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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

SALINAS VALLEY MEMORIAL HOSPITAL

Salinas, CA · CCN 050334 · Rates published

5,681 distinct procedures filed
16 distinct payers
194,666 rate rows
2026-07-01 last MRF observed
Data quality

194,551 of 194,666 rate rows are consumer-grade (99.9%)

115 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
exceeds 10× this hospital's gross charge — excluded from medians 108
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.salinasvalleyhealth.com/documents/946004020_SalinasValleyMemorialHealthcareSystem_standardcharges.csv
Found on page https://www.salinasvalleyhealth.com/standard-charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 66b717109b407048… · 102,374,724 bytes · first seen 2026-07-06

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
J9347
HCPCS 		Tremelimumab-actl 300 Mg/15ml IV Soln 15 $184.57 $578,252.30 $394,368.07 nat. median
$2,868
outlier · 137.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $387,094.95 $387,094.95 $387,094.95 nat. median
$359,454
1.1× median
J2507
HCPCS 		Pegloticase 8 Mg/ml IV Soln 16 $4,928.43 $427,869.92 $277,493.11 nat. median
$9,200
outlier · 30.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $251,209.05 $251,209.05 $251,209.05 nat. median
$249,036
1.0× median
J9266
HCPCS 		Pegaspargase 750 Unit/ml Ij Soln 16 $36,628.33 $382,165.89 $247,835.64 nat. median
$33,233
outlier · 7.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $191,388.02 $191,388.02 $191,388.02 nat. median
$198,418
1.0× median
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 16 $76.80 $294,183.68 $190,791.50 nat. median
$470
outlier · 406.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $190,264.82 $190,264.82 $190,264.82 nat. median
$190,559
1.0× median
J3357
HCPCS 		Ustekinumab 45 Mg/0.5ml Sc Sosy 15 $465.90 $415,458.31 $186,978.87 nat. median
$14,744
outlier · 12.7×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 16 $474.10 $249,583.61 $161,866.33 nat. median
$729
outlier · 221.9×
33270
CPT 		Hc Ins/Rep Subq Defibrillator 16 $1,006.15 $216,355.54 $140,316.41 nat. median
$32,114
outlier · 4.4×
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 16 $259.99 $215,504.02 $139,764.16 nat. median
$561
outlier · 249.1×
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5ml IV Soln 16 $297.74 $204,661.91 $132,716.23 nat. median
$735
outlier · 180.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $124,165.34 $124,165.34 $124,165.34 nat. median
$126,695
1.0× median
7
MS_DRG 		Lung Transplant 1 $116,086.89 $116,086.89 $116,086.89 nat. median
$117,974
1.0× median
J9228
HCPCS 		Ipilimumab 50 Mg/10ml IV Soln 16 $241.19 $506,049.26 $113,872.59 nat. median
$9,003
outlier · 12.6×
J9042
HCPCS 		Brentuximab Vedotin 50 Mg IV Solr 16 $346.29 $173,900.00 $112,765.74 nat. median
$951
outlier · 118.5×
J9272
HCPCS 		Dostarlimab-gxly 500 Mg/10ml IV Soln 16 $318.40 $168,119.92 $109,033.42 nat. median
$786
outlier · 138.7×
J9271
HCPCS 		Pembrolizumab 100 Mg/4ml IV Soln 16 $78.93 $168,135.02 $109,026.89 nat. median
$276
outlier · 395.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $107,729.66 $107,729.66 $107,729.66 nat. median
$110,307
1.0× median
J9022
HCPCS 		Atezolizumab 1200 Mg/20ml IV Soln 16 $121.13 $160,388.44 $104,002.88 nat. median
$6,785
outlier · 15.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $101,579.39 $101,579.39 $101,579.39 nat. median
$104,013
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 1 $101,462.86 $101,462.86 $101,462.86 nat. median
$92,678
1.1× median
J9119
HCPCS 		Cemiplimab-rwlc 350 Mg/7ml IV Soln 16 $38.35 $155,730.73 $100,998.46 nat. median
$91
outlier · 1109.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $98,795.14 $98,795.14 $98,795.14 nat. median
$93,276
1.1× median
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 16 $70.92 $150,699.08 $97,718.88 nat. median
$211
outlier · 462.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $97,476.52 $97,476.52 $97,476.52 nat. median
$97,323
1.0× median
A9543
HCPCS 		Hc Y-90 Zevalin Isotope 16 $16,116.78 $146,516.16 $97,294.05 nat. median
$63,528
1.5× median
36836
CPT 		Hc Sp Avf Creation Percu/W Guide 15 $15,855.32 $144,139.28 $94,137.36 nat. median
$17,555
outlier · 5.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $92,424.36 $92,424.36 $92,424.36 nat. median
$95,038
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 1 $89,255.55 $89,255.55 $89,255.55 nat. median
$93,901
1.0× median
33249
CPT 		Hc Insrt/Rpl Icd W/Lead Sing/Dual 16 $507.84 $136,230.16 $88,351.46 nat. median
$31,620
outlier · 2.8×
37277
CPT 		Hc Rvsc Evsc Fpvt St Athr Cpx 1 14 $14,606.79 $132,789.00 $88,178.54 nat. median
$22,972
