|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
1
|
1
|
$2,588,273.00
|
$1,682,377.00
35% off
|
$1,633,200.05
|
$1,633,200.05
|
$1,633,200.05
|
2026-07-05
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
29
|
29
|
$2,860,061.00
|
$1,859,040.00
35% off
|
$458,389.23
|
$2,541,523.73
|
$1,067,434.13
|
2026-07-05
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
$1,675,015.00
|
$1,088,760.00
35% off
|
$1,056,934.24
|
$1,056,934.24
|
$1,056,934.24
|
2026-07-05
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
$1,500,105.00
|
$975,068.00
35% off
|
$946,566.26
|
$946,566.26
|
$946,566.26
|
2026-07-05
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
$1,467,013.00
|
$953,558.00
35% off
|
$925,684.99
|
$925,684.99
|
$925,684.99
|
2026-07-05
|
|
7
|
MS_DRG
|
Lung Transplant
|
27
|
27
|
$2,162,847.00
|
$1,405,851.00
35% off
|
$349,502.85
|
$2,162,847.20
|
$912,721.52
|
2026-07-05
|
|
Rx24338005008_C9399_1000017_000
|
OTHER
|
Carmustine In Polifeprosan 77 Mg Wafer For Implant
|
33
|
26
|
$1,902,341.00
|
$1,236,522.00
35% off
|
$25.27
|
$1,902,341.00
|
$802,787.90
|
2026-07-05
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
$1,232,236.00
|
$800,953.00
35% off
|
$777,540.95
|
$777,540.95
|
$777,540.95
|
2026-07-05
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
$1,203,011.00
|
$781,957.00
35% off
|
$759,099.69
|
$759,099.69
|
$759,099.69
|
2026-07-05
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
$1,165,606.00
|
$757,644.00
35% off
|
$735,497.30
|
$735,497.30
|
$735,497.30
|
2026-07-05
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$1,365,908.00
|
$887,840.00
35% off
|
$443,732.36
|
$861,887.90
|
$652,810.13
|
2026-07-05
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
2
|
2
|
$1,331,707.00
|
$865,609.00
35% off
|
$433,098.12
|
$840,306.96
|
$636,702.54
|
2026-07-05
|
|
Q2056
|
HCPCS
|
Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml
|
100
|
83
|
$2,776,552.00
|
$1,804,758.80
35% off
|
$11,705.53
|
$2,582,193.36
|
$599,402.57
|
2026-03-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel IV Up To 600 Million Car Pos
|
101
|
84
|
$2,591,313.00
|
$1,684,353.45
35% off
|
$399,062.20
|
$2,409,921.09
|
$594,857.87
|
2026-03-01
|
|
Q2054
|
HCPCS
|
Hc Lisocabtagene Mara Car Pos T (Breyanzi)
|
101
|
84
|
$2,956,964.98
|
$1,922,027.24
35% off
|
$455,372.61
|
$2,749,977.43
|
$590,311.30
|
2026-03-01
|
|
Q2055
|
HCPCS
|
Hc Idecabtagene Vicleucel Car 50ml (Abecma)
|
101
|
84
|
$2,884,057.54
|
$1,874,637.40
35% off
|
$444,144.86
|
$2,682,173.51
|
$585,985.81
|
2026-03-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
$926,363.00
|
$602,136.00
35% off
|
$584,534.98
|
$584,534.98
|
$584,534.98
|
2026-07-05
|
|
Q2041
|
HCPCS
|
Hc Axicabtagene Ciloleucel Car+ (Yescarta)
|
101
|
84
|
$2,909,170.00
|
$1,890,960.50
35% off
|
$448,012.18
|
$2,705,528.10
|
$558,801.85
|
2026-03-01
|
|
Q2053
|
HCPCS
|
Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All
|
133
|
84
|
$2,668,974.00
|
$1,734,833.10
35% off
|
$377,084.40
|
$2,482,145.82
|
$538,395.22
|
2026-03-01
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
$757,447.00
|
$492,341.00
35% off
|
$477,949.06
|
$477,949.06
|
$477,949.06
|
2026-07-05
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
$754,927.00
|
$490,702.00
35% off
|
$476,358.85
|
$476,358.85
|
$476,358.85
|
2026-07-05
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
$990,884.00
|
$644,075.00
35% off
|
$315,777.30
|
$625,247.80
|
$470,512.55
|
2026-07-05
|
|
104
|
MS_DRG
|
Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath
|
15
|
15
|
$599,560.00
|
$389,714.00
35% off
|
$40,412.89
|
$599,559.59
|
$422,689.51
|
2026-07-05
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$861,472.00
|
$559,957.00
35% off
|
$271,904.78
|
$543,588.83
|
$407,746.80
|
2026-07-05
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
26
|
26
|
$846,592.00
|
$550,285.00
35% off
|
$296,307.21
|
$846,592.03
|
$395,603.32
|
2026-07-05
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
$625,749.00
|
$406,737.00
35% off
|
$394,847.57
|
$394,847.57
|
$394,847.57
|
2026-07-05
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
$588,987.00
|
$382,842.00
35% off
|
$371,650.80
|
$371,650.80
|
$371,650.80
|
2026-07-05
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$769,040.00
|
$499,876.00
35% off
|
$243,286.24
|
$485,264.40
|
$364,275.32
|
2026-07-05
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
$753,941.00
|
$490,061.00
35% off
|
$235,218.65
|
$475,736.52
|
$355,477.59
|
2026-07-05
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
$752,808.00
|
$489,325.00
35% off
|
$234,270.54
|
$475,021.85
|
$354,646.20
|
2026-07-05
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$715,283.00
|
$464,934.00
35% off
|
$220,986.98
|
$451,343.57
|
$336,165.28
|
2026-07-05
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$713,583.00
|
$463,829.00
35% off
|
$221,274.09
|
$450,270.87
|
$335,772.48
|
2026-07-05
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
$693,353.00
|
$450,680.00
35% off
|
$213,514.71
|
$437,505.93
|
$325,510.32
|
2026-07-05
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
27
|
27
|
$752,887.00
|
$489,376.00
35% off
|
$49,022.11
|
$752,886.92
|
$317,718.28
|
2026-07-05
|
|
6081
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
$495,276.00
|
$321,929.00
35% off
|
$312,519.16
|
$312,519.16
|
$312,519.16
|
2026-07-05
|
|
6301
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
$619,098.00
|
$402,414.00
35% off
|
$188,869.80
|
$390,651.03
|
$289,760.42
|
2026-07-05
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
