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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

ST LUKES HOSPITAL

Chesterfield, MO · CCN 260179 · Rates published

4,903 distinct procedures filed
29 distinct payers
438,997 rate rows
2026-07-15 last MRF observed
Data quality

420,653 of 438,997 rate rows are consumer-grade (95.8%)

18,344 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 6,239
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,657
per-diem day rate — not a per-procedure price 4,741
exceeds 10× this hospital's gross charge — excluded from medians 665
template filing: same amount across many unrelated codes — excluded 575
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 203
placeholder amount (≤ $0.02) — excluded from medians 181
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 83
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stlukes-stl.com/content/dam/stlukes/resources/PricingTransparencyStLukesHospital-3310-20260325215738.csv
Found on page https://www.stlukes-stl.com/pay/price-estimator
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 38088fea8b800b60… · 152,618,740 bytes · first seen 2026-05-17

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 18 $312,513.92 $1,229,622.34 $630,575.56 nat. median
$168,055
outlier · 3.8×
7
MS_DRG 		Lung Transplant 16 $93,720.60 $873,158.14 $447,773.40 nat. median
$70,649
outlier · 6.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $195,798.11 $494,565.79 $203,630.03 nat. median
$186,516
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $100,242.58 $366,696.65 $188,049.56 nat. median
$97,418
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $149,180.49 $376,793.62 $155,577.90 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $148,305.20 $374,582.33 $155,092.53 nat. median
$145,435
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $82,008.24 $279,090.33 $143,123.24 nat. median
$65,418
outlier · 2.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $44,299.85 $262,962.70 $134,852.67 nat. median
$41,943
outlier · 3.2×
6
MS_DRG 		Liver Transplant Without Mcc 16 $33,557.97 $206,233.11 $105,760.57 nat. median
$31,278
outlier · 3.4×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 16 $40,560.49 $199,470.05 $102,292.33 nat. median
$32,772
outlier · 3.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 18 $46,567.92 $187,012.89 $95,904.05 nat. median
$47,121
outlier · 2.0×
570
MS_DRG 		Skin Debridement With Mcc 18 $21,284.74 $181,157.19 $92,901.12 nat. median
$20,813
outlier · 4.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 $42,621.00 $180,741.23 $92,687.81 nat. median
$49,569
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $83,986.81 $212,091.90 $87,159.91 nat. median
$72,715
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $74,617.09 $181,959.70 $83,642.24 nat. median
$69,922
1.2× median
J1823
HCPCS 		Inebilizumab-cdon 100 Mg/10 Ml Inj (onc) 27 $49,554.50 $297,326.82 $79,534.93 nat. median
$562
outlier · 141.4×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 19 $46,639.00 $191,906.12 $79,036.56 nat. median
$74,509
1.1× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 $34,768.72 $145,978.44 $74,860.74 nat. median
$32,992
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $68,373.32 $172,646.85 $72,728.86 nat. median
$69,822
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 18 $32,434.79 $141,811.22 $72,723.70 nat. median
$31,995
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 18 $69,590.20 $175,721.14 $72,564.80 nat. median
$73,023
1.0× median
Q2043
HCPCS 		Provenge 1 Unit 27 $26,196.17 $355,023.42 $72,098.45 nat. median
$63,499
1.1× median
A9543
HCPCS 		Y-90 Zevalin, Per Dose 27 $42,681.32 $382,667.39 $71,691.68 nat. median
$65,477
1.1× median
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg Inj (onc) 27 $24,282.45 $141,417.72 $70,646.43 nat. median
$4,856
outlier · 14.5×
J9347
HCPCS 		Tremelimumab-actl 300 Mg/15 Ml Inj (onc) 27 $42,270.00 $263,222.02 $70,411.89 nat. median
$355
outlier · 198.5×
653
MS_DRG 		Major Bladder Procedures With Mcc 18 $37,606.35 $131,865.78 $67,623.48 nat. median
$36,547
1.9× median
C9293
HCPCS 		Glucarpidase 1000 Units 27 $988.18 $251,983.00 $63,822.72 nat. median
$57,284
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 15 $61,936.79 $120,776.75 $63,165.38 nat. median
$2,106
outlier · 30.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $58,922.52 $148,770.88 $62,675.98 nat. median
$60,505
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $56,946.50 $138,868.58 $61,985.98 nat. median
$56,428
