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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

83,582 distinct procedures filed
178 distinct payers
3,723,095 rate rows
2026-05-28 last MRF observed
Data quality

3,638,925 of 3,723,095 rate rows are consumer-grade (97.7%)

84,170 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 43,321
per-diem day rate — not a per-procedure price 21,534
template filing: same amount across many unrelated codes — excluded 14,745
placeholder amount (≤ $0.02) — excluded from medians 2,490
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,712
percent-of-charges filed in the dollar field — excluded from medians 368
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 Latest re-check couldn't be parsed — showing last good data · 2026-05-18
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
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 $654,252.67 $2,288,048.80 $1,251,661.84 nat. median
$386,529
outlier · 3.2×
7
OTHER 		Lung Transplant 23 $82,199.85 $1,730,277.76 $683,066.81 nat. median
$169,933
outlier · 4.0×
Q2053
HCPCS 		Hc Brexucabtagene Car Pos T (Tecartus) Mcl 95 $377,084.40 $2,482,145.82 $621,536.73 nat. median
$620,080
1.0× median
Q2056
CPT 		Hc Ciltacabtagene Car-pos T(Carvykti) 70 Ml 94 $6,696.41 $2,582,193.36 $611,155.56 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 95 $399,062.20 $2,409,921.09 $600,523.18 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 95 $455,372.61 $2,749,977.43 $595,933.32 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 95 $444,144.86 $2,682,173.51 $591,566.63 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 95 $448,012.18 $2,705,528.10 $564,123.78 nat. median
$634,511
0.9× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $216,098.57 $677,273.62 $446,686.09 nat. median
$239,422
1.9× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 $119,419.01 $565,788.78 $342,603.90 nat. median
$146,562
outlier · 2.3×
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 $102,194.44 $602,309.54 $326,461.92 nat. median
$111,558
outlier · 2.9×
4
OTHER 		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
$134,983
outlier · 2.1×
6
OTHER 		Liver Transplant Without Mcc 38 $41,358.58 $490,405.16 $247,082.21 nat. median
$52,924
outlier · 4.7×
8
OTHER 		Simultaneous Pancreas And Kidney Transplant 38 $44,006.90 $473,552.32 $239,510.34 nat. median
$57,589
outlier · 4.2×
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 38 $88,125.11 $378,849.96 $220,575.42 nat. median
$94,894
outlier · 2.3×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 41 $45,582.00 $592,708.51 $214,397.97 nat. median
$64,729
outlier · 3.3×
3
OTHER 		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
$181,005
1.2× median
PX-8120000001
CDM 		Hc Cadaver Donor Sac- Liver 31 $41,564.60 $251,007.00 $187,310.60 nat. median
$62,617
outlier · 3.0×
215
OTHER 		Other Heart Assist System Implant 41 $93,638.26 $281,347.79 $181,394.42 nat. median
$92,359
2.0× median
216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 $83,910.51 $243,046.92 $163,478.71 nat. median
$90,130
1.8× median
10
OTHER 		Pancreas Transplant 38 $37,170.47 $291,126.68 $159,811.04 nat. median
$62,879
outlier · 2.5×
Sx00000197247_00000_100095_000
OTHER 		Kit Implnt Lvad Heartmate 3 47 $629.77 $290,840.00 $157,660.86 nat. median
$157,661
1.0× median
Rx64406005801_J2326_100095_000
OTHER 		Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 59 $629.77 $418,481.00 $155,219.65 nat. median
$155,220
1.0× median
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 41 $45,019.81 $446,384.20 $154,974.05 nat. median
$66,849
outlier · 2.3×
268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 $43,780.86 $432,603.33 $153,650.08 nat. median
$67,670
outlier · 2.3×
Rx00597003510_00000_100095_000
OTHER 		Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M 22 $48,417.77 $200,903.60 $151,983.58 nat. median
$151,984
1.0× median
20
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 $73,374.12 $309,746.98 $150,097.72 nat. median
$74,209
outlier · 2.0×
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 $75,999.84 $260,402.15 $149,689.28 nat. median
$76,493
2.0× median
570
OTHER 		Skin Debridement With Mcc 27 $16,830.00 $449,415.11 $148,647.86 nat. median
$33,751
outlier · 4.4×
219
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 $68,978.21 $241,945.65 $136,935.49 nat. median
$72,612
1.9× median
Rx71336100301_J0225_100095_000
OTHER 		Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 38 $9,894.77 $459,740.10 $136,693.54 nat. median
$136,694
1.0× median
PX-8120000000
CDM 		Hc Cadaver Donor Sac- Kidney 31 $29,932.98 $180,764.10 $134,892.78 nat. median
$52,751
outlier · 2.6×
837
OTHER 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 41 $46,382.00 $374,649.90 $123,822.68 nat. median
$38,617
outlier · 3.2×
233
OTHER 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 $60,200.30 $186,421.14 $123,310.72 nat. median
$68,249
1.8× median
14
OTHER 		Allogeneic Bone Marrow Transplant 38 $31,105.63 $255,485.10 $121,892.25 nat. median
$100,915
1.2× median
231
OTHER 		Coronary Bypass With Ptca With Mcc 41 $66,759.39 $250,048.24 $120,767.67 nat. median
$74,989
1.6× median
