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

CAPE FEAR VALLEY MEDICAL CENTER

Fayetteville, NC · CCN 340028 · Rates published

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You selected 93350 (CPT)

STRESS TTE ONLY

This hospital’s price: $549 across 22 payers · range $329-$1,307

Source: https://www.capefearvalley.com/sites/default/files/Pricing%20and%20Billing/560845796_CFV-Medical-Center_standardcharges.zip · observed 2026-08-01

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.

18,021 distinct procedures filed
22 distinct payers
904,815 rate rows
2026-08-01 last MRF observed
Data quality

852,981 of 904,815 rate rows are consumer-grade (94.3%)

51,834 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 31,574
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,763
placeholder amount (≤ $0.02) — excluded from medians 6,807
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 769
percent-of-charges filed in the dollar field — excluded from medians 513
exceeds 10× this hospital's gross charge — excluded from medians 286
per-diem day rate — not a per-procedure price 118
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/bd444fab100e10c23db800bdc152b2ef/charges/mrf
Found on page https://www.capefearvalley.com/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-27
Content fingerprint b8e2463461327cf4… · 3,639,416 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $186,918.69 $926,096.10 $366,978.35 nat. median
$359,454
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 16 $225,851.33 $602,500.88 $250,743.41 nat. median
$249,036
1.0× median
59572050200
NDC 		Pomalyst 22 $37,271.84 $505,460.85 $230,359.69 nat. median
$710
outlier · 324.5×
59572050400
NDC 		Pomalyst 22 $37,271.84 $505,460.85 $230,359.69 nat. median
$710
outlier · 324.5×
59572050100
NDC 		Pomalyst 22 $37,271.84 $505,460.85 $230,359.69 nat. median
$710
outlier · 324.5×
59572050300
NDC 		Pomalyst 22 $37,271.84 $505,460.85 $230,359.69 nat. median
$751
outlier · 306.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $117,856.62 $475,996.05 $197,062.36 nat. median
$198,418
1.0× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 16 $172,126.08 $457,369.80 $192,095.32 nat. median
$190,559
1.0× median
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion With Complication 2 $144,310.21 $158,508.10 $151,409.15 nat. median
$49,540
outlier · 3.1×
460
MS_DRG 		Spinal Fusion Except Cervical Without Comorbity 2 $140,879.64 $154,740.01 $147,809.83 nat. median
$31,588
outlier · 4.7×
455
MS_DRG 		Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 2 $124,642.60 $136,905.50 $130,774.05 nat. median
$38,810
outlier · 3.4×
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 16 $91,797.35 $299,962.20 $123,834.95 nat. median
$126,695
1.0× median
7
MS_DRG 		Lung Transplant 16 $71,683.68 $280,724.38 $115,975.95 nat. median
$117,974
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $71,862.61 $264,239.62 $112,871.32 nat. median
$110,307
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $89,091.08 $246,176.62 $101,917.12 nat. median
$104,013
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $98,359.65 $245,899.12 $100,326.84 nat. median
$92,678
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $88,087.83 $236,406.15 $98,093.60 nat. median
$97,323
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $86,137.94 $224,375.08 $94,751.73 nat. median
$95,038
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 16 $85,702.50 $403,340.78 $94,272.75 nat. median
$93,901
1.0× median
426
MS_DRG 		Non-hypovolemic Sodium Disorders 16 $84,750.28 $212,777.31 $93,225.31 nat. median
$93,276
1.0× median
24338005008
NDC 		Gliadel 18 $13,793.04 $187,053.90 $86,643.52 nat. median
$56,595
1.5× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 16 $78,176.49 $388,849.05 $85,994.14 nat. median
$90,551
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $2,054.00 $196,604.90 $80,214.80 nat. median
$78,049
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $2,054.00 $189,131.35 $79,435.17 nat. median
$78,268
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 16 $68,788.30 $284,189.65 $76,521.89 nat. median
$77,028
1.0× median
60505267708
NDC 		Aripiprazole 22 $12,356.94 $167,578.25 $76,372.43 nat. median
$76,372
1.0× median
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 16 $68,750.81 $171,877.02 $75,625.89 nat. median
$77,632
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 16 $65,496.21 $172,252.40 $72,195.92 nat. median
$74,370
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 16 $63,544.73 $167,479.22 $72,016.07 nat. median
$71,748
1.0× median
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 16 $62,915.51 $168,185.80 $69,922.55 nat. median
$72,398
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 16 $60,735.95 $202,932.55 $69,112.80 nat. median
