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 →

Export CSV
Hospital

COX MEDICAL CENTERS

Springfield, MO · CCN 260040 · Rates published

7,299 distinct procedures filed
61 distinct payers
512,652 rate rows
2026-07-15 last MRF observed
Data quality

439,675 of 512,652 rate rows are consumer-grade (85.8%)

72,977 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 59,707
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,682
per-diem day rate — not a per-procedure price 1,077
exceeds 10× this hospital's gross charge — excluded from medians 456
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 29
placeholder amount (≤ $0.02) — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn.coxhealth.com/documents/440577118_lester-e-cox-medical-centers_standardcharges.csv
Found on page https://coxhealth.com/patients-and-visitors/pricing/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-01
Content fingerprint aa83f6da372784a2… · 508,568,997 bytes · first seen 2026-06-16

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 12 $231,056.14 $391,328.79 $332,535.20 nat. median
$370,165
0.9× median
Q2043
HCPCS 		Provenge 55 $56,269.19 $399,398.71 $227,833.95 nat. median
$65,655
outlier · 3.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 12 $155,766.60 $312,460.94 $219,861.93 nat. median
$261,939
0.8× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 13 $108,033.24 $301,149.58 $163,473.62 nat. median
$199,832
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $103,788.03 $246,160.84 $163,200.32 nat. median
$205,166
0.8× median
69488-0010-61
NDC 		Pluvicto 55 $159,328.75 $159,328.75 $159,328.75 nat. median
$159,329
1.0× median
50242-0554-01
NDC 		Ocrevus Zunovo 55 $138,019.00 $138,019.00 $138,019.00 nat. median
$138,019
1.0× median
J9266
HCPCS 		Oncaspar 55 $1.00 $201,753.98 $115,089.02 nat. median
$32,688
outlier · 3.5×
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 13 $67,800.23 $146,620.66 $107,524.52 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 12 $59,962.31 $135,609.07 $99,937.09 nat. median
$122,690
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 55 $56,824.55 $140,496.73 $98,660.64 nat. median
$63,643
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $71,282.67 $135,951.49 $95,703.36 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $67,514.73 $188,249.58 $92,136.25 nat. median
$108,240
0.9× median
J1300
HCPCS 		Soliris 55 $1.00 $91,339.49 $91,339.49 nat. median
$647
outlier · 141.2×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $87,650.90 $93,786.46 $88,308.28 nat. median
$96,134
0.9× median
426
MS_DRG 		Non-hypovolemic Sodium Disorders 12 $64,179.95 $108,698.52 $86,690.79 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $66,743.98 $113,041.11 $85,566.37 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $63,880.35 $128,443.76 $82,459.05 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 12 $64,911.48 $182,151.18 $79,716.95 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 12 $58,185.55 $116,842.23 $78,365.69 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $51,100.60 $86,546.66 $71,314.06 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $56,438.82 $95,587.75 $68,637.88 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 12 $49,706.16 $96,329.74 $67,871.21 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 12 $51,888.50 $118,161.01 $67,665.69 nat. median
$80,459
0.8× median
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion With Complication 1 $39,804.14 $98,846.50 $64,930.50 nat. median
$57,648
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 12 $49,388.18 $115,728.05 $63,518.78 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 13 $46,591.33 $97,602.91 $62,643.41 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 12 $44,992.87 $91,065.73 $62,384.15 nat. median
$73,475
0.8× median
0323T
CPT 		Rmvl & Replc Subq Pls Gen 55 $61,490.00 $61,490.00 $61,490.00 nat. median
$26,570
outlier · 2.3×
0321T
CPT 		Insert Subq Defib Pls Gen 55 $61,490.00 $61,490.00 $61,490.00 nat. median
$61,016
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 13 $44,746.57 $88,301.22 $61,406.13 nat. median
$71,485
0.9× median
00074-1050-01
NDC 		Skyrizi Pfs 55 $59,220.46 $59,220.46 $59,220.46 nat. median
$59,220
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $43,516.33 $73,701.53 $58,049.38 nat. median
$66,640
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $48,568.43 $82,258.03 $56,981.49 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $43,297.60 $73,331.08 $56,949.38 nat. median
$68,581
0.8× median
10
MS_DRG 		Pancreas Transplant 12 $26,723.57 $82,732.24 $56,448.92 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 $34,948.09 $71,169.48 $56,426.33 nat. median
$62,911
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 12 $39,970.17 $69,186.69 $55,425.81 nat. median
$65,792
