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

SARATOGA HOSPITAL

Saratoga Springs, NY · CCN 330222 · Rates published

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You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $9,718 across 10 payers · range $1,330-$23,193

Source: https://albany.pt.panaceainc.com/MRFDownload/albany/albanytsh · observed 2025-12-31

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

31,317 distinct procedures filed
16 distinct payers
820,271 rate rows
2025-12-31 last MRF observed
Data quality

553,391 of 820,271 rate rows are consumer-grade (67.5%)

266,880 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 242,102
professional (physician) fee — not the facility price 12,568
template filing: same amount across many unrelated codes — excluded 4,655
placeholder amount (≤ $0.02) — excluded from medians 2,691
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,289
exceeds 10× this hospital's gross charge — excluded from medians 1,858
percent-of-charges filed in the dollar field — excluded from medians 566
per-diem day rate — not a per-procedure price 129
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://albany.pt.panaceainc.com/MRFDownload/albany/albanytsh
Found on page https://www.albanymed.org/patients-visitors/billing-insurance/hospital-pricing-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-18
Content fingerprint 41e45a740eb0e528… · 19,611,841 bytes · first seen 2026-05-13

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,377,500.00 $4,596,375.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,324,571.90 $4,887,120.69 $3,440,931.92 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,261,355.00 $4,794,191.85 $3,375,502.42 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,950,686.67 $4,337,509.40 $3,053,960.70 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,452,115.60 $3,604,609.93 $2,537,939.65 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,428,040.00 $2,413,620.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,155,930.00 $809,151.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $578,324.58 $887,589.30 $607,240.81 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $553,378.83 $848,803.43 $581,047.77 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,635.66 $843,807.29 $568,717.44 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $541,260.45 $835,976.90 $568,323.47 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,076.48 $799,845.26 $559,730.30 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,720.00 $733,956.92 $514,206.00 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $335,796.01 $609,740.55 $354,169.24 nat. median
$370,165
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $308,460.00 $308,460.00 $308,460.00 nat. median
$209,736
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $270,375.00 $397,451.25 $279,838.12 nat. median
$302,242
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $250,925.41 $455,425.07 $264,654.37 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $211,395.60 $383,550.23 $222,961.42 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $191,022.03 $346,506.11 $201,472.97 nat. median
$199,832
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $126,095.50 $228,453.84 $132,993.55 nat. median
$132,706
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $116,952.65 $211,829.90 $123,350.38 nat. median
$114,305
1.1× median
7
MS_DRG 		Lung Transplant 10 $116,659.21 $211,296.36 $123,040.89 nat. median
$122,690
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $111,426.98 $117,794.23 $114,610.60 nat. median
$111,503
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $98,438.42 $178,166.51 $103,823.02 nat. median
$108,240
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $97,319.79 $176,132.58 $102,643.18 nat. median
$100,978
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $97,877.54 $103,470.54 $100,674.04 nat. median
$97,404
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $95,145.68 $172,179.50 $100,350.10 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 10 $94,660.17 $171,296.73 $99,838.01 nat. median
$98,002
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $93,598.45 $169,366.27 $98,278.37 nat. median
$96,835
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $86,268.70 $156,038.98 $90,987.36 nat. median
$92,900
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $82,363.29 $148,938.00 $86,481.45 nat. median
$81,364
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $75,800.92 $137,006.02 $79,946.76 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $75,759.13 $136,930.03 $79,902.68 nat. median
$80,459
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $74,615.61 $134,850.82 $78,346.39 nat. median
$81,124
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $72,130.27 $130,331.86 $76,075.24 nat. median
$77,385
1.0× median
10
MS_DRG 		Pancreas Transplant 10 $71,346.87 $128,907.46 $75,248.98 nat. median
$67,750
