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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 HEALTH ALTA VIEW HOSPITAL

Sandy, UT · CCN 460044 · Rates published

17,635 distinct procedures filed
43 distinct payers
1,028,353 rate rows
2026-08-01 last MRF observed
Data quality

1,022,827 of 1,028,353 rate rows are consumer-grade (99.5%)

5,526 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 3,765
placeholder amount (≤ $0.02) — excluded from medians 919
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 734
per-diem day rate — not a per-procedure price 95
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
percent-of-charges filed in the dollar field — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_alta-view-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/alta-view-hospital/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint abb90d1e0ca95a9c… · 8,048,194 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 $4,685,200.00 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
$3,675,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 12 $3,685,266.67 $4,278,594.60 $3,780,000.00 nat. median
$3,685,267
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
$3,508,750
1.1× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $3,669,402.00 $3,479,260.26 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,316,462.59 $3,850,413.07 $3,456,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 12 $3,193,000.00 $3,771,445.48 $3,348,000.00 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,180,000.00 $3,498,000.00 $3,316,740.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 12 $2,939,968.89 $3,420,004.14 $3,024,000.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,403,458.75 $2,850,383.42 $2,588,981.23 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $2,332,000.00 $2,707,452.00 $2,425,280.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $770,620.00 $894,689.82 $801,444.80 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $551,318.34 $656,973.85 $616,634.96 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $565,623.84 $686,994.12 $594,857.87 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $516,485.97 $653,106.84 $590,311.30 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $528,312.43 $647,046.12 $585,985.82 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $489,517.15 $619,080.23 $558,801.85 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $488,051.51 $568,082.65 $513,922.71 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 $288,902.84 $424,867.81 $306,237.01 nat. median
$168,055
1.8× median
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
$8,940
outlier · 33.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $278,250.00 $323,048.25 $289,380.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 10 $257,500.00 $298,957.50 $275,600.00 nat. median
$264,195
1.0× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $272,925.97 $272,925.97 $272,925.97 nat. median
$21,586
outlier · 12.6×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $201,669.02 $238,748.04 $209,735.78 nat. median
$207,733
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
$29,552
outlier · 6.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $187,486.32 $495,000.00 $195,548.23 nat. median
$186,516
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $142,839.74 $588,325.44 $194,481.15 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 $142,001.46 $384,397.52 $181,767.33 nat. median
$145,435
1.2× 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
$9,021
outlier · 19.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $17,773.09 $265,503.84 $125,790.46 nat. median
$2,736
outlier · 46.0×
215
MS_DRG 		Other Heart Assist System Implant 16 $66,614.61 $351,532.56 $121,108.61 nat. median
$73,023
1.7× median
212
MS_DRG 		Testes Procedures Age 0-17 16 $72,750.22 $273,380.32 $120,702.51 nat. median
$74,509
1.6× 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
$35,768
outlier · 3.3×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 41 $296.25 $172,047.89 $118,043.97 nat. median
$550
outlier · 214.5×
Q0480
HCPCS 		Driver Pneumatic Vad Rep 12 $99,999.93 $303,449.79 $117,959.07 nat. median
$108,243
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $65,449.18 $259,385.68 $114,510.60 nat. median
$69,822
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $52,644.08 $295,196.88 $113,985.15 nat. median
$56,428
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 $92,669.04 $220,982.88 $107,588.76 nat. median
$97,418
1.1× median
634
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 $106,754.08 $106,754.08 $106,754.08 nat. median
$16,878
outlier · 6.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $60,276.29 $213,887.90 $102,831.07 nat. median
$2,596
outlier · 39.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $50,978.88 $242,806.88 $99,520.29 nat. median
