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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

IREDELL MEMORIAL HOSPITAL INC

Statesville, NC · CCN 340039 · Rates published

17,870 distinct procedures filed
41 distinct payers
690,777 rate rows
2026-07-31 last MRF observed
Data quality

583,688 of 690,777 rate rows are consumer-grade (84.5%)

107,089 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 104,821
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,542
percent-of-charges filed in the dollar field — excluded from medians 470
per-diem day rate — not a per-procedure price 108
exceeds 10× this hospital's gross charge — excluded from medians 98
placeholder amount (≤ $0.02) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://iredell.pt.panaceainc.com/MRFDownload/iredell/iredell
Found on page https://www.iredellhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 871bb26cefe1c444… · 440,505,180 bytes · first seen 2026-05-09

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 10 $4,377,500.00 $4,596,375.00 $4,443,162.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 10 $3,710,000.00 $3,895,500.00 $3,765,650.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 10 $3,685,266.67 $3,869,530.00 $3,740,545.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $3,324,571.90 $3,490,800.50 $3,374,440.48 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $3,261,355.00 $3,424,422.75 $3,310,275.33 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,950,686.67 $3,098,221.00 $2,994,946.97 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,452,115.60 $4,904,231.20 $2,525,679.07 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $2,332,000.00 $4,664,000.00 $2,401,960.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $770,620.00 $1,541,240.00 $793,738.60 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $578,324.58 $1,156,649.16 $595,674.32 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $553,378.83 $1,106,757.66 $569,980.19 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $541,635.66 $1,083,271.32 $557,884.73 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $541,260.45 $1,082,520.90 $557,498.26 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $533,076.48 $1,066,152.96 $549,068.77 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $489,720.00 $979,440.00 $504,411.60 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 $260,794.34 $721,785.28 $474,653.30 nat. median
$370,165
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $194,934.39 $539,113.09 $354,526.22 nat. median
$261,939
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $164,259.10 $454,030.67 $298,575.16 nat. median
$205,166
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $270,375.00 $540,750.00 $278,486.25 nat. median
$302,242
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $148,449.12 $410,179.39 $269,738.12 nat. median
$199,832
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $98,065.87 $270,434.07 $177,840.18 nat. median
$132,706
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $90,970.98 $250,755.35 $164,899.26 nat. median
$114,305
1.4× median
7
MS_DRG 		Lung Transplant 20 $90,743.27 $250,123.76 $164,483.91 nat. median
$122,690
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $76,603.86 $210,906.04 $138,693.95 nat. median
$108,240
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $75,735.80 $208,498.35 $137,110.62 nat. median
$100,978
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $74,048.68 $203,818.87 $134,033.35 nat. median
$99,646
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 20 $73,671.92 $202,773.88 $133,346.15 nat. median
$98,002
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $72,848.02 $200,488.68 $131,843.39 nat. median
$96,835
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $67,160.10 $184,712.40 $121,468.74 nat. median
$92,900
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $64,129.49 $176,306.55 $115,940.97 nat. median
$81,364
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $59,037.07 $162,181.97 $106,652.51 nat. median
$79,040
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $59,004.64 $162,092.02 $106,593.35 nat. median
$80,459
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $58,117.26 $159,630.74 $104,974.79 nat. median
$81,124
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $56,188.62 $154,281.39 $101,457.01 nat. median
$77,385
1.3× median
10
MS_DRG 		Pancreas Transplant 20 $55,580.71 $152,595.25 $100,348.18 nat. median
