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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

THE CHILDREN'S MERCY HOSPITAL

Kansas City, MO · CCN 263302 · Rates published

9,119 distinct procedures filed
25 distinct payers
599,909 rate rows
2026-07-17 last MRF observed
Data quality

599,098 of 599,909 rate rows are consumer-grade (99.9%)

811 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
template filing: same amount across many unrelated codes — excluded 332
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 213
placeholder amount (≤ $0.02) — excluded from medians 211
exceeds 10× this hospital's gross charge — excluded from medians 28
per-diem day rate — not a per-procedure price 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.childrensmercy.org/siteassets/media-documents-for-depts-section/documents-for-your-visit/billing-and-insurance/440605373_childrens-mercy-adele-hall-campus_standardcharges.csv
Found on page https://www.childrensmercy.org/your-visit/billing-and-insurance/understanding-health-care-costs/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-11
Content fingerprint 89809ea111332ecf… · 120,640,144 bytes · first seen 2026-05-09

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
J3399
HCPCS 		Onasemnogene Abeparvovec (10.1-10.5 Kg) Kit 7 $988,027.20 $2,368,485.05 $2,368,485.05 nat. median
$2,455,111
1.0× median
J1413
HCPCS 		Delandistrogene Moxeparvovec (14.5-15.4 Kg) Kit 2 $1,440,048.15 $1,664,055.64 $1,552,051.90 nat. median
$3,325,455
outlier · 0.5×
Q2042
HCPCS 		Tisagenlecleucel - (Kymriah) 2 $293,666.85 $339,348.36 $316,507.60 nat. median
$621,313
0.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $124,711.18 $1,215,400.14 $135,994.57 nat. median
$168,055
0.8× median
J9226
HCPCS 		Histrelin La 50 Mg Device 23 $73,550.30 $185,814.68 $134,405.95 nat. median
$57,036
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $114,673.28 $865,352.37 $127,414.76 nat. median
$186,516
0.7× median
90288
CPT 		Botulism Immune Globulin 50 mg/mL Inje *nf* 23 $78,947.55 $173,299.50 $125,353.31 nat. median
$43,548
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $111,609.23 $237,217.03 $121,707.21 nat. median
$131,925
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy W Mv >96 Hrs Or Pdx Xcpt Face, Mouth & Neck W Maj O.r. Proc 4 $80,963.35 $321,005.55 $88,288.60 nat. median
$145,435
0.6× median
J1930
HCPCS 		Lanreotide 60 Mg/0.2 Ml syringe*NF* 23 $79.93 $110,484.97 $79,794.70 nat. median
$261
outlier · 305.4×
J2326
HCPCS 		Nusinersen 12 Mg/5 Ml Inje (Spinraza) 23 $1,172.16 $125,000.00 $72,299.63 nat. median
$1,667
outlier · 43.4×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5 Ml Syringe *nf* 22 $254.03 $96,249.19 $69,620.24 nat. median
$20,264
outlier · 3.4×
J1951
HCPCS 		Fensolvi (leuprolide 6 Month) *nf* 24 $147.00 $90,351.24 $65,303.88 nat. median
$155
outlier · 420.0×
993
MS_DRG 		Birth Weight < 1000 Grams 3 $58,641.50 $65,343.39 $62,550.94 —
4
MS_DRG 		Tracheostomy W Mv >96 Hours Or Pdx Xcpt Face, Mouth & Neck Without Major O.r. Proc 4 $55,804.61 $165,569.40 $60,853.60 nat. median
$97,418
0.6× median
J3316
HCPCS 		Triptodur 22.5 Mg Inj Kit *nf* 24 $3,475.64 $83,992.59 $60,707.98 nat. median
$4,480
outlier · 13.5×
C9293
HCPCS 		Glucarpidase 1000 unit/mL 23 $37,202.17 $81,663.30 $59,069.79 nat. median
$57,284
1.0× median
7
MS_DRG 		Lung Transplant 4 $51,908.69 $221,275.18 $57,676.32 nat. median
$70,649
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $51,825.50 $515,834.46 $57,583.89 nat. median
$65,418
0.9× median
J9229
HCPCS 		Inotuzumab Ozogamicin 0.25 mg/mL Inje *nf* 24 $2,749.79 $77,961.28 $56,348.68 nat. median
$4,856
outlier · 11.6×
64580
CPT 		Opn Impltj Nea Neuromuscular 3 $47,720.78 $54,309.09 $54,309.09 nat. median
$17,811
outlier · 3.0×
63655
CPT 		Implant Neuroelectrodes 3 $47,720.78 $54,309.09 $54,309.09 nat. median
$18,350
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 3 $49,757.56 $55,444.14 $53,074.73 nat. median
$74,509
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $49,720.23 $55,402.54 $53,034.91 nat. median
$2,736
outlier · 19.4×
215
MS_DRG 		Other Heart Assist System Implant 4 $47,219.29 $233,298.53 $51,491.51 nat. median
$73,023
0.7× median
53445
CPT 		Insert Uro/ves Nck Sphincter 3 $44,004.07 $50,079.26 $50,079.26 nat. median
$14,204
outlier · 3.5×
53444
CPT 		Insert Tandem Cuff 3 $44,004.07 $50,079.26 $50,079.26 nat. median
$12,622
outlier · 4.0×
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Procedures W Cardiac Cath W Mcc 4 $44,830.33 $145,287.60 $48,886.40 nat. median
$69,822
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $43,797.96 $327,993.57 $48,664.39 nat. median
