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

LDS HOSPITAL

Salt Lake City, UT · CCN 460006 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC TTE COMP W/DPLR & COLOR W/CONTRAST

This hospital’s price: $1,298 across 45 payers · range $67-$2,064

Source: https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_lds-hospital_standardcharges.ashx · observed 2026-08-01

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

92,374 distinct procedures filed
75 distinct payers
3,549,431 rate rows
2026-08-01 last MRF observed
Data quality

3,314,090 of 3,549,431 rate rows are consumer-grade (93.4%)

235,341 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
placeholder amount (≤ $0.02) — excluded from medians 229,273
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,111
template filing: same amount across many unrelated codes — excluded 1,298
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 515
per-diem day rate — not a per-procedure price 122
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10
percent-of-charges filed in the dollar field — excluded from medians 8
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_lds-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/lds-hospital/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-26
Content fingerprint 4e2ed01b46f391df… · 9,008,189 bytes · first seen 2026-05-17

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
J3391
HCPCS 		Inj Atidarsagene Autotemcel 10 $4,505,000.00 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 2 $3,780,000.00 $3,780,000.00 $3,780,000.00 nat. median
$3,605,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 13 $3,685,266.67 $4,285,965.14 $3,780,000.00 nat. median
$3,705,478
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $3,321,781.51 $3,870,300.87 $3,456,000.00 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 10 $3,335,820.00 $3,879,558.66 $3,402,536.40 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 13 $3,193,000.00 $3,782,666.90 $3,348,000.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 10 $3,180,000.00 $3,698,340.00 $3,243,600.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 13 $2,939,968.89 $3,419,183.82 $3,024,000.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,354,513.02 $3,010,985.17 $2,588,981.23 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $2,332,000.00 $2,712,116.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
1176995130
OTHER 		Axicabtagene Ciloleuce (yescarta) 68 Ml 28 $1,558,200.00 $1,981,140.00 $1,892,100.00 nat. median
$1,892,100
1.0× median
1176996680
OTHER 		Lisocabtagene Maraleucel Suspension For Intravenous Infusion 28 $1,507,852.50 $1,917,126.75 $1,830,963.75 nat. median
$1,830,964
1.0× median
1176996600
OTHER 		Brexucabtagene Autoleucel (Tecartus) Suspension For Intravenous Infusion 28 $1,237,614.00 $1,573,537.80 $1,502,817.00 nat. median
$1,502,817
1.0× median
1176996720
OTHER 		Idecabtagene Vicleucel For Intravenous Infusion 28 $1,159,917.50 $1,474,752.25 $1,408,471.25 nat. median
$1,408,471
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $770,620.00 $896,231.06 $786,032.40 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $507,687.00 $683,436.45 $612,918.50 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $523,452.56 $658,875.90 $590,892.15 nat. median
$739,258
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $496,390.21 $653,840.04 $586,375.89 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $503,454.53 $649,049.05 $582,079.24 nat. median
$622,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $489,136.91 $618,939.58 $555,076.51 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $449,440.00 $569,230.58 $510,496.56 nat. median
$591,721
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $75,812.34 $495,000.00 $470,000.00 nat. median
$104,013
outlier · 4.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $187,486.32 $495,000.00 $470,000.00 nat. median
$249,036
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $68,979.61 $403,000.00 $338,140.00 nat. median
$95,038
outlier · 3.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 $288,902.84 $424,867.81 $309,126.04 nat. median
$359,454
0.9× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 26 $37,496.06 $300,000.00 $300,000.00 nat. median
$50,831
outlier · 5.9×
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $297,836.48 $297,836.48 $297,836.48 nat. median
$8,001
outlier · 37.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $278,250.00 $323,604.75 $283,815.00 nat. median
$319,951
0.9× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $272,925.97 $272,925.97 $272,925.97 nat. median
$53,038
outlier · 5.1×
J3403
HCPCS 		Revakinagene Per Implant 10 $265,000.00 $308,195.00 $270,300.00 nat. median
$265,000
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $80,402.51 $265,000.00 $265,000.00 nat. median
$110,307
outlier · 2.4×
6
