Hospital

BERGER HOSPITAL

Circleville, OH · CCN 360170 · Rates published

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You selected 93350 (CPT)

HC Echo Rest and Stress

This hospital’s price: $2,070 across 37 payers · range $314-$2,435

Source: https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/38-4105653_berger_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.

24,081 distinct procedures filed

50 distinct payers

1,208,316 rate rows

2026-04-01 last MRF observed

Data quality

1,171,443 of 1,208,316 rate rows are consumer-grade (96.9%)

36,873 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	29,508
per-diem day rate — not a per-procedure price	3,655
placeholder amount (≤ $0.02) — excluded from medians	1,918
percent-of-charges filed in the dollar field — excluded from medians	967
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	400
template filing: same amount across many unrelated codes — excluded	396
exceeds 10× this hospital's gross charge — excluded from medians	29

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/384105653_berger-hospital_standardcharges.json
Found on page	https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-23
Content fingerprint	5da2b8edf6c651fc… · 24,112,353 bytes · first seen 2026-05-05

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	1	$3,685,266.67	$3,685,266.67	$3,685,266.67	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	1	$3,316,462.59	$3,316,462.59	$3,316,462.59	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	1	$3,248,445.72	$3,248,445.72	$3,248,445.72	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	1	$2,945,740.00	$2,945,740.00	$2,945,740.00	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	1	$2,455,110.60	$2,455,110.60	$2,455,110.60	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	1	$2,332,000.00	$2,332,000.00	$2,332,000.00	nat. median $2,401,965 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	2	$591,726.20	$961,560.52	$776,643.36	nat. median $739,258 1.1× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	2	$565,868.94	$937,241.17	$751,555.05	nat. median $646,415 1.2× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	2	$557,317.93	$898,131.13	$727,724.53	nat. median $622,450 1.2× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	2	$562,538.19	$878,026.14	$720,282.17	nat. median $640,950 1.1× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	2	$533,230.17	$832,179.16	$682,704.67	nat. median $608,239 1.1× median
Q2053 HCPCS	Brexucabtagene Car Pos T	2	$489,304.61	$829,687.57	$659,496.09	nat. median $591,721 1.1× median
A9543 HCPCS	Y90 Ibritumomab, Rx	2	$56,824.55	$421,582.72	$421,582.72	nat. median $63,528 outlier · 6.6×
J7330 HCPCS	Cultured Chondrocytes Implnt	2	$140,202.82	$394,322.50	$394,322.50	nat. median $75,000 outlier · 5.3×
18 MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	10	$303,029.16	$791,499.39	$303,029.16	nat. median $359,454 0.8× median
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	3	$63,342.28	$412,113.26	$288,605.76	nat. median $68,423 outlier · 4.2×
PX-27800218 CDM	Hc Hm3 Lvad Implant Kit W Controller	24	$176,021.45	$320,039.00	$275,233.54	nat. median $258,912 1.1× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	3	$55,272.32	$360,987.25	$252,660.24	nat. median $65,720 outlier · 3.8×
J9226 HCPCS	Supprelin La Implant	3	$45,020.65	$294,201.70	$204,506.58	nat. median $55,159 outlier · 3.7×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$197,067.42	$591,184.57	$197,067.42	nat. median $249,036 0.8× median
J9600 HCPCS	Porfimer Sodium Injection	2	$24,228.42	$151,599.50	$151,599.50	nat. median $30,131 outlier · 5.0×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$150,419.90	$497,917.85	$150,419.90	nat. median $198,418 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	$149,544.04	$449,798.47	$149,544.04	nat. median $190,559 0.8× median
E0766 HCPCS	Elec Stim Cancer Treatment	1	$19,485.91	$194,859.11	$146,144.34	nat. median $16,786 outlier · 8.7×
C9150 HCPCS	Xe129 Xenon, Diagnostic	1	$129,792.00	$129,792.00	$129,792.00	nat. median $1,036 outlier · 125.3×
90288 HCPCS	Botulism Ig IV	1	$126,633.00	$126,633.00	$126,633.00	nat. median $51,570 outlier · 2.5×
J9266 HCPCS	Pegaspargase Injection	3	$28,424.06	$175,958.45	$123,098.55	nat. median $33,233 outlier · 3.7×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	1	$110,901.76	$129,537.28	$120,219.52	nat. median $111,503 1.1× median
PX-27800268 CDM	Implant Impella Device 5.5	24	$69,713.60	$126,752.00	$109,006.72	nat. median $107,739 1.0× median
A9604 HCPCS	Sm 153 Lexidronam	2	$3,159.80	$105,838.72	$105,838.72	nat. median $12,627 outlier · 8.4×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	$98,000.68	$296,555.68	$98,000.68	nat. median $126,695 0.8× median
7 MS_DRG	Lung Transplant	10	$91,701.23	$274,282.15	$91,701.23	nat. median $117,974 0.8× median
PX-27800238 CDM	Perfusion Tavr Valve	24	$57,250.05	$104,091.00	$89,518.26	nat. median $84,730 1.1× median
J1162 HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	27	$5,168.23	$155,266.80	$87,520.52	nat. median $7,141 outlier · 12.3×
14 MS_DRG	Allogeneic Bone Marrow Transplant	10	$85,184.39	$274,974.79	$85,184.39	nat. median $110,307 0.8× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	$80,388.50	$231,292.48	$80,388.50	nat. median $104,013 0.8× median
209 MS_DRG	Complex Aortic Arch Procedures	10	$80,297.63	$80,297.63	$80,297.63	nat. median $92,678 0.9× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$78,217.39	$219,998.30	$78,217.39	nat. median $93,276 0.8× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	$77,189.15	$228,635.28	$77,189.15	nat. median $97,323 0.8× median
64568 CPT	Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array	24	$45,293.05	$82,351.00	$74,115.90	nat. median $27,694 outlier · 2.7×
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	10	$73,249.55	$223,503.47	$73,249.55	nat. median $95,038 0.8× median
215 MS_DRG	Other Heart Assist System Implant	10	$70,778.56	$222,361.66	$70,778.56	nat. median $93,901 0.8× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$69,560.89	$202,552.25	$69,560.89	nat. median $90,551 0.8× median
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	39	$59.41	$114,582.00	$64,505.13	nat. median $470 outlier · 137.3×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	10	$64,156.17	$175,048.26	$64,156.17	nat. median $78,049 0.8× median
850 MS_DRG	Acute Leukemia With Other Procedures	10	$61,708.94	$193,335.98	$61,708.94	nat. median $78,268 0.8× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	10	$60,104.02	$177,848.19	$60,104.02	nat. median $77,028 0.8× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	$59,918.79	$177,747.45	$59,918.79	nat. median $77,632 0.8× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	$56,181.90	$169,181.83	$56,181.90	nat. median $74,370 0.8× median
J3241 HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution	39	$359.19	$108,355.00	$55,690.25	nat. median $729 outlier · 76.4×

