Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL

Marlborough, MA · CCN 220049 · Rates published

6,748 distinct procedures filed
87 distinct payers
707,882 rate rows
2026-05-28 last MRF observed
Data quality

610,550 of 707,882 rate rows are consumer-grade (86.3%)

97,332 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 85,635
per-diem day rate — not a per-procedure price 6,864
placeholder amount (≤ $0.02) — excluded from medians 4,147
exceeds 10× this hospital's gross charge — excluded from medians 508
percent-of-charges filed in the dollar field — excluded from medians 176
template filing: same amount across many unrelated codes — excluded 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ummh-price-transparency.s3.us-east-2.amazonaws.com/042104693_marlborough-hospital_standardcharges.csv
Found on page https://www.ummhealth.org/patients-visitors/price-transparency-marlborough
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 7fa9f50858692d4e… · 163,042,446 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J9228
HCPCS 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 44 $35,540.00 $215,140.15 $74,632.12 nat. median
$9,890
outlier · 7.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $10.89 $132,274.51 $55,556.55 nat. median
$66,526
0.8× median
J1744
HCPCS 		Icatibant 30 Mg/3 Ml Subcutaneous Syringe 30 $2,391.60 $66,216.10 $52,972.88 nat. median
$1,371
outlier · 38.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 24 $39,384.10 $116,177.25 $51,721.66 nat. median
$62,134
0.8× median
J3101
HCPCS 		Tenecteplase 50 Mg Intravenous Solution 45 $7,837.50 $46,495.95 $42,102.08 nat. median
$5,957
outlier · 7.1×
HCPCS C2624
OTHER 		Sensor Cardiomems Implantable 18 $32,043.60 $44,505.00 $41,419.32 nat. median
$42,725
1.0× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 24 $9,464.92 $44,447.44 $39,766.85 nat. median
$50,672
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 $24,040.93 $70,917.13 $39,696.11 nat. median
$48,170
0.8× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 $12,049.35 $42,151.13 $37,712.35 nat. median
$46,084
0.8× median
HCPCS C1767
OTHER 		Battery Neurostimulator Dbs Pc Percept 18 $10,549.62 $65,442.41 $37,032.39 nat. median
$37,446
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 24 $15,025.15 $44,321.99 $36,946.34 nat. median
$44,810
0.8× median
HCPCS L8614
OTHER 		Ear Implant 90k Hires Sys Ij 27 $2,544.73 $58,035.00 $34,196.95 nat. median
$35,553
1.0× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 24 $32,648.64 $112,133.45 $33,772.16 nat. median
$40,454
0.8× median
HCPCS C1721
OTHER 		Crt-d MRI Cobalt 18 $18,384.62 $49,642.78 $33,333.28 nat. median
$35,248
0.9× median
HCPCS C1882
OTHER 		Crt-d Generator Inogen X4 Df4 18 $11,672.10 $53,589.72 $32,113.46 nat. median
$33,424
1.0× median
HCPCS C1722
OTHER 		Defibrillator Cardioverter Implantable 5.37cmx7.36cmx.099cm 68.9 Grams Vigilant… 18 $16,340.94 $47,610.00 $31,329.67 nat. median
$33,333
0.9× median
HCPCS C1772
OTHER 		Pump Infusion Reservoir 20ml Synchmed Ii 18 $24,214.30 $33,630.98 $31,299.23 nat. median
$31,299
1.0× median
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 23 $1,281.88 $79,248.85 $31,065.79 nat. median
$34,345
0.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 $10,124.49 $33,806.79 $30,246.72 nat. median
$37,662
0.8× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 $28,530.26 $131,459.19 $29,512.06 nat. median
$35,489
0.8× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 25 $23,183.00 $166,381.68 $28,346.56 nat. median
$34,720
0.8× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 $12,005.05 $35,413.09 $27,902.86 nat. median
$33,674
0.8× median
264
MS_DRG 		Other Circulatory System O.r. Procedures 24 $10,829.85 $31,946.48 $26,851.50 nat. median
$33,061
0.8× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 45 $4,678.40 $29,545.56 $26,753.51 nat. median
$7,308
outlier · 3.7×
C2616
HCPCS 		Hc Brachytx Non Stranded Yttrium 90 44 $17,400.19 $51,328.00 $26,690.56 nat. median
$28,140
0.9× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 24 $25,136.87 $100,746.51 $26,001.89 nat. median
$31,382
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 $20,699.00 $72,483.85 $24,380.64 nat. median
$31,075
0.8× median
PX-27200715
CDM 		Hc 181996 Accu2i Intermediate Applicator Cooled 36 $8,238.04 $24,301.00 $24,301.00 nat. median
$18,226
1.3× median
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 24 $22,630.10 $71,610.18 $23,408.86 nat. median
$29,218
0.8× median
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 $21,717.00 $78,682.49 $23,070.46 nat. median
$28,961
0.8× median
PX-27200714
CDM 		Hc 181995 Accu2i Standart Applicator Cooled 36 $7,644.11 $22,549.00 $22,549.00 nat. median
$10,784
outlier · 2.1×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 $21,539.12 $72,901.91 $22,280.33 nat. median
$26,699
0.8× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 $21,358.84 $84,366.16 $22,093.85 nat. median
$26,748
0.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 25 $21,353.40 $102,141.59 $22,088.23 nat. median
$27,218
0.8× median
J2327
HCPCS 		Risankizumab-rzaa 60 Mg/ml Intravenous Solution 44 $8,904.00 $63,154.20 $21,908.19 nat. median
$2,241
outlier · 9.8×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 $5,729.30 $24,443.67 $21,869.59 nat. median
$28,170
0.8× median
23430
CPT 		Repair Biceps Long Tendon|LEFT Side 40 $714.00 $126,257.50 $21,839.29 nat. median
$6,990
outlier · 3.1×
23472
CPT 		Reconstr Total Shoulder Implant|LEFT Side 40 $947.00 $126,257.50 $21,839.29 nat. median
