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

TROY COMMUNITY HOSPITAL

Troy, PA · CCN 391305 · Rates published

Your selected procedure

You selected 93306 (CPT)

Tte W/Doppler, Complete

This hospital’s price: $1,167 across 27 payers · range $183-$2,756

Source: https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=363308ed28b6cde5eff1389501df9f4e2bb14309b95d91b3b4138f5f7fff26a8 · 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.

4,625 distinct procedures filed
28 distinct payers
413,513 rate rows
2026-07-15 last MRF observed
Data quality

397,794 of 413,513 rate rows are consumer-grade (96.2%)

15,719 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
per-diem day rate — not a per-procedure price 8,175
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,862
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 933
template filing: same amount across many unrelated codes — excluded 700
exceeds 10× this hospital's gross charge — excluded from medians 567
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 216
placeholder amount (≤ $0.02) — excluded from medians 138
percent-of-charges filed in the dollar field — excluded from medians 76
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 26
exceeds 3× this hospital's gross charge for a DRG stay — excluded 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=363308ed28b6cde5eff1389501df9f4e2bb14309b95d91b3b4138f5f7fff26a8
Found on page https://www.guthrie.org/about-us/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint 511e3544129fe37c… · 104,865,371 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $228,549.59 $453,916.51 $441,850.78 nat. median
$186,516
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $179,815.41 $339,131.19 $330,116.62 nat. median
$145,435
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $280,739.54 $288,405.76 $281,659.24 nat. median
$65,418
outlier · 4.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $90,840.08 $245,381.15 $239,249.83 nat. median
$74,509
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $123,979.80 $225,617.99 $188,792.41 nat. median
$97,418
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $81,854.50 $155,788.18 $151,647.11 nat. median
$69,822
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With Mcc 4 $47,221.97 $154,675.08 $150,563.60 nat. median
$37,487
outlier · 4.0×
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 5 $108,643.00 $265,246.87 $137,455.50 nat. median
$159,438
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $136,787.55 $140,522.85 $137,235.67 nat. median
$2,633
outlier · 52.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $59,339.94 $140,659.14 $137,144.51 nat. median
$51,518
outlier · 2.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $51,364.75 $135,888.73 $132,276.62 nat. median
$47,340
outlier · 2.8×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $129,914.66 $133,026.48 $129,914.66 nat. median
$43,299
outlier · 3.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $60,998.91 $130,323.24 $126,859.07 nat. median
$52,327
outlier · 2.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $15,796.04 $160,876.62 $123,790.64 nat. median
$60,505
outlier · 2.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $57,812.54 $125,098.50 $121,773.21 nat. median
$49,569
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $71,093.56 $154,834.10 $121,674.69 nat. median
$59,651
outlier · 2.0×
653
MS_DRG 		Major Bladder Procedures With Mcc 4 $45,658.30 $124,439.73 $121,131.95 nat. median
$36,547
outlier · 3.3×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 $47,931.27 $124,326.15 $121,021.38 nat. median
$33,583
outlier · 3.6×
215
MS_DRG 		Other Heart Assist System Implant 4 $86,151.62 $121,532.04 $118,689.11 nat. median
$73,023
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $52,376.83 $121,214.02 $118,185.25 nat. median
$43,533
outlier · 2.7×
J9272
HCPCS 		Dostarlimab-gxly 500 Mg/10ml IV Soln 27 $30,089.79 $376,122.38 $115,461.21 nat. median
$567
outlier · 203.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $58,741.97 $118,124.60 $114,984.69 nat. median
$48,611
outlier · 2.4×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 4 $42,496.40 $116,375.45 $113,282.03 nat. median
$35,725
outlier · 3.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $65,781.83 $111,082.56 $108,129.83 nat. median
$55,935
1.9× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 4 $39,030.02 $109,742.30 $106,825.20 nat. median
$32,899
outlier · 3.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $50,170.49 $108,356.61 $105,476.34 nat. median
$43,803
outlier · 2.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $50,997.87 $108,129.45 $105,255.21 nat. median
$40,726
outlier · 2.6×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 $32,708.74 $108,084.01 $105,210.99 nat. median
$27,340
outlier · 3.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $65,036.26 $107,652.40 $104,790.85 nat. median
$55,923
1.9× median
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 5 $79,538.37 $202,719.84 $101,891.35 nat. median
$153,542
0.7× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 3 $37,619.01 $104,403.98 $101,795.24 nat. median
$35,985
outlier · 2.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $53,684.94 $102,200.50 $99,483.87 nat. median
$47,458
outlier · 2.1×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $38,214.45 $101,791.61 $99,085.84 nat. median
$30,649
