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

ST MARY'S REGIONAL MEDICAL CENTER

Enid, OK · CCN 370026 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $6,405 across 10 payers · range $4,520-$10,172

Source: https://uhsfilecdn.eskycity.net/ac/233041933_st-marys-regional-medical-center_standardcharges.csv · observed 2026-07-15

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.

9,287 distinct procedures filed
12 distinct payers
137,279 rate rows
2026-07-15 last MRF observed
Data quality

137,147 of 137,279 rate rows are consumer-grade (99.9%)

132 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
exceeds 10× this hospital's gross charge — excluded from medians 71
per-diem day rate — not a per-procedure price 30
placeholder amount (≤ $0.02) — excluded from medians 30
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/233041933_st-marys-regional-medical-center_standardcharges.csv
Found on page https://www.stmarysregional.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint 32a78d1086810225… · 22,224,399 bytes · first seen 2026-05-08

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 5 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,646,097
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 5 $3,321,781.50 $3,321,781.50 $3,321,781.50 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 5 $3,193,000.00 $3,193,000.00 $3,193,000.00 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 5 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$2,939,969
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$58,186
outlier · 40.1×
9141
OTHER 		Inj Onase Abepar-xioi Treat 5 $2,302,784.67 $2,302,784.67 $2,302,784.67 nat. median
$2,588,981
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos T 5 $511,072.50 $511,072.50 $511,072.50 nat. median
$576,820
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 5 $507,195.92 $507,195.92 $507,195.92 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Car 5 $484,690.30 $484,690.30 $484,690.30 nat. median
$560,872
0.9× median
9413
OTHER 		Lisocabtagene Car Pos T 5 $473,853.52 $473,853.52 $473,853.52 nat. median
$562,201
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 5 $449,440.00 $449,440.00 $449,440.00 nat. median
$492,768
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 5 $449,440.00 $449,440.00 $449,440.00 nat. median
$533,230
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $267,491.79 $552,303.96 $379,013.64 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $199,793.94 $412,524.75 $282,471.71 nat. median
$261,939
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $168,262.61 $347,420.41 $238,414.14 nat. median
$205,166
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $152,011.44 $313,865.78 $215,387.58 nat. median
$199,832
1.1× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 5 $152,500.50 $152,500.50 $152,500.50 nat. median
$155,877
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 5 $152,500.50 $152,500.50 $152,500.50 nat. median
$155,877
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $100,222.18 $206,933.85 $142,006.50 nat. median
$132,706
1.1× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 5 $137,500.50 $137,500.50 $137,500.50 nat. median
$140,545
1.0× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 5 $137,500.50 $137,500.50 $137,500.50 nat. median
$140,545
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $92,929.30 $191,875.86 $131,673.09 nat. median
$114,305
1.2× median
7
MS_DRG 		Lung Transplant 10 $92,695.23 $191,392.58 $131,341.44 nat. median
$122,690
1.1× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 5 $122,500.50 $122,500.50 $122,500.50 nat. median
$122,500
1.0× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 5 $122,500.50 $122,500.50 $122,500.50 nat. median
$122,500
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $78,161.24 $217,550.00 $110,929.82 nat. median
$108,240
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $77,268.96 $159,541.17 $109,483.70 nat. median
$100,978
1.1× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 5 $107,500.50 $107,500.50 $107,500.50 nat. median
$107,500
1.0× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 5 $107,500.50 $107,500.50 $107,500.50 nat. median
$107,500
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $75,534.75 $155,960.46 $107,026.47 nat. median
$99,646
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $66,089.00 $155,160.85 $106,244.65 nat. median
$98,002