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $37,316.07 $81,264.20 $54,869.95 nat. median
$65,958
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $37,902.40 $64,193.49 $53,556.20 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $41,077.89 $69,571.66 $53,518.74 nat. median
$62,262
0.9× median
217
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 12 $38,466.67 $77,444.14 $53,485.09 nat. median
$63,840
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $36,835.74 $70,854.20 $53,411.82 nat. median
$64,357
0.8× median
L8614
HCPCS 		Cochlear Device 2 $45,632.74 $59,264.40 $52,448.57 nat. median
$22,570
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $34,830.46 $66,877.91 $51,927.27 nat. median
$60,895
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $24,895.35 $63,900.88 $51,747.29 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $31,219.25 $67,107.23 $50,868.39 nat. median
$62,218
0.8× median
455
MS_DRG 		Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 1 $31,114.60 $77,502.06 $50,749.36 nat. median
$46,399
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 12 $36,704.01 $74,564.05 $49,654.27 nat. median
$60,162
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Comorbity 12 $35,778.27 $69,198.71 $49,508.08 nat. median
$59,257
0.8× median

Other procedures at this hospital

Browse this hospital's 7,299 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
             
00074-1050-01 NDC Skyrizi Pfs 68 55 $59,220.46 $14,923.56 75% off $59,220.46 $59,220.46 $59,220.46 2026-07-15
0321T CPT Insert Subq Defib Pls Gen 68 55 $61,490.00 $15,495.48 75% off $61,490.00 $61,490.00 $61,490.00 2026-07-15
0323T CPT Rmvl & Replc Subq Pls Gen 68 55 $61,490.00 $15,495.48 75% off $61,490.00 $61,490.00 $61,490.00 2026-07-15
0387T CPT Leadless C Pm Ins/rpl Ventr 68 55 $27,315.60 $6,883.53 75% off $27,315.60 $27,315.60 $27,315.60 2026-07-15
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 12 11 $59,191.28 $14,916.20 75% off $2,122.00 $59,191.28 $22,336.60 2026-07-15
0790 RC Lithotripsy Setup/abort 70 55 $20,150.45 $5,077.91 75% off $20,150.45 $49,447.85 $20,150.45 2026-07-15
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 68 55 $43,762.51 $11,028.15 75% off $4,463.00 $43,762.51 $24,112.76 2026-07-15
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 68 55 $43,762.51 $11,028.15 75% off $4,463.00 $43,762.51 $24,112.76 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 17 12 — — $155,766.60 $312,460.94 $219,861.93 2026-07-15
10 MS_DRG Pancreas Transplant 17 12 — — $26,723.57 $82,732.24 $56,448.92 2026-07-15
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 17 12 — — $30,135.55 $58,230.70 $44,135.68 2026-07-15
12 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 18 13 — — $21,577.12 $42,582.25 $34,415.40 2026-07-15
13533-0800-40 NDC Gamunex-c 68 55 $16,706.34 $4,210.00 75% off $16,706.34 $16,706.34 $16,706.34 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 17 12 — — $71,282.67 $135,951.49 $95,703.36 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 13 12 — — $25,911.17 $43,884.51 $35,048.46 2026-07-15
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 60 53 — — $18,146.67 $34,262.33 $18,146.67 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 12 — — $36,980.33 $74,324.68 $48,477.18 2026-07-15
163 MS_DRG Major Chest Procedures With Comorbity 19 13 — — $28,239.32 $129,192.06 $37,969.03 2026-07-15
164 MS_DRG Major Chest Procedures With Complication 61 53 — — $15,420.98 $32,150.99 $17,090.99 2026-07-15
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 17 12 — — $21,735.19 $45,283.28 $31,473.82 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 12 — — $27,698.33 $62,631.82 $43,319.25 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 59 52 — — $16,936.24 $31,841.48 $16,936.24 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 12 — — $231,056.14 $391,328.79 $332,535.20 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 12 — — $48,568.43 $82,258.03 $56,981.49 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 12 — — $67,514.73 $188,249.58 $92,136.25 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 17 12 — — $49,388.18 $115,728.05 $63,518.78 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 13 — — $31,219.25 $67,107.23 $50,868.39 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 10 10 — — $87,650.90 $93,786.46 $88,308.28 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 18 13 — — $33,864.27 $79,444.49 $44,812.78 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 12 — — $66,743.98 $113,041.11 $85,566.37 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 10 — — $45,387.30 $48,564.41 $45,727.71 2026-07-15
215 MS_DRG Other Heart Assist System Implant 17 12 — — $64,911.48 $182,151.18 $79,716.95 2026-07-15
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 17 12 — — $58,185.55 $116,842.23 $78,365.69 2026-07-15