$16,400
1.3× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 24 $12,852.20 $37,912.11 $21,752.24 nat. median
$26,895
0.8× median
HCPCS C1817
OTHER 		Cannula With Dilator Venous Drainage 20 Degree Angiovac 18 $3,979.43 $38,317.50 $21,211.39 nat. median
$21,855
1.0× median
HCPCS C2622
OTHER 		Cylinder Penile Prosthesis Controlled Expansion Preconnect Set 21cm Ams 700 18 $12,138.98 $33,174.11 $20,826.07 nat. median
$20,289
1.0× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 $18,756.74 $55,329.65 $20,384.99 nat. median
$24,757
0.8× median
545
MS_DRG 		Connective Tissue Disorders With Mcc 24 $5,028.62 $22,701.67 $20,276.45 nat. median
$24,621
0.8× median
PX-27200752
CDM 		Hc 187709 Antenna Emprint 20cm 36 $6,784.07 $20,012.00 $20,012.00 nat. median
$11,723
1.7× median
PX-27200751
CDM 		Hc 187708 Antenna Emprint 15 Cm 36 $6,784.07 $20,012.00 $20,012.00 nat. median
$9,571
outlier · 2.1×
HCPCS C1813
OTHER 		Cylinder Penile Prosthesis Controlled Expansion Preconnect 18cm Ams 700 18 $1,911.78 $33,065.06 $19,602.75 nat. median
$21,018
0.9× median
HCPCS C2616
OTHER 		Hc Brachytx Non Stranded Yttrium 90 41 $17,397.64 $34,587.75 $19,589.44 nat. median
$24,903
0.8× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 24 $18,627.50 $65,069.35 $19,268.52 nat. median
$24,346
0.8× median
J1930
HCPCS 		Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 44 $4,398.84 $56,798.28 $19,254.62 nat. median
$5,873
outlier · 3.3×
674
MS_DRG 		Other Kidney And Urinary Tract Procedures With Cc 24 $8,642.81 $25,494.97 $18,797.50 nat. median
$23,466
0.8× median

Other procedures at this hospital

Browse this hospital's 6,748 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 59 44 $215,140.00 $215,140.15 $35,540.00 $215,140.15 $74,632.12 2025-12-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 24 $130,022.00 $130,021.82 $10.89 $132,274.51 $55,556.55 2025-12-08
J1744 HCPCS Icatibant 30 Mg/3 Ml Subcutaneous Syringe 39 30 $66,216.10 $66,216.10 $2,391.60 $66,216.10 $52,972.88 2025-12-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 24 $112,641.00 $112,641.25 $39,384.10 $116,177.25 $51,721.66 2025-12-08
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 60 45 $46,495.90 $46,495.95 $7,837.50 $46,495.95 $42,102.08 2025-12-08
HCPCS C2624 OTHER Sensor Cardiomems Implantable 18 18 $59,340.00 $47,472.00 20% off $32,043.60 $44,505.00 $41,419.32 2026-05-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 24 $26,554.10 $26,554.07 $9,464.92 $44,447.44 $39,766.85 2025-12-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 24 $67,251.10 $67,251.13 $24,040.93 $70,917.13 $39,696.11 2025-12-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 24 $33,912.80 $33,912.79 $12,049.35 $42,151.13 $37,712.35 2025-12-08
HCPCS C1767 OTHER Battery Neurostimulator Dbs Pc Percept 288 18 $54,127.50 $43,302.00 20% off $10,549.62 $65,442.41 $37,032.39 2026-05-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 24 $42,491.00 $42,490.99 $15,025.15 $44,321.99 $36,946.34 2025-12-08
HCPCS L8614 OTHER Ear Implant 90k Hires Sys Ij 126 27 $50,528.70 $40,422.96 20% off $2,544.73 $58,035.00 $34,196.95 2026-05-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 24 $104,549.00 $104,549.45 $32,648.64 $112,133.45 $33,772.16 2025-12-08
HCPCS C1721 OTHER Crt-d MRI Cobalt 270 18 $49,832.40 $39,865.92 20% off $18,384.62 $49,642.78 $33,333.28 2026-05-28
HCPCS C1882 OTHER Crt-d Generator Inogen X4 Df4 324 18 $46,950.36 $37,560.29 20% off $11,672.10 $53,589.72 $32,113.46 2026-05-28
HCPCS C1722 OTHER Defibrillator Cardioverter Implantable 5.37cmx7.36cmx.099cm 68.9 Grams Vigilant … 288 18 $47,047.99 $37,638.39 20% off $16,340.94 $47,610.00 $31,329.67 2026-05-28
HCPCS C1772 OTHER Pump Infusion Reservoir 20ml Synchmed Ii 18 18 $44,841.30 $35,873.04 20% off $24,214.30 $33,630.98 $31,299.23 2026-05-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 23 $75,537.90 $75,537.85 $1,281.88 $79,248.85 $31,065.79 2025-12-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 24 $28,592.80 $28,592.75 $10,124.49 $33,806.79 $30,246.72 2025-12-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 24 $125,607.00 $125,607.19 $28,530.26 $131,459.19 $29,512.06 2025-12-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 25 $161,308.00 $161,307.68 $23,183.00 $166,381.68 $28,346.56 2025-12-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 24 $33,615.10 $33,615.09 $12,005.05 $35,413.09 $27,902.86 2025-12-08
264 MS_DRG Other Circulatory System O.r. Procedures 27 24 $30,069.50 $30,069.48 $10,829.85 $31,946.48 $26,851.50 2025-12-08
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 60 45 $29,545.60 $29,545.56 $4,678.40 $29,545.56 $26,753.51 2025-12-08
C2616 HCPCS Hc Brachytx Non Stranded Yttrium 90 59 44 $51,328.00 $51,328.00 $17,400.19 $51,328.00 $26,690.56 2025-12-08
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 24 $96,627.50 $96,627.51 $25,136.87 $100,746.51 $26,001.89 2025-12-08
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 26 $70,298.90 $70,298.85 $20,699.00 $72,483.85 $24,380.64 2025-12-08
PX-27200715 CDM Hc 181996 Accu2i Intermediate Applicator Cooled 48 36 $24,301.00 $24,301.00 $8,238.04 $24,301.00 $24,301.00 2025-12-08
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 24 $68,528.20 $68,528.18 $22,630.10 $71,610.18 $23,408.86 2025-12-08
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 25 $75,761.50 $75,761.49 $21,717.00 $78,682.49 $23,070.46 2025-12-08
PX-27200714 CDM Hc 181995 Accu2i Standart Applicator Cooled 48 36 $22,549.00 $22,549.00 $7,644.11 $22,549.00 $22,549.00 2025-12-08
