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Hospital

OVERLOOK MEDICAL CENTER

Summit, NJ · CCN 310051 · Rates published

Your selected procedure

You selected 29916 (CPT)

Arthroscopy Hip W/Labral Repair

This facility filed a payer-negotiated range for this code ($2,070 to $60,564), not a single rate. The comparison board shows the midpoint estimate.

8,994 distinct procedures filed
189 distinct payers
5,639,493 rate rows
2026-04-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ahs.atlantichealth.org/content/dam/atlantichealth-v2/insurance/price-transparency/52-1958352_overlook-medical-center_standardcharges.csv
Found on page https://ahs.atlantichealth.org/patients-visitors/financial-information/insurance/out-network-insurance.html
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 3ae51a2ebb85f634… · 27,170,564 bytes · first seen 2026-05-15

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 89 $8,230.00 $1,384,793.23 $984,265.56 nat. median
$359,244
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 99 $8,500.00 $1,098,832.65 $656,936.26 nat. median
$248,541
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 99 $8,500.00 $728,838.90 $483,785.98 nat. median
$190,359
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 109 $8,500.00 $597,134.24 $324,704.52 nat. median
$126,461
outlier · 2.6×
SUP-204329
CDM 		Sh Kt Implnt Heartmate Iii Lft Vent Sys 188 $91,590.86 $530,961.48 $292,028.81 nat. median
$292,029
1.0× median
161
MS_DRG 		Implantable Heart Assist Systems,extreme 10 $205,948.01 $630,224.40 $289,356.32 nat. median
$74,682
outlier · 3.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 94 $8,500.00 $292,556.79 $254,910.65 nat. median
$97,137
outlier · 2.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 95 $73,837.26 $356,731.38 $240,352.00 nat. median
$90,512
outlier · 2.7×
215
MS_DRG 		Other Heart Assist System Implant 99 $8,500.00 $411,232.39 $235,803.07 nat. median
$93,787
outlier · 2.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $207,796.00 $225,867.00 $216,831.50 nat. median
$70,795
outlier · 3.1×
A9543
HCPCS 		Yttrium 90 Ibritumomab Injection 187 $48,116.60 $373,286.26 $210,701.43 nat. median
$63,504
outlier · 3.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 104 $4,815.19 $296,514.36 $208,459.00 nat. median
$93,226
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 107 $8,500.00 $242,394.28 $205,355.81 nat. median
$77,936
outlier · 2.6×
591
MS_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 9 $182,126.52 $245,009.12 $204,174.52 nat. median
$204,175
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 104 $8,500.00 $232,975.19 $202,996.00 nat. median
$78,164
outlier · 2.6×
588
MS_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,major 10 $201,207.10 $460,741.86 $201,207.10 nat. median
$313,714
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 95 $58,369.22 $340,715.08 $192,487.30 nat. median
$72,247
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 116 $15,692.32 $582,156.26 $192,142.71 nat. median
$76,979
outlier · 2.5×
9
MS_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 10 $179,916.57 $224,130.75 $186,775.86 nat. median
$2,024
outlier · 92.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 109 $8,500.00 $382,842.62 $184,460.41 nat. median
$74,298
outlier · 2.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 104 $14,784.53 $297,517.99 $179,218.78 nat. median
$71,737
outlier · 2.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 99 $8,500.00 $260,985.04 $178,625.70 nat. median
$67,908
outlier · 2.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 91 $53,676.64 $191,836.28 $173,807.57 nat. median
$66,584
outlier · 2.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 119 $3,661.48 $192,559.36 $167,623.87 nat. median
$57,485
outlier · 2.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 110 $56,284.38 $226,085.07 $164,320.08 nat. median
$77,487
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $150,556.00 $385,849.64 $163,649.00 nat. median
$52,917
outlier · 3.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 99 $8,500.00 $277,440.16 $162,026.42 nat. median
$62,577
outlier · 2.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 123 $2,511.41 $278,042.66 $161,311.49 nat. median
$59,324
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 95 $13,795.51 $875,679.46 $161,231.73 nat. median
$63,829
outlier · 2.5×
J1823
HCPCS 		Inj. Inebilizumab-cdon, 1 Mg 185 $494.43 $210,387.00 $159,096.04 nat. median
$818
outlier · 194.6×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 99 $8,500.00 $356,590.63 $157,790.45 nat. median
$61,660
outlier · 2.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 101 $24,345.27 $208,459.00 $156,630.07 nat. median
$60,517
outlier · 2.6×
SUP-232376
CDM 		Sh Matrix Autologous Chondrocyte 188 $35,622.97 $276,361.32 $155,992.14 nat. median
$217,943
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 $12,000.00 $249,262.13 $155,717.18 nat. median
$61,995
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 $12,000.00 $238,189.11 $154,138.18 nat. median
$59,493
outlier · 2.6×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 96 $12,000.00 $193,548.08 $149,326.06 nat. median
$58,052
outlier · 2.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $138,251.00 $150,275.00 $147,269.00 nat. median
$49,522
outlier · 3.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 96 $12,000.00 $329,567.85 $145,133.63 nat. median
$58,220
outlier · 2.5×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 $12,000.00 $199,796.86 $142,982.00 nat. median
