Price Transparency 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

CENTRACARE HEALTH PAYNESVILLE LLC

Paynesville, MN · CCN 241349 · Rates published

4,339 distinct procedures filed
11 distinct payers
132,799 rate rows
2024-12-30 last MRF observed · ⚠ 18 mo old
Data quality

66,419 of 132,799 rate rows are consumer-grade (50.0%)

66,380 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 57,009
per-diem day rate — not a per-procedure price 9,362
placeholder amount (≤ $0.02) — excluded from medians 6
exceeds 10× this hospital's gross charge — excluded from medians 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.centracare.com/app/files/public/e9657d5b-802b-4de6-80c8-5e07a5fb868f/463298651_centracare-health-paynesville-llc_standardcharges.csv
Found on page https://www.centracare.com/pricing-financial-assistance/
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-15
Content fingerprint 5822c0e2ee35356d… · 55,974,999 bytes · first seen 2026-06-15

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $193,240.39 $193,240.39 $193,240.39 nat. median
$370,174
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $144,334.37 $144,334.37 $144,334.37 nat. median
$265,286
0.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $109,815.52 $109,815.52 $109,815.52 nat. median
$202,986
0.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $103,055.43 $103,055.43 $103,055.43 nat. median
$206,368
outlier · 0.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $72,402.12 $72,402.12 $72,402.12 nat. median
$133,176
0.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $67,133.62 $67,133.62 $67,133.62 nat. median
$117,303
0.6× median
7
MS_DRG 		Lung Transplant 1 $66,964.53 $66,964.53 $66,964.53 nat. median
$122,708
0.5× median
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 11 $35,198.30 $92,643.73 $63,921.01 nat. median
$562
outlier · 113.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $55,820.34 $55,820.34 $55,820.34 nat. median
$102,358
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $54,567.53 $54,567.53 $54,567.53 nat. median
$100,136
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 1 $54,287.76 $54,287.76 $54,287.76 nat. median
$99,019
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $53,675.95 $53,675.95 $53,675.95 nat. median
$98,905
0.5× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml IV Soln 11 $18,506.25 $57,275.61 $37,890.93 nat. median
$712
outlier · 53.2×
J9043
HCPCS 		Cabazitaxel 60 Mg/6 Ml IV (after First Dilution) (wet Soln Vial) 11 $20,964.00 $46,038.67 $33,501.33 nat. median
$739
outlier · 45.4×
J9306
HCPCS 		Pertuzumab 420 Mg/14 Ml (30 Mg/ml) IV Soln 11 $12,322.28 $47,479.40 $29,900.84 nat. median
$87
outlier · 345.0×
J9042
HCPCS 		Brentuximab Vedotin 50 Mg/10 Ml IV (wet Solr Vial) 11 $19,036.00 $40,706.08 $29,871.04 nat. median
$1,050
outlier · 28.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $26,051.95 $49,452.24 $26,051.95 nat. median
$93,672
outlier · 0.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $25,420.16 $48,188.66 $25,420.16 nat. median
$108,660
outlier · 0.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $24,926.72 $47,201.78 $24,926.72 nat. median
$83,442
outlier · 0.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $23,035.96 $43,420.26 $23,035.96 nat. median
$79,312
outlier · 0.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $23,023.92 $43,396.18 $23,023.92 nat. median
$81,118
outlier · 0.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $22,694.44 $42,737.23 $22,694.44 nat. median
$82,712
outlier · 0.3×
J9228
HCPCS 		Ipilimumab 50 Mg/10 Ml (5 Mg/ml) IV Soln 11 $14,248.50 $123,568.40 $22,570.30 nat. median
$9,906
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $21,978.37 $41,305.08 $21,978.37 nat. median
$77,576
outlier · 0.3×
10
MS_DRG 		Pancreas Transplant 6 $21,752.65 $40,853.65 $21,752.65 nat. median
$68,882
outlier · 0.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $21,635.58 $40,619.49 $21,635.58 nat. median
$71,240
outlier · 0.3×
J9022
HCPCS 		Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 11 $11,879.58 $31,266.56 $21,573.07 nat. median
$6,951
outlier · 3.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $21,351.44 $40,051.23 $21,351.44 nat. median
$73,807
outlier · 0.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $21,149.31 $39,646.95 $21,149.31 nat. median
$74,915
outlier · 0.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $20,449.11 $38,246.56 $20,449.11 nat. median
$72,138
outlier · 0.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $19,522.94 $36,394.23 $19,522.94 nat. median
$68,090
