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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 NEBRASKA MEDICAL CENTER

Omaha, NE · CCN 280013 · Rates published

14,171 distinct procedures filed
10 distinct payers
57,707 rate rows
2026-01-05 last MRF observed
Data quality

56,646 of 57,707 rate rows are consumer-grade (98.2%)

1,061 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
placeholder amount (≤ $0.02) — excluded from medians 813
exceeds 10× this hospital's gross charge — excluded from medians 134
percent-of-charges filed in the dollar field — excluded from medians 48
per-diem day rate — not a per-procedure price 34
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 30
exceeds 3× this hospital's gross charge for a DRG stay — excluded 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbTNMCOMAHANE&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.nebraskamed.com/patients/billing/current-hospital-prices
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 72a640841d8fd376… · 27,765,158 bytes · first seen 2026-05-14

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
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $3,884,400.00 $3,884,400.00 $3,884,400.00 nat. median
$674,867
outlier · 5.8×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 $3,708,000.00 $3,708,000.00 $3,708,000.00 nat. median
$625,184
outlier · 5.9×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $549,335.12 $4,327,200.00 $3,399,600.00 nat. median
$753,246
outlier · 4.5×
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 1 $2,899,050.00 $2,899,050.00 $2,899,050.00 nat. median
$3,710,000
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $502,504.26 $3,627,600.00 $2,065,052.13 nat. median
$673,137
outlier · 3.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $486,944.34 $3,438,000.00 $1,962,472.17 nat. median
$634,303
outlier · 3.1×
C9098
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $1,845,090.00 $1,956,442.80 $1,900,766.40 nat. median
$57,174
outlier · 33.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $476,406.40 $3,438,000.00 $1,582,053.00 nat. median
$619,808
outlier · 2.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $798,248.74 $1,070,933.44 $934,591.09 nat. median
$370,174
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $518,031.32 $694,992.72 $606,512.02 nat. median
$265,286
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $392,355.04 $526,491.09 $526,384.96 nat. median
$202,976
outlier · 2.6×
36900075_1
CDM 		Hc Organ Acq Local- Bilateral Lung 2 $368,115.69 $390,331.79 $379,223.74 nat. median
$379,224
1.0× median
36900105_1
CDM 		Hc Organ Acq Import- Bilateral Lung 2 $368,115.69 $390,331.79 $379,223.74 nat. median
$379,224
1.0× median
36900045_1
CDM 		Hc Organ Acq - Bilateral Lung 2 $368,115.69 $390,331.79 $379,223.74 nat. median
$379,224
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $256,047.84 $343,583.98 $343,514.72 nat. median
$133,161
outlier · 2.6×
J0225
HCPCS 		Injection, Vutrisiran, 1 Mg 2 $196,832.53 $427,741.82 $312,287.17 nat. median
$8,223
outlier · 38.0×
36900120_1
CDM 		Hc Organ Acq Local - Single Lung 2 $294,492.78 $312,265.68 $303,379.23 nat. median
$303,379
1.0× median
36900040_1
CDM 		Hc Organ Acq - Single Lung 2 $294,492.78 $312,265.68 $303,379.23 nat. median
$303,379
1.0× median
36900125_1
CDM 		Hc Organ Acq Import - Single Lung 2 $294,492.78 $312,265.68 $303,379.23 nat. median
$303,379
1.0× median
7
MS_DRG 		Lung Transplant 2 $239,388.85 $321,164.96 $280,276.91 nat. median
$122,708
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $222,154.97 $298,043.92 $260,099.45 nat. median
$117,357
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 3 $184,058.53 $246,983.39 $246,933.60 nat. median
$99,019
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $209,472.18 $281,028.64 $245,250.41 nat. median
$108,660
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $180,838.38 $242,662.35 $242,613.44 nat. median
$93,672
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $190,593.10 $255,700.40 $223,146.75 nat. median
$100,136
outlier · 2.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $163,805.99 $219,807.03 $219,762.72 nat. median
$87,428
outlier · 2.5×
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 3 $120,781.05 $262,562.88 $218,802.40 nat. median
$76,329
outlier · 2.9×
36900100_1
CDM 		Hc Organ Acq Import- Heart 2 $205,691.34 $218,104.99 $211,898.16 nat. median
$211,898
1.0× median
46900030_1
CDM 		Hc Organ Acq - Heart 2 $205,691.34 $218,104.99 $211,898.16 nat. median
$211,898
1.0× median
36900070_1
CDM 		Hc Organ Acq Local- Heart 2 $205,691.34 $218,104.99 $211,898.16 nat. median
$211,898
1.0× median
36900030_1
CDM 		Hc Organ Acq - Heart 2 $205,691.34 $218,104.99 $211,898.16 nat. median
$211,898
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $155,829.57 $209,103.67 $209,061.52 nat. median
$79,312
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $155,339.71 $208,446.34 $208,404.32 nat. median
$81,118
outlier · 2.6×
36900010_1
CDM 		Hc Organ Acq - Liver 2 $191,697.84 $203,266.97 $197,482.40 nat. median
$197,482
1.0× median
36900110_1
CDM 		Hc Live Donor - Liver 2 $191,697.84 $203,266.97 $197,482.40 nat. median
$197,482
1.0× median
36900080_1
CDM 		Hc Organ Acq Import - Liver 2 $191,697.84 $203,266.97 $197,482.40 nat. median
$197,482
1.0× median
36900
HCPCS 		Hc Organ Acq Local - Liver 2 $191,697.84 $203,266.97 $197,482.40 nat. median
$34
outlier · 5724.1×
46900110_1
CDM 		Hc Live Donor - Liver 2 $191,697.84 $203,266.97 $197,482.40 nat. median
$197,482
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $145,457.44 $195,185.58 $195,146.24 nat. median
