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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

MISSOURI BAPTIST SULLIVAN HOSPITAL

Sullivan, MO · CCN 261337 · Rates published

2,041 distinct procedures filed
50 distinct payers
210,824 rate rows
2025-12-15 last MRF observed
Data quality

205,931 of 210,824 rate rows are consumer-grade (97.7%)

4,893 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
per-diem day rate — not a per-procedure price 4,332
exceeds 3× this hospital's gross charge for a DRG stay — excluded 171
placeholder amount (≤ $0.02) — excluded from medians 162
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 130
exceeds 10× this hospital's gross charge — excluded from medians 98
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bjc.org/hpt/36/431459495_MissouriBaptistSullivanHospital_standardcharges.json
Found on page https://www.bjc.org/patients-visitors/billing-and-financial-assistance/hospital-rates-disclosure
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 878e46c57f3bb774… · 119,472,394 bytes · first seen 2026-05-08

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
A9616
HCPCS 		Gallium-68 Gozetotide (gozellix) 25 Mcg Intravenous Solution 44 $358,572.50 $1,417,991.25 $1,059,418.75 nat. median
$1,347
outlier · 786.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 35 $1,011.00 $163,487.68 $123,745.97 nat. median
$66,526
1.9× median
A9800
HCPCS 		Gallium-68 Gozetotide (illuccix) 25 Mcg Intravenous Solution 44 $37,162.20 $146,959.62 $109,797.42 nat. median
$1,077
outlier · 102.0×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 46 $36,864.54 $237,227.27 $108,917.97 nat. median
$3,461
outlier · 31.5×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 46 $33,208.12 $131,323.02 $99,171.52 nat. median
$415
outlier · 238.7×
799
MS_DRG 		Splenic Procedures With Mcc 34 $9,458.00 $96,490.94 $86,085.99 nat. median
$45,384
1.9× median
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 46 $29,048.17 $178,387.66 $85,467.34 nat. median
$562
outlier · 152.2×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 $7,191.00 $132,434.45 $83,456.46 nat. median
$47,740
1.7× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 $24,981.69 $120,538.50 $80,463.81 nat. median
$35,069
outlier · 2.3×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 46 $25,897.50 $166,702.00 $76,515.34 nat. median
$8,558
outlier · 8.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 34 $8,195.00 $91,406.18 $74,009.20 nat. median
$44,810
1.7× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 34 $9,458.00 $105,372.98 $71,582.16 nat. median
$42,444
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 $8,613.00 $89,085.12 $68,104.17 nat. median
$48,170
1.4× median
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 34 $23,668.42 $115,913.83 $67,523.53 nat. median
$35,058
1.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 $1,011.00 $90,345.93 $67,127.03 nat. median
$46,084
1.5× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 $28,351.60 $80,980.86 $64,339.89 nat. median
$43,966
1.5× median
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 $1,011.00 $85,617.00 $64,212.75 nat. median
$35,856
1.8× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 46 $21,678.42 $162,360.19 $64,049.86 nat. median
$4,053
outlier · 15.8×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 34 $32,888.29 $92,126.16 $55,546.43 nat. median
$48,178
1.2× median
579
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 $7,003.00 $73,433.17 $54,497.97 nat. median
$31,572
1.7× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 34 $18,579.17 $75,098.08 $53,751.15 nat. median
$27,947
1.9× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 $20,031.87 $79,543.36 $53,529.51 nat. median
$31,607
1.7× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 32 $21,119.47 $83,517.91 $51,838.70 nat. median
$14,306
outlier · 3.6×
J9309
HCPCS 		Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 46 $18,307.43 $105,868.19 $50,722.52 nat. median
$4,472
outlier · 11.3×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 46 $17,779.94 $98,394.08 $48,150.95 nat. median
$712
outlier · 67.6×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 $16,705.64 $74,408.96 $46,703.32 nat. median
$26,748
1.7× median
570
MS_DRG 		Skin Debridement With Mcc 34 $6,320.00 $60,986.85 $45,430.00 nat. median
$29,069
1.6× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 $18,142.71 $69,287.03 $45,282.75 nat. median
$33,732
1.3× median
840
MS_DRG 		Lymphoma And Non-acute Leukemia With Mcc 34 $7,973.00 $58,836.88 $41,346.10 nat. median
$31,382
1.3× median
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 35 $1,011.00 $56,399.74 $40,889.81 nat. median
$19,862
outlier · 2.1×
L8670
HCPCS 		Cook Medical Zenith Taa - 1 Piece Case Cap 46 $8,778.00 $76,125.00 $40,775.00 nat. median
$1,109
outlier · 36.8×
336
MS_DRG 		Peritoneal Adhesiolysis With Cc 34 $13,665.98 $72,164.96 $40,424.32 nat. median
$21,529
1.9× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 34 $15,775.95 $49,288.66 $40,350.32 nat. median
$24,346
1.7× median
580
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 34 $7,064.00 $71,644.60 $39,404.53 nat. median
$17,923
outlier · 2.2×
41
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 34 $9,697.00 $51,606.46 $39,348.00 nat. median
$22,580
1.7× median
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 35 $1,011.00 $58,122.57 $38,856.68 nat. median
$23,832
1.6× median
J1628
HCPCS 		Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 46 $13,291.16 $80,657.05 $38,643.61 nat. median
$208
outlier · 186.1×
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 34 $13,893.42 $51,942.08 $38,592.97 nat. median
$22,649
1.7× median
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 34 $15,143.73 $50,046.50 $38,564.71 nat. median
