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

BECKLEY ARH HOSPITAL

Beckley, WV · CCN 510062 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $3,831 across 10 payers · range $1,988-$13,541

Source: https://www.arh.org/wp-content/uploads/2025/03/520795508_Beckley-ARH-Hospital_standardcharges.csv · observed 2025-01-22

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.

4,810 distinct procedures filed
30 distinct payers
262,682 rate rows
2026-07-31 last MRF observed
Data quality

246,972 of 262,682 rate rows are consumer-grade (94.0%)

15,710 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10,935
professional (physician) fee — not the facility price 4,152
exceeds 10× this hospital's gross charge — excluded from medians 393
placeholder amount (≤ $0.02) — excluded from medians 83
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 81
per-diem day rate — not a per-procedure price 48
percent-of-charges filed in the dollar field — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.arh.org/wp-content/uploads/2026/04/520795508_Beckley-ARH-Hospital_standardcharges.csv
Found on page https://www.arh.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 31b5d434cde5f048… · 23,640,559 bytes · first seen 2026-05-09

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $245,648.26 $381,349.23 $313,498.74 nat. median
$261,939
1.2× median
C9074
HCPCS 		Lumasiran Sodium 94.5 Mg/0.5 Ml Vial 3 $214,322.46 $298,204.50 $270,949.25 nat. median
$501
outlier · 540.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $68,081.75 $441,244.93 $186,053.10 nat. median
$199,832
0.9× median
7
MS_DRG 		Lung Transplant 2 $113,517.18 $176,226.32 $144,871.75 nat. median
$122,690
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $99,330.82 $154,203.13 $126,766.98 nat. median
$108,240
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $43,580.38 $304,231.20 $121,416.80 nat. median
$132,706
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $90,378.44 $140,305.28 $115,341.86 nat. median
$99,646
1.2× median
90733
CPT 		Meningococ Vac A,c,y,w-135/pf 50 Mcg Vial 3 $52,223.09 $72,662.29 $66,021.12 nat. median
$180
outlier · 367.0×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 2 $49,128.07 $76,267.40 $62,697.74 nat. median
$53,073
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $39,552.44 $147,570.76 $62,502.73 nat. median
$68,581
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $27,555.65 $144,145.57 $60,586.56 nat. median
$65,958
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $29,988.43 $142,967.97 $56,404.46 nat. median
$62,218
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $46,554.67 $126,686.42 $53,657.30 nat. median
$60,294
0.9× median
Q2043
HCPCS 		Sipuleucel-t/lactated Ringers 50,000,000 Cell/250 Ml Piggyback 11 $52,421.58 $339,424.89 $52,421.58 nat. median
$65,655
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $38,468.37 $183,395.53 $51,878.18 nat. median
$83,623
0.6× median
6
MS_DRG 		Liver Transplant Without Mcc 2 $40,646.41 $63,100.30 $51,873.36 nat. median
$46,106
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $27,167.71 $117,956.85 $49,959.94 nat. median
$51,984
1.0× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $42,004.01 $114,304.01 $48,412.80 nat. median
$55,446
0.9× median
C1882
HCPCS 		Icd Bi Vent Quadra Cd3369-40q. 16 $19,774.74 $50,269.30 $46,699.04 nat. median
$27,675
1.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $21,952.59 $109,198.30 $46,250.30 nat. median
$50,808
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $33,858.97 $161,420.52 $45,661.98 nat. median
$73,475
0.6× median
C1767
HCPCS 		Generator Implantable Pulse 19 $28,905.67 $103,806.23 $44,740.56 nat. median
$23,668
1.9× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 16 $19,657.94 $105,114.98 $43,717.90 nat. median
$48,124
0.9× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 $21,702.54 $103,465.51 $43,290.14 nat. median
$47,707
0.9× median
C1721
HCPCS 		Defib Cardiac Momentum El 16 $12,587.31 $76,104.74 $42,324.76 nat. median
$22,566
1.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 $20,578.63 $98,107.32 $41,126.77 nat. median
$45,808
0.9× median
J0223
HCPCS 		Givlaari 189mg/ml Vial 19 $112.10 $211,454.10 $40,320.13 nat. median
$152
outlier · 264.7×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 16 $19,607.96 $95,129.16 $40,291.40 nat. median
$44,514
0.9× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 12 $27,148.45 $94,098.50 $39,854.87 nat. median
$44,841
0.9× median
C1722
HCPCS 		Defib Ellipse Dual 51x70 16 $11,106.27 $42,713.12 $39,679.52 nat. median
$21,054
1.9× median
33270
CPT 		Ins/rplc Subq Defib W/e 11 $30,368.78 $190,476.05 $39,009.84 nat. median
$31,963
1.2× median
33262
