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 MANSFIELD HOSPITAL

Mansfield, OH · CCN 360118 · Rates published

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You selected 93350 (CPT)

HC Echo Rest and Stress

This hospital’s price: $1,608 across 39 payers · range $471-$1,975

Source: https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/31-0714456_mansfield_standardcharges.zip · 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.

18,552 distinct procedures filed
50 distinct payers
1,916,675 rate rows
2026-04-01 last MRF observed
Data quality

1,887,018 of 1,916,675 rate rows are consumer-grade (98.5%)

29,657 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 26,927
placeholder amount (≤ $0.02) — excluded from medians 2,393
percent-of-charges filed in the dollar field — excluded from medians 197
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 125
exceeds 10× this hospital's gross charge — excluded from medians 15
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/310714456_ohiohealth-mansfield-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 · 2026-09-21
Content fingerprint bb75c43939c5d3e8… · 20,545,274 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $0.07 $3,832,677.33 $3,685,266.67 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.07 $3,449,121.09 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $0.07 $3,378,383.54 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $0.07 $3,063,569.60 $2,945,740.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $0.07 $2,553,315.03 $2,455,110.60 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $0.07 $2,425,280.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $1,310,054.00 $789,885.50 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $0.07 $983,151.78 $594,684.83 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $0.07 $940,744.01 $568,698.28 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $0.07 $920,780.62 $565,350.88 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $0.07 $920,142.76 $560,104.52 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.07 $906,230.01 $535,896.32 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $0.07 $832,524.00 $491,751.13 nat. median
$591,650
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $394,322.50 $394,322.50 $394,322.50 nat. median
$75,037
outlier · 5.3×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $299,853.88 $311,848.04 $299,853.88 nat. median
$359,358
0.8× median
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 26 $115,413.38 $299,775.00 $247,314.38 nat. median
$258,912
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $194,876.42 $202,671.48 $194,876.42 nat. median
$249,124
0.8× median
J9347
HCPCS 		Tremelimumab-actl 20 Mg/ml Intravenous Solution 31 $140.90 $264,712.50 $155,187.89 nat. median
$2,840
outlier · 54.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $148,662.21 $154,608.70 $148,662.21 nat. median
$198,433
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $118,095.39 $551,452.82 $147,794.49 nat. median
$190,557
0.8× median
PX-27800268
CDM 		Implant Impella Device 5.5 26 $51,975.00 $135,000.00 $111,375.00 nat. median
$107,739
1.0× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 30 $5,168.23 $155,266.80 $104,425.40 nat. median
$7,165
outlier · 14.6×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 40 $3,660.83 $176,379.32 $101,965.43 nat. median
$9,200
outlier · 11.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $93,536.95 $291,945.96 $96,729.92 nat. median
$126,722
0.8× median
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 40 $216.90 $174,626.79 $91,312.28 nat. median
$739
outlier · 123.6×
7
MS_DRG 		Lung Transplant 8 $90,488.99 $94,108.55 $90,488.99 nat. median
$117,894
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $412,113.26 $86,854.38 nat. median
$68,423
1.3× median
PX-27800238
CDM 		Perfusion Tavr Valve 26 $40,075.04 $104,091.00 $85,875.08 nat. median
$84,730
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $84,032.68 $87,393.99 $84,032.68 nat. median
$110,192
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $79,281.35 $82,452.60 $79,281.35 nat. median
$103,967
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $79,191.32 $82,358.97 $79,191.32 nat. median
$92,655
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $42,963.00 $242,400.61 $77,130.40 nat. median
$93,270
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $360,987.25 $76,295.68 nat. median
$65,720
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $76,111.71 $79,156.18 $76,111.71 nat. median
$97,414
0.8× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 31 $33.89 $108,664.92 $74,009.87 nat. median
$83