outlier · 3.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $87,694.00 $87,694.00 $87,694.00 nat. median
$90,551
1.0× median
37294
CPT 		Hc Rvsc Evsc Tpvt St Athr Cpx 1 14 $14,471.89 $131,562.67 $87,364.19 nat. median
$25,406
outlier · 3.4×
J3380
HCPCS 		Vedolizumab 300 Mg/5ml IV (wet Solr Vial) 16 $27.04 $133,428.72 $86,518.26 nat. median
$162
outlier · 534.0×
J3263
HCPCS 		Toripalimab-tpzi 240 Mg/6ml IV Soln 16 $51.53 $132,481.55 $85,920.32 nat. median
$77
outlier · 1118.0×
J9301
HCPCS 		Obinutuzumab 1000 Mg/40ml IV Soln 15 $105.42 $122,781.26 $83,719.77 nat. median
$287
outlier · 291.6×
J1932
HCPCS 		Lanreotide Acetate 120 Mg/0.5ml Sc Soln 16 $41.48 $126,770.41 $82,216.38 nat. median
$113
outlier · 726.9×
93656
CPT 		Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 16 $1,740.69 $126,172.40 $81,828.54 nat. median
$27,236
outlier · 3.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $80,762.96 $80,762.96 $80,762.96 nat. median
$78,049
1.0× median
J2323
HCPCS 		Natalizumab 300 Mg/15ml IV Conc 16 $31.34 $121,712.44 $78,919.73 nat. median
$197
outlier · 400.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $77,624.63 $77,624.63 $77,624.63 nat. median
$78,268
1.0× median
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit 15 $254.43 $118,285.96 $77,252.56 nat. median
$3,820
outlier · 20.2×
37227
CPT 		Hc Plasty Stent Atherec Fem/Pop 15 $1,251.26 $117,296.95 $76,606.64 nat. median
$18,437
outlier · 4.2×
37231
CPT 		Hc Revas Plasty Stent Ath Tib/Per 15 $1,277.75 $116,213.69 $75,899.16 nat. median
$18,389
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $75,566.47 $75,566.47 $75,566.47 nat. median
$77,028
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $75,328.92 $75,328.92 $75,328.92 nat. median
$77,632
1.0× median
J9223
HCPCS 		Lurbinectedin 4 Mg IV Solr 16 $273.32 $115,617.50 $74,966.88 nat. median
$617
outlier · 121.4×
93654
CPT 		Hc Myocardial Strain Imaging 16 $1,740.19 $115,456.73 $74,878.95 nat. median
$27,016
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 5,681 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
             
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml IV Soln 17 15 $578,252.30 $578,252.30 $184.57 $578,252.30 $394,368.07 2026-07-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $387,094.95 $387,094.95 $387,094.95 2026-07-01
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 24 16 $427,869.92 $427,869.92 $4,928.43 $427,869.92 $277,493.11 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $251,209.05 $251,209.05 $251,209.05 2026-07-01
J9266 HCPCS Pegaspargase 750 Unit/ml Ij Soln 48 16 $382,140.89 $382,140.89 $36,628.33 $382,165.89 $247,835.64 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $191,388.02 $191,388.02 $191,388.02 2026-07-01
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 24 16 $294,183.68 $294,183.68 $76.80 $294,183.68 $190,791.50 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $190,264.82 $190,264.82 $190,264.82 2026-07-01
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 45 15 $207,754.30 $311,606.30 $465.90 $415,458.31 $186,978.87 2026-07-01
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 24 16 $249,583.61 $249,583.61 $474.10 $249,583.61 $161,866.33 2026-07-01
33270 CPT Hc Ins/Rep Subq Defibrillator 24 16 $216,355.54 $216,355.54 $1,006.15 $216,355.54 $140,316.41 2026-07-01
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 24 16 $215,504.02 $215,504.02 $259.99 $215,504.02 $139,764.16 2026-07-01
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 48 16 $204,636.91 $204,636.91 $297.74 $204,661.91 $132,716.23 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $124,165.34 $124,165.34 $124,165.34 2026-07-01
7 MS_DRG Lung Transplant 1 1 — — $116,086.89 $116,086.89 $116,086.89 2026-07-01
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 92 16 $126,550.10 $126,550.10 $241.19 $506,049.26 $113,872.59 2026-07-01
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 48 16 $173,875.00 $173,875.00 $346.29 $173,900.00 $112,765.74 2026-07-01
J9272 HCPCS Dostarlimab-gxly 500 Mg/10ml IV Soln 24 16 $168,119.92 $168,119.92 $318.40 $168,119.92 $109,033.42 2026-07-01
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 48 16 $168,110.02 $168,110.02 $78.93 $168,135.02 $109,026.89 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $107,729.66 $107,729.66 $107,729.66 2026-07-01
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 48 16 $160,363.44 $160,363.44 $121.13 $160,388.44 $104,002.88 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $101,579.39 $101,579.39 $101,579.39 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $101,462.86 $101,462.86 $101,462.86 2026-07-01
