Price Transparency Hospital negotiated rates

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

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Hospital

UCLA WEST VALLEY MEDICAL CENTER

West Hills, CA · CCN 050481 · Rates published

15,661 distinct procedures filed
27 distinct payers
544,696 rate rows
2026-03-29 last MRF observed
Data quality

527,444 of 544,696 rate rows are consumer-grade (96.8%)

17,252 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,988
template filing: same amount across many unrelated codes — excluded 2,190
placeholder amount (≤ $0.02) — excluded from medians 808
per-diem day rate — not a per-procedure price 800
percent-of-charges filed in the dollar field — excluded from medians 254
exceeds 10× this hospital's gross charge — excluded from medians 212
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uclahealth.org/sites/default/files/cms-hpt/95-6006143_UCLA-West-Valley-Medical-Center_standardcharges.json
Found on page https://www.uclahealth.org/patient-resources/billing-insurance/price-transparency/machine-readable-files
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 4aef37d2c414ea7a… · 115,904,298 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,335,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,524,500.00 $4,713,926.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $3,501,003.34 $4,682,499.83 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 5 $3,209,940.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,156,349.64 $4,221,534.58 $3,323,618.13 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 12 $3,121,700.00 $4,175,191.60 $3,250,476.90 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $3,060,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 12 $2,800,802.66 $3,745,999.86 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,301,974.67 $3,078,830.54 $2,561,516.79 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 12 $2,215,400.00 $2,963,039.20 $2,332,000.00 nat. median
$2,448,600
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $2,184,921.54 $2,184,921.54 $2,184,921.54 nat. median
$57,174
outlier · 38.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $732,089.00 $1,849,488.00 $770,620.00 nat. median
$824,563
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $624,801.08 $892,286.20 $672,466.50 nat. median
$370,174
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $80,775.04 $2,231,908.97 $566,531.30 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $99,409.39 $2,184,921.63 $566,416.65 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $94,691.69 $1,927,899.63 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $96,690.73 $1,971,128.23 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $89,872.83 $1,752,635.94 $532,192.24 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $89,888.00 $1,752,635.99 $489,304.61 nat. median
$620,080
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $204,523.70 $441,165.38 $322,844.54 nat. median
$206,368
1.6× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $267,750.00 $667,800.00 $278,250.00 nat. median
$324,450
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $266,979.31 $579,057.85 $268,301.56 nat. median
$265,286
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 3 $264,337.50 $353,544.45 $267,750.00 nat. median
$459,112
0.6× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $255,000.00 $618,000.00 $261,250.00 nat. median
$265,000
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $12,354.00 $438,576.31 $203,326.21 nat. median
$202,986
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $197,880.00 $493,536.00 $201,669.02 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $132,854.60 $286,211.48 $158,249.55 nat. median
$133,176
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $115,331.79 $248,325.87 $146,766.16 nat. median
$117,303
1.3× median
7
MS_DRG 		Lung Transplant 15 $124,065.76 $267,589.98 $146,397.60 nat. median
$122,708
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $104,671.47 $234,148.98 $123,512.33 nat. median
$108,660
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $99,014.13 $213,045.86 $119,376.66 nat. median
$100,136
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $71,167.10 $245,519.49 $118,345.78 nat. median
$76,377
1.5× median
RRUCLAWEST-4810240000--0481-WV45700-1000-211050
CDM 		Hb Cath Lab Ir Hours 24.00 27 $11,822.00 $211,050.00 $111,436.00 nat. median
$111,436
1.0× median
RRUCLAWEST-4810237500--0481-WV45700-1000-208950
CDM 		Hb Cath Lab Ir Hours 23.75 27 $11,822.00 $208,950.00 $110,386.00 nat. median
$110,386
1.0× median
RRUCLAWEST-4810235000--0481-WV45700-1000-206850
CDM 		Hb Cath Lab Ir Hours 23.50 27 $11,822.00 $206,850.00 $109,336.00 nat. median
$109,336
1.0× median
RRUCLAWEST-4810232500--0481-WV45700-1000-204750
CDM 		Hb Cath Lab Ir Hours 23.25 27 $11,822.00 $204,750.00 $108,286.00 nat. median
$108,286
1.0× median
RRUCLAWEST-4810230000--0481-WV45700-1000-202650
CDM 		Hb Cath Lab Ir Hours 23.00 27 $11,822.00 $202,650.00 $107,236.00 nat. median
$107,236
1.0× median
RRUCLAWEST-4810227500--0481-WV45700-1000-200550
CDM 		Hb Cath Lab Ir Hours 22.75 27 $11,822.00 $200,550.00 $106,186.00 nat. median
$106,186
