Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL

Heber City, UT · CCN 461307 · Rates published

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You selected 93350 (CPT)

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This hospital’s price: $89 across 1 payer · range $67-$111

Source: https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_heber-valley-hospital_standardcharges.ashx · observed 2026-07-14

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.

84,840 distinct procedures filed
67 distinct payers
2,619,271 rate rows
2026-07-17 last MRF observed
Data quality

2,407,048 of 2,619,271 rate rows are consumer-grade (91.9%)

212,223 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 203,126
per-diem day rate — not a per-procedure price 6,903
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,510
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 684
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_heber-valley-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/heber-valley-hospital/about/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint 7b6d8ee8fbdd5660… · 4,024,237 bytes · first seen 2026-05-15

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $529,192.86 $529,192.86 $529,192.86 nat. median
$738,272
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $527,123.43 $527,123.43 $527,123.43 nat. median
$646,415
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $526,587.59 $526,587.59 $526,587.59 nat. median
$622,245
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $495,094.84 $518,343.18 $518,343.18 nat. median
$198,433
outlier · 2.6×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $516,726.08 $516,726.08 $516,726.08 nat. median
$640,950
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $489,455.96 $489,455.96 $489,455.96 nat. median
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $460,530.40 $460,530.40 $460,530.40 nat. median
$591,650
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 6 $323,482.91 $338,672.82 $338,672.82 nat. median
$190,557
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 6 $295,825.99 $309,717.20 $309,717.20 nat. median
$93,917
outlier · 3.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $248,417.70 $260,082.74 $260,082.74 nat. median
$74,460
outlier · 3.5×
212
MS_DRG 		Testes Procedures Age 0-17 6 $230,058.36 $240,861.29 $240,861.29 nat. median
$97,414
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $224,588.33 $235,134.41 $235,134.41 nat. median
$77,696
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $223,430.05 $233,921.73 $233,921.73 nat. median
$93,270
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $218,281.42 $228,531.34 $228,531.34 nat. median
$90,581
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $212,709.13 $222,697.39 $222,697.39 nat. median
$72,473
outlier · 3.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $204,329.82 $213,924.61 $213,924.61 nat. median
$68,004
outlier · 3.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $198,246.22 $207,555.34 $207,555.34 nat. median
$77,043
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 6 $195,944.26 $205,145.28 $205,145.28 nat. median
$71,758
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $192,410.97 $201,446.08 $201,446.08 nat. median
$78,262
outlier · 2.6×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $189,939.96 $198,859.04 $198,859.04 nat. median
$51,590
outlier · 3.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 6 $185,964.22 $194,696.61 $194,696.61 nat. median
$126,722
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $175,424.87 $183,662.36 $183,662.36 nat. median
$78,037
outlier · 2.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $169,145.09 $177,087.70 $177,087.70 nat. median
$58,331
outlier · 3.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $168,483.51 $176,395.05 $176,395.05 nat. median
$62,038
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 6 $166,628.17 $174,452.59 $174,452.59 nat. median
$55,188
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $162,796.44 $170,440.93 $170,440.93 nat. median
$62,721
outlier · 2.7×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $162,420.78 $170,047.63 $170,047.63 nat. median
$57,804
outlier · 2.9×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $159,655.50 $167,152.50 $167,152.50 nat. median
$55,491
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $155,708.98 $163,020.67 $163,020.67 nat. median
$63,896
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $151,057.06 $158,150.30 $158,150.30 nat. median
$63,648
outlier · 2.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $149,086.93 $156,087.66 $156,087.66 nat. median
$66,649
outlier · 2.3×
32069252
OTHER 		Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 25 $153,291.73 $163,626.00 $155,014.11 nat. median
$155,014
