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

CENTRACARE HEALTH PAYNESVILLE LLC

Paynesville, MN · CCN 241349 · Rates published

Your selected procedure

You selected 93350 (CPT)

Stress Echocardiography Test

This hospital’s price: $786 across 11 payers · range $606-$1,415

Source: https://www.centracare.com/app/files/public/e9657d5b-802b-4de6-80c8-5e07a5fb868f/463298651_centracare-health-paynesville-llc_standardcharges.csv · observed 2024-12-30

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

4,333 distinct procedures filed
11 distinct payers
199,324 rate rows
2024-12-30 last MRF observed · ⚠ 22 mo old
Data quality

178,145 of 199,324 rate rows are consumer-grade (89.4%)

21,179 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,565
per-diem day rate — not a per-procedure price 9,362
placeholder amount (≤ $0.02) — excluded from medians 180
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 41
percent-of-charges filed in the dollar field — excluded from medians 28
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old.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 Latest re-check couldn't be parsed — showing last good data · 2026-10-01
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
$359,454
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
$249,036
0.6× 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
$190,559
0.6× 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
$198,418
0.5× median
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
$126,695
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $67,133.62 $67,133.62 $67,133.62 nat. median
$110,307
0.6× median
7
MS_DRG 		Lung Transplant 1 $66,964.53 $66,964.53 $66,964.53 nat. median
$117,974
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $55,820.34 $55,820.34 $55,820.34 nat. median
$97,323
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $54,567.53 $54,567.53 $54,567.53 nat. median
$95,038
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 1 $54,287.76 $54,287.76 $54,287.76 nat. median
$93,901
0.6× 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
$93,276
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $49,452.24 $49,452.24 $49,452.24 nat. median
$90,551
0.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $48,188.66 $48,188.66 $48,188.66 nat. median
$104,013
outlier · 0.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $47,201.78 $47,201.78 $47,201.78 nat. median
$78,268
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $43,420.26 $43,420.26 $43,420.26 nat. median
$77,028
0.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $43,396.18 $43,396.18 $43,396.18 nat. median
$77,632
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $42,737.23 $42,737.23 $42,737.23 nat. median
$78,049
0.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $41,305.08 $41,305.08 $41,305.08 nat. median
$74,370
0.6× median
10
MS_DRG 		Pancreas Transplant 1 $40,853.65 $40,853.65 $40,853.65 nat. median
$64,933
0.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $40,619.49 $40,619.49 $40,619.49 nat. median
$66,715
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $40,051.23 $40,051.23 $40,051.23 nat. median
$71,748
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $39,646.95 $39,646.95 $39,646.95 nat. median
$72,398
0.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $38,246.56 $38,246.56 $38,246.56 nat. median
$67,976
0.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $36,394.23 $36,394.23 $36,394.23 nat. median
$63,648
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $36,211.31 $36,211.31 $36,211.31 nat. median
$66,649
0.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $35,645.11 $35,645.11 $35,645.11 nat. median
$62,655
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $34,988.21 $34,988.21 $34,988.21 nat. median
$61,728
0.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $34,354.88 $34,354.88 $34,354.88 nat. median
$60,596
0.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $34,222.68 $34,222.68 $34,222.68 nat. median
$61,308
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $34,164.78 $34,164.78 $34,164.78 nat. median
$63,873
0.5× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $33,137.93 $33,137.93 $33,137.93 nat. median
$59,371
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $33,090.28 $33,090.28 $33,090.28 nat. median
$62,031
0.5× median