MS_DRG 		Liver Transplant Without Mcc 26 $31,022.59 $403,000.00 $260,000.00 nat. median
$44,153
outlier · 5.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $142,839.74 $644,785.70 $223,125.35 nat. median
$198,418
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $201,669.02 $234,541.07 $205,702.40 nat. median
$209,753
1.0× median
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $197,901.24 $197,901.24 $197,901.24 nat. median
$78,936
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 $142,001.46 $421,287.28 $194,159.50 nat. median
$190,559
1.0× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $175,003.73 $175,003.73 $175,003.73 nat. median
$8,810
outlier · 19.9×
32069252
OTHER 		Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 28 $142,262.46 $180,876.55 $172,747.27 nat. median
$155,014
1.1× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 27 $36,343.33 $345,000.00 $160,000.00 nat. median
$50,904
outlier · 3.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 27 $39,671.05 $345,000.00 $160,000.00 nat. median
$53,927
outlier · 3.0×
10
MS_DRG 		Pancreas Transplant 26 $48,007.08 $148,117.00 $148,117.00 nat. median
$64,933
outlier · 2.3×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 26 $23,159.20 $245,000.00 $130,000.00 nat. median
$42,881
outlier · 3.0×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 26 $24,792.65 $245,000.00 $130,000.00 nat. median
$33,640
outlier · 3.9×
652
MS_DRG 		Kidney Transplant 26 $21,606.10 $245,000.00 $130,000.00 nat. median
$29,925
outlier · 4.3×
32029878
OTHER 		Kit Lvad Heartmate 3 106524us 28 $105,340.68 $133,933.15 $127,913.69 nat. median
$114,783
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $17,773.09 $290,983.64 $125,790.46 nat. median
$93,276
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 16 $66,614.61 $385,268.35 $121,108.61 nat. median
$93,901
1.3× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 45 $295.54 $172,047.89 $120,433.52 nat. median
$479
outlier · 251.3×
681
MS_DRG 		Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 $119,199.71 $119,199.71 $119,199.71 nat. median
$29,557
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 92,374 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 17 10 — — $4,505,000.00 $4,955,500.00 $4,505,000.00 2026-08-01
C9172 HCPCS Inj- Beqvez- Per Tx Dose 7 2 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 27 13 — — $3,685,266.67 $4,285,965.14 $3,780,000.00 2026-08-01
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 27 13 — — $3,321,781.51 $3,870,300.87 $3,456,000.00 2026-08-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 18 10 — — $3,335,820.00 $3,879,558.66 $3,402,536.40 2026-08-01
J3394 HCPCS Inj Lovotibeglogene Autotem 27 13 — — $3,193,000.00 $3,782,666.90 $3,348,000.00 2026-08-01
J3387 HCPCS Inj Elivaldogene Autotemecel 18 10 — — $3,180,000.00 $3,698,340.00 $3,243,600.00 2026-08-01
J3393 HCPCS Inj Betibeglogene Autotemce 27 13 — — $2,939,968.89 $3,419,183.82 $3,024,000.00 2026-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 27 13 — — $2,354,513.02 $3,010,985.17 $2,588,981.23 2026-08-01
J3392 HCPCS Inj Exagamglogene Autotem 19 11 — — $2,332,000.00 $2,712,116.00 $2,332,000.00 2026-08-01
1176995130 OTHER Axicabtagene Ciloleuce (yescarta) 68 Ml 28 28 $2,226,000.00 $1,669,500.00 25% off $1,558,200.00 $1,981,140.00 $1,892,100.00 2026-07-17
1176996680 OTHER Lisocabtagene Maraleucel Suspension For Intravenous Infusion 28 28 $2,154,075.00 $1,615,556.25 25% off $1,507,852.50 $1,917,126.75 $1,830,963.75 2026-07-17
1176996600 OTHER Brexucabtagene Autoleucel (Tecartus) Suspension For Intravenous Infusion 28 28 $1,768,020.00 $1,326,015.00 25% off $1,237,614.00 $1,573,537.80 $1,502,817.00 2026-07-17
1176996720 OTHER Idecabtagene Vicleucel For Intravenous Infusion 28 28 $1,657,025.00 $1,242,768.75 25% off $1,159,917.50 $1,474,752.25 $1,408,471.25 2026-07-17
Q2057 HCPCS Afamitresgene Autoleucel 18 10 — — $770,620.00 $896,231.06 $786,032.40 2026-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 27 13 — — $507,687.00 $683,436.45 $612,918.50 2026-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 27 13 — — $523,452.56 $658,875.90 $590,892.15 2026-08-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 27 13 — — $496,390.21 $653,840.04 $586,375.89 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel Car 27 13 — — $503,454.53 $649,049.05 $582,079.24 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 13 — — $489,136.91 $618,939.58 $555,076.51 2026-08-01
Q2053 HCPCS Brexucabtagene Car Pos T 27 13 — — $449,440.00 $569,230.58 $510,496.56 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 26 — — $187,486.32 $495,000.00 $470,000.00 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 63 26 — — $75,812.34 $495,000.00 $470,000.00 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 63 26 — — $68,979.61 $403,000.00 $338,140.00 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 19 11 — — $288,902.84 $424,867.81 $309,126.04 2026-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 41 26 — — $37,496.06 $300,000.00 $300,000.00 2026-08-01
