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

GRADY MEMORIAL HOSPITAL

Delaware, OH · CCN 360210 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $12,503 across 3 payers · range $12,379-$12,875

Source: https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314379436_grady-memorial-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.

13,672 distinct procedures filed
55 distinct payers
1,249,367 rate rows
2026-04-01 last MRF observed
Data quality

1,214,471 of 1,249,367 rate rows are consumer-grade (97.2%)

34,896 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 31,477
placeholder amount (≤ $0.02) — excluded from medians 2,540
percent-of-charges filed in the dollar field — excluded from medians 432
template filing: same amount across many unrelated codes — excluded 396
exceeds 10× this hospital's gross charge — excluded from medians 42
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
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/314379436_grady-memorial-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 054685a25ae17949… · 20,974,697 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 3 $3,685,266.67 $3,832,677.33 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $3,449,121.09 $3,349,627.21 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $3,378,383.54 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $3,063,569.60 $2,975,197.40 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $2,553,315.03 $2,479,661.71 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,425,280.00 $2,355,320.00 nat. median
$2,405,851
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $961,560.52 $606,519.35 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $937,241.17 $580,015.67 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $878,026.14 $576,601.64 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $898,131.13 $571,250.88 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $832,179.16 $546,560.93 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $829,687.57 $501,537.22 nat. median
$577,541
0.9× median
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 10 $305,644.49 $317,870.27 $305,644.49 nat. median
$370,165
0.8× median
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 24 $88,970.84 $310,437.83 $271,393.07 nat. median
$258,912
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $421,582.72 $240,340.12 nat. median
$63,643
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $199,088.92 $207,052.48 $199,088.92 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $152,179.99 $158,267.19 $152,179.99 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $151,299.22 $157,351.19 $151,299.22 nat. median
$199,832
0.8× median
PX-27800268
CDM 		Implant Impella Device 5.5 24 $40,067.03 $139,802.22 $122,218.85 nat. median
$107,739
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $412,113.26 $107,783.47 nat. median
$69,291
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $99,467.00 $103,445.68 $99,467.00 nat. median
$132,706
0.7× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 28 $5,168.23 $155,266.80 $94,427.22 nat. median
$7,100
outlier · 13.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $360,987.25 $94,412.05 nat. median
$65,655
1.4× median
7
MS_DRG 		Lung Transplant 10 $93,132.25 $96,857.54 $93,132.25 nat. median
$122,690
0.8× median
J9600
HCPCS 		Porfimer Sodium Injection 4 $24,228.42 $151,599.50 $88,398.53 nat. median
$29,477
outlier · 3.0×
PX-27800238
CDM 		Perfusion Tavr Valve 24 $28,937.30 $100,968.27 $88,269.17 nat. median
$84,730
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $86,578.89 $90,042.05 $86,578.89 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $81,756.13 $85,026.38 $81,756.13 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $81,664.75 $84,931.34 $81,664.75 nat. median
$96,134
0.8× median
64628
CPT 		Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 38 $11,721.27 $96,382.00 $80,093.44 nat. median
$12,628
outlier · 6.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $79,572.84 $82,755.75 $79,572.84 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $78,538.84 $81,680.39 $78,538.84 nat. median
$100,978
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $294,201.70 $76,945.05 nat. median
$55,200
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $74,577.16 $77,560.25 $74,577.16 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $72,092.33 $74,976.02 $72,092.33 nat. median
$98,002
0.7× median
J3245
HCPCS 		Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 42 $127.45 $91,149.50 $71,500.11 nat. median