$77,570
outlier · 2.5×
J9274
HCPCS 		Injection, Tebentafusp-tebn, 1 Microgram 2 $109,439.29 $273,251.67 $191,345.48 nat. median
$418
outlier · 457.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $141,935.99 $190,460.23 $190,421.84 nat. median
$74,915
outlier · 2.5×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $141,534.85 $189,921.96 $189,883.68 nat. median
$63,570
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $141,324.12 $189,639.19 $189,600.96 nat. median
$73,807
outlier · 2.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $140,856.44 $189,011.62 $188,973.52 nat. median
$72,135
outlier · 2.6×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $131,046.27 $175,847.61 $175,812.16 nat. median
$54,196
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $127,766.97 $171,447.20 $171,412.64 nat. median
$66,526
outlier · 2.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $127,140.32 $170,606.31 $170,571.92 nat. median
$65,950
outlier · 2.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $124,426.67 $166,964.94 $166,931.28 nat. median
$64,732
outlier · 2.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $122,600.32 $164,514.20 $164,481.04 nat. median
$65,393
outlier · 2.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $121,546.66 $163,100.32 $163,067.44 nat. median
$64,508
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 14,171 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
             
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 1 $3,237,000.00 $2,104,050.00 35% off $3,884,400.00 $3,884,400.00 $3,884,400.00 2026-01-05
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 1 $3,090,000.00 $2,008,500.00 35% off $3,708,000.00 $3,708,000.00 $3,708,000.00 2026-01-05
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 2 $3,606,000.00 $2,343,900.00 35% off $549,335.12 $4,327,200.00 $3,399,600.00 2026-01-05
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 1 1 — $3,412,500.00 $2,899,050.00 $2,899,050.00 $2,899,050.00 2026-01-05
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 2 $3,023,000.00 $1,964,950.00 35% off $502,504.26 $3,627,600.00 $2,065,052.13 2026-01-05
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 2 $2,865,000.00 $1,862,250.00 35% off $486,944.34 $3,438,000.00 $1,962,472.17 2026-01-05
C9098 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 2 $3,237,000.00 $2,104,050.00 35% off $1,845,090.00 $1,956,442.80 $1,900,766.40 2026-01-05
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 3 $2,865,000.00 $1,862,250.00 35% off $476,406.40 $3,438,000.00 $1,582,053.00 2026-01-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $2,103,768.38 $1,367,449.45 35% off $798,248.74 $1,070,933.44 $934,591.09 2026-01-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 $1,164,524.97 $756,941.23 35% off $518,031.32 $694,992.72 $606,512.02 2026-01-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 $706,844.24 $459,448.75 35% off $392,355.04 $526,491.09 $526,384.96 2026-01-05
36900105_1 CDM Hc Organ Acq Import- Bilateral Lung 2 2 $645,817.00 $419,781.05 35% off $368,115.69 $390,331.79 $379,223.74 2026-01-05
36900045_1 CDM Hc Organ Acq - Bilateral Lung 2 2 $645,817.00 $419,781.05 35% off $368,115.69 $390,331.79 $379,223.74 2026-01-05
36900075_1 CDM Hc Organ Acq Local- Bilateral Lung 2 2 $645,817.00 $419,781.05 35% off $368,115.69 $390,331.79 $379,223.74 2026-01-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 $460,074.85 $299,048.66 35% off $256,047.84 $343,583.98 $343,514.72 2026-01-05
J0225 HCPCS Injection, Vutrisiran, 1 Mg 2 2 $356,451.52 $231,693.49 35% off $196,832.53 $427,741.82 $312,287.17 2026-01-05
36900125_1 CDM Hc Organ Acq Import - Single Lung 2 2 $516,654.00 $335,825.10 35% off $294,492.78 $312,265.68 $303,379.23 2026-01-05
36900120_1 CDM Hc Organ Acq Local - Single Lung 2 2 $516,654.00 $335,825.10 35% off $294,492.78 $312,265.68 $303,379.23 2026-01-05
36900040_1 CDM Hc Organ Acq - Single Lung 2 2 $516,654.00 $335,825.10 35% off $294,492.78 $312,265.68 $303,379.23 2026-01-05
7 MS_DRG Lung Transplant 2 2 $1,052,662.55 $684,230.66 35% off $239,388.85 $321,164.96 $280,276.91 2026-01-05
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 $486,498.61 $316,224.09 35% off $222,154.97 $298,043.92 $260,099.45 2026-01-05
215 MS_DRG Other Heart Assist System Implant 3 3 $362,836.90 $235,843.98 35% off $184,058.53 $246,983.39 $246,933.60 2026-01-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 $653,680.65 $424,892.42 35% off $209,472.18 $281,028.64 $245,250.41 2026-01-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $362,508.93 $235,630.80 35% off $180,838.38 $242,662.35 $242,613.44 2026-01-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 $832,678.87 $541,241.27 35% off $190,593.10 $255,700.40 $223,146.75 2026-01-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 $280,663.21 $182,431.08 35% off $163,805.99 $219,807.03 $219,762.72 2026-01-05
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 5 3 $218,802.40 $142,221.56 35% off $120,781.05 $262,562.88 $218,802.40 2026-01-05
36900030_1 CDM Hc Organ Acq - Heart 2 2 $360,862.00 $234,560.30 35% off $205,691.34 $218,104.99 $211,898.16 2026-01-05
46900030_1 CDM Hc Organ Acq - Heart 2 2 $360,862.00 $234,560.30 35% off $205,691.34 $218,104.99 $211,898.16 2026-01-05
36900100_1 CDM Hc Organ Acq Import- Heart 2 2 $360,862.00 $234,560.30 35% off $205,691.34 $218,104.99 $211,898.16 2026-01-05
36900070_1 CDM Hc Organ Acq Local- Heart 2 2 $360,862.00 $234,560.30 35% off $205,691.34 $218,104.99 $211,898.16 2026-01-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 $290,641.39 $188,916.90 35% off $155,829.57 $209,103.67 $209,061.52 2026-01-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $264,068.01 $171,644.21 35% off $155,339.71 $208,446.34 $208,404.32 2026-01-05