outlier · 894.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $72,208.70 $75,097.05 $72,208.70 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 8 $36,479.85 $72,551.10 $69,760.67 nat. median
$93,917
0.7× median
93656
CPT 		Ep Eval W Ablation A Fib Including 3d Mapping 36 $20,290.87 $85,225.00 $69,373.15 nat. median
$27,253
outlier · 2.5×
SUP-005062
CDM 		Cath Impella 5.0 General Use 26 $32,340.00 $84,000.00 $69,300.00 nat. median
$67,990
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $68,554.31 $237,804.54 $68,554.31 nat. median
$90,581
0.8× median
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 40 $59.41 $114,582.00 $66,633.47 nat. median
$414
outlier · 160.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $17,711.67 $178,557.22 $63,199.79 nat. median
$78,037
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $294,201.70 $62,137.07 nat. median
$55,159
1.1× median
SUP-0048-0003
CDM 		Cath Impella 3.5 Cp 26 $28,875.00 $75,000.00 $61,875.00 nat. median
$61,875
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $60,775.30 $63,206.31 $60,775.30 nat. median
$78,262
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $59,185.29 $76,450.40 $59,185.29 nat. median
$77,043
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $421,582.72 $59,097.53 nat. median
$63,643
0.9× median
5378
OTHER 		Level 8 Urology And Related Services 1 $59,064.43 $59,064.43 $59,064.43 nat. median
$21,237
outlier · 2.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $36,617.26 $282,018.14 $59,001.77 nat. median
$77,696
0.8× median
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 31 $197.83 $97,240.00 $57,875.71 nat. median
$559
outlier · 103.5×

Other procedures at this hospital

Browse this hospital's 18,552 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 4 — — $0.07 $3,832,677.33 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $0.07 $3,449,121.09 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $0.07 $3,378,383.54 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 4 — — $0.07 $3,063,569.60 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 4 — — $0.07 $2,553,315.03 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $0.07 $2,425,280.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 3 — — $770,620.00 $1,310,054.00 $789,885.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $0.07 $983,151.78 $594,684.83 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $0.07 $940,744.01 $568,698.28 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $0.07 $920,780.62 $565,350.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $0.07 $920,142.76 $560,104.52 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $0.07 $906,230.01 $535,896.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $0.07 $832,524.00 $491,751.13 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 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 8 8 — — $299,853.88 $311,848.04 $299,853.88 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 96 26 $299,775.00 $194,853.75 35% off $115,413.38 $299,775.00 $247,314.38 2025-01-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 8 — — $194,876.42 $202,671.48 $194,876.42 2026-04-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 104 31 $165,093.50 $107,310.77 35% off $140.90 $264,712.50 $155,187.89 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 8 — — $148,662.21 $154,608.70 $148,662.21 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 8 — — $118,095.39 $551,452.82 $147,794.49 2026-04-01
PX-27800268 CDM Implant Impella Device 5.5 96 26 $135,000.00 $87,750.00 35% off $51,975.00 $135,000.00 $111,375.00 2025-01-31
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 102 30 $111,090.85 $72,209.05 35% off $5,168.23 $155,266.80 $104,425.40 2026-04-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 123 40 $125,264.65 $81,422.02 35% off $3,660.83 $176,379.32 $101,965.43 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 8 — — $93,536.95 $291,945.96 $96,729.92 2026-04-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 147 40 $112,177.25 $72,915.21 35% off $216.90 $174,626.79 $91,312.28 2026-04-01
7 MS_DRG Lung Transplant 8 8 — — $90,488.99 $94,108.55 $90,488.99 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $63,342.28 $412,113.26 $86,854.38 2026-04-01
PX-27800238 CDM Perfusion Tavr Valve 96 26 $104,091.00 $67,659.15 35% off $40,075.04 $104,091.00 $85,875.08 2025-01-31