$67,976
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $62,631.81 $161,072.88 $68,894.99 nat. median
$66,715
1.0× median
10
MS_DRG 		Pancreas Transplant 16 $58,976.23 $161,984.05 $68,657.15 nat. median
$64,933
1.1× median
634
MS_DRG 		Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 $895.63 $149,831.24 $68,653.10 nat. median
$14,316
outlier · 4.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 $57,568.27 $156,489.85 $64,786.80 nat. median
$66,649
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $2,054.00 $158,372.65 $64,616.04 nat. median
$63,648
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 $54,473.17 $157,392.83 $64,603.89 nat. median
$61,308
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $56,687.03 $151,823.40 $63,765.83 nat. median
$62,655
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 16 $54,383.05 $151,099.80 $62,555.32 nat. median
$63,873
1.0× median
J9347
HCPCS 		Imjudo 22 $140.90 $183,277.49 $61,574.95 nat. median
$2,868
outlier · 21.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 16 $55,664.62 $459,148.70 $61,231.08 nat. median
$61,728
1.0× median
66215060214
NDC 		Uptravi 22 $9,745.57 $132,164.21 $60,232.77 nat. median
$45,137
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $54,678.92 $146,909.35 $60,146.81 nat. median
$60,596
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $2,054.00 $147,013.95 $59,981.69 nat. median
$57,556
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $52,784.86 $141,638.80 $59,488.30 nat. median
$59,371
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $48,654.58 $144,640.22 $57,891.86 nat. median
$59,546
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 16 $51,645.21 $134,948.70 $56,809.73 nat. median
$58,251
1.0× median
217
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 16 $47,645.58 $192,987.07 $56,664.00 nat. median
$62,031
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 16 $48,985.55 $233,646.55 $55,931.51 nat. median
$58,280
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 $50,609.26 $132,500.25 $55,670.19 nat. median
$56,687
1.0× median

Other procedures at this hospital

Browse this hospital's 18,021 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 16 — — $186,918.69 $926,096.10 $366,978.35 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 34 16 — — $225,851.33 $602,500.88 $250,743.41 2026-08-01
59572050200 NDC Pomalyst 28 22 $616,415.67 $369,849.40 40% off $37,271.84 $505,460.85 $230,359.69 2026-08-01
59572050100 NDC Pomalyst 28 22 $616,415.67 $369,849.40 40% off $37,271.84 $505,460.85 $230,359.69 2026-08-01
59572050300 NDC Pomalyst 28 22 $616,415.67 $369,849.40 40% off $37,271.84 $505,460.85 $230,359.69 2026-08-01
59572050400 NDC Pomalyst 28 22 $616,415.67 $369,849.40 40% off $37,271.84 $505,460.85 $230,359.69 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 16 — — $117,856.62 $475,996.05 $197,062.36 2026-08-01
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 35 16 — — $172,126.08 $457,369.80 $192,095.32 2026-08-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion With Complication 2 2 — — $144,310.21 $158,508.10 $151,409.15 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Comorbity 2 2 — — $140,879.64 $154,740.01 $147,809.83 2026-08-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 2 2 — — $124,642.60 $136,905.50 $130,774.05 2026-08-01
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 34 16 — — $91,797.35 $299,962.20 $123,834.95 2026-08-01
7 MS_DRG Lung Transplant 34 16 — — $71,683.68 $280,724.38 $115,975.95 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 34 16 — — $71,862.61 $264,239.62 $112,871.32 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 16 — — $89,091.08 $246,176.62 $101,917.12 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $98,359.65 $245,899.12 $100,326.84 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 34 16 — — $88,087.83 $236,406.15 $98,093.60 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 16 — — $86,137.94 $224,375.08 $94,751.73 2026-08-01
215 MS_DRG Other Heart Assist System Implant 34 16 — — $85,702.50 $403,340.78 $94,272.75 2026-08-01
426 MS_DRG Non-hypovolemic Sodium Disorders 18 16 — — $84,750.28 $212,777.31 $93,225.31 2026-08-01
24338005008 NDC Gliadel 21 18 $228,114.51 $136,868.71 40% off $13,793.04 $187,053.90 $86,643.52 2026-08-01
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 18 16 — — $78,176.49 $388,849.05 $85,994.14 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 15 — — $2,054.00 $196,604.90 $80,214.80 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 33 15 — — $2,054.00 $189,131.35 $79,435.17 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Comorbity 34 16 — — $68,788.30 $284,189.65 $76,521.89 2026-08-01
60505267708 NDC Aripiprazole 28 22 $204,363.72 $122,618.23 40% off $12,356.94 $167,578.25 $76,372.43 2026-08-01