46900110_1 CDM Hc Live Donor - Liver 2 2 $336,312.00 $218,602.80 35% off $191,697.84 $203,266.97 $197,482.40 2026-01-05
36900010_1 CDM Hc Organ Acq - Liver 2 2 $336,312.00 $218,602.80 35% off $191,697.84 $203,266.97 $197,482.40 2026-01-05
36900080_1 CDM Hc Organ Acq Import - Liver 2 2 $336,312.00 $218,602.80 35% off $191,697.84 $203,266.97 $197,482.40 2026-01-05
36900 HCPCS Hc Organ Acq Local - Liver 2 2 $336,312.00 $218,602.80 35% off $191,697.84 $203,266.97 $197,482.40 2026-01-05
36900110_1 CDM Hc Live Donor - Liver 2 2 $336,312.00 $218,602.80 35% off $191,697.84 $203,266.97 $197,482.40 2026-01-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 $334,032.65 $217,121.22 35% off $145,457.44 $195,185.58 $195,146.24 2026-01-05
J9274 HCPCS Injection, Tebentafusp-tebn, 1 Microgram 2 2 $91,199.41 $59,279.62 35% off $109,439.29 $273,251.67 $191,345.48 2026-01-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $226,330.42 $147,114.77 35% off $141,935.99 $190,460.23 $190,421.84 2026-01-05
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 $208,775.14 $135,703.84 35% off $141,534.85 $189,921.96 $189,883.68 2026-01-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $207,106.86 $134,619.46 35% off $141,324.12 $189,639.19 $189,600.96 2026-01-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 $244,350.13 $158,827.58 35% off $140,856.44 $189,011.62 $188,973.52 2026-01-05
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 $207,553.34 $134,909.67 35% off $131,046.27 $175,847.61 $175,812.16 2026-01-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 3 $303,396.92 $197,208.00 35% off $127,766.97 $171,447.20 $171,412.64 2026-01-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 $264,494.68 $171,921.54 35% off $127,140.32 $170,606.31 $170,571.92 2026-01-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 $210,857.87 $137,057.62 35% off $124,426.67 $166,964.94 $166,931.28 2026-01-05
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 $201,176.08 $130,764.45 35% off $122,600.32 $164,514.20 $164,481.04 2026-01-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $302,032.82 $196,321.33 35% off $121,546.66 $163,100.32 $163,067.44 2026-01-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 $250,061.18 $162,539.76 35% off $118,947.62 $159,612.73 $159,580.56 2026-01-05
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 3 $282,419.24 $183,572.50 35% off $118,322.81 $158,774.32 $158,742.32 2026-01-05
J9229 HCPCS Injection, Inotuzumab Ozogamicin, 0.1 Mg 2 2 $75,730.72 $49,224.97 35% off $87,090.33 $226,904.38 $156,997.35 2026-01-05
47240011_1 CDM Hc Secondary Pbsc Collection Other 2 2 $262,372.50 $170,542.13 35% off $149,552.33 $158,577.94 $154,065.14 2026-01-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 $235,131.20 $152,835.28 35% off $113,285.56 $152,014.96 $151,984.32 2026-01-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 $412,082.47 $267,853.61 35% off $113,154.31 $151,838.85 $151,808.24 2026-01-05
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 3 $169,453.58 $110,144.82 35% off $113,061.89 $151,714.82 $151,684.24 2026-01-05
47240005_1 CDM Hc Marrow Procurement Other 2 2 $256,185.00 $166,520.25 35% off $146,025.45 $154,838.21 $150,431.83 2026-01-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 $193,394.32 $125,706.31 35% off $112,069.22 $150,382.79 $150,352.48 2026-01-05
28 MS_DRG Spinal Procedures With Mcc 3 3 $192,129.69 $124,884.30 35% off $111,065.47 $149,035.88 $149,005.84 2026-01-05
36900065_1 CDM Hc Organ Acq Local- Small Bowel 2 2 $252,682.00 $164,243.30 35% off $144,028.74 $152,721.00 $148,374.87 2026-01-05
36900025_1 CDM Hc Organ Acq - Small Bowel 2 2 $252,682.00 $164,243.30 35% off $144,028.74 $152,721.00 $148,374.87 2026-01-05
36900095_1 CDM Hc Organ Acq Import- Small Bowel 2 2 $252,682.00 $164,243.30 35% off $144,028.74 $152,721.00 $148,374.87 2026-01-05
46900025_1 CDM Hc Organ Acq - Small Bowel 2 2 $252,682.00 $164,243.30 35% off $144,028.74 $152,721.00 $148,374.87 2026-01-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $161,338.82 $104,870.23 35% off $110,229.93 $147,914.70 $147,884.88 2026-01-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 $154,482.62 $100,413.70 35% off $108,483.07 $145,570.62 $145,541.28 2026-01-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 $352,298.48 $228,994.01 35% off $108,412.82 $145,476.36 $145,447.04 2026-01-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $178,926.50 $116,302.23 35% off $105,926.54 $142,140.09 $142,111.44 2026-01-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $172,400.45 $112,060.30 35% off $105,357.20 $141,376.10 $141,347.60 2026-01-05
C9293 HCPCS Injection, Glucarpidase, 10 Units 2 2 $237,992.22 $154,694.94 35% off $135,655.57 $143,842.50 $139,749.04 2026-01-05
47240010_1 CDM Hc Pbsc Primary Collection Other 2 2 $232,915.90 $151,395.34 35% off $132,762.06 $140,774.37 $136,768.21 2026-01-05
834 MS_DRG Acute Leukemia With Mcc 3 3 $251,247.87 $163,311.11 35% off $101,482.67 $136,176.97 $136,149.52 2026-01-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 $182,632.82 $118,711.33 35% off $101,124.05 $135,695.75 $135,668.40 2026-01-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 $182,821.81 $118,834.18 35% off $100,979.87 $135,502.27 $135,474.96 2026-01-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 $213,591.90 $138,834.73 35% off $100,820.89 $135,288.95 $135,261.68 2026-01-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 $197,943.46 $128,663.25 35% off $99,092.51 $132,969.68 $132,942.88 2026-01-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $162,489.16 $105,617.95 35% off $98,578.62 $132,280.10 $132,253.44 2026-01-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 $193,629.85 $125,859.40 35% off $97,857.69 $131,312.71 $131,286.24 2026-01-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 $184,214.78 $119,739.60 35% off $97,534.20 $130,878.62 $130,852.24 2026-01-05
