Price Transparencybeta Hospital negotiated rates

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

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Hospital

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC

Binghamton, NY · CCN 330011 · Rates published

5,763 distinct procedures filed
26 distinct payers
326,958 rate rows
2026-07-15 last MRF observed
Data quality

320,244 of 326,958 rate rows are consumer-grade (97.9%)

6,714 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,361
placeholder amount (≤ $0.02) — excluded from medians 880
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 588
per-diem day rate — not a per-procedure price 325
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 237
exceeds 10× this hospital's gross charge — excluded from medians 198
exceeds 3× this hospital's gross charge for a DRG stay — excluded 104
percent-of-charges filed in the dollar field — excluded from medians 18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=151e59cbd2694c13781019a3d8b1498b7b19d03390dd0d09f12c47078097ecad
Found on page https://www.guthrie.org/about-us/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 4e4fca309be3b8ea… · 104,473,479 bytes · first seen 2026-05-08

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
0845
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 13 $4,505,000.00 $4,730,250.00 $4,505,000.00 nat. median
$1,060
outlier · 4250.0×
9138
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 13 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,765,001
1.0× median
0714
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 13 $3,316,462.59 $3,482,285.72 $3,316,462.59 nat. median
$4,693,518
0.7× median
0748
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 13 $3,248,445.71 $3,410,868.00 $3,248,445.71 —
0746
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $2,945,740.00 $4,713,184.00 $2,945,740.00 —
9141
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $2,455,110.60 $3,928,176.97 $2,455,110.60 nat. median
$2,508,045
1.0× median
0824
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $2,332,000.00 $3,731,200.00 $2,332,000.00 nat. median
$1,136
outlier · 2051.9×
2067
OTHER 		Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 14 $770,620.00 $2,920,880.99 $793,738.60 nat. median
$838,386
0.9× median
9194
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $591,726.20 $2,242,819.82 $609,477.99 nat. median
$555,653
1.1× median
9498
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 14 $565,868.94 $2,144,813.06 $582,845.01 nat. median
$553,480
1.1× median
9413
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 14 $562,538.19 $2,132,188.48 $579,414.33 nat. median
$542,562
1.1× median
9422
OTHER 		Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 14 $557,317.93 $2,112,402.17 $574,037.47 nat. median
$552,917
1.0× median
9035
OTHER 		Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 $533,230.17 $2,021,102.32 $549,227.08 nat. median
$513,929
1.1× median
9391
OTHER 		Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study 14 $489,304.61 $1,854,611.26 $503,983.75 nat. median
$483,557
1.0× median
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 3 $217,519.00 $369,782.30 $369,782.30 nat. median
$4,390
outlier · 84.2×
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2ml IV Soln 3 $174,299.38 $296,308.94 $296,308.94 nat. median
$3,427
outlier · 86.5×
0831
RC 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $278,250.00 $1,054,650.98 $286,597.50 nat. median
$670
outlier · 427.4×
0897
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $257,500.00 $976,002.25 $265,225.00 —
0886
OTHER 		Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 $205,640.00 $779,437.29 $215,922.00 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $200,424.11 $360,519.77 $200,424.11 nat. median
$186,516
1.1× median
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5ml IV Soln 3 $102,086.50 $173,547.05 $173,547.05 nat. median
$509
outlier · 340.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $169,885.51 $285,126.01 $169,885.51 nat. median
$145,435
1.2× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 3 $88,789.50 $150,942.15 $150,942.15 nat. median
$555
outlier · 271.8×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 3 $85,886.50 $146,007.05 $146,007.05 nat. median
$133
outlier · 1098.1×
J9272
HCPCS 		Dostarlimab-gxly 500 Mg/10ml IV Soln 3 $84,267.88 $143,255.39 $143,255.39 nat. median
$567
outlier · 252.7×
J9309
HCPCS 		Polatuzumab Vedotin-piiq 140 Mg IV Solr 3 $78,511.13 $133,468.91 $133,468.91 nat. median
$399
outlier · 334.7×
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 10 $103,855.22 $238,570.25 $132,707.35 nat. median
$159,438
0.8× median
J2329
HCPCS 		Ublituximab-xiiy 150 Mg/6ml IV Soln 3 $77,821.63 $132,296.76 $132,296.76 nat. median
$116
outlier · 1142.5×
J9228
HCPCS 		Ipilimumab 200 Mg/40ml IV Soln 3 $63,425.25 $262,361.85 $131,076.71 nat. median
$6,073
outlier · 21.6×
J9119
HCPCS 		Cemiplimab-rwlc 350 Mg/7ml IV Soln 3 $76,525.50 $130,093.35 $130,093.35 nat. median
$53
outlier · 2442.8×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 3 $76,011.88 $129,220.19 $129,220.19 nat. median
$709
outlier · 182.4×
J9029
HCPCS 		Adstiladrin Per Therapeutic Dose 10 $44,598.62 $287,280.00 $127,680.00 nat. median
$66,211
1.9× median
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 3 $74,426.25 $126,524.63 $126,524.63 nat. median
$114
outlier · 1105.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $115,666.52 $115,666.52 $115,666.52 nat. median
$65,418
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $112,006.68 $192,484.88 $112,006.68 nat. median
$97,418
1.1× median
J9301
HCPCS 		Obinutuzumab 1000 Mg/40ml IV Soln 3 $63,043.88 $107,174.59 $107,174.59 nat. median
$170
