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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

PRISMA HEALTH HILLCREST HOSPITAL

Simpsonville, SC · CCN 420037 · Rates published

5,238 distinct procedures filed
178 distinct payers
1,862,567 rate rows
2026-09-21 last MRF observed
Data quality

1,765,539 of 1,862,567 rate rows are consumer-grade (94.8%)

97,028 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 43,305
per-diem day rate — not a per-procedure price 21,520
template filing: same amount across many unrelated codes — excluded 14,332
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,848
placeholder amount (≤ $0.02) — excluded from medians 2,265
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,081
percent-of-charges filed in the dollar field — excluded from medians 368
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 277
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/2811042e-b9b1-48fe-b492-2fe834e33dc4/81-1723202_hillcrestmemorialhospital_standardcharges.xlsx
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 91a724ecc78c406f… · 11,779,519 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $654,252.67 $2,288,048.80 $946,504.06 nat. median
$168,055
outlier · 5.6×
7
MS_DRG 		Lung Transplant 23 $82,199.85 $1,730,277.76 $683,066.81 nat. median
$70,649
outlier · 9.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 $7,797.81 $759,369.02 $287,598.08 nat. median
$97,418
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $216,098.57 $677,273.62 $282,183.56 nat. median
$186,516
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $102,194.44 $602,309.54 $224,451.35 nat. median
$65,418
outlier · 3.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $9,845.27 $516,079.53 $211,306.13 nat. median
$145,435
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 28 $45,582.00 $592,708.51 $210,144.28 nat. median
$41,943
outlier · 5.0×
J2326
HCPCS 		Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 37 $94,500.00 $418,481.00 $209,240.50 nat. median
$1,667
outlier · 125.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $119,419.01 $565,788.78 $206,963.84 nat. median
$131,925
1.6× median
6
MS_DRG 		Liver Transplant Without Mcc 24 $41,358.58 $490,405.16 $170,748.75 nat. median
$31,278
outlier · 5.5×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 24 $44,006.90 $473,552.32 $164,661.11 nat. median
$32,772
outlier · 5.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 29 $45,019.81 $446,384.20 $151,908.84 nat. median
$47,121
outlier · 3.2×
570
MS_DRG 		Skin Debridement With Mcc 27 $16,830.00 $449,415.11 $148,647.86 nat. median
$20,813
outlier · 7.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $43,780.86 $432,603.33 $147,486.71 nat. median
$49,569
outlier · 3.0×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 38 $9,894.77 $459,740.10 $136,693.54 nat. median
$6,067
outlier · 22.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $88,125.11 $378,849.96 $132,979.98 nat. median
$69,922
1.9× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 $46,382.00 $374,649.90 $121,380.50 nat. median
$32,992
outlier · 3.7×
163
MS_DRG 		Major Chest Procedures With Mcc 29 $40,978.00 $368,003.46 $118,212.13 nat. median
$31,995
outlier · 3.7×
653
MS_DRG 		Major Bladder Procedures With Mcc 28 $50,592.08 $346,102.22 $111,327.72 nat. median
$36,547
outlier · 3.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 $73,374.12 $309,746.98 $101,411.56 nat. median
$56,428
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 29 $93,638.26 $281,347.79 $99,332.43 nat. median
$73,023
1.4× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 29 $40,152.66 $311,469.55 $95,961.74 nat. median
$34,932
outlier · 2.7×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 29 $49,423.55 $304,865.89 $95,487.43 nat. median
$35,986
outlier · 2.7×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 $39,658.82 $299,185.13 $94,568.96 nat. median
$38,844
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 24 $37,170.47 $291,126.68 $93,709.38 nat. median
$23,080
outlier · 4.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 $53,964.65 $295,555.84 $92,286.16 nat. median
$38,173
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $31,105.63 $255,485.10 $89,736.38 nat. median
$72,715
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $83,910.51 $243,046.92 $88,995.28 nat. median
$69,822
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $75,999.84 $260,402.15 $84,236.50 nat. median
$59,651
1.4× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 $38,051.22 $286,082.92 $84,109.95 nat. median
$23,282
outlier · 3.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 29 $66,759.39 $250,048.24 $82,527.57 nat. median
$60,505
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 28 $5,600.00 $218,924.50 $79,814.93 nat. median
