Price Transparency 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

BSA HOSPITAL

Amarillo, TX · CCN 450231 · Rates published

9,096 distinct procedures filed
120 distinct payers
1,380,575 rate rows
2025-04-05 last MRF observed · ⚠ 14 mo old
Data quality

479,918 of 1,380,575 rate rows are consumer-grade (34.8%)

900,657 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 899,368
per-diem day rate — not a per-procedure price 861
exceeds 10× this hospital's gross charge — excluded from medians 335
exceeds 3× this hospital's gross charge for a DRG stay — excluded 84
placeholder amount (≤ $0.02) — excluded from medians 9

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://coc.ardenthealthservices.com/amarillo/30-0754305_BSA-Hospital_standardcharges.csv
Found on page https://bsahs.org/policies-and-disclosures/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 6b00dd9b08df604a… · 1,107,053,804 bytes · first seen 2026-05-08

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 111 $174,531.28 $369,953.83 $272,242.55 nat. median
$265,286
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 108 $132,790.57 $281,476.68 $207,133.62 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 108 $88,162.01 $193,078.33 $140,620.17 nat. median
$133,176
1.1× median
A9513
HCPCS 		Nm Iso Lu-177 Lutetium Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution Per… 120 $67,384.00 $171,639.00 $119,511.50 nat. median
$468
outlier · 255.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With McC 40 $73,843.00 $141,715.58 $107,779.29 nat. median
$87,411
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 110 $65,645.56 $139,150.37 $102,397.96 nat. median
$99,019
1.0× median
A9607
HCPCS 		Nm Iso Lu-177 Lutetium Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln Pe… 120 $54,708.00 $148,578.30 $101,643.15 nat. median
$415
outlier · 244.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 110 $59,798.38 $126,753.95 $93,276.16 nat. median
$93,672
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 110 $49,946.72 $122,953.67 $86,450.20 nat. median
$77,576
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 108 $50,758.43 $119,376.12 $85,067.27 nat. median
$81,118
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 108 $52,504.43 $111,294.55 $81,899.49 nat. median
$79,312
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 110 $36,222.55 $126,891.88 $81,557.21 nat. median
$64,732
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 110 $34,983.00 $124,115.38 $79,549.19 nat. median
$64,027
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 110 $37,119.10 $114,147.33 $75,633.21 nat. median
$60,726
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 110 $48,430.55 $102,657.25 $75,543.90 nat. median
$73,807
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 40 $48,979.94 $101,788.14 $75,384.04 nat. median
$62,270
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 108 $47,941.68 $101,622.25 $74,781.96 nat. median
$74,915
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 110 $46,248.31 $98,032.56 $72,140.43 nat. median
$72,138
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 110 $35,896.90 $108,196.05 $72,046.48 nat. median
$56,697
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With McC 45 $54,069.82 $84,653.34 $69,361.58 nat. median
$65,381
1.1× median
653
MS_DRG 		Major Bladder Procedures With McC 113 $34,540.32 $103,592.72 $69,066.52 nat. median
$51,418
1.3× median
834
MS_DRG 		Acute Leukemia With McC 110 $34,247.25 $102,713.68 $68,480.46 nat. median
$53,173
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 110 $43,787.25 $92,815.51 $68,301.38 nat. median
$68,887
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 108 $43,102.59 $91,370.71 $67,236.65 nat. median
$66,526
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 111 $33,464.69 $100,368.34 $66,916.51 nat. median
$52,753
1.3× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 110 $30,797.00 $100,273.56 $65,535.28 nat. median
$52,857
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 110 $41,312.57 $87,570.87 $64,441.72 nat. median
$65,950
1.0× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With McC 108 $31,566.23 $94,674.10 $63,120.17 nat. median
$49,191
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 110 $40,013.26 $84,815.24 $62,414.25 nat. median
$64,510
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 108 $30,933.50 $93,599.93 $62,266.71 nat. median
$47,740
1.3× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With McC 108 $30,988.14 $92,949.48 $61,968.81 nat. median
$48,170
1.3× median
228
MS_DRG 		Other Cardiothoracic Procedures With McC 108 $30,876.61 $92,811.98 $61,844.29 nat. median
$50,673
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 108 $35,561.42 $87,684.75 $61,623.08 nat. median
$58,024
1.1× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With McC 107 $39,185.47 $68,951.08 $61,123.62 nat. median
$60,185
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 109 $38,380.61 $81,355.59 $59,868.10 nat. median
$59,099
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 110 $34,726.25 $84,950.52 $59,838.39 nat. median
$62,134
1.0× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 110 $29,589.08 $88,743.84 $59,166.46 nat. median
$46,259
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/McC 45 $38,481.31 $79,343.31 $58,912.31 nat. median
$48,483
1.2× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 110 $29,455.25 $88,355.43 $58,905.34 nat. median
$46,084
1.3× median
28
MS_DRG 		Spinal Procedures With McC 110 $37,668.69 $79,846.43 $58,757.56 nat. median
$57,823
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 113 $36,861.97 $78,138.93 $57,500.45 nat. median
$61,920
0.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 110 $29,150.40 $85,708.24 $57,429.32 nat. median
$47,651
