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

ALEXIAN BROTHERS MEDICAL CENTER 1

Elk Grove Village, IL · CCN 140258 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $3,381 across 3 payers

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362596381_alexian-brothers-medical-center_standardcharges.csv · observed 2026-01-01

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.

5,495 distinct procedures filed
41 distinct payers
56,817 rate rows
2026-01-01 last MRF observed
Data quality

55,845 of 56,817 rate rows are consumer-grade (98.3%)

972 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
per-diem day rate — not a per-procedure price 510
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 345
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362596381_alexian-brothers-medical-center_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 891677648bcbee74… · 133,059,996 bytes · first seen 2026-05-15

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
215
MS_DRG 		Other Heart Assist System Implant 1 $1,920.00 $152,082.00 $77,001.00 nat. median
$98,002
0.8× median
69930
CPT 		Implant Cochlear Device 1 $71,638.00 $71,638.00 $71,638.00 nat. median
$29,361
outlier · 2.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $64,898.00 $64,898.00 $64,898.00 nat. median
$68,581
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $1,920.00 $101,893.00 $64,698.00 nat. median
$92,900
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $1,920.00 $101,893.00 $64,698.00 nat. median
$60,895
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $1,920.00 $101,893.00 $64,698.00 nat. median
$63,840
1.0× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 1 $62,077.00 $62,077.00 $62,077.00 nat. median
$45,772
1.4× median
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 8 $1,920.00 $117,715.01 $59,412.39 nat. median
$17,225
outlier · 3.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $59,256.00 $59,256.00 $59,256.00 nat. median
$58,419
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $1,920.00 $72,601.00 $59,256.00 nat. median
$74,472
0.8× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $1,920.00 $72,601.00 $59,256.00 nat. median
$48,280
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $1,920.00 $247,010.00 $55,093.52 nat. median
$108,240
0.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 2 $1,920.00 $53,633.00 $53,548.00 nat. median
$57,082
0.9× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 2 $1,920.00 $53,633.00 $47,276.00 nat. median
$41,718
1.1× median
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 2 $1,920.00 $44,693.00 $44,188.00 nat. median
$24,796
1.8× median
269
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 $1,920.00 $44,693.00 $44,188.00 nat. median
$41,285
1.1× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 2 $1,920.00 $50,784.00 $44,188.00 nat. median
$50,808
0.9× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 2 $1,920.00 $44,693.00 $44,188.00 nat. median
$35,053
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $1,920.00 $50,784.00 $44,188.00 nat. median
$65,792
0.7× median
593
MS_DRG 		Skin Ulcers With Cc 8 $594.37 $62,974.22 $40,496.64 nat. median
$12,396
outlier · 3.3×
61798
CPT 		Srs Cranial Lesion Complex 3 $25,254.00 $43,290.00 $35,802.00 nat. median
$3,902
outlier · 9.2×
61797
CPT 		Srs Cran Les Simple Addl 3 $25,254.00 $43,290.00 $35,802.00 nat. median
$1,633
outlier · 21.9×
7
MS_DRG 		Lung Transplant 8 $1,920.00 $58,407.76 $34,421.25 nat. median
$122,690
outlier · 0.3×
6
MS_DRG 		Liver Transplant Without Mcc 8 $1,920.00 $50,296.53 $33,033.53 nat. median
$46,106
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $1,920.00 $247,010.00 $32,926.60 nat. median
$261,939
outlier · 0.1×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 2 $17,113.00 $31,052.00 $28,162.00 nat. median
$17,117
1.6× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 2 $17,113.00 $31,052.00 $28,162.00 nat. median
$27,710
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $1,920.00 $38,126.31 $28,075.66 nat. median
$99,646
outlier · 0.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $1,920.00 $57,853.07 $27,218.63 nat. median
$132,706
outlier · 0.2×
602
MS_DRG 		Cellulitis With Mcc 8 $1,920.00 $45,140.07 $27,159.51 nat. median
$14,706
1.8× median
61800
CPT 		Apply Srs Headframe Add-on 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$1,345
outlier · 18.8×
61799
CPT 		Srs Cran Les Complex Addl 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$2,050