$52,327
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 $56,220.67 $266,880.24 $99,316.02 nat. median
$59,651
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $57,934.04 $228,643.60 $98,835.21 nat. median
$2,633
outlier · 37.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $51,850.66 $235,577.68 $98,657.96 nat. median
$60,505
1.6× median
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 41 $2,425.57 $213,684.06 $98,325.15 nat. median
$65,477
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $51,369.59 $252,764.08 $97,528.70 nat. median
$55,923
1.7× median
632
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Died 1 $97,125.78 $97,125.78 $97,125.78 nat. median
$64,378
1.5× median
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 41 $241.21 $140,102.87 $96,126.13 nat. median
$396
outlier · 242.8×
8801
APR_DRG 		945/946 - Rehab - Spinal/quad 3 $94,424.09 $94,424.09 $94,424.09 —
7
MS_DRG 		Lung Transplant 11 $86,639.81 $143,490.78 $91,838.20 nat. median
$70,649
1.3× median

Other procedures at this hospital

Browse this hospital's 17,635 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 16 10 — — $4,505,000.00 $4,955,500.00 $4,685,200.00 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 25 12 — — $3,685,266.67 $4,278,594.60 $3,780,000.00 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
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-08-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 13 8 — — $3,335,820.00 $3,669,402.00 $3,479,260.26 2026-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 25 12 — — $3,316,462.59 $3,850,413.07 $3,456,000.00 2026-08-01
J3394 HCPCS Inj Lovotibeglogene Autotem 25 12 — — $3,193,000.00 $3,771,445.48 $3,348,000.00 2026-08-01
J3387 HCPCS Inj Elivaldogene Autotemecel 13 8 — — $3,180,000.00 $3,498,000.00 $3,316,740.00 2026-08-01
J3393 HCPCS Inj Betibeglogene Autotemce 25 12 — — $2,939,968.89 $3,420,004.14 $3,024,000.00 2026-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 25 12 — — $2,403,458.75 $2,850,383.42 $2,588,981.23 2026-08-01
J3392 HCPCS Inj Exagamglogene Autotem 18 11 — — $2,332,000.00 $2,707,452.00 $2,425,280.00 2026-08-01
Q2057 HCPCS Afamitresgene Autoleucel 17 10 — — $770,620.00 $894,689.82 $801,444.80 2026-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 25 12 — — $551,318.34 $656,973.85 $616,634.96 2026-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 25 12 — — $565,623.84 $686,994.12 $594,857.87 2026-08-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 25 12 — — $516,485.97 $653,106.84 $590,311.30 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel Car 25 12 — — $528,312.43 $647,046.12 $585,985.82 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 25 12 — — $489,517.15 $619,080.23 $558,801.85 2026-08-01
Q2053 HCPCS Brexucabtagene Car Pos T 25 12 — — $488,051.51 $568,082.65 $513,922.71 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 11 — — $288,902.84 $424,867.81 $306,237.01 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 17 10 — — $278,250.00 $323,048.25 $289,380.00 2026-08-01
J3403 HCPCS Revakinagene Per Implant 17 10 — — $257,500.00 $298,957.50 $275,600.00 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
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 17 10 — — $201,669.02 $238,748.04 $209,735.78 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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 11 — — $187,486.32 $495,000.00 $195,548.23 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 15 — — $142,839.74 $588,325.44 $194,481.15 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 35 16 — — $142,001.46 $384,397.52 $181,767.33 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 14 — — $17,773.09 $265,503.84 $125,790.46 2026-08-01
215 MS_DRG Other Heart Assist System Implant 35 16 — — $66,614.61 $351,532.56 $121,108.61 2026-08-01
212 MS_DRG Testes Procedures Age 0-17 37 16 — — $72,750.22 $273,380.32 $120,702.51 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
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 85 41 $191,164.32 $143,373.24 25% off $296.25 $172,047.89 $118,043.97 2026-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 25 12 — — $99,999.93 $303,449.79 $117,959.07 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $65,449.18 $259,385.68 $114,510.60 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 16 — — $52,644.08 $295,196.88 $113,985.15 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 35 16 — — $92,669.04 $220,982.88 $107,588.76 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 $213,887.90 $102,831.07 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 16 — — $50,978.88 $242,806.88 $99,520.29 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 35 16 — — $56,220.67 $266,880.24 $99,316.02 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 34 14 — — $57,934.04 $228,643.60 $98,835.21 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 16 — — $51,850.66 $235,577.68 $98,657.96 2026-08-01
