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

PARKVIEW REGIONAL MEDICAL CENTER

Fort Wayne, IN · CCN 150021 · Rates published

Your selected procedure

You selected 29806 (HCPCS)

Shoulder arthroscopy/surgery

This hospital’s price: $9,788 across 3 payers · range $7,677-$33,555

Source: https://parkview.com/-/media/parkview-media/file/price-transparency/350868085_parkview-regional-medical-center_standardcharges.ashx · observed 2026-04-01

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.

14,513 distinct procedures filed
27 distinct payers
145,711 rate rows
2026-04-01 last MRF observed
Data quality

87,890 of 145,711 rate rows are consumer-grade (60.3%)

57,821 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 56,406
template filing: same amount across many unrelated codes — excluded 1,208
placeholder amount (≤ $0.02) — excluded from medians 179
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.parkview.com/-/media/parkview-media/file/price-transparency/350868085_parkview-regional-medical-center_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch success · 2026-10-12

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 2 $4,505,000.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,897,200.00 $4,418,610.00 nat. median
$2,983,626
1.5× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,984,800.00 $4,141,768.29 nat. median
$3,286,000
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,685,266.67 $3,869,530.00 $3,777,398.33 nat. median
$3,691,450
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,965,706.94 $3,682,665.91 nat. median
$2,467,989
1.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,847,800.00 $3,498,000.00 nat. median
$2,401,960
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,974,693.88 $3,482,285.72 nat. median
$3,324,572
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,541,240.00 $1,155,930.00 nat. median
$813,967
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,156,649.16 $910,434.32 nat. median
$739,658
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,106,757.66 $879,239.34 nat. median
$646,415
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,082,520.90 $853,846.21 nat. median
$621,967
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $1,083,271.32 $848,004.56 nat. median
$637,620
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $1,066,152.96 $803,774.28 nat. median
$607,251
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $979,440.00 $769,932.49 nat. median
$589,091
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $422,100.00 $354,768.75 nat. median
$319,951
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $347,198.75 $1,152,030.74 $347,198.75 nat. median
$360,195
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $202,483.87 $747,621.60 $225,690.77 nat. median
$247,805
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $164,067.36 $630,209.72 $190,173.68 nat. median
$190,274
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $172,199.33 $569,588.64 $172,199.33 nat. median
$197,664
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $139,825.05 $139,825.05 $139,825.05 nat. median
$97,404
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,901.76 $166,352.64 $139,768.84 nat. median
$111,503
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $66,047.57 $369,527.65 $117,366.23 nat. median
$126,240
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $120,116.70 $105,841.78 nat. median
$73,852
1.4× median
7
MS_DRG 		Lung Transplant 14 $104,865.71 $345,485.44 $104,865.71 nat. median
$117,943
0.9× median
33737
HCPCS 		Revision Of Heart Chamber 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,725
outlier · 26.9×
33927
HCPCS 		Impltj Tot Rplcmt Hrt Sys 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$4,493
outlier · 22.3×
50380
HCPCS 		Reimplantation Of Kidney 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,682
outlier · 27.2×
C7534
HCPCS 		Fem/pop Revasc W/arthr & US 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$5,754
outlier · 17.4×
50365
HCPCS 		Transplantation Of Kidney 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$4,206
outlier · 23.8×
33736
HCPCS 		Revision Of Heart Chamber 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,429
outlier · 29.2×
0584T
OTHER 		Perq Islet Cell Transplant 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,667
outlier · 27.3×
33267
HCPCS 		Excl Laa Open Any Method 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,135
outlier · 31.9×
33928
HCPCS 		Rmvl & Rplcmt Tot Hrt Sys 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$4,941
outlier · 20.3×
0586T
OTHER 		Open Islet Cell Transplant 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,714
outlier · 27.0×
33945
HCPCS 		Transplantation Of Heart 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$5,437
outlier · 18.4×
C9606
HCPCS 		Hc Perc D-e Cor Revasc W Ami Sing 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$17,948
outlier · 5.6×
32854
HCPCS 		Lung Transplant With Bypass 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$5,395
outlier · 18.6×
48554
HCPCS 		Transpl Allograft Pancreas 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$4,274
outlier · 23.4×
33268
HCPCS 		Excl Laa Opn Oth Px Any Meth 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$2,078
outlier · 48.2×
47135
HCPCS 		Transplantation Of Liver 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$6,167
outlier · 16.2×
G0342
HCPCS 		Laparoscopy Islet Cell Trans 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,608
outlier · 27.7×
0968T
OTHER 		Insj/rplcmt Epcrnl Nstim Sys 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$10,528
outlier · 9.5×
C7535
HCPCS 		Fem/pop Revasc W/stent & US 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$5,834
outlier · 17.2×
C7539
HCPCS 		Insrt A & V Pm W/l Vent Lead 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$7,195
outlier · 13.9×
32853
HCPCS 		Lung Transplant Double 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$5,132
outlier · 19.5×
33269
HCPCS 		Excl Laa Thrscp Any Method 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$3,591
outlier · 27.9×
93583
HCPCS 		Perq Transcath Septal Reduxn 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$7,043
outlier · 14.2×
33391
HCPCS 		Valvuloplasty Aortic Valve 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$4,160
outlier · 24.1×
0870T
OTHER 		Imp Subq Prtl Ascts Pmp Sys 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$7,756
outlier · 12.9×
0100T
OTHER 		Prosth Retina Receive&Gen 1 $100,125.00 $100,125.00 $100,125.00 nat. median
$5,122
outlier · 19.5×