$69,922
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $43,215.65 $371,693.67 $48,017.39 nat. median
$72,715
0.7× median
J0638
HCPCS 		Canakinumab 150 mg/mL Inje (new Formulation) 22 $205.14 $62,162.85 $44,964.46 nat. median
$235
outlier · 191.5×
456
MS_DRG 		Spinal Fusion Xcpt Cervical W Spinal Curv, Malig, Infect Or Ext Fusions W Mcc 4 $40,015.08 $127,372.25 $43,635.49 nat. median
$59,651
0.7× median
C1767
HCPCS 		Generator B35200 Brainsense Pulse 23 $687.57 $85,068.90 $43,077.58 nat. median
$25,172
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $39,567.15 $44,089.11 $42,204.96 nat. median
$2,596
outlier · 16.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $39,007.24 $43,465.21 $41,607.72 nat. median
$2,633
outlier · 15.8×
C2624
HCPCS 		System Crd Cardiomems Pa Snsr Dlv 23 $25,932.50 $56,925.00 $41,428.75 nat. median
$26,491
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $37,663.45 $144,044.29 $41,071.09 nat. median
$56,428
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $37,514.14 $160,733.46 $40,908.28 nat. median
$60,505
0.7× median
J7170
HCPCS 		Emicizumab Kxwh 30 mg/mL *nf* 24 $43.66 $59,042.08 $39,951.81 nat. median
$102
outlier · 392.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $36,058.37 $168,442.66 $39,320.79 nat. median
$55,935
0.7× median
67027
CPT 		Implant Eye Drug System 3 $34,431.27 $39,184.84 $39,184.84 nat. median
$10,754
outlier · 3.6×
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Cardiac Cath With Mcc 4 $35,647.76 $136,675.25 $38,873.04 nat. median
$55,923
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $33,815.52 $207,805.38 $37,572.79 nat. median
$45,605
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $34,453.28 $137,174.87 $37,570.49 nat. median
$44,036
0.9× median
994
MS_DRG 		Birth Weight 1000 - 1499 Grams 3 $33,781.39 $37,642.12 $36,033.48 —
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $33,669.41 $37,517.34 $35,914.03 nat. median
$9,905
outlier · 3.6×
L8614
HCPCS 		Cochlear Coch Left Ci612 23 $4,899.09 $327,080.70 $35,331.96 nat. median
$22,495
1.6× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 $32,362.94 $93,388.45 $35,291.01 nat. median
$38,844
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $32,288.29 $148,176.65 $35,209.61 nat. median
$47,121
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $32,512.25 $36,227.94 $34,679.74 nat. median
$51,518
0.7× median

Other procedures at this hospital

Browse this hospital's 9,119 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
             
J3399 HCPCS Onasemnogene Abeparvovec (10.1-10.5 Kg) Kit 18 7 $2,195,616.00 $2,195,616.00 $988,027.20 $2,368,485.05 $2,368,485.05 2026-07-17
J1413 HCPCS Delandistrogene Moxeparvovec (14.5-15.4 Kg) Kit 2 2 $3,200,107.00 $3,200,107.00 $1,440,048.15 $1,664,055.64 $1,552,051.90 2026-07-17
Q2042 HCPCS Tisagenlecleucel - (Kymriah) 2 2 $652,593.00 $652,593.00 $293,666.85 $339,348.36 $316,507.60 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $124,711.18 $1,215,400.14 $135,994.57 2026-07-17
J9226 HCPCS Histrelin La 50 Mg Device 39 23 $206,460.76 $99,101.16 52% off $73,550.30 $185,814.68 $134,405.95 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $114,673.28 $865,352.37 $127,414.76 2026-07-17
90288 CPT Botulism Immune Globulin 50 mg/mL Inje *nf* 37 23 $192,555.00 $92,426.40 52% off $78,947.55 $173,299.50 $125,353.31 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $111,609.23 $237,217.03 $121,707.21 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy W Mv >96 Hrs Or Pdx Xcpt Face, Mouth & Neck W Maj O.r. Proc 4 4 — — $80,963.35 $321,005.55 $88,288.60 2026-07-17
J1930 HCPCS Lanreotide 60 Mg/0.2 Ml syringe*NF* 45 23 $122,761.08 $58,925.32 52% off $79.93 $110,484.97 $79,794.70 2026-07-17
J2326 HCPCS Nusinersen 12 Mg/5 Ml Inje (Spinraza) 45 23 $111,230.20 $111,230.20 $1,172.16 $125,000.00 $72,299.63 2026-07-17
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Syringe *nf* 38 22 $106,943.54 $51,332.90 52% off $254.03 $96,249.19 $69,620.24 2026-07-17
J1951 HCPCS Fensolvi (leuprolide 6 Month) *nf* 40 24 $100,390.27 $48,187.33 52% off $147.00 $90,351.24 $65,303.88 2026-07-17
993 MS_DRG Birth Weight < 1000 Grams 3 3 — — $58,641.50 $65,343.39 $62,550.94 2026-07-17
4 MS_DRG Tracheostomy W Mv >96 Hours Or Pdx Xcpt Face, Mouth & Neck Without Major O.r. Proc 4 4 — — $55,804.61 $165,569.40 $60,853.60 2026-07-17
J3316 HCPCS Triptodur 22.5 Mg Inj Kit *nf* 40 24 $93,325.10 $44,796.05 52% off $3,475.64 $83,992.59 $60,707.98 2026-07-17
C9293 HCPCS Glucarpidase 1000 unit/mL 37 23 $90,737.00 $43,553.76 52% off $37,202.17 $81,663.30 $59,069.79 2026-07-17