CPT 		Rmv+repl Cvd Gen Single 11 $21,319.64 $133,718.93 $38,199.57 nat. median
$23,104
1.7× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 $34,846.77 $89,559.87 $37,932.56 nat. median
$41,045
0.9× median
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 $21,666.73 $88,845.86 $37,630.14 nat. median
$41,643
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $27,632.51 $131,736.25 $37,265.01 nat. median
$63,840
0.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 16 $13,374.56 $86,956.31 $36,829.84 nat. median
$39,775
0.9× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 $31,584.59 $85,950.49 $36,403.83 nat. median
$40,042
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $5,924.03 $124,178.07 $35,126.99 nat. median
$51,433
0.7× median
34
MS_DRG 		Carotid Artery Stent Procedures With Mcc 12 $17,514.96 $80,108.01 $33,929.28 nat. median
$37,851
0.9× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 12 $16,191.92 $79,458.15 $33,654.04 nat. median
$37,685
0.9× median
33231
CPT 		Ins Defib Pulse Gen W/m 11 $30,368.78 $190,476.05 $32,899.67 nat. median
$29,955
1.1× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 16 $13,079.39 $83,980.23 $32,763.44 nat. median
$37,053
0.9× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 $17,800.30 $75,987.43 $32,184.03 nat. median
$35,279
0.9× median
939
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 $13,957.99 $75,095.44 $31,806.23 nat. median
$33,258
1.0× median
265
MS_DRG 		Aicd Lead Procedures 12 $27,516.74 $74,882.27 $31,715.95 nat. median
$34,974
0.9× median
J2505
HCPCS 		Neulasta 6mg/0.6ml Delivery Ki 3 $25,009.52 $34,797.81 $31,617.37 nat. median
$6,405
outlier · 4.9×
279
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 12 $17,955.31 $74,638.05 $31,612.51 nat. median
$33,276
1.0× median
33240
CPT 		Insert Pulse Generator 11 $21,319.64 $133,718.93 $31,544.31 nat. median
$21,987
1.4× median
C9168
HCPCS 		Omvoh 300 Mg Vial 4 $31,214.55 $31,214.55 $31,214.55 nat. median
$13,908
outlier · 2.2×
622
MS_DRG 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 $12,223.03 $79,174.62 $31,198.77 nat. median
$34,945
0.9× median

Other procedures at this hospital

Browse this hospital's 4,810 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 2 — — $245,648.26 $381,349.23 $313,498.74 2026-01-01
C9074 HCPCS Lumasiran Sodium 94.5 Mg/0.5 Ml Vial 4 3 $320,650.00 $192,390.00 40% off $214,322.46 $298,204.50 $270,949.25 2026-07-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 16 — — $68,081.75 $441,244.93 $186,053.10 2026-01-01
7 MS_DRG Lung Transplant 6 2 — — $113,517.18 $176,226.32 $144,871.75 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $99,330.82 $154,203.13 $126,766.98 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 16 — — $43,580.38 $304,231.20 $121,416.80 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $90,378.44 $140,305.28 $115,341.86 2026-01-01
90733 CPT Meningococ Vac A,c,y,w-135/pf 50 Mcg Vial 4 3 $78,131.50 $46,878.90 40% off $52,223.09 $72,662.29 $66,021.12 2026-07-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 2 — — $49,128.07 $76,267.40 $62,697.74 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 12 — — $39,552.44 $147,570.76 $62,502.73 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 56 16 — — $27,555.65 $144,145.57 $60,586.56 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 16 — — $29,988.43 $142,967.97 $56,404.46 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 12 — — $46,554.67 $126,686.42 $53,657.30 2026-01-01
Q2043 HCPCS Sipuleucel-t/lactated Ringers 50,000,000 Cell/250 Ml Piggyback 12 11 $364,973.00 $218,983.80 40% off $52,421.58 $339,424.89 $52,421.58 2026-07-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 10 — — $38,468.37 $183,395.53 $51,878.18 2025-01-22
6 MS_DRG Liver Transplant Without Mcc 6 2 — — $40,646.41 $63,100.30 $51,873.36 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 12 — — $27,167.71 $117,956.85 $49,959.94 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 12 — — $42,004.01 $114,304.01 $48,412.80 2026-01-01
C1882 HCPCS Icd Bi Vent Quadra Cd3369-40q. 78 16 $57,124.20 $34,274.52 40% off $19,774.74 $50,269.30 $46,699.04 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 16 — — $21,952.59 $109,198.30 $46,250.30 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $33,858.97 $161,420.52 $45,661.98 2025-01-22
C1767 HCPCS Generator Implantable Pulse 86 19 $53,581.50 $32,148.90 40% off $28,905.67 $103,806.23 $44,740.56 2026-07-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 56 16 — — $19,657.94 $105,114.98 $43,717.90 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 16 — — $21,702.54 $103,465.51 $43,290.14 2026-01-01