Other procedures at this hospital

Browse this hospital's 14,513 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,730,250.00 $4,617,625.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 5 5 — — $2,945,740.00 $4,897,200.00 $4,418,610.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,248,445.72 $4,984,800.00 $4,141,768.29 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,685,266.67 $3,869,530.00 $3,777,398.33 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,455,110.60 $3,965,706.94 $3,682,665.91 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $3,847,800.00 $3,498,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,316,462.59 $4,974,693.88 $3,482,285.72 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 6 — — $770,620.00 $1,541,240.00 $1,155,930.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 7 — — $591,726.20 $1,156,649.16 $910,434.32 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 7 — — $565,868.94 $1,106,757.66 $879,239.34 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 7 — — $557,317.93 $1,082,520.90 $853,846.21 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 7 — — $562,538.19 $1,083,271.32 $848,004.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 7 — — $533,230.17 $1,066,152.96 $803,774.28 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 7 — — $489,304.61 $979,440.00 $769,932.49 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $278,250.00 $422,100.00 $354,768.75 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 14 — — $347,198.75 $1,152,030.74 $347,198.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 14 — — $202,483.87 $747,621.60 $225,690.77 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 16 — — $164,067.36 $630,209.72 $190,173.68 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 14 — — $172,199.33 $569,588.64 $172,199.33 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $139,825.05 $139,825.05 $139,825.05 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $110,901.76 $166,352.64 $139,768.84 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 37 15 — — $66,047.57 $369,527.65 $117,366.23 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $102,820.55 $120,116.70 $105,841.78 2026-04-01
7 MS_DRG Lung Transplant 26 14 — — $104,865.71 $345,485.44 $104,865.71 2026-04-01
33737 HCPCS Revision Of Heart Chamber 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0584T OTHER Perq Islet Cell Transplant 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0586T OTHER Open Islet Cell Transplant 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami Sing 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
47135 HCPCS Transplantation Of Liver 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0968T OTHER Insj/rplcmt Epcrnl Nstim Sys 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
32853 HCPCS Lung Transplant Double 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
93583 HCPCS Perq Transcath Septal Reduxn 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
32851 HCPCS Lung Transplant Single 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0873T OTHER Revj Subq Prtl Asct Pmp Sys 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
54438 HCPCS Replantation Of Penis 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0585T OTHER Laps Islet Cell Transplant 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
37231 HCPCS Hc Tib/Per Rev St&At/Pta Init Ves 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0872T OTHER Rplcmt Ndwllg Bldr&prtl Cath 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
37230 HCPCS Hc Tib/Per Revasc W/Stent 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0942T OTHER Cysto Flx Rmv&rplc Urtl Scaf 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
0814T OTHER Prq Njx Biod Osteo Matrl Fem 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
37229 HCPCS Hc Tib/Per Revasc W/Ather Int Ves 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $100,125.00 $100,125.00 $100,125.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 7 — — $63,342.28 $126,862.11 $99,085.64 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 26 14 — — $97,392.75 $320,613.54 $97,392.75 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 14 — — $91,893.23 $302,309.76 $91,893.23 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 14 — — $91,789.03 $301,962.95 $91,789.03 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $107,421.88 $89,498.67 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $80,615.44 $427,339.19 $89,403.58 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 14 — — $83,932.51 $438,014.66 $88,224.48 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 7 — — $55,272.32 $111,891.94 $87,393.20 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $68,801.71 $103,202.56 $86,710.40 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 3 — — $66,550.02 $100,125.00 $84,851.27 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 14 — — $83,706.88 $275,063.52 $83,706.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 15 — — $17,946.47 $368,918.62 $81,304.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $71,986.29 $308,270.95 $79,477.04 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
9396 OTHER Afamelanotide Implant, 1 Mg 1 1 — — $76,025.38 $76,025.38 $76,025.38 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 14 — — $64,502.12 $399,508.09 $75,111.35 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
J9226 HCPCS Supprelin La Implant 9 7 — — $45,020.65 $91,120.78 $71,169.89 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 14 — — $13,387.60 $231,018.14 $70,473.09 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 14 — — $68,542.76 $307,027.24 $68,632.71 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 15 — — $54,322.40 $224,185.91 $68,420.29 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 14 — — $62,326.53 $330,755.30 $67,341.90 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 15 — — $57,701.70 $203,283.69 $65,247.05 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 16 — — $10,891.94 $447,219.95 $64,173.38 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 16 — — $59,526.09 $229,139.75 $63,901.42 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,338.18 $74,007.27 $62,180.61 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 14 — — $54,927.81 $385,481.64 $61,869.56 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $47,919.99 $71,879.98 $60,393.28 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 2 — — $26,742.65 $92,432.69 $59,587.67 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $46,601.62 $100,125.00 $59,417.06 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 3 — — $46,601.62 $100,125.00 $59,417.06 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $46,601.62 $100,125.00 $59,417.06 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 16 — — $31,402.63 $266,553.87 $59,061.21 2026-04-01