1.0× median
405
MS_DRG 		Pancreas- Liver And Shunt Procedures With Mcc 6 $147,246.20 $154,160.49 $154,160.49 nat. median
$50,825
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $146,544.97 $153,426.33 $153,426.33 nat. median
$59,558
outlier · 2.6×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $146,390.53 $153,264.64 $153,264.64 nat. median
$53,532
outlier · 2.9×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 6 $144,313.96 $151,090.57 $151,090.57 nat. median
$47,451
outlier · 3.2×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $143,955.00 $150,714.75 $150,714.75 nat. median
$50,679
outlier · 3.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $140,569.89 $147,170.68 $147,170.68 nat. median
$60,543
outlier · 2.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $139,591.08 $146,145.91 $146,145.91 nat. median
$61,711
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $139,524.30 $146,075.99 $146,075.99 nat. median
$61,329
outlier · 2.4×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Without Mcc 6 $133,747.48 $140,027.91 $140,027.91 nat. median
$51,613
outlier · 2.7×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $131,673.00 $137,856.02 $137,856.02 nat. median
$59,384
outlier · 2.3×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $130,520.98 $136,649.90 $136,649.90 nat. median
$56,686
outlier · 2.4×
317
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $130,462.54 $136,588.72 $136,588.72 nat. median
$57,560
outlier · 2.4×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 $130,295.58 $136,413.92 $136,413.92 nat. median
$45,888
outlier · 3.0×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $129,087.21 $135,148.81 $135,148.81 nat. median
$58,216
outlier · 2.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $128,605.11 $134,644.07 $134,644.07 nat. median
$58,118
outlier · 2.3×
163
MS_DRG 		Major Chest Procedures With Mcc 6 $127,465.61 $133,451.06 $133,451.06 nat. median
$42,735
outlier · 3.1×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 $126,774.82 $132,727.83 $132,727.83 nat. median
$45,474
outlier · 2.9×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $124,700.34 $130,555.94 $130,555.94 nat. median
$46,557
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 84,840 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 8 — — $529,192.86 $529,192.86 $529,192.86 2026-07-14
Q2056 HCPCS Ciltacabtagene Car-pos T 9 8 — — $527,123.43 $527,123.43 $527,123.43 2026-07-14
Q2055 HCPCS Idecabtagene Vicleucel Car 9 8 — — $526,587.59 $526,587.59 $526,587.59 2026-07-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 6 — — $495,094.84 $518,343.18 $518,343.18 2026-07-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 8 — — $516,726.08 $516,726.08 $516,726.08 2026-07-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 8 — — $489,455.96 $489,455.96 $489,455.96 2026-07-14
Q2053 HCPCS Brexucabtagene Car Pos T 9 8 — — $460,530.40 $460,530.40 $460,530.40 2026-07-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 6 — — $323,482.91 $338,672.82 $338,672.82 2026-07-14
215 MS_DRG Other Heart Assist System Implant 16 6 — — $295,825.99 $309,717.20 $309,717.20 2026-07-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 6 — — $248,417.70 $260,082.74 $260,082.74 2026-07-14
212 MS_DRG Testes Procedures Age 0-17 16 6 — — $230,058.36 $240,861.29 $240,861.29 2026-07-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 6 — — $224,588.33 $235,134.41 $235,134.41 2026-07-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $223,430.05 $233,921.73 $233,921.73 2026-07-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $218,281.42 $228,531.34 $228,531.34 2026-07-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $212,709.13 $222,697.39 $222,697.39 2026-07-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 6 — — $204,329.82 $213,924.61 $213,924.61 2026-07-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $198,246.22 $207,555.34 $207,555.34 2026-07-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 16 6 — — $195,944.26 $205,145.28 $205,145.28 2026-07-14
850 MS_DRG Acute Leukemia With Other Procedures 16 6 — — $192,410.97 $201,446.08 $201,446.08 2026-07-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 6 — — $189,939.96 $198,859.04 $198,859.04 2026-07-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 6 — — $185,964.22 $194,696.61 $194,696.61 2026-07-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 6 — — $175,424.87 $183,662.36 $183,662.36 2026-07-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $169,145.09 $177,087.70 $177,087.70 2026-07-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $168,483.51 $176,395.05 $176,395.05 2026-07-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 6 — — $166,628.17 $174,452.59 $174,452.59 2026-07-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 6 — — $162,796.44 $170,440.93 $170,440.93 2026-07-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 6 — — $162,420.78 $170,047.63 $170,047.63 2026-07-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 6 — — $159,655.50 $167,152.50 $167,152.50 2026-07-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 6 — — $155,708.98 $163,020.67 $163,020.67 2026-07-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $151,057.06 $158,150.30 $158,150.30 2026-07-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 6 — — $149,086.93 $156,087.66 $156,087.66 2026-07-14