outlier · 12.3×
63620
CPT 		Srs Spinal Lesion 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$3,830
outlier · 6.6×
63621
CPT 		Srs Spinal Lesion Addl 1 $25,254.00 $25,254.00 $25,254.00 nat. median
$2,340
outlier · 10.8×
603
MS_DRG 		Cellulitis Without Mcc 8 $590.00 $50,620.70 $24,633.65 nat. median
$9,525
outlier · 2.6×
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 8 $1,920.00 $31,120.89 $23,023.15 nat. median
$10,806
outlier · 2.1×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 $1,920.00 $60,734.04 $22,865.03 nat. median
$52,447
outlier · 0.4×
265
MS_DRG 		Aicd Lead Procedures 2 $1,920.00 $28,382.00 $22,855.00 nat. median
$34,974
0.7× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$31,420
0.7× median
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$23,104
1.0× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$29,955
0.8× median
33230
CPT 		Insrt Pulse Gen W/dual Leads 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$22,374
1.0× median
33240
CPT 		Insrt Pulse Gen W/singl Lead 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$21,987
1.0× median
33271
CPT 		Insj Subq Impltbl Dfb Elctrd 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$8,498
outlier · 2.7×
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$23,228
1.0× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$31,464
0.7× median
33270
CPT 		Ins/rep Subq Defibrillator 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$31,963
0.7× median
33272
CPT 		Rmvl Of Subq Defibrillator 1 $22,794.00 $22,794.00 $22,794.00 nat. median
$4,265
outlier · 5.3×
630
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 8 $1,920.00 $70,085.59 $21,485.26 nat. median
$15,130
1.4× median
89
MS_DRG 		Concussion With Cc 8 $1,920.00 $21,221.80 $21,221.80 nat. median
$11,549
1.8× median

Other procedures at this hospital

Browse this hospital's 5,495 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
             
215 MS_DRG Other Heart Assist System Implant 2 1 — — $1,920.00 $152,082.00 $77,001.00 2026-01-01
69930 CPT Implant Cochlear Device 1 1 — — $71,638.00 $71,638.00 $71,638.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $64,898.00 $64,898.00 $64,898.00 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $1,920.00 $101,893.00 $64,698.00 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $1,920.00 $101,893.00 $64,698.00 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $1,920.00 $101,893.00 $64,698.00 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $62,077.00 $62,077.00 $62,077.00 2026-01-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 8 8 — — $1,920.00 $117,715.01 $59,412.39 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $1,920.00 $72,601.00 $59,256.00 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $1,920.00 $72,601.00 $59,256.00 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $59,256.00 $59,256.00 $59,256.00 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $1,920.00 $247,010.00 $55,093.52 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 2 — — $1,920.00 $53,633.00 $53,548.00 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 2 — — $1,920.00 $53,633.00 $47,276.00 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 2 — — $1,920.00 $44,693.00 $44,188.00 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 2 — — $1,920.00 $50,784.00 $44,188.00 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $1,920.00 $44,693.00 $44,188.00 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $1,920.00 $50,784.00 $44,188.00 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 3 2 — — $1,920.00 $44,693.00 $44,188.00 2026-01-01
593 MS_DRG Skin Ulcers With Cc 8 8 — — $594.37 $62,974.22 $40,496.64 2026-01-01
61797 CPT Srs Cran Les Simple Addl 3 3 — — $25,254.00 $43,290.00 $35,802.00 2026-01-01
61798 CPT Srs Cranial Lesion Complex 3 3 — — $25,254.00 $43,290.00 $35,802.00 2026-01-01
7 MS_DRG Lung Transplant 8 8 — — $1,920.00 $58,407.76 $34,421.25 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 8 8 — — $1,920.00 $50,296.53 $33,033.53 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $1,920.00 $247,010.00 $32,926.60 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $17,113.00 $31,052.00 $28,162.00 2026-01-01
620 MS_DRG O.r. Procedures For Obesity With Cc 3 2 — — $17,113.00 $31,052.00 $28,162.00 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 8 — — $1,920.00 $38,126.31 $28,075.66 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 8 — — $1,920.00 $57,853.07 $27,218.63 2026-01-01
