Price Transparencybeta Hospital negotiated rates

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

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Hospital

SANTA CLARA VALLEY MEDICAL CENTER

San Jose, CA · CCN 050038 · Rates published

13,124 distinct procedures filed
28 distinct payers
446,236 rate rows
2026-09-01 last MRF observed
Data quality

286,542 of 446,236 rate rows are consumer-grade (64.2%)

159,694 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 119,661
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,832
placeholder amount (≤ $0.02) — excluded from medians 13,489
per-diem day rate — not a per-procedure price 5,172
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,125
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,701
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 388
exceeds 10× this hospital's gross charge — excluded from medians 248
percent-of-charges filed in the dollar field — excluded from medians 68
exceeds 3× this hospital's gross charge for a DRG stay — excluded 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://scvmc.scvh.org/946000533_santa-clara-valley-medical-center_standardcharges.csv
Found on page https://scvmc.scvh.org/patients-visitors/patient-services/price-transparency-cost-estimator
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-21
Content fingerprint 0172ac40da80fc7a… · 305,262,123 bytes · first seen 2026-09-21

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
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $136,133.16 $136,133.16 $136,133.16 nat. median
$69,822
1.9× median
0915T
CPT 		Hc Insj Perm Ccm-d Sys Pg&Dual Transvns Eltrds/Lds 23 $46,077.94 $233,721.00 $120,716.90 nat. median
$35,266
outlier · 3.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $118,097.81 $118,097.81 $118,097.81 nat. median
$60,505
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $117,744.54 $117,744.54 $117,744.54 nat. median
$59,651
2.0× median
63052
CPT 		Pr Lam Facetc/Frmt Arthrd Lum 1 12 $23.77 $154,803.43 $112,614.04 nat. median
$3,327
outlier · 33.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $108,078.35 $108,078.35 $108,078.35 nat. median
$55,923
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $107,637.07 $107,637.07 $107,637.07 nat. median
$55,935
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $100,774.35 $100,774.35 $100,774.35 nat. median
$51,518
2.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $97,408.31 $97,408.31 $97,408.31 nat. median
$49,569
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $94,791.46 $94,791.46 $94,791.46 nat. median
$2,958
outlier · 32.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $93,374.40 $93,374.40 $93,374.40 nat. median
$45,446
outlier · 2.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $93,374.40 $93,374.40 $93,374.40 nat. median
$47,458
2.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $93,055.79 $93,055.79 $93,055.79 nat. median
$43,299
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $87,416.83 $87,416.83 $87,416.83 nat. median
$44,036
2.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $86,539.67 $86,539.67 $86,539.67 nat. median
$43,803
2.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $85,793.13 $85,793.13 $85,793.13 nat. median
$43,533
2.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $85,213.23 $85,213.23 $85,213.23 nat. median
$42,674
2.0× median
0923T
CPT 		Hc Rmvl&Rplcmt Permanent Ccm-d Pulse Generator Only 23 $32,258.99 $163,627.00 $84,513.35 nat. median
$32,259
outlier · 2.6×
0916T
CPT 		Hc Insertion Perm Ccm-d System Pulse Generator Only 23 $32,258.99 $163,627.00 $84,513.35 nat. median
$31,744
outlier · 2.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $83,953.47 $83,953.47 $83,953.47 nat. median
$43,023
2.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 $78,542.46 $78,542.46 $78,542.46 nat. median
$39,159
outlier · 2.0×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $76,810.78 $76,810.78 $76,810.78 nat. median
$38,832
2.0× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 3 $76,768.14 $76,768.14 $76,768.14 nat. median
$2,736
outlier · 28.1×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 3 $76,057.58 $76,057.58 $76,057.58 nat. median
$37,725
outlier · 2.0×
653
MS_DRG 		Major Bladder Procedures With Mcc 3 $74,992.45 $74,992.45 $74,992.45 nat. median
$36,547
outlier · 2.1×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $72,910.17 $72,910.17 $72,910.17 nat. median
$35,297
outlier · 2.1×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 3 $72,206.30 $72,206.30 $72,206.30 nat. median
$35,986
outlier · 2.0×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 12 $69,594.65 $235,939.32 $72,192.76 nat. median
$38,859
1.9× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 3 $70,090.70 $70,090.70 $70,090.70 nat. median
$34,932
outlier · 2.0×
0825T
OTHER 		Hc Tcat Rmv&Rpl1chmb Ldls Pm Ra 21 $27,408.50 $134,424.00 $69,430.00 nat. median
$23,197
outlier · 3.0×
0823T
OTHER 		Hc Tcat Ins 1chmbr Ldls Pm Ra 21 $27,408.50 $134,424.00 $69,430.00 nat. median
$23,353
outlier · 3.0×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 $69,185.52 $69,185.52 $69,185.52 nat. median
$34,616
2.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 3 $67,288.55 $67,288.55 $67,288.55 nat. median
$33,459
outlier · 2.0×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 3 $66,995.27 $66,995.27 $66,995.27 nat. median
$33,435
outlier · 2.0×
J7330
HCPCS 		Hc Maci 3 X 5 (14) Per Sq Cm 9 $0.03 $120,154.03 $66,249.86 nat. median
$92,809
0.7× median
799
MS_DRG 		Splenic Procedures With Mcc 3 $66,094.10 $66,094.10 $66,094.10 nat. median
$32,381
outlier · 2.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 19 $6,695.00 $231,098.61 $65,993.23 nat. median
