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

RIVERWOOD HEALTHCARE CENTER

Aitkin, MN · CCN 241305 · Rates published

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You selected 93350 (CPT)

HC STRESS TTE ONLY - ECHOCARDIOGRAM DOBUTAMINE STRESS TEST

This hospital’s price: $1,182 across 25 payers · range $248-$2,840

Source: https://riverwoodhealthcare.org/wp-content/uploads/2026/05/41-0745522_aitkin-community-hospital-inc._standardcharges.csv · observed 2026-08-12

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.

8,647 distinct procedures filed
102 distinct payers
508,253 rate rows
2026-08-12 last MRF observed
Data quality

185,496 of 508,253 rate rows are consumer-grade (36.5%)

322,757 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
professional (physician) fee — not the facility price 315,395
exceeds 10× this hospital's gross charge — excluded from medians 6,846
percent-of-charges filed in the dollar field — excluded from medians 195
placeholder amount (≤ $0.02) — excluded from medians 140
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 64
per-diem day rate — not a per-procedure price 64
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://riverwoodhealthcare.org/wp-content/uploads/2026/04/410745522_aitkin-community-hospital-inc._standardcharges.csv
Found on page https://riverwoodhealthcare.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint d66baa79bf0b1c2b… · 864,729 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
J1411
HCPCS 		Outpatient Commodities 3 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,705,478
0.9× median
J1414
HCPCS 		Outpatient Commodities 3 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Outpatient Commodities 3 $3,200,000.00 $3,200,000.00 $3,200,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Outpatient Commodities 3 $3,100,000.00 $3,100,000.00 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Outpatient Commodities 3 $2,800,000.00 $2,800,000.00 $2,800,000.00 nat. median
$2,994,107
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,391,705.69 $2,391,705.69 $2,391,705.69 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Outpatient Commodities 3 $2,200,000.00 $2,200,000.00 $2,200,000.00 nat. median
$2,401,965
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $531,350.40 $531,350.40 $531,350.40 nat. median
$640,950
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $528,312.43 $528,312.43 $528,312.43 nat. median
$622,450
0.8× median
Q2056
HCPCS 		Outpatient Commodities 3 $522,055.50 $522,055.50 $522,055.50 nat. median
$646,415
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $503,580.00 $503,580.00 $503,580.00 nat. median
$608,239
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $462,000.00 $462,000.00 $462,000.00 nat. median
$591,721
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $440,464.56 $440,464.56 $440,464.56 nat. median
$359,454
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $285,843.78 $285,843.78 $285,843.78 nat. median
$249,036
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 $216,497.04 $216,497.04 $216,497.04 nat. median
$190,559
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $187,988.04 $187,988.04 $187,988.04 nat. median
$198,418
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 1 $141,284.28 $141,284.28 $141,284.28 nat. median
$126,695
1.1× median
7
MS_DRG 		Lung Transplant 1 $132,092.04 $132,092.04 $132,092.04 nat. median
$117,974
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $122,582.58 $122,582.58 $122,582.58 nat. median
$110,307
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $115,584.36 $115,584.36 $115,584.36 nat. median
$104,013
1.1× median
209
MS_DRG 		Inpatient Msdrg Services 1 $115,451.76 $115,451.76 $115,451.76 nat. median
$92,678
1.2× median
426
MS_DRG 		Inpatient Msdrg Services 1 $112,416.24 $112,416.24 $112,416.24 nat. median
$93,276
1.2× median
212
MS_DRG 		Inpatient Msdrg Services 1 $110,915.82 $110,915.82 $110,915.82 nat. median
$97,323
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $105,167.10 $105,167.10 $105,167.10 nat. median
$95,038
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 1 $101,561.40 $101,561.40 $101,561.40 nat. median
$93,901
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $99,784.56 $99,784.56 $99,784.56 nat. median
$90,551
1.1× median
429
MS_DRG 		Inpatient Msdrg Services 1 $91,897.92 $91,897.92 $91,897.92 nat. median
