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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

ARKANSAS HEART HOSPITAL-ENCORE

Bryant, AR · CCN 040161 · Rates published

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You selected 93306 (HCPCS)

US Echo 2D Echo (with 3D if indicated) - Report

This hospital’s price: $525 across 10 payers · range $371-$1,527

Source: https://arkansasheart.pt.panaceainc.com/MRFDownload/arkansasheart/encore · observed 2025-11-21

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.

36,506 distinct procedures filed
11 distinct payers
184,514 rate rows
2025-11-21 last MRF observed
Data quality

156,825 of 184,514 rate rows are consumer-grade (85.0%)

27,689 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 26,884
placeholder amount (≤ $0.02) — excluded from medians 341
exceeds 10× this hospital's gross charge — excluded from medians 304
percent-of-charges filed in the dollar field — excluded from medians 151
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://arkansasheart.pt.panaceainc.com/MRFDownload/arkansasheart/encore
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-18
Content fingerprint 4bb2bc267558a213… · 92,088,569 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $4,071,075.00 $4,727,700.00 $4,508,825.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 8 $3,450,300.00 $4,006,800.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,427,298.00 $3,980,088.00 $3,795,824.67 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,091,851.87 $3,590,537.65 $3,424,309.06 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,033,060.15 $3,522,263.40 $3,359,195.65 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,744,138.60 $3,186,741.60 $3,039,207.27 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,280,467.51 $2,648,284.85 $2,525,679.07 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,168,760.00 $2,518,560.00 $2,401,960.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $716,676.60 $832,269.60 $793,738.60 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $537,841.86 $624,590.55 $595,674.32 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $514,642.31 $597,649.14 $569,980.19 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $503,721.16 $584,966.51 $557,884.73 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $503,372.22 $584,561.29 $557,498.26 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $495,761.13 $575,722.60 $549,068.77 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $455,439.60 $528,897.60 $504,411.60 nat. median
$591,650
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $251,448.75 $292,005.00 $278,486.25 nat. median
$319,951
0.9× median
Q048000
OTHER 		Driver Pneumatic Vad, Rep 1 $257,986.94 $257,986.94 $257,986.94 nat. median
$86,665
outlier · 3.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $246,497.45 $342,425.03 $254,997.36 nat. median
$359,358
0.7× median
J902900
OTHER 		Instill Adstiladrin, Tx Dose 1 $222,921.58 $222,921.58 $222,921.58 nat. median
$114,409
1.9× median
Q204300
OTHER 		Sipuleucel-t Auto Cd54+ 1 $195,266.33 $195,266.33 $195,266.33 nat. median
$96,839
outlier · 2.0×
A954300
OTHER 		Y90 Ibritumomab, Rx 1 $193,837.26 $193,837.26 $193,837.26 nat. median
$144,835
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $184,112.93 $255,762.79 $190,461.65 nat. median
$249,124
0.8× median
J733000
OTHER 		Cultured Chondrocytes Implnt 1 $181,303.42 $181,303.42 $181,303.42 nat. median
$149,032
1.2× median
K100700
OTHER 		Bil Hkaf Pc S/d Micro Sensor 1 $173,370.59 $173,370.59 $173,370.59 nat. median
$118,164
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $155,056.36 $215,398.49 $160,403.13 nat. median
$198,433
0.8× median
J922600
OTHER 		Supprelin La Implant 1 $159,140.49 $159,140.49 $159,140.49 nat. median
$76,870
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $140,080.68 $194,594.83 $144,911.05 nat. median
$190,557
0.8× median
9028800
OTHER 		Botulism Ig IV 1 $142,705.65 $142,705.65 $142,705.65 nat. median
$104,851
1.4× median
L870200
OTHER 		Ewhf S/d Uprt Micro Sensor 1 $133,173.10 $133,173.10 $133,173.10 nat. median
$88,947
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $92,356.15 $128,297.70 $95,540.84 nat. median
$126,722
0.8× median
J926600
OTHER 		Pegaspargase Injection 1 $95,180.00 $95,180.00 $95,180.00 nat. median
$50,595
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $85,635.65 $118,961.84 $88,588.61 nat. median
$110,192
0.8× median
7
