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

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Hospital

ASPIRUS STANLEY HOSPITAL

Stanley, WI · CCN 521311 · Rates published

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You selected 27447 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

3,661 distinct procedures filed
30 distinct payers
93,618 rate rows
2026-07-30 last MRF observed
Data quality

75,181 of 93,618 rate rows are consumer-grade (80.3%)

18,437 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
professional (physician) fee — not the facility price 11,144
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,121
exceeds 10× this hospital's gross charge — excluded from medians 124
placeholder amount (≤ $0.02) — excluded from medians 44
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/390807065_aspirus-stanley-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 2c59bb0727e6c58c… · 151,133,458 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
540
MS_DRG 		Osteomyelitis With Cc 1 $171,921.26 $171,921.26 $171,921.26 nat. median
$13,334
outlier · 12.9×
638
MS_DRG 		Diabetes With Cc 1 $88,231.20 $88,231.20 $88,231.20 nat. median
$9,750
outlier · 9.0×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Sc Sosy 13 $166.11 $72,546.47 $62,722.47 nat. median
$12,959
outlier · 4.8×
539
MS_DRG 		Osteomyelitis With Mcc 1 $53,830.40 $53,830.40 $53,830.40 nat. median
$19,527
outlier · 2.8×
MS DRG V39 (FY2022) 330
OTHER 		Major Small And Large Bowel Procedures With Cc 10 $37,643.40 $55,596.40 $50,673.81 nat. median
$50,735
1.0× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 $50,409.69 $50,409.69 $50,409.69 nat. median
$16,012
outlier · 3.1×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 $48,311.62 $48,311.62 $48,311.62 nat. median
$41,643
1.2× median
292
MS_DRG 		Heart Failure And Shock With Cc 1 $47,637.67 $47,637.67 $47,637.67 nat. median
$9,526
outlier · 5.0×
247
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 $43,610.50 $43,610.50 $43,610.50 nat. median
$15,753
outlier · 2.8×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 13 $60.09 $50,385.68 $43,562.62 nat. median
$331
outlier · 131.7×
MS DRG V39 (FY2022) 393
OTHER 		Other Digestive System Diagnoses With McC 10 $30,149.24 $44,528.10 $40,585.51 nat. median
$41,664
1.0× median
J1290
HCPCS 		Ecallantide 10 Mg/ml Sc Soln 13 $514.21 $44,223.19 $38,234.63 nat. median
$845
outlier · 45.3×
C9767
HCPCS 		Ivl W/Stent + Atherectomy + Pta; Iliac, Fem Pop 10 $28,037.75 $41,409.60 $37,743.12 nat. median
$20,627
1.8× median
MS DRG V39 (FY2022) 914
OTHER 		Traumatic Injury Without McC 10 $26,286.94 $38,823.78 $35,386.26 nat. median
$26,287
1.3× median
C9399
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 10 $26,271.98 $38,801.69 $35,366.13 nat. median
$1,984
outlier · 17.8×
563
MS_DRG 		Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 $35,102.93 $35,102.93 $35,102.93 nat. median
$9,631
outlier · 3.6×
282
MS_DRG 		Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 1 $18,029.02 $51,229.87 $34,629.45 nat. median
$8,425
outlier · 4.1×
MS DRG V39 (FY2022) 602
OTHER 		Cellulitis With McC 10 $25,694.88 $37,949.37 $34,589.26 nat. median
$35,578
1.0× median
C9775
HCPCS 		Ivl W/Stent + Atherectomy + Pta; Tib, Peroneal 10 $24,694.80 $36,472.32 $33,243.00 nat. median
$19,654
1.7× median
MS DRG V39 (FY2022) 312
OTHER 		Syncope And Collapse 10 $23,925.01 $35,335.40 $32,206.75 nat. median
$15,035
outlier · 2.1×
MS DRG V39 (FY2022) 549
OTHER 		Septic Arthritis With Cc 10 $23,215.76 $34,287.90 $31,251.99 nat. median
$31,252
1.0× median
MS DRG V39 (FY2022) 570
OTHER 		Skin Debridement With McC 10 $21,775.29 $32,160.43 $29,312.90 nat. median
$29,313
1.0× median
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5 Ml IV Soln Diluted To 10 Mg/ml 13 $195.14 $33,555.58 $29,011.60 nat. median
$709
outlier · 40.9×
MS DRG V39 (FY2022) 280
OTHER 		Acute Myocardial Infarction, Discharged Alive With McC 10 $21,265.64 $31,407.72 $28,626.82 nat. median
$17,865
1.6× median
MS DRG V39 (FY2022) 085
OTHER 		Traumatic Stupor And Coma <1 Hour With McC 10 $21,175.44 $31,274.50 $28,505.40 nat. median
$24,623
1.2× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 1 $28,492.28 $28,492.28 $28,492.28 nat. median
$14,291
2.0× median
MS DRG V39 (FY2022) 698
OTHER 		Other Kidney And Urinary Tract Diagnoses With McC 10 $21,094.52 $31,154.99 $28,396.47 nat. median
$23,094
1.2× median
395
MS_DRG 		Other Digestive System Diagnoses Without Cc/Mcc 1 $28,316.31 $28,316.31 $28,316.31 nat. median
$7,462
outlier · 3.8×
872
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 4 $15,186.17 $80,987.75 $27,920.32 nat. median
$11,029
outlier · 2.5×
MS DRG V39 (FY2022) 378
OTHER 		Gastrointestinal Hemorrhage With Cc 10 $20,508.59 $30,289.60 $27,607.71 nat. median
$20,509
1.3× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 $2,220.39 $52,353.20 $27,286.79 nat. median
$9,110
outlier · 3.0×
C2616
HCPCS 		Ir Thera Sphere Yttrium-90 Per Source 10 $20,201.35 $29,835.84 $27,194.12 nat. median
$26,606
1.0× median
MS DRG V39 (FY2022) 183
OTHER 		Major Chest Trauma With McC 10 $20,197.44 $29,830.06 $27,188.85 nat. median
$26,101
1.0× median
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 1 $26,689.25 $26,689.25 $26,689.25 nat. median
$18,041
1.5× median
CPT� 36906
OTHER 		Perc Thromb +/or Inf For Thrombolysis W/Stent Periph Seg 13 $482.74 $30,298.56 $26,511.24 nat. median
$26,827
1.0× median
MS DRG V39 (FY2022) 177
OTHER 		Respiratory Infections And Inflammations With McC 10 $19,650.96 $29,022.96 $26,453.22 nat. median
$26,231
1.0× median
MS DRG V39 (FY2022) 388
OTHER 		Gastrointestinal Obstruction With McC 10 $19,410.30 $28,667.52 $26,129.25 nat. median
$17,605