outlier · 631.0×
J2323
HCPCS 		Natalizumab 300 Mg/15ml IV Conc 3 $61,690.25 $104,873.43 $104,873.43 nat. median
$50
outlier · 2079.2×
J9345
HCPCS 		Retifanlimab-dlwr 500 Mg/20ml IV Soln 3 $59,167.63 $100,584.96 $100,584.96 nat. median
$34
outlier · 2951.4×
J9347
HCPCS 		Tremelimumab-actl 25 Mg/1.25ml IV Soln 3 $14,549.13 $299,799.46 $100,543.07 nat. median
$355
outlier · 283.5×
J9289
HCPCS 		Nivolumab-hyaluronidase-nvhy 600-10000 Mg-ut/5ml Sc Soln 3 $56,200.50 $95,540.85 $95,540.85 nat. median
$35
outlier · 2698.1×
J1303
HCPCS 		Ravulizumab-cwvz 1100 Mg/11ml IV Soln 3 $50,717.38 $86,219.54 $86,219.54 nat. median
$504
outlier · 171.2×
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 10 $79,345.77 $182,249.09 $84,476.12 nat. median
$153,542
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 11 $83,983.60 $140,953.22 $83,983.60 nat. median
$73,023
1.2× median
37231
CPT 		Tib/per Revasc Stent & Ather 22 $40,609.00 $81,218.00 $81,218.00 nat. median
$19,288
outlier · 4.2×
J9306
HCPCS 		Pertuzumab 420 Mg/14ml IV Soln 3 $47,775.13 $81,217.71 $81,217.71 nat. median
$43
outlier · 1903.6×
J0896
HCPCS 		Luspatercept 50 Mg/ml Sq Syringe 3 $47,764.75 $81,200.08 $81,200.08 nat. median
$228
outlier · 356.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $79,661.24 $143,293.39 $79,661.24 nat. median
$74,509
1.1× median
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 3 $45,081.13 $76,637.91 $76,637.91 nat. median
$446
outlier · 171.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $76,503.02 $128,398.23 $76,503.02 nat. median
$69,822
1.1× median
37229
CPT 		Tib/per Revasc With Ather 22 $32,591.06 $76,124.25 $76,124.25 nat. median
$18,507
outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 5,763 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0234T CPT Trluml Perip Athrc Renal Art 42 23 $39,615.00 $19,807.50 50% off $19,807.50 $39,615.00 $39,615.00 2026-07-15
0235T CPT Trluml Perip Athrc Visceral 42 23 $39,615.00 $19,807.50 50% off $19,807.50 $39,615.00 $39,615.00 2026-07-15
0236T CPT Trluml Perip Athrc Abd Aorta 42 23 $39,615.00 $19,807.50 50% off $19,807.50 $39,615.00 $39,615.00 2026-07-15
0237T CPT Trluml Perip Athrc Brchiocph 42 23 $39,615.00 $19,807.50 50% off $19,807.50 $39,615.00 $39,615.00 2026-07-15
0238T CPT Trluml Perip Athrc Iliac 42 23 $39,615.00 $19,807.50 50% off $19,807.50 $39,615.00 $39,615.00 2026-07-15
0714 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 13 $3,316,462.59 $1,658,231.29 50% off $3,316,462.59 $3,482,285.72 $3,316,462.59 2026-07-15
0717 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 19 14 $63,342.28 $31,671.14 50% off $63,342.28 $240,086.25 $65,242.55 2026-07-15
0746 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 15 14 $2,945,740.00 $1,472,870.00 50% off $2,945,740.00 $4,713,184.00 $2,945,740.00 2026-07-15
0748 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 13 $3,248,445.71 $1,624,222.86 50% off $3,248,445.71 $3,410,868.00 $3,248,445.71 2026-07-15
0824 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 14 $2,332,000.00 $1,166,000.00 50% off $2,332,000.00 $3,731,200.00 $2,332,000.00 2026-07-15
0831 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 19 14 $278,250.00 $139,125.00 50% off $278,250.00 $1,054,650.98 $286,597.50 2026-07-15
0843 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 19 14 $28,424.06 $14,212.03 50% off $28,424.06 $107,735.71 $29,276.78 2026-07-15
0845 RC Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 14 13 $4,505,000.00 $2,252,500.00 50% off $4,505,000.00 $4,730,250.00 $4,505,000.00 2026-07-15
0856 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 19 14 $24,228.42 $12,114.21 50% off $24,228.42 $91,832.98 $24,955.27 2026-07-15
0886 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 19 14 $205,640.00 $102,820.00 50% off $205,640.00 $779,437.29 $215,922.00 2026-07-15
0897 OTHER Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service 19 14 $257,500.00 $128,750.00 50% off $257,500.00 $976,002.25 $265,225.00 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 11 $606,157.35 $303,078.68 50% off $200,424.11 $360,519.77 $200,424.11 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 11 $140,213.59 $70,106.80 50% off $38,136.54 $68,599.42 $38,136.54 2026-07-15
1142 OTHER Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 19 14 $45,020.65 $22,510.33 50% off $45,020.65 $170,641.77 $46,371.27 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 11 $148,568.16 $74,284.08 50% off $29,620.66 $53,281.19 $29,620.66 2026-07-15
120 APR_DRG Major Respiratory And Chest Procedures,moderate 16 10 $141,619.07 $70,809.54 50% off $24,473.85 $81,002.26 $35,896.77 2026-07-15
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 16 10 $141,398.68 $70,699.34 50% off $35,182.87 $80,765.53 $41,573.00 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 20 12 $212,611.50 $106,305.75 50% off $9,693.44 $50,263.84 $27,943.23 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 11 $44,075.95 $22,037.98 50% off $24,596.49 $44,243.78 $24,596.49 2026-07-15
1579 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 19 14 $35,000.50 $17,500.25 50% off $35,000.50 $132,662.40 $36,050.51 2026-07-15
1580 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 19 14 $45,000.50 $22,500.25 50% off $45,000.50 $170,565.40 $46,350.51 2026-07-15
1592 OTHER New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin… 19 14 $27,500.50 $13,750.25 50% off $8,498.01 $104,235.15 $27,500.50 2026-07-15
161 APR_DRG Implantable Heart Assist Systems,moderate 16 10 $112,536.90 $56,268.45 50% off $35,496.49 $95,809.07 $50,601.74 2026-07-15
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate 13 10 $164,850.38 $82,425.19 50% off $26,079.24 $59,845.98 $34,670.33 2026-07-15