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 $63,586.72 $148,209.50 $105,898.11 nat. median
$64,027
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $28,362.00 $227,731.06 $105,806.31 nat. median
$98,905
1.1× median
RRUCLAWEST-4810225000--0481-WV45700-1000-198450
CDM 		Hb Cath Lab Ir Hours 22.50 27 $11,822.00 $198,450.00 $105,136.00 nat. median
$105,136
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $62,744.00 $224,691.53 $104,400.47 nat. median
$102,358
1.0× median
RRUCLAWEST-4810222500--0481-WV45700-1000-196350
CDM 		Hb Cath Lab Ir Hours 22.25 27 $11,822.00 $196,350.00 $104,086.00 nat. median
$104,086
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $83,235.48 $178,931.25 $103,322.00 nat. median
$83,442
1.2× median
RRUCLAWEST-4810220000--0481-WV45700-1000-194250
CDM 		Hb Cath Lab Ir Hours 22.00 27 $11,822.00 $194,250.00 $103,036.00 nat. median
$103,036
1.0× median
RRUCLAWEST-4810217500--0481-WV45700-1000-192150
CDM 		Hb Cath Lab Ir Hours 21.75 27 $11,822.00 $192,150.00 $101,986.00 nat. median
$101,986
1.0× median
RRUCLAWEST-4810215000--0481-WV45700-1000-190050
CDM 		Hb Cath Lab Ir Hours 21.50 27 $11,822.00 $190,050.00 $100,936.00 nat. median
$100,936
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 17 $54,773.00 $205,741.49 $100,649.88 nat. median
$99,019
1.0× median
RRUCLAWEST-4810212500--0481-WV45700-1000-187950
CDM 		Hb Cath Lab Ir Hours 21.25 27 $11,822.00 $187,950.00 $99,886.00 nat. median
$99,886
1.0× median
A9545
HCPCS 		I131 Tositumomab, Rx 1 $99,617.54 $99,617.54 $99,617.54 nat. median
$35,867
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 15,661 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 18 7 — — $4,335,000.00 $4,505,000.00 $4,505,000.00 2026-03-29
J1414 HCPCS Inj, Beqvez, Per Tx Dose 18 6 — — $3,524,500.00 $4,713,926.00 $3,710,000.00 2026-03-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 32 12 — — $3,501,003.34 $4,682,499.83 $3,685,266.67 2026-03-29
J3389 HCPCS Topi Adm Prad Zami Per Treat 12 5 — — $3,209,940.00 $3,335,820.00 $3,335,820.00 2026-03-29
J1413 HCPCS Inj Delandistrogene Mox Rokl 32 12 — — $3,156,349.64 $4,221,534.58 $3,323,618.13 2026-03-29
J3394 HCPCS Inj, Lovotibeglogene Autotem 32 12 — — $3,121,700.00 $4,175,191.60 $3,250,476.90 2026-03-29
J3387 HCPCS Inj Elivaldogene Autotemecel 12 5 — — $3,060,000.00 $3,180,000.00 $3,180,000.00 2026-03-29
J3393 HCPCS Inj, Betibeglogene Autotemce 32 12 — — $2,800,802.66 $3,745,999.86 $2,945,740.00 2026-03-29
J3399 HCPCS Inj Onase Abepar-xioi Treat 32 12 — — $2,301,974.67 $3,078,830.54 $2,561,516.79 2026-03-29
J3392 HCPCS Inj, Exagamglogene Autotem 32 12 — — $2,215,400.00 $2,963,039.20 $2,332,000.00 2026-03-29
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $2,184,921.54 $2,184,921.54 $2,184,921.54 2026-03-29
Q2057 HCPCS Afamitresgene Autoleucel 24 10 — — $732,089.00 $1,849,488.00 $770,620.00 2026-03-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 5 — — $624,801.08 $892,286.20 $672,466.50 2026-03-29
Q2042 HCPCS Tisagenlecleucel Car-pos T 34 15 — — $80,775.04 $2,231,908.97 $566,531.30 2026-03-29
Q2056 HCPCS Ciltacabtagene Car-pos T 38 15 — — $99,409.39 $2,184,921.63 $566,416.65 2026-03-29
Q2054 HCPCS Lisocabtagene Mara Car Pos T 38 15 — — $94,691.69 $1,927,899.63 $562,201.24 2026-03-29
Q2055 HCPCS Idecabtagene Vicleucel Car 38 15 — — $96,690.73 $1,971,128.23 $557,317.93 2026-03-29
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 15 — — $89,872.83 $1,752,635.94 $532,192.24 2026-03-29
Q2053 HCPCS Brexucabtagene Car Pos T 38 15 — — $89,888.00 $1,752,635.99 $489,304.61 2026-03-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 24 — — $204,523.70 $441,165.38 $322,844.54 2026-03-29
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 8 — — $267,750.00 $667,800.00 $278,250.00 2026-03-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 12 — — $266,979.31 $579,057.85 $268,301.56 2026-03-29
C9301 HCPCS Obecabtagene Car Pos T 8 3 — — $264,337.50 $353,544.45 $267,750.00 2026-03-29
J3403 HCPCS Revakinagene, Per Implant 20 8 — — $255,000.00 $618,000.00 $261,250.00 2026-03-29
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 17 — — $12,354.00 $438,576.31 $203,326.21 2026-03-29
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 20 8 — — $197,880.00 $493,536.00 $201,669.02 2026-03-29
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 15 — — $132,854.60 $286,211.48 $158,249.55 2026-03-29
14 MS_DRG Allogeneic Bone Marrow Transplant 34 15 — — $115,331.79 $248,325.87 $146,766.16 2026-03-29
7 MS_DRG Lung Transplant 34 15 — — $124,065.76 $267,589.98 $146,397.60 2026-03-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 15 — — $104,671.47 $234,148.98 $123,512.33 2026-03-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 34 15 — — $99,014.13 $213,045.86 $119,376.66 2026-03-29
J7330 HCPCS Cultured Chondrocytes Implnt 8 3 — — $71,167.10 $245,519.49 $118,345.78 2026-03-29
RRUCLAWEST-4810240000--0481-WV45700-1000-211050 CDM Hb Cath Lab Ir Hours 24.00 76 27 $211,050.00 $116,077.50 45% off $11,822.00 $211,050.00 $111,436.00 2026-03-29
RRUCLAWEST-4810237500--0481-WV45700-1000-208950 CDM Hb Cath Lab Ir Hours 23.75 76 27 $208,950.00 $114,922.50 45% off $11,822.00 $208,950.00 $110,386.00 2026-03-29
