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

RIDGEVIEW SIBLEY MEDICAL CENTER

Arlington, MN · CCN 241311 · Rates published

Your selected procedure

You selected 59400 (CPT)

Full Rout Obste Care,Vaginal Deliv

This hospital’s price: $6,867 across 21 payers · range $2,006-$21,372

Source: https://www.ridgeviewmedical.org/app/files/public/e0449e3a-6d2c-4103-b916-a33cfd8a8a98/411384056_ridgeview-sibley-medical-center_standardcharges.csv · observed 2026-01-01

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.

3,565 distinct procedures filed
28 distinct payers
373,158 rate rows
2026-01-01 last MRF observed
Data quality

361,830 of 373,158 rate rows are consumer-grade (97.0%)

11,328 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
exceeds 10× this hospital's gross charge — excluded from medians 4,937
template filing: same amount across many unrelated codes — excluded 2,149
per-diem day rate — not a per-procedure price 1,901
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,637
percent-of-charges filed in the dollar field — excluded from medians 537
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 94
exceeds 3× this hospital's gross charge for a DRG stay — excluded 73
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ridgeviewmedical.org/app/files/public/e0449e3a-6d2c-4103-b916-a33cfd8a8a98/411384056_ridgeview-sibley-medical-center_standardcharges.csv
Found on page https://www.ridgeviewmedical.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-01
Content fingerprint 8c3256cf0bec7c48… · 252,658,850 bytes · first seen 2026-05-15

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
694
MS_DRG 		Urinary Stones Without Mcc 13 $4,864.48 $93,644.50 $82,555.87 nat. median
$8,610
outlier · 9.6×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 26 $18,165.00 $86,692.50 $70,914.47 nat. median
$331
outlier · 214.4×
594
MS_DRG 		Skin Ulcers Without Cc/mcc 13 $4,893.69 $74,675.00 $65,832.58 nat. median
$9,310
outlier · 7.1×
693
MS_DRG 		Urinary Stones With Mcc 13 $8,802.30 $73,868.00 $65,121.14 nat. median
$14,175
outlier · 4.6×
592
MS_DRG 		Skin Ulcers With Mcc 13 $12,989.97 $72,984.00 $64,341.82 nat. median
$19,351
outlier · 3.3×
C1822
HCPCS 		Kit Ipg Spinal Cord Stimulator 24 $16,777.80 $70,200.00 $61,776.00 nat. median
$32,176
1.9× median
562
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 13 $9,451.15 $56,864.50 $50,131.06 nat. median
$14,618
outlier · 3.4×
J1628
HCPCS 		Guselkumab 200 Mg/20ml IV Soln 26 $14,621.90 $61,179.50 $50,044.83 nat. median
$196
outlier · 254.7×
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5ml IV Soln 26 $12,560.40 $58,250.50 $44,852.89 nat. median
$709
outlier · 63.3×
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 26 $11,105.50 $53,238.50 $43,549.10 nat. median
$885
outlier · 49.2×
66
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 13 $4,272.81 $47,700.50 $42,052.19 nat. median
$8,021
outlier · 5.2×
J9272
HCPCS 		Dostarlimab-gxly 500 Mg/10ml IV Soln 26 $11,541.00 $50,527.50 $41,331.50 nat. median
$741
outlier · 55.8×
J9022
HCPCS 		Atezolizumab 1200 Mg/20ml IV Soln 26 $9,914.40 $48,675.50 $39,816.56 nat. median
$5,498
outlier · 7.2×
J2327
HCPCS 		Risankizumab-rzaa 600 Mg/10ml IV Soln 26 $9,198.00 $44,729.50 $36,556.26 nat. median
$961
outlier · 38.0×
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 26 $8,875.80 $44,402.00 $36,320.83 nat. median
$202
outlier · 179.7×
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 13 $9,918.52 $39,952.00 $35,221.20 nat. median
$15,188
outlier · 2.3×
J1930
HCPCS 		Lanreotide Acetate 120 Mg/0.5ml Sc Soln 26 $6,139.20 $41,765.00 $34,163.77 nat. median
$4,399
outlier · 7.8×
542
MS_DRG 		Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 19 $11,334.30 $47,692.00 $33,670.97 nat. median
$17,869
1.9× median
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 26 $6,690.00 $39,312.00 $32,157.22 nat. median
$150
outlier · 214.7×
540
MS_DRG 		Osteomyelitis With Cc 19 $8,068.31 $77,318.50 $31,855.22 nat. median
$13,334
outlier · 2.4×
179
MS_DRG 		Respiratory Infections And Inflammations Without Cc/mcc 13 $4,743.91 $35,440.00 $31,243.48 nat. median
$8,650
outlier · 3.6×
J9228
HCPCS 		Ipilimumab 50 Mg/10ml IV Soln 26 $8,428.00 $38,030.00 $31,108.54 nat. median
$8,184
outlier · 3.8×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 12 $14,878.71 $44,200.42 $30,895.80 nat. median
$21,951
1.4× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 19 $10,282.10 $35,926.50 $30,545.19 nat. median
$16,480
1.9× median
J2323
HCPCS 		Natalizumab 300 Mg/15ml IV Conc 26 $7,380.00 $37,293.00 $30,505.68 nat. median
$136
outlier · 224.3×
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 13 $7,036.00 $34,135.00 $30,093.01 nat. median
$12,112
outlier · 2.5×
949
MS_DRG 		Aftercare With Cc/mcc 13 $6,667.45 $33,003.00 $29,095.05 nat. median
$12,344
outlier · 2.4×
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit 26 $7,655.00 $34,848.50 $28,506.07 nat. median
$3,475
outlier · 8.2×
553
MS_DRG 		Bone Diseases And Arthropathies With Mcc 13 $8,399.57 $31,206.50 $27,511.28 nat. median
$13,440
outlier · 2.0×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 13 $10,543.13 $31,320.63 $26,792.07 nat. median
$16,167
1.7× median
536
MS_DRG 		Fractures Of Hip And Pelvis Without Mcc 13 $4,891.83 $28,909.50 $25,486.27 nat. median
$8,921
outlier · 2.9×
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 13 $7,928.48 $28,525.50 $25,147.74 nat. median