$78,049
1.2× median
850
MS_DRG 		Inpatient Msdrg Services 1 $88,326.90 $88,326.90 $88,326.90 nat. median
$78,268
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $85,984.98 $85,984.98 $85,984.98 nat. median
$77,028
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $85,714.68 $85,714.68 $85,714.68 nat. median
$77,632
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $80,261.76 $80,261.76 $80,261.76 nat. median
$74,370
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $78,318.66 $78,318.66 $78,318.66 nat. median
$72,398
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $77,981.04 $77,981.04 $77,981.04 nat. median
$71,748
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $77,722.98 $77,722.98 $77,722.98 nat. median
$67,976
1.1× median
427
MS_DRG 		Inpatient Msdrg Services 1 $73,629.72 $73,629.72 $73,629.72 nat. median
$63,648
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $73,161.54 $73,161.54 $73,161.54 nat. median
$61,308
1.2× median
90288
CPT 		Botulism Ig IV 3 $48,705.00 $73,057.50 $73,057.50 nat. median
$51,570
1.4× median
275
MS_DRG 		Inpatient Msdrg Services 1 $72,730.08 $72,730.08 $72,730.08 nat. median
$66,649
1.1× median
J9226
HCPCS 		Supprelin La Implant 3 $47,524.89 $71,287.34 $71,287.34 nat. median
$55,159
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $70,500.36 $70,500.36 $70,500.36 nat. median
$62,655
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $70,154.58 $70,154.58 $70,154.58 nat. median
$63,873
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $68,657.22 $68,657.22 $68,657.22 nat. median
$61,728
1.1× median
317
MS_DRG 		Inpatient Msdrg Services 1 $68,202.30 $68,202.30 $68,202.30 nat. median
$57,556
1.2× median
447
MS_DRG 		Inpatient Msdrg Services 1 $68,152.32 $68,152.32 $68,152.32 nat. median
$60,596
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $67,597.44 $67,597.44 $67,597.44 nat. median
$66,715
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $67,068.06 $67,068.06 $67,068.06 nat. median
$62,031
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $67,068.06 $67,068.06 $67,068.06 nat. median
$59,546
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $66,824.28 $66,824.28 $66,824.28 nat. median
$58,135
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $65,633.94 $65,633.94 $65,633.94 nat. median
$59,371
1.1× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $62,602.52 $62,602.52 $62,602.52 nat. median
$65,720
1.0× median

Other procedures at this hospital

Browse this hospital's 8,647 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Outpatient Commodities 3 3 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-08-12
J1411 HCPCS Outpatient Commodities 3 3 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-08-12
J1413 HCPCS Outpatient Commodities 3 3 — — $3,200,000.00 $3,200,000.00 $3,200,000.00 2026-08-12
J3394 HCPCS Outpatient Commodities 3 3 — — $3,100,000.00 $3,100,000.00 $3,100,000.00 2026-08-12
J3393 HCPCS Outpatient Commodities 3 3 — — $2,800,000.00 $2,800,000.00 $2,800,000.00 2026-08-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,391,705.69 $2,391,705.69 $2,391,705.69 2026-08-12
J3392 HCPCS Outpatient Commodities 3 3 — — $2,200,000.00 $2,200,000.00 $2,200,000.00 2026-08-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $531,350.40 $531,350.40 $531,350.40 2026-08-12
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $528,312.43 $528,312.43 $528,312.43 2026-08-12
Q2056 HCPCS Outpatient Commodities 3 3 — — $522,055.50 $522,055.50 $522,055.50 2026-08-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $503,580.00 $503,580.00 $503,580.00 2026-08-12
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $462,000.00 $462,000.00 $462,000.00 2026-08-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $440,464.56 $440,464.56 $440,464.56 2026-08-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $285,843.78 $285,843.78 $285,843.78 2026-08-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 1 1 — — $216,497.04 $216,497.04 $216,497.04 2026-08-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $187,988.04 $187,988.04 $187,988.04 2026-08-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 1 1 — — $141,284.28 $141,284.28 $141,284.28 2026-08-12
7 MS_DRG Lung Transplant 1 1 — — $132,092.04 $132,092.04 $132,092.04 2026-08-12