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 18 16 — — $68,750.81 $171,877.02 $75,625.89 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 34 16 — — $65,496.21 $172,252.40 $72,195.92 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 36 16 — — $63,544.73 $167,479.22 $72,016.07 2026-08-01
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 34 16 — — $62,915.51 $168,185.80 $69,922.55 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 34 16 — — $60,735.95 $202,932.55 $69,112.80 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 16 — — $62,631.81 $161,072.88 $68,894.99 2026-08-01
10 MS_DRG Pancreas Transplant 34 16 — — $58,976.23 $161,984.05 $68,657.15 2026-08-01
634 MS_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 3 — — $895.63 $149,831.24 $68,653.10 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 16 — — $57,568.27 $156,489.85 $64,786.80 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $2,054.00 $158,372.65 $64,616.04 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 16 — — $54,473.17 $157,392.83 $64,603.89 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 16 — — $56,687.03 $151,823.40 $63,765.83 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 34 16 — — $54,383.05 $151,099.80 $62,555.32 2026-08-01
J9347 HCPCS Imjudo 55 22 $210,618.72 $126,371.23 40% off $140.90 $183,277.49 $61,574.95 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 16 — — $55,664.62 $459,148.70 $61,231.08 2026-08-01
66215060214 NDC Uptravi 28 22 $161,175.87 $96,705.52 40% off $9,745.57 $132,164.21 $60,232.77 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 15 — — $54,678.92 $146,909.35 $60,146.81 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 15 — — $2,054.00 $147,013.95 $59,981.69 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 16 — — $52,784.86 $141,638.80 $59,488.30 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 16 — — $48,654.58 $144,640.22 $57,891.86 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 16 — — $51,645.21 $134,948.70 $56,809.73 2026-08-01
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 18 16 — — $47,645.58 $192,987.07 $56,664.00 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 34 16 — — $48,985.55 $233,646.55 $55,931.51 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 16 — — $50,609.26 $132,500.25 $55,670.19 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 16 — — $49,925.82 $133,695.67 $55,535.29 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 18 16 — — $50,320.58 $125,801.45 $55,352.64 2026-08-01
28 MS_DRG Spinal Procedures With Comorbity 34 16 — — $49,692.93 $132,536.48 $55,163.77 2026-08-01
C1822 HCPCS Generator; Neurostimulator (implantable); High Frequency; With Rechargeable Batt… 27 22 $147,000.00 $88,200.00 40% off $8,888.42 $120,540.00 $54,935.13 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 16 — — $49,345.21 $130,858.62 $54,620.18 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity With Comorbity 34 16 — — $48,870.76 $400,414.83 $53,757.84 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 34 16 — — $48,135.41 $129,554.35 $53,680.89 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 36 16 — — $21,006.85 $131,153.22 $53,510.52 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 16 — — $48,096.30 $123,363.02 $52,905.93 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 34 16 — — $46,707.09 $172,372.10 $52,413.27 2026-08-01
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 18 16 — — $47,641.77 $119,104.42 $52,405.95 2026-08-01
C1826 HCPCS Generator; Neurostimulator (implantable); Includes Closed Feedback Loop Leads An… 27 22 $140,000.00 $84,000.00 40% off $8,465.16 $114,800.00 $52,319.17 2026-08-01
C1820 HCPCS Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 27 22 $128,135.00 $76,881.00 40% off $8,465.16 $114,800.00 $52,319.17 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 15 — — $2,054.00 $127,387.62 $51,974.15 2026-08-01
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 34 16 — — $44,281.89 $125,944.60 $51,970.92 2026-08-01
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 18 16 — — $46,980.65 $133,246.39 $51,678.72 2026-08-01
50419048858 NDC Nexavar 28 22 $137,790.00 $82,674.00 40% off $8,331.53 $112,987.80 $51,493.28 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 12 — — $50,441.02 $126,102.55 $51,449.84 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 34 16 — — $44,601.69 $123,918.75 $51,302.36 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 35 16 — — $43,637.51 $120,889.68 $50,773.66 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $2,054.00 $124,290.20 $50,710.40 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 34 16 — — $45,289.14 $121,470.30 $50,417.79 2026-08-01