$13,072
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 13 $19,689.53 $74,919.16 $24,482.70 nat. median
$37,053
0.7× median
77373
CPT 		Sbrt Tx Delivery 1>Lesions,5<Fract 11 $878.39 $30,438.05 $24,478.95 nat. median
$3,665
outlier · 6.7×
808
MS_DRG 		Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 $13,611.47 $40,435.82 $23,665.82 nat. median
$21,828
1.1× median
J9306
HCPCS 		Pertuzumab 420 Mg/14ml IV Soln 26 $6,476.40 $28,646.50 $23,432.84 nat. median
$67
outlier · 351.4×
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 13 $6,316.93 $26,279.50 $23,167.69 nat. median
$11,101
outlier · 2.1×
J2506
HCPCS 		Pegfilgrastim (inf Dev) 6 Mg/0.6ml Sc Sosy 26 $899.40 $26,956.00 $20,756.12 nat. median
$1,555
outlier · 13.4×
J9271
HCPCS 		Pembrolizumab 100 Mg/4ml IV Soln 26 $5,641.00 $25,266.00 $20,667.59 nat. median
$254
outlier · 81.4×
J0717
HCPCS 		Certolizumab Pegol 2 X 200 Mg Sc Kit 26 $1,960.00 $25,198.00 $20,611.97 nat. median
$1,187
outlier · 17.4×
J0517
HCPCS 		Benralizumab 30 Mg/ml Sc Sosy 26 $5,116.80 $24,558.00 $20,088.44 nat. median
$801
outlier · 25.1×
558
MS_DRG 		Tendonitis, Myositis And Bursitis Without Mcc 13 $5,459.26 $22,109.50 $19,491.47 nat. median
$9,502
outlier · 2.1×
440
MS_DRG 		Disorders Of Pancreas Except Malignancy Without Cc/mcc 12 $3,825.95 $19,905.30 $19,325.70 nat. median
$7,284
outlier · 2.7×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 13 $7,656.88 $22,746.42 $18,506.56 nat. median
$12,892
1.4× median
603
MS_DRG 		Cellulitis Without Mcc 12 $5,498.41 $19,025.55 $18,471.57 nat. median
$9,525
1.9× median
133
MS_DRG 		Respiratory Failure,major 4 $6,094.96 $33,847.69 $17,983.07 nat. median
$13,527
1.3× median
SUP-11301302
CDM 		Cone Proximal Body Arcos Sz B Std 60mm 26 $5,191.44 $21,721.50 $17,768.19 nat. median
$12,034
1.5× median
644
MS_DRG 		Endocrine Disorders With Cc 12 $6,598.47 $19,602.17 $17,430.08 nat. median
$10,989
1.6× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg IV Solr 26 $4,593.57 $20,966.00 $17,150.19 nat. median
$7,100
outlier · 2.4×
SUP-129244
CDM 		Cone Proximal Body Arcos Sz A Std 60mm 26 $4,943.64 $20,684.70 $16,920.08 nat. median
$5,890
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 3,565 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
             
694 MS_DRG Urinary Stones Without Mcc 33 13 $93,644.50 $60,868.92 35% off $4,864.48 $93,644.50 $82,555.87 2026-01-01
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 66 26 $86,692.50 $56,350.12 35% off $18,165.00 $86,692.50 $70,914.47 2026-01-01
594 MS_DRG Skin Ulcers Without Cc/mcc 33 13 $74,675.00 $48,538.75 35% off $4,893.69 $74,675.00 $65,832.58 2026-01-01
693 MS_DRG Urinary Stones With Mcc 33 13 $73,868.00 $48,014.20 35% off $8,802.30 $73,868.00 $65,121.14 2026-01-01
592 MS_DRG Skin Ulcers With Mcc 33 13 $72,984.00 $47,439.60 35% off $12,989.97 $72,984.00 $64,341.82 2026-01-01
C1822 HCPCS Kit Ipg Spinal Cord Stimulator 59 24 $70,200.00 $45,630.00 35% off $16,777.80 $70,200.00 $61,776.00 2026-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 33 13 $56,864.50 $36,961.92 35% off $9,451.15 $56,864.50 $50,131.06 2026-01-01
J1628 HCPCS Guselkumab 200 Mg/20ml IV Soln 66 26 $61,179.50 $39,766.67 35% off $14,621.90 $61,179.50 $50,044.83 2026-01-01
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 67 26 $58,250.50 $37,862.82 35% off $12,560.40 $58,250.50 $44,852.89 2026-01-01
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 66 26 $53,238.50 $34,605.02 35% off $11,105.50 $53,238.50 $43,549.10 2026-01-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 33 13 $47,700.50 $31,005.32 35% off $4,272.81 $47,700.50 $42,052.19 2026-01-01
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 66 26 $50,527.50 $32,842.87 35% off $11,541.00 $50,527.50 $41,331.50 2026-01-01
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 66 26 $48,675.50 $31,639.07 35% off $9,914.40 $48,675.50 $39,816.56 2026-01-01
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 132 26 $44,692.00 $29,049.79 35% off $9,198.00 $44,729.50 $36,556.26 2026-01-01
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 66 26 $44,402.00 $28,861.30 35% off $8,875.80 $44,402.00 $36,320.83 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 33 13 $39,952.00 $25,968.80 35% off $9,918.52 $39,952.00 $35,221.20 2026-01-01
J1930 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 66 26 $41,765.00 $27,147.25 35% off $6,139.20 $41,765.00 $34,163.77 2026-01-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 48 19 $47,692.00 $30,999.80 35% off $11,334.30 $47,692.00 $33,670.97 2026-01-01
J3380 HCPCS Vedolizumab 300 Mg IV Solr 66 26 $39,312.00 $25,552.80 35% off $6,690.00 $39,312.00 $32,157.22 2026-01-01
540 MS_DRG Osteomyelitis With Cc 48 19 $77,318.50 $50,257.02 35% off $8,068.31 $77,318.50 $31,855.22 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 33 13 $35,440.00 $23,036.00 35% off $4,743.91 $35,440.00 $31,243.48 2026-01-01
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 66 26 $38,030.00 $24,719.50 35% off $8,428.00 $38,030.00 $31,108.54 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 32 12 $35,029.25 $22,769.01 35% off $14,878.71 $44,200.42 $30,895.80 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 48 19 $35,926.50 $23,352.22 35% off $10,282.10 $35,926.50 $30,545.19 2026-01-01