outlier · 0.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $19,431.49 $36,211.31 $19,431.49 nat. median
$68,887
outlier · 0.3×
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Subq Soln 11 $10,634.40 $27,993.67 $19,314.03 nat. median
$233
outlier · 82.9×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $19,148.38 $35,645.11 $19,148.38 nat. median
$66,526
outlier · 0.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $18,819.94 $34,988.21 $18,819.94 nat. median
$64,732
outlier · 0.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $18,503.27 $34,354.88 $18,503.27 nat. median
$63,738
outlier · 0.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $18,437.17 $34,222.68 $18,437.17 nat. median
$64,027
outlier · 0.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $18,408.22 $34,164.78 $18,408.22 nat. median
$65,950
outlier · 0.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $17,894.79 $33,137.93 $17,894.79 nat. median
$62,134
outlier · 0.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $17,870.97 $33,090.28 $17,870.97 nat. median
$64,510
outlier · 0.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $17,528.69 $32,405.71 $17,528.69 nat. median
$60,185
outlier · 0.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $17,195.88 $31,740.11 $17,195.88 nat. median
$59,099
outlier · 0.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $17,175.38 $31,699.11 $17,175.38 nat. median
$60,691
outlier · 0.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $17,103.14 $31,554.62 $17,103.14 nat. median
$59,793
outlier · 0.3×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $16,976.32 $31,300.98 $16,976.32 nat. median
$59,899
outlier · 0.3×
28
MS_DRG 		Spinal Procedures With Mcc 6 $16,901.51 $31,151.36 $16,901.51 nat. median
$57,823
outlier · 0.3×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 6 $16,789.81 $30,927.95 $16,789.81 nat. median
$56,920
outlier · 0.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 6 $16,789.81 $30,927.95 $16,789.81 nat. median
$53,805
outlier · 0.3×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 $16,674.26 $30,696.86 $16,674.26 nat. median
$55,736
outlier · 0.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $16,674.26 $30,696.86 $16,674.26 nat. median
$60,726
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 4,339 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $193,240.39 $193,240.39 $193,240.39 2024-12-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $144,334.37 $144,334.37 $144,334.37 2024-12-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $109,815.52 $109,815.52 $109,815.52 2024-12-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $103,055.43 $103,055.43 $103,055.43 2024-12-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $72,402.12 $72,402.12 $72,402.12 2024-12-30
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $67,133.62 $67,133.62 $67,133.62 2024-12-30
7 MS_DRG Lung Transplant 1 1 — — $66,964.53 $66,964.53 $66,964.53 2024-12-30
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 58 11 $60,531.82 $47,214.82 22% off $35,198.30 $92,643.73 $63,921.01 2024-12-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $55,820.34 $55,820.34 $55,820.34 2024-12-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $54,567.53 $54,567.53 $54,567.53 2024-12-30
215 MS_DRG Other Heart Assist System Implant 1 1 — — $54,287.76 $54,287.76 $54,287.76 2024-12-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $53,675.95 $53,675.95 $53,675.95 2024-12-30
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 58 11 $40,270.84 $31,411.26 22% off $18,506.25 $57,275.61 $37,890.93 2024-12-30
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml IV (after First Dilution) (wet Soln Vial) 58 11 $28,912.46 $22,551.72 22% off $20,964.00 $46,038.67 $33,501.33 2024-12-30
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) IV Soln 58 11 $26,682.75 $20,812.54 22% off $12,322.28 $47,479.40 $29,900.84 2024-12-30
J9042 HCPCS Brentuximab Vedotin 50 Mg/10 Ml IV (wet Solr Vial) 58 11 $24,007.18 $18,725.60 22% off $19,036.00 $40,706.08 $29,871.04 2024-12-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $26,051.95 $49,452.24 $26,051.95 2024-12-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 6 — — $25,420.16 $48,188.66 $25,420.16 2024-12-30
850 MS_DRG Acute Leukemia With Other Procedures 16 6 — — $24,926.72 $47,201.78 $24,926.72 2024-12-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $23,035.96 $43,420.26 $23,035.96 2024-12-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $23,023.92 $43,396.18 $23,023.92 2024-12-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 6 — — $22,694.44 $42,737.23 $22,694.44 2024-12-30