$67,750
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $55,265.36 $151,720.59 $99,773.00 nat. median
$69,153
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 20 $54,500.12 $149,598.08 $98,377.21 nat. median
$73,475
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $53,955.68 $148,088.01 $97,384.17 nat. median
$74,472
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $52,069.83 $142,857.32 $93,944.43 nat. median
$71,485
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $49,575.37 $135,938.58 $89,394.58 nat. median
$66,640
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $49,329.03 $135,255.31 $88,945.26 nat. median
$68,581
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $48,566.55 $133,140.45 $87,554.51 nat. median
$65,958
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 20 $47,681.93 $130,686.83 $85,940.99 nat. median
$64,357
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $46,829.05 $128,321.25 $84,385.35 nat. median
$62,262
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 $46,651.02 $127,827.47 $84,060.63 nat. median
$62,911
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 $46,573.05 $127,611.20 $83,918.42 nat. median
$65,792
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 20 $45,190.23 $123,775.74 $81,396.18 nat. median
$62,218
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $45,126.06 $123,597.75 $81,279.13 nat. median
$63,840
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 20 $44,204.18 $121,040.78 $79,597.64 nat. median
$60,294
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 $43,307.83 $118,554.62 $77,962.72 nat. median
$58,419
1.3× median

Other procedures at this hospital

Browse this hospital's 17,870 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 10 10 — — $4,377,500.00 $4,596,375.00 $4,443,162.50 2025-12-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 10 10 — — $3,710,000.00 $3,895,500.00 $3,765,650.00 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 10 — — $3,685,266.67 $3,869,530.00 $3,740,545.67 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 10 — — $3,324,571.90 $3,490,800.50 $3,374,440.48 2025-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 10 — — $3,261,355.00 $3,424,422.75 $3,310,275.33 2025-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 10 10 — — $2,950,686.67 $3,098,221.00 $2,994,946.97 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 11 — — $2,452,115.60 $4,904,231.20 $2,525,679.07 2025-12-31
J3392 HCPCS Inj, Exagamglogene Autotem 11 11 — — $2,332,000.00 $4,664,000.00 $2,401,960.00 2025-12-31
Q2057 HCPCS Afamitresgene Autoleucel 11 11 — — $770,620.00 $1,541,240.00 $793,738.60 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 11 — — $578,324.58 $1,156,649.16 $595,674.32 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 11 11 — — $553,378.83 $1,106,757.66 $569,980.19 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 11 — — $541,635.66 $1,083,271.32 $557,884.73 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 11 11 — — $541,260.45 $1,082,520.90 $557,498.26 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 11 — — $533,076.48 $1,066,152.96 $549,068.77 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 11 11 — — $489,720.00 $979,440.00 $504,411.60 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 28 20 — — $260,794.34 $721,785.28 $474,653.30 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 20 — — $194,934.39 $539,113.09 $354,526.22 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 20 — — $164,259.10 $454,030.67 $298,575.16 2025-12-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 11 — — $270,375.00 $540,750.00 $278,486.25 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 20 — — $148,449.12 $410,179.39 $269,738.12 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 20 — — $98,065.87 $270,434.07 $177,840.18 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 28 20 — — $90,970.98 $250,755.35 $164,899.26 2025-12-31
7 MS_DRG Lung Transplant 28 20 — — $90,743.27 $250,123.76 $164,483.91 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 20 — — $76,603.86 $210,906.04 $138,693.95 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 20 — — $75,735.80 $208,498.35 $137,110.62 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 20 — — $74,048.68 $203,818.87 $134,033.35 2025-12-31