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 66 26 $37,293.00 $24,240.45 35% off $7,380.00 $37,293.00 $30,505.68 2026-01-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 33 13 $34,135.00 $22,187.75 35% off $7,036.00 $34,135.00 $30,093.01 2026-01-01
949 MS_DRG Aftercare With Cc/mcc 33 13 $33,003.00 $21,451.95 35% off $6,667.45 $33,003.00 $29,095.05 2026-01-01
J3101 HCPCS Tenecteplase 50 Mg IV Kit 66 26 $34,848.50 $22,651.52 35% off $7,655.00 $34,848.50 $28,506.07 2026-01-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 33 13 $31,206.50 $20,284.22 35% off $8,399.57 $31,206.50 $27,511.28 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 33 13 $30,376.50 $19,744.72 35% off $10,543.13 $31,320.63 $26,792.07 2026-01-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 33 13 $28,909.50 $18,791.17 35% off $4,891.83 $28,909.50 $25,486.27 2026-01-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 33 13 $28,525.50 $18,541.57 35% off $7,928.48 $28,525.50 $25,147.74 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 13 $27,203.00 $17,681.95 35% off $19,689.53 $74,919.16 $24,482.70 2026-01-01
77373 CPT Sbrt Tx Delivery 1>Lesions,5<Fract 19 11 $33,820.05 $21,983.03 35% off $878.39 $30,438.05 $24,478.95 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 33 13 $26,832.00 $17,440.80 35% off $13,611.47 $40,435.82 $23,665.82 2026-01-01
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 66 26 $28,646.50 $18,620.22 35% off $6,476.40 $28,646.50 $23,432.84 2026-01-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 33 13 $26,279.50 $17,081.67 35% off $6,316.93 $26,279.50 $23,167.69 2026-01-01
J2506 HCPCS Pegfilgrastim (inf Dev) 6 Mg/0.6ml Sc Sosy 67 26 $26,956.00 $17,521.40 35% off $899.40 $26,956.00 $20,756.12 2026-01-01
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 68 26 $25,266.00 $16,422.90 35% off $5,641.00 $25,266.00 $20,667.59 2026-01-01
J0717 HCPCS Certolizumab Pegol 2 X 200 Mg Sc Kit 66 26 $25,198.00 $16,378.70 35% off $1,960.00 $25,198.00 $20,611.97 2026-01-01
J0517 HCPCS Benralizumab 30 Mg/ml Sc Sosy 66 26 $24,558.00 $15,962.70 35% off $5,116.80 $24,558.00 $20,088.44 2026-01-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 33 13 $22,109.50 $14,371.17 35% off $5,459.26 $22,109.50 $19,491.47 2026-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 32 12 $22,117.00 $14,376.05 35% off $3,825.95 $19,905.30 $19,325.70 2026-01-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 33 13 $20,982.50 $13,638.62 35% off $7,656.88 $22,746.42 $18,506.56 2026-01-01
603 MS_DRG Cellulitis Without Mcc 32 12 $21,139.50 $13,740.67 35% off $5,498.41 $19,025.55 $18,471.57 2026-01-01
133 MS_DRG Respiratory Failure,major 22 4 $29,396.25 — $6,094.96 $33,847.69 $17,983.07 2026-01-01
SUP-11301302 CDM Cone Proximal Body Arcos Sz B Std 60mm 66 26 $21,721.50 $14,118.97 35% off $5,191.44 $21,721.50 $17,768.19 2026-01-01
644 MS_DRG Endocrine Disorders With Cc 32 12 $19,762.00 $12,845.30 35% off $6,598.47 $19,602.17 $17,430.08 2026-01-01
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 66 26 $20,966.00 $13,627.90 35% off $4,593.57 $20,966.00 $17,150.19 2026-01-01
SUP-131626 CDM Cone Proximal Body Arcos Sz D High 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131634 CDM Cone Proximal Body Arcos Sz B High 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131636 CDM Cone Proximal Body Arcos Sz E High 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-129244 CDM Cone Proximal Body Arcos Sz A Std 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131641 CDM Cone Proximal Body Arcos Sz E Std 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131643 CDM Cone Proximal Body Arcos Sz G Std 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131638 CDM Cone Proximal Body Arcos Sz G High 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131629 CDM Cone Proximal Body Arcos Sz G High 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131639 CDM Cone Proximal Body Arcos Sz C Std 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131642 CDM Cone Proximal Body Arcos Sz F Std 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131621 CDM Cone Proximal Body Arcos Sz D Std 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131640 CDM Cone Proximal Body Arcos Sz D Std 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131635 CDM Cone Proximal Body Arcos Sz D High 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131622 CDM Cone Proximal Body Arcos Sz E Std 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131631 CDM Cone Proximal Body Arcos Sz F Std 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131649 CDM Cone Proximal Body Arcos Sz G High 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131632 CDM Cone Proximal Body Arcos Sz G Std 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131644 CDM Cone Proximal Body Arcos Sz A High 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131628 CDM Cone Proximal Body Arcos Sz F High 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131630 CDM Cone Proximal Body Arcos Sz E Std 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131624 CDM Cone Proximal Body Arcos Sz G Std 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131637 CDM Cone Proximal Body Arcos Sz F High 70mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131646 CDM Cone Proximal Body Arcos Sz D High 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131648 CDM Cone Proximal Body Arcos Sz F High 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-301300 CDM Cone Proximal Body Arcos Sz A Std 50mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131647 CDM Cone Proximal Body Arcos Sz E High 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131625 CDM Cone Proximal Body Arcos Sz C High 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131627 CDM Cone Proximal Body Arcos Sz E High 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131623 CDM Cone Proximal Body Arcos Sz F Std 60mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