1.5× median
C9766
HCPCS 		Ivl W/Atherectomy + Pta; Iliac, Fem Pop 10 $19,026.80 $28,101.12 $25,613.00 nat. median
$19,257
1.3× median
CPT� 37243
OTHER 		Ir Vascular Embolization Or Occlusion Tumor Organ Ischemia Or Infarction 13 $452.35 $28,830.72 $25,226.88 nat. median
$25,527
1.0× median
MS DRG V39 (FY2022) 637
OTHER 		Diabetes With McC 10 $18,465.08 $27,271.51 $24,856.85 nat. median
$21,729
1.1× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 13 $200.48 $28,447.17 $24,594.95 nat. median
$885
outlier · 27.8×
MS DRG V39 (FY2022) 308
OTHER 		Cardiac Arrhythmia And Conduction Disorders With McC 10 $18,088.64 $26,715.53 $24,350.10 nat. median
$24,853
1.0× median
MS DRG V39 (FY2022) 871
OTHER 		Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 10 $17,983.13 $26,559.70 $24,208.06 nat. median
$24,900
1.0× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 2 $20,722.08 $27,491.93 $24,107.01 nat. median
$16,167
1.5× median
CPT� 36905
OTHER 		Perc Thromb +/or Inf For Thrombolysis W/Pta Periph Seg 13 $420.67 $27,207.36 $23,806.44 nat. median
$24,090
1.0× median
MS DRG V39 (FY2022) 083
OTHER 		Traumatic Stupor And Coma >1 Hour With Cc 10 $17,676.63 $26,107.03 $23,795.47 nat. median
$25,404
0.9× median
283
MS_DRG 		Acute Myocardial Infarction, Expired With Mcc 1 $23,635.90 $23,635.90 $23,635.90 nat. median
$19,554
1.2× median
J9119
HCPCS 		Cemiplimab-rwlc 350 Mg/7ml IV Soln 13 $27.80 $27,125.16 $23,451.97 nat. median
$89
outlier · 265.0×
CPT� 22513
OTHER 		Ir Vetebral Augmentation 1 Body T Spine W Guidance-c 13 $481.46 $47,416.44 $23,311.53 nat. median
$5,870
outlier · 4.0×
CPT� 22514
OTHER 		Ir Vetebral Augmentation 1 Body L Spine W Image Guidance-c 13 $448.49 $47,196.18 $23,246.40 nat. median
$5,818
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 3,661 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
             
540 MS_DRG Osteomyelitis With Cc 1 1 — — $171,921.26 $171,921.26 $171,921.26 2025-07-01
638 MS_DRG Diabetes With Cc 1 1 — — $88,231.20 $88,231.20 $88,231.20 2025-07-01
J3357 HCPCS Ustekinumab 90 Mg/ml Sc Sosy 13 13 $75,569.24 $49,120.01 35% off $166.11 $72,546.47 $62,722.47 2026-07-30
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $53,830.40 $53,830.40 $53,830.40 2025-07-01
MS DRG V39 (FY2022) 330 OTHER Major Small And Large Bowel Procedures With Cc 10 10 $57,912.92 $37,643.40 35% off $37,643.40 $55,596.40 $50,673.81 2026-07-30
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 — — $50,409.69 $50,409.69 $50,409.69 2025-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $48,311.62 $48,311.62 $48,311.62 2025-07-01
292 MS_DRG Heart Failure And Shock With Cc 1 1 — — $47,637.67 $47,637.67 $47,637.67 2025-07-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $43,610.50 $43,610.50 $43,610.50 2025-07-01
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 13 13 $52,485.08 $34,115.30 35% off $60.09 $50,385.68 $43,562.62 2026-07-30
MS DRG V39 (FY2022) 393 OTHER Other Digestive System Diagnoses With McC 10 10 $46,383.44 $30,149.24 35% off $30,149.24 $44,528.10 $40,585.51 2026-07-30
J1290 HCPCS Ecallantide 10 Mg/ml Sc Soln 13 13 $46,065.82 $29,942.78 35% off $514.21 $44,223.19 $38,234.63 2026-07-30
C9767 HCPCS Ivl W/Stent + Atherectomy + Pta; Iliac, Fem Pop 10 10 $43,135.00 $28,037.75 35% off $28,037.75 $41,409.60 $37,743.12 2026-07-30
MS DRG V39 (FY2022) 914 OTHER Traumatic Injury Without McC 10 10 $40,441.44 $26,286.94 35% off $26,286.94 $38,823.78 $35,386.26 2026-07-30
C9399 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 10 10 $40,418.43 $26,271.98 35% off $26,271.98 $38,801.69 $35,366.13 2026-07-30
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $35,102.93 $35,102.93 $35,102.93 2025-07-01
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 2 1 — — $18,029.02 $51,229.87 $34,629.45 2025-07-01
MS DRG V39 (FY2022) 602 OTHER Cellulitis With McC 10 10 $39,530.59 $25,694.88 35% off $25,694.88 $37,949.37 $34,589.26 2026-07-30
C9775 HCPCS Ivl W/Stent + Atherectomy + Pta; Tib, Peroneal 10 10 $37,992.00 $24,694.80 35% off $24,694.80 $36,472.32 $33,243.00 2026-07-30
MS DRG V39 (FY2022) 312 OTHER Syncope And Collapse 10 10 $36,807.71 $23,925.01 35% off $23,925.01 $35,335.40 $32,206.75 2026-07-30
MS DRG V39 (FY2022) 549 OTHER Septic Arthritis With Cc 10 10 $35,716.56 $23,215.76 35% off $23,215.76 $34,287.90 $31,251.99 2026-07-30
MS DRG V39 (FY2022) 570 OTHER Skin Debridement With McC 10 10 $33,500.45 $21,775.29 35% off $21,775.29 $32,160.43 $29,312.90 2026-07-30
J9043 HCPCS Cabazitaxel 60 Mg/1.5 Ml IV Soln Diluted To 10 Mg/ml 13 13 $34,953.73 $22,719.92 35% off $195.14 $33,555.58 $29,011.60 2026-07-30
MS DRG V39 (FY2022) 280 OTHER Acute Myocardial Infarction, Discharged Alive With McC 10 10 $32,716.37 $21,265.64 35% off $21,265.64 $31,407.72 $28,626.82 2026-07-30
MS DRG V39 (FY2022) 085 OTHER Traumatic Stupor And Coma <1 Hour With McC 10 10 $32,577.60 $21,175.44 35% off $21,175.44 $31,274.50 $28,505.40 2026-07-30
811 MS_DRG Red Blood Cell Disorders With Mcc 1 1 — — $28,492.28 $28,492.28 $28,492.28 2025-07-01
MS DRG V39 (FY2022) 698 OTHER Other Kidney And Urinary Tract Diagnoses With McC 10 10 $32,453.11 $21,094.52 35% off $21,094.52 $31,154.99 $28,396.47 2026-07-30
395 MS_DRG Other Digestive System Diagnoses Without Cc/Mcc 1 1 — — $28,316.31 $28,316.31 $28,316.31 2025-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 5 4 — — $15,186.17 $80,987.75 $27,920.32 2025-07-01
MS DRG V39 (FY2022) 378 OTHER Gastrointestinal Hemorrhage With Cc 10 10 $31,551.67 $20,508.59 35% off $20,508.59 $30,289.60 $27,607.71 2026-07-30
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 2 2 — — $2,220.39 $52,353.20 $27,286.79 2025-07-01
C2616 HCPCS Ir Thera Sphere Yttrium-90 Per Source 10 10 $31,079.00 $20,201.35 35% off $20,201.35 $29,835.84 $27,194.12 2026-07-30