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7ml IV Soln 24 16 $155,730.73 $155,730.73 $38.35 $155,730.73 $100,998.46 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $98,795.14 $98,795.14 $98,795.14 2026-07-01
J9144 HCPCS Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 48 16 $150,674.08 $150,674.08 $70.92 $150,699.08 $97,718.88 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $97,476.52 $97,476.52 $97,476.52 2026-07-01
A9543 HCPCS Hc Y-90 Zevalin Isotope 24 16 $146,516.16 $146,516.16 $16,116.78 $146,516.16 $97,294.05 2026-07-01
36836 CPT Hc Sp Avf Creation Percu/W Guide 23 15 $144,139.28 $144,139.28 $15,855.32 $144,139.28 $94,137.36 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $92,424.36 $92,424.36 $92,424.36 2026-07-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $89,255.55 $89,255.55 $89,255.55 2026-07-01
33249 CPT Hc Insrt/Rpl Icd W/Lead Sing/Dual 24 16 $136,230.16 $136,230.16 $507.84 $136,230.16 $88,351.46 2026-07-01
37277 CPT Hc Rvsc Evsc Fpvt St Athr Cpx 1 22 14 $132,789.00 $132,789.00 $14,606.79 $132,789.00 $88,178.54 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $87,694.00 $87,694.00 $87,694.00 2026-07-01
37294 CPT Hc Rvsc Evsc Tpvt St Athr Cpx 1 22 14 $131,562.67 $131,562.67 $14,471.89 $131,562.67 $87,364.19 2026-07-01
J3380 HCPCS Vedolizumab 300 Mg/5ml IV (wet Solr Vial) 48 16 $133,403.72 $133,403.72 $27.04 $133,428.72 $86,518.26 2026-07-01
J3263 HCPCS Toripalimab-tpzi 240 Mg/6ml IV Soln 24 16 $132,481.55 $132,481.55 $51.53 $132,481.55 $85,920.32 2026-07-01
J9301 HCPCS Obinutuzumab 1000 Mg/40ml IV Soln 34 15 $122,756.26 $122,756.26 $105.42 $122,781.26 $83,719.77 2026-07-01
J1932 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 24 16 $126,770.41 $126,770.41 $41.48 $126,770.41 $82,216.38 2026-07-01
93656 CPT Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 46 16 $123,734.40 $123,734.40 $1,740.69 $126,172.40 $81,828.54 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $80,762.96 $80,762.96 $80,762.96 2026-07-01
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 48 16 $121,687.44 $121,687.44 $31.34 $121,712.44 $78,919.73 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $77,624.63 $77,624.63 $77,624.63 2026-07-01
J3101 HCPCS Tenecteplase 50 Mg IV Kit 23 15 $118,285.96 $118,285.96 $254.43 $118,285.96 $77,252.56 2026-07-01
37227 CPT Hc Plasty Stent Atherec Fem/Pop 23 15 $117,296.95 $117,296.95 $1,251.26 $117,296.95 $76,606.64 2026-07-01
37231 CPT Hc Revas Plasty Stent Ath Tib/Per 23 15 $116,213.69 $116,213.69 $1,277.75 $116,213.69 $75,899.16 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $75,566.47 $75,566.47 $75,566.47 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $75,328.92 $75,328.92 $75,328.92 2026-07-01
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 48 16 $115,592.50 $115,592.50 $273.32 $115,617.50 $74,966.88 2026-07-01
93654 CPT Hc Myocardial Strain Imaging 24 16 $115,456.73 $115,456.73 $1,740.19 $115,456.73 $74,878.95 2026-07-01
37275 CPT Hc Rvsc Evsc Fpvt St Athrc Sf 1 22 14 $110,657.50 $110,657.50 $12,172.33 $110,657.50 $73,482.11 2026-07-01
37292 CPT Hc Rvsc Evsc Tpvt St Athrc Sf 1 22 14 $109,635.56 $109,635.56 $12,059.91 $109,635.56 $72,803.49 2026-07-01
J9299 HCPCS Nivolumab 40 Mg/4ml IV Soln 136 16 $110,994.43 $110,994.43 $43.33 $111,019.77 $72,506.68 2026-07-01
33231 CPT Hc Insrt Icd Gen W/Exst Mult Lead 24 16 $111,162.02 $111,162.02 $641.83 $111,162.02 $72,093.63 2026-07-01
33263 CPT Hc Rmv Icd Gen W/Rpl Gen Dual Lea 24 16 $111,162.02 $111,162.02 $619.75 $111,162.02 $72,093.63 2026-07-01
33262 CPT Hc Rmv Icd Gen W/Rpl Gen Sng Lead 24 16 $111,162.02 $111,162.02 $596.18 $111,162.02 $72,093.63 2026-07-01
33230 CPT Hc Insrt Icd Gen W/Exst Dual Lead 24 16 $111,162.02 $111,162.02 $618.27 $111,162.02 $72,093.63 2026-07-01
33264 CPT Hc Rmv Icd Gen W/Rpl Gen Mult Lea 24 16 $111,162.02 $111,162.02 $642.56 $111,162.02 $72,093.63 2026-07-01
33240 CPT Hc Insert Icd Single Chamber 24 16 $111,162.02 $111,162.02 $217.48 $111,162.02 $72,093.63 2026-07-01
33405 CPT Hc Rep Aortic Valve Open W/Bypass 23 15 $109,209.49 $109,209.49 $1,098.00 $109,209.49 $71,324.72 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $70,536.71 $70,536.71 $70,536.71 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $68,829.05 $68,829.05 $68,829.05 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $68,532.34 $68,532.34 $68,532.34 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $68,305.55 $68,305.55 $68,305.55 2026-07-01
C1820 HCPCS Kit Ipg Wavewriter Alpha 16 22 14 $100,651.77 $100,651.77 $11,071.69 $100,651.77 $66,837.80 2026-07-01
37269 CPT Hc Revsc Evasc Fpvt St Cplx 1st 22 14 $100,010.11 $100,010.11 $11,001.11 $100,010.11 $66,411.71 2026-07-01
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg IV Solr 24 16 $101,552.75 $101,552.75 $252.73 $101,552.75 $65,861.58 2026-07-01