7 MS_DRG Lung Transplant 4 4 — — $51,908.69 $221,275.18 $57,676.32 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $51,825.50 $515,834.46 $57,583.89 2026-07-17
J9229 HCPCS Inotuzumab Ozogamicin 0.25 mg/mL Inje *nf* 40 24 $86,623.64 $41,579.35 52% off $2,749.79 $77,961.28 $56,348.68 2026-07-17
63655 CPT Implant Neuroelectrodes 3 3 — — $47,720.78 $54,309.09 $54,309.09 2026-07-17
64580 CPT Opn Impltj Nea Neuromuscular 3 3 — — $47,720.78 $54,309.09 $54,309.09 2026-07-17
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 3 3 — — $49,757.56 $55,444.14 $53,074.73 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $49,720.23 $55,402.54 $53,034.91 2026-07-17
215 MS_DRG Other Heart Assist System Implant 4 4 — — $47,219.29 $233,298.53 $51,491.51 2026-07-17
53445 CPT Insert Uro/ves Nck Sphincter 3 3 — — $44,004.07 $50,079.26 $50,079.26 2026-07-17
53444 CPT Insert Tandem Cuff 3 3 — — $44,004.07 $50,079.26 $50,079.26 2026-07-17
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Procedures W Cardiac Cath W Mcc 4 4 — — $44,830.33 $145,287.60 $48,886.40 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $43,797.96 $327,993.57 $48,664.39 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $43,215.65 $371,693.67 $48,017.39 2026-07-17
J0638 HCPCS Canakinumab 150 mg/mL Inje (new Formulation) 38 22 $69,069.83 $33,153.52 52% off $205.14 $62,162.85 $44,964.46 2026-07-17
456 MS_DRG Spinal Fusion Xcpt Cervical W Spinal Curv, Malig, Infect Or Ext Fusions W Mcc 4 4 — — $40,015.08 $127,372.25 $43,635.49 2026-07-17
C1767 HCPCS Generator B35200 Brainsense Pulse 324 23 $63,396.00 $30,430.08 52% off $687.57 $85,068.90 $43,077.58 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $39,567.15 $44,089.11 $42,204.96 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $39,007.24 $43,465.21 $41,607.72 2026-07-17
C2624 HCPCS System Crd Cardiomems Pa Snsr Dlv 36 23 $63,250.00 $30,360.00 52% off $25,932.50 $56,925.00 $41,428.75 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $37,663.45 $144,044.29 $41,071.09 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $37,514.14 $160,733.46 $40,908.28 2026-07-17
J7170 HCPCS Emicizumab Kxwh 30 mg/mL *nf* 139 24 $65,602.24 $31,489.08 52% off $43.66 $59,042.08 $39,951.81 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $36,058.37 $168,442.66 $39,320.79 2026-07-17
67027 CPT Implant Eye Drug System 3 3 — — $34,431.27 $39,184.84 $39,184.84 2026-07-17
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Cardiac Cath With Mcc 4 4 — — $35,647.76 $136,675.25 $38,873.04 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $33,815.52 $207,805.38 $37,572.79 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $34,453.28 $137,174.87 $37,570.49 2026-07-17
994 MS_DRG Birth Weight 1000 - 1499 Grams 3 3 — — $33,781.39 $37,642.12 $36,033.48 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $33,669.41 $37,517.34 $35,914.03 2026-07-17
L8614 HCPCS Cochlear Coch Left Ci612 720 23 $50,555.00 $24,266.40 52% off $4,899.09 $327,080.70 $35,331.96 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $32,362.94 $93,388.45 $35,291.01 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $32,288.29 $148,176.65 $35,209.61 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $32,512.25 $36,227.94 $34,679.74 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $31,691.05 $89,699.68 $34,558.33 2026-07-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $31,803.03 $35,437.66 $33,923.23 2026-07-17
64575 CPT Opn Impltj Nea Perph Nerve 3 3 — — $29,716.00 $33,818.58 $33,818.58 2026-07-17
64553 CPT Implant Neuroelectrodes 3 3 — — $29,716.00 $33,818.58 $33,818.58 2026-07-17
63664 CPT Revise Spine Eltrd Plate 3 3 — — $29,716.00 $33,818.58 $33,818.58 2026-07-17
43647 CPT Lap Impl Electrode Antrum 3 3 — — $29,716.00 $33,818.58 $33,818.58 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $30,795.19 $89,545.03 $33,581.42 2026-07-17
C1882 HCPCS Dfbr Crd 13mm 51x74mm Claria MRI Crt-d Surescan Physiocurve 180 23 $49,744.00 $23,877.12 52% off $19,395.87 $50,175.90 $32,776.00 2026-07-17
29907 CPT Subtalar Arthro W/fusion 3 3 — — $28,710.60 $32,674.38 $32,674.38 2026-07-17
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Procedures W Cardiac Cath W Cc 4 4 — — $29,414.07 $96,551.79 $32,075.35 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $29,302.09 $82,103.55 $31,953.23 2026-07-17
53451 CPT Tprnl Balo Cntnc Dev Bi 3 3 — — $28,003.13 $31,869.24 $31,869.24 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $29,115.45 $134,142.07 $31,749.71 2026-07-17