59572041028 NDC Revlimid 28 22 $134,821.08 $80,892.65 40% off $8,152.02 $110,553.29 $50,383.77 2026-08-01
653 MS_DRG Major Bladder Procedures With Comorbity 18 16 — — $45,666.35 $114,165.88 $50,232.98 2026-08-01
00187552675 NDC Targretin 28 22 $134,341.47 $80,604.88 40% off $8,123.02 $110,160.01 $50,204.53 2026-08-01
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 36 16 — — $35,117.96 $121,056.15 $50,117.25 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 34 16 — — $45,289.14 $117,284.15 $49,818.05 2026-08-01
00006508301 NDC Keytruda Qlex 21 18 $129,957.20 $77,974.32 40% off $7,857.92 $106,564.90 $49,360.95 2026-08-01
00006508399 NDC Keytruda Qlex 21 18 $129,957.20 $77,974.32 40% off $7,857.92 $106,564.90 $49,360.95 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 35 16 — — $42,144.58 $116,910.62 $49,102.46 2026-08-01
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 34 16 — — $43,450.10 $118,116.73 $48,900.32 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 16 — — $41,110.24 $123,099.08 $48,686.46 2026-08-01
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 18 16 — — $44,241.22 $110,603.05 $48,665.34 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 35 16 — — $41,838.34 $115,397.10 $48,466.78 2026-08-01
59572050421 NDC Pomalyst 28 22 $129,462.08 $77,677.25 40% off $7,827.98 $106,158.91 $48,381.06 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 15 — — $42,280.95 $118,048.40 $48,163.75 2026-08-01
00069814120 NDC Xalkori 28 22 $128,393.46 $77,036.08 40% off $7,763.37 $105,282.64 $47,981.71 2026-08-01
00069814020 NDC Xalkori 28 22 $128,393.46 $77,036.08 40% off $7,763.37 $105,282.64 $47,981.71 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 16 — — $43,561.34 $110,591.15 $47,917.47 2026-08-01
C1882 HCPCS Cardioverter-defibrillator; Other Than Single Or Dual Chamber (implantable) 27 22 $147,000.00 $88,200.00 40% off $7,618.64 $103,320.00 $47,087.25 2026-08-01
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 36 16 — — $41,713.94 $110,743.50 $46,198.80 2026-08-01
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 35 16 — — $41,378.20 $109,341.02 $45,923.23 2026-08-01
J3357 HCPCS Stelara 41 22 $157,436.60 $94,461.96 40% off $149.40 $129,098.01 $45,662.08 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 34 16 — — $40,950.74 $111,685.65 $45,599.72 2026-08-01
00069098038 NDC Sutent 28 22 $121,407.75 $72,844.65 40% off $7,340.97 $99,554.36 $45,371.09 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 16 — — $41,141.33 $106,834.88 $45,255.46 2026-08-01
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 35 16 — — $39,583.32 $109,701.72 $45,203.71 2026-08-01
J2507 HCPCS Krystexxa 83 22 $128,860.92 $77,316.55 40% off $3,660.83 $136,145.32 $45,101.32 2026-08-01
612 MS_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $2,054.00 $87,936.93 $44,995.46 2026-08-01
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 34 16 — — $37,834.90 $283,621.38 $44,689.99 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Comorbity 34 16 — — $39,945.88 $107,355.72 $44,514.93 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 35 16 — — $38,728.90 $190,162.79 $44,480.65 2026-08-01
245 MS_DRG Aicd Generator Procedures 18 16 — — $40,181.14 $153,620.48 $44,199.25 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 34 16 — — $39,881.29 $103,263.52 $43,869.42 2026-08-01
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 35 16 — — $39,121.27 $104,433.32 $43,862.00 2026-08-01
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 54 22 $8,883.00 $5,329.80 40% off $2,377.77 $87,705.98 $43,852.99 2026-08-01
C2616 HCPCS Brachytherapy Source; Non-stranded; Yttrium-90; Per Source 27 22 $125,965.00 $75,579.00 40% off $17,485.10 $103,291.30 $43,712.75 2026-08-01
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 34 16 — — $39,293.54 $104,134.48 $43,479.68 2026-08-01
00069013501 NDC Bosulif 28 22 $116,096.04 $69,657.62 40% off $7,019.80 $95,198.75 $43,386.06 2026-08-01
00069013601 NDC Bosulif 28 22 $116,095.77 $69,657.46 40% off $7,019.78 $95,198.53 $43,385.96 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 16 — — $37,952.12 $104,638.30 $43,320.26 2026-08-01
799 MS_DRG Splenectomy With Comorbity 18 16 — — $39,128.43 $153,849.43 $43,041.27 2026-08-01
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 36 16 — — $36,875.50 $101,335.92 $43,040.23 2026-08-01
00078068715 NDC Promacta 28 22 $114,741.18 $68,844.71 40% off $6,937.88 $94,087.77 $42,879.74 2026-08-01
00069014501 NDC Inlyta 28 22 $114,293.52 $68,576.11 40% off $6,910.81 $93,720.69 $42,712.44 2026-08-01
00069015111 NDC Inlyta 28 22 $114,293.52 $68,576.11 40% off $6,910.81 $93,720.69 $42,712.44 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 16 — — $38,307.82 $102,868.62 $42,671.71 2026-08-01
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 34 16 — — $38,527.93 $102,149.28 $42,641.71 2026-08-01
