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

OHIOHEALTH O'BLENESS HOSPITAL

Athens, OH · CCN 360014 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $12,320 across 2 payers · range $12,259-$12,382

Source: https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314446959_ohiohealth-o-_bleness-hospital_standardcharges.json · observed 2026-04-01

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.

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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