MS DRG V39 (FY2022) 183 OTHER Major Chest Trauma With McC 10 10 $31,072.98 $20,197.44 35% off $20,197.44 $29,830.06 $27,188.85 2026-07-30
205 MS_DRG Other Respiratory System Diagnoses With Mcc 1 1 — — $26,689.25 $26,689.25 $26,689.25 2025-07-01
CPT� 36906 OTHER Perc Thromb +/or Inf For Thrombolysis W/Stent Periph Seg 13 13 $31,561.00 $20,514.65 35% off $482.74 $30,298.56 $26,511.24 2026-07-30
MS DRG V39 (FY2022) 177 OTHER Respiratory Infections And Inflammations With McC 10 10 $30,232.25 $19,650.96 35% off $19,650.96 $29,022.96 $26,453.22 2026-07-30
MS DRG V39 (FY2022) 388 OTHER Gastrointestinal Obstruction With McC 10 10 $29,862.00 $19,410.30 35% off $19,410.30 $28,667.52 $26,129.25 2026-07-30
C9766 HCPCS Ivl W/Atherectomy + Pta; Iliac, Fem Pop 10 10 $29,272.00 $19,026.80 35% off $19,026.80 $28,101.12 $25,613.00 2026-07-30
CPT� 37243 OTHER Ir Vascular Embolization Or Occlusion Tumor Organ Ischemia Or Infarction 13 13 $30,032.00 $19,520.80 35% off $452.35 $28,830.72 $25,226.88 2026-07-30
MS DRG V39 (FY2022) 637 OTHER Diabetes With McC 10 10 $28,407.82 $18,465.08 35% off $18,465.08 $27,271.51 $24,856.85 2026-07-30
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 13 13 $29,632.47 $19,261.11 35% off $200.48 $28,447.17 $24,594.95 2026-07-30
MS DRG V39 (FY2022) 308 OTHER Cardiac Arrhythmia And Conduction Disorders With McC 10 10 $27,828.68 $18,088.64 35% off $18,088.64 $26,715.53 $24,350.10 2026-07-30
MS DRG V39 (FY2022) 871 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours With McC 10 10 $27,666.35 $17,983.13 35% off $17,983.13 $26,559.70 $24,208.06 2026-07-30
177 MS_DRG Respiratory Infections And Inflammations With Mcc 2 2 — — $20,722.08 $27,491.93 $24,107.01 2025-07-01
CPT� 36905 OTHER Perc Thromb +/or Inf For Thrombolysis W/Pta Periph Seg 13 13 $28,341.00 $18,421.65 35% off $420.67 $27,207.36 $23,806.44 2026-07-30
MS DRG V39 (FY2022) 083 OTHER Traumatic Stupor And Coma >1 Hour With Cc 10 10 $27,194.82 $17,676.63 35% off $17,676.63 $26,107.03 $23,795.47 2026-07-30
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $23,635.90 $23,635.90 $23,635.90 2025-07-01
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 13 13 $28,255.38 $18,366.00 35% off $27.80 $27,125.16 $23,451.97 2026-07-30
CPT� 22513 OTHER Ir Vetebral Augmentation 1 Body T Spine W Guidance-c 22 13 $27,918.00 $18,146.70 35% off $481.46 $47,416.44 $23,311.53 2026-07-30
CPT� 22514 OTHER Ir Vetebral Augmentation 1 Body L Spine W Image Guidance-c 22 13 $27,840.00 $18,096.00 35% off $448.49 $47,196.18 $23,246.40 2026-07-30
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $23,022.06 $23,022.06 $23,022.06 2025-07-01
CPT� 37228 OTHER Revsc Opn/Prq Tib/Pero W/Angioplasty Uni 12 12 $24,597.00 $15,988.05 35% off $412.40 $34,237.61 $22,875.21 2026-07-30
J9153 HCPCS Daunorubicin-cytarabine Lipo 44-100 Mg IV Susr 13 13 $27,524.27 $17,890.78 35% off $211.78 $26,423.30 $22,845.14 2026-07-30
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $22,473.09 $22,473.09 $22,473.09 2025-07-01
394 MS_DRG Other Digestive System Diagnoses With Cc 1 1 — — $22,428.94 $22,428.94 $22,428.94 2025-07-01
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 21 13 $23,641.17 $15,366.76 35% off $163.91 $90,781.79 $21,986.29 2026-07-30
J1932 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 12 12 $26,147.20 $16,995.68 35% off $62.10 $25,101.31 $21,963.65 2026-07-30
CPT� C9765 OTHER Revasc Ivl Iliac W/stent-pta 10 10 $25,016.00 $16,260.40 35% off $16,260.40 $24,015.36 $21,889.00 2026-07-30
C9765 HCPCS Ivl W/Stent + Pta; Iliac, Fem Pop 10 10 $25,016.00 $16,260.40 35% off $16,260.40 $24,015.36 $21,889.00 2026-07-30
CPT� 37226 OTHER Stent Fem-pop-ir 13 13 $25,987.00 $16,891.55 35% off $384.61 $24,947.52 $21,829.08 2026-07-30
MS DRG V39 (FY2022) 438 OTHER Disorders Of Pancreas Except Malignancy With McC 10 10 $24,793.66 $16,115.88 35% off $16,115.88 $23,801.91 $21,694.45 2026-07-30
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg IV Solr 13 13 $25,952.57 $16,869.17 35% off $44.16 $24,914.47 $21,540.63 2026-07-30
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 1 1 — — $21,539.95 $21,539.95 $21,539.95 2025-07-01
CPT� 33418 OTHER Tmvr-transcatheter Mitral Valve Repair, Initial, Transseptal Puncture 13 13 $25,580.00 $16,627.00 35% off $1,371.00 $24,556.80 $21,487.20 2026-07-30
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 13 13 $25,656.98 $16,677.04 35% off $46.00 $24,630.70 $21,295.29 2026-07-30
CPT� 36903 OTHER Av Dialysis Circuit W/Stent Peripheral Segment 13 13 $25,287.00 $16,436.55 35% off $296.41 $24,275.52 $21,241.08 2026-07-30
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $21,038.67 $21,038.67 $21,038.67 2025-07-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 1 1 — — $20,988.78 $20,988.78 $20,988.78 2025-07-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 2 2 — — $14,614.00 $26,987.43 $20,800.72 2025-07-01
CPT� 37242 OTHER Ir Vascular Embolization Or Occulsion Of An Artery 13 13 $24,485.00 $15,915.25 35% off $445.76 $23,505.60 $20,567.40 2026-07-30
920 MS_DRG Complications Of Treatment With Cc 2 2 — — $3,621.18 $37,164.19 $20,392.69 2025-07-01
682 MS_DRG Renal Failure With Mcc 1 1 — — $20,296.44 $20,296.44 $20,296.44 2025-07-01
304 MS_DRG Hypertension With Mcc 1 1 — — $20,250.96 $20,250.96 $20,250.96 2025-07-01
MS DRG V39 (FY2022) 392 OTHER Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC 10 10 $23,120.70 $15,028.46 35% off $15,028.46 $22,195.87 $20,230.61 2026-07-30
MS DRG V39 (FY2022) 189 OTHER Pulmonary Edema And Respiratory Failure 10 10 $23,109.20 $15,020.98 35% off $15,020.98 $22,184.83 $20,220.55 2026-07-30