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 16 10 $242,906.82 $121,453.41 50% off $26,442.66 $60,681.08 $39,076.12 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 19 11 $167,077.29 $83,538.65 50% off $34,862.28 $62,709.73 $34,862.28 2026-07-15
1643 OTHER New Technology Apc Û Mid Cost Band (Temporary Payment Classification For Emergin… 19 14 $56,824.55 $28,412.27 50% off $56,824.55 $215,382.09 $58,529.29 2026-07-15
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,extreme 13 10 $692,873.70 $346,436.85 50% off $23,016.85 $57,290.55 $41,073.51 2026-07-15
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,major 13 10 $207,131.82 $103,565.91 50% off $23,410.59 $53,713.60 $31,142.65 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 11 $136,511.66 $68,255.83 50% off $30,011.92 $53,984.97 $30,011.92 2026-07-15
167 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,major 13 10 $265,164.92 $132,582.46 50% off $14,310.40 $38,926.54 $25,512.62 2026-07-15
169 APR_DRG Major Abdominal Vascular Procedures,major 13 10 $167,830.10 $83,915.05 50% off $27,870.89 $95,364.64 $43,655.81 2026-07-15
174 APR_DRG Percutaneous Cardiac Intervention With Ami,extreme 16 10 $98,189.98 $49,094.99 50% off $22,340.39 $51,254.33 $29,032.57 2026-07-15
175 APR_DRG Percutaneous Cardiac Intervention Without Ami,minor 16 10 $42,065.34 $21,032.67 50% off $8,871.81 $37,912.80 $26,662.26 2026-07-15
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme 16 10 $75,534.97 $37,767.49 50% off $9,817.45 $84,208.51 $39,519.47 2026-07-15
181 APR_DRG Lower Vascular Procedures,extreme 16 10 $357,866.88 $178,933.44 50% off $8,640.60 $87,915.82 $38,417.45 2026-07-15
182 APR_DRG Other Upper Vascular Procedures,extreme 16 10 $246,828.70 $123,414.35 50% off $9,014.88 $83,385.25 $35,070.62 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 $509,022.61 $254,511.31 50% off $115,666.52 $115,666.52 $115,666.52 2026-07-15
20 APR_DRG Open Craniotomy For Trauma,extreme 16 10 $209,123.70 $104,561.85 50% off $13,335.77 $51,373.66 $27,239.16 2026-07-15
2067 OTHER Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps 19 14 $770,620.00 $385,310.00 50% off $770,620.00 $2,920,880.99 $793,738.60 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 12 $254,238.04 $127,119.02 50% off $11,780.51 $91,904.03 $51,092.30 2026-07-15
20983 CPT Ablate Bone Tumor(S) Perq 41 23 $35,020.00 $17,510.00 50% off $1,976.00 $35,020.00 $35,020.00 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 11 $347,249.97 $173,624.99 50% off $79,661.24 $143,293.39 $79,661.24 2026-07-15
215 MS_DRG Other Heart Assist System Implant 19 11 $819,068.73 $409,534.37 50% off $83,983.60 $140,953.22 $83,983.60 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 11 $249,591.32 $124,795.66 50% off $76,503.02 $128,398.23 $76,503.02 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 11 $178,833.90 $89,416.95 50% off $47,078.43 $84,683.95 $47,078.43 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 11 $251,745.49 $125,872.75 50% off $57,032.85 $102,589.80 $57,032.85 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 $205,930.49 $102,965.25 50% off $16,703.37 $69,774.16 $38,789.62 2026-07-15
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures,extreme 16 10 $207,197.47 $103,598.74 50% off $7,058.75 $94,112.65 $26,974.81 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 11 $375,813.18 $187,906.59 50% off $34,381.54 $61,844.97 $34,381.54 2026-07-15
224 APR_DRG Peritoneal Adhesiolysis,moderate 16 10 $240,655.57 $120,327.79 50% off $9,592.34 $74,134.72 $34,791.60 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 11 $113,813.08 $56,906.54 50% off $37,266.76 $67,034.86 $37,266.76 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 12 $114,999.68 $57,499.84 50% off $18,290.98 $42,301.40 $23,516.66 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 11 $164,205.96 $82,102.98 50% off $41,927.04 $75,417.72 $41,927.04 2026-07-15
23 APR_DRG Spinal Procedures,major 16 10 $111,861.52 $55,930.76 50% off $9,819.54 $57,403.81 $29,724.42 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 12 $275,943.79 $137,971.90 50% off $16,104.98 $112,736.77 $67,171.51 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without McC 19 11 $163,619.97 $81,809.99 50% off $43,996.48 $79,140.17 $43,996.48 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 11 $234,847.01 $117,423.51 50% off $57,686.67 $103,765.88 $57,686.67 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 11 $200,042.42 $100,021.21 50% off $38,444.22 $69,152.86 $38,444.22 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 11 $201,676.22 $100,838.11 50% off $43,493.54 $78,235.50 $43,493.54 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 11 $168,475.04 $84,237.52 50% off $29,889.14 $53,764.12 $29,889.14 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 11 $144,830.68 $72,415.34 50% off $35,551.60 $79,383.02 $35,551.60 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 11 $116,985.42 $58,492.71 50% off $28,022.37 $50,406.20 $28,022.37 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 11 $130,656.60 $65,328.30 50% off $25,554.29 $45,966.65 $25,554.29 2026-07-15
245 MS_DRG Aicd Generator Procedures 20 12 $50,190.76 $25,095.38 50% off $6,480.40 $60,285.75 $33,514.71 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 11 $100,921.02 $50,460.51 50% off $32,661.20 $58,750.46 $32,661.20 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 20 12 $92,330.00 $46,165.00 50% off $13,913.17 $44,618.96 $24,805.06 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 11 $153,447.09 $76,723.55 50% off $24,519.57 $44,105.42 $24,519.57 2026-07-15
260 APR_DRG Major Pancreas, Liver And Shunt Procedures,major 16 10 $210,216.64 $105,108.32 50% off $8,782.53 $42,264.20 $23,665.84 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 20 11 $73,612.81 $36,806.41 50% off $24,155.68 $43,450.86 $24,155.68 2026-07-15