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $70,940.50 $128,168.59 $74,820.37 nat. median
$69,153
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $69,954.37 $126,375.56 $73,780.27 nat. median
$73,475
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $69,252.78 $125,099.90 $73,040.29 nat. median
$74,472
1.0× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 2 $70,825.29 $74,872.45 $72,848.87 nat. median
$70,178
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $66,822.57 $120,681.19 $70,477.10 nat. median
$71,485
1.0× median
S2235
HCPCS 		Implant Auditory Brain Imp 7 $36,590.79 $85,988.36 $67,692.96 nat. median
$4,174
outlier · 16.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $63,608.08 $114,836.45 $66,788.48 nat. median
$66,640
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $63,290.63 $114,259.26 $66,751.89 nat. median
$68,581
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 7 $63,431.05 $95,013.42 $66,602.60 nat. median
$69,291
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $62,308.06 $112,472.69 $65,715.54 nat. median
$65,958
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $61,168.09 $110,399.95 $64,513.19 nat. median
$64,357
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $59,839.61 $107,984.46 $63,112.02 nat. median
$62,911
1.0× median

Other procedures at this hospital

Browse this hospital's 31,317 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,377,500.00 $4,596,375.00 $4,377,500.00 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $3,869,530.00 $3,685,266.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 6 — — $3,324,571.90 $4,887,120.69 $3,440,931.92 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 6 — — $3,261,355.00 $4,794,191.85 $3,375,502.42 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 8 6 — — $2,950,686.67 $4,337,509.40 $3,053,960.70 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 6 — — $2,452,115.60 $3,604,609.93 $2,537,939.65 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 8 6 — — $2,332,000.00 $3,428,040.00 $2,413,620.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $770,620.00 $1,155,930.00 $809,151.00 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $578,324.58 $887,589.30 $607,240.81 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $553,378.83 $848,803.43 $581,047.77 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $541,635.66 $843,807.29 $568,717.44 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $541,260.45 $835,976.90 $568,323.47 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $533,076.48 $799,845.26 $559,730.30 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,720.00 $733,956.92 $514,206.00 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $335,796.01 $609,740.55 $354,169.24 2025-12-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $308,460.00 $308,460.00 $308,460.00 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 6 — — $270,375.00 $397,451.25 $279,838.12 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $250,925.41 $455,425.07 $264,654.37 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 10 — — $211,395.60 $383,550.23 $222,961.42 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 10 — — $191,022.03 $346,506.11 $201,472.97 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 — — $126,095.50 $228,453.84 $132,993.55 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $116,952.65 $211,829.90 $123,350.38 2025-12-31
7 MS_DRG Lung Transplant 10 10 — — $116,659.21 $211,296.36 $123,040.89 2025-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $111,426.98 $117,794.23 $114,610.60 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $98,438.42 $178,166.51 $103,823.02 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 10 — — $97,319.79 $176,132.58 $102,643.18 2025-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $97,877.54 $103,470.54 $100,674.04 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $95,145.68 $172,179.50 $100,350.10 2025-12-31
215 MS_DRG Other Heart Assist System Implant 10 10 — — $94,660.17 $171,296.73 $99,838.01 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 — — $93,598.45 $169,366.27 $98,278.37 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $86,268.70 $156,038.98 $90,987.36 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 7 7 — — $82,363.29 $148,938.00 $86,481.45 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 10 — — $75,800.92 $137,006.02 $79,946.76 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $75,759.13 $136,930.03 $79,902.68 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 7 — — $74,615.61 $134,850.82 $78,346.39 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 10 — — $72,130.27 $130,331.86 $76,075.24 2025-12-31
10 MS_DRG Pancreas Transplant 10 10 — — $71,346.87 $128,907.46 $75,248.98 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 10 — — $70,940.50 $128,168.59 $74,820.37 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 10 — — $69,954.37 $126,375.56 $73,780.27 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $69,252.78 $125,099.90 $73,040.29 2025-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 2 — — $70,825.29 $74,872.45 $72,848.87 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 — — $66,822.57 $120,681.19 $70,477.10 2025-12-31
