Price Transparencybeta Hospital negotiated rates

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

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Hospital

MT SAN RAFAEL HOSPITAL

Trinidad, CO · CCN 061321 · Rates published

24,684 distinct procedures filed
102 distinct payers
1,545,868 rate rows
2026-07-17 last MRF observed
Data quality

1,497,806 of 1,545,868 rate rows are consumer-grade (96.9%)

48,062 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
template filing: same amount across many unrelated codes — excluded 35,967
per-diem day rate — not a per-procedure price 4,678
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,461
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,114
placeholder amount (≤ $0.02) — excluded from medians 656
exceeds 10× this hospital's gross charge — excluded from medians 186
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-san-rafael-medical-center-standard-charges-ncal-en.csv
Found on page https://healthy.kaiserpermanente.org/northern-california/doctors-locations/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint ee14db8ad0bfe326… · 215,532,055 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$631,793
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$624,417
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$691,418
0.8× median
Q2041
HCPCS 		"axicabtagene Ciloleucel Car+, Per Infusion" 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$577,541
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $294,709.00 $294,709.00 $294,709.00 nat. median
$302,242
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $264,576.17 $264,576.17 $264,576.17 nat. median
$370,165
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $171,699.28 $171,699.28 $171,699.28 nat. median
$261,939
0.7× median
0100T
CPT 		Plmt Scjncl Rta Prosth&pls&impltj Intra-oc Rta 1 $137,655.43 $412,142.00 $145,073.98 nat. median
$11,184
outlier · 13.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $130,812.11 $130,812.11 $130,812.11 nat. median
$205,166
0.6× median
3
MS_DRG 		"ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mout… 1 $130,044.41 $130,044.41 $130,044.41 nat. median
$199,832
0.7× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 1 $93,567.00 $157,192.00 $93,567.00 nat. median
$63,643
1.5× median
4
MS_DRG 		"tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Ne… 1 $84,865.96 $84,865.96 $84,865.96 nat. median
$132,706
0.6× median
7
MS_DRG 		Lung Transplant 1 $79,344.42 $79,344.42 $79,344.42 nat. median
$122,690
0.6× median
38240
CPT 		Trnsplj Allogeneic Hematopoietic Cells Per Donor 1 $71,467.00 $223,801.00 $75,088.00 nat. median
$13,835
outlier · 5.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $73,632.31 $73,632.31 $73,632.31 nat. median
$114,305
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $69,428.66 $69,428.66 $69,428.66 nat. median
$108,240
0.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 1 $69,349.01 $69,349.01 $69,349.01 nat. median
$96,134
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $67,525.64 $67,525.64 $67,525.64 nat. median
$96,835
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $66,624.38 $66,624.38 $66,624.38 nat. median
$100,978
0.7× median
J9029
HCPCS 		"Instill Adstiladrin, Tx Dose" 1 $63,431.00 $106,564.00 $63,431.00 nat. median
$69,291
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $63,171.26 $63,171.26 $63,171.26 nat. median
$99,646
0.6× median
J2350
HCPCS 		Ocrelizumab 30mg/ml 94 $60.00 $65,834.00 $62,871.47 nat. median
$331
outlier · 190.1×
215
MS_DRG 		Other Heart Assist System Implant 1 $61,005.41 $61,005.41 $61,005.41 nat. median
$98,002
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $59,938.11 $59,938.11 $59,938.11 nat. median
$92,900
0.6× median
A9699
HCPCS 		Radiopharmaceutical Therapeutic Noc 1 $59,004.00 $99,127.00 $59,004.00 nat. median
$4,125
outlier · 14.3×
33276
CPT 		Insertion Phrenic Nerve Stimulator System 1 $54,378.00 $170,287.00 $57,134.00 nat. median
$43,061
1.3× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $55,946.00 $93,989.00 $55,946.00 nat. median
$65,655
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $55,200.80 $55,200.80 $55,200.80 nat. median
$81,124
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With 1 $54,292.79 $54,292.79 $54,292.79 nat. median
$83,623
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $53,055.77 $53,055.77 $53,055.77 nat. median
$81,364
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $51,649.04 $51,649.04 $51,649.04 nat. median
$79,040
0.7× median
456
MS_DRG 		"spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or E… 1 $51,486.68 $51,486.68 $51,486.68 nat. median