C1721 HCPCS Defib Cardiac Momentum El 120 16 $51,773.40 $31,064.04 40% off $12,587.31 $76,104.74 $42,324.76 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 16 — — $20,578.63 $98,107.32 $41,126.77 2026-01-01
J0223 HCPCS Givlaari 189mg/ml Vial 21 19 $238,739.00 $143,243.40 40% off $112.10 $211,454.10 $40,320.13 2026-07-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 16 — — $19,607.96 $95,129.16 $40,291.40 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 12 — — $27,148.45 $94,098.50 $39,854.87 2026-01-01
C1722 HCPCS Defib Ellipse Dual 51x70 78 16 $48,537.64 $29,122.58 40% off $11,106.27 $42,713.12 $39,679.52 2026-01-01
33270 CPT Ins/rplc Subq Defib W/e 12 11 $71,291.00 $42,774.60 40% off $30,368.78 $190,476.05 $39,009.84 2026-07-31
33262 CPT Rmv+repl Cvd Gen Single 12 11 $82,405.00 $49,443.00 40% off $21,319.64 $133,718.93 $38,199.57 2026-07-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 12 — — $34,846.77 $89,559.87 $37,932.56 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 12 — — $21,666.73 $88,845.86 $37,630.14 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $27,632.51 $131,736.25 $37,265.01 2025-01-22
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 56 16 — — $13,374.56 $86,956.31 $36,829.84 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 12 — — $31,584.59 $85,950.49 $36,403.83 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 9 — — $5,924.03 $124,178.07 $35,126.99 2025-01-22
34 MS_DRG Carotid Artery Stent Procedures With Mcc 42 12 — — $17,514.96 $80,108.01 $33,929.28 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 42 12 — — $16,191.92 $79,458.15 $33,654.04 2026-01-01
33231 CPT Ins Defib Pulse Gen W/m 12 11 $53,008.00 $31,804.80 40% off $30,368.78 $190,476.05 $32,899.67 2026-07-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 16 — — $13,079.39 $83,980.23 $32,763.44 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 42 12 — — $17,800.30 $75,987.43 $32,184.03 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 56 16 — — $13,957.99 $75,095.44 $31,806.23 2026-01-01
265 MS_DRG Aicd Lead Procedures 42 12 — — $27,516.74 $74,882.27 $31,715.95 2026-01-01
J2505 HCPCS Neulasta 6mg/0.6ml Delivery Ki 4 3 $37,417.00 $22,450.20 40% off $25,009.52 $34,797.81 $31,617.37 2026-07-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 12 — — $17,955.31 $74,638.05 $31,612.51 2026-01-01
33240 CPT Insert Pulse Generator 12 11 $62,491.00 $37,494.60 40% off $21,319.64 $133,718.93 $31,544.31 2026-07-31
C9168 HCPCS Omvoh 300 Mg Vial 5 4 $61,205.00 $36,723.00 40% off $31,214.55 $31,214.55 $31,214.55 2025-01-22
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 56 16 — — $12,223.03 $79,174.62 $31,198.77 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 56 16 — — $15,003.77 $73,601.18 $31,173.35 2026-01-01
J9228 HCPCS Yervoy 5mg/ml Inj 10ml 102 28 $39,863.00 $23,917.80 40% off $168.56 $189,497.27 $30,803.43 2026-07-31
252 MS_DRG Other Vascular Procedures With Mcc 56 16 — — $14,201.78 $72,193.86 $30,577.29 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 12 — — $17,068.19 $72,175.23 $30,569.40 2026-01-01
33249 CPT Ins/rpl Defib W/lead 23 20 $89,097.00 $53,458.20 40% off $196.00 $190,476.05 $30,368.78 2026-07-31
33264 CPT Rmv+repl Cvd Gen Multi 23 20 $95,394.00 $57,236.40 40% off $196.00 $190,476.05 $30,368.78 2026-07-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 16 — — $13,383.43 $70,954.17 $30,052.22 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 56 16 — — $11,255.61 $69,137.06 $29,282.60 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 56 16 — — $11,402.13 $69,861.42 $28,857.46 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 56 16 — — $14,391.67 $68,611.38 $28,512.97 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 56 16 — — $11,085.85 $69,170.17 $28,387.62 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $16,150.98 $99,481.53 $28,140.93 2025-01-22
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 16 — — $14,998.99 $71,506.75 $27,987.03 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 12 — — $22,860.43 $65,213.10 $27,620.63 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $16,131.56 $97,552.67 $27,595.30 2025-01-22
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 42 12 — — $15,342.32 $64,461.83 $27,302.43 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 42 12 — — $20,491.80 $64,348.00 $27,254.22 2026-01-01
C9041 HCPCS Andexanet Alfa 200 Mg/20 Ml Vial 4 3 $32,065.00 $19,239.00 40% off $21,432.25 $29,820.45 $27,094.92 2026-07-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 14 10 — — $19,993.45 $95,317.50 $26,963.02 2025-01-22
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 56 16 — — $14,337.33 $68,913.54 $26,588.03 2026-01-01
C9601 HCPCS Perc Des+plsty Add Lc 201 19 $30,962.00 $18,577.20 40% off $15,038.88 $27,246.56 $25,853.27 2026-07-31