S2235 HCPCS Implant Auditory Brain Imp 11 7 — — $36,590.79 $85,988.36 $67,692.96 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 — — $63,608.08 $114,836.45 $66,788.48 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 10 — — $63,290.63 $114,259.26 $66,751.89 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 7 — — $63,431.05 $95,013.42 $66,602.60 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 10 — — $62,308.06 $112,472.69 $65,715.54 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 10 — — $61,168.09 $110,399.95 $64,513.19 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 10 — — $59,839.61 $107,984.46 $63,112.02 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 7 — — $60,069.03 $108,401.59 $63,072.48 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 10 — — $59,739.13 $107,801.76 $63,006.04 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 10 — — $57,957.15 $104,561.69 $61,126.55 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $57,874.46 $104,411.33 $61,039.33 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 10 — — $56,894.24 $102,251.28 $59,895.41 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 8 — — $55,945.97 $82,908.48 $59,701.76 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 9 7 — — $56,824.55 $83,532.09 $59,665.78 2025-12-31
J9226 HCPCS Hc Pbb Supprelin La Implant 25 14 $84,929.00 $42,464.50 50% off $25,478.70 $80,682.55 $59,450.30 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 — — $55,531.39 $100,151.06 $58,568.04 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 7 — — $55,460.25 $100,021.72 $58,233.26 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $55,209.50 $99,565.78 $58,228.54 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $55,018.32 $99,218.17 $58,026.90 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 10 — — $54,769.34 $98,765.46 $57,764.29 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 10 10 — — $54,509.69 $98,293.36 $57,490.43 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 10 — — $54,121.99 $97,588.43 $57,081.52 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 10 — — $54,121.99 $97,588.43 $57,081.52 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 — — $53,720.96 $96,859.25 $56,658.54 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $53,351.94 $96,188.28 $56,269.33 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 9 — — $53,311.92 $96,115.53 $55,977.52 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 — — $52,773.06 $95,135.75 $55,658.77 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 — — $52,222.64 $94,134.95 $55,078.23 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $51,485.49 $92,794.62 $54,300.75 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $51,180.49 $92,240.06 $53,979.05 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 10 10 — — $50,020.07 $90,130.13 $52,755.13 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 10 — — $49,599.47 $89,365.39 $52,311.52 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 10 10 — — $49,599.47 $89,365.39 $52,311.52 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 7 — — $49,393.18 $88,990.29 $51,862.84 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 7 — — $49,094.40 $88,447.04 $51,549.12 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 10 — — $48,832.98 $87,971.70 $51,503.08 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 10 — — $48,722.71 $87,771.22 $51,386.78 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 — — $48,476.40 $87,323.37 $51,126.99 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 10 — — $48,431.05 $87,240.91 $51,079.16 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $48,425.72 $87,231.21 $51,073.54 2025-12-31
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $49,571.83 $52,404.51 $50,988.17 2025-12-31
0266T CPT Implt/rpl Crtd Sns Dev Total 20 9 — — $22,407.78 $78,280.13 $50,417.51 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 10 — — $47,757.92 $86,016.99 $50,369.19 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $47,548.96 $85,637.05 $50,148.80 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 10 — — $46,093.32 $82,990.34 $48,613.50 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 7 — — $46,245.38 $83,266.82 $48,557.65 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 10 — — $45,751.86 $82,369.49 $48,253.36 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 10 — — $45,613.15 $82,117.27 $48,107.06 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 10 — — $45,238.79 $81,436.60 $47,712.21 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 — — $44,974.70 $80,956.41 $47,433.68 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 — — $44,940.02 $80,893.35 $47,397.10 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 10 — — $44,762.17 $80,569.99 $47,209.51 2025-12-31
