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

PRISMA HEALTH HILLCREST HOSPITAL

Simpsonville, SC · CCN 420037 · Rates published

Your selected procedure

You selected 303 (MS_DRG)

ATHEROSCLEROSIS WITHOUT MCC

This hospital’s price: $4,740 across 98 payers · range $2,122-$67,372

Source: https://prismahealth.org/getmedia/2897ad82-effc-4f7f-890b-fdde8ab8c4c8/811723202_prisma-health-hillcrest-hospital_standardcharges-csv-zip.zip · observed 2026-09-21

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.

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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