37260 CPT Hc Revsc Evasc Ivt St Cplx 1st 22 14 $98,590.87 $98,590.87 $10,845.00 $98,590.87 $65,469.27 2026-07-01
37221 CPT Hc Iliac Revas,Plasty,Stent 45 15 $87,088.60 $87,088.60 $853.81 $122,907.43 $65,140.94 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $64,708.25 $64,708.25 $64,708.25 2026-07-01
10 MS_DRG Pancreas Transplant 1 1 — — $64,323.69 $64,323.69 $64,323.69 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $64,296.80 $64,296.80 $64,296.80 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $63,955.27 $63,955.27 $63,955.27 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $63,917.62 $63,917.62 $63,917.62 2026-07-01
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 48 16 $97,217.02 $97,217.02 $21.92 $97,242.02 $63,049.55 2026-07-01
37235 CPT Hc Tib/Pero+Ves Plsty,Stnt,Athrec 23 15 $95,857.70 $95,857.70 $660.97 $95,857.70 $62,604.66 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $61,958.07 $61,958.07 $61,958.07 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $61,654.19 $61,654.19 $61,654.19 2026-07-01
37223 CPT Hc Iliac Revas,Add Plasty/Stent 67 15 $80,184.81 $80,184.81 $360.66 $151,291.40 $61,341.38 2026-07-01
J9063 HCPCS Mirvetuximab Soravtansine-gynx 100 Mg/20ml IV Soln 48 16 $94,546.96 $94,546.96 $91.66 $94,571.96 $61,317.89 2026-07-01
34703 CPT Hc Cl Endovasc Rep Infrarenal Ao 45 15 $90,960.59 $90,960.59 $456.35 $93,292.59 $60,929.39 2026-07-01
34707 CPT Hc Cl Evasc Rpr Ilio-iliac Ndgft 45 15 $90,960.59 $90,960.59 $379.05 $93,292.59 $60,929.39 2026-07-01
34705 CPT Hc Endovasc Repair Infra Renal Ao 45 15 $90,959.27 $90,959.27 $504.19 $93,291.27 $60,928.53 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $60,338.26 $60,338.26 $60,338.26 2026-07-01
J1299 HCPCS Eculizumab 300 Mg/30ml IV Soln 48 16 $92,977.61 $92,977.61 $57.60 $93,002.61 $60,300.10 2026-07-01
SUP-1031968 CDM Impella Device Cp 14f 22 14 $90,541.41 $90,541.41 $9,959.56 $90,541.41 $60,124.02 2026-07-01
J1930 HCPCS Lanreotide Acetate 90 Mg/0.3ml Sc Soln 46 16 $115,589.01 $115,589.01 $46.04 $115,589.01 $59,981.57 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $59,938.46 $59,938.46 $59,938.46 2026-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $59,894.53 $59,894.53 $59,894.53 2026-07-01
33271 CPT Hc Insj Subq Impltbl Dfb Elctrd 24 16 $91,901.16 $91,901.16 $847.92 $91,901.16 $59,602.08 2026-07-01
34710 CPT Hc Cl Dlyd Plmt Xtn Pros 1st Vls 23 15 $90,960.59 $90,960.59 $1,329.28 $90,960.59 $59,406.36 2026-07-01
J2506 HCPCS Pegfilgrastim (inf Dev) 6 Mg/0.6ml Sc Sosy|discarded Drug Not Administered 48 16 $91,481.36 $91,481.36 $91.59 $91,506.36 $59,329.71 2026-07-01
37266 CPT Hc Rvsc Evsc Fpvt Angio Cplx Ea 22 14 $88,955.95 $88,955.95 $9,785.15 $88,955.95 $59,071.20 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $58,941.65 $58,941.65 $58,941.65 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $58,941.65 $58,941.65 $58,941.65 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $58,727.41 $58,727.41 $58,727.41 2026-07-01
C1721 HCPCS Crtd Cobalt Hf MRI Is Df4 132 14 $103,019.05 $103,019.05 $2,098.80 $124,543.57 $58,620.63 2026-07-01
J9330 HCPCS Temsirolimus 25 Mg/ml IV Soln 17 15 $85,563.68 $85,563.68 $38.76 $85,563.68 $58,354.43 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $57,681.30 $57,681.30 $57,681.30 2026-07-01
34701 CPT Hc Evar Aorto-aortic Graft 45 15 $85,811.14 $85,811.14 $407.02 $88,143.14 $57,566.28 2026-07-01
33880 CPT Hc Cl Endovasc Taa Rep Incl Subcl 45 15 $85,811.14 $85,811.14 $591.04 $88,143.14 $57,566.28 2026-07-01
37286 CPT Hc Revsc Evasc Tpvt St Cplx 1st 22 14 $85,875.91 $85,875.91 $9,446.35 $85,875.91 $57,025.90 2026-07-01
37220 CPT Hc Iliac Revas,Plasty 67 15 $100,868.42 $100,868.42 $139.85 $106,920.12 $56,977.73 2026-07-01
37226 CPT Hc Fem/Pop Revas,Plasty & Stent 45 15 $83,340.79 $83,340.79 $174.45 $88,342.27 $56,838.42 2026-07-01
34711 CPT Hc Cl Dlyd Plmt Xtn Pros Ea Addl 23 15 $85,811.14 $85,811.14 $97.15 $85,811.14 $56,043.26 2026-07-01
C1604 HCPCS Endocross Device 22 14 $84,270.00 $84,270.00 $9,269.70 $84,270.00 $55,959.49 2026-07-01
J0717 HCPCS Certolizumab Pegol 200 Mg/ml Sc Pskt 48 16 $85,516.88 $85,516.88 $4.89 $85,541.88 $55,461.47 2026-07-01
37267 CPT Hc Revsc Evsc Fpvt Stent Sf 1st 22 14 $83,341.76 $83,341.76 $9,167.59 $83,341.76 $55,343.10 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $54,935.59 $54,935.59 $54,935.59 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $54,871.95 $54,871.95 $54,871.95 2026-07-01
37258 CPT Hc Revsc Evasc Ivt Stent Sf 1st 22 14 $82,159.06 $82,159.06 $9,037.50 $82,159.06 $54,557.73 2026-07-01