outlier · 3.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $52,679.61 $101,064.69 $98,378.25 nat. median
$44,036
outlier · 2.2×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 4 $36,788.26 $98,611.33 $95,990.10 nat. median
$31,388
outlier · 3.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $47,810.66 $97,225.64 $94,641.24 nat. median
$40,301
outlier · 2.3×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $93,314.50 $95,862.66 $93,620.19 nat. median
$2,958
outlier · 31.7×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 $43,488.23 $94,908.58 $92,385.77 nat. median
$37,371
outlier · 2.5×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $40,334.76 $93,545.60 $91,208.18 nat. median
$33,459
outlier · 2.7×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 26 $17,629.80 $386,489.25 $90,970.98 nat. median
$133
outlier · 684.2×
28
MS_DRG 		Spinal Procedures With Mcc 4 $50,824.13 $92,795.96 $90,329.32 nat. median
$41,895
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $21,806.97 $91,455.70 $89,316.33 nat. median
$9,905
outlier · 9.0×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 $41,159.61 $91,024.09 $88,604.55 nat. median
$34,616
outlier · 2.6×
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 4 $32,904.41 $89,070.49 $86,702.88 nat. median
$27,223
outlier · 3.2×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $39,980.53 $89,047.78 $86,680.76 nat. median
$33,546
outlier · 2.6×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 27 $17,355.10 $345,508.88 $86,423.29 nat. median
$709
outlier · 122.0×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 $43,839.09 $86,662.57 $84,358.96 nat. median
$39,159
outlier · 2.2×
332
MS_DRG 		Rectal Resection With Mcc 4 $30,820.37 $85,390.46 $83,120.66 nat. median
$24,723
outlier · 3.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $49,596.98 $84,890.70 $82,634.19 nat. median
$43,023
1.9× median
J9345
HCPCS 		Retifanlimab-dlwr 500 Mg/20ml IV Soln 27 $21,300.35 $266,254.31 $81,734.16 nat. median
$34
outlier · 2398.3×

Other procedures at this hospital

Browse this hospital's 4,625 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 4 $606,157.35 $484,925.88 $228,549.59 $453,916.51 $441,850.78 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 4 $389,301.76 $311,441.41 $179,815.41 $339,131.19 $330,116.62 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 1 $509,022.61 $407,218.09 $280,739.54 $288,405.76 $281,659.24 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 $312,842.95 $250,274.36 20% off $90,840.08 $245,381.15 $239,249.83 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 6 $231,829.97 $185,463.98 $123,979.80 $225,617.99 $188,792.41 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 4 $249,591.32 $199,673.06 $81,854.50 $155,788.18 $151,647.11 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 7 4 $120,098.57 $96,078.86 $47,221.97 $154,675.08 $150,563.60 2026-07-15
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 6 5 $755,491.64 $604,393.31 20% off $108,643.00 $265,246.87 $137,455.50 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 1 $233,199.36 $186,559.49 $136,787.55 $140,522.85 $137,235.67 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 $129,152.03 $103,321.62 20% off $59,339.94 $140,659.14 $137,144.51 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 4 $272,701.39 $218,161.11 20% off $51,364.75 $135,888.73 $132,276.62 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 1 $150,206.15 $120,164.92 20% off $129,914.66 $133,026.48 $129,914.66 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 4 $250,535.28 $200,428.22 20% off $60,998.91 $130,323.24 $126,859.07 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 5 $275,943.79 $220,755.03 20% off $15,796.04 $160,876.62 $123,790.64 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 4 $274,467.43 $219,573.94 20% off $57,812.54 $125,098.50 $121,773.21 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 $155,148.82 $124,119.06 $71,093.56 $154,834.10 $121,674.69 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 7 4 $160,946.69 $128,757.35 20% off $45,658.30 $124,439.73 $121,131.95 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 4 $210,591.33 $168,473.06 20% off $47,931.27 $124,326.15 $121,021.38 2026-07-15
215 MS_DRG Other Heart Assist System Implant 7 4 $819,068.73 $655,254.98 20% off $86,151.62 $121,532.04 $118,689.11 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 $102,983.46 $82,386.77 $52,376.83 $121,214.02 $118,185.25 2026-07-15
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 53 27 $167,165.50 $133,732.40 20% off $30,089.79 $376,122.38 $115,461.21 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 4 $436,916.22 $349,532.98 $58,741.97 $118,124.60 $114,984.69 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 4 $115,658.78 $92,527.02 20% off $42,496.40 $116,375.45 $113,282.03 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 4 $234,847.01 $187,877.61 $65,781.83 $111,082.56 $108,129.83 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 4 $176,093.01 $140,874.41 $39,030.02 $109,742.30 $106,825.20 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 4 $158,307.96 $126,646.37 $50,170.49 $108,356.61 $105,476.34 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 4 $111,889.11 $89,511.29 $50,997.87 $108,129.45 $105,255.21 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 4 $95,416.51 $76,333.21 $32,708.74 $108,084.01 $105,210.99 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 4 $251,745.49 $201,396.39 20% off $65,036.26 $107,652.40 $104,790.85 2026-07-15