MS_DRG 		Lung Transplant 10 $85,419.95 $118,662.20 $88,365.47 nat. median
$117,894
0.7× median
L718000
OTHER 		Electronic Elbow Sequential 1 $79,842.59 $79,842.59 $79,842.59 nat. median
$28,606
outlier · 2.8×
L718100
OTHER 		Electronic Elbo Simultaneous 1 $79,193.86 $79,193.86 $79,193.86 nat. median
$31,301
outlier · 2.5×
L200600
OTHER 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $74,567.15 $74,567.15 $74,567.15 nat. median
$26,013
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $72,026.68 $100,056.77 $74,510.36 nat. median
$103,967
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 10 $71,204.43 $98,914.53 $73,659.76 nat. median
$97,414
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $69,606.34 $96,694.51 $72,006.55 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 10 $69,249.46 $96,198.76 $71,637.37 nat. median
$93,917
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $68,469.04 $95,114.62 $70,830.04 nat. median
$93,270
0.8× median
E0194NU
OTHER 		Air Fluidized Bed 1 $69,756.71 $69,756.71 $69,756.71 nat. median
$44,512
1.6× median
E019400
OTHER 		Air Fluidized Bed 1 $69,756.71 $69,756.71 $69,756.71 nat. median
$38,547
1.8× median
J960000
OTHER 		Porfimer Sodium Injection 1 $69,703.12 $69,703.12 $69,703.12 nat. median
$49,818
1.4× median
L870100
OTHER 		Ewh S/d Uprt Micro Sensor 1 $67,688.42 $67,688.42 $67,688.42 nat. median
$67,688
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 8 $58,990.88 $68,505.53 $65,333.98 nat. median
$68,423
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $63,081.28 $87,630.15 $65,256.49 nat. median
$90,581
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $60,210.58 $83,642.29 $62,286.81 nat. median
$78,262
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $52,846.83 $61,370.51 $58,529.29 nat. median
$63,643
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $52,029.75 $60,421.65 $57,624.35 nat. median
$65,720
0.9× median

Other procedures at this hospital

Browse this hospital's 36,506 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 9 8 — — $4,071,075.00 $4,727,700.00 $4,508,825.00 2025-11-21
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 8 — — $3,450,300.00 $4,006,800.00 $3,821,300.00 2025-11-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 8 — — $3,427,298.00 $3,980,088.00 $3,795,824.67 2025-11-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 8 — — $3,091,851.87 $3,590,537.65 $3,424,309.06 2025-11-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 8 — — $3,033,060.15 $3,522,263.40 $3,359,195.65 2025-11-21
J3393 HCPCS Inj, Betibeglogene Autotemce 9 8 — — $2,744,138.60 $3,186,741.60 $3,039,207.27 2025-11-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,280,467.51 $2,648,284.85 $2,525,679.07 2025-11-21
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $2,168,760.00 $2,518,560.00 $2,401,960.00 2025-11-21
Q2057 HCPCS Afamitresgene Autoleucel 9 8 — — $716,676.60 $832,269.60 $793,738.60 2025-11-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 8 — — $537,841.86 $624,590.55 $595,674.32 2025-11-21
Q2056 HCPCS Ciltacabtagene Car-pos T 9 8 — — $514,642.31 $597,649.14 $569,980.19 2025-11-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 8 — — $503,721.16 $584,966.51 $557,884.73 2025-11-21
Q2055 HCPCS Idecabtagene Vicleucel Car 9 8 — — $503,372.22 $584,561.29 $557,498.26 2025-11-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 8 — — $495,761.13 $575,722.60 $549,068.77 2025-11-21
Q2053 HCPCS Brexucabtagene Car Pos T 9 8 — — $455,439.60 $528,897.60 $504,411.60 2025-11-21
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 8 — — $251,448.75 $292,005.00 $278,486.25 2025-11-21
Q048000 OTHER Driver Pneumatic Vad, Rep 1 1 — — $257,986.94 $257,986.94 $257,986.94 2025-11-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $246,497.45 $342,425.03 $254,997.36 2025-11-21
J902900 OTHER Instill Adstiladrin, Tx Dose 1 1 — — $222,921.58 $222,921.58 $222,921.58 2025-11-21
Q204300 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $195,266.33 $195,266.33 $195,266.33 2025-11-21
A954300 OTHER Y90 Ibritumomab, Rx 1 1 — — $193,837.26 $193,837.26 $193,837.26 2025-11-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $184,112.93 $255,762.79 $190,461.65 2025-11-21
J733000 OTHER Cultured Chondrocytes Implnt 1 1 — — $181,303.42 $181,303.42 $181,303.42 2025-11-21
K100700 OTHER Bil Hkaf Pc S/d Micro Sensor 1 1 — — $173,370.59 $173,370.59 $173,370.59 2025-11-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $155,056.36 $215,398.49 $160,403.13 2025-11-21