265 MS_DRG Aicd Lead Procedures 19 11 $126,280.02 $63,140.01 50% off $26,138.58 $47,017.67 $26,138.58 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 19 11 $175,559.70 $87,779.85 50% off $46,196.82 $83,098.11 $46,196.82 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 11 $160,230.95 $80,115.48 50% off $36,094.48 $64,926.18 $36,094.48 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 11 $265,164.92 $132,582.46 50% off $50,698.09 $91,194.93 $50,698.09 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 19 11 $142,608.86 $71,304.43 50% off $30,757.45 $55,326.01 $30,757.45 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 11 $190,161.94 $95,080.97 50% off $37,401.37 $67,277.00 $37,401.37 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 11 $120,268.42 $60,134.21 50% off $25,562.42 $45,981.28 $25,562.42 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 11 $84,794.00 $42,397.00 50% off $28,822.62 $51,845.69 $28,822.62 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 19 11 $87,696.63 $43,848.32 50% off $23,969.30 $43,115.60 $23,969.30 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 19 11 $142,391.58 $71,195.79 50% off $52,037.52 $93,604.28 $52,037.52 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 19 11 $137,403.91 $68,701.96 50% off $45,931.30 $82,620.50 $45,931.30 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 11 $112,536.90 $56,268.45 50% off $35,371.14 $63,625.05 $35,371.14 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 11 $171,726.32 $85,863.16 50% off $32,989.59 $59,341.16 $32,989.59 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 12 $82,031.59 $41,015.80 50% off $8,147.53 $42,580.78 $23,671.98 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 19 11 $165,843.26 $82,921.63 50% off $44,569.67 $80,171.23 $44,569.67 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 11 $84,323.58 $42,161.79 50% off $25,355.33 $45,608.77 $25,355.33 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 11 $389,301.76 $194,650.88 50% off $169,885.51 $285,126.01 $169,885.51 2026-07-15
301 APR_DRG Hip Joint Replacement,extreme 13 8 $175,801.57 $87,900.79 50% off $35,073.56 $80,514.35 $38,552.13 2026-07-15
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate 16 10 $311,414.59 $155,707.30 50% off $30,693.72 $70,449.76 $38,875.81 2026-07-15
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 16 10 $139,761.87 $69,880.94 50% off $30,918.06 $70,965.29 $37,708.14 2026-07-15
305 APR_DRG Amputation Of Lower Limb Except Toes,extreme 16 10 $136,368.53 $68,184.27 50% off $29,719.08 $83,777.15 $40,115.17 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 $113,655.10 $56,827.55 50% off $33,218.34 $67,879.32 $33,218.34 2026-07-15
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,moderate 16 10 $175,230.61 $87,615.31 50% off $50,778.93 $92,782.56 $55,951.38 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 $182,207.65 $91,103.83 50% off $65,369.44 $65,369.44 $65,369.44 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 11 $177,531.32 $88,765.66 50% off $32,261.07 $58,030.72 $32,261.07 2026-07-15
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,majo… 16 10 $106,860.51 $53,430.26 50% off $9,766.32 $93,803.59 $44,918.30 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 12 $93,724.78 $46,862.39 50% off $30,619.88 $55,078.56 $30,619.88 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 11 $103,803.12 $51,901.56 50% off $37,564.82 $67,571.02 $37,564.82 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 11 $505,157.14 $252,578.57 50% off $33,406.73 $60,091.51 $33,406.73 2026-07-15
32994 CPT Ablate Pulm Tumor Perq Crybl 42 23 $27,175.00 $13,587.50 50% off $2,601.00 $27,175.00 $27,175.00 2026-07-15
332 MS_DRG Rectal Resection With Mcc 19 11 $120,551.62 $60,275.81 50% off $27,027.59 $48,616.81 $27,027.59 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 11 $96,162.32 $48,081.16 50% off $26,441.08 $47,561.80 $26,441.08 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 11 $343,233.45 $171,616.73 50% off $28,855.17 $51,904.23 $28,855.17 2026-07-15
35372 CPT Teaec W/wo Patch Graft Deep Profund Femoral 41 23 $28,693.00 $14,346.50 50% off $1,976.00 $28,693.00 $28,693.00 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 11 $122,850.00 $61,425.00 50% off $31,645.72 $56,923.82 $31,645.72 2026-07-15
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major 16 10 $113,053.89 $56,526.95 50% off $19,541.83 $44,823.41 $24,447.10 2026-07-15
36223 CPT Place Cath Carotid/Inom Art W/Ips Intracran Carot 48 23 $26,554.00 $13,277.00 50% off $6,396.89 $26,554.00 $26,554.00 2026-07-15
36225 CPT Place Cath Subclavian Art 41 23 $26,554.00 $13,277.00 50% off $13,277.00 $26,554.00 $26,554.00 2026-07-15
36226 CPT Place Cath Vertebral Art 41 23 $29,537.00 $14,768.50 50% off $14,768.50 $29,537.00 $29,537.00 2026-07-15
363 APR_DRG Breast Procedures Except Mastectomy,major 10 7 $373,302.10 $186,651.05 50% off $18,126.63 $31,087.03 $25,322.95 2026-07-15
36516 CPT Therapeutic Leukopheresis Or White Blood Cell Depletion 39 22 $26,076.00 $13,038.00 50% off $13,038.00 $26,076.00 $26,076.00 2026-07-15
36904 CPT Thrmbc/Nfs Dialysis Circuit 42 23 $25,563.00 $12,781.50 50% off $438.14 $25,563.00 $25,563.00 2026-07-15
36906 CPT Thrmbc/Nfs Dialysis Circuit W/Stenting 44 22 $124,109.00 $62,054.50 50% off $18,893.63 $124,109.00 $63,735.60 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 20 11 $195,036.77 $97,518.39 50% off $26,324.34 $46,525.18 $26,324.34 2026-07-15
37229 CPT Tib/per Revasc With Ather 39 22 $76,124.25 $38,062.13 50% off $32,591.06 $76,124.25 $76,124.25 2026-07-15
37230 CPT Tib/per Revasc With Stent 35 22 $79,179.00 $39,589.50 50% off $18,893.63 $79,179.00 $47,507.40 2026-07-15
