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

PARK CITY HOSPITAL

Park City, UT · CCN 460057 · Rates published

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You selected 29806 (CPT)

Sho arthrs srg capsulorraphy

This hospital’s price: $8,082 across 31 payers · range $709-$9,729

Source: https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_park-city-hospital_standardcharges.ashx · observed 2026-11-02

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.

89,536 distinct procedures filed
72 distinct payers
3,185,705 rate rows
2026-11-02 last MRF observed
Data quality

2,954,154 of 3,185,705 rate rows are consumer-grade (92.7%)

231,551 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 226,980
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,512
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 711
template filing: same amount across many unrelated codes — excluded 331
per-diem day rate — not a per-procedure price 8
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 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_park-city-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/park-city-hospital/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-09
Content fingerprint a62458a3fc3f1982… · 5,424,904 bytes · first seen 2026-11-03

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 $3,720,679.50 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 1 $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 $3,043,661.74 $4,053,793.34 $3,685,266.67 nat. median
$3,691,450
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $3,669,402.00 $3,469,252.80 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $2,739,066.45 $3,660,645.70 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,180,000.00 $3,498,000.00 $3,307,200.00 nat. median
$3,180,000
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 12 $2,682,891.32 $3,577,758.89 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 12 $2,432,886.67 $3,233,965.78 $2,939,968.89 nat. median
$2,983,626
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,027,675.85 $2,847,879.35 $2,588,981.23 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $1,925,998.80 $2,565,200.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $636,455.06 $847,682.00 $770,620.00 nat. median
$813,967
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $467,351.17 $646,414.53 $587,649.57 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $488,706.67 $623,184.43 $566,531.30 nat. median
$739,658
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $464,600.29 $618,421.36 $562,201.24 nat. median
$637,620
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $460,288.88 $616,008.13 $558,081.73 nat. median
$621,967
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $440,394.80 $585,411.46 $532,192.24 nat. median
$607,251
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $142,839.74 $518,343.18 $518,343.18 nat. median
$197,664
outlier · 2.6×
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $404,116.68 $538,733.68 $489,450.20 nat. median
$589,091
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 14 $142,001.46 $338,672.82 $338,672.82 nat. median
$190,274
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 14 $66,614.61 $309,717.20 $309,717.20 nat. median
$93,531
outlier · 3.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $288,902.84 $317,900.89 $299,014.43 nat. median
$360,195
0.8× 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
$8,005
outlier · 37.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $229,806.68 $306,075.00 $278,250.00 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 $212,669.25 $291,500.00 $265,000.00 nat. median
$265,000
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $52,644.08 $260,082.74 $260,082.74 nat. median
$74,260
outlier · 3.5×
212
MS_DRG 		Testes Procedures Age 0-17 14 $72,750.22 $240,861.29 $240,861.29 nat. median
$97,029
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 14 $56,220.67 $235,134.41 $235,134.41 nat. median
$77,595
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $17,773.09 $233,921.73 $233,921.73 nat. median
$93,094
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $65,449.18 $228,531.34 $228,531.34 nat. median
$90,525
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $51,369.59 $222,697.39 $222,697.39 nat. median
$72,153
outlier · 3.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $50,978.88 $213,924.61 $213,924.61 nat. median
$67,850
outlier · 3.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $51,850.66 $207,555.34 $207,555.34 nat. median
$76,979
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 14 $51,148.14 $205,145.28 $205,145.28 nat. median