14 MS_DRG Allogeneic Bone Marrow Transplant 8 8 — — $84,032.68 $87,393.99 $84,032.68 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 8 — — $79,281.35 $82,452.60 $79,281.35 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 8 8 — — $79,191.32 $82,358.97 $79,191.32 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $42,963.00 $242,400.61 $77,130.40 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $55,272.32 $360,987.25 $76,295.68 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 8 — — $76,111.71 $79,156.18 $76,111.71 2026-04-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 104 31 $78,733.90 $51,177.03 35% off $33.89 $108,664.92 $74,009.87 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 8 — — $72,208.70 $75,097.05 $72,208.70 2026-04-01
215 MS_DRG Other Heart Assist System Implant 9 8 — — $36,479.85 $72,551.10 $69,760.67 2026-04-01
93656 CPT Ep Eval W Ablation A Fib Including 3d Mapping 117 36 $85,225.00 $55,396.25 35% off $20,290.87 $85,225.00 $69,373.15 2025-01-31
SUP-005062 CDM Cath Impella 5.0 General Use 96 26 $84,000.00 $54,600.00 35% off $32,340.00 $84,000.00 $69,300.00 2025-01-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $68,554.31 $237,804.54 $68,554.31 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 123 40 $81,859.30 $53,208.54 35% off $59.41 $114,582.00 $66,633.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 8 — — $17,711.67 $178,557.22 $63,199.79 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $294,201.70 $62,137.07 2026-04-01
SUP-0048-0003 CDM Cath Impella 3.5 Cp 96 26 $75,000.00 $48,750.00 35% off $28,875.00 $75,000.00 $61,875.00 2025-01-31
850 MS_DRG Acute Leukemia With Other Procedures 8 8 — — $60,775.30 $63,206.31 $60,775.30 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $59,185.29 $76,450.40 $59,185.29 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 4 — — $56,824.55 $421,582.72 $59,097.53 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $59,064.43 $59,064.43 $59,064.43 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 8 — — $36,617.26 $282,018.14 $59,001.77 2026-04-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 104 31 $61,569.90 $40,020.43 35% off $197.83 $97,240.00 $57,875.71 2026-04-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 123 40 $70,672.90 $45,937.38 35% off $359.19 $108,355.00 $57,527.74 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $54,884.75 $57,511.58 $55,299.60 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $53,980.36 $464,423.82 $53,980.36 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 8 — — $51,620.42 $55,901.19 $53,751.14 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 8 — — $19,073.32 $55,718.97 $53,575.93 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 2 1 — — $52,923.72 $52,923.72 $52,923.72 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $28,763.12 $57,923.16 $50,796.87 2026-04-01
10 MS_DRG Pancreas Transplant 8 8 — — $50,499.78 $52,519.77 $50,499.78 2026-04-01
33365 CPT Hc Tavr Tavi Transaortic Approach 96 26 $57,898.00 $37,633.70 35% off $22,290.73 $57,898.00 $50,487.06 2025-01-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 8 — — $50,479.01 $52,498.17 $50,479.01 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 8 — — $50,215.16 $52,223.77 $50,215.16 2026-04-01
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 102 30 $53,394.35 $34,706.33 35% off $34.18 $71,321.25 $50,190.69 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 8 — — $45,670.10 $187,752.02 $50,186.08 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 10 — — $12,051.48 $171,089.65 $48,672.24 2026-04-01
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 96 26 $55,769.00 $36,249.85 35% off $21,471.07 $55,769.00 $48,630.57 2025-01-31
34708 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img 96 26 $55,580.00 $36,127.00 35% off $21,398.30 $55,580.00 $48,465.76 2025-01-31
34707 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img 96 26 $55,580.00 $36,127.00 35% off $21,398.30 $55,580.00 $48,465.76 2025-01-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 8 — — $43,753.50 $203,433.14 $48,437.48 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $47,420.87 $49,317.70 $47,420.87 2026-04-01
0398T CPT MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion 117 36 $57,968.00 $37,679.20 35% off $11,637.81 $57,968.00 $47,185.95 2025-01-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 8 — — $47,112.01 $190,013.28 $47,112.01 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 8 — — $47,078.07 $48,961.19 $47,078.07 2026-04-01
34717 CPT Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat 96 26 $53,457.00 $34,747.05 35% off $20,580.95 $53,457.00 $46,614.50 2025-01-31
34718 CPT Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat 96 26 $53,457.00 $34,747.05 35% off $20,580.95 $53,457.00 $46,614.50 2025-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $41,912.95 $48,195.61 $46,341.93 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $46,341.93 $48,195.61 $46,341.93 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $46,176.42 $48,023.48 $46,176.42 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 8 — — $14,750.68 $67,073.48 $45,368.26 2026-04-01