RRUCLAWEST-4810235000--0481-WV45700-1000-206850 CDM Hb Cath Lab Ir Hours 23.50 76 27 $206,850.00 $113,767.50 45% off $11,822.00 $206,850.00 $109,336.00 2026-03-29
RRUCLAWEST-4810232500--0481-WV45700-1000-204750 CDM Hb Cath Lab Ir Hours 23.25 76 27 $204,750.00 $112,612.50 45% off $11,822.00 $204,750.00 $108,286.00 2026-03-29
RRUCLAWEST-4810230000--0481-WV45700-1000-202650 CDM Hb Cath Lab Ir Hours 23.00 76 27 $202,650.00 $111,457.50 45% off $11,822.00 $202,650.00 $107,236.00 2026-03-29
RRUCLAWEST-4810227500--0481-WV45700-1000-200550 CDM Hb Cath Lab Ir Hours 22.75 76 27 $200,550.00 $110,302.50 45% off $11,822.00 $200,550.00 $106,186.00 2026-03-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 24 — — $63,586.72 $148,209.50 $105,898.11 2026-03-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 17 — — $28,362.00 $227,731.06 $105,806.31 2026-03-29
RRUCLAWEST-4810225000--0481-WV45700-1000-198450 CDM Hb Cath Lab Ir Hours 22.50 76 27 $198,450.00 $109,147.50 45% off $11,822.00 $198,450.00 $105,136.00 2026-03-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 17 — — $62,744.00 $224,691.53 $104,400.47 2026-03-29
RRUCLAWEST-4810222500--0481-WV45700-1000-196350 CDM Hb Cath Lab Ir Hours 22.25 76 27 $196,350.00 $107,992.50 45% off $11,822.00 $196,350.00 $104,086.00 2026-03-29
850 MS_DRG Acute Leukemia With Other Procedures 34 15 — — $83,235.48 $178,931.25 $103,322.00 2026-03-29
RRUCLAWEST-4810220000--0481-WV45700-1000-194250 CDM Hb Cath Lab Ir Hours 22.00 76 27 $194,250.00 $106,837.50 45% off $11,822.00 $194,250.00 $103,036.00 2026-03-29
RRUCLAWEST-4810217500--0481-WV45700-1000-192150 CDM Hb Cath Lab Ir Hours 21.75 76 27 $192,150.00 $105,682.50 45% off $11,822.00 $192,150.00 $101,986.00 2026-03-29
RRUCLAWEST-4810215000--0481-WV45700-1000-190050 CDM Hb Cath Lab Ir Hours 21.50 76 27 $190,050.00 $104,527.50 45% off $11,822.00 $190,050.00 $100,936.00 2026-03-29
215 MS_DRG Other Heart Assist System Implant 38 17 — — $54,773.00 $205,741.49 $100,649.88 2026-03-29
RRUCLAWEST-4810212500--0481-WV45700-1000-187950 CDM Hb Cath Lab Ir Hours 21.25 76 27 $187,950.00 $103,372.50 45% off $11,822.00 $187,950.00 $99,886.00 2026-03-29
A9545 HCPCS I131 Tositumomab, Rx 2 1 — — $99,617.54 $99,617.54 $99,617.54 2026-03-29
RRUCLAWEST-4810210000--0481-WV45700-1000-185850 CDM Hb Cath Lab Ir Hours 21.00 76 27 $185,850.00 $102,217.50 45% off $11,822.00 $185,850.00 $98,836.00 2026-03-29
RRUCLAWEST-4810207500--0481-WV45700-1000-183750 CDM Hb Cath Lab Ir Hours 20.75 76 27 $183,750.00 $101,062.50 45% off $11,822.00 $183,750.00 $97,786.00 2026-03-29
RRUCLAWEST-4810205000--0481-WV45700-1000-181650 CDM Hb Cath Lab Ir Hours 20.50 76 27 $181,650.00 $99,907.50 45% off $11,822.00 $181,650.00 $96,736.00 2026-03-29
RRUCLAWEST-4810202500--0481-WV45700-1000-179550 CDM Hb Cath Lab Ir Hours 20.25 76 27 $179,550.00 $98,752.50 45% off $11,822.00 $179,550.00 $95,686.00 2026-03-29
RRUCLAWEST-4810200000--0481-WV45700-1000-177450 CDM Hb Cath Lab Ir Hours 20.00 76 27 $177,450.00 $97,597.50 45% off $11,822.00 $177,450.00 $94,636.00 2026-03-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 24 — — $54,773.00 $202,142.00 $93,970.88 2026-03-29
RRUCLAWEST-4810197500--0481-WV45700-1000-175350 CDM Hb Cath Lab Ir Hours 19.75 76 27 $175,350.00 $96,442.50 45% off $11,822.00 $175,350.00 $93,586.00 2026-03-29
RRUCLAWEST-4810195000--0481-WV45700-1000-173250 CDM Hb Cath Lab Ir Hours 19.50 76 27 $173,250.00 $95,287.50 45% off $11,822.00 $173,250.00 $92,536.00 2026-03-29
RRUCLAWEST-4810192500--0481-WV45700-1000-171150 CDM Hb Cath Lab Ir Hours 19.25 76 27 $171,150.00 $94,132.50 45% off $11,822.00 $171,150.00 $91,486.00 2026-03-29
RRUCLAWEST-4810190000--0481-WV45700-1000-169050 CDM Hb Cath Lab Ir Hours 19.00 76 27 $169,050.00 $92,977.50 45% off $11,822.00 $169,050.00 $90,436.00 2026-03-29
10 MS_DRG Pancreas Transplant 34 15 — — $69,054.76 $148,271.49 $89,485.42 2026-03-29
RRUCLAWEST-4810187500--0481-WV45700-1000-166950 CDM Hb Cath Lab Ir Hours 18.75 76 27 $166,950.00 $91,822.50 45% off $11,822.00 $166,950.00 $89,386.00 2026-03-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 25 — — $38,439.00 $162,593.01 $89,013.00 2026-03-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 34 15 — — $68,661.97 $147,422.24 $88,975.02 2026-03-29
8 MS_DRG Simultaneous Pancreas/kidney Transplant 12 5 — — $83,839.53 $115,807.85 $88,651.93 2026-03-29
RRUCLAWEST-4810185000--0481-WV45700-1000-164850 CDM Hb Cath Lab Ir Hours 18.50 76 27 $164,850.00 $90,667.50 45% off $11,822.00 $164,850.00 $88,336.00 2026-03-29
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 12 5 — — $83,062.43 $113,437.80 $87,306.99 2026-03-29
RRUCLAWEST-4810182500--0481-WV45700-1000-162750 CDM Hb Cath Lab Ir Hours 18.25 76 27 $162,750.00 $89,512.50 45% off $11,822.00 $162,750.00 $87,286.00 2026-03-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 17 — — $28,362.00 $186,165.36 $86,581.39 2026-03-29
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 12 5 — — $82,070.74 $112,698.07 $86,512.64 2026-03-29
RRUCLAWEST-4810180000--0481-WV45700-1000-160650 CDM Hb Cath Lab Ir Hours 18.00 76 27 $160,650.00 $88,357.50 45% off $11,822.00 $160,650.00 $86,236.00 2026-03-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 30 14 — — $54,773.00 $157,972.77 $85,523.88 2026-03-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 19 — — $52,324.00 $118,405.19 $85,364.60 2026-03-29
