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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

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You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $15,225 across 4 payers · range $14,948-$15,225

Source: https://www.abbevillegeneral.com/wp-content/uploads/720574846_abbeville-general-hospital_standardcharges.csv · observed 2026-09-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,010 distinct procedures filed
38 distinct payers
192,819 rate rows
2026-09-28 last MRF observed
Data quality

171,964 of 192,819 rate rows are consumer-grade (89.2%)

20,855 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 1,052
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 · 2026-10-31
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
$359,244
outlier · 3.2×
7
MS_DRG 		Lung Transplant 12 $4,250.00 $1,063,686.68 $874,419.31 nat. median
$117,977
outlier · 7.4×
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
$126,461
outlier · 2.9×
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
$248,541
1.3× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $292,517.55 $292,517.55 $292,517.55 nat. median
$380,401
0.8× 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
$103,938
outlier · 2.8×
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
$1
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $4,250.00 $345,821.60 $283,937.53 nat. median
$58,234
outlier · 4.9×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $254,304.32 $254,304.32 $254,304.32 nat. median
$39,056
outlier · 6.5×
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
$190,359
1.3× median
6
MS_DRG 		Liver Transplant Without Mcc 12 $4,250.00 $279,747.46 $230,837.92 nat. median
$44,153
outlier · 5.2×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $4,250.00 $270,973.74 $222,119.25 nat. median
$50,763
outlier · 4.4×
570
MS_DRG 		Skin Debridement With Mcc 12 $2,550.00 $251,355.68 $209,624.55 nat. median
$28,015
outlier · 7.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $4,250.00 $255,558.94 $208,018.16 nat. median
$59,324
outlier · 3.5×
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
$63,829
outlier · 3.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $4,250.00 $220,397.22 $172,981.12 nat. median
$94,943
1.8× median
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
$45,402
outlier · 3.8×
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
$198,115
0.9× median
163
MS_DRG 		Major Chest Procedures With Mcc 12 $3,400.00 $203,515.01 $167,370.38 nat. median
$42,636
outlier · 3.9×
653
MS_DRG 		Major Bladder Procedures With Mcc 11 $152,913.21 $191,167.66 $155,998.46 nat. median
$49,995
outlier · 3.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $4,250.00 $173,259.79 $137,138.65 nat. median
$74,298
1.8× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 12 $23,084.00 $169,034.38 $135,291.38 nat. median
$44,798
outlier · 3.0×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 11 $131,963.91 $165,212.55 $134,621.62 nat. median
$46,201
outlier · 2.9×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 $4,250.00 $159,968.36 $129,729.90 nat. median
$51,462
outlier · 2.5×
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
$53,342
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 12 $3,400.00 $160,497.03 $127,416.56 nat. median
$64,851
2.0× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 $4,250.00 $150,403.71 $124,817.63 nat. median
$32,286
outlier · 3.9×
215
MS_DRG 		Other Heart Assist System Implant 12 $4,249.99 $151,052.26 $115,495.25 nat. median
$93,787
1.2× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 12 $2,550.00 $138,984.35 $113,535.89 nat. median
$40,205
outlier · 2.8×
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
$77,487
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $48,526.99 $137,188.09 $104,048.46 nat. median
$76,979
1.4× 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
$90,512
1.1× 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
$72,247
1.4× median
197
MS_DRG 		Interstitial Lung Disease With Cc 12 $1,700.00 $116,021.06 $99,337.78 nat. median
$10,133
outlier · 9.8×
347
MS_DRG 		Anal And Stomal Procedures With Mcc 11 $96,943.41 $117,783.34 $98,886.42 nat. median
$22,221
outlier · 4.5×
970
MS_DRG 		HIV With Extensive O.r. Procedures Without Mcc 12 $3,400.00 $116,058.97 $96,895.68 nat. median
$25,360
outlier · 3.8×
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $93,746.19 $93,746.19 $93,746.19 nat. median
$60,180
1.6× median
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
$53,419
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 13 $4,250.00 $118,624.26 $88,201.97 nat. median
$70,795
1.2× median
849
MS_DRG 		Radiotherapy 12 $1,700.00 $104,163.29 $86,986.00 nat. median
$25,088
outlier · 3.5×
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
$188
outlier · 447.3×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $78,484.75 $78,484.75 $78,484.75 nat. median
$61,896
1.3× 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
$11,362
outlier · 6.8×
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 13 $1,020.00 $156,735.93 $76,835.32 nat. median
$13,089
outlier · 5.9×
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 12 $1,700.00 $89,781.42 $75,873.40 nat. median
$18,803
outlier · 4.0×
215
OTHER 		Other Heart Assist System Implant 1 $75,356.69 $75,356.69 $75,356.69 nat. median
$75,013
1.0× median
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 11 $73,133.28 $93,005.77 $74,590.37 nat. median
$42,787
1.7× median
277
MS_DRG 		Cellulitis Age >17 W Cc 11 $71,665.76 $91,006.82 $73,092.90 nat. median
$44,088
1.7× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 $2,550.00 $89,069.02 $72,039.85 nat. median
$30,564
outlier · 2.4×
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
$35,083
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 4,010 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
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
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $15,229.20 $15,229.20 $15,229.20 2026-09-28
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