32069252 OTHER Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 25 25 $172,237.90 $129,178.43 25% off $153,291.73 $163,626.00 $155,014.11 2026-07-17
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 16 6 — — $147,246.20 $154,160.49 $154,160.49 2026-07-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $146,544.97 $153,426.33 $153,426.33 2026-07-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $146,390.53 $153,264.64 $153,264.64 2026-07-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 6 — — $144,313.96 $151,090.57 $151,090.57 2026-07-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $143,955.00 $150,714.75 $150,714.75 2026-07-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $140,569.89 $147,170.68 $147,170.68 2026-07-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 6 — — $139,591.08 $146,145.91 $146,145.91 2026-07-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 6 — — $139,524.30 $146,075.99 $146,075.99 2026-07-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 16 6 — — $133,747.48 $140,027.91 $140,027.91 2026-07-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $131,673.00 $137,856.02 $137,856.02 2026-07-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 6 — — $130,520.98 $136,649.90 $136,649.90 2026-07-14
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $130,462.54 $136,588.72 $136,588.72 2026-07-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 6 — — $130,295.58 $136,413.92 $136,413.92 2026-07-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 6 — — $129,087.21 $135,148.81 $135,148.81 2026-07-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $128,605.11 $134,644.07 $134,644.07 2026-07-14
163 MS_DRG Major Chest Procedures With Mcc 16 6 — — $127,465.61 $133,451.06 $133,451.06 2026-07-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 6 — — $126,774.82 $132,727.83 $132,727.83 2026-07-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $124,700.34 $130,555.94 $130,555.94 2026-07-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 6 — — $123,024.48 $128,801.38 $128,801.38 2026-07-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $122,143.76 $127,879.31 $127,879.31 2026-07-14
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 16 6 — — $121,876.63 $127,599.63 $127,599.63 2026-07-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 6 — — $121,035.57 $126,719.08 $126,719.08 2026-07-14
245 MS_DRG Aicd Generator Procedures 16 6 — — $119,555.88 $125,169.91 $125,169.91 2026-07-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 16 6 — — $117,708.89 $123,236.19 $123,236.19 2026-07-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $117,314.44 $122,823.22 $122,823.22 2026-07-14
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 6 — — $117,230.96 $122,735.82 $122,735.82 2026-07-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $116,506.78 $121,977.63 $121,977.63 2026-07-14
653 MS_DRG Major Bladder Procedures With Mcc 16 6 — — $116,168.68 $121,623.66 $121,623.66 2026-07-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $116,078.94 $121,529.70 $121,529.70 2026-07-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 6 — — $115,745.02 $121,180.10 $121,180.10 2026-07-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $115,129.36 $120,535.53 $120,535.53 2026-07-14
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 16 6 — — $115,006.22 $120,406.61 $120,406.61 2026-07-14
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 6 — — $114,987.44 $120,386.95 $120,386.95 2026-07-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $113,939.77 $119,290.08 $119,290.08 2026-07-14
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 6 — — $113,495.23 $118,824.67 $118,824.67 2026-07-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $112,453.82 $117,734.36 $117,734.36 2026-07-14
32029878 OTHER Kit Lvad Heartmate 3 106524us 25 25 $127,536.51 $95,652.38 25% off $113,507.49 $121,159.68 $114,782.86 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $108,916.36 $114,030.78 $114,030.78 2026-07-14
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 6 — — $108,233.91 $113,316.29 $113,316.29 2026-07-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 6 — — $107,474.24 $112,520.95 $112,520.95 2026-07-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 6 — — $107,202.93 $112,236.90 $112,236.90 2026-07-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 6 — — $107,075.62 $112,103.61 $112,103.61 2026-07-14