SUP-131645 CDM Cone Proximal Body Arcos Sz C High 80mm 66 26 $20,684.70 $13,445.05 35% off $4,943.64 $20,684.70 $16,920.08 2026-01-01
682 MS_DRG Renal Failure With Mcc 32 12 $19,179.50 $12,466.67 35% off $9,327.47 $27,709.27 $16,916.32 2026-01-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 33 13 $18,991.00 $12,344.15 35% off $5,315.07 $18,991.00 $16,742.24 2026-01-01
291 MS_DRG Heart Failure And Shock With Mcc 32 12 $18,681.50 $12,142.97 35% off $7,979.44 $23,704.65 $16,477.08 2026-01-01
SUP-129605 CDM Cone Proximal Body Arcos Sz B Std 80mm 66 26 $19,890.90 $12,929.08 35% off $4,753.93 $19,890.90 $16,270.76 2026-01-01
SUP-301323 CDM Cone Proximal Body Arcos Sz C Std 70mm 66 26 $19,890.90 $12,929.08 35% off $4,753.93 $19,890.90 $16,270.76 2026-01-01
SUP-301352 CDM Cone Proximal Body Arcos Sz B High 80mm 66 26 $19,890.90 $12,929.08 35% off $4,753.93 $19,890.90 $16,270.76 2026-01-01
SUP-130105 CDM Cone Proximal Body Arcos Sz C High 70mm 66 26 $19,890.90 $12,929.08 35% off $4,753.93 $19,890.90 $16,270.76 2026-01-01
J9173 HCPCS Durvalumab 120 Mg/2.4ml IV Soln 132 26 $36,075.50 $23,449.07 35% off $3,987.00 $54,113.00 $16,234.20 2026-01-01
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 33 13 $18,301.00 $11,895.65 35% off $6,599.09 $19,604.01 $16,141.48 2026-01-01
SUP-127447 CDM Body Broach Prox Sz A 60mm Hi Offset 66 26 $19,558.80 $12,713.22 35% off $4,674.55 $19,558.80 $15,999.10 2026-01-01
SUP-127499 CDM Arcos Broached Prox Body Sz 8 Std Offset 66 26 $19,558.80 $12,713.22 35% off $4,674.55 $19,558.80 $15,999.10 2026-01-01
SUP-1130111 CDM Body Broach Prox Sz A 60mm Hi Offs 66 26 $19,558.80 $12,713.22 35% off $4,674.55 $19,558.80 $15,999.10 2026-01-01
SUP-133223 CDM Cone Proximal Body Arcos Sz A High 60mm 66 26 $19,310.43 $12,551.78 35% off $4,615.19 $19,310.43 $15,795.93 2026-01-01
SUP-301113 CDM Body Broach Prox Sz C 60mm Hi Offset 66 26 $18,805.50 $12,223.57 35% off $4,494.51 $18,805.50 $15,382.90 2026-01-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 32 12 $17,115.00 $11,124.75 35% off $5,566.15 $16,535.46 $15,095.43 2026-01-01
SUP-134561 CDM Spacer Lumbar Arcadius Xl L 25x35x14mm 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-15000 CDM Spacer Lumbar Arcadius Xp L 25x35x10mm 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133417 CDM Spacer Lumbar Arcadius Xp L 25x35x12 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-134069 CDM Implant Lumbar Dyna-link Alif 28x38x13 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-134024 CDM Implant Lumbar Zuma Alif 26x38x12 8deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133300 CDM Spacer Lumbar Arcadius Xp L 29x40x14 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133801 CDM Implant Lumbar Rampart 14mm 12deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133862 CDM Spacer Lumbar Arcadius Xpl 25x35x12 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-134025 CDM Implant Lumbar Zuma Alif 25x32x12 8deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133667 CDM Implant Lumbar Zuma 26 X 38 X 14mm 8deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133693 CDM Implant Lumbar Rampart 1 12mm 8deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133137 CDM Spacer Lumbar Zuma 26x38x12mm Alif 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133131 CDM Spacer Lumbar Zuma 26x38x14mm Alif 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133665 CDM Implant Lumbar 25 X32 X12mm 12 Deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133473 CDM Implant Lumbar Zuma 25 X 32 X 10mm 8deg 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-133943 CDM Spacer Lumbar Arcadius Xpl 29x40x12mm 66 26 $18,360.00 $11,934.00 35% off $4,388.04 $18,360.00 $15,018.48 2026-01-01
SUP-127449 CDM Calcar Proximal Sz A +20 Arcos Rev 66 26 $18,330.30 $11,914.69 35% off $4,380.94 $18,330.30 $14,994.19 2026-01-01
SUP-145511 CDM Cone Proximal Body Arcos Sz D Std 70mm 66 26 $18,330.30 $11,914.69 35% off $4,380.94 $18,330.30 $14,994.19 2026-01-01
SUP-301221 CDM Calcar Prox Body Sz A +10 60mm 66 26 $18,330.30 $11,914.69 35% off $4,380.94 $18,330.30 $14,994.19 2026-01-01
383 MS_DRG Cellulitis And Other Skin Infections,moderate 22 4 $19,418.00 — $6,316.77 $35,352.48 $14,947.01 2026-01-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 32 12 $16,845.00 $10,949.25 35% off $6,011.77 $17,859.26 $14,857.29 2026-01-01
J9177 HCPCS Enfortumab Vedotin-ejfv 30 Mg IV Solr 66 26 $17,697.00 $11,503.05 35% off $4,207.20 $17,697.00 $14,476.15 2026-01-01
SUP-133347 CDM Implant Cervical Disc Mobi-c 13 X 17 Std 66 26 $17,550.00 $11,407.50 35% off $4,194.45 $17,550.00 $14,355.90 2026-01-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 33 13 $16,206.50 $10,534.22 35% off $6,377.83 $18,946.73 $14,294.13 2026-01-01
C1889 HCPCS Implant Cervical Disc M6 6mm Med Long 59 24 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $14,256.00 2026-01-01
SUP-113012 CDM Calcar Proximal Sz C Arcos 66 26 $17,374.50 $11,293.42 35% off $4,152.51 $17,374.50 $14,212.35 2026-01-01
