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

O U MEDICAL CENTER

Oklahoma City, OK · CCN 370093 · Rates published

149,277 distinct procedures filed
50 distinct payers
5,071,216 rate rows
2026-07-31 last MRF observed
Data quality

4,574,292 of 5,071,216 rate rows are consumer-grade (90.2%)

496,924 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 452,752
exceeds 10× this hospital's gross charge — excluded from medians 31,529
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,792
per-diem day rate — not a per-procedure price 597
professional (physician) fee — not the facility price 157
placeholder amount (≤ $0.02) — excluded from medians 95
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/ebdcd27316bbcd47fb02c60d601d05cc/charges/mrf
Found on page https://www.ouhealth.com/ou-health-patients-families/insurance-billing/billing-ou-health-hospitals-ers/hospital-charges-pricing-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-14
Content fingerprint c0f349cb7050795a… · 24,097,405 bytes · first seen 2026-05-13

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $343,408.54 $1,225,277.67 $639,294.53 nat. median
$168,055
outlier · 3.8×
Q2056
HCPCS 		Carvykti 7 $448.00 $1,185,334.43 $599,402.55 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Breyanzi 7 $448.00 $1,110,444.84 $573,445.28 nat. median
$579,571
1.0× median
Q2042
HCPCS 		Kymriah 8 $448.00 $1,216,091.26 $572,196.62 nat. median
$621,313
0.9× median
Q2055
HCPCS 		Abecma 7 $448.00 $1,135,871.72 $569,243.38 nat. median
$574,037
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 12 $224,045.58 $901,218.14 $562,631.86 nat. median
$186,516
outlier · 3.0×
316762
OTHER 		Tisagenlecle Ped 600 Mil 23 $203,351.35 $829,547.94 $558,331.10 —
Q2041
HCPCS 		Yescarta 7 $448.00 $1,052,461.87 $542,836.10 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Tecartus 7 $448.00 $1,049,310.75 $499,239.19 nat. median
$513,770
1.0× median
327429
OTHER 		Idecabtagene Vicleucel 21 $159,364.12 $622,278.94 $440,148.52 —
370385
OTHER 		Tisagenlecleucel 600 Mil 23 $159,364.12 $829,547.94 $440,148.52 —
3
OTHER 		Ecmo Trach Mv >96 W Or 28 $890.00 $1,396,628.23 $362,747.32 nat. median
$10,971
outlier · 33.1×
316750
OTHER 		Axicabtagene 200 Mil 23 $125,144.57 $770,991.00 $346,829.22 —
327289
OTHER 		Brexucabtagene Autoleuce 23 $125,144.57 $770,991.00 $346,829.22 —
327426
OTHER 		Lisocabtagene Maraleucel 21 $125,144.57 $488,659.73 $345,637.37 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $171,498.42 $876,611.29 $323,941.46 nat. median
$131,925
outlier · 2.5×
18
OTHER 		Chim Antg Rec T-cell&o Imm 27 $780.00 $731,444.10 $312,201.75 nat. median
$292,587
1.1× median
7
MS_DRG 		Lung Transplant 12 $105,353.47 $407,943.66 $256,648.57 nat. median
$70,649
outlier · 3.6×
4
OTHER 		Trach/ Mv >96 Without Maj Or 28 $890.00 $1,073,071.90 $252,277.16 nat. median
$7,428
outlier · 34.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Comorbity 12 $92,610.02 $407,202.03 $249,906.02 nat. median
$65,418
outlier · 3.8×
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 12 $9,477.47 $322,077.85 $246,294.83 nat. median
$145,435
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $98,012.46 $381,155.15 $239,583.80 nat. median
$72,715
outlier · 3.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $89,006.03 $358,201.17 $223,603.60 nat. median
$74,509
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Comorbity Or Intestinal Transplant 14 $84,568.18 $344,209.95 $214,389.07 nat. median
$69,922
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 11 $81,784.67 $339,713.60 $210,749.14 nat. median
$73,023
outlier · 2.9×
5
OTHER 		Liver Tran W Mcc/intes Trn 29 $890.00 $1,005,808.96 $198,004.87 nat. median
$8,605
outlier · 23.0×
216
OTHER 		Cv & Px W C Cath W Mcc 28 $890.00 $2,007,121.59 $191,913.84 nat. median
$283
outlier · 678.9×
14
OTHER 		Allogen Bone Marrow Transp 29 $780.00 $729,154.91 $186,734.79 nat. median
$6,714
outlier · 27.8×
69930
OTHER 		Implant Cochlear Device 23 $32,384.63 $287,605.91 $185,190.15 —
45081
OTHER 		Stylet Ld Kit Acc 17cm 17 $36,303.38 $297,687.71 $181,516.90 —
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 11 $38,743.00 $322,769.16 $180,756.08 nat. median
$69,822
outlier · 2.6×
9830
OTHER 		Nusinersen 12 Mg Inj 22 $1,122.04 $279,517.50 $180,322.88 —
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 12 $69,551.45 $280,336.56 $174,944.01 nat. median
$59,651
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 12 $65,341.94 $281,101.47 $173,221.70 nat. median
$56,428
outlier · 3.1×
215
OTHER 		Oth Heart Assist Sys Impl 28 $700.00 $575,495.13 $168,690.71 nat. median
$229
outlier · 737.5×
27445
OTHER 		Revision Of Knee Joint 23 $11,584.00 $258,970.72 $167,383.51 —
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 11 $38,743.00 $269,887.21 $154,315.11 nat. median
$60,505
outlier · 2.6×
64568
OTHER 		Inc For Vagus N Elect Impl 23 $27,697.28 $239,099.36 $153,956.66 —
957
OTHER 		Or Px Mult Sig Trama W Mcc 27 $890.00 $400,516.72 $151,028.12 nat. median
$40
outlier · 3787.1×