215 MS_DRG Other Heart Assist System Implant 28 20 — — $73,671.92 $202,773.88 $133,346.15 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 20 — — $72,848.02 $200,488.68 $131,843.39 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 20 — — $67,160.10 $184,712.40 $121,468.74 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 28 20 — — $64,129.49 $176,306.55 $115,940.97 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 20 — — $59,037.07 $162,181.97 $106,652.51 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 20 — — $59,004.64 $162,092.02 $106,593.35 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 20 — — $58,117.26 $159,630.74 $104,974.79 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 20 — — $56,188.62 $154,281.39 $101,457.01 2025-12-31
10 MS_DRG Pancreas Transplant 28 20 — — $55,580.71 $152,595.25 $100,348.18 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 20 — — $55,265.36 $151,720.59 $99,773.00 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 28 20 — — $54,500.12 $149,598.08 $98,377.21 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 20 — — $53,955.68 $148,088.01 $97,384.17 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 20 — — $52,069.83 $142,857.32 $93,944.43 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 20 — — $49,575.37 $135,938.58 $89,394.58 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 20 — — $49,329.03 $135,255.31 $88,945.26 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 20 — — $48,566.55 $133,140.45 $87,554.51 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 20 — — $47,681.93 $130,686.83 $85,940.99 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 20 — — $46,829.05 $128,321.25 $84,385.35 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 20 — — $46,651.02 $127,827.47 $84,060.63 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 20 — — $46,573.05 $127,611.20 $83,918.42 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 20 — — $45,190.23 $123,775.74 $81,396.18 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 20 — — $45,126.06 $123,597.75 $81,279.13 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 20 — — $44,204.18 $121,040.78 $79,597.64 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 20 — — $43,307.83 $118,554.62 $77,962.72 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 20 — — $43,252.62 $118,401.51 $77,862.03 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 20 — — $43,058.04 $117,861.79 $77,507.11 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 28 20 — — $42,909.68 $117,450.30 $77,236.51 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 20 — — $42,716.47 $116,914.41 $76,884.10 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 28 20 — — $42,514.98 $116,355.55 $76,516.58 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 20 — — $42,214.13 $115,521.09 $75,967.84 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 20 — — $42,214.13 $115,521.09 $75,967.84 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 28 20 — — $41,902.93 $114,657.92 $75,400.21 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 20 — — $41,616.56 $113,863.65 $74,877.89 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 20 — — $41,585.51 $113,777.53 $74,821.26 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 20 — — $41,167.35 $112,617.70 $74,058.54 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 20 — — $40,740.22 $111,433.00 $73,279.46 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 20 — — $40,168.19 $109,846.38 $72,236.09 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 20 — — $39,931.51 $109,189.91 $71,804.39 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 28 20 — — $39,031.02 $106,692.27 $70,161.92 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 20 — — $38,704.63 $105,786.99 $69,566.60 2025-12-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 20 — — $38,704.63 $105,786.99 $69,566.60 2025-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 20 — — $38,544.55 $105,342.97 $69,274.60 2025-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 20 — — $38,312.70 $104,699.90 $68,851.71 2025-12-31
8 MS_DRG Simultaneous Pancreas/kidney Transplant 28 20 — — $38,109.83 $104,137.21 $68,481.68 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 20 — — $38,024.26 $103,899.89 $68,325.61 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 20 — — $37,833.13 $103,369.74 $67,976.99 2025-12-31