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) IV Soln 67 11 $17,861.41 $13,931.90 22% off $14,248.50 $123,568.40 $22,570.30 2024-12-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 6 — — $21,978.37 $41,305.08 $21,978.37 2024-12-30
10 MS_DRG Pancreas Transplant 16 6 — — $21,752.65 $40,853.65 $21,752.65 2024-12-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 6 — — $21,635.58 $40,619.49 $21,635.58 2024-12-30
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln 58 11 $22,338.63 $17,424.13 22% off $11,879.58 $31,266.56 $21,573.07 2024-12-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 6 — — $21,351.44 $40,051.23 $21,351.44 2024-12-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $21,149.31 $39,646.95 $21,149.31 2024-12-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 6 — — $20,449.11 $38,246.56 $20,449.11 2024-12-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $19,522.94 $36,394.23 $19,522.94 2024-12-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 6 — — $19,431.49 $36,211.31 $19,431.49 2024-12-30
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Subq Soln 29 11 $20,001.15 $15,600.90 22% off $10,634.40 $27,993.67 $19,314.03 2024-12-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 6 — — $19,148.38 $35,645.11 $19,148.38 2024-12-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 6 — — $18,819.94 $34,988.21 $18,819.94 2024-12-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $18,503.27 $34,354.88 $18,503.27 2024-12-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 6 — — $18,437.17 $34,222.68 $18,437.17 2024-12-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 6 — — $18,408.22 $34,164.78 $18,408.22 2024-12-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $17,894.79 $33,137.93 $17,894.79 2024-12-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $17,870.97 $33,090.28 $17,870.97 2024-12-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 6 — — $17,528.69 $32,405.71 $17,528.69 2024-12-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 6 — — $17,195.88 $31,740.11 $17,195.88 2024-12-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 6 — — $17,175.38 $31,699.11 $17,175.38 2024-12-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $17,103.14 $31,554.62 $17,103.14 2024-12-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 6 — — $16,976.32 $31,300.98 $16,976.32 2024-12-30
28 MS_DRG Spinal Procedures With Mcc 16 6 — — $16,901.51 $31,151.36 $16,901.51 2024-12-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 6 — — $16,789.81 $30,927.95 $16,789.81 2024-12-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 6 — — $16,789.81 $30,927.95 $16,789.81 2024-12-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $16,674.26 $30,696.86 $16,674.26 2024-12-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 6 — — $16,674.26 $30,696.86 $16,674.26 2024-12-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $16,567.94 $30,484.21 $16,567.94 2024-12-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 6 — — $16,556.41 $30,461.16 $16,556.41 2024-12-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 6 — — $16,401.15 $30,150.64 $16,401.15 2024-12-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 6 — — $16,242.57 $29,833.47 $16,242.57 2024-12-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $16,030.17 $29,408.69 $16,030.17 2024-12-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $15,942.30 $29,232.93 $15,942.30 2024-12-30
653 MS_DRG Major Bladder Procedures With Mcc 16 6 — — $15,607.95 $28,564.25 $15,607.95 2024-12-30
834 MS_DRG Acute Leukemia With Mcc 16 6 — — $15,486.77 $28,321.89 $15,486.77 2024-12-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $15,427.33 $28,203.01 $15,427.33 2024-12-30
J2323 HCPCS Natalizumab 300 Mg/15 Ml IV Soln 58 11 $17,470.46 $13,626.96 22% off $7,526.25 $23,293.24 $15,409.75 2024-12-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 6 — — $15,341.25 $28,030.84 $15,341.25 2024-12-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 6 — — $15,265.93 $27,880.20 $15,265.93 2024-12-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 6 — — $15,234.16 $27,816.66 $15,234.16 2024-12-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $15,163.19 $27,674.72 $15,163.19 2024-12-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 6 — — $15,150.12 $27,648.59 $15,150.12 2024-12-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $15,148.59 $27,645.52 $15,148.59 2024-12-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 6 — — $15,009.22 $27,366.77 $15,009.22 2024-12-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 6 — — $14,956.18 $27,260.70 $14,956.18 2024-12-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $14,895.98 $27,140.29 $14,895.98 2024-12-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 6 — — $14,520.39 $26,389.11 $14,520.39 2024-12-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $14,476.58 $26,301.49 $14,476.58 2024-12-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 6 — — $14,378.19 $26,104.73 $14,378.19 2024-12-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 6 — — $14,338.23 $26,024.80 $14,338.23 2024-12-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 6 — — $14,230.37 $25,809.08 $14,230.37 2024-12-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 6 — — $14,154.27 $25,656.89 $14,154.27 2024-12-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $14,144.28 $25,636.91 $14,144.28 2024-12-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 6 — — $14,139.16 $25,626.66 $14,139.16 2024-12-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 6 — — $14,093.05 $25,534.43 $14,093.05 2024-12-30
J3380 HCPCS Vedolizumab 300 Mg IV Solr 32 11 $17,295.03 $13,490.12 22% off $6,817.50 $21,099.71 $13,958.60 2024-12-30
245 MS_DRG Aicd Generator Procedures 16 6 — — $13,845.81 $25,039.96 $13,845.81 2024-12-30
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $13,770.24 $24,888.81 $13,770.24 2024-12-30
6 MS_DRG Liver Transplant Without Mcc 16 6 — — $13,749.48 $24,847.30 $13,749.48 2024-12-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $13,560.66 $24,469.66 $13,560.66 2024-12-30
799 MS_DRG Splenic Procedures With Mcc 16 6 — — $13,507.63 $24,363.60 $13,507.63 2024-12-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $13,505.32 $24,358.98 $13,505.32 2024-12-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 6 — — $13,379.27 $24,106.88 $13,379.27 2024-12-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 6 — — $13,314.71 $23,977.76 $13,314.71 2024-12-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 6 — — $13,244.00 $23,836.34 $13,244.00 2024-12-30
163 MS_DRG Major Chest Procedures With Mcc 16 6 — — $13,134.60 $23,617.54 $13,134.60 2024-12-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 6 — — $13,129.74 $23,607.81 $13,129.74 2024-12-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $13,092.07 $23,532.48 $13,092.07 2024-12-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 6 — — $13,090.28 $23,528.90 $13,090.28 2024-12-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 6 — — $12,884.55 $23,117.44 $12,884.55 2024-12-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 6 — — $12,815.63 $22,979.60 $12,815.63 2024-12-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $12,783.86 $22,916.07 $12,783.86 2024-12-30
901 MS_DRG Wound Debridements For Injuries With Mcc 16 6 — — $12,676.77 $22,701.88 $12,676.77 2024-12-30
J3101 HCPCS Tenecteplase 50 Mg IV Solr 29 11 $15,620.76 $12,184.19 22% off $12,631.50 $12,631.50 $12,631.50 2024-12-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 6 — — $12,580.18 $22,508.71 $12,580.18 2024-12-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 6 — — $12,411.35 $22,171.04 $12,411.35 2024-12-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $12,388.55 $22,125.43 $12,388.55 2024-12-30
J9271 HCPCS Pembrolizumab 25 Mg/ml IV Soln 58 11 $11,848.94 $9,242.17 22% off $6,758.94 $17,792.00 $12,275.47 2024-12-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 6 — — $12,254.56 $21,857.45 $12,254.56 2024-12-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 6 — — $12,238.42 $21,825.17 $12,238.42 2024-12-30
140 MS_DRG Major Head And Neck Procedures With Mcc 16 6 — — $12,161.04 $21,670.42 $12,161.04 2024-12-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 6 — — $12,062.15 $21,472.63 $12,062.15 2024-12-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 6 — — $12,059.58 $21,467.51 $12,059.58 2024-12-30
793 MS_DRG Full Term Neonate With Major Problems 16 6 — — $12,010.65 $21,369.64 $12,010.65 2024-12-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 6 — — $11,985.55 $21,319.43 $11,985.55 2024-12-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $11,861.03 $21,070.40 $11,861.03 2024-12-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 6 — — $11,855.14 $21,058.62 $11,855.14 2024-12-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 6 — — $11,839.51 $21,027.36 $11,839.51 2024-12-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $11,787.75 $20,923.85 $11,787.75 2024-12-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 6 — — $11,746.51 $20,841.36 $11,746.51 2024-12-30
