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

MAURY REGIONAL HOSPITAL

Columbia, TN · CCN 440073 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $3,993 across 16 payers · range $2,034-$9,451

Source: https://res.cloudinary.com/dpmykpsih/raw/upload/maury-site-494/media/r/6c3ba5371fd34253b5675e6bf48e9ac2/626002623_maury-regional-medical-center_standardcharges.csv · observed 2026-07-15

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.

26,033 distinct procedures filed
30 distinct payers
439,586 rate rows
2026-07-15 last MRF observed
Data quality

434,653 of 439,586 rate rows are consumer-grade (98.9%)

4,933 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,425
per-diem day rate — not a per-procedure price 2,295
placeholder amount (≤ $0.02) — excluded from medians 117
percent-of-charges filed in the dollar field — excluded from medians 63
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/maury-site-494/media/r/6c3ba5371fd34253b5675e6bf48e9ac2/626002623_maury-regional-medical-center_standardcharges.csv
Found on page https://www.mauryregional.com/billing-and-insurance/understanding-charges/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-14
Content fingerprint 550dab2b3be5ef39… · 47,493,758 bytes · first seen 2026-05-06

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
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 13 $1,680,000.00 $4,375,000.00 $3,672,900.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 11 $3,605,000.00 $3,731,175.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $1,318,400.00 $4,944,000.00 $3,325,454.76 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 11 $3,286,000.00 $3,401,010.00 $3,318,860.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 11 $2,968,000.00 $3,071,880.00 $2,997,680.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 15 $889,156.24 $4,683,348.52 $2,436,386.51 nat. median
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 17 $175,755.32 $1,349,441.79 $541,773.40 nat. median
$691,418
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 17 $177,868.00 $1,342,798.35 $539,752.28 nat. median
$610,161
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 17 $197,160.00 $1,344,164.75 $537,665.90 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 17 $173,967.20 $1,317,651.50 $529,644.23 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 17 $158,152.00 $1,248,112.70 $504,139.64 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $158,152.00 $1,174,352.52 $472,043.66 nat. median
$577,541
0.8× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $371,504.49 $371,504.49 $371,504.49 nat. median
$27,071
outlier · 13.7×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 $156,483.17 $574,567.97 $235,952.87 nat. median
$370,165
0.6× median
612
MS_DRG 		Neonate- Birthwt <750g-- Discharged Alive 1 $217,286.57 $217,286.57 $217,286.57 nat. median
$53,038
outlier · 4.1×
636
MS_DRG 		Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 $199,388.70 $199,388.70 $199,388.70 nat. median
$8,001
outlier · 24.9×
633
MS_DRG 		Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 $179,138.52 $179,138.52 $179,138.52 nat. median
$7,400
outlier · 24.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $106,274.75 $313,701.88 $176,237.01 nat. median
$261,939
0.7× median
631
MS_DRG 		Neonate- Birthwt 750-999g- Discharged Alive 1 $174,511.45 $174,511.45 $174,511.45 nat. median
$77,861
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $36,531.60 $318,692.10 $148,423.42 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 17 $69,910.40 $287,912.11 $134,088.36 nat. median
$199,832
0.7× median
359
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $112,353.56 $112,353.56 $112,353.56 nat. median
$31,389
outlier · 3.6×
681
MS_DRG 		Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 $102,819.68 $102,819.68 $102,819.68 nat. median
$29,070
outlier · 3.5×
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 17 $89,999.93 $254,999.80 $102,499.92 nat. median
$111,503
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 17 $45,070.29 $189,822.42 $89,854.69 nat. median
$132,706
0.7× median
635
MS_DRG 		Neonate- Birthwt 1000-1499g- Died 1 $84,974.31 $84,974.31 $84,974.31 nat. median
$59,901
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $44,501.01 $145,910.80 $81,972.36 nat. median
$114,305
0.7× median
7
MS_DRG 		Lung Transplant 17 $38,536.64 $145,543.29 $81,765.89 nat. median
$122,690
0.7× median
634
MS_DRG 		Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 $80,655.19 $80,655.19 $80,655.19 nat. median
$13,790
outlier · 5.8×
613