13668068212 NDC Sorafenib Tosylate 28 22 $113,864.22 $68,318.53 40% off $6,884.85 $93,368.66 $42,552.01 2026-08-01
24979071544 NDC Sorafenib Tosylate 28 22 $113,864.22 $68,318.53 40% off $6,884.85 $93,368.66 $42,552.01 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 36 16 — — $37,829.32 $102,398.98 $42,210.18 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 34 16 — — $37,188.92 $168,913.99 $41,970.73 2026-08-01
163 MS_DRG Major Chest Procedures With Comorbity 34 16 — — $37,967.28 $116,134.30 $41,871.62 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Comorbity 34 16 — — $36,241.48 $99,547.05 $41,212.48 2026-08-01
00003052411 NDC Sprycel 28 22 $109,354.95 $65,612.97 40% off $6,612.19 $89,671.06 $40,866.86 2026-08-01
00003052811 NDC Sprycel 28 22 $109,354.95 $65,612.97 40% off $6,612.19 $89,671.06 $40,866.86 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Comorbity 34 16 — — $34,628.95 $99,922.75 $40,773.33 2026-08-01
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 34 16 — — $36,974.39 $95,918.08 $40,671.83 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 16 — — $35,177.63 $139,671.97 $40,594.92 2026-08-01
404 MS_DRG Thyroid; Parathyroid And Thyroglossal Procedures 2 2 — — $2,054.00 $78,473.80 $40,263.90 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Comorbity 34 16 — — $36,542.16 $93,862.40 $40,196.38 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 35 16 — — $29,784.53 $115,823.50 $40,004.67 2026-08-01
C1813 HCPCS Prosthesis; Penile; Inflatable 27 22 $105,532.00 $63,319.20 40% off $6,399.66 $86,788.80 $39,553.29 2026-08-01
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 35 16 — — $34,620.96 $124,970.50 $39,467.02 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 16 — — $34,936.77 $95,328.90 $39,466.17 2026-08-01
J9600 HCPCS Photofrin 27 22 $104,972.22 $62,983.33 40% off $24,228.42 $86,077.22 $39,229.00 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $35,644.96 $93,350.05 $39,209.46 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 34 16 — — $34,390.49 $118,924.90 $39,094.08 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 34 16 — — $33,984.56 $94,231.68 $39,011.91 2026-08-01
60505363006 NDC Dasatinib 28 22 $103,888.26 $62,332.96 40% off $6,281.65 $85,188.37 $38,823.91 2026-08-01
66993023460 NDC Dasatinib 28 22 $103,888.26 $62,332.96 40% off $6,281.65 $85,188.37 $38,823.91 2026-08-01
60505362906 NDC Dasatinib 28 22 $103,888.26 $62,332.96 40% off $6,281.65 $85,188.37 $38,823.91 2026-08-01
66993023560 NDC Dasatinib 28 22 $103,888.26 $62,332.96 40% off $6,281.65 $85,188.37 $38,823.91 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 34 16 — — $34,002.91 $93,695.82 $38,790.07 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 15 — — $33,774.83 $94,805.95 $38,680.83 2026-08-01
C1767 HCPCS Generator; Neurostimulator (implantable); Non-rechargeable 57 22 $127,575.00 $76,545.00 40% off $3,114.50 $104,611.50 $38,631.60 2026-08-01
00078056751 NDC Afinitor 28 22 $103,348.80 $62,009.28 40% off $6,249.03 $84,746.02 $38,622.31 2026-08-01
00078062051 NDC Afinitor 28 22 $103,348.80 $62,009.28 40% off $6,249.03 $84,746.02 $38,622.31 2026-08-01
00078056651 NDC Afinitor 28 22 $103,348.80 $62,009.28 40% off $6,249.03 $84,746.02 $38,622.31 2026-08-01
00078062851 NDC Afinitor Disperz 28 22 $103,348.80 $62,009.28 40% off $6,249.03 $84,746.02 $38,622.31 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 34 16 — — $33,646.43 $92,931.60 $38,473.68 2026-08-01
Q4116 HCPCS Alloderm; Per Square Centimeter 56 22 $150,388.00 $90,232.80 40% off $126.52 $119,724.92 $38,169.34 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 36 16 — — $2,000.00 $93,286.02 $38,060.70 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 16 — — $34,962.83 $89,289.85 $37,980.43 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 34 16 — — $32,393.56 $92,344.60 $37,863.61 2026-08-01
12 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 18 16 — — $33,935.91 $84,839.78 $37,329.50 2026-08-01
00078062751 NDC Afinitor Disperz 28 22 $99,298.41 $59,579.05 40% off $6,004.12 $81,424.70 $37,108.65 2026-08-01
791 MS_DRG Prematurity With Major Problems 36 16 — — $1,602.00 $90,925.08 $37,097.43 2026-08-01
00078059451 NDC Afinitor 28 22 $98,806.38 $59,283.83 40% off $5,974.37 $81,021.23 $36,924.77 2026-08-01
00003085222 NDC Sprycel 28 22 $98,548.88 $59,129.33 40% off $5,958.80 $80,810.08 $36,828.54 2026-08-01
00003085722 NDC Sprycel 28 22 $98,548.88 $59,129.33 40% off $5,958.80 $80,810.08 $36,828.54 2026-08-01
00003085522 NDC Sprycel 28 22 $98,548.88 $59,129.33 40% off $5,958.80 $80,810.08 $36,828.54 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 15 — — $2,054.00 $90,103.22 $36,762.12 2026-08-01
00078062651 NDC Afinitor Disperz 28 22 $98,313.72 $58,988.23 40% off $5,944.58 $80,617.25 $36,740.66 2026-08-01