J922600 OTHER Supprelin La Implant 1 1 — — $159,140.49 $159,140.49 $159,140.49 2025-11-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $140,080.68 $194,594.83 $144,911.05 2025-11-21
9028800 OTHER Botulism Ig IV 1 1 — — $142,705.65 $142,705.65 $142,705.65 2025-11-21
L870200 OTHER Ewhf S/d Uprt Micro Sensor 1 1 — — $133,173.10 $133,173.10 $133,173.10 2025-11-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 10 — — $92,356.15 $128,297.70 $95,540.84 2025-11-21
J926600 OTHER Pegaspargase Injection 1 1 — — $95,180.00 $95,180.00 $95,180.00 2025-11-21
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $85,635.65 $118,961.84 $88,588.61 2025-11-21
7 MS_DRG Lung Transplant 15 10 — — $85,419.95 $118,662.20 $88,365.47 2025-11-21
L718000 OTHER Electronic Elbow Sequential 1 1 — — $79,842.59 $79,842.59 $79,842.59 2025-11-21
L718100 OTHER Electronic Elbo Simultaneous 1 1 — — $79,193.86 $79,193.86 $79,193.86 2025-11-21
L200600 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $74,567.15 $74,567.15 $74,567.15 2025-11-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $72,026.68 $100,056.77 $74,510.36 2025-11-21
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 15 10 — — $71,204.43 $98,914.53 $73,659.76 2025-11-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $69,606.34 $96,694.51 $72,006.55 2025-11-21
215 MS_DRG Other Heart Assist System Implant 15 10 — — $69,249.46 $96,198.76 $71,637.37 2025-11-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $68,469.04 $95,114.62 $70,830.04 2025-11-21
E019400 OTHER Air Fluidized Bed 1 1 — — $69,756.71 $69,756.71 $69,756.71 2025-11-21
E0194NU OTHER Air Fluidized Bed 1 1 — — $69,756.71 $69,756.71 $69,756.71 2025-11-21
J960000 OTHER Porfimer Sodium Injection 1 1 — — $69,703.12 $69,703.12 $69,703.12 2025-11-21
L870100 OTHER Ewh S/d Uprt Micro Sensor 1 1 — — $67,688.42 $67,688.42 $67,688.42 2025-11-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 8 — — $58,990.88 $68,505.53 $65,333.98 2025-11-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $63,081.28 $87,630.15 $65,256.49 2025-11-21
850 MS_DRG Acute Leukemia With Other Procedures 15 10 — — $60,210.58 $83,642.29 $62,286.81 2025-11-21
A9543 HCPCS Y90 Ibritumomab, Rx 9 8 — — $52,846.83 $61,370.51 $58,529.29 2025-11-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 8 — — $52,029.75 $60,421.65 $57,624.35 2025-11-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 10 — — $55,386.89 $76,941.39 $57,296.78 2025-11-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $55,356.17 $76,898.72 $57,265.01 2025-11-21
38240 HCPCS Transplt Allo Hct/donor 7 7 — — $56,032.44 $57,680.45 $56,581.77 2025-11-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $54,515.62 $75,731.06 $56,395.47 2025-11-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 10 — — $52,688.75 $73,193.24 $54,505.61 2025-11-21
K060600 OTHER Aed Garment W Elec Analysis 1 1 — — $53,979.45 $53,979.45 $53,979.45 2025-11-21
K0606NU OTHER Aed Garment W Elec Analysis 1 1 — — $53,979.45 $53,979.45 $53,979.45 2025-11-21
10 MS_DRG Pancreas Transplant 15 10 — — $52,112.92 $72,393.32 $53,909.92 2025-11-21
Q048300 OTHER Monitor Elec Vad, Rep 1 1 — — $53,707.25 $53,707.25 $53,707.25 2025-11-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $51,814.22 $71,978.37 $53,600.91 2025-11-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 10 — — $51,089.36 $70,971.42 $52,851.06 2025-11-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $50,573.64 $70,255.01 $52,317.56 2025-11-21
E0194UE OTHER Air Fluidized Bed 1 1 — — $52,317.52 $52,317.52 $52,317.52 2025-11-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $48,787.31 $67,773.51 $50,469.64 2025-11-21
A960400 OTHER Sm 153 Lexidronam 1 1 — — $48,663.02 $48,663.02 $48,663.02 2025-11-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $46,424.49 $64,491.16 $48,025.33 2025-11-21
J731000 OTHER Ganciclovir Long Act Implant 1 1 — — $47,817.60 $47,817.60 $47,817.60 2025-11-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $46,191.15 $64,167.01 $47,783.95 2025-11-21
L585600 OTHER Elec Knee-shin Swing/stance 1 1 — — $47,447.16 $47,447.16 $47,447.16 2025-11-21
L688000 OTHER Elec Hand Ind Art Digits 1 1 — — $47,223.07 $47,223.07 $47,223.07 2025-11-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $45,468.89 $63,163.69 $47,036.79 2025-11-21
J9226 HCPCS Supprelin La Implant 9 8 — — $42,371.16 $49,205.22 $46,927.20 2025-11-21
