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 →

Export CSV
Hospital

RIVERTON HOSPITAL

Riverton, UT · CCN 460058 · Rates published

88,798 distinct procedures filed
59 distinct payers
2,975,897 rate rows
2026-07-17 last MRF observed
Data quality

2,743,858 of 2,975,897 rate rows are consumer-grade (92.2%)

232,039 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 226,848
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,099
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 695
template filing: same amount across many unrelated codes — excluded 290
per-diem day rate — not a per-procedure price 96
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_riverton-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/riverton-hospital/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint aa771a9f97357083… · 7,650,493 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 10 $3,727,887.50 $4,955,500.00 $4,685,200.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 12 $3,049,558.17 $4,212,259.80 $3,780,000.00 nat. median
$3,685,267
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
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 10 $2,760,391.05 $3,812,842.26 $3,469,252.80 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $2,753,803.93 $3,803,743.67 $3,456,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 12 $2,691,450.44 $3,717,616.74 $3,348,000.00 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 10 $2,631,450.00 $3,634,740.00 $3,307,200.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 12 $2,432,824.26 $3,360,384.44 $3,024,000.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,142,381.97 $2,959,205.55 $2,588,981.23 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $1,929,730.00 $2,665,476.00 $2,425,280.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $637,688.05 $880,818.66 $801,444.80 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $486,280.02 $671,683.46 $614,776.73 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $468,804.65 $647,545.28 $592,875.01 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $465,221.53 $642,596.02 $588,343.59 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $461,812.63 $637,887.42 $584,032.53 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $440,389.08 $608,295.73 $556,939.18 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $405,020.04 $559,441.58 $512,209.64 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $288,902.84 $330,215.94 $301,325.66 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 $230,251.88 $318,039.75 $289,380.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene Per Implant 10 $219,287.50 $302,895.00 $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 $166,881.11 $230,507.69 $209,735.78 nat. median
$207,733
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $187,486.32 $495,000.00 $199,672.92 nat. median
$186,516
1.1× 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×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 14 $142,001.46 $421,287.28 $176,908.11 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×
32069252
OTHER 		Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 28 $132,955.57 $169,043.51 $161,446.05 —
215
MS_DRG 		Other Heart Assist System Implant 14 $66,614.61 $385,268.35 $157,339.17 nat. median
$73,023
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $142,839.74 $644,785.70 $154,266.92 nat. median
$131,925
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $52,644.08 $323,526.26 $132,124.41 nat. median
$56,428
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $17,773.09 $290,983.64 $125,790.46 nat. median
$2,736
outlier · 46.0×
212
MS_DRG 		Testes Procedures Age 0-17 14 $72,750.22 $299,616.01 $124,111.54 nat. median
$74,509
1.7× median
32029878
OTHER 		Kit Lvad Heartmate 3 106524us 28 $98,449.24 $125,171.18 $119,545.50 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 14 $56,220.67 $292,492.13 $119,450.43 nat. median
$59,651
outlier · 2.0×
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×
Q0480
HCPCS 		Driver Pneumatic Vad Rep 12 $92,962.98 $303,449.79 $117,565.87 nat. median
$108,243
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $65,449.18 $284,278.34 $116,096.01 nat. median
$69,822
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $51,369.59 $277,021.28 $113,132.31 nat. median
$55,923
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $50,978.88 $266,108.51 $108,675.66 nat. median
$52,327
outlier · 2.1×
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×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $51,850.66 $258,185.54 $105,440.01 nat. median