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 6 5 $231,829.97 $185,463.98 $79,538.37 $202,719.84 $101,891.35 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 $171,726.32 $137,381.06 $37,619.01 $104,403.98 $101,795.24 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 4 $178,833.90 $143,067.12 20% off $53,684.94 $102,200.50 $99,483.87 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 4 $281,849.07 $225,479.26 $38,214.45 $101,791.61 $99,085.84 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 4 $162,270.08 $129,816.06 20% off $52,679.61 $101,064.69 $98,378.25 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 4 $177,531.32 $142,025.06 $36,788.26 $98,611.33 $95,990.10 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 4 $164,270.71 $131,416.57 $47,810.66 $97,225.64 $94,641.24 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 1 $137,006.62 $109,605.30 $93,314.50 $95,862.66 $93,620.19 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 4 $143,270.52 $114,616.42 $43,488.23 $94,908.58 $92,385.77 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 $112,536.90 $90,029.52 $40,334.76 $93,545.60 $91,208.18 2026-07-15
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 55 26 $171,773.00 $137,418.40 20% off $17,629.80 $386,489.25 $90,970.98 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 7 4 $165,843.26 $132,674.61 $50,824.13 $92,795.96 $90,329.32 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 3 $311,619.59 $249,295.67 20% off $21,806.97 $91,455.70 $89,316.33 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 4 $158,202.20 $126,561.76 20% off $41,159.61 $91,024.09 $88,604.55 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 4 $343,341.95 $274,673.56 20% off $32,904.41 $89,070.49 $86,702.88 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 4 $229,323.96 $183,459.17 $39,980.53 $89,047.78 $86,680.76 2026-07-15
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 55 27 $153,559.50 $122,847.60 $17,355.10 $345,508.88 $86,423.29 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 4 $200,042.42 $160,033.94 $43,839.09 $86,662.57 $84,358.96 2026-07-15
332 MS_DRG Rectal Resection With Mcc 7 4 $120,551.62 $96,441.30 $30,820.37 $85,390.46 $83,120.66 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 4 $201,676.22 $161,340.98 $49,596.98 $84,890.70 $82,634.19 2026-07-15
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20ml IV Soln 53 27 $118,335.25 $94,668.20 20% off $21,300.35 $266,254.31 $81,734.16 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 4 $84,794.00 $67,835.20 20% off $32,867.30 $83,300.56 $81,086.32 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 4 $103,803.12 $83,042.50 $42,836.29 $83,027.97 $80,820.97 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 4 $189,241.75 $151,393.40 20% off $37,969.02 $81,415.11 $79,250.99 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 4 $84,070.64 $67,256.51 20% off $30,203.84 $81,233.38 $79,074.09 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 4 $81,722.34 $65,377.87 20% off $3,776.68 $81,097.08 $78,941.41 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 1 $136,034.39 $108,827.51 20% off $78,499.16 $80,642.76 $78,756.32 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 4 $190,161.94 $152,129.55 20% off $42,649.89 $80,847.20 $78,698.17 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 4 $142,133.57 $113,706.86 $32,984.53 $79,529.66 $77,415.65 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 4 $150,414.15 $120,331.32 $31,393.03 $77,280.75 $75,226.52 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 4 $148,568.16 $118,854.53 $33,777.33 $77,167.17 $75,115.96 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 4 $216,696.83 $173,357.46 20% off $34,113.84 $75,304.44 $73,302.74 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 4 $189,607.93 $151,686.34 20% off $27,781.60 $74,577.51 $72,595.14 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 4 $71,349.08 $57,079.26 20% off $28,724.52 $73,941.46 $71,975.99 2026-07-15
181 APR_DRG Lower Vascular Procedures,extreme 2 2 $357,866.88 $286,293.50 20% off $44,858.67 $97,992.24 $71,425.46 2026-07-15
J2840 HCPCS Sebelipase Alfa 20 Mg/10ml IV Soln 50 27 $141,872.25 $113,497.80 20% off $25,537.01 $319,212.56 $70,936.13 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 7 4 $421,238.34 $336,990.67 20% off $36,500.67 $72,851.08 $70,914.60 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 4 $102,080.79 $81,664.63 20% off $40,540.55 $72,442.19 $70,516.57 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 4 $206,668.92 $165,335.14 $25,642.73 $71,874.28 $69,963.76 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 4 $100,921.02 $80,736.82 $37,244.54 $71,192.79 $69,300.39 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 4 $103,959.38 $83,167.50 20% off $26,357.94 $71,124.64 $69,234.05 2026-07-15
312 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,extreme 6 5 $73,289.45 $58,631.56 20% off $60,804.57 $89,271.35 $68,893.79 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 4 $88,284.05 $70,627.24 $29,731.54 $70,465.87 $68,592.79 2026-07-15
182 APR_DRG Other Upper Vascular Procedures,extreme 2 2 $185,844.91 $148,675.93 $42,556.15 $92,962.46 $67,759.31 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 4 $120,362.11 $96,289.69 $31,954.74 $69,102.89 $67,266.04 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 4 $68,468.15 $54,774.52 20% off $3,776.68 $68,694.00 $66,868.02 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 7 4 $204,792.00 $163,833.60 20% off $41,787.10 $68,625.85 $66,801.68 2026-07-15
