19,575.87 $19,575.87 2026-09-28
584 OTHER Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $19,551.75 $19,551.75 $19,551.75 2026-09-28
364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $19,376.49 $19,376.49 $19,376.49 2026-09-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 12 — — $3,400.00 $33,526.43 $19,357.12 2026-09-28
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $19,216.43 $19,216.43 $19,216.43 2026-09-28
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $19,200.79 $19,200.79 $19,200.79 2026-09-28
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 13 12 — — $2,550.00 $21,580.01 $19,190.72 2026-09-28
473 OTHER Cervical Spinal Fusion Without Cc/mcc 1 1 — — $19,166.91 $19,166.91 $19,166.91 2026-09-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 7 5 — — $16,941.00 $19,516.10 $19,151.26 2026-09-28
585 OTHER Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 1 1 — — $19,124.20 $19,124.20 $19,124.20 2026-09-28
711 MS_DRG Testes Procedures With Cc/mcc 4 4 — — $18,755.23 $19,111.78 $19,111.78 2026-09-28
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 — — $18,718.23 $19,074.00 $19,074.00 2026-09-28
582 OTHER Mastectomy For Malignancy With Cc/mcc 1 1 — — $19,073.96 $19,073.96 $19,073.96 2026-09-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 4 — — $18,707.30 $19,062.85 $19,062.85 2026-09-28
941 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $19,004.43 $19,004.43 $19,004.43 2026-09-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 — — $18,611.44 $18,964.98 $18,964.98 2026-09-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 12 — — $2,550.00 $22,312.95 $18,950.78 2026-09-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 13 12 — — $1,700.00 $21,424.04 $18,923.91 2026-09-28
J1299 HCPCS Eculizumab 300 Mg/ 30ml Sol Abb 79 32 $28,913.54 $14,456.77 50% off $40.53 $52,044.37 $18,793.80 2026-09-28
177 MS_DRG Respiratory Infections And Inflammations With Mcc 13 12 — — $1,020.00 $20,636.53 $18,684.48 2026-09-28
413 OTHER Cholecystectomy With C.d.e. Without Cc/mcc 1 1 — — $18,677.21 $18,677.21 $18,677.21 2026-09-28
J9311 HCPCS Hyaluronidaserituximab 23400 Units1400 Mg/11.7 Ml 79 32 $26,439.75 $13,219.88 50% off $33.19 $47,591.55 $18,507.82 2026-09-28
799 MS_DRG Splenectomy With Mcc 12 11 — — $18,169.76 $40,101.10 $18,505.14 2026-09-28
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 4 — — $18,052.29 $18,394.13 $18,394.13 2026-09-28
27 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 1 1 — — $18,381.41 $18,381.41 $18,381.41 2026-09-28
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $18,360.79 $18,360.79 $18,360.79 2026-09-28
581 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 1 1 — — $18,285.76 $18,285.76 $18,285.76 2026-09-28
467 OTHER Revision Of Hip Or Knee Replacement With Cc 1 1 — — $18,273.51 $18,273.51 $18,273.51 2026-09-28
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 7 5 — — $8,478.00 $18,448.23 $18,105.28 2026-09-28
380 MS_DRG Complicated Peptic Ulcer With Mcc 4 4 — — $17,732.78 $18,067.94 $18,067.94 2026-09-28
707 OTHER Major Male Pelvic Procedures With Cc/mcc 1 1 — — $18,052.85 $18,052.85 $18,052.85 2026-09-28
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 11 — — $17,660.22 $20,004.25 $17,985.20 2026-09-28
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $17,958.86 $17,958.86 $17,958.86 2026-09-28
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Inj Abb 83 32 $27,618.34 $13,809.17 50% off $34.25 $49,713.01 $17,951.92 2026-09-28
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $17,891.12 $17,891.12 $17,891.12 2026-09-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 13 — — $4,250.00 $44,808.00 $17,879.05 2026-09-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $17,808.20 $17,808.20 $17,808.20 2026-09-28
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 4 4 — — $17,454.47 $17,783.80 $17,783.80 2026-09-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 12 11 — — $17,459.67 $23,139.50 $17,780.56 2026-09-28
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $17,747.70 $17,747.70 $17,747.70 2026-09-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 12 — — $17,408.49 $37,181.60 $17,728.34 2026-09-28
801 MS_DRG Splenectomy Without Cc/mcc 4 4 — — $17,284.62 $17,610.39 $17,610.39 2026-09-28