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $297,836.48 $297,836.48 $297,836.48 2026-08-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 10 — — $278,250.00 $323,604.75 $283,815.00 2026-08-01
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-08-01
J3403 HCPCS Revakinagene Per Implant 18 10 — — $265,000.00 $308,195.00 $270,300.00 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 27 — — $80,402.51 $265,000.00 $265,000.00 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 63 26 — — $31,022.59 $403,000.00 $260,000.00 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 15 — — $142,839.74 $644,785.70 $223,125.35 2026-08-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 18 10 — — $201,669.02 $234,541.07 $205,702.40 2026-08-01
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $197,901.24 $197,901.24 $197,901.24 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 36 16 — — $142,001.46 $421,287.28 $194,159.50 2026-08-01
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $175,003.73 $175,003.73 $175,003.73 2026-08-01
32069252 OTHER Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 28 28 $203,232.08 $152,424.06 25% off $142,262.46 $180,876.55 $172,747.27 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 76 27 — — $39,671.05 $345,000.00 $160,000.00 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 76 27 — — $36,343.33 $345,000.00 $160,000.00 2026-08-01
10 MS_DRG Pancreas Transplant 41 26 — — $48,007.08 $148,117.00 $148,117.00 2026-08-01
652 MS_DRG Kidney Transplant 64 26 — — $21,606.10 $245,000.00 $130,000.00 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 64 26 — — $23,159.20 $245,000.00 $130,000.00 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 64 26 — — $24,792.65 $245,000.00 $130,000.00 2026-08-01
32029878 OTHER Kit Lvad Heartmate 3 106524us 28 28 $150,486.69 $112,865.02 25% off $105,340.68 $133,933.15 $127,913.69 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 14 — — $17,773.09 $290,983.64 $125,790.46 2026-08-01
215 MS_DRG Other Heart Assist System Implant 36 16 — — $66,614.61 $385,268.35 $121,108.61 2026-08-01
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 93 45 $191,164.32 $143,373.24 25% off $295.54 $172,047.89 $120,433.52 2026-08-01
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $119,199.71 $119,199.71 $119,199.71 2026-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 27 13 — — $99,999.93 $303,449.79 $117,172.67 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $65,449.18 $284,278.34 $114,510.60 2026-08-01
212 MS_DRG Testes Procedures Age 0-17 38 16 — — $72,750.22 $299,616.01 $113,267.93 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 36 16 — — $92,669.04 $242,190.11 $112,331.69 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 16 — — $52,644.08 $323,526.26 $111,670.18 2026-08-01
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $106,754.08 $106,754.08 $106,754.08 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 14 — — $60,276.29 $228,464.21 $102,831.07 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 16 — — $50,978.88 $266,108.51 $99,520.29 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 36 16 — — $56,220.67 $292,492.13 $99,316.02 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 34 14 — — $57,934.04 $250,586.01 $98,835.21 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 16 — — $51,850.66 $258,185.54 $98,657.96 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $51,369.59 $277,021.28 $97,528.70 2026-08-01
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-08-01
8801 APR_DRG 945/946 - Rehab - Spinal/quad 4 4 — — $94,424.09 $94,424.09 $94,424.09 2026-08-01
7 MS_DRG Lung Transplant 19 11 — — $86,639.81 $143,490.78 $92,704.59 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 36 16 — — $51,148.14 $255,187.58 $88,055.88 2026-08-01
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $84,612.76 $84,612.76 $84,612.76 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 16 — — $47,704.01 $194,163.05 $84,142.57 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 16 — — $46,241.53 $212,017.59 $83,080.39 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 14 — — $13,323.47 $196,728.84 $82,389.49 2026-08-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 27 14 — — $4,656.17 $268,708.31 $81,783.40 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 16 — — $13,206.19 $202,787.26 $81,349.94 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 16 — — $35,416.74 $247,367.90 $79,804.02 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 16 — — $45,032.60 $181,796.15 $78,807.83 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 14 — — $44,701.44 $183,070.89 $78,355.12 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 16 — — $36,763.61 $220,285.75 $77,587.27 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 16 — — $40,952.90 $168,116.45 $76,678.46 2026-08-01