C9606 HCPCS Rev Mi W/des 1 Vsl Lc 249 19 $30,962.00 $18,577.20 40% off $15,038.88 $27,246.56 $25,853.27 2026-07-31
C9605 HCPCS Rev Bp Grf W/des Ld 153 19 $30,962.00 $18,577.20 40% off $15,038.88 $35,557.00 $25,853.27 2026-07-31
570 MS_DRG Skin Debridement With Mcc 56 16 — — $8,195.42 $60,869.01 $25,780.71 2026-01-01
J0202 HCPCS Alemtuzumab 30 Mg/ml Vial 12 11 $10,290.00 $6,174.00 40% off $6,877.84 $25,549.78 $25,549.78 2026-07-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 56 16 — — $11,229.85 $61,030.43 $25,528.26 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 42 12 — — $18,603.01 $59,728.66 $25,297.72 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 56 16 — — $12,998.17 $61,967.96 $25,159.23 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $11,280.10 $88,551.98 $25,049.22 2025-01-22
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 56 16 — — $7,572.57 $58,993.95 $24,986.54 2026-01-01
37237 CPT Trnscth Stent Addl Art 52 18 $29,607.00 $17,764.20 40% off $10,361.54 $26,054.16 $24,721.85 2026-07-31
793 MS_DRG Full Term Neonate With Major Problems 13 9 — — $1,727.08 $87,115.67 $24,642.93 2025-01-22
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 56 16 — — $10,300.43 $56,887.10 $24,094.20 2026-01-01
791 MS_DRG Prematurity With Major Problems 13 9 — — $3,717.24 $84,806.00 $23,989.57 2025-01-22
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 42 12 — — $19,954.68 $56,309.68 $23,849.63 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 10 — — $17,543.32 $83,636.68 $23,658.80 2025-01-22
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 12 — — $14,048.40 $55,825.39 $23,644.52 2026-01-01
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 48 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 48 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 48 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 48 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 48 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 48 15 $38,142.32 $22,885.39 40% off $16,445.14 $103,145.56 $23,288.78 2026-01-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 48 15 $39,052.00 $23,431.20 40% off $15,484.15 $97,118.16 $23,167.62 2026-01-01
0238T CPT Iliac Atherectomy Bil 16 11 $27,157.00 $16,294.20 40% off $14,848.36 $93,130.37 $22,947.67 2026-07-31
J1951 HCPCS Leuprolide Acetate 45 Mg Syringe 12 11 $131,630.00 $78,978.00 40% off $22,868.28 $122,415.90 $22,868.28 2026-07-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 10 — — $16,917.33 $80,652.31 $22,814.60 2025-01-22
253 MS_DRG Other Vascular Procedures With Cc 56 16 — — $11,074.62 $53,718.54 $22,752.17 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 10 — — $16,835.72 $80,263.23 $22,704.53 2025-01-22
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 56 16 — — $10,388.26 $52,487.13 $22,230.62 2026-01-01
93654 CPT Ep Ablate Vent Tachy 12 11 $36,576.00 $21,945.60 40% off $19,839.30 $124,434.06 $22,143.35 2026-07-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 10 — — $16,158.50 $77,034.65 $21,791.25 2025-01-22
J9348 HCPCS Naxitamab-gqgk 40 Mg/10 Ml Vial 12 11 $118,745.50 $71,247.30 40% off $21,555.32 $110,433.32 $21,555.32 2026-07-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 56 16 — — $10,580.40 $51,450.26 $21,550.40 2026-01-01
C9608 HCPCS Rev Ch W/des Ea Ad 4 3 $25,473.00 $15,283.80 40% off $17,026.15 $23,689.89 $21,524.68 2026-07-31
34707 CPT Endovasc Rpr Ilio-iliac Endgr 4 3 $25,347.00 $15,208.20 40% off $16,941.93 $23,572.71 $21,418.22 2026-07-31
34701 CPT Endovasc Rpr A-ao Endgrft 4 3 $25,347.00 $15,208.20 40% off $16,941.93 $23,572.71 $21,418.22 2026-07-31
34808 CPT Endvas Plcmt Iliac Dev 4 3 $25,347.00 $15,208.20 40% off $16,941.93 $23,572.71 $21,418.22 2026-07-31
34706 CPT Endovasc Rpr A-biliac Rpt 4 3 $25,347.00 $15,208.20 40% off $16,941.93 $23,572.71 $21,418.22 2026-07-31
34704 CPT Endovasc Rpr A-unilac Endg Rpt 4 3 $25,347.00 $15,208.20 40% off $16,941.93 $23,572.71 $21,418.22 2026-07-31
34708 CPT Endovasc Rpr Ilio-iliac Rpt 4 3 $25,347.00 $15,208.20 40% off $16,941.93 $23,572.71 $21,418.22 2026-07-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 14 10 — — $15,879.37 $75,703.90 $21,414.81 2025-01-22
33263 CPT Rmv+repl Cvd Gen Dual 23 20 $95,394.00 $57,236.40 40% off $196.00 $133,718.93 $21,319.64 2026-07-31
92925 CPT Ptc Ath+angio Ea Addl Lc 4 3 $25,172.00 $15,103.20 40% off $16,824.96 $23,409.96 $21,270.34 2026-07-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 56 16 — — $10,297.56 $49,612.45 $21,013.06 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 42 12 — — $14,789.40 $49,564.85 $20,992.90 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 56 16 — — $10,061.84 $49,388.93 $20,918.39 2026-01-01