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $74,300.60 $153,412.23 $105,277.77 nat. median
$96,835
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $68,453.95 $141,340.36 $97,152.79 nat. median
$92,900
1.0× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 5 $95,000.50 $95,000.50 $95,000.50 nat. median
$97,104
1.0× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 5 $95,000.50 $95,000.50 $95,000.50 nat. median
$97,104
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $65,338.76 $134,908.28 $92,579.60 nat. median
$81,364
1.1× median
J0223
HCPCS 		Givosiran Per 0.5mg 7 $131.63 $176,138.40 $90,967.68 nat. median
$152
outlier · 597.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $60,104.23 $124,100.27 $85,302.51 nat. median
$79,040
1.1× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 5 $85,000.50 $85,000.50 $85,000.50 nat. median
$86,882
1.0× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 5 $85,000.50 $85,000.50 $85,000.50 nat. median
$86,882
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $28,036.00 $124,031.43 $84,929.14 nat. median
$80,459
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $59,158.75 $122,148.09 $83,823.03 nat. median
$81,124
1.0× median
C1882
HCPCS 		Defib Concerto C154dwk 6 $4,000.00 $212,422.31 $81,180.59 nat. median
$27,675
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $57,176.29 $118,054.81 $81,014.05 nat. median
$77,385
1.0× median
10
MS_DRG 		Pancreas Transplant 10 $56,551.41 $116,764.59 $80,128.65 nat. median
$67,750
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $56,227.27 $116,095.31 $79,669.37 nat. median
$69,153
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $55,440.67 $114,471.18 $78,382.86 nat. median
$73,475
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,881.04 $113,315.69 $77,591.65 nat. median
$74,472
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $52,942.56 $109,313.21 $75,015.21 nat. median
$71,485
1.0× median

Other procedures at this hospital

Browse this hospital's 9,287 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
             
773 OTHER Inj, Beqvez, Per Tx Dose 5 5 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-07-15
9138 OTHER Inj, Hemgenix, Per Tx Dose 5 5 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-07-15
714 OTHER Inj Delandistrogene Mox Rokl 5 5 — — $3,321,781.50 $3,321,781.50 $3,321,781.50 2026-07-15
748 OTHER Inj, Lovotibeglogene Autotem 5 5 — — $3,193,000.00 $3,193,000.00 $3,193,000.00 2026-07-15
746 OTHER Inj, Betibeglogene Autotemce 5 5 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-07-15
824 OTHER Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-07-15
9141 OTHER Inj Onase Abepar-xioi Treat 5 5 — — $2,302,784.67 $2,302,784.67 $2,302,784.67 2026-07-15
9194 OTHER Tisagenlecleucel Car-pos T 5 5 — — $511,072.50 $511,072.50 $511,072.50 2026-07-15
9498 OTHER Ciltacabtagene Car-pos T 5 5 — — $507,195.92 $507,195.92 $507,195.92 2026-07-15
9422 OTHER Idecabtagene Vicleucel Car 5 5 — — $484,690.30 $484,690.30 $484,690.30 2026-07-15
9413 OTHER Lisocabtagene Car Pos T 5 5 — — $473,853.52 $473,853.52 $473,853.52 2026-07-15
9391 OTHER Brexucabtagene Car Pos T 5 5 — — $449,440.00 $449,440.00 $449,440.00 2026-07-15
9035 OTHER Axicabtagene Ciloleucel Car+ 5 5 — — $449,440.00 $449,440.00 $449,440.00 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 10 — — $267,491.79 $552,303.96 $379,013.64 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 10 — — $199,793.94 $412,524.75 $282,471.71 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 10 — — $168,262.61 $347,420.41 $238,414.14 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 10 — — $152,011.44 $313,865.78 $215,387.58 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 5 5 — — $152,500.50 $152,500.50 $152,500.50 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 5 5 — — $152,500.50 $152,500.50 $152,500.50 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 10 — — $100,222.18 $206,933.85 $142,006.50 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 5 5 — — $137,500.50 $137,500.50 $137,500.50 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 5 5 — — $137,500.50 $137,500.50 $137,500.50 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 13 10 — — $92,929.30 $191,875.86 $131,673.09 2026-07-15
