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 →

Export CSV
Hospital

JEWISH HOME & REHAB CENTER

San Francisco, CA · CCN 054089 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $13,117 across 7 payers · range $12,461-$13,117

Source: https://jewishliving.pt.panaceainc.com/MRFDownload/jewishliving/sfcampus · observed 2026-04-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

44,418 distinct procedures filed
17 distinct payers
288,116 rate rows
2026-04-30 last MRF observed
Data quality

278,452 of 288,116 rate rows are consumer-grade (96.6%)

9,664 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 8,699
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 770
placeholder amount (≤ $0.02) — excluded from medians 98
per-diem day rate — not a per-procedure price 95
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sfcjl.org/images/940545320_Hebrew-Home-For-Aged-Disabled_SNFStandardCharges.csv
Found on page http://sfcjl.org/about-admission-information.htm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03

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 $4,279,750.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,501,003.33 $3,685,266.66 $3,685,266.66 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,169,029.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,161,466.73 $3,327,859.72 $3,327,859.72 nat. median
$3,324,572
1.0× median
J1411N/A
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $3,306,566.25 $3,306,566.25 $3,306,566.25 nat. median
$3,306,566
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,089,882.67 $3,252,508.07 $3,252,508.07 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,021,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,792,970.44 $2,939,968.88 $2,939,968.88 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,459,532.16 $2,588,981.22 $2,588,981.22 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,215,400.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $732,089.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $558,267.09 $588,494.81 $587,649.57 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $538,204.74 $614,180.81 $566,531.30 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $534,091.18 $562,260.84 $562,201.24 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $530,177.63 $559,781.08 $558,081.72 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $505,582.63 $532,192.24 $532,192.24 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $464,977.69 $489,450.20 $489,450.20 nat. median
$577,541
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $264,337.50 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $251,750.00 $265,000.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $191,585.57 $202,713.58 $201,669.02 nat. median
$209,736
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $108,243.35 $108,243.35 $108,243.35 nat. median
$111,503
1.0× median
J3399N/A
OTHER 		Inj Onase Abepar-xioi Treat 1 $108,157.44 $108,157.44 $108,157.44 nat. median
$108,157
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $95,081.03 $95,081.03 $95,081.03 nat. median
$97,404
1.0× median
A9543N/A
OTHER 		Y90 Ibritumomab, Rx 1 $70,944.59 $70,944.59 $70,944.59 nat. median
$70,242
1.0× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $68,801.71 $68,801.71 $68,801.71 nat. median
$70,178
1.0× median
C1604N/A
OTHER 		Grft, Trnsmurl/trnsvens Byps 1 $68,624.55 $68,624.55 $68,624.55 nat. median
$67,945
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 8 $61,061.05 $64,282.30 $64,274.79 nat. median
$69,291
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $61,050.34 $64,263.52 $64,263.52 nat. median
$13,835
outlier · 4.6×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $53,983.31 $56,824.54 $56,824.54 nat. median