57962014009 NDC Imbruvica 28 22 $97,985.79 $58,791.47 40% off $5,924.75 $80,348.35 $36,618.11 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 16 — — $31,527.47 $87,784.95 $36,342.97 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 36 16 — — $32,714.36 $86,235.18 $36,247.78 2026-08-01
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 34 16 — — $32,221.29 $86,905.40 $35,978.83 2026-08-01
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 34 16 — — $32,675.87 $83,833.62 $35,943.46 2026-08-01
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 34 16 — — $31,291.41 $128,727.97 $35,894.90 2026-08-01
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity 18 16 — — $32,611.25 $81,528.13 $35,872.37 2026-08-01
00378668028 NDC Sunitinib Malate 28 22 $95,663.31 $57,397.99 40% off $5,784.32 $78,443.91 $35,750.18 2026-08-01
00310135030 NDC Tagrisso 28 22 $95,224.91 $57,134.95 40% off $5,757.82 $78,084.43 $35,586.35 2026-08-01
739 MS_DRG Uterine; Adnexa Proc For Non-ovarian/adnexal Malig With Comorbity 34 16 — — $32,303.86 $82,391.50 $35,534.25 2026-08-01
50881002560 NDC Jakafi 28 22 $95,058.72 $57,035.23 40% off $5,747.77 $77,948.15 $35,524.24 2026-08-01
50881001060 NDC Jakafi 28 22 $95,058.72 $57,035.23 40% off $5,747.77 $77,948.15 $35,524.24 2026-08-01
50881000560 NDC Jakafi 28 22 $95,058.72 $57,035.23 40% off $5,747.77 $77,948.15 $35,524.24 2026-08-01
50881002060 NDC Jakafi 28 22 $95,058.72 $57,035.23 40% off $5,747.77 $77,948.15 $35,524.24 2026-08-01
50881001560 NDC Jakafi 28 22 $95,058.72 $57,035.23 40% off $5,747.77 $77,948.15 $35,524.24 2026-08-01
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 35 16 — — $31,915.05 $96,051.85 $35,307.84 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Complication/comorbity 34 16 — — $32,001.19 $82,687.28 $35,201.31 2026-08-01
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 34 16 — — $31,692.53 $104,641.98 $35,198.24 2026-08-01
60505381703 NDC Dasatinib 28 22 $93,622.46 $56,173.48 40% off $5,660.92 $76,770.42 $34,987.50 2026-08-01
60505363103 NDC Dasatinib 28 22 $93,622.46 $56,173.48 40% off $5,660.92 $76,770.42 $34,987.50 2026-08-01
70710174503 NDC Dasatinib 28 22 $93,622.46 $56,173.48 40% off $5,660.92 $76,770.42 $34,987.50 2026-08-01
66993023630 NDC Dasatinib 28 22 $93,622.46 $56,173.48 40% off $5,660.92 $76,770.42 $34,987.50 2026-08-01
66993023730 NDC Dasatinib 28 22 $93,622.46 $56,173.48 40% off $5,660.92 $76,770.42 $34,987.50 2026-08-01
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 34 16 — — $31,489.27 $454,200.38 $34,638.20 2026-08-01
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 34 16 — — $29,791.31 $84,057.72 $34,585.50 2026-08-01
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 35 16 — — $29,529.73 $82,655.22 $34,556.27 2026-08-01
00078111215 NDC Mekinist 28 22 $92,257.88 $55,354.73 40% off $5,578.41 $75,651.46 $34,477.54 2026-08-01
57962042028 NDC Imbruvica 28 22 $91,454.53 $54,872.72 40% off $5,529.84 $74,992.71 $34,177.32 2026-08-01
57962028028 NDC Imbruvica 28 22 $91,454.53 $54,872.72 40% off $5,529.84 $74,992.71 $34,177.32 2026-08-01
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 34 16 — — $31,051.36 $80,255.90 $34,156.50 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 34 16 — — $28,902.09 $83,385.30 $33,790.45 2026-08-01
265 MS_DRG Aicd Lead Procedures 34 16 — — $29,657.31 $81,515.32 $33,747.35 2026-08-01
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 34 16 — — $29,796.09 $81,378.73 $33,690.79 2026-08-01
C1722 HCPCS Cardioverter-defibrillator; Single Chamber (implantable) 27 22 $89,775.00 $53,865.00 40% off $5,428.28 $73,615.50 $33,549.67 2026-08-01
J3315 HCPCS Triptodur 28 22 $107,266.82 $64,360.09 40% off $474.84 $87,958.79 $33,547.26 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Complication 36 16 — — $28,677.99 $125,551.08 $33,517.01 2026-08-01
332 MS_DRG Rectal Resection With Mcc 34 16 — — $28,871.78 $81,568.73 $33,516.76 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 34 16 — — $30,105.51 $80,505.62 $33,464.21 2026-08-01
73556016801 NDC Tavneos 28 22 $89,386.83 $53,632.10 40% off $5,404.81 $73,297.20 $33,404.61 2026-08-01
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 34 16 — — $30,307.29 $79,406.27 $33,344.33 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 35 16 — — $28,524.87 $96,672.18 $33,330.18 2026-08-01
67877024810 NDC Quetiapine Fumarate 28 22 $88,866.72 $53,320.03 40% off $5,373.36 $72,870.71 $33,210.24 2026-08-01
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 14 14 — — $11,337.34 $81,368.67 $33,198.42 2026-08-01
J3316 HCPCS Triptodur 27 22 $120,426.12 $72,255.67 40% off $3,817.28 $98,749.42 $33,176.42 2026-08-01
252 MS_DRG Other Vascular Procedures With Comorbity 35 16 — — $28,566.35 $113,553.04 $33,071.80 2026-08-01