MS_DRG 		Neonate- Birthwt <750g- Died 1 $77,067.16 $77,067.16 $77,067.16 nat. median
$40,057
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $50,040.46 $122,723.08 $68,945.55 nat. median
$108,240
0.6× median
212
MS_DRG 		Testes Procedures Age 0-17 15 $7,190.96 $146,348.65 $68,158.47 nat. median
$100,978
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 17 $48,110.99 $184,728.63 $67,612.88 nat. median
$98,002
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 13 $65,871.74 $167,972.94 $67,518.53 nat. median
$70,178
1.0× median
A9543
HCPCS 		Y90 Ibritumomab- Rx 17 $16,842.94 $166,965.28 $67,440.88 nat. median
$63,643
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $11,906.58 $140,726.52 $66,850.90 nat. median
$96,835
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $43,686.51 $118,599.16 $66,628.74 nat. median
$99,646
0.7× median
632
MS_DRG 		Neonate- Birthwt 750-999g- Died 1 $64,772.71 $64,772.71 $64,772.71 nat. median
$65,117
1.0× median
J9029
HCPCS 		Instill Adstiladrin- Tx Dose 17 $24,720.00 $161,554.66 $63,988.32 nat. median
$69,291
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $41,221.19 $151,354.15 $60,986.63 nat. median
$92,900
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $41,831.24 $123,752.66 $59,075.79 nat. median
$81,364
0.7× median
C1826
HCPCS 		Gen- Neuro- Clo Loop- Rechg 24 $34.66 $85,282.56 $58,491.75 nat. median
$28,828
outlier · 2.0×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 17 $13,392.37 $140,288.84 $56,665.69 nat. median
$65,655
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $25,460.53 $113,838.37 $53,547.74 nat. median
$79,040
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $37,874.66 $112,047.62 $53,488.16 nat. median
$81,124
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 17 $38,458.64 $190,306.69 $52,988.16 nat. median
$80,459
0.7× median
361
MS_DRG 		Cardiac Defibrillator Implant With Mcc 1 $52,473.56 $52,473.56 $52,473.56 nat. median
$21,550
outlier · 2.4×
647
MS_DRG 		Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob 1 $52,095.87 $52,095.87 $52,095.87 nat. median
$52,373
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $32,309.00 $118,630.76 $51,665.84 nat. median
$77,385
0.7× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 6 $35,344.01 $129,774.57 $51,364.21 nat. median
$83,623
0.6× median

Other procedures at this hospital

Browse this hospital's 26,033 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 19 13 — — $1,680,000.00 $4,375,000.00 $3,672,900.00 2026-07-15
C9172 HCPCS Inj- Beqvez- Per Tx Dose 13 11 — — $3,605,000.00 $3,731,175.00 $3,605,000.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 15 — — $1,318,400.00 $4,944,000.00 $3,325,454.76 2026-07-15
J3394 HCPCS Inj- Lovotibeglogene Autotem 14 11 — — $3,286,000.00 $3,401,010.00 $3,318,860.00 2026-07-15
J3393 HCPCS Inj- Betibeglogene Autotemce 14 11 — — $2,968,000.00 $3,071,880.00 $2,997,680.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 23 15 — — $889,156.24 $4,683,348.52 $2,436,386.51 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 25 17 — — $175,755.32 $1,349,441.79 $541,773.40 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 26 17 — — $177,868.00 $1,342,798.35 $539,752.28 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 25 17 — — $197,160.00 $1,344,164.75 $537,665.90 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 17 — — $173,967.20 $1,317,651.50 $529,644.23 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 17 — — $158,152.00 $1,248,112.70 $504,139.64 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 26 17 — — $158,152.00 $1,174,352.52 $472,043.66 2026-07-15
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 1 — — $371,504.49 $371,504.49 $371,504.49 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 25 15 — — $156,483.17 $574,567.97 $235,952.87 2026-07-15
612 MS_DRG Neonate- Birthwt <750g-- Discharged Alive 1 1 — — $217,286.57 $217,286.57 $217,286.57 2026-07-15
636 MS_DRG Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 1 — — $199,388.70 $199,388.70 $199,388.70 2026-07-15
633 MS_DRG Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 1 — — $179,138.52 $179,138.52 $179,138.52 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 17 — — $106,274.75 $313,701.88 $176,237.01 2026-07-15
631 MS_DRG Neonate- Birthwt 750-999g- Discharged Alive 1 1 — — $174,511.45 $174,511.45 $174,511.45 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 17 — — $36,531.60 $318,692.10 $148,423.42 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 29 17 — — $69,910.40 $287,912.11 $134,088.36 2026-07-15