37231 CPT Tib/per Revasc Stent & Ather 39 22 $81,218.00 $40,609.00 50% off $40,609.00 $81,218.00 $81,218.00 2026-07-15
37233 CPT Tib/per Revasc With Ather Add-on 39 22 $26,178.00 $13,089.00 50% off $13,089.00 $26,178.00 $26,178.00 2026-07-15
37237 CPT Open/Perq Place Stent Ea Add Artery 41 23 $36,857.00 $18,428.50 50% off $1,976.00 $36,857.00 $36,857.00 2026-07-15
37239 CPT Open/Perq Place Stent Ea Add Vein 45 23 $36,857.00 $18,428.50 50% off $1,976.00 $36,857.00 $36,857.00 2026-07-15
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 16 10 $475,719.17 $237,859.59 50% off $103,855.22 $238,570.25 $132,707.35 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 12 $288,537.75 $144,268.88 50% off $112,006.68 $192,484.88 $112,006.68 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 12 $136,519.43 $68,259.72 50% off $15,917.80 $51,227.05 $28,478.71 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 $114,024.66 $57,012.33 50% off $38,671.51 $41,703.28 $40,187.40 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 11 $439,305.99 $219,653.00 50% off $40,717.04 $73,241.18 $40,717.04 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 11 $141,975.56 $70,987.78 50% off $27,529.79 $49,520.15 $27,529.79 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 11 $88,284.05 $44,142.03 50% off $26,072.75 $46,899.26 $26,072.75 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 12 $217,829.58 $108,914.79 50% off $7,271.78 $46,956.47 $27,977.89 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 11 $137,736.69 $68,868.35 50% off $28,925.43 $52,030.61 $28,925.43 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 $200,328.10 $100,164.05 50% off $7,288.27 $110,002.34 $67,125.66 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 $282,921.96 $141,460.99 50% off $23,585.27 $74,904.78 $49,245.02 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 $156,577.76 $78,288.88 50% off $58,269.17 $58,269.17 $58,269.17 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 $85,351.90 $42,675.95 50% off $27,108.67 $57,919.52 $42,514.10 2026-07-15
441 APR_DRG Major Bladder Procedures,major 16 10 $244,758.63 $122,379.32 50% off $21,902.42 $89,846.41 $42,165.47 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 $137,006.62 $68,503.31 50% off $70,763.06 $70,763.06 $70,763.06 2026-07-15
447 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme 16 10 $245,355.08 $122,677.54 50% off $32,847.44 $96,101.96 $47,518.57 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 $208,906.57 $104,453.29 50% off $43,485.90 $43,485.90 $43,485.90 2026-07-15
45 MS_DRG Cva And Precerebral Occlusion With Infarction,extreme 1 1 $96,566.94 $48,283.47 50% off $25,516.20 $25,516.20 $25,516.20 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 $136,034.39 $68,017.20 50% off $54,585.32 $54,585.32 $54,585.32 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 $82,667.13 $41,333.57 50% off $33,105.54 $33,105.54 $33,105.54 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 19 11 $86,373.17 $43,186.59 50% off $65,539.85 $117,892.07 $65,539.85 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 19 11 $145,270.53 $72,635.27 50% off $45,236.80 $81,371.26 $45,236.80 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 19 11 $145,804.83 $72,902.42 50% off $34,063.51 $61,272.90 $34,063.51 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 $155,148.82 $77,574.41 50% off $67,134.25 $112,674.24 $67,134.25 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 11 $145,359.83 $72,679.92 50% off $44,933.56 $80,825.79 $44,933.56 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 11 $281,849.07 $140,924.54 50% off $33,511.76 $60,280.42 $33,511.76 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 19 11 $166,529.89 $83,264.95 50% off $49,053.19 $88,236.12 $49,053.19 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 19 11 $117,402.57 $58,701.29 50% off $27,054.22 $48,664.70 $27,054.22 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 11 $143,991.34 $71,995.67 50% off $50,430.35 $90,713.32 $50,430.35 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 11 $103,957.40 $51,978.70 50% off $25,261.84 $37,867.18 $25,261.84 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 12 $99,014.09 $49,507.05 50% off $9,827.28 $75,349.86 $41,889.32 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 11 $175,801.57 $87,900.79 50% off $38,360.64 $69,002.53 $38,360.64 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 11 $165,242.00 $82,621.00 50% off $25,785.04 $46,381.74 $25,785.04 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 21 12 $109,101.94 $54,550.97 50% off $7,615.10 $44,299.66 $24,627.55 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 20 11 $143,391.50 $71,695.75 50% off $38,503.19 $64,621.52 $38,503.19 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 11 $86,544.41 $43,272.21 50% off $31,823.96 $57,244.45 $31,823.96 2026-07-15
47538 CPT Perq Plmt Bile Duct Stent; Each Stent; Existing Access 47 22 $40,039.00 $20,019.50 50% off $6,904.15 $40,039.00 $40,039.00 2026-07-15
47539 CPT Perq Plmt Bile Stent; New Access Without Sep Bil Drain 41 23 $38,923.00 $19,461.50 50% off $1,976.00 $38,923.00 $38,923.00 2026-07-15
47540 CPT Perq Plmt Bile Stent; New Access W/Sep Bil Drain 40 22 $40,612.00 $20,306.00 50% off $20,306.00 $40,612.00 $40,612.00 2026-07-15
47556 CPT Perc Dil Biliary Stricture W Stent 41 23 $36,909.00 $18,454.50 50% off $1,976.00 $36,909.00 $36,909.00 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 11 $103,288.59 $51,644.30 50% off $24,917.48 $44,821.18 $24,917.48 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 11 $189,607.93 $94,803.97 50% off $24,362.77 $43,823.38 $24,362.77 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 4 $130,027.57 $65,013.79 50% off $25,606.06 $38,823.99 $25,606.06 2026-07-15