93654 CPT Ep Eval W Ablation Vt Including 3d Mapping 117 36 $55,386.00 $36,000.90 35% off $20,290.87 $55,386.00 $45,084.20 2025-01-31
C1882 HCPCS Defib Amplia MRI Crt-d Icd 585 36 $54,300.00 $35,295.00 35% off $11,203.50 $60,000.00 $44,200.20 2025-01-31
C2616 HCPCS Hc Yttrium-90 Nonstranded Per Source 117 36 $53,250.00 $34,612.50 35% off $16,912.41 $53,250.00 $43,345.50 2025-01-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 8 — — $40,564.56 $192,019.51 $43,247.09 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 8 — — $43,197.92 $44,925.84 $43,197.92 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 3 2 — — $12,306.30 $42,792.75 $42,792.75 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 8 — — $42,791.41 $44,503.07 $42,791.41 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 11 8 — — $41,501.88 $125,290.85 $42,415.38 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 8 — — $35,171.52 $44,099.75 $42,403.61 2026-04-01
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 96 26 $48,462.00 $31,500.30 35% off $18,657.87 $48,462.00 $42,258.86 2025-01-31
34705 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Not Rupt W Img 96 26 $48,421.00 $31,473.65 35% off $18,642.09 $48,421.00 $42,223.11 2025-01-31
34706 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Rupt W Img 96 26 $48,421.00 $31,473.65 35% off $18,642.09 $48,421.00 $42,223.11 2025-01-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 8 — — $39,153.08 $53,550.76 $42,102.36 2026-04-01
34703 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Not Rupt W Img 96 26 $48,166.00 $31,307.90 35% off $18,543.91 $48,166.00 $42,000.75 2025-01-31
34704 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Rupt W Img 96 26 $48,166.00 $31,307.90 35% off $18,543.91 $48,166.00 $42,000.75 2025-01-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 8 — — $8,949.80 $67,245.71 $41,966.63 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 8 8 — — $41,871.06 $43,545.90 $41,871.06 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 9 — — $41,447.94 $190,223.53 $41,447.94 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 8 — — $40,208.41 $43,078.48 $41,421.62 2026-04-01
34701 CPT Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Not Rupt W Img 96 26 $47,145.00 $30,644.25 35% off $18,150.83 $47,145.00 $41,110.44 2025-01-31
34702 CPT Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Rupt W Img 96 26 $47,145.00 $30,644.25 35% off $18,150.83 $47,145.00 $41,110.44 2025-01-31
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 104 31 $43,523.05 $28,289.98 35% off $70.75 $65,549.25 $40,911.67 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 8 — — $40,745.04 $43,080.47 $40,745.04 2026-04-01
33366 CPT Hc Trcath Replace Aortic Valve 96 26 $46,674.00 $30,338.10 35% off $17,969.49 $46,674.00 $40,699.73 2025-01-31
0483T CPT Hc Tmvi W Prosthetic Valve Percutaneous 96 26 $46,674.00 $30,338.10 35% off $17,969.49 $46,674.00 $40,699.73 2025-01-31
33362 CPT Hc Tavr Tavi Open Fem Art Approach 96 26 $46,674.00 $30,338.10 35% off $17,969.49 $46,674.00 $40,699.73 2025-01-31
33418 CPT Hc Transcath Mitral Valve Rep Perc 96 26 $46,674.00 $30,338.10 35% off $17,969.49 $46,674.00 $40,699.73 2025-01-31
0484T CPT Hc Tmvi W Prosthetic Valve Transthoracic Exposure 96 26 $46,674.00 $30,338.10 35% off $17,969.49 $46,674.00 $40,699.73 2025-01-31
33363 CPT Hc Tavr Tavi Open Axil Art Approach 96 26 $46,674.00 $30,338.10 35% off $17,969.49 $46,674.00 $40,699.73 2025-01-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 8 — — $23,974.69 $389,740.41 $40,490.19 2026-04-01
33477 CPT Transcatheter Pulmonary Valve Placement Percutaneous Approach 96 26 $46,322.00 $30,109.30 35% off $17,833.97 $46,322.00 $40,392.78 2025-01-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 8 — — $40,328.14 $41,941.27 $40,328.14 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 8 — — $33,472.94 $41,887.98 $40,276.90 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 8 — — $39,740.20 $41,329.81 $39,740.20 2026-04-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 123 40 $48,789.05 $31,712.88 35% off $258.64 $74,990.50 $39,714.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 8 — — $39,619.70 $41,204.49 $39,619.70 2026-04-01
0646T CPT Transcath Tricuspid Valve Implant Rplcmnt With Prostc Valve Perq Approach Rgt Hear… 96 26 $45,228.00 $29,398.20 35% off $17,412.78 $45,228.00 $39,438.82 2025-01-31
0569T CPT Hc Transcath Tricuspid Valve Repair Perct App Initial Prosthesis 96 26 $45,228.00 $29,398.20 35% off $17,412.78 $45,228.00 $39,438.82 2025-01-31