$55,110
outlier · 2.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 92 $12,000.00 $174,905.00 $142,249.14 nat. median
$56,633
outlier · 2.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 96 $12,000.00 $245,758.42 $142,119.47 nat. median
$57,798
outlier · 2.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 96 $12,000.00 $209,090.02 $137,571.72 nat. median
$55,425
outlier · 2.5×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 99 $8,500.00 $198,858.16 $137,482.64 nat. median
$53,768
outlier · 2.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 95 $8,500.00 $155,158.06 $135,192.36 nat. median
$51,152
outlier · 2.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 111 $8,500.00 $224,445.70 $130,610.73 nat. median
$53,419
outlier · 2.4×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 109 $8,500.00 $149,753.04 $130,482.86 nat. median
$47,998
outlier · 2.7×
653
MS_DRG 		Major Bladder Procedures With Mcc 98 $12,000.00 $189,347.79 $130,268.55 nat. median
$49,995
outlier · 2.6×
834
MS_DRG 		Acute Leukemia With Mcc 101 $8,500.00 $198,514.57 $129,353.41 nat. median
$50,314
outlier · 2.6×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 107 $9,894.63 $208,643.16 $127,956.00 nat. median
$51,559
outlier · 2.5×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 111 $8,500.00 $196,855.83 $127,855.01 nat. median
$49,944
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 8,994 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 199 89 $4,331,502.01 $783,254.09 82% off $8,230.00 $1,384,793.23 $984,265.56 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 249 99 $1,455,589.85 $325,679.00 78% off $8,500.00 $1,098,832.65 $656,936.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 249 99 $994,176.83 $251,412.68 75% off $8,500.00 $728,838.90 $483,785.98 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 275 109 $882,583.04 $165,907.00 81% off $8,500.00 $597,134.24 $324,704.52 2026-04-01
SUP-204329 CDM Sh Kt Implnt Heartmate Iii Lft Vent Sys 554 188 $530,961.48 $530,961.48 $91,590.86 $530,961.48 $292,028.81 2026-04-01
161 MS_DRG Implantable Heart Assist Systems,extreme 30 10 $1,729,174.68 — $205,948.01 $630,224.40 $289,356.32 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 225 94 $524,715.69 $128,380.34 76% off $8,500.00 $292,556.79 $254,910.65 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 237 95 $484,791.68 $113,768.80 77% off $73,837.26 $356,731.38 $240,352.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 249 99 $561,369.10 $124,863.84 78% off $8,500.00 $411,232.39 $235,803.07 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 19 4 $367,066.81 — $207,796.00 $225,867.00 $216,831.50 2026-04-01
A9543 HCPCS Yttrium 90 Ibritumomab Injection 553 187 $373,286.26 $373,286.26 $48,116.60 $373,286.26 $210,701.43 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 289 104 $381,935.93 $131,878.49 65% off $4,815.19 $296,514.36 $208,459.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 240 107 $522,897.41 $98,361.34 81% off $8,500.00 $242,394.28 $205,355.81 2026-04-01
591 MS_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 27 9 $225,823.34 — $182,126.52 $245,009.12 $204,174.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 255 104 $416,899.98 $108,605.15 74% off $8,500.00 $232,975.19 $202,996.00 2026-04-01
588 MS_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,major 38 10 $1,196,960.62 — $201,207.10 $460,741.86 $201,207.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 237 95 $489,213.24 $91,270.71 81% off $58,369.22 $340,715.08 $192,487.30 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 335 116 $972,140.31 $140,460.39 86% off $15,692.32 $582,156.26 $192,142.71 2026-04-01
9 MS_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 10 10 $1,405,064.21 — $179,916.57 $224,130.75 $186,775.86 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 291 109 $552,097.38 $94,836.91 83% off $8,500.00 $382,842.62 $184,460.41 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 266 104 $414,975.86 $92,198.34 78% off $14,784.53 $297,517.99 $179,218.78 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 249 99 $352,505.65 $89,606.70 75% off $8,500.00 $260,985.04 $178,625.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 216 91 $369,160.73 $83,324.84 77% off $53,676.64 $191,836.28 $173,807.57 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 431 119 $366,118.98 $75,897.59 79% off $3,661.48 $192,559.36 $167,623.87 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 355 110 $160,424.33 $88,597.95 45% off $56,284.38 $226,085.07 $164,320.08 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 21 4 $611,284.21 — $150,556.00 $385,849.64 $163,649.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 249 99 $400,692.71 $81,901.45 80% off $8,500.00 $277,440.16 $162,026.42 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 453 123 $407,040.32 $76,171.50 81% off $2,511.41 $278,042.66 $161,311.49 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 237 95 $345,691.57 $78,691.98 77% off $13,795.51 $875,679.46 $161,231.73 2026-04-01
J1823 HCPCS Inj. Inebilizumab-cdon, 1 Mg 531 185 $281,192.31 $171,186.32 39% off $494.43 $210,387.00 $159,096.04 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 249 99 $555,448.94 $80,581.29 85% off $8,500.00 $356,590.63 $157,790.45 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 262 101 $331,342.49 $79,620.38 76% off $24,345.27 $208,459.00 $156,630.07 2026-04-01