$80,459
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $48,211.25 $48,211.25 $48,211.25 nat. median
$77,385
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $47,044.07 $47,044.07 $47,044.07 nat. median
$74,472
0.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Cathete 1 $46,911.12 $46,911.12 $46,911.12 nat. median
$58,534
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $46,841.27 $46,841.27 $46,841.27 nat. median
$73,475
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $46,686.27 $46,686.27 $46,686.27 nat. median
$71,485
0.7× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit 1 $45,560.00 $76,541.00 $45,560.00 nat. median
$55,200
0.8× median
0620T
CPT 		Endovascular Venous Arterialization Tibl/prnl Vn 1 $42,294.00 $132,446.00 $44,437.00 nat. median
$32,810
1.4× median

Other procedures at this hospital

Browse this hospital's 24,684 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" 3 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-07-17
J1414 HCPCS Beqvez (fidanacogene Elaparvovec-dz 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1411 HCPCS "Inj, Hemgenix, Per Tx Dose" 6 1 — $4,704,002.80 $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-07-17
J3394 HCPCS "Inj, Lovotibeglogene Autotem" 3 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-07-17
J3393 HCPCS "Inj, Betibeglogene Autotemce" 3 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-07-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-07-17
J3392 HCPCS Casgevy (exagamglogene Autotemcel) 3 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-07-17
Q2057 HCPCS Tecelra (afamitresgene Autoleucel) 3 1 — — $792,430.00 $792,430.00 $792,430.00 2026-07-17
Q2056 HCPCS Ciltacabtagene Car-pos T 3 1 — — $605,288.00 $605,288.00 $605,288.00 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc 3 1 $1,296,255.00 $725,902.80 44% off $575,861.00 $575,861.00 $575,861.00 2026-07-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 1 $1,472,908.31 $824,828.65 44% off $567,588.00 $567,588.00 $567,588.00 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $557,936.00 $557,936.00 $557,936.00 2026-07-17
Q2041 HCPCS "axicabtagene Ciloleucel Car+, Per Infusion" 3 1 $658,682.00 $368,861.92 44% off $548,902.00 $548,902.00 $548,902.00 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 3 1 — — $503,580.00 $503,580.00 $503,580.00 2026-07-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $294,709.00 $294,709.00 $294,709.00 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $264,576.17 $264,576.17 $264,576.17 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $171,699.28 $171,699.28 $171,699.28 2026-03-31
0100T CPT Plmt Scjncl Rta Prosth&pls&impltj Intra-oc Rta 3 1 $873,740.00 $489,294.40 44% off $137,655.43 $412,142.00 $145,073.98 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $130,812.11 $130,812.11 $130,812.11 2026-03-31
3 MS_DRG "ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mout… 1 1 — — $130,044.41 $130,044.41 $130,044.41 2026-03-31
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 6 1 $182,498.16 $102,198.97 44% off $93,567.00 $157,192.00 $93,567.00 2026-07-17
4 MS_DRG "tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Ne… 1 1 — — $84,865.96 $84,865.96 $84,865.96 2026-03-31
7 MS_DRG Lung Transplant 1 1 — — $79,344.42 $79,344.42 $79,344.42 2026-03-31
38240 CPT Trnsplj Allogeneic Hematopoietic Cells Per Donor 3 1 $106,060.00 $59,393.60 44% off $71,467.00 $223,801.00 $75,088.00 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $73,632.31 $73,632.31 $73,632.31 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $69,428.66 $69,428.66 $69,428.66 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $69,349.01 $69,349.01 $69,349.01 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,525.64 $67,525.64 $67,525.64 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $66,624.38 $66,624.38 $66,624.38 2026-03-31
J9029 HCPCS "Instill Adstiladrin, Tx Dose" 6 1 $43,853.00 $24,557.68 44% off $63,431.00 $106,564.00 $63,431.00 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $63,171.26 $63,171.26 $63,171.26 2026-03-31
J2350 HCPCS Ocrelizumab 30mg/ml 174 94 $65,834.00 $33,292.54 49% off $60.00 $65,834.00 $62,871.47 2026-07-17
215 MS_DRG Other Heart Assist System Implant 1 1 — — $61,005.41 $61,005.41 $61,005.41 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $59,938.11 $59,938.11 $59,938.11 2026-03-31
A9699 HCPCS Radiopharmaceutical Therapeutic Noc 3 1 $154,842.00 $86,711.52 44% off $59,004.00 $99,127.00 $59,004.00 2026-07-17
