Price Transparency 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

RUSSELL MEDICAL CENTER

Alexander City, AL · CCN 010065 · Rates published

28,943 distinct procedures filed
5 distinct payers
120,533 rate rows
2026-04-01 last MRF observed
Data quality

86,137 of 120,533 rate rows are consumer-grade (71.5%)

34,396 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 27,337
professional (physician) fee — not the facility price 5,761
placeholder amount (≤ $0.02) — excluded from medians 1,178
percent-of-charges filed in the dollar field — excluded from medians 79
exceeds 10× this hospital's gross charge — excluded from medians 21
per-diem day rate — not a per-procedure price 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://russellmc.pt.panaceainc.com/MRFDownload/russellmc/russellmc
Found on page https://russellcares.com/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 6cbbd7704eeee8f1… · 44,754,471 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.66 $3,758,971.99 $3,685,266.66 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,335,820.00 $3,402,536.40 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,327,859.72 $3,394,416.91 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,252,508.07 $3,317,558.23 $3,252,508.07 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $3,180,000.00 $3,243,600.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,939,968.88 $2,998,768.26 $2,939,968.88 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,588,981.22 $2,640,760.84 $2,588,981.22 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $2,378,640.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $786,032.40 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $587,649.57 $599,402.56 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $566,531.30 $577,861.93 $566,531.30 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,201.24 $573,445.26 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $558,081.72 $569,243.35 $558,081.72 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $532,192.24 $542,836.08 $532,192.24 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,450.20 $499,239.20 $489,450.20 nat. median
$620,080
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $283,815.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $265,000.00 $270,300.00 $265,000.00 nat. median
$265,000
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $243,916.58 $248,794.91 $243,916.58 nat. median
$370,174
0.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $201,669.02 $205,702.40 $201,669.02 nat. median
$209,753
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $182,537.06 $186,187.80 $182,537.06 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $153,948.59 $157,027.56 $153,948.59 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $139,214.16 $141,998.44 $139,214.16 nat. median
$202,986
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $92,258.46 $94,103.63 $92,258.46 nat. median
$133,176
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $85,646.23 $87,359.15 $85,646.23 nat. median
$117,303
0.7× median
7
MS_DRG 		Lung Transplant 4 $85,434.01 $87,142.69 $85,434.01 nat. median
$122,708
0.7× median
Q2053
EAPG 		Brexucabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9073
EAPG 		Brexucabtagene Autoleucel Ca 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9098
EAPG 		Ciltacabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2054
EAPG 		Lisocabtagene Mara Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2041
EAPG 		Axicabtagene Ciloleucel Car+ 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9081
EAPG 		Idecabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2055
EAPG 		Idecabtagene Vicleucel Car 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
C9076
EAPG 		Lisocabtagene Car Pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2056
EAPG 		Ciltacabtagene Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2042
EAPG 		Tisagenlecleucel Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$25,396
outlier · 2.9×
Q2040
EAPG 		Tisagenlecleucel Car-pos T 1 $72,542.47 $72,542.47 $72,542.47 nat. median
$72,542
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $72,256.49 $73,701.62 $72,256.49 nat. median
$108,660
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 4 $71,447.49 $72,876.44 $71,447.49 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $69,875.14 $71,272.64 $69,875.14 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 4 $69,524.01 $70,914.49 $69,524.01 nat. median
$99,019
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $68,756.17 $70,131.29 $68,756.17 nat. median
$98,905
0.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 4 $64,274.79 $65,560.29 $64,274.79 nat. median
$69,774
0.9× median
A9513
EAPG 		Lutetium Lu 177 Dotatat Ther 1 $63,909.23 $63,909.23 $63,909.23 nat. median
$21,588
outlier · 3.0×
A9543
EAPG 		Y90 Ibritumomab, Rx 1 $63,909.23 $63,909.23 $63,909.23 nat. median
$21,588
outlier · 3.0×
A9607
EAPG 		Lutetium Lu 177 Vipivotide 1 $63,909.23 $63,909.23 $63,909.23 nat. median
$21,588
outlier · 3.0×
C9031
EAPG 		Lutetium Lu 177 Dotatate, Tx 1 $63,909.23 $63,909.23 $63,909.23 nat. median