SUP-232376 CDM Sh Matrix Autologous Chondrocyte 553 188 $276,361.32 $276,361.32 $35,622.97 $276,361.32 $155,992.14 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 240 96 $343,576.19 $76,169.10 78% off $12,000.00 $249,262.13 $155,717.18 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 252 108 $314,071.43 $70,246.95 78% off $12,000.00 $238,189.11 $154,138.18 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 239 96 $253,847.15 $72,702.98 71% off $12,000.00 $193,548.08 $149,326.06 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 18 3 $248,228.12 — $138,251.00 $150,275.00 $147,269.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 239 96 $473,846.98 $70,734.86 85% off $12,000.00 $329,567.85 $145,133.63 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 240 96 $247,401.05 $67,728.29 73% off $12,000.00 $199,796.86 $142,982.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 219 92 $304,540.97 $72,011.45 76% off $12,000.00 $174,905.00 $142,249.14 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 240 96 $358,325.22 $72,066.66 80% off $12,000.00 $245,758.42 $142,119.47 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 240 96 $281,992.41 $69,481.58 75% off $12,000.00 $209,090.02 $137,571.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 249 99 $276,414.30 $68,753.83 75% off $8,500.00 $198,858.16 $137,482.64 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 228 95 $248,228.12 $64,617.73 74% off $8,500.00 $155,158.06 $135,192.36 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 302 111 $318,611.22 $68,129.80 79% off $8,500.00 $224,445.70 $130,610.73 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 242 109 $246,281.11 $59,124.88 76% off $8,500.00 $149,753.04 $130,482.86 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 242 98 $252,569.58 $55,130.48 78% off $12,000.00 $189,347.79 $130,268.55 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 250 101 $269,671.04 $65,285.53 76% off $8,500.00 $198,514.57 $129,353.41 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 293 107 $299,350.65 $62,081.29 79% off $9,894.63 $208,643.16 $127,956.00 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 277 111 $276,471.66 $63,740.66 77% off $8,500.00 $196,855.83 $127,855.01 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 219 92 $245,385.43 $60,850.79 75% off $12,000.00 $163,649.00 $126,216.33 2026-04-01
5 MS_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 53 10 $1,035,351.27 — $56,954.20 $372,447.76 $125,870.31 2026-04-01
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 556 188 $228,529.98 $228,529.98 $29,288.40 $228,529.98 $125,691.49 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 425 120 $239,320.07 $83,613.55 65% off $5,165.96 $194,209.21 $125,660.04 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 21 4 $270,181.21 — $114,800.00 $201,509.26 $124,784.00 2026-04-01
J0225 HCPCS Inj, Vutrisiran, 1 Mg 354 105 $926,580.76 $143,380.80 85% off $24.46 $340,315.50 $124,596.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 228 93 $249,825.93 $60,547.26 76% off $12,000.00 $190,956.31 $123,687.02 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 318 108 $294,515.66 $62,574.36 79% off $12,000.00 $215,890.48 $122,458.26 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 368 114 $230,621.62 $71,777.70 69% off $8,500.00 $182,995.92 $121,310.81 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 369 114 $232,955.74 $56,360.75 76% off $8,500.00 $178,207.39 $120,622.69 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 235 96 $291,743.64 $55,614.25 81% off $8,500.00 $128,084.56 $119,348.50 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 350 110 $225,709.51 $64,893.06 71% off $8,500.00 $151,254.29 $118,854.76 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 444 123 $224,796.72 $60,097.60 73% off $4,476.71 $173,371.78 $118,398.36 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 263 113 $253,749.27 $54,296.30 79% off $8,500.00 $189,157.23 $118,152.37 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 379 114 $223,633.08 $58,300.93 74% off $8,500.00 $194,125.84 $117,816.54 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 369 114 $239,874.10 $56,203.29 77% off $8,500.00 $159,531.39 $116,783.12 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 350 110 $225,476.51 $54,993.49 76% off $8,500.00 $128,756.00 $115,781.18 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 18 3 $233,489.68 — $108,678.00 $118,130.00 $115,767.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 366 113 $217,957.19 $57,318.69 74% off $8,682.19 $170,152.89 $114,978.60 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 371 114 $225,142.45 $55,317.99 75% off $8,500.00 $163,377.25 $114,936.35 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 414 123 $215,470.19 $58,889.75 73% off $4,688.38 $168,822.96 $113,735.10 2026-04-01
162 MS_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 26 10 $881,716.16 — $108,687.63 $135,397.43 $112,831.33 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 367 114 $288,877.42 $51,947.26 82% off $8,500.00 $193,559.58 $111,880.44 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 369 114 $209,022.93 $59,421.91 72% off $8,020.00 $158,891.27 $110,511.46 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 371 114 $206,134.98 $59,005.00 71% off $8,500.00 $158,725.71 $109,067.49 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 350 109 $379,931.55 $63,417.76 83% off $8,500.00 $274,705.38 $108,802.64 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 368 113 $204,357.74 $59,914.91 71% off $3,062.00 $160,274.02 $108,178.87 2026-04-01