$591,272.00
|
$384,327.00
35% off
|
$178,566.63
|
$373,092.76
|
$275,829.70
|
2026-07-05
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
29
|
29
|
$645,099.00
|
$419,315.00
35% off
|
$9,987.87
|
$645,830.69
|
$271,248.89
|
2026-07-05
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
27
|
27
|
$613,006.00
|
$398,454.00
35% off
|
$76,871.66
|
$613,006.45
|
$258,688.72
|
2026-07-05
|
|
213
|
MS_DRG
|
Amputation For Musculoskeletal System & Conn Tissue Disorders
|
15
|
15
|
$382,426.00
|
$248,577.00
35% off
|
$49,453.29
|
$382,425.60
|
$256,225.15
|
2026-07-05
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
$404,588.00
|
$262,982.00
35% off
|
$255,294.87
|
$255,294.87
|
$255,294.87
|
2026-07-05
|
|
237
|
MS_DRG
|
Major Cardiovasc Procedures W Mcc
|
29
|
29
|
$715,523.00
|
$465,090.00
35% off
|
$94,492.24
|
$715,523.45
|
$250,433.21
|
2026-07-05
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
27
|
27
|
$591,940.00
|
$384,761.00
35% off
|
$71,549.28
|
$591,940.40
|
$249,798.85
|
2026-07-05
|
|
105
|
MS_DRG
|
Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath
|
15
|
15
|
$372,415.00
|
$242,070.00
35% off
|
$22,615.75
|
$372,415.27
|
$249,518.23
|
2026-07-05
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
2
|
2
|
$521,161.00
|
$338,755.00
35% off
|
$156,710.72
|
$328,852.59
|
$242,781.66
|
2026-07-05
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
28
|
28
|
$465,668.00
|
$302,684.00
35% off
|
$162,983.63
|
$546,032.95
|
$229,993.52
|
2026-07-05
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
$356,791.00
|
$231,914.00
35% off
|
$225,135.12
|
$225,135.12
|
$225,135.12
|
2026-07-05
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
$351,791.00
|
$228,664.00
35% off
|
$221,980.12
|
$221,980.12
|
$221,980.12
|
2026-07-05
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$480,104.00
|
$312,068.00
35% off
|
$140,472.02
|
$302,945.62
|
$221,708.82
|
2026-07-05
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
$463,919.00
|
$301,547.00
35% off
|
$134,966.37
|
$292,732.67
|
$213,849.52
|
2026-07-05
|
|
6121
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
$335,158.00
|
$217,853.00
35% off
|
$211,484.70
|
$211,484.70
|
$211,484.70
|
2026-07-05
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
27
|
27
|
$473,562.00
|
$307,816.00
35% off
|
$16,660.21
|
$473,562.45
|
$199,843.35
|
2026-07-05
|
|
6111
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
$307,680.00
|
$199,992.00
35% off
|
$194,146.08
|
$194,146.08
|
$194,146.08
|
2026-07-05
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
$303,433.00
|
$197,231.00
35% off
|
$191,466.22
|
$191,466.22
|
$191,466.22
|
2026-07-05
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
$403,301.00
|
$262,146.00
35% off
|
$114,614.69
|
$254,482.93
|
$184,548.81
|
2026-07-05
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
29
|
29
|
$540,754.00
|
$351,490.00
35% off
|
$32,681.09
|
$459,641.04
|
$180,087.56
|
2026-07-05
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$385,006.00
|
$250,254.00
35% off
|
$108,783.75
|
$242,938.79
|
$175,861.27
|
2026-07-05
|
|
PX-8120000001
|
CDM
|
Hc Cadaver Donor Sac- Liver
|
32
|
27
|
$269,900.00
|
$175,435.00
35% off
|
$41,564.60
|
$251,007.00
|
$172,736.00
|
2026-03-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
29
|
29
|
$468,312.00
|
$304,403.00
35% off
|
$2,028.00
|
$408,557.69
|
$171,593.17
|
2026-07-05
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
$269,570.00
|
$175,220.00
35% off
|
$170,098.42
|
$170,098.42
|
$170,098.42
|
2026-07-05
|
|
402
|
MS_DRG
|
Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc
|
15
|
15
|
$253,840.00
|
$164,996.00
35% off
|
$23,444.20
|
$253,839.77
|
$170,072.65
|
2026-07-05
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
$356,449.00
|
$231,692.00
35% off
|
$98,950.10
|
$224,919.11
|
$161,934.60
|
2026-07-05
|
|
277
|
MS_DRG
|
Cellulitis Age >17 W Cc
|
15
|
15
|
$232,912.00
|
$151,393.00
35% off
|
$21,378.23
|
$232,912.00
|
$156,051.04
|
2026-07-05
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
$336,744.00
|
$218,884.00
35% off
|
$92,204.19
|
$212,485.65
|
$152,344.92
|
2026-07-05
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
$326,803.00
|
$212,422.00
35% off
|
$89,446.76
|
$206,212.69
|
$147,829.73
|
2026-07-05
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
27
|
27
|
$363,908.00
|
$236,540.00
35% off
|
$35,188.98
|
$363,908.35
|
$144,930.92
|
2026-07-05
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
$226,378.00
|
$147,146.00
35% off
|
$142,844.77
|
$142,844.77
|
$142,844.77
|
2026-07-05
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
29
|
29
|
$432,628.00
|
$281,208.00
35% off
|
$40,662.81
|
$367,733.60
|
$138,596.30
|
2026-07-05
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
29
|
29
|
$387,184.00
|
$251,669.00
35% off
|
$11,710.80
|
$387,183.73
|
$135,514.31
|
2026-07-05
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
1
|
1
|
$207,541.00
|
$134,902.00
35% off
|
$130,958.37
|
$130,958.37
|
$130,958.37
|
2026-07-05
|
|
PX-8120000000
|
CDM
|
Hc Cadaver Donor Sac- Kidney
|
32
|
27
|
$194,370.00
|
$126,340.50
35% off
|
$29,932.98
|
$180,764.10
|
$124,396.80
|
2026-03-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
27
|
$303,809.00
|
$197,476.00
35% off
|
$100,581.97
|
$262,722.45
|
$122,881.03
|
2026-07-05
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
29
|
29
|
$389,337.00
|
$253,069.00
35% off
|
$45,154.18
|
$330,936.40
|
$122,224.80
|
2026-07-05
|
|
Rx68382039601_J3490_100092_000
|
OTHER
|