$63,643
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $51,683.90 $56,269.19 $54,404.10 nat. median
$65,655
0.8× median
J7330N/A
OTHER 		Cultured Chondrocytes Implnt 1 $49,142.15 $49,142.15 $49,142.15 nat. median
$49,142
1.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $48,155.50 $48,155.50 $48,155.50 nat. median
$50,449
1.0× median
64654
HCPCS 		1st Opn Implt Bat Modulj Sys 7 $42,750.48 $45,000.50 $45,000.50 nat. median
$44,598
1.0× median
64568
HCPCS 		Opn Impltj Crnl Nrv Nea&pg 7 $42,750.48 $45,000.50 $45,000.50 nat. median
$27,651
1.6× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 7 $42,750.48 $45,000.50 $45,000.50 nat. median
$43,061
1.0× median
0620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 7 $42,750.48 $45,000.50 $45,000.50 nat. median
$25,449
1.8× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $44,356.85 $44,356.85 $44,356.85 nat. median
$46,980
0.9× median
J9226
HCPCS 		Supprelin La Implant 8 $41,026.06 $43,185.33 $43,185.33 nat. median
$55,200
0.8× median
C1825N/A
OTHER 		Gen, Neuro, Carot Sinus Baro 1 $40,135.67 $40,135.67 $40,135.67 nat. median
$39,738
1.0× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 1 $39,938.10 $39,938.10 $39,938.10 nat. median
$39,921
1.0× median
S2079N/A
OTHER 		Lap Esophagomyotomy 1 $35,629.96 $35,629.96 $35,629.96 nat. median
$35,277
1.0× median
0870T
OTHER 		Imp Subq Prtl Ascts Pmp Sys 7 $33,250.48 $35,000.50 $35,000.50 nat. median
$6,914
outlier · 5.1×
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 1 $34,970.13 $34,970.13 $34,970.13 nat. median
$35,670
1.0× median
69930
HCPCS 		Implant Cochlear Device 7 $32,001.97 $33,686.28 $33,686.28 nat. median
$29,361
1.1× median
C1826N/A
OTHER 		Gen, Neuro, Clo Loop, Rechg 1 $33,459.93 $33,459.93 $33,459.93 nat. median
$33,129
1.0× median
J1413N/A
OTHER 		Inj Delandistrogene Mox Rokl 1 $33,120.00 $33,120.00 $33,120.00 nat. median
$33,120
1.0× median
S2150N/A
OTHER 		Bmt Harv/transpl 28d Pkg 1 $32,723.22 $32,723.22 $32,723.22 nat. median
$32,399
1.0× median
0915T
OTHER 		Insj Perm Ccm-d Sys Pg&eltrd 7 $30,465.29 $32,068.73 $32,068.73 nat. median
$33,792
0.9× median
33270
HCPCS 		Ins/rep Subq Defibrillator 7 $30,465.29 $32,068.73 $32,068.73 nat. median
$31,963
1.0× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 7 $30,465.29 $32,068.73 $32,068.73 nat. median
$31,277
1.0× median

Other procedures at this hospital

Browse this hospital's 44,418 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 10 7 — — $4,279,750.00 $4,505,000.00 $4,505,000.00 2026-04-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 7 — — $3,501,003.33 $3,685,266.66 $3,685,266.66 2026-04-30
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 7 — — $3,169,029.00 $3,335,820.00 $3,335,820.00 2026-04-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 7 — — $3,161,466.73 $3,327,859.72 $3,327,859.72 2026-04-30
J1411N/A OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $3,306,566.25 $3,306,566.25 $3,306,566.25 2026-04-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 7 — — $3,089,882.67 $3,252,508.07 $3,252,508.07 2026-04-30
J3387 HCPCS Inj Elivaldogene Autotemecel 10 7 — — $3,021,000.00 $3,180,000.00 $3,180,000.00 2026-04-30
J3393 HCPCS Inj, Betibeglogene Autotemce 10 7 — — $2,792,970.44 $2,939,968.88 $2,939,968.88 2026-04-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $2,459,532.16 $2,588,981.22 $2,588,981.22 2026-04-30
J3392 HCPCS Inj, Exagamglogene Autotem 10 7 — — $2,215,400.00 $2,332,000.00 $2,332,000.00 2026-04-30
Q2057 HCPCS Afamitresgene Autoleucel 12 8 — — $732,089.00 $770,620.00 $770,620.00 2026-04-30