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 27 24 $71,466.90 $71,466.91 $21,539.12 $72,901.91 $22,280.33 2025-12-08
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 27 24 $81,777.20 $81,777.16 $21,358.84 $84,366.16 $22,093.85 2025-12-08
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 25 $99,762.60 $99,762.59 $21,353.40 $102,141.59 $22,088.23 2025-12-08
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 59 44 $63,154.20 $63,154.20 $8,904.00 $63,154.20 $21,908.19 2025-12-08
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 27 24 $15,794.60 $15,794.59 $5,729.30 $24,443.67 $21,869.59 2025-12-08
23472 CPT Reconstr Total Shoulder Implant|LEFT Side 99 40 $126,258.00 $125,269.90 $947.00 $126,257.50 $21,839.29 2025-12-08
23430 CPT Repair Biceps Long Tendon|LEFT Side 198 40 $79,564.65 $78,768.67 $714.00 $126,257.50 $21,839.29 2025-12-08
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 24 $36,875.70 $36,875.69 $12,852.20 $37,912.11 $21,752.24 2025-12-08
HCPCS C1817 OTHER Cannula With Dilator Venous Drainage 20 Degree Angiovac 180 18 $31,355.50 $25,084.40 $3,979.43 $38,317.50 $21,211.39 2026-05-28
HCPCS C2622 OTHER Cylinder Penile Prosthesis Controlled Expansion Preconnect Set 21cm Ams 700 108 18 $33,630.97 $26,904.78 20% off $12,138.98 $33,174.11 $20,826.07 2026-05-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 27 24 $53,361.70 $53,361.65 $18,756.74 $55,329.65 $20,384.99 2025-12-08
545 MS_DRG Connective Tissue Disorders With Mcc 27 24 $14,833.70 $14,833.66 $5,028.62 $22,701.67 $20,276.45 2025-12-08
PX-27200751 CDM Hc 187708 Antenna Emprint 15 Cm 48 36 $20,012.00 $20,012.00 $6,784.07 $20,012.00 $20,012.00 2025-12-08
PX-27200752 CDM Hc 187709 Antenna Emprint 20cm 48 36 $20,012.00 $20,012.00 $6,784.07 $20,012.00 $20,012.00 2025-12-08
HCPCS C1813 OTHER Cylinder Penile Prosthesis Controlled Expansion Preconnect 18cm Ams 700 378 18 $32,945.19 $26,356.15 20% off $1,911.78 $33,065.06 $19,602.75 2026-05-28
HCPCS C2616 OTHER Hc Brachytx Non Stranded Yttrium 90 41 41 $46,117.00 $36,893.60 20% off $17,397.64 $34,587.75 $19,589.44 2026-05-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 27 24 $61,902.30 $61,902.35 $18,627.50 $65,069.35 $19,268.52 2025-12-08
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 59 44 $56,798.30 $56,798.28 $4,398.84 $56,798.28 $19,254.62 2025-12-08
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 27 24 $23,712.00 $23,711.97 $8,642.81 $25,494.97 $18,797.50 2025-12-08
C1764 HCPCS Hc 183744 Reveal Cardiac Monitor Insertable Linq 64 25 $22,552.00 $22,552.00 $6,359.30 $22,552.00 $18,759.00 2025-12-08
56 MS_DRG Degenerative Nervous System Disorders With Mcc 27 24 $26,659.30 $26,659.31 $9,312.78 $27,471.31 $18,672.91 2025-12-08
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 27 24 $26,812.00 $26,811.95 $9,475.02 $27,949.95 $18,446.24 2025-12-08
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 30 27 $69,520.20 $69,520.19 $14,988.57 $71,677.19 $18,101.68 2025-12-08
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 59 44 $51,479.50 $51,479.49 $6,501.00 $51,479.49 $17,858.24 2025-12-08
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 27 24 $22,224.50 $22,224.55 $8,020.93 $23,660.55 $17,786.33 2025-12-08
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 27 24 $23,187.60 $23,187.59 $8,453.86 $24,937.59 $17,513.04 2025-12-08
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 27 24 $70,237.70 $70,237.66 $16,640.58 $72,332.66 $17,213.22 2025-12-08
374 MS_DRG Digestive Malignancy With Mcc 27 24 $21,440.40 $21,440.41 $7,694.76 $22,698.41 $17,190.72 2025-12-08
HCPCS C1982 OTHER Catheter Lumen 150cm Length 0.021in Dia 0.44mlx2.1ml Trinav 32 32 $30,457.50 $24,366.00 20% off $8,101.70 $22,843.13 $17,150.62 2026-05-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 28 25 $86,980.50 $86,980.49 $16,455.64 $90,735.49 $17,021.92 2025-12-08
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 27 24 $69,369.20 $69,369.18 $16,275.36 $71,672.18 $16,835.44 2025-12-08
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 27 24 $28,414.90 $28,414.88 $10,053.69 $29,656.88 $16,824.99 2025-12-08
314 MS_DRG Other Circulatory System Diagnoses With Mcc 26 23 $23,906.80 $23,906.81 $8,462.06 $24,961.81 $16,760.69 2025-12-08
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 27 24 $28,454.00 $28,454.01 $10,371.70 $30,595.01 $16,703.62 2025-12-08
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 27 24 $50,312.20 $50,312.23 $16,059.34 $53,189.23 $16,611.99 2025-12-08
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 27 24 $27,173.00 $27,172.95 $9,735.06 $28,716.95 $16,164.27 2025-12-08
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 27 24 $95,958.60 $95,958.56 $15,591.56 $99,331.04 $16,128.10 2025-12-08
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 27 24 $53,889.80 $53,889.85 $15,526.29 $55,920.47 $16,060.58 2025-12-08
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 27 24 $33,236.60 $33,236.56 $11,656.03 $34,383.56 $15,921.53 2025-12-08
539 MS_DRG Osteomyelitis With Mcc 27 24 $18,092.40 $18,092.36 $6,539.09 $19,289.36 $15,832.31 2025-12-08
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 27 24 $40,348.30 $40,348.29 $14,157.43 $41,762.29 $15,820.25 2025-12-08
883 MS_DRG Disorders Of Personality And Impulse Control 26 23 $33,662.30 $33,662.33 $3,415.14 $35,312.33 $15,804.98 2025-12-08
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 27 24 $60,489.40 $60,489.40 $15,737.14 $60,489.40 $15,737.14 2025-12-08
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 27 24 $32,192.40 $32,192.39 $6,011.00 $33,130.39 $15,613.68 2025-12-08