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 28 20 — — $37,797.93 $103,272.13 $67,912.80 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 20 — — $37,793.79 $103,260.65 $67,905.24 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 28 20 — — $37,275.58 $101,823.31 $66,960.04 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 20 — — $37,113.42 $101,373.54 $66,664.26 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 11 — — $63,431.05 $126,862.10 $65,333.98 2025-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 20 — — $36,101.84 $98,567.76 $64,819.16 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 20 — — $35,983.85 $98,240.49 $64,603.94 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 20 — — $35,718.87 $97,505.55 $64,120.64 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 20 — — $35,611.23 $97,206.98 $63,924.29 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 20 — — $35,320.73 $96,401.23 $63,394.43 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 20 — — $35,115.79 $95,832.80 $63,020.62 2025-12-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 20 — — $35,088.88 $95,758.16 $62,971.54 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 20 — — $35,075.08 $95,719.88 $62,946.36 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 20 — — $34,950.87 $95,375.38 $62,719.82 2025-12-31
245 MS_DRG Aicd Generator Procedures 28 20 — — $34,284.99 $93,528.47 $61,505.26 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 28 20 — — $34,081.43 $92,963.86 $61,133.98 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 28 20 — — $34,025.54 $92,808.84 $61,032.03 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 20 — — $33,516.99 $91,398.29 $60,104.44 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 28 20 — — $33,374.15 $91,002.12 $59,843.92 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 20 — — $33,367.94 $90,984.89 $59,832.58 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 28 20 — — $33,028.45 $90,043.25 $59,213.35 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 20 — — $32,854.56 $89,560.95 $58,896.18 2025-12-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 20 — — $32,664.11 $89,032.71 $58,548.81 2025-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 11 11 — — $56,824.55 $113,649.10 $58,529.29 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 28 20 — — $32,369.47 $88,215.48 $58,011.39 2025-12-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 20 — — $32,356.36 $88,179.11 $57,987.48 2025-12-31
38240 HCPCS Transplt Allo Hct/donor 11 11 — — $56,250.27 $112,500.54 $57,937.78 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 20 — — $32,254.92 $87,897.77 $57,802.46 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 20 — — $32,250.09 $87,884.37 $57,793.65 2025-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 11 — — $55,945.97 $111,891.94 $57,624.35 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 20 — — $31,696.00 $86,347.51 $56,783.00 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 20 — — $31,510.38 $85,832.67 $56,444.43 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 20 — — $31,424.82 $85,595.35 $56,288.37 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 28 20 — — $31,136.38 $84,795.34 $55,762.28 2025-12-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 20 — — $30,876.24 $84,073.80 $55,287.78 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 20 — — $30,421.51 $82,812.54 $54,458.36 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 20 — — $30,360.10 $82,642.20 $54,346.35 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 20 — — $29,999.21 $81,641.23 $53,688.10 2025-12-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 20 — — $29,955.74 $81,520.66 $53,608.81 2025-12-31
140 MS_DRG Major Head And Neck Procedures With Mcc 28 20 — — $29,747.35 $80,942.66 $53,228.71 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 20 — — $29,481.00 $80,203.89 $52,742.90 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 20 — — $29,474.10 $80,184.75 $52,730.31 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 28 20 — — $29,342.30 $79,819.20 $52,489.92 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 20 — — $29,274.68 $79,631.64 $52,366.57 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 20 — — $28,939.33 $78,701.48 $51,754.89 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 20 — — $28,923.46 $78,657.46 $51,725.94 2025-12-31
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 28 20 — — $28,881.36 $78,540.71 $51,649.17 2025-12-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 20 — — $28,741.98 $78,154.11 $51,394.93 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 20 — — $28,630.88 $77,845.97 $51,192.30 2025-12-31