163
OTHER 		Major Chest Procedures With Mcc 41 $40,978.00 $368,003.46 $120,589.66 nat. median
$47,944
outlier · 2.5×
Sx00000204485_00000_100095_000
OTHER 		Implant Hvad Pump 47 $629.77 $205,287.50 $120,186.51 nat. median
$120,187
1.0× median
Rx24338005008_C9399_100095_000
OTHER 		Carmustine In Polifeprosan 77 Mg Wafer For Implant 49 $9.79 $1,902,341.00 $119,419.04 nat. median
$119,419
1.0× median
212
OTHER 		Hip & Femur Procedures Except Major Joint Age 0-17 41 $72,111.72 $259,819.52 $119,094.44 nat. median
$90,581
1.3× median
461
OTHER 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 41 $39,658.82 $299,185.13 $116,597.30 nat. median
$53,999
outlier · 2.2×
957
OTHER 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 $54,768.88 $178,021.17 $116,395.02 nat. median
$68,309
1.7× median
653
OTHER 		Major Bladder Procedures With Mcc 41 $50,592.08 $346,102.22 $115,988.83 nat. median
$54,646
outlier · 2.1×
PX-8110000000
CDM 		Hc Living Donor Sac- Kidney 31 $25,410.00 $153,450.00 $114,510.00 nat. median
$45,932
outlier · 2.5×
21
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 41 $53,964.65 $295,555.84 $109,058.98 nat. median
$55,888
2.0× median
275
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 41 $48,614.87 $168,547.95 $108,581.41 nat. median
$29,655
outlier · 3.7×
870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 41 $50,433.84 $165,912.52 $108,173.18 nat. median
$54,603
2.0× median
650
OTHER 		Kidney Transplant With Hemodialysis With Mcc 38 $25,853.79 $189,318.00 $107,585.90 nat. median
$42,312
outlier · 2.5×
Rx68382039601_J3490_100095_000
OTHER 		Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 46 $629.77 $284,700.00 $107,276.27 nat. median
$107,276
1.0× median
955
OTHER 		Craniotomy For Multiple Significant Trauma 41 $49,367.90 $162,854.95 $106,111.43 nat. median
$62,467
1.7× median

Other procedures at this hospital

Browse this hospital's 83,582 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
             
Rx00597003510_00000_100095_000 OTHER Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M 24 22 $200,903.60 $130,587.34 35% off $48,417.77 $200,903.60 $151,983.58 2026-05-06
Rx00069033621_00000_100095_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 24 22 $85,454.10 $55,545.17 35% off $20,594.44 $85,454.10 $64,646.03 2026-05-06
Rx00591405094_00000_100095_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 24 22 $73,872.20 $48,016.93 35% off $17,803.20 $73,872.20 $55,884.32 2026-05-06
Rx31722013631_00000_100095_000 OTHER Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po 24 22 $68,512.10 $44,532.87 35% off $16,511.42 $68,512.10 $51,829.40 2026-05-06
Rx66302001401_00000_100095_000 OTHER Dinutuximab 3.5 Mg Ml Intravenous Solution 5 Ml Vi 24 22 $66,760.80 $43,394.52 35% off $16,089.35 $66,760.80 $50,504.54 2026-05-06
Rx82959011101_00000_100095_000 OTHER Imetelstat 188 Mg 6 Ml IV Solr 1 Each Vial 24 22 $65,961.80 $42,875.17 35% off $15,896.79 $65,961.80 $49,900.10 2026-05-06
Rx73475310203_00000_100095_000 OTHER Efgartigimod Alfa 1008 Mghyaluronqvfc 11200 Unit 24 22 $60,757.60 $39,492.44 35% off $14,642.58 $60,757.60 $45,963.12 2026-05-06
Rx82705001001_00000_100095_000 OTHER Epcoritamabbysp 48 Mg 0.8 Ml Subcutaneous Solution 24 22 $59,528.70 $38,693.66 35% off $14,346.42 $59,528.70 $45,033.46 2026-05-06
7 OTHER Lung Transplant 26 23 — — $82,199.85 $1,730,277.76 $683,066.81 2026-05-06
Sx00000268839_00000_100095_000 OTHER Kit NeuRx Dps 35 24 $100,375.00 $65,243.75 35% off $24,190.38 $100,375.00 $71,065.50 2026-05-06
Sx00000062346_00000_100095_000 OTHER Transcatheter Sapien 3 23mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000118466_00000_100095_000 OTHER Valve Certitude 23mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000118467_00000_100095_000 OTHER Valve Certitude 26mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000062345_00000_100095_000 OTHER Transcatheter Sapien 3 29mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000192129_00000_100095_000 OTHER Transcath Ultra S3 Ultra 23mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000264286_00000_100095_000 OTHER Valve Tavr Sapien 3 Ultra Comm Sys 20mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000192128_00000_100095_000 OTHER Transcath Ultra S3 Ultra 20mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000195429_00000_100095_000 OTHER Valve 27mm Lotus And Large Lotus 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000118468_00000_100095_000 OTHER Valve Certitude 29mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000195427_00000_100095_000 OTHER Valve 23mm Lotus And Large Lotus 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000195428_00000_100095_000 OTHER Valve 25mm Lotus And Large Lotus 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000195425_00000_100095_000 OTHER Valve 25mm Lotus With 15f Isleeve 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000195424_00000_100095_000 OTHER Valve 23mm Lotus With 15f Isleeve 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000062343_00000_100095_000 OTHER Transcatheter Sapien 3 20mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000195426_00000_100095_000 OTHER Valve 27mm Lotus With 15f Isleeve 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000148134_00000_100095_000 OTHER Valve 20mm Certitude 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000192130_00000_100095_000 OTHER Transcath Ultra S3 Ultra 26mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000062344_00000_100095_000 OTHER Transcatheter Sapien 3 26mm 35 24 $89,375.00 $58,093.75 35% off $21,539.38 $89,375.00 $63,277.50 2026-05-06