33276 CPT Insertion Phrenic Nerve Stimulator System 3 1 $222,540.00 $124,622.40 44% off $54,378.00 $170,287.00 $57,134.00 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 1 $180,340.20 $100,990.51 44% off $55,946.00 $93,989.00 $55,946.00 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $55,200.80 $55,200.80 $55,200.80 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With 1 1 — — $54,292.79 $54,292.79 $54,292.79 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $53,055.77 $53,055.77 $53,055.77 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $51,649.04 $51,649.04 $51,649.04 2026-03-31
456 MS_DRG "spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or E… 1 1 — — $51,486.68 $51,486.68 $51,486.68 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $48,211.25 $48,211.25 $48,211.25 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $47,044.07 $47,044.07 $47,044.07 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 1 1 — — $46,911.12 $46,911.12 $46,911.12 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $46,841.27 $46,841.27 $46,841.27 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $46,686.27 $46,686.27 $46,686.27 2026-03-31
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit 3 1 $144,528.07 $80,935.72 44% off $45,560.00 $76,541.00 $45,560.00 2026-07-17
0620T CPT Endovascular Venous Arterialization Tibl/prnl Vn 3 1 $101,610.00 $56,901.60 44% off $42,294.00 $132,446.00 $44,437.00 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $44,227.55 $44,227.55 $44,227.55 2026-03-31
10 MS_DRG Pancreas Transplant 1 1 — — $43,964.69 $43,964.69 $43,964.69 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $43,946.32 $43,946.32 $43,946.32 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $43,712.88 $43,712.88 $43,712.88 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $43,687.15 $43,687.15 $43,687.15 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 1 1 — — $43,434.72 $43,434.72 $43,434.72 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $42,347.81 $42,347.81 $42,347.81 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $42,140.11 $42,140.11 $42,140.11 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $41,240.68 $41,240.68 $41,240.68 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $40,967.43 $40,967.43 $40,967.43 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $40,937.40 $40,937.40 $40,937.40 2026-03-31
33231 CPT Insj Implntbl Defib Pulse Gen W/exist Multileads 3 1 $108,350.00 $60,676.00 44% off $38,743.00 $121,324.00 $40,706.00 2026-07-17
0408T CPT Insj/rplc Cardiac Modulj Sys 3 1 — — $38,743.00 $121,324.00 $40,706.00 2026-07-17
0571T CPT Insj/rplcmt Icds W/substernal Electrode 3 1 $47,040.00 $26,342.40 44% off $38,743.00 $121,324.00 $40,706.00 2026-07-17
33264 CPT Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 3 1 $100,870.00 $56,487.20 44% off $38,743.00 $121,324.00 $40,706.00 2026-07-17
33270 CPT Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 3 1 $143,270.00 $80,231.20 44% off $38,743.00 $121,324.00 $40,706.00 2026-07-17
33249 CPT Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 3 1 $62,180.00 $34,820.80 44% off $38,743.00 $121,324.00 $40,706.00 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $40,635.35 $40,635.35 $40,635.35 2026-03-31
69930 CPT Cochlear Device Implantation W/wo Mastoidectomy 3 1 $70,640.00 $39,558.40 44% off $38,436.00 $120,364.00 $40,384.00 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $40,286.11 $40,286.11 $40,286.11 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $40,286.11 $40,286.11 $40,286.11 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $40,139.68 $40,139.68 $40,139.68 2026-03-31
J1932 HCPCS Laneotide 120mg .5ml 164 94 $42,695.00 — $24.00 $42,695.00 $40,133.30 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $39,424.67 $39,424.67 $39,424.67 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 1 1 — — $39,217.58 $39,217.58 $39,217.58 2026-03-31
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 3 1 $118,490.00 $66,354.40 44% off $36,824.00 $115,316.00 $38,690.00 2026-07-17
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 3 1 $63,390.00 $35,498.40 44% off $36,824.00 $115,316.00 $38,690.00 2026-07-17
33287 CPT Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 3 1 $97,990.00 $54,874.40 44% off $36,824.00 $115,316.00 $38,690.00 2026-07-17
63685 CPT Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj 3 1 $41,540.00 $23,262.40 44% off $36,824.00 $115,316.00 $38,690.00 2026-07-17