$60,505
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 14 $92,669.04 $242,190.11 $104,494.61 nat. median
$97,418
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 14 $51,148.14 $255,187.58 $104,215.68 nat. median
$55,935
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $60,276.29 $228,464.21 $102,831.07 nat. median
$2,596
outlier · 39.6×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 $35,416.74 $247,367.90 $101,022.21 nat. median
$38,173
outlier · 2.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $57,934.04 $250,586.01 $98,835.21 nat. median
$2,633
outlier · 37.5×
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
7
MS_DRG 		Lung Transplant 9 $86,639.81 $103,943.75 $90,365.32 nat. median
$70,649
1.3× median

Other procedures at this hospital

Browse this hospital's 88,798 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 15 10 — — $3,727,887.50 $4,955,500.00 $4,685,200.00 2026-07-15
J1411 HCPCS Inj Hemgenix Per Tx Dose 24 12 — — $3,049,558.17 $4,212,259.80 $3,780,000.00 2026-07-15
C9172 HCPCS Inj- Beqvez- Per Tx Dose 7 2 — — $3,780,000.00 $3,780,000.00 $3,780,000.00 2026-07-15
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-07-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 16 10 — — $2,760,391.05 $3,812,842.26 $3,469,252.80 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 24 12 — — $2,753,803.93 $3,803,743.67 $3,456,000.00 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 24 12 — — $2,691,450.44 $3,717,616.74 $3,348,000.00 2026-07-15
J3387 HCPCS Inj Elivaldogene Autotemecel 16 10 — — $2,631,450.00 $3,634,740.00 $3,307,200.00 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 24 12 — — $2,432,824.26 $3,360,384.44 $3,024,000.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 24 12 — — $2,142,381.97 $2,959,205.55 $2,588,981.23 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 17 11 — — $1,929,730.00 $2,665,476.00 $2,425,280.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 16 10 — — $637,688.05 $880,818.66 $801,444.80 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 24 12 — — $486,280.02 $671,683.46 $614,776.73 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 24 12 — — $468,804.65 $647,545.28 $592,875.01 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 24 12 — — $465,221.53 $642,596.02 $588,343.59 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 24 12 — — $461,812.63 $637,887.42 $584,032.53 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 24 12 — — $440,389.08 $608,295.73 $556,939.18 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 24 12 — — $405,020.04 $559,441.58 $512,209.64 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 9 — — $288,902.84 $330,215.94 $301,325.66 2026-07-15
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 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 10 — — $230,251.88 $318,039.75 $289,380.00 2026-07-15
J3403 HCPCS Revakinagene Per Implant 16 10 — — $219,287.50 $302,895.00 $275,600.00 2026-07-15
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 16 10 — — $166,881.11 $230,507.69 $209,735.78 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $187,486.32 $495,000.00 $199,672.92 2026-07-15
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $197,901.24 $197,901.24 $197,901.24 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 30 14 — — $142,001.46 $421,287.28 $176,908.11 2026-07-15
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 2026-07-15
32069252 OTHER Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 28 28 $189,936.53 $142,452.40 25% off $132,955.57 $169,043.51 $161,446.05 2026-07-17
215 MS_DRG Other Heart Assist System Implant 30 14 — — $66,614.61 $385,268.35 $157,339.17 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 13 — — $142,839.74 $644,785.70 $154,266.92 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 14 — — $52,644.08 $323,526.26 $132,124.41 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $17,773.09 $290,983.64 $125,790.46 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 32 14 — — $72,750.22 $299,616.01 $124,111.54 2026-07-15
32029878 OTHER Kit Lvad Heartmate 3 106524us 28 28 $140,641.77 $105,481.33 25% off $98,449.24 $125,171.18 $119,545.50 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 14 — — $56,220.67 $292,492.13 $119,450.43 2026-07-15