$71,672
outlier · 2.9×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $169,838.08 $221,835.92 $201,669.02 nat. median
$209,753
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $57,934.04 $201,446.08 $201,446.08 nat. median
$78,028
outlier · 2.6×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 $35,416.74 $198,859.04 $198,859.04 nat. median
$51,294
outlier · 3.9×
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×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 14 $92,669.04 $194,696.61 $194,696.61 nat. median
$126,240
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $187,486.32 $336,391.67 $194,048.34 nat. median
$247,805
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $60,276.29 $183,662.36 $183,662.36 nat. median
$77,933
outlier · 2.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $36,763.61 $177,087.70 $177,087.70 nat. median
$58,153
outlier · 3.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $43,990.27 $176,395.05 $176,395.05 nat. median
$61,992
outlier · 2.8×
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
$8,941
outlier · 19.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 14 $39,894.51 $174,452.59 $174,452.59 nat. median
$55,148
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $46,241.53 $170,440.93 $170,440.93 nat. median
$62,605
outlier · 2.7×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $40,560.18 $170,047.63 $170,047.63 nat. median
$57,665
outlier · 2.9×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $39,262.28 $167,152.50 $167,152.50 nat. median
$55,354
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $13,206.19 $163,020.67 $163,020.67 nat. median
$63,874
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 89,536 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 13 10 — — $3,720,679.50 $4,955,500.00 $4,505,000.00 2026-11-02
C9172 HCPCS Inj- Beqvez- Per Tx Dose 1 1 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-11-02
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-11-02
J1411 HCPCS Inj Hemgenix Per Tx Dose 15 12 — — $3,043,661.74 $4,053,793.34 $3,685,266.67 2026-11-02
J3389 HCPCS Topi Adm Prad Zami Per Treat 9 8 — — $3,335,820.00 $3,669,402.00 $3,469,252.80 2026-11-02
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 12 — — $2,739,066.45 $3,660,645.70 $3,327,859.73 2026-11-02
J3387 HCPCS Inj Elivaldogene Autotemecel 9 8 — — $3,180,000.00 $3,498,000.00 $3,307,200.00 2026-11-02
J3394 HCPCS Inj Lovotibeglogene Autotem 15 12 — — $2,682,891.32 $3,577,758.89 $3,252,508.08 2026-11-02
J3393 HCPCS Inj Betibeglogene Autotemce 15 12 — — $2,432,886.67 $3,233,965.78 $2,939,968.89 2026-11-02
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 12 — — $2,027,675.85 $2,847,879.35 $2,588,981.23 2026-11-02
J3392 HCPCS Inj Exagamglogene Autotem 14 11 — — $1,925,998.80 $2,565,200.00 $2,332,000.00 2026-11-02
Q2057 HCPCS Afamitresgene Autoleucel 13 10 — — $636,455.06 $847,682.00 $770,620.00 2026-11-02
Q2056 HCPCS Ciltacabtagene Car-pos T 15 12 — — $467,351.17 $646,414.53 $587,649.57 2026-11-02
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 12 — — $488,706.67 $623,184.43 $566,531.30 2026-11-02
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 12 — — $464,600.29 $618,421.36 $562,201.24 2026-11-02
Q2055 HCPCS Idecabtagene Vicleucel Car 15 12 — — $460,288.88 $616,008.13 $558,081.73 2026-11-02
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 12 — — $440,394.80 $585,411.46 $532,192.24 2026-11-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 13 — — $142,839.74 $518,343.18 $518,343.18 2026-11-02
Q2053 HCPCS Brexucabtagene Car Pos T 15 12 — — $404,116.68 $538,733.68 $489,450.20 2026-11-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 26 14 — — $142,001.46 $338,672.82 $338,672.82 2026-11-02
215 MS_DRG Other Heart Assist System Implant 26 14 — — $66,614.61 $309,717.20 $309,717.20 2026-11-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 9 — — $288,902.84 $317,900.89 $299,014.43 2026-11-02
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 2026-11-02
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 10 — — $229,806.68 $306,075.00 $278,250.00 2026-11-02
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-11-02
J3403 HCPCS Revakinagene Per Implant 13 10 — — $212,669.25 $291,500.00 $265,000.00 2026-11-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 14 — — $52,644.08 $260,082.74 $260,082.74 2026-11-02
