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

INTERMOUNTAIN MEDICAL CENTER

Murray, UT · CCN 460010 · Rates published

18,500 distinct procedures filed
44 distinct payers
1,200,926 rate rows
2026-07-17 last MRF observed
Data quality

1,193,129 of 1,200,926 rate rows are consumer-grade (99.4%)

7,797 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,583
placeholder amount (≤ $0.02) — excluded from medians 2,464
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 570
per-diem day rate — not a per-procedure price 96
percent-of-charges filed in the dollar field — excluded from medians 73
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7
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_intermountain-medical-center_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/intermountain-medical-center/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 504947a92e81323a… · 9,035,553 bytes · first seen 2026-06-16

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
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
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 12 $3,685,266.67 $4,278,594.60 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,316,462.59 $3,850,413.07 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 12 $3,193,000.00 $3,771,445.48 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 12 $2,939,968.89 $3,420,004.14 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,403,458.75 $2,850,383.42 $2,548,394.57 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $2,332,000.00 $2,707,452.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $770,620.00 $894,689.82 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $565,623.84 $686,994.12 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $551,318.34 $656,973.85 $587,649.57 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $516,485.97 $653,106.84 $562,538.19 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $528,312.43 $647,046.12 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $489,517.15 $619,080.23 $533,230.17 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $488,051.51 $568,082.65 $489,450.20 nat. median
$577,541
0.8× median
6
MS_DRG 		Liver Transplant Without Mcc 29 $31,022.59 $470,000.00 $338,140.00 nat. median
$46,106
outlier · 7.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 29 $68,979.61 $470,000.00 $338,140.00 nat. median
$99,646
outlier · 3.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $142,839.74 $588,325.44 $330,996.80 nat. median
$205,166
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 $288,902.84 $424,867.81 $312,159.52 nat. median
$370,165
0.8× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 29 $37,496.06 $470,000.00 $300,000.00 nat. median
$53,073
outlier · 5.7×
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
$7,400
outlier · 40.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $278,250.00 $323,048.25 $278,250.00 nat. median
$302,242
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 $257,500.00 $298,957.50 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $187,486.32 $495,000.00 $261,938.99 nat. median
$261,939
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 $75,812.34 $495,000.00 $260,000.00 nat. median
$108,240
outlier · 2.4×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $201,669.02 $238,748.04 $203,654.51 nat. median
$209,736
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
$77,861
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 $142,001.46 $384,397.52 $194,159.50 nat. median
$199,832
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
$8,001
outlier · 21.9×
215
MS_DRG 		Other Heart Assist System Implant 16 $66,614.61 $351,532.56 $157,339.17 nat. median
$98,002
1.6× median
10
MS_DRG 		Pancreas Transplant 29 $48,007.08 $470,000.00 $148,117.00 nat. median
$67,750
outlier · 2.2×
33940
CPT 		Hc Heart Transplant Acquisition 42 $46.50 $215,594.40 $147,921.71 nat. median
$4,286
outlier · 34.5×
S2152
HCPCS 		Hc Heart Acquisition 37 $7.52 $408,182.23 $137,064.10 nat. median
$3,767
outlier · 36.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $52,644.08 $295,196.88 $132,124.41 nat. median
$77,385
1.7× median
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 29 $11,500.00 $470,000.00 $130,000.00 nat. median
$35,222
outlier · 3.7×
652
MS_DRG 		Kidney Transplant 29 $11,500.00 $470,000.00 $130,000.00 nat. median
$31,280
outlier · 4.2×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 29 $11,500.00 $470,000.00 $130,000.00 nat. median