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 16 6 — — $106,906.58 $111,926.63 $111,926.63 2026-07-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 6 — — $105,130.54 $110,067.19 $110,067.19 2026-07-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $104,132.95 $109,022.76 $109,022.76 2026-07-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 6 — — $103,819.90 $108,695.01 $108,695.01 2026-07-14
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $102,968.41 $107,803.53 $107,803.53 2026-07-14
12 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 6 — — $100,946.10 $105,686.27 $105,686.27 2026-07-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 6 — — $100,426.44 $105,142.20 $105,142.20 2026-07-14
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $98,673.36 $103,306.80 $103,306.80 2026-07-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 6 — — $97,942.91 $102,542.05 $102,542.05 2026-07-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 6 — — $97,112.28 $101,672.42 $101,672.42 2026-07-14
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 6 — — $96,210.70 $100,728.50 $100,728.50 2026-07-14
799 MS_DRG Splenic Procedures With Mcc 16 6 — — $95,751.56 $100,247.80 $100,247.80 2026-07-14
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $94,411.71 $98,845.03 $98,845.03 2026-07-14
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 6 — — $94,236.40 $98,661.49 $98,661.49 2026-07-14
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 16 6 — — $93,295.16 $97,676.06 $97,676.06 2026-07-14
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 16 6 — — $92,652.37 $97,003.08 $97,003.08 2026-07-14
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 16 6 — — $91,846.78 $96,159.67 $96,159.67 2026-07-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 6 — — $91,590.08 $95,890.91 $95,890.91 2026-07-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 6 — — $91,389.73 $95,681.15 $95,681.15 2026-07-14
901 MS_DRG Wound Debridements For Injuries With Mcc 16 6 — — $91,274.95 $95,560.98 $95,560.98 2026-07-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 6 — — $90,003.96 $94,230.31 $94,230.31 2026-07-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 6 — — $89,549.00 $93,753.98 $93,753.98 2026-07-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 6 — — $89,511.43 $93,714.65 $93,714.65 2026-07-14
252 MS_DRG Other Vascular Procedures With Mcc 16 6 — — $89,000.12 $93,179.33 $93,179.33 2026-07-14
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 6 — — $88,962.55 $93,140.00 $93,140.00 2026-07-14
140 MS_DRG Major Head And Neck Procedures With Mcc 16 6 — — $88,643.24 $92,805.69 $92,805.69 2026-07-14
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 6 — — $88,463.76 $92,617.78 $92,617.78 2026-07-14
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 16 6 — — $88,453.32 $92,606.86 $92,606.86 2026-07-14
37 MS_DRG Extracranial Procedures With Mcc 16 6 — — $87,994.18 $92,126.16 $92,126.16 2026-07-14
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $86,552.06 $90,616.32 $90,616.32 2026-07-14
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 6 — — $85,571.17 $89,589.37 $89,589.37 2026-07-14
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 16 6 — — $85,176.73 $89,176.41 $89,176.41 2026-07-14
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 6 — — $84,932.55 $88,920.76 $88,920.76 2026-07-14
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 16 6 — — $84,694.63 $88,671.67 $88,671.67 2026-07-14
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 6 — — $83,563.48 $87,487.40 $87,487.40 2026-07-14
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 6 — — $83,217.04 $87,124.69 $87,124.69 2026-07-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 6 — — $82,296.67 $86,161.11 $86,161.11 2026-07-14
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $81,810.40 $85,652.00 $85,652.00 2026-07-14
500 MS_DRG Soft Tissue Procedures With Mcc 16 6 — — $81,806.23 $85,647.63 $85,647.63 2026-07-14
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 6 — — $81,455.61 $85,280.55 $85,280.55 2026-07-14
668 MS_DRG Transurethral Procedures With Mcc 16 6 — — $80,743.94 $84,535.47 $84,535.47 2026-07-14
332 MS_DRG Rectal Resection With Mcc 16 6 — — $80,163.76 $83,928.04 $83,928.04 2026-07-14
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 6 — — $80,140.80 $83,904.00 $83,904.00 2026-07-14
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $79,191.22 $82,909.83 $82,909.83 2026-07-14
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 16 6 — — $79,074.34 $82,787.47 $82,787.47 2026-07-14
739 MS_DRG Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 16 6 — — $78,734.16 $82,431.31 $82,431.31 2026-07-14