Q2056 HCPCS Ciltacabtagene Car-pos T 12 8 — — $558,267.09 $588,494.81 $587,649.57 2026-04-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 8 — — $538,204.74 $614,180.81 $566,531.30 2026-04-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 8 — — $534,091.18 $562,260.84 $562,201.24 2026-04-30
Q2055 HCPCS Idecabtagene Vicleucel Car 12 8 — — $530,177.63 $559,781.08 $558,081.72 2026-04-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 8 — — $505,582.63 $532,192.24 $532,192.24 2026-04-30
Q2053 HCPCS Brexucabtagene Car Pos T 12 8 — — $464,977.69 $489,450.20 $489,450.20 2026-04-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 7 — — $264,337.50 $278,250.00 $278,250.00 2026-04-30
J3403 HCPCS Revakinagene, Per Implant 12 8 — — $251,750.00 $265,000.00 $265,000.00 2026-04-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 8 — — $191,585.57 $202,713.58 $201,669.02 2026-04-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $108,243.35 $108,243.35 $108,243.35 2026-04-30
J3399N/A OTHER Inj Onase Abepar-xioi Treat 1 1 — — $108,157.44 $108,157.44 $108,157.44 2026-04-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $95,081.03 $95,081.03 $95,081.03 2026-04-30
A9543N/A OTHER Y90 Ibritumomab, Rx 1 1 — — $70,944.59 $70,944.59 $70,944.59 2026-04-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-30
C1604N/A OTHER Grft, Trnsmurl/trnsvens Byps 1 1 — — $68,624.55 $68,624.55 $68,624.55 2026-04-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 8 — — $61,061.05 $64,282.30 $64,274.79 2026-04-30
38240 HCPCS Transplt Allo Hct/donor 10 7 — — $61,050.34 $64,263.52 $64,263.52 2026-04-30
A9543 HCPCS Y90 Ibritumomab, Rx 10 7 — — $53,983.31 $56,824.54 $56,824.54 2026-04-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 8 — — $51,683.90 $56,269.19 $54,404.10 2026-04-30
J7330N/A OTHER Cultured Chondrocytes Implnt 1 1 — — $49,142.15 $49,142.15 $49,142.15 2026-04-30
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $48,155.50 $48,155.50 $48,155.50 2026-04-30
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 7 — — $42,750.48 $45,000.50 $45,000.50 2026-04-30
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 10 7 — — $42,750.48 $45,000.50 $45,000.50 2026-04-30
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 10 7 — — $42,750.48 $45,000.50 $45,000.50 2026-04-30
64654 HCPCS 1st Opn Implt Bat Modulj Sys 10 7 — — $42,750.48 $45,000.50 $45,000.50 2026-04-30
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $44,356.85 $44,356.85 $44,356.85 2026-04-30
J9226 HCPCS Supprelin La Implant 12 8 — — $41,026.06 $43,185.33 $43,185.33 2026-04-30
C1825N/A OTHER Gen, Neuro, Carot Sinus Baro 1 1 — — $40,135.67 $40,135.67 $40,135.67 2026-04-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $39,938.10 $39,938.10 $39,938.10 2026-04-30
S2079N/A OTHER Lap Esophagomyotomy 1 1 — — $35,629.96 $35,629.96 $35,629.96 2026-04-30
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 10 7 — — $33,250.48 $35,000.50 $35,000.50 2026-04-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $34,970.13 $34,970.13 $34,970.13 2026-04-30
69930 HCPCS Implant Cochlear Device 10 7 — — $32,001.97 $33,686.28 $33,686.28 2026-04-30
C1826N/A OTHER Gen, Neuro, Clo Loop, Rechg 1 1 — — $33,459.93 $33,459.93 $33,459.93 2026-04-30
J1413N/A OTHER Inj Delandistrogene Mox Rokl 1 1 — — $33,120.00 $33,120.00 $33,120.00 2026-04-30
S2150N/A OTHER Bmt Harv/transpl 28d Pkg 1 1 — — $32,723.22 $32,723.22 $32,723.22 2026-04-30
33270 HCPCS Ins/rep Subq Defibrillator 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
0571T OTHER Insj/rplcmt Icds Ss Eltrd 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 7 — — $30,465.29 $32,068.73 $32,068.73 2026-04-30
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
61886 HCPCS Implant Neurostim Arrays 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