J9210 HCPCS Inj., Emapalumab-lzsg, 1 Mg 529 184 $571,070.37 $96,484.10 83% off $381.64 $316,222.62 $107,622.48 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 360 111 $186,573.59 $64,010.10 66% off $12,000.00 $156,391.37 $106,970.16 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 414 123 $207,056.13 $50,023.81 76% off $4,766.12 $155,080.08 $106,926.81 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 251 101 $224,853.43 $53,270.34 76% off $8,500.00 $164,466.97 $106,630.63 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 359 111 $238,270.73 $49,146.65 79% off $8,500.00 $178,428.08 $105,871.40 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 371 114 $216,105.00 $48,647.09 77% off $8,500.00 $156,624.10 $105,009.03 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 368 113 $281,384.86 $49,553.83 82% off $8,500.00 $186,800.07 $103,422.16 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 251 101 $249,253.42 $50,390.75 80% off $8,500.00 $172,666.70 $102,976.02 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 423 123 $193,096.36 $48,941.23 75% off $7,668.41 $141,290.17 $102,548.18 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 427 119 $257,265.61 $50,340.99 80% off $8,500.00 $144,741.92 $102,482.09 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 371 114 $192,661.99 $59,170.73 69% off $8,500.00 $161,900.62 $102,330.99 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 464 123 $190,963.17 $53,959.81 72% off $2,049.65 $155,137.86 $101,481.59 2026-04-01
J1303 HCPCS Inj., Ravulizumab-cwvz 10 Mg 531 185 $560,264.91 $85,958.62 85% off $225.19 $309,955.72 $101,217.60 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 371 114 $187,408.59 $26,034.50 86% off $8,500.00 $155,283.43 $99,704.29 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 251 101 $250,515.46 $48,548.31 81% off $8,500.00 $169,828.61 $98,831.47 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 263 113 $264,842.91 $51,067.84 81% off $8,500.00 $198,321.54 $98,816.10 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 251 101 $250,612.19 $48,583.50 81% off $8,500.00 $172,808.37 $98,782.24 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 430 123 $203,048.03 $44,957.04 78% off $8,500.00 $146,460.01 $97,425.00 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 350 110 $179,932.83 $46,237.44 74% off $8,500.00 $108,167.53 $95,966.41 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 371 114 $176,872.37 $32,648.76 82% off $6,124.00 $132,530.67 $94,436.18 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 369 114 $191,835.31 $46,643.35 76% off $8,500.00 $137,395.79 $93,427.15 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 20 4 $142,756.53 — $85,481.00 $118,500.32 $92,915.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 371 114 $172,692.76 $49,570.00 71% off $8,500.00 $135,833.68 $92,346.38 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 371 114 $171,793.72 $52,810.14 69% off $8,500.00 $138,087.35 $91,896.86 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 251 101 $242,958.10 $45,962.34 81% off $8,500.00 $167,543.01 $91,666.46 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 381 114 $233,852.78 $31,562.49 87% off $8,500.00 $152,077.17 $90,962.87 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 383 114 $172,441.26 $41,714.11 76% off $8,500.00 $132,117.23 $90,892.67 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 263 113 $104,736.45 $41,260.21 61% off $8,500.00 $103,981.27 $90,600.99 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 407 119 $188,090.17 $39,549.91 79% off $5,804.01 $100,045.09 $90,408.84 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 371 114 $167,515.34 $49,499.56 70% off $8,500.00 $123,697.65 $89,757.67 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 251 101 $346,884.02 $46,595.51 87% off $8,500.00 $222,014.36 $89,609.14 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 340 111 $218,140.67 $48,065.70 78% off $8,500.00 $164,041.33 $89,303.00 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 1,026 189 $466,285.00 $73,391.04 84% off $84.98 $465,600.00 $89,162.21 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 371 114 $220,019.98 $41,012.93 81% off $7,542.00 $152,870.41 $88,933.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 369 114 $179,546.52 $40,548.04 77% off $8,500.00 $137,652.62 $88,408.34 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 371 114 $163,019.84 $37,664.74 77% off $8,500.00 $125,293.49 $87,509.92 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 371 114 $162,011.30 $36,728.75 77% off $8,500.00 $122,666.51 $87,005.65 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 370 114 $161,367.11 $42,414.68 74% off $7,847.00 $124,873.98 $86,683.55 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 369 114 $175,103.33 $40,697.68 77% off $8,500.00 $126,217.68 $86,603.37 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 357 111 $162,256.97 $40,760.89 75% off $8,500.00 $121,445.94 $85,922.42 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 411 124 $204,310.84 $41,600.89 80% off $8,500.00 $147,518.29 $85,525.40 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 351 110 $157,711.36 $48,257.08 69% off $8,500.00 $114,094.48 $84,855.68 2026-04-01