212 MS_DRG Testes Procedures Age 0-17 26 14 — — $72,750.22 $240,861.29 $240,861.29 2026-11-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 26 14 — — $56,220.67 $235,134.41 $235,134.41 2026-11-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 14 — — $17,773.09 $233,921.73 $233,921.73 2026-11-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $65,449.18 $228,531.34 $228,531.34 2026-11-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $51,369.59 $222,697.39 $222,697.39 2026-11-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 14 — — $50,978.88 $213,924.61 $213,924.61 2026-11-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 14 — — $51,850.66 $207,555.34 $207,555.34 2026-11-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 26 14 — — $51,148.14 $205,145.28 $205,145.28 2026-11-02
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 10 — — $169,838.08 $221,835.92 $201,669.02 2026-11-02
850 MS_DRG Acute Leukemia With Other Procedures 26 14 — — $57,934.04 $201,446.08 $201,446.08 2026-11-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 14 — — $35,416.74 $198,859.04 $198,859.04 2026-11-02
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $197,901.24 $197,901.24 $197,901.24 2026-11-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 26 14 — — $92,669.04 $194,696.61 $194,696.61 2026-11-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 9 — — $187,486.32 $336,391.67 $194,048.34 2026-11-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 14 — — $60,276.29 $183,662.36 $183,662.36 2026-11-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 14 — — $36,763.61 $177,087.70 $177,087.70 2026-11-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $43,990.27 $176,395.05 $176,395.05 2026-11-02
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 2026-11-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 26 14 — — $39,894.51 $174,452.59 $174,452.59 2026-11-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 14 — — $46,241.53 $170,440.93 $170,440.93 2026-11-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 14 — — $40,560.18 $170,047.63 $170,047.63 2026-11-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 14 — — $39,262.28 $167,152.50 $167,152.50 2026-11-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 14 — — $13,206.19 $163,020.67 $163,020.67 2026-11-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 14 — — $13,323.47 $158,150.30 $158,150.30 2026-11-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 14 — — $47,704.01 $156,087.66 $156,087.66 2026-11-02
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 26 14 — — $36,598.90 $154,160.49 $154,160.49 2026-11-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $43,990.27 $153,426.33 $153,426.33 2026-11-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 14 — — $38,337.02 $153,264.64 $153,264.64 2026-11-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 14 — — $33,099.24 $151,090.57 $151,090.57 2026-11-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $35,677.66 $150,714.75 $150,714.75 2026-11-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 14 — — $44,701.44 $147,170.68 $147,170.68 2026-11-02
32069252 OTHER Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 28 28 $172,237.90 $129,178.43 25% off $146,402.21 $155,014.11 $146,402.21 2026-07-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 14 — — $45,032.60 $146,145.91 $146,145.91 2026-11-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 13 — — $30,111.07 $146,075.99 $146,075.99 2026-11-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 26 14 — — $36,546.72 $140,027.91 $140,027.91 2026-11-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 14 — — $43,049.62 $137,856.02 $137,856.02 2026-11-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 14 — — $32,973.91 $136,649.90 $136,649.90 2026-11-02
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 14 — — $44,734.22 $136,588.72 $136,588.72 2026-11-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 13 — — $31,850.84 $136,413.92 $136,413.92 2026-11-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 14 — — $40,952.90 $135,148.81 $135,148.81 2026-11-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 14 — — $43,830.37 $134,644.07 $134,644.07 2026-11-02
163 MS_DRG Major Chest Procedures With Mcc 26 14 — — $29,984.27 $133,451.06 $133,451.06 2026-11-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 14 — — $33,040.37 $132,727.83 $132,727.83 2026-11-02
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 86 43 $150,919.20 $113,189.40 25% off $261.80 $135,827.28 $131,299.70 2026-11-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $33,720.09 $130,555.94 $130,555.94 2026-11-02
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 26 14 — — $27,915.65 $128,801.38 $128,801.38 2026-11-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 14 — — $31,389.22 $127,879.31 $127,879.31 2026-11-02
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 26 14 — — $33,366.85 $127,599.63 $127,599.63 2026-11-02