7 MS_DRG Lung Transplant 13 10 — — $92,695.23 $191,392.58 $131,341.44 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 5 5 — — $122,500.50 $122,500.50 $122,500.50 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 5 5 — — $122,500.50 $122,500.50 $122,500.50 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 10 — — $78,161.24 $217,550.00 $110,929.82 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 10 — — $77,268.96 $159,541.17 $109,483.70 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 5 5 — — $107,500.50 $107,500.50 $107,500.50 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 5 5 — — $107,500.50 $107,500.50 $107,500.50 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 10 — — $75,534.75 $155,960.46 $107,026.47 2026-07-15
215 MS_DRG Other Heart Assist System Implant 14 10 — — $66,089.00 $155,160.85 $106,244.65 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $74,300.60 $153,412.23 $105,277.77 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $68,453.95 $141,340.36 $97,152.79 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 5 5 — — $95,000.50 $95,000.50 $95,000.50 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 5 5 — — $95,000.50 $95,000.50 $95,000.50 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 13 10 — — $65,338.76 $134,908.28 $92,579.60 2026-07-15
J0223 HCPCS Givosiran Per 0.5mg 7 7 $222,960.00 $89,184.00 60% off $131.63 $176,138.40 $90,967.68 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 10 — — $60,104.23 $124,100.27 $85,302.51 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 5 5 — — $85,000.50 $85,000.50 $85,000.50 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 5 5 — — $85,000.50 $85,000.50 $85,000.50 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $28,036.00 $124,031.43 $84,929.14 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 10 — — $59,158.75 $122,148.09 $83,823.03 2026-07-15
C1882 HCPCS Defib Concerto C154dwk 86 6 $117,799.00 $47,119.60 60% off $4,000.00 $212,422.31 $81,180.59 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 10 — — $57,176.29 $118,054.81 $81,014.05 2026-07-15
10 MS_DRG Pancreas Transplant 13 10 — — $56,551.41 $116,764.59 $80,128.65 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 10 — — $56,227.27 $116,095.31 $79,669.37 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $55,440.67 $114,471.18 $78,382.86 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $54,881.04 $113,315.69 $77,591.65 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 10 — — $52,942.56 $109,313.21 $75,015.21 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 5 5 — — $75,000.50 $75,000.50 $75,000.50 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 5 5 — — $75,000.50 $75,000.50 $75,000.50 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $50,378.49 $104,019.04 $71,382.13 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 10 — — $50,125.28 $103,496.21 $71,023.35 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 10 — — $49,341.51 $101,877.94 $69,912.82 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 10 — — $48,432.21 $100,000.45 $68,624.41 2026-07-15
33952 HCPCS Ecmo Ecls Insert Perq >=6yr Ip 7 7 $163,964.00 $65,585.60 60% off $4,000.00 $129,531.56 $67,389.20 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 10 — — $47,555.53 $98,190.33 $67,382.24 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 10 — — $47,372.53 $97,812.49 $67,122.95 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 10 — — $47,292.39 $97,647.00 $66,862.70 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 5 5 — — $65,000.50 $65,000.50 $65,000.50 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 5 5 — — $65,000.50 $65,000.50 $65,000.50 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 10 — — $45,870.98 $94,712.14 $64,995.36 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $45,805.01 $94,575.95 $64,901.89 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 10 — — $44,857.40 $92,619.37 $63,559.21 2026-07-15
717 OTHER Instill Adstiladrin, Tx Dose 5 5 — — $63,402.04 $63,402.04 $63,402.04 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 10 — — $43,936.04 $90,716.99 $62,253.72 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 10 — — $43,879.30 $90,599.83 $62,173.32 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 10 — — $43,679.28 $90,186.84 $61,889.91 2026-07-15