37231 CPT Tib/per Plsty+ath+ste Bil 16 11 $48,668.00 $29,200.80 40% off $14,848.36 $93,130.37 $20,562.23 2026-07-31
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 42 12 — — $11,758.26 $48,399.67 $20,499.40 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 56 16 — — $9,405.46 $48,364.48 $20,484.49 2026-01-01
93656 CPT Tx Atrl Fib Pul Vein I 21 19 $42,341.00 $25,404.60 40% off $19,839.30 $128,466.12 $20,482.15 2026-07-31
93653 CPT Ep Ablate Suprvnt Arrhy 21 19 $42,341.00 $25,404.60 40% off $19,839.30 $128,466.12 $20,482.15 2026-07-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 10 — — $15,134.43 $72,152.46 $20,410.19 2025-01-22
56 MS_DRG Degenerative Nervous System Disorders With Mcc 56 16 — — $10,392.63 $49,546.22 $20,363.53 2026-01-01
92941 CPT Prq Card Revasc Mi 1 Vsl Rc 63 19 $24,374.00 $14,624.40 40% off $506.22 $21,449.12 $20,352.29 2026-07-31
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 42 12 — — $14,181.69 $47,097.89 $19,948.04 2026-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 56 16 — — $9,357.71 $45,796.11 $19,396.67 2026-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 56 16 — — $8,110.54 $45,694.70 $19,353.72 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 56 16 — — $10,205.10 $48,652.16 $19,131.07 2026-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 56 16 — — $8,595.73 $46,830.91 $19,098.64 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 17 9 $1,806.00 $1,083.60 40% off $196.00 $118,324.93 $18,865.28 2026-01-01
374 MS_DRG Digestive Malignancy With Mcc 56 16 — — $9,112.00 $44,262.54 $18,747.14 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 56 16 — — $9,887.33 $47,137.21 $18,678.77 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 10 — — $13,803.01 $65,805.00 $18,614.65 2025-01-22
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 56 16 — — $9,169.31 $43,827.92 $18,563.06 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 10 — — $13,724.44 $65,430.40 $18,508.69 2025-01-22
336 MS_DRG Peritoneal Adhesiolysis With Cc 56 16 — — $9,139.35 $43,641.66 $18,484.17 2026-01-01
J3316 HCPCS Triptorelin ER Injection Suspension 22.5 Mg Vial 12 11 $102,964.00 $61,778.40 40% off $18,403.51 $95,756.52 $18,403.51 2026-07-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 56 16 — — $9,007.38 $43,347.77 $18,359.70 2026-01-01
835 MS_DRG Acute Leukemia With Cc 42 12 — — $18,283.43 $43,167.72 $18,283.43 2026-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 56 16 — — $9,088.13 $43,327.08 $18,278.18 2026-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 56 16 — — $8,577.18 $42,772.42 $18,116.01 2026-01-01
665 MS_DRG Prostatectomy With Mcc 14 10 — — $13,410.14 $63,932.01 $18,084.83 2025-01-22
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 56 16 — — $8,695.26 $41,619.66 $17,627.76 2026-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 56 16 — — $8,848.06 $42,182.59 $17,514.69 2026-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 56 16 — — $8,700.03 $41,476.85 $17,489.26 2026-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 42 12 — — $15,171.01 $41,284.38 $17,485.76 2026-01-01
54401 CPT Insert Self-contd Prosthesis 11 9 — — $196.00 $109,109.33 $17,395.98 2025-01-22
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 56 16 — — $8,291.27 $40,994.64 $17,363.04 2026-01-01
539 MS_DRG Osteomyelitis With Mcc 56 16 — — $8,043.82 $41,069.14 $17,265.74 2026-01-01
A9604 HCPCS Samarium Sm-153 Lexidronam 26 20 $39,352.00 $23,611.20 40% off $17,259.85 $108,255.52 $17,259.85 2026-07-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 56 16 — — $8,140.52 $40,733.87 $17,252.59 2026-01-01
33229 CPT Rmv+repl Pm Gen Mult 23 20 $28,862.00 $17,317.20 40% off $196.00 $107,997.79 $17,218.76 2026-07-31
33221 CPT Ins Pulse Gen Mult Lead 23 20 $28,862.00 $17,317.20 40% off $196.00 $107,997.79 $17,218.76 2026-07-31
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 42 12 — — $10,120.26 $40,208.19 $17,029.94 2026-01-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 56 16 — — $8,606.70 $41,031.89 $17,027.31 2026-01-01
100 MS_DRG Seizures With Mcc 56 16 — — $7,344.54 $41,029.82 $16,977.35 2026-01-01
592 MS_DRG Skin Ulcers With Mcc 56 16 — — $6,955.63 $43,256.71 $16,964.20 2026-01-01
92934 CPT Perc Stnt+ath+plsty E Lc 4 3 $20,052.00 $12,031.20 40% off $13,402.76 $18,648.36 $16,943.94 2026-07-31
92944 CPT Revs Chr W/stnt Ea Ad Lc 4 3 $20,052.00 $12,031.20 40% off $13,402.76 $18,648.36 $16,943.94 2026-07-31
90378 CPT Palivizumab 100 Mg/ml Vial 8 3 $21,817.75 $13,090.65 40% off $11,981.40 $23,910.30 $16,927.64 2026-07-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 56 16 — — $8,168.68 $39,920.51 $16,908.10 2026-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 56 16 — — $7,465.29 $39,227.20 $16,542.57 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 10 — — $12,167.28 $58,006.75 $16,408.71 2025-01-22