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $16,426.09 $62,385.22 $39,405.65 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $34,291.97 $40,927.93 $39,353.78 2026-04-01
C1822 HCPCS Kit Charger F/ Senza Omnia 351 36 $41,664.00 $27,081.60 35% off $1,113.42 $55,500.00 $39,164.16 2025-01-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 123 40 $48,047.05 $31,230.58 35% off $243.71 $75,578.75 $39,110.30 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 8 — — $39,054.61 $40,616.79 $39,054.61 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $28,424.06 $175,958.45 $38,940.96 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 10 8 — — $10,683.03 $40,378.41 $38,825.39 2026-04-01
36906 CPT Hc Dialysis Circuit Perc Thrombectomy Or Thrombolysis Infu W Plcmt Of Stent Peri… 117 36 $47,561.00 $30,914.65 35% off $14,980.91 $47,561.00 $38,714.65 2025-01-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 8 — — $38,691.04 $40,238.68 $38,691.04 2026-04-01
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 104 31 $41,105.60 $26,718.64 35% off $14.94 $58,500.00 $38,639.26 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 9 — — $19,460.68 $240,660.04 $38,637.02 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 8 — — $38,577.47 $40,120.57 $38,577.47 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 8 8 — — $38,426.50 $39,963.56 $38,426.50 2026-04-01
PX-27800203 CDM Hc Aortic Homograft Valve 96 26 $46,478.00 $30,210.70 35% off $17,894.03 $46,478.00 $38,344.35 2025-01-31
33340 CPT Hc Transcatheter Closure L Atrial Appendage 117 36 $46,674.00 $30,338.10 35% off $747.05 $46,674.00 $37,992.64 2025-01-31
33361 CPT Hc Tavr Tavi Perc Fem Art Approach 117 36 $46,674.00 $30,338.10 35% off $1,161.96 $46,674.00 $37,992.64 2025-01-31
PX-27800257 CDM Heart Valve 42 96 26 $45,887.00 $29,826.55 35% off $17,666.50 $45,887.00 $37,856.78 2025-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $34,503.89 $337,660.42 $37,737.45 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 8 — — $37,715.29 $39,223.90 $37,715.29 2026-04-01
33269 CPT Exclusion Left Atrial Appendage Thoracoscopic Any Method 96 26 $43,136.00 $28,038.40 35% off $16,607.36 $43,136.00 $37,614.59 2025-01-31
J2427 HCPCS Paliperidone Palmitate (3 Month) 546 Mg/1.75 Ml Intramuscular Syringe 203 30 $50,282.95 $32,683.92 35% off $13.00 $65,527.35 $37,611.65 2026-04-01
5622 OTHER Level 2 Radiation Therapy 17 9 — — $2,016.12 $135,461.05 $37,502.04 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 8 — — $37,467.37 $38,966.06 $37,467.37 2026-04-01
0544T CPT Transcatheter Mitral Valve Annulus Reconstruction With Device Percutaneous 96 26 $42,905.00 $27,888.25 35% off $16,518.43 $42,905.00 $37,413.16 2025-01-31
0545T CPT Transcatheter Tricuspid Valve Annulus Reconstruction With Device Percutaneous 96 26 $42,905.00 $27,888.25 35% off $16,518.43 $42,905.00 $37,413.16 2025-01-31
0543T CPT Transapical Mitral Valve Repair Transthoracic Echocardiography 96 26 $42,905.00 $27,888.25 35% off $16,518.43 $42,905.00 $37,413.16 2025-01-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 8 — — $28,851.53 $89,564.86 $37,346.18 2026-04-01
38230 CPT Procurement Of Allo Bone Marrow Harvest For Transplant 96 26 $42,705.00 $27,758.25 35% off $16,441.43 $42,705.00 $37,238.76 2025-01-31
93653 CPT Ep Eval W Ablation Svt Including 3d Mapping 117 36 $45,695.00 $29,701.75 35% off $17,592.58 $45,695.00 $37,195.73 2025-01-31
PX-27800213 CDM Hc Impella Right Side 96 26 $45,000.00 $29,250.00 35% off $17,325.00 $45,000.00 $37,125.00 2025-01-31
PX-27800171 CDM Hc Implant Impella Device 3.5 96 26 $45,000.00 $29,250.00 35% off $17,325.00 $45,000.00 $37,125.00 2025-01-31
PX-27800256 CDM Heart Valve 41 96 26 $44,679.00 $29,041.35 35% off $17,201.42 $44,679.00 $36,860.18 2025-01-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 8 — — $150.00 $38,329.40 $36,855.19 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 8 8 — — $36,792.86 $38,264.57 $36,792.86 2026-04-01
C1767 HCPCS Generator Eonc Primary Cell Ipg 16-channel 1,989 36 $40,800.00 $26,520.00 35% off $5,717.25 $103,342.80 $36,045.87 2025-01-31
PX-27200393 CDM Hc Aspiration Embolectomy System 96 26 $43,500.00 $28,275.00 35% off $16,747.50 $43,500.00 $35,887.50 2025-01-31
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 123 40 $44,080.00 $28,652.00 35% off $29.29 $62,744.50 $35,881.12 2026-04-01