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $58,737.40 $148,303.20 $61,245.28 nat. median
$59,651
1.0× median
J7330
HCPCS 		Implant Autologous Cultured Chondrocytes 16 $22,413.70 $84,580.00 $59,036.84 nat. median
$92,809
0.6× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 18 $34,945.30 $112,948.29 $58,495.53 nat. median
$34,932
1.7× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 18 $36,093.81 $109,828.59 $57,409.07 nat. median
$35,986
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $53,672.15 $135,506.64 $57,091.11 nat. median
$55,923
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 $14,586.00 $107,995.11 $56,476.93 nat. median
$38,844
1.5× median
10
MS_DRG 		Pancreas Transplant 16 $51,930.54 $126,636.76 $56,111.35 nat. median
$23,080
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $53,440.94 $134,922.49 $55,863.47 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $53,264.21 $134,476.00 $55,536.69 nat. median
$52,327
1.1× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 $38,311.23 $105,606.48 $55,226.99 nat. median
$38,173
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 $49,844.76 $125,837.30 $52,560.85 nat. median
$51,518
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 $50,140.24 $126,583.81 $52,278.38 nat. median
$37,013
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $49,874.10 $125,911.42 $51,751.08 nat. median
$45,605
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $48,317.70 $121,979.45 $50,377.46 nat. median
$48,611
1.0× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 $22,994.84 $96,137.53 $49,301.30 nat. median
$23,282
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $47,055.41 $118,790.45 $49,060.89 nat. median
$47,340
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $45,967.06 $116,040.89 $48,895.12 nat. median
$47,458
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $45,967.06 $116,040.89 $48,895.12 nat. median
$45,446
1.1× median
C1825
HCPCS 		Generator Barostim System Therapeutic Implantable 16 $18,550.00 $70,000.00 $48,860.00 nat. median
$35,000
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 $45,800.10 $115,619.11 $47,751.59 nat. median
$43,299
1.1× median

Other procedures at this hospital

Browse this hospital's 4,903 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
             
C1820 HCPCS 106668 Neurostimulator Generator Compnt Add On 278 15 $33,800.00 $20,280.00 40% off $643.95 $54,544.00 $20,552.05 2026-07-15
C1767 HCPCS 106805 Generator Proclaim Add On 739 15 $34,197.00 $20,518.20 40% off $3,841.97 $68,488.00 $24,281.85 2026-07-15
C1822 HCPCS 116007 Ipg Implant 42 16 $36,950.00 $22,170.00 40% off $9,778.50 $37,000.00 $25,791.10 2026-07-15
C1722 HCPCS Acticor 7 Vr- T Df4 120 15 $30,960.77 $18,576.46 40% off $4,770.00 $59,024.00 $21,240.00 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 18 — — $18,939.12 $47,759.02 $19,735.44 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 22 18 — — $38,384.89 $96,885.76 $40,017.49 2026-07-15
22585 CPT Additional Spinal Fusion 19 16 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
245 MS_DRG Aicd Generator Procedures 25 19 — — $29,130.00 $80,517.24 $33,018.09 2026-07-15
265 MS_DRG Aicd Lead Procedures 25 19 — — $25,309.96 $63,853.99 $26,921.98 2026-07-15
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 22 18 — — $10,244.69 $45,562.02 $23,365.14 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 20 17 — — $83,986.81 $212,091.90 $87,159.91 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 18 — — $19,947.13 $50,305.62 $20,786.81 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 18 — — $34,415.69 $86,858.16 $35,877.59 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 18 — — $30,023.17 $75,761.10 $31,296.15 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 18 — — $24,396.25 $61,545.64 $25,427.26 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 22 18 — — $16,613.25 $68,032.00 $34,888.21 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 19 — — $42,621.00 $180,741.23 $92,687.81 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 19 — — $23,443.00 $74,531.03 $30,717.71 2026-07-15
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 36 29 — — $4,357.00 $64,592.55 $27,178.50 2026-07-15