61885 HCPCS Insrt/redo Neurostim 1 Array 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 10 7 — — $29,949.76 $31,526.06 $31,526.06 2026-04-30
C9775N/A OTHER Revasc Lith-sten-ath Tib/per 1 1 — — $31,194.14 $31,194.14 $31,194.14 2026-04-30
C1822N/A OTHER Gen, Neuro, Hf, Rechg Bat 1 1 — — $29,643.76 $29,643.76 $29,643.76 2026-04-30
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $29,510.19 $29,510.19 $29,510.19 2026-04-30
C2624N/A OTHER Wireless Pressure Sensor 1 1 — — $29,342.72 $29,342.72 $29,342.72 2026-04-30
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 10 7 — — $27,839.39 $29,304.62 $29,304.62 2026-04-30
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $28,851.23 $28,851.23 $28,851.23 2026-04-30
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $28,715.00 $28,715.00 $28,715.00 2026-04-30
J9266 HCPCS Pegaspargase Injection 12 8 — — $27,002.85 $28,424.06 $28,424.05 2026-04-30
C1882N/A OTHER Aicd, Other Than Sing/dual 1 1 — — $28,258.17 $28,258.17 $28,258.17 2026-04-30
20696 HCPCS App Mltpln Uni Xtrnl Fix 1st 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
22630 HCPCS Arthrd Pst Tq 1ntrspc Lum 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
21243 HCPCS Reconstruction Of Jaw Joint 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
22558 HCPCS Arthrd Ant Ntrbd Min Dsc Lum 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
27702 HCPCS Reconstruct Ankle Joint 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
22633 HCPCS Arthrd Cmbn 1ntrspc Lumbar 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 10 7 — — $26,335.64 $27,721.73 $27,721.73 2026-04-30
C2619N/A OTHER Pmkr, Dual, Non Rate-resp 1 1 — — $27,521.49 $27,521.49 $27,521.49 2026-04-30
C9760 HCPCS Non-blind Interatrial Shunt 10 7 — — $26,125.48 $27,500.50 $27,500.50 2026-04-30
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 10 7 — — $26,125.48 $27,500.50 $27,500.50 2026-04-30
93654 HCPCS Compre Ep Eval Tx Vt 10 7 — — $25,368.79 $26,703.99 $26,703.99 2026-04-30
93656 HCPCS Compre Ep Eval Abltj Atr Fib 10 7 — — $25,368.79 $26,703.99 $26,703.99 2026-04-30
93653 HCPCS Compre Ep Eval Tx Svt 10 7 — — $25,368.79 $26,703.99 $26,703.99 2026-04-30
C1767N/A OTHER Generator, Neuro Non-recharg 1 1 — — $24,914.59 $24,914.59 $24,914.59 2026-04-30
J9600 HCPCS Porfimer Sodium Injection 10 7 — — $23,017.00 $24,228.42 $24,228.42 2026-04-30
L8614 HCPCS Cochlear Device 1 1 — — $24,149.06 $24,149.06 $24,149.06 2026-04-30
C1722N/A OTHER Aicd, Single Chamber 1 1 — — $23,331.40 $23,331.40 $23,331.40 2026-04-30
C9095N/A OTHER Inj, Tebentafusp-tebn, 1 Mcg 1 1 — — $23,157.68 $23,157.68 $23,157.68 2026-04-30
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $22,747.26 $22,747.26 $22,747.26 2026-04-30
0916T OTHER Insj Perm Ccm-d Sys Pg Only 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
33240 HCPCS Insrt Pulse Gen W/singl Lead 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
33230 HCPCS Insrt Pulse Gen W/dual Leads 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
0409T OTHER Insj/rplc Car Modulj Pls Gn 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
0515T OTHER Insj Wcs Lv Compl Sys 10 7 — — $21,589.09 $22,725.36 $22,725.36 2026-04-30
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $22,533.92 $22,533.92 $22,533.92 2026-04-30
L5858 HCPCS Stance Phase Only 1 1 — — $22,336.47 $22,336.47 $22,336.47 2026-04-30
G0458N/A OTHER Ldr Prostate Brachy Comp Rat 1 1 — — $22,143.36 $22,143.36 $22,143.36 2026-04-30
C1820N/A OTHER Generator Neuro Rechg Bat Sy 1 1 — — $21,826.26 $21,826.26 $21,826.26 2026-04-30
C1721N/A OTHER Aicd, Dual Chamber 1 1 — — $21,644.06 $21,644.06 $21,644.06 2026-04-30
C1823N/A OTHER Gen, Neuro, Trans Sen/stim 1 1 — — $21,538.39 $21,538.39 $21,538.39 2026-04-30
C2616N/A OTHER Brachytx, Non-str,yttrium-90 1 1 — — $21,524.14 $21,524.14 $21,524.14 2026-04-30