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $78,252.07 $81,926.58 $81,926.58 2026-07-14
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 16 6 — — $77,586.31 $81,229.56 $81,229.56 2026-07-14
28 MS_DRG Spinal Procedures With Mcc 16 6 — — $76,119.15 $79,693.51 $79,693.51 2026-07-14
61 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 6 — — $75,791.49 $79,350.46 $79,350.46 2026-07-14
406 MS_DRG Pancreas- Liver And Shunt Procedures With Cc 16 6 — — $75,720.53 $79,276.17 $79,276.17 2026-07-14
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 6 — — $75,111.13 $78,638.15 $78,638.15 2026-07-14
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 6 — — $74,731.30 $78,240.48 $78,240.48 2026-07-14
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 6 — — $74,658.25 $78,164.01 $78,164.01 2026-07-14
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 6 — — $74,651.99 $78,157.45 $78,157.45 2026-07-14
264 MS_DRG Other Circulatory System O.r. Procedures 16 6 — — $74,566.42 $78,067.87 $78,067.87 2026-07-14
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 6 — — $73,934.06 $77,405.81 $77,405.81 2026-07-14
265 MS_DRG Aicd Lead Procedures 16 6 — — $73,719.10 $77,180.76 $77,180.76 2026-07-14
503 MS_DRG Foot Procedures With Mcc 16 6 — — $73,704.49 $77,165.46 $77,165.46 2026-07-14
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 6 — — $73,679.45 $77,139.24 $77,139.24 2026-07-14
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 6 — — $73,673.19 $77,132.69 $77,132.69 2026-07-14
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 6 — — $73,172.31 $76,608.29 $76,608.29 2026-07-14
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 6 — — $72,704.82 $76,118.85 $76,118.85 2026-07-14
974 MS_DRG HIV With Major Related Condition With Mcc 16 6 — — $72,546.21 $75,952.79 $75,952.79 2026-07-14
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 16 6 — — $72,539.95 $75,946.23 $75,946.23 2026-07-14
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 6 — — $72,427.25 $75,828.24 $75,828.24 2026-07-14
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 6 — — $72,170.55 $75,559.49 $75,559.49 2026-07-14
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 6 — — $72,132.98 $75,520.16 $75,520.16 2026-07-14
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 6 — — $72,082.89 $75,467.72 $75,467.72 2026-07-14
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 6 — — $71,538.19 $74,897.43 $74,897.43 2026-07-14
253 MS_DRG Other Vascular Procedures With Cc 16 6 — — $70,720.08 $74,040.91 $74,040.91 2026-07-14
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 6 — — $69,995.89 $73,282.72 $73,282.72 2026-07-14
A9543 HCPCS Y90 Ibritumomab Rx / Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatme… 25 25 $80,498.30 $60,373.72 25% off $71,643.49 $76,473.38 $72,448.47 2026-07-17
1111000826 OTHER Y90 Ibritumomab Rx 25 25 $80,498.30 $60,373.72 25% off $71,643.49 $76,473.38 $72,448.47 2026-07-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 6 — — $68,868.91 $72,102.82 $72,102.82 2026-07-14
143 MS_DRG Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 16 6 — — $68,814.65 $72,046.01 $72,046.01 2026-07-14
164 MS_DRG Major Chest Procedures With Cc 16 6 — — $68,685.26 $71,910.54 $71,910.54 2026-07-14
545 MS_DRG Connective Tissue Disorders With Mcc 16 6 — — $68,587.17 $71,807.84 $71,807.84 2026-07-14
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 6 — — $68,370.12 $71,580.60 $71,580.60 2026-07-14
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 6 — — $68,355.51 $71,565.31 $71,565.31 2026-07-14
665 MS_DRG Prostatectomy With Mcc 16 6 — — $68,148.90 $71,348.99 $71,348.99 2026-07-14
1111001379 OTHER Brachytx Non-stryttrium-90 25 25 $78,642.86 $58,982.14 25% off $69,992.15 $74,710.72 $70,778.57 2026-07-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 6 — — $67,320.36 $70,481.55 $70,481.55 2026-07-14
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $67,282.79 $70,442.22 $70,442.22 2026-07-14
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 6 — — $67,082.44 $70,232.46 $70,232.46 2026-07-14
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 6 — — $66,447.99 $69,568.22 $69,568.22 2026-07-14
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 6 — — $66,418.78 $69,537.63 $69,537.63 2026-07-14
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 6 — — $66,387.47 $69,504.85 $69,504.85 2026-07-14
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 6 — — $66,316.51 $69,430.56 $69,430.56 2026-07-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 6 — — $66,249.73 $69,360.64 $69,360.64 2026-07-14
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 6 — — $66,145.38 $69,251.39 $69,251.39 2026-07-14
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $66,055.64 $69,157.44 $69,157.44 2026-07-14