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 11 $25,189.22 $92,643.73 $32,687.18 nat. median
$561
outlier · 58.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $32,405.71 $32,405.71 $32,405.71 nat. median
$58,251
0.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $31,740.11 $31,740.11 $31,740.11 nat. median
$56,687
0.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $31,699.11 $31,699.11 $31,699.11 nat. median
$57,556
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $31,554.62 $31,554.62 $31,554.62 nat. median
$58,135
0.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $31,300.98 $31,300.98 $31,300.98 nat. median
$57,801
0.5× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $31,151.36 $31,151.36 $31,151.36 nat. median
$54,460
0.6× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $30,927.95 $30,927.95 $30,927.95 nat. median
$50,904
0.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $30,927.95 $30,927.95 $30,927.95 nat. median
$53,927
0.6× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $30,696.86 $30,696.86 $30,696.86 nat. median
$53,342
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $30,696.86 $30,696.86 $30,696.86 nat. median
$58,280
0.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $30,484.21 $30,484.21 $30,484.21 nat. median
$59,546
0.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $30,461.16 $30,461.16 $30,461.16 nat. median
$50,870
0.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $30,150.64 $30,150.64 $30,150.64 nat. median
$55,477
0.5× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $29,833.47 $29,833.47 $29,833.47 nat. median
$53,856
0.6× median
J9228
HCPCS 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 11 $7,394.71 $123,568.40 $29,601.04 nat. median
$9,003
outlier · 3.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $29,408.69 $29,408.69 $29,408.69 nat. median
$55,167
0.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $29,232.93 $29,232.93 $29,232.93 nat. median
$53,523
0.5× median

Other procedures at this hospital

Browse this hospital's 4,333 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 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
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,452.24 $49,452.24 $49,452.24 2024-12-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $48,188.66 $48,188.66 $48,188.66 2024-12-30
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $47,201.78 $47,201.78 $47,201.78 2024-12-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $43,420.26 $43,420.26 $43,420.26 2024-12-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $43,396.18 $43,396.18 $43,396.18 2024-12-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $42,737.23 $42,737.23 $42,737.23 2024-12-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $41,305.08 $41,305.08 $41,305.08 2024-12-30
10 MS_DRG Pancreas Transplant 1 1 — — $40,853.65 $40,853.65 $40,853.65 2024-12-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $40,619.49 $40,619.49 $40,619.49 2024-12-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $40,051.23 $40,051.23 $40,051.23 2024-12-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $39,646.95 $39,646.95 $39,646.95 2024-12-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $38,246.56 $38,246.56 $38,246.56 2024-12-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $36,394.23 $36,394.23 $36,394.23 2024-12-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $36,211.31 $36,211.31 $36,211.31 2024-12-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $35,645.11 $35,645.11 $35,645.11 2024-12-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $34,988.21 $34,988.21 $34,988.21 2024-12-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $34,354.88 $34,354.88 $34,354.88 2024-12-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $34,222.68 $34,222.68 $34,222.68 2024-12-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $34,164.78 $34,164.78 $34,164.78 2024-12-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $33,137.93 $33,137.93 $33,137.93 2024-12-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $33,090.28 $33,090.28 $33,090.28 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 $25,189.22 $92,643.73 $32,687.18 2024-12-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $32,405.71 $32,405.71 $32,405.71 2024-12-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $31,740.11 $31,740.11 $31,740.11 2024-12-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $31,699.11 $31,699.11 $31,699.11 2024-12-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $31,554.62 $31,554.62 $31,554.62 2024-12-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $31,300.98 $31,300.98 $31,300.98 2024-12-30