$44,163
1.5× median
37288
CPT 		Hc Revascularization,Endovasuclar Tib Peroneal Athrc Uni Sf Lesion 1st Vsl 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
37277
CPT 		Hc Revasc Endovasc Fpvt Stent Atherectomy Unilat Complex Lesion 1st Vessel 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
37275
CPT 		Hc Revasc Endovasc Fpvt Stent Atherectomy Unilat Straightfwd Lesion 1st Vsl 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
37284
CPT 		Hc Revasc Endovasc Tpvt Stent Placement Unilat Straightfwd Lesion 1st Vsl 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
37292
CPT 		Hc Revascularization,Endovasuclar Tib Peroneal St Athrc Uni Sf Les 1st Vsl 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
37294
CPT 		Hc Revascularization,Endovasc Tib Peroneal St Athrc Uni Cplx Les 1st Vsl 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
37273
CPT 		Hc Revasc Endovasc Fpvt Atherectomy Unilat Complex Lesion 1st Vessel 12 $23.77 $125,800.00 $64,975.70 nat. median
$18,862
outlier · 3.4×
37290
CPT 		Hc Revascularization,Endovasuclar Tib Peroneal Athrc Uni Cplx Les 1st Vsl 12 $23.77 $125,800.00 $64,975.70 nat. median
$18,837
outlier · 3.4×
92930
CPT 		Hc Percutaneous Tcath Plcmt Ntracoronary St 2+Lesion 2+Stnt 2+Cornry Sgmnt 13 $23.77 $125,800.00 $64,975.70 nat. median
$19,336
outlier · 3.4×
37271
CPT 		Hc Revasc Endovasc Fpvt Atherectomy Unilat Straightfwd Lesion 1st Vessel 12 $23.77 $125,800.00 $64,975.70 nat. median
$18,795
outlier · 3.5×
37286
CPT 		Hc Revasc Endovasc Tpvt Stent Placement Unilat Complex Lesion 1st Vessel 12 $23.77 $125,800.00 $64,975.70 nat. median
$19,143
outlier · 3.4×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 3 $62,253.47 $62,253.47 $62,253.47 nat. median
$29,826
outlier · 2.1×
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 $62,018.85 $62,018.85 $62,018.85 nat. median
$30,768
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 13,124 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
37184 CPT Hc Prim Art Thrombectomy Ves 19 17 $33,778.00 $23,644.60 30% off $7,362.00 $33,778.00 $26,333.53 2026-09-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 3 3 $37,398.85 $26,179.19 30% off $28,820.99 $28,820.99 $28,820.99 2026-09-01
0676T CPT Hc Laps Insj Nw/Rpcmt Isdss Ea 12 11 $41,641.00 $29,148.70 30% off $1,652.00 $41,641.00 $26,144.30 2026-09-01
0200T CPT Hc Perq Sacral Augmt Unilat Inj 15 13 $42,794.00 $29,955.80 30% off $7,533.09 $42,794.00 $25,163.54 2026-09-01
0201T CPT Hc Perq Sacral Augmt Bilat Inj 12 10 $42,794.00 $29,955.80 30% off $1,798.64 $42,794.00 $25,135.06 2026-09-01
C7508 HCPCS Hc Perq Lumb&Thor Vert Aug 15 14 $42,794.00 $29,955.80 30% off $4,949.00 $42,794.00 $23,871.50 2026-09-01
C7507 HCPCS Hc Perq Thor&Lumb Vert Aug 15 14 $42,794.00 $29,955.80 30% off $4,949.00 $42,794.00 $23,871.50 2026-09-01
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 3 3 $43,541.56 $30,479.09 30% off $25,761.55 $25,761.55 $25,761.55 2026-09-01
C7506 HCPCS Hc Fusion Of Finger Joints 15 14 $44,184.00 $30,928.80 30% off $3,459.00 $44,184.00 $24,257.02 2026-09-01
710 MS_DRG Penis Procedures Without Cc/mcc 3 3 $44,731.41 $31,311.99 30% off $24,399.14 $24,399.14 $24,399.14 2026-09-01
C1767 HCPCS Generator Pulse Model 102 50 9 $45,366.28 $31,756.40 30% off $0.03 $54,219.89 $24,270.96 2026-09-01
C1721 HCPCS Cobalt Xt Dr MRI System - Mmem 434 11 $47,874.03 $33,511.82 30% off $0.03 $49,184.10 $23,831.82 2026-09-01
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 25 23 $49,622.85 $34,735.99 30% off $22.44 $81,211.60 $27,070.53 2026-09-01
27713 CPT Hc Osteotomy Tibia Uni Insj Xtrnl Ctrld Imed Lngth Dev 13 12 $49,795.00 $34,856.50 30% off $23.77 $49,795.00 $25,719.12 2026-09-01
62330 CPT Hc Decompression Perq Partial Removal Liga Flavum Bi Interspace Lmbr 13 12 $49,795.00 $34,856.50 30% off $23.77 $49,795.00 $25,719.12 2026-09-01
27458 CPT Hc Osteotomy Femur Uni Insj Xtrnl Ctrld Imed Lngth Dev 13 12 $49,795.00 $34,856.50 30% off $23.77 $49,795.00 $25,719.12 2026-09-01
C2624 HCPCS Hc Device Cardiomems 14 13 $51,886.00 $36,320.20 30% off $15,565.80 $36,320.20 $25,943.00 2026-09-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 3 $52,660.76 $36,862.53 30% off $22,627.45 $22,627.45 $22,627.45 2026-09-01
711 MS_DRG Testes Procedures With Cc/mcc 3 3 $55,057.30 $38,540.11 30% off $33,498.79 $33,498.79 $33,498.79 2026-09-01
92934 CPT Hc Prq Card Stent/Ath/Angio 10 9 $55,428.00 $38,799.60 30% off $1,081.50 $55,428.00 $32,555.64 2026-09-01
50593 CPT Ablation Renal Tumor Unilateral Perq Cryotherapy 12 11 $55,891.00 $39,123.70 30% off $23.77 $39,682.61 $28,867.70 2026-09-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 3 3 $56,804.02 $39,762.81 30% off $31,403.19 $31,403.19 $31,403.19 2026-09-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 3 3 $57,488.60 $40,242.02 30% off $34,257.32 $34,257.32 $34,257.32 2026-09-01
92938 CPT Hc Prq Revasc Byp Graft Addl 10 9 $57,645.00 $40,351.50 30% off $1,081.50 $40,927.95 $33,857.79 2026-09-01
PX-27801712 CDM Hc Dvc Ventr Assist Impella Cp/Rp 9 8 $58,210.00 $40,747.00 30% off $0.03 $40,747.00 $30,851.30 2026-09-01
693 MS_DRG Urinary Stones With Mcc 3 3 $59,457.50 $41,620.25 30% off $23,643.26 $23,643.26 $23,643.26 2026-09-01
0918T CPT Hc Insj Perm Ccm-d Sys Dual Transvns Leads Only 25 23 $60,330.00 $42,231.00 30% off $11,893.99 $60,330.00 $31,160.45 2026-09-01
0917T CPT Hc Insj Perm Ccm-d Sys 1 Transvns Lead Only 25 23 $60,330.00 $42,231.00 30% off $11,893.99 $60,330.00 $31,160.45 2026-09-01
662 MS_DRG Minor Bladder Procedures With Mcc 3 3 $60,911.99 $42,638.39 30% off $46,532.37 $46,532.37 $46,532.37 2026-09-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 3 3 $61,044.35 $42,731.04 30% off $23,927.24 $23,927.24 $23,927.24 2026-09-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 3 3 $61,478.96 $43,035.27 30% off $25,908.19 $25,908.19 $25,908.19 2026-09-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 3 3 $62,056.09 $43,439.26 30% off $33,936.04 $33,936.04 $33,936.04 2026-09-01