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 256 71 $150,054.23 $112,540.67 25% off $1,782.86 $179,087.59 $127,546.10 2026-11-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 14 — — $39,236.86 $126,719.08 $126,719.08 2026-11-02
245 MS_DRG Aicd Generator Procedures 26 14 — — $30,523.50 $125,169.91 $125,169.91 2026-11-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 26 14 — — $6,428.49 $123,236.19 $123,236.19 2026-11-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 13 — — $35,299.66 $122,823.22 $122,823.22 2026-11-02
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 14 — — $23,914.22 $122,735.82 $122,735.82 2026-11-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 14 — — $10,123.67 $121,977.63 $121,977.63 2026-11-02
653 MS_DRG Major Bladder Procedures With Mcc 26 14 — — $31,973.54 $121,623.66 $121,623.66 2026-11-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 14 — — $30,418.47 $121,529.70 $121,529.70 2026-11-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 14 — — $38,583.22 $121,180.10 $121,180.10 2026-11-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 14 — — $31,295.55 $120,535.53 $120,535.53 2026-11-02
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 26 14 — — $36,728.69 $120,406.61 $120,406.61 2026-11-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 14 — — $27,784.52 $120,386.95 $120,386.95 2026-11-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 14 — — $38,130.96 $119,290.08 $119,290.08 2026-11-02
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 2026-11-02
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 14 — — $36,489.18 $118,824.67 $118,824.67 2026-11-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 14 — — $32,790.15 $117,734.36 $117,734.36 2026-11-02
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 14 — — $28,024.03 $114,030.78 $114,030.78 2026-11-02
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 14 — — $25,685.80 $113,316.29 $113,316.29 2026-11-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 14 — — $35,656.25 $112,520.95 $112,520.95 2026-11-02
Q0480 HCPCS Driver Pneumatic Vad Rep 15 12 — — $90,284.32 $254,319.82 $112,341.97 2026-11-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 14 — — $32,927.30 $112,236.90 $112,236.90 2026-11-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 14 — — $34,825.32 $112,103.61 $112,103.61 2026-11-02
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 26 14 — — $25,832.31 $111,926.63 $111,926.63 2026-11-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 14 — — $28,720.49 $110,067.19 $110,067.19 2026-11-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 14 — — $28,561.05 $109,022.76 $109,022.76 2026-11-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 14 — — $32,141.87 $108,695.01 $108,695.01 2026-11-02
32029878 OTHER Kit Lvad Heartmate 3 106524us 28 28 $127,536.51 $95,652.38 25% off $108,406.03 $114,782.86 $108,406.03 2026-07-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 14 — — $26,171.51 $107,803.53 $107,803.53 2026-11-02
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 2026-11-02
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 14 — — $28,206.01 $105,686.27 $105,686.27 2026-11-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 14 — — $21,645.94 $105,142.20 $105,142.20 2026-11-02
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 114 71 $122,897.25 $92,172.94 25% off $211.30 $110,607.52 $104,462.66 2026-11-02
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 14 — — $30,898.82 $103,306.80 $103,306.80 2026-11-02
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 13 — — $28,254.18 $102,542.05 $102,542.05 2026-11-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 14 — — $30,673.36 $101,672.42 $101,672.42 2026-11-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 14 — — $28,191.96 $100,728.50 $100,728.50 2026-11-02
799 MS_DRG Splenic Procedures With Mcc 26 14 — — $30,299.38 $100,247.80 $100,247.80 2026-11-02
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 14 — — $25,006.07 $98,845.03 $98,845.03 2026-11-02
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 14 — — $21,070.88 $98,661.49 $98,661.49 2026-11-02
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 26 14 — — $36,950.14 $97,676.06 $97,676.06 2026-11-02
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-11-02
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 26 14 — — $25,175.33 $97,003.08 $97,003.08 2026-11-02
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 26 14 — — $21,489.28 $96,159.67 $96,159.67 2026-11-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 14 — — $29,857.82 $95,890.91 $95,890.91 2026-11-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 14 — — $30,751.64 $95,681.15 $95,681.15 2026-11-02