$24,405
1.6× median
327
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Cc 34 $17,519.60 $56,494.14 $38,148.11 nat. median
$24,638
1.5× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 34 $5,931.00 $52,723.45 $37,729.04 nat. median
$19,049
2.0× median
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 35 $1,011.00 $46,331.61 $37,644.43 nat. median
$17,599
outlier · 2.1×
827
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 34 $15,642.95 $47,815.73 $37,485.35 nat. median
$23,681
1.6× median
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 46 $13,456.47 $76,565.59 $36,882.95 nat. median
$739
outlier · 49.9×
409
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 $13,694.25 $49,040.83 $36,491.55 nat. median
$21,713
1.7× median
C1876
HCPCS 		Stent Zenith Dissection Endovascular Zdes- 36-120-US 46 $12,320.00 $48,720.00 $36,400.00 nat. median
$2,443
outlier · 14.9×
357
MS_DRG 		Other Digestive System O.r. Procedures With Cc 34 $14,431.84 $52,685.82 $36,359.52 nat. median
$22,941
1.6× median
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 34 $13,213.01 $55,170.15 $35,860.60 nat. median
$20,397
1.8× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 35 $1,011.00 $61,415.00 $35,335.05 nat. median
$20,421
1.7× median
717
MS_DRG 		Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 35 $1,011.00 $63,622.38 $34,992.31 nat. median
$19,015
1.8× median

Other procedures at this hospital

Browse this hospital's 2,041 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
             
A9616 HCPCS Gallium-68 Gozetotide (gozellix) 25 Mcg Intravenous Solution 71 44 $1,629,875.00 $977,925.00 40% off $358,572.50 $1,417,991.25 $1,059,418.75 2025-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 61 35 $88,562.85 $53,137.71 40% off $1,011.00 $163,487.68 $123,745.97 2025-12-15
A9800 HCPCS Gallium-68 Gozetotide (illuccix) 25 Mcg Intravenous Solution 71 44 $168,919.10 $101,351.46 40% off $37,162.20 $146,959.62 $109,797.42 2025-12-15
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 74 46 $167,566.10 $100,539.66 40% off $36,864.54 $237,227.27 $108,917.97 2025-12-15
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 74 46 $150,946.00 $90,567.60 40% off $33,208.12 $131,323.02 $99,171.52 2025-12-15
799 MS_DRG Splenic Procedures With Mcc 61 34 $123,252.80 $73,951.68 40% off $9,458.00 $96,490.94 $86,085.99 2025-12-15
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 74 46 $132,037.15 $79,222.29 40% off $29,048.17 $178,387.66 $85,467.34 2025-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 34 $88,212.58 $52,927.55 40% off $7,191.00 $132,434.45 $83,456.46 2025-12-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 60 34 $46,729.45 $28,037.67 40% off $24,981.69 $120,538.50 $80,463.81 2025-12-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 74 46 $117,715.90 $70,629.54 40% off $25,897.50 $166,702.00 $76,515.34 2025-12-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 60 34 $94,984.07 $56,990.44 40% off $8,195.00 $91,406.18 $74,009.20 2025-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 60 34 $31,280.54 $18,768.32 40% off $9,458.00 $105,372.98 $71,582.16 2025-12-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 60 34 $55,353.06 $33,211.84 40% off $8,613.00 $89,085.12 $68,104.17 2025-12-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 60 34 $41,347.64 $24,808.58 40% off $23,668.42 $115,913.83 $67,523.53 2025-12-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 35 $89,853.92 $53,912.35 40% off $1,011.00 $90,345.93 $67,127.03 2025-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 60 34 $85,786.52 $51,471.91 40% off $28,351.60 $80,980.86 $64,339.89 2025-12-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 61 35 $69,608.76 $41,765.26 40% off $1,011.00 $85,617.00 $64,212.75 2025-12-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 74 46 $98,538.25 $59,122.95 40% off $21,678.42 $162,360.19 $64,049.86 2025-12-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 60 34 $58,956.79 $35,374.07 40% off $32,888.29 $92,126.16 $55,546.43 2025-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 60 34 $223,502.28 $134,101.37 40% off $7,003.00 $73,433.17 $54,497.97 2025-12-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 60 34 $94,478.14 $56,686.88 40% off $18,579.17 $75,098.08 $53,751.15 2025-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 60 34 $45,640.85 $27,384.51 40% off $20,031.87 $79,543.36 $53,529.51 2025-12-15
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 45 32 $95,997.60 $57,598.56 40% off $21,119.47 $83,517.91 $51,838.70 2025-12-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 74 46 $83,215.60 $49,929.36 40% off $18,307.43 $105,868.19 $50,722.52 2025-12-15
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 74 46 $80,817.90 $48,490.74 40% off $17,779.94 $98,394.08 $48,150.95 2025-12-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 60 34 $39,627.81 $23,776.69 40% off $16,705.64 $74,408.96 $46,703.32 2025-12-15
570 MS_DRG Skin Debridement With Mcc 60 34 $56,989.61 $34,193.77 40% off $6,320.00 $60,986.85 $45,430.00 2025-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 60 34 $31,280.54 $18,768.32 40% off $18,142.71 $69,287.03 $45,282.75 2025-12-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 60 34 $23,910.55 $14,346.33 40% off $7,973.00 $58,836.88 $41,346.10 2025-12-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 61 35 $56,314.20 $33,788.52 40% off $1,011.00 $56,399.74 $40,889.81 2025-12-15
L8670 HCPCS Cook Medical Zenith Taa - 1 Piece Case Cap 296 46 $66,500.00 $39,900.00 40% off $8,778.00 $76,125.00 $40,775.00 2025-12-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 60 34 $45,600.91 $27,360.55 40% off $13,665.98 $72,164.96 $40,424.32 2025-12-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 60 34 $61,610.82 $36,966.49 40% off $15,775.95 $49,288.66 $40,350.32 2025-12-15