$63,909
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $63,455.19 $64,724.29 $63,455.19 nat. median
$93,672
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $60,630.75 $61,843.37 $60,630.75 nat. median
$83,442
0.7× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $58,688.02 $59,861.78 $58,688.02 nat. median
$15,912
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 28,943 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 4 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 4 — — $3,685,266.66 $3,758,971.99 $3,685,266.66 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 4 — — $3,335,820.00 $3,402,536.40 $3,335,820.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $3,327,859.72 $3,394,416.91 $3,327,859.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,252,508.07 $3,317,558.23 $3,252,508.07 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 5 4 — — $3,180,000.00 $3,243,600.00 $3,180,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 4 — — $2,939,968.88 $2,998,768.26 $2,939,968.88 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 4 — — $2,588,981.22 $2,640,760.84 $2,588,981.22 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 4 — — $2,332,000.00 $2,378,640.00 $2,332,000.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $770,620.00 $786,032.40 $770,620.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $587,649.57 $599,402.56 $587,649.57 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 4 — — $566,531.30 $577,861.93 $566,531.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $562,201.24 $573,445.26 $562,201.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $558,081.72 $569,243.35 $558,081.72 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $532,192.24 $542,836.08 $532,192.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $489,450.20 $499,239.20 $489,450.20 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $283,815.00 $278,250.00 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 5 4 — — $265,000.00 $270,300.00 $265,000.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $243,916.58 $248,794.91 $243,916.58 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 4 — — $201,669.02 $205,702.40 $201,669.02 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $182,537.06 $186,187.80 $182,537.06 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $153,948.59 $157,027.56 $153,948.59 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 4 — — $139,214.16 $141,998.44 $139,214.16 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 4 — — $92,258.46 $94,103.63 $92,258.46 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 4 — — $85,646.23 $87,359.15 $85,646.23 2026-04-01
7 MS_DRG Lung Transplant 5 4 — — $85,434.01 $87,142.69 $85,434.01 2026-04-01
C9076 EAPG Lisocabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2055 EAPG Idecabtagene Vicleucel Car 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2040 EAPG Tisagenlecleucel Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2056 EAPG Ciltacabtagene Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9098 EAPG Ciltacabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2041 EAPG Axicabtagene Ciloleucel Car+ 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9073 EAPG Brexucabtagene Autoleucel Ca 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2042 EAPG Tisagenlecleucel Car-pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
C9081 EAPG Idecabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2053 EAPG Brexucabtagene Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
Q2054 EAPG Lisocabtagene Mara Car Pos T 1 1 — — $72,542.47 $72,542.47 $72,542.47 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 4 — — $72,256.49 $73,701.62 $72,256.49 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 5 4 — — $71,447.49 $72,876.44 $71,447.49 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 4 — — $69,875.14 $71,272.64 $69,875.14 2026-04-01
215 MS_DRG Other Heart Assist System Implant 5 4 — — $69,524.01 $70,914.49 $69,524.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $68,756.17 $70,131.29 $68,756.17 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 4 — — $64,274.79 $65,560.29 $64,274.79 2026-04-01
A9607 EAPG Lutetium Lu 177 Vipivotide 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
C9031 EAPG Lutetium Lu 177 Dotatate, Tx 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
A9513 EAPG Lutetium Lu 177 Dotatat Ther 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
A9543 EAPG Y90 Ibritumomab, Rx 1 1 — — $63,909.23 $63,909.23 $63,909.23 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $63,455.19 $64,724.29 $63,455.19 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 5 4 — — $60,630.75 $61,843.37 $60,630.75 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $58,688.02 $59,861.78 $58,688.02 2026-04-01