$44,915
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $17,773.09 $265,503.84 $125,546.92 nat. median
$96,835
1.3× median
212
MS_DRG 		Testes Procedures Age 0-17 16 $72,750.22 $273,380.32 $120,702.51 nat. median
$100,978
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 $56,220.67 $266,880.24 $119,450.43 nat. median
$80,459
1.5× median
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
$29,070
outlier · 4.1×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 42 $296.25 $172,047.89 $118,043.97 nat. median
$470
outlier · 251.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $65,449.18 $259,385.68 $116,096.01 nat. median
$92,900
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 $92,669.04 $220,982.88 $113,165.71 nat. median
$132,706
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $51,369.59 $252,764.08 $113,132.31 nat. median
$74,472
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 12 $99,999.93 $303,449.79 $112,341.97 nat. median
$111,503
1.0× median

Other procedures at this hospital

Browse this hospital's 18,500 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 2026-07-17
C9172 HCPCS Inj- Beqvez- Per Tx Dose 7 2 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-07-17
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-07-17
J1411 HCPCS Inj Hemgenix Per Tx Dose 26 12 — — $3,685,266.67 $4,278,594.60 $3,685,266.67 2026-07-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 9 7 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-07-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 26 12 — — $3,316,462.59 $3,850,413.07 $3,327,859.73 2026-07-17
J3394 HCPCS Inj Lovotibeglogene Autotem 26 12 — — $3,193,000.00 $3,771,445.48 $3,252,508.08 2026-07-17
J3387 HCPCS Inj Elivaldogene Autotemecel 9 7 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-07-17
J3393 HCPCS Inj Betibeglogene Autotemce 26 12 — — $2,939,968.89 $3,420,004.14 $2,945,740.00 2026-07-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 26 12 — — $2,403,458.75 $2,850,383.42 $2,548,394.57 2026-07-17
J3392 HCPCS Inj Exagamglogene Autotem 19 11 — — $2,332,000.00 $2,707,452.00 $2,332,000.00 2026-07-17
Q2057 HCPCS Afamitresgene Autoleucel 18 10 — — $770,620.00 $894,689.82 $770,620.00 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 12 — — $565,623.84 $686,994.12 $591,726.20 2026-07-17
Q2056 HCPCS Ciltacabtagene Car-pos T 26 12 — — $551,318.34 $656,973.85 $587,649.57 2026-07-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 12 — — $516,485.97 $653,106.84 $562,538.19 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel Car 26 12 — — $528,312.43 $647,046.12 $558,081.73 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 12 — — $489,517.15 $619,080.23 $533,230.17 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 26 12 — — $488,051.51 $568,082.65 $489,450.20 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 81 29 — — $31,022.59 $470,000.00 $338,140.00 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 81 29 — — $68,979.61 $470,000.00 $338,140.00 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 16 — — $142,839.74 $588,325.44 $330,996.80 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 40 16 — — $288,902.84 $424,867.81 $312,159.52 2026-07-17
8 MS_DRG Simultaneous Pancreas/kidney Transplant 53 29 — — $37,496.06 $470,000.00 $300,000.00 2026-07-17
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 2026-07-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 10 — — $278,250.00 $323,048.25 $278,250.00 2026-07-17
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-07-17
J3403 HCPCS Revakinagene Per Implant 18 10 — — $257,500.00 $298,957.50 $265,000.00 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 101 29 — — $187,486.32 $495,000.00 $261,938.99 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 101 29 — — $75,812.34 $495,000.00 $260,000.00 2026-07-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 18 10 — — $201,669.02 $238,748.04 $203,654.51 2026-07-17
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $197,901.24 $197,901.24 $197,901.24 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 40 16 — — $142,001.46 $384,397.52 $194,159.50 2026-07-17
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 2026-07-17
215 MS_DRG Other Heart Assist System Implant 40 16 — — $66,614.61 $351,532.56 $157,339.17 2026-07-17
10 MS_DRG Pancreas Transplant 53 29 — — $48,007.08 $470,000.00 $148,117.00 2026-07-17