$2,106
outlier · 37.9×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 28 $32,215.00 $264,271.64 $77,854.80 nat. median
$30,674
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 $68,978.21 $241,945.65 $76,384.64 nat. median
$55,923
1.4× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 29 $72,111.72 $259,819.52 $76,241.19 nat. median
$74,509
1.0× median
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 1 Eac 37 $29,382.44 $148,225.00 $74,112.50 nat. median
$57,284
1.3× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 $42,951.40 $229,530.84 $65,622.20 nat. median
$40,301
1.6× median
Q2043
HCPCS 		Sipuleucelt In Lactated Ringers 50 Million Cell 25 42 $31,928.12 $586,116.90 $65,338.10 nat. median
$63,499
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 $60,200.30 $186,421.14 $65,202.42 nat. median
$55,935
1.2× median
347
MS_DRG 		Anal And Stomal Procedures With Mcc 28 $19,699.00 $235,994.58 $62,607.16 nat. median
$16,717
outlier · 3.7×
970
MS_DRG 		HIV With Extensive O.r. Procedures Without Mcc 28 $22,281.25 $232,256.88 $61,809.45 nat. median
$18,549
outlier · 3.3×
197
MS_DRG 		Interstitial Lung Disease With Cc 27 $9,256.97 $236,933.53 $61,201.36 nat. median
$7,334
outlier · 8.3×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 42 $947.03 $176,030.40 $58,519.71 nat. median
$562
outlier · 104.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $50,433.84 $165,912.52 $58,265.40 nat. median
$48,611
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 $54,768.88 $178,021.17 $58,083.35 nat. median
$52,327
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 28 $49,367.90 $162,854.95 $57,167.93 nat. median
$47,340
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 $13,095.12 $154,582.35 $54,556.40 nat. median
$45,605
1.2× median
849
MS_DRG 		Radiotherapy 28 $11,161.05 $212,886.40 $54,053.82 nat. median
$18,565
outlier · 2.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 28 $5,600.00 $141,579.10 $52,346.65 nat. median
$2,106
outlier · 24.9×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 $48,614.87 $168,547.95 $51,412.50 nat. median
$51,518
1.0× median

Other procedures at this hospital

Browse this hospital's 5,238 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 25 — — $654,252.67 $2,288,048.80 $946,504.06 2026-09-21
7 MS_DRG Lung Transplant 26 23 — — $82,199.85 $1,730,277.76 $683,066.81 2026-09-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 27 — — $7,797.81 $759,369.02 $287,598.08 2026-09-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 24 — — $216,098.57 $677,273.62 $282,183.56 2026-09-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 24 — — $102,194.44 $602,309.54 $224,451.35 2026-09-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 27 — — $9,845.27 $516,079.53 $211,306.13 2026-09-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 28 — — $45,582.00 $592,708.51 $210,144.28 2026-09-21
J2326 HCPCS Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 45 37 $418,481.00 $272,012.65 35% off $94,500.00 $418,481.00 $209,240.50 2026-09-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 27 — — $119,419.01 $565,788.78 $206,963.84 2026-09-21
6 MS_DRG Liver Transplant Without Mcc 27 24 — — $41,358.58 $490,405.16 $170,748.75 2026-09-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 24 — — $44,006.90 $473,552.32 $164,661.11 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 29 — — $45,019.81 $446,384.20 $151,908.84 2026-09-21
570 MS_DRG Skin Debridement With Mcc 32 27 — — $16,830.00 $449,415.11 $148,647.86 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 28 — — $43,780.86 $432,603.33 $147,486.71 2026-09-21
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 58 38 $459,740.10 $298,831.07 35% off $9,894.77 $459,740.10 $136,693.54 2026-09-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 24 — — $88,125.11 $378,849.96 $132,979.98 2026-09-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 29 — — $46,382.00 $374,649.90 $121,380.50 2026-09-21
163 MS_DRG Major Chest Procedures With Mcc 35 29 — — $40,978.00 $368,003.46 $118,212.13 2026-09-21
653 MS_DRG Major Bladder Procedures With Mcc 33 28 — — $50,592.08 $346,102.22 $111,327.72 2026-09-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 29 — — $73,374.12 $309,746.98 $101,411.56 2026-09-21
215 MS_DRG Other Heart Assist System Implant 35 29 — — $93,638.26 $281,347.79 $99,332.43 2026-09-21
471 MS_DRG Cervical Spinal Fusion With Mcc 35 29 — — $40,152.66 $311,469.55 $95,961.74 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 29 — — $49,423.55 $304,865.89 $95,487.43 2026-09-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 29 — — $39,658.82 $299,185.13 $94,568.96 2026-09-21
