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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

OHIOHEALTH O'BLENESS HOSPITAL

Athens, OH · CCN 360014 · Rates published

14,800 distinct procedures filed
49 distinct payers
1,236,170 rate rows
2026-04-01 last MRF observed
Data quality

1,205,021 of 1,236,170 rate rows are consumer-grade (97.5%)

31,149 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 28,989
placeholder amount (≤ $0.02) — excluded from medians 1,887
percent-of-charges filed in the dollar field — excluded from medians 182
exceeds 10× this hospital's gross charge — excluded from medians 85
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314446959_ohiohealth-o-_bleness-hospital_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 1772525e7e0208c4… · 18,580,790 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
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $421,582.72 $421,582.72 nat. median
$63,643
outlier · 6.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $394,322.50 $394,322.50 $394,322.50 nat. median
$75,807
outlier · 5.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $321,960.86 $325,180.47 $321,960.86 nat. median
$370,165
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $0.07 $961,560.52 $295,863.14 nat. median
$691,418
outlier · 0.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $0.07 $937,241.17 $282,934.51 nat. median
$631,793
outlier · 0.4×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $0.07 $878,026.14 $281,269.13 nat. median
$624,417
outlier · 0.5×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $0.07 $898,131.13 $278,659.00 nat. median
$610,161
outlier · 0.5×
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 23 $112,653.73 $320,039.00 $273,953.38 nat. median
$258,912
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $0.07 $832,179.16 $266,615.12 nat. median
$588,565
outlier · 0.5×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $63,342.28 $412,113.26 $259,948.37 nat. median
$69,291
outlier · 3.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $0.07 $829,687.57 $244,652.34 nat. median
$577,541
outlier · 0.4×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $360,987.25 $227,699.65 nat. median
$65,655
outlier · 3.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $208,939.64 $211,029.04 $208,939.64 nat. median
$261,939
0.8× median
J9226
HCPCS 		Supprelin La Implant 3 $45,020.65 $294,201.70 $185,573.38 nat. median
$55,200
outlier · 3.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $159,184.33 $160,776.17 $159,184.33 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $158,250.13 $159,832.63 $158,250.13 nat. median
$199,832
0.8× median
J9600
HCPCS 		Porfimer Sodium Injection 3 $24,228.42 $151,599.50 $151,599.50 nat. median
$29,477
outlier · 5.1×
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 29 $140.90 $165,093.50 $147,758.68 nat. median
$974
outlier · 151.6×
J9266
HCPCS 		Pegaspargase Injection 3 $28,424.06 $175,958.45 $110,989.18 nat. median
$32,688
outlier · 3.4×
PX-27800268
CDM 		Implant Impella Device 5.5 23 $44,616.70 $126,752.00 $108,499.71 nat. median
$107,739
1.0× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 9 $65.73 $108,255.55 $108,255.55 nat. median
$92
outlier · 1180.2×
A9604
HCPCS 		Sm 153 Lexidronam 3 $3,159.80 $105,838.72 $105,838.72 nat. median
$12,945
outlier · 8.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $103,272.80 $104,305.53 $103,272.80 nat. median
$132,706
0.8× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 26 $5,168.23 $111,090.85 $99,426.31 nat. median
$7,100
outlier · 14.0×
7
MS_DRG 		Lung Transplant 12 $96,553.66 $97,519.20 $96,553.66 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $89,602.65 $90,498.68 $89,602.65 nat. median
$114,305
0.8× median
PX-27800238
CDM 		Perfusion Tavr Valve 23 $36,640.03 $104,091.00 $89,101.90 nat. median
$84,730
1.1× median
J1303
HCPCS 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 37 $225.11 $97,485.00 $87,249.08 nat. median
$5,613
outlier · 15.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $84,487.25 $85,332.12 $84,487.25 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $84,390.33 $85,234.23 $84,390.33 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $82,171.49 $82,993.20 $82,171.49 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $81,074.75 $81,885.50 $81,074.75 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $76,872.68 $77,641.41 $76,872.68 nat. median
$99,646
0.8× median
64568
CPT 		Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 23 $29,985.47 $85,186.00 $76,241.47 nat. median
$27,651
outlier · 2.8×
93656
CPT 		Ep Eval W Ablation A Fib Including 3d Mapping 34 $21,152.05 $83,421.00 $74,661.80 nat. median
$26,956
outlier · 2.8×
215
MS_DRG 		Other Heart Assist System Implant 12 $74,237.06 $74,979.43 $74,237.06 nat. median
$98,002
0.8× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 37 $59.41 $81,859.30 $73,264.07 nat. median