$256
outlier · 279.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $70,867.83 $73,702.54 $70,867.83 nat. median
$92,900
0.8× median
PX-27800171
CDM 		Hc Implant Impella Device 3.5 24 $21,486.06 $74,969.36 $65,540.22 nat. median
$49,542
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $65,432.82 $68,050.13 $65,432.82 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $62,971.88 $65,490.76 $62,971.88 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $61,357.97 $63,812.29 $61,357.97 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $61,171.70 $63,618.57 $61,171.70 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $57,413.86 $59,710.41 $57,413.86 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $56,074.79 $58,317.78 $56,074.79 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $55,842.13 $58,075.82 $55,842.13 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $55,664.29 $57,890.86 $55,664.29 nat. median
$71,485
0.8× median
61886
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 24 $18,135.05 $65,234.00 $55,448.90 nat. median
$27,176
outlier · 2.0×
A9604
HCPCS 		Sm 153 Lexidronam 4 $3,159.80 $105,838.72 $54,562.46 nat. median
$12,945
outlier · 4.2×
J9216
HCPCS 		Interferon Gamma 1-b Inj 1 $52,923.72 $52,923.72 $52,923.72 nat. median
$9,498
outlier · 5.6×

Other procedures at this hospital

Browse this hospital's 13,672 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 3 3 — — $3,685,266.67 $3,832,677.33 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,316,462.59 $3,449,121.09 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,248,445.72 $3,378,383.54 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,945,740.00 $3,063,569.60 $2,975,197.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,455,110.60 $2,553,315.03 $2,479,661.71 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,332,000.00 $2,425,280.00 $2,355,320.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $591,726.20 $961,560.52 $606,519.35 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $937,241.17 $580,015.67 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $878,026.14 $576,601.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $557,317.93 $898,131.13 $571,250.88 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $832,179.16 $546,560.93 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $829,687.57 $501,537.22 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 10 10 — — $305,644.49 $317,870.27 $305,644.49 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 100 24 $320,039.00 $208,025.35 35% off $88,970.84 $310,437.83 $271,393.07 2025-01-22
A9543 HCPCS Y90 Ibritumomab, Rx 6 4 — — $56,824.55 $421,582.72 $240,340.12 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $199,088.92 $207,052.48 $199,088.92 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 10 — — $152,179.99 $158,267.19 $152,179.99 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 10 — — $151,299.22 $157,351.19 $151,299.22 2026-04-01
PX-27800268 CDM Implant Impella Device 5.5 100 24 $144,126.00 $93,681.90 35% off $40,067.03 $139,802.22 $122,218.85 2025-01-22
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $63,342.28 $412,113.26 $107,783.47 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 — — $99,467.00 $103,445.68 $99,467.00 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 107 28 $111,090.85 $72,209.05 35% off $5,168.23 $155,266.80 $94,427.22 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $55,272.32 $360,987.25 $94,412.05 2026-04-01
7 MS_DRG Lung Transplant 10 10 — — $93,132.25 $96,857.54 $93,132.25 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 4 — — $24,228.42 $151,599.50 $88,398.53 2026-04-01
PX-27800238 CDM Perfusion Tavr Valve 100 24 $104,091.00 $67,659.15 35% off $28,937.30 $100,968.27 $88,269.17 2025-01-22
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $86,578.89 $90,042.05 $86,578.89 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $81,756.13 $85,026.38 $81,756.13 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 10 — — $81,664.75 $84,931.34 $81,664.75 2026-04-01
64628 CPT Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 126 38 $96,382.00 $62,648.30 35% off $11,721.27 $96,382.00 $80,093.44 2025-01-22