1.2× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 113 $20,942.64 $93,047.97 $56,995.31 nat. median
$47,311
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without McC 110 $35,676.23 $78,132.36 $56,904.29 nat. median
$59,899
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With McC 110 $28,451.49 $85,333.62 $56,892.56 nat. median
$44,810
1.3× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 110 $36,458.61 $77,281.24 $56,869.93 nat. median
$57,424
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 110 $27,953.95 $83,839.44 $55,896.69 nat. median
$43,966
1.3× median
93656
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 120 $17,167.99 $91,550.01 $54,359.00 nat. median
$26,811
outlier · 2.0×
93653
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 120 $17,167.99 $91,550.01 $54,359.00 nat. median
$26,156
outlier · 2.1×
93654
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 120 $17,167.99 $91,550.01 $54,359.00 nat. median
$26,704
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 9,096 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
             
901 MS_DRG Wound Debridements For Injuries With McC 139 113 $71,564.01 $7,156.40 90% off $25,953.85 $82,332.25 $54,143.05 2025-04-05
902 MS_DRG Wound Debridements For Injuries With Cc 137 111 $16,061.18 $1,606.12 90% off $11,331.45 $35,261.89 $23,296.67 2025-04-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 137 111 $84,751.29 $8,475.13 90% off $33,464.69 $100,368.34 $66,916.51 2025-04-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 127 108 $82,605.80 $8,260.58 90% off $18,269.58 $54,797.73 $36,533.65 2025-04-05
31 MS_DRG Ventricular Shunt Procedures With McC 129 110 $215,545.15 $21,554.51 90% off $25,965.03 $55,037.83 $40,501.43 2025-04-05
32 MS_DRG Ventricular Shunt Procedures With Cc 146 120 $75,456.70 $7,545.67 90% off $6,921.96 $39,686.82 $23,304.39 2025-04-05
263 MS_DRG Vein Ligation And Stripping 129 110 $176,834.61 $17,683.46 90% off $8,699.47 $35,225.63 $21,962.55 2025-04-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 137 111 $251,067.60 $25,106.76 90% off $24,397.44 $51,714.78 $38,056.11 2025-04-05
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 139 113 $86,977.60 $8,697.76 90% off $12,382.12 $37,137.05 $24,759.58 2025-04-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 139 113 $72,076.53 $7,207.65 90% off $15,348.91 $73,978.60 $44,663.75 2025-04-05
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 129 110 $81,785.84 $8,178.58 90% off $10,444.85 $33,790.01 $22,117.43 2025-04-05
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/McC 129 110 $66,139.56 $6,613.96 90% off $10,033.40 $33,946.12 $21,989.76 2025-04-05
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 129 110 $45,704.24 $4,570.42 90% off $16,211.88 $48,622.16 $32,417.02 2025-04-05
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 124 109 $117,591.98 $11,759.20 90% off $19,527.53 $59,547.88 $39,537.71 2025-04-05
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 129 110 $82,466.97 $8,246.70 90% off $12,442.30 $43,117.48 $27,779.89 2025-04-05
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 127 108 $73,282.64 $7,328.26 90% off $12,850.50 $42,110.21 $27,480.35 2025-04-05
668 MS_DRG Transurethral Procedures With McC 129 110 $60,132.19 $6,013.22 90% off $12,813.99 $54,193.74 $33,503.86 2025-04-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 127 108 $517,131.74 $51,713.17 90% off $88,162.01 $193,078.33 $140,620.17 2025-04-05
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 129 110 $69,960.88 $6,996.09 90% off $13,882.05 $49,244.73 $31,563.39 2025-04-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 129 110 $103,797.71 $10,379.77 90% off $30,797.00 $100,273.56 $65,535.28 2025-04-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 129 110 $325,428.25 $32,542.82 90% off $25,426.60 $53,896.44 $39,661.52 2025-04-05
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With McC 139 113 $59,829.35 $5,982.93 90% off $12,903.85 $53,279.39 $33,091.62 2025-04-05
711 MS_DRG Testes Procedures With Cc/McC 129 110 $36,496.86 $3,649.69 90% off $10,716.44 $35,507.20 $23,111.82 2025-04-05
81416 CPT Test For Detecting Exome, Sequence Analysis, Each Comparator Exome 150 120 $43,470.00 $4,347.00 90% off $15,000.00 $54,480.00 $34,740.00 2025-04-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 129 110 $149,316.87 $14,931.69 90% off $31,469.57 $68,355.10 $49,912.33 2025-04-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 129 110 $91,149.35 $9,114.93 90% off $15,044.55 $45,124.59 $30,084.57 2025-04-05
799 MS_DRG Splenic Procedures With McC 129 110 $259,036.57 $25,903.66 90% off $29,460.82 $62,448.36 $45,954.59 2025-04-05
800 MS_DRG Splenic Procedures With Cc 139 113 $80,447.71 $8,044.77 90% off $17,161.95 $54,147.27 $35,654.61 2025-04-05
30 MS_DRG Spinal Procedures Without Cc/McC 139 113 $87,820.38 $8,782.04 90% off $11,592.75 $41,353.83 $26,473.29 2025-04-05
28 MS_DRG Spinal Procedures With McC 129 110 $204,306.72 $20,430.67 90% off $37,668.69 $79,846.43 $58,757.56 2025-04-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 129 110 $91,057.38 $9,105.74 90% off $20,522.45 $62,378.27 $41,450.36 2025-04-05
460 MS_DRG Spinal Fusion Except Cervical Without McC 43 40 $153,620.66 $15,362.07 90% off $31,587.45 $50,774.74 $41,181.10 2025-04-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 127 108 $167,864.00 $16,786.40 90% off $50,758.43 $119,376.12 $85,067.27 2025-04-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 127 108 $185,357.59 $18,535.76 90% off $35,561.42 $87,684.75 $61,623.08 2025-04-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 127 108 $153,461.96 $15,346.20 90% off $26,754.40 $66,819.09 $46,786.75 2025-04-05
459 MS_DRG Spinal Fusion Except Cervical With McC 53 45 $168,822.08 $16,882.21 90% off $54,069.82 $84,653.34 $69,361.58 2025-04-05