602 MS_DRG Cellulitis With Mcc 8 8 — — $1,920.00 $45,140.07 $27,159.51 2026-01-01
63621 CPT Srs Spinal Lesion Addl 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61800 CPT Apply Srs Headframe Add-on 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
61799 CPT Srs Cran Les Complex Addl 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
63620 CPT Srs Spinal Lesion 1 1 — — $25,254.00 $25,254.00 $25,254.00 2026-01-01
603 MS_DRG Cellulitis Without Mcc 8 8 — — $590.00 $50,620.70 $24,633.65 2026-01-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 8 8 — — $1,920.00 $31,120.89 $23,023.15 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 8 — — $1,920.00 $60,734.04 $22,865.03 2026-01-01
265 MS_DRG Aicd Lead Procedures 3 2 — — $1,920.00 $28,382.00 $22,855.00 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33240 CPT Insrt Pulse Gen W/singl Lead 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33272 CPT Rmvl Of Subq Defibrillator 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33271 CPT Insj Subq Impltbl Dfb Elctrd 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $22,794.00 $22,794.00 $22,794.00 2026-01-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 8 8 — — $1,920.00 $70,085.59 $21,485.26 2026-01-01
89 MS_DRG Concussion With Cc 8 8 — — $1,920.00 $21,221.80 $21,221.80 2026-01-01
607 MS_DRG Minor Skin Disorders Without Mcc 8 8 — — $1,920.00 $34,671.61 $20,885.73 2026-01-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 8 8 — — $1,920.00 $33,463.04 $20,487.57 2026-01-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
825 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $1,920.00 $38,902.00 $20,411.00 2026-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 8 8 — — $1,920.00 $23,872.64 $19,554.96 2026-01-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 2 1 — — $1,920.00 $36,518.00 $19,219.00 2026-01-01
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 2 1 — — $1,920.00 $36,518.00 $19,219.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $1,920.00 $36,518.00 $19,219.00 2026-01-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 10 9 — — $1,575.19 $31,052.00 $18,891.65 2026-01-01
183 MS_DRG Major Chest Trauma With Mcc 8 8 — — $1,920.00 $26,556.81 $18,655.08 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 3 2 — — $1,920.00 $26,748.00 $18,287.00 2026-01-01
303 MS_DRG Atherosclerosis Without Mcc 8 8 — — $1,920.00 $35,199.32 $17,742.69 2026-01-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 8 8 — — $1,920.00 $28,650.58 $17,599.26 2026-01-01
55875 CPT Transperi Needle Place Pros 1 1 — — $17,486.00 $17,486.00 $17,486.00 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 8 — — $1,920.00 $29,546.10 $17,085.44 2026-01-01
92944 CPT Prq Card Revasc Chronic Addl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92943 CPT Prq Card Revasc Chronic 1vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92929 CPT Prq Card Stent W/angio Addl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92933 CPT Prq Card Stent/ath/angio 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92938 CPT Prq Revasc Byp Graft Addl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92941 CPT Prq Card Revasc Mi 1 Vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92934 CPT Prq Card Stent/ath/angio 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92928 CPT Prq Card Stent W/angio 1 Vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
92937 CPT Prq Revasc Byp Graft 1 Vsl 3 3 — — $7,607.00 $17,154.00 $16,990.00 2026-01-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 8 8 — — $1,920.00 $25,830.32 $16,573.60 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 8 8 — — $1,920.00 $31,329.99 $16,506.55 2026-01-01
92980 CPT Insert Intracoronary Stent 1 1 — — $15,528.00 $15,528.00 $15,528.00 2026-01-01
92981 CPT Insert Intracoronary Stent 1 1 — — $15,528.00 $15,528.00 $15,528.00 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 8 8 — — $1,920.00 $19,864.84 $15,239.26 2026-01-01
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 8 8 — — $1,920.00 $25,354.99 $15,063.09 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 8 — — $1,920.00 $25,825.95 $14,814.31 2026-01-01
43770 CPT Lap Place Gastr Adj Device 5 5 — — $4,414.00 $16,933.00 $14,231.00 2026-01-01
92924 CPT Prq Card Angio/athrect 1 Art 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
92925 CPT Prq Card Angio/athrect Addl 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