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $122,582.58 $122,582.58 $122,582.58 2026-08-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $115,584.36 $115,584.36 $115,584.36 2026-08-12
209 MS_DRG Inpatient Msdrg Services 1 1 — — $115,451.76 $115,451.76 $115,451.76 2026-08-12
426 MS_DRG Inpatient Msdrg Services 1 1 — — $112,416.24 $112,416.24 $112,416.24 2026-08-12
212 MS_DRG Inpatient Msdrg Services 1 1 — — $110,915.82 $110,915.82 $110,915.82 2026-08-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $105,167.10 $105,167.10 $105,167.10 2026-08-12
215 MS_DRG Other Heart Assist System Implant 1 1 — — $101,561.40 $101,561.40 $101,561.40 2026-08-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $99,784.56 $99,784.56 $99,784.56 2026-08-12
429 MS_DRG Inpatient Msdrg Services 1 1 — — $91,897.92 $91,897.92 $91,897.92 2026-08-12
850 MS_DRG Inpatient Msdrg Services 1 1 — — $88,326.90 $88,326.90 $88,326.90 2026-08-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $85,984.98 $85,984.98 $85,984.98 2026-08-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $85,714.68 $85,714.68 $85,714.68 2026-08-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $80,261.76 $80,261.76 $80,261.76 2026-08-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $78,318.66 $78,318.66 $78,318.66 2026-08-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $77,981.04 $77,981.04 $77,981.04 2026-08-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $77,722.98 $77,722.98 $77,722.98 2026-08-12
427 MS_DRG Inpatient Msdrg Services 1 1 — — $73,629.72 $73,629.72 $73,629.72 2026-08-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $73,161.54 $73,161.54 $73,161.54 2026-08-12
90288 CPT Botulism Ig IV 3 3 — — $48,705.00 $73,057.50 $73,057.50 2026-08-12
275 MS_DRG Inpatient Msdrg Services 1 1 — — $72,730.08 $72,730.08 $72,730.08 2026-08-12
J9226 HCPCS Supprelin La Implant 3 3 — — $47,524.89 $71,287.34 $71,287.34 2026-08-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $70,500.36 $70,500.36 $70,500.36 2026-08-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $70,154.58 $70,154.58 $70,154.58 2026-08-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $68,657.22 $68,657.22 $68,657.22 2026-08-12
317 MS_DRG Inpatient Msdrg Services 1 1 — — $68,202.30 $68,202.30 $68,202.30 2026-08-12
447 MS_DRG Inpatient Msdrg Services 1 1 — — $68,152.32 $68,152.32 $68,152.32 2026-08-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $67,597.44 $67,597.44 $67,597.44 2026-08-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $67,068.06 $67,068.06 $67,068.06 2026-08-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $67,068.06 $67,068.06 $67,068.06 2026-08-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $66,824.28 $66,824.28 $66,824.28 2026-08-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $65,633.94 $65,633.94 $65,633.94 2026-08-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 3 — — $62,602.52 $62,602.52 $62,602.52 2026-08-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $62,509.68 $62,509.68 $62,509.68 2026-08-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $62,437.26 $62,437.26 $62,437.26 2026-08-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $61,838.52 $61,838.52 $61,838.52 2026-08-12
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $61,284.66 $61,284.66 $61,284.66 2026-08-12
276 MS_DRG Inpatient Msdrg Services 1 1 — — $61,267.32 $61,267.32 $61,267.32 2026-08-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $60,823.62 $60,823.62 $60,823.62 2026-08-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $60,482.94 $60,482.94 $60,482.94 2026-08-12
J9029 HCPCS Professional Services 3 3 — — $60,000.00 $60,000.00 $60,000.00 2026-08-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $59,859.72 $59,859.72 $59,859.72 2026-08-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $59,820.96 $59,820.96 $59,820.96 2026-08-12
430 MS_DRG Inpatient Msdrg Services 1 1 — — $58,824.42 $58,824.42 $58,824.42 2026-08-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $58,449.06 $58,449.06 $58,449.06 2026-08-12
213 MS_DRG Inpatient Msdrg Services 1 1 — — $58,210.38 $58,210.38 $58,210.38 2026-08-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $58,134.90 $58,134.90 $58,134.90 2026-08-12
428 MS_DRG Inpatient Msdrg Services 1 1 — — $57,344.40 $57,344.40 $57,344.40 2026-08-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $57,166.92 $57,166.92 $57,166.92 2026-08-12