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 3 $179,818.37 $116,881.94 35% off $96,469.44 $129,449.85 $129,423.76 2026-01-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 $179,609.78 $116,746.35 35% off $96,223.59 $129,119.95 $129,093.92 2026-01-05
653 MS_DRG Major Bladder Procedures With Mcc 3 3 $138,346.52 $89,925.24 35% off $96,057.22 $128,896.70 $128,870.72 2026-01-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 $269,383.21 $175,099.08 35% off $109,880.66 $147,398.80 $128,639.73 2026-01-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 $226,835.04 $147,442.78 35% off $109,612.52 $147,056.56 $128,334.54 2026-01-05
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 $165,157.91 $107,352.64 35% off $93,493.30 $125,456.25 $125,430.96 2026-01-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $221,219.37 $143,792.59 35% off $93,169.81 $125,022.16 $124,996.96 2026-01-05
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 $259,045.87 $168,379.82 35% off $92,809.35 $124,538.46 $124,513.36 2026-01-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 $247,298.54 $160,744.05 35% off $92,193.78 $123,712.46 $123,687.52 2026-01-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 $206,724.13 $134,370.69 35% off $91,454.37 $122,720.26 $122,695.52 2026-01-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 $206,185.45 $134,020.54 35% off $91,291.70 $122,501.97 $122,477.28 2026-01-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 $231,401.34 $150,410.87 35% off $90,979.30 $122,082.77 $122,058.16 2026-01-05
36900020_1 CDM Hc Organ Acq - Pancreas 2 2 $206,925.00 $134,501.25 35% off $117,947.25 $125,065.47 $121,506.36 2026-01-05
36900090_1 CDM Hc Organ Acq Import - Pancreas 2 2 $206,925.00 $134,501.25 35% off $117,947.25 $125,065.47 $121,506.36 2026-01-05
46900020_1 CDM Hc Organ Acq - Pancreas 2 2 $206,925.00 $134,501.25 35% off $117,947.25 $125,065.47 $121,506.36 2026-01-05
36900060_1 CDM Hc Organ Acq Local - Pancreas 2 2 $206,925.00 $134,501.25 35% off $117,947.25 $125,065.47 $121,506.36 2026-01-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 $657,276.50 $427,229.73 35% off $103,602.94 $138,994.08 $121,298.51 2026-01-05
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 $160,865.08 $104,562.30 35% off $89,260.16 $119,775.90 $119,751.76 2026-01-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 $155,359.02 $100,983.36 35% off $88,809.12 $119,170.66 $119,146.64 2026-01-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 $235,689.64 $153,198.27 35% off $88,005.01 $118,091.64 $118,067.84 2026-01-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $190,341.59 $123,722.04 35% off $86,729.52 $116,380.10 $116,356.64 2026-01-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 $162,155.06 $105,400.79 35% off $86,470.72 $116,032.83 $116,009.44 2026-01-05
47230010_1 CDM Hc Pbsc Primary Collection 2 2 $197,440.00 $128,336.00 35% off $112,540.80 $119,332.74 $115,936.77 2026-01-05
46900115_1 CDM Hc Live Donor - Kidney 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900015_1 CDM Hc Organ Acq - Kidney Scd 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900116_1 CDM Hc Live Donor – Apkd Kidney 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900115_1 CDM Hc Live Donor - Kidney 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900055_1 CDM Hc Organ Acq Local- Kidney 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900085_1 CDM Hc Organ Acq Import- Kidney 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900035_1 CDM Hc Organ Acq-kidney 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900016_1 CDM Hc Organ Acq - Kidney Dcd 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
36900017_1 CDM Hc Organ Acq - Kidney Ecd 2 2 $196,011.00 $127,407.15 35% off $111,726.27 $118,469.05 $115,097.66 2026-01-05
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 3 3 $123,117.54 $80,026.40 35% off $85,136.08 $114,241.91 $114,218.88 2026-01-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 $163,802.18 $106,471.42 35% off $84,967.87 $114,016.18 $113,993.20 2026-01-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 $123,053.87 $79,985.02 35% off $84,751.59 $113,725.96 $113,703.04 2026-01-05
245 MS_DRG Aicd Generator Procedures 3 3 $251,647.76 $163,571.04 35% off $84,337.52 $113,170.33 $113,147.52 2026-01-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 $149,859.75 $97,408.84 35% off $84,084.27 $112,830.50 $112,807.76 2026-01-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 $144,232.02 $93,750.81 35% off $84,047.30 $112,780.89 $112,758.16 2026-01-05
799 MS_DRG Splenic Procedures With Mcc 3 3 $409,254.47 $266,015.40 35% off $83,718.26 $112,339.36 $112,316.72 2026-01-05
163 MS_DRG Major Chest Procedures With Mcc 3 3 $175,309.23 $113,951.00 35% off $82,847.60 $111,171.05 $111,148.64 2026-01-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 $142,475.93 $92,609.35 35% off $82,823.57 $111,138.80 $111,116.40 2026-01-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 $141,239.13 $91,805.44 35% off $81,202.40 $108,963.40 $108,941.44 2026-01-05