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 56 16 — — $8,614.95 $41,071.21 $16,394.43 2026-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 56 16 — — $7,639.93 $38,012.34 $16,099.91 2026-01-01
23472 CPT Reconstruct Shoulder Joint 11 9 — — $196.00 $100,802.57 $16,071.58 2025-01-22
205 MS_DRG Other Respiratory System Diagnoses With Mcc 56 16 — — $6,967.46 $37,894.38 $16,049.94 2026-01-01
919 MS_DRG Complications Of Treatment With Mcc 56 16 — — $7,028.68 $37,890.24 $16,048.19 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 14 10 — — $11,883.81 $56,655.30 $16,026.42 2025-01-22
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 56 16 — — $6,880.47 $37,832.29 $16,023.64 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 10 — — $11,869.91 $56,589.07 $16,007.69 2025-01-22
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 56 16 — — $6,471.29 $38,122.03 $15,985.95 2026-01-01
37223 CPT Iliac Revas W/stent A Bil 18 7 $23,884.00 $14,330.40 40% off $8,931.12 $28,138.08 $15,965.64 2026-07-31
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 56 16 — — $8,441.30 $40,243.37 $15,877.26 2026-01-01
J3241 HCPCS Tepezza 500mg 21 19 $86,830.00 $52,098.00 40% off $328.00 $80,786.31 $15,794.00 2026-07-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 56 16 — — $7,659.56 $37,836.43 $15,731.75 2026-01-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 56 16 — — $8,066.62 $38,523.53 $15,724.74 2026-01-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 56 16 — — $7,532.27 $36,874.06 $15,617.79 2026-01-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 56 16 — — $6,517.74 $36,696.08 $15,542.41 2026-01-01
36906 CPT Perq Thrombo Dialy Circ 80 29 $43,664.00 $26,198.40 40% off $386.03 $97,118.16 $15,484.15 2026-07-31
C9765 HCPCS Revasc Intra Lithotrip Stent 57 17 $24,092.00 $14,455.20 40% off $15,122.14 $97,118.16 $15,484.15 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 56 16 — — $7,545.73 $36,549.14 $15,480.17 2026-01-01
199 MS_DRG Pneumothorax With Mcc 56 16 — — $6,356.85 $36,716.77 $15,463.52 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 42 12 — — $14,945.40 $36,487.05 $15,453.88 2026-01-01
93657 CPT Tx L/r Atrl Fib Add-on 4 3 $18,285.00 $10,971.00 40% off $12,221.69 $17,005.05 $15,450.83 2026-07-31
93655 CPT Ablate Arrhy Add-on 4 3 $18,285.00 $10,971.00 40% off $12,221.69 $17,005.05 $15,450.83 2026-07-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 56 16 — — $7,767.13 $37,029.28 $15,394.27 2026-01-01
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Syringe 24 11 $105,774.50 $63,464.70 40% off $7,686.85 $131,160.23 $15,373.71 2026-07-31
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 55 16 — — $6,493.67 $36,799.56 $15,296.97 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 10 — — $11,256.52 $53,664.73 $15,180.46 2025-01-22
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 10 — — $11,238.72 $53,579.87 $15,156.46 2025-01-22
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 56 16 — — $7,582.19 $36,147.63 $15,147.08 2026-01-01
37229 CPT Tib/per Plasty W/ath Lt 27 20 $44,029.00 $26,417.40 40% off $196.00 $94,847.57 $15,122.14 2026-07-31
37230 CPT Tib/per Plasty W/ste Lt 27 20 $27,400.00 $16,440.00 40% off $196.00 $94,847.57 $15,122.14 2026-07-31
37227 CPT Fem/pop Plsty+ath+ste Lt 27 20 $61,853.00 $37,111.80 40% off $196.00 $94,847.57 $15,122.14 2026-07-31
C9766 HCPCS Revasc Intra Lithotrip Ather 9 8 $22,945.00 $13,767.00 40% off $15,122.14 $94,847.57 $15,122.14 2025-01-22
37225 CPT Fem/pop Plasty W/ath Lt 27 20 $44,754.00 $26,852.40 40% off $196.00 $94,847.57 $15,122.14 2026-07-31
37184 CPT Prim Art Mech Thrmbctmy 80 29 $12,548.00 $7,528.80 40% off $196.00 $97,118.16 $15,122.14 2026-07-31
C9602 HCPCS Perc Des+ath+plsty Lc 21 19 $29,488.00 $17,692.80 40% off $14,848.36 $94,847.57 $15,122.14 2026-07-31
37242 CPT Vasc Occlusion Arterial 23 20 $32,607.00 $19,564.20 40% off $196.00 $94,847.57 $15,122.14 2026-07-31
92933 CPT Perc Stnt+ath+plsty 1 Rc 21 19 $23,213.00 $13,927.80 40% off $13,402.76 $94,847.57 $15,122.14 2026-07-31
C9607 HCPCS Rev Ch W/des 1 Vsl Rc 21 19 $29,488.00 $17,692.80 40% off $14,848.36 $94,847.57 $15,122.14 2026-07-31
C9603 HCPCS Perc Des+ath+plsty Lc 9 7 $29,488.00 $17,692.80 40% off $15,038.88 $23,689.89 $15,038.88 2026-07-31
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 42 12 — — $9,019.87 $35,472.94 $15,024.36 2026-01-01
34702 CPT Endovasc Rpr A-ao Endgr Rpt 9 7 $29,342.00 $17,605.20 40% off $14,964.42 $23,572.71 $14,964.42 2026-07-31
34705 CPT Endovasc Rpr A-biliac Endgr 9 7 $29,342.00 $17,605.20 40% off $14,964.42 $23,572.71 $14,964.42 2026-07-31
164 MS_DRG Major Chest Procedures With Cc 14 10 — — $11,071.58 $52,783.08 $14,931.06 2025-01-22