33940 CPT Hc Heart Transplant Acquisition 89 42 $239,549.33 $179,662.00 25% off $46.50 $215,594.40 $147,921.71 2026-07-17
S2152 HCPCS Hc Heart Acquisition 378 37 $237,615.19 $178,211.39 25% off $7.52 $408,182.23 $137,064.10 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 16 — — $52,644.08 $295,196.88 $132,124.41 2026-07-17
652 MS_DRG Kidney Transplant 83 29 — — $11,500.00 $470,000.00 $130,000.00 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 83 29 — — $11,500.00 $470,000.00 $130,000.00 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 83 29 — — $11,500.00 $470,000.00 $130,000.00 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 14 — — $17,773.09 $265,503.84 $125,546.92 2026-07-17
212 MS_DRG Testes Procedures Age 0-17 40 16 — — $72,750.22 $273,380.32 $120,702.51 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 40 16 — — $56,220.67 $266,880.24 $119,450.43 2026-07-17
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 2026-07-17
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 89 42 $191,164.32 $143,373.24 25% off $296.25 $172,047.89 $118,043.97 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 16 — — $65,449.18 $259,385.68 $116,096.01 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 40 16 — — $92,669.04 $220,982.88 $113,165.71 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 16 — — $51,369.59 $252,764.08 $113,132.31 2026-07-17
Q0480 HCPCS Driver Pneumatic Vad Rep 26 12 — — $99,999.93 $303,449.79 $112,341.97 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 16 — — $50,978.88 $242,806.88 $108,675.66 2026-07-17
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 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 16 — — $51,850.66 $235,577.68 $105,440.01 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 40 16 — — $51,148.14 $232,842.24 $104,215.68 2026-07-17
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 215 42 $190,068.69 $142,551.52 25% off $1,003.68 $213,684.06 $102,637.09 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 36 14 — — $57,934.04 $228,643.60 $101,549.96 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 16 — — $35,416.74 $225,707.28 $101,022.21 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 40 16 — — $30,111.07 $170,279.90 $100,195.49 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 14 — — $60,276.29 $213,887.90 $100,006.56 2026-07-17
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-07-17
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 89 42 $155,669.85 $116,752.39 25% off $241.21 $140,102.87 $96,126.13 2026-07-17
7 MS_DRG Lung Transplant 40 16 — — $86,639.81 $143,490.78 $95,291.78 2026-07-17
8801 APR_DRG 945/946 - Rehab - Spinal/quad 4 4 — — $94,424.09 $94,424.09 $94,424.09 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 42 19 — — $80,402.51 $131,567.94 $91,599.86 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 16 — — $36,763.61 $200,996.56 $89,962.17 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 16 — — $43,990.27 $200,210.40 $89,610.30 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 40 16 — — $39,894.51 $198,005.68 $88,623.51 2026-07-17
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 29 14 — — $4,656.17 $268,708.31 $87,917.15 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 16 — — $46,241.53 $193,452.40 $86,585.55 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 16 — — $40,560.18 $193,006.00 $86,385.75 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 16 — — $39,262.28 $189,720.00 $84,915.00 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 14 — — $13,323.47 $179,502.40 $84,652.52 2026-07-17
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 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 16 — — $47,704.01 $177,161.28 $83,773.00 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 16 — — $13,206.19 $185,030.32 $82,815.99 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 16 — — $45,032.60 $165,877.28 $78,807.83 2026-07-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 14 — — $44,701.44 $167,040.40 $78,671.17 2026-07-17
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 40 16 — — $36,598.90 $174,973.92 $78,314.94 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 16 — — $43,990.27 $174,140.64 $77,941.98 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 16 — — $38,337.02 $173,957.12 $77,859.84 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 16 — — $33,099.24 $171,489.52 $76,755.39 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 16 — — $35,677.66 $171,062.96 $76,564.47 2026-07-17