52 MS_DRG Spinal Disorders And Injuries With Cc/McC 127 108 $67,261.42 $6,726.14 90% off $10,278.45 $37,399.09 $23,838.77 2025-04-05
C2616 HCPCS Sphere Embolization Sir-spheres Yttrium-90 20-60 Um Micro 5 Ml Sterile Latex Fre… 150 120 $84,961.20 $8,496.12 90% off $25,714.03 $30,918.62 $28,316.33 2025-04-05
500 MS_DRG Soft Tissue Procedures With McC 127 108 $91,981.88 $9,198.19 90% off $16,385.47 $58,884.42 $37,634.94 2025-04-05
592 MS_DRG Skin Ulcers With McC 139 113 $35,860.19 $3,586.02 90% off $9,261.85 $38,213.08 $23,737.47 2025-04-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 139 113 $72,263.87 $7,226.39 90% off $23,185.50 $69,579.69 $46,382.60 2025-04-05
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 129 110 $54,362.58 $5,436.26 90% off $11,851.74 $35,570.39 $23,711.06 2025-04-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 137 111 $61,812.97 $6,181.30 90% off $17,093.70 $64,389.09 $40,741.39 2025-04-05
570 MS_DRG Skin Debridement With McC 129 110 $81,734.03 $8,173.40 90% off $15,568.80 $55,946.24 $35,757.52 2025-04-05
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 127 108 $91,170.25 $9,117.02 90% off $13,901.42 $53,113.99 $33,507.71 2025-04-05
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 127 108 $85,578.41 $8,557.84 90% off $9,385.89 $36,451.29 $22,918.59 2025-04-05
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 129 110 $71,430.03 $7,143.00 90% off $11,746.80 $36,468.01 $24,107.40 2025-04-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 127 108 $239,736.08 $23,973.61 90% off $43,102.59 $91,370.71 $67,236.65 2025-04-05
548 MS_DRG Septic Arthritis With McC 129 110 $86,364.75 $8,636.47 90% off $12,429.95 $37,438.11 $24,934.03 2025-04-05
100 MS_DRG Seizures With McC 129 110 $59,429.90 $5,942.99 90% off $6,795.48 $36,893.59 $21,844.53 2025-04-05
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 127 108 $113,926.87 $11,392.69 90% off $16,254.01 $48,750.39 $32,502.20 2025-04-05
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 127 108 $127,447.97 $12,744.80 90% off $31,566.23 $94,674.10 $63,120.17 2025-04-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 139 113 $128,646.49 $12,864.65 90% off $21,222.60 $63,649.44 $42,436.02 2025-04-05
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 139 113 $48,511.71 $4,851.17 90% off $11,081.20 $38,846.80 $24,964.00 2025-04-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 129 110 $199,321.21 $19,932.12 90% off $34,726.25 $84,950.52 $59,838.39 2025-04-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 127 108 $107,653.15 $10,765.31 90% off $14,929.85 $49,882.17 $32,406.01 2025-04-05
332 MS_DRG Rectal Resection With McC 146 120 $124,223.30 $12,422.33 90% off $10,928.19 $64,459.71 $37,693.95 2025-04-05
333 MS_DRG Rectal Resection With Cc 129 110 $127,798.69 $12,779.87 90% off $13,168.40 $39,493.54 $26,330.97 2025-04-05
93600 CPT Recording Of Upper Heart Rhythm 5 2 $19,279.28 $1,927.93 90% off $1,187.54 $26,367.98 $22,895.41 2025-04-05
665 MS_DRG Prostatectomy With McC 139 113 $108,769.29 $10,876.93 90% off $13,388.77 $63,807.40 $38,598.08 2025-04-05
791 MS_DRG Prematurity With Major Problems 74 66 $32,139.68 $3,213.97 90% off $3,861.18 $75,454.20 $25,155.21 2025-04-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 129 110 $92,817.50 $9,281.75 90% off $27,953.95 $83,839.44 $55,896.69 2025-04-05
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 129 110 $72,937.21 $7,293.72 90% off $13,325.00 $40,493.37 $26,909.19 2025-04-05
199 MS_DRG Pneumothorax With McC 139 113 $56,187.39 $5,618.74 90% off $10,937.83 $32,805.04 $21,871.44 2025-04-05
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 129 110 $74,494.92 $7,449.49 90% off $11,181.95 $33,539.12 $22,360.53 2025-04-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 129 110 $119,839.61 $11,983.96 90% off $21,016.89 $63,038.01 $42,027.45 2025-04-05
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 129 110 $88,569.20 $8,856.92 90% off $13,958.39 $41,864.90 $27,911.65 2025-04-05
335 MS_DRG Peritoneal Adhesiolysis With McC 129 110 $86,312.83 $8,631.28 90% off $22,450.65 $67,347.72 $44,899.18 2025-04-05
336 MS_DRG Peritoneal Adhesiolysis With Cc 146 120 $70,954.58 $7,095.46 90% off $11,812.27 $39,257.52 $25,534.90 2025-04-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 136 117 $97,834.83 $9,783.48 90% off $4,339.22 $70,096.34 $37,217.78 2025-04-05
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 127 108 $73,852.67 $7,385.27 90% off $13,823.55 $41,974.55 $27,899.05 2025-04-05
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 129 110 $109,731.04 $10,973.10 90% off $14,328.91 $42,979.96 $28,654.44 2025-04-05
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 126 110 $73,106.56 $7,310.66 90% off $11,209.83 $52,340.68 $31,775.26 2025-04-05
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 124 109 $106,358.09 $10,635.81 90% off $17,638.82 $74,249.16 $45,943.99 2025-04-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 128 110 $151,624.34 $15,162.43 90% off $19,337.77 $57,923.17 $38,630.47 2025-04-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 128 110 $152,517.67 $15,251.77 90% off $24,228.29 $80,672.00 $52,450.14 2025-04-05
709 MS_DRG Penis Procedures With Cc/McC 129 110 $28,163.87 $2,816.39 90% off $11,485.43 $41,758.97 $26,622.20 2025-04-05
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 150 120 $114,922.08 $11,492.21 90% off $10,133.57 $86,883.51 $48,508.54 2025-04-05
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 127 108 $49,318.17 $4,931.82 90% off $11,556.19 $34,657.90 $23,107.04 2025-04-05
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 139 113 $82,158.08 $8,215.81 90% off $12,656.80 $39,688.67 $26,172.74 2025-04-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 139 113 $211,348.67 $21,134.87 90% off $33,636.32 $71,299.75 $52,468.04 2025-04-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 139 113 $128,281.14 $12,828.11 90% off $17,400.90 $52,188.49 $34,794.69 2025-04-05