927
OTHER 		Ext Burn Ft Mv>96 W Sg 27 $890.00 $407,326.47 $149,478.00 nat. median
$2
outlier · 92843.5×
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 11 $38,743.00 $259,391.30 $149,067.15 nat. median
$55,935
outlier · 2.7×
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 11 $38,743.00 $256,451.38 $147,597.19 nat. median
$55,923
outlier · 2.6×
20
OTHER 		Int Vasc Px Pdx Hem W Mcc 28 $890.00 $575,870.84 $147,479.12 nat. median
$10,565
outlier · 14.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $59,527.70 $233,989.60 $146,758.65 nat. median
$51,518
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 11 $57,539.48 $227,966.76 $142,753.12 nat. median
$49,569
outlier · 2.9×
219
OTHER 		Cv & Px Wo C Cath W Mcc 28 $890.00 $553,917.16 $141,136.66 nat. median
$37,527
outlier · 3.8×
222
OTHER 		C Defb W C Cth W Ami W Mcc 28 $890.00 $545,252.85 $139,637.93 nat. median
$1
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $46,870.86 $226,762.85 $136,816.86 nat. median
$38,844
outlier · 3.5×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $92,507.64 $174,736.66 $133,622.15 nat. median
$2,110
outlier · 63.3×
61886
OTHER 		Implant Neurostim Arrays 23 $27,697.28 $206,950.91 $133,256.20 —

Other procedures at this hospital

Browse this hospital's 149,277 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 6 — — $343,408.54 $1,225,277.67 $639,294.53 2026-07-18
Q2056 HCPCS Carvykti 25 7 $1,943,586.75 $194,358.68 90% off $448.00 $1,185,334.43 $599,402.55 2026-07-18
Q2054 HCPCS Breyanzi 17 7 $1,952,712.72 $195,271.27 90% off $448.00 $1,110,444.84 $573,445.28 2026-07-18
Q2042 HCPCS Kymriah 10 8 $1,831,031.27 $183,103.13 90% off $448.00 $1,216,091.26 $572,196.62 2026-07-18
Q2055 HCPCS Abecma 9 7 $1,904,566.30 $190,456.63 90% off $448.00 $1,135,871.72 $569,243.38 2026-07-18
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 24 12 — — $224,045.58 $901,218.14 $562,631.86 2026-07-18
316762 OTHER Tisagenlecle Ped 600 Mil 23 23 $968,339.75 $96,833.98 90% off $203,351.35 $829,547.94 $558,331.10 2026-07-31
Q2041 HCPCS Yescarta 25 7 $1,617,000.00 $161,700.00 90% off $448.00 $1,052,461.87 $542,836.10 2026-07-18
Q2053 HCPCS Tecartus 25 7 $1,617,000.00 $161,700.00 90% off $448.00 $1,049,310.75 $499,239.19 2026-07-18
370385 OTHER Tisagenlecleucel 600 Mil 23 23 $758,876.75 $75,887.68 90% off $159,364.12 $829,547.94 $440,148.52 2026-07-31
327429 OTHER Idecabtagene Vicleucel 21 21 $758,876.75 $75,887.68 90% off $159,364.12 $622,278.94 $440,148.52 2026-07-31
3 OTHER Ecmo Trach Mv >96 W Or 28 28 $1,703,205.16 $170,320.52 90% off $890.00 $1,396,628.23 $362,747.32 2026-07-31
327289 OTHER Brexucabtagene Autoleuce 23 23 $595,926.50 $59,592.65 90% off $125,144.57 $770,991.00 $346,829.22 2026-07-31
316750 OTHER Axicabtagene 200 Mil 23 23 $595,926.50 $59,592.65 90% off $125,144.57 $770,991.00 $346,829.22 2026-07-31
327426 OTHER Lisocabtagene Maraleucel 21 21 $595,926.50 $59,592.65 90% off $125,144.57 $488,659.73 $345,637.37 2026-07-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 6 — — $171,498.42 $876,611.29 $323,941.46 2026-07-18
18 OTHER Chim Antg Rec T-cell&o Imm 27 27 $892,005.00 $89,200.50 90% off $780.00 $731,444.10 $312,201.75 2026-07-31
7 MS_DRG Lung Transplant 24 12 — — $105,353.47 $407,943.66 $256,648.57 2026-07-18
4 OTHER Trach/ Mv >96 Without Maj Or 28 28 $1,308,624.27 $130,862.43 90% off $890.00 $1,073,071.90 $252,277.16 2026-07-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Comorbity 24 12 — — $92,610.02 $407,202.03 $249,906.02 2026-07-18
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 18 12 — — $9,477.47 $322,077.85 $246,294.83 2026-07-18
14 MS_DRG Allogeneic Bone Marrow Transplant 24 12 — — $98,012.46 $381,155.15 $239,583.80 2026-07-18
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 10 — — $89,006.03 $358,201.17 $223,603.60 2026-07-18
5 MS_DRG Liver Transplant With Comorbity Or Intestinal Transplant 28 14 — — $84,568.18 $344,209.95 $214,389.07 2026-07-18
215 MS_DRG Other Heart Assist System Implant 24 11 — — $81,784.67 $339,713.60 $210,749.14 2026-07-18
5 OTHER Liver Tran W Mcc/intes Trn 29 29 $1,226,596.29 $122,659.63 90% off $890.00 $1,005,808.96 $198,004.87 2026-07-31
216 OTHER Cv & Px W C Cath W Mcc 28 28 $2,447,709.25 $244,770.93 90% off $890.00 $2,007,121.59 $191,913.84 2026-07-31
14 OTHER Allogen Bone Marrow Transp 29 29 $889,213.30 $88,921.33 90% off $780.00 $729,154.91 $186,734.79 2026-07-31
69930 OTHER Implant Cochlear Device 23 23 $350,738.91 $35,073.89 90% off $32,384.63 $287,605.91 $185,190.15 2026-07-31
45081 OTHER Stylet Ld Kit Acc 17cm 17 17 $363,033.79 $36,303.38 90% off $36,303.38 $297,687.71 $181,516.90 2026-07-31
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 24 11 — — $38,743.00 $322,769.16 $180,756.08 2026-07-18
9830 OTHER Nusinersen 12 Mg Inj 22 22 $340,875.00 $34,087.50 90% off $1,122.04 $279,517.50 $180,322.88 2026-07-31
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 25 12 — — $69,551.45 $280,336.56 $174,944.01 2026-07-18