332 MS_DRG Rectal Resection With Mcc 381 114 $155,272.72 $38,436.95 75% off $8,500.00 $123,916.71 $83,636.36 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 371 114 $158,149.07 $45,684.89 71% off $6,819.00 $121,798.04 $83,588.54 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 383 114 $155,104.23 $41,495.33 73% off $8,500.00 $119,598.34 $83,552.12 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 368 113 $186,328.91 $36,994.78 80% off $8,500.00 $140,185.58 $82,886.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 423 123 $155,290.47 $44,257.93 71% off $8,500.00 $118,741.24 $82,159.24 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 438 124 $151,976.16 $41,366.59 73% off $8,500.00 $113,792.37 $81,988.08 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 472 123 $192,407.01 $40,608.91 79% off $6,664.29 $134,436.73 $81,772.73 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 383 124 $151,085.91 $42,438.24 72% off $8,500.00 $100,548.32 $81,542.96 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 439 123 $153,422.49 $39,374.00 74% off $7,194.53 $112,717.24 $81,225.24 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 248 100 $173,680.00 $43,416.60 75% off $8,500.00 $127,395.50 $81,111.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 369 114 $159,904.66 $38,828.24 76% off $8,500.00 $117,178.18 $80,900.17 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 400 119 $229,213.32 $33,950.91 85% off $8,500.00 $125,470.95 $80,481.52 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 398 123 $172,518.58 $33,239.78 81% off $8,500.00 $122,655.18 $79,338.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 402 119 $190,623.83 $37,837.54 80% off $8,500.00 $107,419.93 $78,992.42 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 442 124 $168,870.45 $36,821.95 78% off $8,500.00 $129,078.60 $78,954.82 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 448 123 $145,296.20 $41,766.09 71% off $4,596.61 $109,659.60 $77,162.10 2026-04-01
680 MS_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 42 10 $660,635.93 — $38,396.02 $223,570.24 $76,794.43 2026-04-01
A9507 HCPCS Indium In111 Capromab Pendetide Injection 292 91 $139,222.16 $139,222.16 $1,160.92 $139,222.16 $76,572.19 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 286 111 $231,114.49 $40,317.58 83% off $8,500.00 $155,262.74 $76,252.14 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 371 114 $143,366.58 $54,210.70 62% off $8,500.00 $124,153.29 $76,197.29 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 369 114 $143,072.83 $52,987.84 63% off $7,631.00 $118,031.91 $76,050.41 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 371 114 $155,550.44 $34,364.85 78% off $8,500.00 $117,565.54 $75,768.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 369 114 $168,416.78 $35,658.29 79% off $8,500.00 $120,731.77 $75,628.16 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 291 121 $326,498.53 $41,779.98 87% off $8,500.00 $212,713.77 $75,247.63 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 251 101 $104,049.58 $36,550.05 65% off $8,500.00 $88,328.83 $74,835.56 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 362 110 $165,553.20 $36,351.43 78% off $8,500.00 $87,290.60 $74,615.37 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 379 113 $284,664.54 $30,814.30 89% off $8,500.00 $208,762.96 $73,805.64 2026-04-01
665 MS_DRG Prostatectomy With Mcc 251 101 $199,539.39 $40,639.44 80% off $8,500.00 $134,501.20 $73,167.17 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 371 114 $168,742.63 $33,315.20 80% off $8,500.00 $117,814.89 $72,705.11 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 369 114 $133,057.32 $42,023.56 68% off $8,500.00 $107,325.09 $72,528.66 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 230 97 $125,714.19 $36,575.81 71% off $8,500.00 $92,915.00 $72,342.01 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 381 114 $179,815.12 $32,660.25 82% off $8,500.00 $122,293.15 $72,243.84 2026-04-01
245 MS_DRG Aicd Generator Procedures 456 122 $131,478.94 $57,755.20 56% off $5,785.02 $122,746.81 $71,739.47 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 305 111 $263,353.24 $36,244.29 86% off $8,500.00 $177,696.03 $71,612.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 380 114 $129,469.13 $63,733.60 51% off $8,500.00 $139,372.00 $70,734.57 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 436 124 $133,717.69 $45,526.19 66% off $8,500.00 $108,461.85 $70,624.85 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 369 114 $128,540.74 $34,588.53 73% off $8,500.00 $96,457.41 $70,270.37 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 372 114 $141,405.60 $33,455.54 76% off $8,500.00 $103,291.15 $70,175.65 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 369 114 $128,197.89 $36,302.89 72% off $8,500.00 $83,797.89 $70,098.95 2026-04-01
912 MS_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 55 10 $327,026.66 — $37,969.87 $111,478.61 $70,007.79 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 250 101 $196,868.30 $35,407.11 82% off $8,500.00 $131,039.65 $70,002.50 2026-04-01
911 MS_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 26 10 $1,062,924.26 — $67,356.25 $83,908.93 $69,924.20 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 413 124 $159,828.72 $30,269.03 81% off $8,500.00 $111,620.59 $69,488.76 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 369 114 $126,339.71 $34,569.79 73% off $8,018.00 $99,734.73 $69,169.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 366 113 $173,231.65 $32,085.96 81% off $8,500.00 $111,834.54 $69,117.74 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 369 114 $177,055.48 $31,865.83 82% off $8,500.00 $118,036.24 $68,907.16 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 411 119 $178,212.30 $33,774.65 81% off $8,500.00 $99,914.04 $68,207.74 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 369 114 $149,411.80 $32,578.39 78% off $6,615.00 $79,219.90 $67,841.73 2026-04-01