C1772 HCPCS Infusion Pump; Programmable (implantable) 27 22 $88,410.00 $53,046.00 40% off $5,345.75 $72,496.20 $33,039.56 2026-08-01
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 18 16 — — $29,797.68 $74,494.20 $32,777.45 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 16 — — $28,841.48 $78,381.60 $32,449.98 2026-08-01
00480418489 NDC Pazopanib Hydrochloride 28 22 $86,601.24 $51,960.74 40% off $5,236.38 $71,013.02 $32,363.61 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Comorbity 34 16 — — $29,356.67 $77,009.05 $32,318.07 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 34 16 — — $28,634.93 $78,023.02 $32,301.53 2026-08-01
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 34 16 — — $29,142.94 $77,463.73 $32,295.99 2026-08-01
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity 18 16 — — $29,285.68 $86,152.80 $32,214.25 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 34 16 — — $27,541.55 $84,256.27 $32,130.36 2026-08-01
33231 CPT Insrt Pulse Gen W/mult Leads 27 22 $76,140.00 $45,684.00 40% off $20,975.95 $76,402.75 $32,089.16 2026-08-01
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 27 22 $76,329.00 $45,797.40 40% off $21,028.02 $76,402.75 $32,089.15 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity 18 16 — — $29,151.72 $72,879.30 $32,066.89 2026-08-01
408 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity 18 16 — — $29,131.77 $72,829.42 $32,044.95 2026-08-01
C1721 HCPCS Cardioverter-defibrillator; Dual Chamber (implantable) 28 22 $95,788.00 $57,472.80 40% off $5,182.79 $70,286.30 $32,032.41 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 16 — — $29,082.32 $75,589.45 $31,990.55 2026-08-01
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 28 22 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
92930 CPT Prq Tcat Plmt Ntrac St 2+les 28 22 $54,836.00 $32,901.60 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 28 22 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 28 22 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 28 22 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 28 22 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 28 22 $46,822.00 $28,093.20 40% off $18,161.68 $45,404.20 $31,782.94 2026-07-15
00078068166 NDC Tafinlar 28 22 $84,975.30 $50,985.18 40% off $5,138.07 $69,679.75 $31,755.98 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 34 16 — — $28,842.25 $73,409.62 $31,726.47 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 12 — — $31,072.59 $77,681.48 $31,694.04 2026-07-15
00074057622 NDC Venclexta 28 22 $84,369.96 $50,621.98 40% off $5,101.47 $69,183.37 $31,529.76 2026-08-01
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 34 16 — — $27,415.89 $77,105.05 $31,458.86 2026-08-01
62360 CPT Insertion Of Spinal Canal Drug Infusion Device Beneath Skin 27 21 $4,164.00 $2,498.40 40% off $17,856.75 $35,713.50 $31,249.31 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 34 16 — — $28,373.35 $73,715.15 $31,210.68 2026-08-01
665 MS_DRG Prostatectomy With Comorbity 34 16 — — $28,362.37 $71,479.62 $31,198.61 2026-08-01
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 34 16 — — $26,764.01 $86,280.73 $31,181.60 2026-08-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 27 22 $62,625.00 $37,575.00 40% off $17,252.68 $76,402.75 $31,172.32 2026-08-01
33249 CPT Insertion Of Implantable Defibrillator System 27 22 $57,800.00 $34,680.00 40% off $15,923.43 $76,402.75 $31,172.32 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 34 16 — — $28,260.12 $107,574.08 $31,086.13 2026-08-01
37 MS_DRG Extracranial Procedures With Comorbity 34 16 — — $27,693.08 $74,554.15 $30,887.57 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 16 — — $26,521.55 $81,735.20 $30,885.78 2026-08-01
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 35 16 — — $26,882.84 $73,166.60 $30,729.97 2026-08-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 55 22 $13,638.00 $8,182.80 40% off $0.35 $99,999.99 $30,571.61 2026-08-01
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 52 21 $5,283.00 $3,169.80 40% off $1,822.38 $58,094.86 $30,571.61 2026-08-01
22610 CPT Fusion Of Spine In Upper Back 28 22 $1.00 $0.60 40% off $17,371.25 $43,428.12 $30,399.69 2026-07-15
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 34 16 — — $27,202.62 $73,409.98 $30,391.73 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 36 16 — — $26,098.87 $88,899.35 $30,370.05 2026-08-01
00006056840 NDC Zolinza 28 22 $81,070.56 $48,642.34 40% off $4,901.97 $66,477.86 $30,296.75 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 34 16 — — $26,572.59 $73,032.08 $30,235.28 2026-08-01
656 MS_DRG Kidney & Ureter Procedures For Neoplasm With Comorbity 34 16 — — $27,191.43 $72,242.23 $30,126.15 2026-08-01
00054049714 NDC Everolimus 28 22 $80,594.21 $48,356.53 40% off $4,873.16 $66,087.25 $30,118.73 2026-08-01