36906 CPT Thrmbc/Nfs Dialysis Circuit W/Stenting 53 27 $118,024.37 $94,419.50 $21,244.39 $118,024.37 $66,424.12 2026-07-15
J1628 HCPCS Guselkumab 200 Mg/20ml IV Soln 12 8 $116,859.75 $93,487.80 20% off $21,034.76 $262,934.44 $65,768.67 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 4 $144,575.84 $115,660.67 20% off $39,206.29 $67,217.44 $65,430.71 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 5 $44,836.64 $35,869.31 20% off $3,776.68 $71,647.12 $65,407.63 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 4 $160,856.47 $128,685.18 $34,083.48 $66,535.95 $64,767.34 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 4 $146,923.19 $117,538.55 20% off $35,073.63 $66,467.81 $64,701.00 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 7 4 $89,065.00 $71,252.00 20% off $27,462.79 $66,376.94 $64,612.55 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 53 27 $130,199.75 $104,159.80 20% off $23,435.96 $292,949.44 $64,448.88 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 4 $120,268.42 $96,214.74 $29,149.59 $65,604.59 $63,860.73 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 4 $121,015.95 $96,812.76 20% off $24,637.40 $65,513.72 $63,772.28 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 7 4 $108,329.63 $86,663.70 20% off $38,094.69 $65,422.86 $63,683.83 2026-07-15
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 52 27 $89,174.75 $71,339.80 $16,051.46 $200,643.19 $63,581.60 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 4 $86,544.41 $69,235.53 $36,289.82 $64,945.82 $63,219.47 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 1 $126,144.90 $100,915.92 20% off $62,909.89 $64,627.79 $63,115.98 2026-07-15
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 110 27 $76,393.75 $61,115.00 20% off $9,002.55 $308,661.00 $62,966.90 2026-07-15
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 53 27 $91,073.00 $72,858.40 20% off $15,509.12 $204,914.25 $62,904.12 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 5 $93,730.53 $74,984.42 20% off $34,916.76 $88,684.32 $62,096.66 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 4 $121,101.23 $96,880.98 20% off $36,086.56 $63,401.11 $61,715.82 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 4 $150,325.76 $120,260.61 $22,945.54 $63,332.96 $61,649.48 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 4 $114,696.66 $91,757.33 $31,370.26 $62,401.59 $60,742.87 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 4 $99,633.92 $79,707.14 $25,253.08 $60,697.87 $59,084.44 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 3 $95,100.02 $76,080.02 $25,934.55 $60,402.56 $58,893.29 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 4 $84,471.71 $67,577.37 $29,140.31 $59,902.80 $58,310.50 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 $254,238.04 $203,390.43 20% off $10,892.28 $61,364.10 $58,262.07 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 6 $185,336.34 $148,269.07 20% off $15,443.95 $84,572.67 $57,865.33 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 $143,991.34 $115,193.07 20% off $57,507.23 $65,112.56 $57,507.23 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 6 $99,014.09 $79,211.27 20% off $9,086.31 $82,891.67 $57,495.63 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 7 4 $83,835.59 $67,068.47 20% off $21,358.26 $58,994.15 $57,426.01 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 4 $156,373.93 $125,099.14 20% off $22,021.17 $58,176.37 $56,629.96 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 4 $87,297.15 $69,837.72 $27,332.91 $58,017.35 $56,475.17 2026-07-15
265 MS_DRG Aicd Lead Procedures 8 5 $126,280.02 $101,024.02 $3,776.68 $78,893.61 $56,415.60 2026-07-15
37227 CPT Fem/Popl Revasc Stnt & Ather 49 26 $81,183.54 $64,946.83 20% off $14,613.04 $81,183.54 $56,073.47 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 4 $124,402.73 $99,522.18 20% off $26,664.09 $57,358.58 $55,833.91 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 7 4 $52,376.15 $41,900.92 20% off $23,767.01 $56,881.54 $55,369.55 2026-07-15
169 APR_DRG Major Abdominal Vascular Procedures,extreme 6 5 $134,389.89 $107,511.91 20% off $43,646.55 $106,261.83 $55,143.31 2026-07-15
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,mode… 6 5 $129,598.44 $103,678.75 20% off $47,302.00 $61,732.41 $55,134.06 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 4 $113,780.21 $91,024.17 $37,349.13 $62,356.16 $54,804.61 2026-07-15
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 6 5 $214,404.87 $171,523.90 $42,903.72 $58,848.97 $54,773.04 2026-07-15
37230 CPT Tib/per Revasc With Stent 49 26 $79,179.00 $63,343.20 20% off $14,252.22 $79,179.00 $54,688.94 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 $66,512.69 $53,210.15 20% off $24,245.22 $56,041.04 $54,640.74 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 5 $74,374.57 $59,499.66 $3,776.68 $70,147.84 $54,248.04 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 4 $103,288.59 $82,630.87 20% off $28,414.15 $55,427.70 $53,954.35 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 5 $82,814.80 $66,251.84 20% off $3,776.68 $73,123.67 $53,733.23 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 4 $95,932.33 $76,745.86 20% off $26,462.52 $54,927.94 $53,467.88 2026-07-15