37265 CPT Hc Revsc Evsc Fpvt Angio Cplx 1 22 14 $82,113.18 $82,113.18 $9,032.45 $82,113.18 $54,527.26 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $54,345.75 $54,345.75 $54,345.75 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $53,859.00 $53,859.00 $53,859.00 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $53,843.76 $53,843.76 $53,843.76 2026-07-01
37256 CPT Hc Revsc Evasc Ivt Angio Cplx 1 22 14 $80,695.44 $80,695.44 $8,876.50 $80,695.44 $53,585.81 2026-07-01
37273 CPT Hc Revsc Evsc Fpvt Athrc Cplx 1 22 14 $80,592.24 $80,592.24 $8,865.15 $80,592.24 $53,517.28 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $53,453.83 $53,453.83 $53,453.83 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $53,278.13 $53,278.13 $53,278.13 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $53,154.43 $53,154.43 $53,154.43 2026-07-01
37282 CPT Hc Rvsc Evsc Tpvt Angio Cplx 1 22 14 $79,500.00 $79,500.00 $8,745.00 $79,500.00 $52,791.97 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $52,606.72 $52,606.72 $52,606.72 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $52,572.66 $52,572.66 $52,572.66 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $51,696.86 $51,696.86 $51,696.86 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $51,366.98 $51,366.98 $51,366.98 2026-07-01
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg IV Solr 92 16 $265,212.60 $265,212.60 $176.83 $265,262.60 $51,170.79 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $51,157.22 $51,157.22 $51,157.22 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $51,090.89 $51,090.89 $51,090.89 2026-07-01
36906 CPT Hc Fistulagram Declot/Plsty/Stnt 24 16 $77,899.41 $77,899.41 $8,568.94 $77,899.41 $50,521.31 2026-07-01
C1882 HCPCS Defib Momentum Crt-d Is-1 Df-1 88 14 $81,960.19 $81,960.19 $6,024.88 $121,156.23 $50,492.67 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $50,396.17 $50,396.17 $50,396.17 2026-07-01
0505T CPT Hc Ev Fempop Art Revsc 23 15 $77,113.24 $77,113.24 $8,482.46 $77,113.24 $50,362.66 2026-07-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $50,240.20 $50,240.20 $50,240.20 2026-07-01
C1767 HCPCS Generator Aspire 106 88 14 $77,152.73 $77,152.73 $2,448.99 $138,575.09 $50,032.91 2026-07-01
J0896 HCPCS Luspatercept-aamt 25 Mg Sc Solr 46 16 $57,512.99 $57,512.99 $55.09 $172,438.24 $49,970.46 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $49,895.97 $49,895.97 $49,895.97 2026-07-01
37233 CPT Hc Revasc Plasty Ather Tib Peron 23 15 $75,986.55 $75,986.55 $559.39 $75,986.55 $49,626.82 2026-07-01
37230 CPT Hc Revasc Plast Stent Tib/Peronea 23 15 $75,857.06 $75,857.06 $234.79 $75,857.06 $49,542.25 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $49,508.73 $49,508.73 $49,508.73 2026-07-01
SUP-1038436 CDM Tavr Evolute Pro Plus 34mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041200 CDM Heart Valve Sapien 3 23mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041711 CDM Valve Heart Resilia 26mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1040173 CDM Tavr Evolut Fx Plus 34mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041201 CDM Heart Valve Sapien 3 26mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1037233 CDM Tavr Evolut Fx Plus 23mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041710 CDM Valve Heart Resilia 23mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1036986 CDM Tavr Evolut Fx Plus 26mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041202 CDM Heart Valve Sapien 3 29mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041709 CDM Valve Heart Resilia 20mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041712 CDM Valve Heart Resilia 29mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1036983 CDM Tavr Evolut Fx Plus 29mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
SUP-1041199 CDM Heart Valve Sapien 3 20mm 22 14 $74,342.50 $74,342.50 $8,177.68 $74,342.50 $49,367.14 2026-07-01
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 24 16 $76,058.93 $76,058.93 $23.59 $76,058.93 $49,327.68 2026-07-01
J2353 HCPCS Octreotide Acetate 20 Mg IM Kit 46 16 $65,832.28 $65,832.28 $242.71 $98,553.98 $49,276.99 2026-07-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $49,212.01 $49,212.01 $49,212.01 2026-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $49,038.11 $49,038.11 $49,038.11 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $48,968.19 $48,968.19 $48,968.19 2026-07-01
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1 22 14 $73,714.34 $73,714.34 $8,108.58 $73,714.34 $48,950.01 2026-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $48,891.10 $48,891.10 $48,891.10 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $48,695.68 $48,695.68 $48,695.68 2026-07-01
34709 CPT Hc Plcmt Of Extpros Endovasc Rep 23 15 $74,389.40 $74,389.40 $105.99 $74,389.40 $48,583.72 2026-07-01