Other procedures at this hospital

Browse this hospital's 24,081 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	1	1	—	—	$3,685,266.67	$3,685,266.67	$3,685,266.67	2026-04-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	1	1	—	—	$3,316,462.59	$3,316,462.59	$3,316,462.59	2026-04-01
J3394	HCPCS	Inj, Lovotibeglogene Autotem	1	1	—	—	$3,248,445.72	$3,248,445.72	$3,248,445.72	2026-04-01
J3393	HCPCS	Inj, Betibeglogene Autotemce	1	1	—	—	$2,945,740.00	$2,945,740.00	$2,945,740.00	2026-04-01
J3399	HCPCS	Inj Onase Abepar-xioi Treat	1	1	—	—	$2,455,110.60	$2,455,110.60	$2,455,110.60	2026-04-01
J3392	HCPCS	Inj, Exagamglogene Autotem	1	1	—	—	$2,332,000.00	$2,332,000.00	$2,332,000.00	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	2	2	—	—	$591,726.20	$961,560.52	$776,643.36	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	2	2	—	—	$565,868.94	$937,241.17	$751,555.05	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	2	2	—	—	$557,317.93	$898,131.13	$727,724.53	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	2	2	—	—	$562,538.19	$878,026.14	$720,282.17	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	2	2	—	—	$533,230.17	$832,179.16	$682,704.67	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	2	2	—	—	$489,304.61	$829,687.57	$659,496.09	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	5	2	—	—	$56,824.55	$421,582.72	$421,582.72	2026-04-01
J7330	HCPCS	Cultured Chondrocytes Implnt	4	2	—	—	$140,202.82	$394,322.50	$394,322.50	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies	11	10	—	—	$303,029.16	$791,499.39	$303,029.16	2026-04-01
J9029	HCPCS	Inj, Adstiladrin, Per Tx Dos	6	3	—	—	$63,342.28	$412,113.26	$288,605.76	2026-04-01
PX-27800218	CDM	Hc Hm3 Lvad Implant Kit W Controller	90	24	$320,039.00	$208,025.35 35% off	$176,021.45	$320,039.00	$275,233.54	2025-01-22
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	6	3	—	—	$55,272.32	$360,987.25	$252,660.24	2026-04-01
J9226	HCPCS	Supprelin La Implant	6	3	—	—	$45,020.65	$294,201.70	$204,506.58	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	10	—	—	$197,067.42	$591,184.57	$197,067.42	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	5	2	—	—	$24,228.42	$151,599.50	$151,599.50	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	10	—	—	$150,419.90	$497,917.85	$150,419.90	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	12	10	—	—	$149,544.04	$449,798.47	$149,544.04	2026-04-01
E0766	HCPCS	Elec Stim Cancer Treatment	3	1	—	—	$19,485.91	$194,859.11	$146,144.34	2026-04-01
C9150	HCPCS	Xe129 Xenon, Diagnostic	1	1	—	—	$129,792.00	$129,792.00	$129,792.00	2026-04-01
90288	HCPCS	Botulism Ig IV	1	1	—	—	$126,633.00	$126,633.00	$126,633.00	2026-04-01
J9266	HCPCS	Pegaspargase Injection	6	3	—	—	$28,424.06	$175,958.45	$123,098.55	2026-04-01
Q0480	HCPCS	Driver Pneumatic Vad, Rep	2	1	—	—	$110,901.76	$129,537.28	$120,219.52	2026-04-01
PX-27800268	CDM	Implant Impella Device 5.5	90	24	$126,752.00	$82,388.80 35% off	$69,713.60	$126,752.00	$109,006.72	2025-01-22
A9604	HCPCS	Sm 153 Lexidronam	5	2	—	—	$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…	11	10	—	—	$98,000.68	$296,555.68	$98,000.68	2026-04-01
7	MS_DRG	Lung Transplant	11	10	—	—	$91,701.23	$274,282.15	$91,701.23	2026-04-01
PX-27800238	CDM	Perfusion Tavr Valve	90	24	$104,091.00	$67,659.15 35% off	$57,250.05	$104,091.00	$89,518.26	2025-01-22
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	96	27	$111,066.65	$72,193.32 35% off	$5,168.23	$155,266.80	$87,520.52	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$85,184.39	$274,974.79	$85,184.39	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	11	10	—	—	$80,388.50	$231,292.48	$80,388.50	2026-04-01
209	MS_DRG	Complex Aortic Arch Procedures	10	10	—	—	$80,297.63	$80,297.63	$80,297.63	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	10	—	—	$78,217.39	$219,998.30	$78,217.39	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	11	10	—	—	$77,189.15	$228,635.28	$77,189.15	2026-04-01
64568	CPT	Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array	90	24	$82,351.00	$53,528.15 35% off	$45,293.05	$82,351.00	$74,115.90	2025-01-22
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	11	10	—	—	$73,249.55	$223,503.47	$73,249.55	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	11	10	—	—	$70,778.56	$222,361.66	$70,778.56	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	10	—	—	$69,560.89	$202,552.25	$69,560.89	2026-04-01