10 MS_DRG Pancreas Transplant 27 24 — — $37,170.47 $291,126.68 $93,709.38 2026-09-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 29 — — $53,964.65 $295,555.84 $92,286.16 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 28 24 — — $31,105.63 $255,485.10 $89,736.38 2026-09-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $83,910.51 $243,046.92 $88,995.28 2026-09-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 28 — — $75,999.84 $260,402.15 $84,236.50 2026-09-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 29 — — $38,051.22 $286,082.92 $84,109.95 2026-09-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 29 — — $66,759.39 $250,048.24 $82,527.57 2026-09-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 33 28 — — $5,600.00 $218,924.50 $79,814.93 2026-09-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 28 — — $32,215.00 $264,271.64 $77,854.80 2026-09-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 29 — — $68,978.21 $241,945.65 $76,384.64 2026-09-21
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 35 29 — — $72,111.72 $259,819.52 $76,241.19 2026-09-21
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 1 Eac 47 37 $148,225.00 $96,346.25 35% off $29,382.44 $148,225.00 $74,112.50 2026-09-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 29 — — $42,951.40 $229,530.84 $65,622.20 2026-09-21
Q2043 HCPCS Sipuleucelt In Lactated Ringers 50 Million Cell 25 72 42 $586,116.90 $380,975.99 35% off $31,928.12 $586,116.90 $65,338.10 2026-09-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 29 — — $60,200.30 $186,421.14 $65,202.42 2026-09-21
347 MS_DRG Anal And Stomal Procedures With Mcc 33 28 — — $19,699.00 $235,994.58 $62,607.16 2026-09-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 33 28 — — $22,281.25 $232,256.88 $61,809.45 2026-09-21
197 MS_DRG Interstitial Lung Disease With Cc 32 27 — — $9,256.97 $236,933.53 $61,201.36 2026-09-21
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 70 42 $176,030.40 $114,419.76 35% off $947.03 $176,030.40 $58,519.71 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 28 — — $50,433.84 $165,912.52 $58,265.40 2026-09-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 29 — — $54,768.88 $178,021.17 $58,083.35 2026-09-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 28 — — $49,367.90 $162,854.95 $57,167.93 2026-09-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 25 — — $13,095.12 $154,582.35 $54,556.40 2026-09-21
849 MS_DRG Radiotherapy 33 28 — — $11,161.05 $212,886.40 $54,053.82 2026-09-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 33 28 — — $5,600.00 $141,579.10 $52,346.65 2026-09-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 29 — — $48,614.87 $168,547.95 $51,412.50 2026-09-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 29 — — $48,331.52 $155,398.09 $51,268.33 2026-09-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 28 — — $41,160.35 $180,115.88 $50,792.48 2026-09-21
A9543 HCPCS Y90 Zevalin Inj Ghs 40 Millicurie Kit 56 38 $58,305.80 $37,898.77 35% off $14,051.70 $148,693.62 $50,614.56 2026-09-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 28 — — $46,813.80 $149,906.89 $49,580.23 2026-09-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $46,503.51 $154,020.92 $49,205.49 2026-09-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 23 — — $45,781.79 $141,557.60 $48,470.43 2026-09-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 23 — — $25,853.79 $189,318.00 $47,790.70 2026-09-21
277 MS_DRG Cellulitis Age >17 W Cc 35 29 — — $44,297.44 $186,329.60 $47,005.36 2026-09-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 27 — — $4,715.00 $159,291.76 $45,997.98 2026-09-21
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 30 24 — — $8,470.12 $196,661.72 $45,831.01 2026-09-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 29 — — $26,840.60 $187,111.74 $45,060.09 2026-09-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 28 — — $42,298.67 $138,861.86 $44,757.85 2026-09-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 28 — — $41,102.97 $156,738.40 $44,533.96 2026-09-21
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 35 29 — — $14,231.93 $191,792.42 $44,432.05 2026-09-21
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 32 27 — — $6,712.98 $194,587.44 $44,339.61 2026-09-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 28 — — $30,246.21 $184,119.26 $44,323.30 2026-09-21
276 MS_DRG Non-maligant Breast Disorders 35 29 — — $40,373.25 $147,736.44 $42,661.21 2026-09-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 28 — — $30,679.20 $146,873.07 $42,411.90 2026-09-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 34 29 — — $5,600.00 $108,613.26 $42,123.32 2026-09-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 28 — — $39,599.30 $129,474.49 $41,901.30 2026-09-21