457 MS_DRG Spinal Fusion Ex Cerv W Spinal Curvature, Malignancy, Infect Or Ext Fus W Cc 4 4 — — $28,816.83 $91,011.28 $31,424.07 2026-07-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 3 3 — — $28,704.85 $31,985.40 $30,618.50 2026-07-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $28,592.87 $31,860.62 $30,499.06 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $27,808.99 $121,732.77 $30,325.04 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $27,473.04 $113,569.71 $29,958.70 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $27,361.06 $109,158.68 $29,836.58 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $27,174.42 $139,814.53 $29,633.06 2026-07-17
463 MS_DRG Wound Debridement & Skin Graft Xcpt Hand For Muscul & Conn Tissue D/o W Mcc 4 4 — — $26,875.80 $92,715.74 $29,307.42 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $26,838.47 $82,329.33 $29,266.72 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $26,315.89 $56,557.19 $28,696.85 2026-07-17
218 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc W Cardiac Cath Without Cc/mcc 4 4 — — $26,315.89 $84,960.88 $28,696.85 2026-07-17
J9042 HCPCS Brentuximab Vedotin 5 mg/mL (50 Mg Vial) 39 23 $43,967.10 $21,104.21 52% off $380.51 $39,570.39 $28,622.58 2026-07-17
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Inje 40 24 $43,155.89 $20,714.83 52% off $57.89 $38,840.30 $28,072.90 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $25,606.67 $148,507.97 $27,923.46 2026-07-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $26,129.25 $29,115.45 $27,871.20 2026-07-17
C1721 HCPCS Defibrillator Cddra500q Abbogallant�two Chamber 252 23 $41,938.00 $20,130.24 52% off $16,352.44 $48,262.50 $27,781.65 2026-07-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $25,942.61 $28,907.48 $27,672.12 2026-07-17
J9216 HCPCS Interferon Gamma-1b Recomb 200 mcg/mL Inje 37 23 $42,235.92 $20,273.24 52% off $17,316.73 $38,012.33 $27,495.58 2026-07-17
C1722 HCPCS Defibrillator Ddpb3d1 Medtronic Icd Cobalt Dr MRI Is 1 Df1 324 23 $39,188.00 $18,810.24 52% off $13,538.20 $65,570.40 $26,964.21 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $24,598.82 $88,892.71 $26,824.43 2026-07-17
22867 CPT Insj Stablj Dev W/dcmprn 6 4 — — $11,480.69 $46,266.64 $26,723.37 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $24,449.51 $88,416.16 $26,661.61 2026-07-17
23 MS_DRG Cran W M Dev Imp Or Acute Cmplx Cns Pdx W Mcc Or Chemo Imp Or Eplpsy W Nstim 4 4 — — $24,262.88 $88,835.52 $26,458.09 2026-07-17
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Procedures Without Cardiac Cath W Cc 4 4 — — $24,225.55 $106,493.91 $26,417.38 2026-07-17
22856 CPT Tot Disc Arthrp 1ntrspc Crv 6 4 — — $10,910.34 $46,266.64 $26,405.61 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $24,076.24 $63,191.66 $26,254.57 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $24,001.58 $138,519.22 $26,173.15 2026-07-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $24,449.51 $27,243.74 $26,079.48 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $23,292.36 $224,176.21 $25,880.40 2026-07-17
53447 CPT Remove/replace Ur Sphincter 6 4 — — $6,861.36 $50,079.26 $25,824.80 2026-07-17
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 6 4 — — $11,723.71 $43,533.38 $25,657.92 2026-07-17
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 6 4 — — $11,723.71 $43,533.38 $25,657.92 2026-07-17
50542 CPT Laparo Ablate Renal Mass 3 3 — — $22,455.40 $25,555.58 $25,555.58 2026-07-17
55866 CPT Laps Surg Prst8ect Rpbic Rad 3 3 — — $22,455.40 $25,555.58 $25,555.58 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $23,404.34 $125,186.80 $25,521.88 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $23,367.02 $74,385.17 $25,481.17 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $23,329.69 $74,349.31 $25,440.47 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $23,292.36 $59,532.73 $25,399.76 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $22,626.86 $140,777.62 $25,140.96 2026-07-17
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 mg/4.5mL Inje 39 23 $38,079.80 $18,278.30 52% off $373.36 $34,271.82 $24,789.95 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $22,252.52 $175,183.64 $24,725.03 2026-07-17
J9021 HCPCS Asparaginase Erwinia-rywn 10mg/0.5mL (recombinant) Inj 40 24 $37,927.16 $18,205.04 52% off $55.23 $34,134.44 $24,671.62 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $22,545.81 $119,727.51 $24,585.67 2026-07-17
J9153 HCPCS DAUNOrubicin Liposomal 2.2 mg/mL/cytarabine Inje *nf* 46 24 $38,894.84 $18,669.52 52% off $236.26 $35,005.36 $24,484.31 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $22,209.86 $93,995.26 $24,219.33 2026-07-17