Q048900 OTHER Pwr Pck Base Combo Vad, Rep 1 1 — — $46,561.30 $46,561.30 $46,561.30 2025-11-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $44,630.96 $61,999.66 $46,169.96 2025-11-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $43,823.09 $60,877.40 $45,334.23 2025-11-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 10 — — $43,654.45 $60,643.13 $45,159.78 2025-11-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 10 — — $43,580.60 $60,540.54 $45,083.38 2025-11-21
C181600 OTHER Receiver/transmitter, Neuro 1 1 — — $44,858.89 $44,858.89 $44,858.89 2025-11-21
8141600 OTHER Exome Sequence Analysis 1 1 — — $44,301.60 $44,301.60 $44,301.60 2025-11-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $42,270.74 $58,720.93 $43,728.35 2025-11-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $42,209.96 $58,636.50 $43,665.48 2025-11-21
0266T OTHER Implt/rpl Crtd Sns Dev Total 9 8 — — $38,262.21 $44,433.53 $43,052.21 2025-11-21
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 8 — — $38,262.21 $44,433.53 $43,052.21 2025-11-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $41,336.73 $57,423.43 $42,762.13 2025-11-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc 15 10 — — $40,487.68 $56,243.97 $41,883.81 2025-11-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $40,435.39 $56,171.33 $41,829.71 2025-11-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $40,251.06 $55,915.27 $41,639.03 2025-11-21
Q048100 OTHER Microprcsr Cu Elec Vad, Rep 1 1 — — $41,623.23 $41,623.23 $41,623.23 2025-11-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 10 — — $40,110.54 $55,720.06 $41,493.66 2025-11-21
C261600 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $41,391.26 $41,391.26 $41,391.26 2025-11-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 10 — — $39,927.52 $55,465.82 $41,304.33 2025-11-21
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $39,736.67 $55,200.70 $41,106.90 2025-11-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 10 — — $39,451.69 $54,804.81 $40,812.09 2025-11-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 10 — — $39,451.69 $54,804.81 $40,812.09 2025-11-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 10 — — $39,156.91 $54,395.32 $40,507.15 2025-11-21
K0606UE OTHER Aed Garment W Elec Analysis 1 1 — — $40,484.57 $40,484.57 $40,484.57 2025-11-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $38,885.67 $54,018.51 $40,226.55 2025-11-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $38,856.25 $53,977.65 $40,196.12 2025-11-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $38,460.16 $53,427.41 $39,786.37 2025-11-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $38,055.57 $52,865.37 $39,367.83 2025-11-21
8993910-11584 CDM Impella 5.0 Pump Kit 9 6 $98,000.00 $78,400.00 20% off $159.00 $73,500.00 $39,200.00 2025-11-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $37,513.72 $52,112.66 $38,807.30 2025-11-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $37,289.53 $51,801.21 $38,575.37 2025-11-21
L861400 OTHER Cochlear Device 1 1 — — $37,832.69 $37,832.69 $37,832.69 2025-11-21
L697500 OTHER Interscap-thor Myoelectronic 1 1 — — $37,745.34 $37,745.34 $37,745.34 2025-11-21
653 MS_DRG Major Bladder Procedures With Mcc 15 10 — — $36,436.55 $50,616.29 $37,692.98 2025-11-21
L697000 OTHER Interscapular-thor Switch CT 1 1 — — $37,543.82 $37,543.82 $37,543.82 2025-11-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 10 — — $36,127.39 $50,186.82 $37,373.16 2025-11-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 10 — — $36,127.39 $50,186.82 $37,373.16 2025-11-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $35,975.75 $49,976.17 $37,216.29 2025-11-21
E0738NU OTHER Upper Extremity Rehab 1 1 — — $37,190.70 $37,190.70 $37,190.70 2025-11-21
E073800 OTHER Upper Extremity Rehab 1 1 — — $37,190.70 $37,190.70 $37,190.70 2025-11-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $35,756.14 $49,671.09 $36,989.11 2025-11-21
L696500 OTHER Shldr Disartic Myoelectronic 1 1 — — $36,936.90 $36,936.90 $36,936.90 2025-11-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $35,563.98 $49,404.14 $36,790.32 2025-11-21
L585800 OTHER Stance Phase Only 1 1 — — $36,733.35 $36,733.35 $36,733.35 2025-11-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $35,482.93 $49,291.56 $36,706.48 2025-11-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $35,301.87 $49,040.04 $36,519.18 2025-11-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $35,268.54 $48,993.74 $36,484.70 2025-11-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $35,264.62 $48,988.29 $36,480.64 2025-11-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 10 — — $34,773.76 $48,306.40 $35,972.85 2025-11-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $34,620.15 $48,093.01 $35,813.95 2025-11-21