28 MS_DRG Spinal Procedures With Mcc 35 29 — — $39,624.96 $144,996.08 $41,869.88 2026-09-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 24 — — $15,118.50 $117,700.05 $41,569.62 2026-09-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $38,777.05 $141,890.81 $40,973.18 2026-09-21
J9269 HCPCS Tagraxofusperzs Dilution 100 Mcg Ml IV Soln 10 Ml 95 42 $119,075.70 $77,399.21 35% off $651.11 $123,838.70 $40,948.00 2026-09-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 28 — — $2,984.35 $141,783.48 $40,942.19 2026-09-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 28 — — $25,532.09 $167,214.62 $40,604.51 2026-09-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 23 — — $25,853.78 $175,317.80 $40,589.38 2026-09-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 29 — — $38,353.09 $140,338.17 $40,524.84 2026-09-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 29 — — $38,172.51 $126,886.77 $40,382.42 2026-09-21
J9118 HCPCS Calaspargase Pegolmknl 750 Unit Ml Intravenous Sol 55 39 $112,977.00 $73,435.05 35% off $145.77 $112,977.00 $39,541.95 2026-09-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 28 — — $37,410.08 $136,884.69 $39,527.59 2026-09-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 28 — — $33,917.01 $136,344.24 $38,787.02 2026-09-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 28 — — $36,317.98 $133,371.04 $38,451.16 2026-09-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 28 — — $34,358.68 $167,148.60 $38,070.11 2026-09-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 35 29 — — $31,852.48 $131,826.11 $38,066.85 2026-09-21
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 35 29 — — $23,528.90 $172,324.25 $37,991.48 2026-09-21
333 MS_DRG Rectal Resection With Cc 33 28 — — $20,997.07 $173,308.88 $37,982.45 2026-09-21
140 MS_DRG Major Head And Neck Procedures With Mcc 35 29 — — $16,293.38 $147,696.34 $37,770.22 2026-09-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 29 — — $35,571.73 $128,813.85 $37,588.56 2026-09-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 28 — — $10,184.35 $128,677.91 $37,130.94 2026-09-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 29 — — $35,042.07 $129,654.39 $37,094.33 2026-09-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 28 — — $34,650.76 $119,963.66 $36,658.44 2026-09-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 29 — — $34,527.03 $126,326.30 $36,478.69 2026-09-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 29 — — $25,380.81 $139,756.90 $36,179.27 2026-09-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 29 — — $33,460.95 $122,422.05 $35,351.28 2026-09-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 29 — — $33,210.88 $121,506.21 $35,086.82 2026-09-21
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 33 28 — — $5,600.00 $116,926.68 $35,045.02 2026-09-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 28 — — $26,349.37 $136,091.66 $35,005.73 2026-09-21
S4005 HCPCS Interim Labor Facility Globa 12 9 — — $1,263.12 $50,000.00 $35,000.00 2026-09-21
503 MS_DRG Foot Procedures With Mcc 33 28 — — $18,984.31 $163,349.95 $34,623.72 2026-09-21
278 MS_DRG Cellulitis Age >17 Without Cc 35 29 — — $11,544.75 $119,328.71 $34,458.02 2026-09-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 29 — — $32,603.26 $119,281.01 $34,444.25 2026-09-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 29 — — $32,486.04 $156,736.40 $34,320.28 2026-09-21
245 MS_DRG Aicd Generator Procedures 33 28 — — $31,857.59 $116,550.18 $33,655.68 2026-09-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 29 — — $31,006.12 $109,533.51 $32,770.03 2026-09-21
799 MS_DRG Splenectomy With Mcc 33 28 — — $30,997.94 $113,401.98 $32,746.59 2026-09-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 29 — — $30,992.08 $113,380.51 $32,740.39 2026-09-21
G8988 HCPCS Self Care Goal Status 10 9 — — $174.42 $40,000.00 $32,500.00 2026-09-21
G8991 HCPCS Other Pt/ot Goal Status 10 9 — — $174.42 $40,000.00 $32,500.00 2026-09-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 28 — — $20,067.64 $110,486.12 $32,447.52 2026-09-21
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 35 29 — — $19,127.77 $157,666.97 $32,304.91 2026-09-21
908 MS_DRG Other O.r. Procedures For Injuries With Cc 35 29 — — $16,289.90 $159,216.24 $32,108.86 2026-09-21
314 MS_DRG Other Circulatory System Diagnoses With Mcc 35 29 — — $15,292.66 $156,411.64 $31,146.27 2026-09-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 28 — — $29,414.12 $107,601.66 $31,071.65 2026-09-21
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 33 28 — — $13,103.39 $158,810.44 $30,902.98 2026-09-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 28 — — $29,238.94 $106,960.10 $30,886.40 2026-09-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 29 — — $29,158.18 $106,664.35 $30,800.99 2026-09-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 28 — — $29,055.05 $104,768.28 $30,697.69 2026-09-21