947 MS_DRG Signs And Symptoms With Mcc 1 1 — — $20,131.80 $20,131.80 $20,131.80 2025-07-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 5 3 — — $13,087.38 $38,533.61 $19,893.02 2025-07-01
C9773 HCPCS Ivl W/Stent + Pta; Tib, Peroneal 10 10 $22,384.00 $14,549.60 35% off $14,549.60 $21,488.64 $19,586.00 2026-07-30
MS DRG V39 (FY2022) 331 OTHER Major Small And Large Bowel Procedures Without Cc/McC 10 10 $22,347.94 $14,526.16 35% off $14,526.16 $21,454.02 $19,554.45 2026-07-30
MS DRG V39 (FY2022) 446 OTHER Disorders Of The Biliary Tract Without Cc/McC 10 10 $22,079.70 $14,351.81 35% off $14,351.81 $21,196.51 $19,319.74 2026-07-30
CPT� 37236 OTHER Ir-stent Placement Cervical Cartoid 13 13 $22,835.00 $14,842.75 35% off $404.22 $21,921.60 $19,181.40 2026-07-30
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 13 13 $23,098.62 $15,014.10 35% off $23.72 $22,174.68 $19,171.85 2026-07-30
CPT� 0484T OTHER Tmvi-transcatheter Mitral Valve Implant/Replacement, Thoracic 12 12 $22,594.00 $14,686.10 35% off $1,554.16 $21,690.24 $19,091.93 2026-07-30
184 MS_DRG Major Chest Trauma With Cc 1 1 — — $18,860.68 $18,860.68 $18,860.68 2025-07-01
J9022 HCPCS Atezolizumab 840 Mg/14ml IV Soln 21 13 $20,311.22 $13,202.29 35% off $81.35 $27,855.38 $18,860.41 2026-07-30
J3380 HCPCS Vedolizumab 300 Mg IV Solr 13 13 $22,679.32 $14,741.56 35% off $21.72 $21,772.15 $18,823.84 2026-07-30
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 3 — — $13,295.68 $19,312.22 $18,789.61 2025-07-01
MS DRG V39 (FY2022) 988 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 10 $21,247.15 $13,810.65 35% off $13,810.65 $20,397.26 $18,591.26 2026-07-30
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $18,581.89 $18,581.89 $18,581.89 2025-07-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $13,412.51 $23,707.98 $18,560.24 2025-07-01
644 MS_DRG Endocrine Disorders With Cc 2 2 — — $3,951.33 $33,042.18 $18,496.75 2025-07-01
MS DRG V39 (FY2022) 190 OTHER Chronic Obstructive Pulmonary Disease With McC 10 10 $20,734.28 $13,477.28 35% off $13,477.28 $19,904.91 $18,142.49 2026-07-30
MS DRG V39 (FY2022) 872 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC 10 10 $20,728.36 $13,473.43 35% off $13,473.43 $19,899.23 $18,137.32 2026-07-30
CPT� 37221 OTHER Revsc Opn/Prq Iliac Art W/Stnt Plmt & Angioplsty 22 13 $19,450.00 $12,642.50 35% off $374.92 $25,340.25 $18,088.50 2026-07-30
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $18,060.59 $18,060.59 $18,060.59 2025-07-01
MS DRG V39 (FY2022) 560 OTHER Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 10 $20,627.55 $13,407.91 35% off $13,407.91 $19,802.45 $18,049.11 2026-07-30
C1722 HCPCS Defib Card 51x64x13mm 1chmbr Ti Pu MRI Srscn Cblt Vr-icd 70 10 $19,859.00 $12,908.35 35% off $8,121.10 $33,264.00 $17,918.43 2026-07-30
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 13 13 $21,466.54 $13,953.25 35% off $65.83 $20,607.88 $17,817.23 2026-07-30
MS DRG V39 (FY2022) 540 OTHER Osteomyelitis With Cc 10 10 $20,307.38 $13,199.80 35% off $13,199.80 $19,495.08 $17,768.96 2026-07-30
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 13 13 $21,199.65 $13,779.77 35% off $183.83 $20,351.66 $17,595.71 2026-07-30
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 3 3 — — $15,168.23 $19,002.24 $17,591.66 2025-07-01
MS DRG V39 (FY2022) 812 OTHER Red Blood Cell Disorders Without McC 10 10 $19,831.47 $12,890.46 35% off $12,890.46 $19,038.21 $17,352.53 2026-07-30
MS DRG V39 (FY2022) 948 OTHER Signs And Symptoms Without McC 10 10 $19,817.44 $12,881.34 35% off $12,881.34 $19,024.74 $17,340.26 2026-07-30
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $17,262.67 $17,262.67 $17,262.67 2025-07-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 2 2 — — $11,043.08 $23,399.29 $17,221.19 2025-07-01
CPT� 22515 OTHER Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each 19 13 $26,481.00 $17,212.65 35% off $204.10 $25,421.76 $17,212.65 2026-07-30
MS DRG V39 (FY2022) 292 OTHER Heart Failure And Shock With Cc 10 10 $19,619.75 $12,752.84 35% off $12,752.84 $18,834.96 $17,167.28 2026-07-30
MS DRG V39 (FY2022) 291 OTHER Heart Failure And Shock With McC 10 10 $19,619.75 $12,752.84 35% off $12,752.84 $18,834.96 $17,167.28 2026-07-30
CPT� 69706 OTHER Surg Nasopharyngoscopy Dilat Eustachian Tube Bi 11 11 $18,602.00 $12,091.30 35% off $232.47 $17,857.92 $17,082.90 2026-07-30
C1882 HCPCS Defib Card Asr Sys Cell (cd3369-40q Syscell) 90 10 $19,012.00 $12,357.80 35% off $6,540.95 $36,960.00 $16,994.70 2026-07-30
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 2 2 — — $11,033.10 $22,913.89 $16,973.49 2025-07-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 2 — — $15,298.58 $18,548.18 $16,923.38 2025-07-01
864 MS_DRG Fever And Inflammatory Conditions 1 1 — — $16,858.99 $16,858.99 $16,858.99 2025-07-01
C1721 HCPCS Defib Card Elps Sys Cel 2chmbr 30 10 $19,950.00 $12,967.50 35% off $8,827.00 $19,853.76 $16,857.75 2026-07-30
C9774 HCPCS Ivl W/Atherectomy + Pta; Tib, Peroneal 10 10 $19,049.00 $12,381.85 35% off $12,381.85 $18,287.04 $16,667.88 2026-07-30
L8670 HCPCS Gft Endvas 26x14.5mm 16cm 12 12 $19,408.00 $12,615.20 35% off $596.74 $18,631.68 $16,399.76 2026-07-30
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 1 1 — — $16,387.91 $16,387.91 $16,387.91 2025-07-01
MS DRG V39 (FY2022) 603 OTHER Cellulitis Without McC 10 10 $18,707.51 $12,159.88 35% off $12,159.88 $17,959.21 $16,369.07 2026-07-30
9002 OTHER Tenecteplase Injection 4 3 — — $2,803.72 $17,212.27 $16,316.76 2025-07-01
CPT� 30468 OTHER Rpr Nsl Vlv Collapse Subq/Sbmcsl Lat Wall Implt 11 11 $17,723.00 $11,519.95 35% off $160.87 $18,603.41 $16,276.34 2026-07-30
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $16,189.12 $16,189.12 $16,189.12 2025-07-01
9292 OTHER Inj, Clindamycin (baxter) 2 2 — — $9,246.78 $23,074.98 $16,160.88 2025-07-01