RRUCLAWEST-4810177500--0481-WV45700-1000-158550 CDM Hb Cath Lab Ir Hours 17.75 76 27 $158,550.00 $87,202.50 45% off $11,822.00 $158,550.00 $85,186.00 2026-03-29
RRUCLAWEST-4810175000--0481-WV45700-1000-156450 CDM Hb Cath Lab Ir Hours 17.50 76 27 $156,450.00 $86,047.50 45% off $11,822.00 $156,450.00 $84,136.00 2026-03-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 15 — — $71,019.42 $157,449.99 $83,802.92 2026-03-29
RRUCLAWEST-4810172500--0481-WV45700-1000-154350 CDM Hb Cath Lab Ir Hours 17.25 76 27 $154,350.00 $84,892.50 45% off $11,822.00 $154,350.00 $83,086.00 2026-03-29
RRUCLAWEST-4810170000--0481-WV45700-1000-152250 CDM Hb Cath Lab Ir Hours 17.00 76 27 $152,250.00 $83,737.50 45% off $11,822.00 $152,250.00 $82,036.00 2026-03-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 21 — — $54,438.00 $139,084.72 $81,250.95 2026-03-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 24 — — $54,773.00 $174,187.02 $81,041.18 2026-03-29
RRUCLAWEST-4810167500--0481-WV45700-1000-150150 CDM Hb Cath Lab Ir Hours 16.75 76 27 $150,150.00 $82,582.50 45% off $11,822.00 $150,150.00 $80,986.00 2026-03-29
38240 HCPCS Transplt Allo Hct/donor 30 13 — — $75,146.24 $180,350.99 $80,901.35 2026-03-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 17 — — $28,120.00 $173,639.45 $80,787.92 2026-03-29
RRUCLAWEST-4810165000--0481-WV45700-1000-148050 CDM Hb Cath Lab Ir Hours 16.50 76 27 $148,050.00 $81,427.50 45% off $11,822.00 $148,050.00 $79,936.00 2026-03-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 18 — — $62,744.00 $147,335.46 $79,786.01 2026-03-29
RRUCLAWEST-4810162500--0481-WV45700-1000-145950 CDM Hb Cath Lab Ir Hours 16.25 76 27 $145,950.00 $80,272.50 45% off $11,822.00 $145,950.00 $78,886.00 2026-03-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 15 — — $66,214.14 $142,818.52 $78,132.69 2026-03-29
RRUCLAWEST-4810160000--0481-WV45700-1000-143850 CDM Hb Cath Lab Ir Hours 16.00 76 27 $143,850.00 $79,117.50 45% off $11,822.00 $143,850.00 $77,836.00 2026-03-29
RRUCLAWEST-4810157500--0481-WV45700-1000-141750 CDM Hb Cath Lab Ir Hours 15.75 76 27 $141,750.00 $77,962.50 45% off $11,822.00 $141,750.00 $76,786.00 2026-03-29
RRUCLAWEST-4810155000--0481-WV45700-1000-139650 CDM Hb Cath Lab Ir Hours 15.50 76 27 $139,650.00 $76,807.50 45% off $11,822.00 $139,650.00 $75,736.00 2026-03-29
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 8 — — $25,793.00 $125,123.00 $75,458.00 2026-03-29
RRUCLAWEST-4810152500--0481-WV45700-1000-137550 CDM Hb Cath Lab Ir Hours 15.25 76 27 $137,550.00 $75,652.50 45% off $11,822.00 $137,550.00 $74,686.00 2026-03-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 24 — — $54,773.00 $158,656.71 $73,858.12 2026-03-29
RRUCLAWEST-4810150000--0481-WV45700-1000-135450 CDM Hb Cath Lab Ir Hours 15.00 76 27 $135,450.00 $74,497.50 45% off $11,822.00 $135,450.00 $73,636.00 2026-03-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 15 — — $61,583.02 $132,960.21 $72,667.96 2026-03-29
RRUCLAWEST-4810147500--0481-WV45700-1000-133350 CDM Hb Cath Lab Ir Hours 14.75 76 27 $133,350.00 $73,342.50 45% off $11,822.00 $133,350.00 $72,586.00 2026-03-29
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 24 — — $42,701.72 $101,152.00 $71,926.86 2026-03-29
RRUCLAWEST-4810145000--0481-WV45700-1000-131250 CDM Hb Cath Lab Ir Hours 14.50 76 27 $131,250.00 $72,187.50 45% off $11,822.00 $131,250.00 $71,536.00 2026-03-29
C9150 HCPCS Xe129 Xenon, Diagnostic 8 3 — — $1,060.80 $244,335.31 $71,471.40 2026-03-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 15 — — $58,977.83 $126,484.42 $71,072.00 2026-03-29
RRUCLAWEST-4810142500--0481-WV45700-1000-129150 CDM Hb Cath Lab Ir Hours 14.25 76 27 $129,150.00 $71,032.50 45% off $11,822.00 $129,150.00 $70,486.00 2026-03-29
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 24 — — $38,439.00 $114,093.00 $70,067.82 2026-03-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 34 15 — — $58,925.31 $138,163.15 $69,531.87 2026-03-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 17 — — $28,362.00 $149,157.93 $69,464.76 2026-03-29
RRUCLAWEST-4810140000--0481-WV45700-1000-127050 CDM Hb Cath Lab Ir Hours 14.00 76 27 $127,050.00 $69,877.50 45% off $11,822.00 $127,050.00 $69,436.00 2026-03-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 15 — — $58,658.41 $135,371.58 $69,216.92 2026-03-29
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 30 14 — — $54,773.00 $126,631.13 $68,746.07 2026-03-29
RRUCLAWEST-4810137500--0481-WV45700-1000-124950 CDM Hb Cath Lab Ir Hours 13.75 76 27 $124,950.00 $68,722.50 45% off $11,822.00 $124,950.00 $68,386.00 2026-03-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 34 15 — — $52,393.04 $112,247.61 $67,851.01 2026-03-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 15 — — $57,146.70 $122,525.39 $67,851.01 2026-03-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 22 — — $54,773.00 $142,118.05 $67,511.00 2026-03-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 24 — — $54,773.00 $135,865.42 $67,511.00 2026-03-29
RRUCLAWEST-4810135000--0481-WV45700-1000-122850 CDM Hb Cath Lab Ir Hours 13.50 76 27 $122,850.00 $67,567.50 45% off $11,822.00 $122,850.00 $67,336.00 2026-03-29