C1721 HCPCS Defib Entrust D153atg Medtrnc 98 6 $99,569.00 $39,827.60 60% off $4,000.00 $165,813.10 $61,721.25 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 10 — — $43,526.78 $89,871.97 $61,673.83 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 10 — — $43,328.18 $89,461.91 $61,392.43 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 13 10 — — $43,121.07 $89,034.28 $61,098.97 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 10 — — $42,811.82 $88,395.76 $60,660.79 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 10 — — $42,811.82 $88,395.76 $60,660.79 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 10 — — $42,491.93 $105,948.00 $60,306.39 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $42,197.58 $87,127.50 $59,790.46 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 10 — — $41,735.84 $86,174.11 $59,006.76 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 10 — — $41,296.79 $85,267.58 $58,514.11 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $27,066.00 $84,053.51 $57,554.71 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 10 — — $40,465.50 $83,551.19 $57,336.25 2026-07-15
1643 OTHER Y90 Ibritumomab, Rx 5 5 — — $56,824.55 $56,824.55 $56,824.55 2026-07-15
J9359 HCPCS Loncastuximab Tesrne-lpyl.075 7 7 $138,336.00 $55,334.40 60% off $241.82 $109,285.44 $56,441.09 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 13 10 — — $39,539.88 $81,640.02 $56,024.73 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 13 10 — — $39,204.39 $80,947.31 $55,549.36 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 10 — — $39,204.39 $80,947.31 $55,549.36 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $39,039.84 $80,607.54 $55,316.21 2026-07-15
C1722 HCPCS Defib Entrust D153vrc Medtnc 86 6 $90,217.00 $36,086.80 60% off $4,000.00 $138,949.94 $55,201.92 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 5 5 — — $55,000.50 $55,000.50 $55,000.50 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 5 5 — — $55,000.50 $55,000.50 $55,000.50 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 10 — — $38,801.52 $80,115.47 $54,978.53 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 10 — — $38,592.99 $79,684.91 $54,683.06 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 10 — — $38,505.04 $79,503.31 $54,558.43 2026-07-15
33270 HCPCS Insert/replace Subq Defib Elct 7 7 $142,414.00 $56,965.60 60% off $4,000.00 $112,507.06 $54,504.69 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 10 — — $38,308.56 $79,097.65 $54,280.05 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 10 — — $38,272.39 $79,022.96 $54,228.79 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 10 — — $38,268.13 $79,014.17 $54,222.76 2026-07-15
33240 HCPCS Insert Subq Defib Exsist Elctr 7 7 $142,414.00 $56,965.60 60% off $4,000.00 $112,507.06 $53,832.49 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 10 — — $37,735.46 $77,914.33 $53,555.79 2026-07-15
9273 OTHER Sipuleucel-t Auto Cd54+ 5 5 — — $53,426.66 $53,426.66 $53,426.66 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $37,568.78 $77,570.17 $53,319.23 2026-07-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 5 5 — — $52,066.17 $52,066.17 $52,066.17 2026-07-15
C1820 HCPCS Ipg Eterna 222etctrsy33 58 6 $91,747.00 $36,698.80 60% off $3,093.55 $126,182.75 $51,932.54 2026-07-15
64568 HCPCS Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 1 1 — — $51,805.10 $51,805.10 $51,805.10 2026-07-15
64582 HCPCS Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 1 1 — — $51,805.10 $51,805.10 $51,805.10 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 10 — — $36,528.96 $75,423.21 $51,758.50 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 10 — — $36,407.68 $75,172.79 $51,473.73 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 10 — — $16,038.00 $74,610.42 $51,088.65 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 10 — — $36,024.66 $74,381.96 $51,043.95 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 — — $0.70 $87,061.60 $50,824.67 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 10 — — $35,726.05 $73,765.40 $50,620.85 2026-07-15
33262 HCPCS Remove/replace Subq Defib Only 11 7 $142,414.00 $56,965.60 60% off $4,000.00 $112,507.06 $50,576.25 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 10 — — $35,515.39 $73,330.44 $50,322.36 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 10 — — $35,487.73 $73,273.33 $50,283.17 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 10 — — $35,473.54 $73,244.04 $50,263.07 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 10 — — $35,345.87 $73,307.00 $50,164.39 2026-07-15
245 MS_DRG Aicd Generator Procedures 13 10 — — $34,661.41 $71,567.19 $49,112.34 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 13 10 — — $34,394.72 $71,016.53 $48,734.46 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 14 10 — — $19,656.00 $71,135.16 $48,709.00 2026-07-15