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 12 11 — — $17,286.64 $19,048.07 $17,604.00 2026-09-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 7 5 — — $14,267.00 $17,782.09 $17,452.81 2026-09-28
332 MS_DRG Rectal Resection With Mcc 13 12 — — $3,400.00 $32,304.90 $17,439.72 2026-09-28
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 7 5 — — $6,270.00 $17,762.32 $17,433.45 2026-09-28
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 15 12 — — $14,920.00 $20,556.26 $17,294.36 2026-09-28
619 OTHER O.r. Procedures For Obesity With Mcc 1 1 — — $17,270.86 $17,270.86 $17,270.86 2026-09-28
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 4 4 — — $16,677.56 $16,990.62 $16,990.62 2026-09-28
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 — — $16,661.58 $16,974.29 $16,974.29 2026-09-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 11 — — $16,669.25 $46,516.96 $16,974.01 2026-09-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 11 — — $16,663.71 $33,305.82 $16,968.36 2026-09-28
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $16,964.90 $16,964.90 $16,964.90 2026-09-28
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 4 — — $16,621.23 $16,933.11 $16,933.11 2026-09-28
334 OTHER Rectal Resection Without Cc/mcc 1 1 — — $16,894.07 $16,894.07 $16,894.07 2026-09-28
245 MS_DRG Aicd Generator Procedures 16 13 — — $2,550.00 $40,388.67 $16,778.28 2026-09-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 4 4 — — $16,422.80 $16,730.52 $16,730.52 2026-09-28
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 4 4 — — $16,397.57 $16,704.76 $16,704.76 2026-09-28
671 MS_DRG Urethral Procedures With Cc/mcc 4 4 — — $16,326.95 $16,632.66 $16,632.66 2026-09-28
505 MS_DRG Foot Procedures Without Cc/mcc 4 4 — — $16,308.43 $16,613.76 $16,613.76 2026-09-28
J9223 HCPCS Lurbinectedin 4 Mg IV Abb 79 32 $25,396.73 $12,698.37 50% off $189.71 $45,714.11 $16,507.87 2026-09-28
288 OTHER Acute And Subacute Endocarditis With Mcc 1 1 — — $16,498.30 $16,498.30 $16,498.30 2026-09-28
265 MS_DRG Aicd Lead Procedures 16 13 — — $2,550.00 $32,283.43 $16,470.18 2026-09-28
322 MS_DRG Kidney & Urinary Tract Infections Age 0-17 5 5 — — $8,616.48 $16,357.96 $16,357.96 2026-09-28
501 MS_DRG Soft Tissue Procedures With Cc 4 4 — — $15,932.59 $16,230.06 $16,230.06 2026-09-28
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 4 4 — — $15,840.10 $16,135.63 $16,135.63 2026-09-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 7 5 — — $11,908.00 $16,408.60 $16,107.48 2026-09-28
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 5 5 — — $8,487.28 $16,099.57 $16,099.57 2026-09-28
708 OTHER Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $16,091.95 $16,091.95 $16,091.95 2026-09-28
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 — — $15,763.58 $16,057.50 $16,057.50 2026-09-28
748 OTHER Female Reproductive System Reconstructive Procedures 1 1 — — $15,992.95 $15,992.95 $15,992.95 2026-09-28
499 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $15,870.53 $15,870.53 $15,870.53 2026-09-28
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $15,836.40 $15,836.40 $15,836.40 2026-09-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 13 — — $2,550.00 $34,450.96 $15,779.46 2026-09-28
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 — — $15,457.53 $15,745.05 $15,745.05 2026-09-28
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 7 5 — — $5,002.00 $16,026.61 $15,733.32 2026-09-28
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 — — $15,384.37 $15,670.35 $15,670.35 2026-09-28
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 4 4 — — $15,380.16 $15,666.06 $15,666.06 2026-09-28
98 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $15,592.36 $15,592.36 $15,592.36 2026-09-28
915 MS_DRG Allergic Reactions With Mcc 13 12 — — $1,020.00 $17,069.67 $15,499.55 2026-09-28
J9217 HCPCS Leuprolide 45 Mg/6 Months IM Inj Abb 224 34 $23,662.93 $11,831.47 50% off $153.70 $73,018.21 $15,465.39 2026-09-28
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 4 4 — — $15,153.16 $15,434.30 $15,434.30 2026-09-28
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 — — $14,962.29 $15,239.44 $15,239.44 2026-09-28
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