100 MS_DRG Seizures With Mcc 26 23 $27,982.60 $27,982.56 $9,776.61 $28,839.56 $15,567.86 2025-12-08
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 59 44 $44,573.50 $44,573.47 $7,149.00 $44,573.47 $15,462.54 2025-12-08
HCPCS Q4125 OTHER Matrix Reconstructive Tissue Firm Porcine 10cmx16cm Strattice 90 18 $22,136.51 $17,709.21 $6,620.58 $36,012.56 $15,451.28 2026-05-28
HCPCS C2621 OTHER Crt-p Generator Valitude X4 144 18 $22,538.55 $18,030.84 20% off $10,717.11 $19,158.75 $15,449.93 2026-05-28
902 MS_DRG Wound Debridements For Injuries With Cc 27 24 $27,036.30 $27,036.28 $9,766.69 $28,810.28 $15,388.61 2025-12-08
11200 CPT Hc Removal Skin Tags Up To 15 57 44 $85,194.50 $85,194.53 $7.46 $85,194.53 $15,280.12 2025-12-08
27447 CPT Total Knee Arthroplasty|RIGHT Side 118 45 $63,929.60 $63,929.60 $8.67 $63,929.64 $15,280.12 2025-12-08
28615 CPT Open Treatment Tarsometatarsal Joint Dislocation 59 45 $74,035.10 $74,035.07 $6.52 $74,035.07 $15,280.12 2025-12-08
28737 CPT Fusion W/Tend Adv,Midtar Nav-cuneiform|right Side 49 39 $87,681.80 $87,681.83 $814.00 $87,681.83 $15,280.12 2025-12-08
28740 CPT Fusion Foot Bone,Midtarsal,1 Jt|DISTINCT Procedural Service|right Side 49 39 $81,167.80 $81,167.79 $714.00 $81,167.79 $15,280.12 2025-12-08
28234 CPT Incision Exten Foot/Toe Tendon|DISTINCT Procedural Service 49 39 $87,034.10 $87,034.10 $47.00 $87,034.10 $15,280.12 2025-12-08
27828 CPT Open Treatment Fracture Distal Tibia & Fibula 118 45 $98,193.15 $98,193.17 $7.46 $114,839.42 $15,280.12 2025-12-08
28270 CPT Capsulotomy Mt-p Jt,Foot,Each|DISTINCT Procedural Service|right Side 98 39 $67,859.60 $67,060.40 $47.00 $108,361.60 $15,280.12 2025-12-08
27438 CPT Arthroplasty Patella With Implant|LEFT Side 57 45 $67,015.80 $67,015.79 $7.46 $67,015.79 $15,280.12 2025-12-08
28297 CPT Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf 153 43 $98,767.60 $98,767.65 $578.00 $117,437.86 $15,280.12 2025-12-08
28202 CPT Repair/Graft Flex Foot Tendon|LEFT Side 49 39 $117,438.00 $117,437.86 $578.00 $117,437.86 $15,280.12 2025-12-08
27130 CPT Total Hip Arthroplasty|LEFT Side 122 45 $87,026.40 $86,225.90 $7.46 $87,593.23 $15,280.12 2025-12-08
27446 CPT Plasty Knee,Med Or Lat Compartmt 168 45 $60,408.40 $60,408.45 $7.46 $61,504.28 $15,280.12 2025-12-08
196 MS_DRG Interstitial Lung Disease With Mcc 27 24 $21,260.00 $21,260.00 $7,640.06 $22,537.00 $15,169.18 2025-12-08
HCPCS Q4104 OTHER Dressing Wound Matrix Bilayer Collagen And Silicone 2inx2in 144 18 $20,895.81 $16,716.65 $84.00 $39,976.94 $14,941.11 2026-05-28
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 27 24 $24,006.40 $24,006.37 $8,549.03 $25,218.37 $14,763.26 2025-12-08
205 MS_DRG Other Respiratory System Diagnoses With Mcc 27 23 $17,528.30 $17,528.34 $6,209.57 $18,317.34 $14,717.45 2025-12-08
919 MS_DRG Complications Of Treatment With Mcc 27 24 $10,005.00 $10,005.03 $3,640.54 $16,447.91 $14,715.84 2025-12-08
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 27 24 $40,482.10 $40,482.10 $14,204.52 $42,135.10 $14,693.33 2025-12-08
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 27 24 $25,998.70 $25,998.65 $9,432.57 $27,824.65 $14,658.77 2025-12-08
HCPCS C1764 OTHER Device Bio-monitor 2-af 108 18 $21,208.00 $16,966.40 $9,101.70 $21,840.64 $14,649.43 2026-05-28
HCPCS C1815 OTHER Balloon Pressure Regulating 61cm-70cm Ams 800 108 18 $26,203.28 $20,962.62 20% off $8,808.66 $20,485.13 $14,478.71 2026-05-28
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 27 24 $14,511.50 $14,511.46 $5,240.76 $16,123.58 $14,425.67 2025-12-08
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 24 $24,718.30 $24,718.29 $8,925.97 $26,330.29 $14,419.24 2025-12-08
HCPCS C1785 OTHER Pacemaker Cardiac Dual Chamber MRI Connector Ra Is1-rv Is1 4.45x5.88x0.75cm Esse… 288 18 $23,158.50 $18,526.80 20% off $7,901.98 $21,832.13 $14,367.13 2026-05-28
32110 CPT Hc Thoracotomy Ctrl Trauma Bleed 60 45 $14,339.00 $14,339.00 $1,429.77 $14,339.00 $14,339.00 2025-12-08
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 27 24 $41,267.40 $41,267.43 $13,777.92 $43,322.43 $14,252.05 2025-12-08
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 28 25 $16,029.00 $16,029.02 $5,775.88 $17,038.02 $14,199.00 2025-12-08
180 MS_DRG Respiratory Neoplasms With Mcc 27 24 $26,770.60 $26,770.56 $9,717.62 $28,665.56 $14,194.98 2025-12-08
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 27 24 $15,387.70 $15,387.69 $5,586.29 $18,012.89 $14,170.87 2025-12-08
91 MS_DRG Other Disorders Of Nervous System With Mcc 27 24 $40,172.10 $40,172.14 $13,646.60 $41,610.14 $14,116.21 2025-12-08
HCPCS C1778 OTHER Electrode For Standard Radio Receiver 288 18 $20,410.83 $16,328.67 $527.23 $24,493.73 $14,096.95 2026-05-28
501 MS_DRG Soft Tissue Procedures With Cc 27 24 $49,638.10 $49,638.13 $13,583.65 $52,187.13 $14,051.10 2025-12-08
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 27 24 $20,923.70 $20,923.73 $7,335.20 $21,637.73 $14,026.99 2025-12-08
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 27 24 $40,962.20 $40,962.16 $13,501.29 $43,112.48 $13,965.90 2025-12-08
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 28 24 $86,034.50 $86,034.48 $7,323.81 $91,631.48 $13,889.54 2025-12-08
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 27 24 $26,395.20 $26,395.16 $9,200.52 $27,140.16 $13,777.01 2025-12-08
PX-27200420 CDM Hc 125322 Electrode Rf Cluster 10cm 48 36 $13,703.00 $13,703.00 $4,645.32 $13,703.00 $13,703.00 2025-12-08
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 27 24 $47,159.40 $47,159.40 $13,144.62 $48,780.40 $13,596.96 2025-12-08