359 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $112,353.56 $112,353.56 $112,353.56 2026-07-15
681 MS_DRG Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 1 — — $102,819.68 $102,819.68 $102,819.68 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad- Rep 22 17 — — $89,999.93 $254,999.80 $102,499.92 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 29 17 — — $45,070.29 $189,822.42 $89,854.69 2026-07-15
635 MS_DRG Neonate- Birthwt 1000-1499g- Died 1 1 — — $84,974.31 $84,974.31 $84,974.31 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 24 17 — — $44,501.01 $145,910.80 $81,972.36 2026-07-15
7 MS_DRG Lung Transplant 24 17 — — $38,536.64 $145,543.29 $81,765.89 2026-07-15
634 MS_DRG Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 1 — — $80,655.19 $80,655.19 $80,655.19 2026-07-15
613 MS_DRG Neonate- Birthwt <750g- Died 1 1 — — $77,067.16 $77,067.16 $77,067.16 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 17 — — $50,040.46 $122,723.08 $68,945.55 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 23 15 — — $7,190.96 $146,348.65 $68,158.47 2026-07-15
215 MS_DRG Other Heart Assist System Implant 29 17 — — $48,110.99 $184,728.63 $67,612.88 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 16 13 — — $65,871.74 $167,972.94 $67,518.53 2026-07-15
A9543 HCPCS Y90 Ibritumomab- Rx 29 17 — — $16,842.94 $166,965.28 $67,440.88 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 — — $11,906.58 $140,726.52 $66,850.90 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 17 — — $43,686.51 $118,599.16 $66,628.74 2026-07-15
632 MS_DRG Neonate- Birthwt 750-999g- Died 1 1 — — $64,772.71 $64,772.71 $64,772.71 2026-07-15
J9029 HCPCS Instill Adstiladrin- Tx Dose 22 17 — — $24,720.00 $161,554.66 $63,988.32 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $41,221.19 $151,354.15 $60,986.63 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 20 14 — — $41,831.24 $123,752.66 $59,075.79 2026-07-15
C1826 HCPCS Gen- Neuro- Clo Loop- Rechg 47 24 $80,568.00 $37,866.96 53% off $34.66 $85,282.56 $58,491.75 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 27 17 — — $13,392.37 $140,288.84 $56,665.69 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 17 — — $25,460.53 $113,838.37 $53,547.74 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 14 — — $37,874.66 $112,047.62 $53,488.16 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 29 17 — — $38,458.64 $190,306.69 $52,988.16 2026-07-15
361 MS_DRG Cardiac Defibrillator Implant With Mcc 1 1 — — $52,473.56 $52,473.56 $52,473.56 2026-07-15
647 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob 1 1 — — $52,095.87 $52,095.87 $52,095.87 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 17 — — $32,309.00 $118,630.76 $51,665.84 2026-07-15
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 10 6 — — $35,344.01 $129,774.57 $51,364.21 2026-07-15
360 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $50,748.10 $50,748.10 $50,748.10 2026-07-15
10 MS_DRG Pancreas Transplant 24 17 — — $17,419.44 $88,792.90 $49,883.65 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 15 — — $27,926.68 $88,283.95 $49,597.73 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 29 17 — — $21,867.57 $105,005.52 $48,903.87 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $35,135.99 $167,457.26 $48,894.33 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 22 17 — — $42,743.66 $121,107.05 $48,680.29 2026-07-15
38240 CPT Transplt Allo Hct/donor 29 17 — — $685.00 $122,006.50 $47,845.69 2026-07-15
646 MS_DRG Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob 1 1 — — $46,719.69 $46,719.69 $46,719.69 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 17 — — $26,724.42 $100,274.06 $46,700.31 2026-07-15
J9226 HCPCS Supprelin La Implant 26 17 — — $6,652.81 $115,643.06 $46,483.98 2026-07-15
C1822 HCPCS Generator Pulse Kit Ipg Senza [nipg2000] 9 9 $57,960.00 $27,241.20 53% off $28,980.00 $55,641.60 $46,368.00 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 — — $11,460.72 $95,417.67 $45,327.33 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 15 — — $32,091.25 $94,938.08 $44,215.20 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 17 — — $30,863.63 $115,438.46 $43,523.85 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 14 — — $30,446.04 $90,070.94 $42,997.15 2026-07-15
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 5 — — $33,634.09 $123,496.17 $42,812.98 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 17 — — $26,280.07 $98,561.68 $42,721.75 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 9 — — $30,117.27 $159,952.12 $42,051.60 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 17 — — $16,799.86 $89,724.34 $41,787.02 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 17 — — $13,047.47 $96,672.53 $41,716.32 2026-07-15