791 MS_DRG Prematurity With Major Problems 28 20 — — $28,579.13 $77,702.43 $51,097.90 2025-12-31
309 OTHER Cellsaver, Supply/service 20 20 $179,791.00 $44,947.75 75% off $25,925.86 $158,216.08 $50,817.93 2026-07-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 20 — — $28,053.33 $76,244.03 $50,138.85 2025-12-31
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 28 20 — — $28,034.01 $76,190.45 $50,103.61 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 20 — — $27,791.12 $75,516.75 $49,660.58 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 20 — — $27,735.22 $75,361.73 $49,558.63 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 20 — — $27,680.02 $75,208.61 $49,457.94 2025-12-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 20 — — $27,559.96 $74,875.60 $49,238.95 2025-12-31
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 28 20 — — $27,546.84 $74,839.23 $49,215.04 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 20 — — $27,397.80 $74,425.83 $48,943.18 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 20 — — $27,234.26 $73,972.24 $48,644.90 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 20 — — $27,207.35 $73,897.59 $48,595.81 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 20 — — $27,132.83 $73,690.89 $48,459.88 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 20 — — $26,940.31 $73,156.91 $48,108.73 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 20 — — $26,797.47 $72,760.74 $47,848.19 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 20 — — $26,593.22 $72,194.22 $47,475.65 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 20 — — $26,385.52 $71,618.14 $47,096.81 2025-12-31
J9226 HCPCS Supprelin La Implant 11 11 — — $45,560.39 $91,120.78 $46,927.20 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 20 — — $25,741.73 $69,832.47 $45,922.54 2025-12-31
C1822 HCPCS Kit, Nevro Ipg/charger/remote 17 14 $110,000.00 $29,700.00 73% off $25,201.00 $220,000.00 $45,837.00 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 20 — — $25,567.15 $69,348.25 $45,604.11 2025-12-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 20 — — $25,300.80 $68,609.49 $45,118.29 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 20 — — $25,299.42 $68,605.66 $45,115.78 2025-12-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 20 — — $25,295.28 $68,594.18 $45,108.22 2025-12-31
265 MS_DRG Aicd Lead Procedures 28 20 — — $25,179.35 $68,272.64 $44,896.78 2025-12-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 20 — — $25,068.95 $67,966.42 $44,695.40 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 20 — — $24,925.42 $67,568.33 $44,433.62 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 20 — — $24,919.21 $67,551.10 $44,422.29 2025-12-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 20 — — $24,857.80 $67,380.76 $44,310.28 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 20 — — $24,741.87 $67,059.23 $44,098.83 2025-12-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 20 — — $24,734.28 $67,038.18 $44,084.98 2025-12-31
0266T OTHER Implt/rpl Crtd Sns Dev Total 11 11 — — $42,799.98 $85,599.95 $44,083.97 2025-12-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 11 — — $42,799.98 $85,599.95 $44,083.97 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 20 — — $24,724.62 $67,011.38 $44,067.36 2025-12-31
264 MS_DRG Other Circulatory System O.r. Procedures 28 20 — — $24,681.84 $66,892.72 $43,989.32 2025-12-31
C2624 HCPCS System, Cardiomems Sensor And Delivery 17 14 $105,000.00 $28,350.00 73% off $24,055.50 $210,000.00 $43,753.50 2025-12-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 20 — — $24,525.89 $66,460.18 $43,704.89 2025-12-31
332 MS_DRG Rectal Resection With Mcc 28 20 — — $24,499.67 $66,387.45 $43,657.06 2025-12-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 20 — — $24,473.45 $66,314.72 $43,609.24 2025-12-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 20 — — $24,331.99 $65,922.37 $43,351.22 2025-12-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 20 — — $24,294.73 $65,819.02 $43,283.25 2025-12-31
665 MS_DRG Prostatectomy With Mcc 28 20 — — $24,257.47 $65,715.67 $43,215.29 2025-12-31
252 MS_DRG Other Vascular Procedures With Mcc 28 20 — — $24,235.39 $65,654.43 $43,175.01 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 20 — — $24,199.51 $65,554.90 $43,109.57 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 20 — — $24,068.40 $65,191.26 $42,870.43 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 20 — — $23,970.42 $64,919.49 $42,691.71 2025-12-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 20 — — $23,726.84 $64,243.88 $42,247.43 2025-12-31