C1882 HCPCS Amvia Edge Hf-t Qp 548 13 $62,385.00 $43,669.50 30% off $0.03 $90,897.91 $30,834.74 2026-09-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 3 3 $62,812.66 $43,968.86 30% off $24,213.84 $24,213.84 $24,213.84 2026-09-01
37274 CPT Hc Revasc Endovasc Fpvt Atherectomy Unilat Complex Lesion Each Addl Vessel 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37293 CPT Hc Revascularization,Endovasctib Peroneal St Athrc Uni Sf Les Ea Addl Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37289 CPT Hc Revascularization,Endvasc Tib Peroneal Athrc Uni Sf Lesion Each Add Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37276 CPT Hc Revasc Endovasc Fpvt Stent Atherectomy Unilat Straightfwd Les Ea Add Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37291 CPT Hc Revascularization,Endovasuclar Tib Peroneal Athrc Uni Cplx Ea Add Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37295 CPT Hc Revasc Endovasc Tpvt Stent Placemnt Athrc Uni Complex Les Ea Add Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37285 CPT Hc Revasc Endovasc Tpvt Stent Placement Unilat Straightfwd Les Ea Addl Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37287 CPT Hc Revasc Endovasc Tpvt Stent Placement Unilat Complex Lesion Ea Add Vessel 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37272 CPT Hc Revasc Endovasc Fpvt Atherectomy Unilat Straightfwd Lesion Each Addl Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
37278 CPT Hc Revasc Endovasc Fpvt Stent Atherectomy Unilat Complex Lesion Ea Add Vsl 13 12 $62,900.00 $44,030.00 30% off $23.77 $62,900.00 $32,487.85 2026-09-01
52443 CPT Hc Cysto 1st Trurl Ant Prst8 Comis Nonrx Balo Cath 13 12 $64,963.00 $45,474.10 30% off $23.77 $64,963.00 $33,553.39 2026-09-01
52597 CPT Hc Transurethral Robotic-assisted Waterjet Resection Prst8 13 12 $64,963.00 $45,474.10 30% off $23.77 $64,963.00 $33,553.39 2026-09-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 3 3 $65,940.28 $46,158.20 30% off $27,485.22 $27,485.22 $27,485.22 2026-09-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/mcc 3 3 $66,172.52 $46,320.76 30% off $23,427.32 $23,427.32 $23,427.32 2026-09-01
397 MS_DRG Appendix Procedures With Mcc 3 3 $67,615.40 $47,330.78 30% off $37,646.01 $37,646.01 $37,646.01 2026-09-01
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 3 3 $68,606.08 $48,024.26 30% off $24,373.81 $24,373.81 $24,373.81 2026-09-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 3 3 $68,896.44 $48,227.51 30% off $33,036.21 $33,036.21 $33,036.21 2026-09-01
302 MS_DRG Atherosclerosis With Mcc 3 3 $69,657.79 $48,760.45 30% off $21,671.63 $23,353.46 $23,353.46 2026-09-01
37242 CPT Hc Vasc Embolize/Ocld Artery 25 23 $69,806.00 $48,864.20 30% off $101.90 $79,000.59 $26,333.53 2026-09-01
92979 CPT Intravasc Coronary Sono,Addn Vessel 13 12 $69,806.00 $48,864.20 30% off $137.79 $49,562.26 $23,035.98 2026-09-01
G2171 HCPCS Hc Avf Use Magnetic/Art/Ven 15 14 $70,484.00 $49,338.80 30% off $6,476.24 $70,484.00 $38,695.72 2026-09-01
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 25 23 $71,537.00 $50,075.90 30% off $4,540.00 $50,791.27 $23,607.21 2026-09-01
C7535 HCPCS Hc Fem/Pop Revasc W/Stent & US 15 14 $72,597.00 $50,817.90 30% off $4,949.00 $72,597.00 $39,855.75 2026-09-01
C7534 HCPCS Hc Fem/Pop Revasc W/Arthr & US 15 14 $72,597.00 $50,817.90 30% off $4,949.00 $72,597.00 $39,855.75 2026-09-01
C7515 HCPCS Hc Cath/Angio Dial Cir W/Embol 15 14 $72,597.00 $50,817.90 30% off $6,061.00 $72,597.00 $39,329.00 2026-09-01
C7514 HCPCS Hc Cath/Angio Dial Cir W/Stents 15 14 $72,597.00 $50,817.90 30% off $6,061.00 $72,597.00 $39,329.00 2026-09-01
37225 CPT Hc Atherectomy+/- Pta Fem/Pop 24 22 $72,597.00 $50,817.90 30% off $523.83 $51,543.87 $26,333.53 2026-09-01
47384 CPT Hc Ablation Ire Liver 1+ Tumors W/Img Gdn Perq 13 12 $72,947.00 $51,062.90 30% off $23.77 $72,947.00 $37,677.13 2026-09-01
55877 CPT Hc Ablation Ire Prostate 1 Or More Tumors Percutaneous 13 12 $72,947.00 $51,062.90 30% off $23.77 $72,947.00 $37,677.13 2026-09-01
55869 CPT Pr Laparoscopy Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec 13 12 $72,947.00 $51,062.90 30% off $23.77 $72,947.00 $37,677.13 2026-09-01
55868 CPT Hc Laparoscopy Surg Prostatectomy Retropubic Radical W/Lymph Node Bx 13 12 $72,947.00 $51,062.90 30% off $23.77 $72,947.00 $37,677.13 2026-09-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 3 3 $73,012.55 $51,108.78 30% off $26,172.14 $26,172.14 $26,172.14 2026-09-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 3 3 $74,122.13 $51,885.49 30% off $24,957.70 $24,957.70 $24,957.70 2026-09-01
C7539 HCPCS Hc Insrt A & V Pm W/l Vent Lead 15 14 $74,179.00 $51,925.30 30% off $6,061.00 $74,179.00 $40,724.27 2026-09-01
C7537 HCPCS Hc Insrt Atril Pm W/l Vent Lead 15 14 $74,179.00 $51,925.30 30% off $6,061.00 $74,179.00 $40,724.27 2026-09-01
C7538 HCPCS Hc Insrt Vent Pm W/l Vent Lead 15 14 $74,179.00 $51,925.30 30% off $6,061.00 $74,179.00 $40,724.27 2026-09-01
C7540 HCPCS Hc Rmv&Rplc Pm Dul W/l Vnt Lead 15 14 $74,179.00 $51,925.30 30% off $6,061.00 $74,179.00 $40,724.27 2026-09-01
C9772 HCPCS Hc Revasc Lithotrip Tibi/Perone 25 23 $74,398.00 $52,078.60 30% off $4,540.00 $74,398.00 $24,551.34 2026-09-01
0914T CPT Hc Perq Tcat Ther Rx Dlvr Ntrac Rx Balo Separate 14 13 $74,936.00 $52,455.20 30% off $24,728.88 $74,936.00 $48,644.71 2026-09-01
137 MS_DRG Mouth Procedures With Cc/mcc 3 3 $75,125.02 $52,587.51 30% off $25,625.59 $25,625.59 $25,625.59 2026-09-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 3 3 $75,397.83 $52,778.48 30% off $27,039.99 $27,039.99 $27,039.99 2026-09-01