57894006103 NDC Ustekinumab 90 Mg/ml Syringe 3 2 $113,691.00 $40,928.76 64% off $27,967.99 $96,637.35 $56,845.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 4 — — $56,824.54 $57,961.03 $56,824.54 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $55,884.76 $57,002.46 $55,884.76 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $55,854.54 $56,971.63 $55,854.54 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $55,027.53 $56,128.08 $55,027.53 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $54,404.10 $55,492.18 $54,404.10 2026-04-01
79952011001 NDC Loncastuximab Tesirine-lpyl 10 Mg Vial 3 2 $108,288.96 $38,984.03 64% off $26,639.08 $92,045.62 $54,144.48 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $53,230.10 $54,294.70 $53,230.10 2026-04-01
10 MS_DRG Pancreas Transplant 5 4 — — $52,663.54 $53,716.81 $52,663.54 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 4 — — $52,369.64 $53,417.03 $52,369.64 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $51,656.46 $52,689.59 $51,656.46 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $51,149.06 $52,172.04 $51,149.06 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $49,391.50 $50,379.33 $49,391.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $47,066.74 $48,008.07 $47,066.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 4 — — $46,837.16 $47,773.90 $46,837.16 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $46,126.55 $47,049.08 $46,126.55 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $45,302.11 $46,208.15 $45,302.11 2026-04-01
S2235 EAPG Implant Auditory Brain Imp 1 1 — — $45,017.45 $45,017.45 $45,017.45 2026-04-01
69930 EAPG Implant Cochlear Device 1 1 — — $45,017.45 $45,017.45 $45,017.45 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $44,507.25 $45,397.40 $44,507.25 2026-04-01
C1882 HCPCS Defibrillator Bi-vent 6 2 $89,000.00 $32,040.00 64% off $21,880.72 $75,650.00 $44,486.50 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $44,341.34 $45,228.17 $44,341.34 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $44,268.67 $45,154.04 $44,268.67 2026-04-01
J9226 HCPCS Supprelin La Implant 5 4 — — $43,185.33 $44,049.04 $43,185.33 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $42,979.92 $43,839.52 $42,979.92 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $42,920.11 $43,778.51 $42,920.11 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $42,060.95 $42,902.17 $42,060.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 5 4 — — $41,225.57 $42,050.08 $41,225.57 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $41,174.13 $41,997.61 $41,174.13 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 5 4 — — $41,096.26 $41,918.18 $41,096.26 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $40,992.78 $41,812.64 $40,992.78 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $40,854.51 $41,671.60 $40,854.51 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $40,674.45 $41,487.94 $40,674.45 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $40,486.67 $41,296.40 $40,486.67 2026-04-01
50242015001 NDC Ocrelizumab 300 Mg/10 Ml Vial 3 2 $80,499.74 $28,979.91 64% off $19,802.94 $68,424.78 $40,249.87 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 5 4 — — $40,206.28 $41,010.41 $40,206.28 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 4 — — $40,206.28 $41,010.41 $40,206.28 2026-04-01
C9741 EAPG Impl Pressure Sensor W/angio 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0409T EAPG Insj/rplc Car Modulj Pls Gn 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0520T EAPG Rmv&rplcmt Pg Wcs Lv Battery 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33289 EAPG Tcat Impl Wrls P-art Prs Snr 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0571T EAPG Insj/rplcmt Icds Ss Eltrd 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0614T EAPG Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33263 EAPG Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33270 EAPG Ins/rep Subq Defibrillator 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
0414T EAPG Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33264 EAPG Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
G0448 EAPG Place Perm Pacing Cardiovert 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33231 EAPG Insrt Pulse Gen W/mult Leads 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33249 EAPG Insj/rplcmt Defib W/lead(s) 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33262 EAPG Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33240 EAPG Insrt Pulse Gen W/singl Lead 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
33230 EAPG Insrt Pulse Gen W/dual Leads 1 1 — — $39,937.47 $39,937.47 $39,937.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $39,916.25 $40,714.58 $39,916.25 2026-04-01
J1411 EAPG Inj, Hemgenix, Per Tx Dose 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