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 61 34 $13,951.95 $8,371.17 40% off $7,064.00 $71,644.60 $39,404.53 2025-12-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 60 34 $55,369.69 $33,221.81 40% off $9,697.00 $51,606.46 $39,348.00 2025-12-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 61 35 $42,877.93 $25,726.76 40% off $1,011.00 $58,122.57 $38,856.68 2025-12-15
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 74 46 $60,414.35 $36,248.61 40% off $13,291.16 $80,657.05 $38,643.61 2025-12-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 60 34 $56,318.97 $33,791.38 40% off $13,893.42 $51,942.08 $38,592.97 2025-12-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 60 34 $51,419.61 $30,851.77 40% off $15,143.73 $50,046.50 $38,564.71 2025-12-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 60 34 $25,274.09 $15,164.45 40% off $17,519.60 $56,494.14 $38,148.11 2025-12-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 60 34 $55,832.20 $33,499.32 40% off $5,931.00 $52,723.45 $37,729.04 2025-12-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 61 35 $51,175.68 $30,705.41 40% off $1,011.00 $46,331.61 $37,644.43 2025-12-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 60 34 $146,900.68 $88,140.41 40% off $15,642.95 $47,815.73 $37,485.35 2025-12-15
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 81 46 $61,165.75 $36,699.45 40% off $13,456.47 $76,565.59 $36,882.95 2025-12-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 60 34 $44,308.25 $26,584.95 40% off $13,694.25 $49,040.83 $36,491.55 2025-12-15
C1876 HCPCS Stent Zenith Dissection Endovascular Zdes- 36-120-US 74 46 $56,000.00 $33,600.00 40% off $12,320.00 $48,720.00 $36,400.00 2025-12-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 60 34 $40,107.13 $24,064.28 40% off $14,431.84 $52,685.82 $36,359.52 2025-12-15
908 MS_DRG Other O.r. Procedures For Injuries With Cc 60 34 $71,083.31 $42,649.99 40% off $13,213.01 $55,170.15 $35,860.60 2025-12-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 61 35 $58,540.81 $35,124.49 40% off $1,011.00 $61,415.00 $35,335.05 2025-12-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 61 35 $28,619.56 $17,171.74 40% off $1,011.00 $63,622.38 $34,992.31 2025-12-15
70 MS_DRG Other Cerebrovascular Disorders With Mcc 60 34 $22,759.10 $13,655.46 40% off $6,000.00 $47,452.00 $34,693.46 2025-12-15
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 74 46 $53,198.80 $31,919.28 40% off $11,703.74 $74,213.00 $34,579.22 2025-12-15
620 MS_DRG O.r. Procedures For Obesity With Cc 60 34 $47,499.17 $28,499.50 40% off $10,829.98 $46,628.18 $34,548.65 2025-12-15
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 61 35 $95,855.73 $57,513.44 40% off $1,011.00 $47,621.10 $34,525.30 2025-12-15
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 60 34 $28,737.20 $17,242.32 40% off $10,122.59 $55,494.41 $34,334.07 2025-12-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 60 34 $17,105.25 $10,263.15 40% off $7,281.00 $47,987.70 $34,295.35 2025-12-15
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 148 46 $96,904.00 $58,142.40 40% off $8,527.57 $206,685.08 $34,110.19 2025-12-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 60 34 $24,634.25 $14,780.55 40% off $7,660.00 $42,692.96 $34,075.83 2025-12-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 61 35 $28,089.70 $16,853.82 40% off $1,011.00 $49,871.85 $32,533.63 2025-12-15
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 61 35 $43,113.19 $25,867.91 40% off $1,011.00 $39,617.55 $32,189.26 2025-12-15
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 61 35 $21,358.30 $12,814.98 40% off $1,011.00 $47,166.10 $31,922.24 2025-12-15
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 60 34 $25,340.60 $15,204.36 40% off $6,564.00 $51,057.65 $31,579.76 2025-12-15
539 MS_DRG Osteomyelitis With Mcc 61 35 $36,958.50 $22,175.10 40% off $1,011.00 $41,499.30 $31,124.48 2025-12-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 60 34 $22,532.30 $13,519.38 40% off $5,782.00 $47,274.60 $30,728.49 2025-12-15
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 61 35 $34,137.55 $20,482.53 40% off $1,011.00 $46,305.75 $30,637.28 2025-12-15
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 61 34 $21,648.55 $12,989.13 40% off $10,321.12 $46,959.61 $30,307.95 2025-12-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 55 34 $8,753.25 $5,251.95 40% off $11,332.00 $53,460.19 $29,758.62 2025-12-15
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 61 35 $30,824.74 $18,494.84 40% off $1,011.00 $42,424.90 $29,540.25 2025-12-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 60 34 $63,434.15 $38,060.49 40% off $11,607.00 $39,083.90 $29,312.93 2025-12-15
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 60 34 $17,204.90 $10,322.94 40% off $5,730.00 $42,744.00 $29,160.26 2025-12-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 60 34 $32,593.35 $19,556.01 40% off $11,232.19 $45,749.10 $29,014.55 2025-12-15
180 MS_DRG Respiratory Neoplasms With Mcc 60 34 $10,102.40 $6,061.44 40% off $10,883.31 $43,658.65 $28,731.80 2025-12-15
643 MS_DRG Endocrine Disorders With Mcc 60 34 $12,844.95 $7,706.97 40% off $10,560.77 $45,539.30 $28,594.60 2025-12-15
177 MS_DRG Respiratory Infections And Inflammations With Mcc 60 34 $23,107.00 $13,864.20 40% off $11,201.17 $38,892.24 $28,392.96 2025-12-15
91 MS_DRG Other Disorders Of Nervous System With Mcc 60 34 $15,735.80 $9,441.48 40% off $10,228.27 $37,350.10 $28,199.33 2025-12-15
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 60 34 $15,261.25 $9,156.75 40% off $11,279.73 $37,842.50 $28,061.15 2025-12-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 60 34 $41,479.64 $24,887.78 40% off $18,545.30 $43,439.00 $27,910.68 2025-12-15