Sx00000240844_00000_100095_000 OTHER Cnterpc Vbr 20 Mm Ht 5387 Mm 35 24 $82,522.00 $53,639.30 35% off $19,887.80 $82,522.00 $58,425.58 2026-05-06
Sx00000240845_00000_100095_000 OTHER Cnterpc Vbr 20 Mm Ht 76132 Mm 35 24 $82,522.00 $53,639.30 35% off $19,887.80 $82,522.00 $58,425.58 2026-05-06
Sx00000101268_00000_100095_000 OTHER Evolutpro 29mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000101267_00000_100095_000 OTHER Evolutpro 26mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000062348_00000_100095_000 OTHER Valve Evolut R Transcath 26mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000062349_00000_100095_000 OTHER Valve Evolut R Transcath 29mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000027010_00000_100095_000 OTHER Corevalve 26mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000022701_00000_100095_000 OTHER Corevalve 31mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000195430_00000_100095_000 OTHER Mictraclip G4 System 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000015949_00000_100095_000 OTHER Corevalve 23mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000192114_00000_100095_000 OTHER Valve Aort Evolutpro Plus 29mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000192115_00000_100095_000 OTHER Valve Aort Evolutpro Plus 34mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000192112_00000_100095_000 OTHER Valve Aort Evolutpro Plus 23mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000192113_00000_100095_000 OTHER Valve Aort Evolutpro Plus 26mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000002826_00000_100095_000 OTHER Corevalve 29mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000062347_00000_100095_000 OTHER Valve Evolut R Transcath 23mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000101266_00000_100095_000 OTHER Evolutpro 23mm 35 24 $82,500.00 $53,625.00 35% off $19,882.50 $82,500.00 $58,410.00 2026-05-06
Sx00000240839_00000_100095_000 OTHER Cnterpc Vbr 20 Mm Ht 2028 Mm 35 24 $78,512.50 $51,033.13 35% off $18,921.51 $78,512.50 $55,586.85 2026-05-06
Sx00000240842_00000_100095_000 OTHER Cnterpc Vbr 20 Mm Ht 3247 Mm 35 24 $78,512.50 $51,033.13 35% off $18,921.51 $78,512.50 $55,586.85 2026-05-06
Sx00000192126_00000_100095_000 OTHER Valve 27mm Lotus Edge Sys 35 24 $77,000.00 $50,050.00 35% off $18,557.00 $77,000.00 $54,516.00 2026-05-06
Sx00000192125_00000_100095_000 OTHER Valve 25mm Lotus Edge Sys 35 24 $77,000.00 $50,050.00 35% off $18,557.00 $77,000.00 $54,516.00 2026-05-06
Sx00000248921_00000_100095_000 OTHER Ipg Kit Nipg2000 35 24 $74,250.00 $48,262.50 35% off $17,894.25 $74,250.00 $52,569.00 2026-05-06
Sx00000031864_00000_100095_000 OTHER Cath Impella Rp With Smartassist 35 24 $68,750.00 $44,687.50 35% off $16,568.75 $68,750.00 $48,675.00 2026-05-06
Sx00000026811_00000_100095_000 OTHER Cath Impella Cp 3.5 Pump 35 24 $68,750.00 $44,687.50 35% off $16,568.75 $68,750.00 $48,675.00 2026-05-06
Sx00000003933_00000_100095_000 OTHER Impella 5.0 Fem Ctdn 35 24 $68,750.00 $44,687.50 35% off $16,568.75 $68,750.00 $48,675.00 2026-05-06
895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 30 24 — — $8,470.12 $196,661.72 $45,831.01 2026-05-06
Sx00000184957_00000_100095_000 OTHER Stent Tag 31x31x10cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184959_00000_100095_000 OTHER Stent Tag 37x37x10cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184963_00000_100095_000 OTHER Stent Tag 40x40x15cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184954_00000_100095_000 OTHER Stent Tag 45x45x15cm 24fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184958_00000_100095_000 OTHER Stent Tag 31x31x15cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184955_00000_100095_000 OTHER Stent Tag 45x45x20cm 24fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184956_00000_100095_000 OTHER Stent Tag 31x26x10cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184949_00000_100095_000 OTHER Stent Tag 28x28x15cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184951_00000_100095_000 OTHER Stent Tag 34x34x15cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184950_00000_100095_000 OTHER Stent Tag 34x34x10cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184952_00000_100095_000 OTHER Stent Tag 34x34x20cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184948_00000_100095_000 OTHER Stent Tag 28x28x10cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184946_00000_100095_000 OTHER Stent Tag 26x21x10cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184947_00000_100095_000 OTHER Stent Tag 26x26x10cm 20fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184964_00000_100095_000 OTHER Stent Tag 40x40x20cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184960_00000_100095_000 OTHER Stent Tag 37x37x15cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184961_00000_100095_000 OTHER Stent Tag 37x37x20cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184953_00000_100095_000 OTHER Stent Tag 45x45x10cm 24fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184945_00000_100095_000 OTHER Stent Tag 21x21x10cm 18fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000184962_00000_100095_000 OTHER Stent Tag 40x40x10cm 22fr 35 24 $58,095.13 $37,761.83 35% off $14,000.93 $58,095.13 $41,131.35 2026-05-06