8994317-11218 CDM Impella 5.5 S2 9 6 $88,900.00 $71,120.00 20% off $159.00 $66,675.00 $35,560.00 2025-11-21
C188200 OTHER Aicd, Other Than Sing/dual 1 1 — — $35,415.70 $35,415.70 $35,415.70 2025-11-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 10 — — $33,661.95 $46,761.92 $34,822.70 2025-11-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 10 — — $33,550.19 $46,606.66 $34,707.09 2025-11-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $33,299.20 $46,258.00 $34,447.44 2025-11-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $33,197.23 $46,116.35 $34,341.96 2025-11-21
Q047900 OTHER Power Module Combo Vad, Rep 1 1 — — $34,300.78 $34,300.78 $34,300.78 2025-11-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 10 — — $32,922.05 $45,734.08 $34,057.30 2025-11-21
L597300 OTHER Ank-foot Sys Dors-plant Flex 1 1 — — $34,004.82 $34,004.82 $34,004.82 2025-11-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 10 — — $32,727.93 $45,464.42 $33,856.48 2025-11-21
J141200 OTHER Inj Roctavian Ml 2x10^13vc G 1 1 — — $33,855.24 $33,855.24 $33,855.24 2025-11-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $32,702.44 $45,429.00 $33,830.11 2025-11-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $32,689.36 $45,410.84 $33,816.58 2025-11-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 10 — — $32,571.72 $45,247.41 $33,694.88 2025-11-21
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 8 — — $29,759.59 $34,559.52 $33,485.16 2025-11-21
K086400 OTHER Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $33,156.20 $33,156.20 $33,156.20 2025-11-21
K0864NU OTHER Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $33,156.20 $33,156.20 $33,156.20 2025-11-21
245 MS_DRG Aicd Generator Procedures 15 10 — — $31,940.97 $44,371.21 $33,042.39 2025-11-21
8995698-9887 CDM Valve; Valve Sapien 3 Ultra 20mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995967-9625 CDM Valve; Valve Sapien3 Certitude 20mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995968-9624 CDM Valve; Valve Sapien3 Certitude 23mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995969-9623 CDM Valve; Valve Sapien3 Certitude 26mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995697-9888 CDM Valve; Valve Sapien 3 Ultra 26mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995970-9622 CDM Valve; Valve Sapien3 Certitude 29mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995699-9886 CDM Valve; Valve Sapien 3 Ultra 23mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
8995701-9884 CDM Valve; Valve Sapien 3 29mm; Tavr-valve 9 6 $82,550.00 $66,040.00 20% off $159.00 $61,912.50 $33,020.00 2025-11-21
471 MS_DRG Cervical Spinal Fusion With Mcc 15 10 — — $31,748.15 $44,103.35 $32,842.92 2025-11-21
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $31,695.21 $44,029.80 $32,788.15 2025-11-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $31,213.50 $43,360.63 $32,289.83 2025-11-21
799 MS_DRG Splenic Procedures With Mcc 15 10 — — $31,078.20 $43,172.68 $32,149.87 2025-11-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $31,072.32 $43,164.50 $32,143.78 2025-11-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 10 — — $30,750.73 $42,717.77 $31,811.10 2025-11-21
K088000 OTHER Pwc Gp4 Vhd Sing Pow Opt S/b 1 1 — — $31,786.69 $31,786.69 $31,786.69 2025-11-21
K0880NU OTHER Pwc Gp4 Vhd Sing Pow Opt S/b 1 1 — — $31,786.69 $31,786.69 $31,786.69 2025-11-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $30,586.03 $42,488.97 $31,640.72 2025-11-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 — — $30,405.62 $42,238.35 $31,454.09 2025-11-21
0315U00 OTHER Onc Cutan Sq Cll Ca Mrna 40 1 1 — — $31,380.33 $31,380.33 $31,380.33 2025-11-21
0211U00 OTHER Onc Pan-tum Dna&rna Gnrj Seq 1 1 — — $31,214.17 $31,214.17 $31,214.17 2025-11-21
163 MS_DRG Major Chest Procedures With Mcc 15 10 — — $30,126.53 $41,850.65 $31,165.38 2025-11-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 10 — — $30,114.12 $41,833.40 $31,152.53 2025-11-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $30,018.04 $41,699.93 $31,053.14 2025-11-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 10 — — $30,013.46 $41,693.57 $31,048.41 2025-11-21
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 8 — — $27,260.74 $31,657.63 $30,673.48 2025-11-21