PX-27800255 CDM Heart Valve 40 96 26 $43,472.00 $28,256.80 35% off $16,736.72 $43,472.00 $35,864.40 2025-01-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $35,711.15 $37,139.60 $35,711.15 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 8 — — $34,711.20 $45,969.33 $35,345.51 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 123 40 $43,275.70 $28,129.20 35% off $21.31 $43,275.70 $35,226.42 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 8 — — $32,859.62 $36,471.24 $35,068.50 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 9 — — $300.00 $214,867.17 $35,007.56 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 2 2 — — $6,601.78 $63,337.63 $34,969.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 8 — — $29,727.18 $99,414.70 $34,890.53 2026-04-01
PX-27800254 CDM Heart Valve 39 96 26 $42,265.00 $27,472.25 35% off $16,272.03 $42,265.00 $34,868.63 2025-01-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $34,748.56 $36,138.50 $34,748.56 2026-04-01
0686T CPT Histotripsy Malignant Hepatocellular Tiss W Img Gdn 96 26 $39,840.00 $25,896.00 35% off $15,338.40 $39,840.00 $34,740.48 2025-01-31
471 MS_DRG Cervical Spinal Fusion With Mcc 14 9 — — $13,896.56 $164,816.62 $34,246.49 2026-04-01
PX-27200472 CDM Hc Vad Cardiohelp (Hls Set Advanced 7.0) 96 26 $41,343.00 $26,872.95 35% off $15,917.06 $41,343.00 $34,107.98 2025-01-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 8 — — $34,077.51 $35,440.61 $34,077.51 2026-04-01
33948 CPT Hc Ecmo Addl Day Veno-veno 96 26 $39,005.00 $25,353.25 35% off $15,016.93 $39,005.00 $34,012.36 2025-01-31
33947 CPT Hc Ecmo Initial Day Veno-arterial 96 26 $39,005.00 $25,353.25 35% off $15,016.93 $39,005.00 $34,012.36 2025-01-31
33946 CPT Hc Ecmo Initial Day Veno-veno 96 26 $39,005.00 $25,353.25 35% off $15,016.93 $39,005.00 $34,012.36 2025-01-31
33949 CPT Hc Ecmo Addl Day Veno-arterial 96 26 $39,005.00 $25,353.25 35% off $15,016.93 $39,005.00 $34,012.36 2025-01-31
PX-27800253 CDM Heart Valve 38 96 26 $41,058.00 $26,687.70 35% off $15,807.33 $41,058.00 $33,872.85 2025-01-31
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 338 40 $36,183.60 $23,519.34 35% off $0.25 $224,523.00 $33,850.96 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 8 — — $32,241.08 $136,034.24 $33,776.27 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 8 — — $33,364.92 $34,699.52 $33,364.92 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 8 — — $31,939.71 $117,217.09 $33,298.44 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 8 — — $32,996.60 $34,529.54 $33,201.48 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 8 8 — — $32,918.94 $34,235.70 $32,918.94 2026-04-01
PX-27800236 CDM Heart Valve 37 96 26 $39,851.00 $25,903.15 35% off $15,342.64 $39,851.00 $32,877.08 2025-01-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 8 — — $24,621.55 $34,102.45 $32,790.82 2026-04-01
J0597 HCPCS C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit 102 30 $34,741.70 $22,582.10 35% off $75.86 $41,879.50 $32,657.20 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 10 — — $9,833.27 $262,287.43 $32,638.47 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 8 — — $29,670.33 $33,859.75 $32,557.45 2026-04-01
C1820 HCPCS Charger Ipg Eon Mini Le 2,223 36 $39,000.00 $25,350.00 35% off $577.50 $75,570.00 $32,546.25 2025-01-31
0825T CPT Transcath Remove & Replace Perm Single Chamb Leadless Pacemaker Right Atrial 96 26 $37,168.00 $24,159.20 35% off $14,309.68 $37,168.00 $32,410.50 2025-01-31
0823T CPT Transcatheter Insert Perm Single Chamb Leadless Pacemaker Right Atrial 96 26 $37,168.00 $24,159.20 35% off $14,309.68 $37,168.00 $32,410.50 2025-01-31
22867 CPT Insj Stablj Device W Dcmp 1lv 96 26 $37,160.00 $24,154.00 35% off $14,306.60 $37,160.00 $32,403.52 2025-01-31
245 MS_DRG Aicd Generator Procedures 8 8 — — $32,402.32 $33,698.41 $32,402.32 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 8 — — $30,929.91 $234,470.19 $32,307.45 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 8 — — $29,842.65 $90,184.48 $32,293.60 2026-04-01
PX-27200545 CDM Protek Duo Cannula 96 26 $39,000.00 $25,350.00 35% off $15,015.00 $39,000.00 $32,175.00 2025-01-31
799 MS_DRG Splenic Procedures With Mcc 10 9 — — $32,170.33 $104,027.89 $32,170.33 2026-04-01
PX-27800235 CDM Heart Valve 36 96 26 $38,644.00 $25,118.60 35% off $14,877.94 $38,644.00 $31,881.30 2025-01-31
33952 CPT Ecmo Insertion Peripheral Cannula 96 26 $36,536.00 $23,748.40 35% off $14,066.36 $36,536.00 $31,859.39 2025-01-31
163 MS_DRG Major Chest Procedures With Mcc 15 8 — — $1,584.02 $170,754.05 $31,844.16 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 8 — — $31,835.16 $33,108.57 $31,835.16 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 8 — — $30,174.95 $32,981.80 $31,713.27 2026-04-01
36903 CPT Hc Dialysis Circuit Intro Needle/Cath W Plcmt Of Stent Peripheral W Img 117 36 $38,918.00 $25,296.70 35% off $9,398.70 $38,918.00 $31,679.25 2025-01-31
33224 CPT Hc Ins Electrode Prev Placed Icd Or Pacer 117 36 $38,422.00 $24,974.30 35% off $9,122.84 $38,422.00 $31,275.51 2025-01-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 8 — — $261.16 $32,476.93 $31,227.82 2026-04-01