$331
outlier · 221.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $72,938.27 $73,667.65 $72,938.27 nat. median
$92,900
0.8× median
C1820
HCPCS 		Neurostimulator Percept Rc Brainsense 34 $26,600.64 $75,570.00 $71,791.50 nat. median
$22,838
outlier · 3.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $67,173.47 $67,845.20 $67,173.47 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $64,563.21 $65,208.84 $64,563.21 nat. median
$81,364
0.8× median
J3241
HCPCS 		Teprotumumab-trbw 500 Mg Intravenous Solution 37 $359.19 $70,672.90 $63,252.25 nat. median
$682
outlier · 92.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $62,851.36 $63,479.87 $62,851.36 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $62,653.79 $63,280.33 $62,653.79 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $58,667.93 $59,254.61 $58,667.93 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $57,247.61 $57,820.09 $57,247.61 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $57,000.82 $57,570.83 $57,000.82 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $56,812.19 $57,380.31 $56,812.19 nat. median
$71,485
0.8× median
61886
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 23 $21,821.89 $61,994.00 $55,484.63 nat. median
$27,176
outlier · 2.0×
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 29 $197.83 $61,569.90 $55,105.06 nat. median
$550
outlier · 100.2×

Other procedures at this hospital

Browse this hospital's 14,800 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
             
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $421,582.72 $421,582.72 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $394,322.50 $394,322.50 $394,322.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 12 — — $321,960.86 $325,180.47 $321,960.86 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 3 — — $0.07 $961,560.52 $295,863.14 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 3 — — $0.07 $937,241.17 $282,934.51 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 3 — — $0.07 $878,026.14 $281,269.13 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 3 — — $0.07 $898,131.13 $278,659.00 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 95 23 $320,039.00 $208,025.35 35% off $112,653.73 $320,039.00 $273,953.38 2025-01-22
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 3 — — $0.07 $832,179.16 $266,615.12 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 3 — — $63,342.28 $412,113.26 $259,948.37 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 3 — — $0.07 $829,687.57 $244,652.34 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $55,272.32 $360,987.25 $227,699.65 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 12 — — $208,939.64 $211,029.04 $208,939.64 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $294,201.70 $185,573.38 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 12 — — $159,184.33 $160,776.17 $159,184.33 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 12 — — $158,250.13 $159,832.63 $158,250.13 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $151,599.50 $151,599.50 2026-04-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 106 29 $165,093.50 $107,310.77 35% off $140.90 $165,093.50 $147,758.68 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $28,424.06 $175,958.45 $110,989.18 2026-04-01
PX-27800268 CDM Implant Impella Device 5.5 95 23 $126,752.00 $82,388.80 35% off $44,616.70 $126,752.00 $108,499.71 2025-01-22
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 29 9 $108,255.55 $70,366.11 35% off $65.73 $108,255.55 $108,255.55 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 5 3 — — $3,159.80 $105,838.72 $105,838.72 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 12 — — $103,272.80 $104,305.53 $103,272.80 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 101 26 $111,090.85 $72,209.05 35% off $5,168.23 $111,090.85 $99,426.31 2026-04-01
7 MS_DRG Lung Transplant 12 12 — — $96,553.66 $97,519.20 $96,553.66 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 12 — — $89,602.65 $90,498.68 $89,602.65 2026-04-01
PX-27800238 CDM Perfusion Tavr Valve 95 23 $104,091.00 $67,659.15 35% off $36,640.03 $104,091.00 $89,101.90 2025-01-22
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 123 37 $97,485.00 $63,365.25 35% off $225.11 $97,485.00 $87,249.08 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 12 — — $84,487.25 $85,332.12 $84,487.25 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $84,390.33 $85,234.23 $84,390.33 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $82,171.49 $82,993.20 $82,171.49 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 12 — — $81,074.75 $81,885.50 $81,074.75 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 12 — — $76,872.68 $77,641.41 $76,872.68 2026-04-01
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 95 23 $85,186.00 $55,370.90 35% off $29,985.47 $85,186.00 $76,241.47 2025-01-22