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	121	39	$81,859.30	$53,208.54 35% off	$59.41	$114,582.00	$64,505.13	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	11	10	—	—	$64,156.17	$175,048.26	$64,156.17	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	11	10	—	—	$61,708.94	$193,335.98	$61,708.94	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	11	10	—	—	$60,104.02	$177,848.19	$60,104.02	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	10	—	—	$59,918.79	$177,747.45	$59,918.79	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	11	10	—	—	$56,181.90	$169,181.83	$56,181.90	2026-04-01
J3241	HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution	121	39	$70,672.90	$45,937.38 35% off	$359.19	$108,355.00	$55,690.25	2026-04-01
61886	CPT	Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array	90	24	$61,451.00	$39,943.15 35% off	$33,798.05	$61,451.00	$55,305.90	2025-01-22
L7181	HCPCS	Electronic Elbo Simultaneous	2	1	—	—	$49,338.18	$60,772.17	$55,055.18	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	10	—	—	$54,850.29	$162,391.89	$54,850.29	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	11	10	—	—	$54,618.92	$164,045.83	$54,618.92	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	11	10	—	—	$54,442.07	$156,655.60	$54,442.07	2026-04-01
L7180	HCPCS	Electronic Elbow Sequential	2	1	—	—	$47,919.99	$59,025.33	$53,472.66	2026-04-01
J9216	HCPCS	Interferon Gamma 1-b Inj	4	2	—	—	$20,322.69	$52,923.72	$52,923.72	2026-04-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	10	—	—	$51,636.95	$148,994.61	$51,636.95	2026-04-01
10	MS_DRG	Pancreas Transplant	11	10	—	—	$51,337.08	$167,336.90	$51,337.08	2026-04-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc	11	10	—	—	$51,316.11	$140,175.04	$51,316.11	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	11	10	—	—	$51,049.79	$166,373.51	$51,049.79	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	11	10	—	—	$51,020.43	$148,318.77	$51,020.43	2026-04-01
0398T	CPT	MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion	98	35	$57,968.00	$37,679.20 35% off	$11,889.10	$57,968.00	$49,852.48	2025-01-22
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	2	1	—	—	$39,537.89	$59,474.53	$49,506.21	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	19	10	—	—	$14,546.56	$146,009.98	$49,492.40	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	11	10	—	—	$49,255.44	$139,937.86	$49,255.44	2026-04-01
62362	CPT	Hc Implant Or Replace Programmable Pump	90	24	$54,104.00	$35,167.60 35% off	$29,757.20	$54,104.00	$48,693.60	2025-01-22
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	101	29	$61,569.90	$40,020.43 35% off	$197.83	$97,240.00	$48,517.08	2026-04-01
C2616	HCPCS	Hc Yttrium-90 Nonstranded Per Source	117	37	$56,850.00	$36,952.50 35% off	$16,912.41	$56,850.00	$48,322.50	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	11	10	—	—	$48,229.30	$143,310.79	$48,229.30	2026-04-01
93656	CPT	Ep Eval W Ablation A Fib Including 3d Mapping	115	36	$60,975.00	$39,633.75 35% off	$3,083.00	$60,975.00	$48,048.30	2025-01-22
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	11	10	—	—	$47,917.54	$129,837.95	$47,917.54	2026-04-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	11	10	—	—	$47,883.29	$140,714.45	$47,883.29	2026-04-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	10	—	—	$47,140.24	$135,534.37	$47,140.24	2026-04-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	10	—	—	$47,140.24	$124,865.66	$47,140.24	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	11	10	—	—	$46,973.18	$129,246.06	$46,973.18	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	14	10	—	—	$37,926.65	$135,750.56	$46,157.44	2026-04-01
61885	CPT	Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array	90	24	$49,808.00	$32,375.20 35% off	$27,394.40	$49,808.00	$44,827.20	2025-01-22
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	11	10	—	—	$44,016.38	$125,732.51	$44,016.38	2026-04-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	11	10	—	—	$43,966.75	$132,732.34	$43,966.75	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	11	10	—	—	$43,556.44	$128,207.11	$43,556.44	2026-04-01
PX-27800257	CDM	Heart Valve 42	90	24	$50,459.00	$32,798.35 35% off	$27,752.45	$50,459.00	$43,394.74	2025-01-22
28	MS_DRG	Spinal Procedures With Mcc	11	10	—	—	$43,176.88	$127,594.23	$43,176.88	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	11	10	—	—	$43,164.99	$130,005.87	$43,164.99	2026-04-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	10	—	—	$42,860.92	$120,455.87	$42,860.92	2026-04-01
Q0224	HCPCS	Inj, Pemivibart, 4500 Mg	5	3	—	—	$11,191.95	$42,792.75	$42,792.75	2026-04-01
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	121	39	$54,267.00	$35,273.55 35% off	$227.28	$82,586.40	$42,762.40	2026-04-01
L8701	HCPCS	Pow Ue Rom Dev Ewh Uprt Cust	2	1	—	—	$34,970.13	$50,489.30	$42,729.71	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	11	10	—	—	$42,723.92	$124,779.61	$42,723.92	2026-04-01