252 MS_DRG Other Vascular Procedures With McC 129 110 $103,293.89 $10,329.39 90% off $21,219.90 $63,747.93 $42,483.92 2025-04-05
253 MS_DRG Other Vascular Procedures With Cc 129 110 $97,459.47 $9,745.95 90% off $15,818.43 $47,443.91 $31,631.17 2025-04-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 136 117 $98,770.46 $9,877.05 90% off $8,730.56 $60,568.16 $34,649.36 2025-04-05
166 MS_DRG Other Respiratory System O.r. Procedures With McC 127 108 $105,367.57 $10,536.76 90% off $23,753.04 $71,568.22 $47,660.63 2025-04-05
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 129 110 $62,647.90 $6,264.79 90% off $11,321.36 $33,955.41 $22,638.38 2025-04-05
205 MS_DRG Other Respiratory System Diagnoses With McC 129 110 $61,111.45 $6,111.14 90% off $9,099.35 $35,081.62 $22,090.49 2025-04-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 127 108 $177,131.84 $17,713.18 90% off $20,575.93 $45,062.12 $32,819.03 2025-04-05
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 139 113 $51,082.91 $5,108.29 90% off $11,028.91 $33,078.23 $22,053.57 2025-04-05
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/McC 129 110 $94,425.65 $9,442.56 90% off $16,381.65 $49,131.37 $32,756.51 2025-04-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 129 110 $391,703.29 $39,170.33 90% off $46,248.31 $98,032.56 $72,140.43 2025-04-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 129 110 $109,795.10 $10,979.51 90% off $25,091.30 $76,372.26 $50,731.78 2025-04-05
907 MS_DRG Other O.r. Procedures For Injuries With McC 139 113 $88,594.84 $8,859.48 90% off $24,617.45 $74,030.64 $49,324.04 2025-04-05
908 MS_DRG Other O.r. Procedures For Injuries With Cc 129 110 $63,142.09 $6,314.21 90% off $12,497.99 $37,484.57 $24,991.28 2025-04-05
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 127 108 $74,025.35 $7,402.53 90% off $11,636.30 $35,181.98 $23,409.14 2025-04-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 127 108 $108,268.08 $10,826.81 90% off $19,160.56 $57,466.43 $38,313.50 2025-04-05
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 137 111 $96,468.06 $9,646.81 90% off $12,464.53 $37,384.22 $24,924.38 2025-04-05
963 MS_DRG Other Multiple Significant Trauma With McC 127 108 $148,438.20 $14,843.82 90% off $16,832.72 $35,681.40 $26,257.06 2025-04-05
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC 129 110 $54,958.34 $5,495.83 90% off $13,033.15 $41,967.11 $27,500.13 2025-04-05
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC 129 110 $56,122.67 $5,612.27 90% off $9,704.33 $34,481.35 $22,092.84 2025-04-05
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 128 110 $130,622.36 $13,062.24 90% off $15,503.67 $46,497.97 $31,000.82 2025-04-05
270 MS_DRG Other Major Cardiovascular Procedures With McC 126 108 $184,583.91 $18,458.39 90% off $31,804.16 $67,417.17 $49,610.67 2025-04-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 138 113 $136,398.25 $13,639.82 90% off $21,341.56 $64,011.83 $42,676.69 2025-04-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 137 111 $97,732.14 $9,773.21 90% off $20,182.23 $77,868.30 $49,025.26 2025-04-05
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 129 110 $85,820.80 $8,582.08 90% off $14,302.89 $42,898.19 $28,600.54 2025-04-05
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 139 113 $23,287.92 $2,328.79 90% off $13,286.12 $39,848.50 $26,567.31 2025-04-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 129 110 $175,518.99 $17,551.90 90% off $25,201.68 $53,419.65 $39,310.67 2025-04-05
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 139 113 $47,836.57 $4,783.66 90% off $14,147.37 $42,429.86 $28,288.62 2025-04-05
215 MS_DRG Other Heart Assist System Implant 129 110 $343,689.38 $34,368.94 90% off $65,645.56 $139,150.37 $102,397.96 2025-04-05
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 139 113 $57,694.71 $5,769.47 90% off $16,039.01 $48,103.65 $32,071.33 2025-04-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 129 110 $105,113.91 $10,511.39 90% off $21,407.75 $73,339.30 $47,373.53 2025-04-05
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 129 110 $68,764.71 $6,876.47 90% off $13,935.46 $41,816.58 $27,876.02 2025-04-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 136 112 $42,548.11 $4,254.81 90% off $13,337.90 $61,359.85 $37,348.88 2025-04-05
91 MS_DRG Other Disorders Of Nervous System With McC 127 108 $49,729.90 $4,972.99 90% off $10,385.70 $33,875.50 $22,130.60 2025-04-05
356 MS_DRG Other Digestive System O.r. Procedures With McC 136 117 $96,764.69 $9,676.47 90% off $18,651.25 $79,269.56 $48,960.40 2025-04-05
357 MS_DRG Other Digestive System O.r. Procedures With Cc 127 108 $75,591.61 $7,559.16 90% off $13,696.80 $41,850.03 $27,773.42 2025-04-05
264 MS_DRG Other Circulatory System O.r. Procedures 129 110 $92,199.39 $9,219.94 90% off $18,389.80 $64,950.34 $41,670.07 2025-04-05
314 MS_DRG Other Circulatory System Diagnoses With McC 139 113 $58,835.25 $5,883.52 90% off $12,476.75 $40,019.47 $26,248.11 2025-04-05
229 MS_DRG Other Cardiothoracic Procedures Without McC 139 113 $149,404.84 $14,940.48 90% off $19,246.69 $56,624.28 $37,935.49 2025-04-05
228 MS_DRG Other Cardiothoracic Procedures With McC 127 108 $214,870.82 $21,487.08 90% off $30,876.61 $92,811.98 $61,844.29 2025-04-05
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 137 113 $56,637.54 $5,663.75 90% off $9,274.23 $47,113.11 $28,193.67 2025-04-05
539 MS_DRG Osteomyelitis With McC 127 108 $54,587.89 $5,458.79 90% off $11,879.40 $37,590.50 $24,734.95 2025-04-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 67 60 $87,563.02 $8,756.30 90% off $17,848.82 $73,025.23 $24,347.87 2025-04-05
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 127 108 $51,133.52 $5,113.35 90% off $11,878.10 $39,237.07 $25,557.58 2025-04-05