901 MS_DRG Wound Debridements For Injuries With Mcc 26 14 — — $28,076.22 $95,560.98 $95,560.98 2026-11-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 13 — — $26,053.09 $94,230.31 $94,230.31 2026-11-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 14 — — $30,431.85 $93,753.98 $93,753.98 2026-11-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 14 — — $28,951.30 $93,714.65 $93,714.65 2026-11-02
252 MS_DRG Other Vascular Procedures With Mcc 26 14 — — $23,337.53 $93,179.33 $93,179.33 2026-11-02
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 14 — — $21,590.04 $93,140.00 $93,140.00 2026-11-02
140 MS_DRG Major Head And Neck Procedures With Mcc 26 14 — — $4,562.52 $92,805.69 $92,805.69 2026-11-02
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 14 — — $21,300.35 $92,617.78 $92,617.78 2026-11-02
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 26 14 — — $24,563.85 $92,606.86 $92,606.86 2026-11-02
37 MS_DRG Extracranial Procedures With Mcc 26 14 — — $22,024.90 $92,126.16 $92,126.16 2026-11-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 14 — — $28,371.92 $90,616.32 $90,616.32 2026-11-02
7 MS_DRG Lung Transplant 10 9 — — $86,639.81 $103,943.75 $89,672.20 2026-11-02
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 14 — — $21,321.09 $89,589.37 $89,589.37 2026-11-02
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 26 14 — — $27,600.54 $89,176.41 $89,176.41 2026-11-02
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 14 — — $21,761.98 $88,920.76 $88,920.76 2026-11-02
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 26 14 — — $24,933.15 $88,671.67 $88,671.67 2026-11-02
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 14 — — $25,857.07 $87,487.40 $87,487.40 2026-11-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 14 — — $10,795.84 $87,124.69 $87,124.69 2026-11-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 14 — — $23,545.59 $86,161.11 $86,161.11 2026-11-02
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 14 — — $23,854.68 $85,652.00 $85,652.00 2026-11-02
500 MS_DRG Soft Tissue Procedures With Mcc 26 14 — — $21,173.24 $85,647.63 $85,647.63 2026-11-02
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 14 — — $25,895.87 $85,280.55 $85,280.55 2026-11-02
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 2026-11-02
668 MS_DRG Transurethral Procedures With Mcc 26 14 — — $19,535.47 $84,535.47 $84,535.47 2026-11-02
332 MS_DRG Rectal Resection With Mcc 26 14 — — $24,223.31 $83,928.04 $83,928.04 2026-11-02
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 14 — — $24,573.88 $83,904.00 $83,904.00 2026-11-02
14 MS_DRG Allogeneic Bone Marrow Transplant 10 9 — — $80,402.51 $102,797.21 $83,216.60 2026-11-02
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 14 — — $20,801.26 $82,909.83 $82,909.83 2026-11-02
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 26 14 — — $17,796.01 $82,787.47 $82,787.47 2026-11-02
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 26 14 — — $23,969.75 $82,431.31 $82,431.31 2026-11-02
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 14 — — $25,003.39 $81,926.58 $81,926.58 2026-11-02
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 26 14 — — $23,811.86 $81,229.56 $81,229.56 2026-11-02
28 MS_DRG Spinal Procedures With Mcc 26 14 — — $38,907.03 $79,693.51 $79,693.51 2026-11-02
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 14 — — $18,445.63 $79,350.46 $79,350.46 2026-11-02
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 26 14 — — $19,403.00 $79,276.17 $79,276.17 2026-11-02
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 14 — — $15,182.44 $78,638.15 $78,638.15 2026-11-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 9 — — $75,812.34 $107,056.03 $78,465.77 2026-11-02
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 14 — — $23,112.07 $78,240.48 $78,240.48 2026-11-02
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 14 — — $19,483.95 $78,164.01 $78,164.01 2026-11-02
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 14 — — $26,654.54 $78,157.45 $78,157.45 2026-11-02
264 MS_DRG Other Circulatory System O.r. Procedures 26 14 — — $20,114.31 $78,067.87 $78,067.87 2026-11-02
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 10 — — $4,656.17 $132,735.57 $77,997.13 2026-11-02
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 14 — — $18,289.75 $77,405.81 $77,405.81 2026-11-02
265 MS_DRG Aicd Lead Procedures 26 14 — — $24,206.59 $77,180.76 $77,180.76 2026-11-02
503 MS_DRG Foot Procedures With Mcc 26 14 — — $18,673.10 $77,165.46 $77,165.46 2026-11-02