54410 HCPCS Remove/replace Penis Prosth 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
54416 HCPCS Remv/repl Penis Contain Pros 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
54405 HCPCS Insert Multi-comp Penis Pros 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
54417 HCPCS Remv/replc Penis Pros Compl 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
53444 HCPCS Insert Tandem Cuff 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
54401 HCPCS Insert Self-contd Prosthesis 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
53447 HCPCS Remove/replace Ur Sphincter 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
54411 HCPCS Remov/replc Penis Pros Comp 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
53445 HCPCS Insert Uro/ves Nck Sphincter 10 7 — — $20,116.29 $21,175.04 $21,175.04 2026-04-30
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $21,127.66 $21,127.66 $21,127.66 2026-04-30
J9600N/A OTHER Porfimer Sodium Injection 1 1 — — $20,842.46 $20,842.46 $20,842.46 2026-04-30
C7508N/A OTHER Perq Lumb&thor Vert Aug 1 1 — — $20,102.55 $20,102.55 $20,102.55 2026-04-30
64580 HCPCS Opn Impltj Nea Neuromuscular 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
63655 HCPCS Implant Neuroelectrodes 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
0680T OTHER Insj/rplcmt Pg Only Isdss 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
64590 HCPCS Ins/rpl Prph Sac/gstr Npg/r 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 10 7 — — $18,829.29 $19,820.31 $19,820.31 2026-04-30
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
33229 HCPCS Remv&replc Pm Gen Mult Leads 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
33221 HCPCS Insert Pulse Gen Mult Leads 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
0525T OTHER Insj/rplcmt Compl Iims 10 7 — — $18,694.95 $19,678.89 $19,678.89 2026-04-30
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $19,535.67 $19,535.67 $19,535.67 2026-04-30
L6970 HCPCS Interscapular-thor Switch CT 1 1 — — $19,237.24 $19,237.24 $19,237.24 2026-04-30
C1827N/A OTHER Gen, Neuro, Imp Led, Ex Cntr 1 1 — — $19,159.64 $19,159.64 $19,159.64 2026-04-30
C1824N/A OTHER Generator, Ccm, Implant 1 1 — — $19,005.36 $19,005.36 $19,005.36 2026-04-30
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9774 HCPCS Revasc Lithotr-ather Tib/per 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9775 HCPCS Revasc Lith-sten-ath Tib/per 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9797 HCPCS Vasc Emb/occ W/prs Cath 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9766 HCPCS Revasc Intra Lithotrip-ather 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9767 HCPCS Revasc Lithotrip-stent-ather 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9602 HCPCS Perc D-e Cor Stent Ather S 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
93590 HCPCS Perq Transcath Cls Mitral 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
93580 HCPCS Transcath Closure Of Asd 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
93582 HCPCS Perq Transcath Closure Pda 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
92933 HCPCS Prq Trlml C Athrc St Angiop1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
93591 HCPCS Perq Transcath Cls Aortic 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
93581 HCPCS Transcath Closure Of Vsd 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37242 HCPCS Vasc Embolize/occlude Artery 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37182 HCPCS Insert Hepatic Shunt (tips) 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37184 HCPCS Prim Art M-thrmbc 1st Vsl 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