93656 CPT Ep Eval W Ablation A Fib Including 3d Mapping 117 34 $83,421.00 $54,223.65 35% off $21,152.05 $83,421.00 $74,661.80 2025-01-22
215 MS_DRG Other Heart Assist System Implant 12 12 — — $74,237.06 $74,979.43 $74,237.06 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 123 37 $81,859.30 $53,208.54 35% off $59.41 $81,859.30 $73,264.07 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $72,938.27 $73,667.65 $72,938.27 2026-04-01
C1820 HCPCS Neurostimulator Percept Rc Brainsense 117 34 $75,570.00 $49,120.50 35% off $26,600.64 $75,570.00 $71,791.50 2025-01-22
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 12 — — $67,173.47 $67,845.20 $67,173.47 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 12 — — $64,563.21 $65,208.84 $64,563.21 2026-04-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 123 37 $70,672.90 $45,937.38 35% off $359.19 $70,672.90 $63,252.25 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 12 — — $62,851.36 $63,479.87 $62,851.36 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $62,653.79 $63,280.33 $62,653.79 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 12 — — $58,667.93 $59,254.61 $58,667.93 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $57,247.61 $57,820.09 $57,247.61 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 12 — — $57,000.82 $57,570.83 $57,000.82 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 12 — — $56,812.19 $57,380.31 $56,812.19 2026-04-01
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 95 23 $61,994.00 $40,296.10 35% off $21,821.89 $61,994.00 $55,484.63 2025-01-22
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 106 29 $61,569.90 $40,020.43 35% off $197.83 $61,569.90 $55,105.06 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $53,820.19 $54,358.39 $53,820.19 2026-04-01
10 MS_DRG Pancreas Transplant 12 12 — — $53,500.34 $54,035.34 $53,500.34 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 12 — — $53,477.97 $54,012.75 $53,477.97 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 12 — — $53,193.91 $53,725.85 $53,193.91 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 12 — — $53,162.59 $53,694.22 $53,162.59 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 95 23 $59,251.00 $38,513.15 35% off $20,856.35 $59,251.00 $53,029.65 2025-01-22
J9216 HCPCS Interferon Gamma 1-b Inj 3 1 — — $52,923.72 $52,923.72 $52,923.72 2026-04-01
0398T CPT MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion 117 34 $57,968.00 $37,679.20 35% off $12,131.74 $57,968.00 $51,881.36 2025-01-22
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 12 — — $51,532.76 $81,111.22 $51,532.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 12 — — $51,280.01 $51,792.81 $51,280.01 2026-04-01
62362 CPT Hc Implant Or Replace Programmable Pump 95 23 $57,229.00 $37,198.85 35% off $20,144.61 $57,229.00 $51,219.96 2025-01-22
C2616 HCPCS Hc Yttrium-90 Nonstranded Per Source 117 34 $56,850.00 $36,952.50 35% off $17,257.56 $56,850.00 $50,880.75 2025-01-22
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $50,185.51 $50,687.37 $50,185.51 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 12 — — $49,852.98 $50,351.51 $49,852.98 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 12 — — $49,816.45 $50,314.61 $49,816.45 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $49,023.90 $49,514.14 $49,023.90 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $49,023.90 $49,514.14 $49,023.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $48,845.71 $49,334.17 $48,845.71 2026-04-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 123 37 $54,267.00 $35,273.55 35% off $227.28 $54,267.00 $48,568.97 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 12 — — $47,975.62 $76,410.09 $47,975.62 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 12 — — $45,691.92 $46,148.84 $45,691.92 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 12 — — $45,638.98 $46,095.37 $45,638.98 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 12 — — $45,201.33 $45,653.34 $45,201.33 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 12 — — $44,796.48 $45,244.44 $44,796.48 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 12 — — $44,783.80 $45,231.64 $44,783.80 2026-04-01
33365 CPT Hc Tavr Tavi Transaortic Approach 95 23 $49,926.00 $32,451.90 35% off $17,573.95 $49,926.00 $44,683.77 2025-01-22
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $44,459.48 $44,904.07 $44,459.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 12 — — $44,313.35 $44,756.48 $44,313.35 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 12 — — $44,210.46 $44,652.56 $44,210.46 2026-04-01
33952 CPT Ecmo Insertion Peripheral Cannula 95 23 $49,308.00 $32,050.20 35% off $17,356.42 $49,308.00 $44,130.66 2025-01-22