Sx00000027995_00000_100095_000 OTHER Endo Valiant Pm 46x46x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000025258_00000_100095_000 OTHER Endo Valiant Pm 32x32x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000023767_00000_100095_000 OTHER Endo Valiant Pm 38x38x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000022288_00000_100095_000 OTHER Endo Valiant Pm 30x30x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000022289_00000_100095_000 OTHER Endo Valiant Pm 44x44x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000020779_00000_100095_000 OTHER Endo Valiant Pm 34x34x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000002173_00000_100095_000 OTHER Endo Valiant Pm 40x40x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000013591_00000_100095_000 OTHER Endo Valiant Pm 36x36x200 35 24 $56,023.76 $36,415.44 35% off $13,501.73 $56,023.76 $39,664.82 2026-05-06
Sx00000216398_00000_100095_000 OTHER Custom Extendible P Tibia 33 25 $166,500.00 $108,225.00 35% off $629.77 $166,500.00 $84,915.00 2026-05-28
Sx00000264694_C1713_100095_000 OTHER Nail Fem Ante 10.7x245mm 10dg 36 25 $63,990.85 $41,594.05 35% off $15,421.79 $63,990.85 $45,657.47 2026-05-06
Sx00000243045_00000_100095_000 OTHER Ipg Barostim Neo 33 25 $78,750.00 $51,187.50 35% off $629.77 $78,750.00 $40,162.50 2026-05-28
CPT 69718 OTHER — 25 25 $50,000.00 $32,500.00 35% off $17,500.00 $46,768.09 $40,000.00 2026-05-28
CPT 69715 OTHER — 25 25 $50,000.00 $32,500.00 35% off $17,500.00 $46,768.09 $40,000.00 2026-05-28
Rx00074106501_C9399_100095_000 OTHER Risankizumabrzaa 180 Mg 1.2 Ml 150 Mg Ml Subcut We 31 26 $80,958.90 $52,623.29 35% off $9.79 $80,958.90 $56,671.23 2026-05-06
Rx00074106601_C9399_100095_000 OTHER Risankizumabrzaa 180 Mg 1.2 Ml 150 Mg Ml Subcut We 31 26 $80,958.90 $52,623.29 35% off $9.79 $80,958.90 $56,671.23 2026-05-06
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 27 — — $7,797.81 $759,369.02 $287,598.08 2026-05-06
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 27 — — $9,845.27 $516,079.53 $211,306.13 2026-05-06
570 OTHER Skin Debridement With Mcc 32 27 — — $16,830.00 $449,415.11 $148,647.86 2026-05-06
197 OTHER Interstitial Lung Disease With Cc 32 27 — — $9,256.97 $236,933.53 $61,201.36 2026-05-06
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 27 — — $4,715.00 $159,291.76 $45,997.98 2026-05-06
745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 32 27 — — $6,712.98 $194,587.44 $44,339.61 2026-05-06
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 33 28 — — $5,600.00 $218,924.50 $79,814.93 2026-05-06
459 OTHER Spinal Fusion Except Cervical With Mcc 33 28 — — $5,600.00 $141,579.10 $52,346.65 2026-05-06
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 28 — — $2,984.35 $141,783.48 $40,942.19 2026-05-06
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 37 31 $269,900.00 $175,435.00 35% off $41,564.60 $251,007.00 $187,310.60 2026-03-01
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 37 31 $194,370.00 $126,340.50 35% off $29,932.98 $180,764.10 $134,892.78 2026-03-01
PX-8110000000 CDM Hc Living Donor Sac- Kidney 37 31 $165,000.00 $107,250.00 35% off $25,410.00 $153,450.00 $114,510.00 2026-03-01
C1823 HCPCS Hc Remede System 1001 78 31 $151,250.00 $98,312.50 35% off $22,233.75 $147,056.25 $98,319.38 2026-03-01
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 37 31 $121,000.00 $78,650.00 35% off $18,634.00 $112,530.00 $83,974.00 2026-03-01
0483T CPT Hc Tmvi Percutaneous Approach 40 34 $83,602.00 $54,341.30 35% off $12,874.71 $77,749.86 $55,762.54 2026-03-01
Rx50633021011_C9293_100095_000 OTHER 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 2026-05-06
0268T CPT Hc Implt/Rpl Crtd Sns Dev Gen 44 37 $68,600.00 $44,590.00 35% off $10,564.40 $68,600.00 $47,608.40 2026-03-01
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 46 38 — — $216,098.57 $677,273.62 $446,686.09 2026-05-06
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 38 — — $102,194.44 $602,309.54 $326,461.92 2026-05-06
6 OTHER Liver Transplant Without Mcc 46 38 — — $41,358.58 $490,405.16 $247,082.21 2026-05-06
8 OTHER Simultaneous Pancreas And Kidney Transplant 46 38 — — $44,006.90 $473,552.32 $239,510.34 2026-05-06
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 46 38 — — $88,125.11 $378,849.96 $220,575.42 2026-05-06
10 OTHER Pancreas Transplant 46 38 — — $37,170.47 $291,126.68 $159,811.04 2026-05-06
Rx71336100301_J0225_100095_000 OTHER Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M 58 38 $459,740.10 $298,831.07 35% off $9,894.77 $459,740.10 $136,693.54 2026-05-06
14 OTHER Allogeneic Bone Marrow Transplant 47 38 — — $31,105.63 $255,485.10 $121,892.25 2026-05-06