PX-27800203	CDM	Hc Aortic Homograft Valve	90	24	$49,620.00	$32,253.00 35% off	$27,291.00	$49,620.00	$42,673.20	2025-01-22
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/Mcc	11	10	—	—	$42,627.46	$126,679.11	$42,627.46	2026-04-01
PX-27800256	CDM	Heart Valve 41	90	24	$49,130.00	$31,934.50 35% off	$27,021.50	$49,130.00	$42,251.80	2025-01-22
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	11	10	—	—	$42,200.36	$123,495.08	$42,200.36	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	11	10	—	—	$42,173.80	$122,195.86	$42,173.80	2026-04-01
J1640	HCPCS	Hemin 350 Mg Intravenous Solution (non-albumin)	96	27	$53,394.35	$34,706.33 35% off	$34.18	$71,321.25	$42,074.75	2026-04-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	11	10	—	—	$41,490.87	$114,811.93	$41,490.87	2026-04-01
PX-27800213	CDM	Hc Impella Right Side	90	24	$48,042.00	$31,227.30 35% off	$26,423.10	$48,042.00	$41,316.12	2025-01-22
PX-27800171	CDM	Hc Implant Impella Device 3.5	90	24	$48,042.00	$31,227.30 35% off	$26,423.10	$48,042.00	$41,316.12	2025-01-22
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	11	10	—	—	$41,233.64	$119,735.95	$41,233.64	2026-04-01
PX-27800255	CDM	Heart Valve 40	90	24	$47,803.00	$31,071.95 35% off	$26,291.65	$47,803.00	$41,110.58	2025-01-22
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	10	10	—	—	$41,070.07	$41,070.07	$41,070.07	2026-04-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	13	10	—	—	$38,298.66	$113,355.29	$41,018.34	2026-04-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	11	10	—	—	$40,476.61	$115,548.64	$40,476.61	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	11	10	—	—	$40,354.98	$114,196.95	$40,354.98	2026-04-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	11	10	—	—	$40,086.57	$105,005.87	$40,086.57	2026-04-01
PX-27800236	CDM	Heart Valve 37	90	24	$46,490.00	$30,218.50 35% off	$25,569.50	$46,490.00	$39,981.40	2025-01-22
PX-27800254	CDM	Heart Valve 39	90	24	$46,476.00	$30,209.40 35% off	$25,561.80	$46,476.00	$39,969.36	2025-01-22
PX-27200393	CDM	Hc Aspiration Embolectomy System	90	24	$46,441.00	$30,186.65 35% off	$25,542.55	$46,441.00	$39,939.26	2025-01-22
C1816	HCPCS	Receiver/transmitter, Neuro	1	1	—	—	$39,806.52	$39,806.52	$39,806.52	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	11	10	—	—	$39,784.60	$128,803.20	$39,784.60	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	11	10	—	—	$39,553.22	$116,004.10	$39,553.22	2026-04-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	11	10	—	—	$39,417.62	$113,936.69	$39,417.62	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	11	10	—	—	$39,363.09	$111,659.38	$39,363.09	2026-04-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	11	10	—	—	$39,302.98	$113,248.25	$39,302.98	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/Mcc	11	10	—	—	$39,150.60	$126,679.11	$39,150.60	2026-04-01
PX-27800253	CDM	Heart Valve 38	90	24	$45,148.00	$29,346.20 35% off	$24,831.40	$45,148.00	$38,827.28	2025-01-22
PX-27800235	CDM	Heart Valve 36	90	24	$45,081.00	$29,302.65 35% off	$24,794.55	$45,081.00	$38,769.66	2025-01-22
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	10	—	—	$38,455.08	$111,164.04	$38,455.08	2026-04-01
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	121	39	$48,789.05	$31,712.88 35% off	$258.64	$74,990.50	$38,445.77	2026-04-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	11	10	—	—	$38,432.72	$108,087.05	$38,432.72	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	11	10	—	—	$38,182.47	$116,012.50	$38,182.47	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	11	10	—	—	$38,060.15	$107,732.34	$38,060.15	2026-04-01
PX-27200472	CDM	Hc Vad Cardiohelp (Hls Set Advanced 7.0)	90	24	$44,137.00	$28,689.05 35% off	$24,275.35	$44,137.00	$37,957.82	2025-01-22
E0194	HCPCS	Air Fluidized Bed	3	1	—	—	$5,045.30	$50,452.87	$37,839.67	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	13	10	—	—	$18,824.93	$106,924.26	$37,564.55	2026-04-01
PX-27800234	CDM	Heart Valve 35	90	24	$43,673.00	$28,387.45 35% off	$24,020.15	$43,673.00	$37,558.78	2025-01-22
653	MS_DRG	Major Bladder Procedures With Mcc	11	10	—	—	$37,501.64	$116,996.88	$37,501.64	2026-04-01
509	MS_DRG	Arthroscopy	1	1	—	—	$36,867.18	$36,867.18	$36,867.18	2026-04-01
38230	CPT	Procurement Of Allo Bone Marrow Harvest For Transplant	90	24	$42,705.00	$27,758.25 35% off	$23,487.75	$42,705.00	$36,726.30	2025-01-22
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	10	—	—	$36,409.79	$96,387.78	$36,409.79	2026-04-01
PX-27800228	CDM	Hc Heart Valve 34	90	24	$42,264.00	$27,471.60 35% off	$23,245.20	$42,264.00	$36,347.04	2025-01-22
J9015	HCPCS	Aldesleukin Injection	5	2	—	—	$3,338.87	$36,084.56	$36,084.56	2026-04-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	12	10	—	—	$32,745.77	$106,596.83	$36,040.71	2026-04-01