49419 CPT Insert Tun Ip Cath W/Port 40 22 $27,221.00 $13,610.50 50% off $13,610.50 $27,221.00 $27,221.00 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 11 $147,603.56 $73,801.78 50% off $26,486.93 $47,644.28 $26,486.93 2026-07-15
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 13 10 $231,829.97 $115,914.99 50% off $79,345.77 $182,249.09 $84,476.12 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 19 11 $63,769.38 $31,884.69 50% off $23,984.09 $43,142.21 $23,984.09 2026-07-15
5166 OTHER Level 6 Urinary And Male Genital System Procedure Û Includes Renal, Ureteral, Bl… 19 14 $31,807.82 $15,903.91 50% off $31,807.82 $120,561.18 $32,762.05 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 11 $123,808.98 $61,904.49 50% off $27,009.10 $48,583.55 $27,009.10 2026-07-15
5200 OTHER Level 0 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 19 14 $28,428.33 $14,214.17 50% off $28,428.33 $107,751.90 $29,281.18 2026-07-15
5213 OTHER Level 3 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 19 14 $24,532.30 $12,266.15 50% off $24,532.30 $92,984.78 $25,268.27 2026-07-15
5232 OTHER Level 2 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 19 14 $32,061.58 $16,030.79 50% off $32,061.58 $121,523.01 $33,023.43 2026-07-15
5244 OTHER Level 4 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End… 19 14 $59,142.33 $29,571.17 50% off $59,142.33 $224,167.17 $60,916.60 2026-07-15
546 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses,extreme 13 8 $195,589.53 $97,794.77 50% off $25,081.15 $57,552.42 $27,552.30 2026-07-15
5465 OTHER Level 5 Abdominal / Peritoneal / Hernia Procedure Û Includes Laparoscopic And Op… 19 14 $30,473.59 $15,236.80 50% off $6,596.19 $115,504.05 $30,473.59 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 $150,206.15 $75,103.08 50% off $70,038.62 $70,038.62 $70,038.62 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 11 $71,349.08 $35,674.54 50% off $25,189.66 $45,310.76 $25,189.66 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 11 $203,501.54 $101,750.77 50% off $42,767.84 $71,779.07 $42,767.84 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 11 $91,929.89 $45,964.95 50% off $24,719.26 $44,464.63 $24,719.26 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 11 $187,943.56 $93,971.78 50% off $30,637.35 $51,419.96 $30,637.35 2026-07-15
61623 CPT Endovasc Temp B Vessel Occl 40 22 $67,860.00 $33,930.00 50% off $33,930.00 $67,860.00 $67,860.00 2026-07-15
61635 CPT Intracran Angioplsty W/Stent 41 23 $32,956.00 $16,478.00 50% off $1,976.00 $32,956.00 $32,956.00 2026-07-15
61645 CPT Perq Art M-thrombect &/Nfs 41 23 $25,630.00 $12,815.00 50% off $1,976.00 $25,630.00 $25,630.00 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 11 $92,047.13 $46,023.57 50% off $25,548.50 $49,783.57 $29,662.35 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 11 $153,968.36 $76,984.18 50% off $31,277.05 $52,493.59 $31,277.05 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 19 11 $160,946.69 $80,473.35 50% off $40,039.56 $72,022.53 $40,039.56 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 11 $86,209.36 $43,104.68 50% off $27,350.80 $49,198.19 $27,350.80 2026-07-15
681 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 16 10 $169,212.86 $84,606.43 50% off $20,565.52 $51,129.40 $24,654.36 2026-07-15
690 APR_DRG Acute Leukemia,major 13 10 $111,889.11 $55,944.56 50% off $29,211.06 $80,635.34 $37,074.90 2026-07-15
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 1 1 $272,217.20 $136,108.60 50% off $49,113.11 $49,113.11 $49,113.11 2026-07-15
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 16 10 $98,529.42 $49,264.71 50% off $9,963.19 $84,021.76 $40,232.35 2026-07-15
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme 16 10 $244,110.25 $122,055.13 50% off $7,430.18 $80,280.26 $33,090.04 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 19 11 $204,792.00 $102,396.00 50% off $36,644.75 $65,916.00 $36,644.75 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 11 $81,722.34 $40,861.17 50% off $25,374.56 $45,643.36 $25,374.56 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 11 $111,889.11 $55,944.56 50% off $44,722.03 $80,445.30 $44,722.03 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 11 $189,241.75 $94,620.88 50% off $33,296.53 $59,893.28 $33,296.53 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 11 $176,093.01 $88,046.51 50% off $34,226.96 $61,566.92 $34,226.96 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 19 11 $120,098.57 $60,049.29 50% off $41,410.80 $74,489.10 $41,410.80 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 11 $44,835.39 $22,417.70 50% off $35,826.74 $64,444.58 $35,826.74 2026-07-15
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 16 10 $467,082.55 $233,541.28 50% off $7,402.72 $96,052.89 $40,200.04 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 11 $140,745.29 $70,372.65 50% off $39,644.66 $66,537.30 $39,644.66 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 11 $111,550.26 $55,775.13 50% off $35,762.87 $60,022.33 $35,762.87 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 11 $87,217.08 $43,608.54 50% off $51,513.14 $92,661.03 $51,513.14 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 11 $17,383.87 $8,691.94 50% off $27,598.57 $41,884.35 $27,598.57 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 19 11 $421,238.34 $210,619.17 50% off $35,120.00 $58,943.37 $35,120.00 2026-07-15
9035 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 19 14 $533,230.17 $266,615.09 50% off $533,230.17 $2,021,102.32 $549,227.08 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 11 $89,065.00 $44,532.50 50% off $24,083.20 $43,320.48 $24,083.20 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 11 $114,696.66 $57,348.33 50% off $27,509.82 $49,484.23 $27,509.82 2026-07-15