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 144 127 $335,758.90 $335,758.90 $43,279.32 $335,758.90 $67,823.30 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 371 114 $123,425.54 $44,597.29 64% off $8,500.00 $107,029.65 $67,712.77 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 382 114 $156,671.90 $22,338.51 86% off $7,535.00 $107,452.95 $67,621.12 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 426 124 $122,671.14 $38,731.29 68% off $6,238.12 $100,400.02 $67,335.57 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 371 114 $125,210.04 $32,302.84 74% off $7,916.00 $98,373.52 $67,119.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 371 114 $121,881.17 $40,955.18 66% off $7,449.00 $98,668.88 $66,940.59 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 436 123 $121,521.85 $40,159.23 67% off $8,434.60 $103,129.76 $66,760.93 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 381 114 $121,457.67 $23,856.46 80% off $8,500.00 $95,203.01 $66,728.84 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 371 114 $120,056.58 $36,631.03 69% off $8,500.00 $97,260.78 $66,028.29 2026-04-01
800 MS_DRG Splenic Procedures With Cc 251 101 $119,280.08 $34,549.10 71% off $8,500.00 $89,957.49 $65,857.95 2026-04-01
631 MS_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,major 27 9 $347,561.99 — $63,364.44 $138,209.97 $65,780.19 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 21 4 $164,179.80 — $60,297.00 $112,239.38 $65,541.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 441 123 $158,079.47 $30,334.09 81% off $5,475.37 $109,387.32 $65,069.10 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 377 112 $133,085.51 $31,093.24 77% off $8,500.00 $76,492.59 $64,657.96 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 368 113 $159,684.01 $28,485.11 82% off $8,406.00 $113,011.65 $64,657.96 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 371 114 $149,093.38 $30,735.38 79% off $8,500.00 $103,426.53 $64,367.16 2026-04-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 417 120 $154,288.70 $30,712.35 80% off $5,435.93 $93,575.37 $64,367.16 2026-04-01
263 MS_DRG Vein Ligation And Stripping 449 124 $115,925.84 $36,802.26 68% off $5,590.84 $88,320.68 $63,962.92 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 370 114 $118,479.93 $29,912.53 75% off $8,500.00 $88,551.26 $63,720.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 369 114 $147,562.62 $28,554.10 81% off $8,500.00 $102,400.39 $63,577.49 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 371 114 $114,880.07 $31,314.34 73% off $8,135.00 $92,619.87 $63,440.04 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 369 114 $149,664.06 $28,871.43 81% off $8,500.00 $104,155.01 $63,026.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 371 114 $116,950.25 $39,315.46 66% off $8,500.00 $96,755.12 $62,989.12 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 371 114 $113,858.93 $34,784.08 69% off $8,500.00 $89,549.68 $62,929.46 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 369 114 $113,309.95 $45,696.09 60% off $8,500.00 $98,821.08 $62,654.97 2026-04-01
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 296 91 $503,083.76 $79,545.15 84% off $312.69 $211,881.74 $62,537.40 2026-04-01
130 MS_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 43 9 $280,173.32 — $47,797.55 $113,232.07 $62,484.41 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 369 114 $115,587.79 $52,305.24 55% off $8,500.00 $112,905.33 $62,307.89 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 371 114 $115,464.11 $38,605.49 67% off $8,500.00 $95,244.05 $62,246.06 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 370 114 $156,685.49 $30,028.45 81% off $8,500.00 $106,840.15 $62,213.74 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 371 114 $114,548.06 $31,607.75 72% off $8,500.00 $86,993.53 $61,788.03 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 371 114 $126,721.38 $27,823.36 78% off $8,500.00 $90,018.19 $61,649.68 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 371 114 $114,147.28 $21,792.43 81% off $8,500.00 $126,228.19 $61,587.64 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 457 122 $109,517.17 $33,945.43 69% off $4,892.86 $73,661.00 $60,758.58 2026-04-01
503 MS_DRG Foot Procedures With Mcc 367 114 $108,872.04 $27,762.94 74% off $6,822.00 $75,091.75 $60,436.02 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 416 123 $136,665.12 $27,516.33 80% off $8,500.00 $97,037.20 $60,298.47 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 360 110 $130,429.90 $29,453.46 77% off $8,500.00 $69,728.95 $60,037.75 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 371 114 $203,530.93 $27,068.29 87% off $8,500.00 $127,816.15 $59,927.44 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 249 100 $110,386.74 $29,739.21 73% off $8,500.00 $68,685.91 $59,847.43 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 261 111 $132,589.83 $29,336.34 78% off $8,500.00 $97,286.70 $59,141.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 383 121 $105,325.69 $36,537.93 65% off $8,008.22 $101,239.75 $58,662.85 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 378 113 $110,827.45 $25,124.96 77% off $8,500.00 $62,871.96 $58,583.75 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 279 98 $107,785.33 $18,545.09 83% off $8,500.00 $86,215.19 $57,658.67 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 448 123 $130,265.16 $28,127.69 78% off $6,169.15 $94,035.41 $57,548.40 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 421 123 $173,617.06 $25,840.76 85% off $8,500.00 $115,018.77 $57,530.