61886 CPT Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 3 1 $41,540.00 $23,262.40 44% off $36,824.00 $115,316.00 $38,690.00 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $37,548.01 $37,548.01 $37,548.01 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $37,504.51 $37,504.51 $37,504.51 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With 1 1 — — $37,473.87 $37,473.87 $37,473.87 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $37,144.86 $37,144.86 $37,144.86 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $36,812.17 $36,812.17 $36,812.17 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $36,801.75 $36,801.75 $36,801.75 2026-03-31
457 MS_DRG "spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or E… 1 1 — — $36,535.24 $36,535.24 $36,535.24 2026-03-31
790 MS_DRG "extreme Immaturity Or Respiratory Distress Syndrome, Neonate" 1 1 — — $36,415.15 $36,415.15 $36,415.15 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $36,330.60 $36,330.60 $36,330.60 2026-03-31
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 3 1 $84,190.00 $47,146.40 44% off $34,352.00 $107,576.00 $36,093.00 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $35,956.24 $35,956.24 $35,956.24 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $35,932.97 $35,932.97 $35,932.97 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $35,334.36 $35,334.36 $35,334.36 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $35,108.89 $35,108.89 $35,108.89 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $34,965.53 $34,965.53 $34,965.53 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $34,920.19 $34,920.19 $34,920.19 2026-03-31
C9760 HCPCS Nrnd Nbld Pd Nyha Cls Ii Iii IV Hf; 3 1 — — $33,231.00 $104,065.00 $34,915.00 2026-07-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $34,445.35 $34,445.35 $34,445.35 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $34,338.75 $34,338.75 $34,338.75 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $34,103.47 $34,103.47 $34,103.47 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $33,838.79 $33,838.79 $33,838.79 2026-03-31
Q0480 HCPCS Driver For Use With Pneumatic Vad Repl Only 3 1 $191,402.00 $107,185.12 44% off $31,964.13 $95,701.00 $33,686.75 2026-07-17
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $33,635.99 $33,635.99 $33,635.99 2026-03-31
405 MS_DRG "pancreas, Liver And Shunt Procedures With Mcc" 1 1 — — $33,517.12 $33,517.12 $33,517.12 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $33,469.34 $33,469.34 $33,469.34 2026-03-31
11 MS_DRG "tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc" 1 1 — — $33,416.65 $33,416.65 $33,416.65 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $33,283.08 $33,283.08 $33,283.08 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $32,673.45 $32,673.45 $32,673.45 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $32,653.85 $32,653.85 $32,653.85 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $32,434.51 $32,434.51 $32,434.51 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $32,327.28 $32,327.28 $32,327.28 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 1 1 — — $31,974.38 $31,974.38 $31,974.38 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $31,892.89 $31,892.89 $31,892.89 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $31,837.75 $31,837.75 $31,837.75 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Cathete 1 1 — — $30,987.95 $30,987.95 $30,987.95 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $30,880.73 $30,880.73 $30,880.73 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath 1 1 — — $30,761.25 $30,761.25 $30,761.25 2026-03-31
326 MS_DRG "stomach, Esophageal And Duodenal Procedures With Mcc" 1 1 — — $30,557.22 $30,557.22 $30,557.22 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $30,312.16 $30,312.16 $30,312.16 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $30,258.23 $30,258.23 $30,258.23 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $30,154.69 $30,154.69 $30,154.69 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $30,029.09 $30,029.09 $30,029.09 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $29,584.90 $29,584.90 $29,584.90 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $29,435.40 $29,435.40 $29,435.40 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $29,168.88 $29,168.88 $29,168.88 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $28,804.94 $28,804.94 $28,804.94 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $28,746.11 $28,746.11 $28,746.11 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $28,660.35 $28,660.35 $28,660.35 2026-03-31
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 3 1 $131,590.00 $73,690.40 44% off $27,124.00 $84,939.00 $28,498.00 2026-07-17
0515T CPT Insertion Wrls Car Stimulator Lv Pacg Compl Sys 3 1 $91,970.00 $51,503.20 44% off $27,124.00 $84,939.00 $28,498.00 2026-07-17