347 MS_DRG Anal And Stomal Procedures With Mcc 14 10 — — $11,065.94 $52,756.17 $14,923.45 2025-01-22
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 56 16 — — $7,096.42 $35,009.35 $14,828.01 2026-01-01
571 MS_DRG Skin Debridement With Cc 56 16 — — $7,073.87 $35,015.56 $14,809.60 2026-01-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 56 16 — — $7,258.35 $34,829.30 $14,751.75 2026-01-01
915 MS_DRG Allergic Reactions With Mcc 42 12 — — $8,250.72 $34,802.39 $14,740.35 2026-01-01
551 MS_DRG Medical Back Problems With Mcc 56 16 — — $7,388.15 $35,222.52 $14,692.14 2026-01-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 56 16 — — $6,751.94 $34,580.95 $14,646.56 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 14 10 — — $10,841.50 $51,686.19 $14,620.78 2025-01-22
70 MS_DRG Other Cerebrovascular Disorders With Mcc 56 16 — — $7,768.43 $37,035.49 $14,593.09 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 10 — — $10,784.20 $51,413.00 $14,543.50 2025-01-22
C9772 HCPCS Revasc Lithotrip Tibi/perone 48 15 $24,415.00 $14,649.00 40% off $9,779.02 $61,334.99 $14,533.43 2026-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 56 16 — — $6,327.29 $34,239.46 $14,501.92 2026-01-01
792 MS_DRG Prematurity Without Major Problems 13 9 — — $1,433.61 $51,170.86 $14,475.00 2025-01-22
643 MS_DRG Endocrine Disorders With Mcc 56 16 — — $5,494.58 $34,067.69 $14,429.17 2026-01-01
913 MS_DRG Traumatic Injury With Mcc 56 16 — — $6,487.80 $33,829.68 $14,328.36 2026-01-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 56 16 — — $6,842.47 $33,790.36 $14,311.71 2026-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 56 16 — — $6,895.43 $33,755.18 $14,296.81 2026-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 56 16 — — $6,897.08 $34,537.48 $14,289.80 2026-01-01
38 MS_DRG Extracranial Procedures With Cc 56 16 — — $6,945.35 $33,581.33 $14,223.18 2026-01-01
93531 CPT Combined Lt+rt Hc Cong 4 3 $16,805.00 $10,083.00 40% off $11,232.46 $15,628.65 $14,200.23 2026-07-31
884 MS_DRG Organic Disturbances And Intellectual Disability 55 16 — — $2,602.03 $36,360.80 $14,103.09 2026-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 56 16 — — $6,887.18 $33,198.45 $14,061.01 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 10 — — $10,418.68 $49,670.40 $14,050.56 2025-01-22
393 MS_DRG Other Digestive System Diagnoses With Mcc 56 16 — — $7,030.87 $33,519.24 $14,018.94 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 14 10 — — $8,799.68 $49,333.06 $13,955.13 2025-01-22
368 MS_DRG Major Esophageal Disorders With Mcc 56 16 — — $7,171.52 $34,189.79 $13,954.07 2026-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 56 16 — — $6,393.59 $32,747.28 $13,869.92 2026-01-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 56 16 — — $6,407.52 $33,028.75 $13,748.08 2026-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 42 12 — — $7,135.53 $32,358.20 $13,705.13 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 56 16 — — $7,364.27 $35,108.69 $13,698.11 2026-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 56 16 — — $6,494.09 $33,179.83 $13,691.10 2026-01-01
186 MS_DRG Pleural Effusion With Mcc 56 16 — — $6,737.85 $32,254.72 $13,661.30 2026-01-01
964 MS_DRG Other Multiple Significant Trauma With Cc 42 12 — — $8,199.39 $31,718.69 $13,434.27 2026-01-01
813 MS_DRG Coagulation Disorders 56 16 — — $6,772.14 $32,285.76 $13,370.28 2026-01-01
398 MS_DRG Appendix Procedures With Cc 42 12 — — $9,206.47 $31,325.47 $13,267.72 2026-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 56 16 — — $6,888.92 $32,842.48 $13,100.29 2026-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 10 — — $9,683.73 $46,166.57 $13,059.41 2025-01-22
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 56 16 — — $5,528.63 $32,219.53 $13,033.67 2026-01-01
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 42 12 — — $11,278.41 $30,690.10 $12,998.61 2026-01-01
682 MS_DRG Renal Failure With Mcc 56 16 — — $6,515.15 $31,060.56 $12,981.96 2026-01-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 56 16 — — $6,309.81 $30,563.85 $12,945.14 2026-01-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 14 10 — — $9,588.22 $45,711.26 $12,930.61 2025-01-22
36905 CPT Angiojet Shunt+angiopls 12 11 $24,647.00 $14,788.20 40% off $9,286.60 $58,246.49 $12,880.33 2026-07-31
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 56 16 — — $6,150.93 $30,396.22 $12,874.14 2026-01-01
37243 CPT Vasc Occlusion Tumr/org 12 11 $24,567.00 $14,740.20 40% off $9,286.60 $58,246.49 $12,853.59 2026-07-31
37244 CPT Vasc Occlusion Av Hemrg 12 11 $24,357.00 $14,614.20 40% off $9,286.60 $58,246.49 $12,783.41 2026-07-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 10 — — $8,121.10 $45,111.07 $12,760.84 2025-01-22