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 14 — — $44,734.22 $158,737.51 $74,220.15 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 16 — — $43,049.62 $156,468.16 $73,987.99 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 16 — — $40,952.90 $153,395.44 $72,535.01 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 16 — — $43,830.37 $155,530.24 $72,264.12 2026-07-17
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 151 41 $180,576.00 $135,432.00 25% off $1,083.46 $243,777.60 $72,230.40 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 40 16 — — $36,546.72 $158,933.28 $71,135.46 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 16 — — $3,542.02 $154,831.36 $69,299.52 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 40 16 — — $36,728.69 $136,662.88 $68,890.61 2026-07-17
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 89 42 $111,522.04 $83,641.53 25% off $138.43 $100,369.84 $68,864.86 2026-07-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 19 11 — — $67,452.66 $78,312.54 $68,801.71 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 40 16 — — $29,984.27 $151,468.48 $67,794.36 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 16 — — $33,040.37 $150,647.60 $67,426.95 2026-07-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 16 — — $32,973.91 $155,099.20 $67,365.87 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 16 — — $33,720.09 $148,182.48 $66,323.61 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 40 16 — — $6,428.49 $139,874.48 $66,141.45 2026-07-17
J7330 HCPCS Cultured Chondrocytes Implnt 7 2 — — $65,518.20 $65,518.20 $65,518.20 2026-07-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 14 — — $10,123.67 $138,446.00 $65,465.98 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 40 16 — — $27,915.65 $146,191.04 $65,432.28 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 40 16 — — $31,973.54 $138,044.24 $65,276.00 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 16 — — $39,236.86 $143,827.60 $65,099.28 2026-07-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 14 — — $38,583.22 $137,540.80 $65,037.94 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 16 — — $31,389.22 $145,144.48 $64,963.86 2026-07-17
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 40 16 — — $33,366.85 $144,827.04 $64,821.78 2026-07-17
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 2026-07-17
J9029 HCPCS Instill Adstiladrin Tx Dose 26 12 — — $63,342.28 $74,113.13 $64,274.79 2026-07-17
L8614 HCPCS Cochlear Device 7 2 — — $56,406.93 $67,303.72 $64,098.78 2026-07-17
245 MS_DRG Aicd Generator Procedures 40 16 — — $30,523.50 $142,069.28 $63,587.46 2026-07-17
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 89 42 $102,892.62 $77,169.46 25% off $168.71 $92,603.36 $63,536.19 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 16 — — $32,790.15 $133,629.84 $63,188.59 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 16 — — $3,196.30 $139,405.76 $62,395.32 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 19 — — $47,732.11 $83,863.80 $62,372.67 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 40 16 — — $23,914.22 $139,306.56 $62,350.92 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 16 — — $30,418.47 $137,937.60 $61,738.20 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 16 — — $38,130.96 $135,395.60 $61,612.77 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 16 — — $31,295.55 $136,809.20 $61,233.15 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 16 — — $27,784.52 $136,640.56 $61,157.67 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 16 — — $34,825.32 $127,238.88 $61,043.73 2026-07-17
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 252 37 $91,154.70 $68,366.02 25% off $397.19 $109,809.90 $60,918.11 2026-07-17
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 16 — — $36,489.18 $134,867.36 $60,714.47 2026-07-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 14 — — $35,656.25 $127,712.56 $60,390.53 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 16 — — $26,053.09 $106,952.48 $60,371.79 2026-07-17
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 2026-07-17
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-07-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 16 — — $28,561.05 $132,141.59 $58,513.04 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 40 16 — — $32,141.87 $123,370.08 $58,337.13 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 16 — — $28,024.03 $129,426.24 $57,928.68 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 16 — — $25,685.80 $128,615.28 $57,565.71 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 16 — — $32,927.30 $127,390.16 $57,017.37 2026-07-17