Sodium Benzoate 10 -sodium Phenylacetate 10 Intra
|
32
|
26
|
$284,700.00
|
$185,055.00
35% off
|
$826.93
|
$284,700.00
|
$121,993.95
|
2026-07-05
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
1
|
1
|
$193,245.00
|
$125,610.00
35% off
|
$121,937.90
|
$121,937.90
|
$121,937.90
|
2026-07-05
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
29
|
29
|
$369,445.00
|
$240,139.00
35% off
|
$9,426.80
|
$369,444.80
|
$121,248.84
|
2026-07-05
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
28
|
28
|
$373,981.00
|
$243,088.00
35% off
|
$74,440.01
|
$317,884.20
|
$120,428.15
|
2026-07-05
|
|
Rx64406005801_J2326_1000017_000
|
OTHER
|
Nusinersen Pf 12 Mg5 Ml Intrathecal Solution 5 Ml
|
33
|
26
|
$284,379.00
|
$184,846.00
35% off
|
$826.93
|
$284,378.50
|
$120,007.73
|
2026-07-05
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
28
|
$312,560.00
|
$203,164.00
35% off
|
$92,637.15
|
$265,676.26
|
$118,047.58
|
2026-07-05
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
29
|
29
|
$335,129.00
|
$217,834.00
35% off
|
$17,332.50
|
$288,892.93
|
$117,295.01
|
2026-07-05
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
27
|
$325,503.00
|
$211,577.00
35% off
|
$97,058.08
|
$276,677.29
|
$113,925.94
|
2026-07-05
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
1
|
1
|
$179,679.00
|
$116,791.00
35% off
|
$113,377.45
|
$113,377.45
|
$113,377.45
|
2026-07-05
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
29
|
29
|
$357,604.00
|
$232,442.00
35% off
|
$33,125.01
|
$357,603.65
|
$110,440.79
|
2026-07-05
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
2
|
2
|
$249,939.00
|
$162,461.00
35% off
|
$61,368.20
|
$157,711.74
|
$109,539.97
|
2026-07-05
|
|
129
|
MS_DRG
|
Major Head & Neck Procedures W Cc/mcc Or Major Device
|
29
|
29
|
$309,506.00
|
$201,179.00
35% off
|
$37,864.00
|
$309,506.05
|
$108,327.12
|
2026-07-05
|
|
Sx00000197247_00000_100092_000
|
OTHER
|
Kit Implnt Lvad Heartmate 3
|
33
|
26
|
$244,815.00
|
$159,130.00
35% off
|
$826.93
|
$244,815.00
|
$106,494.52
|
2026-07-05
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
27
|
$302,432.00
|
$196,581.00
35% off
|
$88,245.24
|
$257,067.25
|
$105,851.22
|
2026-07-05
|
|
PX-8110000000
|
CDM
|
Hc Living Donor Sac- Kidney
|
32
|
27
|
$165,000.00
|
$107,250.00
35% off
|
$25,410.00
|
$153,450.00
|
$105,600.00
|
2026-03-01
|
|
238
|
MS_DRG
|
Major Cardiovasc Procedures Without Mcc
|
29
|
29
|
$300,875.00
|
$195,569.00
35% off
|
$27,677.32
|
$300,874.70
|
$105,306.14
|
2026-07-05
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
90
|
78
|
$949,211.00
|
$197,075.32
79% off
|
$62,514.25
|
$806,829.58
|
$103,205.15
|
2026-07-05
|
|
531
|
MS_DRG
|
Spinal Procedures W Cc
|
15
|
15
|
$152,879.00
|
$99,372.00
35% off
|
$7,937.19
|
$152,879.40
|
$102,429.20
|
2026-07-05
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
29
|
29
|
$288,760.00
|
$187,694.00
35% off
|
$22,618.64
|
$288,760.15
|
$101,066.05
|
2026-07-05
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
29
|
29
|
$273,656.00
|
$177,876.00
35% off
|
$14,087.73
|
$239,599.65
|
$100,631.85
|
2026-07-05
|
|
212
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
15
|
15
|
$148,868.00
|
$96,764.00
35% off
|
$11,420.69
|
$148,868.05
|
$99,741.59
|
2026-07-05
|
|
6221
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
$218,983.00
|
$142,339.00
35% off
|
$54,970.81
|
$138,178.27
|
$96,574.54
|
2026-07-05
|
|
C1823
|
HCPCS
|
Hc Remede System 1001
|
76
|
30
|
$151,250.00
|
$98,312.50
35% off
|
$22,233.75
|
$147,056.25
|
$96,380.62
|
2026-03-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
28
|
28
|
$290,321.00
|
$188,709.00
35% off
|
$36,581.68
|
$246,772.94
|
$93,991.40
|
2026-07-05
|
|
112
|
MS_DRG
|
No Longer Valid
|
15
|
15
|
$137,461.00
|
$89,350.00
35% off
|
$13,275.86
|
$137,461.40
|
$92,099.14
|
2026-07-05
|
|
38240
|
CPT
|
Hc Hpc Allogeneic
|
62
|
54
|
$147,856.00
|
$96,106.40
35% off
|
$6,553.27
|
$208,611.14
|
$91,670.72
|
2026-03-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
27
|
27
|
$215,419.00
|
$140,022.00
35% off
|
$75,396.70
|
$204,159.27
|
$90,906.87
|
2026-07-05
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
29
|
29
|
$290,106.00
|
$188,569.00
35% off
|
$16,833.54
|
$246,590.30
|
$89,481.56
|
2026-07-05
|
|
107
|
MS_DRG
|
No Longer Valid
|
15
|
15
|
$131,789.00
|
$85,663.00
35% off
|
$10,918.20
|
$131,788.55
|
$88,298.33
|
2026-07-05
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
29
|
29
|
$286,914.00
|
$186,494.00
35% off
|
$9,596.95
|
$243,876.52
|
$86,002.13
|
2026-07-05
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
29
|
29
|
$294,993.00
|
$191,746.00
35% off
|
$27,526.11
|
$250,744.25
|
$84,180.78
|
2026-07-05
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
29
|
29
|
$236,648.00
|
$153,821.00
35% off
|
$10,316.12
|
$236,647.50
|
$82,826.62
|
2026-07-05
|
|
120
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
15
|
15
|
$122,986.00
|
$79,941.00
35% off
|
$4,541.36
|
$122,985.83
|
$82,400.51
|
2026-07-05
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
2
|
2
|
$188,983.00
|
$122,839.00
35% off
|
$43,617.27
|
$119,248.27
|
$81,432.77
|
2026-07-05
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
29
|
29
|
$159,375.00
|
$103,594.00
35% off
|
$14,412.44
|
$201,410.55
|
$81,281.30
|
2026-07-05
|
|
Sx00000204485_00000_100092_000
|
OTHER
|
Implant Hvad Pump
|
33
|
26
|
$186,625.00
|
$121,306.00
35% off
|
$826.93
|
$186,625.00
|
$81,181.88
|
2026-07-05
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
28
|
$203,377.00
|
$132,195.00
35% off
|
$61,584.83
|
$172,870.59
|
$80,737.71