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 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 24 12 — — $92,962.98 $303,449.79 $117,565.87 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $65,449.18 $284,278.34 $116,096.01 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $51,369.59 $277,021.28 $113,132.31 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 14 — — $50,978.88 $266,108.51 $108,675.66 2026-07-15
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 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 14 — — $51,850.66 $258,185.54 $105,440.01 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 30 14 — — $92,669.04 $242,190.11 $104,494.61 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 30 14 — — $51,148.14 $255,187.58 $104,215.68 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $60,276.29 $228,464.21 $102,831.07 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 14 — — $35,416.74 $247,367.90 $101,022.21 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 32 14 — — $57,934.04 $250,586.01 $98,835.21 2026-07-15
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-07-15
7 MS_DRG Lung Transplant 14 9 — — $86,639.81 $103,943.75 $90,365.32 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 14 — — $36,763.61 $220,285.75 $89,962.17 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $43,990.27 $219,424.14 $89,610.30 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 14 — — $39,894.51 $217,007.84 $88,623.51 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 14 — — $46,241.53 $212,017.59 $86,585.55 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 14 — — $40,560.18 $211,528.35 $86,385.75 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 14 — — $39,262.28 $207,927.00 $84,915.00 2026-07-15
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 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 26 14 — — $4,656.17 $268,708.31 $84,168.75 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 14 9 — — $80,402.51 $102,797.21 $83,859.82 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 14 — — $13,206.19 $202,787.26 $82,815.99 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $13,323.47 $196,728.84 $82,389.49 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 14 — — $47,704.01 $194,163.05 $81,382.82 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 9 — — $75,812.34 $495,000.00 $79,337.62 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 14 — — $44,701.44 $183,070.89 $78,355.12 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 30 14 — — $36,598.90 $191,765.77 $78,314.94 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $43,990.27 $190,852.52 $77,941.98 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 14 — — $38,337.02 $190,651.39 $77,859.84 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 14 — — $33,099.24 $187,946.98 $76,755.39 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $35,677.66 $187,479.49 $76,564.47 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 14 — — $45,032.60 $181,796.15 $76,340.34 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 14 — — $44,734.22 $169,907.62 $76,316.37 2026-07-15
1111000826 OTHER Y90 Ibritumomab Rx 28 28 $89,442.55 $67,081.91 25% off $62,609.78 $79,603.87 $76,026.17 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $43,830.37 $167,488.60 $74,774.40 2026-07-15
1111001379 OTHER Brachytx Non-stryttrium-90 28 28 $87,380.95 $65,535.71 25% off $61,166.66 $77,769.05 $74,273.81 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 9 — — $68,979.61 $403,000.00 $72,187.16 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 17 11 — — $56,933.42 $78,640.35 $71,553.78 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 30 14 — — $36,546.72 $174,185.75 $71,135.46 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 30 14 — — $43,049.62 $171,484.06 $70,032.12 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 14 — — $40,952.90 $168,116.45 $69,865.46 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 13 — — $31,850.84 $169,690.18 $69,299.52 2026-07-15
32067294 OTHER Device Cardiac Ventricular Assis 28 28 $81,106.34 $60,829.75 25% off $56,774.44 $72,184.64 $68,940.39 2026-07-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 14 — — $32,973.91 $169,983.72 $68,556.33 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 30 14 — — $29,984.27 $166,004.57 $67,794.36 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 14 — — $33,040.37 $165,104.91 $67,426.95 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 24 12 — — $53,187.39 $74,113.13 $67,263.57 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 14 — — $39,236.86 $157,630.41 $66,937.89 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $33,720.09 $162,403.22 $66,323.61 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 14 — — $38,583.22 $150,740.28 $65,822.79 2026-07-15