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 12 — — $43,754.91 $44,192.46 $43,754.91 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 12 — — $43,726.58 $44,163.85 $43,726.58 2026-04-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 123 37 $48,789.05 $31,712.88 35% off $258.64 $48,789.05 $43,666.20 2026-04-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 123 37 $48,047.05 $31,230.58 35% off $243.71 $48,047.05 $43,002.11 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 12 — — $42,998.15 $43,428.13 $42,998.15 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 4 2 — — $11,191.95 $42,792.75 $42,792.75 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 12 — — $42,723.78 $43,151.02 $42,723.78 2026-04-01
34718 CPT Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat 95 23 $47,572.00 $30,921.80 35% off $16,745.34 $47,572.00 $42,576.94 2025-01-22
34708 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img 95 23 $47,572.00 $30,921.80 35% off $16,745.34 $47,572.00 $42,576.94 2025-01-22
34717 CPT Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat 95 23 $47,572.00 $30,921.80 35% off $16,745.34 $47,572.00 $42,576.94 2025-01-22
34707 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img 95 23 $47,572.00 $30,921.80 35% off $16,745.34 $47,572.00 $42,576.94 2025-01-22
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 12 — — $42,549.31 $42,974.80 $42,549.31 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 12 — — $42,494.14 $62,027.23 $42,494.14 2026-04-01
PX-27800203 CDM Hc Aortic Homograft Valve 95 23 $49,620.00 $32,253.00 35% off $17,466.24 $49,620.00 $42,474.72 2025-01-22
64595 CPT Revision Or Removal Of Peripheral Or Gastric Neurtostimulator 95 23 $46,956.00 $30,521.40 35% off $16,528.51 $46,956.00 $42,025.62 2025-01-22
64590 CPT Insertion Or Replacement Of Peripheral Or Gastric Neurostimulator 95 23 $46,956.00 $30,521.40 35% off $16,528.51 $46,956.00 $42,025.62 2025-01-22
64585 CPT Revision Or Removal Of Peripheral Neurtostimulator 95 23 $46,956.00 $30,521.40 35% off $16,528.51 $46,956.00 $42,025.62 2025-01-22
93654 CPT Ep Eval W Ablation Vt Including 3d Mapping 117 34 $46,882.00 $30,473.30 35% off $16,502.46 $46,882.00 $41,959.39 2025-01-22
PX-27800257 CDM Heart Valve 42 95 23 $48,989.00 $31,842.85 35% off $17,244.13 $48,989.00 $41,934.58 2025-01-22
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $41,916.32 $42,335.48 $41,916.32 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 12 — — $41,786.59 $42,204.46 $41,786.59 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 12 — — $41,500.29 $41,915.29 $41,500.29 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 12 — — $41,178.20 $41,589.98 $41,178.20 2026-04-01
PX-27800213 CDM Hc Impella Right Side 95 23 $48,042.00 $31,227.30 35% off $16,910.78 $48,042.00 $41,123.95 2025-01-22
PX-27800171 CDM Hc Implant Impella Device 3.5 95 23 $48,042.00 $31,227.30 35% off $16,910.78 $48,042.00 $41,123.95 2025-01-22
C2626 HCPCS Kit Pump Hepatic Infusion And Prep Intera 3000 117 34 $43,170.00 $28,060.50 35% off $15,195.84 $43,170.00 $41,011.50 2025-01-22
834 MS_DRG Acute Leukemia With Mcc 12 12 — — $40,931.41 $41,340.72 $40,931.41 2026-04-01
PX-27800256 CDM Heart Valve 41 95 23 $47,699.00 $31,004.35 35% off $16,790.05 $47,699.00 $40,830.34 2025-01-22
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 12 — — $40,786.77 $41,194.64 $40,786.77 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 12 — — $40,728.61 $41,135.90 $40,728.61 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 12 — — $40,664.49 $41,071.13 $40,664.49 2026-04-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 123 37 $45,396.35 $29,507.63 35% off $91.34 $45,396.35 $40,629.73 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 12 — — $40,501.96 $40,906.98 $40,501.96 2026-04-01
PX-27800236 CDM Heart Valve 37 95 23 $46,490.00 $30,218.50 35% off $16,364.48 $46,490.00 $39,795.44 2025-01-22
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $39,760.11 $40,157.71 $39,760.11 2026-04-01
PX-27200393 CDM Hc Aspiration Embolectomy System 95 23 $46,441.00 $30,186.65 35% off $16,347.23 $46,441.00 $39,753.50 2025-01-22
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 12 — — $39,736.25 $40,133.61 $39,736.25 2026-04-01
PX-27800255 CDM Heart Valve 40 95 23 $46,411.00 $30,167.15 35% off $16,336.67 $46,411.00 $39,727.82 2025-01-22
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 12 — — $39,469.33 $39,864.02 $39,469.33 2026-04-01
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 123 37 $44,080.00 $28,652.00 35% off $29.29 $44,080.00 $39,451.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 12 — — $39,338.86 $39,732.25 $39,338.86 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 12 — — $38,810.25 $68,632.51 $38,810.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 12 — — $38,743.14 $39,130.57 $38,743.14 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 123 37 $43,275.70 $28,129.20 35% off $21.31 $43,275.70 $38,731.75 2026-04-01
PX-27800254 CDM Heart Valve 39 95 23 $45,123.00 $29,329.95 35% off $15,883.30 $45,123.00 $38,625.29 2025-01-22