650 OTHER Kidney Transplant With Hemodialysis With Mcc 47 38 — — $25,853.79 $189,318.00 $107,585.90 2026-05-06
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 47 38 — — $25,853.78 $175,317.80 $96,600.30 2026-05-06
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 47 38 — — $45,781.79 $141,557.60 $93,669.70 2026-05-06
652 OTHER Kidney Transplant 46 38 — — $25,853.78 $141,711.22 $76,690.65 2026-05-06
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 47 38 — — $13,095.12 $154,582.35 $73,751.44 2026-05-06
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 47 38 — — $15,118.50 $117,700.05 $63,399.65 2026-05-06
Rx00310453530_J9347_100095_000 OTHER Tremelimumabactl 20 Mg Ml Intravenous Solution 15 58 38 $150,228.00 $97,648.20 35% off $272.19 $150,228.00 $44,883.12 2026-05-06
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 48 39 — — $654,252.67 $2,288,048.80 $1,251,661.84 2026-05-06
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 51 41 — — $119,419.01 $565,788.78 $342,603.90 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 51 41 — — $45,582.00 $592,708.51 $214,397.97 2026-05-06
215 OTHER Other Heart Assist System Implant 51 41 — — $93,638.26 $281,347.79 $181,394.42 2026-05-06
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 41 — — $83,910.51 $243,046.92 $163,478.71 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 51 41 — — $45,019.81 $446,384.20 $154,974.05 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 51 41 — — $43,780.86 $432,603.33 $153,650.08 2026-05-06
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 51 41 — — $73,374.12 $309,746.98 $150,097.72 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 41 — — $75,999.84 $260,402.15 $149,689.28 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 41 — — $68,978.21 $241,945.65 $136,935.49 2026-05-06
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 51 41 — — $46,382.00 $374,649.90 $123,822.68 2026-05-06
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 41 — — $60,200.30 $186,421.14 $123,310.72 2026-05-06
231 OTHER Coronary Bypass With Ptca With Mcc 51 41 — — $66,759.39 $250,048.24 $120,767.67 2026-05-06
163 OTHER Major Chest Procedures With Mcc 51 41 — — $40,978.00 $368,003.46 $120,589.66 2026-05-06
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 51 41 — — $72,111.72 $259,819.52 $119,094.44 2026-05-06
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 51 41 — — $39,658.82 $299,185.13 $116,597.30 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 51 41 — — $54,768.88 $178,021.17 $116,395.02 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 51 41 — — $50,592.08 $346,102.22 $115,988.83 2026-05-06
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 51 41 — — $53,964.65 $295,555.84 $109,058.98 2026-05-06
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 41 — — $48,614.87 $168,547.95 $108,581.41 2026-05-06
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 51 41 — — $50,433.84 $165,912.52 $108,173.18 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 51 41 — — $49,367.90 $162,854.95 $106,111.43 2026-05-06
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 41 — — $46,503.51 $154,020.92 $100,262.21 2026-05-06
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 51 41 — — $49,423.55 $304,865.89 $99,040.50 2026-05-06
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 51 41 — — $46,813.80 $149,906.89 $98,360.35 2026-05-06
471 OTHER Cervical Spinal Fusion With Mcc 51 41 — — $40,152.66 $311,469.55 $97,885.18 2026-05-06
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 51 41 — — $41,160.35 $180,115.88 $91,565.57 2026-05-06
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 51 41 — — $42,298.67 $138,861.86 $90,580.26 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 51 41 — — $38,353.09 $140,338.17 $89,345.63 2026-05-06
232 OTHER Coronary Bypass With Ptca Without Mcc 51 41 — — $48,331.52 $155,398.09 $89,012.58 2026-05-06
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 51 41 — — $38,051.22 $286,082.92 $85,791.51 2026-05-06
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 41 — — $42,951.40 $229,530.84 $85,746.35 2026-05-06
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 51 41 — — $41,102.97 $156,738.40 $85,359.15 2026-05-06
277 OTHER Cellulitis Age >17 W Cc 51 41 — — $44,297.44 $186,329.60 $84,925.86 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 41 — — $36,317.98 $133,371.04 $84,844.51 2026-05-06
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 51 41 — — $39,599.30 $129,474.49 $84,536.90 2026-05-06
356 OTHER Other Digestive System O.r. Procedures With Mcc 51 41 — — $32,215.00 $264,271.64 $83,181.15 2026-05-06
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 51 41 — — $38,172.51 $126,886.77 $82,529.64 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 41 — — $35,571.73 $128,813.85 $82,192.79 2026-05-06
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 41 — — $34,527.03 $126,326.30 $80,426.66 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 51 41 — — $32,486.04 $156,736.40 $79,966.83 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 51 41 — — $33,917.01 $136,344.24 $79,944.74 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 51 41 — — $33,460.95 $122,422.05 $77,941.50 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 51 41 — — $34,650.76 $119,963.66 $77,307.21 2026-05-06