J7330 HCPCS Cultured Chondrocytes Implnt 7 2 — — $65,518.20 $65,518.20 $65,518.20 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 30 14 — — $27,915.65 $160,220.66 $65,432.28 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 14 — — $31,389.22 $159,073.67 $64,963.86 2026-07-15
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 30 14 — — $33,366.85 $158,725.76 $64,821.78 2026-07-15
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 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 14 — — $36,728.69 $149,778.11 $64,380.06 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $10,123.67 $151,732.35 $64,166.69 2026-07-15
L8614 HCPCS Cochlear Device 7 2 — — $56,406.93 $67,303.72 $64,098.78 2026-07-15
245 MS_DRG Aicd Generator Procedures 30 14 — — $30,523.50 $155,703.35 $63,587.46 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $28,561.05 $135,617.33 $63,529.82 2026-07-15
A9543 HCPCS Y90 Ibritumomab Rx / Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatme… 52 40 $89,442.55 $67,081.91 25% off $47,022.32 $213,684.06 $63,504.21 2026-07-17
32070120 OTHER Device Spinal Mid C 105mm W/40mm 28 28 $73,918.12 $55,438.59 25% off $51,742.68 $65,787.13 $62,830.40 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 14 — — $6,428.49 $153,297.92 $62,605.11 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 13 — — $35,299.66 $152,784.22 $62,395.32 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 14 — — $23,914.22 $152,675.50 $62,350.92 2026-07-15
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 45 39 $87,380.95 $65,535.71 25% off $14,705.51 $77,769.05 $62,040.47 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 14 — — $30,418.47 $151,175.16 $61,738.20 2026-07-15
73006137 OTHER Pump Blood Vad 10ml With Pu Valves 28 28 $72,394.49 $54,295.87 25% off $50,676.14 $64,431.10 $61,535.32 2026-07-17
32006323 OTHER Pump Blood Vad 15ml With Pu Valves 28 28 $72,394.49 $54,295.87 25% off $50,676.14 $64,431.10 $61,535.32 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 14 — — $31,295.55 $149,938.47 $61,233.15 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 14 — — $27,784.52 $149,753.65 $61,157.67 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 14 — — $35,656.25 $139,968.85 $60,829.39 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 14 — — $38,130.96 $148,389.21 $60,600.45 2026-07-15
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 14 — — $36,489.18 $147,810.28 $60,364.02 2026-07-15
1176995630 OTHER Ravulizumab-cwvz 100 mg/mL 11 Ml Vial 28 28 $70,455.25 $52,841.44 25% off $49,318.67 $62,705.17 $59,886.96 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 2026-07-15
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 14 — — $34,825.32 $139,449.71 $59,411.84 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 32 14 — — $31,973.54 $151,292.03 $59,309.11 2026-07-15
32034342 OTHER Generator Sentiva 1000 28 28 $68,812.80 $51,609.60 25% off $48,168.96 $61,243.39 $58,490.88 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 14 — — $28,024.03 $141,846.98 $57,928.68 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 30 14 — — $25,685.80 $140,958.20 $57,565.71 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 14 — — $32,927.30 $139,615.51 $57,017.37 2026-07-15
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 30 14 — — $25,832.31 $139,229.55 $56,859.75 2026-07-15
32011486 OTHER Graft Matristem Thick 30x40cm Plastics 28 28 $66,697.19 $50,022.89 25% off $46,688.03 $59,360.50 $56,692.61 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $32,790.15 $146,453.99 $55,939.85 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 14 — — $28,720.49 $136,916.53 $55,915.14 2026-07-15
32045394 OTHER Valve Heart Sapien 3 23mm Ultra Transcatheter W/commander Sy 28 28 $65,549.28 $49,161.96 25% off $45,884.50 $58,338.86 $55,716.89 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 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 14 — — $32,141.87 $135,209.63 $54,833.88 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 14 — — $26,171.51 $134,100.68 $54,765.18 2026-07-15
32037145 OTHER Kit Rns Neurostimulator 28 28 $64,412.83 $48,309.62 25% off $45,088.98 $57,327.42 $54,750.91 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 40 12 — — $45,019.40 $64,357.43 $54,404.11 2026-07-15
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 14 — — $28,206.01 $131,466.94 $53,689.59 2026-07-15