37234 CPT Hc Revasc Plasty Stent Tib/Perone 23 15 $74,364.29 $74,364.29 $93.47 $74,364.29 $48,567.32 2026-07-01
37298 CPT Hc Revsc Evsc Imvt Angio Cplx 1 22 14 $72,384.00 $72,384.00 $7,962.24 $72,384.00 $48,066.60 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $47,803.75 $47,803.75 $47,803.75 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $47,775.07 $47,775.07 $47,775.07 2026-07-01
93653 CPT Hc Ep Ephys Eval W/Ablation Supravent Arrhythmia 24 16 $73,569.02 $73,569.02 $1,303.75 $73,569.02 $47,712.86 2026-07-01
37215 CPT Hc Carotid Stent Plcmt W/Embolic 23 15 $72,960.01 $72,960.01 $242.16 $72,960.01 $47,650.18 2026-07-01
33274 CPT Hc Leadless Pm Ins/Rpl Ventricul 24 16 $73,436.92 $73,436.92 $825.83 $73,436.92 $47,627.18 2026-07-01
37216 CPT Hc Insert Stent Cerv Carotid Art 23 15 $72,915.11 $72,915.11 $1,162.93 $72,915.11 $47,620.86 2026-07-01
J9011 HCPCS Datopotamab Deruxtecan-dlnk 100 Mg IV Solr 17 15 $69,747.75 $69,747.75 $66.38 $69,747.75 $47,567.97 2026-07-01
37284 CPT Hc Revsc Evasc Tpvt St Sf 1st 22 14 $71,563.26 $71,563.26 $7,871.96 $71,563.26 $47,521.58 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $47,454.15 $47,454.15 $47,454.15 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $47,297.28 $47,297.28 $47,297.28 2026-07-01
37224 CPT Hc Fem/Pop Revas,Plasty 45 15 $68,428.82 $68,428.82 $153.83 $72,533.31 $46,668.46 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $46,661.73 $46,661.73 $46,661.73 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $46,581.05 $46,581.05 $46,581.05 2026-07-01
37222 CPT Hc Iliac Revas Angioplasty Add 23 15 $71,280.97 $71,280.97 $63.30 $71,280.97 $46,553.60 2026-07-01
37225 CPT Hc Revasc Plasty Ather Fem/Pop 23 15 $71,189.81 $71,189.81 $1,035.61 $71,189.81 $46,494.06 2026-07-01
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 48 16 $70,904.50 $70,904.50 $6,658.38 $70,929.50 $45,984.68 2026-07-01
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg IV Solr (wet Vial) 66 15 $56,902.23 $56,902.23 $54.38 $91,013.45 $45,514.26 2026-07-01
37263 CPT Hc Revsc Evasc Fpvt Angio Sf 1 22 14 $68,427.65 $68,427.65 $7,527.04 $68,427.65 $45,439.38 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $45,180.86 $45,180.86 $45,180.86 2026-07-01
SUP-1042547 CDM Guide Steerable Triclip 22 14 $67,416.00 $67,416.00 $7,415.76 $67,416.00 $44,767.60 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $44,707.55 $44,707.55 $44,707.55 2026-07-01
37254 CPT Hc Revsc Evasc Ivt Angio Sf 1st 22 14 $67,246.20 $67,246.20 $7,397.08 $67,246.20 $44,654.84 2026-07-01
37271 CPT Hc Revsc Evsc Fpvt Athrc Sf 1st 22 14 $67,160.20 $67,160.20 $7,387.62 $67,160.20 $44,597.74 2026-07-01
37236 CPT Hc Stent Plmt,Art Include Plasty 46 16 $100,122.04 $100,122.04 $155.31 $100,122.04 $44,561.75 2026-07-01
SUP-1043192 CDM Vercise Genus P16 Implantable 22 14 $66,971.20 $66,971.20 $7,366.83 $66,971.20 $44,472.22 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $44,348.99 $44,348.99 $44,348.99 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $44,270.11 $44,270.11 $44,270.11 2026-07-01
33340 CPT Hc Left Atrial Appendage Closure 45 15 $65,445.92 $65,445.92 $267.92 $67,883.92 $44,176.00 2026-07-01
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91ml Sc Soaj 24 16 $68,066.39 $68,066.39 $22.66 $68,066.39 $44,144.15 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $44,118.61 $44,118.61 $44,118.61 2026-07-01
37278 CPT Hc Rvsc Evsc Fpvt St Ath Cpx Ea 22 14 $66,394.50 $66,394.50 $7,303.40 $66,394.50 $44,089.27 2026-07-01
37280 CPT Hc Revsc Evsc Tpvt Angio Sf 1st 22 14 $66,250.00 $66,250.00 $7,287.50 $66,250.00 $43,993.32 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $43,934.85 $43,934.85 $43,934.85 2026-07-01
37295 CPT Hc Rvsc Evsc Tpvt St Ath Cpx Ea 22 14 $65,781.34 $65,781.34 $7,235.95 $65,781.34 $43,682.10 2026-07-01
36903 CPT Hc Fistulagram W/Plasty/Stent 24 16 $67,323.11 $67,323.11 $7,405.54 $67,323.11 $43,662.10 2026-07-01
J9312 HCPCS Rituximab 500 Mg/50ml IV Soln 48 16 $66,965.80 $66,965.80 $95.56 $66,990.80 $43,430.26 2026-07-01
J9204 HCPCS Mogamulizumab-kpkc 20 Mg/5ml IV Soln 24 16 $66,862.84 $66,862.84 $326.63 $66,862.84 $43,363.60 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $43,284.95 $43,284.95 $43,284.95 2026-07-01
93580 CPT Hc Pfo/Asd Closure 24 16 $66,673.15 $66,673.15 $1,193.95 $66,673.15 $43,240.57 2026-07-01
93460 CPT Hc Rt Lt Heart With Left Vent 24 16 $66,601.81 $66,601.81 $1,572.52 $66,601.81 $43,194.31 2026-07-01
93461 CPT Hc Rt Lt Heart W/Grafts + Lt Vent 24 16 $66,601.81 $66,601.81 $1,829.96 $66,601.81 $43,194.31 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $43,066.23 $43,066.23 $43,066.23 2026-07-01