|
2026-07-05
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
28
|
$179,466.00
|
$116,653.00
35% off
|
$62,813.01
|
$187,982.30
|
$78,510.09
|
2026-07-05
|
|
PX-8130000000
|
CDM
|
Hc Cadaver Donor Sac-pancreas
|
32
|
27
|
$121,000.00
|
$78,650.00
35% off
|
$18,634.00
|
$112,530.00
|
$77,440.00
|
2026-03-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
29
|
29
|
$219,147.00
|
$142,446.00
35% off
|
$9,264.96
|
$219,147.25
|
$76,399.87
|
2026-07-05
|
|
C1605
|
HCPCS
|
Hc Aveir Ntap C1605
|
38
|
30
|
$118,705.00
|
$77,158.25
35% off
|
$18,280.57
|
$110,395.65
|
$75,971.20
|
2026-03-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
$120,176.00
|
$78,114.00
35% off
|
$75,830.93
|
$75,830.93
|
$75,830.93
|
2026-07-05
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
29
|
29
|
$187,384.00
|
$121,799.00
35% off
|
$23,672.55
|
$178,533.65
|
$74,984.13
|
2026-07-05
|
|
849
|
MS_DRG
|
Radiotherapy
|
29
|
29
|
$266,108.00
|
$172,970.00
35% off
|
$20,643.30
|
$226,191.80
|
$73,735.26
|
2026-07-05
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
28
|
28
|
$176,947.00
|
$115,016.00
35% off
|
$4,311.32
|
$176,947.00
|
$73,170.30
|
2026-07-05
|
|
Sx00000216398_00000_100092_000
|
OTHER
|
Custom Extendible P Tibia
|
33
|
26
|
$166,500.00
|
$108,225.00
35% off
|
$826.93
|
$166,500.00
|
$72,427.50
|
2026-07-05
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
26
|
26
|
$35,291.00
|
$22,939.00
35% off
|
$10,742.31
|
$99,009.23
|
$72,164.16
|
2026-07-05
|
|
33276
|
CPT
|
Hc Insertion Phrenic Nerve Stimulator System
|
32
|
27
|
$112,501.00
|
$73,125.65
35% off
|
$17,325.15
|
$104,625.93
|
$72,000.64
|
2026-03-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
29
|
29
|
$176,974.00
|
$115,033.00
35% off
|
$11,754.77
|
$170,569.45
|
$71,639.17
|
2026-07-05
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
29
|
29
|
$197,035.00
|
$128,072.00
35% off
|
$8,202.02
|
$169,644.52
|
$71,250.70
|
2026-07-05
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
29
|
29
|
$251,843.00
|
$163,698.00
35% off
|
$23,793.52
|
$214,066.63
|
$69,490.70
|
2026-07-05
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
29
|
29
|
$159,643.00
|
$103,768.00
35% off
|
$7,329.78
|
$171,626.97
|
$69,444.85
|
2026-07-05
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
27
|
$162,028.00
|
$105,318.00
35% off
|
$56,709.82
|
$164,236.57
|
$68,979.36
|
2026-07-05
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
29
|
29
|
$194,248.00
|
$126,261.00
35% off
|
$10,860.26
|
$165,110.47
|
$67,986.66
|
2026-07-05
|
|
360
|
MS_DRG
|
Vagina, Cervix & Vulva Procedures
|
15
|
15
|
$99,950.00
|
$64,967.00
35% off
|
$7,677.90
|
$99,949.81
|
$66,966.37
|
2026-07-05
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
27
|
27
|
$157,406.00
|
$102,314.00
35% off
|
$54,454.54
|
$145,341.83
|
$66,425.16
|
2026-07-05
|
|
895
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy
|
29
|
29
|
$245,827.00
|
$159,788.00
35% off
|
$650.00
|
$208,953.08
|
$65,045.12
|
2026-07-05
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
29
|
29
|
$225,145.00
|
$146,344.00
35% off
|
$5,223.82
|
$191,373.12
|
$64,950.92
|
2026-07-05
|
|
745
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc
|
29
|
29
|
$243,234.00
|
$158,102.00
35% off
|
$14,320.80
|
$206,749.15
|
$63,467.30
|
2026-07-05
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
29
|
29
|
$233,890.00
|
$152,028.00
35% off
|
$9,880.90
|
$198,806.23
|
$63,394.19
|
2026-07-05
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
28
|
28
|
$58,306.00
|
$37,899.00
35% off
|
$20,407.12
|
$165,455.02
|
$62,969.71
|
2026-07-05
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
29
|
29
|
$73,808.00
|
$47,975.00
35% off
|
$20,117.75
|
$164,550.70
|
$62,736.68
|
2026-07-05
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
29
|
29
|
$230,149.00
|
$149,597.00
35% off
|
$7,424.49
|
$195,626.72
|
$62,484.40
|
2026-07-05
|
|
6231
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
$150,522.00
|
$97,839.00
35% off
|
$29,095.90
|
$94,979.38
|
$62,037.64
|
2026-07-05
|
|
652
|
MS_DRG
|
Kidney Transplant
|
27
|
27
|
$177,139.00
|
$115,140.00
35% off
|
$10,209.57
|
$177,139.02
|
$61,998.66
|
2026-07-05
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
$151,034.00
|
$98,172.00
35% off
|
$28,625.17
|
$95,302.50
|
$61,963.83
|
2026-07-05
|
|
567
|
MS_DRG
|
Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx
|
15
|
15
|
$92,299.00
|
$59,994.00
35% off
|
$6,345.63
|
$92,298.76
|
$61,840.17
|
2026-07-05
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
$97,811.00
|
$63,577.00
35% off
|
$61,718.90
|
$61,718.90
|
$61,718.90
|
2026-07-05
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
29
|
29
|
$120,413.00
|
$78,268.00
35% off
|
$10,918.20
|
$154,625.82
|
$61,410.60
|
2026-07-05
|
|
110
|
MS_DRG
|
Major Cardiovascular Procedures W Cc
|
15
|
15
|
$85,728.00
|
$55,723.00
35% off
|
$10,185.84
|
$85,727.51
|
$60,437.89
|
2026-07-05
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
29
|
29
|
$89,597.00
|
$58,238.00
35% off
|
$20,832.93
|
$154,347.20
|
$60,029.72
|
2026-07-05
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
29
|
29
|
$165,498.00
|
$107,574.00
35% off
|
$15,647.14
|
$142,307.13
|
$59,768.99
|
2026-07-05
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
29
|
29
|
$166,714.00
|
$108,364.00
35% off
|
$30,693.22
|
$141,805.58
|
$59,558.34
|
2026-07-05
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
27
|
$52,476.00
|
$34,109.00
35% off
|
$18,366.56
|
$154,757.55
|
$59,311.13
|
2026-07-05
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