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 14 — — $21,257.53 $77,139.24 $77,139.24 2026-11-02
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 14 — — $22,794.28 $77,132.69 $77,132.69 2026-11-02
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 14 — — $23,834.61 $76,608.29 $76,608.29 2026-11-02
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 14 — — $16,999.20 $76,118.85 $76,118.85 2026-11-02
974 MS_DRG HIV With Major Related Condition With Mcc 26 14 — — $19,308.00 $75,952.79 $75,952.79 2026-11-02
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 26 14 — — $22,022.23 $75,946.23 $75,946.23 2026-11-02
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 14 — — $23,593.76 $75,828.24 $75,828.24 2026-11-02
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 14 — — $19,835.11 $75,559.49 $75,559.49 2026-11-02
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 13 — — $23,792.46 $75,520.16 $75,520.16 2026-11-02
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 14 — — $21,141.12 $75,467.72 $75,467.72 2026-11-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 14 — — $25,993.16 $74,897.43 $74,897.43 2026-11-02
253 MS_DRG Other Vascular Procedures With Cc 26 14 — — $17,365.16 $74,040.91 $74,040.91 2026-11-02
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 14 — — $23,890.14 $73,282.72 $73,282.72 2026-11-02
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 14 — — $14,771.36 $72,102.82 $72,102.82 2026-11-02
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 26 14 — — $22,136.06 $72,046.01 $72,046.01 2026-11-02
164 MS_DRG Major Chest Procedures With Cc 26 14 — — $16,886.14 $71,910.54 $71,910.54 2026-11-02
545 MS_DRG Connective Tissue Disorders With Mcc 26 14 — — $16,603.14 $71,807.84 $71,807.84 2026-11-02
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 14 — — $20,292.80 $71,580.60 $71,580.60 2026-11-02
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 14 — — $21,360.56 $71,565.31 $71,565.31 2026-11-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 9 — — $68,979.61 $119,288.98 $71,393.89 2026-11-02
665 MS_DRG Prostatectomy With Mcc 26 14 — — $20,881.54 $71,348.99 $71,348.99 2026-11-02
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 14 — — $21,080.91 $70,481.55 $70,481.55 2026-11-02
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 14 — — $24,127.64 $70,442.22 $70,442.22 2026-11-02
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 26 14 — — $15,417.00 $70,232.46 $70,232.46 2026-11-02
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 13 — — $15,248.96 $69,568.22 $69,568.22 2026-11-02
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 14 — — $19,635.56 $69,537.63 $69,537.63 2026-11-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 14 — — $21,642.22 $69,504.85 $69,504.85 2026-11-02
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 14 — — $24,275.50 $69,430.56 $69,430.56 2026-11-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 14 — — $23,059.42 $69,360.64 $69,360.64 2026-11-02
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 14 — — $16,447.93 $69,251.39 $69,251.39 2026-11-02
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 14 — — $19,576.92 $69,157.44 $69,157.44 2026-11-02
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 26 14 — — $14,663.64 $69,118.11 $69,118.11 2026-11-02
570 MS_DRG Skin Debridement With Mcc 26 14 — — $19,676.63 $69,056.93 $69,056.93 2026-11-02
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 114 71 $81,231.01 $60,923.26 25% off $142.24 $73,107.91 $69,046.36 2026-11-02
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 26 14 — — $14,256.21 $68,834.06 $68,834.06 2026-11-02
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 11 — — $55,709.15 $75,681.88 $68,801.71 2026-11-02
1111000826 OTHER Y90 Ibritumomab Rx 28 28 $80,498.30 $60,373.72 25% off $68,423.56 $72,448.47 $68,423.56 2026-07-31
662 MS_DRG Minor Bladder Procedures With Mcc 26 14 — — $20,482.14 $67,765.59 $67,765.59 2026-11-02
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 14 — — $22,936.78 $67,660.71 $67,660.71 2026-11-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 14 — — $28,473.53 $67,599.53 $67,599.53 2026-11-02
654 MS_DRG Major Bladder Procedures With Cc 26 14 — — $18,727.96 $67,590.79 $67,590.79 2026-11-02
173 MS_DRG Urethral Procedures Age 0-17 26 14 — — $19,912.80 $67,474.99 $67,474.99 2026-11-02
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 26 14 — — $16,352.26 $67,459.69 $67,459.69 2026-11-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 14 — — $21,612.12 $67,424.73 $67,424.73 2026-11-02
1111001379 OTHER Brachytx Non-stryttrium-90 28 28 $78,642.86 $58,982.14 25% off $66,846.43 $70,778.57 $66,846.43 2026-07-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 14 — — $18,239.58 $66,336.60 $66,336.60 2026-11-02