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $27,260.74 $31,657.63 $30,673.48 2025-11-21
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 8 — — $27,260.74 $31,657.63 $30,673.48 2025-11-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 10 — — $29,488.60 $40,964.46 $30,505.45 2025-11-21
8995793-9792 CDM Valve; Valve Aortic Evolut R 29mm; Tavr-valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995792-9793 CDM Valve; Valve Aortic Evolut R 26mm; Tavr-valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995791-9794 CDM Valve; Valve Aortic Evolut R 23mm; Tavr-valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995602-9982 CDM Evolut Fx 23mm Valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995603-9981 CDM Evolut Fx 26mm Valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995653-9932 CDM Mitraclip Kit; Mitraclip G5 System 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8996518-9075 CDM Evolut Fx 34mm Valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
8995604-9980 CDM Evolut Fx 29mm Valve 9 6 $76,200.00 $60,960.00 20% off $159.00 $57,150.00 $30,480.00 2025-11-21
69930 HCPCS Implant Cochlear Device 7 7 — — $30,135.26 $31,021.59 $30,430.71 2025-11-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 10 — — $29,312.77 $40,720.21 $30,323.56 2025-11-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $29,231.73 $40,607.62 $30,239.72 2025-11-21
901 MS_DRG Wound Debridements For Injuries With Mcc 15 10 — — $28,958.52 $40,228.09 $29,957.09 2025-11-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $28,712.11 $39,885.78 $29,702.18 2025-11-21
J9266 HCPCS Pegaspargase Injection 9 8 — — $26,434.38 $30,697.98 $29,276.78 2025-11-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 10 — — $28,281.37 $39,287.42 $29,256.59 2025-11-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $28,223.20 $39,206.62 $29,196.42 2025-11-21
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 8 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 7 7 — — $28,871.19 $29,720.34 $29,154.24 2025-11-21
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 7 7 — — $28,871.19 $29,720.34 $29,154.24 2025-11-21
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 8 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
61886 HCPCS Implant Neurostim Arrays 7 7 — — $28,871.19 $29,720.34 $29,154.24 2025-11-21
0268T OTHER Implt/rpl Crtd Sns Dev Gen 9 8 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 8 — — $25,910.53 $30,089.65 $29,154.24 2025-11-21
E073900 OTHER Rehab Sys Active Assist Rt 1 1 — — $29,131.61 $29,131.61 $29,131.61 2025-11-21
E0739NU OTHER Rehab Sys Active Assist Rt 1 1 — — $29,131.61 $29,131.61 $29,131.61 2025-11-21
C176700 OTHER Generator, Neuro Non-recharg 1 1 — — $29,031.41 $29,031.41 $29,031.41 2025-11-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 10 — — $27,881.36 $38,731.74 $28,842.79 2025-11-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 10 — — $27,840.18 $38,674.54 $28,800.19 2025-11-21
L585900 OTHER Knee-shin Pro Flex/ext Cont 1 1 — — $28,677.40 $28,677.40 $28,677.40 2025-11-21
140 MS_DRG Major Head And Neck Procedures With Mcc 15 10 — — $27,642.78 $38,400.32 $28,595.98 2025-11-21
E0469NU OTHER Lung Expans High Oscil Neb 1 1 — — $28,580.07 $28,580.07 $28,580.07 2025-11-21
E046900 OTHER Lung Expans High Oscil Neb 1 1 — — $28,580.07 $28,580.07 $28,580.07 2025-11-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 10 — — $27,390.49 $38,049.84 $28,334.99 2025-11-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 10 — — $27,383.95 $38,040.76 $28,328.22 2025-11-21
793 MS_DRG Full Term Neonate With Major Problems 15 10 — — $27,259.11 $37,867.34 $28,199.08 2025-11-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 10 — — $27,195.06 $37,778.36 $28,132.82 2025-11-21
8994996-10580 CDM Impella 2.5 Pump Kit 9 6 $70,000.00 $56,000.00 20% off $159.00 $52,500.00 $28,000.00 2025-11-21
8997560-8197 CDM Portico Tavr Valve 27mm 9 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
8997561-8196 CDM Portico Tavr Valve 29mm 9 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
8997558-8199 CDM Portico Tavr Valve 23mm 9 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
8997559-8198 CDM Portico Tavr Valve 25mm 9 6 $69,850.00 $55,880.00 20% off $159.00 $52,387.50 $27,940.00 2025-11-21
E0738UE OTHER Upper Extremity Rehab 1 1 — — $27,893.01 $27,893.01 $27,893.01 2025-11-21