92921 CPT Prq Cardiac Angio Addl Art 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
92920 CPT Prq Cardiac Angioplast 1 Art 4 4 — — $6,903.00 $17,154.00 $13,322.00 2026-01-01
81416 CPT Exome Sequence Analysis 10 7 — — $950.00 $53,160.00 $13,200.00 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 8 — — $6,791.56 $26,261.00 $12,983.80 2026-01-01
304 MS_DRG Hypertension With Mcc 8 8 — — $1,920.00 $18,258.30 $12,944.32 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 8 — — $1,920.00 $17,387.78 $12,784.42 2026-01-01
33824 CPT Repair Pda Div 18 Yrs&older 1 1 — — $12,760.20 $12,760.20 $12,760.20 2026-01-01
43774 CPT Lap Rmvl Gastr Adj All Parts 3 3 — — $4,414.00 $14,231.00 $12,663.00 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 7 — — $8,075.92 $17,273.51 $12,408.68 2026-01-01
81545 CPT Oncology Thyroid 4 4 — — $8,424.00 $15,948.00 $12,132.00 2026-01-01
33221 CPT Insert Pulse Gen Mult Leads 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33214 CPT Upgrade Of Pacemaker System 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33208 CPT Insrt Heart Pm Atrial & Vent 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33212 CPT Insert Pulse Gen Sngl Lead 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33229 CPT Remv&replc Pm Gen Mult Leads 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33228 CPT Remv&replc Pm Gen Dual Lead 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33225 CPT L Ventric Pacing Lead Add-on 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33224 CPT Insert Pacing Lead & Connect 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33207 CPT Insert Heart Pm Ventricular 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33206 CPT Insert Heart Pm Atrial 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33213 CPT Insert Pulse Gen Dual Leads 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
33227 CPT Remove&replace Pm Gen Singl 1 1 — — $11,749.00 $11,749.00 $11,749.00 2026-01-01
27487 CPT Revise/replace Knee Joint 1 1 — — $11,494.80 $11,494.80 $11,494.80 2026-01-01
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 2 1 — — $1,920.00 $20,504.00 $11,212.00 2026-01-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 8 8 — — $1,920.00 $17,552.84 $11,185.43 2026-01-01
33968 CPT Remove Aortic Assist Device 1 1 — — $11,119.73 $11,119.73 $11,119.73 2026-01-01
33967 CPT Insert I-aort Percut Device 1 1 — — $11,119.73 $11,119.73 $11,119.73 2026-01-01
33820 CPT Repair Pda By Ligation 1 1 — — $10,844.10 $10,844.10 $10,844.10 2026-01-01
77424 CPT Io Rad Tx Delivery By X-ray 3 3 — — $9,376.47 $12,230.53 $10,803.50 2026-01-01
77425 CPT Io Rad Tx Deliver By Elctrns 3 3 — — $9,376.47 $12,230.53 $10,803.50 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 7 7 — — $6,491.21 $22,929.51 $10,792.62 2026-01-01
181 MS_DRG Respiratory Neoplasms With Cc 8 8 — — $1,920.00 $19,985.85 $10,533.73 2026-01-01
33822 CPT Repair Pda Div<18 Years 1 1 — — $10,143.90 $10,143.90 $10,143.90 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 — — $1,920.00 $18,287.00 $10,103.50 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 — — $1,920.00 $18,287.00 $10,103.50 2026-01-01
92984 CPT Coronary Artery Dilation 2 2 — — $9,654.00 $10,534.00 $10,094.00 2026-01-01
92982 CPT Coronary Artery Dilation 2 2 — — $9,654.00 $10,534.00 $10,094.00 2026-01-01
92995 CPT Coronary Atherectomy 2 2 — — $9,654.00 $10,534.00 $10,094.00 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 9 — — $1,920.00 $72,601.00 $9,909.01 2026-01-01
43775 CPT Lap Sleeve Gastrectomy 4 4 — — $4,414.00 $14,231.00 $9,864.00 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 8 — — $1,920.00 $13,793.81 $9,830.84 2026-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 2 1 — — $1,920.00 $17,597.00 $9,758.50 2026-01-01
30 MS_DRG Spinal Procedures Without Cc/mcc 8 8 — — $1,920.00 $17,600.06 $9,730.06 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 8 — — $6,499.54 $26,261.00 $9,713.40 2026-01-01
58560 CPT Hysteroscopy Resect Septum 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