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 17 12 — — $38,466.67 $77,444.14 $53,485.09 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $34,830.46 $66,877.91 $51,927.27 2026-07-15
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 18 13 — — $46,591.33 $97,602.91 $62,643.41 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb… 17 12 — — $21,629.81 $58,066.77 $27,654.32 2026-07-15
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 17 12 — — $31,485.88 $65,220.20 $43,847.03 2026-07-15
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 17 12 — — $28,086.16 $57,217.58 $40,958.57 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 17 12 — — $30,531.33 $84,650.56 $40,857.45 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 17 12 — — $19,031.46 $54,739.02 $27,433.70 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 18 13 — — $33,684.15 $63,580.98 $47,345.65 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Comorbity 17 12 — — $49,706.16 $96,329.74 $67,871.21 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Comorbity 17 12 — — $35,778.27 $69,198.71 $49,508.08 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 18 12 — — $44,992.87 $91,065.73 $62,384.15 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 19 12 — — $30,982.26 $80,793.38 $44,854.68 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 18 13 — — $34,084.55 $72,074.14 $47,653.68 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 19 13 — — $23,525.30 $46,848.56 $34,463.70 2026-07-15
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 18 12 — — $425.89 $59,900.73 $40,362.06 2026-07-15
24 MS_DRG Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 17 12 — — $23,291.99 $45,751.63 $32,825.10 2026-07-15
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 61 53 — — $16,340.60 $33,017.44 $17,524.22 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 17 12 — — $20,781.87 $46,207.66 $27,247.03 2026-07-15
24208-0416-01 NDC Retisert 68 55 $22,812.50 $5,748.75 75% off $22,812.50 $22,812.50 $22,812.50 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Complication 65 53 — — $13,802.30 $39,160.23 $17,479.24 2026-07-15
24338-0050-08 NDC Gliadel 68 55 $38,107.79 $9,603.16 75% off $38,107.79 $38,107.79 $38,107.79 2026-07-15
245 MS_DRG Aicd Generator Procedures 17 12 — — $29,940.10 $57,954.62 $37,871.02 2026-07-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 19 13 — — $26,384.15 $60,260.71 $37,749.24 2026-07-15
250 MS_DRG Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity 65 53 — — $14,168.68 $36,828.33 $19,429.67 2026-07-15
252 MS_DRG Other Vascular Procedures With Comorbity 65 53 — — $19,810.78 $41,933.21 $20,413.20 2026-07-15
253 MS_DRG Other Vascular Procedures With Complication 65 53 — — $15,530.65 $50,735.25 $16,527.74 2026-07-15
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders With Comorbity 65 53 — — $15,411.79 $32,542.93 $17,286.97 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 65 53 — — $17,188.54 $33,559.74 $17,795.37 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 61 53 — — $18,374.68 $41,224.32 $19,405.63 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 17 12 — — $20,868.87 $45,895.84 $27,712.46 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 61 53 — — $7,327.80 $36,267.08 $19,149.04 2026-07-15
265 MS_DRG Aicd Lead Procedures 65 53 — — $19,523.12 $37,015.23 $19,523.12 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 16 12 — — $36,704.01 $74,564.05 $49,654.27 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 16 12 — — $28,824.43 $57,495.69 $39,123.04 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 16 12 — — $39,970.17 $69,186.69 $55,425.81 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 17 12 — — $25,458.40 $78,239.15 $35,239.84 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 17 13 — — $30,269.72 $53,262.84 $42,776.58 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Complication 65 53 — — $1,658.00 $35,740.99 $18,885.99 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 65 53 — — $21,303.22 $40,575.43 $21,303.22 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 65 53 — — $342.39 $32,385.22 $17,208.11 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 12 — — $43,297.60 $73,331.08 $56,949.38 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 12 — — $37,951.42 $64,276.51 $48,359.01 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 12 — — $28,500.94 $48,270.68 $37,748.34 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 12 — — $30,653.87 $51,917.00 $44,992.60 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 63 52 — — $17,640.81 $33,250.62 $17,640.81 2026-07-15
28 MS_DRG Spinal Procedures With Comorbity 17 12 — — $34,055.43 $66,972.82 $49,086.87 2026-07-15
288 MS_DRG Acute & Subacute Endocarditis With Comorbity 61 53 — — $16,593.64 $34,455.77 $18,243.38 2026-07-15