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 — — $79,572.84 $82,755.75 $79,572.84 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 10 — — $78,538.84 $81,680.39 $78,538.84 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,020.65 $294,201.70 $76,945.05 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $74,577.16 $77,560.25 $74,577.16 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 10 — — $72,092.33 $74,976.02 $72,092.33 2026-04-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 133 42 $86,041.05 $55,926.68 35% off $127.45 $91,149.50 $71,500.11 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $70,867.83 $73,702.54 $70,867.83 2026-04-01
PX-27800171 CDM Hc Implant Impella Device 3.5 100 24 $77,288.00 $50,237.20 35% off $21,486.06 $74,969.36 $65,540.22 2025-01-22
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 10 — — $65,432.82 $68,050.13 $65,432.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 10 — — $62,971.88 $65,490.76 $62,971.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 10 — — $61,357.97 $63,812.29 $61,357.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $61,171.70 $63,618.57 $61,171.70 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 10 — — $57,413.86 $59,710.41 $57,413.86 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $56,074.79 $58,317.78 $56,074.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 10 — — $55,842.13 $58,075.82 $55,842.13 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 — — $55,664.29 $57,890.86 $55,664.29 2026-04-01
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 100 24 $65,234.00 $42,402.10 35% off $18,135.05 $65,234.00 $55,448.90 2025-01-22
A9604 HCPCS Sm 153 Lexidronam 6 4 — — $3,159.80 $105,838.72 $54,562.46 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 3 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… 10 10 — — $52,843.45 $54,957.19 $52,843.45 2026-04-01
10 MS_DRG Pancreas Transplant 10 10 — — $52,541.90 $54,643.58 $52,541.90 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 10 — — $52,520.81 $54,621.64 $52,520.81 2026-04-01
93653 CPT Ep Eval W Ablation Svt Including 3d Mapping 126 38 $63,198.00 $41,078.70 35% off $17,569.04 $63,198.00 $52,517.54 2025-01-22
93654 CPT Ep Eval W Ablation Vt Including 3d Mapping 126 38 $63,198.00 $41,078.70 35% off $17,569.04 $63,198.00 $52,517.54 2025-01-22
93656 CPT Ep Eval W Ablation A Fib Including 3d Mapping 126 38 $63,198.00 $41,078.70 35% off $17,569.04 $63,198.00 $52,517.54 2025-01-22
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 10 — — $52,252.99 $54,343.11 $52,252.99 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 10 — — $52,223.47 $54,312.41 $52,223.47 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 10 — — $50,686.88 $121,754.41 $50,686.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 10 — — $50,448.59 $52,466.53 $50,448.59 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 10 — — $49,416.70 $51,393.37 $49,416.70 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 10 — — $49,103.19 $51,067.32 $49,103.19 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 10 — — $49,068.75 $51,031.50 $49,068.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $48,321.54 $50,254.40 $48,321.54 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $48,321.54 $50,254.40 $48,321.54 2026-04-01
0398T CPT MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion 126 38 $57,968.00 $37,679.20 35% off $12,131.74 $57,968.00 $48,171.41 2025-01-22
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $48,153.54 $50,079.68 $48,153.54 2026-04-01
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 100 24 $56,502.00 $36,726.30 35% off $15,707.56 $56,502.00 $48,026.70 2025-01-22
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 10 — — $36,143.54 $49,226.56 $47,333.23 2026-04-01
C2616 HCPCS Hc Yttrium-90 Nonstranded Per Source 126 38 $56,850.00 $36,952.50 35% off $15,804.30 $56,850.00 $47,242.35 2025-01-22
J9266 HCPCS Pegaspargase Injection 7 4 — — $28,424.06 $175,958.45 $46,019.91 2026-04-01
33365 CPT Hc Tavr Tavi Transaortic Approach 100 24 $53,222.00 $34,594.30 35% off $14,795.72 $53,222.00 $45,238.70 2025-01-22
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 — — $45,180.17 $46,987.38 $45,180.17 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 10 — — $45,130.26 $46,935.47 $45,130.26 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 10 — — $44,717.65 $46,506.36 $44,717.65 2026-04-01
64629 CPT Thermal Desctruction Intraosseous Bvn Ea Addtl Lmbr Sac 126 38 $48,192.00 $31,324.80 35% off $13,397.38 $48,192.00 $44,336.64 2025-01-22