PX-27200545	CDM	Protek Duo Cannula	90	24	$41,636.00	$27,063.40 35% off	$22,899.80	$41,636.00	$35,806.96	2025-01-22
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	11	10	—	—	$35,761.11	$104,586.09	$35,761.11	2026-04-01
J9333	HCPCS	Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution	101	29	$45,313.55	$29,453.81 35% off	$23.16	$62,380.50	$35,707.08	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	21	12	—	—	$8,091.79	$109,873.97	$35,699.60	2026-04-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	12	10	—	—	$35,581.47	$105,711.10	$35,581.47	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	11	10	—	—	$35,438.17	$113,233.56	$35,438.17	2026-04-01
C9399	HCPCS	Imetelstat 188 Mg Intravenous Solution	95	26	$41,081.90	$26,703.23 35% off	$22,595.05	$41,081.90	$35,330.43	2025-01-22
PX-27800227	CDM	Hc Heart Valve 33	90	24	$40,857.00	$26,557.05 35% off	$22,471.35	$40,857.00	$35,137.02	2025-01-22
471	MS_DRG	Cervical Spinal Fusion With Mcc	11	10	—	—	$34,931.39	$101,943.57	$34,931.39	2026-04-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	11	10	—	—	$34,760.83	$105,087.73	$34,760.83	2026-04-01
PX-27200401	CDM	Hc Blood Pump Disposable	90	24	$40,355.00	$26,230.75 35% off	$22,195.25	$40,355.00	$34,705.30	2025-01-22
93620	CPT	Hc Ep Comprehensive W Induction Arrhythmia	115	36	$44,027.00	$28,617.55 35% off	$3,083.00	$44,027.00	$34,693.28	2025-01-22
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	11	10	—	—	$34,456.77	$98,740.65	$34,456.77	2026-04-01
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	121	39	$43,275.70	$28,129.20 35% off	$21.31	$43,275.70	$34,101.25	2026-04-01
J0716	HCPCS	Centruroides Immune F(ab)	5	2	—	—	$4,871.94	$34,099.65	$34,099.65	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	11	10	—	—	$34,041.56	$96,696.32	$34,041.56	2026-04-01
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	13	10	—	—	$33,974.45	$99,788.00	$33,974.45	2026-04-01
PX-27800226	CDM	Hc Heart Valve 32	90	24	$39,448.00	$25,641.20 35% off	$21,696.40	$39,448.00	$33,925.28	2025-01-22
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	11	10	—	—	$33,876.59	$100,226.67	$33,876.59	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	11	10	—	—	$33,591.40	$101,773.56	$33,591.40	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	11	10	—	—	$33,462.08	$97,645.03	$33,462.08	2026-04-01
0825T	CPT	Transcath Remove & Replace Perm Single Chamb Leadless Pacemaker Right Atrial	90	24	$37,168.00	$24,159.20 35% off	$20,442.40	$37,168.00	$33,451.20	2025-01-22
0823T	CPT	Transcatheter Insert Perm Single Chamb Leadless Pacemaker Right Atrial	90	24	$37,168.00	$24,159.20 35% off	$20,442.40	$37,168.00	$33,451.20	2025-01-22
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	18	10	—	—	$22,351.09	$116,114.82	$33,308.30	2026-04-01
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	11	10	—	—	$33,226.51	$98,211.73	$33,226.51	2026-04-01
A9582	HCPCS	Iodine I-123 Iobenguane	5	2	—	—	$2,317.50	$33,204.67	$33,204.67	2026-04-01
C1767	HCPCS	Generator Pulse Interstim 2	691	37	$36,984.00	$24,039.60 35% off	$17,325.00	$57,000.00	$33,168.00	2026-04-01
22867	CPT	Insj Stablj Device W Dcmp 1lv	90	24	$36,850.00	$23,952.50 35% off	$20,267.50	$36,850.00	$33,165.00	2025-01-22
64628	CPT	Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac	115	36	$36,850.00	$23,952.50 35% off	$11,486.85	$36,850.00	$33,165.00	2025-01-22
245	MS_DRG	Aicd Generator Procedures	11	10	—	—	$33,069.94	$102,562.75	$33,069.94	2026-04-01
L5856	HCPCS	Elec Knee-shin Swing/stance	2	1	—	—	$29,559.78	$36,410.17	$32,984.97	2026-04-01
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	11	10	—	—	$32,974.17	$94,687.68	$32,974.17	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	11	10	—	—	$32,960.19	$93,862.81	$32,960.19	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	11	10	—	—	$32,835.77	$99,792.20	$32,835.77	2026-04-01
L6880	HCPCS	Elec Hand Ind Art Digits	2	1	—	—	$29,420.21	$36,238.25	$32,829.23	2026-04-01
PX-27800225	CDM	Hc Heart Valve 31	90	24	$38,041.00	$24,726.65 35% off	$20,922.55	$38,041.00	$32,715.26	2025-01-22
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	121	39	$41,449.15	$26,941.95 35% off	$55.57	$57,096.00	$32,661.93	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	11	10	—	—	$32,506.54	$96,736.20	$32,506.54	2026-04-01
A9515	HCPCS	Choline C-11	5	2	—	—	$2,516.43	$32,500.00	$32,500.00	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	11	10	—	—	$32,497.45	$87,950.21	$32,497.45	2026-04-01
77	MS_DRG	Hypertensive Encephalopathy With Mcc	1	1	—	—	$32,453.19	$32,453.19	$32,453.19	2026-04-01
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	101	29	$41,105.60	$26,718.64 35% off	$14.94	$58,500.00	$32,391.21	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	11	10	—	—	$32,374.42	$92,194.18	$32,374.42	2026-04-01