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 14 — — $44,734.22 $169,907.62 $76,316.37 2026-08-01
1111000826 OTHER Y90 Ibritumomab Rx 28 28 $89,442.55 $67,081.91 25% off $62,609.78 $79,603.87 $76,026.17 2026-07-17
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 253 73 $190,068.69 $142,551.52 25% off $1,087.32 $213,684.06 $76,026.17 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $43,990.27 $219,424.14 $74,626.58 2026-08-01
1111001379 OTHER Brachytx Non-stryttrium-90 28 28 $87,380.95 $65,535.71 25% off $61,166.66 $77,769.05 $74,273.81 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 16 — — $43,049.62 $171,484.06 $73,987.99 2026-08-01
32067294 OTHER Device Cardiac Ventricular Assis 28 28 $86,783.79 $65,087.84 25% off $60,748.65 $77,237.57 $73,766.22 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 38 16 — — $36,728.69 $149,778.11 $73,158.41 2026-08-01
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 157 43 $180,576.00 $135,432.00 25% off $1,173.74 $243,777.60 $73,133.28 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 16 — — $43,830.37 $167,488.60 $70,862.58 2026-08-01
1176449090 OTHER Inotuzumab Ozogamicin 0.9 Mg Vial 28 28 $83,027.31 $62,270.48 25% off $58,119.12 $73,894.31 $70,573.21 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 16 — — $39,262.28 $207,927.00 $70,408.96 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 16 — — $43,990.27 $190,852.52 $69,806.61 2026-08-01
1176645500 OTHER Ribavirin 6 G Inhalation Powder Vial 28 28 $81,286.74 $60,965.06 25% off $56,900.72 $72,345.20 $69,093.73 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 16 — — $40,560.18 $211,528.35 $68,854.92 2026-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 20 12 — — $65,871.74 $80,016.39 $68,801.71 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 16 — — $32,973.91 $169,983.72 $67,365.87 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 36 16 — — $36,546.72 $174,185.75 $67,340.33 2026-08-01
32070120 OTHER Device Spinal Mid C 105mm W/40mm 28 28 $79,092.39 $59,319.29 25% off $55,364.67 $70,392.23 $67,228.53 2026-07-17
J9029 HCPCS Instill Adstiladrin Tx Dose 27 13 — — $63,402.04 $74,751.58 $67,038.61 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 36 16 — — $6,428.49 $153,297.92 $66,141.45 2026-08-01
32006323 OTHER Pump Blood Vad 15ml With Pu Valves 28 28 $77,462.11 $58,096.58 25% off $54,223.48 $68,941.28 $65,842.79 2026-07-17
73006137 OTHER Pump Blood Vad 10ml With Pu Valves 28 28 $77,462.11 $58,096.58 25% off $54,223.48 $68,941.28 $65,842.79 2026-07-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 14 — — $38,583.22 $150,740.28 $65,822.79 2026-08-01
J7330 HCPCS Cultured Chondrocytes Implnt 7 2 — — $65,518.20 $65,518.20 $65,518.20 2026-08-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 36 16 — — $36,598.90 $191,765.77 $65,142.16 2026-08-01
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $64,396.93 $64,396.93 $64,396.93 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 14 — — $10,123.67 $151,732.35 $64,166.69 2026-08-01
L8614 HCPCS Cochlear Device 7 2 — — $56,406.93 $67,303.72 $64,098.78 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 16 — — $39,236.86 $157,630.41 $63,802.27 2026-08-01
1176576610 OTHER Pegaspargase 750 units/mL 5 Ml Vial 28 28 $74,474.53 $55,855.90 25% off $52,132.17 $66,282.33 $63,303.35 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 38 16 — — $31,973.54 $151,292.03 $63,127.21 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $35,677.66 $187,479.49 $62,719.98 2026-08-01
32034342 OTHER Generator Sentiva 1000 28 28 $73,629.69 $55,222.27 25% off $51,540.78 $65,530.42 $62,585.24 2026-07-17
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 264 39 $91,154.70 $68,366.02 25% off $430.29 $109,809.90 $61,612.88 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 16 — — $38,130.96 $148,389.21 $61,612.77 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 16 — — $32,790.15 $146,453.99 $61,394.88 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 16 — — $34,825.32 $139,449.71 $61,348.56 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 14 — — $35,656.25 $139,968.85 $60,829.39 2026-08-01
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 16 — — $36,489.18 $147,810.28 $60,714.47 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 16 — — $31,295.55 $149,938.47 $60,440.57 2026-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 36 16 — — $33,366.85 $158,725.76 $60,168.99 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 15 — — $35,299.66 $152,784.22 $60,095.87 2026-08-01
1176995630 OTHER Ravulizumab-cwvz 100 mg/mL 11 Ml Vial 28 28 $70,454.47 $52,840.85 25% off $49,318.13 $62,704.48 $59,886.30 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 38 16 — — $32,141.87 $135,209.63 $59,802.75 2026-08-01