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 61 53 — — $19,984.90 $37,938.81 $19,984.90 2026-07-15
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 18 13 — — $108,033.24 $301,149.58 $163,473.62 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 12 — — $24,949.88 $48,634.45 $36,177.33 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 12 — — $37,902.40 $64,193.49 $53,556.20 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Comorbity 13 12 — — $26,913.50 $45,582.11 $36,558.92 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 12 — — $26,096.19 $44,197.88 $35,523.16 2026-07-15
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 64 53 — — $17,592.56 $33,154.12 $17,592.56 2026-07-15
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 19 13 — — $27,859.47 $69,036.02 $41,167.74 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 61 53 — — $12,963.55 $32,782.04 $17,406.52 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 20 13 — — $28,133.33 $63,192.74 $38,505.77 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 61 53 — — $14,481.75 $31,563.09 $16,797.04 2026-07-15
332 MS_DRG Rectal Resection With Comorbity 17 12 — — $21,251.79 $58,016.24 $30,566.26 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 68 55 $66,473.52 $16,751.33 75% off $4,463.00 $66,473.52 $35,468.26 2026-07-15
33249 CPT Insertion Of Implantable Defibrillator System 68 55 $58,344.55 $14,702.83 75% off $2,122.00 $51,343.21 $19,395.10 2026-07-15
33262 CPT Removal And Replacement Of Single Lead Defibrillator 68 55 $77,338.72 $19,489.36 75% off $4,463.00 $77,338.72 $40,900.86 2026-07-15
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 68 55 $74,246.17 $18,710.03 75% off $4,463.00 $74,246.17 $39,354.58 2026-07-15
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 68 55 $77,338.72 $19,489.36 75% off $4,463.00 $77,338.72 $40,900.86 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 68 55 $69,066.00 $17,404.63 75% off $4,463.00 $69,066.00 $36,764.50 2026-07-15
33274 CPT Tcat Insj/rpl Perm Ldls Pm 68 55 $38,386.25 $9,673.34 75% off $4,463.00 $38,386.25 $21,424.62 2026-07-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 68 55 $52,555.36 $13,243.95 75% off $4,463.00 $52,555.36 $28,509.18 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 18 12 — — $22,199.59 $51,290.49 $30,472.97 2026-07-15
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 17 12 — — $23,825.01 $42,083.71 $32,505.50 2026-07-15
344 MS_DRG Minor Small & Large Bowel Procedures With Comorbity 17 12 — — $16,508.47 $44,328.10 $22,515.25 2026-07-15
347 MS_DRG Anal & Stomal Procedures With Comorbity 61 53 — — $14,500.74 $31,036.82 $16,533.91 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal & Femoral With Comorbity 61 53 — — $17,969.70 $34,368.26 $18,199.63 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 17 12 — — $23,314.66 $47,313.21 $35,490.72 2026-07-15
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 68 55 $39,613.18 $9,982.52 75% off $4,463.00 $39,613.18 $22,038.09 2026-07-15
36906 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 68 55 $37,853.86 $9,539.17 75% off $4,463.00 $37,853.86 $21,158.43 2026-07-15
37 MS_DRG Extracranial Procedures With Comorbity 65 53 — — $19,416.22 $37,765.03 $19,898.01 2026-07-15
37221 CPT Insertion Of Stent In Groin Artery; Initial Vessel 69 55 $28,740.00 $7,242.48 75% off $4,463.00 $28,740.00 $16,601.50 2026-07-15
37226 CPT Insertion Of Stent In Arteries Of Leg 68 55 $31,374.26 $7,906.31 75% off $4,463.00 $31,374.26 $17,918.63 2026-07-15
37229 CPT Removal Of Plaque In Artery Of Leg; Initial Vessel 68 55 $30,546.21 $7,697.64 75% off $4,463.00 $30,546.21 $17,504.60 2026-07-15
37230 CPT Insertion Of Stent In Artery Of Leg; Initial Vessel 68 55 $31,449.60 $7,925.30 75% off $4,463.00 $31,449.60 $17,956.30 2026-07-15
37258 CPT Revsc Evasc Ivt Stent Sf 1st 68 55 $28,740.00 $7,242.48 75% off $11,506.17 $28,740.00 $20,123.08 2026-07-15
37260 CPT Revsc Evasc Ivt St Cplx 1st 68 55 $28,740.00 $7,242.48 75% off $11,506.17 $28,740.00 $20,123.08 2026-07-15
37267 CPT Revsc Evsc Fpvt Stent Sf 1st 68 55 $31,374.26 $7,906.31 75% off $11,506.17 $31,374.26 $21,440.22 2026-07-15
37269 CPT Revsc Evasc Fpvt St Cplx 1st 68 55 $31,374.26 $7,906.31 75% off $11,506.17 $31,374.26 $21,440.22 2026-07-15
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 68 55 $24,820.00 $6,254.64 75% off $18,271.26 $24,820.00 $21,545.63 2026-07-15
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 68 55 $24,820.00 $6,254.64 75% off $18,271.26 $24,820.00 $21,545.63 2026-07-15
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 68 55 $41,693.08 $10,506.66 75% off $18,271.26 $41,693.08 $29,982.17 2026-07-15
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 68 55 $41,693.08 $10,506.66 75% off $18,271.26 $41,693.08 $29,982.17 2026-07-15
