Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PRISMA HEALTH LAURENS COUNTY HOSPITAL

Clinton, SC · CCN 420038 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC Echo 2d W/Spec/Color Compl

This hospital’s price: $583 across 74 payers · range $119-$3,100

Source: https://www.prismahealth.org/getmedia/e97694dc-7094-40c3-bee3-66f231043d23/811723202_prisma-health-laurens-county-hospital_standardcharges.zip · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

24,851 distinct procedures filed
139 distinct payers
1,165,054 rate rows
2026-07-05 last MRF observed
Data quality

1,120,404 of 1,165,054 rate rows are consumer-grade (96.2%)

44,650 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 24,390
per-diem day rate — not a per-procedure price 12,737
template filing: same amount across many unrelated codes — excluded 4,264
placeholder amount (≤ $0.02) — excluded from medians 2,263
percent-of-charges filed in the dollar field — excluded from medians 374
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 276
exceeds 3× this hospital's gross charge for a DRG stay — excluded 226
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 60
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 60
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/e97694dc-7094-40c3-bee3-66f231043d23/811723202_prisma-health-laurens-county-hospital_standardcharges.zip
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 19b9f122716575f9… · 12,569,020 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
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $1,633,200.05 $1,633,200.05 $1,633,200.05 nat. median
$71,350
outlier · 22.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $458,389.23 $2,541,523.73 $1,067,434.13 nat. median
$359,358
outlier · 3.0×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,056,934.24 $1,056,934.24 $1,056,934.24 nat. median
$101,541
outlier · 10.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $946,566.26 $946,566.26 $946,566.26 nat. median
$162,514
outlier · 5.8×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $925,684.99 $925,684.99 $925,684.99 nat. median
$74,798
outlier · 12.4×
7
MS_DRG 		Lung Transplant 27 $349,502.85 $2,162,847.20 $912,721.52 nat. median
$117,894
outlier · 7.7×
Rx24338005008_C9399_1000017_000
OTHER 		Carmustine In Polifeprosan 77 Mg Wafer For Implant 26 $25.27 $1,902,341.00 $802,787.90 nat. median
$802,788
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $777,540.95 $777,540.95 $777,540.95 nat. median
$165,000
outlier · 4.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $759,099.69 $759,099.69 $759,099.69 nat. median
$247,214
outlier · 3.1×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $735,497.30 $735,497.30 $735,497.30 nat. median
$175,429
outlier · 4.2×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $443,732.36 $861,887.90 $652,810.13 nat. median
$96,883
outlier · 6.7×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 $433,098.12 $840,306.96 $636,702.54 nat. median
$68,031
outlier · 9.4×
Q2056
HCPCS 		Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 83 $11,705.53 $2,582,193.36 $599,402.57 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 84 $399,062.20 $2,409,921.09 $594,857.87 nat. median
$738,272
0.8× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 84 $455,372.61 $2,749,977.43 $590,311.30 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 84 $444,144.86 $2,682,173.51 $585,985.81 nat. median
$622,245
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $584,534.98 $584,534.98 $584,534.98 nat. median
$145,061
outlier · 4.0×
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 84 $448,012.18 $2,705,528.10 $558,801.85 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 84 $377,084.40 $2,482,145.82 $538,395.22 nat. median
$591,650
0.9× median
6123
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $477,949.06 $477,949.06 $477,949.06 nat. median
$46,627
outlier · 10.3×
6083
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $476,358.85 $476,358.85 $476,358.85 nat. median
$51,140
outlier · 9.3×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $315,777.30 $625,247.80 $470,512.55 nat. median
$151,838
outlier · 3.1×
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 15 $40,412.89 $599,559.59 $422,689.51 nat. median
$73,288
outlier · 5.8×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $271,904.78 $543,588.83 $407,746.80 nat. median
$118,589
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $296,307.21 $846,592.03 $395,603.32 nat. median
$249,124
1.6× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $394,847.57 $394,847.57 $394,847.57 nat. median
$66,709
outlier · 5.9×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $371,650.80 $371,650.80 $371,650.80 nat. median
$82,224
outlier · 4.5×
6224
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 $243,286.24 $485,264.40 $364,275.32 nat. median
$41,260
outlier · 8.8×
5832
APR_DRG 		Neonate With Ecmo 2 $235,218.65 $475,736.52 $355,477.59 nat. median
$159,249
outlier · 2.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $234,270.54 $475,021.85 $354,646.20 nat. median
$108,798
outlier · 3.3×
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $220,986.98 $451,343.57 $336,165.28 nat. median
$69,181
outlier · 4.9×
6022
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $221,274.09 $450,270.87 $335,772.48 nat. median
$70,021
outlier · 4.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $213,514.71 $437,505.93 $325,510.32 nat. median
$107,657
outlier · 3.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $49,022.11 $752,886.92 $317,718.28 nat. median
$103,967
outlier · 3.1×
6081
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $312,519.16 $312,519.16 $312,519.16 nat. median
$16,430
outlier · 19.0×
6301
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $188,869.80 $390,651.03 $289,760.42 nat. median
$24,196
outlier · 12.0×
6032
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $178,566.63 $373,092.76 $275,829.70 nat. median
$38,325
outlier · 7.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $9,987.87 $645,830.69 $271,248.89 nat. median
$190,557
1.4× median
6
MS_DRG 		Liver Transplant Without Mcc 27 $76,871.66 $613,006.45 $258,688.72 nat. median
$44,134
outlier · 5.9×
213
MS_DRG 		Amputation For Musculoskeletal System & Conn Tissue Disorders 15 $49,453.29 $382,425.60 $256,225.15 nat. median
$48,456
outlier · 5.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $255,294.87 $255,294.87 $255,294.87 nat. median
$133,164
1.9× median
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 29 $94,492.24 $715,523.45 $250,433.21 nat. median
$2,024
outlier · 123.7×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 27 $71,549.28 $591,940.40 $249,798.85 nat. median
$50,788
outlier · 4.9×
105
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 15 $22,615.75 $372,415.27 $249,518.23 nat. median
$53,321
outlier · 4.7×
6143
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 $156,710.72 $328,852.59 $242,781.66 nat. median
$38,341
outlier · 6.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $162,983.63 $546,032.95 $229,993.52 nat. median
$198,433
1.2× median
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $225,135.12 $225,135.12 $225,135.12 nat. median
$63,006
outlier · 3.6×
6122
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $221,980.12 $221,980.12 $221,980.12 nat. median
$33,469
outlier · 6.6×
6072
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $140,472.02 $302,945.62 $221,708.82 nat. median
$52,066
outlier · 4.3×
6033
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $134,966.37 $292,732.67 $213,849.52 nat. median
$59,496
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 24,851 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
             
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
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