28 MS_DRG Spinal Procedures With Mcc 10 10 — — $44,335.96 $46,109.40 $44,335.96 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 — — $44,324.01 $46,096.97 $44,324.01 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $44,018.24 $45,778.97 $44,018.24 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 10 — — $43,880.47 $45,635.69 $43,880.47 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 10 10 — — $43,783.46 $45,534.80 $43,783.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 — — $43,353.98 $45,088.14 $43,353.98 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 — — $43,327.26 $45,060.35 $43,327.26 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 4 2 — — $11,191.95 $42,792.75 $42,792.75 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 10 — — $42,640.51 $44,346.13 $42,640.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $42,381.83 $44,077.10 $42,381.83 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 10 — — $42,217.35 $43,906.04 $42,217.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 — — $42,165.33 $43,851.94 $42,165.33 2026-04-01
PX-27800203 CDM Hc Aortic Homograft Valve 100 24 $49,620.00 $32,253.00 35% off $13,794.36 $48,131.40 $42,077.76 2025-01-22
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 — — $41,620.56 $43,285.38 $41,620.56 2026-04-01
PX-27800257 CDM Heart Valve 42 100 24 $48,989.00 $31,842.85 35% off $13,618.94 $47,519.33 $41,542.67 2025-01-22
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 10 — — $41,498.26 $43,158.19 $41,498.26 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 — — $41,228.33 $42,877.46 $41,228.33 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $40,924.67 $42,561.66 $40,924.67 2026-04-01
PX-27800213 CDM Hc Impella Right Side 100 24 $48,042.00 $31,227.30 35% off $13,355.68 $46,600.74 $40,739.62 2025-01-22
834 MS_DRG Acute Leukemia With Mcc 11 10 — — $15,507.13 $42,319.68 $40,692.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 10 — — $40,555.63 $42,177.86 $40,555.63 2026-04-01
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 133 42 $48,789.05 $31,712.88 35% off $258.64 $74,990.50 $40,543.70 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 10 — — $40,500.81 $42,120.84 $40,500.81 2026-04-01
PX-27800256 CDM Heart Valve 41 100 24 $47,699.00 $31,004.35 35% off $13,260.32 $46,268.03 $40,448.75 2025-01-22
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 10 — — $40,440.35 $42,057.96 $40,440.35 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 10 — — $40,287.12 $41,898.60 $40,287.12 2026-04-01
C1767 HCPCS System Generator Pulse Implantable Reactiv8 252 38 $47,175.00 $30,663.75 35% off $11,342.40 $53,550.00 $40,269.60 2025-01-22
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $39,587.71 $41,171.22 $39,587.71 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 10 — — $39,565.21 $41,147.82 $39,565.21 2026-04-01
PX-27200393 CDM Hc Aspiration Embolectomy System 100 24 $46,441.00 $30,186.65 35% off $12,910.60 $45,047.77 $39,381.97 2025-01-22
PX-27800255 CDM Heart Valve 40 100 24 $46,411.00 $30,167.15 35% off $12,902.26 $45,018.67 $39,356.53 2025-01-22
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 10 — — $39,313.57 $40,886.11 $39,313.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 10 — — $39,190.56 $40,758.18 $39,190.56 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 10 — — $38,692.18 $40,239.87 $38,692.18 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 10 10 — — $38,628.92 $40,174.08 $38,628.92 2026-04-01
PX-27800254 CDM Heart Valve 39 100 24 $45,123.00 $29,329.95 35% off $12,544.19 $43,769.31 $38,264.30 2025-01-22
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $37,530.95 $39,032.19 $37,530.95 2026-04-01
PX-27200472 CDM Hc Vad Cardiohelp (Hls Set Advanced 7.0) 100 24 $44,137.00 $28,689.05 35% off $12,270.09 $42,812.89 $37,428.18 2025-01-22
PX-27800253 CDM Heart Valve 38 100 24 $43,833.00 $28,491.45 35% off $12,185.57 $42,518.01 $37,170.38 2025-01-22
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 10 — — $37,159.81 $39,910.24 $37,159.81 2026-04-01
22867 CPT Insj Stablj Device W Dcmp 1lv 100 24 $43,467.00 $28,253.55 35% off $12,083.83 $43,467.00 $36,946.95 2025-01-22
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 10 — — $36,878.64 $38,353.79 $36,878.64 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 11 — — $2,534.14 $41,041.22 $36,816.78 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 10 — — $36,697.99 $38,165.91 $36,697.99 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $36,553.89 $38,016.05 $36,553.89 2026-04-01
33363 CPT Hc Tavr Tavi Open Axil Art Approach 100 24 $42,905.00 $27,888.25 35% off $11,927.59 $42,905.00 $36,469.25 2025-01-22
33362 CPT Hc Tavr Tavi Open Fem Art Approach 100 24 $42,905.00 $27,888.25 35% off $11,927.59 $42,905.00 $36,469.25 2025-01-22