55540 CPT Revise Hernia & Sperm Veins 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27429 CPT Reconstruction Knee 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47610 CPT Removal Of Gallbladder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49521 CPT Rerepair Ing Hernia Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47620 CPT Removal Of Gallbladder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47600 CPT Cholecystectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27427 CPT Reconstruction Knee 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59136 CPT Treat Ectopic Pregnancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49650 CPT Lap Ing Hernia Repair Init 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27409 CPT Repair Of Knee Ligaments 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58951 CPT Resect Ovarian Malignancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49520 CPT Rerepair Ing Hernia Reduce 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49561 CPT Rpr Ventral Hern Init Block 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49525 CPT Repair Ing Hernia Sliding 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27407 CPT Repair Of Knee Ligament 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
19300 CPT Mastectomy For Gynecomastia 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49507 CPT Prp I/hern Init Block >5 Yr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49505 CPT Prp I/hern Init Reduc >5 Yr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27405 CPT Repair Of Knee Ligament 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49500 CPT Rpr Ing Hernia Init Reduce 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49496 CPT Rpr Ing Hernia Baby Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49495 CPT Rpr Ing Hernia Baby Reduc 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49491 CPT Rpr Hern Preemie Reduc 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58558 CPT Hysteroscopy Biopsy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49565 CPT Rerepair Ventrl Hern Reduce 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
23420 CPT Repair Of Shoulder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47612 CPT Removal Of Gallbladder 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47605 CPT Cholecystectomy W/cholang 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49492 CPT Rpr Ing Hern Premie Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47564 CPT Laparo Cholecystectomy/explr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93511 CPT Left Heart Catheterization 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47563 CPT Laparo Cholecystectomy/graph 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
47562 CPT Laparoscopic Cholecystectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49568 CPT Hernia Repair W/mesh 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
29889 CPT Knee Arthroscopy/surgery 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49566 CPT Rerepair Ventrl Hern Block 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49560 CPT Rpr Ventral Hern Init Reduc 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49651 CPT Lap Ing Hernia Repair Recur 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
49501 CPT Rpr Ing Hernia Init Blocked 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58200 CPT Extensive Hysterectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59525 CPT Remove Uterus After Cesarean 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
36013 CPT Place Catheter In Artery 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
27428 CPT Reconstruction Knee 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93526 CPT Rt & Lt Heart Catheters 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58145 CPT Myomectomy Vag Method 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93510 CPT Left Heart Catheterization 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59140 CPT Treat Ectopic Pregnancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93501 CPT Right Heart Catheterization 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
59135 CPT Treat Ectopic Pregnancy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
0404T OTHER Trnscrv Uterin Fibroid Abltj 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58956 CPT Bso Omentectomy W/tah 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
23412 CPT Repair Rotator Cuff Chronic 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
23410 CPT Repair Rotator Cuff Acute 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58561 CPT Hysteroscopy Remove Myoma 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58559 CPT Hysteroscopy Lysis 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58545 CPT Laparoscopic Myomectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58540 CPT Revision Of Uterus 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58546 CPT Laparo-myomectomy Complex 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58152 CPT Total Hysterectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