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 25 12 — — $65,341.94 $281,101.47 $173,221.70 2026-07-18
215 OTHER Oth Heart Assist Sys Impl 28 28 $701,823.33 $70,182.33 90% off $700.00 $575,495.13 $168,690.71 2026-07-31
27445 OTHER Revision Of Knee Joint 23 23 $315,817.95 $31,581.80 90% off $11,584.00 $258,970.72 $167,383.51 2026-07-31
231 MS_DRG Coronary Bypass With Ptca With Comorbity 24 11 — — $38,743.00 $269,887.21 $154,315.11 2026-07-18
64568 OTHER Inc For Vagus N Elect Impl 23 23 $291,584.58 $29,158.46 90% off $27,697.28 $239,099.36 $153,956.66 2026-07-31
957 OTHER Or Px Mult Sig Trama W Mcc 27 27 $488,435.02 $48,843.50 90% off $890.00 $400,516.72 $151,028.12 2026-07-31
927 OTHER Ext Burn Ft Mv>96 W Sg 27 27 $427,080.00 $42,708.00 90% off $890.00 $407,326.47 $149,478.00 2026-07-31
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 24 11 — — $38,743.00 $259,391.30 $149,067.15 2026-07-18
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 24 11 — — $38,743.00 $256,451.38 $147,597.19 2026-07-18
20 OTHER Int Vasc Px Pdx Hem W Mcc 28 28 $702,281.52 $70,228.15 90% off $890.00 $575,870.84 $147,479.12 2026-07-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 10 — — $59,527.70 $233,989.60 $146,758.65 2026-07-18
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 24 11 — — $57,539.48 $227,966.76 $142,753.12 2026-07-18
219 OTHER Cv & Px Wo C Cath W Mcc 28 28 $675,508.73 $67,550.87 90% off $890.00 $553,917.16 $141,136.66 2026-07-31
222 OTHER C Defb W C Cth W Ami W Mcc 28 28 $664,942.50 $66,494.25 90% off $890.00 $545,252.85 $139,637.93 2026-07-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 12 — — $46,870.86 $226,762.85 $136,816.86 2026-07-18
209 MS_DRG Complex Aortic Arch Procedures 15 10 — — $92,507.64 $174,736.66 $133,622.15 2026-07-18
61886 OTHER Implant Neurostim Arrays 23 23 $252,379.16 $25,237.92 90% off $27,697.28 $206,950.91 $133,256.20 2026-07-31
453 OTHER Ant/pos Spnal Fusn W Mcc 28 28 $623,724.55 $62,372.45 90% off $890.00 $511,454.13 $130,982.15 2026-07-31
426 MS_DRG Non-hypovolemic Sodium Disorders 15 10 — — $90,164.31 $170,310.37 $130,237.34 2026-07-18
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 25 12 — — $51,637.82 $207,726.55 $129,682.18 2026-07-18
224 OTHER C Defb W C Cth O Ami W Mcc 28 28 $618,920.25 $61,892.03 90% off $890.00 $507,514.61 $129,155.56 2026-07-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — — $50,678.77 $206,532.62 $128,605.70 2026-07-18
955 OTHER Craniotomy Mult Sign Traum 27 27 $447,219.97 $44,722.00 90% off $890.00 $366,720.37 $127,973.38 2026-07-31
16 MS_DRG Autologous Bone Marrow Transplant With Complication/comorbity Or T-cell Immunoth… 24 12 — — $50,073.25 $205,428.49 $127,750.87 2026-07-18
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 7 6 — — $112,449.65 $212,404.90 $127,442.94 2026-07-18
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 25 12 — — $50,336.24 $202,046.25 $126,191.24 2026-07-18
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 12 — — $46,156.66 $205,428.49 $125,792.57 2026-07-18
28 MS_DRG Spinal Procedures With Comorbity 25 12 — — $50,692.15 $200,410.01 $125,551.08 2026-07-18
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 24 11 — — $38,743.00 $211,690.78 $125,216.89 2026-07-18
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 25 12 — — $45,066.10 $204,244.54 $124,655.32 2026-07-18
321097 OTHER Fem/tib Knee Med Cstm 20 20 $223,399.00 $22,339.90 90% off $46,913.79 $183,187.18 $123,763.04 2026-07-31
233 OTHER C Byp W Cath Or O Abl W Mc 28 28 $561,933.56 $56,193.36 90% off $890.00 $460,785.52 $123,549.96 2026-07-31
456 OTHER Spi Fus X Cer, Fus W Mcc 28 28 $577,681.89 $57,768.19 90% off $890.00 $473,699.15 $121,313.20 2026-07-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 25 12 — — $48,503.14 $188,527.28 $118,515.21 2026-07-18
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 25 12 — — $48,260.63 $188,357.67 $118,309.15 2026-07-18
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 11 — — $38,743.00 $197,832.59 $118,287.79 2026-07-18
24435 OTHER Repair Humerus With Graft 23 23 $223,961.85 $22,396.19 90% off $11,584.00 $183,648.72 $118,251.86 2026-07-31
6 OTHER Liver Transplant Without Mcc 29 29 $559,116.75 $55,911.68 90% off $890.00 $458,475.74 $117,414.52 2026-07-31
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 24 11 — — $38,743.00 $195,571.11 $117,157.05 2026-07-18
334844 OTHER Mid-c 105mm W/40mm Exten 19 19 $217,957.14 $21,795.71 90% off $45,771.00 $178,724.85 $115,081.37 2026-07-31
73093 OTHER Kit Stm 40cm 4.8mm Dp Br 17 17 $229,984.92 $22,998.49 90% off $22,998.49 $188,587.63 $114,992.46 2026-07-31
331437 OTHER Froelich Custom Chest Re 19 19 $217,497.50 $21,749.75 90% off $45,674.48 $178,347.95 $114,838.68 2026-07-31
228 OTHER Oth Cardiothor Px W Mcc 28 28 $936,950.13 $93,695.01 90% off $890.00 $768,299.10 $114,361.52 2026-07-31
218 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath Without Complication/… 24 11 — — $38,743.00 $189,455.15 $114,099.07 2026-07-18