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 6 — — $66,018.07 $69,118.11 $69,118.11 2026-07-14
570 MS_DRG Skin Debridement With Mcc 16 6 — — $65,959.64 $69,056.93 $69,056.93 2026-07-14
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 6 — — $65,746.76 $68,834.06 $68,834.06 2026-07-14
662 MS_DRG Minor Bladder Procedures With Mcc 16 6 — — $64,726.22 $67,765.59 $67,765.59 2026-07-14
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $64,626.04 $67,660.71 $67,660.71 2026-07-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 6 — — $64,567.61 $67,599.53 $67,599.53 2026-07-14
654 MS_DRG Major Bladder Procedures With Cc 16 6 — — $64,559.26 $67,590.79 $67,590.79 2026-07-14
173 MS_DRG Urethral Procedures Age 0-17 16 6 — — $64,448.65 $67,474.99 $67,474.99 2026-07-14
327 MS_DRG Stomach- Esophageal And Duodenal Procedures With Cc 16 6 — — $64,434.04 $67,459.69 $67,459.69 2026-07-14
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $64,400.65 $67,424.73 $67,424.73 2026-07-14
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 6 — — $63,361.32 $66,336.60 $66,336.60 2026-07-14
32067294 OTHER Device Cardiac Ventricular Assis 25 25 $73,548.71 $55,161.53 25% off $65,458.35 $69,871.27 $66,193.84 2026-07-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 6 — — $62,991.92 $65,949.86 $65,949.86 2026-07-14
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 6 — — $62,708.09 $65,652.70 $65,652.70 2026-07-14
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 16 6 — — $62,455.56 $65,388.31 $65,388.31 2026-07-14
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 6 — — $61,092.75 $63,961.51 $63,961.51 2026-07-14
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 6 — — $61,023.88 $63,889.40 $63,889.40 2026-07-14
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 6 — — $61,005.10 $63,869.74 $63,869.74 2026-07-14
J9029 HCPCS Instill Adstiladrin Tx Dose 9 8 — — $63,354.77 $63,354.77 $63,354.77 2026-07-14
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 6 — — $60,374.82 $63,209.87 $63,209.87 2026-07-14
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 6 — — $60,278.82 $63,109.36 $63,109.36 2026-07-14
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $60,132.73 $62,956.41 $62,956.41 2026-07-14
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 6 — — $59,717.42 $62,521.59 $62,521.59 2026-07-14
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 6 — — $59,696.55 $62,499.74 $62,499.74 2026-07-14
510 MS_DRG Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Mcc 16 6 — — $59,435.67 $62,226.62 $62,226.62 2026-07-14
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $59,093.41 $61,868.28 $61,868.28 2026-07-14
333 MS_DRG Rectal Resection With Cc 16 6 — — $58,778.27 $61,538.34 $61,538.34 2026-07-14
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 6 — — $58,686.44 $61,442.20 $61,442.20 2026-07-14
579 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 16 6 — — $58,233.56 $60,968.06 $60,968.06 2026-07-14
C1823 HCPCS Hc Neurostim Generator/lead Lvl 46 320 41 $73,095.50 $54,821.62 25% off $7,962.52 $88,054.78 $60,840.46 2026-07-14
26497 CPT Hc Valve Implant Lvl 59 82 41 $69,531.95 $52,148.96 25% off $141.44 $62,578.76 $60,492.80 2026-07-14
32070120 OTHER Device Spinal Mid C 105mm W/40mm 25 25 $67,030.29 $50,272.72 25% off $59,656.96 $63,678.78 $60,327.26 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 6 — — $57,108.67 $59,790.34 $59,790.34 2026-07-14
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 16 6 — — $56,447.09 $59,097.70 $59,097.70 2026-07-14
32006323 OTHER Pump Blood Vad 15ml With Pu Valves 25 25 $65,648.64 $49,236.48 25% off $58,427.29 $62,366.21 $59,083.78 2026-07-17
73006137 OTHER Pump Blood Vad 10ml With Pu Valves 25 25 $65,648.64 $49,236.48 25% off $58,427.29 $62,366.21 $59,083.78 2026-07-17
263 MS_DRG Vein Ligation And Stripping 16 6 — — $56,142.39 $58,778.69 $58,778.69 2026-07-14
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 6 — — $56,115.26 $58,750.28 $58,750.28 2026-07-14
13 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 6 — — $55,747.94 $58,365.72 $58,365.72 2026-07-14
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 6 — — $55,647.77 $58,260.84 $58,260.84 2026-07-14
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 16 6 — — $55,566.38 $58,175.63 $58,175.63 2026-07-14
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 6 — — $55,455.76 $58,059.82 $58,059.82 2026-07-14
849 MS_DRG Radiotherapy 16 6 — — $55,330.54 $57,928.72 $57,928.72 2026-07-14
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 6 — — $55,259.59 $57,854.43 $57,854.43 2026-07-14
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 6 — — $55,105.15 $57,692.74 $57,692.74 2026-07-14
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $54,954.88 $57,535.42 $57,535.42 2026-07-14
800 MS_DRG Splenic Procedures With Cc 16 6 — — $54,810.88 $57,384.66 $57,384.66 2026-07-14