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $31,151.36 $31,151.36 $31,151.36 2024-12-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $30,927.95 $30,927.95 $30,927.95 2024-12-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $30,927.95 $30,927.95 $30,927.95 2024-12-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $30,696.86 $30,696.86 $30,696.86 2024-12-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $30,696.86 $30,696.86 $30,696.86 2024-12-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $30,484.21 $30,484.21 $30,484.21 2024-12-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $30,461.16 $30,461.16 $30,461.16 2024-12-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $30,150.64 $30,150.64 $30,150.64 2024-12-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $29,833.47 $29,833.47 $29,833.47 2024-12-30
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 116 11 $44,439.42 $34,662.75 22% off $7,394.71 $123,568.40 $29,601.04 2024-12-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $29,408.69 $29,408.69 $29,408.69 2024-12-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $29,232.93 $29,232.93 $29,232.93 2024-12-30
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $28,564.25 $28,564.25 $28,564.25 2024-12-30
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $28,321.89 $28,321.89 $28,321.89 2024-12-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $28,203.01 $28,203.01 $28,203.01 2024-12-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $28,030.84 $28,030.84 $28,030.84 2024-12-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $27,880.20 $27,880.20 $27,880.20 2024-12-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $27,816.66 $27,816.66 $27,816.66 2024-12-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $27,674.72 $27,674.72 $27,674.72 2024-12-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $27,648.59 $27,648.59 $27,648.59 2024-12-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $27,645.52 $27,645.52 $27,645.52 2024-12-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $27,366.77 $27,366.77 $27,366.77 2024-12-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $27,260.70 $27,260.70 $27,260.70 2024-12-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $27,140.29 $27,140.29 $27,140.29 2024-12-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $26,389.11 $26,389.11 $26,389.11 2024-12-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $26,301.49 $26,301.49 $26,301.49 2024-12-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $26,104.73 $26,104.73 $26,104.73 2024-12-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $26,024.80 $26,024.80 $26,024.80 2024-12-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $25,809.08 $25,809.08 $25,809.08 2024-12-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $25,656.89 $25,656.89 $25,656.89 2024-12-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $25,636.91 $25,636.91 $25,636.91 2024-12-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $25,626.66 $25,626.66 $25,626.66 2024-12-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $25,534.43 $25,534.43 $25,534.43 2024-12-30
245 MS_DRG Aicd Generator Procedures 1 1 — — $25,039.96 $25,039.96 $25,039.96 2024-12-30
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $24,888.81 $24,888.81 $24,888.81 2024-12-30
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $24,847.30 $24,847.30 $24,847.30 2024-12-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $24,469.66 $24,469.66 $24,469.66 2024-12-30
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $24,363.60 $24,363.60 $24,363.60 2024-12-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $24,358.98 $24,358.98 $24,358.98 2024-12-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $24,106.88 $24,106.88 $24,106.88 2024-12-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $23,977.76 $23,977.76 $23,977.76 2024-12-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $23,836.34 $23,836.34 $23,836.34 2024-12-30