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 40 16 — — $25,832.31 $127,038.00 $56,859.75 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 40 16 — — $36,950.14 $110,863.44 $55,997.21 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 16 — — $28,720.49 $124,927.52 $55,915.14 2026-07-17
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 2026-07-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 16 — — $26,171.51 $122,358.24 $54,765.18 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 44 12 — — $53,981.46 $64,357.43 $54,404.11 2026-07-17
799 MS_DRG Splenic Procedures With Mcc 40 16 — — $30,299.38 $113,782.40 $53,803.48 2026-07-17
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 16 — — $28,206.01 $119,955.12 $53,689.59 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 16 — — $21,645.94 $119,337.60 $53,413.20 2026-07-17
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 107 42 $125,602.14 $94,201.60 25% off $462.86 $113,041.93 $53,255.31 2026-07-17
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 72 38 $74,903.90 $56,177.92 25% off $25.70 $67,413.51 $52,432.73 2026-07-17
8800 APR_DRG 945/946 - Rehab - Spinal/para 4 4 — — $52,167.81 $52,167.81 $52,167.81 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 16 — — $6,003.13 $116,386.40 $52,092.30 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 16 — — $30,673.36 $115,399.36 $51,650.52 2026-07-17
90288 CPT Botulism Ig IV 7 2 — — $51,570.00 $51,570.00 $51,570.00 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 40 16 — — $28,076.22 $108,462.80 $51,288.03 2026-07-17
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 16 — — $30,898.82 $117,254.40 $51,265.35 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 16 — — $28,191.96 $114,328.00 $51,171.00 2026-07-17
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 40 16 — — $25,175.33 $110,099.60 $50,670.24 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 16 — — $29,857.82 $108,837.28 $50,621.89 2026-07-17
77371 CPT Hc Srs Rad Tx Multisource 82 42 $75,516.27 $56,637.20 25% off $906.20 $67,964.64 $50,558.14 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 16 — — $30,431.85 $106,411.84 $50,318.21 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 16 — — $25,006.07 $112,190.24 $50,214.18 2026-07-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 40 16 — — $21,070.88 $111,981.92 $50,120.94 2026-07-17
L7181 HCPCS Electronic Elbo Simultaneous 26 12 — — $48,901.12 $141,240.29 $49,879.14 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 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 40 16 — — $4,562.52 $105,335.52 $48,855.46 2026-07-17
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 40 16 — — $21,489.28 $109,142.32 $48,849.99 2026-07-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 36 14 — — $28,371.92 $102,850.56 $48,634.21 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 16 — — $30,751.64 $108,599.20 $48,606.90 2026-07-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 40 16 — — $28,951.30 $106,367.20 $48,048.84 2026-07-17
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 40 16 — — $27,600.54 $101,216.24 $47,849.22 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 19 — — $36,343.33 $58,637.99 $47,490.66 2026-07-17
252 MS_DRG Other Vascular Procedures With Mcc 40 16 — — $23,337.53 $105,759.60 $47,335.95 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 16 — — $21,590.04 $105,714.96 $47,315.97 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 2026-07-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 40 16 — — $15,248.96 $78,960.72 $47,104.84 2026-07-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 40 16 — — $21,300.35 $105,122.24 $47,050.68 2026-07-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 40 16 — — $24,563.85 $105,109.84 $47,045.13 2026-07-17
37 MS_DRG Extracranial Procedures With Mcc 40 16 — — $22,024.90 $104,564.24 $46,800.93 2026-07-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 14 — — $10,795.84 $98,887.52 $46,760.24 2026-07-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 40 16 — — $21,761.98 $100,926.08 $46,448.38 2026-07-17