619 MS_DRG O.r. Procedures For Obesity With McC 139 113 $43,909.69 $4,390.97 90% off $16,893.44 $50,668.29 $33,780.86 2025-04-05
80 MS_DRG Nontraumatic Stupor And Coma With McC 129 110 $55,589.90 $5,558.99 90% off $8,313.50 $36,941.91 $22,627.71 2025-04-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 127 108 $109,544.58 $10,954.46 90% off $20,536.99 $65,100.87 $42,818.93 2025-04-05
935 MS_DRG Non-extensive Burns 129 110 $42,856.96 $4,285.70 90% off $5,307.70 $40,816.74 $23,062.22 2025-04-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 129 110 $69,150.37 $6,915.04 90% off $20,556.25 $66,621.07 $43,588.66 2025-04-05
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 139 113 $31,405.05 $3,140.50 90% off $11,172.85 $40,311.25 $25,742.05 2025-04-05
A9607 HCPCS Nm Iso Lu-177 Lutetium Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln Pe… 150 120 $130,050.00 $13,005.00 90% off $54,708.00 $148,578.30 $101,643.15 2025-04-05
A9513 HCPCS Nm Iso Lu-177 Lutetium Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution Per … 150 120 $164,400.00 $16,440.00 90% off $67,384.00 $171,639.00 $119,511.50 2025-04-05
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 139 113 $54,364.53 $5,436.45 90% off $17,163.05 $57,306.61 $37,234.83 2025-04-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 129 110 $49,911.84 $4,991.18 90% off $29,589.08 $88,743.84 $59,166.46 2025-04-05
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 139 113 $141,990.60 $14,199.06 90% off $14,621.98 $43,853.42 $29,237.70 2025-04-05
344 MS_DRG Minor Small And Large Bowel Procedures With McC 146 120 $149,545.93 $14,954.59 90% off $8,397.92 $35,389.81 $21,893.87 2025-04-05
662 MS_DRG Minor Bladder Procedures With McC 146 120 $55,489.26 $5,548.93 90% off $19,147.02 $57,971.93 $38,559.47 2025-04-05
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With McC 139 113 $69,150.30 $6,915.03 90% off $11,305.25 $33,907.09 $22,606.17 2025-04-05
329 MS_DRG Major Small And Large Bowel Procedures With McC 129 110 $141,778.46 $14,177.85 90% off $28,451.49 $85,333.62 $56,892.56 2025-04-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 139 113 $102,035.64 $10,203.56 90% off $14,645.53 $43,927.76 $29,286.65 2025-04-05
595 MS_DRG Major Skin Disorders With McC 129 110 $53,383.97 $5,338.40 90% off $12,758.85 $39,305.84 $26,032.35 2025-04-05
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/McC 139 113 $72,568.54 $7,256.85 90% off $12,009.12 $36,018.27 $24,013.69 2025-04-05
707 MS_DRG Major Male Pelvic Procedures With Cc/McC 139 113 $49,406.36 $4,940.64 90% off $11,800.75 $36,062.87 $23,931.81 2025-04-05
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 127 108 $122,823.37 $12,282.34 90% off $15,733.25 $47,354.71 $31,543.98 2025-04-05
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 139 113 $69,597.10 $6,959.71 90% off $11,682.59 $35,040.74 $23,361.67 2025-04-05
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 137 111 $80,305.41 $8,030.54 90% off $20,252.92 $60,742.85 $40,497.89 2025-04-05
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 129 110 $63,768.72 $6,376.87 90% off $14,190.74 $42,565.53 $28,378.13 2025-04-05
141 MS_DRG Major Head And Neck Procedures With Cc 137 113 $140,095.05 $14,009.50 90% off $11,216.54 $39,924.69 $25,570.62 2025-04-05
165 MS_DRG Major Chest Procedures Without Cc/McC 139 113 $116,585.26 $11,658.53 90% off $11,549.38 $34,639.31 $23,094.35 2025-04-05
163 MS_DRG Major Chest Procedures With McC 129 110 $189,965.94 $18,996.59 90% off $28,558.68 $63,893.05 $46,225.86 2025-04-05
164 MS_DRG Major Chest Procedures With Cc 139 113 $134,443.33 $13,444.33 90% off $15,595.38 $46,773.02 $31,184.20 2025-04-05
655 MS_DRG Major Bladder Procedures Without Cc/McC 129 110 $52,929.79 $5,292.98 90% off $12,870.99 $38,603.35 $25,737.17 2025-04-05
653 MS_DRG Major Bladder Procedures With McC 139 113 $125,404.54 $12,540.45 90% off $34,540.32 $103,592.72 $69,066.52 2025-04-05
654 MS_DRG Major Bladder Procedures With Cc 139 113 $118,720.68 $11,872.07 90% off $17,485.78 $52,443.09 $34,964.43 2025-04-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 129 110 $296,828.38 $29,682.84 90% off $28,994.26 $61,459.33 $45,226.79 2025-04-05
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 129 110 $107,359.80 $10,735.98 90% off $13,627.52 $40,872.49 $27,250.01 2025-04-05
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 127 108 $63,072.72 $6,307.27 90% off $19,759.10 $59,272.83 $39,515.96 2025-04-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 129 110 $101,236.21 $10,123.62 90% off $35,896.90 $108,196.05 $72,046.48 2025-04-05
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 129 110 $115,396.95 $11,539.69 90% off $13,831.99 $41,483.92 $27,657.96 2025-04-05
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC 139 113 $73,082.62 $7,308.26 90% off $10,008.05 $35,040.74 $22,524.40 2025-04-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 129 110 $146,767.53 $14,676.75 90% off $17,058.01 $65,992.92 $41,525.46 2025-04-05
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 127 108 $103,210.13 $10,321.01 90% off $12,038.40 $44,620.95 $28,329.67 2025-04-05
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 127 108 $41,501.52 $4,150.15 90% off $8,844.15 $46,919.83 $27,881.99 2025-04-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 129 110 $73,974.56 $7,397.46 90% off $19,809.40 $65,422.38 $42,615.89 2025-04-05
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 129 110 $45,548.67 $4,554.87 90% off $11,237.85 $36,665.00 $23,951.42 2025-04-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 127 108 $98,590.70 $9,859.07 90% off $23,683.66 $71,032.99 $47,358.32 2025-04-05
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 129 110 $77,845.04 $7,784.50 90% off $14,724.84 $44,165.64 $29,445.24 2025-04-05