33269 CPT Exclusion Left Atrial Appendage Thoracoscopic Any Method 100 24 $42,905.00 $27,888.25 35% off $11,927.59 $42,905.00 $36,469.25 2025-01-22
36906 CPT Hc Dialysis Circuit Perc Thrombectomy Or Thrombolysis Infu W Plcmt Of Stent Peri… 126 38 $43,720.00 $28,418.00 35% off $12,154.16 $43,720.00 $36,331.32 2025-01-22
38230 CPT Procurement Of Allo Bone Marrow Harvest For Transplant 100 24 $42,705.00 $27,758.25 35% off $11,871.99 $42,705.00 $36,299.25 2025-01-22
PX-27800236 CDM Heart Valve 37 100 24 $42,545.00 $27,654.25 35% off $11,827.51 $41,268.65 $36,078.16 2025-01-22
471 MS_DRG Cervical Spinal Fusion With Mcc 11 10 — — $36,044.27 $37,755.48 $36,044.27 2026-04-01
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 133 42 $43,275.70 $28,129.20 35% off $21.31 $43,275.70 $35,962.11 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 — — $35,872.75 $37,307.66 $35,872.75 2026-04-01
33340 CPT Hc Transcatheter Closure L Atrial Appendage 126 38 $42,905.00 $27,888.25 35% off $747.05 $42,905.00 $35,654.06 2025-01-22
33361 CPT Hc Tavr Tavi Perc Fem Art Approach 126 38 $42,905.00 $27,888.25 35% off $1,161.96 $42,905.00 $35,654.06 2025-01-22
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 10 — — $35,566.98 $36,989.66 $35,566.98 2026-04-01
PX-27200545 CDM Protek Duo Cannula 100 24 $41,636.00 $27,063.40 35% off $11,574.81 $40,386.92 $35,307.33 2025-01-22
33946 CPT Hc Ecmo Initial Day Veno-veno 100 24 $41,522.00 $26,989.30 35% off $11,543.12 $41,522.00 $35,293.70 2025-01-22
33948 CPT Hc Ecmo Addl Day Veno-veno 100 24 $41,522.00 $26,989.30 35% off $11,543.12 $41,522.00 $35,293.70 2025-01-22
33949 CPT Hc Ecmo Addl Day Veno-arterial 100 24 $41,522.00 $26,989.30 35% off $11,543.12 $41,522.00 $35,293.70 2025-01-22
33947 CPT Hc Ecmo Initial Day Veno-arterial 100 24 $41,522.00 $26,989.30 35% off $11,543.12 $41,522.00 $35,293.70 2025-01-22
33952 CPT Ecmo Insertion Peripheral Cannula 100 24 $41,522.00 $26,989.30 35% off $11,543.12 $41,522.00 $35,293.70 2025-01-22
2040 OTHER Endo, Single, Urinary Tract 6 5 — — $9,709.02 $64,024.41 $35,276.03 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 10 — — $35,149.44 $36,555.42 $35,149.44 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $25,573.70 $36,485.24 $35,081.96 2026-04-01
PX-27800235 CDM Heart Valve 36 100 24 $41,256.00 $26,816.40 35% off $11,469.17 $40,018.32 $34,985.09 2025-01-22
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 10 — — $34,983.55 $36,382.89 $34,983.55 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 10 10 — — $34,696.76 $36,084.63 $34,696.76 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 10 — — $34,566.72 $35,949.39 $34,566.72 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 11 — — $11,745.60 $107,563.65 $34,412.08 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 10 — — $34,329.84 $38,069.93 $34,329.84 2026-04-01
PX-27200401 CDM Hc Blood Pump Disposable 100 24 $40,355.00 $26,230.75 35% off $11,218.69 $39,144.35 $34,221.04 2025-01-22
245 MS_DRG Aicd Generator Procedures 10 10 — — $34,172.38 $35,539.28 $34,172.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 10 — — $8,986.05 $35,439.12 $34,076.08 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 10 — — $34,062.02 $35,424.50 $34,062.02 2026-04-01
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 259 42 $43,814.07 $28,479.14 35% off $62.10 $76,424.40 $34,014.84 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 10 — — $33,936.90 $35,294.38 $33,936.90 2026-04-01
PX-27800234 CDM Heart Valve 35 100 24 $39,967.00 $25,978.55 35% off $11,110.83 $38,767.99 $33,892.02 2025-01-22
163 MS_DRG Major Chest Procedures With Mcc 10 10 — — $33,605.82 $34,950.05 $33,605.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 10 — — $33,596.69 $34,940.56 $33,596.69 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 6 5 — — $5,824.35 $85,139.79 $33,484.96 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 10 — — $33,472.97 $34,811.89 $33,472.97 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 100 24 $39,299.00 $25,544.35 35% off $10,925.12 $39,299.00 $33,404.15 2025-01-22
L8699 HCPCS Accurate Ide Neo2 Aortic Valve System 3,150 38 $38,748.00 $25,186.20 35% off $0.28 $71,525.22 $33,000.00 2025-01-22
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 10 — — $32,980.22 $34,299.43 $32,980.22 2026-04-01
0686T CPT Histotripsy Malignant Hepatocellular Tiss W Img Gdn 100 24 $38,719.00 $25,167.35 35% off $10,763.88 $38,719.00 $32,911.15 2025-01-22
PX-27800228 CDM Hc Heart Valve 34 100 24 $38,678.00 $25,140.70 35% off $10,752.48 $37,517.66 $32,798.94 2025-01-22