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $59,540.34 $59,540.34 $59,540.34 2026-08-01
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-08-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 91 43 $93,094.41 $69,820.81 25% off $444.68 $83,784.97 $59,114.95 2026-08-01
32037145 OTHER Kit Rns Neurostimulator 28 28 $68,921.72 $51,691.29 25% off $48,245.20 $61,340.33 $58,583.46 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 16 — — $33,099.24 $187,946.98 $57,929.03 2026-08-01
32069011 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx 28 28 $67,491.22 $50,618.42 25% off $47,243.85 $60,067.19 $57,367.54 2026-07-17
32068640 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx15cm 12mm 28 28 $67,491.22 $50,618.42 25% off $47,243.85 $60,067.19 $57,367.54 2026-07-17
32070419 OTHER Endoprosthesis Thoracic Aortic Branch 34mmx12mm 28 28 $67,491.22 $50,618.42 25% off $47,243.85 $60,067.19 $57,367.54 2026-07-17
32010894 OTHER Generator Aspire Sr 106 28 28 $67,439.59 $50,579.69 25% off $47,207.71 $60,021.24 $57,323.65 2026-07-17
245 MS_DRG Aicd Generator Procedures 36 16 — — $30,523.50 $155,703.35 $57,315.07 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 36 16 — — $29,984.27 $166,004.57 $56,935.55 2026-08-01
32054973 OTHER Mesh Phasix 19.5x19.5in Square 1195050 28 28 $66,714.26 $50,035.69 25% off $46,699.98 $59,375.69 $56,707.12 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 16 — — $30,418.47 $151,175.16 $56,532.83 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 36 16 — — $36,950.14 $121,502.75 $55,997.21 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 16 — — $33,720.09 $162,403.22 $55,617.11 2026-08-01
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $55,440.81 $55,440.81 $55,440.81 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 15 — — $30,111.07 $181,709.17 $54,849.15 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 16 — — $32,927.30 $139,615.51 $54,659.62 2026-08-01
32011486 OTHER Graft Matristem Thick 30x40cm Plastics 28 28 $64,263.25 $48,197.44 25% off $44,984.27 $57,194.29 $54,623.76 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 16 — — $33,040.37 $165,104.91 $54,475.08 2026-08-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 42 13 — — $53,981.46 $64,357.43 $54,404.11 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $38,337.02 $190,651.39 $54,228.10 2026-08-01
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 67 40 $74,903.90 $56,177.92 25% off $28.40 $67,413.51 $53,930.81 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 16 — — $28,561.05 $135,617.33 $53,909.43 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 36 16 — — $30,299.38 $124,701.84 $53,803.48 2026-08-01
32045394 OTHER Valve Heart Sapien 3 23mm Ultra Transcatheter W/commander Sy 28 28 $63,157.23 $47,367.92 25% off $44,210.06 $56,209.93 $53,683.65 2026-07-17
70396940 OTHER Generator Demipulse Vns Implantable 104 28 28 $62,046.41 $46,534.81 25% off $43,432.49 $55,221.30 $52,739.45 2026-07-17
77371 CPT Hc Srs Rad Tx Multisource 86 45 $75,516.27 $56,637.20 25% off $981.71 $67,964.64 $52,408.29 2026-08-01
8800 APR_DRG 945/946 - Rehab - Spinal/para 4 4 — — $52,167.81 $52,167.81 $52,167.81 2026-08-01
32071196 OTHER Endoprosthesis Thoracic Aortic Branch 28 28 $61,355.65 $46,016.74 25% off $42,948.96 $54,606.53 $52,152.30 2026-07-17
L7181 HCPCS Electronic Elbo Simultaneous 27 13 — — $47,755.00 $141,240.29 $52,023.94 2026-08-01
90288 CPT Botulism Ig IV 7 2 — — $51,570.00 $51,570.00 $51,570.00 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 11 — — $47,732.11 $83,863.80 $51,073.36 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 16 — — $30,673.36 $126,473.98 $50,854.01 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 16 — — $29,857.82 $119,282.15 $50,621.89 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 36 16 — — $39,894.51 $217,007.84 $50,585.32 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 38 16 — — $28,076.22 $118,871.73 $50,458.55 2026-08-01
33249 CPT Hc Implant/repos Defib Pulse Gen W/leads Sng/dual 115 45 $118,743.74 $89,057.80 25% off $737.37 $106,869.37 $50,347.35 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 16 — — $30,431.85 $116,623.94 $50,318.21 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 15 — — $28,254.18 $127,555.74 $50,265.59 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 16 — — $23,914.22 $152,675.50 $50,135.60 2026-08-01
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 16 — — $30,898.82 $128,507.04 $50,028.49 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 16 — — $28,024.03 $141,846.98 $49,929.01 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 16 — — $27,784.52 $149,753.65 $49,847.55 2026-08-01
70404854 OTHER Neurostimulator Dbs Activa Rc 37612 28 28 $58,370.14 $43,777.61 25% off $40,859.10 $51,949.42 $49,614.62 2026-07-17
70390588 OTHER Generator Demipulse Vns Implantable 103 28 28 $58,203.59 $43,652.69 25% off $40,742.51 $51,801.20 $49,473.05 2026-07-17