24371 CPT Revise Reconst Elbow Joint 6 4 — — $6,815.41 $46,266.64 $24,124.15 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $22,023.23 $90,509.65 $24,015.81 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $22,023.23 $48,244.58 $24,015.81 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $21,911.24 $63,010.02 $23,893.69 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $21,687.28 $87,881.08 $23,649.46 2026-07-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $22,097.88 $24,623.35 $23,571.07 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $21,612.62 $76,227.25 $23,568.05 2026-07-17
37227 CPT Fem/popl Revasc Stnt & Ather 6 4 — — $7,842.05 $43,533.38 $23,495.28 2026-07-17
37231 CPT Tib/per Revasc Stent & Ather 6 4 — — $7,842.05 $43,533.38 $23,495.28 2026-07-17
458 MS_DRG Spinal Fus Xcpt Cerv W Spinal Curv, Malig, Infect Or Extens Fusions Without Cc/mcc 4 4 — — $21,500.64 $72,576.78 $23,445.94 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $19,932.89 $129,960.43 $23,444.87 2026-07-17
221 MS_DRG Cardiac Valve & Other Maj Cardiothor Px Without Cardiac Cath Without Cc/mcc 4 4 — — $21,463.31 $97,542.77 $23,405.23 2026-07-17
19296 CPT Place Po Breast Cath For Rad 3 3 — — $20,563.91 $23,402.96 $23,402.96 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $21,239.35 $87,373.95 $23,161.00 2026-07-17
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $20,978.06 $76,475.91 $22,876.07 2026-07-17
53449 CPT Repair Uro Sphincter 3 3 — — $20,096.36 $22,870.85 $22,870.85 2026-07-17
50576 CPT Kidney Endoscopy & Treatment 3 3 — — $20,096.36 $22,870.85 $22,870.85 2026-07-17
54112 CPT Treat Penis Lesion Graft 3 3 — — $20,096.36 $22,870.85 $22,870.85 2026-07-17
50555 CPT Kidney Endoscopy & Biopsy 3 3 — — $20,096.36 $22,870.85 $22,870.85 2026-07-17
53452 CPT Tprnl Balo Cntnc Dev Uni 3 3 — — $20,096.36 $22,870.85 $22,870.85 2026-07-17
50557 CPT Kidney Endoscopy & Treatment 3 3 — — $20,096.36 $22,870.85 $22,870.85 2026-07-17
245 MS_DRG Aicd Generator Procedures 4 4 — — $20,940.73 $120,995.79 $22,835.36 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $20,464.00 $153,569.88 $22,737.78 2026-07-17
10 MS_DRG Pancreas Transplant 4 4 — — $20,380.82 $122,622.79 $22,645.35 2026-07-17
J0801 HCPCS Corticotropin 80 units/mL Inje 39 23 $34,462.70 $16,542.10 52% off $6,757.28 $31,016.43 $22,435.22 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $20,492.80 $70,389.68 $22,346.90 2026-07-17
C1772 HCPCS Pump It 20ml Snchr Ii Rsrv Prgm Ti 36 23 $34,032.00 $16,335.36 52% off $13,953.12 $30,628.80 $22,290.96 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $20,418.14 $86,082.27 $22,265.49 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $20,418.14 $60,904.08 $22,265.49 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $20,156.85 $79,062.49 $21,980.57 2026-07-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $20,604.78 $22,959.61 $21,978.43 2026-07-17
37225 CPT Fem/popl Revas W/ather 6 4 — — $4,528.07 $43,533.38 $21,648.92 2026-07-17
37230 CPT Tib/per Revasc W/stent 6 4 — — $4,528.07 $43,533.38 $21,648.92 2026-07-17
37229 CPT Tib/per Revasc W/ather 6 4 — — $4,528.07 $43,533.38 $21,648.92 2026-07-17
J0584 HCPCS Burosumab-twza 10 mg/mL Soln *nf* 108 24 $34,214.16 $16,422.80 52% off $454.05 $46,176.98 $21,537.81 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $19,746.25 $73,495.02 $21,532.81 2026-07-17
L8627 HCPCS Naida Ci M90 Dual Patient Kit 36 23 $32,813.00 $15,750.24 52% off $13,453.33 $29,531.70 $21,492.51 2026-07-17
J3380 HCPCS Vedolizumab Lyophilized 60 mg/mL 45 23 $32,992.70 $15,836.50 52% off $29.47 $29,693.43 $21,445.26 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $19,596.94 $114,167.89 $21,370.00 2026-07-17
826 MS_DRG Myeloproliferative D/o Or Poor Diff Neoplasms W Maj O.r. Procedures W Mcc 4 4 — — $19,596.94 $111,138.65 $21,370.00 2026-07-17
J3401 HCPCS Beremagene Geperpavec-svdt Topical Gel 40 24 $32,609.00 $15,652.32 52% off $1,046.79 $29,348.10 $21,212.15 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $19,223.66 $58,545.43 $20,962.94 2026-07-17
C9047 HCPCS Caplacizumab- Yhdp *nf* 39 23 $31,980.60 $15,350.69 52% off $1,226.53 $28,782.54 $20,819.37 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $19,074.35 $101,135.60 $20,800.13 2026-07-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 4 — — $19,037.03 $26,872.03 $20,759.42 2026-07-17
22869 CPT Insj Stablj Dev Without Dcmprn 6 4 — — $11,480.69 $32,674.38 $20,751.68 2026-07-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $19,372.97 $21,587.03 $20,664.50 2026-07-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $19,149.01 $21,337.47 $20,425.61 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $18,663.75 $103,008.59 $20,352.38 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $18,551.77 $58,843.93 $20,230.26 2026-07-17