PX-27200401 CDM Hc Blood Pump Disposable 96 26 $37,800.00 $24,570.00 35% off $14,553.00 $37,800.00 $31,185.00 2025-01-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 102 30 $37,704.85 $24,508.15 35% off $39.41 $37,704.85 $31,106.50 2026-04-01
C2622 HCPCS Prosthesis 12mm X 20cm Penile Spectra 234 36 $32,990.62 $21,443.90 35% off $12,576.22 $33,315.75 $31,032.23 2025-01-31
PX-27800234 CDM Heart Valve 35 96 26 $37,436.00 $24,333.40 35% off $14,412.86 $37,436.00 $30,884.70 2025-01-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 8 — — $29,198.74 $32,005.92 $30,774.92 2026-04-01
C1772 HCPCS Pump 20ml Pain Synchromed Ii 234 36 $33,865.50 $22,012.58 35% off $12,358.50 $35,631.00 $30,568.83 2025-01-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 8 — — $19,144.10 $50,068.31 $30,536.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 8 8 — — $30,344.87 $31,558.66 $30,344.87 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 3 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
62362 CPT Hc Implant Or Replace Programmable Pump 96 26 $34,700.00 $22,555.00 35% off $13,359.50 $34,700.00 $30,258.40 2025-01-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 8 — — $26,009.77 $219,500.49 $30,175.20 2026-04-01
37235 CPT Hc Tibiopero W Stnt&Atherec Ea Addl 96 26 $34,578.00 $22,475.70 35% off $13,312.53 $34,578.00 $30,152.02 2025-01-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 8 — — $12,041.68 $86,105.20 $30,053.32 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 8 — — $30,003.46 $31,203.60 $30,003.46 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $29,988.91 $178,630.39 $29,988.91 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 8 — — $27,004.37 $43,134.96 $29,903.73 2026-04-01
PX-27800228 CDM Hc Heart Valve 34 96 26 $36,229.00 $23,548.85 35% off $13,948.17 $36,229.00 $29,888.93 2025-01-31
901 MS_DRG Wound Debridements For Injuries With Mcc 8 8 — — $29,869.11 $31,063.87 $29,869.11 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 9 — — $16,726.16 $197,604.97 $29,815.09 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
61886 HCPCS Implant Neurostim Arrays 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 3 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 8 — — $29,702.91 $30,891.03 $29,702.91 2026-04-01
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 240 40 $37,541.85 $24,402.21 35% off $91.34 $65,473.20 $29,687.35 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 10 — — $1,457.10 $30,902.93 $29,682.13 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 13 9 — — $23,305.44 $121,574.67 $29,587.64 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 8 — — $27,930.15 $30,749.86 $29,567.17 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 96 26 $33,708.00 $21,910.20 35% off $12,977.58 $33,708.00 $29,393.38 2025-01-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 8 — — $10,248.83 $34,092.84 $29,376.73 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 123 40 $35,855.10 $23,305.81 35% off $24.00 $47,248.50 $29,186.05 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 9 — — $1,977.00 $30,072.86 $28,916.21 2026-04-01
PX-27800227 CDM Hc Heart Valve 33 96 26 $35,022.00 $22,764.30 35% off $13,483.47 $35,022.00 $28,893.15 2025-01-31
33206 CPT Hc Insert Pacer Atrial W Lead 117 36 $35,240.00 $22,906.00 35% off $9,122.84 $35,240.00 $28,685.36 2025-01-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 8 — — $25,387.36 $126,131.46 $28,649.59 2026-04-01
C1813 HCPCS Prosthesis 12cm Penile Snap-fit Rear-tip Inhibizone Lgx 702 36 $32,984.25 $21,439.76 35% off $3,205.41 $39,825.00 $28,426.76 2025-01-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 8 — — $24,713.05 $29,533.42 $28,397.52 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 3 — — $22,838.94 $73,819.29 $28,321.58 2026-04-01
33270 CPT Hc Insert Subq Defib W Electrode 117 36 $31,814.00 $20,679.10 35% off $12,248.39 $31,814.00 $28,106.93 2025-01-31
33249 CPT Hc Ins Or Repl Icd W Pulse Gen Sgl Or Dual 117 36 $32,050.00 $20,832.50 35% off $12,339.25 $32,050.00 $28,106.93 2025-01-31
33264 CPT Hc Remove Replace Icd Gen Mult Lead Sys 117 36 $31,815.00 $20,679.75 35% off $12,248.78 $31,815.00 $28,106.93 2025-01-31
0571T CPT Hc Insert Or Replce Impnt Cardioverter Defib System W Substernal Elect Incl Img 117 36 $31,815.00 $20,679.75 35% off $12,248.78 $31,815.00 $28,106.93 2025-01-31
33214 CPT Hc Upgrade Implanted Pacemaker 117 36 $34,385.00 $22,350.25 35% off $9,122.84 $34,385.00 $27,989.39 2025-01-31