62 MS_DRG Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 6 — — $54,566.70 $57,129.01 $57,129.01 2026-07-14
286 MS_DRG Circulatory Disorders Except Ami- With Cardiac Catheterization With Mcc 16 6 — — $54,347.57 $56,899.59 $56,899.59 2026-07-14
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 6 — — $54,207.74 $56,753.19 $56,753.19 2026-07-14
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 6 — — $54,097.13 $56,637.39 $56,637.39 2026-07-14
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 6 — — $53,825.82 $56,353.34 $56,353.34 2026-07-14
32034342 OTHER Generator Sentiva 1000 25 25 $62,400.70 $46,800.53 25% off $55,536.62 $59,280.66 $56,160.63 2026-07-17
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 6 — — $53,377.11 $55,883.56 $55,883.56 2026-07-14
629 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Cc 16 6 — — $53,324.94 $55,828.94 $55,828.94 2026-07-14
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $53,172.59 $55,669.43 $55,669.43 2026-07-14
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 6 — — $53,064.06 $55,555.81 $55,555.81 2026-07-14
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 16 6 — — $53,032.76 $55,523.04 $55,523.04 2026-07-14
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 6 — — $52,907.54 $55,391.94 $55,391.94 2026-07-14
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 6 — — $52,629.97 $55,101.33 $55,101.33 2026-07-14
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 6 — — $52,609.10 $55,079.48 $55,079.48 2026-07-14
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 16 6 — — $52,561.10 $55,029.23 $55,029.23 2026-07-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 9 — — $53,981.46 $55,015.23 $55,015.23 2026-07-14
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 16 6 — — $51,939.17 $54,378.10 $54,378.10 2026-07-14
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 6 — — $51,930.82 $54,369.36 $54,369.36 2026-07-14
397 MS_DRG Major Head And Neck Procedures With Cc 16 6 — — $51,734.64 $54,163.97 $54,163.97 2026-07-14
625 MS_DRG Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 16 6 — — $51,371.51 $53,783.78 $53,783.78 2026-07-14
33477 CPT Hc Pulmonary Valve Implatantation Perq 81 41 $61,739.61 $46,304.71 25% off $1,289.92 $55,565.65 $53,713.46 2026-07-14
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 6 — — $51,219.15 $53,624.27 $53,624.27 2026-07-14
32054973 OTHER Mesh Phasix 19.5x19.5in Square 1195050 25 25 $59,232.29 $44,424.22 25% off $52,716.74 $56,270.68 $53,309.06 2026-07-17
32011486 OTHER Graft Matristem Thick 30x40cm Plastics 25 25 $58,758.21 $44,068.66 25% off $52,294.81 $55,820.30 $52,882.39 2026-07-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 6 — — $50,373.92 $52,739.35 $52,739.35 2026-07-14
32 MS_DRG Ventricular Shunt Procedures With Cc 16 6 — — $50,323.83 $52,686.91 $52,686.91 2026-07-14
32037145 OTHER Kit Rns Neurostimulator 25 25 $58,410.72 $43,808.04 25% off $51,985.54 $55,490.18 $52,569.65 2026-07-17
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 6 — — $50,200.70 $52,557.99 $52,557.99 2026-07-14
165 MS_DRG Major Chest Procedures Without Cc/mcc 16 6 — — $50,171.48 $52,527.40 $52,527.40 2026-07-14
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 6 — — $50,077.57 $52,429.08 $52,429.08 2026-07-14
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 6 — — $49,979.48 $52,326.38 $52,326.38 2026-07-14
C1826 HCPCS Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 80 41 $60,064.25 $45,048.19 25% off $18,019.27 $54,057.82 $52,255.90 2026-07-14
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 6 — — $49,814.60 $52,153.77 $52,153.77 2026-07-14
32045394 OTHER Valve Heart Sapien 3 23mm Ultra Transcatheter W/commander Sy 25 25 $57,746.94 $43,310.21 25% off $51,394.78 $54,859.59 $51,972.25 2026-07-17
584 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures With Cc/mcc 16 6 — — $49,605.90 $51,935.27 $51,935.27 2026-07-14
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 6 — — $49,524.51 $51,850.05 $51,850.05 2026-07-14
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 16 6 — — $49,507.81 $51,832.57 $51,832.57 2026-07-14
254 MS_DRG Other Vascular Procedures Without Cc/mcc 16 6 — — $49,380.51 $51,699.29 $51,699.29 2026-07-14
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 16 6 — — $49,374.25 $51,692.73 $51,692.73 2026-07-14
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 6 — — $49,345.03 $51,662.14 $51,662.14 2026-07-14
347 MS_DRG Anal And Stomal Procedures With Mcc 16 6 — — $49,305.38 $51,620.63 $51,620.63 2026-07-14
32070419 OTHER Endoprosthesis Thoracic Aortic Branch 34mmx12mm 25 25 $57,198.38 $42,898.79 25% off $50,906.56 $54,338.46 $51,478.54 2026-07-17
32068640 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx15cm 12mm 25 25 $57,198.38 $42,898.79 25% off $50,906.56 $54,338.46 $51,478.54 2026-07-17