503 MS_DRG Foot Procedures With Mcc 7 4 $77,558.97 $62,047.18 $22,619.14 $54,791.64 $53,335.21 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 4 $88,960.65 $71,168.52 $20,241.60 $54,678.06 $53,224.64 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 4 $101,850.15 $81,480.12 20% off $23,061.09 $54,678.06 $53,224.64 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 4 $44,075.95 $35,260.76 $28,048.11 $54,632.63 $53,180.42 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 5 $60,091.79 $48,073.43 20% off $3,776.68 $69,858.68 $52,871.10 2026-07-15
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 6 5 $272,701.39 $218,161.11 20% off $41,032.12 $106,255.99 $52,365.84 2026-07-15
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 8 5 $27,576.64 $22,061.31 20% off $3,776.68 $71,124.64 $51,846.75 2026-07-15
447 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme 6 5 $245,355.08 $196,284.06 20% off $41,423.29 $59,156.47 $51,707.85 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 4 $130,027.57 $104,022.06 $29,199.35 $52,792.61 $51,389.31 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $145,359.83 $116,287.86 20% off $51,239.08 $69,675.43 $51,239.08 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 4 $129,738.28 $103,790.62 20% off $23,638.82 $52,633.60 $51,234.52 2026-07-15
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme 6 5 $75,534.97 $60,427.98 $42,135.32 $93,876.43 $50,951.06 2026-07-15
305 APR_DRG Amputation Of Lower Limb Except Toes,extreme 6 5 $136,368.53 $109,094.82 20% off $42,008.61 $93,397.55 $50,746.29 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 4 $153,968.36 $123,174.69 $33,858.29 $51,861.24 $50,482.70 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 4 $102,503.04 $82,002.43 20% off $24,663.55 $51,656.80 $50,283.69 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 4 $152,094.43 $121,675.54 20% off $24,352.33 $51,565.93 $50,195.24 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 7 4 $76,621.38 $61,297.10 20% off $18,308.53 $51,338.77 $49,974.11 2026-07-15
441 APR_DRG Major Bladder Procedures,major 6 5 $244,758.63 $195,806.90 20% off $45,508.28 $59,360.52 $49,931.22 2026-07-15
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre… 6 5 $189,341.31 $151,473.05 $39,179.11 $96,149.69 $49,699.53 2026-07-15
J9347 HCPCS Tremelimumab-actl 25 Mg/1.25ml IV Soln 102 27 $29,098.25 $23,278.60 20% off $5,237.69 $793,586.81 $49,420.66 2026-07-15
221 APR_DRG Major Small & Large Bowel Procedures,extreme 6 5 $248,466.13 $198,772.90 20% off $8,903.85 $97,872.52 $49,276.85 2026-07-15
800 MS_DRG Splenic Procedures With Cc 7 4 $75,356.78 $60,285.42 20% off $23,764.48 $50,452.84 $49,111.73 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 5 $33,024.86 $26,419.89 $3,776.68 $64,559.64 $48,574.34 2026-07-15
245 MS_DRG Aicd Generator Procedures 10 7 $50,190.76 $40,152.61 $3,776.68 $109,378.84 $48,117.12 2026-07-15
120 APR_DRG Major Respiratory And Chest Procedures,moderate 6 5 $141,619.07 $113,295.26 $38,855.36 $90,316.89 $47,967.69 2026-07-15
J7504 HCPCS Lymphocyte,anti-thymo Imm Glob 50 Mg/ml IV Soln 53 26 $91,618.75 $73,295.00 20% off $4,791.31 $206,142.19 $47,870.80 2026-07-15
161 APR_DRG Implantable Heart Assist Systems,moderate 6 5 $112,536.90 $90,029.52 $38,451.97 $90,854.18 $47,856.47 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 4 $79,453.18 $63,562.54 20% off $24,906.45 $48,908.13 $47,608.08 2026-07-15
J9356 HCPCS Trastuzumab-hyaluronidase-oysk 600-10000 Mg-unt/5ml Sc Soln 53 27 $65,497.00 $52,397.60 20% off $11,789.46 $147,368.25 $47,550.82 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 4 $122,710.98 $98,168.78 20% off $29,403.45 $48,362.94 $47,077.38 2026-07-15
710 MS_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 2 2 $272,217.20 $217,773.76 20% off $45,410.04 $48,170.97 $46,790.51 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 4 $123,808.98 $99,047.18 20% off $30,799.28 $47,908.61 $46,635.14 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 7 4 $95,178.44 $76,142.75 20% off $20,574.74 $47,772.32 $46,502.46 2026-07-15
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 7 4 $113,812.57 $91,050.06 $14,686.12 $47,749.60 $46,480.35 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 $269,638.99 $215,711.19 20% off $46,430.86 $61,408.04 $46,430.86 2026-07-15
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 6 5 $119,496.00 $95,596.80 20% off $9,028.26 $93,669.11 $46,369.24 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 7 4 $121,088.00 $96,870.40 20% off $18,825.53 $47,272.56 $46,015.99 2026-07-15
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 7 4 $94,397.98 $75,518.38 20% off $18,825.53 $47,272.56 $46,015.99 2026-07-15
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 55 27 $63,070.50 $50,456.40 20% off $11,352.69 $141,908.63 $45,789.18 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 1 $116,785.76 $93,428.61 $45,279.34 $46,363.91 $45,279.34 2026-07-15
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 6 5 $141,398.68 $113,118.94 20% off $35,502.16 $90,054.09 $45,253.38 2026-07-15
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 56 27 $74,855.75 $59,884.60 20% off $11,964.40 $168,425.44 $44,337.07 2026-07-15
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 7 4 $145,351.54 $116,281.23 20% off $14,202.86 $45,364.39 $44,158.54 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 7 4 $88,384.68 $70,707.74 20% off $21,510.07 $45,205.38 $44,003.76 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 $175,801.57 $140,641.26 $43,743.78 $57,277.02 $43,743.78 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 4 $78,122.09 $62,497.67 20% off $20,966.92 $44,819.20 $43,627.84 2026-07-15