Q2043 EAPG Sipuleucel-t Auto Cd54+ 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0219 EAPG Inj Aval Alfa-nqpt 4mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1747 EAPG Inj, Spesolimab-sbzo, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9298 EAPG Inj Nivol Relatlimab 3mg/1mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0223 EAPG Inj Givosiran 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9350 EAPG Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J2350 EAPG Injection, Ocrelizumab, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1412 EAPG Inj Roctavian Ml 2x10^13vc G 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J2840 EAPG Inj Sebelipase Alfa 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9381 EAPG Inj Teplizumab Mzwv 5 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0217 EAPG Inj Velmanase Alfa-tycv 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9146 EAPG Inj, Elahere, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J2326 EAPG Inj, Nusinersen, 0.1mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J0221 EAPG Lumizyme Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1300 EAPG Eculizumab Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9149 EAPG Inj, Teplizumab-mzwv, 5 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1303 EAPG Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J1413 EAPG Inj Delandistrogene Mox Rokl 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J7170 EAPG Inj., Emicizumab-kxwh 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9210 EAPG Inj., Emapalumab-lzsg, 1 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J7180 EAPG Factor Xiii Anti-hem Factor 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9226 EAPG Supprelin La Implant 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9052 EAPG Injection, Ravulizumab-cwv 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
C9085 EAPG Inj Avalglucosid Alfa-ngpt 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9600 EAPG Porfimer Sodium Injection 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J7175 EAPG Inj, Factor X, (human), 1iu 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9029 EAPG Inj, Adstiladrin, Per Tx Dos 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
Q9995 EAPG Inj. Emicizumab-kxwh, 0.5 Mg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
J9269 EAPG Inj. Tagraxofusp-erzs 10 Mcg 1 1 — — $39,828.99 $39,828.99 $39,828.99 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $39,649.37 $40,442.36 $39,649.37 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $39,620.43 $40,412.84 $39,620.43 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $39,230.72 $40,015.33 $39,230.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $38,832.64 $39,609.29 $38,832.64 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $38,299.53 $39,065.52 $38,299.53 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $38,078.95 $38,840.53 $38,078.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $37,239.72 $37,984.51 $37,239.72 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $36,935.54 $37,674.25 $36,935.54 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $36,935.54 $37,674.25 $36,935.54 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $36,786.34 $37,522.07 $36,786.34 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $36,570.26 $37,301.67 $36,570.26 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 4 — — $36,381.19 $37,108.81 $36,381.19 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $36,301.45 $37,027.48 $36,301.45 2026-04-01
50242010501 NDC Polatuzumab Vedotin-piiq 140 Mg Vial 3 2 $72,584.49 $26,130.42 64% off $17,855.78 $61,696.82 $36,292.25 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $36,123.32 $36,845.79 $36,123.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $36,090.52 $36,812.33 $36,090.52 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $36,086.66 $36,808.39 $36,086.66 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $35,603.70 $36,315.77 $35,603.70 2026-04-01
C1721 HCPCS Defibrillator - Photon Dual 3 2 $70,965.00 $25,547.40 64% off $17,457.39 $60,320.25 $35,482.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $35,452.58 $36,161.63 $35,452.58 2026-04-01
33514 EAPG Cabg Vein Five 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33516 EAPG Cabg Vein Six Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33517 EAPG Cabg Artery-vein Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33518 EAPG Cabg Artery-vein Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33513 EAPG Cabg Vein Four 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33519 EAPG Cabg Artery-vein Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33510 EAPG Cabg Vein Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33509 EAPG Ndsc Hrv Uxtr Art 1 Sgm Cab 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33511 EAPG Cabg Vein Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33508 EAPG Endoscopic Vein Harvest 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33506 EAPG Repair Artery Translocation 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33507 EAPG Repair Art Intramural 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33503 EAPG Coronary Artery Graft 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33504 EAPG Coronary Artery Graft 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33502 EAPG Coronary Artery Correction 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33521 EAPG Cabg Artery-vein Four 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33505 EAPG Repair Artery W/tunnel 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33530 EAPG Coronary Artery Bypass/reop 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33535 EAPG Cabg Arterial Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33534 EAPG Cabg Arterial Two 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