J9359 HCPCS Injection, Loncastuximab Tesirine-lpyl, 0.075 Mg 2 2 $51,737.14 $33,629.14 35% off $62,084.57 $155,014.82 $108,549.70 2026-01-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 $135,723.80 $88,220.47 35% off $79,355.72 $106,485.38 $106,463.92 2026-01-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 $161,439.24 $104,935.51 35% off $78,067.29 $104,756.48 $104,735.36 2026-01-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 $156,918.67 $101,997.14 35% off $77,934.19 $104,577.88 $104,556.80 2026-01-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 $148,027.06 $96,217.59 35% off $77,895.37 $104,525.79 $104,504.72 2026-01-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 $130,517.15 $84,836.15 35% off $77,668.00 $104,220.69 $104,199.68 2026-01-05
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 $199,387.36 $129,601.79 35% off $77,575.58 $104,096.66 $104,075.68 2026-01-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 $111,401.64 $72,411.06 35% off $77,431.39 $103,903.18 $103,882.24 2026-01-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 $111,842.26 $72,697.47 35% off $76,769.62 $103,015.17 $102,994.40 2026-01-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 $149,314.92 $97,054.70 35% off $76,261.27 $102,333.03 $102,312.40 2026-01-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 $433,193.25 $281,575.61 35% off $86,906.98 $116,594.72 $101,750.85 2026-01-05
J7352 HCPCS Afamelanotide Implant, 1 Mg 2 2 $115,294.58 $74,941.48 35% off $63,665.67 $138,353.50 $101,009.58 2026-01-05
6 MS_DRG Liver Transplant Without Mcc 2 2 $481,047.32 $312,680.76 35% off $85,716.52 $114,997.60 $100,357.06 2026-01-05
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 $97,188.38 $63,172.44 35% off $78,845.52 $97,188.38 $97,188.38 2026-01-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 $99,504.44 $64,677.89 35% off $72,312.80 $97,034.68 $97,015.12 2026-01-05
J2777 HCPCS Injection, Faricimab-svoa, 0.1 Mg 2 2 $109,700.00 $71,305.00 35% off $60,576.34 $131,640.00 $96,108.17 2026-01-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 $107,025.61 $69,566.65 35% off $71,375.59 $95,777.07 $95,757.76 2026-01-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 $225,187.49 $146,371.87 35% off $70,970.77 $95,233.84 $95,214.64 2026-01-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 $166,075.45 $107,949.05 35% off $69,560.33 $93,341.22 $93,322.40 2026-01-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 $146,967.92 $95,529.15 35% off $69,257.17 $92,934.41 $92,915.68 2026-01-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 $150,884.75 $98,075.09 35% off $69,092.66 $92,713.65 $92,694.96 2026-01-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 $141,000.68 $91,650.44 35% off $69,085.26 $92,703.73 $92,685.04 2026-01-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 $158,022.09 $102,714.36 35% off $68,891.17 $92,443.27 $92,424.64 2026-01-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 $164,017.93 $106,611.65 35% off $67,898.50 $91,111.25 $91,092.88 2026-01-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 $99,837.37 $64,894.29 35% off $67,870.77 $91,074.04 $91,055.68 2026-01-05
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 $98,495.80 $64,022.27 35% off $67,617.53 $90,734.21 $90,715.92 2026-01-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 $115,237.90 $74,904.64 35% off $67,074.06 $90,004.94 $89,986.80 2026-01-05
332 MS_DRG Rectal Resection With Mcc 3 3 $160,271.35 $104,176.37 35% off $66,929.87 $89,811.46 $89,793.36 2026-01-05
265 MS_DRG Aicd Lead Procedures 3 3 $122,788.90 $79,812.78 35% off $66,883.66 $89,749.45 $89,731.36 2026-01-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 $179,672.49 $116,787.12 35% off $66,765.35 $89,590.70 $89,572.64 2026-01-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 $152,809.53 $99,326.20 35% off $66,075.85 $88,665.47 $88,647.60 2026-01-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 $123,952.00 $80,568.80 35% off $66,009.30 $88,576.17 $88,558.32 2026-01-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 $149,475.46 $97,159.05 35% off $65,855.87 $88,370.29 $88,352.48 2026-01-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 $112,124.73 $72,881.08 35% off $65,739.41 $88,214.02 $88,196.24 2026-01-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 3 $105,776.06 $68,754.44 35% off $65,190.40 $87,477.31 $87,459.68 2026-01-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 $116,555.21 $75,760.89 35% off $65,057.31 $87,298.72 $87,281.12 2026-01-05
252 MS_DRG Other Vascular Procedures With Mcc 3 3 $103,186.71 $67,071.36 35% off $64,482.41 $86,527.28 $86,509.84 2026-01-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $148,722.61 $96,669.69 35% off $64,465.77 $86,504.96 $86,487.52 2026-01-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 $222,965.86 $144,927.81 35% off $64,170.01 $86,108.08 $86,090.72 2026-01-05
791 MS_DRG Prematurity With Major Problems 2 2 $96,841.05 $62,946.68 35% off $75,046.94 $96,841.05 $85,943.99 2026-01-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 $182,697.79 $118,753.56 35% off $63,859.46 $85,691.35 $85,674.08 2026-01-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $147,559.61 $95,913.75 35% off $63,375.14 $85,041.46 $85,024.32 2026-01-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 $109,135.66 $70,938.18 35% off $63,064.59 $84,624.74 $84,607.68 2026-01-05
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 $228,734.75 $148,677.59 35% off $62,981.40 $84,513.12 $84,496.08 2026-01-05