791 MS_DRG Prematurity With Major Problems 16 6 — — $11,727.30 $20,802.93 $11,727.30 2024-12-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 6 — — $11,532.07 $20,412.48 $11,532.07 2024-12-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 6 — — $11,524.90 $20,398.13 $11,524.90 2024-12-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 6 — — $11,434.72 $20,217.77 $11,434.72 2024-12-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 6 — — $11,413.96 $20,176.26 $11,413.96 2024-12-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 6 — — $11,393.47 $20,135.27 $11,393.47 2024-12-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 6 — — $11,348.89 $20,046.11 $11,348.89 2024-12-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 6 — — $11,344.02 $20,036.38 $11,344.02 2024-12-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 6 — — $11,288.68 $19,925.70 $11,288.68 2024-12-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 6 — — $11,227.96 $19,804.26 $11,227.96 2024-12-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 6 — — $11,217.97 $19,784.28 $11,217.97 2024-12-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $11,190.30 $19,728.94 $11,190.30 2024-12-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 6 — — $11,118.82 $19,585.98 $11,118.82 2024-12-30
J2353 HCPCS Octreotide,microspheres 20 Mg IM Ssrr 70 11 $6,200.52 $4,836.41 22% off $6,948.40 $22,776.52 $11,066.37 2024-12-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $11,065.78 $19,479.91 $11,065.78 2024-12-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 6 — — $10,989.95 $19,328.24 $10,989.95 2024-12-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 6 — — $10,912.83 $19,174.01 $10,912.83 2024-12-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 6 — — $10,673.80 $18,695.94 $10,673.80 2024-12-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 6 — — $10,608.98 $18,566.30 $10,608.98 2024-12-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 6 — — $10,510.09 $18,368.52 $10,510.09 2024-12-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 6 — — $10,509.58 $18,367.49 $10,509.58 2024-12-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $10,508.04 $18,364.42 $10,508.04 2024-12-30
265 MS_DRG Aicd Lead Procedures 16 6 — — $10,465.00 $18,278.33 $10,465.00 2024-12-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 6 — — $10,424.00 $18,196.35 $10,424.00 2024-12-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 6 — — $10,368.41 $18,085.16 $10,368.41 2024-12-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $10,345.60 $18,039.55 $10,345.60 2024-12-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 6 — — $10,302.57 $17,953.47 $10,302.57 2024-12-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $10,299.75 $17,947.83 $10,299.75 2024-12-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $10,296.16 $17,940.66 $10,296.16 2024-12-30
264 MS_DRG Other Circulatory System O.r. Procedures 16 6 — — $10,280.27 $17,908.89 $10,280.27 2024-12-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 6 — — $10,222.38 $17,793.09 $10,222.38 2024-12-30
332 MS_DRG Rectal Resection With Mcc 16 6 — — $10,212.64 $17,773.62 $10,212.64 2024-12-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 6 — — $10,202.91 $17,754.15 $10,202.91 2024-12-30
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg/5 Ml IV (wet Solr Vial) 58 11 $8,072.07 $6,296.21 22% off $6,343.00 $14,056.58 $10,199.79 2024-12-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 6 — — $10,150.39 $17,649.11 $10,150.39 2024-12-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 6 — — $10,136.55 $17,621.44 $10,136.55 2024-12-30
665 MS_DRG Prostatectomy With Mcc 16 6 — — $10,122.72 $17,593.77 $10,122.72 2024-12-30
252 MS_DRG Other Vascular Procedures With Mcc 16 6 — — $10,114.51 $17,577.37 $10,114.51 2024-12-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 6 — — $10,101.19 $17,550.72 $10,101.19 2024-12-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 6 — — $10,052.51 $17,453.37 $10,052.51 2024-12-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 6 — — $10,016.14 $17,380.61 $10,016.14 2024-12-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 6 — — $9,925.69 $17,199.73 $9,925.69 2024-12-30