SUP-113011 CDM Broached Prox Body Arcos Rev Sys Sza 66 26 $17,331.30 $11,265.34 35% off $4,142.18 $17,331.30 $14,177.01 2026-01-01
SUP-133847 CDM Implant Lumbar Regatta 18x12x40mm 10deg 66 26 $16,875.00 $10,968.75 35% off $4,033.13 $16,875.00 $13,803.75 2026-01-01
SUP-133557 CDM Implant Lumbar Regatta 18x12x45mm 10deg 66 26 $16,875.00 $10,968.75 35% off $4,033.13 $16,875.00 $13,803.75 2026-01-01
SUP-133241 CDM Implant Lumbar Regatta 18x14x55mm 10deg 66 26 $16,875.00 $10,968.75 35% off $4,033.13 $16,875.00 $13,803.75 2026-01-01
SUP-133269 CDM Implant Lumbar Regatta 18x10x50mm 10deg 66 26 $16,875.00 $10,968.75 35% off $4,033.13 $16,875.00 $13,803.75 2026-01-01
SUP-134566 CDM Implant Lumbar Regatta 18x12x50mm 10deg 66 26 $16,875.00 $10,968.75 35% off $4,033.13 $16,875.00 $13,803.75 2026-01-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 32 12 $15,589.00 $10,132.85 35% off $5,597.85 $16,629.62 $13,749.50 2026-01-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 33 13 $15,403.00 $10,011.95 35% off $6,249.18 $18,564.55 $13,585.45 2026-01-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 32 12 $15,325.50 $9,961.57 35% off $7,298.90 $21,682.95 $13,517.09 2026-01-01
SUP-133221 CDM Broach Arcos Sz C 60mm Std Offset 66 26 $16,426.80 $10,677.42 35% off $3,926.01 $16,426.80 $13,437.12 2026-01-01
602 MS_DRG Cellulitis With Mcc 32 12 $15,086.00 $9,805.90 35% off $9,244.81 $27,463.71 $13,305.85 2026-01-01
SUP-133419 CDM Plate Lumbar Activ L Inferior 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-133659 CDM Plate Lumbar Activ L Superior Med 6deg 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-134557 CDM Plate Lumbar Activ L Sup Med 11deg 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-133880 CDM Implant Cervical Disc M6 6mm Lg Long 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-133422 CDM Plate Lumbar Activ L Inferior Large 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-133420 CDM Plate Lumbar Activ L Superior Small 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-136112 CDM Plate Lumbar Activ L Inferior Med 5deg 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-133660 CDM Plate Lumbar Activ L Inferior Med 0deg 66 26 $16,200.00 $10,530.00 35% off $3,871.80 $16,200.00 $13,251.60 2026-01-01
SUP-301322 CDM Cone Proximal Body Arcos Sz B Std 70mm 66 26 $16,136.06 $10,488.44 35% off $3,856.52 $16,136.06 $13,199.30 2026-01-01
347 MS_DRG Other Back And Neck Disorders, Fractures And Injuries,moderate 12 4 $9,164.00 — $8,016.24 $18,567.25 $13,158.91 2026-01-01
J9061 HCPCS Amivantamab-vmjw 350 Mg/7ml IV Soln 66 26 $15,988.50 $10,392.52 35% off $3,498.25 $15,988.50 $13,078.60 2026-01-01
SUP-113013 CDM Cone Proximal Body Arcos Sz A High 50mm 66 26 $15,795.00 $10,266.75 35% off $3,775.01 $15,795.00 $12,920.31 2026-01-01
389 MS_DRG Gastrointestinal Obstruction With Cc 32 12 $14,571.50 $9,471.47 35% off $4,949.63 $14,703.93 $12,852.06 2026-01-01
J2182 HCPCS Mepolizumab 100 Mg Sc Solr 66 26 $15,132.00 $9,835.80 35% off $3,017.00 $15,132.00 $12,377.97 2026-01-01
SUP-133081 CDM Spacer Lordotic Hollywood Vi Nm 11x30x11 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-133658 CDM Spacer Lumbar Lucent Ti 12x37x10 Tlif 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-132974 CDM Spacer Lordotic Hollywood Vi Nm 11x30x10 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-144662 CDM Spacer Lordotic Hollywood Vi Nm 11x30x9 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-133326 CDM Spacer Lordotic Hollywood 11x3012mm 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-133441 CDM Spacer Lumbar Lucent Ti 12x37x11 Tlif 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-132979 CDM Spacer Lordotic Cascadia 10x28x8mm 7 Deg 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-133673 CDM Spacer Lumbar Lucent Ti 12x37x12 Tlif 66 26 $14,850.00 $9,652.50 35% off $3,549.15 $14,850.00 $12,147.30 2026-01-01
SUP-132828 CDM Implant Cervical Disc Mobi-c 13 X 17 Std 66 26 $14,580.00 $9,477.00 35% off $3,484.62 $14,580.00 $11,926.44 2026-01-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 32 12 $13,521.50 $8,788.97 35% off $4,856.40 $14,426.99 $11,925.96 2026-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 33 13 $13,425.00 $8,726.25 35% off $6,477.89 $19,243.98 $11,840.85 2026-01-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 48 19 $13,293.50 $8,640.77 35% off $5,276.54 $15,675.09 $11,724.87 2026-01-01
SUP-132838 CDM Implant Lordotic Lat 18x15x14m M 8 Deg 66 26 $14,040.00 $9,126.00 35% off $3,355.56 $14,040.00 $11,484.72 2026-01-01
SUP-132893 CDM Implant Lordotic Lat 18x50x12mm 66 26 $14,040.00 $9,126.00 35% off $3,355.56 $14,040.00 $11,484.72 2026-01-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 32 12 $12,860.00 $8,359.00 35% off $6,400.83 $19,015.04 $11,342.52 2026-01-01
SUP-125693 CDM Implant Lumbar X-stop 10mm 66 26 $13,756.50 $8,941.72 35% off $3,287.80 $13,756.50 $11,252.82 2026-01-01
SUP-125694 CDM Implant Lumbar X-stop 8mm 66 26 $13,756.50 $8,941.72 35% off $3,287.80 $13,756.50 $11,252.82 2026-01-01
SUP-126151 CDM Implant Lumbar X-stop 14mm 66 26 $13,756.50 $8,941.72 35% off $3,287.80 $13,756.50 $11,252.82 2026-01-01
SUP-126253 CDM Implant Lumbar X-stop 12mm 66 26 $13,756.50 $8,941.72 35% off $3,287.80 $13,756.50 $11,252.82 2026-01-01
200 MS_DRG Pneumothorax With Cc 33 13 $12,682.00 $8,243.30 35% off $6,693.56 $19,884.65 $11,185.52 2026-01-01