116 MS_DRG Intraocular Procedures With Cc/mcc 3 3 $75,828.61 $53,080.03 30% off $29,823.46 $29,823.46 $29,823.46 2026-09-01
801 MS_DRG Splenic Procedures Without Cc/mcc 3 3 $76,228.28 $53,359.80 30% off $31,167.23 $31,167.23 $31,167.23 2026-09-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 3 3 $76,449.83 $53,514.88 30% off $23,339.32 $23,339.32 $23,339.32 2026-09-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 3 3 $78,334.42 $54,834.09 30% off $26,406.77 $26,406.77 $26,406.77 2026-09-01
398 MS_DRG Appendix Procedures With Cc 3 3 $79,090.57 $55,363.40 30% off $25,897.53 $25,897.53 $25,897.53 2026-09-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 $79,183.22 $55,428.25 30% off $14,068.00 $27,709.18 $27,709.18 2026-09-01
37258 CPT Hc Revasc Endovasc Ivt Stent Placement Unilat Straightfwd Lesion 1st Vessel 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
37267 CPT Pr Revasc Endovasc Fpvt Stent Placement Unilat Straightfwd Lesion 1st Vsl 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
37269 CPT Pr Revasc Endovasc Fpvt Stent Placement Unilat Complex Lesion 1st Vessel 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
37298 CPT Hc Revasc Endovasc Imvt Angioplasty Unilat Complex Lesion 1st Vsl 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
37282 CPT Pr Revasc Endovasc Tpvt Angioplasty Unilat Complex Lesion 1st Vessel 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
37280 CPT Pr Revasc Endovasc Tpvt Angioplasty Unilat Straightfwd Lesion 1st Vessel 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
37260 CPT Hc Revasc Endovasc Ivt Stent Placement Unilat Complex Lesion 1st Vessel 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
92945 CPT Hc Percutaneous Trluml Revasc Chrnc Total Occls 1 Art/Branch 14 13 $79,222.00 $55,455.40 30% off $23.77 $56,247.62 $40,918.16 2026-09-01
37296 CPT Hc Revasc Endovasc Imvt Angioplasty Unilat Straightfwd Lesion 1st Vsl 13 12 $79,222.00 $55,455.40 30% off $23.77 $79,222.00 $40,918.16 2026-09-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 $79,238.41 $55,466.89 30% off $29,767.48 $29,767.48 $29,767.48 2026-09-01
654 MS_DRG Major Bladder Procedures With Cc 3 3 $80,506.65 $56,354.65 30% off $43,037.03 $43,037.03 $43,037.03 2026-09-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 3 3 $80,519.68 $56,363.78 30% off $27,079.97 $27,079.97 $27,079.97 2026-09-01
620 MS_DRG O.r. Procedures For Obesity With Cc 3 3 $81,151.17 $56,805.82 30% off $27,053.32 $27,053.32 $27,053.32 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 $82,161.80 $57,513.26 30% off $44,382.10 $44,382.10 $44,382.10 2026-09-01
0674T CPT Hc Laps Insj Nw/Rpcmt Prm Isdss 23 21 $83,283.00 $58,298.10 30% off $3,459.00 $83,283.00 $44,689.52 2026-09-01
663 MS_DRG Minor Bladder Procedures With Cc 3 3 $83,734.39 $58,614.07 30% off $25,985.51 $25,985.51 $25,985.51 2026-09-01
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 3 3 $85,068.78 $59,548.15 30% off $32,385.66 $32,385.66 $32,385.66 2026-09-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 3 3 $86,336.03 $60,435.22 30% off $25,828.19 $25,828.19 $25,828.19 2026-09-01
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 3 3 $87,823.98 $61,476.79 30% off $26,042.84 $26,042.84 $26,042.84 2026-09-01
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 25 23 $87,967.84 $61,577.49 30% off $47.52 $135,785.39 $45,261.80 2026-09-01
348 MS_DRG Anal And Stomal Procedures With Cc 3 3 $88,791.69 $62,154.18 30% off $23,167.37 $23,167.37 $23,167.37 2026-09-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 3 $90,146.65 $63,102.65 30% off $38,939.11 $38,939.11 $38,939.11 2026-09-01
0686T CPT Hc Histotripsy Mal Hepatcel Tis 25 23 $90,659.00 $63,461.30 30% off $4,540.00 $90,659.00 $29,917.47 2026-09-01
19357 CPT Hc Tissue Expander Placement Breast Reconstruction 20 18 $91,055.00 $63,738.50 30% off $4,949.00 $91,055.00 $25,514.68 2026-09-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 3 3 $91,939.44 $64,357.61 30% off $30,179.40 $30,179.40 $30,179.40 2026-09-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 $92,252.04 $64,576.43 30% off $31,433.82 $31,433.82 $31,433.82 2026-09-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 3 $94,047.04 $65,832.93 30% off $31,877.74 $31,877.74 $31,877.74 2026-09-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 3 3 $94,124.90 $65,887.43 30% off $28,755.66 $28,755.66 $28,755.66 2026-09-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 3 3 $96,082.84 $67,257.99 30% off $28,154.44 $28,154.44 $28,154.44 2026-09-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 5 5 $97,445.85 $68,212.09 30% off $17,396.00 $23,649.93 $23,649.93 2026-09-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 3 3 $97,789.46 $68,452.62 30% off $27,787.85 $27,787.85 $27,787.85 2026-09-01
SUP-1000100 CDM Impella 5.5 With Smartassist 9 8 $98,077.85 $68,654.49 30% off $0.03 $68,654.50 $51,981.26 2026-09-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 3 $98,996.96 $69,297.87 30% off $28,270.42 $28,270.42 $28,270.42 2026-09-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 3 3 $100,190.25 $70,133.17 30% off $23,661.94 $23,661.94 $23,661.94 2026-09-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 3 3 $100,489.68 $70,342.78 30% off $25,634.91 $25,634.91 $25,634.91 2026-09-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 3 3 $101,916.79 $71,341.75 30% off $28,876.96 $28,876.96 $28,876.96 2026-09-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 3 3 $102,584.28 $71,809.00 30% off $25,708.23 $25,708.23 $25,708.23 2026-09-01