29
|
29
|
$195,923.00
|
$127,350.00
35% off
|
$4,889.98
|
$166,534.55
|
$58,947.84
|
2026-07-05
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
28
|
28
|
$39,816.00
|
$25,880.00
35% off
|
$5,469.23
|
$93,395.01
|
$58,157.14
|
2026-07-05
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
29
|
29
|
$209,018.00
|
$135,862.00
35% off
|
$19,763.13
|
$177,665.53
|
$57,791.81
|
2026-07-05
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
29
|
29
|
$76,934.00
|
$50,007.00
35% off
|
$6,153.82
|
$147,507.70
|
$56,957.69
|
2026-07-05
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
29
|
29
|
$151,346.00
|
$98,375.00
35% off
|
$11,710.98
|
$135,168.73
|
$56,770.86
|
2026-07-05
|
|
451
|
MS_DRG
|
Poisoning & Toxic Effects Of Drugs Age 0-17
|
13
|
13
|
$78,978.00
|
$51,336.00
35% off
|
$27,642.31
|
$78,978.04
|
$55,679.52
|
2026-07-05
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
29
|
29
|
$215,405.00
|
$140,013.00
35% off
|
$17,299.36
|
$183,094.51
|
$55,429.89
|
2026-07-05
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
29
|
$111,086.00
|
$72,206.00
35% off
|
$12,470.25
|
$136,924.20
|
$55,317.38
|
2026-07-05
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
29
|
29
|
$216,636.00
|
$140,813.00
35% off
|
$15,361.57
|
$184,140.68
|
$55,249.45
|
2026-07-05
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
29
|
29
|
$170,430.00
|
$110,780.00
35% off
|
$6,043.47
|
$144,865.75
|
$55,102.04
|
2026-07-05
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
29
|
29
|
$97,361.00
|
$63,284.00
35% off
|
$12,923.46
|
$137,240.82
|
$53,839.23
|
2026-07-05
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
29
|
29
|
$125,714.00
|
$81,714.00
35% off
|
$16,105.09
|
$132,030.17
|
$53,629.28
|
2026-07-05
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
27
|
27
|
$59,671.00
|
$38,786.00
35% off
|
$20,884.69
|
$140,313.55
|
$53,530.93
|
2026-07-05
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
108
|
96
|
$205,349.00
|
$129,597.17
37% off
|
$6,406.39
|
$174,546.66
|
$53,242.94
|
2026-07-05
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
27
|
$97,784.00
|
$63,560.00
35% off
|
$34,224.37
|
$131,394.33
|
$53,083.31
|
2026-07-05
|
|
45
|
MS_DRG
|
Neurological Eye Disorders
|
15
|
15
|
$79,099.00
|
$51,414.00
35% off
|
$5,445.73
|
$79,098.57
|
$52,996.04
|
2026-07-05
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
29
|
29
|
$99,959.00
|
$64,973.00
35% off
|
$9,778.11
|
$160,939.73
|
$52,925.92
|
2026-07-05
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
28
|
28
|
$101,530.00
|
$65,994.00
35% off
|
$35,535.35
|
$130,391.20
|
$52,803.46
|
2026-07-05
|
|
130
|
MS_DRG
|
Major Head & Neck Procedures Without Cc/mcc
|
41
|
41
|
$87,855.00
|
$57,106.00
35% off
|
$11,788.45
|
$98,748.77
|
$52,713.03
|
2026-07-05
|
|
0915T
|
OTHER
|
Hc Insj Perm Ccm-d Sys Pg&Dual Transvns Eltrds/Lds
|
32
|
27
|
$80,154.00
|
$52,100.10
35% off
|
$12,343.72
|
$74,543.22
|
$51,298.56
|
2026-03-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
29
|
29
|
$107,179.00
|
$69,666.00
35% off
|
$23,875.41
|
$126,849.87
|
$51,247.35
|
2026-07-05
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
27
|
27
|
$129,420.00
|
$84,123.00
35% off
|
$39,029.35
|
$110,006.58
|
$51,235.42
|
2026-07-05
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
29
|
29
|
$146,158.00
|
$95,003.00
35% off
|
$27,321.36
|
$124,234.60
|
$51,155.42
|
2026-07-05
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
29
|
29
|
$170,115.00
|
$110,574.00
35% off
|
$6,583.25
|
$170,114.57
|
$50,859.61
|
2026-07-05
|
|
64656
|
CPT
|
Hc Revision/Rplcmt Bat Modulation System Pg Only
|
38
|
30
|
$78,815.00
|
$51,229.75
35% off
|
$12,137.51
|
$95,490.23
|
$50,441.60
|
2026-03-01
|
|
0483T
|
CPT
|
Hc Tmvi Percutaneous Approach
|
35
|
29
|
$83,602.00
|
$54,341.30
35% off
|
$12,874.71
|
$77,749.86
|
$50,161.20
|
2026-03-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
28
|
28
|
$197,084.00
|
$128,104.00
35% off
|
$33,489.86
|
$167,521.15
|
$49,950.68
|
2026-07-05
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
41
|
41
|
$70,708.00
|
$45,960.00
35% off
|
$7,495.61
|
$135,414.45
|
$49,776.73
|
2026-07-05
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
103
|
90
|
$557,980.00
|
$91,655.82
84% off
|
$16,649.27
|
$486,232.84
|
$49,756.97
|
2026-07-05
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
29
|
$129,859.00
|
$84,409.00
35% off
|
$16,851.60
|
$116,015.60
|
$48,726.55
|
2026-07-05
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
29
|
29
|
$137,231.00
|
$89,200.00
35% off
|
$6,291.58
|
$116,646.38
|
$48,030.86
|
2026-07-05
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
29
|
29
|
$198,513.00
|
$129,033.00
35% off
|
$14,928.15
|
$168,736.09
|
$47,898.35
|
2026-07-05
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
99
|
87
|
$740,886.00
|
$35,747.11
95% off
|
$25,351.98
|
$629,752.79
|
$47,467.09
|
2026-07-05
|
|
Rx50633011011_J0840_1000017_000
|
OTHER
|
Crotalidae Polyval Immune Fab Solution For Injecti
|
32
|
25
|
$99,778.00
|
$64,855.00
35% off
|
$826.92
|
$99,777.60
|
$47,144.92
|
2026-07-05
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
15
|
15
|
$70,317.00
|
$45,706.00
35% off
|
$14,976.69
|
$70,317.29
|
$47,112.58
|
2026-07-05
|
|
Rx30237890006_Q2043_1000017_000
|
OTHER
|
Sipuleucel-t In Lactated Ringers 50 Million Cell25
|
40
|
25
|
$72,292.00
|
$46,990.00
35% off
|
$826.93
|
$87,733.65
|
$47,025.82
|
2026-07-05
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
29
|
29
|
$123,250.00
|
$80,112.00
35% off
|
$7,009.55
|
$110,741.63
|
$46,511.48