C1772	HCPCS	Pump 20ml Infusion Pain Synchromed Iii	118	37	$35,631.00	$23,160.15 35% off	$1,357.02	$35,631.00	$32,067.90	2026-04-01
K0606	HCPCS	Aed Garment W Elec Analysis	3	1	—	—	$4,268.19	$42,681.91	$32,011.43	2026-04-01
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	11	10	—	—	$31,884.42	$89,526.48	$31,884.42	2026-04-01
PX-27800224	CDM	Hc Heart Valve 30	90	24	$36,631.00	$23,810.15 35% off	$20,147.05	$36,631.00	$31,502.66	2025-01-22
37235	CPT	Hc Tibiopero W Stnt&Atherec Ea Addl	90	24	$34,965.00	$22,727.25 35% off	$19,230.75	$34,965.00	$31,468.50	2025-01-22
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	11	10	—	—	$31,427.27	$89,396.35	$31,427.27	2026-04-01
C1882	HCPCS	Aicd, Other Than Sing/dual	1	1	—	—	$31,426.90	$31,426.90	$31,426.90	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	12	10	—	—	$30,349.44	$94,123.07	$31,186.11	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	11	10	—	—	$30,993.19	$88,762.48	$30,993.19	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	11	10	—	—	$30,821.93	$85,702.28	$30,821.93	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	11	10	—	—	$30,698.91	$87,322.64	$30,698.91	2026-04-01
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	11	10	—	—	$30,648.58	$86,126.26	$30,648.58	2026-04-01
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	11	10	—	—	$30,633.90	$86,254.30	$30,633.90	2026-04-01
C1820	HCPCS	Neurostimulator Bundle With Ipg Programmer Rechargable	691	37	$38,356.50	$24,931.72 35% off	$1,410.75	$75,570.00	$30,603.00	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	14	10	—	—	$8,135.28	$87,943.91	$30,547.92	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	12	10	—	—	$30,139.31	$92,985.47	$30,512.97	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	11	10	—	—	$30,458.45	$86,302.57	$30,458.45	2026-04-01
33365	CPT	Hc Tavr Tavi Transaortic Approach	90	24	$33,758.00	$21,942.70 35% off	$18,566.90	$33,758.00	$30,382.20	2025-01-22
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	10	—	—	$30,345.21	$90,624.21	$30,345.21	2026-04-01
793	MS_DRG	Full Term Neonate With Major Problems	16	11	—	—	$109.71	$87,536.72	$30,324.24	2026-04-01
PX-27800223	CDM	Hc Heart Valve 29	90	24	$35,224.00	$22,895.60 35% off	$19,373.20	$35,224.00	$30,292.64	2025-01-22
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	11	10	—	—	$30,208.20	$85,364.36	$30,208.20	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	11	10	—	—	$30,015.98	$82,066.99	$30,015.98	2026-04-01
33952	CPT	Ecmo Insertion Peripheral Cannula	90	24	$33,218.00	$21,591.70 35% off	$18,269.90	$33,218.00	$29,896.20	2025-01-22
64656	HCPCS	Revj/rplcmt Bat Mod Sys Pg	1	1	—	—	$29,753.66	$29,753.66	$29,753.66	2026-04-01
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	96	27	$37,704.85	$24,508.15 35% off	$39.41	$37,704.85	$29,711.42	2026-04-01
L8614	HCPCS	Cochlear Device	1	1	—	—	$29,697.20	$29,697.20	$29,697.20	2026-04-01
791	MS_DRG	Prematurity With Major Problems	11	10	—	—	$29,551.14	$85,217.44	$29,551.14	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	11	10	—	—	$29,282.02	$82,469.98	$29,282.02	2026-04-01
PX-27800222	CDM	Hc Heart Valve 28	90	24	$33,816.00	$21,980.40 35% off	$18,598.80	$33,816.00	$29,081.76	2025-01-22
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	11	10	—	—	$29,027.58	$75,237.17	$29,027.58	2026-04-01
34707	CPT	Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img	90	24	$32,164.00	$20,906.60 35% off	$17,690.20	$32,164.00	$28,947.60	2025-01-22
34717	CPT	Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat	90	24	$32,164.00	$20,906.60 35% off	$17,690.20	$32,164.00	$28,947.60	2025-01-22
34718	CPT	Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat	90	24	$32,164.00	$20,906.60 35% off	$17,690.20	$32,164.00	$28,947.60	2025-01-22
34708	CPT	Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img	90	24	$32,164.00	$20,906.60 35% off	$17,690.20	$32,164.00	$28,947.60	2025-01-22
33276	CPT	Insertion Of Phrenic Nerve Stimulator System	115	36	$32,093.00	$20,860.45 35% off	$553.96	$32,093.00	$28,883.70	2025-01-22
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	11	10	—	—	$28,522.90	$79,787.58	$28,522.90	2026-04-01
J9228	HCPCS	Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution	121	39	$36,183.60	$23,519.34 35% off	$183.48	$56,130.75	$28,512.68	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	11	10	—	—	$28,399.17	$90,813.11	$28,399.17	2026-04-01
L8699	HCPCS	Accurate Ide Neo2 Aortic Valve System	3,220	36	$33,375.00	$21,693.75 35% off	$0.55	$71,525.22	$28,380.00	2025-01-22