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 24 — — $36,354.64 $101,152.00 $66,994.79 2026-03-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 24 — — $54,773.00 $135,865.42 $66,883.83 2026-03-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 15 — — $56,638.62 $122,810.54 $66,833.57 2026-03-29
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 12 5 — — $63,164.11 $87,115.21 $66,735.82 2026-03-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 24 — — $54,773.00 $125,271.50 $66,528.50 2026-03-29
RRUCLAWEST-4810132500--0481-WV45700-1000-120750 CDM Hb Cath Lab Ir Hours 13.25 76 27 $120,750.00 $66,412.50 45% off $11,822.00 $120,750.00 $66,286.00 2026-03-29
90288 HCPCS Botulism Ig IV 4 2 — — $2,284.12 $130,285.88 $66,285.00 2026-03-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 24 — — $54,773.00 $121,262.88 $65,851.38 2026-03-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 30 14 — — $54,773.00 $112,875.77 $65,546.00 2026-03-29
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 30 14 — — $54,773.00 $115,656.00 $65,546.00 2026-03-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 34 15 — — $55,479.18 $121,184.36 $65,465.43 2026-03-29
RRUCLAWEST-4810130000--0481-WV45700-1000-118650 CDM Hb Cath Lab Ir Hours 13.00 76 27 $118,650.00 $65,257.50 45% off $11,822.00 $118,650.00 $65,236.00 2026-03-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 20 — — $54,773.00 $124,114.38 $65,115.85 2026-03-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 17 — — $28,362.00 $138,061.90 $64,332.63 2026-03-29
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 24 — — $50,504.49 $123,995.00 $64,329.73 2026-03-29
RRUCLAWEST-4810127500--0481-WV45700-1000-116550 CDM Hb Cath Lab Ir Hours 12.75 76 27 $116,550.00 $64,102.50 45% off $11,822.00 $116,550.00 $64,186.00 2026-03-29
J9029 HCPCS Instill Adstiladrin, Tx Dose 40 16 — — $15,000.00 $281,925.27 $63,838.42 2026-03-29
RRUCLAWEST-4810125000--0481-WV45700-1000-114450 CDM Hb Cath Lab Ir Hours 12.50 76 27 $114,450.00 $62,947.50 45% off $11,822.00 $114,450.00 $63,136.00 2026-03-29
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 24 — — $48,955.11 $115,656.00 $62,744.00 2026-03-29
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 24 — — $39,292.50 $115,656.00 $62,744.00 2026-03-29
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 24 — — $47,538.23 $123,995.00 $62,744.00 2026-03-29
163 MS_DRG Major Chest Procedures With Mcc 46 21 — — $43,309.09 $92,607.43 $62,744.00 2026-03-29
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 24 — — $43,840.34 $123,995.00 $62,744.00 2026-03-29
653 MS_DRG Major Bladder Procedures With Mcc 34 15 — — $50,138.54 $107,373.21 $62,699.02 2026-03-29
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 18 8 — — $25,793.00 $106,210.00 $62,675.01 2026-03-29
RRUCLAWEST-4810122500--0481-WV45700-1000-112350 CDM Hb Cath Lab Ir Hours 12.25 76 27 $112,350.00 $61,792.50 45% off $11,822.00 $112,350.00 $62,086.00 2026-03-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 34 15 — — $51,753.84 $113,036.94 $61,069.53 2026-03-29
RRUCLAWEST-4810120000--0481-WV45700-1000-110250 CDM Hb Cath Lab Ir Hours 12.00 76 27 $110,250.00 $60,637.50 45% off $11,822.00 $110,250.00 $61,036.00 2026-03-29
28 MS_DRG Spinal Procedures With Mcc 40 18 — — $19,714.00 $124,149.50 $60,770.26 2026-03-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 15 — — $51,491.67 $117,768.77 $60,760.17 2026-03-29
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 15 — — $47,317.30 $101,273.50 $60,696.51 2026-03-29
RRUCLAWEST-4810117500--0481-WV45700-1000-108150 CDM Hb Cath Lab Ir Hours 11.75 76 27 $108,150.00 $59,482.50 45% off $11,822.00 $108,150.00 $59,986.00 2026-03-29
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 24 — — $32,972.87 $115,656.00 $59,306.14 2026-03-29
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 22 — — $37,168.70 $101,152.00 $59,231.78 2026-03-29
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 24 — — $37,693.38 $80,465.85 $59,079.61 2026-03-29
RRUCLAWEST-4810115000--0481-WV45700-1000-106050 CDM Hb Cath Lab Ir Hours 11.50 76 27 $106,050.00 $58,327.50 45% off $11,822.00 $106,050.00 $58,936.00 2026-03-29
RRUCLAWEST-4810112500--0481-WV45700-1000-103950 CDM Hb Cath Lab Ir Hours 11.25 76 27 $103,950.00 $57,172.50 45% off $11,822.00 $103,950.00 $57,886.00 2026-03-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 17 — — $28,120.00 $123,215.54 $57,465.91 2026-03-29
33276 HCPCS Insj Phrnc Nrv Stim Sys 30 13 — — $42,750.48 $137,226.32 $57,177.64 2026-03-29
0266T HCPCS Implt/rpl Crtd Sns Dev Total 22 9 — — $42,750.48 $137,226.32 $57,177.64 2026-03-29
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 15 — — $48,141.12 $103,054.65 $57,163.93 2026-03-29
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 12 5 — — $54,374.36 $74,031.40 $57,061.21 2026-03-29
RRUCLAWEST-4810110000--0481-WV45700-1000-101850 CDM Hb Cath Lab Ir Hours 11.00 76 27 $101,850.00 $56,017.50 45% off $11,822.00 $101,850.00 $56,836.00 2026-03-29
A9543 HCPCS Y90 Ibritumomab, Rx 36 16 — — $14,774.74 $261,136.37 $56,824.55 2026-03-29
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 15 — — $47,513.22 $101,697.09 $56,693.74 2026-03-29