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 74 46 $47,164.10 $28,298.46 40% off $10,376.10 $54,796.81 $27,897.57 2025-12-15
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 74 46 $42,790.10 $25,674.06 40% off $9,413.82 $59,755.50 $27,813.57 2025-12-15
919 MS_DRG Complications Of Treatment With Mcc 58 34 $10,141.55 $6,084.93 40% off $9,458.00 $37,346.70 $27,748.60 2025-12-15
196 MS_DRG Interstitial Lung Disease With Mcc 61 34 $16,758.35 $10,055.01 40% off $11,164.72 $36,915.95 $27,686.96 2025-12-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 60 34 $15,903.90 $9,542.34 40% off $13,755.93 $37,004.40 $27,619.50 2025-12-15
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 61 35 $30,000.44 $18,000.26 40% off $1,011.00 $42,131.95 $27,406.87 2025-12-15
571 MS_DRG Skin Debridement With Cc 60 34 $44,026.31 $26,415.79 40% off $10,592.26 $39,051.05 $27,402.00 2025-12-15
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 60 34 $32,425.25 $19,455.15 40% off $5,530.00 $38,912.62 $27,258.44 2025-12-15
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 74 46 $45,850.70 $27,510.42 40% off $10,087.15 $55,519.45 $27,244.45 2025-12-15
205 MS_DRG Other Respiratory System Diagnoses With Mcc 60 34 $19,943.00 $11,965.80 40% off $11,442.93 $32,878.48 $27,003.97 2025-12-15
444 MS_DRG Disorders Of The Biliary Tract With Mcc 60 34 $22,547.15 $13,528.29 40% off $10,695.70 $41,190.26 $26,783.03 2025-12-15
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 61 34 $40,378.69 $24,227.21 40% off $10,403.36 $52,373.82 $26,492.68 2025-12-15
551 MS_DRG Medical Back Problems With Mcc 60 34 $13,011.05 $7,806.63 40% off $6,041.00 $35,554.05 $26,180.98 2025-12-15
374 MS_DRG Digestive Malignancy With Mcc 53 33 $8,902.35 $5,341.41 40% off $12,806.95 $34,737.71 $25,960.31 2025-12-15
393 MS_DRG Other Digestive System Diagnoses With Mcc 60 34 $27,452.50 $16,471.50 40% off $10,352.60 $33,014.00 $25,821.25 2025-12-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 53 35 $37,017.60 $22,210.56 40% off $1,015.28 $32,757.45 $25,629.30 2025-12-15
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 60 34 $22,637.45 $13,582.47 40% off $10,296.06 $27,727.74 $25,613.55 2025-12-15
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 61 35 $15,525.35 $9,315.21 40% off $1,011.00 $46,202.00 $25,440.25 2025-12-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 50 33 $7,631.00 $4,578.60 40% off $1,024.42 $38,984.14 $25,346.59 2025-12-15
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 61 35 $33,680.51 $20,208.31 40% off $1,011.00 $40,229.08 $25,247.82 2025-12-15
813 MS_DRG Coagulation Disorders 60 34 $21,512.20 $12,907.32 40% off $10,055.77 $34,381.82 $24,966.48 2025-12-15
183 MS_DRG Major Chest Trauma With Mcc 60 34 $61,177.85 $36,706.71 40% off $9,651.64 $26,965.56 $24,743.86 2025-12-15
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 148 46 $41,624.35 $24,974.61 40% off $7,237.27 $62,307.41 $24,672.53 2025-12-15
811 MS_DRG Red Blood Cell Disorders With Mcc 60 34 $36,854.81 $22,112.89 40% off $8,932.68 $34,202.72 $24,605.19 2025-12-15
299 MS_DRG Peripheral Vascular Disorders With Mcc 60 34 $23,666.50 $14,199.90 40% off $7,016.00 $35,700.85 $24,564.51 2025-12-15
388 MS_DRG Gastrointestinal Obstruction With Mcc 60 34 $11,664.05 $6,998.43 40% off $9,428.05 $36,563.35 $24,276.01 2025-12-15
375 MS_DRG Digestive Malignancy With Cc 60 34 $44,520.47 $26,712.28 40% off $5,792.00 $39,391.18 $24,225.58 2025-12-15
189 MS_DRG Pulmonary Edema And Respiratory Failure 61 34 $18,454.50 $11,072.70 40% off $8,222.72 $30,829.48 $24,145.99 2025-12-15
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 60 34 $28,441.55 $17,064.93 40% off $9,979.95 $32,152.10 $24,114.08 2025-12-15
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 77 46 $39,862.65 $23,917.59 40% off $8,769.78 $45,133.23 $24,037.18 2025-12-15
865 MS_DRG Viral Illness With Mcc 55 34 $6,825.10 $4,095.06 40% off $10,747.74 $35,255.65 $23,999.53 2025-12-15
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 60 34 $11,185.25 $6,711.15 40% off $7,104.00 $38,162.40 $23,992.16 2025-12-15
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 77 46 $39,436.50 $23,661.90 40% off $8,676.03 $49,528.78 $23,944.73 2025-12-15
682 MS_DRG Renal Failure With Mcc 60 34 $14,789.60 $8,873.76 40% off $9,551.41 $33,724.20 $23,867.29 2025-12-15
291 MS_DRG Heart Failure And Shock With Mcc 60 34 $19,814.75 $11,888.85 40% off $8,222.72 $32,223.00 $23,753.83 2025-12-15
150 MS_DRG Epistaxis With Mcc 60 34 $34,077.85 $20,446.71 40% off $8,862.00 $28,394.21 $23,743.43 2025-12-15
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 54 32 $6,763.85 $4,058.31 40% off $5,916.00 $30,400.31 $23,737.30 2025-12-15
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 61 35 $29,582.90 $17,749.74 40% off $1,011.00 $31,619.68 $23,714.76 2025-12-15
884 MS_DRG Organic Disturbances And Intellectual Disability 60 34 $30,820.85 $18,492.51 40% off $5,673.00 $32,342.55 $23,613.92 2025-12-15
637 MS_DRG Diabetes With Mcc 60 34 $24,117.45 $14,470.47 40% off $8,967.37 $31,713.70 $23,563.28 2025-12-15
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 61 35 $26,140.90 $15,684.54 40% off $1,011.00 $34,675.12 $23,274.87 2025-12-15
89 MS_DRG Concussion With Cc 60 34 $38,107.06 $22,864.24 40% off $7,502.47 $35,395.20 $23,006.88 2025-12-15
602 MS_DRG Cellulitis With Mcc 60 34 $47,397.65 $28,438.59 40% off $5,294.00 $29,019.92 $22,990.02 2025-12-15
71 MS_DRG Other Cerebrovascular Disorders With Cc 60 34 $13,599.35 $8,159.61 40% off $5,043.00 $33,070.30 $22,703.42 2025-12-15
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 60 34 $20,378.75 $12,227.25 40% off $6,047.00 $33,399.00 $22,509.78 2025-12-15