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 205 41 $190,068.69 $142,551.52 25% off $2,425.57 $213,684.06 $98,325.15 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $51,369.59 $252,764.08 $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
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 85 41 $155,669.85 $116,752.39 25% off $241.21 $140,102.87 $96,126.13 2026-08-01
8801 APR_DRG 945/946 - Rehab - Spinal/quad 3 3 — — $94,424.09 $94,424.09 $94,424.09 2026-08-01
7 MS_DRG Lung Transplant 18 11 — — $86,639.81 $143,490.78 $91,838.20 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 16 — — $51,148.14 $232,842.24 $88,055.88 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 11 — — $80,402.51 $131,567.94 $85,226.65 2026-08-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 28 14 — — $4,656.17 $268,708.31 $84,850.27 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 37 16 — — $47,704.01 $177,161.28 $83,618.20 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 16 — — $46,241.53 $193,452.40 $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 $179,502.40 $82,389.49 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 11 — — $75,812.34 $495,000.00 $81,498.26 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 16 — — $13,206.19 $185,030.32 $81,349.94 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 16 — — $35,416.74 $225,707.28 $79,804.02 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 16 — — $45,032.60 $165,877.28 $78,437.21 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 14 — — $44,701.44 $167,040.40 $78,355.12 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 16 — — $36,763.61 $200,996.56 $77,587.27 2026-08-01
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 14 — — $44,734.22 $158,737.51 $76,316.37 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $43,990.27 $200,210.40 $74,626.58 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $68,979.61 $403,000.00 $74,153.08 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 16 — — $43,049.62 $156,468.16 $73,987.99 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 37 16 — — $36,728.69 $136,662.88 $73,158.41 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 37 16 — — $43,830.37 $155,530.24 $72,720.54 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 37 16 — — $40,952.90 $153,395.44 $71,784.49 2026-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 11 — — $67,452.66 $78,312.54 $71,553.78 2026-08-01
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 144 40 $180,576.00 $135,432.00 25% off $1,866.58 $243,777.60 $71,508.10 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 16 — — $39,262.28 $189,720.00 $70,408.96 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 16 — — $43,990.27 $174,140.64 $69,806.61 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 16 — — $40,560.18 $193,006.00 $68,854.92 2026-08-01
J9029 HCPCS Instill Adstiladrin Tx Dose 25 12 — — $63,342.28 $74,113.13 $67,488.53 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 37 16 — — $32,973.91 $155,099.20 $67,365.87 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 35 16 — — $36,546.72 $158,933.28 $67,340.33 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 35 16 — — $6,428.49 $139,874.48 $66,141.45 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 14 — — $38,583.22 $137,540.80 $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 35 16 — — $36,598.90 $174,973.92 $65,142.16 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 37 16 — — $39,236.86 $143,827.60 $65,099.28 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 $138,446.00 $64,166.69 2026-08-01
L8614 HCPCS Cochlear Device 7 2 — — $56,406.93 $67,303.72 $64,098.78 2026-08-01
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 85 41 $102,892.62 $77,169.46 25% off $168.71 $92,603.36 $63,536.19 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $35,677.66 $171,062.96 $62,719.98 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 16 — — $28,561.05 $132,141.59 $61,784.82 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 16 — — $38,130.96 $135,395.60 $61,612.77 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 15 — — $35,299.66 $139,405.76 $61,245.60 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 37 16 — — $34,825.32 $127,238.88 $61,043.73 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 37 16 — — $31,973.54 $138,044.24 $60,938.18 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 34 14 — — $35,656.25 $127,712.56 $60,829.39 2026-08-01
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 16 — — $36,489.18 $134,867.36 $60,714.47 2026-08-01