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $23,617.54 $23,617.54 $23,617.54 2024-12-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $23,607.81 $23,607.81 $23,607.81 2024-12-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $23,532.48 $23,532.48 $23,532.48 2024-12-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $23,528.90 $23,528.90 $23,528.90 2024-12-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $23,117.44 $23,117.44 $23,117.44 2024-12-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $22,979.60 $22,979.60 $22,979.60 2024-12-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $22,916.07 $22,916.07 $22,916.07 2024-12-30
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $22,701.88 $22,701.88 $22,701.88 2024-12-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $22,508.71 $22,508.71 $22,508.71 2024-12-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $22,171.04 $22,171.04 $22,171.04 2024-12-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $22,125.43 $22,125.43 $22,125.43 2024-12-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $21,857.45 $21,857.45 $21,857.45 2024-12-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $21,825.17 $21,825.17 $21,825.17 2024-12-30
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 58 11 $40,270.84 $31,411.26 22% off $16,750.52 $57,275.61 $21,746.25 2024-12-30
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $21,670.42 $21,670.42 $21,670.42 2024-12-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $21,472.63 $21,472.63 $21,472.63 2024-12-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $21,467.51 $21,467.51 $21,467.51 2024-12-30
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $21,369.64 $21,369.64 $21,369.64 2024-12-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $21,319.43 $21,319.43 $21,319.43 2024-12-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $21,070.40 $21,070.40 $21,070.40 2024-12-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $21,058.62 $21,058.62 $21,058.62 2024-12-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $21,027.36 $21,027.36 $21,027.36 2024-12-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $20,923.85 $20,923.85 $20,923.85 2024-12-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $20,841.36 $20,841.36 $20,841.36 2024-12-30
791 MS_DRG Prematurity With Major Problems 1 1 — — $20,802.93 $20,802.93 $20,802.93 2024-12-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $20,412.48 $20,412.48 $20,412.48 2024-12-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $20,398.13 $20,398.13 $20,398.13 2024-12-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $20,217.77 $20,217.77 $20,217.77 2024-12-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $20,176.26 $20,176.26 $20,176.26 2024-12-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $20,135.27 $20,135.27 $20,135.27 2024-12-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $20,046.11 $20,046.11 $20,046.11 2024-12-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $20,036.38 $20,036.38 $20,036.38 2024-12-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $19,925.70 $19,925.70 $19,925.70 2024-12-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $19,804.26 $19,804.26 $19,804.26 2024-12-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $19,784.28 $19,784.28 $19,784.28 2024-12-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $19,728.94 $19,728.94 $19,728.94 2024-12-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $19,585.98 $19,585.98 $19,585.98 2024-12-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $19,479.91 $19,479.91 $19,479.91 2024-12-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $19,328.24 $19,328.24 $19,328.24 2024-12-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $19,174.01 $19,174.01 $19,174.01 2024-12-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $18,695.94 $18,695.94 $18,695.94 2024-12-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $18,566.30 $18,566.30 $18,566.30 2024-12-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $18,368.52 $18,368.52 $18,368.52 2024-12-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $18,367.49 $18,367.49 $18,367.49 2024-12-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $18,364.42 $18,364.42 $18,364.42 2024-12-30