32069011 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx 25 25 $57,198.38 $42,898.79 25% off $50,906.56 $54,338.46 $51,478.54 2026-07-17
734 MS_DRG Pelvic Evisceration- Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 6 — — $49,163.46 $51,472.05 $51,472.05 2026-07-14
32010894 OTHER Generator Aspire Sr 106 25 25 $57,154.62 $42,865.96 25% off $50,867.61 $54,296.89 $51,439.16 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $48,910.93 $51,207.66 $51,207.66 2026-07-14
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 6 — — $48,781.54 $51,072.19 $51,072.19 2026-07-14
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 6 — — $48,764.84 $51,054.71 $51,054.71 2026-07-14
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 6 — — $48,670.93 $50,956.39 $50,956.39 2026-07-14
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 6 — — $48,316.14 $50,584.94 $50,584.94 2026-07-14
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 16 6 — — $48,209.70 $50,473.50 $50,473.50 2026-07-14
33221 CPT Hc Insert Pulse Gen Mult Leads 81 41 $57,852.67 $43,389.50 25% off $290.04 $52,067.40 $50,331.82 2026-07-14
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 6 — — $47,811.08 $50,056.17 $50,056.17 2026-07-14
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 6 — — $47,777.69 $50,021.21 $50,021.21 2026-07-14
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 16 6 — — $47,644.12 $49,881.37 $49,881.37 2026-07-14
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 6 — — $47,562.73 $49,796.15 $49,796.15 2026-07-14
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 16 6 — — $47,506.38 $49,737.16 $49,737.16 2026-07-14
580 MS_DRG Other Skin- Subcutaneous Tissue And Breast Procedures With Cc 16 6 — — $47,477.16 $49,706.57 $49,706.57 2026-07-14
511 MS_DRG Shoulder- Elbow Or Forearm Procedures- Except Major Joint Procedures With Cc 16 6 — — $47,452.12 $49,680.35 $49,680.35 2026-07-14
42 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 16 6 — — $47,203.77 $49,420.33 $49,420.33 2026-07-14
709 MS_DRG Penis Procedures With Cc/mcc 16 6 — — $47,172.46 $49,387.56 $49,387.56 2026-07-14
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 6 — — $46,974.20 $49,179.98 $49,179.98 2026-07-14
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 6 — — $46,846.89 $49,046.70 $49,046.70 2026-07-14
32071196 OTHER Endoprosthesis Thoracic Aortic Branch 25 25 $54,474.64 $40,855.98 25% off $48,482.43 $51,750.91 $49,027.18 2026-07-17
37229 CPT Hc Revasc Tib Pero Arther Pta/initial Unilateral 74 41 $56,337.67 $42,253.25 25% off $992.75 $50,703.90 $49,013.77 2026-07-14
595 MS_DRG Major Skin Disorders With Mcc 16 6 — — $46,663.23 $48,854.42 $48,854.42 2026-07-14
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 6 — — $46,262.53 $48,434.90 $48,434.90 2026-07-14
407 MS_DRG Pancreas- Liver And Shunt Procedures Without Cc/mcc 16 6 — — $46,231.22 $48,402.12 $48,402.12 2026-07-14
199 MS_DRG Pneumothorax With Mcc 16 6 — — $46,224.96 $48,395.57 $48,395.57 2026-07-14
585 MS_DRG Breast Biopsy- Local Excision And Other Breast Procedures Without Cc/mcc 16 6 — — $46,049.66 $48,212.03 $48,212.03 2026-07-14
935 MS_DRG Non-extensive Burns 16 6 — — $45,886.87 $48,041.60 $48,041.60 2026-07-14
374 MS_DRG Digestive Malignancy With Mcc 16 6 — — $45,857.65 $48,011.01 $48,011.01 2026-07-14
548 MS_DRG Septic Arthritis With Mcc 16 6 — — $45,529.99 $47,667.96 $47,667.96 2026-07-14
501 MS_DRG Soft Tissue Procedures With Cc 16 6 — — $45,479.90 $47,615.52 $47,615.52 2026-07-14
70 MS_DRG Other Cerebrovascular Disorders With Mcc 16 6 — — $45,388.08 $47,519.38 $47,519.38 2026-07-14
70396940 OTHER Generator Demipulse Vns Implantable 104 25 25 $52,583.94 $39,437.96 25% off $46,799.71 $49,954.74 $47,325.55 2026-07-17
902 MS_DRG Wound Debridements For Injuries With Cc 16 6 — — $45,154.33 $47,274.66 $47,274.66 2026-07-14
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 16 6 — — $45,152.25 $47,272.48 $47,272.48 2026-07-14
41 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 6 — — $45,085.46 $47,202.56 $47,202.56 2026-07-14
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $45,037.46 $47,152.30 $47,152.30 2026-07-14
141 MS_DRG Major Head And Neck Procedures With Cc 16 6 — — $44,916.41 $47,025.57 $47,025.57 2026-07-14
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 16 6 — — $44,826.67 $46,931.62 $46,931.62 2026-07-14
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 6 — — $44,776.59 $46,879.18 $46,879.18 2026-07-14
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 16 6 — — $44,732.76 $46,833.29 $46,833.29 2026-07-14
177 MS_DRG Respiratory Infections And Inflammations With Mcc 16 6 — — $44,730.67 $46,831.11 $46,831.11 2026-07-14
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 6 — — $44,674.32 $46,772.11 $46,772.11 2026-07-14
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