278 MS_DRG Inpatient Msdrg Services 1 1 — — $56,775.24 $56,775.24 $56,775.24 2026-08-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 1 1 — — $55,996.98 $55,996.98 $55,996.98 2026-08-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $55,799.10 $55,799.10 $55,799.10 2026-08-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $55,719.54 $55,719.54 $55,719.54 2026-08-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $55,631.82 $55,631.82 $55,631.82 2026-08-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $54,678.12 $54,678.12 $54,678.12 2026-08-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $54,394.56 $54,394.56 $54,394.56 2026-08-12
450 MS_DRG Inpatient Msdrg Services 1 1 — — $54,361.92 $54,361.92 $54,361.92 2026-08-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $53,996.76 $53,996.76 $53,996.76 2026-08-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $53,818.26 $53,818.26 $53,818.26 2026-08-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $53,095.08 $53,095.08 $53,095.08 2026-08-12
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $53,003.28 $53,003.28 $53,003.28 2026-08-12
J2507 HCPCS Pegloticase 8 mg/mL Soln 1 Ml Vial 34 16 $103,008.93 $57,685.01 44% off $3,550.05 $78,173.48 $51,772.29 2026-08-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $51,410.04 $51,410.04 $51,410.04 2026-08-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $50,871.48 $50,871.48 $50,871.48 2026-08-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $50,463.48 $50,463.48 $50,463.48 2026-08-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $50,373.72 $50,373.72 $50,373.72 2026-08-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $50,201.34 $50,201.34 $50,201.34 2026-08-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $49,992.24 $49,992.24 $49,992.24 2026-08-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $49,350.66 $49,350.66 $49,350.66 2026-08-12
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $49,252.74 $49,252.74 $49,252.74 2026-08-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $49,003.86 $49,003.86 $49,003.86 2026-08-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $48,560.16 $48,560.16 $48,560.16 2026-08-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $47,954.28 $47,954.28 $47,954.28 2026-08-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $47,856.36 $47,856.36 $47,856.36 2026-08-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $47,713.56 $47,713.56 $47,713.56 2026-08-12
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $47,297.40 $47,297.40 $47,297.40 2026-08-12
277 MS_DRG Inpatient Msdrg Services 1 1 — — $47,108.70 $47,108.70 $47,108.70 2026-08-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $46,884.30 $46,884.30 $46,884.30 2026-08-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $46,764.96 $46,764.96 $46,764.96 2026-08-12
245 MS_DRG Aicd Generator Procedures 1 1 — — $46,536.48 $46,536.48 $46,536.48 2026-08-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $46,396.74 $46,396.74 $46,396.74 2026-08-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $46,376.34 $46,376.34 $46,376.34 2026-08-12
799 MS_DRG Splenectomy With Mcc 1 1 — — $46,194.78 $46,194.78 $46,194.78 2026-08-12
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $45,714.36 $45,714.36 $45,714.36 2026-08-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $45,701.10 $45,701.10 $45,701.10 2026-08-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $45,521.58 $45,521.58 $45,521.58 2026-08-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $44,806.56 $44,806.56 $44,806.56 2026-08-12
323 MS_DRG Inpatient Msdrg Services 1 1 — — $44,139.48 $44,139.48 $44,139.48 2026-08-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $43,787.58 $43,787.58 $43,787.58 2026-08-12
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $43,506.06 $43,506.06 $43,506.06 2026-08-12
448 MS_DRG Inpatient Msdrg Services 1 1 — — $43,256.16 $43,256.16 $43,256.16 2026-08-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $43,076.64 $43,076.64 $43,076.64 2026-08-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $43,003.20 $43,003.20 $43,003.20 2026-08-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $42,981.78 $42,981.78 $42,981.78 2026-08-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $42,856.32 $42,856.32 $42,856.32 2026-08-12