37284 CPT Revsc Evasc Tpvt St Sf 1st 68 55 $31,449.60 $7,925.30 75% off $18,271.26 $31,449.60 $24,860.43 2026-07-15
37286 CPT Revsc Evasc Tpvt St Cplx 1st 68 55 $31,449.60 $7,925.30 75% off $18,271.26 $31,449.60 $24,860.43 2026-07-15
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 68 55 $30,546.21 $7,697.64 75% off $18,271.26 $30,546.21 $24,408.74 2026-07-15
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 68 55 $30,546.21 $7,697.64 75% off $18,271.26 $30,546.21 $24,408.74 2026-07-15
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 68 55 $52,668.02 $13,272.34 75% off $18,271.26 $52,668.02 $35,469.64 2026-07-15
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 68 55 $52,668.02 $13,272.34 75% off $18,271.26 $52,668.02 $35,469.64 2026-07-15
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 18 13 — — $67,800.23 $146,620.66 $107,524.52 2026-07-15
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 17 12 — — $23,110.64 $46,651.36 $32,431.81 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 57 50 — — $21,313.07 $69,583.13 $21,313.07 2026-07-15
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 17 12 — — $32,377.93 $66,965.42 $44,915.16 2026-07-15
406 MS_DRG Pancreas; Liver & Shunt Procedures With Complication 61 53 — — $17,117.47 $34,099.58 $18,065.29 2026-07-15
408 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity 17 12 — — $21,451.52 $50,756.81 $30,138.85 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Comorbity 17 12 — — $16,765.18 $44,330.56 $27,856.57 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity 17 12 — — $21,466.84 $44,626.36 $30,115.57 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Comorbity 17 12 — — $21,624.29 $45,338.74 $28,909.37 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 17 12 — — $23,191.51 $51,990.55 $34,190.03 2026-07-15
426 MS_DRG Non-hypovolemic Sodium Disorders 13 12 — — $64,179.95 $108,698.52 $86,690.79 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $43,516.33 $73,701.53 $58,049.38 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $33,722.13 $57,113.57 $45,419.13 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 12 — — $51,100.60 $86,546.66 $71,314.06 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 12 — — $33,516.28 $56,764.92 $46,528.27 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 12 — — $41,077.89 $69,571.66 $53,518.74 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 12 — — $25,018.50 $78,836.70 $35,118.76 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 12 — — $31,553.27 $53,440.27 $43,184.00 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 61 50 — — $17,026.52 $32,022.04 $17,026.52 2026-07-15
454 MS_DRG Combined Anterior/posterior Spinal Fusion With Complication 4 1 — — $39,804.14 $98,846.50 $64,930.50 2026-07-15
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 4 1 — — $31,114.60 $77,502.06 $50,749.36 2026-07-15
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 17 12 — — $51,888.50 $118,161.01 $67,665.69 2026-07-15
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 17 12 — — $35,163.75 $84,041.71 $48,736.25 2026-07-15
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 17 12 — — $26,455.22 $63,323.38 $34,847.35 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Comorbity 5 2 — — $24,600.66 $69,030.00 $35,670.96 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 12 — — $29,976.86 $63,677.78 $44,662.36 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 12 — — $17,545.73 $43,371.68 $23,114.11 2026-07-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 18 13 — — $30,730.45 $89,450.27 $46,351.52 2026-07-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 61 53 — — $17,420.13 $40,767.65 $19,652.75 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 17 12 — — $30,892.20 $65,011.91 $42,858.78 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 18 12 — — $20,985.28 $71,541.18 $30,125.99 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 63 53 — — $16,072.25 $34,046.58 $18,038.79 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 17 12 — — $19,612.28 $42,369.65 $26,009.00 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Comorbity 17 12 — — $29,759.37 $60,939.73 $39,936.70 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 65 53 — — $17,483.24 $58,717.50 $19,064.23 2026-07-15
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 17 12 — — $23,662.66 $46,535.72 $34,738.36 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 61 53 — — $19,808.94 $40,459.28 $21,245.14 2026-07-15
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 61 53 — — $18,018.71 $37,830.36 $19,930.68 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 61 53 — — $14,865.90 $32,646.46 $17,338.73 2026-07-15
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 61 53 — — $19,723.78 $40,326.17 $21,178.58 2026-07-15