265 MS_DRG Aicd Lead Procedures 1 1 — — $18,278.33 $18,278.33 $18,278.33 2024-12-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $18,196.35 $18,196.35 $18,196.35 2024-12-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $18,085.16 $18,085.16 $18,085.16 2024-12-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $18,039.55 $18,039.55 $18,039.55 2024-12-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $17,953.47 $17,953.47 $17,953.47 2024-12-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $17,947.83 $17,947.83 $17,947.83 2024-12-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $17,940.66 $17,940.66 $17,940.66 2024-12-30
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $17,908.89 $17,908.89 $17,908.89 2024-12-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $17,793.09 $17,793.09 $17,793.09 2024-12-30
332 MS_DRG Rectal Resection With Mcc 1 1 — — $17,773.62 $17,773.62 $17,773.62 2024-12-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $17,754.15 $17,754.15 $17,754.15 2024-12-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $17,649.11 $17,649.11 $17,649.11 2024-12-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $17,621.44 $17,621.44 $17,621.44 2024-12-30
665 MS_DRG Prostatectomy With Mcc 1 1 — — $17,593.77 $17,593.77 $17,593.77 2024-12-30
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $17,577.37 $17,577.37 $17,577.37 2024-12-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $17,550.72 $17,550.72 $17,550.72 2024-12-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $17,453.37 $17,453.37 $17,453.37 2024-12-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $17,380.61 $17,380.61 $17,380.61 2024-12-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $17,199.73 $17,199.73 $17,199.73 2024-12-30
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $17,016.29 $17,016.29 $17,016.29 2024-12-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $16,918.94 $16,918.94 $16,918.94 2024-12-30
PX-25002614 CDM Patella Revision 29 11 $24,350.00 $18,993.00 22% off $10,141.78 $24,350.00 $16,764.98 2024-12-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $16,748.82 $16,748.82 $16,748.82 2024-12-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $16,701.17 $16,701.17 $16,701.17 2024-12-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $16,693.99 $16,693.99 $16,693.99 2024-12-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $16,495.69 $16,495.69 $16,495.69 2024-12-30
PX-25007718 CDM Arthroplasty Of Knee Bilateral 29 11 $23,940.00 $18,673.20 22% off $9,971.01 $23,940.00 $16,482.69 2024-12-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $16,419.35 $16,419.35 $16,419.35 2024-12-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $16,371.69 $16,371.69 $16,371.69 2024-12-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $16,340.44 $16,340.44 $16,340.44 2024-12-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $16,296.37 $16,296.37 $16,296.37 2024-12-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $16,263.58 $16,263.58 $16,263.58 2024-12-30
500 MS_DRG Soft Tissue Procedures With Mcc 1 1 — — $16,236.42 $16,236.42 $16,236.42 2024-12-30
PX-25007685 CDM Mastectomy, Modified Radical, Sentinel Node Biopsy, Bilateral 29 11 $23,300.00 $18,174.00 22% off $9,704.45 $23,300.00 $16,042.05 2024-12-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $15,992.00 $15,992.00 $15,992.00 2024-12-30
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $15,984.83 $15,984.83 $15,984.83 2024-12-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $15,916.68 $15,916.68 $15,916.68 2024-12-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $15,845.46 $15,845.46 $15,845.46 2024-12-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $15,812.66 $15,812.66 $15,812.66 2024-12-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $15,801.39 $15,801.39 $15,801.39 2024-12-30
652 MS_DRG Kidney Transplant 1 1 — — $15,737.85 $15,737.85 $15,737.85 2024-12-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $15,723.51 $15,723.51 $15,723.51 2024-12-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $15,672.27 $15,672.27 $15,672.27 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 $12,019.76 $46,038.67 $15,612.73 2024-12-30
570 MS_DRG Skin Debridement With Mcc 1 1 — — $15,424.26 $15,424.26 $15,424.26 2024-12-30
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $15,301.29 $15,301.29 $15,301.29 2024-12-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $15,108.63 $15,108.63 $15,108.63 2024-12-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $15,069.68 $15,069.68 $15,069.68 2024-12-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $15,028.69 $15,028.69 $15,028.69 2024-12-30