58150 CPT Total Hysterectomy 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93527 CPT Rt & Lt Heart Catheters 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
29888 CPT Knee Arthroscopy/surgery 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
29827 CPT Sho Arthrs Srg Rt8tr Cuf Rpr 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
19318 CPT Breast Reduction 1 1 — — $9,654.00 $9,654.00 $9,654.00 2026-01-01
93532 CPT R & L Heart Cath Congenital 16 16 — — $541.42 $10,271.00 $9,543.42 2026-01-01
93528 CPT Rt & Lt Heart Catheters 12 12 — — $8,948.07 $9,654.00 $9,481.50 2026-01-01
93524 CPT Left Heart Catheterization 12 12 — — $8,926.16 $9,654.00 $9,458.28 2026-01-01
312 MS_DRG Syncope And Collapse 8 8 — — $1,920.00 $23,998.42 $9,419.59 2026-01-01
93531 CPT R & L Heart Cath Congenital 16 16 — — $470.58 $10,271.00 $9,269.94 2026-01-01
93533 CPT R & L Heart Cath Congenital 16 16 — — $685.63 $10,271.00 $9,262.20 2026-01-01
27486 CPT Revise/replace Knee Joint 1 1 — — $9,156.60 $9,156.60 $9,156.60 2026-01-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 8 8 — — $1,920.00 $20,609.58 $9,095.83 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 8 — — $1,920.00 $78,232.00 $9,090.86 2026-01-01
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
784 MS_DRG Cesarean Section With Sterilization With Cc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 7 6 — — $1,920.00 $15,007.00 $8,981.00 2026-01-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 8 8 — — $1,920.00 $15,345.20 $8,956.75 2026-01-01
22510 CPT Perq Cervicothoracic Inject 12 12 — — $8,407.54 $8,908.74 $8,908.74 2026-01-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 8 8 — — $1,920.00 $22,553.37 $8,754.80 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 9 — — $1,920.00 $93,616.00 $8,733.17 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 8 — — $1,920.00 $11,430.24 $8,722.26 2026-01-01
711 MS_DRG Testes Procedures With Cc/mcc 8 8 — — $1,920.00 $16,349.43 $8,706.39 2026-01-01
182 MS_DRG Respiratory Neoplasms Without Cc/mcc 8 8 — — $1,920.00 $16,979.90 $8,656.40 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 8 — — $1,920.00 $22,557.34 $8,627.83 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 8 — — $1,920.00 $17,597.00 $8,606.40 2026-01-01
93529 CPT Rt, Lt Heart Catheterization 12 12 — — $8,086.14 $9,654.00 $8,568.18 2026-01-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 1 1 — — $8,500.00 $8,500.00 $8,500.00 2026-01-01
792 MS_DRG Prematurity Without Major Problems 8 8 — — $1,920.00 $18,793.95 $8,365.76 2026-01-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 8 8 — — $1,920.00 $15,946.70 $8,320.93 2026-01-01
0366 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0364 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0790 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0362 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0497 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0368 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0495 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0496 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0365 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0498 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0494 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0367 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0361 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0363 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0492 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0490 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0481 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0493 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0499 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0491 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0360 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
0369 RC — 1 1 — — $8,253.00 $8,253.00 $8,253.00 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 7 — — $4,834.68 $16,656.13 $8,170.35 2026-01-01
22548 CPT Arthrd Ant Toral/xoral C1-c2 1 1 — — $8,121.60 $8,121.60 $8,121.60 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 8 — — $1,920.00 $20,810.74 $8,098.53 2026-01-01
92 MS_DRG Other Disorders Of Nervous System With Cc 8 8 — — $1,920.00 $18,885.60 $8,041.40 2026-01-01