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $42,805.32 $42,805.32 $42,805.32 2026-08-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $42,725.76 $42,725.76 $42,725.76 2026-08-12
J9266 HCPCS Pegaspargase Injection 3 3 — — $28,424.06 $42,636.09 $42,636.09 2026-08-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $42,560.52 $42,560.52 $42,560.52 2026-08-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $42,360.60 $42,360.60 $42,360.60 2026-08-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $42,080.10 $42,080.10 $42,080.10 2026-08-12
402 MS_DRG Inpatient Msdrg Services 1 1 — — $41,009.10 $41,009.10 $41,009.10 2026-08-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $40,637.82 $40,637.82 $40,637.82 2026-08-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $39,901.38 $39,901.38 $39,901.38 2026-08-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $39,481.14 $39,481.14 $39,481.14 2026-08-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $39,421.98 $39,421.98 $39,421.98 2026-08-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $39,384.24 $39,384.24 $39,384.24 2026-08-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $39,160.86 $39,160.86 $39,160.86 2026-08-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $38,930.34 $38,930.34 $38,930.34 2026-08-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $38,382.60 $38,382.60 $38,382.60 2026-08-12
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $38,215.32 $38,215.32 $38,215.32 2026-08-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $38,124.54 $38,124.54 $38,124.54 2026-08-12
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $38,120.46 $38,120.46 $38,120.46 2026-08-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $38,013.36 $38,013.36 $38,013.36 2026-08-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $37,799.16 $37,799.16 $37,799.16 2026-08-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $37,465.62 $37,465.62 $37,465.62 2026-08-12
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $37,450.32 $37,450.32 $37,450.32 2026-08-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $37,010.70 $37,010.70 $37,010.70 2026-08-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $36,982.14 $36,982.14 $36,982.14 2026-08-12
332 MS_DRG Rectal Resection With Mcc 1 1 — — $36,931.14 $36,931.14 $36,931.14 2026-08-12
265 MS_DRG Aicd Lead Procedures 1 1 — — $36,905.64 $36,905.64 $36,905.64 2026-08-12
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $36,840.36 $36,840.36 $36,840.36 2026-08-12
279 MS_DRG Inpatient Msdrg Services 1 1 — — $36,785.28 $36,785.28 $36,785.28 2026-08-12
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $36,459.90 $36,459.90 $36,459.90 2026-08-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $36,423.18 $36,423.18 $36,423.18 2026-08-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $36,369.12 $36,369.12 $36,369.12 2026-08-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $36,338.52 $36,338.52 $36,338.52 2026-08-12
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $36,303.84 $36,303.84 $36,303.84 2026-08-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $36,274.26 $36,274.26 $36,274.26 2026-08-12
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $35,971.32 $35,971.32 $35,971.32 2026-08-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $35,968.26 $35,968.26 $35,968.26 2026-08-12
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $35,897.88 $35,897.88 $35,897.88 2026-08-12
J9600 HCPCS Porfimer Sodium Injection 3 3 — — $23,789.46 $35,684.19 $35,684.19 2026-08-12
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $35,580.66 $35,580.66 $35,580.66 2026-08-12
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $35,571.48 $35,571.48 $35,571.48 2026-08-12
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $35,408.28 $35,408.28 $35,408.28 2026-08-12
J2350 HCPCS Ocrelizumab 30 mg/mL Soln 10 Ml Vial 34 16 $70,394.31 $39,420.82 44% off $58.77 $53,422.24 $35,380.18 2026-08-12
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $35,236.92 $35,236.92 $35,236.92 2026-08-12
359 MS_DRG Inpatient Msdrg Services 1 1 — — $35,073.72 $35,073.72 $35,073.72 2026-08-12
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $34,969.68 $34,969.68 $34,969.68 2026-08-12
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $34,798.32 $34,798.32 $34,798.32 2026-08-12