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 38 29 — — $3,268.00 $51,765.76 $18,880.82 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 17 — — $41,457.17 $104,647.35 $43,014.35 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 17 — — $37,982.52 $95,869.23 $39,407.69 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 18 — — $26,141.95 $65,955.87 $27,248.04 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 18 — — $18,051.94 $45,517.72 $18,810.11 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 18 — — $24,619.79 $62,110.37 $25,660.42 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 22 18 — — $18,051.94 $45,517.72 $18,810.11 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 18 — — $14,586.00 $107,995.11 $56,476.93 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 18 — — $14,586.00 $46,943.68 $19,361.03 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 18 — — $24,942.54 $62,925.71 $25,997.04 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 18 — — $24,167.14 $60,966.78 $25,188.29 2026-07-15
C1721 HCPCS Bsc Dynagen El Icd Dr - Ccl 200 15 $37,143.00 $22,285.80 40% off $6,254.00 $59,024.00 $24,032.66 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 19 — — $49,844.76 $125,837.30 $52,560.85 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 19 — — $14,425.00 $55,451.78 $22,739.38 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 19 — — $13,681.00 $57,405.41 $23,540.51 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 19 — — $68,373.32 $172,646.85 $72,728.86 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 19 — — $45,967.06 $116,040.89 $48,895.12 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 19 — — $45,967.06 $116,040.89 $48,895.12 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 19 — — $53,672.15 $135,506.64 $57,091.11 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 19 — — $37,287.47 $94,113.25 $39,662.55 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 19 — — $35,243.47 $88,949.45 $37,488.35 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 18 — — $27,073.83 $68,310.11 $28,219.99 2026-07-15
279 MS_DRG Cellulitis Age 0-17 22 18 — — $25,227.54 $63,645.75 $26,294.30 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 24 19 — — $32,297.66 $81,507.29 $34,051.12 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 22 18 — — $38,917.89 $98,232.30 $40,573.42 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 22 18 — — $20,614.96 $51,992.77 $21,483.35 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 22 18 — — $34,945.30 $112,948.29 $58,495.53 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 18 — — $34,768.72 $145,978.44 $74,860.74 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 18 — — $18,144.84 $45,752.44 $18,907.02 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 18 — — $312,513.92 $1,229,622.34 $630,575.56 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 18 — — $24,921.56 $62,872.76 $25,975.17 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 18 — — $23,110.20 $58,296.64 $24,085.91 2026-07-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 22 18 — — $14,243.87 $44,189.64 $22,976.49 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 15 — — $42,760.67 $83,383.31 $43,597.91 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 15 — — $61,936.79 $120,776.75 $63,165.38 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 15 15 — — $32,207.54 $62,804.71 $32,829.41 2026-07-15
93656 CPT Comp Ep Study/Afib Ablation 54 28 $56,375.00 $33,825.00 40% off $11,939.00 $69,055.47 $30,969.50 2026-07-15
93653 CPT Comp Ep Study/SVT Ablation 38 28 $56,375.00 $33,825.00 40% off $12,135.00 $69,055.47 $28,136.48 2026-07-15
93654 CPT Comp Ep Study/VT Ablation 38 28 $56,375.00 $33,825.00 40% off $12,135.00 $69,055.47 $28,136.48 2026-07-15
92930 CPT Cor Art Bm Stnt; 2+ Les W/2+ Stnts/bifur 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 19 — — $53,440.94 $134,922.49 $55,863.47 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 19 — — $38,194.89 $96,405.73 $40,627.79 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 19 — — $58,922.52 $148,770.88 $62,675.98 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 19 — — $42,385.53 $106,992.76 $45,085.42 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 19 — — $40,002.00 $103,569.05 $42,851.00 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 19 — — $29,295.95 $73,923.94 $31,161.90 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 18 — — $22,461.25 $56,657.14 $23,409.04 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 18 — — $21,754.31 $54,871.16 $22,671.70 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 18 — — $31,796.09 $80,240.16 $33,145.34 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 18 — — $47,055.41 $118,790.45 $49,060.89 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 18 — — $40,064.24 $101,128.34 $41,769.06 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 18 — — $27,361.64 $69,037.21 $28,520.18 2026-07-15