691 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $45,991.06 $45,991.06 $45,991.06 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 16 — — $25,895.87 $96,794.40 $45,770.48 2026-07-17
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 40 16 — — $24,933.15 $100,643.36 $45,550.49 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 40 16 — — $21,321.09 $101,684.96 $45,512.22 2026-07-17
0744T CPT Hc Bioprosthetic Valve Insert Via Femoral Vein Open 81 41 $65,066.79 $48,800.09 25% off $780.80 $58,560.11 $45,156.35 2026-07-17
332 MS_DRG Rectal Resection With Mcc 40 16 — — $24,223.31 $95,259.28 $45,044.58 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 40 16 — — $38,907.03 $90,453.04 $44,839.65 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 16 — — $26,654.54 $94,582.53 $44,808.44 2026-07-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 40 16 — — $23,854.68 $97,216.00 $44,740.92 2026-07-17
64654 CPT 1st Opn Implt Bat Modulj Sys 16 8 — — $46.50 $44,598.19 $44,598.19 2026-07-17
0484T CPT Hc Tmvi Transthoracic Exposure 88 41 $72,049.81 $54,037.36 25% off $864.60 $64,844.83 $44,490.76 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 16 — — $25,857.07 $99,299.20 $44,444.40 2026-07-17
213 MS_DRG Splenic Procedures Age 0-17 29 14 — — $16,143.43 $135,481.81 $44,327.53 2026-07-17
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 40 16 — — $23,969.75 $93,560.48 $44,241.28 2026-07-17
E0766 HCPCS Elec Stim Cancer Treatment 7 2 — — $38,884.10 $46,395.80 $44,186.48 2026-07-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 16 — — $25,003.39 $92,987.60 $43,817.29 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 40 16 — — $23,545.59 $97,793.84 $43,770.63 2026-07-17
L7180 HCPCS Electronic Elbow Sequential 26 12 — — $42,853.91 $123,774.25 $43,710.99 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 40 16 — — $21,173.24 $97,211.04 $43,509.78 2026-07-17
J9226 HCPCS Supprelin La Implant 44 12 — — $43,185.34 $53,051.20 $43,324.60 2026-07-17
C1717 HCPCS Hc Brachytherapy Source Hdr Ir192 82 42 $64,501.40 $48,376.05 25% off $342.39 $58,051.26 $43,183.68 2026-07-17
C2616 HCPCS Hc Brachytx Non-str Yttrium-90 82 42 $64,501.40 $48,376.05 25% off $774.02 $58,051.26 $43,183.68 2026-07-17
33276 CPT Insj Phrnc Nrv Stim Sys 32 11 — — $1,368.90 $50,085.75 $43,140.18 2026-07-17
0266T CPT Implt/rpl Crtd Sns Dev Total 16 6 — — $670.44 $50,085.75 $43,140.18 2026-07-17
668 MS_DRG Transurethral Procedures With Mcc 40 16 — — $19,535.47 $95,948.72 $42,944.79 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 42 19 — — $39,671.05 $71,518.49 $42,864.57 2026-07-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 40 16 — — $23,811.86 $92,196.48 $42,563.84 2026-07-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 40 16 — — $24,573.88 $95,232.00 $42,412.35 2026-07-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 16 — — $20,801.26 $94,103.60 $42,118.95 2026-07-17
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 40 16 — — $17,796.01 $93,964.72 $42,056.79 2026-07-17
0519T CPT Hc Removal/replacement Of Wireless Cardiac Stimulator 82 42 $62,715.63 $47,036.72 25% off $752.59 $56,444.07 $41,988.12 2026-07-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 18 10 — — $33,553.58 $44,598.19 $41,776.95 2026-07-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 40 16 — — $23,834.61 $86,951.28 $41,548.32 2026-07-17
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 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 40 16 — — $21,257.53 $87,553.92 $41,401.00 2026-07-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 16 — — $4,008.51 $85,716.24 $40,950.61 2026-07-17
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $40,740.61 $40,740.61 $40,740.61 2026-07-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 40 16 — — $21,141.12 $85,656.72 $40,503.89 2026-07-17
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 40 16 — — $18,445.63 $90,063.68 $40,310.76 2026-07-17
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 40 16 — — $19,403.00 $89,979.36 $40,273.02 2026-07-17
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 26 12 — — $39,482.40 $114,036.33 $40,272.05 2026-07-17
265 MS_DRG Aicd Lead Procedures 40 16 — — $24,206.59 $87,601.04 $40,162.02 2026-07-17
33999 CPT Hc Carotid Approach Tavr 152 42 $58,681.63 $44,011.22 25% off $46.50 $54,136.21 $40,048.35 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 40 16 — — $23,112.07 $88,803.84 $39,997.76 2026-07-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 40 16 — — $15,182.44 $89,255.20 $39,948.90 2026-07-17