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $34,752.42 $34,752.42 $34,752.42 2026-08-12
61886 CPT Hc Pro Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0408T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33264 CPT Pr Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0571T CPT Pr Insj/rplcmt Icds W/substernal Electrode 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33263 CPT Pr Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0520T CPT Pr Removal&rplcmt Wrls Car Stimulator W/new Eltrd 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
C9760 HCPCS Non-blind Interatrial Shunt 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0515T CPT Pr Insertion Wrls Car Stimulator Lv Pacg Compl Sys 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
69930 CPT Pr Implant Cochlear Device 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
64568 CPT Pr Incision Implant Cranial Nerve Stim Electrode/pulse Gen 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0100T CPT Pr Plmt Scjncl Rta Prosth&pls&impltj Intra-oc Rta 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33289 CPT Pr Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33262 CPT Pr Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33230 CPT Pr Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33231 CPT Pr Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33240 CPT Pr Insert Pulse Gen,sngl/dual 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
33249 CPT Pr Insert Electrd Leads/repostion 5 5 — — $31,188.47 $34,421.33 $34,421.33 2026-08-12
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $34,074.12 $34,074.12 $34,074.12 2026-08-12
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $33,693.66 $33,693.66 $33,693.66 2026-08-12
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $33,579.42 $33,579.42 $33,579.42 2026-08-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $33,575.34 $33,575.34 $33,575.34 2026-08-12
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $33,178.56 $33,178.56 $33,178.56 2026-08-12
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $33,032.70 $33,032.70 $33,032.70 2026-08-12
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $32,995.98 $32,995.98 $32,995.98 2026-08-12
451 MS_DRG Inpatient Msdrg Services 1 1 — — $32,950.08 $32,950.08 $32,950.08 2026-08-12
652 MS_DRG Kidney Transplant 1 1 — — $32,940.90 $32,940.90 $32,940.90 2026-08-12
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $32,916.42 $32,916.42 $32,916.42 2026-08-12
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $32,852.16 $32,852.16 $32,852.16 2026-08-12
325 MS_DRG Inpatient Msdrg Services 1 1 — — $32,746.08 $32,746.08 $32,746.08 2026-08-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $32,566.56 $32,566.56 $32,566.56 2026-08-12
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $32,506.38 $32,506.38 $32,506.38 2026-08-12
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $32,474.76 $32,474.76 $32,474.76 2026-08-12
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $32,280.96 $32,280.96 $32,280.96 2026-08-12
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $32,232.00 $32,232.00 $32,232.00 2026-08-12
324 MS_DRG Inpatient Msdrg Services 1 1 — — $32,140.20 $32,140.20 $32,140.20 2026-08-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $32,124.90 $32,124.90 $32,124.90 2026-08-12
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $32,049.42 $32,049.42 $32,049.42 2026-08-12
665 MS_DRG Prostatectomy With Mcc 1 1 — — $31,836.24 $31,836.24 $31,836.24 2026-08-12
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $31,769.94 $31,769.94 $31,769.94 2026-08-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $31,713.84 $31,713.84 $31,713.84 2026-08-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $31,366.02 $31,366.02 $31,366.02 2026-08-12
10 MS_DRG Pancreas Transplant 1 1 — — $31,312.98 $31,312.98 $31,312.98 2026-08-12
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $31,227.30 $31,227.30 $31,227.30 2026-08-12
263 MS_DRG Vein Ligation And Stripping 1 1 — — $31,185.48 $31,185.48 $31,185.48 2026-08-12
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $30,938.64 $30,938.64 $30,938.64 2026-08-12
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $30,809.10 $30,809.10 $30,809.10 2026-08-12
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $30,805.02 $30,805.02 $30,805.02 2026-08-12