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 13 10 $272,701.39 $136,350.70 50% off $41,533.71 $95,359.38 $45,663.59 2026-07-15
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 13 10 $159,356.24 $79,678.12 50% off $37,572.23 $86,256.14 $41,302.72 2026-07-15
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 16 10 $214,404.87 $107,202.44 50% off $43,789.16 $87,365.77 $48,146.43 2026-07-15
9138 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 13 $3,685,266.67 $1,842,633.33 50% off $3,685,266.67 $3,869,530.00 $3,685,266.67 2026-07-15
9141 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 14 14 $2,455,110.60 $1,227,555.30 50% off $2,455,110.60 $3,928,176.97 $2,455,110.60 2026-07-15
9194 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 19 14 $591,726.20 $295,863.10 50% off $591,726.20 $2,242,819.82 $609,477.99 2026-07-15
9273 OTHER Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi… 19 14 $55,272.32 $27,636.16 50% off $55,272.32 $209,498.69 $56,930.49 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 11 $60,091.79 $30,045.90 50% off $51,178.83 $92,059.69 $51,178.83 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 11 $82,814.80 $41,407.40 50% off $23,780.70 $42,776.35 $23,780.70 2026-07-15
9391 OTHER Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study 19 14 $489,304.61 $244,652.30 50% off $489,304.61 $1,854,611.26 $503,983.75 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 11 $126,144.90 $63,072.45 50% off $26,793.87 $40,624.96 $26,793.87 2026-07-15
9413 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 19 14 $562,538.19 $281,269.09 50% off $562,538.19 $2,132,188.48 $579,414.33 2026-07-15
9422 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 19 14 $557,317.93 $278,658.97 50% off $557,317.93 $2,112,402.17 $574,037.47 2026-07-15
9498 OTHER Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn… 19 14 $565,868.94 $282,934.47 50% off $565,868.94 $2,144,813.06 $582,845.01 2026-07-15
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 16 10 $293,926.86 $146,963.43 50% off $42,668.15 $93,565.99 $50,351.36 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 11 $272,701.39 $136,350.70 50% off $45,043.76 $81,024.02 $45,043.76 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 11 $95,416.51 $47,708.26 50% off $28,683.58 $51,595.57 $28,683.58 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 11 $250,535.28 $125,267.64 50% off $53,492.34 $96,221.18 $53,492.34 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 11 $268,586.15 $134,293.08 50% off $29,915.77 $53,812.02 $29,915.77 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 11 $74,374.57 $37,187.29 50% off $26,898.90 $48,385.32 $26,898.90 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 19 11 $50,428.07 $25,214.04 50% off $25,884.89 $38,801.12 $25,884.89 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 11 $229,324.21 $114,662.11 50% off $35,060.50 $63,066.28 $35,060.50 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 21 11 $107,262.75 $53,631.38 50% off $24,974.43 $108,797.41 $24,974.43 2026-07-15
C1982 HCPCS Trinav Infusion System 120cm 47 23 $31,576.50 $15,788.25 50% off $15,788.25 $31,576.50 $23,682.38 2026-07-15
C2616 HCPCS Bs Therasphere Yttrium Y90 77 23 $66,165.25 $33,082.63 50% off $17,177.01 $72,320.25 $49,900.97 2026-07-15
C9765 HCPCS Ivl W/Stent Fem/Pop 42 23 $33,711.53 $16,855.77 50% off $1,976.00 $33,711.53 $33,711.53 2026-07-15
C9773 HCPCS Revasc Lithotr-stent Tib/ 41 23 $34,845.98 $17,422.99 50% off $13,206.63 $34,845.98 $34,845.98 2026-07-15
C9797 HCPCS Vascular Emb Or Occlusion W/Use Of Press -gen Cath; Rad S/i 47 22 $53,184.00 $26,592.00 50% off $18,893.63 $53,184.00 $34,557.43 2026-07-15
J0139 HCPCS Adalimumab 40 Mg/0.8ml Sc Pskt 3 3 $47,266.25 $23,633.13 50% off $23,633.13 $40,176.31 $40,176.31 2026-07-15
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 3 3 $348,598.75 $174,299.38 50% off $174,299.38 $296,308.94 $296,308.94 2026-07-15
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 3 3 $53,390.50 $26,695.25 50% off $26,695.25 $45,381.93 $45,381.93 2026-07-15
J0565 HCPCS Bezlotoxumab 1000 Mg/40ml IV Soln 3 3 $30,808.75 $15,404.38 50% off $15,404.38 $26,187.44 $26,187.44 2026-07-15
J0896 HCPCS Luspatercept 50 Mg/ml Sq Syringe 3 3 $95,529.50 $47,764.75 50% off $47,764.75 $81,200.08 $81,200.08 2026-07-15
J1300 HCPCS Eculizumab 300 Mg/30ml IV Soln 3 3 $52,886.00 $26,443.00 50% off $26,443.00 $44,953.10 $44,953.10 2026-07-15
J1303 HCPCS Ravulizumab-cwvz 1100 Mg/11ml IV Soln 3 3 $101,434.75 $50,717.38 50% off $50,717.38 $86,219.54 $86,219.54 2026-07-15
J1326 HCPCS Zolbetuximab-clzb 300 Mg IV Solr 3 3 $40,497.25 $20,248.63 50% off $20,248.63 $34,422.66 $34,422.66 2026-07-15
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 3 3 $123,380.50 $61,690.25 50% off $61,690.25 $104,873.43 $104,873.43 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 3 3 $43,451.75 $21,725.88 50% off $21,725.88 $36,933.99 $36,933.99 2026-07-15
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 3 3 $155,643.25 $77,821.63 50% off $77,821.63 $132,296.76 $132,296.76 2026-07-15
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 3 3 $171,773.00 $85,886.50 50% off $85,886.50 $146,007.05 $146,007.05 2026-07-15
J2353 HCPCS Octreotide Acetate 10 Mg IM Kit 9 3 $59,723.75 $29,861.88 50% off $13,058.75 $76,017.20 $44,716.00 2026-07-15
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91ml Sc Sosy 3 3 $35,064.00 $17,532.00 50% off $17,532.00 $29,804.40 $29,804.40 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 3 3 $435,038.00 $217,519.00 50% off $217,519.00 $369,782.30 $369,782.30 2026-07-15