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 4 — — $56,651.13 $57,177.64 $56,651.13 2026-03-29
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 15 — — $46,391.23 $99,271.25 $56,362.04 2026-03-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 15 — — $47,727.52 $115,014.39 $56,318.47 2026-03-29
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 15 — — $47,674.73 $102,046.29 $56,296.14 2026-03-29
RRUCLAWEST-4810107500--0481-WV45700-1000-99750 CDM Hb Cath Lab Ir Hours 10.75 76 27 $99,750.00 $54,862.50 45% off $11,822.00 $99,750.00 $55,786.00 2026-03-29
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 56 24 — — $29,321.35 $101,152.00 $55,738.13 2026-03-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 17 — — $28,362.00 $119,165.59 $55,592.73 2026-03-29
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 40 16 — — $53,477.33 $148,496.69 $55,404.41 2026-03-29
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 20 — — $44,401.60 $123,995.00 $55,137.50 2026-03-29
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 24 — — $29,772.82 $123,995.00 $54,773.00 2026-03-29
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 50 22 — — $39,752.49 $115,656.00 $54,773.00 2026-03-29
RRUCLAWEST-4810105000--0481-WV45700-1000-97650 CDM Hb Cath Lab Ir Hours 10.50 76 27 $97,650.00 $53,707.50 45% off $11,822.00 $97,650.00 $54,736.00 2026-03-29
37 MS_DRG Extracranial Procedures With Mcc 52 22 — — $31,803.97 $101,152.00 $54,669.12 2026-03-29
6 MS_DRG Liver Transplant Without Mcc 34 15 — — $44,792.34 $95,814.33 $54,597.42 2026-03-29
31 MS_DRG Ventricular Shunt Procedures With Mcc 58 25 — — $19,714.00 $101,152.00 $54,438.00 2026-03-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 17 — — $28,362.00 $116,167.39 $54,206.01 2026-03-29
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 18 — — $25,793.00 $107,559.18 $53,781.36 2026-03-29
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 15 — — $45,182.26 $96,657.38 $53,774.30 2026-03-29
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 56 24 — — $30,842.90 $114,093.00 $53,712.74 2026-03-29
RRUCLAWEST-4810102500--0481-WV45700-1000-95550 CDM Hb Cath Lab Ir Hours 10.25 76 27 $95,550.00 $52,552.50 45% off $11,822.00 $95,550.00 $53,686.00 2026-03-29
799 MS_DRG Splenic Procedures With Mcc 34 15 — — $43,759.22 $93,580.66 $53,543.11 2026-03-29
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 15 — — $45,367.01 $96,946.66 $53,533.07 2026-03-29
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 22 — — $36,074.48 $101,152.00 $53,381.00 2026-03-29
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 24 — — $24,055.14 $115,656.00 $52,752.64 2026-03-29
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 34 15 — — $44,293.46 $94,735.72 $52,702.14 2026-03-29
RRUCLAWEST-4810100000--0481-WV45700-1000-93450 CDM Hb Cath Lab Ir Hours 10.00 76 27 $93,450.00 $51,397.50 45% off $11,822.00 $93,450.00 $52,636.00 2026-03-29
245 MS_DRG Aicd Generator Procedures 52 24 — — $30,516.00 $94,272.87 $52,566.93 2026-03-29
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 30 13 — — $38,719.74 $92,927.38 $52,369.06 2026-03-29
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 54 23 — — $23,729.56 $101,152.00 $52,130.68 2026-03-29
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 34 15 — — $43,979.47 $97,145.03 $51,895.77 2026-03-29
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 15 — — $43,833.71 $94,977.48 $51,723.78 2026-03-29
RRUCLAWEST-4810097500--0481-WV45700-1000-91350 CDM Hb Cath Lab Ir Hours 9.75 76 27 $91,350.00 $50,242.50 45% off $11,822.00 $91,350.00 $51,586.00 2026-03-29
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 21 — — $41,949.27 $92,216.90 $51,538.95 2026-03-29
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 17 — — $28,362.00 $110,125.52 $51,411.53 2026-03-29
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 34 15 — — $43,073.69 $93,989.79 $50,826.95 2026-03-29
471 MS_DRG Cervical Spinal Fusion With Mcc 40 18 — — $17,292.00 $99,775.43 $50,656.15 2026-03-29
RRUCLAWEST-4810095000--0481-WV45700-1000-89250 CDM Hb Cath Lab Ir Hours 9.50 76 27 $89,250.00 $49,087.50 45% off $11,822.00 $89,250.00 $50,536.00 2026-03-29
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 15 — — $41,503.76 $88,704.19 $50,526.51 2026-03-29
901 MS_DRG Wound Debridements For Injuries With Mcc 34 15 — — $40,583.42 $86,714.35 $49,921.19 2026-03-29
RRUCLAWEST-4810092500--0481-WV45700-1000-87150 CDM Hb Cath Lab Ir Hours 9.25 76 27 $87,150.00 $47,932.50 45% off $11,822.00 $87,150.00 $49,486.00 2026-03-29
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 56 24 — — $30,474.16 $66,551.39 $48,512.78 2026-03-29
RRUCLAWEST-4810090000--0481-WV45700-1000-85050 CDM Hb Cath Lab Ir Hours 9.00 76 27 $85,050.00 $46,777.50 45% off $11,822.00 $85,050.00 $48,436.00 2026-03-29
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 15 — — $40,746.30 $90,768.43 $48,080.63 2026-03-29
140 MS_DRG Major Head And Neck Procedures With Mcc 34 15 — — $40,400.83 $88,133.89 $47,672.98 2026-03-29
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 12 5 — — $44,918.12 $62,412.59 $47,644.54 2026-03-29