901 MS_DRG Wound Debridements For Injuries With Mcc 33 28 — — $28,885.98 $105,667.43 $30,513.13 2026-09-21
500 MS_DRG Soft Tissue Procedures With Mcc 35 29 — — $26,295.47 $141,551.58 $29,851.74 2026-09-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 29 — — $28,085.52 $132,312.54 $29,749.53 2026-09-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 29 — — $28,153.34 $120,351.78 $29,738.34 2026-09-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 28 — — $27,905.87 $109,784.82 $29,507.64 2026-09-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 28 — — $15,130.00 $150,178.87 $29,369.87 2026-09-21
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 35 29 — — $26,913.64 $101,586.69 $29,334.74 2026-09-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 28 — — $27,723.61 $103,535.60 $29,300.61 2026-09-21
J9359 HCPCS Loncastuximab Tesirinelpyl 10 Mg Intravenous Solut 64 40 $101,307.70 $65,850.01 35% off $401.25 $101,307.70 $29,288.88 2026-09-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 29 — — $27,706.72 $99,945.81 $29,271.36 2026-09-21
652 MS_DRG Kidney Transplant 26 23 — — $25,853.78 $141,711.22 $29,246.76 2026-09-21
62310 CPT Inject Spine C/t 38 31 — — $132.50 $40,000.00 $28,750.00 2026-09-21
43760 CPT Change Gastrostomy Tube 38 31 — — $203.95 $40,000.00 $28,750.00 2026-09-21
50395 CPT Create Passage To Kidney 38 31 — — $128.19 $40,000.00 $28,750.00 2026-09-21
G0479 HCPCS Drug Test Presump Not Opt 49 38 — — $58.26 $40,000.00 $28,750.00 2026-09-21
G0364 HCPCS Bone Marrow Aspirate &biopsy 38 31 — — $8.35 $40,000.00 $28,750.00 2026-09-21
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 32 27 — — $3,118.00 $129,608.30 $28,665.54 2026-09-21
J9266 HCPCS Pegaspargase 750 Unit Ml Injection Solution 5 Ml V 71 42 $106,571.10 $69,271.22 35% off $4,616.83 $106,571.10 $28,424.06 2026-09-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 29 — — $26,812.41 $98,073.58 $28,320.28 2026-09-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 29 — — $26,797.43 $98,018.73 $28,304.44 2026-09-21
793 MS_DRG Full Term Neonate With Major Problems 34 28 — — $3,086.44 $99,466.42 $28,247.24 2026-09-21
791 MS_DRG Prematurity With Major Problems 34 28 — — $2,318.86 $96,828.61 $27,960.77 2026-09-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 29 — — $24,772.00 $102,990.88 $27,894.85 2026-09-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 33 28 — — $24,866.97 $102,554.56 $27,796.21 2026-09-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 29 — — $25,976.20 $95,011.24 $27,435.96 2026-09-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 28 — — $25,957.96 $94,944.46 $27,416.68 2026-09-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 28 — — $25,728.73 $94,104.94 $27,174.26 2026-09-21
J9210 HCPCS Emapalumablzsg 5 Mg Ml Intravenous Solution 2 Ml V 208 42 $70,461.40 $45,799.91 35% off $751.31 $130,082.50 $27,168.47 2026-09-21
783 MS_DRG Cesarean Section With Sterilization With Mcc 34 28 — — $6,831.22 $149,036.20 $27,076.22 2026-09-21
C2616 HCPCS Hc Therasphere Yttrium-90 54 42 $66,719.00 $43,367.35 35% off $16,079.28 $83,289.74 $27,053.79 2026-09-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 24 — — $22,511.64 $93,720.96 $27,043.86 2026-09-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 29 — — $23,949.70 $93,813.92 $26,930.46 2026-09-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 28 — — $25,357.53 $92,745.49 $26,781.70 2026-09-21
J3316 HCPCS Triptorelin Pamoate Pediatric 22.5 Mg IM Suspensio 45 37 $76,503.70 $49,727.41 35% off $12,096.00 $76,503.70 $26,776.29 2026-09-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 29 — — $25,107.45 $91,829.65 $26,517.24 2026-09-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 29 — — $24,925.76 $91,164.24 $26,325.10 2026-09-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 29 — — $24,790.95 $90,670.54 $26,182.53 2026-09-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 28 — — $24,402.16 $89,246.70 $25,771.38 2026-09-21
J9600 HCPCS Porfimer 75 Mg Intravenous Solution 1 Each Vial 68 42 $97,326.90 $63,262.49 35% off $19,576.81 $97,326.90 $25,741.64 2026-09-21
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 58 38 $85,651.20 $55,673.28 35% off $5,160.29 $85,651.20 $25,603.56 2026-09-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 28 — — $24,077.15 $101,709.13 $25,443.20 2026-09-21
J9381 HCPCS Teplizumabmzwv 100 Mcg Ml Intravenous Solution 20 84 38 $59,541.60 $38,702.04 35% off $72.51 $59,541.60 $25,305.15 2026-09-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 29 — — $23,919.03 $103,686.92 $25,280.69 2026-09-21