37 MS_DRG Extracranial Procedures With Mcc 16 6 — — $9,833.98 $17,016.29 $9,833.98 2024-12-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 6 — — $9,785.30 $16,918.94 $9,785.30 2024-12-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 6 — — $9,700.24 $16,748.82 $9,700.24 2024-12-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 6 — — $9,676.42 $16,701.17 $9,676.42 2024-12-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 6 — — $9,672.83 $16,693.99 $9,672.83 2024-12-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 6 — — $9,573.67 $16,495.69 $9,573.67 2024-12-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $9,535.50 $16,419.35 $9,535.50 2024-12-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 6 — — $9,511.67 $16,371.69 $9,511.67 2024-12-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 6 — — $9,496.05 $16,340.44 $9,496.05 2024-12-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 6 — — $9,474.01 $16,296.37 $9,474.01 2024-12-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 6 — — $9,457.62 $16,263.58 $9,457.62 2024-12-30
500 MS_DRG Soft Tissue Procedures With Mcc 16 6 — — $9,444.04 $16,236.42 $9,444.04 2024-12-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 6 — — $9,321.83 $15,992.00 $9,321.83 2024-12-30
662 MS_DRG Minor Bladder Procedures With Mcc 16 6 — — $9,318.25 $15,984.83 $9,318.25 2024-12-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 6 — — $9,284.17 $15,916.68 $9,284.17 2024-12-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 6 — — $9,248.56 $15,845.46 $9,248.56 2024-12-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $9,232.16 $15,812.66 $9,232.16 2024-12-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 6 — — $9,226.52 $15,801.39 $9,226.52 2024-12-30
652 MS_DRG Kidney Transplant 16 6 — — $9,194.75 $15,737.85 $9,194.75 2024-12-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 6 — — $9,187.58 $15,723.51 $9,187.58 2024-12-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $9,161.97 $15,672.27 $9,161.97 2024-12-30
84999 CPT Unlisted Chemisty Procedure (Mayo) 26 11 $39.75 $31.00 22% off $9,101.07 $9,101.07 $9,101.07 2024-12-30
570 MS_DRG Skin Debridement With Mcc 16 6 — — $9,037.96 $15,424.26 $9,037.96 2024-12-30
974 MS_DRG HIV With Major Related Condition With Mcc 16 6 — — $8,976.48 $15,301.29 $8,976.48 2024-12-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $8,880.15 $15,108.63 $8,880.15 2024-12-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 6 — — $8,860.67 $15,069.68 $8,860.67 2024-12-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 6 — — $8,840.17 $15,028.69 $8,840.17 2024-12-30
668 MS_DRG Transurethral Procedures With Mcc 16 6 — — $8,797.39 $14,943.12 $8,797.39 2024-12-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 6 — — $8,793.29 $14,934.92 $8,793.29 2024-12-30
800 MS_DRG Splenic Procedures With Cc 16 6 — — $8,790.99 $14,930.31 $8,790.99 2024-12-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 6 — — $8,786.89 $14,922.11 $8,786.89 2024-12-30
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $8,748.45 $14,845.25 $8,748.45 2024-12-30
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subq Syrg 58 11 $11,791.81 $9,197.61 22% off $8,715.60 $21,983.30 $8,715.60 2024-12-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 6 — — $8,671.34 $14,691.02 $8,671.34 2024-12-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 6 — — $8,662.89 $14,674.11 $8,662.89 2024-12-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 6 — — $8,658.53 $14,665.40 $8,658.53 2024-12-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 6 — — $8,648.28 $14,644.90 $8,648.28 2024-12-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 6 — — $8,619.33 $14,587.00 $8,619.33 2024-12-30
654 MS_DRG Major Bladder Procedures With Cc 16 6 — — $8,556.05 $14,460.44 $8,556.05 2024-12-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 6 — — $8,520.95 $14,390.24 $8,520.95 2024-12-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 6 — — $8,513.52 $14,375.38 $8,513.52 2024-12-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 6 — — $8,402.08 $14,152.49 $8,402.08 2024-12-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 6 — — $8,323.93 $13,996.21 $8,323.93 2024-12-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 6 — — $8,311.12 $13,970.59 $8,311.12 2024-12-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 6 — — $8,286.01 $13,920.37 $8,286.01 2024-12-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 6 — — $8,277.56 $13,903.46 $8,277.56 2024-12-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 6 — — $8,251.94 $13,852.22 $8,251.94 2024-12-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 6 — — $8,229.14 $13,806.62 $8,229.14 2024-12-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 6 — — $8,201.73 $13,751.79 $8,201.73 2024-12-30
263 MS_DRG Vein Ligation And Stripping 16 6 — — $8,197.37 $13,743.08 $8,197.37 2024-12-30
J0896 HCPCS Luspatercept-aamt 25 Mg Subq Solr 58 11 $8,118.47 $6,332.41 22% off $3,993.75 $12,360.39 $8,177.07 2024-12-30