0795T OTHER Tcat Ins 2chambr Ldls Pm Comp 4 4 $83,904.00 $33,561.60 60% off $31,715.71 $66,284.16 $48,706.27 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 10 — — $33,871.98 $69,937.20 $47,993.78 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 13 10 — — $33,725.15 $69,634.05 $47,785.74 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 10 — — $33,718.77 $69,620.87 $47,776.69 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 10 — — $33,369.80 $79,553.00 $47,359.86 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 10 — — $33,191.06 $68,531.28 $47,028.97 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 10 — — $32,995.30 $68,127.08 $46,751.60 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 13 10 — — $32,692.43 $67,501.73 $46,322.46 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 10 — — $32,678.96 $67,473.91 $46,303.36 2026-07-15
33249 HCPCS Insert Replce Icd W/leads Sr 7 7 $112,510.00 $45,004.00 60% off $4,000.00 $88,882.90 $46,241.61 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $32,574.69 $67,258.63 $46,155.63 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 10 — — $32,569.73 $67,248.38 $46,148.60 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 10 — — $32,000.17 $66,072.38 $45,341.58 2026-07-15
1142 OTHER Supprelin La Implant 5 5 — — $45,261.80 $45,261.80 $45,261.80 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 10 — — $31,809.37 $65,678.43 $45,071.24 2026-07-15
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 5 5 — — $45,000.50 $45,000.50 $45,000.50 2026-07-15
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 5 5 — — $45,000.50 $45,000.50 $45,000.50 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 10 — — $31,721.42 $65,496.83 $44,946.61 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 13 10 — — $31,424.94 $64,884.67 $44,526.53 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 10 — — $31,157.54 $64,332.56 $44,147.64 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 10 — — $30,690.12 $63,367.45 $43,485.35 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $30,626.99 $63,237.11 $43,395.90 2026-07-15
36906 HCPCS Pmt W/stent Periph Dialys Bil 11 7 $114,627.00 $45,850.80 60% off $4,000.00 $90,555.33 $43,329.01 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 10 — — $30,256.03 $62,471.18 $42,870.29 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 10 — — $30,211.35 $62,378.91 $42,806.97 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 13 10 — — $29,997.14 $61,936.63 $42,503.46 2026-07-15
C1767 HCPCS Ipg Eterna Generator 50 6 $84,951.00 $33,980.40 60% off $56.32 $91,950.47 $42,174.76 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 10 — — $29,723.36 $61,371.34 $42,115.53 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 10 — — $29,716.27 $61,356.69 $42,105.48 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 10 — — $29,511.28 $60,933.45 $41,723.50 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 10 — — $29,166.57 $60,221.70 $41,394.46 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 10 — — $29,150.26 $60,188.02 $41,303.49 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 10 — — $29,106.99 $60,098.69 $41,242.18 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 10 — — $28,963.71 $59,802.86 $41,039.18 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 10 — — $28,849.52 $59,567.07 $40,877.37 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 10 — — $28,255.85 $58,341.29 $40,036.18 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 10 — — $28,235.99 $58,300.28 $40,008.04 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 10 — — $27,986.32 $57,784.78 $39,654.29 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 10 — — $27,928.86 $57,666.15 $39,572.88 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 10 — — $27,872.12 $57,548.99 $39,492.48 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 10 — — $27,748.71 $57,294.17 $39,317.61 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 10 — — $27,735.23 $57,266.34 $39,212.49 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 10 — — $27,582.02 $56,950.01 $39,081.43 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 10 — — $27,413.92 $56,602.93 $38,843.25 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 10 — — $27,386.26 $56,545.81 $38,804.06 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 10 — — $27,309.66 $56,387.64 $38,695.51 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 10 — — $27,111.77 $55,979.05 $38,415.12 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 10 — — $26,964.94 $55,675.90 $38,207.08 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 10 — — $26,755.00 $55,242.40 $37,909.61 2026-07-15