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 56 16 — — $5,714.58 $29,866.40 $12,649.74 2026-01-01
637 MS_DRG Diabetes With Mcc 56 16 — — $5,584.52 $29,994.71 $12,593.64 2026-01-01
C1820 HCPCS Neuro Interstim Micro 6 4 $24,671.00 $14,802.60 40% off $12,582.21 $12,582.21 $12,582.21 2025-01-22
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 14 10 — — $8,932.28 $44,200.45 $12,503.24 2025-01-22
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 56 16 — — $6,601.54 $31,472.41 $12,489.33 2026-01-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 14 10 — — $8,914.12 $44,043.16 $12,458.75 2025-01-22
602 MS_DRG Cellulitis With Mcc 56 16 — — $5,380.14 $30,785.30 $12,458.65 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 14 10 — — $7,479.25 $43,935.54 $12,428.31 2025-01-22
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 14 10 — — $9,145.00 $43,598.19 $12,332.88 2025-01-22
811 MS_DRG Red Blood Cell Disorders With Mcc 56 16 — — $6,093.19 $29,063.39 $12,309.63 2026-01-01
C1764 HCPCS Monitor Assert Iq 3+icm 145 19 $14,994.00 $8,996.40 40% off $4,343.42 $17,132.44 $12,298.17 2026-07-31
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 56 16 — — $5,561.40 $28,930.94 $12,253.53 2026-01-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 14 10 — — $9,082.92 $43,302.24 $12,249.16 2025-01-22
37239 CPT Trnscth Stent Addl Vein 15 7 $15,502.00 $9,301.20 40% off $115.81 $14,416.86 $12,246.58 2026-07-31
885 MS_DRG Psychoses 55 16 — — $2,691.13 $28,908.17 $12,243.89 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 56 16 — — $6,090.59 $29,036.49 $12,040.52 2026-01-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 56 16 — — $5,700.75 $28,266.60 $11,972.15 2026-01-01
88 MS_DRG Concussion With Mcc 42 12 — — $10,280.70 $27,976.85 $11,849.43 2026-01-01
92938 CPT Revs Bp Grf W/stnt Ea Rc 9 7 $23,213.00 $13,927.80 40% off $11,838.63 $18,648.36 $11,838.63 2026-07-31
92929 CPT Perc Stnt+plsty Addl Lc 9 7 $23,213.00 $13,927.80 40% off $11,838.63 $18,648.36 $11,838.63 2026-07-31
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 56 16 — — $5,915.21 $28,200.37 $11,789.83 2026-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 14 10 — — $8,718.26 $41,563.78 $11,757.39 2025-01-22
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 56 16 — — $5,709.44 $27,641.58 $11,707.43 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 14 10 — — $8,655.32 $41,263.68 $11,672.50 2025-01-22
150 MS_DRG Epistaxis With Mcc 56 16 — — $5,706.40 $27,556.72 $11,671.49 2026-01-01
33225 CPT Ins Elec Time Ins Pcmkr 9 7 $22,883.00 $13,729.80 40% off $10,363.54 $14,419.65 $11,670.33 2026-07-31
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $8,627.97 $41,133.30 $11,635.62 2025-01-22
22515 CPT Kyphoplsty Ea Ad Ver 4 3 $13,707.00 $8,224.20 40% off $9,161.76 $12,747.51 $11,582.42 2026-07-31
C1761 HCPCS Cath C2+ivl 2.5x12mm 57 16 $13,818.00 $8,290.80 40% off $3,184.70 $12,159.84 $11,538.03 2026-01-01
J7189 HCPCS Coagulation Factor Viia,recomb 1 Mg Vial 24 11 $47,048.25 $28,228.95 40% off $2,307.00 $72,924.56 $11,535.00 2026-07-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 56 16 — — $4,978.99 $27,455.31 $11,521.60 2026-01-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 42 12 — — $6,848.70 $27,167.64 $11,506.70 2026-01-01
J9043 HCPCS Cabazitaxel 60 Mg/6 Ml Vial 12 11 $63,040.50 $37,824.30 40% off $11,478.66 $58,627.67 $11,478.66 2026-07-31
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 56 16 — — $4,218.48 $27,258.70 $11,419.04 2026-01-01
548 MS_DRG Septic Arthritis With Mcc 14 10 — — $8,464.31 $40,353.06 $11,414.91 2025-01-22
380 MS_DRG Complicated Peptic Ulcer With Mcc 14 10 — — $6,304.49 $40,326.16 $11,407.30 2025-01-22
33227 CPT Rmv+repl Pm Gen Single 12 11 $22,731.00 $13,638.60 40% off $7,542.96 $47,310.21 $11,368.18 2026-07-31
540 MS_DRG Osteomyelitis With Cc 56 16 — — $5,635.64 $26,867.55 $11,362.94 2026-01-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 56 16 — — $5,917.81 $28,212.79 $11,356.80 2026-01-01
24516 CPT Tx Humeral Shft Fx W/imp Bi 36 19 $6,844.00 $4,106.40 40% off $196.00 $71,188.67 $11,350.05 2026-07-31
24515 CPT Opn Tx Humeral Shft Fx Bi 36 19 $6,048.00 $3,628.80 40% off $196.00 $71,188.67 $11,350.05 2026-07-31
69714 CPT Impl Oi Implt Skull Perq Esp 17 9 $3,488.00 $2,092.80 40% off $196.00 $71,188.67 $11,350.05 2026-01-01
24545 CPT Opn Tx Humeral Fx Without Ext Bi 35 19 $6,164.00 $3,698.40 40% off $196.00 $56,993.03 $11,350.05 2026-07-31
24666 CPT Opn Tx Radial Head W Prsth Bi 38 20 $12,980.00 $7,788.00 40% off $196.00 $71,503.21 $11,350.05 2026-07-31
27870 CPT Fusion Of Ankle Joint Open 11 9 — — $196.00 $71,188.67 $11,350.05 2025-01-22
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