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 27 20 — — $8,232.09 $43,883.45 $22,504.33 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 18 — — $148,305.20 $374,582.33 $155,092.53 2026-07-15
33947 CPT Ecmo/ecls Initiation Artery 19 16 — — $2,862.00 $50,000.00 $26,431.00 2026-07-15
33952 CPT Ecmo/ecls Insj Prph Cannula 19 16 — — $2,862.00 $50,000.00 $26,431.00 2026-07-15
J9334 HCPCS Efgartigimod Alfa-hyaluronidase Qvfc 180 Mg-2000 U 42 27 $94,638.00 $56,782.80 40% off $17,080.56 $98,426.16 $25,315.67 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 19 — — $42,845.20 $108,154.00 $45,574.36 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 19 — — $33,291.72 $84,018.60 $35,412.23 2026-07-15
C1882 HCPCS Ep Bsc Momentum Crt-d Is-1/df4/is-1 160 15 $41,334.00 $24,800.40 40% off $7,638.36 $59,024.00 $27,600.00 2026-07-15
33289 CPT Ep Implant Cardiomems Includes RHC_Deploy_angiogra 38 28 $11,968.00 $7,180.80 40% off $3,171.52 $80,022.31 $20,078.90 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 18 — — $149,180.49 $376,793.62 $155,577.90 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 18 — — $27,238.00 $68,724.84 $28,391.22 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 18 — — $32,809.69 $82,800.89 $34,202.53 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 22 18 — — $23,031.97 $58,098.98 $24,004.31 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 18 — — $41,553.56 $104,890.89 $43,322.43 2026-07-15
37225 CPT Fem Pop Atherectomy 25 18 $33,414.62 $20,048.77 40% off $6,650.00 $33,414.62 $20,048.77 2026-07-15
37277 CPT Fem-pop Stent & Atherectomy, Initial Vessel, Compl 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37275 CPT Fem-pop Stent & Atherectomy, Initial Vessel, Strai 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37224 CPT Fem/popl Revas W/tla 25 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
37226 CPT Fem/popl Revasc W/stent 25 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
J7311 HCPCS Fluocinolone Opth 0.59 Mg Implant 42 27 $114,150.00 $68,490.00 40% off $19,997.34 $115,997.54 $30,535.12 2026-07-15
503 MS_DRG Foot Procedures With Mcc 22 18 — — $19,532.18 $49,257.33 $20,354.02 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 22 18 — — $29,161.82 $73,585.10 $30,397.78 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 18 — — $50,140.24 $126,583.81 $52,278.38 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 18 — — $22,533.89 $56,840.68 $23,484.82 2026-07-15
C1825 HCPCS Generator Barostim System Therapeutic Implantable 21 16 $70,000.00 $42,000.00 40% off $18,550.00 $70,000.00 $48,860.00 2026-07-15
C9293 HCPCS Glucarpidase 1000 Units 37 27 $199,446.00 $119,667.60 40% off $988.18 $251,983.00 $63,822.72 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 16 — — $195,798.11 $494,565.79 $203,630.03 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 16 — — $82,008.24 $279,090.33 $143,123.24 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 18 — — $23,835.32 $60,128.50 $24,842.21 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 18 — — $20,306.89 $51,214.50 $21,162.04 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 23 19 — — $46,639.00 $191,906.12 $79,036.56 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 18 — — $20,378.85 $51,396.27 $21,237.10 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 18 — — $20,084.75 $50,653.29 $20,930.35 2026-07-15
L8614 HCPCS Hires Implant 189 16 $40,868.00 $24,520.80 40% off $3,659.65 $65,160.00 $23,400.00 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 18 — — $44,299.85 $262,962.70 $134,852.67 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 18 — — $19,086.87 $66,803.09 $34,258.00 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 22 18 — — $20,195.11 $50,932.13 $21,045.46 2026-07-15
37220 CPT Iliac Revasc 26 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
37222 CPT Iliac Revasc Add-on 26 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
37221 CPT Iliac Revasc W/stent 25 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
37223 CPT Iliac Revasc W/stent Add-on 26 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
J7330 HCPCS Implant Autologous Cultured Chondrocytes 21 16 $84,580.00 $50,748.00 40% off $22,413.70 $84,580.00 $59,036.84 2026-07-15
69930 CPT Implant Cochlear Device 38 29 — — $2,950.00 $89,535.19 $32,399.57 2026-07-15
63655 CPT Implant Neuroelectrodes 38 29 — — $4,357.00 $60,363.37 $20,888.46 2026-07-15
63685 CPT Implant Neuroreceiver 28 22 — — $1,400.00 $85,779.48 $30,615.81 2026-07-15
64590 CPT Implant Neuroreceiver 28 22 — — $1,400.00 $60,363.37 $19,431.44 2026-07-15