347 MS_DRG Anal And Stomal Procedures With Mcc 3 3 $103,591.22 $72,513.85 30% off $36,322.25 $36,322.25 $36,322.25 2026-09-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 3 $104,823.53 $73,376.47 30% off $32,468.31 $32,468.31 $32,468.31 2026-09-01
115 MS_DRG Extraocular Procedures Except Orbit 3 3 $105,566.36 $73,896.45 30% off $26,181.46 $26,181.46 $26,181.46 2026-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 3 $106,279.29 $74,395.50 30% off $48,891.96 $48,891.96 $48,891.96 2026-09-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 3 3 $107,003.61 $74,902.53 30% off $29,760.80 $29,760.80 $29,760.80 2026-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 $110,828.52 $77,579.96 30% off $38,303.24 $38,303.24 $38,303.24 2026-09-01
33274 CPT Pr Tcat Insj/Rpl Perm Ldls Pm|MULTIPLE Procedures 26 24 $110,852.00 $77,596.40 30% off $417.72 $83,903.57 $27,967.86 2026-09-01
0238T CPT Hc Iliac Atherectomy Stent Pta 26 24 $110,852.00 $77,596.40 30% off $23.77 $79,000.59 $26,333.53 2026-09-01
36906 CPT Hc Thrmbc/Infs Dialysis Circuit With Stent Placement 25 23 $110,852.00 $77,596.40 30% off $101.90 $79,000.59 $26,333.53 2026-09-01
92933 CPT Hc Percut Translum Cor Atherectomy Stent Angio 1 Major Cor Artery/Branch 26 24 $110,852.00 $77,596.40 30% off $1.32 $78,704.92 $26,333.53 2026-09-01
J7330 HCPCS Hc Maci 3 X 5 (14) Per Sq Cm 10 9 $111,055.00 $77,738.50 30% off $0.03 $120,154.03 $66,249.86 2026-09-01
27279 CPT Hc Arthodesis Sacroiliac Joint Plmt Transarticular&/i-artic Device 20 18 $111,199.00 $77,839.30 30% off $4,949.00 $111,199.00 $26,969.01 2026-09-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 3 $111,919.98 $78,343.99 30% off $33,517.46 $33,517.46 $33,517.46 2026-09-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 3 3 $113,575.25 $79,502.67 30% off $31,436.51 $31,436.51 $31,436.51 2026-09-01
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 24 22 $114,381.00 $80,066.70 30% off $2,885.63 $114,381.00 $26,333.53 2026-09-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sin 24 22 $114,381.00 $80,066.70 30% off $3,542.99 $114,381.00 $26,333.53 2026-09-01
669 MS_DRG Transurethral Procedures With Cc 3 3 $114,451.16 $80,115.81 30% off $26,409.44 $26,409.44 $26,409.44 2026-09-01
368 MS_DRG Major Esophageal Disorders With Mcc 3 3 $114,634.54 $80,244.18 30% off $26,941.33 $26,941.33 $26,941.33 2026-09-01
37231 CPT Hc Tib/per Revasc Stent & Ather 24 22 $115,286.00 $80,700.20 30% off $646.31 $81,853.06 $26,333.53 2026-09-01
37230 CPT Hc Stent With Pta Tib/Peroneal 24 22 $115,286.00 $80,700.20 30% off $594.56 $81,853.06 $26,333.53 2026-09-01
37227 CPT Hc Fem/Popl Revasc Stnt & Ather 24 22 $115,286.00 $80,700.20 30% off $632.91 $81,853.06 $26,333.53 2026-09-01
37229 CPT Hc Atherectomy+/- Pta Tib/Prnel 24 22 $115,286.00 $80,700.20 30% off $613.18 $81,853.06 $26,333.53 2026-09-01
24371 CPT Hc Revise Reconst Elbow Joint, Humeral And Ulnar 23 21 $115,646.00 $80,952.20 30% off $23.77 $82,108.66 $26,969.01 2026-09-01
62362 CPT Hc Imp/Rep Pump Infs Epi W Or Without Prog 23 21 $116,000.00 $81,200.00 30% off $23.77 $116,000.00 $25,919.10 2026-09-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 3 3 $116,808.57 $81,766.00 30% off $23,935.21 $23,935.21 $23,935.21 2026-09-01
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 26 24 $118,956.00 $83,269.20 30% off $4,540.00 $84,458.76 $41,877.43 2026-09-01
C9774 HCPCS Hc Revasc Lithotr-ather Tib/Per 21 19 $118,956.00 $83,269.20 30% off $4,540.00 $118,956.00 $26,333.53 2026-09-01
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 21 19 $118,956.00 $83,269.20 30% off $4,949.00 $118,956.00 $26,333.53 2026-09-01
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/Per 21 19 $118,956.00 $83,269.20 30% off $4,540.00 $118,956.00 $26,333.53 2026-09-01
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 21 19 $118,956.00 $83,269.20 30% off $4,949.00 $118,956.00 $26,333.53 2026-09-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 $119,283.40 $83,498.38 30% off $39,592.34 $39,592.34 $39,592.34 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 3 3 $119,395.97 $83,577.18 30% off $47,909.46 $47,909.46 $47,909.46 2026-09-01
66683 CPT Hc Implantation Iris Prosthesis 25 23 $119,671.00 $83,769.70 30% off $6,695.00 $119,671.00 $39,491.43 2026-09-01
93580 CPT Hc Prq Tcat Clsr Cgen Intratrl Commun W/Implt 26 24 $119,992.00 $83,994.40 30% off $603.92 $85,194.32 $26,333.53 2026-09-01
33902 CPT Hc Perq P-art Revsc 1 Abnor Uni 24 22 $120,131.00 $84,091.70 30% off $23.77 $85,293.01 $26,333.53 2026-09-01
36836 CPT Hc Prq Av Fstl Crtj Uxtr 1 Acs 24 22 $120,131.00 $84,091.70 30% off $23.77 $120,131.00 $26,333.53 2026-09-01
36837 CPT Hc Prq Av Fstl Crt Uxtr Sep Acs 24 22 $120,131.00 $84,091.70 30% off $23.77 $120,131.00 $26,333.53 2026-09-01
62360 CPT Hc Insert Spine Infusn Device,Subcut 24 22 $120,640.00 $84,448.00 30% off $23.77 $120,640.00 $25,919.10 2026-09-01
505 MS_DRG Foot Procedures Without Cc/mcc 3 3 $121,747.01 $85,222.91 30% off $29,619.51 $29,619.51 $29,619.51 2026-09-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 3 3 $121,762.33 $85,233.63 30% off $28,147.77 $28,147.77 $28,147.77 2026-09-01
54405 CPT Hc Insert Multi-comp Penis Pros 20 18 $122,531.00 $85,771.70 30% off $3,459.00 $122,531.00 $29,518.53 2026-09-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 3 3 $122,982.40 $86,087.68 30% off $27,994.48 $27,994.48 $27,994.48 2026-09-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 3 3 $123,269.71 $86,288.80 30% off $27,462.56 $27,462.56 $27,462.56 2026-09-01
709 MS_DRG Penis Procedures With Cc/mcc 3 3 $124,274.24 $86,991.97 30% off $36,742.18 $36,742.18 $36,742.18 2026-09-01