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 139 113 $91,502.37 $9,150.24 90% off $11,196.25 $36,523.76 $23,860.01 2025-04-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 127 108 $148,533.65 $14,853.36 90% off $19,946.84 $42,340.63 $31,143.74 2025-04-05
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 139 113 $73,059.44 $7,305.94 90% off $13,141.13 $39,411.77 $26,276.45 2025-04-05
686 MS_DRG Kidney And Urinary Tract Neoplasms With McC 129 110 $93,452.51 $9,345.25 90% off $11,464.05 $35,042.59 $23,253.32 2025-04-05
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 129 110 $65,583.50 $6,558.35 90% off $16,012.37 $48,025.60 $32,018.99 2025-04-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 139 113 $57,266.09 $5,726.61 90% off $20,186.62 $60,542.14 $40,364.38 2025-04-05
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 139 113 $76,771.93 $7,677.19 90% off $11,326.94 $33,972.14 $22,649.54 2025-04-05
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 129 110 $95,907.26 $9,590.73 90% off $16,750.31 $50,237.13 $33,493.72 2025-04-05
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 127 108 $89,016.27 $8,901.63 90% off $11,034.49 $33,094.96 $22,064.72 2025-04-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 133 110 $308,454.88 $30,845.49 90% off $49,946.72 $122,953.67 $86,450.20 2025-04-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With McC 129 110 $68,268.65 $6,826.86 90% off $11,297.65 $36,966.07 $24,131.86 2025-04-05
196 MS_DRG Interstitial Lung Disease With McC 129 110 $44,252.82 $4,425.28 90% off $10,812.75 $35,016.58 $22,914.67 2025-04-05
93612 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Lower Heart Pacing 5 2 $16,845.26 $1,684.53 90% off $1,187.54 $26,367.98 $22,895.41 2025-04-05
33249 CPT Insertion Of Implantable Defibrillator System 150 120 $112,004.53 $11,200.45 90% off $46,659.30 $46,659.30 $46,659.30 2025-04-05
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 129 110 $76,735.58 $7,673.56 90% off $8,072.51 $44,970.34 $26,521.42 2025-04-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 127 108 $145,343.97 $14,534.40 90% off $30,988.14 $92,949.48 $61,968.81 2025-04-05
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 129 110 $64,308.61 $6,430.86 90% off $12,380.26 $37,135.19 $24,757.72 2025-04-05
974 MS_DRG HIV With Major Related Condition With McC 129 110 $126,295.53 $12,629.55 90% off $17,451.85 $55,492.78 $36,472.32 2025-04-05
970 MS_DRG HIV With Extensive O.r. Procedures Without McC 127 108 $129,723.48 $12,972.35 90% off $14,355.25 $64,591.78 $39,473.51 2025-04-05
969 MS_DRG HIV With Extensive O.r. Procedures With McC 126 107 $255,553.99 $25,555.40 90% off $39,185.47 $68,951.08 $61,123.62 2025-04-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 125 108 $84,876.46 $8,487.65 90% off $13,061.82 $39,179.46 $26,120.64 2025-04-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 125 108 $116,535.53 $11,653.55 90% off $18,059.53 $54,165.86 $36,112.69 2025-04-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 127 108 $99,555.07 $9,955.51 90% off $18,222.49 $54,656.49 $36,439.49 2025-04-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 127 108 $79,651.77 $7,965.18 90% off $12,854.40 $38,560.61 $25,707.51 2025-04-05
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 129 110 $71,860.43 $7,186.04 90% off $18,087.97 $54,504.09 $36,296.03 2025-04-05
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 129 110 $159,668.24 $15,966.82 90% off $21,868.84 $46,354.56 $34,111.70 2025-04-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 137 111 $854,568.35 $85,456.83 90% off $174,531.28 $369,953.83 $272,242.55 2025-04-05
906 MS_DRG Hand Procedures For Injuries 129 110 $42,043.27 $4,204.33 90% off $7,662.85 $40,558.42 $24,110.63 2025-04-05
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 150 120 $44,534.52 $4,453.45 90% off $11,782.35 $34,315.36 $23,048.85 2025-04-05
377 MS_DRG Gastrointestinal Hemorrhage With McC 129 110 $56,773.55 $5,677.35 90% off $11,265.60 $33,788.15 $22,526.88 2025-04-05
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 129 110 $20,632.94 $2,063.29 90% off $10,236.20 $39,876.38 $25,056.29 2025-04-05
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC 136 117 $133,038.63 $13,303.86 90% off $7,819.17 $59,101.85 $33,460.51 2025-04-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 129 110 $126,957.92 $12,695.79 90% off $34,983.00 $124,115.38 $79,549.19 2025-04-05
793 MS_DRG Full Term Neonate With Major Problems 46 38 $10,881.18 $1,088.12 90% off $351.44 $29,729.36 $25,840.49 2025-04-05
503 MS_DRG Foot Procedures With McC 139 113 $114,290.50 $11,429.05 90% off $14,935.35 $49,183.40 $32,059.38 2025-04-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 31 $174,749.79 $17,474.98 90% off $36,834.08 $78,085.08 $36,834.08 2025-04-05
37 MS_DRG Extracranial Procedures With McC 129 110 $110,300.47 $11,030.05 90% off $20,448.35 $61,712.95 $41,080.65 2025-04-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 129 110 $120,655.42 $12,065.54 90% off $29,455.25 $88,355.43 $58,905.34 2025-04-05
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 129 110 $91,070.06 $9,107.01 90% off $15,169.71 $45,503.71 $30,336.71 2025-04-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 129 110 $199,054.50 $19,905.45 90% off $29,150.40 $85,708.24 $57,429.32 2025-04-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 129 110 $210,669.47 $21,066.95 90% off $37,119.10 $114,147.33 $75,633.21 2025-04-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 127 108 $459,081.69 $45,908.17 90% off $132,790.57 $281,476.68 $207,133.62 2025-04-05
J1290 HCPCS Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution 150 120 $74,794.96 $7,479.50 90% off $18,371.00 $54,525.96 $36,448.48 2025-04-05
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 129 110 $62,306.27 $6,230.63 90% off $12,836.85 $42,630.57 $27,733.71 2025-04-05