849 MS_DRG Radiotherapy 16 6 — — $8,169.19 $13,686.72 $8,169.19 2024-12-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 6 — — $8,147.93 $13,644.19 $8,147.93 2024-12-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 6 — — $8,123.59 $13,595.51 $8,123.59 2024-12-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 6 — — $8,115.13 $13,578.60 $8,115.13 2024-12-30
503 MS_DRG Foot Procedures With Mcc 16 6 — — $8,106.42 $13,561.18 $8,106.42 2024-12-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 6 — — $8,099.50 $13,547.34 $8,099.50 2024-12-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 6 — — $8,046.73 $13,441.79 $8,046.73 2024-12-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 6 — — $8,029.31 $13,406.95 $8,029.31 2024-12-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 6 — — $7,957.82 $13,263.99 $7,957.82 2024-12-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 6 — — $7,946.81 $13,241.95 $7,946.81 2024-12-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 6 — — $7,868.66 $13,085.67 $7,868.66 2024-12-30
253 MS_DRG Other Vascular Procedures With Cc 16 6 — — $7,866.61 $13,081.57 $7,866.61 2024-12-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 6 — — $7,854.32 $13,056.98 $7,854.32 2024-12-30
545 MS_DRG Connective Tissue Disorders With Mcc 16 6 — — $7,799.75 $12,947.84 $7,799.75 2024-12-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 6 — — $7,794.62 $12,937.59 $7,794.62 2024-12-30
164 MS_DRG Major Chest Procedures With Cc 16 6 — — $7,774.39 $12,897.11 $7,774.39 2024-12-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 6 — — $7,741.34 $12,831.01 $7,741.34 2024-12-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 6 — — $7,736.47 $12,821.27 $7,736.47 2024-12-30
397 MS_DRG Appendix Procedures With Mcc 16 6 — — $7,673.95 $12,696.25 $7,673.95 2024-12-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 6 — — $7,648.34 $12,645.01 $7,648.34 2024-12-30
792 MS_DRG Prematurity Without Major Problems 16 6 — — $7,601.96 $12,552.26 $7,601.96 2024-12-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 6 — — $7,598.38 $12,545.09 $7,598.38 2024-12-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 6 — — $7,546.62 $12,441.58 $7,546.62 2024-12-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 6 — — $7,522.54 $12,393.42 $7,522.54 2024-12-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 6 — — $7,503.07 $12,354.48 $7,503.07 2024-12-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 6 — — $7,477.19 $12,302.72 $7,477.19 2024-12-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 6 — — $7,467.45 $12,283.25 $7,467.45 2024-12-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 6 — — $7,467.45 $12,283.25 $7,467.45 2024-12-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 6 — — $7,414.43 $12,177.19 $7,414.43 2024-12-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 6 — — $7,391.11 $12,130.56 $7,391.11 2024-12-30
347 MS_DRG Anal And Stomal Procedures With Mcc 16 6 — — $7,389.57 $12,127.48 $7,389.57 2024-12-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 6 — — $7,381.63 $12,111.60 $7,381.63 2024-12-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $7,371.90 $12,092.13 $7,371.90 2024-12-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 6 — — $7,317.32 $11,982.99 $7,317.32 2024-12-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 6 — — $7,270.18 $11,888.70 $7,270.18 2024-12-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 6 — — $7,256.35 $11,861.04 $7,256.35 2024-12-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 6 — — $7,250.71 $11,849.76 $7,250.71 2024-12-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 6 — — $7,239.95 $11,828.24 $7,239.95 2024-12-30
J0401 HCPCS Aripiprazole 400 Mg IM Sers 58 11 $7,632.30 $5,953.19 22% off $4,496.00 $9,982.60 $7,239.30 2024-12-30
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 6 — — $7,203.31 $11,754.97 $7,203.31 2024-12-30
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 6 — — $7,193.58 $11,735.50 $7,193.58 2024-12-30
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 6 — — $7,175.65 $11,699.63 $7,175.65 2024-12-30
J9205 HCPCS Irinotecan Liposomal 4.3 Mg/ml IV Disp 58 11 $5,981.74 $4,665.76 22% off $4,501.24 $9,849.59 $7,175.41 2024-12-30
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 6 — — $7,164.63 $11,677.60 $7,164.63 2024-12-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 6 — — $7,153.87 $11,656.08 $7,153.87 2024-12-30
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 6 — — $7,131.32 $11,610.98 $7,131.32 2024-12-30
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 6 — — $7,111.60 $11,571.53 $7,111.60 2024-12-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 6 — — $7,111.34 $11,571.02 $7,111.34 2024-12-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 6 — — $7,097.51 $11,543.35 $7,097.51 2024-12-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 16 6 — — $7,095.45 $11,539.25 $7,095.45 2024-12-30