92930 HCPCS Hc Prq Tcat Plmt Ntrac St 2+les 12 7 $57,207.73 $28,603.87 50% off $9,954.15 $54,347.34 $47,196.38 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 10 — — $42,881.00 $80,861.02 $47,168.34 2025-12-31
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $45,303.27 $47,892.03 $46,597.65 2025-12-31
245 MS_DRG Aicd Generator Procedures 10 10 — — $43,904.09 $79,009.78 $46,304.48 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 10 10 — — $43,641.77 $78,532.83 $46,027.80 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 10 10 — — $43,569.74 $78,401.87 $45,951.84 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 10 — — $42,914.40 $77,210.28 $45,260.63 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 — — $42,930.10 $76,861.06 $45,167.13 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 10 10 — — $42,730.33 $76,875.61 $45,066.49 2025-12-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 19 10 — — $1,533.86 $72,422.44 $44,815.56 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 10 — — $42,284.84 $76,065.59 $44,596.62 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 10 — — $42,060.76 $75,658.16 $44,360.28 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 10 — — $41,815.33 $75,211.92 $44,101.42 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 10 10 — — $41,435.64 $74,521.55 $43,700.94 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 10 — — $41,418.75 $74,490.83 $43,683.14 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $41,288.03 $74,253.16 $43,545.26 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 10 — — $41,281.81 $74,241.84 $43,538.70 2025-12-31
37286 HCPCS Hc Revsc Evasc Tpvt St Cplx 1st 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37290 HCPCS Hc Revsc Evsc Tpvt Athrc Cplx 1 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37275 HCPCS Hc Rvsc Evsc Fpvt St Athrc Sf 1 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37284 HCPCS Hc Revsc Evasc Tpvt St Sf 1st 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37294 HCPCS Hc Rvsc Evsc Tpvt St Athr Cpx 1 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37271 HCPCS Hc Revsc Evsc Fpvt Athrc Sf 1st 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37292 HCPCS Hc Rvsc Evsc Tpvt St Athrc Sf 1 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37277 HCPCS Hc Rvsc Evsc Fpvt St Athr Cpx 1 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37273 HCPCS Hc Revsc Evsc Fpvt Athrc Cplx 1 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
37288 HCPCS Hc Revsc Evsc Tpvt Athrc Sf 1st 13 8 $57,207.73 $28,603.87 50% off $127.00 $54,347.34 $42,905.80 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 10 — — $40,567.77 $72,943.55 $42,785.59 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 10 — — $40,328.58 $72,508.63 $42,533.31 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 10 — — $40,218.31 $72,308.15 $42,417.01 2025-12-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 2 — — $41,196.95 $43,551.06 $42,374.00 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 10 10 — — $39,846.62 $71,632.32 $42,024.97 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 10 — — $39,511.39 $71,022.79 $41,671.40 2025-12-31
0466T CPT Insj Ch Wal Respir Eltrd/ra 11 7 — — $22,407.78 $52,658.28 $41,454.39 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 10 — — $38,925.40 $69,957.32 $41,053.35 2025-12-31
0312T CPT Laps Impltj Nstim Vagus 12 8 — — $22,407.78 $52,658.28 $41,012.53 2025-12-31
0424T CPT Insj/rplc Nstim Apnea Compl 12 8 — — $22,407.78 $52,658.28 $41,012.53 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $38,846.26 $69,813.42 $40,969.88 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 10 — — $38,381.21 $68,967.84 $40,479.38 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 10 — — $38,325.19 $68,865.98 $40,420.29 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 10 10 — — $38,056.65 $68,377.71 $40,137.05 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 10 — — $37,713.41 $67,753.62 $39,775.04 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 10 — — $37,704.52 $67,737.45 $39,765.65 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 10 — — $37,447.54 $67,270.20 $39,494.61 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 9 9 — — $37,534.68 $67,428.64 $39,411.41 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 10 — — $37,015.38 $66,484.43 $39,038.81 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 10 — — $36,994.93 $66,447.25 $39,017.24 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 10 — — $36,940.69 $66,348.62 $38,960.02 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 10 — — $36,617.90 $65,761.72 $38,619.58 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 7 — — $36,761.07 $66,022.03 $38,599.12 2025-12-31
791 MS_DRG Prematurity With Major Problems 9 9 — — $36,551.21 $65,640.46 $38,378.77 2025-12-31
0571T CPT Insj/rplcmt Icds Ss Eltrd 19 9 — — $17,901.54 $55,772.37 $37,940.39 2025-12-31