302 MS_DRG Atherosclerosis With Mcc 60 34 $24,786.35 $14,871.81 40% off $7,747.27 $31,818.40 $22,386.54 2025-12-15
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 74 46 $35,295.75 $21,177.45 40% off $7,765.07 $46,616.10 $22,334.25 2025-12-15
381 MS_DRG Complicated Peptic Ulcer With Cc 60 34 $12,752.60 $7,651.56 40% off $6,781.59 $36,370.30 $22,288.90 2025-12-15
385 MS_DRG Inflammatory Bowel Disease With Mcc 62 35 $40,528.06 $24,316.84 40% off $1,011.00 $27,244.53 $22,136.18 2025-12-15
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 60 34 $26,698.65 $16,019.19 40% off $7,533.96 $31,077.92 $22,123.44 2025-12-15
399 MS_DRG Appendix Procedures Without Cc/mcc 60 34 $28,987.22 $17,392.33 40% off $7,151.67 $31,573.65 $21,998.00 2025-12-15
397 MS_DRG Appendix Procedures With Mcc 4 4 $2,424.75 $1,454.85 40% off $16,092.00 $21,998.00 $21,998.00 2025-12-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 60 34 $11,996.20 $7,197.72 40% off $6,680.72 $37,893.91 $21,886.95 2025-12-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 44 27 $2,600.00 $1,560.00 40% off $7,070.07 $23,451.64 $21,780.71 2025-12-15
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 60 34 $10,553.65 $6,332.19 40% off $7,529.00 $39,135.25 $21,524.39 2025-12-15
55 MS_DRG Nervous System Neoplasms Without Mcc 60 34 $12,085.20 $7,251.12 40% off $5,893.00 $35,520.65 $21,393.33 2025-12-15
100 MS_DRG Seizures With Mcc 60 34 $16,103.55 $9,662.13 40% off $7,549.00 $40,798.20 $21,204.79 2025-12-15
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 62 35 $21,246.30 $12,747.78 40% off $1,011.00 $28,836.60 $21,173.50 2025-12-15
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 60 34 $11,852.20 $7,111.32 40% off $7,810.87 $37,642.10 $21,103.12 2025-12-15
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 60 34 $15,737.40 $9,442.44 40% off $8,129.55 $30,778.05 $20,923.08 2025-12-15
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 60 34 $18,405.95 $11,043.57 40% off $6,974.34 $25,755.28 $20,789.31 2025-12-15
304 MS_DRG Hypertension With Mcc 60 34 $24,032.20 $14,419.32 40% off $7,058.51 $32,022.25 $20,770.88 2025-12-15
885 MS_DRG Psychoses 53 35 $26,639.90 $15,983.94 40% off $914.67 $28,103.10 $20,665.82 2025-12-15
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 60 34 $15,219.60 $9,131.76 40% off $4,604.80 $36,157.21 $20,586.09 2025-12-15
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 60 34 $10,195.50 $6,117.30 40% off $8,249.70 $28,637.44 $20,570.56 2025-12-15
572 MS_DRG Skin Debridement Without Cc/mcc 61 34 $20,964.26 $12,578.56 40% off $7,733.13 $35,403.34 $20,533.94 2025-12-15
15274 CPT App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm 90 46 $49,170.00 $29,502.00 40% off $119.24 $27,005.99 $20,186.97 2025-12-15
92 MS_DRG Other Disorders Of Nervous System With Cc 61 35 $10,760.00 $6,456.00 40% off $1,011.00 $29,013.80 $20,147.76 2025-12-15
378 MS_DRG Gastrointestinal Hemorrhage With Cc 60 34 $26,549.96 $15,929.98 40% off $6,328.63 $31,989.91 $20,045.22 2025-12-15
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 74 46 $31,965.55 $19,179.33 40% off $7,032.42 $41,788.18 $20,021.14 2025-12-15
157 MS_DRG Dental And Oral Diseases With Mcc 60 34 $77,283.86 $46,370.32 40% off $10,741.32 $28,773.57 $19,846.31 2025-12-15
36837 CPT Hc Create Av Fistula Dual Perc Access 42 31 $32,157.00 $19,294.20 40% off $7,074.54 $27,976.59 $19,840.87 2025-12-15
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 60 34 $23,552.00 $14,131.20 40% off $5,056.00 $31,007.00 $19,833.24 2025-12-15
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 60 34 $15,878.45 $9,527.07 40% off $4,487.86 $33,399.00 $19,713.05 2025-12-15
315 MS_DRG Other Circulatory System Diagnoses With Cc 60 34 $8,036.75 $4,822.05 40% off $6,222.61 $31,054.90 $19,495.79 2025-12-15
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 74 46 $31,077.30 $18,646.38 40% off $6,837.01 $40,654.74 $19,478.10 2025-12-15
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 46 27 $2,867.30 $1,720.38 40% off $4,913.84 $24,058.12 $19,465.76 2025-12-15
312 MS_DRG Syncope And Collapse 60 34 $17,576.10 $10,545.66 40% off $5,478.60 $32,871.05 $19,434.06 2025-12-15
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 60 34 $12,295.15 $7,377.09 40% off $4,764.00 $33,255.40 $19,369.46 2025-12-15
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 52 34 $3,971.00 $2,382.60 40% off $6,344.05 $26,235.85 $19,352.03 2025-12-15
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 48 31 $3,104.95 $1,862.97 40% off $8,285.04 $25,800.80 $19,350.60 2025-12-15
540 MS_DRG Osteomyelitis With Cc 52 34 $6,215.95 $3,729.57 40% off $4,889.00 $28,010.95 $19,282.06 2025-12-15
101 MS_DRG Seizures Without Mcc 60 34 $6,896.90 $4,138.14 40% off $5,792.14 $20,998.60 $19,146.06 2025-12-15
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 60 34 $8,171.75 $4,903.05 40% off $7,370.12 $24,095.60 $19,132.77 2025-12-15
178 MS_DRG Respiratory Infections And Inflammations With Cc 60 34 $9,219.65 $5,531.79 40% off $5,106.00 $26,786.96 $19,041.08 2025-12-15
184 MS_DRG Major Chest Trauma With Cc 60 34 $6,296.90 $3,778.14 40% off $6,715.41 $31,720.00 $19,019.29 2025-12-15
386 MS_DRG Inflammatory Bowel Disease With Cc 60 34 $24,562.70 $14,737.62 40% off $6,359.47 $24,976.17 $18,939.00 2025-12-15
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 60 34 $17,597.20 $10,558.32 40% off $5,044.00 $29,640.40 $18,933.44 2025-12-15
69 MS_DRG Transient Ischemia Without Thrombolytic 60 34 $17,902.50 $10,741.50 40% off $5,126.51 $26,775.40 $18,892.78 2025-12-15
176 MS_DRG Pulmonary Embolism Without Mcc 60 34 $16,350.60 $9,810.36 40% off $8,967.65 $27,113.48 $18,687.74 2025-12-15
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 60 34 $24,648.05 $14,788.83 40% off $6,576.63 $25,045.35 $18,608.70 2025-12-15