RRUCLAWEST-4810087500--0481-WV45700-1000-82950 CDM Hb Cath Lab Ir Hours 8.75 76 27 $82,950.00 $45,622.50 45% off $11,822.00 $82,950.00 $47,386.00 2026-03-29
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 15 — — $40,026.03 $86,817.66 $47,230.72 2026-03-29
793 MS_DRG Full Term Neonate With Major Problems 34 15 — — $39,845.25 $86,156.44 $47,017.40 2026-03-29
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 15 — — $39,270.74 $87,071.82 $46,339.47 2026-03-29
RRUCLAWEST-4810085000--0481-WV45700-1000-80850 CDM Hb Cath Lab Ir Hours 8.50 76 27 $80,850.00 $44,467.50 45% off $11,822.00 $80,850.00 $46,336.00 2026-03-29
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 34 15 — — $38,869.43 $85,813.44 $45,865.93 2026-03-29
791 MS_DRG Prematurity With Major Problems 34 15 — — $38,798.44 $83,871.12 $45,782.16 2026-03-29
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 22 9 — — $38,719.74 $92,927.38 $45,689.30 2026-03-29
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 26 11 — — $23,159.00 $110,310.00 $45,373.04 2026-03-29
RRUCLAWEST-4810082500--0481-WV45700-1000-78750 CDM Hb Cath Lab Ir Hours 8.25 76 27 $78,750.00 $43,312.50 45% off $11,822.00 $78,750.00 $45,286.00 2026-03-29
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 12 5 — — $42,500.33 $59,546.63 $45,279.13 2026-03-29
J9226 HCPCS Supprelin La Implant 40 16 — — $42,951.44 $118,123.32 $45,261.80 2026-03-29
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 34 15 — — $36,093.53 $77,006.87 $44,506.72 2026-03-29
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 13 — — $33,250.48 $106,731.92 $44,471.64 2026-03-29
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 15 — — $34,637.99 $73,859.89 $44,416.26 2026-03-29
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 34 15 — — $37,413.36 $79,860.43 $44,326.91 2026-03-29
RRUCLAWEST-4810080000--0481-WV45700-1000-76650 CDM Hb Cath Lab Ir Hours 8.00 76 27 $76,650.00 $42,157.50 45% off $11,822.00 $76,650.00 $44,236.00 2026-03-29
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 8 4 — — $44,062.13 $44,471.64 $44,062.13 2026-03-29
34 MS_DRG Carotid Artery Stent Procedures With Mcc 34 15 — — $37,178.07 $79,980.27 $43,870.12 2026-03-29
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 15 — — $33,805.58 $72,060.15 $43,605.44 2026-03-29
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 15 — — $35,580.32 $75,897.27 $43,561.87 2026-03-29
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 12 5 — — $40,883.14 $57,275.77 $43,554.17 2026-03-29
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 15 — — $36,197.70 $77,232.10 $43,441.25 2026-03-29
RRUCLAWEST-4810077500--0481-WV45700-1000-74550 CDM Hb Cath Lab Ir Hours 7.75 76 27 $74,550.00 $41,002.50 45% off $11,822.00 $74,550.00 $43,186.00 2026-03-29
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 15 — — $36,439.49 $77,754.87 $43,129.66 2026-03-29
265 MS_DRG Aicd Lead Procedures 48 22 — — $30,516.00 $74,762.87 $42,811.93 2026-03-29
69930 HCPCS Implant Cochlear Device 30 13 — — $40,415.02 $96,996.04 $42,407.66 2026-03-29
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 15 — — $34,491.77 $73,543.75 $42,231.72 2026-03-29
RRUCLAWEST-4810075000--0481-WV45700-1000-72450 CDM Hb Cath Lab Ir Hours 7.50 76 27 $72,450.00 $39,847.50 45% off $11,822.00 $72,450.00 $42,136.00 2026-03-29
164 MS_DRG Major Chest Procedures With Cc 46 21 — — $24,195.22 $88,639.00 $42,091.13 2026-03-29
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 18 — — $23,159.00 $110,310.00 $41,833.48 2026-03-29
264 MS_DRG Other Circulatory System O.r. Procedures 38 17 — — $32,402.61 $88,639.00 $41,815.91 2026-03-29
32 MS_DRG Ventricular Shunt Procedures With Cc 52 22 — — $20,585.35 $101,152.00 $41,563.02 2026-03-29
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 38 15 — — $33,238.83 $233,859.00 $41,548.54 2026-03-29
252 MS_DRG Other Vascular Procedures With Mcc 48 22 — — $27,538.00 $110,310.00 $41,434.71 2026-03-29
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 30 13 — — $23,159.00 $110,310.00 $41,398.00 2026-03-29
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 30 13 — — $23,159.00 $110,310.00 $41,398.00 2026-03-29
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 17 — — $28,120.00 $86,218.43 $41,241.30 2026-03-29
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 15 — — $34,111.40 $72,721.36 $41,189.69 2026-03-29
RRUCLAWEST-4810072500--0481-WV45700-1000-70350 CDM Hb Cath Lab Ir Hours 7.25 76 27 $70,350.00 $38,692.50 45% off $11,822.00 $70,350.00 $41,086.00 2026-03-29
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 17 — — $28,362.00 $87,627.65 $41,005.84 2026-03-29
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 15 — — $34,603.59 $73,785.51 $40,907.13 2026-03-29
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
0408T HCPCS Insj/rplc Cardiac Modulj Sys 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
33249 HCPCS Insj/rplcmt Defib W/lead(s) 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
33231 HCPCS Insrt Pulse Gen W/mult Leads 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
33270 HCPCS Ins/rep Subq Defibrillator 30 13 — — $40,371.32 $97,769.86 $40,737.44 2026-03-29
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 15 — — $34,301.72 $82,323.46 $40,476.03 2026-03-29