MS DRG V39 (FY2022) 193 OTHER Simple Pneumonia And Pleurisy With McC 10 10 $18,365.96 $11,937.87 35% off $11,937.87 $17,631.32 $16,070.22 2026-07-30
J2506 HCPCS Pegfilgrastim 6 Mg/0.6ml Sc Sosy 12 12 $18,870.90 $12,266.09 35% off $134.04 $18,116.06 $15,851.56 2026-07-30
378 MS_DRG Gastrointestinal Hemorrhage With Cc 1 1 — — $15,736.41 $15,736.41 $15,736.41 2025-07-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $15,473.85 $15,473.85 $15,473.85 2025-07-01
MS DRG V39 (FY2022) 641 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 10 10 $17,587.95 $11,432.17 35% off $11,432.17 $16,884.43 $15,389.46 2026-07-30
MS DRG V39 (FY2022) 947 OTHER Signs And Symptoms With McC 10 10 $17,574.49 $11,423.42 35% off $11,423.42 $16,871.51 $15,377.68 2026-07-30
CPT� 37191 OTHER Ins Intrvas Vc Filtr W/wo Vas Acs Vsl Selxn Rs&I 22 13 $15,732.00 $10,225.80 35% off $209.03 $19,713.60 $15,024.06 2026-07-30
CPT� 64561 OTHER Ir Perc Implant Neurostim Electrode, Sacral Nerve Inc Guidance 13 13 $17,862.00 $11,610.30 35% off $290.99 $17,147.52 $15,004.08 2026-07-30
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 4 3 — — $10,721.96 $32,557.29 $14,862.56 2025-07-01
CPT� 63045 OTHER Removal Of Spinal Lamina 13 13 $17,628.00 $11,458.20 35% off $1,072.37 $16,922.88 $14,807.52 2026-07-30
CPT� 0646T OTHER Ttvi/Rplcmt Prstc Vlv Perq W/r Hrt Cath&Angrph 10 10 $16,904.00 $10,987.60 35% off $10,987.60 $16,227.84 $14,791.00 2026-07-30
MS DRG V39 (FY2022) 695 OTHER Kidney And Urinary Tract Signs And Symptoms With McC 10 10 $16,846.87 $10,950.47 35% off $10,950.47 $16,173.00 $14,741.01 2026-07-30
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 1 1 — — $14,738.24 $14,738.24 $14,738.24 2025-07-01
MS DRG V39 (FY2022) 372 OTHER Major Gastrointestinal Disorders And Peritoneal Infections With Cc 10 10 $16,818.14 $10,931.79 35% off $10,931.79 $16,145.41 $14,715.88 2026-07-30
J9015 HCPCS Aldesleukin 22000000 Units IV Solr 9 9 $16,323.05 $10,609.98 35% off $2,152.84 $15,670.13 $14,690.75 2026-07-30
CPT� 47540 OTHER Ir Perc Placmnt Bile Duct Stent And Cath New Access Complete Proc 13 13 $17,429.00 $11,328.85 35% off $421.62 $16,731.84 $14,640.36 2026-07-30
CPT� 93597 OTHER R/l Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj 10 10 $16,724.00 $10,870.60 35% off $10,870.60 $16,055.04 $14,633.50 2026-07-30
603 MS_DRG Cellulitis Without Mcc 6 4 — — $6,728.36 $37,715.42 $14,555.63 2025-07-01
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 13 13 $17,341.86 $11,272.21 35% off $13.83 $16,648.19 $14,393.74 2026-07-30
MS DRG V39 (FY2022) 178 OTHER Respiratory Infections And Inflammations With Cc 10 10 $16,334.24 $10,617.26 35% off $10,617.26 $15,680.87 $14,292.46 2026-07-30
CPT� 0483T OTHER Tmvi-transcatheter Mitral Valve Implant/Replacement, Perc. 12 12 $16,904.00 $10,987.60 35% off $1,302.82 $16,227.84 $14,283.88 2026-07-30
MS DRG V39 (FY2022) 300 OTHER Peripheral Vascular Disorders With Cc 10 10 $16,207.17 $10,534.66 35% off $10,534.66 $15,558.88 $14,181.27 2026-07-30
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $13,955.11 $13,955.11 $13,955.11 2025-07-01
CPT� 37246 OTHER Pta Initial Artery 13 13 $16,505.00 $10,728.25 35% off $322.89 $15,844.80 $13,864.20 2026-07-30
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 2 2 — — $4,767.82 $22,662.82 $13,715.32 2025-07-01
MS DRG V39 (FY2022) 391 OTHER Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC 10 10 $15,663.71 $10,181.41 35% off $10,181.41 $15,037.16 $13,705.74 2026-07-30
CPT� 93583 OTHER Septal Reductn Tx; Perc Transcath 13 13 $16,295.00 $10,591.75 35% off $554.96 $15,643.20 $13,687.80 2026-07-30
MS DRG V39 (FY2022) 389 OTHER Gastrointestinal Obstruction With Cc 10 10 $15,592.32 $10,135.01 35% off $10,135.01 $14,968.63 $13,643.28 2026-07-30
CPT� 55874 OTHER Transperineal Plmt Biodegradable Matrl 1/Mlt Njx 17 11 $19,094.00 $12,411.10 35% off $18.26 $18,330.24 $13,615.90 2026-07-30
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 — — $5,524.58 $21,342.04 $13,433.31 2025-07-01
MS DRG V39 (FY2022) 894 OTHER Alcohol, Drug Abuse Or Dependence, Left Ama 10 10 $15,285.37 $9,935.49 35% off $9,935.49 $14,673.96 $13,374.69 2026-07-30
J0517 HCPCS Benralizumab 30 Mg/ml Sc Sosy 13 13 $16,047.94 $10,431.16 35% off $172.86 $15,406.02 $13,319.79 2026-07-30
CPT� 63047 OTHER Removal Of Spinal Lamina Lumbar 13 13 $15,801.00 $10,270.65 35% off $936.64 $15,168.96 $13,272.84 2026-07-30
J9205 HCPCS Irinotecan Hcl Liposome 43 Mg/10ml IV Inj 13 13 $15,952.50 $10,369.13 35% off $58.52 $15,314.40 $13,240.58 2026-07-30
CPT� 93596 OTHER R/l Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj 10 10 $14,975.00 $9,733.75 35% off $9,733.75 $14,376.00 $13,103.12 2026-07-30
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 13 13 $15,706.45 $10,209.19 35% off $53.81 $15,078.19 $13,036.35 2026-07-30
CPT� 41135 OTHER Part Exc Tongue,Unilat Rad Neck 12 12 $14,187.00 $9,221.55 35% off $1,383.11 $16,705.49 $12,981.10 2026-07-30
CPT� 37234 OTHER Pta-tibial-peroneal Add'l W/Stent 13 13 $15,392.00 $10,004.80 35% off $204.75 $14,776.32 $12,929.28 2026-07-30
MS DRG V39 (FY2022) 558 OTHER Tendonitis, Myositis And Bursitis Without McC 10 10 $14,743.18 $9,583.07 35% off $9,583.07 $14,153.45 $12,900.28 2026-07-30
MS DRG V39 (FY2022) 552 OTHER Medical Back Problems Without McC 10 10 $14,732.49 $9,576.12 35% off $9,576.12 $14,143.19 $12,890.93 2026-07-30
MS DRG V39 (FY2022) 689 OTHER Kidney And Urinary Tract Infections With McC 10 10 $14,629.09 $9,508.91 35% off $9,508.91 $14,043.93 $12,800.45 2026-07-30
CPT� 36902 OTHER Av Dialysis Circuit W/Pta Peripheral Segment 13 13 $15,221.00 $9,893.65 35% off $226.47 $14,612.16 $12,785.64 2026-07-30
C9772 HCPCS Ivl W/Pta; Tib, Peroneal 10 10 $14,345.00 $9,324.25 35% off $9,324.25 $13,771.20 $12,551.88 2026-07-30