J1640 HCPCS Hemin 350 Mg IV Solr 57 27 $88,701.25 $70,961.00 20% off $11,383.68 $199,577.81 $43,020.11 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 6 $114,999.68 $91,999.74 20% off $16,911.86 $62,129.00 $42,735.41 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 9 6 $212,611.50 $170,089.20 $8,962.57 $90,865.08 $42,656.11 2026-07-15
37231 CPT Tib/per Revasc Stent & Ather 49 26 $81,218.00 $64,974.40 20% off $14,619.24 $81,218.00 $42,436.41 2026-07-15
J9024 HCPCS Atezolizumab-hyaluronidas-tqjs 1875-30000 Mg-ut/15ml Sc Soln 53 27 $58,239.00 $46,591.20 20% off $10,483.02 $131,037.75 $42,281.51 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 4 $103,957.40 $83,165.92 20% off $24,005.69 $43,342.64 $42,190.54 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 $120,448.19 $96,358.55 20% off $42,164.10 $52,986.33 $42,164.10 2026-07-15
37229 CPT Tib/per Revasc With Ather 49 26 $80,692.00 $64,553.60 20% off $14,524.56 $80,692.00 $42,161.57 2026-07-15
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 63 27 $66,219.00 $52,975.20 20% off $11,919.42 $150,497.44 $42,118.81 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 4 $88,080.91 $70,464.73 $20,255.94 $42,956.47 $41,814.62 2026-07-15
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 63 27 $63,871.25 $51,097.00 20% off $11,496.83 $149,099.63 $41,727.62 2026-07-15
J9063 HCPCS Mirvetuximab Soravtansine-gynx 100 Mg/20ml IV Soln 53 27 $57,222.00 $45,777.60 20% off $10,299.96 $128,749.50 $41,543.17 2026-07-15
301 APR_DRG Hip Joint Replacement,extreme 6 5 $175,801.57 $140,641.26 $32,287.88 $89,775.22 $41,487.90 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 $143,391.50 $114,713.20 20% off $41,486.85 $53,760.03 $41,486.85 2026-07-15
37236 CPT Open/Perq Place Stent 1st Artery 53 27 $73,272.00 $58,617.60 20% off $13,188.96 $73,272.00 $41,237.48 2026-07-15
36903 CPT Intro Cath Dialysis Circuit W/Stenting 53 27 $72,854.55 $58,283.64 20% off $13,113.82 $72,854.55 $41,002.54 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 7 4 $89,704.29 $71,763.43 20% off $17,767.06 $42,070.53 $40,952.24 2026-07-15
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 57 27 $72,505.50 $58,004.40 20% off $13,050.99 $163,137.38 $40,806.10 2026-07-15
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,minor 6 5 $162,295.85 $129,836.68 20% off $31,815.91 $79,173.98 $40,512.25 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 4 $91,929.89 $73,543.91 20% off $28,188.11 $41,616.21 $40,509.99 2026-07-15
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 7 4 $43,118.78 $34,495.02 20% off $3,776.68 $41,570.77 $40,465.77 2026-07-15
690 APR_DRG Acute Leukemia,major 6 5 $111,889.11 $89,511.29 $30,280.85 $89,909.55 $40,191.66 2026-07-15
J0896 HCPCS Luspatercept-aamt 25 Mg Sc Solr 150 27 $95,529.50 $76,423.60 $5,942.57 $222,845.63 $40,112.32 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/mcc 7 4 $76,343.99 $61,075.19 20% off $15,440.97 $41,025.58 $39,935.07 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 3 3 $112,372.64 $89,898.11 20% off $39,754.50 $53,147.07 $39,754.50 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 4 $132,961.09 $106,368.87 20% off $22,342.51 $52,928.91 $39,528.64 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 5 $50,974.53 $40,779.62 20% off $3,776.68 $47,840.46 $39,221.77 2026-07-15
C2616 HCPCS Bs Therasphere Yttrium Y90 109 27 $69,473.51 $55,578.81 $12,505.23 $75,936.26 $39,099.69 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 8 5 $68,867.80 $55,094.24 20% off $3,776.68 $52,860.76 $38,821.17 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 $92,047.13 $73,637.70 20% off $32,265.11 $44,569.42 $38,714.76 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg IV Solr 56 27 $75,127.75 $60,102.20 20% off $6,501.00 $169,037.44 $38,675.77 2026-07-15
671 MS_DRG Urethral Procedures With Cc/mcc 7 4 $105,800.10 $84,640.08 20% off $14,438.16 $39,708.04 $38,652.55 2026-07-15
J1299 HCPCS Eculizumab 300 Mg/30ml IV Soln 53 27 $52,886.00 $42,308.80 $9,519.48 $118,993.50 $38,395.24 2026-07-15
835 MS_DRG Acute Leukemia With Cc 6 4 $36,186.11 $28,948.89 $3,776.68 $59,153.17 $38,311.82 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 7 4 $120,762.74 $96,610.19 20% off $18,141.53 $39,253.71 $38,210.30 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 5 $64,574.85 $51,659.88 20% off $3,776.68 $47,976.76 $37,715.54 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 6 $217,829.58 $174,263.66 20% off $6,723.49 $75,917.77 $37,657.10 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 8 5 $97,932.42 $78,345.94 $3,776.68 $53,065.21 $37,571.00 2026-07-15
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate 6 5 $311,414.59 $249,131.67 20% off $29,347.37 $78,601.65 $37,337.29 2026-07-15
37238 CPT Open/Perq Place Stent 1st Vein 55 27 $58,067.00 $46,453.60 20% off $10,452.06 $58,067.00 $36,564.44 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 7 4 $89,279.59 $71,423.67 20% off $21,230.06 $37,459.13 $36,463.41 2026-07-15
696 APR_DRG Other Chemotherapy,moderate 2 2 $62,029.03 $49,623.22 20% off $7,349.25 $65,549.03 $36,449.14 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 8 5 $72,896.93 $58,317.54 20% off $3,776.68 $49,294.31 $36,185.19 2026-07-15