J9223 HCPCS Lurbinectedin 0.5 mg/mL (4 Mg Vial) *nf* 40 24 $30,911.48 $14,837.51 52% off $212.90 $27,820.33 $20,107.92 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 4 — — $18,327.80 $128,556.15 $19,986.03 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $18,327.80 $60,912.53 $19,986.03 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $18,327.80 $63,298.43 $19,986.03 2026-07-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $18,626.42 $20,755.16 $19,868.18 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $17,991.86 $50,698.94 $19,619.69 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $17,386.08 $115,224.19 $19,317.87 2026-07-17
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 6 4 — — $8,905.31 $32,674.38 $19,316.83 2026-07-17
69729 CPT Impl Oi Implt Sk Tc Esp>=100 6 4 — — $8,905.31 $32,674.38 $19,316.83 2026-07-17
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 6 4 — — $8,594.92 $32,674.38 $19,143.90 2026-07-17
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 6 4 — — $8,594.92 $32,674.38 $19,143.90 2026-07-17
995 MS_DRG Birth Weight 1500 - 2000 Grams 3 3 — — $17,917.20 $19,964.88 $19,111.68 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Cc/mcc 4 4 — — $17,469.27 $84,149.26 $19,049.82 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $17,394.62 $56,456.49 $18,968.42 2026-07-17
518 MS_DRG Back & Neck Procedures Except Spinal Fusion W Mcc Or Disc Device Or Neurostim 4 4 — — $17,319.96 $46,723.64 $18,887.00 2026-07-17
57289 CPT Repair Bladder & Vagina 3 3 — — $16,484.30 $18,760.12 $18,760.12 2026-07-17
57283 CPT Colpopexy Intraperitoneal 3 3 — — $16,484.30 $18,760.12 $18,760.12 2026-07-17
58580 CPT Transcrv Abltj Utrn Fibrd Rf 3 3 — — $16,484.30 $18,760.12 $18,760.12 2026-07-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $17,170.65 $57,908.78 $18,724.18 2026-07-17
61 MS_DRG Ischemic Stroke, Precerebral Occl Or Trans Ischemia W Thromb Agent W Mcc 4 4 — — $17,133.32 $62,472.43 $18,683.48 2026-07-17
38210 CPT Cd34 Selection 1 Vial Ku 75 25 $24,727.00 $11,868.96 52% off $946.98 $34,276.50 $18,545.25 2026-07-17
J9381 HCPCS Teplizumab-mzwv (Tzield) In Ns 100 Mcg/ Ml *nf* 40 24 $28,507.03 $13,683.37 52% off $38.80 $25,656.33 $18,543.83 2026-07-17
495 MS_DRG Local Excision & Removal Of Internal Fixation Devices Except Hip & Femur W Mcc 4 4 — — $16,984.01 $46,491.80 $18,520.66 2026-07-17
24 MS_DRG Craniotomy W Maj Dev Implant Or Acute Complex Cns Pdx Without Mcc 4 4 — — $16,872.03 $62,862.32 $18,398.54 2026-07-17
J9331 HCPCS Sirolimus (protein Bound) 5 mg/mL Inj *nf* 40 24 $28,204.83 $13,538.32 52% off $119.43 $25,384.35 $18,347.24 2026-07-17
Q5108 HCPCS Pegfilgrastim - Jmdb (Fulphila) 6 Mg/0.6 Ml Inje 45 23 $28,083.00 $13,479.84 52% off $177.44 $25,274.70 $18,253.95 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $16,685.39 $80,780.25 $18,195.02 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $16,685.39 $52,319.61 $18,195.02 2026-07-17
23473 CPT Revis Reconst Shoulder Joint 6 4 — — $6,815.41 $32,674.38 $18,152.46 2026-07-17
24370 CPT Revise Reconst Elbow Joint 6 4 — — $6,815.41 $32,674.38 $18,152.46 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $16,536.08 $72,509.66 $18,032.21 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $16,461.43 $67,643.12 $17,950.79 2026-07-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $16,424.10 $48,622.94 $17,910.09 2026-07-17
265 MS_DRG Aicd Lead Procedures 4 4 — — $16,349.45 $68,521.86 $17,828.68 2026-07-17
29868 CPT Meniscal Trnspl Knee W/scpe 3 3 — — $15,606.34 $17,760.94 $17,760.94 2026-07-17
29905 CPT Subtalar Arthro W/exc 3 3 — — $15,606.34 $17,760.94 $17,760.94 2026-07-17
29866 CPT Autgrft Implnt Knee W/scope 3 3 — — $15,606.34 $17,760.94 $17,760.94 2026-07-17
29828 CPT Sho Arthrs Srg Bicp Tenodsis 3 3 — — $15,606.34 $17,760.94 $17,760.94 2026-07-17
Q5111 HCPCS Pegfilgrastim - Cbqv (Udenyca) 6 Mg/0.6 Ml Inje *nf* 46 24 $28,083.00 $13,479.84 52% off $174.35 $25,274.70 $17,678.25 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $16,013.50 $79,145.35 $17,462.33 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $15,976.17 $48,264.43 $17,421.64 2026-07-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $15,976.17 $49,370.18 $17,421.64 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 — — $15,976.17 $100,402.59 $17,421.64 2026-07-17
837 MS_DRG Chemo W Acute Leukemia As Sec Dx Or W High Dose Chemotherapy Agent W Mcc 4 4 — — $15,864.19 $41,957.01 $17,299.52 2026-07-17
332 MS_DRG Rectal Resection With Mcc 4 4 — — $15,864.19 $71,772.73 $17,299.52 2026-07-17