37273 CPT Hc Revasc Endovasc Fpvt Atherectomy Unilat Complex Lesion 1st Vessel 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37294 CPT Hc Revascularization,Endovasc Tib Peroneal St Athrc Uni Cplx Les 1st Vsl 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37286 CPT Hc Revasc Endovasc Tpvt Stent Placement Unilat Complex Lesion 1st Vessel 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37288 CPT Hc Revascularization,Endovasuclar Tib Peroneal Athrc Uni Sf Lesion 1st Vsl 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37277 CPT Hc Revasc Endovasc Fpvt Stent Atherectomy Unilat Complex Lesion 1st Vessel 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37292 CPT Hc Revascularization,Endovasuclar Tib Peroneal St Athrc Uni Sf Les 1st Vsl 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37275 CPT Hc Revasc Endovasc Fpvt Stent Atherectomy Unilat Straightfwd Lesion 1st Vsl 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
92930 CPT Hc Percutaneous Tcath Plcmt Ntracoronary St 2+Lesion 2+Stnt 2+Cornry Sgmnt 14 13 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37284 CPT Hc Revasc Endovasc Tpvt Stent Placement Unilat Straightfwd Lesion 1st Vsl 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37290 CPT Hc Revascularization,Endovasuclar Tib Peroneal Athrc Uni Cplx Les 1st Vsl 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
37271 CPT Hc Revasc Endovasc Fpvt Atherectomy Unilat Straightfwd Lesion 1st Vessel 13 12 $125,800.00 $88,060.00 30% off $23.77 $125,800.00 $64,975.70 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 $125,858.71 $88,101.10 30% off $85,793.13 $85,793.13 $85,793.13 2026-09-01
C9773 HCPCS Hc Revasc Lithotr-stent Tib/Per 21 19 $126,138.00 $88,296.60 30% off $4,540.00 $126,138.00 $26,333.53 2026-09-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 3 $126,159.65 $88,311.75 30% off $30,115.41 $30,115.41 $30,115.41 2026-09-01
501 MS_DRG Soft Tissue Procedures With Cc 3 3 $126,272.04 $88,390.43 30% off $29,023.60 $29,023.60 $29,023.60 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 $126,795.30 $88,756.71 30% off $48,162.73 $48,162.73 $48,162.73 2026-09-01
33229 CPT Hc Replace Gen Multiple Lead 26 24 $127,634.00 $89,343.80 30% off $301.56 $90,620.14 $27,967.86 2026-09-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 3 $128,197.28 $89,738.10 30% off $37,532.70 $37,532.70 $37,532.70 2026-09-01
93590 CPT Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 24 22 $129,006.00 $90,304.20 30% off $1.32 $91,594.26 $26,333.53 2026-09-01
93591 CPT Hc Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 24 22 $129,006.00 $90,304.20 30% off $835.12 $91,594.26 $26,333.53 2026-09-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 3 3 $129,188.31 $90,431.82 30% off $26,205.47 $26,205.47 $26,205.47 2026-09-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 3 3 $129,820.83 $90,874.58 30% off $30,204.72 $30,204.72 $30,204.72 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 $130,707.54 $91,495.28 30% off $49,755.79 $49,755.79 $49,755.79 2026-09-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 3 3 $133,604.16 $93,522.91 30% off $33,950.70 $33,950.70 $33,950.70 2026-09-01
0825T OTHER Hc Tcat Rmv&Rpl1chmb Ldls Pm Ra 23 21 $134,424.00 $94,096.80 30% off $27,408.50 $134,424.00 $69,430.00 2026-09-01
0823T OTHER Hc Tcat Ins 1chmbr Ldls Pm Ra 23 21 $134,424.00 $94,096.80 30% off $27,408.50 $134,424.00 $69,430.00 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 $134,698.39 $94,288.87 30% off $55,665.35 $55,665.35 $55,665.35 2026-09-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 3 3 $135,557.86 $94,890.50 30% off $34,647.91 $34,647.91 $34,647.91 2026-09-01
503 MS_DRG Foot Procedures With Mcc 3 3 $135,649.61 $94,954.73 30% off $42,927.72 $42,927.72 $42,927.72 2026-09-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 3 $138,488.52 $96,941.96 30% off $35,309.12 $35,309.12 $35,309.12 2026-09-01
33221 CPT Hc Ins Pacemkr Pulse Gen Only W/Exist Mx Lds 25 23 $138,609.00 $97,026.30 30% off $101.90 $98,412.39 $27,967.86 2026-09-01
93655 CPT Hc Ablate Arrhythmia Add On 13 12 $138,714.00 $97,099.80 30% off $1.32 $98,486.94 $45,775.62 2026-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 3 $138,769.77 $97,138.84 30% off $39,753.63 $39,753.63 $39,753.63 2026-09-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 3 $139,490.73 $97,643.51 30% off $38,264.56 $38,264.56 $38,264.56 2026-09-01
800 MS_DRG Splenic Procedures With Cc 3 3 $140,845.82 $98,592.07 30% off $43,171.67 $43,171.67 $43,171.67 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 $144,624.54 $101,237.18 30% off $54,053.65 $54,053.65 $54,053.65 2026-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 $146,052.19 $102,236.53 30% off $44,406.11 $44,406.11 $44,406.11 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 12 $149,488.34 $104,641.84 30% off $69,594.65 $235,939.32 $72,192.76 2026-09-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 3 3 $149,588.44 $104,711.91 30% off $33,440.13 $33,440.13 $33,440.13 2026-09-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 3 $149,640.83 $104,748.58 30% off $29,815.47 $29,815.47 $29,815.47 2026-09-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 3 3 $150,150.62 $105,105.43 30% off $29,471.53 $29,471.53 $29,471.53 2026-09-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 3 3 $152,940.59 $107,058.41 30% off $33,748.07 $33,748.07 $33,748.07 2026-09-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 $156,412.54 $109,488.78 30% off $5,802.00 $33,641.42 $33,641.42 2026-09-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 3 3 $157,384.67 $110,169.27 30% off $33,270.82 $33,270.82 $33,270.82 2026-09-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 10 10 $158,178.23 $110,724.76 30% off $0.80 $107,148.13 $37,133.53 2026-09-01
33263 CPT Hc Rem Aicd Pls Gen W/Repl Plse Gen Dual Lead 26 24 $158,805.00 $111,163.50 30% off $313.48 $112,751.55 $32,917.34 2026-09-01