0614T CPT Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 3 1 $28,600.00 $16,016.00 44% off $27,124.00 $84,939.00 $28,498.00 2026-07-17
0409T CPT Insj/rplc Car Modulj Pls Gn 3 1 — — $27,124.00 $84,939.00 $28,498.00 2026-07-17
33230 CPT Insj Implntbl Defib Pulse Gen W/exist Dual Leads 3 1 $48,580.00 $27,204.80 44% off $27,124.00 $84,939.00 $28,498.00 2026-07-17
33263 CPT Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 3 1 $133,910.00 $74,989.60 44% off $27,124.00 $84,939.00 $28,498.00 2026-07-17
33262 CPT Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 3 1 $86,560.00 $48,473.60 44% off $27,124.00 $84,939.00 $28,498.00 2026-07-17
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 1 — — $27,124.00 $84,939.00 $28,498.00 2026-07-17
J9266 HCPCS Pegaspargase In Sterile Diluent 750 Unit/ml Inj 5 Ml Vial 6 1 $79,203.32 $44,353.86 44% off $28,424.00 $47,752.00 $28,424.00 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $28,410.37 $28,410.37 $28,410.37 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $28,297.02 $28,297.02 $28,297.02 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion With 1 1 — — $28,217.98 $28,217.98 $28,217.98 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $28,162.23 $28,162.23 $28,162.23 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $28,090.54 $28,090.54 $28,090.54 2026-03-31
245 MS_DRG Aicd Generator Procedures 1 1 — — $27,953.30 $27,953.30 $27,953.30 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $27,869.36 $27,869.36 $27,869.36 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $27,857.11 $27,857.11 $27,857.11 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $27,748.05 $27,748.05 $27,748.05 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $27,459.47 $27,459.47 $27,459.47 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $27,451.51 $27,451.51 $27,451.51 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $27,343.67 $27,343.67 $27,343.67 2026-03-31
61885 CPT Insj/rplcmt Cranial Neurostim Pulse Generator 3 1 $38,960.00 $21,817.60 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
63655 CPT Lam Impltj Nstim Eltrds Plate/paddle Edrl 3 1 $32,740.00 $18,334.40 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
61891 CPT Revj/rplcmt Skull-mntd Cranial Nstim Pg/receiver 3 1 $69,030.00 $38,656.80 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
64590 CPT Ins/rplc Perph Sac/gstrc Npg/rcvr Pckt Crtj&conn 3 1 $23,620.00 $13,227.20 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
0816T CPT Open Insj/rplcmt Integrated Nstimj Sys Ptn Subq 3 1 $69,030.00 $38,656.80 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
0817T CPT Open Insj/rplcmt Integrated Nstimj Sys Ptn Subf 3 1 $69,030.00 $38,656.80 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
64580 CPT Open Implantation Nea Neuromuscular 3 1 $41,160.00 $23,049.60 44% off $25,913.00 $81,149.00 $27,226.00 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $26,914.18 $26,914.18 $26,914.18 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $26,513.48 $26,513.48 $26,513.48 2026-03-31
J9309 HCPCS Polivy 30mg Sdv 174 94 $27,747.50 $6,993.33 75% off $136.00 $27,747.50 $26,498.86 2026-07-17
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $26,356.63 $26,356.63 $26,356.63 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $26,302.11 $26,302.11 $26,302.11 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $26,133.00 $26,133.00 $26,133.00 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $25,982.89 $25,982.89 $25,982.89 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $25,875.06 $25,875.06 $25,875.06 2026-03-31
12 MS_DRG "tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc" 1 1 — — $25,830.95 $25,830.95 $25,830.95 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $25,818.09 $25,818.09 $25,818.09 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $25,742.72 $25,742.72 $25,742.72 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $25,712.09 $25,712.09 $25,712.09 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $25,664.30 $25,664.30 $25,664.30 2026-03-31
458 MS_DRG "spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or E… 1 1 — — $25,565.05 $25,565.05 $25,565.05 2026-03-31
54401 CPT Insj Penile Prosthesos Inflatable Self-contained 3 1 $69,750.00 $39,060.00 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
54405 CPT Insj Multi-component Inflatable Penile Prosth 3 1 $45,890.00 $25,698.40 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
54410 CPT Rmvl & Rplcmt Inflatable Penile Prosth Same Sess 3 1 $52,850.00 $29,596.00 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