571 MS_DRG Skin Debridement With Cc 27 24 $22,173.90 $22,173.94 $8,037.34 $23,708.94 $13,580.08 2025-12-08
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 28 24 $51,456.30 $51,456.29 $7,936.38 $53,782.29 $13,523.01 2025-12-08
915 MS_DRG Allergic Reactions With Mcc 28 24 $15,408.60 $15,408.58 $5,465.90 $16,123.58 $13,516.58 2025-12-08
551 MS_DRG Medical Back Problems With Mcc 28 24 $16,096.70 $16,096.66 $5,831.37 $17,201.66 $13,472.37 2025-12-08
444 MS_DRG Disorders Of The Biliary Tract With Mcc 28 24 $20,883.60 $20,883.62 $7,374.47 $21,753.62 $13,430.57 2025-12-08
70 MS_DRG Other Cerebrovascular Disorders With Mcc 28 24 $46,741.70 $46,741.69 $7,857.31 $49,179.69 $13,381.54 2025-12-08
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 28 24 $23,738.40 $23,738.41 $7,810.60 $25,332.41 $13,297.95 2025-12-08
643 MS_DRG Endocrine Disorders With Mcc 28 24 $42,324.50 $42,324.46 $7,773.31 $43,870.46 $13,231.23 2025-12-08
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 59 44 $38,769.10 $38,769.11 $6,606.60 $38,769.11 $13,142.73 2025-12-08
49618 CPT Hc Rpr Aa Hrn Rcr > 10 Ncr/Strn 60 45 $13,125.00 $13,125.00 $1,280.60 $13,125.00 $13,125.00 2025-12-08
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 28 24 $41,033.90 $41,033.94 $7,705.48 $42,339.94 $13,109.86 2025-12-08
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 28 24 $41,482.60 $41,482.55 $7,701.90 $43,245.55 $13,103.43 2025-12-08
884 MS_DRG Organic Disturbances And Intellectual Disability 27 23 $36,594.80 $36,594.75 $5,523.68 $38,560.75 $12,932.22 2025-12-08
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 59 44 $38,122.90 $38,122.87 $239.76 $38,122.87 $12,923.65 2025-12-08
PX-27200732 CDM Hc 184332 Ablation Probe 15x17 48 36 $12,898.00 $12,898.00 $4,372.42 $12,898.00 $12,898.00 2025-12-08
PX-27200730 CDM Hc 184330 Ablation Probe 15x17 Liver Kid 48 36 $12,898.00 $12,898.00 $4,372.42 $12,898.00 $12,898.00 2025-12-08
PX-27200733 CDM Hc 184333 Ablation Probe 20x17 48 36 $12,898.00 $12,898.00 $4,372.42 $12,898.00 $12,898.00 2025-12-08
PX-27200731 CDM Hc 184331 Ablation Probe 20x17 Liver Kid 48 36 $12,898.00 $12,898.00 $4,372.42 $12,898.00 $12,898.00 2025-12-08
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 28 24 $16,967.20 $16,967.16 $5,970.16 $17,611.16 $12,895.25 2025-12-08
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 28 24 $26,260.80 $26,260.83 $7,584.65 $27,584.83 $12,893.64 2025-12-08
HCPCS C9364 OTHER Collagen Mesh 10cmx10cmx1mm Permacol 108 18 $19,523.76 $15,619.01 $4,410.45 $29,710.80 $12,887.85 2026-05-28
393 MS_DRG Other Digestive System Diagnoses With Mcc 28 24 $25,083.10 $25,083.14 $7,563.09 $26,513.14 $12,855.06 2025-12-08
368 MS_DRG Major Esophageal Disorders With Mcc 28 24 $13,712.20 $13,712.17 $4,957.25 $14,623.17 $12,795.58 2025-12-08
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 28 24 $20,493.40 $20,493.36 $6,349.26 $19,910.36 $12,606.69 2025-12-08
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 28 24 $31,023.90 $31,023.88 $7,402.27 $32,329.88 $12,567.30 2025-12-08
177 MS_DRG Respiratory Infections And Inflammations With Mcc 28 24 $35,535.70 $35,535.73 $7,398.69 $36,319.73 $12,560.87 2025-12-08
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 27 23 $31,128.00 $31,128.00 $6,656.26 $32,177.00 $12,554.44 2025-12-08
186 MS_DRG Pleural Effusion With Mcc 28 24 $22,031.50 $22,031.47 $7,379.81 $23,045.47 $12,527.11 2025-12-08
49594 CPT Hc Rpr Aa Hrn 1st 3-10 Ncr/Strn 60 45 $12,600.00 $12,600.00 $4,271.40 $12,600.00 $12,399.73 2025-12-08
HCPCS C1777 OTHER Lead Durata Icd 126 18 $18,073.00 $14,458.40 20% off $8,893.67 $16,440.60 $12,352.31 2026-05-28
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 28 24 $30,021.30 $30,021.34 $7,281.89 $31,832.34 $12,351.88 2025-12-08
HCPCS L8691 OTHER Processor 3 Sound Bp100 Soft Black Baha 79 41 $18,830.90 $15,064.72 20% off $1,690.57 $37,875.38 $12,319.93 2026-05-28
HCPCS C1786 OTHER Pacemaker Cardiac Resynchronization Single Chamber With Gsm Home Monitoring Etri… 234 18 $17,705.71 $14,164.57 $6,860.70 $46,057.50 $12,312.28 2026-05-28
A9505 HCPCS Thallous Chloride Tl-201 37 Mbq/ml (1 Mci/ml) Intravenous Solution 42 31 $12,294.60 $12,294.64 $47.32 $12,294.64 $12,294.64 2025-12-08
813 MS_DRG Coagulation Disorders 28 24 $24,060.30 $24,060.33 $7,230.69 $25,287.33 $12,260.25 2025-12-08
398 MS_DRG Appendix Procedures With Cc 28 24 $53,750.40 $53,750.42 $7,178.12 $56,431.42 $12,166.21 2025-12-08
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 59 44 $35,733.10 $35,733.14 $5,760.00 $35,733.14 $12,113.53 2025-12-08
865 MS_DRG Viral Illness With Mcc 28 24 $37,574.00 $37,573.99 $7,109.40 $38,438.99 $12,043.23 2025-12-08
PX-27800077 CDM Hc 175827 Coil 360 Soft 6x20 48 36 $11,950.00 $11,950.00 $4,051.05 $11,950.00 $11,950.00 2025-12-08
HCPCS C1895 OTHER Lead Icd Dual Coil Active Fixation 4 Site Eptfe Coated 59cm Endotak Reliance G 54 18 $16,907.00 $13,525.60 20% off $8,893.67 $13,992.00 $11,907.63 2026-05-28
682 MS_DRG Renal Failure With Mcc 28 24 $23,928.30 $23,928.32 $7,031.69 $25,503.32 $11,904.17 2025-12-08
388 MS_DRG Gastrointestinal Obstruction With Mcc 28 24 $21,708.40 $21,708.36 $7,012.82 $22,907.36 $11,870.41 2025-12-08
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 28 24 $20,456.80 $20,456.85 $6,991.71 $21,399.85 $11,832.63 2025-12-08
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 59 44 $33,719.90 $33,719.90 $4,976.70 $33,719.90 $11,697.43 2025-12-08
A9569 HCPCS Tc-99m Exametazime Labeled White Blood Cells (per Dose, Up To 25 Mci) 53 40 $11,653.40 $11,653.38 $1,040.32 $11,653.38 $11,653.38 2025-12-08