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 34 29 — — $5,600.00 $64,956.99 $25,192.16 2026-09-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 28 — — $23,794.55 $87,021.49 $25,128.82 2026-09-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 29 — — $23,629.79 $86,418.09 $24,954.57 2026-09-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 28 — — $23,409.88 $111,036.70 $24,759.65 2026-09-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 28 — — $23,377.10 $85,492.71 $24,687.35 2026-09-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 28 — — $15,404.81 $85,478.40 $24,683.22 2026-09-21
598 MS_DRG Malignant Breast Disorders With Cc 33 28 — — $9,259.58 $144,877.60 $24,671.58 2026-09-21
265 MS_DRG Aicd Lead Procedures 33 28 — — $19,481.63 $85,077.72 $24,567.52 2026-09-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 29 — — $23,159.58 $84,696.12 $24,457.32 2026-09-21
399 MS_DRG Appendix Procedures Without Cc/mcc 35 29 — — $9,099.60 $144,306.11 $24,392.73 2026-09-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 28 — — $23,029.85 $105,321.07 $24,344.87 2026-09-21
252 MS_DRG Other Vascular Procedures With Mcc 35 29 — — $23,033.35 $98,587.04 $24,333.01 2026-09-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 28 — — $17,466.55 $84,178.57 $24,307.87 2026-09-21
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 31 25 — — $12,306.98 $140,678.88 $24,244.91 2026-09-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 28 — — $22,850.89 $83,565.63 $24,130.87 2026-09-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 29 — — $15,587.72 $83,539.40 $24,123.31 2026-09-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 28 — — $22,834.61 $83,506.00 $24,113.66 2026-09-21
264 MS_DRG Other Circulatory System O.r. Procedures 33 28 — — $21,811.74 $83,358.14 $24,070.96 2026-09-21
332 MS_DRG Rectal Resection With Mcc 33 28 — — $22,622.31 $82,728.50 $23,889.14 2026-09-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 28 — — $16,597.69 $82,637.87 $23,862.98 2026-09-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 28 — — $22,428.89 $82,020.15 $23,684.60 2026-09-21
800 MS_DRG Splenectomy With Cc 33 28 — — $22,009.97 $114,594.32 $23,667.78 2026-09-21
665 MS_DRG Prostatectomy With Mcc 33 28 — — $22,393.72 $93,608.17 $23,647.40 2026-09-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 29 — — $22,339.03 $81,691.02 $23,589.56 2026-09-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 28 — — $22,215.27 $89,775.89 $23,458.69 2026-09-21
70 MS_DRG Other Cerebrovascular Disorders With Mcc 33 28 — — $15,579.56 $138,654.14 $23,364.58 2026-09-21
C9740 HCPCS Cysto Impl 4 Or More 53 42 — — $6,639.11 $40,882.62 $23,319.56 2026-09-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 35 29 — — $15,533.49 $96,908.74 $23,216.66 2026-09-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 35 29 — — $21,892.91 $80,057.29 $23,117.79 2026-09-21
37 MS_DRG Extracranial Procedures With Mcc 33 28 — — $21,659.76 $79,203.46 $22,871.22 2026-09-21
C9739 HCPCS Cystoscopy Prostatic Imp 1-3 53 42 — — $4,463.20 $40,000.00 $22,855.39 2026-09-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 29 — — $21,319.82 $77,958.49 $22,511.72 2026-09-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 35 29 — — $21,259.26 $77,736.69 $22,447.69 2026-09-21
279 MS_DRG Cellulitis Age 0-17 35 29 — — $16,907.16 $76,424.94 $22,068.89 2026-09-21
324 MS_DRG Urinary Stones Without Cc 35 29 — — $16,848.70 $76,203.13 $22,004.85 2026-09-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 33 28 — — $20,800.78 $76,057.65 $21,962.83 2026-09-21
43360 CPT Gastrointestinal Repair 50 36 — — $1,456.04 $40,000.00 $21,900.00 2026-09-21
44025 CPT Incision Of Large Bowel 50 36 — — $594.20 $40,000.00 $21,900.00 2026-09-21
J1303 HCPCS Ravulizumabcwvz 100 Mg Ml Intravenous Solution 3 M 139 42 $24,668.30 $16,034.40 35% off $443.55 $90,450.10 $21,798.47 2026-09-21
15847 CPT Exc Skin Abd Add-on 34 26 — — $890.72 $40,000.00 $21,705.50 2026-09-21
668 MS_DRG Transurethral Procedures With Mcc 33 28 — — $19,545.97 $101,917.14 $21,554.23 2026-09-21
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 33 28 — — $14,734.00 $131,462.90 $21,505.08 2026-09-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 29 — — $14,306.70 $74,435.85 $21,494.51 2026-09-21
662 MS_DRG Minor Bladder Procedures With Mcc 33 28 — — $20,348.81 $74,402.46 $21,484.86 2026-09-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 29 — — $20,262.20 $96,414.97 $21,393.27 2026-09-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 29 — — $20,171.69 $73,753.74 $21,297.55 2026-09-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 28 — — $20,115.66 $73,548.63 $21,238.30 2026-09-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 28 — — $20,070.91 $104,069.98 $21,215.28 2026-09-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 35 29 — — $13,153.65 $73,186.11 $21,133.64 2026-09-21
58150 CPT Total Hysterectomy 52 37 — — $630.42 $40,000.00 $21,084.75 2026-09-21