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $49,345.78 $49,345.78 $49,345.78 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 16 — — $28,720.49 $136,916.53 $49,321.49 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 38 16 — — $4,562.52 $115,444.33 $48,855.46 2026-08-01
32066139 OTHER Kit Osteotomy My3d Femoral 28 28 $57,137.37 $42,853.03 25% off $39,996.16 $50,852.26 $48,566.76 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 16 — — $21,645.94 $130,790.16 $48,439.96 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 14 — — $28,371.92 $112,720.90 $48,402.37 2026-08-01
33264 CPT Hc Remove & Replac Defib Pulse Gen Mult Leads 115 45 $114,039.16 $85,529.37 25% off $325.95 $102,635.24 $48,352.60 2026-08-01
32006643 OTHER Valve Transcatheter Melody 20mm Tpv 20 28 28 $56,848.72 $42,636.54 25% off $39,794.10 $50,595.36 $48,321.41 2026-07-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 16 — — $28,951.30 $116,575.02 $48,048.84 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 36 16 — — $27,600.54 $110,929.73 $47,849.22 2026-08-01
32070533 OTHER Implant Biological Tissue Xenmat 28 28 $55,842.25 $41,881.69 25% off $39,089.57 $49,699.60 $47,465.91 2026-07-17
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $47,202.36 $47,202.36 $47,202.36 2026-08-01
32027068 OTHER Device Dynagen Df4 Crtd Is1/df4/is1 28 28 $55,122.17 $41,341.63 25% off $38,585.52 $49,058.73 $46,853.84 2026-07-17
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 121 73 $155,669.85 $116,752.39 25% off $239.95 $140,102.87 $46,700.96 2026-08-01
C2616 HCPCS Hc Brachytx Non-str Yttrium-90 114 73 $64,501.40 $48,376.05 25% off $838.52 $77,769.05 $46,441.01 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 16 — — $26,171.51 $134,100.68 $46,415.88 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 38 16 — — $25,895.87 $106,083.54 $46,201.48 2026-08-01
32008741 OTHER Implant Cochlear Synchrony Flex24 28 28 $54,300.88 $40,725.66 25% off $38,010.62 $48,327.78 $46,155.75 2026-07-17
691 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $45,991.06 $45,991.06 $45,991.06 2026-08-01
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 16 — — $28,206.01 $131,466.94 $45,953.96 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 14 — — $10,795.84 $108,377.53 $45,887.98 2026-08-01
L7180 HCPCS Electronic Elbow Sequential 27 13 — — $41,849.52 $123,774.25 $45,590.56 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 16 — — $25,685.80 $140,958.20 $45,439.81 2026-08-01
93654 CPT Hc Ep & Ablate Ventricular Tachycardia 108 45 $93,711.57 $70,283.68 25% off $971.25 $84,340.41 $45,168.98 2026-08-01
332 MS_DRG Rectal Resection With Mcc 36 16 — — $24,223.31 $104,401.10 $45,044.58 2026-08-01
32010559 OTHER Defibrillator Inogen Crt D Is 1 72.8g G141 28 28 $52,725.87 $39,544.40 25% off $36,908.11 $46,926.02 $44,816.99 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 16 — — $26,654.54 $97,222.86 $44,808.44 2026-08-01
70402800 OTHER Mesh Surgimend 3.0 Hernia Repair 25x40cm 28 28 $52,624.54 $39,468.40 25% off $36,837.18 $46,835.84 $44,730.86 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 36 16 — — $38,907.03 $99,133.61 $44,678.86 2026-08-01
64654 CPT 1st Opn Implt Bat Modulj Sys 25 11 — — $46.50 $51,867.07 $44,597.65 2026-08-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 19 11 — — $26,276.17 $51,867.07 $44,597.65 2026-08-01
33276 CPT Insj Phrnc Nrv Stim Sys 33 12 — — $1,368.90 $51,867.07 $44,597.65 2026-08-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 36 16 — — $25,832.31 $139,229.55 $44,531.06 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 36 16 — — $21,489.28 $119,616.46 $44,250.20 2026-08-01
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 36 16 — — $23,969.75 $102,539.27 $44,241.28 2026-08-01
E0766 HCPCS Elec Stim Cancer Treatment 7 2 — — $38,884.10 $46,395.80 $44,186.48 2026-08-01
32008742 OTHER Implant Cochlear Synchrony Flex28 28 28 $51,828.70 $38,871.53 25% off $36,280.09 $46,127.54 $44,054.39 2026-07-17
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 36 16 — — $24,933.15 $110,301.88 $43,944.21 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 16 — — $25,003.39 $101,911.41 $43,817.29 2026-08-01
93656 CPT Hc Tx Atrial Fib Ablate Pulm Vein Isol 108 45 $90,864.19 $68,148.14 25% off $913.76 $81,777.77 $43,796.54 2026-08-01
38204 CPT Hc Bone Marrow Acquisition 212 39 $78,388.36 $58,791.27 25% off $241.23 $85,840.40 $43,701.51 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 16 — — $31,389.22 $159,073.67 $43,492.07 2026-08-01
70403671 OTHER Generator Aspire Hc Vns Implantable 105 28 28 $51,101.16 $38,325.87 25% off $35,770.81 $45,480.03 $43,435.99 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 16 — — $30,751.64 $119,021.22 $43,361.18 2026-08-01