928 OTHER Brn W Sg Or Inhal Inj W Cc 27 27 $598,397.29 $59,839.73 90% off $890.00 $490,685.77 $113,640.95 2026-07-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 13 6 — — $59,860.77 $230,128.46 $113,070.35 2026-07-18
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 6 — — $59,560.78 $265,839.83 $112,503.70 2026-07-18
870 OTHER Septi Or Sepsi W Mv >96hrs 27 27 $686,767.90 $68,676.79 90% off $700.00 $563,149.67 $111,997.11 2026-07-31
219779 OTHER Valve Sapien 3 26mm Thv 20 20 $216,775.00 $21,677.50 90% off $45,522.75 $177,755.50 $111,422.35 2026-07-31
219780 OTHER Valve Sapien 3 29mm Trv 20 20 $216,775.00 $21,677.50 90% off $45,522.75 $177,755.50 $111,422.35 2026-07-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 12 — — $47,513.37 $174,988.36 $111,250.87 2026-07-18
19 OTHER Sim Panc/kid Trnsp W Hemo 27 27 $441,495.00 $44,149.50 90% off $890.00 $362,025.90 $110,361.04 2026-07-31
23472 OTHER Reconstruct Shoulder Joint 23 23 $207,824.93 $20,782.49 90% off $11,584.00 $170,416.44 $110,147.21 2026-07-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 6 — — $57,806.42 $231,631.68 $109,189.90 2026-07-18
232 OTHER Corn Bypass W Ptca Wo Mcc 28 28 $707,802.00 $70,780.20 90% off $700.00 $580,397.64 $108,528.72 2026-07-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 25 12 — — $44,370.02 $172,490.76 $108,430.39 2026-07-18
22867 OTHER Insj Stablj Dev W/dcmprn 23 23 $204,181.95 $20,418.20 90% off $14,926.52 $167,429.20 $107,808.07 2026-07-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $74,324.74 $140,391.18 $107,357.96 2026-07-18
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 24 11 — — $876.56 $174,419.66 $106,581.33 2026-07-18
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 24 11 — — $44,928.30 $168,177.32 $106,552.81 2026-07-18
956 OTHER Limb Reatt Him&fem Mult Tr 27 27 $506,876.32 $50,687.63 90% off $890.00 $415,638.58 $106,444.03 2026-07-31
790 OTHER Ext Immat Or Rd Syn Neonat 26 26 $487,152.95 $48,715.29 90% off $780.00 $399,465.41 $106,031.26 2026-07-31
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 24 11 — — $38,743.00 $172,866.56 $105,804.78 2026-07-18
235 OTHER Corn Bypass Wo Cath W Mcc 28 28 $501,648.35 $50,164.84 90% off $890.00 $411,351.65 $105,232.30 2026-07-31
268 OTHER Art Hrt X Puls Blm W Mcc 28 28 $423,061.54 $42,306.15 90% off $890.00 $346,910.46 $105,143.12 2026-07-31
8 OTHER Sim Pancreas/kidney Trans 29 29 $531,875.00 $53,187.50 90% off $890.00 $436,137.50 $105,106.26 2026-07-31
31623 OTHER Dx Bronchoscope/brush 23 23 $198,679.95 $19,868.00 90% off $1,407.59 $162,917.56 $104,903.01 2026-07-31
29827 OTHER Arthroscop Rotator Cuff Repr 23 23 $198,102.45 $19,810.25 90% off $5,893.19 $162,444.01 $104,598.09 2026-07-31
26077 OTHER Kit Fbr Lsr Neuro 3mm 17 17 $207,920.00 $20,792.00 90% off $20,792.00 $170,494.40 $103,960.00 2026-07-31
26076 OTHER Kit Fbr Lsr Neuro 10mm 17 17 $207,920.00 $20,792.00 90% off $20,792.00 $170,494.40 $103,960.00 2026-07-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 13 6 — — $54,968.59 $206,795.35 $103,829.56 2026-07-18
328046 OTHER System FlowTriever Aspir 21 21 $195,624.00 $19,562.40 90% off $19,562.40 $160,411.68 $103,680.72 2026-07-31
789 OTHER Neon Died Or Trans To Acf 25 25 $492,868.02 $49,286.80 90% off $780.00 $404,151.78 $103,502.28 2026-07-31
850 MS_DRG Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 15 10 — — $71,568.01 $135,184.02 $103,376.01 2026-07-18
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 24 11 — — $38,743.00 $167,572.05 $103,157.52 2026-07-18
471 MS_DRG Cervical Spinal Fusion With Comorbity 25 12 — — $41,403.85 $163,591.18 $102,497.51 2026-07-18
50405 OTHER Revision Of Kidney/ureter 21 21 $175,428.75 $17,542.88 90% off $36,840.04 $143,851.58 $101,748.68 2026-07-31
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 25 12 — — $7,867.00 $162,300.81 $101,585.00 2026-07-18
53447 OTHER Remove/replace Ur Sphincter 23 23 $191,766.49 $19,176.65 90% off $17,174.90 $157,248.52 $101,252.71 2026-07-31
969 OTHER HIV W Ext Or Px W Mcc 27 27 $556,424.60 $55,642.46 90% off $890.00 $456,268.17 $100,885.96 2026-07-31
6 MS_DRG Liver Transplant Without Comorbity 28 14 — — $39,894.38 $160,860.78 $100,377.58 2026-07-18
226 OTHER C Defib Wo C Cath W Mcc 28 28 $413,990.86 $41,399.09 90% off $890.00 $339,472.50 $99,960.50 2026-07-31
459 OTHER Spinal Fusn X Cervical Mcc 28 28 $474,616.07 $47,461.61 90% off $890.00 $389,185.17 $99,669.37 2026-07-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — — $39,748.70 $159,048.28 $99,398.49 2026-07-18
220 OTHER Cv & Mj CT Px Wo C Cth Wcc 28 28 $505,779.40 $50,577.94 90% off $890.00 $414,739.10 $99,358.16 2026-07-31
21 OTHER Int Vasc Px Pdx Hem W Cc 28 28 $455,836.71 $45,583.67 90% off $890.00 $373,786.11 $99,345.11 2026-07-31
318780 OTHER Icd Emblem MRI A219 21 21 $186,560.00 $18,656.00 90% off $39,177.60 $152,979.20 $98,503.68 2026-07-31
234 OTHER C Byp W Cath Or O Abl Wo M 28 28 $564,391.67 $56,439.17 90% off $700.00 $462,801.17 $97,840.16 2026-07-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 10 — — $47,211.00 $148,339.52 $97,775.26 2026-07-18