32068640 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx15cm 12mm 28 28 $63,075.90 $47,306.93 25% off $44,153.13 $56,137.55 $53,614.51 2026-07-17
32069011 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx 28 28 $63,075.90 $47,306.93 25% off $44,153.13 $56,137.55 $53,614.51 2026-07-17
32070419 OTHER Endoprosthesis Thoracic Aortic Branch 34mmx12mm 28 28 $63,075.90 $47,306.93 25% off $44,153.13 $56,137.55 $53,614.51 2026-07-17
32010894 OTHER Generator Aspire Sr 106 28 28 $63,027.65 $47,270.74 25% off $44,119.35 $56,094.61 $53,573.50 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 14 — — $21,645.94 $130,790.16 $53,413.20 2026-07-15
32054973 OTHER Mesh Phasix 19.5x19.5in Square 1195050 28 28 $62,349.78 $46,762.33 25% off $43,644.85 $55,491.30 $52,997.31 2026-07-17
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 14 — — $30,898.82 $128,507.04 $52,713.25 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 24 12 — — $41,274.99 $141,240.29 $52,198.52 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 13 — — $28,254.18 $127,555.74 $52,092.30 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 13 — — $30,111.07 $181,709.17 $51,825.97 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 14 — — $30,673.36 $126,473.98 $51,650.52 2026-07-15
90288 CPT Botulism Ig IV 7 2 — — $51,570.00 $51,570.00 $51,570.00 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 14 — — $28,191.96 $125,299.80 $51,171.00 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 30 14 — — $36,950.14 $121,502.75 $51,021.77 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 14 — — $29,857.82 $119,282.15 $50,937.31 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 30 14 — — $30,299.38 $124,701.84 $50,926.80 2026-07-15
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 30 14 — — $25,175.33 $120,665.61 $50,670.24 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 14 — — $25,006.07 $122,956.88 $50,214.18 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 14 — — $21,070.88 $122,728.57 $50,120.94 2026-07-15
10 MS_DRG Pancreas Transplant 15 9 — — $48,007.08 $148,117.00 $50,071.38 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 9 — — $47,732.11 $77,013.23 $49,784.59 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 14 — — $28,951.30 $116,575.02 $49,390.78 2026-07-15
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 2026-07-15
70396940 OTHER Generator Demipulse Vns Implantable 104 28 28 $57,987.30 $43,490.47 25% off $40,591.11 $51,608.70 $49,289.21 2026-07-17
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 30 14 — — $21,489.28 $119,616.46 $48,849.99 2026-07-15
32071196 OTHER Endoprosthesis Thoracic Aortic Branch 28 28 $57,341.73 $43,006.30 25% off $40,139.21 $51,034.14 $48,740.47 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 32 14 — — $4,562.52 $115,444.33 $48,682.00 2026-07-15
32027068 OTHER Device Dynagen Df4 Crtd Is1/df4/is1 28 28 $57,209.89 $42,907.42 25% off $40,046.92 $50,916.80 $48,628.41 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 14 — — $30,751.64 $119,021.22 $48,606.90 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $28,371.92 $112,720.90 $48,402.37 2026-07-15
32008741 OTHER Implant Cochlear Synchrony Flex24 28 28 $56,357.50 $42,268.13 25% off $39,450.25 $50,158.18 $47,903.88 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 32 14 — — $28,076.22 $118,871.73 $47,897.90 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 14 — — $30,431.85 $116,623.94 $47,627.88 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 30 14 — — $23,337.53 $115,909.11 $47,335.95 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 14 — — $21,590.04 $115,860.19 $47,315.97 2026-07-15
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $47,202.36 $47,202.36 $47,202.36 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 14 — — $21,300.35 $115,210.58 $47,050.68 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 30 14 — — $24,563.85 $115,196.99 $47,045.13 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 30 14 — — $22,024.90 $114,599.03 $46,800.93 2026-07-15
32010559 OTHER Defibrillator Inogen Crt D Is 1 72.8g G141 28 28 $54,722.84 $41,042.13 25% off $38,305.99 $48,703.33 $46,514.41 2026-07-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 14 — — $21,761.98 $110,611.73 $46,448.38 2026-07-15
70402800 OTHER Mesh Surgimend 3.0 Hernia Repair 25x40cm 28 28 $54,617.67 $40,963.25 25% off $38,232.37 $48,609.73 $46,425.02 2026-07-17
70404854 OTHER Neurostimulator Dbs Activa Rc 37612 28 28 $54,551.53 $40,913.65 25% off $38,186.07 $48,550.86 $46,368.80 2026-07-17