33276 CPT Insj Phrnc Nrv Stim Sys 22 16 — — $15,951.00 $105,449.53 $41,661.32 2026-07-15
0266T CPT Implt/rpl Crtd Sns Dev Total 25 16 — — $648.00 $105,449.53 $41,352.76 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 17 — — $25,103.79 $92,174.99 $41,271.76 2026-07-15
50242-0105-01 NDC Polatuzumab Vedotin 140 Mg Inj 9 9 $51,480.00 $24,195.60 53% off $25,740.00 $49,420.80 $41,184.00 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $26,428.04 $97,037.32 $40,808.37 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 17 — — $21,544.78 $84,960.65 $40,359.81 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 21 15 — — $28,092.44 $83,108.10 $39,866.83 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 22 17 — — $34,460.53 $97,638.17 $39,246.71 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 29 17 — — $16,074.22 $82,440.43 $39,162.60 2026-07-15
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 5 — — $30,676.22 $112,635.58 $38,836.44 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 15 — — $28,128.77 $83,215.57 $38,755.71 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $19,146.96 $82,064.28 $38,601.71 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 17 — — $19,103.78 $82,729.26 $38,529.22 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 21 17 — — $33,931.33 $96,138.77 $38,455.51 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 29 17 — — $27,204.22 $138,404.86 $38,231.51 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 29 17 — — $12,985.14 $81,672.00 $38,036.83 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 17 — — $25,279.44 $67,220.00 $37,764.05 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 17 — — $17,986.20 $67,220.00 $37,764.05 2026-07-15
C1882 HCPCS Aicd Intica Neo 7 Hf-t Df-1 Is-1 Promri 199 10 $48,287.50 $22,695.12 53% off $90.00 $59,351.04 $37,674.00 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $24,025.61 $88,216.17 $37,594.45 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 28 17 — — $795.00 $79,862.44 $37,194.07 2026-07-15
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $37,076.11 $37,076.11 $37,076.11 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 17 — — $18,851.42 $78,216.78 $36,960.84 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 29 17 — — $26,062.62 $119,286.46 $36,916.49 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 17 — — $20,076.75 $79,048.34 $36,814.92 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $36,053.26 $36,053.26 $36,053.26 2026-07-15
648 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob 1 1 — — $35,817.67 $35,817.67 $35,817.67 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 17 — — $25,906.86 $110,991.71 $35,694.37 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 17 — — $25,099.47 $103,158.72 $35,619.41 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 5 — — $24,784.36 $91,002.12 $35,477.71 2026-07-15
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 10 6 — — $27,587.55 $101,294.75 $35,281.43 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 15 — — $9,066.86 $73,942.08 $35,125.54 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 14 — — $24,841.54 $73,490.70 $35,082.24 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 29 17 — — $19,161.63 $74,889.18 $34,877.89 2026-07-15
C1767 HCPCS Gen Prclm 6.68 X 5.02 X 1.35 [3662] 82 10 $45,583.00 $21,424.01 53% off $90.00 $50,864.64 $34,776.38 2026-07-15
C1820 HCPCS Generator Protege MRI [3771ans] 55 10 $46,110.50 $21,671.93 53% off $90.00 $71,703.36 $34,776.00 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 29 17 — — $23,765.71 $87,261.87 $34,581.95 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 17 — — $17,745.99 $72,557.03 $34,467.58 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 17 — — $10,381.91 $72,480.46 $34,431.21 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 16 13 — — $33,480.90 $85,376.30 $34,317.93 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 24 17 — — $21,600.12 $60,595.89 $34,042.64 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 29 17 — — $12,660.26 $72,929.16 $33,965.05 2026-07-15
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 29 17 — — $17,389.25 $72,488.52 $33,759.84 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $23,777.86 $87,306.50 $33,470.58 2026-07-15
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 5 — — $27,259.17 $105,910.81 $33,295.10 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 29 17 — — $14,824.17 $71,471.57 $33,286.22 2026-07-15