K086000 OTHER Pwc Gp3 Vhd Sing Pow Opt S/b 1 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K086300 OTHER Pwc Gp3 Vhd Mult Pow Opt S/b 1 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K0863NU OTHER Pwc Gp3 Vhd Mult Pow Opt S/b 1 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
K0860NU OTHER Pwc Gp3 Vhd Sing Pow Opt S/b 1 1 — — $27,862.28 $27,862.28 $27,862.28 2025-11-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 10 — — $26,877.40 $37,337.08 $27,804.21 2025-11-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $26,862.37 $37,316.20 $27,788.66 2025-11-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 10 — — $26,822.49 $37,260.80 $27,747.41 2025-11-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 10 — — $26,690.46 $37,077.39 $27,610.82 2025-11-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 10 — — $26,585.24 $36,931.21 $27,501.97 2025-11-21
791 MS_DRG Prematurity With Major Problems 15 10 — — $26,536.21 $36,863.11 $27,451.25 2025-11-21
33289 HCPCS CardioMEMs Impalnt Cl-33289 14 10 $52,000.00 $41,600.00 20% off $159.00 $28,600.00 $27,197.53 2025-11-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 10 — — $26,038.15 $36,171.22 $26,936.02 2025-11-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 10 — — $26,019.85 $36,145.80 $26,917.09 2025-11-21
K085400 OTHER Pwc Gp 3 Xhd Seat/back 1 1 — — $26,710.44 $26,710.44 $26,710.44 2025-11-21
K0854NU OTHER Pwc Gp 3 Xhd Seat/back 1 1 — — $26,710.44 $26,710.44 $26,710.44 2025-11-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 10 — — $25,789.78 $35,826.20 $26,679.08 2025-11-21
8997170-8471 CDM Navitor Valve 23mm 9 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
9005134-8039 CDM Valve; Navitor Titan Valve; 35mm 9 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997172-8469 CDM Navitor Valve 27mm 9 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997173-8468 CDM Navitor Valve 29mm 9 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
8997171-8470 CDM Navitor Valve 25mm 9 6 $66,675.00 $53,340.00 20% off $159.00 $50,006.25 $26,670.00 2025-11-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 10 — — $25,736.84 $35,752.65 $26,624.31 2025-11-21
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 10 — — $25,684.54 $35,680.01 $26,570.22 2025-11-21
8152900 OTHER Onc Cutan Mlnma Mrna 31 Gene 1 1 — — $26,555.12 $26,555.12 $26,555.12 2025-11-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 10 — — $25,570.81 $35,522.02 $26,452.57 2025-11-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 10 — — $25,558.40 $35,504.77 $26,439.72 2025-11-21
C9760 HCPCS Non-blind Interatrial Shunt 9 8 — — $23,382.62 $27,154.02 $26,309.87 2025-11-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 10 — — $25,417.21 $35,308.64 $26,293.67 2025-11-21
K0014NU OTHER Other Power Whlchr Base 1 1 — — $26,285.15 $26,285.15 $26,285.15 2025-11-21
K001400 OTHER Other Power Whlchr Base 1 1 — — $26,285.15 $26,285.15 $26,285.15 2025-11-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 10 — — $25,262.31 $35,093.46 $26,133.43 2025-11-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 10 — — $25,236.82 $35,058.04 $26,107.05 2025-11-21
E0468NU OTHER Home Vent Dual Fnct Incl All 1 1 — — $26,075.48 $26,075.48 $26,075.48 2025-11-21
E046800 OTHER Home Vent Dual Fnct Incl All 1 1 — — $26,075.48 $26,075.48 $26,075.48 2025-11-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 10 — — $25,166.22 $34,959.98 $26,034.03 2025-11-21
K0868NU OTHER Pwc Gp 4 Std Seat/back 1 1 — — $25,956.14 $25,956.14 $25,956.14 2025-11-21
K086800 OTHER Pwc Gp 4 Std Seat/back 1 1 — — $25,956.14 $25,956.14 $25,956.14 2025-11-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 10 — — $24,983.87 $34,706.66 $25,845.38 2025-11-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $24,848.57 $34,518.70 $25,705.42 2025-11-21
L695500 OTHER Above Elbow Myoelectronic CT 1 1 — — $25,642.10 $25,642.10 $25,642.10 2025-11-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 10 — — $24,655.10 $34,249.94 $25,505.28 2025-11-21
K0880UE OTHER Pwc Gp4 Vhd Sing Pow Opt S/b 1 1 — — $25,429.35 $25,429.35 $25,429.35 2025-11-21
8995807-9780 CDM Impella Cp Pump Kit 3.5/4.0 9 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
9112024-7465 CDM Impella Ecp 9 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
8996150-9442 CDM Impella Rp 9 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
8996267-9326 CDM Impella Ld 9 6 $63,500.00 $50,800.00 20% off $159.00 $47,625.00 $25,400.00 2025-11-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 10 — — $24,458.36 $33,976.64 $25,301.76 2025-11-21