135 MS_DRG Major Chest And Respiratory Trauma,moderate 17 7 $12,682.00 — $4,734.98 $16,611.49 $11,180.30 2026-01-01
J0897 HCPCS Denosumab 120 Mg/1.7ml Sc Soln 67 26 $14,489.00 $9,417.85 35% off $2,906.40 $14,489.00 $11,156.53 2026-01-01
SUP-129935 CDM Implant Cervical Disc Bryan 16mm 66 26 $13,540.50 $8,801.32 35% off $3,236.18 $13,540.50 $11,076.13 2026-01-01
SUP-133675 CDM Implant Cervical Disc Prestige Lp 5x16mm 66 26 $13,500.00 $8,775.00 35% off $3,226.50 $13,500.00 $11,043.00 2026-01-01
378 MS_DRG Gastrointestinal Hemorrhage With Cc 33 13 $12,376.00 $8,044.40 35% off $6,114.32 $18,163.90 $10,915.63 2026-01-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 33 13 $12,093.00 $7,860.45 35% off $4,882.50 $14,504.53 $10,666.03 2026-01-01
J9358 HCPCS Fam-trastuzumab Deruxtec-nxki 100 Mg IV Solr 66 26 $12,963.50 $8,426.27 35% off $2,638.00 $12,963.50 $10,604.15 2026-01-01
312 MS_DRG Syncope And Collapse 32 12 $11,987.00 $7,791.55 35% off $5,366.65 $15,942.80 $10,572.53 2026-01-01
SUP-130116 CDM Implant Cervical Disc Bryan 14mm 66 26 $12,744.00 $8,283.60 35% off $3,045.82 $12,744.00 $10,424.59 2026-01-01
SUP-130160 CDM Implant Cervical Disc Bryan 18mm 66 26 $12,744.00 $8,283.60 35% off $3,045.82 $12,744.00 $10,424.59 2026-01-01
SUP-130611 CDM Implant Cervical Disc Bryan 18mm 66 26 $12,744.00 $8,283.60 35% off $3,045.82 $12,744.00 $10,424.59 2026-01-01
SUP-131095 CDM Implant Cervical Disc Bryan 15mm 66 26 $12,744.00 $8,283.60 35% off $3,045.82 $12,744.00 $10,424.59 2026-01-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 33 13 $11,565.50 $7,517.57 35% off $5,350.49 $15,894.80 $10,200.77 2026-01-01
638 MS_DRG Diabetes With Cc 32 12 $11,535.00 $7,497.75 35% off $5,589.77 $16,605.62 $10,173.87 2026-01-01
552 MS_DRG Medical Back Problems Without Mcc 48 19 $11,326.00 $7,361.90 35% off $4,530.40 $17,840.80 $9,989.53 2026-01-01
SUP-133348 CDM Implant Cervical Disc Mobi-c 17 X 17 Std 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-132915 CDM Implant Cervical Disc Mobi-c 17 X 17 Std 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-133231 CDM Implant Cervical Disc Mobi-c 15 X 15 Std 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-134175 CDM Spacer Alif Plateau-a 34x28x15mm 12deg 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-132853 CDM Implant Cervical Disc Mobi-c 15 X 19 Std 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-132746 CDM Implant Cervical Disc Mobi-c 15 X 17 Std 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-132715 CDM Implant Cervical Disc Mobi-c 15 X 15 Std 66 26 $12,150.00 $7,897.50 35% off $2,903.85 $12,150.00 $9,938.70 2026-01-01
SUP-127467 CDM Lap Band Ap Lg With Rapidport Ez 66 26 $12,015.00 $7,809.75 35% off $2,871.59 $12,015.00 $9,828.27 2026-01-01
SUP-132804 CDM Implant Cervical Disc Prodisc C Med 5mm 66 26 $11,745.00 $7,634.25 35% off $2,807.06 $11,745.00 $9,607.41 2026-01-01
SUP-133008 CDM Implant Cervical Prodisc C Lg Deep 6mm 66 26 $11,745.00 $7,634.25 35% off $2,807.06 $11,745.00 $9,607.41 2026-01-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 33 13 $10,829.00 $7,038.85 35% off $5,123.65 $15,220.90 $9,551.18 2026-01-01
683 MS_DRG Renal Failure With Cc 32 12 $10,299.00 $6,694.35 35% off $5,598.47 $16,631.47 $9,083.72 2026-01-01
SUP-125076 CDM Implant Lumbar X-stop 10mm 66 26 $11,048.40 $7,181.46 35% off $2,640.57 $11,048.40 $9,037.59 2026-01-01
202 MS_DRG Bronchitis And Asthma With Cc/mcc 32 12 $10,192.00 $6,624.80 35% off $5,950.86 $17,678.32 $8,989.34 2026-01-01
J2997 HCPCS Alteplase 100 Mg IV Solr 198 26 $18,481.00 $12,012.65 35% off $178.32 $36,962.00 $8,874.96 2026-01-01
SUP-133380 CDM Spacer Corpectomy Athlet Peek 18x14x15 66 26 $10,800.00 $7,020.00 35% off $2,581.20 $10,800.00 $8,834.40 2026-01-01
SUP-130047 CDM Stem Femoral Arcos Sts Dist 13 X 150mm 66 26 $10,659.60 $6,928.74 35% off $2,547.64 $10,659.60 $8,719.55 2026-01-01
66991 CPT Extracapsular Cataract Removal Insertion Io Lens Prsth, 1 Or More 63 25 $18,937.30 $12,309.24 35% off $2,116.00 $35,727.98 $8,713.05 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 23 10 $9,674.00 $6,288.10 35% off $7,002.04 $12,321.86 $8,532.47 2026-01-01
SUP-124097 CDM Body Fem Zmr Calcar Sz A 46x45mm Offset 66 26 $10,314.00 $6,704.10 35% off $2,465.05 $10,314.00 $8,436.85 2026-01-01
140 MS_DRG Chronic Obstructive Pulmonary Disease,major 11 4 $9,429.50 — $7,861.94 $18,209.85 $8,312.93 2026-01-01
SUP-133896 CDM Implant Lordotic Ventura Nm 9x24x11mm 66 26 $10,125.00 $6,581.25 35% off $2,419.88 $10,125.00 $8,282.25 2026-01-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 32 12 $9,331.00 $6,065.15 35% off $6,753.78 $20,346.23 $8,229.94 2026-01-01
J2426 HCPCS Paliperidone Palmitate ER 156 Mg/ml IM Susy 66 26 $9,994.00 $6,496.10 35% off $2,237.04 $9,994.00 $8,175.09 2026-01-01
59618 CPT Rout OB Care,c-sec,prev C-sec 54 23 $9,435.00 $6,132.75 35% off $2,254.97 $40,677.24 $8,170.71 2026-01-01
SUP-123916 CDM Femoral Body Rev Std 40mm Neck Size B 66 26 $9,918.72 $6,447.17 35% off $2,370.57 $9,918.72 $8,113.51 2026-01-01
59510 CPT Full Rout Obste Care,Cesarean Deliv 54 23 $9,335.00 $6,067.75 35% off $2,231.07 $40,245.86 $8,084.11 2026-01-01
SUP-999017 CDM Spout Femoral 46 X 35mm Offset Sz A 66 26 $9,823.68 $6,385.39 35% off $2,347.86 $9,823.68 $8,035.77 2026-01-01