54411 CPT Rmvl & Rplcmt Nfltbl Penile Prosth Infected Fiel 3 1 $73,480.00 $41,148.80 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
53445 CPT Insj Inflatable Urethral/bladder Neck Sphincter 3 1 $57,680.00 $32,300.80 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
53447 CPT Rmvl & Rplcmt Nfltl Urethral/bladder Neck Sphinc 3 1 $65,900.00 $36,904.00 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
54416 CPT Rmvl & Rplcmt Non-nfltbl/nfltbl Penile Prosthesi 3 1 $76,890.00 $43,058.40 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
53444 CPT Insertion Tandem Cuff 3 1 $53,070.00 $29,719.20 44% off $24,323.00 $76,169.00 $25,556.00 2026-07-17
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $25,546.66 $25,546.66 $25,546.66 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $25,444.96 $25,444.96 $25,444.96 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $25,276.47 $25,276.47 $25,276.47 2026-03-31
791 MS_DRG Prematurity With Major Problems 1 1 — — $24,869.03 $24,869.03 $24,869.03 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $24,633.15 $24,633.15 $24,633.15 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $24,410.12 $24,410.12 $24,410.12 2026-03-31
J9600 HCPCS Porfimer 75 Mg Recon Soln 1 Each Vial 6 1 $67,175.24 $37,618.13 44% off $24,229.00 $40,704.00 $24,229.00 2026-07-17
0825T CPT Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 3 1 $61,490.00 $34,434.40 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 3 1 — — $23,045.00 $72,168.00 $24,213.00 2026-07-17
0525T CPT Insertion/replacement Complete Iims 3 1 $40,460.00 $22,657.60 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
0823T CPT Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 3 1 $61,490.00 $34,434.40 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 3 1 — — $23,045.00 $72,168.00 $24,213.00 2026-07-17
0803T CPT Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 3 1 $56,830.00 $31,824.80 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 3 1 — — $23,045.00 $72,168.00 $24,213.00 2026-07-17
0797T CPT Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 3 1 $56,830.00 $31,824.80 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 3 1 — — $23,045.00 $72,168.00 $24,213.00 2026-07-17
33229 CPT Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 3 1 $26,660.00 $14,929.60 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
33274 CPT Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 3 1 $62,890.00 $35,218.40 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
33221 CPT Ins Pacemaker Pulse Gen Only W/exist Mult Leads 3 1 $35,220.00 $19,723.20 44% off $23,045.00 $72,168.00 $24,213.00 2026-07-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $23,967.76 $23,967.76 $23,967.76 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $23,859.31 $23,859.31 $23,859.31 2026-03-31
37294 CPT Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37290 CPT Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37288 CPT Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37292 CPT Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37286 CPT Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37284 CPT Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37277 CPT Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37271 CPT Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37273 CPT Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37275 CPT Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 3 1 $58,059.00 $32,513.04 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
37182 CPT Insj Transvns Intrahepatc Portosysic Shunt 3 1 $18,410.00 $10,309.60 44% off $22,632.00 $70,872.00 $23,779.00 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $23,715.34 $23,715.34 $23,715.34 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $23,679.80 $23,679.80 $23,679.80 2026-03-31
40 MS_DRG "peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc" 1 1 — — $23,657.12 $23,657.12 $23,657.12 2026-03-31
33745 CPT Tis Crtj St Congenital Cardiac Anomal 1st Shunt 3 1 $79,300.00 $44,408.00 44% off $22,519.01 $67,332.60 $23,641.22 2026-07-17
33741 CPT Tas Congenital Cardiac Anomalies Any Method 3 1 $79,300.00 $44,408.00 44% off $22,519.01 $67,332.60 $23,641.22 2026-07-17
33746 CPT Tis Crtj St Congenital Cardiac Anomal Ea Addl 3 1 $79,300.00 $44,408.00 44% off $22,519.01 $67,332.60 $23,641.22 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $23,522.95 $23,522.95 $23,522.95 2026-03-31
24363 CPT Arthrp Elbow W/distal Hum&prox Ur Prostc Rplcm 3 1 $61,450.00 $34,412.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