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 20 9 — — $17,901.54 $55,772.37 $37,940.39 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 10 — — $35,873.64 $64,408.46 $37,834.58 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 10 — — $35,848.74 $64,363.19 $37,808.32 2025-12-31
69930 HCPCS Implant Cochlear Device 18 9 — — $1,200.96 $85,988.36 $37,640.10 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 10 — — $35,535.74 $63,794.08 $37,478.20 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 10 — — $35,463.71 $63,663.12 $37,402.23 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 10 — — $35,392.57 $63,533.77 $37,327.19 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 10 — — $35,220.96 $63,221.73 $37,146.18 2025-12-31
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 2 — — $35,998.66 $38,055.73 $37,027.20 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $35,237.85 $63,252.45 $36,999.74 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 10 — — $35,028.89 $62,872.50 $36,943.60 2025-12-31
0268T CPT Implt/rpl Crtd Sns Dev Gen 21 10 — — $22,407.78 $53,010.01 $36,782.45 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 10 — — $34,818.14 $62,489.32 $36,721.33 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 10 — — $34,783.46 $62,426.26 $36,684.75 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 10 — — $34,687.43 $62,251.65 $36,583.46 2025-12-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 9 — — $22,407.78 $52,658.28 $36,421.84 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 10 — — $34,439.34 $61,800.56 $36,321.80 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $34,255.27 $61,465.89 $36,127.66 2025-12-31
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 34 12 $135,818.52 $67,909.26 50% off $59.70 $122,236.67 $36,121.68 2025-12-31
61886 HCPCS Implant Neurostim Arrays 18 9 — — $818.71 $52,658.28 $36,061.23 2025-12-31
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 20 9 — — $16,825.46 $53,010.01 $36,061.23 2025-12-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 18 9 — — $631.57 $52,658.28 $36,061.23 2025-12-31
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 19 9 — — $357.43 $52,658.28 $36,061.23 2025-12-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 19 10 — — $1,028.85 $52,658.28 $36,061.23 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 10 — — $33,992.07 $60,987.31 $35,850.05 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 10 — — $33,724.42 $60,500.66 $35,567.75 2025-12-31
SUP-1099100-14749 CDM Cannula Perf Lifeport Kit 12 7 $42,757.00 $21,378.50 50% off $7,439.72 $40,619.15 $35,274.52 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 10 — — $32,894.78 $58,992.18 $34,692.72 2025-12-31
33270 HCPCS Ins/rep Subq Defibrillator 18 9 — — $579.15 $51,598.93 $34,460.46 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 10 — — $32,669.81 $58,583.13 $34,455.44 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 10 — — $32,326.58 $57,959.05 $34,093.43 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 10 — — $32,324.80 $57,955.81 $34,091.54 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 10 — — $32,319.47 $57,946.11 $34,085.93 2025-12-31
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 12 8 — — $22,407.78 $52,658.28 $34,079.73 2025-12-31
0427T CPT Insj/rplc Nstim Apnea Pls Gn 12 8 — — $22,407.78 $52,658.28 $34,079.73 2025-12-31
0316T CPT Replc Vagus Nerve Pls Gen 12 8 — — $22,407.78 $52,658.28 $34,079.73 2025-12-31
265 MS_DRG Aicd Lead Procedures 10 10 — — $32,170.08 $57,674.49 $33,928.36 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 10 — — $32,027.80 $57,415.80 $33,778.29 2025-12-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 21 10 — — $1,033.44 $49,452.20 $33,640.95 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 10 — — $31,842.85 $57,079.51 $33,583.22 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 10 — — $31,755.71 $56,921.06 $33,491.32 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 — — $31,804.31 $56,631.65 $33,432.51 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 10 — — $4,193.00 $57,064.96 $33,426.59 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 10 — — $31,606.32 $56,649.44 $33,333.76 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 10 — — $31,584.09 $56,609.02 $33,310.31 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 10 10 — — $31,528.96 $56,508.78 $33,252.15 2025-12-31
G0448 HCPCS Place Perm Pacing Cardiovert 11 7 — — $17,901.54 $42,068.62 $33,117.85 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 10 — — $31,328.00 $56,143.38 $33,040.20 2025-12-31
SUP-1319425-2072 CDM Kit Impella Rp Flex Sterile W/smartassist 12 7 $40,040.00 $20,020.00 50% off $6,966.96 $38,038.00 $33,033.00 2025-12-31
332 MS_DRG Rectal Resection With Mcc 10 10 — — $31,294.21 $56,081.94 $33,004.56 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 10 — — $31,260.42 $56,020.50 $32,968.92 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 10 — — $31,078.13 $55,689.06 $32,776.66 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 10 — — $31,030.11 $55,601.75 $32,726.01 2025-12-31