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution	121	39	$35,855.10	$23,305.81 35% off	$24.00	$47,248.50	$28,253.82	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	11	10	—	—	$28,234.91	$81,615.73	$28,234.91	2026-04-01
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	11	10	—	—	$28,194.36	$82,474.18	$28,194.36	2026-04-01
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	11	10	—	—	$28,168.50	$79,166.31	$28,168.50	2026-04-01
5465	OTHER	Level 5 Neurostimulator And Related Procedures	11	8	—	—	$2,211.20	$86,277.99	$28,065.51	2026-04-01
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	13	10	—	—	$20,578.80	$83,609.68	$28,015.42	2026-04-01
J0600	HCPCS	Edetate Calcium Disodium Inj	6	3	—	—	$6,408.38	$39,546.65	$27,878.61	2026-04-01
PX-27800221	CDM	Hc Heart Valve 27	90	24	$32,406.00	$21,063.90 35% off	$17,823.30	$32,406.00	$27,869.16	2025-01-22
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	12	10	—	—	$12,174.96	$80,224.16	$27,482.08	2026-04-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	11	10	—	—	$27,367.44	$69,299.38	$27,367.44	2026-04-01
A9571	HCPCS	Indium In-111 Auto Platelet	4	2	—	—	$9,640.44	$27,364.74	$27,364.74	2026-04-01
A9570	HCPCS	Indium In-111 Auto Wbc	5	2	—	—	$1,103.19	$27,364.74	$27,364.74	2026-04-01
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	11	10	—	—	$27,305.23	$80,828.64	$27,305.23	2026-04-01
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	11	10	—	—	$27,302.43	$75,220.38	$27,302.43	2026-04-01
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	13	10	—	—	$7,790.30	$82,828.89	$27,229.04	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	11	10	—	—	$27,082.24	$72,878.01	$27,082.24	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc/Mcc	11	10	—	—	$26,853.67	$81,036.43	$26,853.67	2026-04-01
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	12	10	—	—	$13,891.88	$74,531.94	$26,843.18	2026-04-01
PX-27800220	CDM	Hc Heart Valve 26	90	24	$30,998.00	$20,148.70 35% off	$17,048.90	$30,998.00	$26,658.28	2025-01-22
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	11	10	—	—	$26,541.91	$66,614.89	$26,541.91	2026-04-01
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	11	10	—	—	$26,522.34	$73,887.58	$26,522.34	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	11	10	—	—	$26,487.39	$72,800.35	$26,487.39	2026-04-01
265	MS_DRG	Aicd Lead Procedures	11	10	—	—	$26,469.91	$74,865.66	$26,469.91	2026-04-01
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	11	10	—	—	$26,425.18	$75,241.37	$26,425.18	2026-04-01
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	11	10	—	—	$26,387.43	$67,252.95	$26,387.43	2026-04-01
K0891	HCPCS	Pwc Gp5 Ped Mult Pow Opt S/b	3	1	—	—	$3,518.24	$35,182.32	$26,386.75	2026-04-01
J9223	HCPCS	Lurbinectedin 4 Mg Intravenous Solution	121	39	$33,391.30	$21,704.34 35% off	$207.13	$51,875.20	$26,312.34	2026-04-01
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	11	10	—	—	$26,222.47	$83,550.91	$26,222.47	2026-04-01
27279	CPT	Hc Athrodesis Sacroiliac Joint W Img Guidance	90	24	$29,107.00	$18,919.55 35% off	$16,008.85	$29,107.00	$26,196.30	2025-01-22
34706	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Rupt W Img	90	24	$29,102.00	$18,916.30 35% off	$16,006.10	$29,102.00	$26,191.80	2025-01-22
34705	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Not Rupt W Img	90	24	$29,102.00	$18,916.30 35% off	$16,006.10	$29,102.00	$26,191.80	2025-01-22
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	11	10	—	—	$26,164.45	$82,639.99	$26,164.45	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	16	11	—	—	$22,479.35	$76,062.04	$26,139.28	2026-04-01
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	11	10	—	—	$26,102.24	$73,484.59	$26,102.24	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	11	10	—	—	$26,081.27	$73,537.06	$26,081.27	2026-04-01
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	12	10	—	—	$26,057.50	$78,582.82	$26,057.50	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	11	10	—	—	$26,037.23	$72,294.51	$26,037.23	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	16	10	—	—	$23,757.66	$127,097.25	$25,829.62	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	11	10	—	—	$25,779.30	$76,576.27	$25,779.30	2026-04-01
294	MS_DRG	Deep Vein Thrombophlebitis With Cc/Mcc	1	1	—	—	$25,772.39	$25,772.39	$25,772.39	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	12	10	—	—	$14,891.37	$71,996.47	$25,561.90	2026-04-01
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	12	10	—	—	$13,758.01	$81,120.39	$25,555.61	2026-04-01
L5858	HCPCS	Stance Phase Only	2	1	—	—	$22,885.05	$28,188.60	$25,536.82	2026-04-01
PX-27800219	CDM	Hc Heart Valve 25	90	24	$29,591.00	$19,234.15 35% off	$16,275.05	$29,591.00	$25,448.26	2025-01-22
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	12	11	—	—	$10,419.49	$72,720.59	$25,443.77	2026-04-01