36906 HCPCS Thrmbc/nfs Dialysis Circuit 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
61624 HCPCS Tcat Perm Occls/embolj Cns 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
0632T OTHER Perq Tcat US Abltj Nrv P-art 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9773 HCPCS Revasc Lithotr-stent Tib/per 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
0981T OTHER Tcat Impl Wrls Ivc Snr 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C9765 HCPCS Revasc Intra Lithotrip-stent 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
0645T OTHER Tcat Impltj C Sins Rdctj Dev 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
0238T OTHER Trluml Perip Athrc Iliac Art 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 10 7 — — $17,792.26 $18,728.69 $18,728.69 2026-04-30
C1839N/A OTHER Iris Prosthesis 1 1 — — $18,661.45 $18,661.45 $18,661.45 2026-04-30
62362 HCPCS Implant Spine Infusion Pump 10 7 — — $17,493.53 $18,414.24 $18,414.24 2026-04-30
62360 HCPCS Insert Spine Infusion Device 10 7 — — $17,493.53 $18,414.24 $18,414.24 2026-04-30
62361 HCPCS Implant Spine Infusion Pump 10 7 — — $17,493.53 $18,414.24 $18,414.24 2026-04-30
K0891NU OTHER Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $18,289.37 $18,289.37 $18,289.37 2026-04-30
L6965 HCPCS Shldr Disartic Myoelectronic 1 1 — — $18,164.17 $18,164.17 $18,164.17 2026-04-30
22800 HCPCS Arthrd Pst Dfrm<6 Vrt Sgm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22802 HCPCS Arthrd Pst Dfrm 7-12 Vrt Sgm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
24371 HCPCS Revise Reconst Elbow Joint 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22804 HCPCS Arthrd Pst Dfrm 13+ Vrt Sgm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22808 HCPCS Arthrd Ant Dfrm 2-3 Vrt Sgm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22612 HCPCS Arthrd Pst Tq 1ntrspc Lumbar 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22810 HCPCS Arthrd Ant Dfrm 4-7 Vrt Sgm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22600 HCPCS Arthrd Pst Tq 1ntrspc Crv 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22862 HCPCS Rev Rplcm Rthrp 1ntrspc Lmbr 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22610 HCPCS Arthrd Pst Tq 1ntrspc Thrc 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
20982 HCPCS Ablate Bone Tumor(s) Perq 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22818 HCPCS Kyphectomy 1-2 Segments 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27290 HCPCS Amputation Of Leg At Hip 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
C8003 HCPCS Imp Extar Knee Shck Absrb 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22856 HCPCS Tot Disc Arthrp 1ntrspc Crv 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22556 HCPCS Arthrd Ant Ntrbd Min Dsc Thc 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
23616 HCPCS Optx Prx Hmrl Fx Fix Rpr Rpl 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27279 HCPCS Arthrd Si Jt Plmt Tartclr Dv 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22857 HCPCS Tot Disc Arthrp 1ntrspc Lmbr 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22861 HCPCS Rev Rplcm Arthrp 1ntrspc Crv 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22867 HCPCS Insj Stablj Dev W/dcmprn 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22586 HCPCS Arthrd Pre-sac Ntrbdy L5-s1 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22533 HCPCS Arthrd Lat Xtrcvtry Tq Lmbr 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22812 HCPCS Arthrd Ant Dfrm 8+ Vrt Sgm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
20838 HCPCS Replantation Foot Complete 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
25446 HCPCS Arthrp W/prostc Dst Rds&crps 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