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC 127 108 $58,766.06 $5,876.61 90% off $11,712.95 $35,129.94 $23,421.44 2025-04-05
374 MS_DRG Digestive Malignancy With McC 139 113 $55,044.91 $5,504.49 90% off $13,082.27 $39,240.79 $26,161.53 2025-04-05
57 MS_DRG Degenerative Nervous System Disorders Without McC 65 59 $57,191.33 $5,719.13 90% off $1.33 $25,933.79 $24,804.49 2025-04-05
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC 129 110 $39,971.75 $3,997.17 90% off $9,126.24 $36,311.90 $22,719.07 2025-04-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 134 115 $173,495.64 $17,349.56 90% off $23,889.45 $74,928.84 $49,409.14 2025-04-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 129 110 $124,152.86 $12,415.29 90% off $23,555.40 $70,646.43 $47,100.92 2025-04-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 129 110 $135,761.40 $13,576.14 90% off $36,222.55 $126,891.88 $81,557.21 2025-04-05
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 129 110 $71,154.91 $7,115.49 90% off $14,835.60 $45,858.67 $30,347.13 2025-04-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 129 110 $162,334.66 $16,233.47 90% off $27,710.45 $58,737.84 $43,224.14 2025-04-05
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 129 110 $133,198.14 $13,319.81 90% off $18,951.14 $56,838.28 $37,894.71 2025-04-05
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 123 109 $125,984.80 $12,598.48 90% off $17,733.62 $53,188.32 $35,460.97 2025-04-05
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 134 111 $125,592.23 $12,559.22 90% off $15,969.22 $59,376.90 $37,673.06 2025-04-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 123 109 $123,062.44 $12,306.24 90% off $24,829.30 $76,939.08 $50,884.19 2025-04-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 129 110 $203,022.94 $20,302.29 90% off $25,478.64 $54,006.77 $39,742.71 2025-04-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 129 110 $264,861.88 $26,486.19 90% off $36,458.61 $77,281.24 $56,869.93 2025-04-05
232 MS_DRG Coronary Bypass With Ptca Without McC 129 110 $293,128.63 $29,312.86 90% off $35,676.23 $78,132.36 $56,904.29 2025-04-05
231 MS_DRG Coronary Bypass With Ptca With McC 124 108 $1,062,638.17 $106,263.82 90% off $52,504.43 $111,294.55 $81,899.49 2025-04-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 129 110 $249,573.36 $24,957.34 90% off $32,964.05 $69,874.65 $51,419.35 2025-04-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 129 110 $308,003.78 $30,800.38 90% off $48,430.55 $102,657.25 $75,543.90 2025-04-05
545 MS_DRG Connective Tissue Disorders With McC 139 113 $40,327.20 $4,032.72 90% off $15,656.72 $46,957.00 $31,306.86 2025-04-05
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 150 120 $54,072.88 $5,407.29 90% off $17,167.99 $91,550.01 $54,359.00 2025-04-05
93656 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 150 120 $56,917.71 $5,691.77 90% off $17,167.99 $91,550.01 $54,359.00 2025-04-05
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 150 120 $54,072.88 $5,407.29 90% off $17,167.99 $91,550.01 $54,359.00 2025-04-05
380 MS_DRG Complicated Peptic Ulcer With McC 136 117 $69,515.05 $6,951.50 90% off $11,923.00 $35,761.81 $23,842.40 2025-04-05
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 53 45 $141,996.92 $14,199.69 90% off $38,481.31 $79,343.31 $58,912.31 2025-04-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 45 40 $84,402.57 $8,440.26 90% off $73,843.00 $141,715.58 $107,779.29 2025-04-05
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 43 40 $157,880.54 $15,788.05 90% off $48,979.94 $101,788.14 $75,384.04 2025-04-05
J7189 HCPCS Coagulation Factor Viia Recomb 8 Mg (8,000 Mcg) Intravenous Solution 174 120 $96,480.00 $9,648.00 90% off $2,862.72 $65,458.88 $44,180.32 2025-04-05
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With McC 129 110 $62,028.29 $6,202.83 90% off $10,861.50 $36,408.54 $23,635.02 2025-04-05
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 129 110 $62,943.10 $6,294.31 90% off $13,713.65 $41,132.68 $27,423.17 2025-04-05
412 MS_DRG Cholecystectomy With C.d.e. With Cc 139 113 $84,562.69 $8,456.27 90% off $13,207.43 $39,612.48 $26,409.96 2025-04-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 129 110 $124,906.94 $12,490.69 90% off $21,709.61 $65,112.02 $43,410.82 2025-04-05
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 139 113 $43,130.02 $4,313.00 90% off $12,256.34 $36,759.78 $24,508.06 2025-04-05
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC 129 110 $36,035.25 $3,603.52 90% off $13,990.61 $47,456.92 $30,723.76 2025-04-05
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 129 110 $229,278.26 $22,927.83 90% off $12,566.76 $35,446.35 $24,006.56 2025-04-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 139 113 $40,434.26 $4,043.43 90% off $20,942.64 $93,047.97 $56,995.31 2025-04-05
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 139 113 $106,752.83 $10,675.28 90% off $14,668.45 $43,992.80 $29,330.62 2025-04-05
471 MS_DRG Cervical Spinal Fusion With McC 127 108 $150,345.67 $15,034.57 90% off $22,293.67 $63,794.66 $43,044.17 2025-04-05
472 MS_DRG Cervical Spinal Fusion With Cc 137 111 $110,756.26 $11,075.63 90% off $17,951.10 $53,838.78 $35,894.94 2025-04-05
36 MS_DRG Carotid Artery Stent Procedures Without Cc/McC 139 113 $74,308.08 $7,430.81 90% off $11,253.45 $34,065.06 $22,659.26 2025-04-05