637 MS_DRG Diabetes With Mcc 28 24 $41,658.90 $41,658.93 $6,832.69 $43,615.93 $11,548.09 2025-12-08
A9521 HCPCS Kit For Prep Of Tc-99m-exametazime 0.5 Mg Intravenous Kit 53 40 $11,535.90 $11,535.86 $802.34 $11,535.86 $11,535.86 2025-12-08
HCPCS C1732 OTHER Catheter Ablation Large Curve 4mmx7.5frx110cm Intellanav Oi 288 18 $17,078.99 $13,663.19 $894.00 $16,545.54 $11,486.12 2026-05-28
602 MS_DRG Cellulitis With Mcc 28 24 $13,601.90 $13,601.91 $4,780.89 $14,102.91 $11,424.31 2025-12-08
15877 CPT Suct Assis Lipectomy,Trunk 58 44 $50,610.00 $50,609.96 $6.52 $50,609.96 $11,363.82 2025-12-08
64488 CPT Hc Transv Abd Plane(Tap) Block Bilateral|DISTINCT Procedural Service 58 44 $50,610.00 $50,609.96 $6.52 $50,609.96 $11,363.82 2025-12-08
19371 CPT Removal Of Breast Capsule|BILATERAL Procedure 58 44 $24,223.00 $24,222.95 $6.52 $24,222.95 $11,363.82 2025-12-08
19342 CPT Delay Breast Pros After Breast Surg|BILATERAL Procedure|distinct Procedural Serv… 58 44 $42,325.70 $42,325.73 $6.52 $42,325.73 $11,363.82 2025-12-08
19330 CPT Removal Of Implant Material|BILATERAL Procedure 117 45 $34,487.00 $34,108.50 $6.52 $36,058.85 $11,363.82 2025-12-08
19325 CPT Enlarge Breast With Implant|BILATERAL Procedure 58 44 $32,158.20 $32,158.20 $6.52 $32,158.20 $11,363.82 2025-12-08
19316 CPT Suspension Of Breast|BILATERAL Procedure 106 44 $50,610.00 $50,609.96 $6.52 $50,609.96 $11,363.82 2025-12-08
811 MS_DRG Red Blood Cell Disorders With Mcc 28 24 $30,887.30 $30,887.35 $6,687.15 $32,234.35 $11,287.66 2025-12-08
885 MS_DRG Psychoses 27 23 $32,284.80 $32,284.75 $2,411.24 $33,765.75 $11,227.38 2025-12-08
HCPCS C1874 OTHER Dressing Micromatrix Acell 500mg 2,142 18 $16,907.00 $13,525.60 20% off $390.83 $40,923.90 $11,190.69 2026-05-28
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 28 24 $24,856.10 $24,856.12 $6,549.24 $25,940.12 $11,040.90 2025-12-08
49617 CPT Hc Rpr Aa Hrn Rcr > 10 Rdc 60 45 $11,025.00 $11,025.00 $916.07 $11,025.00 $11,025.00 2025-12-08
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 28 24 $38,651.70 $38,651.66 $6,514.21 $40,450.66 $10,978.20 2025-12-08
693 MS_DRG Urinary Stones With Mcc 28 24 $26,586.50 $26,586.54 $6,418.53 $27,657.54 $10,806.99 2025-12-08
HCPCS L8670 OTHER Graft Vascular Axillofemoral Standard Wall Removable Ringed 8mmx8mmx90cmx40cm Go… 18 18 $15,472.82 $12,378.26 $8,355.32 $11,604.62 $10,800.03 2026-05-28
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 28 24 $24,632.60 $24,632.56 $6,378.55 $26,111.56 $10,735.46 2025-12-08
28292 CPT Corrj Hallux Valgus W/Sesmdc W/Rescj Prox Phal 149 39 $88,909.50 $88,909.51 $506.00 $95,082.11 $10,734.05 2025-12-08
49592 CPT Hc Rpr Aa Hrn 1st < 3 Ncr/Strn 100 45 $13,125.00 $13,125.00 $506.00 $19,839.69 $10,721.56 2025-12-08
124 MS_DRG Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 28 24 $15,052.50 $15,052.46 $5,263.36 $15,526.12 $10,634.98 2025-12-08
28288 CPT Part Remv Bone Metatarsal Head,Ea|DISTINCT Procedural Service|right Side 176 45 $21,074.90 $21,074.90 $7.63 $98,767.65 $10,594.58 2025-12-08
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 28 24 $21,149.60 $21,149.58 $6,283.32 $53,026.85 $10,565.05 2025-12-08
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 28 24 $19,810.20 $19,810.23 $6,198.87 $20,304.23 $10,413.94 2025-12-08
31647 CPT Hc Bronch W Insert Bronc Valve W/wo Fluoro, Initial 59 44 $10,396.00 $10,396.00 $3,524.24 $12,786.55 $10,396.00 2025-12-08
PX-27200421 CDM Hc 125324 Electrode Rf Single 10cm 48 36 $10,392.00 $10,392.00 $3,522.89 $10,392.00 $10,392.00 2025-12-08
291 MS_DRG Heart Failure And Shock With Mcc 28 24 $24,284.10 $24,284.09 $6,145.86 $25,265.09 $10,319.09 2025-12-08
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 27 23 $15,411.30 $15,411.34 $5,514.72 $16,267.57 $10,304.62 2025-12-08
947 MS_DRG Signs And Symptoms With Mcc 28 24 $16,588.40 $16,588.41 $6,055.02 $17,861.41 $10,203.35 2025-12-08
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 28 24 $24,699.90 $24,699.86 $6,076.24 $25,894.86 $10,194.50 2025-12-08
77 MS_DRG Hypertensive Encephalopathy With Mcc 25 21 $35,693.30 $34,680.26 $3,334.51 $35,693.26 $10,122.51 2025-12-08
47562 CPT Hc Laparoscopic Cholecystectomy 105 45 $13,413.00 $13,413.00 $714.00 $24,810.82 $10,059.75 2025-12-08
HCPCS C1714 OTHER Catheter Atherectomy Peripheral Vessel Xsmall Standard 6fr 135cm Silverhawk Es P… 54 18 $16,877.85 $13,502.28 $6,534.00 $13,970.14 $10,058.50 2026-05-28
79622 CPT Hc Rpr Parastomal Hrna Ncr/Strn 59 44 $9,975.00 $9,975.00 $3,381.53 $9,975.00 $9,975.00 2025-12-08
49616 CPT Hc Rpr Aa Hrn Rcr 3-10 Ncr/Strn 60 45 $9,975.00 $9,975.00 $883.92 $9,975.00 $9,975.00 2025-12-08
49614 CPT Hc Rpr Aa Hrn Rcr < 3 Ncr/Strn 98 45 $9,975.00 $9,975.00 $714.00 $31,614.77 $9,975.00 2025-12-08
49596 CPT Hc Rpr Aa Hrn 1st > 10 Ncr/Strn 60 45 $9,975.00 $9,975.00 $1,056.85 $9,975.00 $9,975.00 2025-12-08
189 MS_DRG Pulmonary Edema And Respiratory Failure 28 24 $26,118.50 $26,118.54 $5,928.45 $27,534.54 $9,930.06 2025-12-08
66991 CPT Pr Extracap Cataract Rem With Insert Of Iol Man Or Mech, Int App 147 39 $34,096.50 $34,096.53 $4,783.28 $38,978.65 $9,776.15 2025-12-08
375 MS_DRG Digestive Malignancy With Cc 28 24 $25,210.40 $25,210.42 $5,812.56 $26,695.42 $9,722.68 2025-12-08
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 28 24 $22,534.80 $22,534.80 $5,217.87 $23,643.80 $9,677.67 2025-12-08
304 MS_DRG Hypertension With Mcc 28 24 $24,133.00 $24,133.04 $5,724.52 $25,326.04 $9,565.13 2025-12-08
J2353 HCPCS Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release 177 44 $27,420.80 $27,420.83 $1,937.20 $41,060.61 $9,512.29 2025-12-08