|
2026-07-05
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
29
|
29
|
$124,093.00
|
$80,661.00
35% off
|
$6,694.86
|
$109,378.78
|
$45,939.09
|
2026-07-05
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
29
|
29
|
$91,615.00
|
$59,550.00
35% off
|
$9,465.13
|
$113,925.75
|
$45,892.23
|
2026-07-05
|
|
0268T
|
CPT
|
Hc Implt/Rpl Crtd Sns Dev Gen
|
42
|
35
|
$68,600.00
|
$44,590.00
35% off
|
$10,564.40
|
$68,600.00
|
$45,756.20
|
2026-03-01
|
|
214
|
MS_DRG
|
No Longer Valid
|
15
|
15
|
$68,145.00
|
$44,294.00
35% off
|
$19,723.92
|
$68,145.15
|
$45,657.25
|
2026-07-05
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
29
|
29
|
$187,724.00
|
$122,020.00
35% off
|
$4,477.06
|
$159,565.05
|
$45,557.87
|
2026-07-05
|
|
170
|
MS_DRG
|
Other Digestive System O.r. Procedures W Cc
|
15
|
15
|
$67,376.00
|
$43,794.00
35% off
|
$3,761.05
|
$67,376.10
|
$45,141.99
|
2026-07-05
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
29
|
29
|
$66,579.00
|
$43,276.00
35% off
|
$5,211.26
|
$118,143.45
|
$45,093.17
|
2026-07-05
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
41
|
41
|
$184,620.00
|
$120,003.00
35% off
|
$9,667.36
|
$156,927.36
|
$45,025.37
|
2026-07-05
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
29
|
29
|
$128,193.00
|
$83,326.00
35% off
|
$6,119.34
|
$108,964.22
|
$44,867.62
|
2026-07-05
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
29
|
29
|
$127,136.00
|
$82,639.00
35% off
|
$6,958.75
|
$108,065.95
|
$44,497.74
|
2026-07-05
|
|
490
|
MS_DRG
|
Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim
|
29
|
29
|
$158,640.00
|
$103,116.00
35% off
|
$9,081.50
|
$158,640.20
|
$44,178.14
|
2026-07-05
|
|
172
|
MS_DRG
|
Digestive Malignancy W Cc
|
15
|
15
|
$65,891.00
|
$42,829.00
35% off
|
$3,761.05
|
$65,890.94
|
$44,146.93
|
2026-07-05
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
29
|
29
|
$186,295.00
|
$121,092.00
35% off
|
$13,005.00
|
$158,350.96
|
$43,837.25
|
2026-07-05
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
116
|
103
|
$126,655.00
|
$48,315.44
62% off
|
$6,288.52
|
$136,037.57
|
$43,751.11
|
2026-07-05
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
29
|
29
|
$129,609.00
|
$84,246.00
35% off
|
$10,011.84
|
$110,167.35
|
$43,640.49
|
2026-07-05
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
29
|
29
|
$174,696.00
|
$113,552.00
35% off
|
$4,898.26
|
$148,491.70
|
$43,564.41
|
2026-07-05
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
29
|
29
|
$89,424.00
|
$58,125.00
35% off
|
$5,130.69
|
$108,132.43
|
$43,416.43
|
2026-07-05
|
|
174
|
MS_DRG
|
G.i. Hemorrhage W Cc
|
15
|
15
|
$64,468.00
|
$41,904.00
35% off
|
$4,809.84
|
$64,468.00
|
$43,193.56
|
2026-07-05
|
|
209
|
MS_DRG
|
No Longer Valid
|
15
|
15
|
$64,271.00
|
$41,776.00
35% off
|
$6,602.93
|
$64,271.35
|
$43,061.80
|
2026-07-05
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
28
|
28
|
$73,140.00
|
$47,541.00
35% off
|
$25,599.08
|
$106,536.57
|
$42,887.60
|
2026-07-05
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
29
|
29
|
$98,833.00
|
$64,242.00
35% off
|
$6,325.85
|
$105,416.90
|
$42,588.43
|
2026-07-05
|
|
0620T
|
OTHER
|
Hc Evasc Ven Artlz Tibl/Prnl Vn
|
34
|
29
|
$63,764.00
|
$41,446.60
35% off
|
$9,819.66
|
$63,764.00
|
$42,530.59
|
2026-03-01
|
|
532
|
MS_DRG
|
Spinal Procedures Without Cc
|
15
|
15
|
$63,325.00
|
$41,161.00
35% off
|
$9,678.35
|
$63,324.80
|
$42,427.62
|
2026-07-05
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
29
|
29
|
$99,681.00
|
$64,793.00
35% off
|
$10,186.67
|
$103,783.02
|
$42,065.58
|
2026-07-05
|
|
15
|
MS_DRG
|
Autologous Bone Marrow Transplant
|
28
|
28
|
$42,015.00
|
$27,310.00
35% off
|
$7,387.83
|
$77,613.99
|
$42,014.91
|
2026-07-05
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
38
|
30
|
$92,124.30
|
$59,880.79
35% off
|
$14,187.14
|
$85,675.60
|
$41,455.93
|
2026-03-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
29
|
29
|
$138,796.00
|
$90,217.00
35% off
|
$5,340.26
|
$117,976.49
|
$41,305.10
|
2026-07-05
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
29
|
29
|
$117,267.00
|
$76,224.00
35% off
|
$12,543.26
|
$99,677.29
|
$41,043.59
|
2026-07-05
|
|
569
|
MS_DRG
|
Major Small & Large Bowel Procedures W Cc W Major Gi Dx
|
15
|
15
|
$61,153.00
|
$39,749.00
35% off
|
$5,228.97
|
$61,152.62
|
$40,972.26
|
2026-07-05
|
|
598
|
MS_DRG
|
Malignant Breast Disorders With Cc
|
29
|
29
|
$181,097.00
|
$117,713.00
35% off
|
$12,823.80
|
$153,932.45
|
$40,820.27
|
2026-07-05
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
29
|
29
|
$94,877.00
|
$61,670.00
35% off
|
$8,811.40
|
$100,771.10
|
$40,711.52
|
2026-07-05
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
29
|
29
|
$123,234.00
|
$80,102.00
35% off
|
$8,778.60
|
$104,748.73
|
$40,706.57
|
2026-07-05
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
29
|
29
|
$104,791.00
|
$68,114.00
35% off
|
$6,241.03
|
$96,867.52
|
$40,684.36
|
2026-07-05
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
29
|
29
|
$131,651.00
|
$85,573.00
35% off
|
$7,643.82
|
$111,903.64
|
$40,208.40
|
2026-07-05
|
|
69715
|
CPT
|
Temple Bne Implnt W/stimulat
|
27
|
27
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$55,606.16
|
$40,000.00
|
2026-07-05
|
|
69718
|
CPT
|
Revise Temple Bone Implant
|
27
|
27
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$55,606.16
|
$40,000.00
|
2026-07-05
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
29
|
29
|
$85,955.00
|
$55,870.00
35% off
|
$10,732.13
|
$99,780.65
|
$39,847.22
|
2026-07-05
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
29
|
29
|
$67,396.00