61635	CPT	Hc Stent Intracranial Transcath	90	24	$28,241.00	$18,356.65 35% off	$15,532.55	$28,241.00	$25,416.90	2025-01-22
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	11	10	—	—	$25,326.34	$72,176.97	$25,326.34	2026-04-01
34703	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Not Rupt W Img	90	24	$28,099.00	$18,264.35 35% off	$15,454.45	$28,099.00	$25,289.10	2025-01-22
34704	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Rupt W Img	90	24	$28,099.00	$18,264.35 35% off	$15,454.45	$28,099.00	$25,289.10	2025-01-22
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	236	39	$37,541.85	$24,402.21 35% off	$91.34	$65,473.20	$25,234.25	2026-04-01
0075T	CPT	Hc Transcath Stent Xtracran Cca Perc Initial Vessel	95	26	$29,329.00	$19,063.85 35% off	$6,236.00	$29,329.00	$25,222.94	2025-01-22
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	10	10	—	—	$25,214.50	$25,214.50	$25,214.50	2026-04-01
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	12	10	—	—	$14,028.00	$73,524.47	$25,143.20	2026-04-01
Q0483	HCPCS	Monitor Elec Vad, Rep	2	1	—	—	$23,087.32	$26,966.84	$25,027.08	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	11	10	—	—	$25,025.77	$70,449.58	$25,025.77	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	11	10	—	—	$24,994.31	$74,074.38	$24,994.31	2026-04-01
93654	CPT	Ep Eval W Ablation Vt Including 3d Mapping	115	36	$31,699.00	$20,604.35 35% off	$3,083.00	$31,699.00	$24,978.81	2025-01-22
34702	CPT	Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Rupt W Img	90	24	$27,515.00	$17,884.75 35% off	$15,133.25	$27,515.00	$24,763.50	2025-01-22
34701	CPT	Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Not Rupt W Img	90	24	$27,515.00	$17,884.75 35% off	$15,133.25	$27,515.00	$24,763.50	2025-01-22
C9760	HCPCS	Non-blind Interatrial Shunt	2	2	—	—	$23,226.00	$25,954.42	$24,590.21	2026-04-01
264	MS_DRG	Other Circulatory System O.r. Procedures	12	10	—	—	$9,228.67	$73,354.46	$24,529.47	2026-04-01
0544T	CPT	Transcatheter Mitral Valve Annulus Reconstruction With Device Percutaneous	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
0543T	CPT	Transapical Mitral Valve Repair Transthoracic Echocardiography	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
33477	CPT	Transcatheter Pulmonary Valve Placement Percutaneous Approach	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
33418	CPT	Hc Transcath Mitral Valve Rep Perc	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
0484T	CPT	Hc Tmvi W Prosthetic Valve Transthoracic Exposure	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
0483T	CPT	Hc Tmvi W Prosthetic Valve Percutaneous	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
33366	CPT	Hc Trcath Replace Aortic Valve	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
33362	CPT	Hc Tavr Tavi Open Fem Art Approach	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
0646T	CPT	Transcath Tricuspid Valve Implant Rplcmnt With Prostc Valve Perq Approach Rgt Hear…	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
33363	CPT	Hc Tavr Tavi Open Axil Art Approach	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
0569T	CPT	Hc Transcath Tricuspid Valve Repair Perct App Initial Prosthesis	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
0545T	CPT	Transcatheter Tricuspid Valve Annulus Reconstruction With Device Percutaneous	90	24	$27,212.00	$17,687.80 35% off	$14,966.60	$27,212.00	$24,490.80	2025-01-22
A9600	HCPCS	Sr89 Strontium	5	2	—	—	$4,146.34	$24,375.00	$24,375.00	2026-04-01
J9332	HCPCS	Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution	121	39	$30,920.45	$20,098.29 35% off	$32.15	$41,691.00	$24,365.31	2026-04-01
L6975	HCPCS	Interscap-thor Myoelectronic	2	1	—	—	$21,834.21	$26,894.22	$24,364.22	2026-04-01
J9301	HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	121	39	$30,851.25	$20,053.31 35% off	$79.00	$45,643.00	$24,310.79	2026-04-01
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	11	10	—	—	$24,268.74	$57,434.30	$24,268.74	2026-04-01
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	2	1	—	—	$21,739.52	$26,777.58	$24,258.55	2026-04-01
PX-27800170	CDM	Hc Heart Valve 24	90	24	$28,182.00	$18,318.30 35% off	$15,500.10	$28,182.00	$24,236.52	2025-01-22
37	MS_DRG	Extracranial Procedures With Mcc	11	10	—	—	$24,190.45	$69,698.17	$24,190.45	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	11	10	—	—	$24,187.66	$65,502.47	$24,187.66	2026-04-01
J3316	HCPCS	Inj., Triptorelin Xr 3.75 Mg	5	2	—	—	$3,817.28	$24,155.82	$24,155.82	2026-04-01
0795T	CPT	Transcath Insert Dual Chamber Leadles Pacemaker	95	26	$26,745.00	$17,384.25 35% off	$14,709.75	$26,745.00	$24,070.50	2025-01-22

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