665 MS_DRG Prostatectomy With Mcc 10 10 — — $30,982.09 $55,514.44 $32,675.36 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 10 10 — — $30,953.64 $55,462.71 $32,645.35 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 10 — — $30,907.40 $55,378.63 $32,596.58 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 — — $30,738.45 $55,071.44 $32,418.39 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 10 — — $30,612.18 $54,841.86 $32,285.21 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 10 — — $30,298.29 $54,271.13 $31,954.15 2025-12-31
61870 HCPCS Implant Neuroelectrodes 12 8 — — $1,012.81 $52,658.28 $31,931.08 2025-12-31
61867 HCPCS Implant Neuroelectrode 12 8 — — $2,212.37 $52,658.28 $31,931.08 2025-12-31
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 12 8 — — $3,471.40 $52,658.28 $31,931.08 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 10 10 — — $29,979.95 $53,692.31 $31,618.39 2025-12-31
C1825 HCPCS System Neurostimulator Barostim Neo Ipg 20 11 $45,045.00 $22,522.50 50% off $7,837.83 $42,792.75 $31,531.50 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 10 — — $29,811.00 $53,385.12 $31,440.19 2025-12-31
L6700 HCPCS Ue Add Ext Power Myoel 2 2 — — $30,378.14 $32,114.03 $31,246.08 2025-12-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 10 — — $29,515.79 $52,848.34 $31,128.82 2025-12-31
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $16,825.46 $39,539.83 $31,127.10 2025-12-31
64597 HCPCS Ins/rplcm Prq Eltrd Ra Pn Ea 11 7 — — $16,825.46 $39,539.83 $31,127.10 2025-12-31
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $16,825.46 $39,539.83 $31,127.10 2025-12-31
0786T CPT Insj/rplcmt Prq Ra Sac Nstim 11 7 — — $16,825.46 $39,539.83 $31,127.10 2025-12-31
0947T CPT Mrgfus Strtctc Bl-br Disrpj 11 7 — — $16,825.46 $39,539.83 $31,127.10 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 10 — — $29,433.09 $52,697.98 $31,041.60 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 10 — — $29,420.64 $52,675.34 $31,028.46 2025-12-31
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $29,834.40 $31,539.22 $30,686.81 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 10 — — $29,076.52 $52,049.64 $30,665.51 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 — — $28,944.03 $51,808.74 $30,525.78 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 10 — — $28,861.33 $51,658.38 $30,438.55 2025-12-31
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $29,559.56 $31,248.68 $30,404.12 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 10 — — $28,807.09 $51,559.75 $30,381.34 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 10 — — $28,730.62 $51,420.71 $30,300.69 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 10 — — $28,673.71 $51,317.23 $30,240.67 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 10 10 — — $28,626.58 $51,231.54 $30,190.96 2025-12-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 10 — — $28,202.42 $50,460.33 $29,743.58 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 10 10 — — $28,189.98 $50,437.69 $29,730.46 2025-12-31
33249 HCPCS Hc Ep Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 38 16 $122,289.00 $61,144.50 50% off $899.95 $116,174.55 $29,644.24 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 10 — — $28,071.71 $50,222.66 $29,605.72 2025-12-31
SUP-1113688-13100 CDM Davinci Endoscope Plus Assy 30 Deg Is4000 470057 12 7 $35,750.00 $17,875.00 50% off $6,220.50 $33,962.50 $29,493.75 2025-12-31
SUP-1200552-11410 CDM Kit Impella Rp Sterile W/smartassist 12 7 $35,750.00 $17,875.00 50% off $6,220.50 $33,962.50 $29,493.75 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 10 — — $27,948.11 $49,997.92 $29,475.36 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 10 — — $27,871.64 $49,858.88 $29,394.70 2025-12-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 7 7 — — $27,891.20 $49,894.45 $29,285.76 2025-12-31
652 MS_DRG Kidney Transplant 10 10 — — $27,761.38 $49,658.40 $29,278.40 2025-12-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 10 — — $27,736.48 $49,613.12 $29,252.14 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 10 — — $27,647.56 $49,451.44 $29,158.36 2025-12-31
C2642 HCPCS Seed Brachytherapy Gamma Tile Therapy 5pk 75 16 $43,958.20 $21,979.10 50% off $127.64 $46,080.32 $29,103.36 2025-12-31
0426T CPT Insj/rplc Nstim Apnea Stm Ld 12 8 — — $16,825.46 $39,539.83 $28,916.08 2025-12-31
570 MS_DRG Skin Debridement With Mcc 10 10 — — $27,217.18 $48,668.91 $28,704.43 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 10 10 — — $27,211.54 $48,280.88 $28,588.42 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 — — $26,669.43 $47,672.96 $28,126.70 2025-12-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 10 — — $26,601.85 $47,550.09 $28,055.42 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 10 — — $26,530.71 $47,420.74 $27,980.40 2025-12-31
0409T CPT Insj/rplc Car Modulj Pls Gn 21 10 — — $17,901.54 $42,068.62 $27,890.02 2025-12-31