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 10 — — $32,520.51 $33,821.33 $32,520.51 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 10 — — $32,278.00 $33,569.12 $32,278.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 10 — — $32,083.99 $33,367.35 $32,083.99 2026-04-01
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 107 28 $37,704.85 $24,508.15 35% off $39.41 $37,704.85 $31,973.71 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 10 — — $31,911.78 $33,188.25 $31,911.78 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 10 — — $31,788.06 $33,059.58 $31,788.06 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 10 — — $31,737.45 $33,006.95 $31,737.45 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 10 — — $31,722.69 $32,991.60 $31,722.69 2026-04-01
PX-27800227 CDM Hc Heart Valve 33 100 24 $37,390.00 $24,303.50 35% off $10,394.42 $36,268.30 $31,706.72 2025-01-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 10 — — $6,659.87 $32,901.68 $31,636.23 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 10 — — $31,601.08 $32,865.12 $31,601.08 2026-04-01
0825T CPT Transcath Remove & Replace Perm Single Chamb Leadless Pacemaker Right Atrial 100 24 $37,168.00 $24,159.20 35% off $10,332.70 $37,168.00 $31,592.80 2025-01-22
0823T CPT Transcatheter Insert Perm Single Chamb Leadless Pacemaker Right Atrial 100 24 $37,168.00 $24,159.20 35% off $10,332.70 $37,168.00 $31,592.80 2025-01-22
62362 CPT Hc Implant Or Replace Programmable Pump 100 24 $37,120.00 $24,128.00 35% off $10,319.36 $37,120.00 $31,552.00 2025-01-22
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 10 — — $31,546.26 $32,808.11 $31,546.26 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $31,432.38 $32,689.68 $31,432.38 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 13 10 — — $1,879.67 $32,667.74 $31,411.29 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 10 — — $31,294.61 $36,082.66 $31,294.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 10 — — $31,101.30 $32,345.35 $31,101.30 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 10 — — $30,633.86 $31,859.21 $30,633.86 2026-04-01
PX-27800226 CDM Hc Heart Valve 32 100 24 $36,100.00 $23,465.00 35% off $10,035.80 $35,017.00 $30,612.80 2025-01-22
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 10 — — $30,363.23 $31,577.76 $30,363.23 2026-04-01
C1772 HCPCS Pump 20ml Infusion Pain Synchromed Iii 126 38 $35,631.00 $23,160.15 35% off $9,905.42 $35,631.00 $30,286.35 2025-01-22
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 10 — — $30,107.37 $31,311.66 $30,107.37 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
61886 HCPCS Implant Neurostim Arrays 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 3 3 — — $29,753.66 $30,943.81 $30,051.20 2026-04-01
36903 CPT Hc Dialysis Circuit Intro Needle/Cath W Plcmt Of Stent Peripheral W Img 126 38 $35,777.00 $23,255.05 35% off $9,590.51 $35,777.00 $29,730.69 2025-01-22
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $29,599.86 $30,783.85 $29,599.86 2026-04-01
J0597 HCPCS C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit 107 28 $34,741.70 $22,582.10 35% off $75.86 $41,879.50 $29,530.45 2026-04-01
PX-27800225 CDM Hc Heart Valve 31 100 24 $34,812.00 $22,627.80 35% off $9,677.74 $33,767.64 $29,520.58 2025-01-22
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 10 — — $29,475.44 $30,654.46 $29,475.44 2026-04-01
93620 CPT Hc Ep Comprehensive W Induction Arrhythmia 126 38 $35,335.00 $22,967.75 35% off $6,510.56 $35,335.00 $29,363.39 2025-01-22
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 10 — — $29,310.25 $30,482.66 $29,310.25 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 10 — — $29,269.48 $30,440.26 $29,269.48 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 10 — — $29,243.48 $30,413.22 $29,243.48 2026-04-01
27279 CPT Hc Athrodesis Sacroiliac Joint W Img Guidance 100 24 $34,332.00 $22,315.80 35% off $9,544.30 $34,332.00 $29,182.20 2025-01-22
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 10 — — $29,089.54 $109,822.02 $29,089.54 2026-04-01
C9751 HCPCS Hc Bronchoscopy By Microwave Energy 100 24 $33,992.00 $22,094.80 35% off $9,449.78 $33,992.00 $28,893.20 2025-01-22
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 10 — — $28,553.20 $29,695.33 $28,553.20 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 10 — — $28,437.93 $29,575.45 $28,437.93 2026-04-01
PX-27800224 CDM Hc Heart Valve 30 100 24 $33,523.00 $21,789.95 35% off $9,319.39 $32,517.31 $28,427.50 2025-01-22