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 61 53 — — $20,224.34 $39,231.71 $20,631.35 2026-07-15
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity 65 53 — — $18,443.91 $36,531.68 $19,281.34 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $63,880.35 $128,443.76 $82,459.05 2026-07-15
500 MS_DRG Soft Tissue Procedures With Comorbity 61 53 — — $18,121.64 $37,117.97 $19,574.49 2026-07-15
50242-0554-01 NDC Ocrevus Zunovo 68 55 $138,019.00 $34,780.79 75% off $138,019.00 $138,019.00 $138,019.00 2026-07-15
50242-0918-01 NDC Tecentriq 68 55 $27,584.44 $6,951.28 75% off $27,584.44 $27,584.44 $27,584.44 2026-07-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 17 12 — — $17,887.60 $41,091.55 $26,805.11 2026-07-15
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 61 53 — — $17,722.79 $37,189.56 $19,610.28 2026-07-15
570 MS_DRG Skin Debridement With Comorbity 61 53 — — $15,897.03 $68,063.00 $16,633.24 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $24,895.35 $63,900.88 $51,747.29 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 61 53 — — $18,131.44 $35,953.71 $18,992.35 2026-07-15
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity 17 12 — — $27,771.85 $55,984.60 $39,909.30 2026-07-15
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 61 53 — — $16,300.17 $33,821.33 $17,926.17 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 17 12 — — $27,562.93 $58,715.07 $38,449.69 2026-07-15
61 MS_DRG Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 61 53 — — $16,563.00 $33,666.97 $17,848.99 2026-07-15
614 MS_DRG Adrenal & Pituitary Procedures With Complication/comorbity 61 53 — — $13,962.82 $31,373.29 $16,702.15 2026-07-15
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 17 12 — — $23,679.81 $50,252.72 $29,532.25 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 12 — — $18,000.00 $44,616.50 $24,515.75 2026-07-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 17 12 — — $22,129.75 $41,294.91 $30,089.20 2026-07-15
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 17 12 — — $21,911.64 $41,307.24 $30,932.15 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 68 55 $47,861.27 $12,061.04 75% off $4,463.00 $32,908.99 $18,685.99 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 12 — — $28,227.68 $47,807.88 $38,382.01 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 60 53 — — $19,031.78 $36,032.57 $19,031.78 2026-07-15
652 MS_DRG Kidney Transplant 59 53 — — $18,817.64 $38,860.72 $20,445.86 2026-07-15
653 MS_DRG Major Bladder Procedures With Comorbity 17 12 — — $33,858.76 $73,405.24 $42,788.95 2026-07-15
654 MS_DRG Major Bladder Procedures With Complication 61 53 — — $16,978.39 $38,138.48 $20,084.74 2026-07-15
65597-0801-01 NDC Datroway 68 55 $17,136.25 $4,318.34 75% off $17,136.25 $17,136.25 $17,136.25 2026-07-15
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 18 12 — — $19,936.38 $43,409.88 $27,441.08 2026-07-15
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 18 13 — — $15,833.31 $41,967.86 $22,405.68 2026-07-15
662 MS_DRG Minor Bladder Procedures With Comorbity 61 53 — — $18,663.24 $36,729.73 $19,380.37 2026-07-15
665 MS_DRG Prostatectomy With Comorbity 61 53 — — $19,139.29 $38,717.75 $20,374.38 2026-07-15
668 MS_DRG Transurethral Procedures With Comorbity 61 53 — — $16,146.38 $31,518.72 $16,774.86 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 17 12 — — $21,593.66 $43,473.60 $34,050.77 2026-07-15
69488-0010-61 NDC Pluvicto 68 55 $159,328.75 $40,150.85 75% off $159,328.75 $159,328.75 $159,328.75 2026-07-15
7 MS_DRG Lung Transplant 17 12 — — $59,962.31 $135,609.07 $99,937.09 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 61 53 — — $12,883.29 $31,486.68 $16,758.84 2026-07-15
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity 17 12 — — $24,052.32 $52,025.06 $30,207.88 2026-07-15
739 MS_DRG Uterine; Adnexa Proc For Non-ovarian/adnexal Malig With Comorbity 17 12 — — $21,697.20 $41,308.01 $30,272.26 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Complication/comorbity 65 53 — — $15,788.58 $32,339.57 $17,185.28 2026-07-15
77372 CPT Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 72 55 $29,469.27 $7,426.26 75% off $7,341.03 $41,712.00 $24,526.51 2026-07-15
77373 CPT Cranial Lesion Surgery Using Radiation Over Multiple Sessions 58 26 $20,913.32 $5,270.16 75% off $781.00 $36,493.00 $31,514.00 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 19 13 — — $32,270.47 $67,665.00 $47,876.70 2026-07-15
791 MS_DRG Prematurity With Major Problems 17 12 — — $22,646.23 $42,352.40 $32,976.85 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 20 13 — — $1,095.00 $43,506.02 $33,809.79 2026-07-15
799 MS_DRG Splenectomy With Comorbity 18 13 — — $29,131.38 $62,412.57 $37,976.32 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 12 — — $30,993.29 $63,507.03 $45,286.10 2026-07-15