PX-27800235 CDM Heart Valve 36 95 23 $45,081.00 $29,302.65 35% off $15,868.51 $45,081.00 $38,589.34 2025-01-22
34705 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Not Rupt W Img 95 23 $43,040.00 $27,976.00 35% off $15,150.08 $43,040.00 $38,520.80 2025-01-22
34706 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Rupt W Img 95 23 $43,040.00 $27,976.00 35% off $15,150.08 $43,040.00 $38,520.80 2025-01-22
L8699 HCPCS Accurate Ide Neo2 Aortic Valve System 3,042 34 $42,144.00 $27,393.60 35% off $0.35 $129,000.00 $38,253.60 2025-01-22
38230 CPT Procurement Of Allo Bone Marrow Harvest For Transplant 95 23 $42,705.00 $27,758.25 35% off $15,032.16 $42,705.00 $38,220.98 2025-01-22
PX-27200472 CDM Hc Vad Cardiohelp (Hls Set Advanced 7.0) 95 23 $44,137.00 $28,689.05 35% off $15,536.22 $44,137.00 $37,781.27 2025-01-22
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $37,578.55 $37,954.34 $37,578.55 2026-04-01
PX-27800253 CDM Heart Valve 38 95 23 $43,833.00 $28,491.45 35% off $15,429.22 $43,833.00 $37,521.05 2025-01-22
PX-27800234 CDM Heart Valve 35 95 23 $43,673.00 $28,387.45 35% off $15,372.90 $43,673.00 $37,384.09 2025-01-22
34704 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Rupt W Img 95 23 $41,558.00 $27,012.70 35% off $14,628.42 $41,558.00 $37,194.41 2025-01-22
34703 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Not Rupt W Img 95 23 $41,558.00 $27,012.70 35% off $14,628.42 $41,558.00 $37,194.41 2025-01-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 — — $37,184.89 $37,556.74 $37,184.89 2026-04-01
C1767 HCPCS Generator Pulse Interstim 2 351 34 $40,800.00 $26,520.00 35% off $11,088.00 $49,500.00 $37,125.00 2025-01-22
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 123 37 $41,449.15 $26,941.95 35% off $55.57 $41,449.15 $37,096.99 2026-04-01
22867 CPT Insj Stablj Device W Dcmp 1lv 95 23 $41,309.00 $26,850.85 35% off $14,540.77 $41,309.00 $36,971.56 2025-01-22
64628 CPT Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 117 34 $41,309.00 $26,850.85 35% off $11,721.27 $41,309.00 $36,971.56 2025-01-22
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 12 — — $36,886.66 $37,255.53 $36,886.66 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 13 — — $550.27 $100,135.93 $36,821.05 2026-04-01
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 106 29 $41,105.60 $26,718.64 35% off $14.94 $41,105.60 $36,789.51 2026-04-01
36906 CPT Hc Dialysis Circuit Perc Thrombectomy Or Thrombolysis Infu W Plcmt Of Stent Peri… 117 34 $41,011.00 $26,657.15 35% off $14,435.87 $41,011.00 $36,704.85 2025-01-22
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 12 — — $36,695.04 $59,191.76 $36,695.04 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $36,542.20 $36,907.62 $36,542.20 2026-04-01
34701 CPT Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Not Rupt W Img 95 23 $40,694.00 $26,451.10 35% off $14,324.29 $40,694.00 $36,421.13 2025-01-22
34702 CPT Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Rupt W Img 95 23 $40,694.00 $26,451.10 35% off $14,324.29 $40,694.00 $36,421.13 2025-01-22
J9228 HCPCS Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution 240 37 $90,335.67 $58,718.19 35% off $183.48 $144,487.75 $36,183.60 2026-04-01
PX-27800228 CDM Hc Heart Valve 34 95 23 $42,264.00 $27,471.60 35% off $14,876.93 $42,264.00 $36,177.98 2025-01-22
J9015 HCPCS Aldesleukin Injection 5 3 — — $3,338.87 $36,084.56 $36,084.56 2026-04-01
0543T CPT Transapical Mitral Valve Repair Transthoracic Echocardiography 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33361 CPT Hc Tavr Tavi Perc Fem Art Approach 117 34 $40,248.00 $26,161.20 35% off $1,161.96 $40,248.00 $36,021.96 2025-01-22
0544T CPT Transcatheter Mitral Valve Annulus Reconstruction With Device Percutaneous 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
0484T CPT Hc Tmvi W Prosthetic Valve Transthoracic Exposure 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33363 CPT Hc Tavr Tavi Open Axil Art Approach 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
0483T CPT Hc Tmvi W Prosthetic Valve Percutaneous 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33418 CPT Hc Transcath Mitral Valve Rep Perc 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33366 CPT Hc Trcath Replace Aortic Valve 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
0646T CPT Transcath Tricuspid Valve Implant Rplcmnt With Prostc Valve Perq Approach Rgt Hear… 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
0569T CPT Hc Transcath Tricuspid Valve Repair Perct App Initial Prosthesis 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33269 CPT Exclusion Left Atrial Appendage Thoracoscopic Any Method 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33477 CPT Transcatheter Pulmonary Valve Placement Percutaneous Approach 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33362 CPT Hc Tavr Tavi Open Fem Art Approach 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