33262 CPT Hc Rem Aicd Pls Gen W/Replc Plse Gen Sngl Lead 26 24 $158,805.00 $111,163.50 30% off $23.77 $112,751.55 $32,917.34 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 3 3 $160,489.97 $112,342.98 30% off $52,221.99 $52,221.99 $52,221.99 2026-09-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 3 $161,116.24 $112,781.37 30% off $39,528.34 $39,528.34 $39,528.34 2026-09-01
0923T CPT Hc Rmvl&Rplcmt Permanent Ccm-d Pulse Generator Only 25 23 $163,627.00 $114,538.90 30% off $32,258.99 $163,627.00 $84,513.35 2026-09-01
0916T CPT Hc Insertion Perm Ccm-d System Pulse Generator Only 25 23 $163,627.00 $114,538.90 30% off $32,258.99 $163,627.00 $84,513.35 2026-09-01
33240 CPT Hc Inst Aicd Pls Gen Only W/Exist Sngl Lead 25 23 $165,157.00 $115,609.90 30% off $383.84 $117,261.47 $32,917.34 2026-09-01
33230 CPT Hc �Insj Implntbl Defib Pulse Gen W/Exist Dual Leads 26 24 $167,089.00 $116,962.30 30% off $312.73 $118,633.19 $32,917.34 2026-09-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 10 10 $168,726.98 $118,108.89 30% off $1.13 $148,314.03 $32,997.48 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 3 3 $168,743.07 $118,120.15 30% off $43,982.18 $43,982.18 $43,982.18 2026-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 3 3 $170,193.42 $119,135.39 30% off $42,671.76 $42,671.76 $42,671.76 2026-09-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 $172,800.24 $120,960.17 30% off $45,980.49 $45,980.49 $45,980.49 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 $173,256.17 $121,279.32 30% off $45,985.81 $45,985.81 $45,985.81 2026-09-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 3 3 $175,074.09 $122,551.86 30% off $25,720.22 $25,720.22 $25,720.22 2026-09-01
93656 CPT Hc Comp Ep Eval Abltj Atr Fib Pulm Vein Isol W Img 25 23 $179,370.00 $125,559.00 30% off $880.47 $127,352.70 $35,976.62 2026-09-01
93654 CPT Hc Ep+Ablate Vent Tachy 3d Map+Bndl His As Nec 25 23 $179,370.00 $125,559.00 30% off $1.32 $127,352.70 $35,976.62 2026-09-01
93653 CPT Hc Ep & Ablate Supravent Arrhyt 26 24 $179,370.00 $125,559.00 30% off $1.32 $127,352.70 $35,976.62 2026-09-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 3 $180,139.87 $126,097.91 30% off $37,676.68 $37,676.68 $37,676.68 2026-09-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 3 $180,804.10 $126,562.87 30% off $34,886.54 $34,886.54 $34,886.54 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 3 $184,807.81 $129,365.47 30% off $46,155.12 $46,155.12 $46,155.12 2026-09-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 3 3 $185,338.58 $129,737.01 30% off $28,707.67 $28,707.67 $28,707.67 2026-09-01
253 MS_DRG Other Vascular Procedures With Cc 3 3 $186,486.96 $130,540.87 30% off $40,321.53 $40,321.53 $40,321.53 2026-09-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 3 $191,041.31 $133,728.92 30% off $33,422.80 $33,422.80 $33,422.80 2026-09-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 3 3 $191,107.25 $133,775.07 30% off $29,300.89 $29,300.89 $29,300.89 2026-09-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 3 3 $192,783.80 $134,948.66 30% off $29,222.24 $29,222.24 $29,222.24 2026-09-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 3 3 $198,360.36 $138,852.25 30% off $32,384.33 $32,384.33 $32,384.33 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 $199,419.83 $139,593.88 30% off $62,018.85 $62,018.85 $62,018.85 2026-09-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 3 $204,260.24 $142,982.17 30% off $34,126.67 $34,126.67 $34,126.67 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 $212,129.26 $148,490.48 30% off $61,083.02 $61,083.02 $61,083.02 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 $213,147.26 $149,203.08 30% off $69,185.52 $69,185.52 $69,185.52 2026-09-01
64568 CPT Hc Incis Open Imp Cranial Nerve Stim Electrd/Pulse Gen 23 21 $213,535.00 $149,474.50 30% off $549.89 $213,535.00 $44,689.52 2026-09-01
949 MS_DRG Aftercare With Cc/mcc 10 10 $215,689.57 $150,982.70 30% off $1.19 $330,185.21 $52,953.38 2026-09-01
63052 CPT Pr Lam Facetc/Frmt Arthrd Lum 1 13 12 $218,033.00 $152,623.10 30% off $23.77 $154,803.43 $112,614.04 2026-09-01
64582 CPT Hc Opn Mpltj Hpglsl Nstm Ary Pg 24 22 $218,033.00 $152,623.10 30% off $23.77 $218,033.00 $44,689.52 2026-09-01
0680T CPT Hc Insj/Rplcmt Pg Only Isdss 23 21 $218,033.00 $152,623.10 30% off $3,459.00 $218,033.00 $31,448.20 2026-09-01
33289 CPT Hc Tcat Impl Wrls P-art Prs Snr 24 22 $220,300.00 $154,210.00 30% off $275.87 $156,413.00 $41,690.15 2026-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 $221,292.10 $154,904.47 30% off $44,993.98 $44,993.98 $44,993.98 2026-09-01
33264 CPT Hc Replace Icd Gen Multiple Lead 26 24 $221,324.00 $154,926.80 30% off $101.90 $157,140.04 $47,018.31 2026-09-01
33249 CPT Hc Insert/Replace Aicd W/Leads 25 23 $221,324.00 $154,926.80 30% off $895.01 $221,324.00 $47,018.31 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 3 $223,644.38 $156,551.07 30% off $54,665.54 $54,665.54 $54,665.54 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 $223,685.41 $156,579.79 30% off $7,560.00 $44,543.43 $44,543.43 2026-09-01
504 MS_DRG Foot Procedures With Cc 3 3 $225,923.06 $158,146.14 30% off $30,637.97 $30,637.97 $30,637.97 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 3 3 $227,413.57 $159,189.50 30% off $66,094.10 $66,094.10 $66,094.10 2026-09-01
33270 CPT Hc Ins/Rep Subq Defibrillator 25 23 $230,176.00 $161,123.20 30% off $508.93 $230,176.00 $47,018.31 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 $230,995.95 $161,697.16 30% off $93,055.79 $93,055.79 $93,055.79 2026-09-01