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $14,943.12 $14,943.12 $14,943.12 2024-12-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $14,934.92 $14,934.92 $14,934.92 2024-12-30
800 MS_DRG Splenic Procedures With Cc 1 1 — — $14,930.31 $14,930.31 $14,930.31 2024-12-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $14,922.11 $14,922.11 $14,922.11 2024-12-30
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $14,845.25 $14,845.25 $14,845.25 2024-12-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $14,691.02 $14,691.02 $14,691.02 2024-12-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $14,674.11 $14,674.11 $14,674.11 2024-12-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $14,665.40 $14,665.40 $14,665.40 2024-12-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $14,644.90 $14,644.90 $14,644.90 2024-12-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $14,587.00 $14,587.00 $14,587.00 2024-12-30
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $14,460.44 $14,460.44 $14,460.44 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 $11,091.08 $47,479.40 $14,408.69 2024-12-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $14,390.24 $14,390.24 $14,390.24 2024-12-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $14,375.38 $14,375.38 $14,375.38 2024-12-30
PX-25003121 CDM Spleenectomy 29 11 $20,675.00 $16,126.50 22% off $8,611.14 $20,675.00 $14,234.74 2024-12-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $14,152.49 $14,152.49 $14,152.49 2024-12-30
PX-25008006 CDM Lithotripsy Bilateral 29 11 $20,550.00 $16,029.00 22% off $8,559.08 $20,550.00 $14,148.68 2024-12-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $13,996.21 $13,996.21 $13,996.21 2024-12-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $13,970.59 $13,970.59 $13,970.59 2024-12-30
PX-25010038 CDM Interstim Stage 1 & 2, Insertion Or Replacement 29 11 $20,250.00 $15,795.00 22% off $8,434.13 $20,250.00 $13,942.13 2024-12-30
PX-25004424 CDM Mastectomy Bilateral 29 11 $20,250.00 $15,795.00 22% off $8,434.13 $20,250.00 $13,942.13 2024-12-30
PX-25010331 CDM Interstim Replacement Major Revision 29 11 $20,250.00 $15,795.00 22% off $8,434.13 $20,250.00 $13,942.13 2024-12-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $13,920.37 $13,920.37 $13,920.37 2024-12-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $13,903.46 $13,903.46 $13,903.46 2024-12-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $13,852.22 $13,852.22 $13,852.22 2024-12-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 1 1 — — $13,806.62 $13,806.62 $13,806.62 2024-12-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $13,751.79 $13,751.79 $13,751.79 2024-12-30
263 MS_DRG Vein Ligation And Stripping 1 1 — — $13,743.08 $13,743.08 $13,743.08 2024-12-30
849 MS_DRG Radiotherapy 1 1 — — $13,686.72 $13,686.72 $13,686.72 2024-12-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $13,644.19 $13,644.19 $13,644.19 2024-12-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $13,595.51 $13,595.51 $13,595.51 2024-12-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $13,578.60 $13,578.60 $13,578.60 2024-12-30
503 MS_DRG Foot Procedures With Mcc 1 1 — — $13,561.18 $13,561.18 $13,561.18 2024-12-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 1 1 — — $13,547.34 $13,547.34 $13,547.34 2024-12-30
PX-25007290 CDM Tuboplasty, Fallopian Tube-bilateral 29 11 $19,675.00 $15,346.50 22% off $8,194.64 $19,675.00 $13,546.24 2024-12-30
PX-25007751 CDM Vein Ligation Bilateral 29 11 $19,650.00 $15,327.00 22% off $8,184.23 $19,650.00 $13,529.03 2024-12-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $13,441.79 $13,441.79 $13,441.79 2024-12-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $13,406.95 $13,406.95 $13,406.95 2024-12-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $13,263.99 $13,263.99 $13,263.99 2024-12-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $13,241.95 $13,241.95 $13,241.95 2024-12-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $13,085.67 $13,085.67 $13,085.67 2024-12-30
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $13,081.57 $13,081.57 $13,081.57 2024-12-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $13,056.98 $13,056.98 $13,056.98 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 $9,976.71 $40,706.08 $12,963.88 2024-12-30
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $12,947.84 $12,947.84 $12,947.84 2024-12-30