33361 CPT Hc Rep Aortic Valve Perq-fem 45 15 $63,119.54 $63,119.54 $2,133.04 $66,405.54 $42,764.57 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $42,676.29 $42,676.29 $42,676.29 2026-07-01
37229 CPT Hc Revasc Plasty Ath Tib/Peroneal 23 15 $65,114.34 $65,114.34 $1,212.26 $65,114.34 $42,526.18 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $42,143.82 $42,143.82 $42,143.82 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $42,057.77 $42,057.77 $42,057.77 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $41,932.27 $41,932.27 $41,932.27 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $41,566.53 $41,566.53 $41,566.53 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $41,400.70 $41,400.70 $41,400.70 2026-07-01
33364 CPT Hc Rep Aortic Valve Open-iliac 23 15 $63,119.54 $63,119.54 $514.49 $63,119.54 $41,223.37 2026-07-01
33362 CPT Hc Rep Aortic Valve Open -fem 23 15 $63,119.54 $63,119.54 $466.65 $63,119.54 $41,223.37 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $41,203.49 $41,203.49 $41,203.49 2026-07-01
37237 CPT Hc Stent Plmt,Artery Add Vessel 45 15 $84,505.96 $84,505.96 $361.40 $84,505.96 $41,131.80 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $41,098.61 $41,098.61 $41,098.61 2026-07-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $40,897.81 $40,897.81 $40,897.81 2026-07-01
92930 CPT Hc Add 2 Stents, 2/More Lesions In 2 More Segments 32 14 $59,111.37 $59,111.37 $6,490.15 $59,221.37 $40,844.96 2026-07-01
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st 22 14 $61,428.62 $61,428.62 $6,757.15 $61,428.62 $40,791.68 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $40,775.00 $40,775.00 $40,775.00 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $40,757.07 $40,757.07 $40,757.07 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $40,597.51 $40,597.51 $40,597.51 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $40,175.30 $40,175.30 $40,175.30 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $40,163.65 $40,163.65 $40,163.65 2026-07-01
37296 CPT Hc Revsc Evasc Imvt Angio Sf 1 22 14 $60,320.00 $60,320.00 $6,635.20 $60,320.00 $40,055.49 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $40,005.88 $40,005.88 $40,005.88 2026-07-01
33418 CPT Hc Repair Tcat Mitral Valve 45 15 $58,522.58 $58,522.58 $630.05 $60,960.58 $39,502.74 2026-07-01
SUP-1038961 CDM Guide Steerable Mitraclip 22 14 $59,447.04 $59,447.04 $6,539.17 $59,447.04 $39,475.81 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $39,377.50 $39,377.50 $39,377.50 2026-07-01
33289 CPT Hc Rhc With Pressure Sensor Impl 24 16 $60,431.21 $60,431.21 $108.93 $60,431.21 $39,192.39 2026-07-01
J9173 HCPCS Durvalumab 500 Mg/10ml IV Soln 48 16 $60,023.92 $60,023.92 $111.02 $60,048.92 $38,928.12 2026-07-01
0569T CPT Hc Ttvr Perq Appr 1st Prosth 22 14 $58,522.58 $58,522.58 $6,437.48 $58,522.58 $38,861.92 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $38,791.25 $38,791.25 $38,791.25 2026-07-01
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Sosy 24 16 $59,543.75 $59,543.75 $175.11 $59,543.75 $38,616.83 2026-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $38,481.99 $38,481.99 $38,481.99 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $38,234.58 $38,234.58 $38,234.58 2026-07-01
37238 CPT Hc Stent Plmt,Vein Include Plasty 46 16 $76,106.75 $76,106.75 $108.93 $76,106.75 $38,053.38 2026-07-01
37239 CPT Hc Stent Plmt,Vein Add Vessel 45 15 $76,106.75 $76,106.75 $251.73 $76,106.75 $38,053.38 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $38,014.96 $38,014.96 $38,014.96 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $37,857.19 $37,857.19 $37,857.19 2026-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $37,792.65 $37,792.65 $37,792.65 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $37,773.82 $37,773.82 $37,773.82 2026-07-01
C2624 HCPCS Cardiomems Pa Sensor Sys 22 14 $56,872.02 $56,872.02 $6,255.92 $56,872.02 $37,765.87 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $37,663.56 $37,663.56 $37,663.56 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $37,618.74 $37,618.74 $37,618.74 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $37,548.82 $37,548.82 $37,548.82 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $37,403.60 $37,403.60 $37,403.60 2026-07-01
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $37,376.71 $37,376.71 $37,376.71 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $37,227.91 $37,227.91 $37,227.91 2026-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $36,981.40 $36,981.40 $36,981.40 2026-07-01
93459 CPT Hc Lt Heart Cath/Graft Left Vent 25 16 $57,221.09 $57,221.09 $112.04 $57,221.09 $36,849.87 2026-07-01
37276 CPT Hc Rvsc Evsc Fpvt St Athr Sf Ea 22 14 $55,327.75 $55,327.75 $6,086.05 $55,327.75 $36,740.39 2026-07-01