33340 CPT Hc Transcatheter Closure L Atrial Appendage 117 34 $40,248.00 $26,161.20 35% off $747.05 $40,248.00 $36,021.96 2025-01-22
0545T CPT Transcatheter Tricuspid Valve Annulus Reconstruction With Device Percutaneous 95 23 $40,248.00 $26,161.20 35% off $14,167.30 $40,248.00 $36,021.96 2025-01-22
471 MS_DRG Cervical Spinal Fusion With Mcc 12 12 — — $36,001.66 $36,361.68 $36,001.66 2026-04-01
5061 OTHER Hyperbaric Oxygen 6 4 — — $761.01 $100,437.20 $35,984.34 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 12 — — $35,819.74 $36,177.94 $35,819.74 2026-04-01
PX-27200545 CDM Protek Duo Cannula 95 23 $41,636.00 $27,063.40 35% off $14,655.87 $41,636.00 $35,640.42 2025-01-22
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 12 — — $35,495.41 $35,850.36 $35,495.41 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 12 — — $35,052.54 $35,403.07 $35,052.54 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 13 — — $19,412.78 $56,929.77 $34,980.96 2026-04-01
PX-27800227 CDM Hc Heart Valve 33 95 23 $40,857.00 $26,557.05 35% off $14,381.66 $40,857.00 $34,973.59 2025-01-22
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 12 — — $34,876.58 $35,225.35 $34,876.58 2026-04-01
33948 CPT Hc Ecmo Addl Day Veno-veno 95 23 $38,950.00 $25,317.50 35% off $13,710.40 $38,950.00 $34,860.25 2025-01-22
33949 CPT Hc Ecmo Addl Day Veno-arterial 95 23 $38,950.00 $25,317.50 35% off $13,710.40 $38,950.00 $34,860.25 2025-01-22
33947 CPT Hc Ecmo Initial Day Veno-arterial 95 23 $38,950.00 $25,317.50 35% off $13,710.40 $38,950.00 $34,860.25 2025-01-22
33946 CPT Hc Ecmo Initial Day Veno-veno 95 23 $38,950.00 $25,317.50 35% off $13,710.40 $38,950.00 $34,860.25 2025-01-22
93653 CPT Ep Eval W Ablation Svt Including 3d Mapping 117 34 $38,678.00 $25,140.70 35% off $13,614.66 $38,678.00 $34,616.81 2025-01-22
6 MS_DRG Liver Transplant Without Mcc 12 12 — — $34,572.39 $34,918.11 $34,572.39 2026-04-01
PX-27200401 CDM Hc Blood Pump Disposable 95 23 $40,355.00 $26,230.75 35% off $14,204.96 $40,355.00 $34,543.88 2025-01-22
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 12 — — $34,434.46 $34,778.80 $34,434.46 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 12 — — $17,327.97 $60,371.25 $34,270.43 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 12 — — $34,183.20 $34,525.03 $34,183.20 2026-04-01
J0716 HCPCS Centruroides Immune F(ab) 5 3 — — $4,871.94 $34,099.65 $34,099.65 2026-04-01
245 MS_DRG Aicd Generator Procedures 12 12 — — $34,016.19 $34,356.35 $34,016.19 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 12 — — $33,914.04 $52,120.99 $33,914.04 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 12 — — $33,899.13 $34,238.12 $33,899.13 2026-04-01
C1772 HCPCS Pump 40ml Infusion Pain Synchromed Iii 117 34 $35,631.00 $23,160.15 35% off $12,542.11 $35,631.00 $33,849.45 2025-01-22
33903 CPT Pulmonary Artery Revascularization Abnormal Bilateral 95 23 $37,755.00 $24,540.75 35% off $13,289.76 $37,755.00 $33,790.73 2025-01-22
PX-27800226 CDM Hc Heart Valve 32 95 23 $39,448.00 $25,641.20 35% off $13,885.70 $39,448.00 $33,767.49 2025-01-22
799 MS_DRG Splenic Procedures With Mcc 12 12 — — $33,766.42 $34,104.08 $33,766.42 2026-04-01
J1305 HCPCS Evinacumab-dgnb 150 Mg/ml Intravenous Solution 123 37 $37,655.10 $24,475.81 35% off $193.76 $37,655.10 $33,701.31 2026-04-01
0686T CPT Histotripsy Malignant Hepatocellular Tiss W Img Gdn 95 23 $37,412.00 $24,317.80 35% off $13,169.02 $37,412.00 $33,483.74 2025-01-22
163 MS_DRG Major Chest Procedures With Mcc 13 13 — — $2,499.16 $33,749.40 $33,415.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 12 — — $33,405.56 $33,739.62 $33,405.56 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 12 — — $33,274.34 $33,607.08 $33,274.34 2026-04-01
0825T CPT Transcath Remove & Replace Perm Single Chamb Leadless Pacemaker Right Atrial 95 23 $37,168.00 $24,159.20 35% off $13,083.14 $37,168.00 $33,265.36 2025-01-22
0823T CPT Transcatheter Insert Perm Single Chamb Leadless Pacemaker Right Atrial 95 23 $37,168.00 $24,159.20 35% off $13,083.14 $37,168.00 $33,265.36 2025-01-22
A9582 HCPCS Iodine I-123 Iobenguane 5 3 — — $2,317.50 $33,204.67 $33,204.67 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 12 — — $32,751.69 $136,570.52 $32,751.69 2026-04-01
PX-27800225 CDM Hc Heart Valve 31 95 23 $38,041.00 $24,726.65 35% off $13,390.43 $38,041.00 $32,563.10 2025-01-22
93620 CPT Hc Ep Comprehensive W Induction Arrhythmia 117 34 $36,335.00 $23,617.75 35% off $6,510.56 $36,335.00 $32,519.83 2025-01-22
A9515 HCPCS Choline C-11 5 3 — — $2,516.43 $32,500.00 $32,500.00 2026-04-01
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 101 26 $37,704.85 $24,508.15 35% off $39.41 $37,704.85 $32,275.35 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 12 — — $32,264.08 $32,586.72 $32,264.08 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 123 37 $35,855.10 $23,305.81 35% off $24.00 $35,855.10 $32,090.31 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 12 — — $32,006.86 $32,326.93 $32,006.86 2026-04-01