318 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 1 1 — — $33,084.53 $33,084.53 $33,084.53 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 14 — — $23,386.60 $69,186.44 $33,027.52 2026-07-15
677 MS_DRG Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob 1 1 — — $32,617.51 $32,617.51 $32,617.51 2026-07-15
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $32,398.11 $32,398.11 $32,398.11 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 17 — — $3,544.16 $72,879.58 $32,114.99 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 17 — — $22,629.17 $112,712.54 $32,113.73 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 17 — — $14,843.03 $68,440.86 $31,874.73 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 29 17 — — $20,399.53 $74,902.09 $31,777.13 2026-07-15
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $31,551.05 $31,551.05 $31,551.05 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 17 — — $22,872.56 $107,645.49 $31,513.73 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 17 — — $22,737.70 $103,405.00 $31,443.11 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 — — $22,719.99 $67,214.33 $31,303.51 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 17 — — $21,962.73 $80,641.77 $31,291.00 2026-07-15
245 MS_DRG Aicd Generator Procedures 29 17 — — $19,033.78 $69,887.38 $30,574.62 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 29 17 — — $22,057.00 $93,540.26 $30,390.05 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 24 17 — — $19,970.27 $57,117.08 $30,339.37 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 29 17 — — $16,563.85 $63,875.98 $30,285.31 2026-07-15
Q4130 HCPCS Tissue Matrix Strattice Reconstructive Extra Thick 15x35 Rectangle 10 10 $38,908.00 $18,286.76 53% off $90.00 $37,351.68 $30,153.70 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 29 17 — — $3,357.66 $103,922.17 $29,904.35 2026-07-15
C1721 HCPCS Icd 2 Chmbr Is-1 Df-1 Evera Xt [ddbb1d1] 127 10 $37,223.00 $17,494.81 53% off $90.00 $90,263.04 $29,892.00 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 17 — — $21,685.55 $107,700.90 $29,878.26 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 17 — — $16,694.22 $63,863.89 $29,743.12 2026-07-15
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 15 — — $21,124.28 $62,493.62 $29,687.05 2026-07-15
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 5 — — $25,651.20 $96,901.88 $29,596.64 2026-07-15
C9363 HCPCS Wound Matrix Mesh Bilayer 8x10 [mwm8101] 10 10 $38,100.00 $17,907.00 53% off $90.00 $36,576.00 $29,527.50 2026-07-15
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $29,440.07 $29,440.07 $29,440.07 2026-07-15
69930 CPT Implant Cochlear Device 30 17 — — $1,295.00 $74,871.63 $29,361.42 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 17 — — $21,249.61 $85,858.12 $29,277.63 2026-07-15
L5856 HCPCS Elec Knee-shin Swing/stance 22 17 — — $25,608.89 $72,558.52 $29,165.68 2026-07-15
L6880 HCPCS Elec Hand Ind Art Digits 22 17 — — $25,488.00 $72,216.00 $29,028.00 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $18,064.59 $72,000.00 $29,021.27 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 29 17 — — $17,015.33 $62,476.13 $28,837.79 2026-07-15
650 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob 26 15 — — $16,746.00 $69,465.64 $28,825.91 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 25 16 — — $648.00 $73,452.93 $28,805.07 2026-07-15
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 38 25 $30,102.00 $14,147.94 53% off $1,054.00 $73,452.93 $28,805.07 2026-07-15
0408T CPT Insj/rplc Cardiac Modulj Sys 26 16 — — $5,755.00 $73,452.93 $28,805.07 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 29 17 — — $1,054.00 $73,452.93 $28,805.07 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 37 25 $24,221.00 $11,383.87 53% off $685.00 $73,452.93 $28,805.07 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 17 — — $15,237.50 $61,687.58 $28,729.56 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 17 — — $16,576.84 $60,866.12 $28,227.15 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 29 17 — — $19,406.30 $81,505.26 $28,058.85 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 15 — — $17,190.13 $63,117.97 $28,033.55 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 29 17 — — $19,954.34 $73,267.46 $27,981.27 2026-07-15