CPT� 20982 OTHER Ir Radiofrequency Ablation Bone Tumor Inc Image Guidance 13 13 $14,903.00 $9,686.95 35% off $347.49 $14,306.88 $12,518.52 2026-07-30
CPT� 37241 OTHER Ir Vascular Embolization Or Occlusion Venous 13 13 $14,861.00 $9,659.65 35% off $404.47 $14,266.56 $12,483.24 2026-07-30
CPT� 36904 OTHER Perc Thrombectomy +/or Inf For Thrombolysis 13 13 $14,749.00 $9,586.85 35% off $347.10 $14,159.04 $12,389.16 2026-07-30
MS DRG V39 (FY2022) 194 OTHER Simple Pneumonia And Pleurisy With Cc 10 10 $14,118.42 $9,176.97 35% off $9,176.97 $13,553.68 $12,353.62 2026-07-30
CPT� 47538 OTHER Plmnt Bile Duct Stent Prq Existing Access 13 13 $14,642.00 $9,517.30 35% off $225.26 $14,056.32 $12,299.28 2026-07-30
MS DRG V39 (FY2022) 640 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 10 $14,042.22 $9,127.44 35% off $9,127.44 $13,480.53 $12,286.94 2026-07-30
C1786 HCPCS Micra Transcatheter Pacing System (Mc1vr01) 50 10 $14,455.00 $9,395.75 35% off $2,622.75 $22,260.48 $12,257.60 2026-07-30
MS DRG V39 (FY2022) 682 OTHER Renal Failure With McC 10 10 $13,909.83 $9,041.39 35% off $9,041.39 $13,353.44 $12,171.10 2026-07-30
389 MS_DRG Gastrointestinal Obstruction With Cc 1 1 — — $12,170.21 $12,170.21 $12,170.21 2025-07-01
J7189 HCPCS Coagulation Factor Viia Recomb 1 Mg IV Solr 13 13 $14,603.55 $9,492.31 35% off $2.38 $14,019.41 $12,120.95 2026-07-30
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 5 4 — — $5,927.41 $27,659.31 $12,095.98 2025-07-01
602 MS_DRG Cellulitis With Mcc 1 1 — — $12,045.01 $12,045.01 $12,045.01 2025-07-01
CPT� 36908 OTHER Stent Central Dialysis Circuit 13 13 $14,306.00 $9,298.90 35% off $193.92 $13,733.76 $12,017.04 2026-07-30
CPT� 36909 OTHER Dialysis Circuit Emb Or Occ Venous 13 13 $14,306.00 $9,298.90 35% off $189.03 $13,733.76 $12,017.04 2026-07-30
CPT� 44146 OTHER Part Removal Colon W Coloproc,Colost 12 12 $13,101.00 $8,515.65 35% off $1,971.23 $15,702.21 $12,016.17 2026-07-30
C1817 HCPCS Amplatzer Septal Occ Size 8 50 10 $14,264.00 $9,271.60 35% off $167.70 $15,930.24 $11,981.76 2026-07-30
CPT� 44151 OTHER Removal Colon/Ileostomy,Continent 12 12 $12,832.00 $8,340.80 35% off $1,682.05 $15,983.34 $11,933.76 2026-07-30
CPT� 37224 OTHER Pta Fem Pop-ir 22 13 $13,800.00 $8,970.00 35% off $337.90 $24,042.36 $11,926.32 2026-07-30
C1982 HCPCS Cath Infs 120cm Sys Trinav 10 10 $13,563.00 $8,815.95 35% off $8,815.95 $13,020.48 $11,867.62 2026-07-30
CPT� C1982 OTHER Cath Infs 150cm Sys Trinav 10 10 $13,563.00 $8,815.95 35% off $8,815.95 $13,020.48 $11,867.62 2026-07-30
550 MS_DRG Septic Arthritis Without Cc/Mcc 1 1 — — $11,853.99 $11,853.99 $11,853.99 2025-07-01
92 MS_DRG Other Disorders Of Nervous System With Cc 1 1 — — $11,839.78 $11,839.78 $11,839.78 2025-07-01
CPT� 37244 OTHER Ir Vascular Embol Or Occlu For Hemorrhage Art, Ven Or Lymph Extravasation 13 13 $14,034.00 $9,122.10 35% off $527.71 $13,472.64 $11,788.56 2026-07-30
J2353 HCPCS Octreotide Acetate 30 Mg IM Kit 21 13 $19,152.80 $12,449.32 35% off $210.69 $18,386.69 $11,661.90 2026-07-30
C9764 HCPCS Revasc Intravasc Lithotripsy Procedure 10 10 $13,284.00 $8,634.60 35% off $8,634.60 $12,752.64 $11,623.50 2026-07-30
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $11,578.38 $11,578.38 $11,578.38 2025-07-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 — — $11,501.21 $11,501.21 $11,501.21 2025-07-01
CPT� 45395 OTHER Lap, Surg Proctectomy W Colostomy 12 12 $12,513.00 $8,133.45 35% off $1,541.13 $14,763.04 $11,449.40 2026-07-30
445 MS_DRG Disorders Of The Biliary Tract With Cc 2 2 — — $10,051.50 $12,832.61 $11,442.06 2025-07-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 1 1 — — $11,436.87 $11,436.87 $11,436.87 2025-07-01
MS DRG V39 (FY2022) 195 OTHER Simple Pneumonia And Pleurisy Without Cc/McC 10 10 $13,027.35 $8,467.78 35% off $8,467.78 $12,506.26 $11,398.94 2026-07-30
MS DRG V39 (FY2022) 897 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC 10 10 $12,895.88 $8,382.32 35% off $8,382.32 $12,380.04 $11,283.90 2026-07-30
J7168 HCPCS Prothrombin Complex Conc Human 1000 Units IV Kit 8 8 $12,533.08 $8,146.50 35% off $8,146.50 $12,031.76 $11,279.77 2026-07-30
291 MS_DRG Heart Failure And Shock With Mcc 8 5 — — $8,960.72 $19,005.74 $11,265.57 2025-07-01
MS DRG V39 (FY2022) 293 OTHER Heart Failure And Shock Without Cc/McC 10 10 $12,810.04 $8,326.53 35% off $8,326.53 $12,297.64 $11,208.78 2026-07-30
CPT� 20983 OTHER Ir Cryoblation Perc Bone Tumor Inc Image Guidance 13 13 $13,342.00 $8,672.30 35% off $327.55 $12,808.32 $11,207.28 2026-07-30
1489 OTHER Inj Vedolizumab IV 1 Mg 1 1 — — $11,133.68 $11,133.68 $11,133.68 2025-07-01
Charge Code 35661 OTHER Bypass Graft Other Than Vein, Fem-fem 13 13 $13,188.00 $8,572.20 35% off $984.01 $12,660.48 $11,077.92 2026-07-30
CPT� 33886 OTHER Plcmnt Distal Extprosth(S) Delayed Endovasc Rep Desc Thoracic Aorta 13 13 $13,069.00 $8,494.85 35% off $871.69 $12,546.24 $10,977.96 2026-07-30
CPT� 50593 OTHER Ir CT Cryotherapy Renal Tumor Unilateral Perc-c 22 13 $12,981.00 $8,437.65 35% off $440.08 $27,714.86 $10,839.14 2026-07-30
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 13 13 $13,002.06 $8,451.34 35% off $4,210.75 $12,481.98 $10,791.71 2026-07-30
MS DRG V39 (FY2022) 951 OTHER Other Factors Influencing Health Status 10 10 $12,069.45 $7,845.14 35% off $7,845.14 $11,586.67 $10,560.77 2026-07-30
CPT� 44207 OTHER Lap,Surg,Colectomy,W/Anast 12 12 $11,409.00 $7,415.85 35% off $1,526.22 $13,552.58 $10,439.24 2026-07-30
CPT� 44141 OTHER Part Removal Colon W Colostomy 12 12 $11,284.00 $7,334.60 35% off $1,229.45 $13,531.54 $10,325.91 2026-07-30
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6ml Sc Sosy 13 13 $12,275.81 $7,979.28 35% off $143.94 $11,784.78 $10,311.68 2026-07-30