SUP-1012220 CDM Infuse Bone Graft Large Kit 22 14 $55,033.03 $55,033.03 $6,053.63 $55,033.03 $36,544.68 2026-07-01
SUP-1012223 CDM Infuse Bone Graft Large Ii Kit 22 14 $55,033.03 $55,033.03 $6,053.63 $55,033.03 $36,544.68 2026-07-01
37293 CPT Hc Rvsc Evsc Tpvt St Athr Sf Ea 22 14 $54,817.78 $54,817.78 $6,029.96 $54,817.78 $36,401.74 2026-07-01
791 MS_DRG Prematurity With Major Problems 1 1 — — $36,385.28 $36,385.28 $36,385.28 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $36,040.17 $36,040.17 $36,040.17 2026-07-01
C2621 HCPCS Pacemaker Quadra Allure Mp 44 14 $58,589.58 $58,589.58 $4,600.48 $75,356.64 $35,971.49 2026-07-01
C1764 HCPCS Loop Recorder Reveal Linq Ii 22 14 $54,110.43 $54,110.43 $5,952.15 $54,110.43 $35,932.03 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $35,713.87 $35,713.87 $35,713.87 2026-07-01
J9061 HCPCS Amivantamab-vmjw 350 Mg/7ml IV Soln 48 16 $54,270.15 $54,270.15 $29.16 $54,295.15 $35,196.55 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $35,066.66 $35,066.66 $35,066.66 2026-07-01
SUP-1039509 CDM Excluder Stent Trnk 26x14.5x13 22 14 $52,599.27 $52,599.27 $5,785.92 $52,599.27 $34,928.54 2026-07-01
SUP-1039510 CDM Excluder Stent Trnk 31x14.5x13 22 14 $52,599.27 $52,599.27 $5,785.92 $52,599.27 $34,928.54 2026-07-01
93453 CPT Hc Right Left With Left Vent. 24 16 $53,837.89 $53,837.89 $1,421.22 $53,837.89 $34,916.32 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $34,908.00 $34,908.00 $34,908.00 2026-07-01
36908 CPT Hc Fistulagrm W/Add On Plsty/Stnt 45 15 $52,696.50 $52,696.50 $4,907.15 $53,198.51 $34,743.95 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $34,697.34 $34,697.34 $34,697.34 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $34,645.35 $34,645.35 $34,645.35 2026-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $34,612.18 $34,612.18 $34,612.18 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $34,415.87 $34,415.87 $34,415.87 2026-07-01
0238T CPT Hc Cl Atherectomy Iliac Artery 23 15 $52,638.41 $52,638.41 $5,790.23 $52,638.41 $34,378.15 2026-07-01
93457 CPT Hc Coronary Angio Nolv Grft/Rt Hr 24 16 $52,951.46 $52,951.46 $1,589.61 $52,951.46 $34,341.43 2026-07-01
47383 CPT Hc Perq Abltj Lvr Cryoablation 24 16 $52,391.35 $52,391.35 $824.37 $52,391.35 $33,978.18 2026-07-01
92933 CPT Hc Des Atherec W/Ptca Lmain 24 16 $52,117.88 $52,117.88 $1,067.88 $52,117.88 $33,800.82 2026-07-01
Q4116 HCPCS Alloderm Select Thick 16x20 23 15 $51,661.14 $51,661.14 $50.97 $51,661.14 $33,739.89 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $33,731.91 $33,731.91 $33,731.91 2026-07-01
36223 CPT Hc Carotid W/Cervicocerebral 46 16 $39,450.38 $39,450.38 $507.87 $74,432.99 $33,658.97 2026-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $33,584.90 $33,584.90 $33,584.90 2026-07-01
92928 CPT Hc Des W/Ptca Lad 25 16 $52,117.88 $52,117.88 $954.99 $52,117.88 $33,563.45 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $33,505.12 $33,505.12 $33,505.12 2026-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $33,501.53 $33,501.53 $33,501.53 2026-07-01
J9276 HCPCS Zanidatamab-hrii 300 Mg IV Solr 24 16 $51,597.50 $51,597.50 $32.21 $51,597.50 $33,463.33 2026-07-01
J2182 HCPCS Mepolizumab 100 Mg Sc Solr 70 16 $50,383.57 $50,383.57 $41.00 $54,192.74 $33,440.34 2026-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $33,407.41 $33,407.41 $33,407.41 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $33,219.16 $33,219.16 $33,219.16 2026-07-01
37270 CPT Hc Revsc Evasc Fpvt St Cplx Ea 22 14 $50,005.06 $50,005.06 $5,500.56 $50,005.06 $33,205.86 2026-07-01
Q5119 HCPCS Rituximab-pvvr 500 Mg/50ml IV Soln 24 16 $51,122.00 $51,122.00 $17.64 $51,122.00 $33,154.94 2026-07-01
J1950 HCPCS Leuprolide Acetate 3.75 Mg IM Kit 70 16 $76,998.03 $76,998.03 $2,275.18 $77,202.02 $32,944.84 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $32,926.04 $32,926.04 $32,926.04 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $32,912.59 $32,912.59 $32,912.59 2026-07-01
SUP-1012219 CDM Infuse Bone Graft Medium Kit 22 14 $49,417.75 $49,417.75 $5,435.95 $49,417.75 $32,815.86 2026-07-01
C1722 HCPCS Defibrillator Aurora Ev Icd 66 14 $56,974.98 $56,974.98 $3,985.97 $65,780.85 $32,612.49 2026-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $32,526.24 $32,526.24 $32,526.24 2026-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $32,501.14 $32,501.14 $32,501.14 2026-07-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $32,456.32 $32,456.32 $32,456.32 2026-07-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $32,433.91 $32,433.91 $32,433.91 2026-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $32,376.54 $32,376.54 $32,376.54 2026-07-01
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