93654 CPT Hc Ep & Ablate Ventricular Tachycardia 107 42 $93,711.57 $70,283.68 25% off $971.25 $84,340.41 $39,733.71 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 40 16 — — $19,483.95 $88,717.04 $39,708.03 2026-07-17
264 MS_DRG Other Circulatory System O.r. Procedures 40 16 — — $20,114.31 $88,607.92 $39,659.19 2026-07-17
974 MS_DRG HIV With Major Related Condition With Mcc 40 16 — — $19,308.00 $86,207.28 $39,545.82 2026-07-17
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 40 16 — — $22,022.23 $86,199.84 $39,489.42 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 16 — — $23,890.14 $83,176.72 $39,331.19 2026-07-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 40 16 — — $18,289.75 $87,856.48 $39,322.86 2026-07-17
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 2026-07-17
503 MS_DRG Foot Procedures With Mcc 40 16 — — $18,673.10 $87,583.68 $39,200.76 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 16 — — $23,593.76 $86,065.92 $39,145.26 2026-07-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 40 16 — — $22,794.28 $87,546.48 $39,144.26 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 16 — — $22,099.83 $78,420.34 $38,737.80 2026-07-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 40 16 — — $16,999.20 $86,395.76 $38,669.07 2026-07-17
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 40 16 — — $22,136.06 $88,944.28 $38,667.44 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 16 — — $19,835.11 $85,760.88 $38,532.54 2026-07-17
93656 CPT Hc Tx Atrial Fib Ablate Pulm Vein Isol 107 42 $90,864.19 $68,148.14 25% off $913.76 $81,777.77 $38,526.42 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 16 — — $21,360.56 $81,227.44 $38,409.44 2026-07-17
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 1 1 — — $38,264.62 $38,264.62 $38,264.62 2026-07-17
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 29 14 — — $23,005.02 $110,399.37 $38,168.46 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 16 — — $25,993.16 $85,009.44 $38,048.58 2026-07-17
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $37,998.55 $37,998.55 $37,998.55 2026-07-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 40 16 — — $20,292.80 $81,244.80 $37,982.96 2026-07-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 16 — — $24,127.64 $85,615.94 $37,806.68 2026-07-17
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $37,775.37 $37,775.37 $37,775.37 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 40 16 — — $31,429.65 $70,221.20 $37,619.40 2026-07-17
253 MS_DRG Other Vascular Procedures With Cc 40 16 — — $17,365.16 $84,037.28 $37,613.46 2026-07-17
C1882 HCPCS Hc Icd Biv/crt-d Lvl 46 819 37 $58,637.60 $43,978.20 25% off $397.19 $115,300.40 $37,314.83 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 16 — — $24,275.50 $86,140.59 $37,263.72 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 16 — — $23,059.42 $78,725.12 $37,226.19 2026-07-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 16 — — $19,576.92 $78,494.48 $37,117.13 2026-07-17
0483T CPT Hc Tmvi W Prosthetic Valve Percutaneous Approach 88 41 $60,060.61 $45,045.46 25% off $720.73 $54,054.55 $37,087.43 2026-07-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 16 — — $14,771.36 $81,837.52 $36,628.89 2026-07-17
164 MS_DRG Major Chest Procedures With Cc 40 16 — — $16,886.14 $81,619.28 $36,531.21 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 16 — — $21,642.22 $78,888.80 $36,520.60 2026-07-17
545 MS_DRG Connective Tissue Disorders With Mcc 40 16 — — $16,603.14 $81,502.72 $36,479.04 2026-07-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 16 — — $22,936.78 $76,795.68 $36,313.83 2026-07-17
665 MS_DRG Prostatectomy With Mcc 40 16 — — $20,881.54 $80,981.92 $36,245.94 2026-07-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 36 14 — — $21,612.12 $76,689.70 $36,187.18 2026-07-17
93653 CPT Hc Ep & Ablate Supravent Arryth 107 42 $84,959.97 $63,719.98 25% off $805.81 $76,463.97 $36,023.03 2026-07-17
0646T CPT Hc Ttvi Prosthetic Valve, Percutaneous 81 41 $51,682.99 $38,762.24 25% off $620.20 $46,514.69 $35,868.00 2026-07-17
662 MS_DRG Minor Bladder Procedures With Mcc 40 16 — — $20,482.14 $76,914.72 $35,718.63 2026-07-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 40 16 — — $15,417.00 $79,714.64 $35,678.73 2026-07-17