34 MS_DRG Carotid Artery Stent Procedures With McC 127 108 $125,649.32 $12,564.93 90% off $24,055.20 $72,265.13 $48,160.17 2025-04-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 137 111 $65,963.37 $6,596.34 90% off $14,094.70 $42,271.89 $28,183.29 2025-04-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 127 108 $334,596.54 $33,459.65 90% off $47,941.68 $101,622.25 $74,781.96 2025-04-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 139 113 $253,392.33 $25,339.23 90% off $32,818.45 $69,564.68 $51,191.57 2025-04-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 129 110 $211,748.20 $21,174.82 90% off $28,455.83 $60,317.93 $44,386.88 2025-04-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 129 110 $288,737.06 $28,873.71 90% off $59,798.38 $126,753.95 $93,276.16 2025-04-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 129 110 $210,179.02 $21,017.90 90% off $40,013.26 $84,815.24 $62,414.25 2025-04-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 139 113 $251,876.60 $25,187.66 90% off $36,861.97 $78,138.93 $57,500.45 2025-04-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 127 108 $165,052.78 $16,505.28 90% off $21,104.87 $47,547.84 $34,326.36 2025-04-05
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 139 113 $55,518.63 $5,551.86 90% off $11,757.56 $35,261.89 $23,509.72 2025-04-05
258 MS_DRG Cardiac Pacemaker Device Replacement With McC 129 110 $92,165.34 $9,216.53 90% off $17,382.93 $52,136.45 $34,759.69 2025-04-05
277 MS_DRG Cardiac Defibrillator Implant Without McC 125 109 $239,572.82 $23,957.28 90% off $28,823.25 $61,104.69 $44,963.97 2025-04-05
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 125 109 $279,787.80 $27,978.78 90% off $38,380.61 $81,355.59 $59,868.10 2025-04-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 127 110 $311,038.94 $31,103.89 90% off $43,787.25 $92,815.51 $68,301.38 2025-04-05
J9043 HCPCS Cabazitaxel 10 Mg/ml (final Conc) Intravenous Solution 150 120 $42,439.59 $4,243.96 90% off $14,231.35 $42,553.60 $28,392.47 2025-04-05
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 150 120 $52,839.00 $5,283.90 90% off $9,383.81 $38,858.46 $24,121.13 2025-04-05
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC 139 113 $34,105.17 $3,410.52 90% off $7,824.77 $36,889.88 $22,357.33 2025-04-05
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC 139 113 $30,284.95 $3,028.49 90% off $10,388.10 $38,047.68 $24,217.89 2025-04-05
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC 139 113 $56,870.35 $5,687.03 90% off $11,179.18 $34,641.17 $22,910.17 2025-04-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 129 110 $122,937.97 $12,293.80 90% off $20,564.70 $63,907.76 $42,236.23 2025-04-05
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 137 111 $83,457.77 $8,345.78 90% off $14,490.01 $43,457.57 $28,973.79 2025-04-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 139 113 $83,812.18 $8,381.22 90% off $21,694.12 $65,065.56 $43,379.84 2025-04-05
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 139 113 $38,153.74 $3,815.37 90% off $12,989.95 $38,958.31 $25,974.13 2025-04-05
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC 139 113 $77,762.77 $7,776.28 90% off $17,744.15 $53,218.06 $35,481.11 2025-04-05
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 139 113 $163,268.63 $16,326.86 90% off $13,471.90 $31,483.59 $22,477.74 2025-04-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 127 108 $266,536.94 $26,653.69 90% off $22,607.41 $47,920.20 $35,263.81 2025-04-05
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 127 108 $166,893.65 $16,689.36 90% off $14,853.09 $31,483.59 $23,168.34 2025-04-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 137 111 $110,503.21 $11,050.32 90% off $19,908.20 $66,602.49 $43,255.35 2025-04-05
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 127 108 $91,633.01 $9,163.30 90% off $10,704.20 $36,642.70 $23,673.45 2025-04-05
397 MS_DRG Appendix Procedures With McC 124 109 $73,028.27 $7,302.83 90% off $14,353.32 $46,044.51 $30,198.92 2025-04-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 138 113 $153,357.96 $15,335.80 90% off $17,355.97 $54,645.11 $36,000.54 2025-04-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 129 110 $214,986.32 $21,498.63 90% off $41,312.57 $87,570.87 $64,441.72 2025-04-05
347 MS_DRG Anal And Stomal Procedures With McC 146 120 $57,371.89 $5,737.19 90% off $10,928.19 $43,981.65 $27,454.92 2025-04-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 129 110 $104,292.60 $10,429.26 90% off $23,947.61 $71,826.54 $47,887.07 2025-04-05
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 129 110 $57,639.56 $5,763.96 90% off $11,968.23 $35,908.62 $23,938.42 2025-04-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 129 110 $117,381.04 $11,738.10 90% off $23,362.95 $83,339.52 $53,351.24 2025-04-05
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 129 110 $60,587.96 $6,058.80 90% off $13,327.60 $40,088.24 $26,707.92 2025-04-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 127 108 $116,178.22 $11,617.82 90% off $30,933.50 $93,599.93 $62,266.71 2025-04-05
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 137 111 $83,295.80 $8,329.58 90% off $17,936.10 $54,117.54 $36,026.82 2025-04-05
265 MS_DRG Aicd Lead Procedures 129 110 $96,808.66 $9,680.87 90% off $18,616.65 $66,288.41 $42,452.53 2025-04-05
245 MS_DRG Aicd Generator Procedures 129 110 $174,917.34 $17,491.73 90% off $30,215.25 $64,502.40 $47,358.82 2025-04-05
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 137 111 $72,166.95 $7,216.69 90% off $10,544.66 $34,494.36 $22,519.51 2025-04-05
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 139 113 $89,950.32 $8,995.03 90% off $14,120.72 $42,349.95 $28,235.33 2025-04-05
283 MS_DRG Acute Myocardial Infarction, Expired With McC 129 110 $76,603.72 $7,660.37 90% off $10,889.45 $36,339.78 $23,614.62 2025-04-05
836 MS_DRG Acute Leukemia Without Cc/McC 138 112 $8,134.84 $813.48 90% off $7,600.45 $34,126.06 $23,615.10 2025-04-05
834 MS_DRG Acute Leukemia With McC 129 110 $144,737.99 $14,473.80 90% off $34,247.25 $102,713.68 $68,480.46 2025-04-05
835 MS_DRG Acute Leukemia With Cc 129 110 $61,744.19 $6,174.42 90% off $13,234.07 $45,473.23 $29,353.65 2025-04-05
288 MS_DRG Acute And Subacute Endocarditis With McC 129 110 $85,137.53 $8,513.75 90% off $16,924.42 $50,759.35 $33,841.89 2025-04-05
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