61885 CPT Implant Neurostim One Array 28 22 — — $1,400.00 $85,779.48 $30,615.81 2026-07-15
J1823 HCPCS Inebilizumab-cdon 100 Mg/10 Ml Inj (onc) 42 27 $297,326.82 $178,396.09 40% off $49,554.50 $297,326.82 $79,534.93 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 18 — — $34,533.74 $87,156.41 $36,000.72 2026-07-15
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg Inj (onc) 60 27 $141,417.72 $84,850.63 40% off $24,282.45 $141,417.72 $70,646.43 2026-07-15
54405 CPT Insert Multi-comp Prosthesis 28 22 — — $1,850.00 $56,659.49 $20,759.59 2026-07-15
22845 CPT Insert Spine Fixation Device 19 16 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
22846 CPT Insert Spine Fixation Device 11 8 — — $4,124.00 $106,500.00 $20,073.00 2026-07-15
33270 CPT Insert/Replace Subq Icd 39 29 $61,029.00 $36,617.40 40% off $1,464.03 $90,249.48 $33,930.02 2026-07-15
0796T CPT Insertion Dual Chamber Leadless Right Atrial Compo 38 28 $36,128.40 $21,677.04 40% off $710.50 $53,683.03 $21,677.04 2026-07-15
0797T CPT Insertion Dual Chamber Leadless Right Ventricular 38 28 $36,128.40 $21,677.04 40% off $5,241.00 $53,683.03 $21,677.04 2026-07-15
0795T CPT Insertion Of Dual Chamber Leadless System 39 29 $36,128.40 $21,677.04 40% off $710.50 $53,683.03 $21,677.04 2026-07-15
0408T CPT Insertion Or Replace Cardiac Contractility Modular 39 29 $61,608.36 $36,965.02 40% off $7,110.00 $90,249.48 $36,965.02 2026-07-15
0823T CPT Insertion Single Chamber Leadless Right Atrium 39 29 $36,128.40 $21,677.04 40% off $710.50 $53,683.03 $21,677.04 2026-07-15
197 MS_DRG Interstitial Lung Disease With Cc 22 18 — — $6,868.64 $65,655.08 $33,669.28 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 18 — — $38,311.23 $105,606.48 $55,226.99 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 18 — — $56,946.50 $138,868.58 $61,985.98 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 18 — — $22,994.84 $96,137.53 $49,301.30 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40 Ml Inj (onc) 142 27 $57,588.15 $34,552.89 40% off $178.62 $230,352.14 $29,159.14 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 18 — — $19,294.68 $48,657.30 $20,106.30 2026-07-15
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 24 19 — — $19,041.12 $48,016.68 $20,067.31 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 18 — — $22,275.43 $56,187.70 $23,215.24 2026-07-15
652 MS_DRG Kidney Transplant 20 17 — — $22,594.68 $56,994.22 $23,548.22 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 18 — — $32,876.76 $82,970.31 $34,191.83 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 18 — — $25,921.91 $65,399.96 $26,958.79 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 18 — — $22,779.87 $56,951.86 $23,635.74 2026-07-15
J2507 HCPCS Krystexxa 1mg 84 27 $105,880.95 $63,528.57 40% off $3,660.83 $195,525.42 $25,115.97 2026-07-15
63044 CPT Laminotomy Addl Lumbar 19 16 — — $4,650.00 $50,000.00 $27,325.00 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 18 — — $26,321.49 $66,409.42 $27,435.29 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 16 — — $74,617.09 $181,959.70 $83,642.24 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 19 16 — — $33,557.97 $206,233.11 $105,760.57 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 18 — — $25,362.37 $63,986.35 $26,434.93 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 18 — — $21,108.85 $53,240.49 $21,998.48 2026-07-15
J9359 HCPCS Loncastuximab Tesirine 10 Mg Inj (onc) 82 27 $180,126.20 $108,075.72 40% off $216.90 $180,126.20 $29,064.60 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 18 — — $25,683.00 $64,796.40 $26,769.35 2026-07-15
22558 CPT Lumbar Spine Fusion 36 29 — — $6,650.00 $171,092.55 $28,162.85 2026-07-15
22630 CPT Lumbar Spine Fusion 36 29 — — $4,357.00 $64,592.55 $27,178.50 2026-07-15
22612 CPT Lumbar Spine Fusion 38 29 — — $4,357.00 $51,765.76 $18,880.82 2026-07-15
7 MS_DRG Lung Transplant 19 16 — — $93,720.60 $873,158.14 $447,773.40 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 18 — — $41,003.79 $103,501.99 $42,749.01 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 18 — — $22,632.39 $57,089.52 $23,587.55 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 18 — — $32,062.25 $80,912.55 $33,422.93 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 22 18 — — $19,589.47 $49,402.05 $20,413.76 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 22 18 — — $37,606.35 $131,865.78 $67,623.48 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 22 18 — — $32,434.79 $141,811.22 $72,723.70 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 22 18 — — $29,830.34 $75,274.01 $31,095.06 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 18 — — $11,443.00 $53,529.91 $22,072.33 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 18 — — $19,398.07 $48,918.49 $20,214.13 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 18 — — $32,143.96 $81,119.03 $33,508.18 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 22 18 — — $21,421.08 $54,029.35 $22,324.15 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 18 — — $18,077.10 $45,581.25 $18,836.35 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 18 — — $32,711.90 $82,553.81 $34,100.53 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 18 — — $22,109.18 $55,767.68 $23,041.83 2026-07-15
22600 CPT Neck Spine Fusion 37 29 — — $4,357.00 $148,239.27 $18,970.17 2026-07-15
J9298 HCPCS Nivolumab-relatlimab Rmbw 240 Mg-80 Mg/20 Ml Inj ( 42 27 $98,083.73 $58,850.24 40% off $15,826.40 $98,083.73 $26,237.40 2026-07-15
Q3001 HCPCS Nm Y-90 Sir-spheres 21 16 $27,892.25 $16,735.35 40% off $7,391.45 $27,892.25 $19,468.79 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 18 — — $25,265.26 $63,741.05 $26,333.64 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 18 — — $23,984.11 $60,504.40 $24,997.40 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 24 19 — — $31,632.00 $106,004.48 $43,782.18 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 18 — — $20,204.91 $50,956.84 $21,055.67 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 18 — — $25,381.92 $64,035.77 $26,455.32 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 17 — — $27,033.31 $68,207.76 $28,240.82 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 23 20 — — $2,275.00 $84,343.43 $43,269.96 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 26 20 — — $2,275.00 $85,779.48 $30,907.52 2026-07-15
C1824 HCPCS Optimizer Smart Implantable IPG/Commercial 42 16 $49,000.00 $29,400.00 40% off $12,190.00 $52,000.00 $33,787.00 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 19 — — $34,595.21 $87,311.72 $36,798.78 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 19 — — $22,035.83 $67,800.00 $23,439.24 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 22 18 — — $23,370.78 $58,954.91 $24,357.68 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 18 — — $31,790.70 $87,306.16 $45,650.68 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 18 — — $26,206.92 $66,120.00 $27,315.80 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 18 — — $26,068.61 $65,770.57 $27,171.54 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 18 — — $31,210.70 $78,761.26 $32,534.77 2026-07-15
215 MS_DRG Other Heart Assist System Implant 22 18 — — $69,590.20 $175,721.14 $72,564.80 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 18 — — $29,045.87 $73,292.14 $30,276.83 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 18 — — $29,385.37 $74,149.84 $30,630.94 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 19 — — $23,443.00 $62,761.58 $25,872.66 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 19 — — $36,892.78 $93,116.14 $39,242.73 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 25 19 — — $17,868.92 $46,107.00 $19,006.86 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 18 — — $19,131.91 $48,246.10 $19,936.53 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 18 — — $19,739.00 $56,242.41 $23,188.98 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 18 — — $26,854.48 $67,755.97 $27,991.22 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 18 — — $29,471.28 $74,366.91 $30,720.55 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 18 — — $53,264.21 $134,476.00 $55,536.69 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 18 — — $20,600.98 $51,957.48 $21,468.78 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 18 — — $27,865.99 $70,311.40 $29,046.22 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 18 — — $26,144.75 $65,962.93 $27,250.96 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 18 — — $22,657.55 $57,153.05 $23,613.78 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 22 18 — — $18,166.50 $45,807.15 $18,929.60 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 22 18 — — $24,402.54 $61,561.52 $25,433.82 2026-07-15
10 MS_DRG Pancreas Transplant 19 16 — — $51,930.54 $126,636.76 $56,111.35 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 18 — — $20,294.32 $51,182.73 $21,148.92 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 18 — — $38,249.38 $96,543.38 $39,876.15 2026-07-15