22630 CPT Arthrd Pst Tq 1ntrspc Lum 3 1 — — $22,222.00 $69,590.00 $23,348.00 2026-07-17
20696 CPT Xtrnl Fixj W/stereotactic Adjustment 1st & Subq 3 1 $65,490.00 $36,674.40 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
24371 CPT Revis Elbow Arthrplsty Humeral&ulna Compnt 3 1 $51,200.00 $28,672.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 3 1 $20,250.00 $11,340.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 3 1 $27,450.00 $15,372.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
22612 CPT Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar 3 1 $31,510.00 $17,645.60 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
24361 CPT Arthroplasty Elbow W/distal Humrl Prostc Rplcmt 3 1 $61,450.00 $34,412.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
27279 CPT Arthrd Si Jt Plmt Transarticular&/i-artic Device 3 1 $27,450.00 $15,372.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
22856 CPT Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv 3 1 $35,990.00 $20,154.40 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
27278 CPT Arthrd Si Jt Plmt I-artic Dev Wo Cortcl Piercing 3 1 $58,810.00 $32,933.60 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
23616 CPT Open Prox Humeral Fracture Prosthetic Rplcmt 3 1 $29,260.00 $16,385.60 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
22867 CPT Insj Stablj Dev W/dcmprn Lumbar Single Level 3 1 $78,590.00 $44,010.40 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
21243 CPT Arthrp Tmprmand Joint W/prosthetic Replacement 3 1 $27,450.00 $15,372.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
25446 CPT Arthrp W/prostc Rplcmt Dstl Rds&prtl/carpus 3 1 $36,000.00 $20,160.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
28705 CPT Arthrodesis Pantalar 3 1 $27,450.00 $15,372.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
25442 CPT Arthroplasty W/prosthetic Rplcmt Distal Ulna 3 1 $51,200.00 $28,672.00 44% off $22,222.00 $69,590.00 $23,348.00 2026-07-17
27702 CPT Reconstruct Ankle Joint 3 1 — — $22,222.00 $69,590.00 $23,348.00 2026-07-17
61624 CPT Tcat Perm Occls/embolization Perq Cns 2 1 $4,080.00 $2,284.80 44% off $22,632.00 $23,779.00 $23,205.50 2026-07-17
187001050 NDC Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 3 1 $131,507.84 $73,644.39 44% off $21,961.81 $65,753.92 $23,145.38 2026-07-17
68875010201 NDC Teduglutide 5 Mg Kit 1 Each Kit 3 1 $135,055.95 $75,631.33 44% off $21,897.44 $65,561.21 $23,077.54 2026-07-17
956 MS_DRG "limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma" 1 1 — — $23,055.47 $23,055.47 $23,055.47 2026-03-31
143 MS_DRG "other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc" 1 1 — — $22,954.99 $22,954.99 $22,954.99 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $22,900.45 $22,900.45 $22,900.45 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $22,898.00 $22,898.00 $22,898.00 2026-03-31
628 MS_DRG "other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc" 1 1 — — $22,833.67 $22,833.67 $22,833.67 2026-03-31
0238T CPT Trluml Peripheral Atherectomy Iliac Artery Ea 3 1 $91,180.00 $51,060.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
0632T CPT Perq Tcat US Ablation Nerves Innervating P-art 3 1 $21,530.00 $12,056.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9767 HCPCS Rev Evar Any Ves;iv Litho&tl Stnt Plcmt&atherect 3 1 $84,130.00 $47,112.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9797 HCPCS Vascular Emb/occl Proc Use Of Press-gen Cath 3 1 $20,660.00 $11,569.60 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 1 $25,070.00 $14,039.20 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9765 HCPCS Rev Evar Any Ves;iv Lithotripsy & Tl Stent Plcmt 3 1 $63,280.00 $35,436.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
37242 CPT Vascular Embolization Or Occlusion Arterial Rs&i 3 1 $54,280.00 $30,396.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
37184 CPT Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 3 1 $21,310.00 $11,933.60 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
0645T CPT Tcat Impltj C Sins Rdctj Dev 3 1 — — $21,698.00 $67,950.00 $22,798.00 2026-07-17
36906 CPT Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 3 1 $35,640.00 $19,958.40 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
36836 CPT Perq Av Fistula Creation Uxtr Single Access 3 1 $64,790.00 $36,282.40 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
33902 CPT Perq P-art Revsc St 1st Abnor Connj Unilateral 3 1 $64,790.00 $36,282.40 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