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg Intravenous Solution 120 35 $35,593.10 $23,135.51 35% off $286.85 $35,593.10 $31,855.82 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 12 — — $31,801.08 $32,119.09 $31,801.08 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 12 — — $31,618.41 $31,934.59 $31,618.41 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 12 — — $31,487.19 $31,802.06 $31,487.19 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 12 — — $31,433.51 $31,747.85 $31,433.51 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 12 — — $31,417.85 $31,732.03 $31,417.85 2026-04-01
PX-27800224 CDM Hc Heart Valve 30 95 23 $36,631.00 $23,810.15 35% off $12,894.11 $36,631.00 $31,356.14 2025-01-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 12 — — $31,326.15 $31,639.41 $31,326.15 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 12 — — $31,288.87 $31,601.76 $31,288.87 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 12 — — $31,230.71 $31,543.02 $31,230.71 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $31,109.93 $31,421.03 $31,109.93 2026-04-01
J0597 HCPCS C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit 101 26 $34,741.70 $22,582.10 35% off $75.86 $34,741.70 $31,093.82 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 13 — — $2,083.26 $31,398.44 $31,087.56 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 12 — — $30,963.80 $31,273.44 $30,963.80 2026-04-01
C1813 HCPCS Prosthesis 16cm Penile Ps Cxr Ms With Inhibizone 468 34 $32,984.25 $21,439.76 35% off $5,870.30 $39,825.00 $30,898.99 2025-01-22
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 12 — — $30,758.76 $31,066.35 $30,758.76 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 12 — — $2,083.26 $30,565.58 $30,262.95 2026-04-01
PX-27800223 CDM Hc Heart Valve 29 95 23 $35,224.00 $22,895.60 35% off $12,398.85 $35,224.00 $30,151.74 2025-01-22
36903 CPT Hc Dialysis Circuit Intro Needle/Cath W Plcmt Of Stent Peripheral W Img 117 34 $33,561.00 $21,814.65 35% off $9,590.51 $33,561.00 $30,037.10 2025-01-22
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 12 — — $29,975.91 $30,275.67 $29,975.91 2026-04-01
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 123 37 $33,391.30 $21,704.34 35% off $207.13 $33,391.30 $29,885.21 2026-04-01
27279 CPT Hc Athrodesis Sacroiliac Joint W Img Guidance 95 23 $33,363.00 $21,685.95 35% off $11,743.78 $33,363.00 $29,859.89 2025-01-22
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 12 — — $29,704.52 $30,001.57 $29,704.52 2026-04-01
J0180 HCPCS Agalsidase Beta 35 Mg Intravenous Solution 123 37 $33,119.05 $21,527.38 35% off $230.15 $33,119.05 $29,641.55 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 12 — — $29,166.21 $29,457.87 $29,166.21 2026-04-01
33224 CPT Hc Ins Electrode Prev Placed Icd Or Pacer 117 34 $32,522.00 $21,139.30 35% off $9,309.02 $32,522.00 $29,107.19 2025-01-22
37230 CPT Hc Revasc Endo Tibiopero W Stent 117 34 $32,468.00 $21,104.20 35% off $11,428.74 $32,468.00 $29,058.86 2025-01-22
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 12 — — $29,034.24 $29,324.58 $29,034.24 2026-04-01
61635 CPT Hc Stent Intracranial Transcath 95 23 $32,372.00 $21,041.80 35% off $11,394.94 $32,372.00 $28,972.94 2025-01-22
PX-27800222 CDM Hc Heart Valve 28 95 23 $33,816.00 $21,980.40 35% off $11,903.23 $33,816.00 $28,946.50 2025-01-22
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 12 — — $28,859.03 $29,147.62 $28,859.03 2026-04-01
37231 CPT Hc Revasc/Endo Tibioper W Stnt&Ather 117 34 $32,216.00 $20,940.40 35% off $11,340.03 $32,216.00 $28,833.32 2025-01-22
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 12 — — $28,815.79 $29,103.95 $28,815.79 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 12 — — $28,788.20 $29,076.08 $28,788.20 2026-04-01
33276 CPT Insertion Of Phrenic Nerve Stimulator System 117 34 $32,093.00 $20,860.45 35% off $553.96 $32,093.00 $28,723.24 2025-01-22
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 12 — — $28,624.92 $47,607.40 $28,624.92 2026-04-01
33901 CPT Pulmonary Artery Revascularization Bilateral 95 23 $31,856.00 $20,706.40 35% off $11,213.31 $31,856.00 $28,511.12 2025-01-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 12 — — $28,056.05 $28,336.61 $28,056.05 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 12 — — $27,933.77 $28,213.11 $27,933.77 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 12 — — $9,807.80 $28,146.09 $27,867.42 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 12 — — $27,864.43 $28,143.07 $27,864.43 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 12 — — $27,786.15 $28,064.01 $27,786.15 2026-04-01
0075T CPT Hc Transcath Stent Xtracran Cca Perc Initial Vessel 100 26 $31,024.00 $20,165.60 35% off $10,920.45 $31,024.00 $27,766.48 2025-01-22