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 $101,398.37 $65,908.94 35% off $61,752.13 $82,863.58 $82,846.88 2026-01-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $82,507.20 $53,629.68 35% off $77,131.93 $82,507.20 $82,507.20 2026-01-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 $82,056.51 $53,336.73 35% off $71,551.21 $82,056.51 $82,056.51 2026-01-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 $126,888.27 $82,477.38 35% off $60,848.19 $81,650.62 $81,634.16 2026-01-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 $142,632.02 $92,710.81 35% off $60,129.11 $80,685.70 $80,669.44 2026-01-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 $109,180.39 $70,967.25 35% off $59,864.77 $80,330.99 $80,314.80 2026-01-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 3 $169,994.19 $110,496.23 35% off $59,798.23 $80,241.69 $80,225.52 2026-01-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 $366,904.00 $238,487.60 35% off $68,502.97 $91,903.84 $80,203.40 2026-01-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 $147,917.56 $96,146.41 35% off $59,019.99 $79,197.40 $79,181.44 2026-01-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 $149,395.22 $97,106.90 35% off $58,910.93 $79,051.05 $79,035.12 2026-01-05
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 $97,611.31 $63,447.35 35% off $58,413.67 $78,383.80 $78,368.00 2026-01-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 3 $125,691.22 $81,699.29 35% off $58,219.58 $78,123.35 $78,107.60 2026-01-05
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 $79,110.09 $51,421.56 35% off $58,082.79 $77,939.79 $77,924.08 2026-01-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $123,488.78 $80,267.71 35% off $57,576.29 $77,260.13 $77,244.56 2026-01-05
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 $111,603.64 $72,542.37 35% off $57,474.62 $77,123.71 $77,108.16 2026-01-05
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 2 2 $36,673.75 $23,837.94 35% off $44,008.50 $109,881.89 $76,945.20 2026-01-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 $127,466.57 $82,853.27 35% off $56,844.27 $76,277.86 $76,262.48 2026-01-05
263 MS_DRG Vein Ligation And Stripping 3 3 $202,151.98 $131,398.78 35% off $56,517.08 $75,838.81 $75,823.52 2026-01-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 $141,065.14 $91,692.34 35% off $56,069.73 $75,238.53 $75,223.36 2026-01-05
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 $75,098.79 $48,814.21 35% off $58,502.40 $75,098.79 $75,098.79 2026-01-05
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 3 $75,477.69 $49,060.50 35% off $55,637.18 $74,658.09 $74,643.04 2026-01-05
37536500_1 CDM Hc Cath Mitraclip Sys Kit 2 2 $135,000.00 $87,750.00 35% off $67,500.00 $81,594.00 $74,547.00 2026-01-05
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 3 $111,161.92 $72,255.25 35% off $55,370.99 $74,300.90 $74,285.92 2026-01-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 $73,364.97 $47,687.23 35% off $65,911.33 $73,364.97 $73,364.97 2026-01-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 $73,357.62 $47,682.45 35% off $58,853.63 $73,357.62 $73,357.62 2026-01-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 $73,118.41 $47,526.96 35% off $59,654.04 $73,118.41 $73,118.41 2026-01-05
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 $83,676.20 $54,389.53 35% off $54,422.69 $73,028.40 $73,013.68 2026-01-05
570 MS_DRG Skin Debridement With Mcc 3 3 $89,956.56 $58,471.76 35% off $54,367.23 $72,953.99 $72,939.28 2026-01-05
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 $72,423.65 $47,075.37 35% off $54,459.66 $72,423.65 $72,423.65 2026-01-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 3 $141,786.96 $92,161.52 35% off $53,834.86 $72,239.60 $72,225.04 2026-01-05
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 $129,870.37 $84,415.74 35% off $53,644.46 $71,984.11 $71,969.60 2026-01-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 $91,300.33 $59,345.21 35% off $53,611.18 $71,939.46 $71,924.96 2026-01-05
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 $115,675.27 $75,188.92 35% off $53,374.57 $71,621.96 $71,607.52 2026-01-05
974 MS_DRG HIV With Major Related Condition With Mcc 3 3 $122,023.80 $79,315.47 35% off $53,348.69 $71,587.23 $71,572.80 2026-01-05
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 3 $97,577.43 $63,425.33 35% off $53,271.05 $71,483.05 $71,468.64 2026-01-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $84,991.23 $55,244.30 35% off $53,056.62 $71,195.31 $71,180.96 2026-01-05
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 3 3 $117,000.00 $76,050.00 35% off $63,180.00 $117,000.00 $70,714.80 2026-01-05
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 $125,211.33 $81,387.36 35% off $52,692.46 $70,706.65 $70,692.40 2026-01-05
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 $70,381.24 $45,747.80 35% off $55,827.58 $70,381.24 $70,381.24 2026-01-05
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 6 3 $112,851.50 $73,353.48 35% off $55,647.00 $122,653.00 $70,182.04 2026-01-05
652 MS_DRG Kidney Transplant 2 2 $334,338.21 $217,319.84 35% off $59,698.41 $80,091.60 $69,895.01 2026-01-05
800 MS_DRG Splenic Procedures With Cc 3 3 $88,573.50 $57,572.78 35% off $51,932.71 $69,687.17 $69,673.12 2026-01-05
654 MS_DRG Major Bladder Procedures With Cc 3 3 $79,347.72 $51,576.02 35% off $51,746.01 $69,436.64 $69,422.64 2026-01-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 $69,310.26 $45,051.67 35% off $65,184.85 $69,310.26 $69,310.26 2026-01-05
J9039 HCPCS Injection, Blinatumomab, 1 Microgram 2 2 $32,910.02 $21,391.51 35% off $39,492.02 $98,605.00 $69,048.51 2026-01-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 $68,783.42 $44,709.22 35% off $68,783.42 $68,783.42 $68,783.42 2026-01-05
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 $79,847.04 $51,900.58 35% off $51,239.51 $68,756.98 $68,743.12 2026-01-05