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 53 35 $18,018.55 $10,811.13 40% off $987.84 $30,782.91 $18,414.21 2025-12-15
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 60 34 $15,586.10 $9,351.66 40% off $5,552.49 $25,903.32 $18,355.56 2025-12-15
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 74 46 $27,120.25 $16,272.15 40% off $5,966.46 $39,500.28 $18,337.20 2025-12-15
187 MS_DRG Pleural Effusion With Cc 62 35 $23,814.65 $14,288.79 40% off $1,011.00 $34,593.88 $18,273.40 2025-12-15
181 MS_DRG Respiratory Neoplasms With Cc 31 17 $2,133.50 $1,280.10 40% off $15,745.83 $21,271.18 $18,084.78 2025-12-15
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution - For Stemi 65 32 $29,295.30 $17,577.18 40% off $6,444.97 $25,486.91 $18,075.20 2025-12-15
305 MS_DRG Hypertension Without Mcc 61 35 $24,530.00 $14,718.00 40% off $1,011.00 $31,852.60 $18,000.50 2025-12-15
683 MS_DRG Renal Failure With Cc 60 34 $15,201.30 $9,120.78 40% off $5,749.73 $23,284.00 $17,899.58 2025-12-15
149 MS_DRG Dysequilibrium 60 34 $19,140.65 $11,484.39 40% off $4,850.88 $29,897.95 $17,895.17 2025-12-15
300 MS_DRG Peripheral Vascular Disorders With Cc 61 34 $15,508.40 $9,305.04 40% off $6,624.82 $29,415.45 $17,891.30 2025-12-15
394 MS_DRG Other Digestive System Diagnoses With Cc 52 32 $3,515.35 $2,109.21 40% off $6,058.78 $25,678.45 $17,802.59 2025-12-15
369 MS_DRG Major Esophageal Disorders With Cc 61 34 $30,559.45 $18,335.67 40% off $6,566.99 $27,209.91 $17,686.44 2025-12-15
103 MS_DRG Headaches Without Mcc 61 34 $9,742.10 $5,845.26 40% off $5,348.81 $29,540.10 $17,680.64 2025-12-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 60 34 $13,329.05 $7,997.43 40% off $4,739.08 $25,723.52 $17,678.36 2025-12-15
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 61 35 $29,311.45 $17,586.87 40% off $1,011.00 $26,434.15 $17,634.36 2025-12-15
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 60 34 $35,467.45 $21,280.47 40% off $5,316.00 $26,399.00 $17,375.44 2025-12-15
200 MS_DRG Pneumothorax With Cc 60 34 $22,332.65 $13,399.59 40% off $6,887.60 $25,031.60 $17,254.14 2025-12-15
185 MS_DRG Major Chest Trauma Without Cc/mcc 60 34 $19,310.05 $11,586.03 40% off $4,850.88 $29,139.15 $17,236.56 2025-12-15
644 MS_DRG Endocrine Disorders With Cc 60 34 $13,032.65 $7,819.59 40% off $6,547.72 $29,615.75 $17,182.50 2025-12-15
15273 CPT App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm 90 46 $49,170.00 $29,502.00 40% off $1,527.24 $27,005.99 $16,848.18 2025-12-15
593 MS_DRG Skin Ulcers With Cc 60 34 $11,124.90 $6,674.94 40% off $4,734.00 $22,212.10 $16,770.14 2025-12-15
552 MS_DRG Medical Back Problems Without Mcc 60 34 $16,624.00 $9,974.40 40% off $5,556.00 $25,716.65 $16,715.82 2025-12-15
28805 CPT Amputation Foot Transmetarsal|RIGHT Side 75 47 $22,386.11 $13,431.67 40% off $3,277.28 $21,733.40 $16,632.88 2025-12-15
Q0224 HCPCS Pemivibart 125 Mg/ml Intravenous Solution (eua) 74 46 $25,400.05 $15,240.03 40% off $5,588.01 $40,024.43 $16,510.03 2025-12-15
920 MS_DRG Complications Of Treatment With Cc 26 15 $2,095.05 $1,257.03 40% off $16,217.37 $20,312.73 $16,422.29 2025-12-15
866 MS_DRG Viral Illness Without Mcc 60 34 $35,290.05 $21,174.03 40% off $5,780.57 $24,171.45 $16,404.50 2025-12-15
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 60 34 $9,231.50 $5,538.90 40% off $3,541.46 $21,011.24 $16,365.69 2025-12-15
760 MS_DRG Menstrual And Other Female Reproductive System Disorders With Cc/mcc 61 34 $6,958.85 $4,175.31 40% off $6,210.41 $29,110.25 $16,340.64 2025-12-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 46 31 $32,668.87 $19,601.32 40% off $9,033.21 $22,443.51 $16,310.31 2025-12-15
292 MS_DRG Heart Failure And Shock With Cc 60 34 $10,448.10 $6,268.86 40% off $5,543.49 $19,501.16 $16,278.45 2025-12-15
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 60 34 $21,872.26 $13,123.36 40% off $5,792.78 $24,992.66 $16,245.23 2025-12-15
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 60 34 $10,392.25 $6,235.35 40% off $5,533.21 $26,338.20 $16,159.81 2025-12-15
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 60 34 $12,208.65 $7,325.19 40% off $5,068.00 $21,126.08 $15,931.27 2025-12-15
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 74 46 $24,461.25 $14,676.75 40% off $5,381.48 $37,345.63 $15,899.81 2025-12-15
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 60 34 $12,918.70 $7,751.22 40% off $5,215.17 $24,414.45 $15,869.39 2025-12-15
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 74 46 $24,752.00 $14,851.20 40% off $5,445.44 $33,024.72 $15,822.48 2025-12-15
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 60 34 $50,330.40 $30,198.24 40% off $5,849.32 $25,062.50 $15,821.40 2025-12-15
758 MS_DRG Infections, Female Reproductive System With Cc 49 31 $2,282.40 $1,369.44 40% off $6,139.09 $21,297.75 $15,772.75 2025-12-15
57288 CPT Sling Operation Stress Incontinence 75 47 $42,109.03 $25,265.42 40% off $6,329.00 $27,949.46 $15,734.00 2025-12-15
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 74 46 $23,369.15 $14,021.49 40% off $5,141.21 $35,446.42 $15,711.24 2025-12-15
784 MS_DRG Cesarean Section With Sterilization With Cc 60 34 $30,039.53 $18,023.72 40% off $7,598.62 $30,039.53 $15,666.26 2025-12-15
202 MS_DRG Bronchitis And Asthma With Cc/mcc 62 35 $14,368.10 $8,620.86 40% off $1,011.00 $23,325.12 $15,625.49 2025-12-15
684 MS_DRG Renal Failure Without Cc/mcc 48 31 $3,096.25 $1,857.75 40% off $5,749.73 $21,073.00 $15,594.83 2025-12-15
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 53 35 $18,126.75 $10,876.05 40% off $1,024.42 $23,852.35 $15,561.88 2025-12-15
389 MS_DRG Gastrointestinal Obstruction With Cc 60 34 $7,509.00 $4,505.40 40% off $5,185.62 $25,119.00 $15,459.17 2025-12-15