J9226 HCPCS Supprelin La Implant 42 13 — — $43,185.34 $53,051.20 $43,324.60 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 16 — — $23,854.68 $106,545.60 $43,322.27 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 16 — — $21,761.98 $110,611.73 $43,148.63 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 16 — — $25,006.07 $122,956.88 $43,089.60 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 15 — — $31,850.84 $169,690.18 $42,669.46 2026-08-01
70403618 OTHER Graft Strattice 25x40cm Firm 2540002 28 28 $50,093.50 $37,570.13 25% off $35,065.45 $44,583.22 $42,579.47 2026-07-17
32064705 OTHER System Spinal Cord Stim Ipg Patient 28 28 $49,874.26 $37,405.69 25% off $34,911.98 $44,388.09 $42,393.12 2026-07-17
32047137 OTHER Kit Ipg 1060 A 28 28 $49,874.26 $37,405.69 25% off $34,911.98 $44,388.09 $42,393.12 2026-07-17
32047564 OTHER Implant Cochlear Synchrony Pin Flex28 28 28 $49,802.96 $37,352.22 25% off $34,862.07 $44,324.63 $42,332.52 2026-07-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 38 16 — — $23,811.86 $101,044.37 $42,151.29 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 16 — — $23,545.59 $107,178.89 $42,004.44 2026-08-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 27 13 — — $38,557.02 $114,036.33 $42,003.75 2026-08-01
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 36 16 — — $25,175.33 $120,665.61 $41,893.86 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 36 16 — — $27,915.65 $160,220.66 $41,891.21 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 38 16 — — $24,573.88 $104,371.20 $41,750.26 2026-08-01
32042003 OTHER Kit Generator Vercise Gevia Ipg 28 28 $48,976.12 $36,732.09 25% off $34,283.28 $43,588.75 $41,629.70 2026-07-17
32059296 OTHER Kit Ipg Vercise Genus R16 28 28 $48,976.12 $36,732.09 25% off $34,283.28 $43,588.75 $41,629.70 2026-07-17
73005479 OTHER Graft Iliac Aorta R010 28 28 $48,967.11 $36,725.33 25% off $34,276.98 $43,580.73 $41,622.04 2026-07-17
33270 CPT Hc Insert/replmnt Subq Impl Defib W Sbq Electrode 115 45 $98,012.87 $73,509.65 25% off $453.76 $88,211.58 $41,557.46 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 16 — — $23,834.61 $95,295.80 $41,548.32 2026-08-01
648 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $41,504.68 $41,504.68 $41,504.68 2026-08-01
213 MS_DRG Splenic Procedures Age 0-17 27 14 — — $16,143.43 $135,481.81 $41,234.91 2026-08-01
32047898 OTHER Stent Graft Relay Thoracic Single Straight 38mmx250mm 28 28 $48,478.16 $36,358.62 25% off $33,934.71 $43,145.56 $41,206.44 2026-07-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 36 16 — — $24,563.85 $115,196.99 $40,974.98 2026-08-01
93653 CPT Hc Ep & Ablate Supravent Arryth 108 45 $84,959.97 $63,719.98 25% off $805.81 $76,463.97 $40,950.71 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 15 — — $23,792.46 $93,942.23 $40,950.61 2026-08-01
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $40,740.61 $40,740.61 $40,740.61 2026-08-01
38227 CPT Hc Car-t Therapy Receipt & Prepj Car-t Cells F/admn 80 39 $58,133.15 $43,599.86 25% off $94.96 $52,319.84 $40,693.20 2026-08-01
33999 CPT Hc Carotid Approach Tavr 159 45 $58,681.63 $44,011.22 25% off $46.50 $54,136.21 $40,620.47 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 16 — — $21,141.12 $93,877.00 $40,503.89 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 16 — — $28,191.96 $125,299.80 $40,321.56 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 16 — — $23,112.07 $97,326.14 $39,997.76 2026-08-01
265 MS_DRG Aicd Lead Procedures 38 16 — — $24,206.59 $96,007.91 $39,958.60 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 38 16 — — $21,257.53 $95,956.27 $39,801.70 2026-08-01
32012992 OTHER Implant Cochlear Synchrony Compressed 28 28 $46,793.67 $35,095.25 25% off $32,755.57 $41,646.37 $39,774.62 2026-07-17
37 MS_DRG Extracranial Procedures With Mcc 36 16 — — $22,024.90 $114,599.03 $39,765.96 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 36 16 — — $22,022.23 $94,472.24 $39,489.42 2026-08-01
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 38 16 — — $22,136.06 $89,620.61 $39,439.83 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 16 — — $23,890.14 $91,159.00 $39,331.19 2026-08-01
677 MS_DRG Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 1 1 — — $39,314.88 $39,314.88 $39,314.88 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 36 16 — — $23,337.53 $115,909.11 $39,299.08 2026-08-01
32046737 OTHER Graft Strattice 30x30cm Firm 3030002 28 28 $46,197.72 $34,648.29 25% off $32,338.40 $41,115.97 $39,268.06 2026-07-17
32057265 OTHER Neurostimulator Deep Brain Percept Pc B35200 28 28 $46,086.57 $34,564.93 25% off $32,260.60 $41,017.05 $39,173.58 2026-07-17
264 MS_DRG Other Circulatory System O.r. Procedures 36 16 — — $20,114.31 $97,111.42 $38,903.31 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 16 — — $21,300.35 $115,210.58 $38,852.25 2026-08-01
32034173 OTHER Graft Alloderm Select Perforated 16x20cm Thick 28 28 $45,652.45 $34,239.34 25% off $31,956.71 $40,630.68 $38,804.58 2026-07-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 16 — — $21,070.88 $122,728.57 $38,800.02 2026-08-01