Q9982 HCPCS Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 156 42 $148,896.00 $111,672.00 25% off $1,541.61 $201,009.60 $66,072.60 2026-11-02
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 26 14 — — $16,878.78 $65,949.86 $65,949.86 2026-11-02
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 14 — — $18,389.43 $65,652.70 $65,652.70 2026-11-02
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $65,518.20 $65,518.20 $65,518.20 2026-11-02
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 26 14 — — $16,967.09 $65,388.31 $65,388.31 2026-11-02
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 2026-11-02
J9029 HCPCS Instill Adstiladrin Tx Dose 15 12 — — $52,314.39 $74,113.13 $64,274.79 2026-11-02
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 14 — — $15,291.19 $63,961.51 $63,961.51 2026-11-02
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 14 — — $19,202.30 $63,889.40 $63,889.40 2026-11-02
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 14 — — $18,105.10 $63,869.74 $63,869.74 2026-11-02
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 14 — — $21,478.31 $63,209.87 $63,209.87 2026-11-02
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 26 14 — — $15,199.53 $63,109.36 $63,109.36 2026-11-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 14 — — $20,838.06 $62,956.41 $62,956.41 2026-11-02
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 26 14 — — $17,080.16 $62,521.59 $62,521.59 2026-11-02
32067294 OTHER Device Cardiac Ventricular Assis 28 28 $73,548.71 $55,161.53 25% off $62,516.40 $66,193.84 $62,516.40 2026-07-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 14 — — $18,202.78 $62,499.74 $62,499.74 2026-11-02
510 MS_DRG Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc 26 14 — — $20,207.84 $62,226.62 $62,226.62 2026-11-02
471 MS_DRG Cervical Spinal Fusion With Mcc 26 14 — — $32,305.11 $61,868.28 $61,868.28 2026-11-02
333 MS_DRG Rectal Resection With Cc 26 14 — — $15,669.86 $61,538.34 $61,538.34 2026-11-02
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 284 40 $73,095.50 $54,821.62 25% off $716.63 $88,054.78 $61,535.78 2026-11-02
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 14 — — $21,021.37 $61,442.20 $61,442.20 2026-11-02
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 26 14 — — $21,666.31 $60,968.06 $60,968.06 2026-11-02
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 14 — — $22,099.83 $59,790.34 $59,790.34 2026-11-02
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 2026-11-02
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-11-02
26497 CPT Hc Valve Implant Lvl 59 115 43 $69,531.95 $52,148.96 25% off $141.44 $62,578.76 $59,102.16 2026-11-02
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 26 14 — — $18,544.65 $59,097.70 $59,097.70 2026-11-02
263 MS_DRG Vein Ligation And Stripping 26 14 — — $20,454.71 $58,778.69 $58,778.69 2026-11-02
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 14 — — $14,779.84 $58,750.28 $58,750.28 2026-11-02
13 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 14 — — $19,279.90 $58,365.72 $58,365.72 2026-11-02
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 26 14 — — $18,384.75 $58,260.84 $58,260.84 2026-11-02
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 26 14 — — $11,536.63 $58,175.63 $58,175.63 2026-11-02
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 26 14 — — $17,733.79 $58,059.82 $58,059.82 2026-11-02
849 MS_DRG Radiotherapy 26 14 — — $18,127.18 $57,928.72 $57,928.72 2026-11-02
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 14 — — $17,255.44 $57,854.43 $57,854.43 2026-11-02
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 14 — — $17,644.81 $57,692.74 $57,692.74 2026-11-02
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 14 — — $14,566.64 $57,535.42 $57,535.42 2026-11-02
800 MS_DRG Splenic Procedures With Cc 26 14 — — $18,795.53 $57,384.66 $57,384.66 2026-11-02
62 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 14 — — $11,756.07 $57,129.01 $57,129.01 2026-11-02
32070120 OTHER Device Spinal Mid C 105mm W/40mm 28 28 $67,030.29 $50,272.72 25% off $56,975.75 $60,327.26 $56,975.75 2026-07-31
286 MS_DRG Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 26 14 — — $14,804.14 $56,899.59 $56,899.59 2026-11-02
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 14 — — $18,046.22 $56,753.19 $56,753.19 2026-11-02
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 14 — — $15,542.07 $56,637.39 $56,637.39 2026-11-02
L8614 HCPCS Cochlear Device 1 1 — — $56,406.93 $56,406.93 $56,406.93 2026-11-02
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 14 — — $14,012.69 $56,353.34 $56,353.34 2026-11-02