969 MS_DRG HIV With Extensive O.r. Procedure With Comorbity 13 6 — — $51,581.94 $228,562.06 $97,432.56 2026-07-18
207 OTHER Resp Sys Dx W Vent >96 28 28 $863,963.81 $86,396.38 90% off $700.00 $708,450.32 $97,343.07 2026-07-31
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 24 11 — — $38,743.00 $154,598.49 $96,670.74 2026-07-18
63655 OTHER Implant Neuroelectrodes 23 23 $182,952.00 $18,295.20 90% off $19,264.51 $150,020.64 $96,598.66 2026-07-31
23 OTHER Craniotomy W Device W Mcc 28 28 $517,430.67 $51,743.07 90% off $890.00 $424,293.15 $96,253.43 2026-07-31
16 OTHER Autol Bn Mrw Trns Cc/mcc 29 29 $455,596.27 $45,559.63 90% off $780.00 $373,588.94 $95,675.22 2026-07-31
270 OTHER Oth Major Cardio W Mcc 28 28 $579,307.42 $57,930.74 90% off $890.00 $475,032.09 $95,341.44 2026-07-31
27870 OTHER Fusion Of Ankle Joint Open 23 23 $180,214.65 $18,021.47 90% off $11,584.00 $147,776.01 $95,153.34 2026-07-31
64569 OTHER Revise/repl Vagus N Eltrd 23 23 $178,180.80 $17,818.08 90% off $10,569.45 $146,108.26 $94,079.46 2026-07-31
326969 OTHER Extension Nrstm 60cm 3.8 20 20 $182,952.00 $18,295.20 90% off $38,419.92 $150,020.64 $94,037.33 2026-07-31
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 13 6 — — $49,562.21 $201,095.10 $93,617.50 2026-07-18
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 25 12 — — $36,237.64 $150,687.47 $93,462.55 2026-07-18
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 25 12 — — $39,183.34 $146,862.91 $93,023.12 2026-07-18
323731 OTHER Kit Nrstm Rns Conn 21 21 $175,725.00 $17,572.50 90% off $36,902.25 $144,094.50 $92,782.80 2026-07-31
21196 OTHER Reconst Lwr Jaw W/fixation 23 23 $175,057.31 $17,505.73 90% off $4,784.24 $143,547.00 $92,780.38 2026-07-31
266 OTHER Endo Card Vlv Repl W Mcc 28 28 $421,518.57 $42,151.86 90% off $890.00 $345,645.23 $92,772.36 2026-07-31
29889 OTHER Knee Arthroscopy/surgery 23 23 $175,461.30 $17,546.13 90% off $11,584.00 $143,878.27 $92,643.57 2026-07-31
269794 OTHER Valve Sapien 3 23mm Thv 20 20 $178,750.00 $17,875.00 90% off $37,537.50 $146,575.00 $91,877.50 2026-07-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Comorbity 25 12 — — $38,523.50 $145,063.71 $91,793.60 2026-07-18
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 18 12 — — $2,253.21 $119,721.70 $91,551.89 2026-07-18
54411 OTHER Remov/replc Penis Pros Comp 23 23 $172,965.45 $17,296.55 90% off $17,174.90 $141,831.67 $91,325.76 2026-07-31
26066 OTHER Generator Aspiresr Seizu 21 21 $169,950.00 $16,995.00 90% off $35,689.50 $139,359.00 $89,733.60 2026-07-31
18918 OTHER Cath Impella Cp Pump Set 17 17 $178,750.00 $17,875.00 90% off $17,875.00 $146,575.00 $89,375.00 2026-07-31
333943 OTHER Implant Cochlear Flexsof 20 20 $173,804.40 $17,380.44 90% off $36,498.92 $142,519.61 $89,335.46 2026-07-31
50547 OTHER Laparo Removal Donor Kidney 21 21 $153,179.25 $15,317.93 90% off $32,167.64 $125,606.99 $88,843.97 2026-07-31
38589 OTHER Laparoscope Proc Lymphatic 23 23 $168,250.95 $16,825.10 90% off $4,760.15 $137,965.78 $88,836.50 2026-07-31
463 OTHER Wnd Deb & Sg Ex Hand Wmcc 28 28 $422,153.61 $42,215.36 90% off $890.00 $346,165.96 $88,652.26 2026-07-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 13 6 — — $46,610.21 $186,205.94 $88,041.50 2026-07-18
322960 OTHER Frame Exfx 200mm Salva 17 17 $175,784.47 $17,578.45 90% off $17,578.45 $144,143.27 $87,892.24 2026-07-31
826 OTHER Myl Dis/neo W Mor Px W Mcc 27 27 $434,437.90 $43,443.79 90% off $890.00 $356,239.08 $87,801.50 2026-07-31
31 MS_DRG Ventricular Shunt Procedures With Comorbity 25 12 — — $22,513.00 $136,905.77 $87,783.92 2026-07-18
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 13 6 — — $46,457.44 $183,086.44 $87,752.95 2026-07-18
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 10 — — $37,456.55 $137,683.98 $87,570.26 2026-07-18
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 13 6 — — $46,328.32 $171,483.07 $87,509.05 2026-07-18
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 24 11 — — $1,969.87 $138,302.56 $87,469.32 2026-07-18
650 OTHER Kid Tsplt W Hemo W Mcc 27 27 $431,465.88 $43,146.59 90% off $890.00 $353,802.02 $87,409.72 2026-07-31
834 OTHER Ac Leuk Wo Maj Or Px W Mcc 27 27 $416,182.95 $41,618.29 90% off $780.00 $341,270.02 $87,398.42 2026-07-31
16686 OTHER Valve Trncath Mldy 18mm 20 20 $169,950.00 $16,995.00 90% off $35,689.50 $139,359.00 $87,354.30 2026-07-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $2,459.96 $113,753.07 $86,987.64 2026-07-18
21147 OTHER Lefort I-3/> Piece With Graft 23 23 $163,787.40 $16,378.74 90% off $4,784.24 $134,305.67 $86,807.32 2026-07-31
17 OTHER Autol Bn Mrw Trns Wo Ccmcc 29 29 $272,732.40 $27,273.24 90% off $780.00 $223,640.57 $86,235.00 2026-07-31
853 OTHER Inf & Par Dis Or Px W Mcc 27 27 $486,972.52 $48,697.25 90% off $890.00 $399,317.47 $86,194.27 2026-07-31
457 OTHER Spi Fus X Cer Ext Fus W Cc 28 28 $397,360.24 $39,736.02 90% off $890.00 $325,835.39 $86,167.24 2026-07-31
219748 OTHER Processor Dual Kt N7 21 21 $162,042.00 $16,204.20 90% off $16,204.20 $132,874.44 $85,882.26 2026-07-31