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 240 35 $91,154.70 $68,366.02 25% off $959.88 $109,809.90 $60,701.33 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 16 — — $31,295.55 $136,809.20 $60,440.57 2026-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 35 16 — — $33,366.85 $144,827.04 $60,168.99 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 16 — — $33,099.24 $171,489.52 $57,929.03 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 37 16 — — $32,790.15 $133,629.84 $57,476.37 2026-08-01
245 MS_DRG Aicd Generator Procedures 35 16 — — $30,523.50 $142,069.28 $57,315.07 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 35 16 — — $29,984.27 $151,468.48 $56,935.55 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 16 — — $30,418.47 $137,937.60 $56,532.83 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 37 16 — — $32,141.87 $123,370.08 $56,340.03 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 15 — — $31,850.84 $154,831.36 $55,984.49 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $33,720.09 $148,182.48 $55,617.11 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 35 16 — — $39,894.51 $198,005.68 $55,571.22 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 16 — — $38,337.02 $173,957.12 $55,397.05 2026-08-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 39 12 — — $53,981.46 $64,357.43 $55,272.32 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 16 — — $32,927.30 $127,390.16 $54,659.62 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 16 — — $33,040.37 $150,647.60 $54,475.08 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 35 16 — — $30,299.38 $113,782.40 $53,803.48 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 15 — — $30,111.07 $170,279.90 $53,769.44 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 16 — — $27,784.52 $136,640.56 $53,477.69 2026-08-01
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 64 36 $74,903.90 $56,177.92 25% off $30.65 $67,413.51 $52,619.99 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 35 16 — — $36,950.14 $110,863.44 $52,423.21 2026-08-01
L7181 HCPCS Electronic Elbo Simultaneous 25 12 — — $48,901.12 $141,240.29 $52,373.10 2026-08-01
8800 APR_DRG 945/946 - Rehab - Spinal/para 3 3 — — $52,167.81 $52,167.81 $52,167.81 2026-08-01
90288 CPT Botulism Ig IV 7 2 — — $51,570.00 $51,570.00 $51,570.00 2026-08-01
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 16 — — $30,898.82 $117,254.40 $51,265.35 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 15 — — $28,254.18 $116,386.40 $51,178.94 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 16 — — $30,673.36 $115,399.36 $50,854.01 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 16 — — $29,857.82 $108,837.28 $50,621.89 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 11 — — $47,732.11 $83,863.80 $50,596.04 2026-08-01
77371 CPT Hc Srs Rad Tx Multisource 78 41 $75,516.27 $56,637.20 25% off $2,189.97 $67,964.64 $50,558.14 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 16 — — $28,720.49 $124,927.52 $50,486.19 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 16 — — $30,431.85 $106,411.84 $50,318.21 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 16 — — $23,914.22 $139,306.56 $50,135.60 2026-08-01
10 MS_DRG Pancreas Transplant 19 11 — — $48,007.08 $148,117.00 $50,071.38 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 35 16 — — $28,024.03 $129,426.24 $49,929.01 2026-08-01
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
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 35 16 — — $25,175.33 $110,099.60 $49,278.45 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 37 16 — — $28,076.22 $108,462.80 $49,213.53 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $31,389.22 $145,144.48 $48,993.06 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 37 16 — — $4,562.52 $105,335.52 $48,855.46 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $21,645.94 $119,337.60 $48,439.96 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 14 — — $28,371.92 $102,850.56 $48,402.37 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 37 16 — — $28,951.30 $106,367.20 $48,048.84 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 35 16 — — $27,600.54 $101,216.24 $47,849.22 2026-08-01
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
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 16 — — $26,171.51 $122,358.24 $46,415.88 2026-08-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 10 — — $33,553.58 $49,057.41 $46,381.55 2026-08-01
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 35 16 — — $28,206.01 $119,955.12 $45,953.96 2026-08-01
L7180 HCPCS Electronic Elbow Sequential 25 12 — — $42,853.91 $123,774.25 $45,896.54 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 14 — — $10,795.84 $98,887.52 $45,887.98 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 16 — — $25,685.80 $128,615.28 $45,439.81 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 37 16 — — $25,895.87 $96,794.40 $45,391.70 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 35 16 — — $28,191.96 $114,328.00 $45,250.62 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 35 16 — — $21,761.98 $100,926.08 $45,172.56 2026-08-01