CPT® 33210 OTHER Hc Insert/rep Temp Sngl Pacemaker 41 41 $4,896.00 $3,916.80 $2,643.84 $15,419.95 $9,460.09 2026-05-28
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 28 24 $28,140.40 $28,140.36 $5,635.57 $29,395.36 $9,405.98 2025-12-08
949 MS_DRG Aftercare With Cc/mcc 28 24 $6,313.90 $6,313.90 $2,321.09 $10,688.26 $9,403.65 2025-12-08
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 28 24 $23,757.10 $23,757.08 $5,591.10 $24,733.08 $9,326.41 2025-12-08
HCPCS C1759 OTHER Catheter Accunav 8fr 90cm 90 18 $17,058.58 $13,646.86 20% off $4,243.83 $13,419.20 $9,315.52 2026-05-28
546 MS_DRG Connective Tissue Disorders With Cc 28 24 $16,825.80 $16,825.76 $5,560.11 $17,518.00 $9,270.95 2025-12-08
PX-27201406 CDM Hc 194653 Kit Biopsy Sertera 48 36 $9,251.00 $9,251.00 $3,136.09 $9,251.00 $9,251.00 2025-12-08
572 MS_DRG Skin Debridement Without Cc/mcc 28 24 $27,919.50 $27,919.50 $5,528.22 $29,350.50 $9,213.88 2025-12-08
399 MS_DRG Appendix Procedures Without Cc/mcc 28 24 $37,110.90 $37,110.91 $5,521.02 $38,474.91 $9,201.02 2025-12-08
J1942 HCPCS Aripiprazole Lauroxil ER 441 Mg/1.6 Ml Suspension, Ext.rel. IM Syringe 49 37 $9,175.29 $9,175.29 $3,110.42 $9,175.29 $9,175.29 2025-12-08
HCPCS L8690 OTHER Abutment Ba210 8.5mm Baha 342 18 $15,254.95 $12,203.96 20% off $594.85 $30,315.04 $9,027.36 2026-05-28
49593 CPT Hc Rpr Aa Hrn 1st 3-10 Rdc 60 45 $8,925.00 $8,925.00 $3,025.58 $9,148.24 $8,925.00 2025-12-08
79621 CPT Hc Rpr Parastomal Hernia Rdc 59 44 $8,925.00 $8,925.00 $3,025.58 $8,925.00 $8,925.00 2025-12-08
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 28 24 $19,598.80 $19,598.76 $5,354.82 $20,534.76 $8,903.61 2025-12-08
445 MS_DRG Disorders Of The Biliary Tract With Cc 28 24 $20,657.30 $20,657.27 $4,777.39 $21,158.27 $8,796.71 2025-12-08
CPT® Q4133 OTHER Tissue Human Placenta 2cmx4cm Stravix 46 18 $16,265.70 $13,012.56 20% off $288.88 $13,622.52 $8,783.48 2026-05-28
CPT® 32110 OTHER Hc Thoracotomy Ctrl Trauma Bleed 18 18 $12,508.00 $10,006.40 20% off $6,754.32 $9,381.00 $8,730.58 2026-05-28
HCPCS Q4128 OTHER Allograft Dermal Matrix Pliable Thin 4.0cmx8.0cm Allopatch 36 18 $14,520.06 $11,616.05 $4,476.44 $15,562.80 $8,711.25 2026-05-28
381 MS_DRG Complicated Peptic Ulcer With Cc 28 24 $14,382.60 $14,382.60 $5,215.71 $15,385.60 $8,709.10 2025-12-08
HCPCS C1896 OTHER Electrode Subcutaneous For MRI Safe Implantable Defibrillator 45cm 11.5fr/3.84mm… 36 18 $14,707.00 $11,765.60 20% off $3,920.40 $16,615.50 $8,704.08 2026-05-28
882 MS_DRG Neuroses Except Depressive 27 23 $18,731.10 $18,731.08 $1,585.80 $19,615.08 $8,631.13 2025-12-08
181 MS_DRG Respiratory Neoplasms With Cc 28 24 $47,198.10 $47,198.12 $5,189.97 $37,805.12 $8,608.62 2025-12-08
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 28 24 $24,413.40 $24,413.41 $5,185.93 $24,888.41 $8,601.39 2025-12-08
25260 CPT Hc Rep Forearm/Wrist Tendon Prim Ea 60 45 $9,491.00 $9,491.00 $1,304.45 $9,491.00 $8,594.10 2025-12-08
28160 CPT Hc Resc Toe At I-p Jnt Single Ea 60 45 $9,491.00 $9,491.00 $930.79 $9,491.00 $8,594.10 2025-12-08
300 MS_DRG Peripheral Vascular Disorders With Cc 28 24 $17,345.50 $17,345.51 $8.73 $18,009.51 $8,580.49 2025-12-08
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe 59 44 $24,715.80 $24,715.81 $3,813.60 $24,715.81 $8,573.91 2025-12-08
184 MS_DRG Major Chest Trauma With Cc 28 24 $20,003.90 $20,003.89 $5,158.97 $20,430.89 $8,553.16 2025-12-08
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 28 24 $24,499.50 $24,499.55 $5,123.48 $25,723.55 $8,489.66 2025-12-08
28104 CPT Remv Tarsal/Metatarsal Benign Bone Lesn|RIGHT Side 213 45 $29,311.60 $28,322.60 $2.89 $83,006.80 $8,483.61 2025-12-08
27792 CPT Open Tx Distal Fibular Fracture Lat Malleolus 108 43 $40,902.40 $39,768.91 $2.89 $41,242.22 $8,483.61 2025-12-08
28118 CPT Removal Of Heel Bone|LEFT Side 100 39 $45,269.40 $45,214.38 $714.00 $45,269.42 $8,483.61 2025-12-08
25651 CPT Percut Skeletal Fix,Ulnar Styloid Fx|RIGHT Side 49 39 $39,166.60 $39,166.59 $814.00 $39,166.59 $8,483.61 2025-12-08
25609 CPT Open Rx Distal Radius Fx, Intra-articular, 3+ Frag|LEFT Side 99 40 $47,793.75 $47,351.76 $814.00 $56,600.79 $8,483.61 2025-12-08
25608 CPT Open Rx Distal Radius Fx, Intra-articular, 2 Frag 147 39 $40,318.60 $40,318.61 $814.00 $69,486.67 $8,483.61 2025-12-08
25607 CPT Open Rx Distal Radius Fx, Extra-articular|left Side 98 39 $41,564.05 $41,048.07 $814.00 $42,042.84 $8,483.61 2025-12-08
25515 CPT Open Treatment Radial Shaft Fracture 108 45 $48,290.50 $48,290.48 $11.34 $48,290.48 $8,483.61 2025-12-08
28291 CPT Hallux Rigidus W/Cheilectomy 1st Mp Jt W/Implt|RIGHT Side 50 40 $46,310.80 $46,310.84 $506.00 $46,310.84 $8,483.61 2025-12-08
15275 CPT Hc Skin Sub Grft Fce/Nk/H/F<1st 25 Sqcm 104 43 $43,253.45 $42,281.60 $377.00 $57,195.30 $8,483.61 2025-12-08
24685 CPT Open Tx Ulnar Fracture Prox End|LEFT Side 98 39 $20,177.55 $19,723.55 $578.00 $24,716.61 $8,483.61 2025-12-08
27650 CPT Repair Achilles Tendon,Primary 155 43 $31,791.50 $31,791.54 $578.00 $49,558.61 $8,483.61 2025-12-08
28238 CPT Reconst Post Tib Tend,Excis Acc Tar Nav|RIGHT Side 109 45 $28,188.20 $26,884.23 $6.52 $66,294.41 $8,483.61 2025-12-08
27829 CPT Open Tx Distal Tibiofibular Joint Disruption|RIGHT Side 159 45 $41,242.20 $41,242.22 $7.46 $51,394.39 $8,483.61 2025-12-08
24342 CPT Reinsert Bi/Triceps Tendon,Distal 106 43 $40,092.00 $34,725.76 $578.00 $40,092.02 $8,483.61 2025-12-08
28755 CPT Fusion Big Toe,i-p Joint 49 39 $57,195.30 $57,195.30 $714.00 $57,195.30 $8,483.61 2025-12-08
