|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|