37 MS_DRG Extracranial Procedures With Mcc 28 20 — — $23,479.81 $63,558.71 $41,796.85 2025-12-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 20 — — $23,348.70 $63,195.06 $41,557.71 2025-12-31
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 28 20 — — $23,119.61 $62,559.65 $41,139.85 2025-12-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 20 — — $23,055.44 $62,381.66 $41,022.81 2025-12-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 20 — — $23,045.78 $62,354.86 $41,005.19 2025-12-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 20 — — $22,778.74 $61,614.18 $40,518.11 2025-12-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 20 — — $22,675.92 $61,329.01 $40,330.58 2025-12-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 20 — — $22,611.75 $61,151.02 $40,213.53 2025-12-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 20 — — $22,569.66 $61,034.27 $40,136.75 2025-12-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 28 20 — — $22,510.31 $60,869.68 $40,028.51 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 20 — — $22,466.15 $60,747.19 $39,947.96 2025-12-31
500 MS_DRG Soft Tissue Procedures With Mcc 28 20 — — $22,429.58 $60,645.75 $39,881.26 2025-12-31
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 28 20 — — $22,100.44 $59,732.82 $39,280.91 2025-12-31
662 MS_DRG Minor Bladder Procedures With Mcc 28 20 — — $22,090.78 $59,706.02 $39,263.29 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 20 — — $21,999.00 $59,451.48 $39,095.89 2025-12-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 20 — — $21,903.09 $59,185.44 $38,920.94 2025-12-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 20 — — $21,858.93 $59,062.95 $38,840.40 2025-12-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 20 — — $21,843.74 $59,020.85 $38,812.71 2025-12-31
652 MS_DRG Kidney Transplant 28 20 — — $21,758.18 $58,783.52 $38,656.65 2025-12-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 20 — — $21,738.86 $58,729.94 $38,621.40 2025-12-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 20 — — $21,669.86 $58,538.55 $38,495.54 2025-12-31
570 MS_DRG Skin Debridement With Mcc 28 20 — — $21,335.88 $57,612.22 $37,886.38 2025-12-31
974 MS_DRG HIV With Major Related Condition With Mcc 28 20 — — $21,170.27 $57,152.88 $37,584.32 2025-12-31
L8683 HCPCS Stimulator , Pns Freedom Curonix 2 Lead Bundle Channel A andB, 17 14 $90,000.00 $24,300.00 73% off $20,619.00 $180,000.00 $37,503.00 2025-12-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 20 — — $20,910.82 $56,433.26 $37,111.08 2025-12-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 20 — — $20,858.38 $56,287.80 $37,015.43 2025-12-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 20 — — $20,803.18 $56,134.69 $36,914.74 2025-12-31
668 MS_DRG Transurethral Procedures With Mcc 28 20 — — $20,687.94 $55,815.07 $36,704.55 2025-12-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 20 — — $20,676.90 $55,784.44 $36,684.42 2025-12-31
800 MS_DRG Splenic Procedures With Cc 28 20 — — $20,670.69 $55,767.22 $36,673.09 2025-12-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 20 — — $20,659.65 $55,736.60 $36,652.95 2025-12-31
472 MS_DRG Cervical Spinal Fusion With Cc 28 20 — — $20,556.15 $55,449.51 $36,464.16 2025-12-31
C1721 HCPCS Icd Pacemaker, Unify Quadra 459 14 $87,225.00 $23,550.75 73% off $10,244.47 $320,050.00 $36,179.98 2025-12-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 20 — — $20,348.45 $54,873.43 $36,085.32 2025-12-31
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 28 20 — — $20,325.68 $54,810.27 $36,043.79 2025-12-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 20 — — $20,313.95 $54,777.73 $36,022.39 2025-12-31
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 28 20 — — $20,286.35 $54,701.18 $35,972.05 2025-12-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 28 20 — — $20,208.37 $54,484.91 $35,829.82 2025-12-31