36836 CPT Hc Create Av Fistula Sngl Perc Access 42 31 $24,953.00 $14,971.80 40% off $5,489.66 $21,709.11 $15,396.00 2025-12-15
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 60 34 $7,272.10 $4,363.26 40% off $4,829.00 $23,449.25 $15,215.95 2025-12-15
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 60 34 $13,551.85 $8,131.11 40% off $5,588.47 $24,510.90 $15,176.15 2025-12-15
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 74 46 $24,720.40 $14,832.24 40% off $5,438.49 $31,674.54 $15,175.59 2025-12-15
812 MS_DRG Red Blood Cell Disorders Without Mcc 60 34 $22,594.25 $13,556.55 40% off $5,769.65 $21,375.88 $15,140.66 2025-12-15
787 MS_DRG Cesarean Section Without Sterilization With Cc 46 31 $28,405.45 $17,043.27 40% off $8,005.04 $19,514.54 $15,099.62 2025-12-15
607 MS_DRG Minor Skin Disorders Without Mcc 53 32 $3,541.50 $2,124.90 40% off $5,449.69 $23,424.90 $15,088.56 2025-12-15
638 MS_DRG Diabetes With Cc 60 34 $13,640.50 $8,184.30 40% off $5,628.30 $23,079.15 $14,960.14 2025-12-15
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 60 34 $9,716.80 $5,830.08 40% off $5,279.42 $25,826.65 $14,952.96 2025-12-15
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 60 34 $16,199.70 $9,719.82 40% off $4,824.00 $20,830.52 $14,869.97 2025-12-15
64721 CPT Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT Side 75 47 $11,045.20 $6,627.12 40% off $4,587.00 $18,735.15 $14,811.03 2025-12-15
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 60 34 $11,437.75 $6,862.65 40% off $4,948.54 $22,696.10 $14,752.47 2025-12-15
881 MS_DRG Depressive Neuroses 62 36 $23,713.60 $14,228.16 40% off $969.54 $17,531.00 $14,752.20 2025-12-15
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 74 46 $20,496.70 $12,298.02 40% off $4,509.27 $31,794.79 $14,525.10 2025-12-15
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 74 46 $22,099.70 $13,259.82 40% off $4,861.93 $35,628.88 $14,364.81 2025-12-15
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 60 34 $9,581.10 $5,748.66 40% off $5,469.60 $23,885.90 $14,318.13 2025-12-15
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 60 34 $17,870.81 $10,722.49 40% off $4,072.17 $24,820.05 $14,122.65 2025-12-15
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 60 34 $8,507.45 $5,104.47 40% off $4,667.00 $22,381.95 $14,118.03 2025-12-15
56740 CPT Excision Bartholins Gland Or Cyst|LEFT Side 74 46 $21,320.96 $12,792.58 40% off $4,587.00 $15,872.07 $14,093.15 2025-12-15
49505 CPT Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|LEFT Side 74 46 $22,295.10 $13,377.06 40% off $4,207.00 $19,011.26 $14,087.54 2025-12-15
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 60 34 $9,701.85 $5,821.11 40% off $5,111.73 $19,269.84 $14,085.42 2025-12-15
603 MS_DRG Cellulitis Without Mcc 62 35 $10,942.45 $6,565.47 40% off $1,011.00 $17,479.16 $14,066.47 2025-12-15
313 MS_DRG Chest Pain 60 34 $18,382.60 $11,029.56 40% off $4,647.85 $22,446.44 $14,040.00 2025-12-15
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 60 34 $15,795.21 $9,477.13 40% off $5,060.33 $19,658.64 $13,997.17 2025-12-15
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 62 35 $17,821.25 $10,692.75 40% off $1,011.00 $21,261.80 $13,820.17 2025-12-15
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 46 31 $28,170.03 $16,902.02 40% off $6,865.35 $19,352.81 $13,762.57 2025-12-15
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 46 31 $27,033.75 $16,220.25 40% off $6,872.52 $18,572.19 $13,635.18 2025-12-15
11982 CPT Removal Non-biodegradable Drug Delivery Implant 74 46 $17,690.00 $10,614.00 40% off $4,374.00 $19,384.10 $13,537.00 2025-12-15
57200 CPT Colporrhaphy Suture Injury Vagina 74 46 $15,637.46 $9,382.48 40% off $3,646.66 $31,158.14 $13,537.00 2025-12-15
J0717 HCPCS Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit 140 46 $23,327.50 $13,996.50 40% off $2,580.00 $20,294.93 $13,534.87 2025-12-15
20680 CPT Removal Implant Deep 75 47 $29,741.40 $17,844.84 40% off $2,909.41 $18,218.68 $13,208.54 2025-12-15
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 60 34 $18,555.80 $11,133.48 40% off $4,123.57 $17,660.16 $13,186.81 2025-12-15
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg Intravenous Solution 148 46 $22,752.53 $13,651.52 40% off $3,850.44 $37,322.96 $13,126.50 2025-12-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 49 32 $8,604.30 $5,162.58 40% off $9,431.44 $37,210.11 $13,105.72 2025-12-15
158 MS_DRG Dental And Oral Diseases With Cc 60 34 $7,313.10 $4,387.86 40% off $5,969.47 $17,175.70 $12,924.72 2025-12-15
153 MS_DRG Otitis Media And Uri Without Mcc 61 35 $17,303.10 $10,381.86 40% off $1,011.00 $16,912.25 $12,684.19 2025-12-15
395 MS_DRG Other Digestive System Diagnoses Without Cc/mcc 60 34 $7,688.45 $4,613.07 40% off $4,143.48 $20,268.90 $12,666.60 2025-12-15
779 MS_DRG Abortion Without D&c 60 34 $30,243.75 $18,146.25 40% off $6,544.51 $16,973.65 $12,588.24 2025-12-15
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 74 46 $19,328.40 $11,597.04 40% off $4,252.25 $27,197.70 $12,563.46 2025-12-15
390 MS_DRG Gastrointestinal Obstruction Without Cc/mcc 60 34 $7,597.95 $4,558.77 40% off $3,633.34 $20,443.05 $12,265.83 2025-12-15
639 MS_DRG Diabetes Without Cc/mcc 60 34 $13,673.10 $8,203.86 40% off $3,860.14 $18,356.15 $11,979.81 2025-12-15
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc 61 35 $13,569.90 $8,141.94 40% off $1,011.00 $22,574.35 $11,934.45 2025-12-15
201 MS_DRG Pneumothorax Without Cc/mcc 60 34 $7,177.10 $4,306.26 40% off $4,676.76 $18,062.60 $11,912.42 2025-12-15
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 60 34 $8,231.60 $4,938.96 40% off $4,601.59 $18,920.55 $11,910.41 2025-12-15
36571 CPT Insj Prph Ctr Vad W/Subq Port Age 5 Yr/> 74 46 $17,842.40 $10,705.44 40% off $3,162.58 $16,808.70 $11,873.19 2025-12-15