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 29 — — $19,951.57 $72,947.61 $21,064.77 2026-09-21
974 MS_DRG HIV With Major Related Condition With Mcc 33 28 — — $19,480.05 $71,220.87 $20,566.13 2026-09-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 29 — — $19,235.21 $70,324.11 $20,307.20 2026-09-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 29 — — $19,185.70 $70,142.85 $20,254.84 2026-09-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 35 29 — — $19,133.59 $69,952.05 $20,199.74 2026-09-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 29 — — $19,014.43 $69,515.60 $20,073.72 2026-09-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 33 28 — — $16,209.04 $103,321.11 $20,060.92 2026-09-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 33 28 — — $18,998.14 $69,455.97 $20,056.49 2026-09-21
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 29 — — $18,977.95 $100,693.23 $20,052.56 2026-09-21
472 MS_DRG Cervical Spinal Fusion With Cc 35 29 — — $18,900.46 $69,098.22 $19,953.20 2026-09-21
5414 APR_DRG Vaginal Delivery With Sterilization And/or D&c 8 8 — — $17,596.86 $20,950.00 $19,896.59 2026-09-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 28 — — $18,704.43 $68,380.34 $19,745.89 2026-09-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 35 29 — — $18,682.95 $68,301.63 $19,723.17 2026-09-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 35 29 — — $18,671.87 $68,261.08 $19,711.45 2026-09-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 28 — — $18,645.83 $68,165.68 $19,683.91 2026-09-21
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 35 29 — — $18,572.23 $94,234.75 $19,606.08 2026-09-21
654 MS_DRG Major Bladder Procedures With Cc 33 28 — — $18,411.37 $67,307.08 $19,435.97 2026-09-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 33 28 — — $18,303.27 $66,911.18 $19,321.65 2026-09-21
J1428 HCPCS Eteplirsen 50 Mg Ml Intravenous Solution 10 Ml Via 37 30 $30,816.00 $20,030.40 35% off $6,048.00 $30,816.00 $19,257.60 2026-09-21
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 70 42 $75,939.80 $49,360.87 35% off $119.50 $75,939.80 $19,133.96 2026-09-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 28 — — $17,853.26 $65,263.14 $18,845.76 2026-09-21
619 MS_DRG O.r. Procedures For Obesity With Mcc 35 29 — — $17,788.79 $72,942.37 $18,777.57 2026-09-21
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 35 29 — — $17,638.34 $64,476.09 $18,618.47 2026-09-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 33 28 — — $17,580.38 $70,292.41 $18,557.18 2026-09-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 29 — — $17,510.69 $64,008.63 $18,483.48 2026-09-21
263 MS_DRG Vein Ligation And Stripping 33 28 — — $14,052.82 $91,734.68 $18,471.78 2026-09-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 33 28 — — $14,984.87 $63,507.78 $18,338.86 2026-09-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 35 29 — — $17,116.72 $92,478.78 $18,066.84 2026-09-21
J3241 HCPCS Teprotumumabtrbw 500 Mg Intravenous Solution 1 Eac 71 42 $65,551.90 $42,608.74 35% off $656.00 $65,551.90 $18,053.96 2026-09-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 33 28 — — $17,072.41 $62,403.52 $18,019.98 2026-09-21
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 33 28 — — $16,994.54 $105,028.79 $17,966.72 2026-09-21
253 MS_DRG Other Vascular Procedures With Cc 35 29 — — $17,016.81 $94,601.40 $17,966.17 2026-09-21
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 33 28 — — $16,890.72 $61,738.11 $17,827.84 2026-09-21
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 33 28 — — $16,862.71 $61,635.55 $17,798.22 2026-09-21
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 33 28 — — $9,227.32 $60,908.13 $17,588.17 2026-09-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 35 29 — — $16,627.62 $60,774.57 $17,549.60 2026-09-21
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 33 28 — — $5,567.05 $60,462.13 $17,459.38 2026-09-21
545 MS_DRG Connective Tissue Disorders With Mcc 35 29 — — $10,029.36 $60,266.56 $17,402.91 2026-09-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 28 — — $16,475.87 $60,218.87 $17,389.13 2026-09-21
164 MS_DRG Major Chest Procedures With Cc 35 29 — — $16,424.43 $60,030.45 $17,334.73 2026-09-21
56 MS_DRG Degenerative Nervous System Disorders With Mcc 35 29 — — $14,738.81 $59,722.79 $17,245.89 2026-09-21
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 35 29 — — $16,328.04 $79,845.80 $17,232.80 2026-09-21
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 35 29 — — $16,296.37 $99,427.88 $17,216.03 2026-09-21
397 MS_DRG Appendix Procedures With Mcc 35 29 — — $16,169.14 $59,095.53 $17,064.76 2026-09-21
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 35 29 — — $16,104.03 $58,857.03 $16,995.90 2026-09-21