93580 CPT Perc Closure Of Asd With Implant 56 29 $29,022.00 $17,413.20 40% off $2,555.90 $50,546.00 $18,929.46 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 19 — — $17,418.00 $72,806.82 $29,856.24 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 19 — — $17,418.00 $58,091.92 $23,822.03 2026-07-15
C9765 HCPCS Peripheral Lithotripsy 38 28 $34,017.22 $20,410.33 40% off $5,241.00 $50,546.00 $20,410.33 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 18 — — $27,007.46 $68,142.46 $28,150.78 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 18 — — $24,979.56 $63,019.24 $26,035.65 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 19 — — $22,338.31 $56,346.53 $23,760.97 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 18 — — $31,810.06 $80,275.46 $33,159.91 2026-07-15
791 MS_DRG Prematurity With Major Problems 22 18 — — $28,389.22 $71,633.23 $29,591.95 2026-07-15
665 MS_DRG Prostatectomy With Mcc 22 18 — — $21,838.14 $55,082.94 $22,759.13 2026-07-15
Q2043 HCPCS Provenge 1 Unit 60 27 $98,853.48 $59,312.09 40% off $26,196.17 $355,023.42 $72,098.45 2026-07-15
849 MS_DRG Radiotherapy 22 18 — — $19,608.65 $56,814.03 $29,694.57 2026-07-15
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11 Ml Inj (onc) 178 27 $40,742.16 $24,445.30 40% off $224.80 $152,328.10 $24,728.44 2026-07-15
27702 CPT Reconstruct Ankle Joint 36 29 — — $4,124.00 $64,592.55 $27,062.00 2026-07-15
23472 CPT Reconstruct Shoulder Joint 38 29 — — $3,688.00 $51,765.76 $18,880.82 2026-07-15
332 MS_DRG Rectal Resection With Mcc 22 18 — — $25,327.42 $63,898.11 $26,398.49 2026-07-15
33120 CPT Removal Of Heart Lesion 19 16 — — $2,862.00 $50,000.00 $26,431.00 2026-07-15
0802T CPT Removal/ Replace Dual Chamber Leadless Right Atria 38 28 $36,128.40 $21,677.04 40% off $5,241.00 $53,683.03 $21,677.04 2026-07-15
0803T CPT Removal/ Replace Dual Chamber Leadless Right Ventr 38 28 $36,128.40 $21,677.04 40% off $5,241.00 $53,683.03 $21,677.04 2026-07-15
0801T CPT Removal/ Replace Dual Chamber Leadless System 39 29 $36,128.40 $21,677.04 40% off $5,241.00 $53,683.03 $21,677.04 2026-07-15
63048 CPT Remove Spinal Lamina Add-on 19 16 — — $4,650.00 $50,000.00 $27,325.00 2026-07-15
33405 CPT Replacement Of Aortic Valve 19 16 — — $2,862.00 $50,000.00 $26,431.00 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 18 — — $19,236.00 $48,509.06 $20,045.10 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 18 — — $46,567.92 $187,012.89 $95,904.05 2026-07-15
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20 Ml Inj (onc) 42 27 $93,765.48 $56,259.29 40% off $15,263.50 $93,765.48 $25,082.26 2026-07-15
0098T CPT Rev Artific Disc Addl 8 6 — — $1,705.00 $106,500.00 $21,394.50 2026-07-15
22861 CPT Rev Rplcm Arthrp 1ntrspc Crv 36 28 — — $4,124.00 $148,239.27 $18,880.82 2026-07-15
27487 CPT Revise/replace Knee Joint 37 29 — — $4,357.00 $148,239.27 $18,970.17 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 18 — — $11,443.00 $62,237.44 $25,656.89 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 18 — — $11,443.00 $91,864.90 $37,853.39 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 23 18 — — $11,443.00 $48,496.70 $20,000.36 2026-07-15
0095T CPT Rmvl Artific Disc Addl Crvcl 8 6 — — $1,705.00 $106,500.00 $21,394.50 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 18 — — $48,317.70 $121,979.45 $50,377.46 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 18 — — $21,134.66 $53,305.78 $22,025.42 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 16 — — $40,560.49 $199,470.05 $102,292.33 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 17 — — $49,874.10 $125,911.42 $51,751.08 2026-07-15
570 MS_DRG Skin Debridement With Mcc 22 18 — — $21,284.74 $181,157.19 $92,901.12 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 18 — — $18,551.42 $46,779.55 $19,331.07 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 18 — — $34,272.48 $86,496.38 $35,728.22 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 18 — — $24,284.49 $61,263.27 $25,310.69 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 18 — — $45,800.10 $115,619.11 $47,751.59 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 18 — — $24,897.83 $62,812.76 $25,950.40 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 18 — — $25,693.49 $64,822.87 $26,780.28 2026-07-15
A9604 HCPCS Sm-153 Thera,Per Tx Dose Up To 150 41 27 $80,865.88 $48,519.53 40% off $3,159.80 $96,068.99 $21,429.46 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 22 18 — — $22,142.70 $55,852.39 $23,076.80 2026-07-15
20931 CPT Spinal Bone Allograft 9 7 — — $354.00 $50,000.00 $19,124.00 2026-07-15
20930 CPT Spinal Bone Allograft 9 7 — — $354.00 $50,000.00 $19,124.00 2026-07-15