37231 HCPCS Tib/peronl Stent W/athrect Rt 7 7 $100,198.00 $40,079.20 60% off $4,000.00 $79,156.42 $37,874.84 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 10 — — $26,541.50 $54,801.59 $37,607.10 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 10 — — $25,879.74 $53,435.21 $36,669.43 2026-07-15
J9266 HCPCS Pegaspargase Per Sgle Dose Vl 7 7 $89,757.00 $35,902.80 60% off $4,000.00 $70,908.03 $36,620.86 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 10 — — $25,700.29 $53,064.69 $36,415.17 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 10 — — $25,426.50 $52,499.40 $36,027.24 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 10 — — $25,425.08 $52,496.47 $36,025.23 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 10 — — $17,225.00 $52,487.68 $35,940.35 2026-07-15
C1822 HCPCS Senza Omnia Ipg Nipg2500 10 6 $84,754.00 $33,901.60 60% off $4,000.00 $71,161.62 $35,927.97 2026-07-15
265 MS_DRG Aicd Lead Procedures 13 10 — — $25,301.67 $52,241.64 $35,850.36 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 14 10 — — $0.70 $61,076.97 $35,655.40 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 10 — — $17,572.00 $52,007.32 $35,611.43 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 10 — — $25,034.27 $51,689.53 $35,471.47 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 10 — — $24,971.14 $51,559.19 $35,382.03 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 10 — — $25,040.65 $51,702.71 $35,325.18 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 10 — — $24,851.98 $51,313.15 $35,213.19 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 10 — — $24,844.18 $51,297.04 $35,202.14 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 10 — — $24,834.25 $51,276.54 $35,188.07 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 13 10 — — $24,790.27 $51,185.74 $35,125.75 2026-07-15
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 5 5 — — $35,000.50 $35,000.50 $35,000.50 2026-07-15
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 5 5 — — $35,000.50 $35,000.50 $35,000.50 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 10 — — $24,629.97 $50,854.76 $34,898.63 2026-07-15
332 MS_DRG Rectal Resection With Mcc 13 10 — — $24,603.02 $50,799.11 $34,860.43 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 10 — — $24,576.07 $50,743.46 $34,822.25 2026-07-15
791 MS_DRG Prematurity With Major Problems 14 10 — — $0.70 $59,457.24 $34,709.84 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 10 — — $24,392.36 $50,364.15 $34,561.95 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 10 — — $24,430.66 $50,443.24 $34,540.44 2026-07-15
665 MS_DRG Prostatectomy With Mcc 13 10 — — $24,354.06 $50,285.07 $34,507.68 2026-07-15
27279 HCPCS Arthrodesis Si Joint Perc 7 7 $91,117.00 $36,446.80 60% off $4,000.00 $71,982.43 $34,442.23 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 14 10 — — $24,331.36 $50,238.21 $34,400.05 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 10 — — $16,038.00 $50,162.05 $34,347.90 2026-07-15
C1772 HCPCS Pump Synchromed 8637-40 10 6 $83,567.00 $33,426.80 60% off $4,000.00 $66,017.93 $34,220.69 2026-07-15
54411 HCPCS Removal And Replacement Of Infected Components Of Inflatable Penile Implant 1 1 — — $34,218.55 $34,218.55 $34,218.55 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 10 — — $17,572.00 $49,883.80 $34,157.38 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 10 — — $24,059.00 $49,675.84 $34,014.97 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 10 — — $23,808.62 $49,158.87 $33,734.83 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 13 10 — — $23,554.69 $48,634.58 $33,375.04 2026-07-15
33263 HCPCS Remove Replace Icd Gen 2lead 7 7 $80,922.00 $32,368.80 60% off $4,000.00 $63,928.38 $33,258.94 2026-07-15
33264 HCPCS Remove Replace Icd Multi Lead 7 7 $80,922.00 $32,368.80 60% off $4,000.00 $63,928.38 $33,258.94 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 10 — — $23,419.93 $48,356.33 $33,184.10 2026-07-15
33946 HCPCS Ecmo Ecls Intiation Venous Ip 7 7 $80,101.00 $32,040.40 60% off $4,000.00 $63,279.79 $32,921.51 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 10 — — $23,184.45 $47,870.11 $32,904.37 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 10 — — $23,118.48 $47,733.91 $32,756.97 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 10 — — $23,108.55 $47,713.41 $32,742.90 2026-07-15