PX-25007652 CDM Laparoscopic Assisted Colectomy 29 11 $18,799.00 $14,663.22 22% off $7,829.78 $18,799.00 $12,943.11 2024-12-30
PX-25009475 CDM Colectomy 29 11 $18,799.00 $14,663.22 22% off $7,829.78 $18,799.00 $12,943.11 2024-12-30
PX-25017240 CDM Resection, Rectum, Low Anterior, Or Left Or Sigmoid Colectomy, Hand-assisted, La… 29 11 $18,799.00 $14,663.22 22% off $7,829.78 $18,799.00 $12,943.11 2024-12-30
PX-25006567 CDM Colectomy Partial With End Colostomy 29 11 $18,799.00 $14,663.22 22% off $7,829.78 $18,799.00 $12,943.11 2024-12-30
PX-25001129 CDM Hemicolectomy 29 11 $18,799.00 $14,663.22 22% off $7,829.78 $18,799.00 $12,943.11 2024-12-30
PX-25017236 CDM Laparoscopic Hand Assisted Colectomy, Large / Small, Transverse, Right Hemi ( Su… 29 11 $18,799.00 $14,663.22 22% off $7,829.78 $18,799.00 $12,943.11 2024-12-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $12,937.59 $12,937.59 $12,937.59 2024-12-30
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $12,897.11 $12,897.11 $12,897.11 2024-12-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $12,831.01 $12,831.01 $12,831.01 2024-12-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $12,821.27 $12,821.27 $12,821.27 2024-12-30
PX-25000004 CDM Abdominal Perineal Resection 29 11 $18,499.00 $14,429.22 22% off $7,704.83 $18,499.00 $12,736.56 2024-12-30
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $12,696.25 $12,696.25 $12,696.25 2024-12-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $12,645.01 $12,645.01 $12,645.01 2024-12-30
PX-25004662 CDM Hernia Repair Inguinal Laparoscopic, Bilateral 29 11 $18,300.00 $14,274.00 22% off $7,621.95 $18,300.00 $12,599.55 2024-12-30
PX-25012065 CDM Hernia Repair Inguinal Bilateral W/Mesh 29 11 $18,299.00 $14,273.22 22% off $7,621.53 $18,299.00 $12,598.86 2024-12-30
PX-25000143 CDM Hernia Repair Inguinal Bilateral 29 11 $18,299.00 $14,273.22 22% off $7,621.53 $18,299.00 $12,598.86 2024-12-30
792 MS_DRG Prematurity Without Major Problems 1 1 — — $12,552.26 $12,552.26 $12,552.26 2024-12-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $12,545.09 $12,545.09 $12,545.09 2024-12-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $12,441.58 $12,441.58 $12,441.58 2024-12-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $12,393.42 $12,393.42 $12,393.42 2024-12-30
PX-25005380 CDM Laparotomy, Nissen Fundoplasty 29 11 $17,999.00 $14,039.22 22% off $7,496.58 $17,999.00 $12,392.31 2024-12-30
PX-25002250 CDM Orif Humerous Midshaft 29 11 $17,950.00 $14,001.00 22% off $7,476.18 $17,950.00 $12,358.58 2024-12-30
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 1 1 — — $12,354.48 $12,354.48 $12,354.48 2024-12-30
PX-25007817 CDM Orchiopexy, Bilateral 29 11 $17,880.00 $13,946.40 22% off $7,447.02 $17,880.00 $12,310.38 2024-12-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $12,302.72 $12,302.72 $12,302.72 2024-12-30
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Subq Soln 32 11 $20,001.15 $15,600.90 22% off $8,330.48 $27,993.67 $12,285.71 2024-12-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 1 1 — — $12,283.25 $12,283.25 $12,283.25 2024-12-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $12,283.25 $12,283.25 $12,283.25 2024-12-30
PX-25000355 CDM Cholecystectomy (Open) 29 11 $17,775.00 $13,864.50 22% off $7,403.29 $17,775.00 $12,238.09 2024-12-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $12,177.19 $12,177.19 $12,177.19 2024-12-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $12,130.56 $12,130.56 $12,130.56 2024-12-30
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $12,127.48 $12,127.48 $12,127.48 2024-12-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $12,111.60 $12,111.60 $12,111.60 2024-12-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $12,092.13 $12,092.13 $12,092.13 2024-12-30
PX-25007463 CDM Laparoscopic Bilateral Partial Salpingectomy 29 11 $17,560.00 $13,696.80 22% off $7,313.74 $17,560.00 $12,090.06 2024-12-30
PX-25004485 CDM Colostomy/Transverse Colostomy 29 11 $17,450.00 $13,611.00 22% off $7,267.93 $17,450.00 $12,014.33 2024-12-30
PX-25004477 CDM Colostomy Takedown 29 11 $17,450.00 $13,611.00 22% off $7,267.93 $17,450.00 $12,014.33 2024-12-30
PX-25007641 CDM Laparoscopic Assisted Colostomy 29 11 $17,450.00 $13,611.00 22% off $7,267.93 $17,450.00 $12,014.33 2024-12-30