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 14 — — $15,157.38 $55,883.56 $55,883.56 2026-11-02
629 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc 26 14 — — $14,027.15 $55,828.94 $55,828.94 2026-11-02
73006137 OTHER Pump Blood Vad 10ml With Pu Valves 28 28 $65,648.64 $49,236.48 25% off $55,801.34 $59,083.78 $55,801.34 2026-07-31
32006323 OTHER Pump Blood Vad 15ml With Pu Valves 28 28 $65,648.64 $49,236.48 25% off $55,801.34 $59,083.78 $55,801.34 2026-07-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 14 — — $15,462.46 $55,669.43 $55,669.43 2026-11-02
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 14 — — $13,648.18 $55,555.81 $55,555.81 2026-11-02
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 26 14 — — $11,436.95 $55,523.04 $55,523.04 2026-11-02
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 2026-11-02
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 14 — — $12,352.85 $55,391.94 $55,391.94 2026-11-02
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 14 — — $16,037.82 $55,101.33 $55,101.33 2026-11-02
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 26 14 — — $13,902.97 $55,079.48 $55,079.48 2026-11-02
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 26 14 — — $12,092.59 $55,029.23 $55,029.23 2026-11-02
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 26 14 — — $12,065.16 $54,378.10 $54,378.10 2026-11-02
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 26 14 — — $17,046.66 $54,369.36 $54,369.36 2026-11-02
397 MS_DRG Major Head And Neck Procedures With Cc 26 14 — — $16,022.43 $54,163.97 $54,163.97 2026-11-02
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 28 12 — — $45,649.41 $64,357.43 $53,981.46 2026-11-02
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 26 14 — — $20,205.16 $53,783.78 $53,783.78 2026-11-02
33477 CPT Hc Pulmonary Valve Implatantation Perq 100 43 $61,739.61 $46,304.71 25% off $1,289.92 $55,565.65 $53,713.46 2026-11-02
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 14 — — $12,918.25 $53,624.27 $53,624.27 2026-11-02
32034342 OTHER Generator Sentiva 1000 28 28 $62,400.70 $46,800.53 25% off $53,040.59 $56,160.63 $53,040.59 2026-07-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 14 — — $16,671.38 $52,739.35 $52,739.35 2026-11-02
32 MS_DRG Ventricular Shunt Procedures With Cc 26 14 — — $14,256.88 $52,686.91 $52,686.91 2026-11-02
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 14 — — $15,224.95 $52,557.99 $52,557.99 2026-11-02
165 MS_DRG Major Chest Procedures Without Cc/mcc 26 14 — — $12,806.44 $52,527.40 $52,527.40 2026-11-02
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 14 — — $15,645.77 $52,429.08 $52,429.08 2026-11-02
336 MS_DRG Peritoneal Adhesiolysis With Cc 26 14 — — $14,107.69 $52,326.38 $52,326.38 2026-11-02
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 75 40 $60,064.25 $45,048.19 25% off $19.99 $54,057.82 $52,255.90 2026-11-02
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 26 14 — — $14,517.80 $52,153.77 $52,153.77 2026-11-02
584 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc 26 14 — — $14,321.77 $51,935.27 $51,935.27 2026-11-02
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 14 — — $15,965.56 $51,850.05 $51,850.05 2026-11-02
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 14 — — $11,818.29 $51,832.57 $51,832.57 2026-11-02
254 MS_DRG Other Vascular Procedures Without Cc/mcc 26 14 — — $11,919.98 $51,699.29 $51,699.29 2026-11-02
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 26 14 — — $12,243.12 $51,692.73 $51,692.73 2026-11-02
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 14 — — $19,415.05 $51,662.14 $51,662.14 2026-11-02
347 MS_DRG Anal And Stomal Procedures With Mcc 26 14 — — $15,358.09 $51,620.63 $51,620.63 2026-11-02
90288 CPT Botulism Ig IV 1 1 — — $51,570.00 $51,570.00 $51,570.00 2026-11-02
734 MS_DRG Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 26 14 — — $14,250.19 $51,472.05 $51,472.05 2026-11-02
472 MS_DRG Cervical Spinal Fusion With Cc 26 14 — — $19,710.08 $51,207.66 $51,207.66 2026-11-02
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 26 14 — — $13,367.75 $51,072.19 $51,072.19 2026-11-02
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 14 — — $16,452.61 $51,054.71 $51,054.71 2026-11-02
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 14 — — $16,092.01 $50,956.39 $50,956.39 2026-11-02
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 26 14 — — $14,601.43 $50,584.94 $50,584.94 2026-11-02
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 26 14 — — $12,085.23 $50,473.50 $50,473.50 2026-11-02
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