0275 RC — 655 6 $68,411.00 $27,364.40 60% off $208.65 $212,422.31 $32,644.50 2026-07-15
J9228 HCPCS Ipilimumab Per 1mg 11 7 $43,328.00 $17,331.20 60% off $205.26 $124,518.22 $32,496.00 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 10 — — $22,834.06 $47,146.65 $32,353.97 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 10 — — $22,728.38 $46,928.44 $32,204.22 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 10 — — $22,662.41 $46,792.24 $32,110.76 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 10 — — $22,619.15 $46,702.90 $32,049.45 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 10 — — $22,558.15 $46,576.96 $31,963.02 2026-07-15
5166 OTHER Cochlear Implant Procedure 5 5 — — $31,951.40 $31,951.40 $31,951.40 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 10 — — $22,512.75 $46,483.23 $31,898.70 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 13 10 — — $22,475.16 $46,405.61 $31,845.44 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 13 10 — — $22,126.90 $45,686.54 $31,351.98 2026-07-15
5232 OTHER Level 2 Icd And Similar Procedures 5 5 — — $31,345.98 $31,345.98 $31,345.98 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 10 — — $19,716.00 $45,707.04 $31,297.39 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 10 — — $22,032.57 $73,307.00 $31,269.57 2026-07-15
24371 HCPCS Revision Of Total Elbow Repair (arthroplasty), Upper Arm And Forearm Components 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
25446 HCPCS Arthroplasty Or Replacement Of The Entire Wrist Joint 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
25442 HCPCS Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger S… 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
24361 HCPCS Repair Of Elbow Joint With Replacement Of Lower Portion Of Upper Arm Bone 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
24363 HCPCS Prosthetic Repair Of Elbow Joint 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
27702 HCPCS Reconstruction Of Ankle Joint With Prosthesis 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 1 1 — — $31,263.09 $31,263.09 $31,263.09 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 10 — — $21,933.98 $45,288.20 $31,078.62 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 10 — — $21,888.58 $45,194.47 $31,014.30 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 10 — — $21,872.98 $45,162.25 $30,992.19 2026-07-15
652 MS_DRG Kidney Transplant 13 10 — — $21,785.02 $44,980.65 $30,867.57 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 10 — — $21,765.16 $44,939.65 $30,839.43 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 10 — — $21,694.24 $44,793.20 $30,738.93 2026-07-15
33902 HCPCS Placement Of Stent In Pulmonary Artery With Abnormal Anatomical Connections, On … 1 1 — — $30,526.42 $30,526.42 $30,526.42 2026-07-15
37227 HCPCS Fem/pop Stent W/athrect Bil Cs 35 7 $73,611.00 $29,444.40 60% off $4,000.00 $58,152.69 $30,254.12 2026-07-15
37229 HCPCS Tib/peroneal Atherc Ini Bil Cs 21 7 $73,611.00 $29,444.40 60% off $4,000.00 $58,152.69 $30,254.12 2026-07-15
37230 HCPCS Tib/peron Stent Init Uni Ad Cs 28 7 $73,611.00 $29,444.40 60% off $4,000.00 $58,152.69 $30,254.12 2026-07-15
570 MS_DRG Skin Debridement With Mcc 13 10 — — $21,350.94 $44,084.38 $30,252.51 2026-07-15
62361 HCPCS Imp/replc Non-progrm Pump 7 7 $79,165.00 $31,666.00 60% off $1,600.00 $62,540.35 $30,046.00 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 13 10 — — $21,180.71 $43,732.90 $30,011.31 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 10 — — $20,914.02 $43,182.25 $29,633.43 2026-07-15
5465 OTHER Level 5 Neurostimulator And Related Procedures 5 5 — — $29,586.29 $29,586.29 $29,586.29 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 10 — — $20,860.12 $43,070.94 $29,557.05 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 10 — — $20,803.37 $42,953.79 $29,476.65 2026-07-15
J1303 HCPCS Ravulizumab-cwvz Per 10mg 11 7 $136,658.00 $54,663.20 60% off $251.47 $107,959.82 $29,443.30 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 13 10 — — $20,684.92 $42,709.21 $29,308.81 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 10 — — $20,673.57 $42,685.78 $29,292.74 2026-07-15