800 MS_DRG Splenectomy With Complication 61 53 — — $16,454.56 $31,100.90 $16,565.95 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 61 53 — — $19,936.99 $38,998.76 $20,514.88 2026-07-15
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 17 12 — — $33,178.69 $72,445.12 $47,973.72 2026-07-15
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 17 12 — — $26,408.04 $55,277.63 $38,044.78 2026-07-15
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 17 12 — — $29,258.20 $60,737.60 $38,766.18 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 61 53 — — $18,893.61 $39,155.29 $20,593.15 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 17 12 — — $33,647.39 $66,343.01 $45,065.64 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 12 — — $30,677.76 $74,547.76 $39,747.44 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 61 53 — — $12,426.23 $34,733.08 $18,382.04 2026-07-15
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 61 53 — — $18,861.75 $38,014.00 $20,022.50 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 13 12 — — $56,438.82 $95,587.75 $68,637.88 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 18 13 — — $30,641.61 $65,927.66 $41,185.22 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 19 13 — — $27,263.34 $59,004.70 $38,498.04 2026-07-15
867 MS_DRG Other Infectious & Parasitic Diseases Diagnoses With Comorbity 61 53 — — $12,972.74 $32,216.32 $17,123.66 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 13 — — $37,316.07 $81,264.20 $54,869.95 2026-07-15
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 18 13 — — $21,504.82 $40,775.69 $31,515.07 2026-07-15
883 MS_DRG Disorders Of Personality & Impulse Control 19 14 — — $5,551.59 $19,237.09 $17,216.58 2026-07-15
886 MS_DRG Behavioral & Developmental Disorders 20 14 — — $1,753.01 $19,300.09 $18,037.47 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Comorbity 17 12 — — $25,447.99 $49,689.47 $35,033.50 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Complication/comorbity 61 53 — — $19,914.32 $72,430.54 $21,047.95 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 17 12 — — $24,407.05 $48,357.14 $32,261.93 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 12 — — $103,788.03 $246,160.84 $163,200.32 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 12 — — $34,948.09 $71,169.48 $56,426.33 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 61 53 — — $16,145.16 $33,001.58 $17,516.29 2026-07-15
92924 CPT Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 71 55 $24,610.49 $6,201.84 75% off $3,226.95 $24,610.49 $17,139.74 2026-07-15
92928 CPT Prq Tcat Plmt Ntrac St 1 Les 68 55 $25,629.84 $6,458.72 75% off $8,327.30 $25,629.84 $18,568.01 2026-07-15
92929 CPT Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch; Each Add… 68 55 $15,448.85 $3,893.11 75% off $15,448.85 $20,610.00 $18,029.42 2026-07-15
92930 CPT Prq Tcat Plmt Ntrac St 2+les 68 55 $38,444.77 $9,688.08 75% off $18,271.26 $38,444.77 $28,358.01 2026-07-15
92933 CPT Prq Trlml C Athrc St Angiop1 68 55 $42,136.55 $10,618.41 75% off $18,271.26 $42,136.55 $30,203.90 2026-07-15
92934 CPT Prq Card Stent/ath/angio 68 55 $39,595.23 $9,978.00 75% off $20,610.00 $39,595.23 $30,102.62 2026-07-15
92937 CPT Prq Trluml Revsc Cab Grf 1 68 55 $36,821.72 $9,279.07 75% off $11,506.17 $36,821.72 $24,163.94 2026-07-15
92938 CPT Prq Revasc Byp Graft Addl 68 55 $17,969.00 $4,528.19 75% off $17,969.00 $20,610.00 $19,289.50 2026-07-15
92943 CPT Removal Of Plaque; Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 68 55 $31,945.00 $8,050.14 75% off $11,506.17 $31,945.00 $21,725.58 2026-07-15
92944 CPT Prq Card Revasc Chronic Addl 68 55 $29,609.31 $7,461.55 75% off $20,610.00 $29,609.31 $25,109.65 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 12 — — $19,949.25 $44,898.30 $31,735.72 2026-07-15
93590 CPT Perq Transcath Cls Mitral 68 55 $77,043.11 $19,414.86 75% off $4,463.00 $77,043.11 $40,753.06 2026-07-15
93591 CPT Perq Transcath Cls Aortic 68 55 $48,958.52 $12,337.55 75% off $4,463.00 $48,958.52 $26,710.76 2026-07-15
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 16 12 $47,358.70 $11,934.39 75% off $1,590.68 $47,358.70 $26,247.17 2026-07-15
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 26 14 $47,097.68 $11,868.62 75% off $1,350.61 $47,097.68 $19,994.74 2026-07-15
93656 CPT Compre Ep Eval Abltj Atr Fib 68 55 $50,605.02 $12,752.47 75% off $4,463.00 $50,605.02 $27,534.01 2026-07-15
939 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity 61 53 — — $19,446.24 $46,431.92 $20,231.40 2026-07-15
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 17 12 — — $20,922.17 $43,105.45 $29,780.47 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 12 — — $36,835.74 $70,854.20 $53,411.82 2026-07-15