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 21 10 — — $17,901.54 $42,068.62 $27,890.02 2025-12-31
668 MS_DRG Transurethral Procedures With Mcc 10 10 — — $26,382.21 $47,150.74 $27,823.77 2025-12-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 10 — — $26,367.99 $47,124.87 $27,808.76 2025-12-31
800 MS_DRG Splenic Procedures With Cc 10 10 — — $26,359.98 $47,110.32 $27,800.32 2025-12-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 10 — — $26,345.76 $47,084.45 $27,785.32 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 10 10 — — $26,212.37 $46,841.93 $27,644.64 2025-12-31
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 20 9 — — $17,901.54 $42,068.62 $27,491.59 2025-12-31
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 20 9 — — $17,901.54 $42,068.62 $27,491.59 2025-12-31
0916T CPT Insj Perm Ccm-d Sys Pg Only 20 9 — — $17,901.54 $42,068.62 $27,491.59 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 10 — — $25,944.72 $46,355.27 $27,362.34 2025-12-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 10 — — $25,915.38 $46,301.92 $27,331.39 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 10 — — $25,900.26 $46,274.43 $27,315.44 2025-12-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 10 — — $25,864.69 $46,209.76 $27,277.92 2025-12-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 10 — — $25,764.21 $46,027.06 $27,171.95 2025-12-31
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 9 6 — — $16,075.08 $39,140.50 $27,158.72 2025-12-31
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 9 6 — — $16,075.08 $39,140.50 $27,158.72 2025-12-31
37267 HCPCS Hc Revsc Evsc Fpvt Stent Sf 1st 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37269 HCPCS Hc Revsc Evasc Fpvt St Cplx 1st 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37280 HCPCS Hc Revsc Evsc Tpvt Angio Sf 1st 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37282 HCPCS Hc Rvsc Evsc Tpvt Angio Cplx 1 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37260 HCPCS Hc Revsc Evasc Ivt St Cplx 1st 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37298 HCPCS Hc Revsc Evsc Imvt Angio Cplx 1 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37258 HCPCS Hc Revsc Evasc Ivt Stent Sf 1st 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
37296 HCPCS Hc Revsc Evasc Imvt Angio Sf 1 13 8 $36,026.08 $18,013.04 50% off $127.00 $34,224.78 $27,019.56 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 10 10 — — $25,544.58 $45,627.71 $26,940.30 2025-12-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 10 — — $25,422.76 $45,406.21 $26,811.82 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 10 — — $25,396.97 $45,359.32 $26,784.61 2025-12-31
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 20 9 — — $20,831.34 $52,658.28 $26,264.61 2025-12-31
0680T CPT Insj/rplcmt Pg Only Isdss 20 9 — — $16,825.46 $39,539.83 $26,264.61 2025-12-31
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 20 9 — — $20,831.34 $52,658.28 $26,264.61 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 10 — — $24,782.52 $44,242.12 $26,136.54 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 10 — — $24,738.95 $44,162.89 $26,090.59 2025-12-31
63655 HCPCS Implant Neuroelectrodes 20 9 — — $804.81 $52,658.28 $26,010.85 2025-12-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 10 — — $24,607.35 $43,923.61 $25,951.78 2025-12-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 10 — — $24,489.09 $43,708.57 $25,827.04 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 10 — — $24,314.80 $76,930.00 $25,755.91 2025-12-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 10 — — $24,409.95 $43,564.68 $25,743.58 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 11 — — $20,396.00 $33,584.51 $25,682.26 2025-12-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 18 10 — — $1,643.25 $39,539.83 $25,630.19 2025-12-31
263 MS_DRG Vein Ligation And Stripping 10 10 — — $24,299.68 $43,364.19 $25,627.28 2025-12-31
849 MS_DRG Radiotherapy 10 10 — — $24,201.87 $43,186.34 $25,524.12 2025-12-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 10 — — $24,251.36 $42,898.55 $25,466.26 2025-12-31
J9266 HCPCS Hc Pbb Pegaspargase/singl Dose Vial 25 14 $36,361.00 $18,180.50 50% off $10,908.30 $41,783.37 $25,452.70 2025-12-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 10 — — $24,128.07 $43,052.15 $25,446.28 2025-12-31
J9600 HCPCS Porfimer Sodium Injection 9 7 — — $24,228.42 $35,615.78 $25,439.84 2025-12-31
64590 HCPCS Ins/rpl Prph Sac/gstr Npg/r 18 9 — — $159.09 $52,658.28 $25,376.43 2025-12-31
61885 HCPCS Insrt/redo Neurostim 1 Array 18 9 — — $499.49 $52,658.28 $25,376.43 2025-12-31
64580 HCPCS Opn Impltj Nea Neuromuscular 18 9 — — $293.88 $52,658.28 $25,376.43 2025-12-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 10 — — $24,014.25 $42,845.20 $25,326.22 2025-12-31
503 MS_DRG Foot Procedures With Mcc 10 10 — — $23,984.01 $42,790.23 $25,294.33 2025-12-31
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