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 $98,632.52 $64,111.14 35% off $50,965.93 $68,389.87 $68,376.08 2026-01-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 3 3 $94,673.94 $61,538.06 35% off $50,810.65 $68,181.50 $68,167.76 2026-01-05
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 3 3 $90,882.00 $59,073.30 35% off $50,797.71 $68,164.14 $68,150.40 2026-01-05
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 $80,047.28 $52,030.73 35% off $50,025.03 $67,127.29 $67,113.76 2026-01-05
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 3 3 $90,892.31 $59,080.00 35% off $49,862.36 $66,909.01 $66,895.52 2026-01-05
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 $135,016.24 $87,760.56 35% off $49,171.00 $65,981.30 $65,968.00 2026-01-05
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 3 $103,446.25 $67,240.06 35% off $48,999.09 $65,750.61 $65,737.36 2026-01-05
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 $65,226.70 $42,397.35 35% off $50,535.22 $65,226.70 $65,226.70 2026-01-05
253 MS_DRG Other Vascular Procedures With Cc 3 3 $82,791.25 $53,814.31 35% off $47,980.55 $64,383.86 $64,370.88 2026-01-05
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 3 $106,016.01 $68,910.40 35% off $47,923.24 $64,306.96 $64,294.00 2026-01-05
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 $152,874.25 $99,368.26 35% off $47,743.94 $64,066.35 $64,053.44 2026-01-05
37 MS_DRG Extracranial Procedures With Mcc 3 3 $64,006.57 $41,604.27 35% off $60,855.59 $64,006.57 $64,006.57 2026-01-05
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 3 $156,494.88 $101,721.67 35% off $47,677.39 $63,977.06 $63,964.16 2026-01-05
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 $124,823.22 $81,135.09 35% off $47,677.39 $63,977.06 $63,964.16 2026-01-05
57120445_1 CDM Hc Melody Valve 3 3 $105,452.40 $68,544.06 35% off $56,944.30 $105,452.40 $63,735.43 2026-01-05
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 3 $138,481.80 $90,013.17 35% off $47,462.96 $63,689.32 $63,676.48 2026-01-05
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 3 $92,330.10 $60,014.56 35% off $47,193.07 $63,327.17 $63,314.40 2026-01-05
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 $99,427.86 $64,628.11 35% off $46,969.40 $63,027.02 $63,014.32 2026-01-05
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 $67,090.81 $43,609.03 35% off $46,880.67 $62,907.96 $62,895.28 2026-01-05
164 MS_DRG Major Chest Procedures With Cc 3 3 $98,077.01 $63,750.06 35% off $46,657.00 $62,607.82 $62,595.20 2026-01-05
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 3 $100,767.35 $65,498.78 35% off $46,636.66 $62,580.53 $62,567.92 2026-01-05
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 $62,446.35 $40,590.13 35% off $55,834.97 $62,446.35 $62,446.35 2026-01-05
57120590_1 CDM Hc Aortoiliac Artery 3 3 $102,795.60 $66,817.14 35% off $55,509.62 $102,795.60 $62,129.66 2026-01-05
37581215_1 CDM Hc Catheter Impella 2.5 2 2 $112,500.00 $73,125.00 35% off $56,250.00 $67,995.00 $62,122.50 2026-01-05
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 $82,636.47 $53,713.70 35% off $46,063.62 $61,811.58 $61,799.12 2026-01-05
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 $146,709.07 $95,360.89 35% off $45,875.07 $61,558.57 $61,546.16 2026-01-05
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 3 3 $64,014.19 $41,609.22 35% off $45,459.15 $61,000.46 $60,988.16 2026-01-05
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 $109,130.67 $70,934.94 35% off $45,446.21 $60,983.09 $60,970.80 2026-01-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 $94,852.33 $61,654.01 35% off $45,181.87 $60,628.38 $60,616.16 2026-01-05
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 3 $103,804.41 $67,472.87 35% off $44,462.79 $59,663.47 $59,651.44 2026-01-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 $82,357.86 $53,532.61 35% off $44,313.06 $59,462.55 $59,450.56 2026-01-05
47240017_1 CDM Hc Unstimulated Leukapheresis Other 2 2 $101,177.50 $65,765.38 35% off $57,671.18 $61,151.68 $59,411.43 2026-01-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 3 3 $69,411.35 $45,117.38 35% off $44,189.21 $59,296.35 $59,284.40 2026-01-05
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 $74,181.36 $48,217.88 35% off $44,113.42 $59,194.65 $59,182.72 2026-01-05
33600000_1 CDM Hc Biocontainment Unit Activation Fee 2 2 $100,000.00 $65,000.00 35% off $57,000.00 $60,440.00 $58,720.00 2026-01-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 $58,482.68 $38,013.74 35% off $58,482.68 $73,647.44 $58,482.68 2026-01-05
113 MS_DRG Orbital Procedures With Cc/mcc 3 3 $70,450.57 $45,792.87 35% off $43,460.88 $58,319.04 $58,307.28 2026-01-05
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 3 $94,478.36 $61,410.93 35% off $43,229.82 $58,008.97 $57,997.28 2026-01-05
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 3 3 $83,663.71 $54,381.41 35% off $43,198.39 $57,966.80 $57,955.12 2026-01-05
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 3 $70,802.02 $46,021.31 35% off $42,943.29 $57,624.50 $57,612.88 2026-01-05
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 $100,298.61 $65,194.09 35% off $42,723.32 $57,329.32 $57,317.76 2026-01-05
J1640 HCPCS Injection, Hemin, 1 Mg 2 2 $65,174.83 $42,363.64 35% off $35,989.54 $78,209.80 $57,099.67 2026-01-05
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 $56,782.28 $36,908.48 35% off $45,128.26 $56,782.28 $56,782.28 2026-01-05
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 3 $64,788.09 $42,112.26 35% off $42,250.09 $56,694.31 $56,682.88 2026-01-05