0915T CPT Hc Insj Perm Ccm-d Sys Pg&Dual Transvns Eltrds/Lds 25 23 $233,721.00 $163,604.70 30% off $46,077.94 $233,721.00 $120,716.90 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 $236,461.82 $165,523.27 30% off $48,783.96 $48,783.96 $48,783.96 2026-09-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 3 3 $239,650.36 $167,755.25 30% off $23,893.89 $23,893.89 $23,893.89 2026-09-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 10 10 $242,277.93 $169,594.55 30% off $1.86 $151,252.70 $52,642.94 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 $252,058.31 $176,440.82 30% off $53,212.46 $53,212.46 $53,212.46 2026-09-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 3 $260,092.20 $182,064.54 30% off $34,938.54 $34,938.54 $34,938.54 2026-09-01
264 MS_DRG Other Circulatory System O.r. Procedures 3 3 $266,784.41 $186,749.09 30% off $50,253.02 $50,253.02 $50,253.02 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 $279,693.43 $195,785.40 30% off $48,204.07 $75,426.00 $48,204.07 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 $280,254.33 $196,178.03 30% off $53,128.49 $53,128.49 $53,128.49 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 $285,581.25 $199,906.87 30% off $62,253.47 $62,253.47 $62,253.47 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 3 3 $286,542.03 $200,579.42 30% off $74,992.45 $74,992.45 $74,992.45 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 $289,549.89 $202,684.92 30% off $66,995.27 $66,995.27 $66,995.27 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $297,056.16 $207,939.31 30% off $61,344.30 $61,344.30 $61,344.30 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 3 $310,509.07 $217,356.35 30% off $41,990.56 $41,990.56 $41,990.56 2026-09-01
945 MS_DRG Rehabilitation With Cc/mcc 9 9 $311,579.31 $218,105.52 30% off $1.55 $48,511.27 $40,426.06 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 $311,723.20 $218,206.24 30% off $49,601.16 $49,601.16 $49,601.16 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 $315,453.37 $220,817.36 30% off $55,541.38 $55,541.38 $55,541.38 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 $316,396.73 $221,477.71 30% off $67,288.55 $67,288.55 $67,288.55 2026-09-01
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 21 19 $325,491.00 $227,843.70 30% off $6,695.00 $231,098.61 $65,993.23 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 $334,131.64 $233,892.15 30% off $55,546.71 $55,546.71 $55,546.71 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 $348,682.28 $244,077.60 30% off $48,282.71 $48,282.71 $48,282.71 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 $352,811.93 $246,968.35 30% off $70,090.70 $70,090.70 $70,090.70 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 $360,995.01 $252,696.51 30% off $72,206.30 $72,206.30 $72,206.30 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $368,378.82 $257,865.17 30% off $72,910.17 $72,910.17 $72,910.17 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 $388,660.54 $272,062.38 30% off $60,716.42 $60,716.42 $60,716.42 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $400,193.70 $280,135.59 30% off $117,744.54 $117,744.54 $117,744.54 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 $402,985.62 $282,089.93 30% off $61,560.25 $61,560.25 $61,560.25 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 $408,742.68 $286,119.88 30% off $85,213.23 $85,213.23 $85,213.23 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 $411,033.41 $287,723.39 30% off $87,416.83 $87,416.83 $87,416.83 2026-09-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 $411,669.50 $288,168.65 30% off $44,211.48 $44,211.48 $44,211.48 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 $455,265.89 $318,686.12 30% off $118,097.81 $118,097.81 $118,097.81 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 $466,260.94 $326,382.66 30% off $76,057.58 $76,057.58 $76,057.58 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $467,970.72 $327,579.50 30% off $108,078.35 $108,078.35 $108,078.35 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 $508,068.53 $355,647.97 30% off $83,953.47 $83,953.47 $83,953.47 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 $522,196.27 $365,537.39 30% off $78,542.46 $78,542.46 $78,542.46 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 $523,722.44 $366,605.71 30% off $76,810.78 $76,810.78 $76,810.78 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 $530,662.50 $371,463.75 30% off $94,791.46 $94,791.46 $94,791.46 2026-09-01
668 MS_DRG Transurethral Procedures With Mcc 3 3 $549,442.18 $384,609.53 30% off $44,646.06 $44,646.06 $44,646.06 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 $570,728.17 $399,509.72 30% off $86,539.67 $86,539.67 $86,539.67 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 $581,763.23 $407,234.26 30% off $76,768.14 $76,768.14 $76,768.14 2026-09-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 3 3 $584,784.68 $409,349.28 30% off $29,800.81 $29,800.81 $29,800.81 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 $607,240.50 $425,068.35 30% off $100,774.35 $100,774.35 $100,774.35 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $614,372.62 $430,060.83 30% off $93,374.40 $93,374.40 $93,374.40 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $627,682.74 $439,377.92 30% off $93,374.40 $93,374.40 $93,374.40 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 $669,381.11 $468,566.78 30% off $97,408.31 $97,408.31 $97,408.31 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $722,984.30 $506,089.01 30% off $107,637.07 $107,637.07 $107,637.07 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 $965,790.55 $676,053.38 30% off $136,133.16 $136,133.16 $136,133.16 2026-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 $1,075,513.79 $752,859.65 30% off $51,996.71 $51,996.71 $51,996.71 2026-09-01
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