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 10 — — $28,375.37 $29,510.38 $28,375.37 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 10 — — $28,372.55 $29,507.45 $28,372.55 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $28,031.71 $73,228.00 $28,368.41 2026-04-01
61635 CPT Hc Stent Intracranial Transcath 100 24 $33,310.00 $21,651.50 35% off $9,260.18 $33,310.00 $28,313.50 2025-01-22
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 10 — — $28,298.75 $29,787.16 $28,298.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 10 — — $28,151.13 $29,277.18 $28,151.13 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 10 — — $27,921.28 $29,038.13 $27,921.28 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 10 — — $27,910.73 $29,027.16 $27,910.73 2026-04-01
J9223 HCPCS Lurbinectedin 4 Mg Intravenous Solution 133 42 $33,391.30 $21,704.34 35% off $207.13 $51,875.20 $27,748.17 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 10 — — $27,607.77 $28,712.08 $27,607.77 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 10 — — $27,588.09 $28,691.61 $27,588.09 2026-04-01
34717 CPT Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat 100 24 $32,456.00 $21,096.40 35% off $9,022.77 $32,456.00 $27,587.60 2025-01-22
34718 CPT Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat 100 24 $32,456.00 $21,096.40 35% off $9,022.77 $32,456.00 $27,587.60 2025-01-22
34708 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img 100 24 $32,456.00 $21,096.40 35% off $9,022.77 $32,456.00 $27,587.60 2025-01-22
34707 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img 100 24 $32,456.00 $21,096.40 35% off $9,022.77 $32,456.00 $27,587.60 2025-01-22
332 MS_DRG Rectal Resection With Mcc 10 10 — — $27,552.94 $28,655.06 $27,552.94 2026-04-01
265 MS_DRG Aicd Lead Procedures 10 10 — — $27,535.37 $28,636.78 $27,535.37 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 10 — — $7,866.28 $28,590.00 $27,490.38 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 — — $27,452.43 $28,550.53 $27,452.43 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 3 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
PX-27800223 CDM Hc Heart Valve 29 100 24 $32,234.00 $20,952.10 35% off $8,961.05 $31,266.98 $27,334.43 2025-01-22
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 10 — — $27,286.54 $28,378.00 $27,286.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 10 — — $27,228.19 $28,317.32 $27,228.19 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 10 — — $20,012.89 $50,581.38 $27,202.89 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 10 — — $27,165.63 $28,252.26 $27,165.63 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 10 — — $27,144.54 $28,230.32 $27,144.54 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 10 — — $27,120.65 $67,455.99 $27,120.65 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 10 — — $27,100.26 $28,184.27 $27,100.26 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 10 — — $19,552.63 $28,353.34 $26,891.49 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 10 — — $26,840.88 $27,914.52 $26,840.88 2026-04-01
33276 CPT Insertion Of Phrenic Nerve Stimulator System 126 38 $32,093.00 $20,860.45 35% off $553.96 $32,093.00 $26,669.28 2025-01-22
252 MS_DRG Other Vascular Procedures With Mcc 11 10 — — $26,622.27 $27,971.86 $26,622.27 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 10 — — $26,615.95 $27,680.59 $26,615.95 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 10 — — $26,503.48 $27,563.62 $26,503.48 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 10 — — $26,385.39 $27,440.81 $26,385.39 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 10 — — $26,272.92 $27,323.84 $26,272.92 2026-04-01
PX-27800222 CDM Hc Heart Valve 28 100 24 $30,945.00 $20,114.25 35% off $8,602.71 $30,016.65 $26,241.36 2025-01-22
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 10 — — $26,201.22 $28,208.71 $26,201.22 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 10 — — $26,083.13 $27,126.46 $26,083.13 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 10 — — $26,051.50 $27,093.56 $26,051.50 2026-04-01
5376 OTHER Level 6 Urology And Related Services 2 2 — — $8,807.76 $43,275.18 $26,041.47 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 10 — — $25,584.05 $26,607.41 $25,584.05 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 10 — — $25,321.86 $26,334.73 $25,321.86 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 10 10 — — $25,243.14 $26,252.87 $25,243.14 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 10 — — $25,240.32 $26,249.93 $25,240.32 2026-04-01
PX-27800221 CDM Hc Heart Valve 27 100 24 $29,657.00 $19,277.05 35% off $8,244.65 $28,767.29 $25,149.14 2025-01-22