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 35 16 — — $24,933.15 $100,643.36 $45,046.02 2026-08-01
332 MS_DRG Rectal Resection With Mcc 35 16 — — $24,223.31 $95,259.28 $45,044.58 2026-08-01
J9226 HCPCS Supprelin La Implant 39 12 — — $43,185.34 $53,051.20 $44,912.75 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 37 16 — — $26,654.54 $94,582.53 $44,808.44 2026-08-01
64654 CPT 1st Opn Implt Bat Modulj Sys 20 9 — — $46.50 $49,057.41 $44,597.65 2026-08-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 35 16 — — $25,832.31 $127,038.00 $44,531.06 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 35 16 — — $21,489.28 $109,142.32 $44,250.20 2026-08-01
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 35 16 — — $23,969.75 $93,560.48 $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
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 35 16 — — $25,003.39 $92,987.60 $43,817.29 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 35 16 — — $23,854.68 $97,216.00 $43,512.00 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 35 16 — — $38,907.03 $90,453.04 $43,412.66 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 16 — — $30,751.64 $108,599.20 $43,361.18 2026-08-01
C1717 HCPCS Hc Brachytherapy Source Hdr Ir192 78 41 $64,501.40 $48,376.05 25% off $342.39 $58,051.26 $43,183.68 2026-08-01
C2616 HCPCS Hc Brachytx Non-str Yttrium-90 78 41 $64,501.40 $48,376.05 25% off $1,870.54 $58,051.26 $43,183.68 2026-08-01
33276 CPT Insj Phrnc Nrv Stim Sys 31 11 — — $1,368.90 $50,085.75 $43,140.18 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 35 16 — — $25,006.07 $112,190.24 $43,089.60 2026-08-01
33249 CPT Hc Implant/repos Defib Pulse Gen W/leads Sng/dual 106 41 $118,743.74 $89,057.80 25% off $737.37 $106,869.37 $43,016.01 2026-08-01
213 MS_DRG Splenic Procedures Age 0-17 28 14 — — $16,143.43 $135,481.81 $42,781.22 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 35 16 — — $27,915.65 $146,191.04 $42,777.25 2026-08-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 25 12 — — $39,482.40 $114,036.33 $42,285.65 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 11 — — $39,671.05 $71,518.49 $42,051.32 2026-08-01
33264 CPT Hc Remove & Replac Defib Pulse Gen Mult Leads 106 41 $114,039.16 $85,529.37 25% off $325.95 $102,635.24 $42,018.63 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 16 — — $23,545.59 $97,793.84 $42,004.44 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 37 16 — — $24,573.88 $95,232.00 $41,750.26 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 37 16 — — $23,811.86 $92,196.48 $41,738.74 2026-08-01
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 37 16 — — $22,136.06 $88,944.28 $41,587.26 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 37 16 — — $23,834.61 $86,951.28 $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
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 35 16 — — $24,563.85 $105,109.84 $40,974.98 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 36 15 — — $23,792.46 $85,716.24 $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
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 16 — — $21,141.12 $85,656.72 $40,503.89 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 37 16 — — $24,275.50 $86,140.59 $40,276.35 2026-08-01
265 MS_DRG Aicd Lead Procedures 37 16 — — $24,206.59 $87,601.04 $40,162.02 2026-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 19 11 — — $37,496.06 $300,000.00 $40,120.78 2026-08-01
33999 CPT Hc Carotid Approach Tavr 145 41 $58,681.63 $44,011.22 25% off $46.50 $54,136.21 $40,048.35 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 37 16 — — $24,127.64 $85,615.94 $40,031.04 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 16 — — $23,112.07 $88,803.84 $39,997.76 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 35 16 — — $22,024.90 $104,564.24 $39,884.65 2026-08-01
93654 CPT Hc Ep & Ablate Ventricular Tachycardia 99 41 $93,711.57 $70,283.68 25% off $971.25 $84,340.41 $39,733.71 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 35 16 — — $22,022.23 $86,199.84 $39,489.42 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 16 — — $23,890.14 $83,176.72 $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 35 16 — — $23,337.53 $105,759.60 $39,299.08 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 16 — — $23,593.76 $86,065.92 $39,145.26 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 16 — — $20,114.31 $88,607.92 $38,903.31 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 16 — — $21,300.35 $105,122.24 $38,852.25 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 35 16 — — $21,070.88 $111,981.92 $38,800.02 2026-08-01