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 34 15 — — $34,299.83 $74,630.62 $40,473.80 2026-03-29
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 16 7 — — $25,793.00 $54,963.58 $40,378.29 2026-03-29
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 46 21 — — $22,281.44 $88,639.00 $40,111.65 2026-03-29
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 15 — — $33,983.71 $75,866.27 $40,100.78 2026-03-29
RRUCLAWEST-4810070000--0481-WV45700-1000-68250 CDM Hb Cath Lab Ir Hours 7.00 76 27 $68,250.00 $37,537.50 45% off $11,822.00 $68,250.00 $40,036.00 2026-03-29
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 34 15 — — $33,038.15 $70,400.91 $39,858.42 2026-03-29
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 18 8 — — $28,362.00 $106,210.00 $39,856.86 2026-03-29
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 15 — — $33,694.08 $74,917.84 $39,759.01 2026-03-29
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 30 13 — — $38,719.74 $92,927.38 $39,688.16 2026-03-29
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 4 — — $39,688.16 $40,057.01 $39,688.16 2026-03-29
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 30 13 — — $38,719.74 $92,927.38 $39,688.16 2026-03-29
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 30 13 — — $38,719.74 $92,927.38 $39,688.16 2026-03-29
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 4 — — $39,688.16 $40,057.01 $39,688.16 2026-03-29
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 4 — — $39,688.16 $40,057.01 $39,688.16 2026-03-29
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 30 13 — — $38,719.74 $92,927.38 $39,688.16 2026-03-29
61886 HCPCS Implant Neurostim Arrays 30 13 — — $38,719.74 $92,927.38 $39,688.16 2026-03-29
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 34 15 — — $33,535.08 $73,614.00 $39,571.39 2026-03-29
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 15 — — $33,416.70 $70,841.03 $39,559.10 2026-03-29
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 34 15 — — $33,511.41 $73,675.99 $39,543.46 2026-03-29
332 MS_DRG Rectal Resection With Mcc 34 15 — — $33,202.86 $74,814.52 $39,179.37 2026-03-29
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 15 — — $33,166.89 $71,729.54 $39,136.93 2026-03-29
RRUCLAWEST-4810067500--0481-WV45700-1000-66150 CDM Hb Cath Lab Ir Hours 6.75 76 27 $66,150.00 $36,382.50 45% off $11,822.00 $66,150.00 $38,986.00 2026-03-29
908 MS_DRG Other O.r. Procedures For Injuries With Cc 52 22 — — $19,463.78 $101,152.00 $38,914.38 2026-03-29
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 17 — — $28,362.00 $83,075.59 $38,900.43 2026-03-29
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 15 — — $32,921.76 $71,382.40 $38,847.68 2026-03-29
665 MS_DRG Prostatectomy With Mcc 34 15 — — $30,305.79 $64,493.36 $38,787.37 2026-03-29
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 48 22 — — $21,489.44 $101,152.00 $38,500.73 2026-03-29
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 36 16 — — $31,624.13 $77,416.00 $38,423.32 2026-03-29
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 18 — — $17,292.00 $77,223.83 $38,330.49 2026-03-29
RRUCLAWEST-4810065000--0481-WV45700-1000-64050 CDM Hb Cath Lab Ir Hours 6.50 76 27 $64,050.00 $35,227.50 45% off $11,822.00 $64,050.00 $37,936.00 2026-03-29
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 30 13 — — $36,121.04 $86,690.49 $36,891.59 2026-03-29
RRUCLAWEST-4810062500--0481-WV45700-1000-61950 CDM Hb Cath Lab Ir Hours 6.25 76 27 $61,950.00 $34,072.50 45% off $11,822.00 $61,950.00 $36,886.00 2026-03-29
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 30 13 — — $27,247.24 $65,393.38 $36,852.32 2026-03-29
61885 HCPCS Insrt/redo Neurostim 1 Array 30 13 — — $27,247.24 $65,393.38 $36,852.32 2026-03-29
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 34 15 — — $31,221.88 $66,917.13 $36,841.82 2026-03-29
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 34 15 — — $30,904.06 $65,786.86 $36,826.18 2026-03-29
652 MS_DRG Kidney Transplant 38 15 — — $29,442.50 $233,859.00 $36,803.13 2026-03-29
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 40 18 — — $25,793.00 $106,210.00 $36,436.88 2026-03-29
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 15 — — $30,842.34 $66,681.57 $36,393.96 2026-03-29
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 15 — — $30,701.32 $74,519.04 $36,227.56 2026-03-29
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 15 — — $30,555.56 $66,842.74 $36,055.56 2026-03-29
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 34 15 — — $30,413.59 $74,975.70 $35,888.04 2026-03-29
RRUCLAWEST-4810060000--0481-WV45700-1000-59850 CDM Hb Cath Lab Ir Hours 6.00 76 27 $59,850.00 $32,917.50 45% off $11,822.00 $59,850.00 $35,836.00 2026-03-29
500 MS_DRG Soft Tissue Procedures With Mcc 34 15 — — $30,363.43 $65,394.26 $35,828.85 2026-03-29
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 40 18 — — $19,714.00 $70,493.89 $35,504.83 2026-03-29
662 MS_DRG Minor Bladder Procedures With Mcc 34 15 — — $29,735.24 $63,259.77 $35,280.47 2026-03-29
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 34 15 — — $29,641.26 $65,850.91 $34,976.69 2026-03-29
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