23472 HCPCS Reconstruct Shoulder Joint 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
20805 HCPCS Replant Forearm Complete 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
20808 HCPCS Replantation Hand Complete 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
25442 HCPCS Arthrp W/prostc Dstl Ulna 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
28705 HCPCS Arthrodesis Pantalar 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
20802 HCPCS Replantation Arm Complete 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22819 HCPCS Kyphectomy 3 Or More 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27703 HCPCS Reconstruction Ankle Joint 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27487 HCPCS Revise/replace Knee Joint 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
0657T OTHER Ant Lmbr Vrt Bdy Teth 8+ Seg 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27295 HCPCS Amputation Of Leg At Hip 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
0656T OTHER Ant Lmbr Vrt Bdy Teth <7 Seg 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
24363 HCPCS Replace Elbow Joint 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27278 HCPCS Arthrd Si Jt Plmt Iartic Dev 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
27280 HCPCS Arthr Si Jt Opn B1grf Instrm 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
24361 HCPCS Reconstruct Elbow Joint 10 7 — — $17,017.91 $17,913.59 $17,913.59 2026-04-30
C2616 HCPCS Brachytx, Non-str,yttrium-90 10 7 — — $16,882.46 $17,771.01 $17,771.01 2026-04-30
C9782 HCPCS Blind Myocar Trpl Bon Marrow 10 7 — — $16,625.48 $17,500.50 $17,500.50 2026-04-30
C9758 HCPCS Blind Interatrial Shunt Ide 10 7 — — $16,625.48 $17,500.50 $17,500.50 2026-04-30
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 10 7 — — $16,625.48 $17,500.50 $17,500.50 2026-04-30
0888T OTHER Histotripsy Mal Renal Tissue 10 7 — — $16,625.48 $17,500.50 $17,500.50 2026-04-30
0686T OTHER Histotripsy Mal Hepatcel Tis 10 7 — — $16,625.48 $17,500.50 $17,500.50 2026-04-30
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 1 1 — — $17,463.78 $17,463.78 $17,463.78 2026-04-30
L5859 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $17,437.90 $17,437.90 $17,437.90 2026-04-30
C9607N/A OTHER Perc D-e Cor Revasc Chro Sin 1 1 — — $17,394.41 $17,394.41 $17,394.41 2026-04-30
C9765N/A OTHER Revasc Intra Lithotrip-stent 1 1 — — $17,314.01 $17,314.01 $17,314.01 2026-04-30
L8687N/A OTHER Implt Nrostm Pls Gen Dua Rec 1 1 — — $17,249.85 $17,249.85 $17,249.85 2026-04-30
C9602N/A OTHER Perc D-e Cor Stent Ather S 1 1 — — $17,153.05 $17,153.05 $17,153.05 2026-04-30
S2152N/A OTHER Solid Organ Transpl Pkg 1 1 — — $17,021.63 $17,021.63 $17,021.63 2026-04-30
66683 HCPCS Implantation Iris Prosthesis 10 7 — — $15,976.49 $16,817.36 $16,817.36 2026-04-30
0308T OTHER Insj Ocular Telescope Prosth 10 7 — — $15,976.49 $16,817.36 $16,817.36 2026-04-30
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $16,384.73 $16,384.73 $16,384.73 2026-04-30
S2115N/A OTHER Periacetabular Osteotomy 1 1 — — $16,011.53 $16,011.53 $16,011.53 2026-04-30
C7539N/A OTHER Insrt A & V Pm W/l Vent Lead 1 1 — — $15,919.08 $15,919.08 $15,919.08 2026-04-30
L6960 HCPCS Shldr Disartic Switch Contro 1 1 — — $15,644.23 $15,644.23 $15,644.23 2026-04-30
C9604N/A OTHER Perc D-e Cor Revasc T Cabg S 1 1 — — $15,493.38 $15,493.38 $15,493.38 2026-04-30
C1772N/A OTHER Infusion Pump, Programmable 1 1 — — $14,831.86 $14,831.86 $14,831.86 2026-04-30
65770 HCPCS Keratoprosthesis 10 7 — — $14,079.29 $14,820.30 $14,820.30 2026-04-30
L6955 HCPCS Above Elbow Myoelectronic CT 1 1 — — $14,621.82 $14,621.82 $14,621.82 2026-04-30
Q0479 HCPCS Power Module Combo Vad, Rep 1 1 — — $14,386.80 $14,386.80 $14,386.80 2026-04-30