35600 EAPG Open Hrv Uxtr Art 1 Sgm Cab 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33533 EAPG Cabg Arterial Single 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33572 EAPG Open Coronary Endarterectomy 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33536 EAPG Cabg Arterial Four Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33522 EAPG Cabg Artery-vein Five 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33512 EAPG Cabg Vein Three 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
33523 EAPG Cabg Art-vein Six Or More 1 1 — — $34,655.60 $34,655.60 $34,655.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 4 — — $34,509.81 $35,200.01 $34,509.81 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $34,399.84 $35,087.84 $34,399.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $34,152.89 $34,835.95 $34,152.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $34,052.57 $34,733.62 $34,052.57 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $33,781.83 $34,457.47 $33,781.83 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $33,590.84 $34,262.66 $33,590.84 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 4 — — $33,565.76 $34,237.08 $33,565.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $33,552.89 $34,223.95 $33,552.89 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $33,437.14 $34,105.88 $33,437.14 2026-04-01
0427T EAPG Insj/rplc Nstim Apnea Pls Gn 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63664 EAPG Revise Spine Eltrd Plate 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64569 EAPG Revise/repl Vagus N Eltrd 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61867 EAPG Implant Neuroelectrode 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0424T EAPG Insj/rplc Nstim Apnea Compl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61889 EAPG Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63655 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0266T EAPG Implt/rpl Crtd Sns Dev Total 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64582 EAPG Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
63685 EAPG Ins/rplc Spi Npg/rcvr Pocket 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61863 EAPG Implant Neuroelectrode 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
33287 EAPG Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
33276 EAPG Insj Phrnc Nrv Stim Sys 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61850 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61860 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0268T EAPG Implt/rpl Crtd Sns Dev Gen 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64553 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0816T EAPG Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0466T EAPG Insj Ch Wal Respir Eltrd/ra 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61868 EAPG Implant Neuroelectrde Addl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0431T EAPG Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64575 EAPG Opn Impltj Nea Perph Nerve 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61886 EAPG Implant Neurostim Arrays 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0316T EAPG Replc Vagus Nerve Pls Gen 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61870 EAPG Implant Neuroelectrodes 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64590 EAPG Ins/rpl Prph Sac/gstr Npg/r 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61885 EAPG Insrt/redo Neurostim 1 Array 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0817T EAPG Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64568 EAPG Opn Impltj Crnl Nrv Nea&pg 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
64580 EAPG Opn Impltj Nea Neuromuscular 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
0312T EAPG Laps Impltj Nstim Vagus 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
61864 EAPG Implant Neuroelectrde Addl 1 1 — — $33,151.22 $33,151.22 $33,151.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 4 — — $32,816.56 $33,472.89 $32,816.56 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $32,626.85 $33,279.39 $32,626.85 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 4 — — $32,574.76 $33,226.26 $32,574.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $32,100.80 $32,742.82 $32,100.80 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 4 — — $31,967.68 $32,607.03 $31,967.68 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 5 4 — — $31,963.86 $32,603.13 $31,963.86 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $31,961.89 $32,601.13 $31,961.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $31,645.49 $32,278.40 $31,645.49 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $31,483.44 $32,113.11 $31,483.44 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $31,305.94 $31,932.06 $31,305.94 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $31,031.35 $31,651.98 $31,031.35 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 4 — — $31,019.13 $31,639.51 $31,019.13 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $30,924.59 $31,543.08 $30,924.59 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $30,920.09 $31,538.49 $30,920.09 2026-04-01