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 35 29 — — $15,977.03 $91,685.78 $16,861.60 2026-09-21
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 33 28 — — $14,723.06 $57,685.99 $16,657.73 2026-09-21
792 MS_DRG Prematurity Without Major Problems 35 29 — — $4,264.62 $58,425.35 $16,630.21 2026-09-21
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 33 28 — — $15,734.77 $57,504.74 $16,605.39 2026-09-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 35 29 — — $15,481.32 $57,263.85 $16,535.82 2026-09-21
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 28 — — $15,644.26 $57,173.22 $16,509.68 2026-09-21
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 33 28 — — $15,586.52 $57,173.22 $16,509.68 2026-09-21
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 35 29 — — $15,509.43 $56,679.53 $16,367.09 2026-09-21
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 35 29 — — $15,450.17 $56,462.49 $16,304.42 2026-09-21
330 MS_DRG Major Small And Large Bowel Procedures With Cc 35 29 — — $15,426.08 $56,846.99 $16,278.95 2026-09-21
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 28 — — $15,401.32 $65,360.40 $16,252.77 2026-09-21
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 33 28 — — $15,262.62 $55,775.61 $16,106.09 2026-09-21
J9298 HCPCS Nivolumab 240 Mgrelatlimabrmbw 80 Mg 20 Ml Intrave 63 40 $55,979.10 $36,386.42 35% off $374.31 $55,979.10 $16,079.20 2026-09-21
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 35 29 — — $15,142.79 $91,444.03 $15,979.36 2026-09-21
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 33 28 — — $15,107.62 $63,896.81 $15,942.17 2026-09-21
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 35 29 — — $15,065.94 $55,055.34 $15,898.09 2026-09-21
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 33 28 — — $14,972.81 $54,714.28 $15,799.60 2026-09-21
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 35 29 — — $13,965.72 $54,623.65 $15,773.42 2026-09-21
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 35 29 — — $14,874.48 $58,120.03 $15,695.61 2026-09-21
35 MS_DRG Carotid Artery Stent Procedures With Cc 33 28 — — $14,847.10 $54,253.98 $15,666.67 2026-09-21
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 35 29 — — $14,789.80 $62,588.02 $15,606.07 2026-09-21
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 33 28 — — $14,739.66 $53,860.46 $15,553.04 2026-09-21
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 33 28 — — $14,739.01 $53,858.07 $15,552.36 2026-09-21
113 MS_DRG Orbital Procedures With Cc/mcc 33 28 — — $14,728.60 $53,819.91 $15,541.35 2026-09-21
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 35 29 — — $14,703.85 $53,729.28 $15,515.17 2026-09-21
357 MS_DRG Other Digestive System O.r. Procedures With Cc 33 28 — — $14,698.63 $82,074.34 $15,509.66 2026-09-21
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 33 28 — — $14,679.74 $53,641.03 $15,489.68 2026-09-21
709 MS_DRG Penis Procedures With Cc/mcc 33 28 — — $14,666.74 $55,506.04 $15,475.92 2026-09-21
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 33 28 — — $14,571.00 $53,242.74 $15,374.68 2026-09-21
30 MS_DRG Spinal Procedures Without Cc/mcc 35 29 — — $13,927.62 $53,075.79 $15,326.46 2026-09-21
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 35 29 — — $14,446.62 $70,383.61 $15,243.14 2026-09-21
509 MS_DRG Arthroscopy 33 28 — — $10,489.84 $109,002.14 $15,214.85 2026-09-21
J9307 HCPCS Pralatrexate 40 Mg 2 Ml 20 Mg Ml Intravenous Solut 166 42 $52,291.10 $33,989.22 35% off $578.28 $54,873.70 $15,201.29 2026-09-21
J3357 HCPCS Ustekinumab 45 Mg 0.5 Ml Subcutaneous Syringe 0.5 142 42 $53,625.40 $34,856.51 35% off $307.91 $107,250.70 $15,183.74 2026-09-21
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 33 28 — — $14,356.08 $52,455.69 $15,147.39 2026-09-21
906 MS_DRG Hand Procedures For Injuries 33 28 — — $8,686.62 $52,052.62 $15,031.02 2026-09-21
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 35 29 — — $14,141.62 $51,966.76 $15,006.21 2026-09-21
935 MS_DRG Non-extensive Burns 33 28 — — $6,615.36 $52,384.14 $14,999.99 2026-09-21
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 33 28 — — $13,546.05 $51,737.80 $14,940.11 2026-09-21
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 33 28 — — $14,081.90 $57,783.44 $14,857.45 2026-09-21
141 MS_DRG Major Head And Neck Procedures With Cc 33 28 — — $14,024.59 $56,128.22 $14,796.84 2026-09-21
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 33 28 — — $4,621.77 $51,177.33 $14,778.26 2026-09-21
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 35 29 — — $13,942.55 $50,941.21 $14,710.08 2026-09-21
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 33 28 — — $13,941.90 $79,540.89 $14,709.39 2026-09-21
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