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 — — $24,966.89 $25,965.57 $24,966.89 2026-04-01
34706 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Rupt W Img 100 24 $29,365.00 $19,087.25 35% off $8,163.47 $29,365.00 $24,960.25 2025-01-22
34705 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Not Rupt W Img 100 24 $29,365.00 $19,087.25 35% off $8,163.47 $29,365.00 $24,960.25 2025-01-22
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 10 — — $24,866.37 $25,861.02 $24,866.37 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 10 — — $24,841.06 $26,546.00 $24,841.06 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 10 — — $24,809.43 $25,801.81 $24,809.43 2026-04-01
652 MS_DRG Kidney Transplant 10 10 — — $24,803.10 $25,795.22 $24,803.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 10 — — $24,786.23 $25,777.68 $24,786.23 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 10 — — $24,741.95 $25,731.63 $24,741.95 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 10 — — $24,668.85 $25,655.60 $24,668.85 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 10 — — $24,545.13 $25,526.94 $24,545.13 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 10 — — $9,834.30 $25,483.81 $24,503.66 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 10 — — $24,481.87 $25,461.14 $24,481.87 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 10 — — $24,436.88 $25,414.36 $24,436.88 2026-04-01
5731 OTHER Level 1 Minor Procedures 2 2 — — $22.87 $48,714.78 $24,368.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 11 10 — — $24,348.31 $32,131.83 $24,348.31 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 10 — — $24,314.57 $25,287.15 $24,314.57 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 10 — — $24,251.31 $25,221.36 $24,251.31 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 10 — — $24,240.77 $25,210.40 $24,240.77 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 10 — — $24,188.75 $25,156.30 $24,188.75 2026-04-01
34703 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Not Rupt W Img 100 24 $28,353.00 $18,429.45 35% off $7,882.13 $28,353.00 $24,100.05 2025-01-22
34704 CPT Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Rupt W Img 100 24 $28,353.00 $18,429.45 35% off $7,882.13 $28,353.00 $24,100.05 2025-01-22
5362 OTHER Level 2 Laparoscopy And Related Services 14 9 — — $7,626.17 $58,004.73 $24,071.93 2026-04-01
PX-27800220 CDM Hc Heart Valve 26 100 24 $28,369.00 $18,439.85 35% off $7,886.58 $27,517.93 $24,056.91 2025-01-22
665 MS_DRG Prostatectomy With Mcc 10 10 — — $24,041.84 $25,003.51 $24,041.84 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $7,798.52 $24,956.00 $23,996.15 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 10 — — $23,957.49 $24,915.79 $23,957.49 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 10 — — $23,622.19 $24,567.08 $23,622.19 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 1 1 — — $23,611.72 $23,611.72 $23,611.72 2026-04-01
34701 CPT Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Not Rupt W Img 100 24 $27,763.00 $18,045.95 35% off $7,718.11 $27,763.00 $23,598.55 2025-01-22
34702 CPT Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Rupt W Img 100 24 $27,763.00 $18,045.95 35% off $7,718.11 $27,763.00 $23,598.55 2025-01-22
263 MS_DRG Vein Ligation And Stripping 10 10 — — $23,593.37 $24,537.10 $23,593.37 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 10 — — $15,897.84 $53,232.40 $23,423.26 2026-04-01
C9767 HCPCS Revas Intravasc Lithotrip Translum Stent And Atherect Incl Angio 126 38 $28,110.00 $18,271.50 35% off $7,814.58 $28,110.00 $23,359.41 2025-01-22
0544T CPT Transcatheter Mitral Valve Annulus Reconstruction With Device Percutaneous 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
0543T CPT Transapical Mitral Valve Repair Transthoracic Echocardiography 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
0484T CPT Hc Tmvi W Prosthetic Valve Transthoracic Exposure 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
0483T CPT Hc Tmvi W Prosthetic Valve Percutaneous 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
0646T CPT Transcath Tricuspid Valve Implant Rplcmnt With Prostc Valve Perq Approach Rgt Hear… 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
33366 CPT Hc Trcath Replace Aortic Valve 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
33418 CPT Hc Transcath Mitral Valve Rep Perc 100 24 $27,459.00 $17,848.35 35% off $7,633.60 $27,459.00 $23,340.15 2025-01-22
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