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 368 113 $107,259.93 $28,612.43 73% off $8,500.00 $85,102.96 $57,395.96 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 443 123 $102,469.44 $30,124.48 71% off $4,461.43 $86,758.15 $57,197.43 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 369 114 $143,222.13 $25,645.41 82% off $8,500.00 $96,819.57 $57,049.52 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 251 101 $114,485.51 $29,108.00 75% off $8,500.00 $85,896.01 $56,931.00 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 371 114 $193,830.03 $23,218.18 88% off $8,500.00 $122,666.40 $56,796.33 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 252 101 $107,877.65 $28,794.20 73% off $8,500.00 $81,971.39 $56,483.00 2026-04-01
A9607 HCPCS Lutetium Lu 177 Vipivotide 927 189 $381,928.05 $60,272.23 84% off $253.18 $373,744.97 $56,458.92 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 368 113 $153,268.11 $27,469.89 82% off $8,500.00 $104,209.41 $56,278.38 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 368 113 $104,982.83 $38,218.45 64% off $8,500.00 $87,752.91 $56,257.42 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 369 114 $113,017.50 $26,547.55 77% off $8,500.00 $81,173.76 $56,119.46 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 357 114 $106,351.63 $26,852.05 75% off $8,500.00 $60,192.32 $56,086.87 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 456 123 $123,654.19 $26,832.09 78% off $3,724.52 $87,309.10 $55,537.54 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 354 113 $124,845.65 $26,423.70 79% off $8,500.00 $75,943.26 $55,472.68 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 371 114 $104,514.79 $26,775.25 74% off $8,500.00 $77,729.57 $55,359.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 371 114 $101,458.05 $29,693.74 71% off $8,500.00 $96,071.49 $55,243.03 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 414 123 $118,726.88 $26,881.83 77% off $8,500.00 $88,220.81 $55,119.21 2026-04-01
709 MS_DRG Penis Procedures With Cc/mcc 251 101 $1,063,584.14 $135,256.18 87% off $8,500.00 $559,166.07 $55,110.71 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 368 113 $97,993.77 $28,113.69 71% off $8,500.00 $65,680.74 $54,996.89 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 371 114 $100,799.72 $28,046.58 72% off $8,500.00 $78,031.36 $54,913.86 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 447 124 $188,106.45 $27,175.75 86% off $5,119.25 $121,409.43 $54,848.47 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 369 114 $116,327.12 $20,891.60 82% off $8,500.00 $82,520.11 $54,582.73 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 251 101 $90,727.93 $26,809.24 70% off $8,500.00 $71,002.07 $54,514.37 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 313 118 $913,079.70 $109,192.60 88% off $8,001.11 $485,028.42 $54,399.73 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 393 122 $88,947.02 $29,761.43 67% off $8,500.00 $69,791.26 $53,997.17 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 371 114 $118,766.33 $25,953.19 78% off $6,979.00 $83,336.15 $53,685.26 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 371 114 $107,323.91 $25,162.73 77% off $8,500.00 $76,295.76 $53,615.07 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 366 113 $95,043.37 $30,334.60 68% off $8,500.00 $69,748.62 $53,521.68 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 402 122 $89,347.38 $27,607.88 69% off $6,201.26 $70,395.38 $53,508.21 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 448 122 $101,314.06 $26,818.58 74% off $6,247.50 $57,831.00 $53,419.53 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 366 113 $120,690.86 $21,309.86 82% off $8,500.00 $81,671.43 $53,314.24 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 377 113 $110,256.24 $21,020.15 81% off $6,911.00 $79,430.62 $53,163.83 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 370 114 $94,280.76 $28,258.93 70% off $8,500.00 $74,125.71 $53,140.38 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 369 114 $99,892.39 $25,124.06 75% off $8,500.00 $56,974.60 $53,088.62 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 371 114 $93,873.78 $30,700.63 67% off $8,500.00 $76,776.85 $52,936.89 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 371 114 $118,308.13 $25,173.26 79% off $8,500.00 $84,470.45 $52,863.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 464 123 $96,543.83 $36,969.29 62% off $5,743.75 $82,757.91 $52,785.92 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 371 114 $93,543.93 $25,504.99 73% off $8,500.00 $73,606.98 $52,771.96 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 369 114 $93,349.11 $27,469.71 71% off $8,500.00 $73,665.05 $52,674.56 2026-04-01
611 MS_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major 45 9 $468,821.79 — $28,618.37 $169,047.00 $52,639.40 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 371 114 $98,037.40 $25,249.10 74% off $8,191.00 $73,884.94 $52,507.02 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 369 114 $102,511.78 $25,548.00 75% off $8,500.00 $75,240.89 $52,474.43 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 371 114 $132,223.52 $22,248.30 83% off $8,500.00 $91,644.21 $52,421.79 2026-04-01
835 MS_DRG Acute Leukemia With Cc 353 112 $123,830.97 $25,413.03 79% off $8,157.00 $70,047.65 $52,288.92 2026-04-01