654 MS_DRG Major Bladder Procedures With Cc 28 20 — — $20,037.94 $54,012.17 $35,518.95 2025-12-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 20 — — $19,943.40 $53,749.97 $35,346.52 2025-12-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 20 — — $19,923.39 $53,694.46 $35,310.02 2025-12-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 20 — — $19,446.58 $52,371.96 $34,440.33 2025-12-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 20 — — $19,412.77 $52,278.18 $34,378.66 2025-12-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 20 — — $19,378.27 $52,182.48 $34,315.73 2025-12-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 11 — — $33,288.98 $66,577.95 $34,287.64 2025-12-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 20 — — $19,310.64 $51,994.92 $34,192.39 2025-12-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 20 — — $19,218.87 $51,740.37 $34,024.99 2025-12-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 20 — — $19,157.46 $51,570.04 $33,912.98 2025-12-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 20 — — $19,083.62 $51,365.25 $33,778.31 2025-12-31
263 MS_DRG Vein Ligation And Stripping 28 20 — — $19,071.89 $51,332.71 $33,756.91 2025-12-31
849 MS_DRG Radiotherapy 28 20 — — $18,995.99 $51,122.18 $33,618.46 2025-12-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 20 — — $18,938.72 $50,963.33 $33,514.00 2025-12-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 28 20 — — $18,873.16 $50,781.51 $33,394.43 2025-12-31
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 28 20 — — $18,850.39 $50,718.35 $33,352.90 2025-12-31
503 MS_DRG Foot Procedures With Mcc 28 20 — — $18,826.93 $50,653.28 $33,310.11 2025-12-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 28 20 — — $18,808.30 $50,601.60 $33,276.12 2025-12-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 20 — — $18,666.15 $50,207.34 $33,016.85 2025-12-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 20 — — $18,619.23 $50,077.19 $32,931.27 2025-12-31
L8682 HCPCS Stimulator , Pns Freedom Curonix 1 Lead Bundle Channel A, T 34 14 $82,500.00 $22,275.00 73% off $17,010.68 $165,000.00 $32,658.86 2025-12-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 28 20 — — $18,426.71 $49,543.22 $32,580.12 2025-12-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 20 — — $18,397.04 $49,460.92 $32,526.00 2025-12-31
C1767 HCPCS Neurostimulator, Interstim Ii 85 14 $82,500.00 $22,275.00 73% off $13,379.44 $216,000.00 $32,441.20 2025-12-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 20 — — $18,186.58 $48,877.18 $32,142.13 2025-12-31
253 MS_DRG Other Vascular Procedures With Cc 28 20 — — $18,181.06 $48,861.87 $32,132.06 2025-12-31
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 28 20 — — $18,147.94 $48,770.00 $32,071.65 2025-12-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 28 20 — — $18,057.55 $48,519.28 $31,906.76 2025-12-31
545 MS_DRG Connective Tissue Disorders With Mcc 28 20 — — $18,000.97 $48,362.34 $31,803.57 2025-12-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 20 — — $17,987.17 $48,324.06 $31,778.40 2025-12-31
164 MS_DRG Major Chest Procedures With Cc 28 20 — — $17,932.65 $48,172.86 $31,678.97 2025-12-31
L8679 HCPCS Implant, Surescan MRI Neurostimulator 17 14 $76,000.00 $20,520.00 73% off $17,411.60 $152,000.00 $31,669.20 2025-12-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 28 20 — — $17,843.64 $47,925.97 $31,516.60 2025-12-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 28 20 — — $17,830.53 $47,889.61 $31,492.69 2025-12-31
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 11 — — $30,493.77 $60,987.54 $31,408.58 2025-12-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 11 — — $30,493.77 $60,987.54 $31,408.58 2025-12-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 11 — — $30,493.77 $60,987.54 $31,408.58 2025-12-31
33264 HCPCS Removal Replace Icd Gen; Multi Ld Sys 30 21 $73,917.00 $19,957.59 73% off $16,934.38 $147,834.00 $31,408.58 2025-12-31
33270 HCPCS Ins/rep Subq Defibrillator 11 11 — — $30,493.77 $60,987.54 $31,408.58 2025-12-31
397 MS_DRG Appendix Procedures With Mcc 28 20 — — $17,662.16 $47,422.61 $31,185.60 2025-12-31
69930 HCPCS Implant Cochlear Device 11 11 — — $30,252.42 $60,504.84 $31,159.99 2025-12-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 28 20 — — $17,593.16 $47,231.22 $31,059.74 2025-12-31
C1882 HCPCS Icd Pacemaker, Bi-v Quadra Assura (ddqp+) Cd3265-40q 136 14 $106,195.00 $28,672.65 73% off $9,470.99 $298,350.00 $31,042.87 2025-12-31
L8628 HCPCS Stimulator, Pns Permanent Tined With Receiver Channel B 17 14 $74,250.00 $20,047.50 73% off $17,010.68 $148,500.00 $30,939.98 2025-12-31
792 MS_DRG Prematurity Without Major Problems 28 20 — — $17,468.26 $46,884.81 $30,831.92 2025-12-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 20 — — $17,458.60 $46,858.01 $30,814.31 2025-12-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 20 — — $17,319.22 $46,471.41 $30,560.07 2025-12-31