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 6 5 $228,219.17 $182,575.34 $28,746.36 $67,756.59 $35,733.76 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 9 6 $91,958.89 $73,567.11 20% off $12,864.13 $66,990.28 $35,584.62 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 4 $80,382.40 $64,305.92 $26,599.15 $36,527.76 $35,556.80 2026-07-15
224 APR_DRG Peritoneal Adhesiolysis,moderate 6 5 $80,053.72 $64,042.98 $25,732.03 $82,692.64 $35,532.26 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 7 4 $83,379.37 $66,703.50 $20,091.47 $36,436.90 $35,468.35 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 5 $84,323.58 $67,458.86 20% off $3,776.68 $53,837.56 $35,309.22 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 5 $66,388.96 $53,111.17 $3,776.68 $44,410.31 $35,236.56 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 8 5 $53,330.95 $42,664.76 $3,776.68 $44,274.01 $35,118.25 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 8 5 $41,033.09 $32,826.47 20% off $3,776.68 $49,907.65 $35,107.78 2026-07-15
363 APR_DRG Breast Procedures Except Mastectomy,major 1 1 $373,302.10 $298,641.68 $34,901.64 $34,901.64 $34,901.64 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 8 5 $57,649.02 $46,119.22 $3,776.68 $45,523.41 $34,816.01 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 7 4 $158,332.91 $126,666.33 $13,030.53 $35,732.69 $34,782.87 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 $113,928.85 $91,143.08 20% off $34,719.40 $46,787.13 $34,719.40 2026-07-15
333 MS_DRG Rectal Resection With Cc 8 5 $49,204.95 $39,363.96 20% off $3,776.68 $47,726.88 $34,700.60 2026-07-15
J9316 HCPCS Pertuz-trastuz-hyaluron-zzxf 60-60-2000 Mg-mg-u/ml Sc Soln 125 27 $46,620.50 $37,296.40 $7,665.60 $157,350.38 $34,615.69 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 8 5 $64,594.12 $51,675.30 $3,776.68 $48,067.63 $34,288.31 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 $136,511.66 $109,209.33 $34,223.49 $40,610.43 $34,223.49 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 8 5 $44,286.31 $35,429.05 $3,776.68 $46,727.37 $34,156.79 2026-07-15
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 7 4 $112,031.23 $89,624.98 20% off $13,510.42 $35,051.20 $34,119.49 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 8 5 $77,322.44 $61,857.95 20% off $3,776.68 $42,161.40 $33,978.57 2026-07-15
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 63 27 $53,390.50 $42,712.40 20% off $9,610.29 $121,342.50 $33,959.40 2026-07-15
61623 CPT Endovasc Temp B Vessel Occl 51 27 $67,860.00 $54,288.00 20% off $12,214.80 $67,860.00 $33,930.00 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 8 5 $78,452.36 $62,761.89 $3,776.68 $41,434.48 $33,683.71 2026-07-15
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 4 1 $45,747.68 $36,598.14 20% off $33,411.90 $34,324.28 $33,521.35 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 7 4 $78,279.64 $62,623.71 20% off $16,647.03 $34,415.15 $33,500.35 2026-07-15
193 APR_DRG Acute And Subacute Endocarditis,extreme 6 5 $94,738.80 $75,791.04 20% off $8,653.92 $66,568.13 $33,387.08 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 $102,190.42 $81,752.34 $33,379.24 $42,743.98 $33,379.24 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 8 5 $66,156.51 $52,925.21 $3,776.68 $41,911.52 $33,187.20 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 3 $78,344.01 $62,675.21 $17,756.10 $33,938.11 $33,090.10 2026-07-15
J9311 HCPCS Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln 50 26 $52,787.00 $42,229.60 20% off $5,120.64 $118,770.75 $33,031.31 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 7 4 $92,317.00 $73,853.60 $16,815.71 $33,779.09 $32,881.20 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 8 5 $67,469.88 $53,975.90 20% off $3,776.68 $41,752.50 $32,843.51 2026-07-15
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 107 27 $67,755.50 $54,204.40 20% off $7,410.73 $152,449.88 $32,759.21 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 4 $67,083.35 $53,666.68 20% off $20,951.74 $33,551.93 $32,660.07 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 $136,519.43 $109,215.54 20% off $14,717.62 $42,411.78 $32,475.12 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 8 5 $44,383.04 $35,506.43 20% off $3,776.68 $43,297.21 $32,433.18 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 7 4 $128,118.89 $102,495.11 20% off $16,546.66 $33,165.75 $32,284.16 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg IV Kit 109 27 $64,916.50 $51,933.20 20% off $1,889.65 $79,367.25 $32,133.67 2026-07-15
548 MS_DRG Septic Arthritis With Mcc 8 5 $59,642.48 $47,713.98 20% off $3,776.68 $43,410.79 $32,003.03 2026-07-15
37225 CPT Fem/Popl Revasc With Ather 49 26 $50,202.64 $40,162.11 20% off $9,036.48 $50,202.64 $31,612.30 2026-07-15
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate 6 5 $164,850.38 $131,880.30 20% off $24,889.81 $66,829.47 $31,604.11 2026-07-15
606 MS_DRG Minor Skin Disorders With Mcc 7 4 $49,701.73 $39,761.38 20% off $3,776.68 $32,370.68 $31,510.23 2026-07-15
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis,major 6 5 $213,611.61 $170,889.29 $25,229.84 $60,021.37 $31,507.58 2026-07-15
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 56 27 $53,150.50 $42,520.40 20% off $7,482.70 $119,588.63 $31,481.04 2026-07-15