245 OTHER Aicd Generator Procedures 51 41 — — $31,857.59 $116,550.18 $74,203.88 2026-05-06
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 51 41 — — $25,532.09 $167,214.62 $73,848.42 2026-05-06
799 OTHER Splenectomy With Mcc 51 41 — — $30,997.94 $113,401.98 $72,199.96 2026-05-06
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 51 41 — — $26,349.37 $136,091.66 $71,119.02 2026-05-06
C1605 HCPCS Hc Aveir Ntap C1605 49 41 $118,705.00 $77,158.25 35% off $18,280.57 $110,395.65 $70,985.59 2026-03-01
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 41 — — $28,153.34 $120,351.78 $70,754.48 2026-05-06
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 51 41 — — $31,006.12 $109,533.51 $70,269.82 2026-05-06
736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 51 41 — — $27,905.87 $109,784.82 $68,845.35 2026-05-06
40 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 51 41 — — $34,358.68 $167,148.60 $68,377.17 2026-05-06
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 51 41 — — $29,158.18 $106,664.35 $67,911.26 2026-05-06
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 51 41 — — $32,603.26 $119,281.01 $67,692.11 2026-05-06
901 OTHER Wound Debridements For Injuries With Mcc 51 41 — — $28,885.98 $105,667.43 $67,276.71 2026-05-06
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 51 41 — — $29,055.05 $104,768.28 $66,911.66 2026-05-06
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 51 41 — — $27,723.61 $103,535.60 $65,629.60 2026-05-06
347 OTHER Anal And Stomal Procedures With Mcc 51 41 — — $19,699.00 $235,994.58 $63,849.88 2026-05-06
276 OTHER Non-maligant Breast Disorders 51 41 — — $40,373.25 $147,736.44 $63,339.56 2026-05-06
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 51 41 — — $22,281.25 $232,256.88 $63,281.21 2026-05-06
31 OTHER Ventricular Shunt Procedures With Mcc 51 41 — — $27,706.72 $99,945.81 $62,895.72 2026-05-06
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 51 41 — — $26,812.41 $98,073.58 $62,443.00 2026-05-06
28 OTHER Spinal Procedures With Mcc 51 41 — — $39,624.96 $144,996.08 $61,547.58 2026-05-06
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 51 41 — — $28,085.52 $132,312.54 $61,355.67 2026-05-06
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 51 41 — — $30,246.21 $184,119.26 $60,924.15 2026-05-06
616 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 51 41 — — $24,772.00 $102,990.88 $60,745.07 2026-05-06
495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 51 41 — — $24,077.15 $101,709.13 $60,537.40 2026-05-06
907 OTHER Other O.r. Procedures For Injuries With Mcc 51 41 — — $25,976.20 $95,011.24 $60,493.72 2026-05-06
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 51 41 — — $25,957.96 $94,944.46 $60,451.21 2026-05-06
34 OTHER Carotid Artery Stent Procedures With Mcc 51 41 — — $25,357.53 $92,745.49 $59,051.51 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 41 — — $37,410.08 $136,884.69 $59,046.29 2026-05-06
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 51 41 — — $26,840.60 $187,111.74 $58,878.51 2026-05-06
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 51 41 — — $26,797.43 $98,018.73 $58,512.19 2026-05-06
166 OTHER Other Respiratory System O.r. Procedures With Mcc 51 41 — — $25,107.45 $91,829.65 $58,468.55 2026-05-06
271 OTHER Other Major Cardiovascular Procedures With Cc 51 41 — — $23,919.03 $103,686.92 $58,164.29 2026-05-06
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 51 41 — — $24,925.76 $91,164.24 $58,045.00 2026-05-06
252 OTHER Other Vascular Procedures With Mcc 51 41 — — $23,033.35 $98,587.04 $57,895.13 2026-05-06
904 OTHER Skin Grafts For Injuries With Cc/mcc 51 41 — — $24,866.97 $102,554.56 $57,823.60 2026-05-06
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 41 — — $24,790.95 $90,670.54 $57,730.75 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 51 41 — — $30,679.20 $146,873.07 $57,292.66 2026-05-06
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 50 41 — — $5,600.00 $108,613.26 $57,106.63 2026-05-06
939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 51 41 — — $23,409.88 $111,036.70 $57,097.30 2026-05-06
849 OTHER Radiotherapy 51 41 — — $11,161.05 $212,886.40 $56,335.44 2026-05-06
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 41 — — $30,992.08 $113,380.51 $56,294.81 2026-05-06
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 51 41 — — $25,380.81 $139,756.90 $55,864.68 2026-05-06
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 51 41 — — $22,215.27 $89,775.89 $55,813.73 2026-05-06
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 51 41 — — $23,029.85 $105,321.07 $55,717.50 2026-05-06
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 51 41 — — $23,794.55 $87,021.49 $55,408.02 2026-05-06
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 41 — — $38,777.05 $141,890.81 $55,349.15 2026-05-06
335 OTHER Peritoneal Adhesiolysis With Mcc 51 41 — — $23,629.79 $86,418.09 $55,023.94 2026-05-06
665 OTHER Prostatectomy With Mcc 51 41 — — $22,393.72 $93,608.17 $54,856.24 2026-05-06