00054048113 NDC Everolimus 28 22 $80,594.15 $48,356.49 40% off $4,873.16 $66,087.20 $30,118.71 2026-08-01
00054048213 NDC Everolimus 28 22 $80,594.15 $48,356.49 40% off $4,873.16 $66,087.20 $30,118.71 2026-08-01
00054049713 NDC Everolimus 28 22 $80,594.15 $48,356.49 40% off $4,873.16 $66,087.20 $30,118.71 2026-08-01
00469012599 NDC Xtandi 28 22 $80,510.04 $48,306.02 40% off $4,868.07 $66,018.23 $30,087.28 2026-08-01
00187355510 NDC Ancobon 28 22 $80,313.57 $48,188.14 40% off $4,856.19 $65,857.13 $30,013.85 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 34 16 — — $27,276.80 $69,027.42 $30,004.48 2026-08-01
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 35 16 — — $26,641.19 $73,333.05 $29,919.88 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 15 — — $25,819.74 $73,237.00 $29,880.70 2026-08-01
652 MS_DRG Kidney Transplant 34 16 — — $25,703.31 $73,217.82 $29,880.13 2026-08-01
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 34 16 — — $25,870.79 $151,497.85 $29,796.79 2026-08-01
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 34 16 — — $26,689.82 $118,245.16 $29,703.24 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 34 16 — — $25,981.63 $142,575.42 $29,605.16 2026-08-01
61958170101 NDC Zydelig 28 22 $78,982.11 $47,389.27 40% off $4,775.69 $64,765.33 $29,516.28 2026-08-01
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 34 16 — — $25,601.24 $70,649.77 $29,249.01 2026-08-01
500 MS_DRG Soft Tissue Procedures With Comorbity 18 16 — — $26,479.29 $76,383.97 $29,127.22 2026-08-01
00093776624 NDC Everolimus 28 22 $77,051.97 $46,231.18 40% off $4,658.98 $63,182.62 $28,794.97 2026-08-01
662 MS_DRG Minor Bladder Procedures With Comorbity 18 16 — — $26,087.71 $65,219.28 $28,696.48 2026-08-01
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 36 16 — — $24,723.98 $70,767.15 $28,692.44 2026-08-01
00078068615 NDC Promacta 28 22 $76,500.27 $45,900.16 40% off $4,625.62 $62,730.22 $28,588.79 2026-08-01
70377001311 NDC Everolimus 28 22 $76,352.18 $45,811.31 40% off $4,616.67 $62,608.79 $28,533.45 2026-08-01
70377001322 NDC Everolimus 28 22 $76,352.17 $45,811.30 40% off $4,616.67 $62,608.78 $28,533.44 2026-08-01
49884012591 NDC Everolimus 28 22 $76,349.02 $45,809.41 40% off $4,616.48 $62,606.20 $28,532.27 2026-08-01
49884012891 NDC Everolimus 28 22 $76,349.02 $45,809.41 40% off $4,616.48 $62,606.20 $28,532.27 2026-08-01
51991082228 NDC Everolimus 28 22 $76,319.41 $45,791.65 40% off $4,614.69 $62,581.92 $28,521.20 2026-08-01
51991082428 NDC Everolimus 28 22 $76,319.41 $45,791.65 40% off $4,614.69 $62,581.92 $28,521.20 2026-08-01
00378309785 NDC Everolimus 28 22 $76,268.51 $45,761.11 40% off $4,611.61 $62,540.18 $28,502.18 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 16 — — $25,802.20 $64,505.50 $28,382.42 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 34 16 — — $25,680.98 $67,814.90 $28,365.67 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Complication 35 16 — — $24,314.06 $67,168.12 $28,192.28 2026-08-01
570 MS_DRG Skin Debridement With Comorbity 35 16 — — $25,215.24 $67,061.35 $28,165.77 2026-08-01
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 35 16 — — $24,663.38 $66,446.60 $27,907.57 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 16 — — $24,074.02 $68,747.80 $27,899.38 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 16 — — $24,034.15 $72,810.12 $27,850.72 2026-08-01
47335090618 NDC Quetiapine Fumarate 28 22 $74,439.72 $44,663.83 40% off $4,501.03 $61,040.57 $27,818.75 2026-08-01
50242014001 NDC Erivedge 28 22 $74,374.35 $44,624.61 40% off $4,497.08 $60,986.97 $27,794.32 2026-08-01
974 MS_DRG HIV With Major Related Condition With Comorbity 35 16 — — $25,023.83 $65,885.18 $27,671.77 2026-08-01
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 36 16 — — $24,433.69 $65,127.38 $27,587.65 2026-08-01
668 MS_DRG Transurethral Procedures With Comorbity 34 16 — — $24,466.39 $66,610.95 $27,576.93 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 16 — — $24,453.62 $74,019.48 $27,530.12 2026-08-01
51991082128 NDC Everolimus 28 22 $72,965.16 $43,779.10 40% off $4,411.87 $59,831.43 $27,267.69 2026-08-01
406 MS_DRG Pancreas; Liver & Shunt Procedures With Complication 34 16 — — $23,605.89 $66,188.25 $27,166.50 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal & Femoral With Comorbity 35 16 — — $24,599.57 $66,226.73 $27,059.53 2026-08-01
800 MS_DRG Splenectomy With Complication 34 16 — — $24,446.47 $64,249.98 $26,938.06 2026-08-01
22558 CPT Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 98 22 $21,947.00 $13,168.20 40% off $1,388.77 $67,206.15 $26,882.46 2026-08-01
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 55 22 $1.00 $0.60 40% off $3,863.77 $67,206.15 $26,882.46 2026-08-01
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