63035 CPT Spinal Disk Surgery Add-on 19 16 — — $4,650.00 $50,000.00 $27,325.00 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 15 15 — — $46,365.22 $90,412.18 $47,276.02 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 18 — — $58,737.40 $148,303.20 $61,245.28 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 18 — — $41,690.48 $105,236.79 $43,465.24 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 18 — — $29,182.78 $73,638.04 $30,419.64 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 15 — — $25,587.30 $49,895.24 $26,074.06 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 18 — — $23,866.74 $60,207.92 $24,874.99 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 22 18 — — $42,006.23 $106,034.48 $43,794.57 2026-07-15
800 MS_DRG Splenectomy With Cc 22 18 — — $19,660.04 $49,580.29 $20,487.36 2026-07-15
799 MS_DRG Splenectomy With Mcc 22 18 — — $31,671.74 $79,926.03 $33,015.64 2026-07-15
C1826 HCPCS Stimulator Neurological Inceptiv Implanted Electro 25 17 $40,000.00 $24,000.00 40% off $10,600.00 $40,000.00 $26,800.00 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 18 — — $36,093.81 $109,828.59 $57,409.07 2026-07-15
C1605 HCPCS System Pacemaker Aveir Dr Dual Chamber 40 29 $51,500.00 $30,900.00 40% off $13,647.50 $51,500.00 $27,681.25 2026-07-15
J9274 HCPCS Tebentafusp Tebn 100 Mcg/0.5 Ml Inj (onc) 42 27 $119,313.60 $71,588.16 40% off $21,709.00 $126,708.00 $31,916.38 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg Rec 60 27 $49,783.50 $29,870.10 40% off $8,611.00 $49,783.50 $24,688.81 2026-07-15
22610 CPT Thorax Spine Fusion 37 29 — — $4,357.00 $148,239.27 $18,970.17 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 18 — — $21,131.89 $53,298.72 $22,022.52 2026-07-15
37292 CPT Tib/per Revasc Stent & Atherectomy, Initial Vessel 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37294 CPT Tib/per Revasc Stent & Atherectomy, Initial Vessel 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37228 CPT Tib/per Revasc W/tla 25 19 — — $4,124.00 $50,000.00 $27,062.00 2026-07-15
37290 CPT Tibioperoneal Atherectomy Int, Complex 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37288 CPT Tibioperoneal Atherectomy Int, Straightforward 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37286 CPT Tibioperoneal Stent Placement, Initial Vessel, Com 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
37284 CPT Tibioperoneal Stent Placement, Initial Vessel, Str 37 28 $36,722.46 $22,033.48 40% off $9,731.45 $50,546.00 $22,033.48 2026-07-15
22856 CPT Tot Disc Arthrp 1ntrspc Crv 37 28 — — $4,357.00 $51,765.76 $18,791.48 2026-07-15
22857 CPT Tot Disc Arthrp 1ntrspc Lmbr 37 29 — — $4,124.00 $148,239.27 $18,970.17 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 18 — — $29,485.95 $74,403.97 $30,735.85 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 18 — — $38,134.80 $96,253.96 $39,756.65 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 18 — — $20,165.78 $50,858.01 $21,014.86 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 18 — — $100,242.58 $366,696.65 $188,049.56 2026-07-15
33274 CPT Transcatheter Ins/repl Of Permanent Leadless Pacem 56 29 $10,672.00 $6,403.20 40% off $1,249.18 $53,683.03 $19,117.22 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 22 18 — — $20,432.63 $51,532.16 $21,293.19 2026-07-15
J9347 HCPCS Tremelimumab-actl 300 Mg/15 Ml Inj (onc) 42 27 $263,222.02 $157,933.21 40% off $42,270.00 $263,222.02 $70,411.89 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 18 — — $20,826.62 $52,527.51 $21,704.11 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 18 — — $18,877.63 $47,603.72 $19,671.32 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 23 19 — — $21,143.00 $76,369.96 $31,474.71 2026-07-15
324 MS_DRG Urinary Stones Without Cc 23 19 — — $17,558.00 $55,608.85 $22,928.16 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 20 — — $15,939.00 $63,229.25 $25,538.73 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 20 — — $15,939.00 $63,082.78 $25,479.58 2026-07-15
263 MS_DRG Vein Ligation And Stripping 22 18 — — $21,392.46 $53,957.00 $22,294.28 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 18 — — $31,333.65 $79,071.86 $32,663.00 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 18 — — $39,849.09 $100,584.78 $41,544.65 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 18 — — $21,792.73 $54,968.23 $22,711.78 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 22 18 — — $29,350.43 $74,061.60 $30,594.51 2026-07-15
A9543 HCPCS Y-90 Zevalin, Per Dose 42 27 $161,061.59 $96,636.95 40% off $42,681.32 $382,667.39 $71,691.68 2026-07-15
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