29822 CPT Shldr Arthroscop,Part Debride 209 43 $39,140.00 $38,804.83 $142.63 $59,069.31 $8,483.61 2025-12-08
29826 CPT Shldr Arthroscop,Part Acromioplas|RIGHT Side 210 45 $50,660.30 $49,241.30 $5.78 $67,223.12 $8,483.61 2025-12-08
27654 CPT Repair Achilles Tendon,Secondary|LEFT Side 98 39 $52,419.00 $51,583.01 $578.00 $57,896.60 $8,483.61 2025-12-08
23515 CPT Open Treatment Clavicular Fracture Internal Fx 108 43 $46,267.80 $46,267.79 $578.00 $50,787.89 $8,483.61 2025-12-08
23420 CPT Repair Compl Rotator Cuff Avulsn,Chr|RIGHT Side 49 39 $30,909.80 $30,909.84 $1,129.00 $30,909.84 $8,483.61 2025-12-08
23415 CPT Coraco-acromial Lig Release 109 45 $35,863.70 $43,056.30 $8.73 $43,056.35 $8,483.61 2025-12-08
23412 CPT Repair Rotator Cuff,Chronic 156 44 $33,088.40 $33,088.36 $1,129.00 $46,608.17 $8,483.61 2025-12-08
23410 CPT Repair Rotator Cuff,Acute 149 40 $34,700.00 $34,700.02 $2.89 $35,022.70 $8,483.61 2025-12-08
29806 CPT Shldr Arthroscop,Surg,Capsulorrhaphy 50 40 $36,889.90 $36,889.91 $578.00 $36,889.91 $8,483.61 2025-12-08
23150 CPT Excis/Curet Benign Tumr Prox Humerus|RIGHT Side 49 39 $24,430.90 $24,430.94 $714.00 $24,430.94 $8,483.61 2025-12-08
23130 CPT Partial Removal/Repair,Acromion 152 41 $32,514.10 $32,514.12 $2.89 $35,796.54 $8,483.61 2025-12-08
23120 CPT Partial Removal, Clavicle|LEFT Side 98 39 $37,287.30 $36,491.31 $814.00 $39,727.27 $8,483.61 2025-12-08
29807 CPT Shldr Arthroscop,Surg,Repair,Slap Lesion|RIGHT Side 49 39 $54,300.70 $54,300.68 $578.00 $54,300.68 $8,483.61 2025-12-08
29827 CPT Shldr Arthroscop,Surg,W/Rotat Cuff Repr 150 40 $61,881.70 $61,881.68 $814.00 $65,234.71 $8,483.61 2025-12-08
27695 CPT Repair 1 Collat Ankle Ligmnt,Primary 49 39 $38,682.00 $38,681.99 $506.00 $38,681.99 $8,483.61 2025-12-08
28308 CPT Osteotomy Metatarsal (Not 1st) 146 39 $32,719.30 $32,719.26 $506.00 $88,756.35 $8,483.61 2025-12-08
28299 CPT Corrj Hallux Valgus W/Sesmdc W/2 Osteot 49 39 $46,046.80 $46,046.77 $814.00 $46,046.77 $8,483.61 2025-12-08
28120 CPT Part Remv Talus Or Calcaneus|LEFT Side 99 39 $47,232.20 $46,470.21 $930.79 $49,558.61 $8,483.61 2025-12-08
28119 CPT Removal Of Heel Spur 147 39 $35,556.40 $35,556.38 $714.00 $67,590.60 $8,483.61 2025-12-08
0707T CPT Njx Bone Sub Matrl Into Subchondral Bone Defect 49 39 $63,057.00 $63,057.01 $714.00 $63,057.01 $8,483.61 2025-12-08
28285 CPT Repair Of Hammertoe,One 204 43 $22,936.80 $22,824.20 $2.89 $88,756.35 $8,483.61 2025-12-08
27814 CPT Open Treatment Bimalleolar Ankle Fracture 150 40 $57,234.40 $57,234.41 $8.67 $59,199.23 $8,483.61 2025-12-08
27524 CPT Open Rx Patella Fx 100 40 $32,761.25 $32,761.26 $2.89 $50,866.42 $8,483.61 2025-12-08
27385 CPT Fix Quad/Hamstr Musc Rupt,Primary 148 39 $32,742.00 $32,742.04 $578.00 $35,377.81 $8,483.61 2025-12-08
29888 CPT Knee Scope,Aid Ant Cruciate Repair 152 40 $54,342.40 $54,342.37 $578.00 $66,477.20 $8,483.61 2025-12-08
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 28 24 $32,037.20 $32,037.15 $5,010.73 $33,390.15 $8,287.91 2025-12-08
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 28 24 $24,327.00 $24,326.96 $5,009.39 $25,513.96 $8,285.50 2025-12-08
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 28 24 $35,844.80 $35,844.79 $4,996.81 $37,901.79 $8,262.99 2025-12-08
71 MS_DRG Other Cerebrovascular Disorders With Cc 28 24 $23,771.40 $23,771.42 $4,987.82 $24,998.42 $8,246.91 2025-12-08
644 MS_DRG Endocrine Disorders With Cc 28 24 $14,870.20 $14,870.15 $4,983.34 $16,244.15 $8,238.88 2025-12-08
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 28 24 $23,685.50 $23,685.49 $4,975.70 $21,878.73 $8,225.21 2025-12-08
92 MS_DRG Other Disorders Of Nervous System With Cc 28 24 $22,318.60 $22,318.56 $4,974.35 $23,645.56 $8,222.80 2025-12-08
30520 CPT Repair Of Nasal Septum 49 39 $37,309.90 $37,309.92 $714.00 $37,309.92 $8,220.85 2025-12-08
30140 CPT Excision Turbinate,Submucous 97 39 $39,908.00 $39,141.01 $1,012.00 $40,972.13 $8,220.85 2025-12-08
31255 CPT Nasal/Sinus Endoscopy,Remv Totl Ethmoid|BILATERAL Procedure 156 45 $53,175.40 $53,175.36 $177.70 $76,647.58 $8,220.85 2025-12-08
31267 CPT Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus 165 45 $40,972.10 $40,972.13 $6.52 $55,639.94 $8,220.85 2025-12-08
61782 CPT Stereotactic Comp Assist Proc,Cranial,Extradural 49 39 $40,972.10 $40,972.13 $168.26 $40,972.13 $8,220.85 2025-12-08
31256 CPT Nasal/Sinus Endoscopy,Open Maxill Sinus|MULTIPLE Procedures 49 39 $37,309.90 $37,309.92 $1,156.00 $37,309.92 $8,220.85 2025-12-08
31254 CPT Nasal/Sinus Endoscopy,Remv Part Ethmoid|MULTIPLE Procedures|left Side 60 44 $40,972.10 $40,972.13 $578.00 $40,972.13 $8,220.85 2025-12-08
31296 CPT Nasal/Sinus Endoscopy,W/Dilat Frontal Sinus Ostium|RIGHT Side 156 45 $64,022.50 $64,022.54 $15.20 $76,647.58 $8,220.85 2025-12-08
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 28 24 $18,847.00 $18,847.02 $4,965.36 $19,725.02 $8,206.72 2025-12-08
HCPCS C1733 OTHER Catheter Ablation Curve Style Large 7f 8fr 8mm Intellatip Mifi Xp 270 18 $11,797.50 $9,438.00 20% off $949.01 $20,988.00 $8,167.50 2026-05-28
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 28 24 $17,671.80 $17,671.77 $4,938.41 $18,501.77 $8,158.50 2025-12-08
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 28 24 $33,472.30 $33,472.30 $8.73 $35,255.05 $8,121.52 2025-12-08
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 28 24 $21,446.30 $21,446.26 $4,917.31 $22,691.26 $8,120.72 2025-12-08
HCPCS C2630 OTHER Catheter Ablation Cool Tip Large Curve 7fr 4mm Chill Ii 144 18 $12,883.75 $10,307.00 20% off $3,593.70 $16,178.25 $8,092.18 2026-05-28
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