97 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 51 41 — — $23,377.10 $85,492.71 $54,434.90 2026-05-06
492 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 51 41 — — $23,159.58 $84,696.12 $53,927.85 2026-05-06
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 51 41 — — $29,238.94 $106,960.10 $53,916.73 2026-05-06
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 51 41 — — $20,067.64 $110,486.12 $53,842.26 2026-05-06
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 51 41 — — $29,414.12 $107,601.66 $53,263.10 2026-05-06
332 OTHER Rectal Resection With Mcc 51 41 — — $22,622.31 $82,728.50 $52,675.40 2026-05-06
329 OTHER Major Small And Large Bowel Procedures With Mcc 51 41 — — $35,042.07 $129,654.39 $52,449.72 2026-05-06
265 OTHER Aicd Lead Procedures 51 41 — — $19,481.63 $85,077.72 $52,279.68 2026-05-06
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 51 41 — — $22,428.89 $82,020.15 $52,224.52 2026-05-06
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 51 41 — — $31,852.48 $131,826.11 $51,423.09 2026-05-06
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 51 41 — — $23,949.70 $93,813.92 $51,291.53 2026-05-06
229 OTHER Other Cardiothoracic Procedures Without Mcc 51 41 — — $20,262.20 $96,414.97 $50,899.60 2026-05-06
140 OTHER Major Head And Neck Procedures With Mcc 51 41 — — $16,293.38 $147,696.34 $50,870.88 2026-05-06
406 OTHER Pancreas, Liver And Shunt Procedures With Cc 51 41 — — $20,070.91 $104,069.98 $50,479.35 2026-05-06
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 51 41 — — $15,404.81 $85,478.40 $50,441.61 2026-05-06
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 51 41 — — $10,184.35 $128,677.91 $50,195.02 2026-05-06
668 OTHER Transurethral Procedures With Mcc 51 41 — — $19,545.97 $101,917.14 $50,042.04 2026-05-06
800 OTHER Splenectomy With Cc 51 41 — — $22,009.97 $114,594.32 $50,036.72 2026-05-06
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 51 41 — — $21,319.82 $77,958.49 $49,639.15 2026-05-06
574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 51 41 — — $16,597.69 $82,637.87 $49,617.78 2026-05-06
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 51 41 — — $22,850.89 $83,565.63 $49,585.96 2026-05-06
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 51 41 — — $21,259.26 $77,736.69 $49,497.97 2026-05-06
500 OTHER Soft Tissue Procedures With Mcc 51 41 — — $26,295.47 $141,551.58 $48,733.10 2026-05-06
963 OTHER Other Multiple Significant Trauma With Mcc 51 41 — — $18,977.95 $100,693.23 $47,712.05 2026-05-06
13 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 51 41 — — $16,209.04 $103,321.11 $47,692.66 2026-05-06
503 OTHER Foot Procedures With Mcc 51 41 — — $18,984.31 $163,349.95 $47,625.18 2026-05-06
29 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 51 41 — — $21,892.91 $80,057.29 $47,455.42 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 51 41 — — $33,210.88 $121,506.21 $47,446.44 2026-05-06
327 OTHER Stomach, Esophageal And Duodenal Procedures With Cc 51 41 — — $23,528.90 $172,324.25 $47,347.95 2026-05-06
26 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 51 41 — — $19,951.57 $72,947.61 $46,449.59 2026-05-06
288 OTHER Acute And Subacute Endocarditis With Mcc 51 41 — — $15,130.00 $150,178.87 $46,046.49 2026-05-06
432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 51 41 — — $14,231.93 $191,792.42 $45,303.86 2026-05-06
959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 51 41 — — $19,127.77 $157,666.97 $44,843.32 2026-05-06
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 51 41 — — $19,185.70 $70,142.85 $44,664.28 2026-05-06
353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 51 41 — — $19,133.59 $69,952.05 $44,542.82 2026-05-06
472 OTHER Cervical Spinal Fusion With Cc 51 41 — — $18,900.46 $69,098.22 $43,999.34 2026-05-06
263 OTHER Vein Ligation And Stripping 51 41 — — $14,052.82 $91,734.68 $43,948.70 2026-05-06
344 OTHER Minor Small And Large Bowel Procedures With Mcc 51 41 — — $17,580.38 $70,292.41 $43,936.39 2026-05-06
628 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 51 41 — — $25,728.73 $94,104.94 $43,852.71 2026-05-06
37 OTHER Extracranial Procedures With Mcc 51 41 — — $21,659.76 $79,203.46 $43,710.61 2026-05-06
625 OTHER Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 51 41 — — $18,704.43 $68,380.34 $43,542.39 2026-05-06
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 51 41 — — $18,682.95 $68,301.63 $43,492.29 2026-05-06
654 OTHER Major Bladder Procedures With Cc 51 41 — — $18,411.37 $67,307.08 $42,859.22 2026-05-06
253 OTHER Other Vascular Procedures With Cc 51 41 — — $17,016.81 $94,601.40 $42,746.40 2026-05-06
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 51 41 — — $18,303.27 $66,911.18 $42,607.22 2026-05-06
323 OTHER Urinary Stones W Cc, &/or Esw Lithotripsy 51 41 — — $26,913.64 $101,586.69 $42,529.13 2026-05-06
411 OTHER Cholecystectomy With C.d.e. With Mcc 51 41 — — $17,853.26 $65,263.14 $41,558.20 2026-05-06
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 51 41 — — $22,834.61 $83,506.00 $41,111.40 2026-05-06
61 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 51 41 — — $17,638.34 $64,476.09 $41,057.21 2026-05-06