PX-27800221 CDM Hc Heart Valve 27 95 23 $32,406.00 $21,063.90 35% off $11,406.91 $32,406.00 $27,739.54 2025-01-22
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 123 37 $30,920.45 $20,098.29 35% off $32.15 $30,920.45 $27,673.80 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 12 — — $27,629.58 $27,905.88 $27,629.58 2026-04-01
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 123 37 $30,851.25 $20,053.31 35% off $79.00 $30,851.25 $27,611.87 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 12 — — $27,385.77 $92,952.73 $27,385.77 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 12 — — $27,374.59 $27,648.34 $27,374.59 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 3 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
A9570 HCPCS Indium In-111 Auto Wbc 5 3 — — $1,103.19 $27,364.74 $27,364.74 2026-04-01
33206 CPT Hc Insert Pacer Atrial W Lead 117 34 $30,390.00 $19,753.50 35% off $9,510.03 $30,390.00 $27,199.05 2025-01-22
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 123 37 $30,296.60 $19,692.79 35% off $74.36 $30,296.60 $27,115.46 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 12 — — $27,053.25 $27,323.78 $27,053.25 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 12 — — $27,032.37 $27,302.69 $27,032.37 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 12 — — $26,995.09 $27,265.04 $26,995.09 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 12 — — $26,976.45 $27,246.21 $26,976.45 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 12 — — $26,928.74 $27,198.03 $26,928.74 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 12 — — $26,888.47 $27,157.35 $26,888.47 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 12 — — $26,712.52 $26,979.65 $26,712.52 2026-04-01
92986 CPT Hc Percutaneous Balloon Valvoplasty Aortic 117 34 $29,839.00 $19,395.35 35% off $5,090.36 $29,839.00 $26,705.91 2025-01-22
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 12 — — $26,650.64 $26,917.15 $26,650.64 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 12 — — $26,623.80 $82,765.04 $26,623.80 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 12 — — $26,584.28 $26,850.12 $26,584.28 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 12 — — $26,561.91 $26,827.53 $26,561.91 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 12 — — $11,042.03 $26,801.93 $26,536.56 2026-04-01
PX-27800220 CDM Hc Heart Valve 26 95 23 $30,998.00 $20,148.70 35% off $10,911.30 $30,998.00 $26,534.29 2025-01-22
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 12 — — $26,514.94 $26,780.09 $26,514.94 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 12 — — $17,705.12 $114,656.71 $26,293.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 12 — — $26,239.82 $26,502.22 $26,239.82 2026-04-01
33214 CPT Hc Upgrade Implanted Pacemaker 117 34 $29,109.00 $18,920.85 35% off $9,510.03 $29,109.00 $26,052.56 2025-01-22
252 MS_DRG Other Vascular Procedures With Mcc 12 12 — — $26,007.95 $26,268.03 $26,007.95 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 12 — — $26,001.24 $26,261.25 $26,001.24 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 12 — — $25,881.95 $45,667.88 $25,881.95 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 12 — — $25,756.69 $26,014.26 $25,756.69 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 12 — — $25,637.40 $25,893.77 $25,637.40 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 — — $25,561.35 $25,816.96 $25,561.35 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 12 — — $25,436.09 $25,690.45 $25,436.09 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 12 — — $25,402.54 $25,656.57 $25,402.54 2026-04-01
PX-27800219 CDM Hc Heart Valve 25 95 23 $29,591.00 $19,234.15 35% off $10,416.03 $29,591.00 $25,329.90 2025-01-22
93624 CPT Hc Ep Followup Study 117 34 $28,132.00 $18,285.80 35% off $6,651.14 $28,132.00 $25,178.14 2025-01-22
C9767 HCPCS Revas Intravasc Lithotrip Translum Stent And Atherect Incl Angio 117 34 $28,110.00 $18,271.50 35% off $9,894.72 $28,110.00 $25,158.45 2025-01-22
J0600 HCPCS Edetate Calcium Disodium Inj 6 3 — — $6,408.38 $39,546.65 $24,944.81 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 12 — — $24,906.73 $41,546.14 $24,906.73 2026-04-01
33902 CPT Pulmonary Artery Revascularization Abnormal Unilateral 95 23 $27,614.00 $17,949.10 35% off $9,720.13 $27,614.00 $24,714.53 2025-01-22
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 12 — — $24,628.63 $24,874.92 $24,628.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 12 — — $24,545.13 $24,790.58 $24,545.13 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 12 — — $24,542.15 $24,787.57 $24,542.15 2026-04-01
A9600 HCPCS Sr89 Strontium 5 3 — — $4,146.34 $24,375.00 $24,375.00 2026-04-01
J1300 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 121 36 $27,140.15 $17,641.10 35% off $381.07 $27,140.15 $24,290.43 2026-04-01
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