576 OTHER Sg X Skn Ulc/cellit W Mcc 28 28 $662,844.20 $66,284.42 90% off $890.00 $543,532.24 $85,860.25 2026-07-31
958 OTHER Or Px Mult Sig Trama Wcc 27 27 $295,877.70 $29,587.77 90% off $890.00 $242,619.71 $85,588.30 2026-07-31
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 24 11 — — $36,365.20 $134,398.19 $85,381.70 2026-07-18
11 OTHER Trach Fmn Dx/ Lar W Mcc 28 28 $543,683.14 $54,368.31 90% off $890.00 $445,820.18 $85,273.78 2026-07-31
327015 OTHER Implant Coclr Synchrony 21 21 $161,452.50 $16,145.25 90% off $33,905.03 $132,391.05 $85,246.92 2026-07-31
225 OTHER C Defb W C Cth Wo Ami Womc 28 28 $294,725.33 $29,472.53 90% off $700.00 $241,674.77 $85,068.77 2026-07-31
820 OTHER Lmph/leuk W Or Px W Mcc 27 27 $404,494.29 $40,449.43 90% off $890.00 $331,685.31 $84,943.80 2026-07-31
71652 OTHER Gntr Esurg Dmpls 2pin 21 21 $160,432.80 $16,043.28 90% off $33,690.89 $131,554.90 $84,708.52 2026-07-31
454 OTHER Ant/pos Spinal Fusn W Cc 28 28 $402,083.65 $40,208.36 90% off $890.00 $329,708.59 $84,437.57 2026-07-31
163 OTHER Maj Chest Px W Mcc 28 28 $421,345.21 $42,134.52 90% off $890.00 $345,503.07 $84,308.24 2026-07-31
EAPG-994 OTHER User Customizable Inpatient Procedures 1 1 — — $83,886.77 $83,886.77 $83,886.77 2026-07-31
653 MS_DRG Major Bladder Procedures With Comorbity 13 6 — — $44,299.15 $180,040.10 $83,676.18 2026-07-18
331184 OTHER Nucleus Profile+ W Slim 20 20 $162,041.88 $16,204.19 90% off $34,028.79 $132,874.34 $83,289.52 2026-07-31
245 MS_DRG Aicd Generator Procedures 24 11 — — $15,757.00 $150,700.77 $83,228.88 2026-07-18
221 OTHER Cv & Px Wo C Cth Wo Cc/mcc 28 28 $412,998.55 $41,299.85 90% off $700.00 $338,658.81 $83,042.69 2026-07-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 6 — — $356.56 $229,739.36 $82,876.18 2026-07-18
28 OTHER Spinal Proc W Mcc 28 28 $394,622.26 $39,462.23 90% off $890.00 $323,590.25 $82,870.67 2026-07-31
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 24 11 — — $35,866.75 $129,602.53 $82,734.64 2026-07-18
329630 OTHER Evolut Pro+ Transcathete 17 17 $165,000.00 $16,500.00 90% off $16,500.00 $135,300.00 $82,500.00 2026-07-31
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 25 12 — — $33,860.44 $129,748.86 $81,804.65 2026-07-18
239 OTHER Amp Exc Up Lmb & Toe W Mcc 28 28 $415,468.88 $41,546.89 90% off $890.00 $340,684.48 $81,743.09 2026-07-31
329347 OTHER Synchrony2 Flex28 21 21 $153,634.80 $15,363.48 90% off $32,263.31 $125,980.54 $81,119.17 2026-07-31
324859 OTHER Processor Snd Blk Pltn C 17 17 $162,041.88 $16,204.19 90% off $16,204.19 $132,874.34 $81,020.94 2026-07-31
327298 OTHER Inebilizumab-cdon 23 23 $152,833.50 $15,283.35 90% off $453.32 $125,323.47 $81,001.76 2026-07-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $56,032.37 $105,838.92 $80,935.65 2026-07-18
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $55,993.81 $105,766.08 $80,879.95 2026-07-18
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 13 6 — — $42,653.46 $168,912.30 $80,567.64 2026-07-18
981 OTHER Ext Or Px Unrel Pdx W Mcc 27 27 $409,542.71 $40,954.27 90% off $890.00 $335,825.02 $80,323.17 2026-07-31
227 OTHER C Defib Wo C Cath Wo Mcc 28 28 $350,133.38 $35,013.34 90% off $700.00 $287,109.37 $80,265.49 2026-07-31
24 MS_DRG Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 25 12 — — $34,184.85 $126,004.12 $80,094.49 2026-07-18
EAPG-097 OTHER Aicd Implant 4 4 — — $61,297.73 $86,903.11 $80,049.14 2026-07-31
653 OTHER Maj Bladder Px W Mcc 28 28 $380,638.53 $38,063.85 90% off $890.00 $312,123.59 $79,934.09 2026-07-31
EAPG-995 OTHER Non Covered Care Settings And Services 1 1 — — $79,916.51 $79,916.51 $79,916.51 2026-07-31
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 13 6 — — $42,269.21 $166,261.72 $79,841.84 2026-07-18
471 OTHER Cervical Spn Fusn W Mcc 28 28 $379,747.35 $37,974.74 90% off $890.00 $311,392.83 $79,746.94 2026-07-31
43846 OTHER Gastric Bypass For Obesity 20 20 $143,668.88 $14,366.89 90% off $30,170.46 $117,808.48 $79,736.23 2026-07-31
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 13 6 — — $42,136.13 $159,859.75 $79,590.46 2026-07-18
458 OTHER Spi Fus X Cer Ext Fus Wo C 28 28 $377,712.04 $37,771.20 90% off $700.00 $309,723.87 $79,319.53 2026-07-31
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity 13 6 — — $41,974.72 $189,002.86 $79,285.59 2026-07-18
332545 OTHER Implant Coclr Hires Ult 21 21 $149,920.00 $14,992.00 90% off $31,483.20 $122,934.40 $79,157.76 2026-07-31
323766 OTHER Kit Pls Gntr 16 Cntct 21 21 $149,556.00 $14,955.60 90% off $31,406.76 $122,635.92 $78,965.57 2026-07-31
335415 OTHER Vercise Genus R16 Ipg Ki 17 17 $157,300.00 $15,730.00 90% off $15,730.00 $128,986.00 $78,650.00 2026-07-31
823 OTHER Lymph & Nal W Px W Mcc 27 27 $397,290.33 $39,729.03 90% off $890.00 $325,778.07 $78,393.45 2026-07-31
329407 OTHER Neurostimulator Implant 21 21 $147,950.00 $14,795.00 90% off $31,069.50 $121,319.00 $78,117.60 2026-07-31
837 MS_DRG Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 13 6 — — $41,211.72 $158,190.25 $77,844.36 2026-07-18
324926 OTHER Set Inst Superion Indr D 21 21 $146,718.00 $14,671.80 90% off $14,671.80 $120,308.76 $77,760.54 2026-07-31