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 18 13 — — $23,418.81 $47,230.63 $31,977.54 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 18 13 — — $44,746.57 $88,301.22 $61,406.13 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 18 13 — — $25,179.63 $47,739.65 $34,911.62 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 61 53 — — $16,198.46 $31,294.41 $16,662.71 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Comorbity 65 53 — — $16,444.14 $38,493.29 $17,489.71 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $33,348.40 $67,659.32 $49,235.78 2026-07-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 65 53 — — $20,712.70 $39,394.40 $20,712.70 2026-07-15
974 MS_DRG HIV With Major Related Condition With Comorbity 61 53 — — $16,993.10 $32,457.89 $17,244.44 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 19 13 — — $26,409.88 $60,785.67 $38,874.78 2026-07-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 61 53 — — $14,058.30 $35,131.18 $18,581.09 2026-07-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 18 13 — — $19,827.32 $41,192.62 $28,912.10 2026-07-15
A9543 HCPCS Y90 Ibritumomab, Rx 68 55 $140,496.73 $35,405.18 75% off $56,824.55 $140,496.73 $98,660.64 2026-07-15
A9604 HCPCS Sm 153 Lexidronam 68 55 $58,773.92 $14,811.03 75% off $3,159.80 $58,773.92 $30,966.86 2026-07-15
A9699 HCPCS Radiopharm Rx Agent Noc 68 55 $39,090.00 $9,850.68 75% off $39,090.00 $39,090.00 $39,090.00 2026-07-15
C1722 HCPCS Cardioverter-defibrillator; Single Chamber (implantable) 2 2 $35,840.00 $9,031.68 75% off $15,769.60 $17,920.00 $16,844.80 2026-07-15
C1761 HCPCS Catheter; Transluminal Intravascular Lithotripsy; Coronary 68 55 $18,800.00 $4,737.60 75% off $18,800.00 $18,800.00 $18,800.00 2026-07-15
C1767 HCPCS Generator; Neurostimulator (implantable); Non-rechargeable 5 2 $63,787.50 $16,074.45 75% off $28,066.50 $42,675.00 $33,264.00 2026-07-15
C1813 HCPCS Prosthesis, Penile, Inflatab 3 2 $43,631.91 $10,995.24 75% off $19,741.81 $21,815.96 $19,741.82 2026-07-15
C1815 HCPCS Pros, Urinary Sph, Imp 1 1 $13,685.32 $3,448.70 75% off $28,635.38 $28,635.38 $28,635.38 2026-07-15
C1820 HCPCS Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 3 3 $70,000.00 $17,640.00 75% off $26,897.51 $47,250.00 $34,650.00 2026-07-15
C1826 HCPCS Generator; Neurostimulator (implantable); Includes Closed Feedback Loop Leads An… 2 1 $70,000.00 $17,640.00 75% off $30,800.00 $41,580.00 $36,190.00 2026-07-15
C1882 HCPCS Cardioverter-defibrillator; Other Than Single Or Dual Chamber (implantable) 2 1 $52,150.00 $13,141.80 75% off $22,946.00 $31,971.94 $27,458.97 2026-07-15
C1886 HCPCS Catheter, Ablation 74 55 $16,660.00 $4,198.32 75% off $976.71 $16,660.00 $16,660.00 2026-07-15
C1889 HCPCS Implant/insert Device, Noc 75 55 $17,680.00 $4,455.36 75% off $592.90 $17,680.00 $17,680.00 2026-07-15
C1982 HCPCS Catheter; Pressure-generating; One-way Valve; Intermittently Occlusive 68 55 $27,125.00 $6,835.50 75% off $27,125.00 $27,125.00 $27,125.00 2026-07-15
C9292 HCPCS Injection, Pertuzumab 68 55 $17,132.50 $4,317.39 75% off $17,132.50 $17,132.50 $17,132.50 2026-07-15
C9765 HCPCS Revasc Intra Lithotrip-stent 68 55 $31,984.31 $8,060.05 75% off $4,463.00 $31,984.31 $18,223.65 2026-07-15
C9767 HCPCS Revasc Lithotrip-stent-ather 68 55 $31,603.26 $7,964.02 75% off $4,463.00 $31,603.26 $18,033.13 2026-07-15
C9774 HCPCS Revasc Lithotr-ather Tib/per 68 55 $35,908.46 $9,048.93 75% off $4,463.00 $35,908.46 $20,185.73 2026-07-15
C9775 HCPCS Revasc Lith-sten-ath Tib/per 68 55 $36,518.90 $9,202.76 75% off $4,463.00 $36,518.90 $20,490.95 2026-07-15
C9797 HCPCS Vasc Emb/occ W/prs Cath 68 55 $50,363.04 $12,691.49 75% off $4,463.00 $50,363.04 $27,413.02 2026-07-15
G0339 HCPCS Robot Lin-radsurg Com, First 18 18 $8,882.00 $2,238.26 75% off $781.00 $36,493.00 $32,459.00 2026-07-15
G0340 HCPCS Robt Lin-radsurg Fractx 2-5 18 18 $6,188.00 $1,559.38 75% off $781.00 $36,493.00 $32,459.00 2026-07-15
G2171 HCPCS Avf Use Magnetic/art/ven 68 55 $37,578.43 $9,469.76 75% off $37,578.43 $37,578.43 $37,578.43 2026-07-15
J0135 HCPCS Humira Pen Starter Pack 69 55 $16,882.76 $4,254.46 75% off $16,882.76 $84,000.00 $16,882.76 2026-07-15
J1162 HCPCS DigiFab 69 55 $15,388.66 $3,877.94 75% off $5,166.99 $36,675.30 $20,921.15 2026-07-15
J1300 HCPCS Soliris 85 55 $91,339.49 $23,017.55 75% off $1.00 $91,339.49 $91,339.49 2026-07-15
J3357 HCPCS Stelara Pfs 71 55 $47,037.13 $11,853.36 75% off $1.00 $98,476.56 $47,037.13 2026-07-15
J7504 HCPCS Lymphocyte Immune Globulin 68 55 $6,481.45 $1,633.33 75% off $5,292.43 $37,565.67 $21,429.05 2026-07-15
J9266 HCPCS Oncaspar 69 55 $59,555.51 $15,007.99 75% off $1.00 $201,753.98 $115,089.02 2026-07-15
J9286 HCPCS Columvi 72 55 $36,856.93 $9,287.95 75% off $1.00 $110,535.78 $19,848.81 2026-07-15
L8614 HCPCS Cochlear Device 2 2 $63,598.82 $16,026.90 75% off $45,632.74 $59,264.40 $52,448.57 2026-07-15
Q2043 HCPCS Provenge 68 55 $236,071.50 $59,490.02 75% off $56,269.19 $399,398.71 $227,833.95 2026-07-15
See an error in this hospital's data? Submit a correction