32035140 OTHER Bone Distal Femur Lt Mops24 28 28 $45,636.05 $34,227.04 25% off $31,945.24 $40,616.08 $38,790.64 2026-07-17
32035611 OTHER Bone Distal Femur Rt Mops25 28 28 $45,636.05 $34,227.04 25% off $31,945.24 $40,616.08 $38,790.64 2026-07-17
32070691 OTHER Implant Cochlear Synchrony 2 Custom Device 28 28 $45,318.90 $33,989.18 25% off $31,723.23 $40,333.82 $38,521.07 2026-07-17
32039025 OTHER Kit Generator Vercise Ipg 28 28 $45,302.38 $33,976.79 25% off $31,711.67 $40,319.12 $38,507.02 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 36 16 — — $21,360.56 $89,022.65 $38,409.44 2026-08-01
32027312 OTHER Kit Ipg Nipg1500 28 28 $45,107.19 $33,830.39 25% off $31,575.03 $40,145.40 $38,341.11 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 16 — — $24,275.50 $86,367.17 $38,340.44 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 38 16 — — $22,794.28 $95,948.12 $38,333.46 2026-08-01
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 1 1 — — $38,264.62 $38,264.62 $38,264.62 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 36 16 — — $21,590.04 $115,860.19 $38,213.92 2026-08-01
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $37,998.55 $37,998.55 $37,998.55 2026-08-01
0483T CPT Hc Tmvi W Prosthetic Valve Percutaneous Approach 92 44 $60,060.61 $45,045.46 25% off $780.79 $54,054.55 $37,988.33 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 16 — — $20,292.80 $89,041.68 $37,982.96 2026-08-01
32065033 OTHER Nail Tibial Antegrade 8.5x50x215mm 10deg P8.5 50c215 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32065936 OTHER Nail Intramed Retrograde Fem Str 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32064674 OTHER Nail Intramed Retro 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32036618 OTHER Femur Antegrade Trochanter 10.7mm X 215mm 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32066239 OTHER Femure Retrograde Straight 10.7x21 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32063515 OTHER Nail Intramed Retrograde Fem Strght 12.5 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32060219 OTHER Femur Antegrade Nail Piriformis 12.5x335 P12.5 80b335 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32064302 OTHER Femure Antegrade Piriformis 8.5x50mm 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32029565 OTHER Femur Antegrade Trochanter 10.7mm X245mm 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32066640 OTHER Femur Antegrade Nail Pirifor 28 28 $44,540.83 $33,405.62 25% off $31,178.58 $39,641.34 $37,859.71 2026-07-17
32070635 OTHER Nail Antegrade Femur Piriformis St 28 28 $44,540.82 $33,405.61 25% off $31,178.57 $39,641.33 $37,859.70 2026-07-17
32070930 OTHER Nail Intramed Antegrade Fem Troch Dst 12.5x 28 28 $44,540.82 $33,405.61 25% off $31,178.57 $39,641.33 $37,859.70 2026-07-17
32067270 OTHER Nail Tibial Precise Tibia 10.7x305mm 28 28 $44,540.82 $33,405.61 25% off $31,178.57 $39,641.33 $37,859.70 2026-07-17
32067254 OTHER Nail Tibial Precise 10.7x245mm 28 28 $44,540.82 $33,405.61 25% off $31,178.57 $39,641.33 $37,859.70 2026-07-17
32068799 OTHER Femur Nail Antegrade Trochanter Precice 8.5x165mm 10deg 28 28 $44,540.82 $33,405.61 25% off $31,178.57 $39,641.33 $37,859.70 2026-07-17
32067523 OTHER Nail Tibial Antegrade Precice 8. 28 28 $44,540.82 $33,405.61 25% off $31,178.57 $39,641.33 $37,859.70 2026-07-17
32042632 OTHER Femur Antegrade Nail Trochanter 10.0x250mm 28 28 $44,531.24 $33,398.43 25% off $31,171.87 $39,632.80 $37,851.55 2026-07-17
32043307 OTHER Tibia Antegrade 10deg Bend 3hl 10.0x280mm 28 28 $44,531.24 $33,398.43 25% off $31,171.87 $39,632.80 $37,851.55 2026-07-17
32054339 OTHER Femur Antegrade 10deg Bend Trochanter 10x280mm 28 28 $44,531.24 $33,398.43 25% off $31,171.87 $39,632.80 $37,851.55 2026-07-17
32047899 OTHER Stent Graft Relay Single 200mm Straight 38x190mm 28 28 $44,482.57 $33,361.93 25% off $31,137.80 $39,589.49 $37,810.18 2026-07-17
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $37,775.37 $37,775.37 $37,775.37 2026-08-01
32060835 OTHER Implant Tmj Mandibular Oversized Comp Chg024 28 28 $44,387.61 $33,290.71 25% off $31,071.33 $39,504.97 $37,729.47 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 38 16 — — $22,099.83 $78,420.34 $37,702.21 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 36 16 — — $21,173.24 $106,540.16 $37,667.27 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 36 16 — — $25,857.07 $108,828.72 $37,570.94 2026-08-01
32035646 OTHER Rod Magec 4.5mm 70mm Offset 28 28 $44,153.67 $33,115.25 25% off $30,907.57 $39,296.77 $37,530.62 2026-07-17
32042071 OTHER Rod Magec 2 4.5x90mm Std 28 28 $44,153.67 $33,115.25 25% off $30,907.57 $39,296.77 $37,530.62 2026-07-17
32042336 OTHER Rod Magec 2 4.5x70mm Std 28 28 $44,153.67 $33,115.25 25% off $30,907.57 $39,296.77 $37,530.62 2026-07-17
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