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 51 41 — — $16,328.04 $79,845.80 $41,000.87 2026-05-06
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 51 41 — — $24,402.16 $89,246.70 $40,979.75 2026-05-06
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 51 41 — — $18,998.14 $69,455.97 $40,876.04 2026-05-06
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 51 41 — — $17,510.69 $64,008.63 $40,759.66 2026-05-06
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 51 41 — — $15,977.03 $91,685.78 $40,117.68 2026-05-06
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 51 41 — — $14,306.70 $74,435.85 $39,949.84 2026-05-06
Rx75987015001_J1823_100095_000 OTHER Inebilizumabcdon 10 Mg Ml Intravenous Solution 10 70 42 $176,030.40 $114,419.76 35% off $947.03 $176,030.40 $58,519.71 2026-05-06
Rx75987015003_J1823_100095_000 OTHER Inebilizumabcdon 10 Mg Ml Intravenous Solution 10 70 42 $176,030.40 $114,419.76 35% off $947.03 $176,030.40 $58,519.71 2026-05-06
278 OTHER Cellulitis Age >17 Without Cc 52 42 — — $567.65 $119,328.71 $45,786.61 2026-05-06
Sx00000240843_00000_100095_000 OTHER Cnterpc Vbr 20 Mm Ht 40-62 Mm 68 44 $82,522.00 $53,639.30 35% off $629.77 $82,522.00 $49,025.57 2026-05-28
Sx00000075478_00000_100095_000 OTHER Cath Trans Evolut R 34mm 68 44 $82,500.00 $53,625.00 35% off $629.77 $82,500.00 $49,012.50 2026-05-28
Sx00000192124_00000_100095_000 OTHER Valve 23mm Lotus Edge Sys 68 44 $77,000.00 $50,050.00 35% off $629.77 $77,000.00 $45,745.00 2026-05-28
Sx00000117364_00000_100095_000 OTHER Artery Aortoiliac Cryopreserve 68 44 $72,061.40 $46,839.91 35% off $629.77 $72,061.40 $42,811.02 2026-05-28
Sx00000072770_00000_100095_000 OTHER Artery Aortoiliac 13mmx12cm 68 44 $68,062.50 $44,240.63 35% off $629.77 $68,062.50 $40,435.32 2026-05-28
Sx00000215329_C1713_100095_000 OTHER Nail Tib Ante 3h 10x360mm 69 45 $72,938.25 $47,409.86 35% off $629.77 $72,938.25 $43,762.95 2026-05-28
Rx68382039601_J3490_100095_000 OTHER Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 57 46 $284,700.00 $185,055.00 35% off $629.77 $284,700.00 $107,276.27 2026-05-28
Sx00000197247_00000_100095_000 OTHER Kit Implnt Lvad Heartmate 3 71 47 $244,815.00 $159,129.75 35% off $629.77 $290,840.00 $157,660.86 2026-05-28
Sx00000204485_00000_100095_000 OTHER Implant Hvad Pump 71 47 $186,625.00 $121,306.25 35% off $629.77 $205,287.50 $120,186.51 2026-05-28
Rx24338005008_C9399_100095_000 OTHER Carmustine In Polifeprosan 77 Mg Wafer For Implant 66 49 $1,902,341.00 $1,236,521.65 35% off $9.79 $1,902,341.00 $119,419.04 2026-05-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 69 56 — $85,608.81 $17,565.46 $146,502.40 $48,893.05 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 69 57 — $125,421.72 $9,059.83 $141,173.52 $47,114.64 2026-03-01
Sx00000196816_00000_100095_000 OTHER Implant Heartmate Ii 85 58 $206,000.00 $133,900.00 35% off $629.77 $226,600.00 $85,201.60 2026-05-28
Rx40800000315_A9543_100095_000 OTHER Y90 Zevalin Inj Ghs 40 Millicurie Kit 88 58 $58,305.80 $37,898.77 35% off $629.77 $148,693.62 $46,644.64 2026-05-28
Sx00000191617_00000_100095_000 OTHER Cath Pump Impella 55 US 82 58 $87,500.00 $56,875.00 35% off $34.39 $96,250.00 $45,456.25 2026-05-28
Rx64406005801_J2326_100095_000 OTHER Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 80 59 $418,481.00 $272,012.65 35% off $629.77 $418,481.00 $155,219.65 2026-05-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 73 61 — $268,783.37 $9,059.83 $352,656.64 $95,524.17 2026-03-01
Rx30237890006_Q2043_100095_000 OTHER Sipuleucelt In Lactated Ringers 50 Million Cell 25 112 61 $586,116.90 $380,975.99 35% off $629.77 $586,116.90 $57,833.44 2026-05-28
Rx66658051001_J9210_100095_000 OTHER Emapalumablzsg 5 Mg Ml Intravenous Solution 20 Ml 110 61 $130,082.50 $84,553.63 35% off $456.87 $130,082.50 $40,494.46 2026-05-28
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 78 62 $112,501.00 $73,125.65 35% off $17,325.15 $104,625.93 $43,454.03 2026-03-01
0620T HCPCS Hc Evasc Ven Artlz Tibl/Prnl Vn 81 65 $63,764.00 $41,446.60 35% off $9,819.66 $63,764.00 $42,824.26 2026-03-01
38240 CPT Hc Hpc Allogeneic 101 81 $147,856.00 $96,106.40 35% off $4,859.58 $137,506.08 $62,055.06 2026-03-01
Q2056 CPT Hc Ciltacabtagene Car-pos T(Carvykti) 70 Ml 111 94 $2,776,552.00 $1,804,758.80 35% off $6,696.41 $2,582,193.36 $611,155.56 2026-03-01
Q2053 HCPCS Hc Brexucabtagene Car Pos T (Tecartus) Mcl 145 95 $2,448,600.00 $1,591,590.00 35% off $377,084.40 $2,482,145.82 $621,536.73 2026-03-01
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 112 95 $2,591,313.00 $1,684,353.45 35% off $399,062.20 $2,409,921.09 $600,523.18 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 112 95 $2,956,964.98 $1,922,027.24 35% off $455,372.61 $2,749,977.43 $595,933.32 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 112 95 $2,884,057.54 $1,874,637.40 35% off $444,144.86 $2,682,173.51 $591,566.63 2026-03-01
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 112 95 $2,909,170.00 $1,890,960.50 35% off $448,012.18 $2,705,528.10 $564,123.78 2026-03-01
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 118 98 $459,740.10 $298,831.06 35% off $5,009.56 $427,558.29 $70,799.98 2026-03-01
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