33270 CPT Hc Insert/replmnt Subq Impl Defib W Sbq Electrode 106 41 $98,012.87 $73,509.65 25% off $453.76 $88,211.58 $38,621.07 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 35 16 — — $19,308.00 $86,207.28 $38,584.71 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 37 16 — — $19,835.11 $85,760.88 $38,532.54 2026-08-01
93656 CPT Hc Tx Atrial Fib Ablate Pulm Vein Isol 99 41 $90,864.19 $68,148.14 25% off $913.76 $81,777.77 $38,526.42 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 11 — — $36,343.33 $58,637.99 $38,523.93 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 16 — — $21,360.56 $81,227.44 $38,409.44 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 37 16 — — $22,794.28 $87,546.48 $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 35 16 — — $21,590.04 $105,714.96 $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
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 35 16 — — $20,292.80 $81,244.80 $37,982.96 2026-08-01
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $37,775.37 $37,775.37 $37,775.37 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 35 16 — — $21,173.24 $97,211.04 $37,667.27 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 35 16 — — $25,857.07 $99,299.20 $37,570.94 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 16 — — $31,429.65 $70,221.20 $37,506.23 2026-08-01
0483T CPT Hc Tmvi W Prosthetic Valve Percutaneous Approach 84 40 $60,060.61 $45,045.46 25% off $1,741.76 $54,054.55 $37,462.81 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 37 16 — — $21,257.53 $87,553.92 $37,261.37 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 16 — — $23,059.42 $78,725.12 $37,226.19 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 35 16 — — $19,576.92 $78,494.48 $37,117.13 2026-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 16 — — $19,483.95 $88,717.04 $37,047.19 2026-08-01
C1882 HCPCS Hc Icd Biv/crt-d Lvl 46 780 35 $58,637.60 $43,978.20 25% off $959.88 $115,300.40 $37,041.65 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 34 14 — — $21,612.12 $76,689.70 $36,870.17 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 37 16 — — $22,099.83 $78,420.34 $36,666.63 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 16 — — $21,321.09 $101,684.96 $36,648.27 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 37 16 — — $21,642.22 $78,888.80 $36,520.60 2026-08-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 11 — — $34,284.44 $39,804.23 $36,368.94 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 16 — — $22,936.78 $76,795.68 $36,313.83 2026-08-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 13 8 — — $34,687.16 $38,155.88 $36,178.71 2026-08-01
93653 CPT Hc Ep & Ablate Supravent Arryth 99 41 $84,959.97 $63,719.98 25% off $805.81 $76,463.97 $36,023.03 2026-08-01
665 MS_DRG Prostatectomy With Mcc 35 16 — — $20,881.54 $80,981.92 $35,971.64 2026-08-01
0646T CPT Hc Ttvi Prosthetic Valve, Percutaneous 77 40 $51,682.99 $38,762.24 25% off $1,498.81 $46,514.69 $35,868.00 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 37 16 — — $20,482.14 $76,914.72 $35,718.63 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 37 16 — — $21,478.31 $76,214.90 $35,635.44 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 35 16 — — $17,796.01 $93,964.72 $35,094.22 2026-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 37 16 — — $21,080.91 $79,997.36 $34,976.10 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 37 16 — — $21,021.37 $74,593.45 $34,877.31 2026-08-01
C9775 HCPCS Hc Open/perc Intravascular Litho W/ather & Stent Tib/peroneal Artery 77 40 $49,894.02 $37,420.52 25% off $1,446.93 $44,904.62 $34,626.45 2026-08-01
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 35 16 — — $19,403.00 $89,979.36 $34,437.32 2026-08-01
570 MS_DRG Skin Debridement With Mcc 35 16 — — $19,676.63 $78,380.40 $34,288.77 2026-08-01
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $34,234.23 $34,234.23 $34,234.23 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 16 — — $28,473.53 $76,726.24 $34,120.44 2026-08-01
C8004 HCPCS Hc Sim Ang W/prs Cath Rad Emb 77 40 $49,059.90 $36,794.93 25% off $1,422.74 $44,153.91 $34,047.57 2026-08-01
263 MS_DRG Vein Ligation And Stripping 37 16 — — $20,454.71 $72,582.68 $33,937.14 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 16 — — $20,838.06 $71,456.24 $33,789.01 2026-08-01
C1820 HCPCS Hc Generator Neuro Rechg Battery System Implant Lvl 16 180 35 $58,637.60 $43,978.20 25% off $33.05 $58,051.26 $33,716.62 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 37 16 — — $19,202.30 $72,515.20 $33,658.84 2026-08-01
654 MS_DRG Major Bladder Procedures With Cc 35 16 — — $18,727.96 $76,716.32 $33,412.51 2026-08-01
C9767 HCPCS Hc Open/perc Intravascular Litho W/ather & Stent, Lower Extrem Artery 78 41 $49,894.02 $37,420.52 25% off $1,446.93 $44,904.62 $33,404.04 2026-08-01
510 MS_DRG Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc 35 16 — — $20,207.84 $70,627.92 $33,397.32 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $31,022.59 $403,000.00 $33,349.29 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $23,159.20 $245,000.00 $33,340.65 2026-08-01