SUP-123585 CDM Femoral Body 12/14 Neck Ext 46mm Offset 66 26 $9,823.68 $6,385.39 35% off $2,347.86 $9,823.68 $8,035.77 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 25 11 $8,922.00 $5,799.30 35% off $6,457.74 $26,362.87 $7,869.20 2026-01-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 32 12 $8,817.00 $5,731.05 35% off $4,972.62 $14,772.25 $7,776.59 2026-01-01
340 MS_DRG Fracture Of Femur,moderate 11 4 $8,721.00 — $5,926.73 $13,727.50 $7,688.33 2026-01-01
59610 CPT Rout OB Care,Vag Deliv,Prev C-sec 54 23 $8,801.00 $5,720.65 35% off $2,103.44 $21,371.52 $7,621.67 2026-01-01
J9299 HCPCS Nivolumab 100 Mg/10ml IV Soln 198 26 $13,900.50 $9,035.32 35% off $1,217.20 $33,361.00 $7,434.66 2026-01-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 32 12 $8,209.00 $5,335.85 35% off $5,941.67 $24,493.02 $7,388.10 2026-01-01
J3358 HCPCS Ustekinumab 130 Mg/26ml IV Soln 66 26 $8,903.00 $5,786.95 35% off $1,640.60 $8,903.00 $7,282.66 2026-01-01
59400 CPT Full Rout Obste Care,Vaginal Deliv 54 23 $8,395.00 $5,456.75 35% off $2,006.41 $21,371.52 $7,270.07 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 25 11 $8,155.00 $5,300.75 35% off $5,902.59 $23,313.65 $7,192.71 2026-01-01
J1459 HCPCS Privigen 20 Gm/200ml IV Soln 132 26 $12,087.50 $7,856.87 35% off $951.80 $16,116.50 $6,978.66 2026-01-01
SUP-133897 CDM Bone Dbf Cortical Fiber Boat 10cc Lg 66 26 $8,505.00 $5,528.25 35% off $2,032.70 $8,505.00 $6,957.09 2026-01-01
J1602 HCPCS Golimumab 50 Mg/4ml IV Soln 66 26 $8,397.00 $5,458.05 35% off $646.50 $8,397.00 $6,868.74 2026-01-01
SUP-130711 CDM Stem Femoral Arcos Sts Dist 17 X 150mm 66 26 $8,318.59 $5,407.08 35% off $1,988.14 $8,318.59 $6,804.60 2026-01-01
35082 CPT Repair Artery Rupture Aorta 54 23 $7,274.00 $4,728.10 35% off $1,738.49 $31,360.77 $6,299.28 2026-01-01
463 MS_DRG Kidney And Urinary Tract Infections,major 17 4 $4,828.00 — $3,805.37 $14,243.74 $6,149.61 2026-01-01
J0875 HCPCS Dalbavancin Hcl 500 Mg IV Solr 132 26 $7,510.00 $4,881.49 35% off $1,521.00 $7,547.50 $6,141.39 2026-01-01
282 MS_DRG Disorders Of Pancreas Except Malignancy,minor 11 4 $22,117.00 — $2,647.79 $19,498.08 $6,132.82 2026-01-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 32 12 $6,828.00 $4,438.20 35% off $887.22 $13,228.74 $6,022.30 2026-01-01
SUP-133007 CDM Spacer Aleutian Plif 8.5 X 22 X 9mm 66 26 $7,290.00 $4,738.50 35% off $1,742.31 $7,290.00 $5,963.22 2026-01-01
SUP-132708 CDM Aleutian Cage Convex An 8.5x22x7 66 26 $7,290.00 $4,738.50 35% off $1,742.31 $7,290.00 $5,963.22 2026-01-01
SUP-132660 CDM Aleutian Cage Plif 8.5x22x10mm 66 26 $7,290.00 $4,738.50 35% off $1,742.31 $7,290.00 $5,963.22 2026-01-01
SUP-132679 CDM Aleutian Cage Plif 8.5x22x11mm 66 26 $7,290.00 $4,738.50 35% off $1,742.31 $7,290.00 $5,963.22 2026-01-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 48 19 $6,653.00 $4,324.45 35% off $2,661.20 $13,856.48 $5,867.95 2026-01-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 43 16 $6,452.00 $4,193.80 35% off $4,669.96 $15,180.28 $5,806.80 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 32 12 $6,510.50 $4,231.82 35% off $4,712.30 $14,897.79 $5,742.26 2026-01-01
C1874 HCPCS Stent Viable Mtl Covered 10mmx40mm 59 24 $6,480.00 $4,212.00 35% off $1,548.72 $6,480.00 $5,702.40 2026-01-01
J1439 HCPCS Ferric Carboxymaltose 750 Mg/15ml IV Soln 66 26 $6,765.00 $4,397.25 35% off $840.00 $6,765.00 $5,533.77 2026-01-01
Q5136 HCPCS Denosumab-bbdz 60 Mg/ml Sc Sosy 66 26 $6,737.50 $4,379.37 35% off $1,610.26 $6,737.50 $5,511.28 2026-01-01
65820 CPT Relieve Inner Eye Pressure 63 25 $11,655.80 $7,576.27 35% off $1,334.00 $27,793.62 $5,362.83 2026-01-01
J0129 HCPCS Abatacept 250 Mg IV Solr 66 26 $6,510.00 $4,231.50 35% off $1,067.50 $6,510.00 $5,325.18 2026-01-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 25 11 $6,008.00 $3,905.20 35% off $4,348.59 $17,132.13 $5,299.06 2026-01-01
J9264 HCPCS Paclitaxel Protein-bound Part 100 Mg IV Susr 184 26 $6,636.50 $4,313.72 35% off $1,427.55 $6,884.00 $5,214.43 2026-01-01
22551 CPT Arthrodesis Ant Cervical - C2 49 22 $5,923.00 $3,849.95 35% off $1,415.60 $13,632.45 $5,129.32 2026-01-01
J7168 HCPCS Prothrombin Complex Conc Human 500 Units IV Kit 66 26 $6,265.00 $4,072.25 35% off $1,140.00 $6,265.00 $5,124.77 2026-01-01
66850 CPT Remv Lens Material,Phacofragmt 63 25 $6,910.50 $4,491.82 35% off $1,334.00 $15,930.16 $5,063.00 2026-01-01
66982 CPT Remv Cataract Extracap,Insrt Lens,Complx Without Endo Cyclophotocoagul 63 25 $9,141.40 $5,941.91 35% off $1,334.00 $15,930.16 $5,063.00 2026-01-01
66825 CPT Reposition Intraocular Lens W Incis 63 25 $8,236.00 $5,353.40 35% off $1,334.00 $15,930.16 $5,063.00 2026-01-01
66984 CPT Remv Cataract Extracap,Insert Lens Without Endo Cyclophotocoagul 63 25 $8,580.00 $5,577.00 35% off $1,334.00 $15,930.16 $5,063.00 2026-01-01
64721 CPT Revise Median N/Carpal Tunnel Surg 63 25 $6,357.50 $4,132.37 35% off $1,334.00 $13,198.55 $5,063.00 2026-01-01
J2357 HCPCS Omalizumab 150 Mg Sc Solr 66 26 $6,186.00 $4,020.90 35% off $1,172.70 $6,186.00 $5,060.15 2026-01-01
69646 CPT Tympanoplas/Mastoidec,Rad,Rebld Ossi 54 23 $5,439.00 $3,535.35 35% off $1,299.92 $40,032.06 $4,786.32 2026-01-01
22612 CPT Lumbar Spine Fusn,Post Tech 49 22 $5,496.00 $3,572.40 35% off $1,313.54 $19,303.43 $4,759.54 2026-01-01
C1763 HCPCS Bone Lapidus Wedge 5deg X 5mm 295 24 $5,670.00 $3,685.50 35% off $145.19 $15,930.00 $4,659.53 2026-01-01