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 6 — — $7,088.02 $11,524.39 $7,088.02 2024-12-30
J9358 HCPCS Fam-trastuzumab Deruxtec-nxki 100 Mg/5 Ml IV (wet Solr Vial) 29 11 $5,260.64 $4,103.30 22% off $4,500.00 $9,672.33 $7,086.16 2024-12-30
709 MS_DRG Penis Procedures With Cc/mcc 16 6 — — $7,082.90 $11,514.14 $7,082.90 2024-12-30
113 MS_DRG Orbital Procedures With Cc/mcc 16 6 — — $7,057.53 $11,463.41 $7,057.53 2024-12-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 6 — — $7,045.24 $11,438.82 $7,045.24 2024-12-30
30 MS_DRG Spinal Procedures Without Cc/mcc 16 6 — — $7,027.31 $11,402.95 $7,027.31 2024-12-30
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 6 — — $6,996.31 $11,340.95 $6,996.31 2024-12-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 6 — — $6,960.69 $11,269.73 $6,960.69 2024-12-30
935 MS_DRG Non-extensive Burns 16 6 — — $6,953.01 $11,254.35 $6,953.01 2024-12-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 6 — — $6,926.10 $11,200.55 $6,926.10 2024-12-30
906 MS_DRG Hand Procedures For Injuries 16 6 — — $6,917.40 $11,183.13 $6,917.40 2024-12-30
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 6 — — $6,908.17 $11,164.68 $6,908.17 2024-12-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 6 — — $6,883.57 $11,115.49 $6,883.57 2024-12-30
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6 Ml Subq Syrg 29 11 $7,353.30 $5,735.57 22% off $6,865.80 $6,865.80 $6,865.80 2024-12-30
J9173 HCPCS Durvalumab 50 Mg/ml IV Soln 70 11 $2,128.03 $1,659.86 22% off $1,146.51 $12,575.10 $6,860.81 2024-12-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 6 — — $6,852.84 $11,054.01 $6,852.84 2024-12-30
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 6 — — $6,843.10 $11,034.53 $6,843.10 2024-12-30
141 MS_DRG Major Head And Neck Procedures With Cc 16 6 — — $6,830.28 $11,008.91 $6,830.28 2024-12-30
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 6 — — $6,823.37 $10,995.08 $6,823.37 2024-12-30
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 6 — — $6,819.52 $10,987.39 $6,819.52 2024-12-30
835 MS_DRG Acute Leukemia With Cc 16 6 — — $6,798.01 $10,944.35 $6,798.01 2024-12-30
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 6 — — $6,797.75 $10,943.84 $6,797.75 2024-12-30
32 MS_DRG Ventricular Shunt Procedures With Cc 16 6 — — $6,797.23 $10,942.81 $6,797.23 2024-12-30
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 6 — — $6,786.99 $10,922.32 $6,786.99 2024-12-30
333 MS_DRG Rectal Resection With Cc 16 6 — — $6,770.85 $10,890.04 $6,770.85 2024-12-30
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 16 6 — — $6,759.57 $10,867.49 $6,759.57 2024-12-30
595 MS_DRG Major Skin Disorders With Mcc 16 6 — — $6,744.72 $10,837.77 $6,744.72 2024-12-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 6 — — $6,737.55 $10,823.43 $6,737.55 2024-12-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 6 — — $6,735.23 $10,818.81 $6,735.23 2024-12-30
374 MS_DRG Digestive Malignancy With Mcc 16 6 — — $6,735.23 $10,818.81 $6,735.23 2024-12-30
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 6 — — $6,726.78 $10,801.90 $6,726.78 2024-12-30
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 6 — — $6,713.20 $10,774.75 $6,713.20 2024-12-30
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $6,697.06 $10,742.47 $6,697.06 2024-12-30
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 6 — — $6,681.69 $10,711.72 $6,681.69 2024-12-30
655 MS_DRG Major Bladder Procedures Without Cc/mcc 16 6 — — $6,647.88 $10,644.09 $6,647.88 2024-12-30
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 6 — — $6,641.73 $10,631.79 $6,641.73 2024-12-30
592 MS_DRG Skin Ulcers With Mcc 16 6 — — $6,594.07 $10,536.48 $6,594.07 2024-12-30
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 16 6 — — $6,571.27 $10,490.88 $6,571.27 2024-12-30
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 6 — — $6,522.08 $10,392.50 $6,522.08 2024-12-30
539 MS_DRG Osteomyelitis With Mcc 16 6 — — $6,507.22 $10,362.78 $6,507.22 2024-12-30
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 6 — — $6,493.64 $10,335.62 $6,493.64 2024-12-30
548 MS_DRG Septic Arthritis With Mcc 16 6 — — $6,487.23 $10,322.81 $6,487.23 2024-12-30
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 16 6 — — $6,481.85 $10,312.05 $6,481.85 2024-12-30
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 6 — — $6,479.81 $10,307.95 $6,479.81 2024-12-30
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