800 MS_DRG Splenic Procedures With Cc 13 10 — — $20,667.19 $42,672.60 $29,283.69 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 10 — — $20,655.84 $42,649.17 $29,267.61 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 14 10 — — $16,469.00 $42,429.49 $29,053.12 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 10 — — $20,335.95 $41,988.68 $28,814.35 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 10 — — $20,312.55 $41,940.35 $28,781.19 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 10 — — $20,300.49 $41,915.45 $28,764.10 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 10 — — $20,272.12 $41,856.87 $28,723.90 2026-07-15
69930 HCPCS Insertion Of Cochlear Device 2 2 — — $3,203.00 $54,073.29 $28,638.15 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 10 — — $20,191.97 $41,691.39 $28,610.34 2026-07-15
36903 HCPCS Stent Periph Dialysis Seg Bil 15 7 $51,455.00 $20,582.00 60% off $4,000.00 $59,743.75 $28,586.25 2026-07-15
36905 HCPCS Pmt W/plasty Periph Dialys Bil 11 7 $75,625.00 $30,250.00 60% off $4,000.00 $59,743.75 $28,586.25 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 13 10 — — $20,016.77 $41,329.65 $28,362.10 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 10 — — $19,919.60 $41,129.02 $28,224.42 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 10 — — $19,332.00 $41,086.55 $28,133.56 2026-07-15
5200 OTHER Implantation Wireless Pa Pressure Monitor 5 5 — — $27,692.47 $27,692.47 $27,692.47 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 10 — — $19,408.92 $40,074.58 $27,500.82 2026-07-15
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 5 5 — — $27,500.50 $27,500.50 $27,500.50 2026-07-15
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 5 5 — — $27,500.50 $27,500.50 $27,500.50 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 10 — — $19,374.16 $40,002.82 $27,451.58 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 9 — — $19,338.70 $39,929.59 $27,341.35 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 10 — — $19,269.19 $39,786.07 $27,302.83 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 10 — — $19,174.85 $39,591.29 $27,169.17 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 10 — — $19,111.72 $39,460.95 $27,079.72 2026-07-15
843 OTHER Pegaspargase Injection 5 5 — — $27,070.53 $27,070.53 $27,070.53 2026-07-15
Q4130 HCPCS Strattice Graft Per 1 Sqcm 32 7 $52,924.00 $21,169.60 60% off $4,000.00 $94,816.59 $26,974.66 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 10 — — $19,035.83 $39,304.25 $26,972.19 2026-07-15
263 MS_DRG Vein Ligation And Stripping 13 10 — — $19,023.77 $39,279.35 $26,955.10 2026-07-15
J9043 HCPCS Cabazitaxel Per 1mg 7 7 $65,868.00 $26,347.20 60% off $255.46 $52,035.72 $26,874.14 2026-07-15
849 MS_DRG Radiotherapy 13 10 — — $18,945.75 $39,118.26 $26,844.56 2026-07-15
61886 HCPCS Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele… 2 2 — — $1,789.00 $51,805.10 $26,797.05 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 10 — — $18,886.88 $38,996.71 $26,761.14 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 10 — — $18,819.50 $38,857.58 $26,665.67 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 10 — — $18,796.09 $38,809.25 $26,632.50 2026-07-15
503 MS_DRG Foot Procedures With Mcc 13 10 — — $18,771.98 $38,759.46 $26,598.33 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 10 — — $18,752.83 $38,719.92 $26,571.19 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 14 10 — — $16,038.00 $38,418.23 $26,306.46 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 10 — — $18,558.48 $38,318.64 $26,295.83 2026-07-15
93653 HCPCS Ablate Intracard Cath Svt Cs 7 7 $63,856.00 $25,542.40 60% off $4,000.00 $50,446.24 $26,244.82 2026-07-15
93654 HCPCS Ablate Intracard Cath Vt Cs 7 7 $63,856.00 $25,542.40 60% off $4,000.00 $50,446.24 $26,244.82 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 13 10 — — $18,360.59 $37,910.05 $26,015.43 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 10 — — $18,330.09 $37,847.07 $25,972.22 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 10 — — $18,113.76 $37,400.40 $25,665.69 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 10 — — $18,074.04 $37,318.39 $25,609.41 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 14 10 — — $18,108.08 $37,388.68 $25,601.49 2026-07-15
33227 HCPCS Remove Replace Pacer Gen 1lead 7 7 $67,628.00 $27,051.20 60% off $4,000.00 $53,426.12 $25,563.38 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 13 10 — — $17,981.12 $37,126.54 $25,477.76 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 13 10 — — $17,922.96 $37,006.45 $25,395.35 2026-07-15
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