711 MS_DRG Testes Procedures With Cc/mcc 449 124 $131,381.95 $22,804.60 83% off $8,500.00 $89,003.12 $52,238.78 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 408 124 $104,325.51 $24,723.03 76% off $8,500.00 $75,767.94 $52,128.48 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 371 114 $109,590.35 $23,995.19 78% off $8,500.00 $78,087.43 $52,095.89 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 368 114 $88,341.96 $47,104.58 47% off $8,500.00 $96,391.65 $51,961.82 2026-04-01
34705 CPT Rpr Infrenal Aorta Iliac Ev A-bi Iliac Ndgft Nonrupt 401 130 $94,410.00 $94,410.00 $2,950.37 $94,410.00 $51,925.50 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 287 110 $99,544.21 $27,117.48 73% off $2,043.20 $76,913.10 $51,906.51 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 370 114 $121,114.71 $21,364.59 82% off $8,500.00 $83,273.18 $51,810.10 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 368 113 $96,020.88 $27,252.58 72% off $8,500.00 $70,869.44 $51,776.44 2026-04-01
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 1,700 189 $327,335.42 $52,371.55 84% off $189.75 $347,237.40 $51,759.92 2026-04-01
570 MS_DRG Skin Debridement With Mcc 370 114 $90,872.64 $27,914.04 69% off $7,189.00 $79,127.35 $51,607.58 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 370 114 $90,903.54 $25,411.83 72% off $8,500.00 $70,871.40 $51,451.77 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 457 123 $94,284.30 $25,561.15 73% off $2,009.17 $72,480.15 $51,308.06 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 366 113 $94,808.95 $26,965.28 72% off $8,500.00 $73,912.48 $51,170.47 2026-04-01
906 MS_DRG Hand Procedures For Injuries 260 112 $75,256.63 $23,041.94 69% off $8,500.00 $58,717.98 $51,162.17 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 371 114 $98,562.75 $24,810.18 75% off $8,500.00 $72,650.08 $50,716.00 2026-04-01
J9347 HCPCS Inj, Tremelimumab-actl, 1 Mg 922 189 $422,446.46 $63,945.13 85% off $141.17 $327,975.04 $50,595.00 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 370 114 $135,650.75 $16,450.58 88% off $8,500.00 $90,375.98 $50,413.76 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 263 113 $255,487.39 $25,529.40 90% off $3,327.96 $149,040.53 $50,386.21 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 383 114 $96,597.20 $23,162.56 76% off $8,500.00 $70,944.65 $50,145.52 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 435 124 $96,780.12 $23,556.48 76% off $8,500.00 $71,089.25 $50,143.01 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 322 122 $70,026.02 $26,497.73 62% off $8,500.00 $65,889.34 $50,035.19 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 378 113 $86,841.42 $22,509.56 74% off $8,500.00 $53,982.88 $49,420.71 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 370 114 $115,459.63 $19,164.71 83% off $8,500.00 $79,158.82 $49,340.81 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 371 114 $106,663.75 $23,414.34 78% off $8,500.00 $78,868.01 $49,187.88 2026-04-01
0266T CPT Im/Repl Cartd Sinus Baroreflx Activ Dev Tot Syst 66 63 $190,888.24 $60,513.07 68% off $2,122.00 $68,840.86 $49,172.05 2026-04-01
C1825 HCPCS Gen, Neuro, Carot Sinus Baro 66 63 $190,888.24 $60,513.07 68% off $2,122.00 $68,840.86 $49,172.05 2026-04-01
910 MS_DRG Craniotomy For Multiple Significant Trauma,major 26 10 $555,448.94 — $47,126.50 $58,707.75 $48,923.19 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 393 124 $85,836.28 $63,336.64 26% off $8,500.00 $158,276.00 $48,918.14 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 370 114 $98,192.36 $21,853.01 78% off $8,500.00 $71,688.66 $48,704.05 2026-04-01
100 MS_DRG Seizures With Mcc 368 113 $112,285.00 $23,057.56 79% off $8,500.00 $77,944.00 $48,553.64 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 370 114 $101,466.92 $24,477.15 76% off $8,500.00 $70,979.96 $48,516.04 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 379 124 $97,541.01 $23,968.98 75% off $5,394.00 $70,786.51 $48,405.73 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 409 124 $84,646.37 $22,510.74 73% off $5,202.51 $51,895.13 $48,323.18 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 383 114 $88,103.02 $18,423.88 79% off $8,500.00 $66,009.51 $48,297.94 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 371 114 $87,370.83 $25,343.50 71% off $8,500.00 $69,739.41 $48,199.42 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 371 114 $113,964.23 $23,408.45 79% off $7,736.00 $82,773.46 $47,590.49 2026-04-01
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 811 188 $86,980.41 $86,980.41 $8,166.60 $88,660.48 $47,573.50 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 462 123 $135,561.83 $23,335.89 83% off $5,116.54 $89,555.16 $47,336.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 371 114 $85,568.33 $24,406.11 71% off $8,500.00 $67,023.16 $47,298.17 2026-04-01
265 MS_DRG Aicd Lead Procedures 379 114 $82,548.04 $42,240.74 49% off $8,500.00 $97,344.05 $47,274.02 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 449 124 $101,966.27 $22,971.66 77% off $5,482.63 $74,060.04 $46,978.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 383 114 $85,621.28 $23,274.41 73% off $8,500.00 $64,354.64 $46,945.71 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 431 124 $86,249.07 $25,648.25 70% off $8,500.00 $229,539.58 $46,890.54 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 371 114 $85,814.83 $22,175.36 74% off $6,078.00 $63,165.42 $46,751.18 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 371 114 $89,947.31 $21,845.14 76% off $8,500.00 $66,287.59 $46,334.00 2026-04-01
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