69930 HCPCS Implant Cochlear Device 5 4 — — $30,763.66 $31,378.93 $30,763.66 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $30,403.69 $31,011.76 $30,403.69 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $30,230.70 $30,835.31 $30,230.70 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $30,150.96 $30,753.98 $30,150.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $29,882.15 $30,479.79 $29,882.15 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $29,639.70 $30,232.49 $29,639.70 2026-04-01
00003712511 NDC Nivolumab-relatlimab-rmbw 320 Mg/20 Ml Vial 3 2 $58,966.38 $21,227.90 64% off $14,505.73 $50,121.42 $29,483.19 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $29,286.45 $29,872.18 $29,286.45 2026-04-01
33264 HCPCS Icd Gen Rem & Rep Multi Ld 6 4 $66,971.00 $24,109.56 64% off $29,286.45 $56,925.35 $29,286.45 2026-04-01
33270 HCPCS Ins/replac Sq Defibrillator 6 4 $68,392.00 $24,621.12 64% off $29,286.45 $58,133.20 $29,286.45 2026-04-01
33249 HCPCS Insert Single Icd System 7 4 $72,136.00 $25,968.96 64% off $29,286.45 $61,316.03 $29,286.45 2026-04-01
33231 HCPCS Icd Gen Inser W Ex Multi Lds 6 4 $66,971.00 $24,109.56 64% off $29,286.45 $56,925.35 $29,286.45 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 5 4 — — $29,286.45 $29,872.18 $29,286.45 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 5 4 — — $29,286.45 $29,872.18 $29,286.45 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $29,215.91 $29,800.23 $29,215.91 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $29,158.67 $29,741.84 $29,158.67 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $28,822.34 $29,398.79 $28,822.34 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $28,790.86 $29,366.68 $28,790.86 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $28,781.82 $29,357.46 $28,781.82 2026-04-01
34847 EAPG Visc & Infraren Abd 3 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
35840 EAPG Explore Abdominal Vessels 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34707 EAPG Evasc Rpr Ilio-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0254T EAPG Evasc Rpr Iliac Art Bifur 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33883 EAPG Insert Endovasc Prosth Taa 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34843 EAPG Endovasc Visc Aorta 3 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34709 EAPG Plmt Xtn Prosth Evasc Rpr 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0339T EAPG Trnscth Renal Symp Denrv Bil 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33880 EAPG Endovasc Taa Repr Incl Subcl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33886 EAPG Endovasc Prosth Delayed 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33894 EAPG Evasc St Rpr Thrc/aa Acrs Br 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34708 EAPG Evasc Rpr Ilio-iliac Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0338T EAPG Trnscth Renal Symp Denrv Unl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34846 EAPG Visc & Infraren Abd 2 Prosth 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34710 EAPG Dlyd Plmt Xtn Prosth 1st Vsl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34703 EAPG Evasc Rpr A-unilac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33884 EAPG Endovasc Prosth Taa Add-on 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
0234T EAPG Trluml Perip Athrc Renal Art 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34813 EAPG Femoral Endovas Graft Add-on 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34844 EAPG Endovasc Visc Aorta 4 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34701 EAPG Evasc Rpr A-ao Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34808 EAPG Endovas Iliac A Device Addon 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34820 EAPG Opn Iliac Art Expos 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34704 EAPG Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34842 EAPG Endovasc Visc Aorta 2 Graft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33895 EAPG Evasc St Rpr Thrc/aa X Crsg 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34702 EAPG Evasc Rpr A-ao Ndgft Rpt 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
33881 EAPG Endovasc Taa Repr Without Subcl 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34718 EAPG Evasc Rpr N/a A-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34717 EAPG Evasc Rpr A-iliac Ndgft 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34051 EAPG Removal Of Artery Clot 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34712 EAPG Tcat Dlvr Enhncd Fixj Dev 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
34713 EAPG Perq Access & Clsr Fem Art 1 1 — — $28,698.21 $28,698.21 $28,698.21 2026-04-01
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