Q5152 HCPCS Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution 45 32 $21,739.95 $13,043.97 40% off $4,782.79 $18,913.76 $11,739.57 2025-12-15
49550 CPT Rpr 1st Fem Hrna Any Age Reducible|LEFT Side 74 46 $26,686.78 $16,012.07 40% off $4,207.00 $21,349.42 $11,602.95 2025-12-15
J9026 HCPCS Tarlatamab-dlle 1 Mg Intravenous Solution 148 46 $35,662.97 $21,397.79 40% off $1,426.52 $86,616.76 $11,463.44 2025-12-15
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution 148 46 $29,000.67 $17,400.40 40% off $3,190.09 $70,942.60 $11,381.10 2025-12-15
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 46 31 $37,223.85 $22,334.31 40% off $7,681.04 $25,572.78 $11,238.30 2025-12-15
C1874 HCPCS Graft 6mm Cylindrical 105mm 24mm 20-21mm Endovascular 1,554 46 $19,600.00 $11,760.00 40% off $1,389.08 $54,810.00 $11,209.97 2025-12-15
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 24 20 $46,972.00 $28,183.20 40% off $10,333.84 $30,531.80 $11,200.47 2025-12-15
C1768 HCPCS Graft Cardiovascular 30cm 8mm 2 Vlr Wvn Sl Str Tube 296 46 $18,247.35 $10,948.42 40% off $380.53 $18,879.00 $11,147.50 2025-12-15
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 60 34 $9,227.40 $5,536.44 40% off $4,286.12 $14,924.12 $11,064.00 2025-12-15
J0480 HCPCS Basiliximab 20 Mg Intravenous Solution 137 46 $18,309.40 $10,985.64 40% off $3,260.83 $26,434.54 $11,040.57 2025-12-15
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 62 35 $13,357.95 $8,014.77 40% off $1,011.00 $15,029.55 $11,020.72 2025-12-15
28820 CPT Amputation Toe Metatarsophalangeal Joint|LEFT Foot, Great Toe 75 47 $17,643.36 $10,586.02 40% off $3,277.28 $15,575.76 $10,939.73 2025-12-15
J2353 HCPCS Octreotide,microspheres ER 10 Mg Intramuscular Susp, Extended Release 222 46 $18,364.65 $11,018.79 40% off $2,630.10 $33,036.33 $10,647.63 2025-12-15
26951 CPT Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr|LEFT Hand, Third Digit 74 46 $17,087.86 $10,252.72 40% off $3,277.28 $13,670.29 $10,485.75 2025-12-15
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 47 31 $9,450.40 $5,670.24 40% off $5,481.23 $13,990.08 $10,452.36 2025-12-15
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 60 34 $14,140.15 $8,484.09 40% off $7,358.05 $14,140.15 $10,323.87 2025-12-15
58559 CPT Hysteroscopy Lysis Intrauterine Adhesions 74 46 $19,513.87 $11,708.32 40% off $4,293.05 $12,584.00 $10,224.50 2025-12-15
58301 CPT Removal Intrauterine Device IUD 75 47 $14,859.85 $8,915.91 40% off $4,374.00 $14,538.71 $10,208.72 2025-12-15
11406 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm|UNUSUAL Non-overlapping Service 75 47 $12,255.25 $7,353.15 40% off $1,654.26 $13,318.76 $9,699.66 2025-12-15
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 61 35 $14,568.25 $8,740.95 40% off $1,011.00 $12,413.69 $9,638.03 2025-12-15
11401 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm 74 46 $11,620.81 $6,972.49 40% off $2,556.58 $12,393.12 $9,584.51 2025-12-15
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 61 35 $16,078.45 $9,647.07 40% off $1,011.00 $12,862.76 $9,546.50 2025-12-15
11606 CPT Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm 74 46 $12,432.65 $7,459.59 40% off $1,654.26 $13,884.32 $9,545.47 2025-12-15
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 60 34 $7,381.50 $4,428.90 40% off $3,673.82 $13,358.20 $9,488.96 2025-12-15
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 3 3 $2,089.25 $1,253.55 40% off $9,458.00 $9,458.00 $9,458.00 2025-12-15
11771 CPT Excision Pilonidal Cyst/Sinus Extensive 74 46 $13,395.88 $8,037.53 40% off $2,909.41 $12,843.80 $9,311.76 2025-12-15
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 80 46 $15,560.65 $9,336.39 40% off $1,681.92 $13,537.77 $9,204.12 2025-12-15
56605 CPT Biopsy Vulva/Perineum 1 Lesion Spx 75 47 $36,856.14 $22,113.68 40% off $922.54 $15,734.00 $9,118.01 2025-12-15
11770 CPT Excision Pilonidal Cyst/Sinus Simple 74 46 $12,169.85 $7,301.91 40% off $2,909.41 $13,075.96 $8,989.72 2025-12-15
11420 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.5 Cm/< 75 47 $16,250.91 $9,750.55 40% off $1,654.26 $11,776.23 $8,938.00 2025-12-15
57522 CPT Conization Cervix W/wo D&c Rpr Eltrd Exc 74 46 $16,237.80 $9,742.68 40% off $3,242.35 $12,990.24 $8,930.79 2025-12-15
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg Intravenous Solution 148 46 $14,736.32 $8,841.80 40% off $2,593.59 $24,362.99 $8,800.53 2025-12-15
12032 CPT Repair Intermediate S/a/T/E 2.6-7.5 Cm 74 46 $11,625.61 $6,975.37 40% off $1,654.26 $11,504.33 $8,789.39 2025-12-15
Q5151 HCPCS Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution 45 32 $16,232.20 $9,739.32 40% off $3,571.08 $14,122.01 $8,765.39 2025-12-15
11422 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 1.1-2.0cm 75 47 $16,250.91 $9,750.55 40% off $1,654.26 $11,840.88 $8,620.61 2025-12-15
11426 CPT Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g > 4.0cm 74 46 $11,669.80 $7,001.88 40% off $2,909.41 $11,528.41 $8,613.18 2025-12-15
52000 CPT Cystourethroscopy|UNUSUAL Non-overlapping Service 75 47 $45,801.18 $27,480.71 40% off $698.42 $15,734.00 $8,550.41 2025-12-15
58563 CPT Hysteroscopy Endometrial Ablation 74 46 $26,578.71 $15,947.23 40% off $4,374.00 $17,654.42 $8,463.00 2025-12-15
58300 CPT Insertion Intrauterine Device IUD 74 46 $17,690.00 $10,614.00 40% off $3,242.35 $11,887.88 $8,463.00 2025-12-15
11404 CPT Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm 74 46 $13,296.30 $7,977.78 40% off $1,654.26 $11,528.96 $8,414.12 2025-12-15
58558 CPT Hysteroscopy Bx Endometrium&/Polypc W/wo D&c 74 46 $16,617.47 $9,970.48 40% off $3,242.35 $13,233.85 $8,337.58 2025-12-15
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution 74 46 $13,601.25 $8,160.75 40% off $2,992.28 $17,305.77 $8,291.37 2025-12-15
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