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $30,771.36 $30,771.36 $30,771.36 2026-08-12
173 MS_DRG Inpatient Msdrg Services 1 1 — — $30,359.28 $30,359.28 $30,359.28 2026-08-12
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $30,050.22 $30,050.22 $30,050.22 2026-08-12
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $30,029.82 $30,029.82 $30,029.82 2026-08-12
570 MS_DRG Skin Debridement With Mcc 1 1 — — $29,999.22 $29,999.22 $29,999.22 2026-08-12
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $29,784.00 $29,784.00 $29,784.00 2026-08-12
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $29,705.46 $29,705.46 $29,705.46 2026-08-12
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $29,600.40 $29,600.40 $29,600.40 2026-08-12
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $29,582.04 $29,582.04 $29,582.04 2026-08-12
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $29,451.48 $29,451.48 $29,451.48 2026-08-12
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $29,437.20 $29,437.20 $29,437.20 2026-08-12
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $29,394.36 $29,394.36 $29,394.36 2026-08-12
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $29,276.04 $29,276.04 $29,276.04 2026-08-12
J3245 HCPCS Tildrakizumab-asmn 100 mg/mL Syrg 1 Ml Syringe 34 16 $58,235.07 $32,611.64 44% off $133.18 $44,194.59 $29,268.94 2026-08-12
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $29,075.10 $29,075.10 $29,075.10 2026-08-12
C9782 HCPCS Blind Myocar Trpl Bon Marrow 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
0308T CPT Pr Insj Oc Tlscp Prosth Rmvl Crystalline/io Lens 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
C9758 HCPCS Blind Interatrial Shunt Ide 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
93591 CPT Percutaneous Transcatheter Closure Of Paravalvular Leak; Initial Occlusion Devic… 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
93590 CPT Percutaneous Transcatheter Closure Of Paravalvular Leak; Initial Occlusion Devic… 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
64590 CPT Ins/rplc Perph Sac/gstrc Npg/rcvr Pckt Crtj&conn 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
63685 CPT Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
0268T CPT Pr Im/repl Cartd Sins Barreflx Act Dev Pls Gen Only 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
0266T CPT Pr Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
62362 CPT Pr Insert/ Replace Infusn Pump,programmable 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
64582 CPT Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
61885 CPT Pr Imp Stim,cranial,subq,1 Array 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
37227 CPT Pr Revascularize Fem/pop Artery,angioplasty/stent/atherectomy 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
37231 CPT Pr Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
36906 CPT Percutaneous Transluminal Mechanical Thrombectomy And/or Infusion For Thrombolys… 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
33274 CPT Pr Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
33967 CPT Pr Insert Intra-aortic Balloon Asst Device 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
33968 CPT Pr Rmv Aortic Balloon Device 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
62361 CPT Pr Insert/ Preplace Infusn Pump,nonprogram 5 5 — — $26,198.23 $28,914.00 $28,914.00 2026-08-12
800 MS_DRG Splenectomy With Cc 1 1 — — $28,655.88 $28,655.88 $28,655.88 2026-08-12
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $28,552.86 $28,552.86 $28,552.86 2026-08-12
503 MS_DRG Foot Procedures With Mcc 1 1 — — $28,469.22 $28,469.22 $28,469.22 2026-08-12
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $28,273.38 $28,273.38 $28,273.38 2026-08-12
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $28,122.42 $28,122.42 $28,122.42 2026-08-12
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $28,036.74 $28,036.74 $28,036.74 2026-08-12
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $28,029.60 $28,029.60 $28,029.60 2026-08-12
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $27,884.76 $27,884.76 $27,884.76 2026-08-12
321 MS_DRG Inpatient Msdrg Services 1 1 — — $27,752.16 $27,752.16 $27,752.16 2026-08-12
849 MS_DRG Radiotherapy 1 1 — — $27,636.90 $27,636.90 $27,636.90 2026-08-12
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $27,603.24 $27,603.24 $27,603.24 2026-08-12