70390588 OTHER Generator Demipulse Vns Implantable 103 28 28 $54,395.88 $40,796.91 25% off $38,077.12 $48,412.33 $46,236.50 2026-07-17
691 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $45,991.06 $45,991.06 $45,991.06 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 14 — — $10,795.84 $108,377.53 $45,887.98 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 24 12 — — $36,170.84 $123,774.25 $45,743.55 2026-07-15
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 30 14 — — $24,933.15 $110,301.88 $45,550.49 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 14 — — $21,321.09 $111,443.44 $45,512.22 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 14 — — $26,654.54 $97,222.86 $45,472.53 2026-07-15
32066139 OTHER Kit Osteotomy My3d Femoral 28 28 $53,399.41 $40,049.56 25% off $37,379.59 $47,525.47 $45,389.50 2026-07-17
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 30 14 — — $27,600.54 $110,929.73 $45,302.43 2026-07-15
32006643 OTHER Valve Transcatheter Melody 20mm Tpv 20 28 28 $53,129.64 $39,847.23 25% off $37,190.75 $47,285.38 $45,160.19 2026-07-17
70403671 OTHER Generator Aspire Hc Vns Implantable 105 28 28 $53,036.59 $39,777.44 25% off $37,125.61 $47,202.57 $45,081.10 2026-07-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 16 10 — — $35,698.50 $50,975.73 $44,865.78 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 14 — — $23,854.68 $106,545.60 $44,740.92 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 14 — — $25,857.07 $108,828.72 $44,444.40 2026-07-15
32070533 OTHER Implant Biological Tissue Xenmat 28 28 $52,189.02 $39,141.76 25% off $36,532.31 $46,448.23 $44,360.67 2026-07-17
70403618 OTHER Graft Strattice 25x40cm Firm 2540002 28 28 $51,990.77 $38,993.08 25% off $36,393.54 $46,271.79 $44,192.15 2026-07-17
E0766 HCPCS Elec Stim Cancer Treatment 7 2 — — $38,884.10 $46,395.80 $44,186.48 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 14 — — $25,895.87 $106,083.54 $44,178.24 2026-07-15
32047564 OTHER Implant Cochlear Synchrony Pin Flex28 28 28 $51,689.23 $38,766.92 25% off $36,182.46 $46,003.41 $43,935.85 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 14 — — $23,545.59 $107,178.89 $43,770.63 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 30 14 — — $21,173.24 $106,540.16 $43,509.78 2026-07-15
J9226 HCPCS Supprelin La Implant 40 12 — — $35,735.87 $53,051.20 $43,324.60 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 30 14 — — $38,907.03 $99,133.61 $43,211.68 2026-07-15
64654 CPT 1st Opn Implt Bat Modulj Sys 23 11 — — $46.50 $50,975.73 $43,140.18 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 14 — — $24,573.88 $104,371.20 $43,074.44 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 30 14 — — $19,535.47 $105,156.70 $42,944.79 2026-07-15
32047898 OTHER Stent Graft Relay Thoracic Single Straight 38mmx250mm 28 28 $50,314.26 $37,735.69 25% off $35,219.98 $44,779.69 $42,767.12 2026-07-17
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 32 14 — — $22,136.06 $89,620.61 $42,761.82 2026-07-15
332 MS_DRG Rectal Resection With Mcc 30 14 — — $24,223.31 $104,401.10 $42,636.21 2026-07-15
213 MS_DRG Splenic Procedures Age 0-17 26 14 — — $16,143.43 $135,481.81 $42,437.60 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 24 12 — — $33,325.12 $114,036.33 $42,144.70 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 14 — — $20,801.26 $103,134.51 $42,118.95 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 30 14 — — $17,796.01 $102,982.30 $42,056.79 2026-07-15
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 30 14 — — $23,969.75 $102,539.27 $41,875.86 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 13 — — $23,792.46 $93,942.23 $41,704.73 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 14 — — $25,003.39 $101,911.41 $41,619.45 2026-07-15
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 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 9 — — $39,671.05 $45,344.01 $41,376.91 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 14 — — $24,275.50 $86,367.17 $41,310.52 2026-07-15
265 MS_DRG Aicd Lead Procedures 32 14 — — $24,206.59 $96,007.91 $41,296.32 2026-07-15
32012992 OTHER Implant Cochlear Synchrony Compressed 28 28 $48,565.96 $36,424.47 25% off $33,996.17 $43,223.70 $41,281.07 2026-07-17
32008742 OTHER Implant Cochlear Synchrony Flex28 28 28 $48,438.04 $36,328.53 25% off $33,906.63 $43,109.86 $41,172.33 2026-07-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 14 — — $24,127.64 $87,625.60 $41,161.65 2026-07-15
32046737 OTHER Graft Strattice 30x30cm Firm 3030002 28 28 $47,947.44 $35,960.58 25% off $33,563.21 $42,673.22 $40,755.32 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 2026-07-15