13 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 37 16 — — $19,279.90 $68,413.93 $33,245.39 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 35 16 — — $19,535.47 $95,948.72 $33,181.55 2026-08-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 18 11 — — $30,736.15 $35,684.67 $33,052.96 2026-08-01
173 MS_DRG Urethral Procedures Age 0-17 37 16 — — $19,912.80 $76,584.88 $33,038.04 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 15 — — $26,053.09 $106,952.48 $32,949.47 2026-08-01
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 35 16 — — $21,666.31 $69,199.44 $32,721.85 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 16 — — $25,993.16 $85,009.44 $32,635.32 2026-08-01
33263 CPT Hc Remove & Replac Defib Pulse Gen Dual Leads 106 41 $80,305.93 $60,229.45 25% off $312.56 $72,275.34 $32,621.37 2026-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 16 — — $18,289.75 $87,856.48 $32,597.77 2026-08-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 13 8 — — $31,243.54 $34,367.89 $32,587.01 2026-08-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 13 8 — — $31,243.54 $34,367.89 $32,587.01 2026-08-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 18 11 — — $29,213.81 $34,367.89 $32,493.28 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 35 16 — — $20,801.26 $94,103.60 $32,459.66 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 14 — — $23,005.02 $110,399.37 $32,438.65 2026-08-01
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $32,378.76 $32,378.76 $32,378.76 2026-08-01
0571T CPT Hc Insert/replmnt Icds W/substernal Electrode 84 40 $46,037.70 $34,528.28 25% off $1,335.09 $41,433.93 $32,341.49 2026-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 37 16 — — $18,202.78 $70,937.92 $31,906.82 2026-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 35 16 — — $18,239.58 $75,292.80 $31,903.73 2026-08-01
33262 CPT Hc Remove & Repl Implant Defib Pls Gen Single Lead 106 41 $76,368.99 $57,276.74 25% off $301.00 $68,732.09 $31,786.74 2026-08-01
0408T CPT Insj/rplc Cardiac Modulj Sys 24 11 — — $2,531.78 $35,684.67 $31,781.69 2026-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 35 16 — — $18,105.10 $72,492.88 $31,695.99 2026-08-01
253 MS_DRG Other Vascular Procedures With Cc 35 16 — — $17,365.16 $84,037.28 $31,431.37 2026-08-01
L5856 HCPCS Elec Knee-shin Swing/stance 25 12 — — $29,277.32 $84,561.19 $31,356.01 2026-08-01
L6880 HCPCS Elec Hand Ind Art Digits 25 12 — — $29,217.93 $84,389.66 $31,292.40 2026-08-01
64656 CPT Revj/rplcmt Bat Mod Sys Pg 20 9 — — $46.50 $34,367.89 $31,243.54 2026-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 32 16 — — $15,542.07 $64,284.08 $30,941.16 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 37 16 — — $17,644.81 $65,481.92 $30,928.79 2026-08-01
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $30,894.39 $30,894.39 $30,894.39 2026-08-01
800 MS_DRG Splenic Procedures With Cc 35 16 — — $18,795.53 $65,132.24 $30,798.62 2026-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 35 16 — — $17,733.79 $65,898.56 $30,781.43 2026-08-01
L6700 HCPCS Ue Add Ext Power Myoel 17 10 — — $28,931.56 $33,589.54 $30,690.60 2026-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 35 16 — — $17,080.16 $70,962.72 $30,519.14 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 37 16 — — $18,384.75 $66,126.72 $30,502.80 2026-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 16 — — $16,999.20 $86,395.76 $30,290.50 2026-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 37 16 — — $14,779.84 $66,682.24 $30,288.50 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 35 16 — — $15,182.44 $89,255.20 $30,194.17 2026-08-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 37 16 — — $18,046.22 $64,415.52 $30,157.03 2026-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 35 16 — — $19,635.56 $78,926.00 $30,128.02 2026-08-01
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 35 16 — — $16,352.26 $76,567.52 $30,107.12 2026-08-01
849 MS_DRG Radiotherapy 37 16 — — $18,127.18 $65,749.76 $30,075.45 2026-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 35 16 — — $17,255.44 $65,665.44 $30,053.74 2026-08-01
503 MS_DRG Foot Procedures With Mcc 35 16 — — $18,673.10 $87,583.68 $29,777.51 2026-08-01
8802 APR_DRG 945/946 - Rehab - Head 3 3 — — $29,732.25 $29,732.25 $29,732.25 2026-08-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 32 12 — — $919.49 $34,367.89 $29,707.99 2026-08-01
333 MS_DRG Rectal Resection With Cc 35 16 — — $15,669.86 $69,846.72 $29,697.96 2026-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 35 16 — — $15,417.00 $79,714.64 $29,693.95 2026-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 35 16 — — $16,603.14 $81,502.72 $29,487.36 2026-08-01
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