|
$43,807.00
35% off
|
$5,266.63
|
$103,253.60
|
$39,834.73
|
2026-07-05
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
29
|
29
|
$79,729.00
|
$51,824.00
35% off
|
$20,515.34
|
$99,570.38
|
$39,757.38
|
2026-07-05
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
29
|
29
|
$162,010.00
|
$105,307.00
35% off
|
$5,115.52
|
$137,708.82
|
$39,597.49
|
2026-07-05
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
29
|
29
|
$112,220.00
|
$72,943.00
35% off
|
$6,285.25
|
$95,386.88
|
$39,276.95
|
2026-07-05
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
102
|
89
|
$381,082.00
|
$70,904.17
81% off
|
$12,344.42
|
$323,920.01
|
$39,182.18
|
2026-07-05
|
|
397
|
MS_DRG
|
Coagulation Disorders
|
15
|
15
|
$58,178.00
|
$37,816.00
35% off
|
$5,928.23
|
$58,178.43
|
$38,979.55
|
2026-07-05
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
103
|
90
|
$84,615.00
|
$66,732.09
21% off
|
$14,235.95
|
$149,798.58
|
$38,825.60
|
2026-07-05
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
29
|
29
|
$76,056.00
|
$49,436.00
35% off
|
$6,037.17
|
$100,013.70
|
$38,788.62
|
2026-07-05
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
29
|
29
|
$104,786.00
|
$68,111.00
35% off
|
$4,055.27
|
$92,153.33
|
$38,704.40
|
2026-07-05
|
|
404
|
MS_DRG
|
Lymphoma & Non-acute Leukemia Without Cc
|
15
|
15
|
$57,240.00
|
$37,206.00
35% off
|
$3,705.59
|
$57,239.86
|
$38,350.71
|
2026-07-05
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
28
|
28
|
$89,449.00
|
$58,142.00
35% off
|
$30,808.27
|
$85,085.90
|
$38,328.94
|
2026-07-05
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
29
|
29
|
$97,896.00
|
$63,633.00
35% off
|
$20,950.76
|
$90,861.45
|
$38,161.81
|
2026-07-05
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
28
|
28
|
$71,316.00
|
$46,356.00
35% off
|
$24,960.70
|
$95,081.65
|
$38,126.04
|
2026-07-05
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
29
|
29
|
$72,624.00
|
$47,206.00
35% off
|
$4,804.24
|
$95,256.48
|
$37,913.79
|
2026-07-05
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
29
|
29
|
$117,010.00
|
$76,057.00
35% off
|
$4,861.97
|
$99,458.68
|
$37,230.41
|
2026-07-05
|
|
Sx00000243045_00000_100092_000
|
OTHER
|
Ipg Barostim Neo
|
32
|
25
|
$78,750.00
|
$51,188.00
35% off
|
$826.93
|
$78,750.00
|
$37,209.38
|
2026-07-05
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
104
|
91
|
$88,335.00
|
$61,490.49
30% off
|
$5,369.85
|
$116,892.07
|
$37,022.36
|
2026-07-05
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
111
|
99
|
$149,955.00
|
$51,961.59
65% off
|
$5,714.86
|
$127,784.60
|
$36,920.05
|
2026-07-05
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
29
|
29
|
$66,366.00
|
$43,138.00
35% off
|
$8,931.07
|
$95,530.60
|
$36,646.30
|
2026-07-05
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
29
|
29
|
$91,193.00
|
$59,276.00
35% off
|
$11,935.75
|
$99,000.62
|
$36,611.68
|
2026-07-05
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
27
|
27
|
$121,136.00
|
$78,738.00
35% off
|
$27,039.69
|
$102,965.54
|
$36,472.75
|
2026-07-05
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
29
|
29
|
$164,329.00
|
$106,814.00
35% off
|
$6,053.82
|
$139,679.34
|
$36,398.38
|
2026-07-05
|
|
Sx00000148537_C1767_100092_000
|
OTHER
|
Generator Sentive Vns
|
32
|
25
|
$76,938.00
|
$50,009.00
35% off
|
$826.92
|
$76,937.50
|
$36,352.97
|
2026-07-05
|
|
403
|
MS_DRG
|
Lymphoma & Non-acute Leukemia W Cc
|
15
|
15
|
$54,238.00
|
$35,255.00
35% off
|
$3,838.08
|
$54,238.00
|
$36,339.46
|
2026-07-05
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
101
|
88
|
$162,068.00
|
$80,946.19
50% off
|
$11,473.03
|
$137,757.79
|
$36,326.02
|
2026-07-05
|
|
800
|
MS_DRG
|
Splenectomy With Cc
|
29
|
29
|
$143,243.00
|
$93,108.00
35% off
|
$7,156.13
|
$121,756.47
|
$36,155.74
|
2026-07-05
|
|
C1820
|
HCPCS
|
Neurostimltr Intelis MRI (97715 146109)
|
35
|
28
|
$52,961.70
|
$34,425.10
35% off
|
$8,156.10
|
$49,254.38
|
$35,908.03
|
2026-03-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
29
|
29
|
$97,365.00
|
$63,288.00
35% off
|
$10,034.87
|
$85,253.07
|
$35,806.29
|
2026-07-05
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
114
|
101
|
$460,004.00
|
$64,728.80
86% off
|
$16,547.48
|
$391,003.68
|
$35,656.95
|
2026-07-05
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
28
|
28
|
$138,108.00
|
$89,770.00
35% off
|
$23,971.22
|
$117,391.50
|
$35,650.59
|
2026-07-05
|
|
323
|
MS_DRG
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
15
|
15
|
$53,161.00
|
$34,555.00
35% off
|
$3,844.07
|
$53,161.41
|
$35,618.14
|
2026-07-05
|
|
Sx00000240843_00000_100092_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 40-62 Mm
|
32
|
25
|
$75,020.00
|
$48,763.00
35% off
|
$826.93
|
$75,020.00
|
$35,446.95
|
2026-07-05
|
|
Sx00000101266_00000_100092_000
|
OTHER
|
Evolutpro 23mm
|
32
|
25
|
$75,000.00
|
$48,750.00
35% off
|
$826.93
|
$75,000.00
|
$35,437.50
|
2026-07-05
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
29
|
29
|
$130,087.00
|
$84,557.00
35% off
|
$7,848.15
|
$110,574.35
|
$35,262.22
|
2026-07-05
|
|
359
|
MS_DRG
|
Uterine & Adnexa Proc For Non-malignancy Without Cc
|
15
|
15
|
$52,440.00
|
$34,086.00
35% off
|
$9,107.32
|
$52,440.04
|
$35,134.83
|
2026-07-05
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
100
|
88
|
$330,340.00
|
$35,607.37
89% off
|
$12,288.71
|
$280,788.62
|
$34,837.68
|
2026-07-05
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
29
|
29
|
$99,455.00
|
$64,646.00
35% off
|
$8,171.45
|
$84,536.58
|
$34,809.18
|
2026-07-05
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
$55,130.00