C1722 HCPCS Icd Acticor 7 Vr-t Dx 429525 100 10 $33,810.00 $15,890.70 53% off $90.00 $52,636.80 $27,927.02 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 5 — — $21,132.29 $77,592.61 $27,873.70 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 29 17 — — $11,961.45 $59,519.34 $27,719.74 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 29 17 — — $19,608.04 $100,017.22 $27,696.03 2026-07-15
J9266 HCPCS Pegaspargase Injection 26 17 — — $2,319.48 $69,029.85 $27,341.24 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 38 25 $24,221.00 $11,383.87 53% off $1,054.00 $73,452.93 $27,341.12 2026-07-15
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 27 17 — — $917.00 $69,329.46 $27,188.02 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 30 17 — — $917.00 $69,329.46 $27,188.02 2026-07-15
0268T CPT Implt/rpl Crtd Sns Dev Gen 27 17 — — $5,469.00 $69,329.46 $27,188.02 2026-07-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 23 17 — — $15,951.00 $69,329.46 $27,188.02 2026-07-15
61886 CPT Implant Neurostim Arrays 30 17 — — $1,478.00 $69,329.46 $27,188.02 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 29 17 — — $685.00 $69,329.46 $27,188.02 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 15 — — $19,341.94 $57,220.78 $27,182.23 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 17 — — $11,161.62 $58,127.57 $27,071.56 2026-07-15
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 10 6 — — $23,904.04 $87,769.80 $26,859.80 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 17 — — $18,965.11 $112,233.85 $26,743.17 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 17 — — $13,859.59 $57,305.41 $26,688.66 2026-07-15
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 27 15 — — $4,018.22 $61,269.40 $26,460.30 2026-07-15
649 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Minor Prob 1 1 — — $26,316.70 $26,316.70 $26,316.70 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 17 — — $14,629.24 $56,283.09 $26,212.54 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 14 — — $18,543.17 $54,857.74 $26,187.43 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 28 17 — — $795.00 $56,026.50 $26,093.04 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 17 — — $3,548.86 $60,091.91 $26,031.72 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 29 17 — — $13,422.36 $55,241.95 $25,727.65 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 17 — — $18,022.67 $66,174.83 $25,713.26 2026-07-15
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 29 17 — — $13,612.26 $55,129.11 $25,675.10 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 17 — — $12,727.75 $64,872.22 $25,447.98 2026-07-15
33289 CPT Tcat Impl Wrls P-art Prs Snr 28 17 — — $1,054.00 $64,891.67 $25,447.71 2026-07-15
791 MS_DRG Prematurity With Major Problems 28 17 — — $795.00 $54,540.70 $25,401.06 2026-07-15
C9760 HCPCS Non-blind Interatrial Shunt 23 16 — — $11,561.00 $64,441.83 $25,271.31 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 24 16 — — $4,878.00 $64,441.83 $25,271.31 2026-07-15
00074-5015-01 NDC Risankizumab-rzaa 600 Mg/10 Ml IV Soln 9 9 $31,357.00 $14,737.79 53% off $15,678.50 $30,102.72 $25,085.60 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 16 — — $16,881.76 $52,790.25 $25,077.54 2026-07-15
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $25,066.89 $25,066.89 $25,066.89 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 15 — — $10,259.48 $52,556.49 $24,966.50 2026-07-15
676 MS_DRG Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- Without Mult Major Prob 1 1 — — $24,946.21 $24,946.21 $24,946.21 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 17 — — $11,363.67 $53,517.03 $24,924.31 2026-07-15
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 29 17 — — $6,253.21 $53,479.41 $24,906.79 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 29 17 — — $17,535.11 $88,947.29 $24,686.56 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 17 — — $9,893.96 $52,897.72 $24,635.88 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 29 17 — — $17,357.52 $131,082.89 $24,632.58 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 17 — — $14,618.76 $53,676.52 $24,571.47 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 29 17 — — $14,881.18 $54,640.06 $24,465.08 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 17 — — $10,663.61 $52,240.80 $24,329.93 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 29 17 — — $13,183.42 $51,922.41 $24,191.70 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 29 17 — — $8,979.26 $51,870.02 $24,157.25 2026-07-15