CPT� 37220 OTHER Pta Iliac Artery-ir 13 13 $12,274.00 $7,978.10 35% off $306.51 $11,783.04 $10,310.16 2026-07-30
CPT� 33999 OTHER Tavr-transcarotid Approach (Unlisted Proc Code) 20 10 $14,737.00 $9,579.05 35% off $2,900.95 $24,010.56 $10,270.81 2026-07-30
CPT� 31297 OTHER Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus 12 12 $11,139.00 $7,240.35 35% off $124.42 $12,028.57 $10,183.08 2026-07-30
CPT� 47534 OTHER Ir Plcmnt Biliary Drain Cath Internal External Complete Proc 13 13 $12,117.00 $7,876.05 35% off $354.84 $11,632.32 $10,178.28 2026-07-30
CPT� 35907 OTHER Excision Graft, Abdomen 13 13 $12,096.00 $7,862.40 35% off $1,724.23 $11,612.16 $10,160.64 2026-07-30
J3101 HCPCS Tenecteplase 50 Mg IV Kit 13 13 $12,222.19 $7,944.42 35% off $137.43 $11,733.30 $10,144.42 2026-07-30
MS DRG V39 (FY2022) 071 OTHER Nonspecific Cerebrovascular Disorders With Cc 10 10 $11,559.10 $7,513.42 35% off $7,513.42 $11,096.74 $10,114.22 2026-07-30
CPT� 44144 OTHER Part Removal Colon W Ostomy/Mucofist 12 12 $10,986.00 $7,140.90 35% off $1,229.45 $13,119.11 $10,052.19 2026-07-30
CPT� 37248 OTHER Pta Vein Initial (Not Dialysis Circuit) 22 13 $20,067.00 $13,043.55 35% off $280.30 $19,264.32 $10,040.50 2026-07-30
CPT� 43282 OTHER Lap, Repair Paraesophageal Hernia, Incl Fundoplasty With Mesh 12 12 $10,925.00 $7,101.25 35% off $1,453.36 $12,782.82 $9,996.38 2026-07-30
CPT� 74263 OTHER CT Virtual Colonography-screening 11 11 $11,607.00 $7,544.55 35% off $599.52 $11,142.72 $9,865.95 2026-07-30
444 MS_DRG Disorders Of The Biliary Tract With Mcc 1 1 — — $9,738.85 $9,738.85 $9,738.85 2025-07-01
Q5120 HCPCS Pegfilgrastim-bmez 6 Mg/0.6ml Sc Sosy 13 13 $11,542.30 $7,502.50 35% off $138.26 $11,080.61 $9,695.53 2026-07-30
CPT� 44227 OTHER Lap, Surg Close Enterostomy Resect Anast 12 12 $10,549.00 $6,856.85 35% off $1,306.12 $12,369.09 $9,652.33 2026-07-30
CPT� 27598 OTHER Amputation; At Knee 13 13 $11,455.00 $7,445.75 35% off $655.51 $10,996.80 $9,622.20 2026-07-30
J1451 HCPCS Fomepizole 1.5 Gm/1.5ml IV Soln 9 9 $10,674.06 $6,938.14 35% off $6.83 $10,247.10 $9,606.65 2026-07-30
CPT� 20827 OTHER Ed Replantation Thumb, Complete 13 13 $11,374.00 $7,393.10 35% off $776.76 $10,919.04 $9,554.16 2026-07-30
CPT� 78433 OTHER PET Imaging W CT Dual Isotope Myocardial Perf/Metabolic Eval 13 13 $11,306.00 $7,348.90 35% off $1,924.46 $10,853.76 $9,497.04 2026-07-30
J3358 HCPCS Ustekinumab 130 Mg/26ml IV Soln 13 13 $11,428.22 $7,428.34 35% off $11.91 $10,971.09 $9,485.42 2026-07-30
CPT� 44143 OTHER Part Removal Colon W End Colostomy 12 12 $10,349.00 $6,726.85 35% off $1,547.20 $12,324.49 $9,469.33 2026-07-30
J0881 HCPCS Darbepoetin Alfa 500 Mcg/ml Ij Sosy 13 13 $11,379.01 $7,396.36 35% off $3.21 $10,923.85 $9,444.58 2026-07-30
CPT� 22510 OTHER Ir Vertebroplasty 1 Body W Image Guidance C T Spine-c 13 13 $11,189.00 $7,272.85 35% off $414.00 $10,741.44 $9,398.76 2026-07-30
Charge Code 0201T OTHER Ir Sacralplasty W Bilateral Injections 12 12 $11,040.00 $7,176.00 35% off $1,855.01 $10,598.40 $9,328.80 2026-07-30
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 21 13 $45,868.87 $29,814.77 35% off $115.84 $44,034.12 $9,323.84 2026-07-30
MS DRG V39 (FY2022) 394 OTHER Other Digestive System Diagnoses With Cc 10 10 $10,641.54 $6,917.00 35% off $6,917.00 $10,215.88 $9,311.35 2026-07-30
CPT� 22511 OTHER Ir Vertebroplasty 1 Body W Image Guidance L S Spine-c 13 13 $11,040.00 $7,176.00 35% off $389.47 $10,598.40 $9,273.60 2026-07-30
MS DRG V39 (FY2022) 690 OTHER Kidney And Urinary Tract Infections Without McC 10 10 $10,490.27 $6,818.68 35% off $6,818.68 $10,070.66 $9,178.99 2026-07-30
CPT� 50693 OTHER Ir Perc Place Ureteral Stent Pre Existing Nephrostomy Tract Complete 13 13 $10,922.00 $7,099.30 35% off $195.31 $10,485.12 $9,174.48 2026-07-30
MS DRG V39 (FY2022) 176 OTHER Pulmonary Embolism Without McC 10 10 $10,450.24 $6,792.66 35% off $6,792.66 $10,032.23 $9,143.96 2026-07-30
CPT� 44626 OTHER Close Enterostomy,Resec+Colorec Anas 12 12 $9,982.00 $6,488.30 35% off $1,488.16 $11,854.21 $9,133.53 2026-07-30
CPT� 32994 OTHER Ir Cryoblation Pulmonary Uni 1 Or More Tumor Inc Guidance 13 13 $10,731.00 $6,975.15 35% off $422.06 $10,301.76 $9,014.04 2026-07-30
CPT� 35523 OTHER Bypass Graft, W/Vein; Brachial-ulnar Or -radial 13 13 $10,712.00 $6,962.80 35% off $967.18 $10,283.52 $8,998.08 2026-07-30
CPT� 49020 OTHER Drain Abd Abscess Open 12 12 $9,828.00 $6,388.20 35% off $1,491.44 $11,880.38 $8,992.62 2026-07-30
CPT� 50592 OTHER Abltj 1/> Renal Tumor Prq Uni Radiofrequency 12 12 $9,654.00 $6,275.10 35% off $330.57 $20,727.10 $8,978.22 2026-07-30
884 MS_DRG Organic Disturbances And Intellectual Disability 2 2 — — $2,602.58 $15,295.77 $8,949.17 2025-07-01
CPT� 50695 OTHER Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath 22 13 $2,211.00 $1,437.15 35% off $328.76 $14,416.32 $8,916.24 2026-07-30
J0896 HCPCS Luspatercept-aamt 25 Mg Sc Solr 13 13 $10,739.03 $6,980.37 35% off $38.15 $10,309.47 $8,913.39 2026-07-30
CPT� 44055 OTHER Correct Malrotation Of Bowel 12 12 $9,946.00 $6,464.90 35% off $1,384.45 $11,028.06 $8,886.92 2026-07-30
CPT� 43281 OTHER Lap, Repair Paraesophageal Hernia, Incl Fundoplasty Without Mesh 12 12 $9,707.00 $6,309.55 35% off $1,292.22 $11,374.84 $8,881.90 2026-07-30
CPT� 50543 OTHER Lap,Partial Nephrectomy 12 12 $9,674.00 $6,288.10 35% off $1,276.52 $10,053.52 $8,851.71 2026-07-30
CPT� 33367 OTHER Tavr W Cardio Bypass, Open, Add-on Code 13 13 $10,527.00 $6,842.55 35% off $468.01 $10,105.92 $8,842.68 2026-07-30
CPT� 44204 OTHER Lap,Surg,Colectomy, Partial, W/Anast 12 12 $9,598.00 $6,238.70 35% off $1,058.86 $11,462.02 $8,782.17 2026-07-30
948 MS_DRG Signs And Symptoms Without Mcc 1 1 — — $8,718.94 $8,718.94 $8,718.94 2025-07-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 3 — — $1,207.36 $12,962.16 $8,644.71 2025-07-01