20690 OTHER Apply Bone Fixation Device 23 23 $146,186.25 $14,618.63 90% off $5,893.19 $119,872.73 $77,186.34 2026-07-31
837 OTHER Chmo W Leuk Or Hi Dse Wmcc 27 27 $221,685.89 $22,168.59 90% off $780.00 $181,782.43 $77,146.69 2026-07-31
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 25 12 — — $1,225.18 $121,447.91 $77,128.97 2026-07-18
10 MS_DRG Pancreas Transplant 14 7 — — $7,160.00 $160,085.90 $77,028.05 2026-07-18
466 OTHER Rev Hip/knee Repl W Mcc 28 28 $366,185.33 $36,618.53 90% off $890.00 $300,271.97 $76,898.92 2026-07-31
333610 OTHER Vercise Genus R16 Implan 20 20 $149,556.00 $14,955.60 90% off $31,406.76 $122,635.92 $76,871.79 2026-07-31
27450 OTHER Incision Of Thigh 23 23 $144,602.85 $14,460.29 90% off $5,893.19 $118,574.34 $76,639.51 2026-07-31
54410 OTHER Remove/replace Penis Prosth 23 23 $145,052.78 $14,505.28 90% off $17,174.90 $118,943.28 $76,587.87 2026-07-31
799 OTHER Splenectomy W Mcc 27 27 $364,132.11 $36,413.21 90% off $890.00 $298,588.33 $76,467.74 2026-07-31
273 OTHER Perc Intracardiac W Mcc 28 28 $573,939.11 $57,393.91 90% off $890.00 $470,630.07 $76,182.00 2026-07-31
274 OTHER Perc Intracardiac Without Mcc 28 28 $366,400.20 $36,640.02 90% off $700.00 $300,448.16 $76,182.00 2026-07-31
25 OTHER Cran & Endovas Ic Px W Mcc 28 28 $370,052.02 $37,005.20 90% off $890.00 $303,442.65 $76,060.21 2026-07-31
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 13 6 — — $40,215.65 $145,958.32 $75,962.90 2026-07-18
739 MS_DRG Uterine; Adnexa Proc For Non-ovarian/adnexal Malig With Comorbity 25 12 — — $31,593.48 $120,267.29 $75,930.38 2026-07-18
405 OTHER Panc/liver/shunt Px Mcc 28 28 $350,019.81 $35,001.98 90% off $890.00 $287,016.24 $75,922.92 2026-07-31
29807 OTHER Shoulder Arthroscopy/surgery 23 23 $143,087.70 $14,308.77 90% off $5,893.19 $117,331.91 $75,550.31 2026-07-31
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity 25 12 — — $31,931.28 $119,099.97 $75,515.62 2026-07-18
328944 OTHER Omnia Ipg Kit 21 21 $143,000.00 $14,300.00 90% off $30,030.00 $117,260.00 $75,504.00 2026-07-31
218349 OTHER Proclaim Xr 5 Generator 21 21 $142,758.00 $14,275.80 90% off $29,979.18 $117,061.56 $75,376.22 2026-07-31
217440 OTHER Generator Nrstm 7 Ipg 20 20 $135,960.00 $13,596.00 90% off $28,551.60 $111,487.20 $75,321.84 2026-07-31
58575 OTHER Laps Tot Hyst Resj Mal 21 21 $129,598.35 $12,959.84 90% off $27,215.65 $106,270.65 $75,167.04 2026-07-31
236 OTHER Corn Bypass Wo Cath Wo Mcc 28 28 $470,179.55 $47,017.95 90% off $700.00 $385,547.23 $75,086.72 2026-07-31
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 25 12 — — $21,759.00 $128,056.08 $74,907.54 2026-07-18
611800 OTHER Unrelated Donor Bmt 16 16 $145,544.25 $14,554.43 90% off $30,564.29 $119,346.29 $74,809.74 2026-07-31
511800 OTHER Unrelated Donor Bmt 16 16 $145,544.25 $14,554.43 90% off $30,564.29 $119,346.29 $74,809.74 2026-07-31
325801 OTHER Cochlear Impant Model C1 20 20 $134,906.31 $13,490.63 90% off $28,330.33 $110,623.17 $74,738.10 2026-07-31
265 MS_DRG Aicd Lead Procedures 25 12 — — $31,872.24 $117,533.56 $74,702.90 2026-07-18
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 13 6 — — $39,483.34 $149,719.69 $74,579.65 2026-07-18
901 OTHER Wnd Debrid Inj W Mcc 27 27 $472,960.67 $47,296.07 90% off $890.00 $387,827.75 $74,298.67 2026-07-31
267 OTHER Endo Card Vlv Repl Without Mcc 28 28 $340,676.73 $34,067.67 90% off $700.00 $279,354.92 $74,056.01 2026-07-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 13 6 — — $39,199.10 $147,275.30 $74,042.75 2026-07-18
799 MS_DRG Splenectomy With Comorbity 13 6 — — $39,043.18 $164,775.13 $73,748.23 2026-07-18
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 25 12 — — $32,292.70 $115,139.06 $73,715.88 2026-07-18
219854 OTHER Defb Card 13x51x73mm MRI 21 21 $139,525.00 $13,952.50 90% off $29,300.25 $114,410.50 $73,669.20 2026-07-31
330159 OTHER Nail 12.5mm 5-5mm 24.5cm 20 20 $132,968.88 $13,296.89 90% off $27,923.46 $109,034.48 $73,664.76 2026-07-31
24379 OTHER Nail Trch Fem 10.7 335 20 20 $132,968.88 $13,296.89 90% off $27,923.46 $109,034.48 $73,664.76 2026-07-31
245 OTHER Aicd Generator Procs 28 28 $210,948.50 $21,094.85 90% off $700.00 $172,977.77 $73,621.03 2026-07-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 25 12 — — $31,150.95 $115,943.88 $73,547.41 2026-07-18
330344 OTHER Kit Neurostimulator Perc 20 20 $132,561.00 $13,256.10 90% off $27,837.81 $108,700.02 $73,438.80 2026-07-31
229 OTHER Oth Cardiothor Px Without Mcc 28 28 $425,099.95 $42,510.00 90% off $890.00 $348,581.96 $73,379.20 2026-07-31
271 MS_DRG Other Major Cardiovascular Procedures With Complication 24 11 — — $31,384.82 $114,942.84 $73,163.83 2026-07-18
163 MS_DRG Major Chest Procedures With Comorbity 13 6 — — $38,672.32 $156,760.20 $73,047.71 2026-07-18
333940 OTHER Nail 10.7mm 245mm Fem Tr 21 21 $136,959.31 $13,695.93 90% off $28,761.46 $112,306.63 $72,314.52 2026-07-31
43282 OTHER Lap Paraesoph Her Rpr W/mesh 23 23 $136,922.10 $13,692.21 90% off $8,379.08 $112,276.12 $72,294.87 2026-07-31