33249 CPT Hc Implant/repos Defib Pulse Gen W/leads Sng/dual 114 42 $118,743.74 $89,057.80 25% off $737.37 $106,869.37 $35,653.90 2026-07-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 16 — — $19,635.56 $78,926.00 $35,325.75 2026-07-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 40 16 — — $16,447.93 $78,601.12 $35,180.34 2026-07-17
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 40 16 — — $14,663.64 $78,449.84 $35,112.63 2026-07-17
570 MS_DRG Skin Debridement With Mcc 40 16 — — $19,676.63 $78,380.40 $35,081.55 2026-07-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 40 16 — — $21,080.91 $79,997.36 $34,976.10 2026-07-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 19 11 — — $34,284.44 $39,804.23 $34,970.13 2026-07-17
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 40 16 — — $14,256.21 $78,127.44 $34,968.33 2026-07-17
33264 CPT Hc Remove & Replac Defib Pulse Gen Mult Leads 114 42 $114,039.16 $85,529.37 25% off $325.95 $102,635.24 $34,948.21 2026-07-17
33270 CPT Hc Insert/replmnt Subq Impl Defib W Sbq Electrode 114 42 $98,012.87 $73,509.65 25% off $453.76 $88,211.58 $34,747.22 2026-07-17
0870T CPT Imp Subq Prtl Ascts Pmp Sys 9 7 — — $34,687.60 $34,687.60 $34,687.60 2026-07-17
C9775 HCPCS Hc Open/perc Intravascular Litho W/ather & Stent Tib/peroneal Artery 81 41 $49,894.02 $37,420.52 25% off $598.73 $44,904.62 $34,626.45 2026-07-17
0825T CPT Hc Leadless Pm Remove & Replace Rt Atrial Single Cham Sys 81 41 $49,720.48 $37,290.36 25% off $596.65 $44,748.43 $34,506.01 2026-07-17
0823T CPT Hc Leadless Pm Insert Rt Atrial Single Chamber Sys 81 41 $49,720.48 $37,290.36 25% off $596.65 $44,748.43 $34,506.01 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 16 — — $28,473.53 $76,726.24 $34,341.18 2026-07-17
654 MS_DRG Major Bladder Procedures With Cc 40 16 — — $18,727.96 $76,716.32 $34,336.74 2026-07-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 40 16 — — $19,202.30 $72,515.20 $34,289.75 2026-07-17
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 40 16 — — $16,352.26 $76,567.52 $34,270.14 2026-07-17
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $34,234.23 $34,234.23 $34,234.23 2026-07-17
C8004 HCPCS Hc Sim Ang W/prs Cath Rad Emb 81 41 $49,059.90 $36,794.93 25% off $588.72 $44,153.91 $34,047.57 2026-07-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 40 16 — — $21,478.31 $76,214.90 $33,925.04 2026-07-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 16 — — $20,838.06 $71,456.24 $33,789.01 2026-07-17
C1820 HCPCS Hc Generator Neuro Rechg Battery System Implant Lvl 16 189 37 $58,637.60 $43,978.20 25% off $13.68 $58,051.26 $33,716.62 2026-07-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 40 16 — — $18,239.58 $75,292.80 $33,699.60 2026-07-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 16 — — $18,202.78 $70,937.92 $33,543.91 2026-07-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 16 — — $21,021.37 $74,593.45 $33,515.81 2026-07-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 40 16 — — $16,878.78 $74,853.84 $33,503.13 2026-07-17
C9767 HCPCS Hc Open/perc Intravascular Litho W/ather & Stent, Lower Extrem Artery 82 42 $49,894.02 $37,420.52 25% off $598.73 $44,904.62 $33,404.04 2026-07-17
510 MS_DRG Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc 40 16 — — $20,207.84 $70,627.92 $33,397.32 2026-07-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 16 — — $18,389.43 $74,516.56 $33,352.17 2026-07-17
13 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 40 16 — — $19,279.90 $68,413.93 $33,245.39 2026-07-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 40 16 — — $16,967.09 $74,216.48 $33,217.86 2026-07-17
173 MS_DRG Urethral Procedures Age 0-17 40 16 — — $19,912.80 $76,584.88 $33,038.04 2026-07-17
263 MS_DRG Vein Ligation And Stripping 40 16 — — $20,454.71 $72,582.68 $32,747.49 2026-07-17
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 40 16 — — $21,666.31 $69,199.44 $32,721.85 2026-07-17
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 40 16 — — $15,291.19 $72,597.04 $32,493.03 2026-07-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 40 16 — — $18,105.10 $72,492.88 $32,446.41 2026-07-17
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $32,378.76 $32,378.76 $32,378.76 2026-07-17
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 40 16 — — $15,199.53 $71,629.84 $32,060.13 2026-07-17
0571T CPT Hc Insert/replmnt Icds W/substernal Electrode 88 41 $46,037.70 $34,528.28 25% off $552.45 $41,433.93 $31,950.16 2026-07-17
0408T CPT Insj/rplc Cardiac Modulj Sys 25 11 — — $2,531.78 $35,684.67 $31,782.03 2026-07-17
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