469 MS_DRG Maj Hip & Knee Joint Repl Or Reattach Lower Extremity W Mcc Or Tot Ankl Repl 4 4 — — $15,789.53 $71,979.16 $17,218.11 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $15,789.53 $51,155.28 $17,218.11 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $15,752.21 $57,776.05 $17,177.40 2026-07-17
Q5122 HCPCS Pegfilgrastim - Apgf (Nyvepria) 6 Mg/0.6 Ml Inje *nf* 45 23 $26,403.00 $12,673.44 52% off $102.93 $23,762.70 $17,161.95 2026-07-17
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 4 — — $16,349.45 $18,217.95 $17,118.94 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $15,640.22 $47,213.35 $17,055.29 2026-07-17
31661 CPT Bronch Thermoplsty 2/> Lobes 3 3 — — $14,930.60 $16,991.92 $16,991.92 2026-07-17
31660 CPT Bronch Thermoplsty 1 Lobe 3 3 — — $14,930.60 $16,991.92 $16,991.92 2026-07-17
63663 CPT Revise Spine Eltrd Perq Aray 3 3 — — $14,919.37 $16,979.14 $16,979.14 2026-07-17
64581 CPT Opn Impltj Nea Sacral Nerve 3 3 — — $14,919.37 $16,979.14 $16,979.14 2026-07-17
64561 CPT Implant Neuroelectrodes 3 3 — — $14,919.37 $16,979.14 $16,979.14 2026-07-17
63650 CPT Implant Neuroelectrodes 3 3 — — $14,919.37 $16,979.14 $16,979.14 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $15,528.24 $74,159.96 $16,933.18 2026-07-17
Q5120 HCPCS Pegfilgrastim - Bmez (Ziextenzo) 6 Mg/0.6 Ml Inje 46 24 $26,406.60 $12,675.17 52% off $31.55 $23,765.94 $16,900.22 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 — — $15,490.91 $65,415.87 $16,892.47 2026-07-17
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $15,490.91 $68,371.21 $16,892.47 2026-07-17
652 MS_DRG Kidney Transplant 4 4 — — $15,140.03 $105,255.79 $16,822.26 2026-07-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $15,416.26 $56,500.00 $16,811.06 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $15,378.93 $49,457.39 $16,770.35 2026-07-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 4 — — $15,304.28 $57,139.95 $16,688.95 2026-07-17
739 MS_DRG Uterine & Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy W Mcc 4 4 — — $15,304.28 $50,545.07 $16,688.95 2026-07-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $15,266.95 $49,392.75 $16,648.24 2026-07-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $15,192.29 $79,572.59 $16,566.83 2026-07-17
64840 CPT Repair Of Leg Nerve 3 3 — — $14,531.71 $16,537.95 $16,537.95 2026-07-17
64862 CPT Repair Of Low Back Nerves 3 3 — — $14,531.71 $16,537.95 $16,537.95 2026-07-17
61770 CPT Incise Skull For Treatment 3 3 — — $14,531.71 $16,537.95 $16,537.95 2026-07-17
C9363 HCPCS Drsg Bio 10x8in Intgr Bvn Clgn Gag Polysiloxane Mesh Strl Lf 108 23 $25,200.00 $12,096.00 52% off $5,069.65 $46,699.20 $16,506.00 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 — — $15,117.64 $63,215.40 $16,485.42 2026-07-17
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $15,080.31 $44,430.00 $16,444.72 2026-07-17
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $15,042.98 $52,790.50 $16,404.01 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $15,005.66 $33,644.74 $16,363.31 2026-07-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $14,968.33 $38,013.44 $16,322.60 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $14,893.67 $103,140.99 $16,241.19 2026-07-17
19298 CPT Place Breast Rad Tube/caths 3 3 — — $14,225.55 $16,189.52 $16,189.52 2026-07-17
L8619 HCPCS Nucleus 8 Speech Processor 36 23 $24,661.00 $11,837.28 52% off $10,111.01 $22,194.90 $16,152.95 2026-07-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 4 — — $14,707.04 $117,214.52 $16,037.67 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $14,520.40 $64,492.49 $15,834.15 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $14,520.40 $64,012.38 $15,834.15 2026-07-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $14,781.69 $16,471.03 $15,767.14 2026-07-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 — — $14,445.74 $46,696.97 $15,752.74 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $14,408.42 $40,118.15 $15,712.03 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $14,371.09 $59,113.67 $15,671.33 2026-07-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $14,632.38 $16,304.65 $15,607.87 2026-07-17
464 MS_DRG Wound Debride & Skin Graft Xcpt Hand For Musc/skeletal & Conn Tissue D/o W Cc 4 4 — — $14,259.11 $67,347.76 $15,549.22 2026-07-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $14,221.78 $70,225.47 $15,508.51 2026-07-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $14,184.45 $63,613.75 $15,467.81 2026-07-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $14,147.12 $41,590.27 $15,427.10 2026-07-17