|
$35,835.00
35% off
|
$34,787.16
|
$34,787.16
|
$34,787.16
|
2026-07-05
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
29
|
29
|
$86,300.00
|
$56,095.00
35% off
|
$650.00
|
$82,783.22
|
$34,768.95
|
2026-07-05
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
29
|
29
|
$64,304.00
|
$41,797.00
35% off
|
$15,275.90
|
$90,623.32
|
$34,630.40
|
2026-07-05
|
|
131
|
MS_DRG
|
Cranial/facial Procedures W Cc/mcc
|
29
|
29
|
$134,149.00
|
$87,197.00
35% off
|
$6,857.63
|
$134,149.40
|
$34,312.29
|
2026-07-05
|
|
69930
|
CPT
|
Implant Cochlear Device
|
78
|
39
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$128,065.63
|
$34,170.57
|
2026-07-05
|
|
Sx00000204484_00000_100092_000
|
OTHER
|
Implant Hvad Sterile
|
47
|
39
|
$210,500.00
|
$136,825.00
35% off
|
$826.93
|
$210,500.00
|
$34,036.21
|
2026-07-05
|
|
6132
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
1
|
1
|
$53,763.00
|
$34,946.00
35% off
|
$33,924.43
|
$33,924.43
|
$33,924.43
|
2026-07-05
|
|
Sx00000240838_00000_100092_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 17-23 Mm
|
32
|
25
|
$71,375.00
|
$46,394.00
35% off
|
$826.93
|
$71,375.00
|
$33,724.69
|
2026-07-05
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
29
|
29
|
$125,867.00
|
$81,813.00
35% off
|
$6,368.20
|
$106,986.56
|
$33,413.98
|
2026-07-05
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
29
|
29
|
$129,151.00
|
$83,948.00
35% off
|
$6,210.55
|
$109,778.68
|
$33,339.32
|
2026-07-05
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
71
|
58
|
—
|
$178,139.86
|
$29,340.92
|
$102,135.81
|
$33,245.28
|
2026-03-01
|
|
37294
|
CPT
|
Hc Rvsc Evsc Tpvt St Athr Cpx 1st Vsl
|
37
|
31
|
$51,721.00
|
$33,618.65
35% off
|
$7,965.03
|
$51,721.00
|
$33,101.44
|
2026-03-01
|
|
37292
|
CPT
|
Hc Rvsc Evsc Tpvt St Athrc Sf 1st Vsdl
|
37
|
31
|
$51,721.00
|
$33,618.65
35% off
|
$7,965.03
|
$51,721.00
|
$33,101.44
|
2026-03-01
|
|
Sx00000060271_C1767_100092_000
|
OTHER
|
Stimulator Vns 106
|
32
|
25
|
$70,033.00
|
$45,521.00
35% off
|
$826.93
|
$70,032.50
|
$33,090.35
|
2026-07-05
|
|
Sx00000192124_00000_100092_000
|
OTHER
|
Valve 23mm Lotus Edge Sys
|
32
|
25
|
$70,000.00
|
$45,500.00
35% off
|
$826.93
|
$70,000.00
|
$33,075.00
|
2026-07-05
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
24
|
24
|
$38,882.00
|
$25,273.00
35% off
|
$4,628.69
|
$113,594.93
|
$33,049.73
|
2026-07-05
|
|
0408T
|
OTHER
|
Hc Insj/Rplc Cardiac Modulj Sys
|
94
|
74
|
$80,154.00
|
$52,100.10
35% off
|
$12,343.72
|
$80,154.00
|
$33,004.70
|
2026-03-01
|
|
Sx00000014673_C1767_100092_000
|
OTHER
|
Generator Cyberonics Ncp
|
33
|
25
|
$64,568.00
|
$41,969.00
35% off
|
$826.93
|
$64,567.50
|
$32,929.43
|
2026-07-05
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
29
|
29
|
$99,807.00
|
$64,875.00
35% off
|
$16,406.03
|
$84,836.16
|
$32,904.79
|
2026-07-05
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
29
|
29
|
$59,319.00
|
$38,558.00
35% off
|
$7,937.19
|
$83,512.80
|
$32,895.05
|
2026-07-05
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
29
|
29
|
$73,360.00
|
$47,684.00
35% off
|
$20,950.76
|
$83,254.40
|
$32,784.61
|
2026-07-05
|
|
211
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint Age >17 Without Cc
|
15
|
15
|
$48,910.00
|
$31,792.00
35% off
|
$10,108.57
|
$48,910.10
|
$32,769.77
|
2026-07-05
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
29
|
29
|
$54,638.00
|
$35,515.00
35% off
|
$7,336.96
|
$83,026.40
|
$32,687.19
|
2026-07-05
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
27
|
27
|
$64,057.00
|
$41,637.00
35% off
|
$22,419.78
|
$82,238.63
|
$32,668.82
|
2026-07-05
|
|
Sx00000196816_00000_100092_000
|
OTHER
|
Implant Heartmate Ii
|
47
|
39
|
$206,000.00
|
$133,900.00
35% off
|
$826.93
|
$206,000.00
|
$32,544.99
|
2026-07-05
|
|
0571T
|
OTHER
|
Hc Insj/Rplcmt Icds Ss Eltrd
|
86
|
69
|
$76,314.00
|
$49,604.10
35% off
|
$11,752.36
|
$70,972.02
|
$32,510.18
|
2026-03-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
29
|
29
|
$118,252.00
|
$76,864.00
35% off
|
$8,949.02
|
$100,513.99
|
$32,480.06
|
2026-07-05
|
|
6311
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
$51,417.00
|
$33,421.00
35% off
|
$32,443.98
|
$32,443.98
|
$32,443.98
|
2026-07-05
|
|
34704
|
CPT
|
Evasc Rpr A-unilac Ndgft Rpt
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
35302
|
CPT
|
Rechanneling Of Artery
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
23220
|
CPT
|
Radical Rescj Tumor Prox Hum
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
27280
|
CPT
|
Arthr Si Jt Opn B1grf Instrm
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
34706
|
CPT
|
Evasc Rpr A-biiliac Rpt
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
22802
|
CPT
|
Arthrd Pst Dfrm 7-12 Vrt Sgm
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
22116
|
CPT
|
Remove Extra Spine Segment
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
33995
|
CPT
|
Insj Perq Vad R Hrt Venous
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
34703
|
CPT
|
Evasc Rpr A-unilac Ndgft
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
27470
|
CPT
|
Repair Of Thigh
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
21422
|
CPT
|
Optx Palatal/max Fracture
|
34
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
21423
|
CPT
|
Optx Palatal/max Fx Comp
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
22534
|
CPT
|
Arthrd Lat Xtrcvtry Tq Ea Ad
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|
|
A2002
|
HCPCS
|
Mirragen Adv Wnd Mat Per Sq
|
17
|
17
|
$50,000.00
|
$32,500.00
35% off
|
$11,300.00
|
$42,500.00
|
$32,350.00
|
2026-07-05
|