64628 CPT Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 117 36 $34,344.00 $22,323.60 35% off $11,244.05 $34,344.00 $27,956.02 2025-01-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $27,897.52 $29,013.42 $27,897.52 2026-04-01
PX-27800226 CDM Hc Heart Valve 32 96 26 $33,815.00 $21,979.75 35% off $13,018.78 $33,815.00 $27,897.38 2025-01-31
27279 CPT Hc Athrodesis Sacroiliac Joint W Img Guidance 96 26 $31,989.00 $20,792.85 35% off $12,315.77 $31,989.00 $27,894.41 2025-01-31
37231 CPT Hc Revasc/Endo Tibioper W Stnt&Ather 117 36 $34,251.00 $22,263.15 35% off $13,186.64 $34,251.00 $27,880.31 2025-01-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 8 — — $27,774.95 $28,885.95 $27,774.95 2026-04-01
33903 CPT Pulmonary Artery Revascularization Abnormal Bilateral 96 26 $31,794.00 $20,666.10 35% off $12,240.69 $31,794.00 $27,724.37 2025-01-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 8 — — $27,612.21 $28,716.70 $27,612.21 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 9 — — $14,416.62 $28,674.92 $27,572.04 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 8 — — $24,860.09 $28,648.28 $27,546.42 2026-04-01
93620 CPT Hc Ep Comprehensive W Induction Arrhythmia 117 36 $33,685.00 $21,895.25 35% off $6,380.35 $33,685.00 $27,419.59 2025-01-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 8 — — $16,131.55 $28,490.55 $27,394.76 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 2 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 123 40 $33,391.30 $21,704.34 35% off $207.13 $51,875.20 $27,180.52 2026-04-01
61635 CPT Hc Stent Intracranial Transcath 96 26 $31,039.00 $20,175.35 35% off $11,950.02 $31,039.00 $27,066.01 2025-01-31
PX-27800225 CDM Hc Heart Valve 31 96 26 $32,608.00 $21,195.20 35% off $12,554.08 $32,608.00 $26,901.60 2025-01-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $26,262.52 $27,941.02 $26,866.37 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 8 — — $26,752.80 $27,822.91 $26,752.80 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 8 — — $24,344.57 $51,602.83 $26,691.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 8 — — $24,755.76 $27,755.93 $26,688.39 2026-04-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 240 40 $62,065.75 $40,342.74 35% off $225.11 $158,551.25 $26,646.50 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 8 — — $12,543.96 $49,092.71 $26,615.68 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 8 — — $26,470.25 $27,529.06 $26,470.25 2026-04-01
33231 CPT Hc Insert Icd Generator Only Mult 96 26 $30,300.00 $19,695.00 35% off $11,665.50 $30,300.00 $26,421.60 2025-01-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 9 8 — — $26,243.80 $27,293.55 $26,243.80 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 9 — — $7,419.97 $31,498.87 $26,233.41 2026-04-01
33276 CPT Insertion Of Phrenic Nerve Stimulator System 117 36 $32,093.00 $20,860.45 35% off $553.96 $32,093.00 $26,123.70 2025-01-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 8 — — $25,934.94 $26,972.34 $25,934.94 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 8 — — $22,753.45 $26,952.17 $25,915.55 2026-04-01
PX-27800224 CDM Hc Heart Valve 30 96 26 $31,401.00 $20,410.65 35% off $12,089.39 $31,401.00 $25,905.83 2025-01-31
332 MS_DRG Rectal Resection With Mcc 8 8 — — $25,880.92 $26,916.16 $25,880.92 2026-04-01
265 MS_DRG Aicd Lead Procedures 9 8 — — $20,401.61 $26,898.15 $25,863.61 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 8 — — $23,925.09 $42,058.28 $25,819.29 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 8 — — $21,328.60 $138,396.85 $25,781.89 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 8 — — $25,618.46 $26,643.20 $25,618.46 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 8 — — $25,560.98 $26,583.42 $25,560.98 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 8 — — $23,469.06 $26,557.49 $25,536.05 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 8 — — $25,499.35 $26,519.32 $25,499.35 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 8 — — $25,478.57 $26,497.71 $25,478.57 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 8 — — $4,905.49 $59,686.66 $25,455.03 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 9 — — $12,376.96 $127,346.07 $25,434.94 2026-04-01
33226 CPT Hc Reposition Previously Impl Cvs Electrode 117 36 $31,235.00 $20,302.75 35% off $2,723.19 $31,235.00 $25,425.29 2025-01-31
63685 CPT Hc Ins Or Repl Spinal Neurostim Pulse Gen 96 26 $29,120.00 $18,928.00 35% off $11,211.20 $29,120.00 $25,392.64 2025-01-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 104 31 $26,991.45 $17,544.44 35% off $69.49 $42,692.00 $25,371.96 2026-04-01
37227 CPT Hc Revasc Endo Fempop W Stnt&Atherec 117 36 $31,149.00 $20,246.85 35% off $11,992.37 $31,149.00 $25,355.29 2025-01-31
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