27138 CPT Revise Hip Joint Replacement 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
27137 CPT Revise Hip Joint Replacement 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
27134 CPT Revise Hip Joint Replacement 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
27132 CPT Total Hip Arthroplasty 1 1 — — $7,968.60 $7,968.60 $7,968.60 2026-01-01
93657 CPT Tx L/r Atrial Fib Addl 1 1 — — $7,947.00 $7,947.00 $7,947.00 2026-01-01
93655 CPT Icar Cath Abltj Dscrt Arrhyt 1 1 — — $7,947.00 $7,947.00 $7,947.00 2026-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 8 8 — — $1,920.00 $17,281.05 $7,876.93 2026-01-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 8 — — $1,920.00 $12,367.41 $7,817.22 2026-01-01
180 MS_DRG Respiratory Neoplasms With Mcc 8 8 — — $1,920.00 $14,382.62 $7,814.05 2026-01-01
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 8 5 — — $5,832.00 $34,447.68 $7,776.00 2026-01-01
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 8 8 — — $1,920.00 $15,905.04 $7,663.67 2026-01-01
176 MS_DRG Pulmonary Embolism Without Mcc 8 8 — — $1,920.00 $19,633.92 $7,651.77 2026-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 8 — — $7,038.75 $26,261.00 $7,642.64 2026-01-01
950 MS_DRG Aftercare Without Cc/mcc 8 8 — — $1,920.00 $21,012.70 $7,606.54 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 8 — — $1,920.00 $16,119.70 $7,584.71 2026-01-01
710 MS_DRG Penis Procedures Without Cc/mcc 8 8 — — $1,920.00 $17,331.84 $7,567.06 2026-01-01
93451 CPT Right Heart Cath 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93461 CPT R&l Hrt Art/ventricle Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93459 CPT L Hrt Art/grft Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93458 CPT L Hrt Artery/ventricle Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93460 CPT R&l Hrt Art/ventricle Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93452 CPT Left Hrt Cath W/ventrclgrphy 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93453 CPT R&l Hrt Cath W/ventriclgrphy 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93456 CPT R Hrt Coronary Artery Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
93457 CPT R Hrt Art/grft Angio 6 6 — — $5,623.00 $10,271.00 $7,517.50 2026-01-01
27445 CPT Revision Of Knee Joint 1 1 — — $7,497.00 $7,497.00 $7,497.00 2026-01-01
95965 CPT Meg Spontaneous 12 12 — — $197.34 $7,438.14 $7,438.14 2026-01-01
77301 CPT Radiotherapy Dose Plan Imrt 16 16 — — $1,273.90 $7,582.62 $7,435.67 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 9 — — $1,920.00 $72,117.00 $7,429.57 2026-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 9 8 — — $1,920.00 $17,597.00 $7,417.67 2026-01-01
313 MS_DRG Chest Pain 8 8 — — $1,920.00 $15,188.47 $7,416.28 2026-01-01
93654 CPT Compre Ep Eval Tx Vt 13 13 — — $65.78 $7,947.00 $7,368.48 2026-01-01
93514 CPT Left Heart Catheterization 12 12 — — $3,564.77 $9,654.00 $7,283.34 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 8 — — $1,920.00 $7,247.85 $7,247.85 2026-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 8 8 — — $1,920.00 $13,811.67 $7,220.48 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $1,920.00 $22,870.79 $7,213.93 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 8 8 — — $1,920.00 $12,996.30 $7,201.43 2026-01-01
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 8 5 — — $5,394.75 $31,864.99 $7,193.00 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 8 — — $1,920.00 $17,199.32 $7,186.75 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 8 — — $1,920.00 $18,636.43 $7,054.82 2026-01-01
93653 CPT Compre Ep Eval Tx Svt 13 13 — — $784.30 $7,947.00 $7,051.14 2026-01-01
93656 CPT Compre Ep Eval Abltj Atr Fib 13 13 — — $131.56 $7,947.00 $7,051.14 2026-01-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 8 8 — — $1,920.00 $15,991.94 $7,029.63 2026-01-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 8 8 — — $1,920.00 $23,892.88 $6,994.71 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 8 — — $1,920.00 $16,314.91 $6,989.95 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $1,920.00 $15,083.72 $6,968.72 2026-01-01
93462 CPT L Hrt Cath Trnsptl Puncture 4 4 — — $5,623.00 $10,271.00 $6,929.00 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 8 8 — — $1,920.00 $19,883.09 $6,898.69 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 8 — — $1,920.00 $14,242.17 $6,865.36 2026-01-01
93454 CPT Coronary Artery Angio S&i 5 5 — — $5,623.00 $10,271.00 $6,855.00 2026-01-01
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