SUP-133502 CDM Spacer Cervical Shoreline 14x13x7mm 7deg 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-134807 CDM Implant Cervical Cambria Ti 17x13x5mm 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-134129 CDM Implant Cervical Cambria Ti 17x13x7mm 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-133120 CDM Shoreline Acs Interbody Ti 16x14x7 7deg 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-133714 CDM Implant Cervical Cambria Ti 17x13x6mm 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-134234 CDM Implant Cervical Cambria Ti 15x13x7mm 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-133541 CDM Spacer Cervical Shoreline 14x13x6mm 7deg 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-134051 CDM Implant Cervical Cambria Ti 15x13x5mm 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-134252 CDM Implant Cervical Cambria Ti 17x13x8mm 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-133542 CDM Spacer Cervical Shoreline 14x13x5mm 7deg 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
SUP-133443 CDM Shoreline Acs Interbody Ti 16x14x8 7deg 66 26 $5,670.00 $3,685.50 35% off $1,355.13 $5,670.00 $4,638.06 2026-01-01
69644 CPT Tympanoplas/Mastoid,Intct Wall,Rebld 54 23 $5,210.00 $3,386.50 35% off $1,245.19 $40,032.06 $4,584.80 2026-01-01
43281 CPT Lap Paraesophag Hern Repair 49 22 $5,284.00 $3,434.60 35% off $1,262.88 $10,662.34 $4,575.94 2026-01-01
SUP-124346 CDM Mold Cement Hip Femoral Stem 9 X 125mm 66 26 $5,589.00 $3,632.85 35% off $1,335.77 $5,589.00 $4,571.80 2026-01-01
69645 CPT Tympanoplas/Mastoidec,Radical/Comple 54 23 $5,112.00 $3,322.80 35% off $1,221.77 $40,032.06 $4,498.56 2026-01-01
PX-36000003 CDM Or Level 3 66 26 $5,464.00 $3,551.60 35% off $1,305.90 $5,464.00 $4,469.55 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 23 10 $5,051.00 $3,283.15 35% off $3,655.91 $6,132.34 $4,454.98 2026-01-01
30420 CPT Reconstr Nose+Maj Septal Repair 54 23 $5,037.00 $3,274.05 35% off $1,203.84 $40,032.06 $4,432.56 2026-01-01
SUP-3502020 CDM Expander Breast Tissue Becker 66 26 $5,400.00 $3,510.00 35% off $1,290.60 $5,400.00 $4,417.20 2026-01-01
SUP-777778 CDM Mold Cement Hip Femoral Stem 9 X 125mm 66 26 $5,400.00 $3,510.00 35% off $1,290.60 $5,400.00 $4,417.20 2026-01-01
SUP-133381 CDM End Cap Corpectomy Spacer Athlet 4mm 66 26 $5,400.00 $3,510.00 35% off $1,290.60 $5,400.00 $4,417.20 2026-01-01
SUP-431213 CDM Mold Cement Hip Femoral Stem 14 X 145mm 66 26 $5,400.00 $3,510.00 35% off $1,290.60 $5,400.00 $4,417.20 2026-01-01
32110 CPT Thoracotomy,Ctrl Trauma Bleed 54 23 $5,039.00 $3,275.35 35% off $1,204.32 $19,424.06 $4,363.77 2026-01-01
SUP-129055 CDM Max-ti Cage Trial 56mm Left 66 26 $5,130.00 $3,334.50 35% off $1,226.07 $5,130.00 $4,196.34 2026-01-01
948 MS_DRG Signs And Symptoms Without Mcc 25 11 $4,731.50 $3,075.47 35% off $3,424.66 $13,310.22 $4,173.18 2026-01-01
Q0138 HCPCS Ferumoxytol 510 Mg/17ml IV Soln 66 26 $5,013.50 $3,258.77 35% off $255.00 $5,013.50 $4,101.05 2026-01-01
38720 CPT Removal Nodes, Neck,Cerv Cmplt 54 23 $4,646.00 $3,019.90 35% off $1,110.39 $44,577.39 $4,088.48 2026-01-01
69642 CPT Tympanoplas/Mastoidec,Rebld Ossicles 54 23 $4,640.00 $3,016.00 35% off $1,108.96 $40,032.06 $4,083.20 2026-01-01
59515 CPT Cesarean Delivery+Postpartum Care 54 23 $4,643.00 $3,017.95 35% off $1,109.68 $20,016.35 $4,020.84 2026-01-01
J1745 HCPCS Infliximab 100 Mg IV Solr 66 26 $4,905.00 $3,188.25 35% off $326.40 $4,905.00 $4,012.29 2026-01-01
60252 CPT Thyroidectomy,Malig,Ltd Neck Surg 54 23 $4,559.00 $2,963.35 35% off $1,089.60 $40,032.06 $4,011.92 2026-01-01
J2407 HCPCS Oritavancin Diphosphate 400 Mg IV Solr 66 26 $4,875.50 $3,169.07 35% off $1,101.60 $4,875.50 $3,988.16 2026-01-01
J9312 HCPCS Rituximab 100 Mg/10ml IV Soln 132 26 $11,838.00 $7,694.70 35% off $801.90 $19,730.00 $3,977.75 2026-01-01
SUP-132677 CDM Implant I-factor Bone Graft 5cc 66 26 $4,819.50 $3,132.67 35% off $1,151.86 $4,819.50 $3,942.35 2026-01-01
63042 CPT Re-exp Lami/Excis Lumb Disk 49 22 $4,519.00 $2,937.35 35% off $1,080.04 $7,410.25 $3,913.45 2026-01-01
58554 CPT Laparo-vag Hyst W/t/o, Compl 49 22 $4,515.00 $2,934.75 35% off $1,079.09 $10,662.34 $3,909.99 2026-01-01
63045 CPT Laminec/Facetect/Foramin,Cervical 49 22 $4,508.00 $2,930.20 35% off $1,077.41 $7,410.25 $3,903.93 2026-01-01
SUP-133898 CDM Bone Dbf Cortical Fiber Boat Sm 5cc 66 26 $4,725.00 $3,071.25 35% off $1,129.28 $4,725.00 $3,865.05 2026-01-01
58291 CPT Vag Hyst Incl T/o, Complex 54 23 $4,303.00 $2,796.95 35% off $1,028.42 $34,001.07 $3,786.64 2026-01-01
63046 CPT Laminec/Facetect/Foramin,Thoracic 49 22 $4,301.00 $2,795.65 35% off $1,027.94 $7,410.25 $3,724.67 2026-01-01
SUP-134163 CDM Screw Lumbar Creo 6.5 X 45mm Polyaxial 66 26 $4,536.00 $2,948.40 35% off $1,084.10 $4,536.00 $3,710.45 2026-01-01
SUP-164164 CDM Screw Lumbar Creo 6.5 X 50mm Polyaxial 66 26 $4,536.00 $2,948.40 35% off $1,084.10 $4,536.00 $3,710.45 2026-01-01
49203 CPT Exc Abd Tum 5 Cm Or Less 38 18 $4,123.00 $2,679.95 35% off $985.40 $21,789.35 $3,672.74 2026-01-01
J3424 HCPCS Hydroxocobalamin 5 G IV Solr 66 26 $4,477.00 $2,910.05 35% off $1,070.00 $4,477.00 $3,662.18 2026-01-01
58573 CPT Tlh W/t/o Uterus Over 250 G 49 22 $4,223.00 $2,744.95 35% off $1,009.30 $10,662.34 $3,657.12 2026-01-01
69930 CPT Implant Cochlear Device 49 22 $4,205.00 $2,733.25 35% off $1,005.00 $34,735.42 $3,641.53 2026-01-01
42420 CPT Exc Parotd,Total,Dissect 5th Nerv 54 23 $4,103.00 $2,666.95 35% off $980.62 $40,032.06 $3,610.64 2026-01-01
PX-36000002 CDM Or Level 2 66 26 $4,371.00 $2,841.15 35% off $1,044.67 $4,371.00 $3,575.48 2026-01-01
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