A0431 HCPCS Rotary Wing Air Transport 41 25 $23,645.00 $11,349.60 52% off $3,587.00 $21,280.50 $15,392.90 2026-07-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $14,072.47 $39,263.98 $15,345.69 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $14,035.14 $44,493.34 $15,304.99 2026-07-17
595 MS_DRG Major Skin Disorders With Mcc 4 4 — — $13,997.81 $29,944.44 $15,264.28 2026-07-17
665 MS_DRG Prostatectomy With Mcc 4 4 — — $13,960.49 $48,183.57 $15,223.58 2026-07-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy W Or Without C.d.e. W Mcc 4 4 — — $13,811.18 $63,866.35 $15,060.76 2026-07-17
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 20 12 $11,000.00 $5,280.00 52% off $663.40 $23,431.36 $15,033.35 2026-07-17
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 — — $13,773.85 $30,159.55 $15,020.05 2026-07-17
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 4 — — $13,773.85 $45,045.26 $15,020.05 2026-07-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 4 — — $13,773.85 $51,313.94 $15,020.05 2026-07-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 4 — — $13,624.54 $35,611.75 $14,857.24 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $13,624.54 $42,176.05 $14,857.24 2026-07-17
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $13,549.88 $45,829.71 $14,775.83 2026-07-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 4 — — $13,512.56 $79,807.19 $14,735.12 2026-07-17
55867 CPT Laps Surg Prst8ect Smpl Stot 6 4 — — $6,202.09 $25,555.58 $14,683.15 2026-07-17
592 MS_DRG Skin Ulcers With Mcc 4 4 — — $13,437.90 $21,737.16 $14,653.71 2026-07-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $13,736.52 $15,306.41 $14,652.29 2026-07-17
829 MS_DRG Myeloproliferative D/o Or Poorly Diff Neoplasms W Oth Procedures W Cc/mcc 4 4 — — $13,363.25 $76,591.28 $14,572.30 2026-07-17
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 4 4 — — $13,363.25 $20,867.70 $14,572.30 2026-07-17
31084 CPT Removal Of Frontal Sinus 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21050 CPT Removal Of Jaw Joint 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
31086 CPT Removal Of Frontal Sinus 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21044 CPT Removal Of Jaw Bone Lesion 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21246 CPT Reconstruction Of Jaw 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21245 CPT Reconstruction Of Jaw 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
69745 CPT Repair Facial Nerve 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21034 CPT Excise Max/zygoma Mal Tumor 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21087 CPT Prepare Face/oral Prosthesis 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
69910 CPT Remove Inner Ear & Mastoid 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
21127 CPT Augmentation Lower Jaw Bone 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
30160 CPT Removal Of Nose 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
69805 CPT Explore Inner Ear 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
69905 CPT Remove Inner Ear 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
31087 CPT Removal Of Frontal Sinus 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
69725 CPT Release Facial Nerve 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
60502 CPT Re-explore Parathyroids 3 3 — — $12,775.05 $14,538.77 $14,538.77 2026-07-17
37226 CPT Fem/popl Revasc W/stent 6 4 — — $4,528.07 $27,311.93 $14,522.12 2026-07-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 4 — — $13,213.94 $41,399.58 $14,409.48 2026-07-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $13,176.61 $50,360.66 $14,368.78 2026-07-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 4 4 — — $13,176.61 $42,696.41 $14,368.78 2026-07-17
51990 CPT Laparo Urethral Suspension 3 3 — — $12,587.02 $14,324.78 $14,324.78 2026-07-17
51992 CPT Laparo Sling Operation 3 3 — — $12,587.02 $14,324.78 $14,324.78 2026-07-17
58674 CPT Laps Abltj Uterine Fibroids 6 4 — — $5,441.92 $25,555.58 $14,259.63 2026-07-17
43284 CPT Laps Esophgl Sphnctr Agmntj 6 4 — — $5,441.92 $25,555.58 $14,259.63 2026-07-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $13,064.63 $54,224.67 $14,246.67 2026-07-17
263 MS_DRG Vein Ligation And Stripping 4 4 — — $13,064.63 $28,472.30 $14,246.67 2026-07-17
38573 CPT Laps Pelvic Lymphadec 6 4 — — $5,391.23 $25,555.58 $14,231.39 2026-07-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 4 — — $13,027.30 $26,222.20 $14,205.95 2026-07-17
J0717 HCPCS Certolizumab 200 mg/mL Inje *nf* 39 23 $21,802.05 $10,464.98 52% off $7.95 $19,621.85 $14,193.13 2026-07-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $12,989.97 $67,990.00 $14,165.26 2026-07-17
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