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 25 12 — — $221.16 $114,011.65 $72,128.54 2026-07-18
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb… 25 12 — — $28,401.31 $115,624.61 $72,012.96 2026-07-18
9863 OTHER Sipuleucel-t Infusion 23 23 $135,735.50 $13,573.55 90% off $28,504.46 $111,303.11 $71,939.82 2026-07-31
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 13 6 — — $37,971.52 $142,296.73 $71,723.99 2026-07-18
651 OTHER Kid Tsplt W Hemo Wo Mcc 27 27 $348,637.00 $34,863.70 90% off $890.00 $285,882.34 $71,537.64 2026-07-31
333908 OTHER Transmitter Spirit 17 17 $143,000.00 $14,300.00 90% off $14,300.00 $117,260.00 $71,500.00 2026-07-31
27506 OTHER Treatment Of Thigh Fracture 23 23 $134,606.59 $13,460.66 90% off $5,893.19 $110,377.40 $71,341.49 2026-07-31
331977 OTHER Nucleus Profile With Sli 19 19 $135,069.46 $13,506.95 90% off $28,364.59 $110,756.96 $71,316.67 2026-07-31
252 MS_DRG Other Vascular Procedures With Comorbity 25 12 — — $30,849.38 $111,537.33 $71,193.35 2026-07-18
50548 OTHER Laparo Remove W/ureter 21 21 $122,130.23 $12,213.02 90% off $25,647.35 $100,146.78 $70,835.53 2026-07-31
43284 OTHER Laps Esophgl Sphnctr Agmntj 23 23 $134,118.60 $13,411.86 90% off $8,379.08 $109,977.25 $70,814.62 2026-07-31
37 MS_DRG Extracranial Procedures With Comorbity 25 12 — — $29,304.49 $112,262.33 $70,783.41 2026-07-18
21146 OTHER Lefort I-2 Piece With Graft 23 23 $133,440.83 $13,344.08 90% off $4,784.24 $109,421.48 $70,723.64 2026-07-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $48,792.91 $92,164.38 $70,478.65 2026-07-18
44204 OTHER Laparo Partial Colectomy 21 21 $121,439.85 $12,143.99 90% off $25,502.37 $99,580.68 $70,435.11 2026-07-31
335579 OTHER Nail 12.5 X 305Mm 20 20 $136,959.31 $13,695.93 90% off $28,761.46 $112,306.63 $70,397.09 2026-07-31
335435 OTHER Graft Stnt 15cm 37mm Gor 20 20 $136,945.71 $13,694.57 90% off $28,758.60 $112,295.48 $70,390.10 2026-07-31
335436 OTHER Tag Conform Thorasic Sg 20 20 $136,945.71 $13,694.57 90% off $28,758.60 $112,295.48 $70,390.10 2026-07-31
333611 OTHER Gore Tag Conformable Tho 20 20 $136,945.71 $13,694.57 90% off $28,758.60 $112,295.48 $70,390.10 2026-07-31
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 13 6 — — $37,184.88 $143,098.22 $70,238.10 2026-07-18
328473 OTHER Antegrade Tibia-10 Deg. 19 19 $132,968.88 $13,296.89 90% off $27,923.46 $109,034.48 $70,207.57 2026-07-31
55875 OTHER Transperi Needle Place Pros 23 23 $132,755.70 $13,275.57 90% off $4,151.98 $108,859.67 $70,095.01 2026-07-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 10 — — $48,318.89 $91,269.02 $69,793.96 2026-07-18
43775 OTHER Lap Sleeve Gastrectomy 20 20 $125,612.20 $12,561.22 90% off $26,378.56 $103,002.00 $69,714.77 2026-07-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 25 12 — — $28,995.04 $110,253.61 $69,624.32 2026-07-18
29916 OTHER Hip Arthro W/labral Repair 23 23 $131,780.25 $13,178.03 90% off $5,893.19 $108,059.81 $69,579.97 2026-07-31
327215 OTHER Generator Pls 5.55x4.95c 20 20 $125,083.20 $12,508.32 90% off $26,267.47 $102,568.22 $69,296.10 2026-07-31
474 OTHER Amp Musc/tiss Dis W Mcc 28 28 $564,065.60 $56,406.56 90% off $890.00 $462,533.79 $69,233.52 2026-07-31
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 25 12 — — $28,792.66 $109,548.56 $69,170.61 2026-07-18
264 MS_DRG Other Circulatory System O.r. Procedures 25 12 — — $29,686.37 $108,617.36 $69,151.87 2026-07-18
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 22 10 — — $31,779.32 $106,442.35 $69,110.84 2026-07-18
12 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 13 6 — — $36,579.37 $133,190.96 $69,094.37 2026-07-18
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 25 12 — — $27,265.88 $110,739.16 $69,002.52 2026-07-18
331401 OTHER Stent Thoracic Conformab 19 19 $130,514.80 $13,051.48 90% off $27,408.11 $107,022.14 $68,911.81 2026-07-31
331402 OTHER Tag Conformable Throacic 19 19 $130,514.80 $13,051.48 90% off $27,408.11 $107,022.14 $68,911.81 2026-07-31
332228 OTHER Gore Tag Graft 21mmx10cm 19 19 $130,514.80 $13,051.48 90% off $27,408.11 $107,022.14 $68,911.81 2026-07-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $47,650.37 $90,006.26 $68,828.32 2026-07-18
27447 OTHER Total Knee Arthroplasty 23 23 $137,637.94 $13,763.79 90% off $3,071.00 $112,863.11 $68,818.97 2026-07-31
901 MS_DRG Wound Debridements For Injuries With Comorbity 13 6 — — $36,426.61 $143,929.64 $68,805.82 2026-07-18
328814 OTHER Set Vntrc Asst Impella R 17 17 $137,500.00 $13,750.00 90% off $13,750.00 $112,750.00 $68,750.00 2026-07-31
54400 OTHER Insert Semi-rigid Prosthesis 23 23 $129,843.00 $12,984.30 90% off $10,806.32 $106,471.26 $68,557.10 2026-07-31
24430 OTHER Repair Of Humerus 23 23 $129,826.20 $12,982.62 90% off $11,584.00 $106,457.48 $68,548.23 2026-07-31
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 24 11 — — $86.26 $107,779.29 $68,540.31 2026-07-18
216062 OTHER Icd-dr Ddmb1d1 Evera MRI 20 20 $123,702.00 $12,370.20 90% off $25,977.42 $101,435.64 $68,530.91 2026-07-31
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