Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

THE CHILDREN'S MERCY HOSPITAL

Kansas City, MO · CCN 263302 · Rates published

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You selected 27447 (CPT)

TOT KNEE ARTHROPLASTY

This hospital’s price: $2,533 across 24 payers · range $1,214-$3,458

Source: 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 · observed 2026-07-17

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

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

599,196 of 599,909 rate rows are consumer-grade (99.9%)

713 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
placeholder amount (≤ $0.02) — excluded from medians 211
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 115
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 · 2026-08-11
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
$2,460,273
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
$3,324,572
outlier · 0.5×
Q2042
HCPCS 		Tisagenlecleucel - (Kymriah) 2 $293,666.85 $339,348.36 $316,507.60 nat. median
$691,418
outlier · 0.5×
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
$370,165
outlier · 0.4×
J9226
HCPCS 		Histrelin La 50 Mg Device 23 $73,550.30 $185,814.68 $134,405.95 nat. median
$55,200
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
$261,939
outlier · 0.5×
90288
CPT 		Botulism Immune Globulin 50 mg/mL Inje *nf* 23 $78,947.55 $173,299.50 $125,353.31 nat. median
$52,716
outlier · 2.4×
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
$205,166
0.6× 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
$199,832
outlier · 0.4×
J1930
HCPCS 		Lanreotide 60 Mg/0.2 Ml syringe*NF* 23 $79.93 $110,484.97 $79,794.70 nat. median
$4,399
outlier · 18.1×
J2326
HCPCS 		Nusinersen 12 Mg/5 Ml Inje (Spinraza) 23 $1,172.16 $125,000.00 $72,299.63 nat. median
$2,353
outlier · 30.7×
J3357
HCPCS 		Ustekinumab 45 Mg/0.5 Ml Syringe *nf* 22 $254.03 $96,249.19 $69,620.24 nat. median
$12,959
outlier · 5.4×
J1951
HCPCS 		Fensolvi (leuprolide 6 Month) *nf* 24 $147.00 $90,351.24 $65,303.88 nat. median
$173
outlier · 376.8×
993
MS_DRG 		Birth Weight < 1000 Grams 3 $58,641.50 $65,343.39 $62,550.94 nat. median
$56,378
1.1× median
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
$132,706
outlier · 0.5×
J3316
HCPCS 		Triptodur 22.5 Mg Inj Kit *nf* 24 $3,475.64 $83,992.59 $60,707.98 nat. median
$4,390
outlier · 13.8×
C9293
HCPCS 		Glucarpidase 1000 unit/mL 23 $37,202.17 $81,663.30 $59,069.79 nat. median
$24,377
outlier · 2.4×
7
MS_DRG 		Lung Transplant 4 $51,908.69 $221,275.18 $57,676.32 nat. median
$122,690
outlier · 0.5×
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
$108,240
0.5× median
J9229
HCPCS 		Inotuzumab Ozogamicin 0.25 mg/mL Inje *nf* 24 $2,749.79 $77,961.28 $56,348.68 nat. median
$5,934
outlier · 9.5×
64580
CPT 		Opn Impltj Nea Neuromuscular 3 $47,720.78 $54,309.09 $54,309.09 nat. median
$17,983
outlier · 3.0×
63655
CPT 		Implant Neuroelectrodes 3 $47,720.78 $54,309.09 $54,309.09 nat. median
$18,229
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 3 $49,757.56 $55,444.14 $53,074.73 nat. median
$100,978
0.5× 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
$96,835
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 4 $47,219.29 $233,298.53 $51,491.51 nat. median
$98,002
0.5× median
53445
CPT 		Insert Uro/ves Nck Sphincter 3 $44,004.07 $50,079.26 $50,079.26 nat. median
$16,059
outlier · 3.1×
53444
CPT 		Insert Tandem Cuff 3 $44,004.07 $50,079.26 $50,079.26 nat. median
$13,619
outlier · 3.7×
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
$92,900
0.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $43,797.96 $327,993.57 $48,664.39 nat. median
$99,646
outlier · 0.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $43,215.65 $371,693.67 $48,017.39 nat. median
$114,305
outlier · 0.4×
J0638
HCPCS 		Canakinumab 150 mg/mL Inje (new Formulation) 22 $205.14 $62,162.85 $44,964.46 nat. median
$250
outlier · 179.7×
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
$80,459
0.5× median
C1767
HCPCS 		Generator B35200 Brainsense Pulse 23 $687.57 $85,068.90 $43,077.58 nat. median
$23,668
1.8× 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
$81,124
0.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $39,007.24 $43,465.21 $41,607.72 nat. median
$81,364
0.5× median
C2624
HCPCS 		System Crd Cardiomems Pa Snsr Dlv 23 $25,932.50 $56,925.00 $41,428.75 nat. median
$32,499
1.3× 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
$77,385
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $37,514.14 $160,733.46 $40,908.28 nat. median
$79,040
0.5× median
J7170
HCPCS 		Emicizumab Kxwh 30 mg/mL *nf* 24 $43.66 $59,042.08 $39,951.81 nat. median
$108
outlier · 370.2×
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
$73,475
0.5× median
67027
CPT 		Implant Eye Drug System 3 $34,431.27 $39,184.84 $39,184.84 nat. median
$9,568
outlier · 4.1×
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
$74,472
0.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $33,815.52 $207,805.38 $37,572.79 nat. median
$69,153
0.5× 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
$60,162
0.6× median
994
MS_DRG 		Birth Weight 1000 - 1499 Grams 3 $33,781.39 $37,642.12 $36,033.48 nat. median
$34,404
1.0× median
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
$66,640
0.5× median
L8614
HCPCS 		Cochlear Coch Left Ci612 23 $4,899.09 $327,080.70 $35,331.96 nat. median
$22,570
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
$55,446
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $32,288.29 $148,176.65 $35,209.61 nat. median
$62,218
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $32,512.25 $36,227.94 $34,679.74 nat. median
$68,581
0.5× 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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
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
64575 CPT Opn Impltj Nea Perph Nerve 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
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 6 4 — — $11,723.71 $43,533.38 $25,657.92 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
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
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
53449 CPT Repair Uro Sphincter 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
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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $20,418.14 $86,082.27 $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
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
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
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
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
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $16,685.39 $80,780.25 $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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $15,976.17 $49,370.18 $17,421.64 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
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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 4 — — $13,773.85 $51,313.94 $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
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
263 MS_DRG Vein Ligation And Stripping 4 4 — — $13,064.63 $28,472.30 $14,246.67 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
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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