67027 HCPCS Implant Eye Drug System 10 7 — — $13,542.41 $14,255.17 $14,255.17 2026-04-30
19357 HCPCS Tiss Xpndr Plmt Brst Rcnstj 10 7 — — $13,375.47 $14,079.44 $14,079.44 2026-04-30
19298 HCPCS Place Breast Rad Tube/caths 10 7 — — $13,375.47 $14,079.44 $14,079.44 2026-04-30
C1817N/A OTHER Septal Defect Imp Sys 1 1 — — $13,773.81 $13,773.81 $13,773.81 2026-04-30
C9606N/A OTHER Perc D-e Cor Revasc W Ami S 1 1 — — $13,758.49 $13,758.49 $13,758.49 2026-04-30
C1813N/A OTHER Prosthesis, Penile, Inflatab 1 1 — — $13,533.60 $13,533.60 $13,533.60 2026-04-30
55882 HCPCS Ablt Trurl Prst8 Tis Trnsdcr 10 7 — — $12,805.26 $13,479.22 $13,479.22 2026-04-30
53451 HCPCS Tprnl Balo Cntnc Dev Bi 10 7 — — $12,805.26 $13,479.22 $13,479.22 2026-04-30
54400 HCPCS Insert Semi-rigid Prosthesis 10 7 — — $12,805.26 $13,479.22 $13,479.22 2026-04-30
53440 HCPCS Male Sling Procedure 10 7 — — $12,805.26 $13,479.22 $13,479.22 2026-04-30
0582T OTHER Trurl Abltj Mal Prst8 Tiss 10 7 — — $12,805.26 $13,479.22 $13,479.22 2026-04-30
23900 HCPCS Interthoracoscplr Amputation 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23920 HCPCS Disarticulation Shoulder 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
C9781 HCPCS Arthro/shoul Surg; W/spacer 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23802 HCPCS Arthrd Glenohumeral Jt W/grf 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23680 HCPCS Optx Sho Dislc Neck Fx Fixj 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22590 HCPCS Arthrd Pst Tq Craniocervical 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22595 HCPCS Arthrd Pst Tq Atlas-axis 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
24346 HCPCS Reconstruct Elbow Med Ligmnt 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
C9757 HCPCS Spine Device Implant Surgery 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22554 HCPCS Arthrd Ant Ntrbd Min Dsc Crv 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22551 HCPCS Arthrd Ant Ntrbdy Cervical 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
C9734 HCPCS U/s Trtmt, Not Leiomyomata 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23615 HCPCS Optx Prox Humrl Fx W/int Fix 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23485 HCPCS Revision Of Collar Bone 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23491 HCPCS Reinforce Shoulder Bones 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
64628 HCPCS Trml Dstrj Ios Bvn 1st 2 L/s 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
25810 HCPCS Arthrd Wrst Iliac/oth Agrft 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22532 HCPCS Arthrd Lat Xtrcvtry Tq Thrc 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22548 HCPCS Arthrd Ant Toral/xoral C1-c2 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
0202T OTHER Post Vert Arthrplst 1 Lumbar 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22327 HCPCS Treat Thorax Spine Fracture 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22849 HCPCS Reinsert Spinal Fixation 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23470 HCPCS Reconstruct Shoulder Joint 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
25491 HCPCS Prophylactic Tx Ulna 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
25444 HCPCS Arthrp W/prostc Lunate 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
25441 HCPCS Arthrp W/prostc Dstl Rds 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
22325 HCPCS Treat Spine Fracture 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
69714 HCPCS Impl Oi Implt Skull Perq Esp 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
23473 HCPCS Revis Reconst Shoulder Joint 10 7 — — $12,460.92 $13,116.76 $13,116.76 2026-04-30
See an error in this hospital's data? Submit a correction