J2997 HCPCS Alteplase 100 Mg IV Solr 9 3 $34,426.25 $17,213.13 50% off $1,264.38 $58,524.84 $29,262.31 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg IV Kit 3 3 $79,367.25 $39,683.63 50% off $39,683.63 $67,462.16 $67,462.16 2026-07-15
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 3 3 $152,023.75 $76,011.88 50% off $76,011.88 $129,220.19 $129,220.19 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg IV Solr 3 3 $75,127.75 $37,563.88 50% off $37,563.88 $63,858.59 $63,858.59 2026-07-15
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 3 3 $67,755.50 $33,877.75 50% off $33,877.75 $57,592.18 $57,592.18 2026-07-15
J9023 HCPCS Avelumab 200 Mg/10ml IV Soln 3 3 $29,335.75 $14,667.88 50% off $14,667.88 $24,935.39 $24,935.39 2026-07-15
J9026 HCPCS Tarlatamab-dlle 10 Mg IV Solr 6 3 $69,604.38 $34,802.19 50% off $6,327.75 $107,570.26 $37,016.90 2026-07-15
J9029 HCPCS Adstiladrin Per Therapeutic Dose 11 10 $127,680.00 $63,840.00 50% off $44,598.62 $287,280.00 $127,680.00 2026-07-15
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 3 3 $177,579.00 $88,789.50 50% off $88,789.50 $150,942.15 $150,942.15 2026-07-15
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 3 3 $204,173.00 $102,086.50 50% off $102,086.50 $173,547.05 $173,547.05 2026-07-15
J9047 HCPCS Carfilzomib 60 Mg IV Solr 3 3 $29,840.00 $14,920.00 50% off $14,920.00 $25,364.00 $25,364.00 2026-07-15
J9061 HCPCS Amivantamab-vmjw 350 Mg/7ml IV Soln 3 3 $32,116.50 $16,058.25 50% off $16,058.25 $27,299.03 $27,299.03 2026-07-15
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 3 3 $153,051.00 $76,525.50 50% off $76,525.50 $130,093.35 $130,093.35 2026-07-15
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 3 3 $148,852.50 $74,426.25 50% off $74,426.25 $126,524.63 $126,524.63 2026-07-15
J9176 HCPCS Elotuzumab 300 Mg IV Solr 3 3 $32,518.00 $16,259.00 50% off $16,259.00 $27,640.30 $27,640.30 2026-07-15
J9177 HCPCS Enfortumab Vedotin-ejfv 20 Mg IV Solr 6 3 $49,190.25 $24,595.13 50% off $19,676.13 $50,174.01 $33,449.41 2026-07-15
J9185 HCPCS Fludarabine Phosphate 50 Mg/2ml IV Soln 3 3 $32,547.00 $16,273.50 50% off $16,273.50 $27,664.95 $27,664.95 2026-07-15
J9205 HCPCS Irinotecan Hcl Liposome 43 Mg/10ml IV Inj 3 3 $40,980.50 $20,490.25 50% off $20,490.25 $34,833.43 $34,833.43 2026-07-15
J9207 HCPCS Ixabepilone 15 Mg IV Solr 3 3 $28,222.50 $14,111.25 50% off $14,111.25 $23,989.13 $23,989.13 2026-07-15
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 3 3 $66,219.00 $33,109.50 50% off $33,109.50 $56,286.15 $56,286.15 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg/40ml IV Soln 6 3 $217,755.75 $108,877.88 50% off $63,425.25 $262,361.85 $131,076.71 2026-07-15
J9268 HCPCS Pentostatin 10 Mg IV Solr 3 3 $33,226.50 $16,613.25 50% off $16,613.25 $28,242.53 $28,242.53 2026-07-15
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 3 3 $49,758.50 $24,879.25 50% off $24,879.25 $42,294.73 $42,294.73 2026-07-15
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 3 3 $168,535.75 $84,267.88 50% off $84,267.88 $143,255.39 $143,255.39 2026-07-15
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 3 3 $62,439.75 $31,219.88 50% off $31,219.88 $53,073.79 $53,073.79 2026-07-15
J9286 HCPCS Glofitamab-gxbm 10 Mg/10ml IV Soln 6 3 $94,924.62 $47,462.32 50% off $18,984.88 $129,097.58 $54,107.02 2026-07-15
J9289 HCPCS Nivolumab-hyaluronidase-nvhy 600-10000 Mg-ut/5ml Sc Soln 3 3 $112,401.00 $56,200.50 50% off $56,200.50 $95,540.85 $95,540.85 2026-07-15
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 3 3 $90,162.25 $45,081.13 50% off $45,081.13 $76,637.91 $76,637.91 2026-07-15
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 3 3 $126,087.75 $63,043.88 50% off $63,043.88 $107,174.59 $107,174.59 2026-07-15
J9303 HCPCS Panitumumab 100 Mg/5ml IV Soln 6 3 $56,559.62 $28,279.82 50% off $7,086.38 $84,104.53 $30,760.05 2026-07-15
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 3 3 $95,550.25 $47,775.13 50% off $47,775.13 $81,217.71 $81,217.71 2026-07-15
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 3 3 $157,022.25 $78,511.13 50% off $78,511.13 $133,468.91 $133,468.91 2026-07-15
J9311 HCPCS Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln 6 3 $79,041.12 $39,520.57 50% off $26,393.50 $89,500.96 $48,758.29 2026-07-15
J9316 HCPCS Pertuz-trastuz-hyaluron-zzxf 60-60-2000 Mg-mg-u/ml Sc Soln 3 3 $46,154.25 $23,077.13 50% off $23,077.13 $39,231.11 $39,231.11 2026-07-15
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg IV Solr 3 3 $35,913.00 $17,956.50 50% off $17,956.50 $30,526.05 $30,526.05 2026-07-15
J93190 OTHER Romidepsin 10 Mg IV Solr 3 3 $44,811.00 $22,405.50 50% off $22,405.50 $44,811.00 $44,811.00 2026-07-15
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20ml IV Soln 3 3 $118,335.25 $59,167.63 50% off $59,167.63 $100,584.96 $100,584.96 2026-07-15
J9347 HCPCS Tremelimumab-actl 25 Mg/1.25ml IV Soln 6 3 $190,901.75 $95,450.88 50% off $14,549.13 $299,799.46 $100,543.07 2026-07-15
J9352 HCPCS Trabectedin 1 Mg IV Solr 3 3 $31,126.75 $15,563.38 50% off $15,563.38 $26,457.74 $26,457.74 2026-07-15
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr 6 3 $72,659.50 $36,329.75 50% off $27,946.00 $76,012.95 $47,508.20 2026-07-15
J9356 HCPCS Trastuzumab-hyaluronidase-oysk 600-10000 Mg-unt/5ml Sc Soln 3 3 $65,497.00 $32,748.50 50% off $32,748.50 $55,672.45 $55,672.45 2026-07-15
J9999 HCPCS Telisotuzumab Vedotin-tllv 100 Mg IV Solr 6 3 $117,510.00 $58,755.00 50% off $19,585.00 $166,472.50 $65,609.75 2026-07-15
Q5117 HCPCS Trastuzumab-anns 420 Mg IV Solr 3 3 $30,421.25 $15,210.63 50% off $15,210.63 $25,858.06 $25,858.06 2026-07-15
V2785 HCPCS Supplies With HCPCS Code V2785 48 23 $25,720.50 $12,860.25 50% off $7,902.11 $25,720.50 $25,720.50 2026-07-15
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