L696000 OTHER Shldr Disartic Switch Contro 1 1 — — $25,284.38 $25,284.38 $25,284.38 2025-11-21
K085500 OTHER Pwc Gp 3 Xhd Cap Chair 1 1 — — $25,231.96 $25,231.96 $25,231.96 2025-11-21
K0855NU OTHER Pwc Gp 3 Xhd Cap Chair 1 1 — — $25,231.96 $25,231.96 $25,231.96 2025-11-21
33270 HCPCS Insert Or Replace Subq Defibrillator Cl-33270 14 10 $35,578.00 $28,462.40 $159.00 $31,269.08 $24,971.79 2025-11-21
33249 HCPCS Insrt Init Icd Gen Dual Leads Cl-33249 14 10 $35,518.00 $28,414.40 $159.00 $31,269.08 $24,955.29 2025-11-21
J9600 HCPCS Porfimer Sodium Injection 9 8 — — $22,532.43 $26,166.69 $24,955.27 2025-11-21
0267U00 OTHER Rare Do Id Opt Gen Mapg&seq 1 1 — — $24,880.27 $24,880.27 $24,880.27 2025-11-21
K0864UE OTHER Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $24,867.14 $24,867.14 $24,867.14 2025-11-21
33264 HCPCS Rem/Rplc Icd Gen Mult Leads Cl-33264 14 10 $34,750.00 $27,800.00 20% off $159.00 $31,269.08 $24,744.09 2025-11-21
33231 HCPCS Insrt Pulse Gen W/mult Leads Cl-33231 14 10 $34,725.00 $27,780.00 20% off $159.00 $31,269.08 $24,737.22 2025-11-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 10 — — $23,848.54 $33,129.50 $24,670.91 2025-11-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 10 — — $23,683.17 $32,899.77 $24,499.83 2025-11-21
J921600 OTHER Interferon Gamma 1-b Inj 1 1 — — $24,333.47 $24,333.47 $24,333.47 2025-11-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 10 — — $23,430.88 $32,549.30 $24,238.84 2025-11-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 10 — — $23,429.57 $32,547.48 $24,237.49 2025-11-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 10 — — $23,425.64 $32,542.02 $24,233.42 2025-11-21
265 MS_DRG Aicd Lead Procedures 15 10 — — $23,315.84 $32,389.49 $24,119.83 2025-11-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 10 — — $23,211.26 $32,244.22 $24,011.65 2025-11-21
E046700 OTHER Home Vent Multi-function 1 1 — — $23,999.63 $23,999.63 $23,999.63 2025-11-21
E0467NU OTHER Home Vent Multi-function 1 1 — — $23,999.63 $23,999.63 $23,999.63 2025-11-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 10 — — $23,075.30 $32,055.35 $23,871.00 2025-11-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 10 — — $23,069.43 $32,047.19 $23,864.93 2025-11-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 10 — — $23,011.25 $31,966.36 $23,804.74 2025-11-21
L719100 OTHER Elbow Child Myoelectronic CT 1 1 — — $23,739.97 $23,739.97 $23,739.97 2025-11-21
E0764NU OTHER Functional Neuromuscularstim 1 1 — — $23,721.31 $23,721.31 $23,721.31 2025-11-21
E076400 OTHER Functional Neuromuscularstim 1 1 — — $23,721.31 $23,721.31 $23,721.31 2025-11-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 10 — — $22,901.45 $31,813.83 $23,691.15 2025-11-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $22,894.26 $31,803.85 $23,683.72 2025-11-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 10 — — $22,885.10 $31,791.13 $23,674.25 2025-11-21
264 MS_DRG Other Circulatory System O.r. Procedures 15 10 — — $22,844.58 $31,734.84 $23,632.33 2025-11-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 10 — — $22,696.86 $31,529.63 $23,479.51 2025-11-21
332 MS_DRG Rectal Resection With Mcc 15 10 — — $22,672.02 $31,495.13 $23,453.82 2025-11-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 10 — — $22,647.19 $31,460.63 $23,428.13 2025-11-21
93654 HCPCS Ep Amp; Ablate Ventric Tachy Cl-93654 14 10 $25,000.00 $20,000.00 20% off $159.00 $24,223.21 $23,356.25 2025-11-21
93656 HCPCS Tx Atrial Fib Pulm Vein Isol Cl-93656 14 10 $28,500.00 $22,800.00 20% off $159.00 $24,223.21 $23,356.25 2025-11-21
93653 HCPCS Ep Amp; Ablate Supravent Arrhyt Cl-93653 14 10 $28,500.00 $22,800.00 20% off $159.00 $24,223.21 $23,356.25 2025-11-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $22,513.20 $31,274.49 $23,289.51 2025-11-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 10 — — $22,477.90 $31,225.45 $23,253.00 2025-11-21
665 MS_DRG Prostatectomy With Mcc 15 10 — — $22,442.60 $31,176.43 $23,216.49 2025-11-21
252 MS_DRG Other Vascular Procedures With Mcc 15 10 — — $22,421.68 $31,147.37 $23,194.85 2025-11-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 10 — — $22,387.70 $31,100.16 $23,159.69 2025-11-21
Q022400 OTHER Inj, Pemivibart, 4500 Mg 1 1 — — $23,147.59 $23,147.59 $23,147.59 2025-11-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 10 — — $22,263.52 $30,927.65 $23,031.23 2025-11-21
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