639 MS_DRG Diabetes Without Cc/Mcc 1 1 — — $8,591.44 $8,591.44 $8,591.44 2025-07-01
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr 13 13 $10,331.33 $6,715.36 35% off $34.86 $9,918.08 $8,575.00 2026-07-30
314 MS_DRG Other Circulatory System Diagnoses With Mcc 1 1 — — $8,525.58 $8,525.58 $8,525.58 2025-07-01
C2621 HCPCS Crtp W4tr02 Serena Quad Crtp MRI US (W4tr02) 40 10 $10,337.50 $6,719.38 35% off $4,570.15 $12,012.48 $8,517.34 2026-07-30
CPT� 27447 OTHER Pro Total Knee Replacement - Lh 12 12 $9,729.00 $6,323.85 35% off $1,211.79 $9,652.74 $8,415.58 2026-07-30
CPT� 36821 OTHER Arteriovenous Anastomosis, Open, Direct, Any Site 13 13 $9,991.00 $6,494.15 35% off $604.72 $9,591.36 $8,392.44 2026-07-30
Charge Code 36820 OTHER Av Anastomosis, Open, Forearm Vein Transposition 13 13 $9,945.00 $6,464.25 35% off $590.45 $9,547.20 $8,353.80 2026-07-30
CPT� 37225 OTHER Revsc Opn/Prq Fem/Pop W/Athrc/Angiop Sm Vsl 12 12 $8,975.00 $5,833.75 35% off $454.16 $72,837.94 $8,346.75 2026-07-30
CPT� 50694 OTHER Ir Perc Place Ureteral Stent New Access Wo Nephrostomy Cath Complete 13 13 $9,929.00 $6,453.85 35% off $255.52 $9,531.84 $8,340.36 2026-07-30
MS DRG V39 (FY2022) 950 OTHER Aftercare Without Cc/McC 10 10 $9,418.35 $6,121.93 35% off $6,121.93 $9,041.62 $8,241.06 2026-07-30
CPT� 69646 OTHER Tympanoplas/Mastoidec,Rad,Rebld Ossi 12 12 $9,516.00 $6,185.40 35% off $1,546.07 $9,473.44 $8,231.34 2026-07-30
CPT� 49657 OTHER Lap, Recurrent Incisional Hernia Repair,Incarcerated 12 12 $9,506.00 $6,178.90 35% off $1,132.30 $9,793.14 $8,222.69 2026-07-30
CPT� 49418 OTHER Insj Intraperitoneal Catheter W/Img Guid 22 13 $10,224.00 $6,645.60 35% off $168.01 $9,815.04 $8,114.84 2026-07-30
CPT� 37200 OTHER Transjugular Liver Biopsy 13 13 $9,551.00 $6,208.15 35% off $206.46 $9,168.96 $8,022.84 2026-07-30
CPT� 50548 OTHER Nephrectomy, W/Part. Uretectomy 12 12 $8,753.00 $5,689.45 35% off $1,284.25 $9,049.57 $8,008.99 2026-07-30
CPT� 44202 OTHER Lap,Surg,Enterectomy,Resect & Anast 12 12 $8,748.00 $5,686.20 35% off $293.67 $10,308.19 $8,004.42 2026-07-30
CPT� 44205 OTHER Lap,Surg,Colectomy,W/Remvl Term Ileum 12 12 $8,910.00 $5,791.50 35% off $953.25 $9,979.69 $8,001.38 2026-07-30
CPT� 47533 OTHER Ir Plcmnt Biliary Drain Cath External Complete Procedure 22 13 $11,850.00 $7,702.50 35% off $254.32 $11,376.00 $7,989.53 2026-07-30
CPT� 50545 OTHER Lap, Radical Nephrectomy 12 12 $8,705.00 $5,658.25 35% off $1,277.01 $8,998.53 $7,965.07 2026-07-30
CPT� 70543 OTHER Mri, Face, Neck, Combo 22 13 $9,996.00 $6,497.40 35% off $357.00 $9,596.16 $7,780.50 2026-07-30
CPT� 60252 OTHER Thyroidectomy,Malig,Ltd Neck Surg 12 12 $8,457.00 $5,497.05 35% off $1,229.45 $9,956.78 $7,738.16 2026-07-30
CPT� 27130 OTHER Pro Total Hip Replacement - Lh 12 12 $8,518.00 $5,536.70 35% off $1,212.89 $9,661.52 $7,717.73 2026-07-30
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $7,697.38 $7,697.38 $7,697.38 2025-07-01
CPT� 43840 OTHER Repair Perf Duod/Gast Ulc-wnd/inj 12 12 $8,397.00 $5,458.05 35% off $768.38 $10,102.79 $7,683.26 2026-07-30
9025 OTHER Inj Glucagon Hcl, Fresenius 1 1 — — $7,651.45 $7,651.45 $7,651.45 2025-07-01
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Ij Soln 13 13 $9,209.36 $5,986.08 35% off $1,812.88 $8,840.99 $7,643.77 2026-07-30
CPT� 44140 OTHER Part Removal Colon W Anastomosis 12 12 $8,301.00 $5,395.65 35% off $1,253.56 $9,985.46 $7,595.41 2026-07-30
CPT� 44120 OTHER Resection; Sm Bowel, Single Anastomsis 22 13 $11,075.00 $7,198.75 35% off $1,138.76 $10,632.00 $7,551.18 2026-07-30
CPT� 43820 OTHER Gastrojejunostomy 12 12 $8,248.00 $5,361.20 35% off $822.01 $9,984.33 $7,548.26 2026-07-30
CPT� 50544 OTHER Lap,Pyeloplasty 12 12 $8,261.00 $5,369.65 35% off $1,188.56 $8,375.23 $7,547.57 2026-07-30
CPT� 27828 OTHER Pro Tx Opn Fx Tibia/fibula-lh 12 12 $8,172.00 $5,311.80 35% off $1,210.57 $10,125.29 $7,534.07 2026-07-30
CPT� 71552 OTHER Chest MRI Without And With Contrast 22 13 $10,244.00 $6,658.60 35% off $468.28 $9,834.24 $7,461.72 2026-07-30
CPT� 33877 OTHER Rep;Thoracoabdominal Aneur W/Grft; W/wo Cp Bypass;Open 13 13 $8,854.00 $5,755.10 35% off $2,106.32 $8,499.84 $7,437.36 2026-07-30
185 MS_DRG Major Chest Trauma Without Cc/Mcc 1 1 — — $7,435.88 $7,435.88 $7,435.88 2025-07-01
CPT� 15734 OTHER Muscle-skin Flap,Trunk 12 12 $10,750.00 $6,987.50 35% off $1,289.81 $10,320.00 $7,409.92 2026-07-30
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 18 10 — — $2,208.51 $23,813.95 $7,394.78 2025-07-01
CPT� 44160 OTHER Remvl Colon & Term Ileum W/Ileocolostomy 12 12 $8,180.00 $5,317.00 35% off $1,065.41 $9,250.48 $7,381.19 2026-07-30
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc 1 1 — — $7,377.57 $7,377.57 $7,377.57 2025-07-01
CPT� 27882 OTHER Amputation, Leg, Open 13 13 $8,749.00 $5,686.85 35% off $550.88 $8,399.04 $7,349.16 2026-07-30
CPT� 50785 OTHER Reimplant Ureter,Vesicopsoas Hitch 12 12 $8,022.00 $5,214.30 35% off $1,159.95 $8,173.70 $7,329.64 2026-07-30
C1785 HCPCS Defib Card Sys Gentr 2chmbr Icd Ld Ra Rv Hv Blutth Gllnt 70 10 $8,225.00 $5,346.25 35% off $3,026.40 $20,890.56 $7,323.54 2026-07-30
5672 OTHER Level 2 Pathology 1 1 — — $7,253.23 $7,253.23 $7,253.23 2025-07-01
J9033 HCPCS Bendamustine Hcl 100 Mg IV Solr 13 13 $8,738.02 $5,679.71 35% off $16.86 $8,388.50 $7,252.56 2026-07-30
CPT� 59618 OTHER Rout OB Care,c-sec,prev C-sec 12 12 $8,059.00 $5,238.35 35% off $1,407.14 $9,020.70 $7,234.83 2026-07-30
CPT� 55866 OTHER Lap,Prostatectomy,Radical,W/Nerve Spare 12 12 $8,289.00 $5,387.85 35% off $1,379.32 $7,957.44 $7,226.81 2026-07-30
CPT� 27889 OTHER Ankle Disarticulation Cl 13 13 $8,573.00 $5,572.45 35% off $595.62 $8,230.08 $7,201.32 2026-07-30
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