J9600 HCPCS Porfimer Sodium Injection 28 17 — — $4,236.68 $60,868.86 $24,105.20 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 17 — — $17,263.52 $68,803.78 $23,785.61 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 29 17 — — $17,129.11 $71,446.59 $23,600.42 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 29 17 — — $16,992.42 $83,547.78 $23,412.09 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 17 — — $16,568.75 $62,757.80 $22,828.36 2026-07-15
Q0483 HCPCS Monitor Elec Vad- Rep 22 17 — — $20,001.49 $56,670.89 $22,779.48 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 17 — — $16,031.55 $86,326.03 $22,750.85 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 17 — — $16,453.86 $61,207.83 $22,670.06 2026-07-15
L5858 HCPCS Stance Phase Only 22 17 — — $19,826.27 $56,174.43 $22,579.92 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 17 — — $15,910.76 $84,451.29 $22,579.43 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 17 — — $15,899.40 $125,381.69 $22,563.32 2026-07-15
C2622 HCPCS Extender Penile Prosthesis 15c[72404231] 19 10 $28,408.00 $13,351.76 53% off $90.00 $27,616.32 $22,439.20 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 17 — — $11,712.45 $48,158.20 $22,428.56 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 17 — — $9,318.40 $48,155.52 $22,427.31 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 17 — — $12,839.26 $48,147.46 $22,423.56 2026-07-15
C1813 HCPCS Implant Inf Pnil Pros Cx12x18[72404232-10] 55 10 $28,742.00 $13,508.74 53% off $90.00 $28,741.44 $22,343.20 2026-07-15
332 MS_DRG Rectal Resection With Mcc 29 17 — — $12,481.26 $46,598.52 $22,337.14 2026-07-15
265 MS_DRG Aicd Lead Procedures 29 17 — — $9,261.80 $47,921.76 $22,318.45 2026-07-15
104 MS_DRG Craniotomy- Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 1 1 — — $22,241.28 $22,241.28 $22,241.28 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 29 17 — — $13,157.85 $48,312.41 $22,218.34 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 17 — — $6,027.26 $47,415.30 $22,082.57 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 17 — — $15,987.04 $63,792.14 $22,026.89 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 29 17 — — $15,467.55 $86,022.81 $21,950.47 2026-07-15
651 MS_DRG Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- W Mult Major Prob 26 15 — — $15,483.57 $120,420.57 $21,943.21 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 17 — — $10,331.60 $47,055.27 $21,914.90 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 29 17 — — $13,103.77 $48,113.85 $21,867.35 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 17 — — $6,489.64 $46,547.47 $21,678.40 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 9 — — $15,866.30 $58,257.18 $21,621.18 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 17 — — $4,071.51 $48,370.90 $21,550.14 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 29 17 — — $15,616.50 $65,399.07 $21,516.35 2026-07-15
665 MS_DRG Prostatectomy With Mcc 29 17 — — $8,967.95 $46,126.98 $21,482.57 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 29 17 — — $15,577.45 $68,006.47 $21,462.55 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 17 — — $12,824.17 $47,087.21 $21,430.01 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 17 — — $15,403.07 $77,255.53 $21,222.29 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 17 — — $12,774.70 $46,905.58 $21,001.44 2026-07-15
L5973 HCPCS Ank-foot Sys Dors-plant Flex 22 17 — — $18,353.57 $52,001.79 $20,902.69 2026-07-15
93653 CPT Compre Ep Eval Tx Svt 31 17 — — $932.82 $53,026.92 $20,794.87 2026-07-15
93654 CPT Compre Ep Eval Tx Vt 31 17 — — $1,249.13 $53,026.92 $20,794.87 2026-07-15
93656 CPT Compre Ep Eval Abltj Atr Fib 31 17 — — $1,253.40 $53,026.92 $20,794.87 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 29 17 — — $9,469.31 $44,612.97 $20,777.45 2026-07-15
143 MS_DRG Stomach-- Esophageal & Duodenal Proc Age 0-17 27 15 — — $10,755.49 $45,618.81 $20,658.58 2026-07-15
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 24 16 — — $7,403.00 $52,627.29 $20,638.15 2026-07-15
0515T CPT Insj Wcs Lv Compl Sys 25 17 — — $5,755.00 $52,627.29 $20,638.15 2026-07-15
0409T CPT Insj/rplc Car Modulj Pls Gn 26 16 — — $5,755.00 $52,627.29 $20,638.15 2026-07-15
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 38 25 $27,365.00 $12,861.55 53% off $1,054.00 $52,627.29 $20,638.15 2026-07-15
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 38 25 $27,365.00 $12,861.55 53% off $1,054.00 $52,627.29 $20,638.15 2026-07-15
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 26 16 — — $5,755.00 $52,627.29 $20,638.15 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 29 17 — — $1,054.00 $52,627.29 $20,638.15 2026-07-15
33230 CPT Insrt Pulse Gen W/dual Leads 29 17 — — $1,054.00 $52,627.29 $20,638.15 2026-07-15