1176263100 OTHER Cabazitaxel 10 mg/mL 6 Ml Sdv Kit 56 28 $48,115.60 $36,086.71 25% off $33,527.82 $43,017.54 $40,712.36 2026-07-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 32 14 — — $23,834.61 $95,295.80 $40,661.74 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 32 14 — — $23,811.86 $101,044.37 $40,622.93 2026-07-15
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 14 — — $18,445.63 $98,706.89 $40,310.76 2026-07-15
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 30 14 — — $19,403.00 $98,614.48 $40,273.02 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 14 — — $23,593.76 $94,325.47 $40,250.85 2026-07-15
32039025 OTHER Kit Generator Vercise Ipg 28 28 $47,018.19 $35,263.64 25% off $32,912.73 $41,846.19 $39,965.46 2026-07-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 32 14 — — $22,794.28 $95,948.12 $39,955.06 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 30 14 — — $15,182.44 $97,820.82 $39,948.90 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 14 — — $23,112.07 $97,326.14 $39,746.88 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 14 — — $19,483.95 $97,231.01 $39,708.03 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 30 14 — — $20,114.31 $97,111.42 $39,659.19 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 14 — — $19,835.11 $93,991.16 $39,620.82 2026-07-15
32047137 OTHER Kit Ipg 1060 A 28 28 $46,611.46 $34,958.60 25% off $32,628.02 $41,484.20 $39,619.74 2026-07-17
32064705 OTHER System Spinal Cord Stim Ipg Patient 28 28 $46,611.46 $34,958.60 25% off $32,628.02 $41,484.20 $39,619.74 2026-07-17
974 MS_DRG HIV With Major Related Condition With Mcc 30 14 — — $19,308.00 $94,480.40 $39,545.82 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 14 — — $18,289.75 $96,287.87 $39,322.86 2026-07-15
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 2026-07-15
32042632 OTHER Femur Antegrade Nail Trochanter 10.0x250mm 28 28 $46,217.85 $34,663.39 25% off $32,352.49 $41,133.89 $39,285.17 2026-07-17
32054339 OTHER Femur Antegrade 10deg Bend Trochanter 10x280mm 28 28 $46,217.85 $34,663.39 25% off $32,352.49 $41,133.89 $39,285.17 2026-07-17
32043307 OTHER Tibia Antegrade 10deg Bend 3hl 10.0x280mm 28 28 $46,217.85 $34,663.39 25% off $32,352.49 $41,133.89 $39,285.17 2026-07-17
32047899 OTHER Stent Graft Relay Single 200mm Straight 38x190mm 28 28 $46,167.33 $34,625.50 25% off $32,317.13 $41,088.92 $39,242.23 2026-07-17
503 MS_DRG Foot Procedures With Mcc 30 14 — — $18,673.10 $95,988.89 $39,200.76 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 15 9 — — $37,496.06 $300,000.00 $39,108.39 2026-07-15
32018135 OTHER Graft Whole Femoral Condyle Lt 28 28 $45,800.85 $34,350.64 25% off $32,060.59 $40,762.76 $38,930.72 2026-07-17
32011007 OTHER Graft Fem Condyle Whole Fresh Rt 28 28 $45,800.85 $34,350.64 25% off $32,060.59 $40,762.76 $38,930.72 2026-07-17
32042003 OTHER Kit Generator Vercise Gevia Ipg 28 28 $45,772.07 $34,329.05 25% off $32,040.45 $40,737.14 $38,906.26 2026-07-17
32059296 OTHER Kit Ipg Vercise Genus R16 28 28 $45,772.07 $34,329.05 25% off $32,040.45 $40,737.14 $38,906.26 2026-07-17
73005479 OTHER Graft Iliac Aorta R010 28 28 $45,763.65 $34,322.74 25% off $32,034.56 $40,729.65 $38,899.10 2026-07-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 14 — — $16,999.20 $94,686.97 $38,669.07 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 30 14 — — $22,022.23 $94,472.24 $38,581.38 2026-07-15
70403009 OTHER Femur Distal Fresh Rt Oc 460525 28 28 $45,271.02 $33,953.26 25% off $31,689.71 $40,291.21 $38,480.37 2026-07-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 14 — — $21,141.12 $93,877.00 $38,338.29 2026-07-15
70404119 OTHER Implant Cochlear Flex 24 Internal Device 28 28 $45,099.75 $33,824.81 25% off $31,569.82 $40,138.78 $38,334.79 2026-07-17
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 1 1 — — $38,264.62 $38,264.62 $38,264.62 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 14 — — $25,993.16 $93,167.60 $38,048.58 2026-07-15
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $37,998.55 $37,998.55 $37,998.55 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 9 — — $36,343.33 $58,637.99 $37,906.10 2026-07-15
32004588 OTHER Implant Cochlear Concert Pin Flex 28 28 28 $44,571.24 $33,428.43 25% off $31,199.87 $39,668.40 $37,885.55 2026-07-17
32004589 OTHER Implant Cochlear Concert Pin Flex 24 28 28 $44,571.24 $33,428.43 25% off $31,199.87 $39,668.40 $37,885.55 2026-07-17
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $37,775.37 $37,775.37 $37,775.37 2026-07-15