0793T CPT Perq Tcat Thrm Abltj Nerves Innervating P-art 3 1 $56,830.00 $31,824.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9766 HCPCS Rev Evar Any Ves);iv Lithotripsy And Atherectomy 3 1 $48,240.00 $27,014.40 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 1 $19,780.00 $11,076.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9607 HCPCS Pc Tl Rev Chrn Tot Occl Ca Ca Br/cabg; 1 Ves 3 1 $48,860.00 $27,361.60 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9602 HCPCS Pc Tl Cor Atherect W/rx Elut Ic Stent; 1 Mca/br 3 1 $49,980.00 $27,988.80 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
36837 CPT Perq Av Fistula Creation Uxtr Sep Access Sites 3 1 $64,790.00 $36,282.40 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 1 $25,070.00 $14,039.20 44% off $21,698.00 $67,950.00 $22,798.00 2026-07-17
22586 CPT Arthrodesis Presacral Intrbdy W/instrument L5-s1 3 1 $13,740.00 $7,694.40 44% off $21,646.00 $67,787.00 $22,743.00 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $22,705.01 $22,705.01 $22,705.01 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 1 1 — — $22,504.66 $22,504.66 $22,504.66 2026-03-31
492 MS_DRG "lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc" 1 1 — — $22,495.47 $22,495.47 $22,495.47 2026-03-31
62362 CPT Impltj/rplcmt Ithcl/edrl Drug Nfs Prgrbl Pump 3 1 $30,840.00 $17,270.40 44% off $21,357.00 $66,881.00 $22,439.00 2026-07-17
62360 CPT Impltj/rplcmt Ithcl/edrl Drug Nfs Subq Rsvr 3 1 $28,430.00 $15,920.80 44% off $21,357.00 $66,881.00 $22,439.00 2026-07-17
62361 CPT Impltj/rplcmt Fs Non-prgrbl Pump 3 1 $32,180.00 $18,020.80 44% off $21,357.00 $66,881.00 $22,439.00 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $22,411.53 $22,411.53 $22,411.53 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $22,231.40 $22,231.40 $22,231.40 2026-03-31
0888T CPT Histotripsy Mal Renal Tissue 3 1 — — $21,147.00 $66,224.00 $22,219.00 2026-07-17
C9782 HCPCS Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra 3 1 — — $21,147.00 $66,224.00 $22,219.00 2026-07-17
0686T CPT Histotripsy Mal Hepatocellular Tiss W/img Gdn 3 1 $86,550.00 $48,468.00 44% off $21,147.00 $66,224.00 $22,219.00 2026-07-17
C9758 HCPCS Bi Proc Nyha Cl Iii/iv Hf;trnscath Impl Ias/pc 3 1 $87,750.00 $49,140.00 44% off $21,147.00 $66,224.00 $22,219.00 2026-07-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $22,214.24 $22,214.24 $22,214.24 2026-03-31
332 MS_DRG Rectal Resection With Mcc 1 1 — — $22,183.62 $22,183.62 $22,183.62 2026-03-31
265 MS_DRG Aicd Lead Procedures 1 1 — — $22,168.29 $22,168.29 $22,168.29 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $22,129.08 $22,129.08 $22,129.08 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $22,095.99 $22,095.99 $22,095.99 2026-03-31
19357 CPT Tissue Expander Placement Breast Reconstruction 3 1 $21,380.00 $11,972.80 44% off $21,024.00 $65,838.00 $22,089.00 2026-07-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $21,951.40 $21,951.40 $21,951.40 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $21,900.55 $21,900.55 $21,900.55 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $21,878.49 $21,878.49 $21,878.49 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $21,846.01 $21,846.01 $21,846.01 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $21,827.64 $21,827.64 $21,827.64 2026-03-31
622 MS_DRG "skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Diso… 1 1 — — $21,806.81 $21,806.81 $21,806.81 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $21,789.04 $21,789.04 $21,789.04 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $21,607.07 $21,607.07 $21,607.07 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $21,562.96 $21,562.96 $21,562.96 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $21,372.42 $21,372.42 $21,372.42 2026-03-31
616 MS_DRG "amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Wit… 1 1 — — $21,366.89 $21,366.89 $21,366.89 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $21,268.87 $21,268.87 $21,268.87 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $21,165.94 $21,165.94 $21,165.94 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $21,067.90 $21,067.90 $21,067.90 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $21,005.41 $21,005.41 $21,005.41 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $20,902.48 $20,902.48 $20,902.48 2026-03-31
984 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Di 1 1 — — $20,898.19 $20,898.19 $20,898.19 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $20,874.91 $20,874.91 $20,874.91 2026-03-31
C9293 HCPCS "glucarpidase 1,000 Unit Recon Soln 1 Each Vial" 3 1 $124,516.04 $69,728.98 44% off $19,803.88 $59,293.06 $20,871.16 2026-07-17
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