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 3 3 $68,764.91 $44,697.19 35% off $42,067.09 $56,448.74 $56,437.36 2026-01-05
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 3 3 $64,212.19 $41,737.92 35% off $41,996.84 $56,354.48 $56,343.12 2026-01-05
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 3 $85,159.91 $55,353.94 35% off $41,880.39 $56,198.21 $56,186.88 2026-01-05
A9530 HCPCS Iodine I-131 Sodium Iodide Solution, Therapeutic, Per Millicurie 3 3 $98,343.48 $63,923.26 35% off $21.62 $59,438.80 $56,055.78 2026-01-05
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 3 $63,245.46 $41,109.55 35% off $41,381.28 $55,528.47 $55,517.28 2026-01-05
793 MS_DRG Full Term Neonate With Major Problems 2 2 $33,784.36 $21,959.83 35% off $33,784.36 $77,089.56 $55,436.96 2026-01-05
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 $55,209.29 $35,886.04 35% off $42,987.66 $55,209.29 $55,209.29 2026-01-05
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 3 $70,737.74 $45,979.53 35% off $41,030.06 $55,057.18 $55,046.08 2026-01-05
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 3 $77,316.89 $50,255.98 35% off $40,904.36 $54,888.50 $54,877.44 2026-01-05
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 $121,136.29 $78,738.59 35% off $40,813.78 $54,766.96 $54,755.92 2026-01-05
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 3 $68,159.05 $44,303.39 35% off $40,643.72 $54,538.75 $54,527.76 2026-01-05
30 MS_DRG Spinal Procedures Without Cc/mcc 3 3 $74,511.46 $48,432.45 35% off $40,579.02 $54,451.94 $54,440.96 2026-01-05
57120592_1 CDM Hc Thoracic Artery 3 3 $90,039.60 $58,525.74 35% off $48,621.38 $90,039.60 $54,419.93 2026-01-05
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 3 $79,024.80 $51,366.12 35% off $40,516.17 $54,367.60 $54,356.64 2026-01-05
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 3 $106,749.26 $69,387.02 35% off $40,444.08 $54,270.86 $54,259.92 2026-01-05
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 3 $105,673.40 $68,687.71 35% off $40,344.25 $54,136.91 $54,126.00 2026-01-05
141 MS_DRG Major Head And Neck Procedures With Cc 3 3 $60,596.69 $39,387.85 35% off $40,318.38 $54,102.19 $54,091.28 2026-01-05
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 3 $62,396.36 $40,557.63 35% off $40,275.86 $54,045.13 $54,034.24 2026-01-05
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 3 $53,984.61 $35,090.00 35% off $53,984.61 $55,766.57 $53,984.61 2026-01-05
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 $53,666.72 $34,883.37 35% off $40,248.13 $53,666.72 $53,666.72 2026-01-05
665 MS_DRG Prostatectomy With Mcc 3 3 $53,167.15 $34,558.64 35% off $53,167.15 $57,696.44 $53,167.15 2026-01-05
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 3 3 $62,182.27 $40,418.48 35% off $39,586.36 $53,119.91 $53,109.20 2026-01-05
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 $138,999.27 $90,349.52 35% off $39,571.57 $53,100.06 $53,089.36 2026-01-05
374 MS_DRG Digestive Malignancy With Mcc 3 3 $75,028.67 $48,768.63 35% off $39,534.60 $53,050.45 $53,039.76 2026-01-05
32 MS_DRG Ventricular Shunt Procedures With Cc 3 3 $73,894.42 $48,031.37 35% off $39,392.26 $52,859.46 $52,848.80 2026-01-05
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 $87,289.41 $56,738.12 35% off $39,390.41 $52,856.97 $52,846.32 2026-01-05
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 3 3 $80,813.48 $52,528.76 35% off $39,373.77 $52,834.65 $52,824.00 2026-01-05
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 3 $96,819.58 $62,932.73 35% off $39,312.77 $52,752.79 $52,742.16 2026-01-05
595 MS_DRG Major Skin Disorders With Mcc 3 3 $87,645.62 $56,969.65 35% off $39,201.86 $52,603.96 $52,593.36 2026-01-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 $68,354.29 $44,430.29 35% off $39,146.40 $52,529.55 $52,518.96 2026-01-05
655 MS_DRG Major Bladder Procedures Without Cc/mcc 3 3 $65,354.19 $42,480.22 35% off $39,126.07 $52,502.26 $52,491.68 2026-01-05
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 3 $79,032.47 $51,371.10 35% off $39,100.19 $52,467.54 $52,456.96 2026-01-05
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 3 $74,437.79 $48,384.56 35% off $38,980.04 $52,306.30 $52,295.76 2026-01-05
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 3 $63,263.37 $41,121.19 35% off $38,865.43 $52,152.51 $52,142.00 2026-01-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 3 $76,852.73 $49,954.27 35% off $38,717.54 $51,954.07 $51,943.60 2026-01-05
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 3 $81,348.92 $52,876.80 35% off $38,693.51 $51,921.83 $51,911.36 2026-01-05
347 MS_DRG Anal And Stomal Procedures With Mcc 3 3 $51,873.55 $33,717.81 35% off $42,434.95 $51,873.55 $51,873.55 2026-01-05
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 3 $73,901.52 $48,035.99 35% off $38,654.69 $51,869.74 $51,859.28 2026-01-05
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 3 3 $77,380.37 $50,297.24 35% off $38,586.30 $51,777.96 $51,767.52 2026-01-05
835 MS_DRG Acute Leukemia With Cc 3 3 $112,462.45 $73,100.60 35% off $38,556.72 $51,738.27 $51,727.84 2026-01-05
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 $68,374.24 $44,443.26 35% off $38,545.63 $51,723.39 $51,712.96 2026-01-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 $51,575.44 $33,524.03 35% off $51,575.44 $90,600.35 $51,575.44 2026-01-05
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 3 3 $71,136.42 $46,238.67 35% off $38,438.42 $51,579.52 $51,569.12 2026-01-05
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 $61,531.46 $39,995.45 35% off $38,414.39 $51,547.27 $51,536.88 2026-01-05
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