32019725 OTHER Graft Distal Condyle Whole Rt Refrigerated 28 28 $44,394.55 $33,295.91 25% off $31,076.19 $39,511.15 $37,735.37 2026-07-17
253 MS_DRG Other Vascular Procedures With Cc 30 14 — — $17,365.16 $92,102.15 $37,613.46 2026-07-15
32034944 OTHER Graft Alloderm Select Duo Perf 16x20cm Med 28 28 $43,827.40 $32,870.55 25% off $30,679.18 $39,006.39 $37,253.29 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 14 — — $23,890.14 $91,159.00 $37,228.29 2026-07-15
70403619 OTHER Graft Strattice 20x40cm Firm 2040002 28 28 $43,765.20 $32,823.90 25% off $30,635.64 $38,951.03 $37,200.42 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 32 14 — — $21,642.22 $86,459.58 $36,921.53 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $21,612.12 $83,872.04 $36,870.17 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 14 — — $21,478.31 $78,629.02 $36,641.90 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 30 14 — — $14,771.36 $89,691.28 $36,628.89 2026-07-15
32057265 OTHER Neurostimulator Deep Brain Percept Pc B35200 28 28 $43,071.56 $32,303.67 25% off $30,150.09 $38,333.69 $36,610.83 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 14 — — $22,099.83 $78,420.34 $36,565.95 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 30 14 — — $16,886.14 $89,452.10 $36,531.21 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 30 14 — — $16,603.14 $89,324.35 $36,479.04 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 14 — — $21,360.56 $89,022.65 $36,420.12 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 17 11 — — $28,937.78 $39,970.86 $36,368.94 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 14 — — $20,292.80 $89,041.68 $36,363.60 2026-07-15
32036146 OTHER Tibia Antegrade Rod 10deg Bend 8.5x245mm 28 28 $42,760.21 $32,070.16 25% off $29,932.15 $38,056.59 $36,346.18 2026-07-17
32055971 OTHER Femur Antegrade Trochanter 8.5x50mm 28 28 $42,760.21 $32,070.16 25% off $29,932.15 $38,056.59 $36,346.18 2026-07-17
32036163 OTHER Femur Antegrade Trochanter 8.5x275mm 28 28 $42,760.21 $32,070.16 25% off $29,932.15 $38,056.59 $36,346.18 2026-07-17
32054100 OTHER Femur Retrograde Straight 10.7x80mm 28 28 $42,760.21 $32,070.16 25% off $29,932.15 $38,056.59 $36,346.18 2026-07-17
32034173 OTHER Graft Alloderm Select Perforated 16x20cm Thick 28 28 $42,665.84 $31,999.38 25% off $29,866.09 $37,972.60 $36,265.96 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 14 — — $21,257.53 $95,956.27 $36,265.26 2026-07-15
32035611 OTHER Bone Distal Femur Rt Mops25 28 28 $42,650.51 $31,987.88 25% off $29,855.36 $37,958.95 $36,252.93 2026-07-17
32035140 OTHER Bone Distal Femur Lt Mops24 28 28 $42,650.51 $31,987.88 25% off $29,855.36 $37,958.95 $36,252.93 2026-07-17
665 MS_DRG Prostatectomy With Mcc 30 14 — — $20,881.54 $88,753.57 $36,245.94 2026-07-15
32019591 OTHER Graft Bicompartment Rt Medial Trochlea 28 28 $42,462.25 $31,846.69 25% off $29,723.57 $37,791.40 $36,092.91 2026-07-17
32019365 OTHER Graft Bicompartment Lt Medial Trochlea 28 28 $42,462.25 $31,846.69 25% off $29,723.57 $37,791.40 $36,092.91 2026-07-17
32042085 OTHER Rod Magec 2 5.5x70mm Std 28 28 $42,388.54 $31,791.40 25% off $29,671.98 $37,725.80 $36,030.26 2026-07-17
32039778 OTHER Actuator Magec 2 4.5x70mm Offset 28 28 $42,388.54 $31,791.40 25% off $29,671.98 $37,725.80 $36,030.26 2026-07-17
32044720 OTHER Rod Magec 2 4.5mm 90mm Offset 28 28 $42,388.54 $31,791.40 25% off $29,671.98 $37,725.80 $36,030.26 2026-07-17
32037712 OTHER Actuator Magec 6.0x90mm Offset 28 28 $42,388.54 $31,791.40 25% off $29,671.98 $37,725.80 $36,030.26 2026-07-17
32045603 OTHER Actuator Magec 2 Rod 6.0x90mm Std 28 28 $42,388.54 $31,791.40 25% off $29,671.98 $37,725.80 $36,030.26 2026-07-17
32070691 OTHER Implant Cochlear Synchrony 2 Custom Device 28 28 $42,354.11 $31,765.58 25% off $29,647.88 $37,695.16 $36,000.99 2026-07-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 14 — — $21,080.91 $87,674.53 $35,963.94 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 14 — — $21,021.37 $76,430.16 $35,862.36 2026-07-15
32027312 OTHER Kit Ipg Nipg1500 28 28 $42,156.25 $31,617.19 25% off $29,509.37 $37,519.06 $35,832.81 2026-07-17
32033730 OTHER Graft Dermal Alloderm 16x20cm Bilateral Pair Med 28 28 $42,154.51 $31,615.88 25% off $29,508.16 $37,517.51 $35,831.33 2026-07-17
33276 CPT Insj Phrnc Nrv Stim Sys 30 11 — — $1,368.90 $50,975.73 $35,698.50 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 30 14 — — $15,417.00 $87,364.67 $35,678.73 2026-07-15
See an error in this hospital's data? Submit a correction