PX-25017021 CDM Closure, Colostomy, Low Lithotomy Position 29 11 $17,450.00 $13,611.00 22% off $7,267.93 $17,450.00 $12,014.33 2024-12-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $11,982.99 $11,982.99 $11,982.99 2024-12-30
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $11,888.70 $11,888.70 $11,888.70 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 $9,281.76 $31,266.56 $11,879.58 2024-12-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $11,861.04 $11,861.04 $11,861.04 2024-12-30
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $11,849.76 $11,849.76 $11,849.76 2024-12-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $11,828.24 $11,828.24 $11,828.24 2024-12-30
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $11,754.97 $11,754.97 $11,754.97 2024-12-30
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $11,735.50 $11,735.50 $11,735.50 2024-12-30
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $11,699.63 $11,699.63 $11,699.63 2024-12-30
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 1 1 — — $11,677.60 $11,677.60 $11,677.60 2024-12-30
PX-25002015 CDM Lumpectomy (Bilateral) 29 11 $16,950.00 $13,221.00 22% off $7,059.68 $16,950.00 $11,670.08 2024-12-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $11,656.08 $11,656.08 $11,656.08 2024-12-30
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $11,610.98 $11,610.98 $11,610.98 2024-12-30
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $11,571.53 $11,571.53 $11,571.53 2024-12-30
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $11,571.02 $11,571.02 $11,571.02 2024-12-30
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $11,543.35 $11,543.35 $11,543.35 2024-12-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $11,539.25 $11,539.25 $11,539.25 2024-12-30
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $11,524.39 $11,524.39 $11,524.39 2024-12-30
709 MS_DRG Penis Procedures With Cc/mcc 1 1 — — $11,514.14 $11,514.14 $11,514.14 2024-12-30
PX-25007480 CDM Total Abdominal Hysterectomy 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
PX-25001306 CDM Hysterectomy Abdominal 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
PX-25009135 CDM Lap Assisted Vaginal Hysterectomy 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
PX-25001293 CDM Hysterectomy Vag Salpingo Oopor Lap Asst 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
PX-25001792 CDM Laparoscopic Supracervical Hysterectomy 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
PX-25013736 CDM Hysterectomy,Laparoscopy, Total With Or Without Bilateral Salpingo-oopherectomy 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
PX-25010870 CDM Laparoscopic Supracervical Hysterectomy W Removal Of Tubes And Or Ovarys 29 11 $16,700.00 $13,026.00 22% off $6,955.55 $16,700.00 $11,497.95 2024-12-30
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 — — $11,463.41 $11,463.41 $11,463.41 2024-12-30
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $11,438.82 $11,438.82 $11,438.82 2024-12-30
PX-25002446 CDM Orif Of Tibial Rod 29 11 $16,600.00 $12,948.00 22% off $6,913.90 $16,600.00 $11,429.10 2024-12-30
PX-25002405 CDM Orif Of Humeral Gamma Nail 29 11 $16,600.00 $12,948.00 22% off $6,913.90 $16,600.00 $11,429.10 2024-12-30
PX-25002326 CDM Orif Of Femur Rod 29 11 $16,600.00 $12,948.00 22% off $6,913.90 $16,600.00 $11,429.10 2024-12-30
PX-25002391 CDM Orif Of Hip Gamma Nail 29 11 $16,600.00 $12,948.00 22% off $6,913.90 $16,600.00 $11,429.10 2024-12-30
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $11,402.95 $11,402.95 $11,402.95 2024-12-30
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $11,340.95 $11,340.95 $11,340.95 2024-12-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $11,269.73 $11,269.73 $11,269.73 2024-12-30
935 MS_DRG Non-extensive Burns 1 1 — — $11,254.35 $11,254.35 $11,254.35 2024-12-30
PX-25010170 CDM Total Knee 29 11 $16,325.00 $12,733.50 22% off $6,799.36 $16,325.00 $11,239.76 2024-12-30
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $11,200.55 $11,200.55 $11,200.55 2024-12-30
906 MS_DRG Hand Procedures For Injuries 1 1 — — $11,183.13 $11,183.13 $11,183.13 2024-12-30
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 1 1 — — $11,164.68 $11,164.68 $11,164.68 2024-12-30
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $11,115.49 $11,115.49 $11,115.49 2024-12-30
PX-25005287 CDM Gastrojejunostomy 29 11 $16,100.00 $12,558.00 22% off $6,705.65 $16,100.00 $11,084.85 2024-12-30
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