23 APR_DRG Spinal Procedures,major 6 5 $111,861.52 $89,489.22 $9,999.50 $64,118.20 $31,222.85 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 $315,252.58 $252,202.06 20% off $31,188.93 $37,110.58 $31,188.93 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 5 $51,398.24 $41,118.59 20% off $3,776.68 $34,574.16 $31,132.89 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 8 5 $70,831.65 $56,665.32 $3,776.68 $40,616.69 $30,996.21 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 5 $34,143.21 $27,314.57 $3,776.68 $39,594.46 $30,990.55 2026-07-15
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 4 $99,432.48 $79,545.98 20% off $13,835.13 $31,734.63 $30,891.08 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 5 3 $84,031.14 $67,224.91 20% off $18,947.82 $31,575.62 $30,836.98 2026-07-15
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 7 4 $66,920.01 $53,536.01 $3,776.68 $31,598.33 $30,758.40 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 8 5 $85,155.50 $68,124.40 20% off $3,776.68 $40,230.51 $30,725.74 2026-07-15
570 MS_DRG Skin Debridement With Mcc 7 5 $74,950.06 $59,960.05 $3,776.68 $44,546.61 $30,393.79 2026-07-15
37226 CPT Fem/Popl Revasc With Stent 51 27 $48,845.81 $39,076.65 $8,792.25 $48,845.81 $30,372.32 2026-07-15
J0717 HCPCS Certolizumab 200 Mg/ml Subq Syringe 65 27 $48,154.75 $38,523.80 $8,667.86 $109,442.25 $30,244.97 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 8 5 $39,547.17 $31,637.74 $3,776.68 $37,527.28 $30,210.53 2026-07-15
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 4 $101,392.48 $81,113.98 20% off $13,335.84 $31,007.71 $30,183.48 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 $96,162.32 $76,929.86 $30,151.55 $41,689.53 $30,151.55 2026-07-15
174 APR_DRG Percutaneous Cardiac Intervention With Ami,extreme 6 5 $98,189.98 $78,551.98 20% off $23,897.62 $57,291.13 $29,959.02 2026-07-15
C9797 HCPCS Vascular Emb Or Occlusion W/Use Of Press -gen Cath; Rad S/i 53 27 $53,184.00 $42,547.20 20% off $9,573.12 $53,184.00 $29,931.96 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 8 5 $55,818.83 $44,655.06 20% off $3,776.68 $40,253.23 $29,787.36 2026-07-15
37241 CPT Vasc Embolize/Occlude Venous 56 27 $49,091.12 $39,272.90 $8,836.40 $49,091.12 $29,076.67 2026-07-15
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis,moderate 6 5 $157,631.15 $126,104.92 20% off $22,912.42 $59,016.88 $29,060.85 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 8 5 $58,458.85 $46,767.08 $3,776.68 $35,482.81 $29,023.12 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 5 $76,034.08 $60,827.26 20% off $3,776.68 $37,640.86 $28,827.73 2026-07-15
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 8 5 $61,264.59 $49,011.67 20% off $3,776.68 $38,163.33 $28,802.33 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 7 5 $50,428.07 $40,342.46 $3,776.68 $58,358.10 $28,779.96 2026-07-15
37221 CPT Iliac Revasc With Stent 50 27 $48,096.00 $38,476.80 $8,657.28 $48,096.00 $28,694.08 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 4 1 $34,176.64 $27,341.31 20% off $28,392.37 $29,167.69 $28,485.39 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $79,795.37 $63,836.30 $3,776.68 $28,479.09 $28,479.09 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 3 3 $195,036.77 $156,029.42 $28,469.81 $35,091.69 $28,469.81 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 8 5 $50,724.10 $40,579.28 20% off $3,776.68 $33,869.96 $28,337.79 2026-07-15
37242 CPT Vasc Embolize/Occlude Artery 53 27 $50,035.00 $40,028.00 20% off $9,006.30 $50,035.00 $28,159.70 2026-07-15
666 MS_DRG Prostatectomy With Cc 8 5 $72,622.56 $58,098.05 $3,776.68 $38,753.96 $28,154.29 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 5 $190,000.98 $152,000.78 20% off $7,040.93 $33,052.43 $28,083.53 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 $157,841.49 $126,273.19 20% off $27,960.40 $38,408.29 $27,960.40 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 8 5 $59,723.37 $47,778.70 $3,776.68 $32,007.22 $27,935.90 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 8 5 $45,722.90 $36,578.32 20% off $3,776.68 $34,528.73 $27,885.26 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 8 5 $61,321.01 $49,056.81 $3,776.68 $34,710.46 $27,780.82 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 8 5 $140,093.87 $112,075.10 $3,776.68 $31,098.57 $27,765.31 2026-07-15
36905 CPT Throbc/Nfs Dialysis Circuit W/Angioplasty 53 27 $49,298.25 $39,438.60 20% off $8,873.69 $49,298.25 $27,745.06 2026-07-15
694 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,major 6 5 $43,124.24 $34,499.39 20% off $9,196.22 $50,758.98 $27,627.85 2026-07-15
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 3 1 $57,020.70 $45,616.56 20% off $27,597.99 $28,259.04 $27,597.99 2026-07-15
J9289 HCPCS Nivolumab-hyaluronidase-nvhy 600-10000 Mg-ut/5ml Sc Soln 53 27 $39,915.75 $31,932.60 20% off $7,184.84 $89,810.44 $27,569.81 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 $76,651.52 $61,321.22 $27,545.44 $34,803.42 $27,545.44 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 5 $52,666.93 $42,133.54 20% off $3,776.68 $31,916.36 $27,397.14 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 $63,769.38 $51,015.50 20% off $27,349.78 $33,797.19 $27,349.78 2026-07-15
398 MS_DRG Appendix Procedures With Cc 7 4 $84,042.44 $67,233.95 20% off $3,776.68 $28,077.31 $27,330.98 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 5 $49,447.15 $39,557.72 20% off $3,776.68 $42,661.16 $27,250.79 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 54 27 $43,451.75 $34,761.40 $7,821.32 $97,766.44 $27,189.81 2026-07-15
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