33249 HCPCS Insert/replace Icd Full System Single 30 21 $47,748.00 $12,891.96 73% off $10,939.07 $95,496.00 $30,493.77 2025-12-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 20 — — $17,254.35 $46,291.50 $30,441.75 2025-12-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 28 20 — — $17,201.91 $46,146.04 $30,346.10 2025-12-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 20 — — $17,132.22 $45,952.74 $30,218.99 2025-12-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 28 20 — — $17,106.00 $45,880.01 $30,171.16 2025-12-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 20 — — $17,106.00 $45,880.01 $30,171.16 2025-12-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 20 — — $16,963.16 $45,483.83 $29,910.63 2025-12-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
61886 HCPCS Implant Neurostim Arrays 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
0268T OTHER Implt/rpl Crtd Sns Dev Gen 11 11 — — $28,983.43 $57,966.86 $29,852.93 2025-12-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 28 20 — — $16,900.37 $45,309.67 $29,796.10 2025-12-31
347 MS_DRG Anal And Stomal Procedures With Mcc 28 20 — — $16,896.23 $45,298.19 $29,788.54 2025-12-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 20 — — $16,874.84 $45,238.85 $29,749.53 2025-12-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 20 — — $16,848.62 $45,166.13 $29,701.70 2025-12-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 20 — — $16,701.64 $44,758.47 $29,433.62 2025-12-31
J9266 HCPCS Pegaspargase Injection 11 11 — — $28,424.06 $56,848.12 $29,276.78 2025-12-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 28 20 — — $16,574.67 $44,406.31 $29,202.04 2025-12-31
C2622 HCPCS Implant, Tactra Malleable Penile Prosthesis 11mm X 16-25cm 17 14 $69,975.00 $18,893.25 73% off $16,031.27 $139,950.00 $29,158.58 2025-12-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 20 — — $16,537.41 $44,302.96 $29,134.07 2025-12-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 28 20 — — $16,522.23 $44,260.85 $29,106.39 2025-12-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 28 20 — — $16,493.25 $44,180.47 $29,053.52 2025-12-31
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 28 20 — — $16,394.58 $43,906.78 $28,873.54 2025-12-31
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 28 20 — — $16,368.35 $43,834.05 $28,825.72 2025-12-31
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 28 20 — — $16,320.05 $43,700.08 $28,737.62 2025-12-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 28 20 — — $16,290.38 $43,617.78 $28,683.50 2025-12-31
35 MS_DRG Carotid Artery Stent Procedures With Cc 28 20 — — $16,261.40 $43,537.40 $28,630.64 2025-12-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 28 20 — — $16,200.68 $43,368.97 $28,519.88 2025-12-31
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 28 20 — — $16,147.54 $43,221.60 $28,422.97 2025-12-31
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 28 20 — — $16,146.85 $43,219.69 $28,421.71 2025-12-31
113 MS_DRG Orbital Procedures With Cc/mcc 28 20 — — $16,135.81 $43,189.07 $28,401.57 2025-12-31
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 28 20 — — $16,109.59 $43,116.34 $28,353.74 2025-12-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 28 20 — — $16,104.07 $43,101.03 $28,343.67 2025-12-31
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 20 — — $16,084.06 $43,045.52 $28,307.17 2025-12-31
709 MS_DRG Penis Procedures With Cc/mcc 28 20 — — $16,070.26 $43,007.25 $28,282.00 2025-12-31
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 28 20 — — $15,968.83 $42,725.90 $28,096.99 2025-12-31
30 MS_DRG Spinal Procedures Without Cc/mcc 28 20 — — $15,920.52 $42,591.93 $28,008.89 2025-12-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 28 20 — — $15,837.03 $42,360.35 $27,856.60 2025-12-31
33289 HCPCS Rhc W CardioMem Placement 30 21 $57,057.00 $15,405.39 73% off $13,071.76 $114,114.00 $27,849.33 2025-12-31
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 28 20 — — $15,741.12 $42,094.32 $27,681.65 2025-12-31
935 MS_DRG Non-extensive Burns 28 20 — — $15,720.42 $42,036.90 $27,643.89 2025-12-31
906 MS_DRG Hand Procedures For Injuries 28 20 — — $15,624.50 $41,770.87 $27,468.94 2025-12-31
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 28 20 — — $15,599.66 $41,701.97 $27,423.64 2025-12-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 28 20 — — $15,533.42 $41,518.23 $27,302.81 2025-12-31
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