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $27,513.48 $27,513.48 $27,513.48 2026-08-12
C1767 HCPCS Generator Interstim X 97800 222 16 $59,850.00 $33,516.00 44% off $7,417.08 $57,372.84 $27,257.78 2026-08-12
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $27,132.00 $27,132.00 $27,132.00 2026-08-12
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $27,037.14 $27,037.14 $27,037.14 2026-08-12
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $26,901.48 $26,901.48 $26,901.48 2026-08-12
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $26,475.12 $26,475.12 $26,475.12 2026-08-12
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $26,443.50 $26,443.50 $26,443.50 2026-08-12
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $26,344.56 $26,344.56 $26,344.56 2026-08-12
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $26,307.84 $26,307.84 $26,307.84 2026-08-12
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $26,307.84 $26,307.84 $26,307.84 2026-08-12
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $26,189.52 $26,189.52 $26,189.52 2026-08-12
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $26,040.60 $26,040.60 $26,040.60 2026-08-12
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $25,917.18 $25,917.18 $25,917.18 2026-08-12
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $25,868.22 $25,868.22 $25,868.22 2026-08-12
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $25,744.80 $25,744.80 $25,744.80 2026-08-12
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $25,733.58 $25,733.58 $25,733.58 2026-08-12
J9334 HCPCS Efgartigimod-hyaluronidas-qvfc 1,008 Mg-11,200 Unit/5.6 Ml Soln 5.6 Ml Vial 34 16 $51,119.53 $28,626.94 44% off $34.76 $38,794.61 $25,692.67 2026-08-12
J7310 HCPCS Ganciclovir Long Act Implant 3 3 — — $16,960.00 $25,440.00 $25,440.00 2026-08-12
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $25,417.38 $25,417.38 $25,417.38 2026-08-12
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $25,313.34 $25,313.34 $25,313.34 2026-08-12
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $25,083.84 $25,083.84 $25,083.84 2026-08-12
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $25,076.70 $25,076.70 $25,076.70 2026-08-12
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $24,930.84 $24,930.84 $24,930.84 2026-08-12
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $24,901.26 $24,901.26 $24,901.26 2026-08-12
318 MS_DRG Inpatient Msdrg Services 1 1 — — $24,706.44 $24,706.44 $24,706.44 2026-08-12
360 MS_DRG Inpatient Msdrg Services 1 1 — — $24,625.86 $24,625.86 $24,625.86 2026-08-12
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $24,534.06 $24,534.06 $24,534.06 2026-08-12
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $24,451.44 $24,451.44 $24,451.44 2026-08-12
397 MS_DRG Inpatient Msdrg Services 1 1 — — $24,427.98 $24,427.98 $24,427.98 2026-08-12
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $24,383.10 $24,383.10 $24,383.10 2026-08-12
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $24,341.28 $24,341.28 $24,341.28 2026-08-12
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 — — $23,981.22 $23,981.22 $23,981.22 2026-08-12
333 MS_DRG Rectal Resection With Cc 1 1 — — $23,890.44 $23,890.44 $23,890.44 2026-08-12
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $23,853.72 $23,853.72 $23,853.72 2026-08-12
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $23,836.38 $23,836.38 $23,836.38 2026-08-12
709 MS_DRG Penis Procedures With Cc/mcc 1 1 — — $23,736.42 $23,736.42 $23,736.42 2026-08-12
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $23,720.10 $23,720.10 $23,720.10 2026-08-12
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $23,695.62 $23,695.62 $23,695.62 2026-08-12
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $23,574.24 $23,574.24 $23,574.24 2026-08-12
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $23,415.12 $23,415.12 $23,415.12 2026-08-12
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $23,407.98 $23,407.98 $23,407.98 2026-08-12
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $23,313.12 $23,313.12 $23,313.12 2026-08-12
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $23,212.14 $23,212.14 $23,212.14 2026-08-12
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $23,173.38 $23,173.38 $23,173.38 2026-08-12
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