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 29 17 — — $13,320.92 $48,911.16 $20,450.86 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 — — $14,551.18 $43,047.91 $20,449.53 2026-07-15
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 29 17 — — $10,907.16 $43,786.78 $20,429.41 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 15 — — $14,508.95 $42,922.97 $20,390.18 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 17 — — $14,794.58 $65,834.66 $20,383.91 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 17 — — $10,588.15 $43,248.08 $20,141.78 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 17 — — $14,105.71 $74,189.44 $20,017.83 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 17 — — $9,276.48 $42,841.03 $19,952.21 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 29 17 — — $5,077.77 $42,725.49 $19,898.40 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 17 — — $9,084.90 $42,639.52 $19,858.36 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 29 17 — — $12,720.20 $46,705.48 $19,825.20 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 29 17 — — $10,143.38 $41,927.51 $19,809.60 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 14 — — $14,013.53 $41,457.32 $19,790.48 2026-07-15
L6975 HCPCS Interscap-thor Myoelectronic 22 17 — — $17,346.73 $49,149.06 $19,755.99 2026-07-15
Q0489 HCPCS Pwr Pck Base Combo Vad- Rep 22 17 — — $17,340.20 $49,130.57 $19,748.57 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 17 — — $14,042.59 $72,276.21 $19,712.55 2026-07-15
173 MS_DRG Urethral Procedures Age 0-17 23 15 — — $13,934.51 $41,223.57 $19,582.90 2026-07-15
00074-3683-03 NDC Leuprolide 30 Mg/4 Months Inj 9 9 $24,474.00 $11,502.78 53% off $12,237.00 $23,495.04 $19,579.20 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 29 17 — — $8,541.20 $41,908.71 $19,518.00 2026-07-15
609 MS_DRG Other Respiratory Problems After Birth 1 1 — — $19,352.20 $19,352.20 $19,352.20 2026-07-15
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 22 16 — — $15,303.00 $48,840.95 $19,296.24 2026-07-15
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 22 16 — — $15,303.00 $48,840.95 $19,296.24 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 17 — — $9,368.70 $41,427.77 $19,294.02 2026-07-15
652 MS_DRG Kidney Transplant 26 17 — — $12,850.16 $47,182.64 $19,216.44 2026-07-15
63655 CPT Implant Neuroelectrodes 30 17 — — $1,054.00 $48,840.95 $19,153.32 2026-07-15
64580 CPT Opn Impltj Nea Neuromuscular 28 17 — — $1,791.00 $48,840.95 $19,153.32 2026-07-15
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 30 17 — — $917.00 $48,840.95 $19,153.32 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 30 17 — — $917.00 $48,840.95 $19,153.32 2026-07-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 23 17 — — $15,303.00 $48,840.95 $19,153.32 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 17 — — $13,403.92 $49,215.92 $19,136.35 2026-07-15
Q4166 HCPCS Dressing Cytal Wnd Matrix 5x5[wsr0505] 12 11 $25,224.00 $11,855.28 53% off $18.93 $24,215.04 $18,918.00 2026-07-15
570 MS_DRG Skin Debridement With Mcc 29 17 — — $10,546.23 $40,439.03 $18,833.53 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 29 17 — — $9,022.02 $40,116.61 $18,683.38 2026-07-15
678 MS_DRG Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Major Prob 1 1 — — $18,636.00 $18,636.00 $18,636.00 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 15 — — $12,841.77 $47,151.85 $18,600.75 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 17 — — $11,778.68 $43,248.44 $18,448.13 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 17 — — $11,534.71 $42,352.63 $18,400.58 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 29 17 — — $9,770.71 $39,401.92 $18,350.53 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 15 — — $12,996.80 $38,449.45 $18,265.07 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 29 17 — — $9,992.05 $39,177.57 $18,246.04 2026-07-15
800 MS_DRG Splenic Procedures With Cc 29 17 — — $11,577.05 $42,508.09 $18,230.40 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 17 — — $12,568.87 $46,149.83 $18,220.39 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 15 — — $12,927.32 $38,243.91 $18,167.43 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 29 17 — — $13,156.19 $56,681.04 $18,126.54 2026-07-15
L6970 HCPCS Interscapular-thor Switch CT 22 17 — — $15,860.92 $44,939.26 $18,063.82 2026-07-15
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 29 17 — — $13,019.50 $50,253.34 $17,938.22 2026-07-15
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