10 MS_DRG Pancreas Transplant 26 14 — — $58,579.52 $191,433.32 $58,579.52 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 14 — — $58,555.47 $191,353.29 $58,555.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 14 — — $58,250.07 $190,336.86 $58,250.07 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 14 — — $52,435.84 $192,188.20 $58,216.41 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 15 — — $50,913.20 $260,162.79 $57,766.56 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 15 — — $1,355.14 $203,141.92 $56,464.19 2026-04-01
5378 OTHER Level 8 Urology And Related Services 8 7 — — $18,563.28 $154,652.06 $56,203.05 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 14 — — $52,265.56 $333,437.34 $56,192.46 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 14 — — $49,740.90 $178,382.45 $54,658.27 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 15 — — $51,388.11 $439,487.05 $54,619.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 45 16 — — $23,602.54 $198,478.34 $53,937.34 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $53,766.94 $175,415.85 $53,766.94 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 14 — — $47,422.68 $249,890.43 $53,766.94 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 14 — — $53,575.36 $174,778.25 $53,575.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 15 — — $43,473.28 $172,531.96 $52,639.94 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 14 — — $49,657.33 $161,738.04 $50,898.76 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 17 — — $40,844.72 $220,330.51 $50,819.04 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 16 — — $43,387.13 $222,754.77 $50,507.42 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 16 — — $147.06 $307,997.39 $50,418.93 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 14 — — $37,441.06 $164,752.43 $50,184.76 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 14 — — $50,127.85 $163,304.04 $50,127.85 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 18 — — $3,757.74 $786,429.87 $49,920.24 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $39,537.89 $59,306.84 $49,829.36 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 31 14 — — $47,119.99 $162,188.90 $49,222.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 14 — — $46,533.64 $258,256.08 $49,208.45 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 15 — — $7,801.90 $269,351.14 $48,983.90 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 3 3 — — $46,601.62 $69,902.43 $48,931.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 15 — — $42,936.72 $366,439.29 $48,859.77 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 24 13 — — $4,080.00 $281,930.92 $48,836.76 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 45 17 — — $30,760.96 $148,282.31 $48,759.44 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 26 14 — — $48,592.05 $158,192.54 $48,592.05 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 14 — — $46,125.65 $251,595.84 $48,431.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 14 — — $44,033.43 $156,461.13 $48,071.84 2026-04-01
33982 HCPCS Replace Vad Intra Without Bp 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33417 HCPCS Repair Of Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33420 HCPCS Revision Of Mitral Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33414 HCPCS Repair Of Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33412 HCPCS Replacement Of Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33415 HCPCS Revision Subvalvular Tissue 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33979 HCPCS Insert Intracorporeal Device 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33983 HCPCS Replace Vad Intra W/bp 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33977 HCPCS Remove Ventricular Device 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33405 HCPCS Replacement Aortic Valve Opn 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33427 HCPCS Repair Of Mitral Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33976 HCPCS Implant Ventricular Device 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33410 HCPCS Replacement Aortic Valve Opn 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33978 HCPCS Remove Ventricular Device 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33368 HCPCS Replace Aortic Valve W/byp 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33369 HCPCS Replace Aortic Valve W/byp 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33476 HCPCS Revision Of Heart Chamber 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33988 HCPCS Insertion Of Left Heart Vent 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33363 HCPCS Replace Aortic Valve Open 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33512 HCPCS Cabg Vein Three 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33995 HCPCS Insj Perq Vad R Hrt Venous 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33300 HCPCS Repair Of Heart Wound 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33975 HCPCS Implant Ventricular Device 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33340 HCPCS Hc Laa Closure W/Implant 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33475 HCPCS Replacement Pulmonary Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33426 HCPCS Repair Of Mitral Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
15778 HCPCS Impl Absrb Msh/prsth Dly Cls 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34831 HCPCS Open Aortoiliac Prosth Repr 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34832 HCPCS Open Aortofemor Prosth Repr 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33510 HCPCS Cabg Vein Single 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33989 HCPCS Removal Of Left Heart Vent 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33471 HCPCS Valvotomy Pulmonary Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34830 HCPCS Open Aortic Tube Prosth Repr 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33506 HCPCS Repair Artery Translocation 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33505 HCPCS Repair Artery W/tunnel 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33507 HCPCS Repair Art Intramural 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34717 HCPCS Evasc Rpr A-iliac Ndgft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33460 HCPCS Revision Of Tricuspid Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33503 HCPCS Coronary Artery Graft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33203 HCPCS Insert Epicard Eltrd Endo 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33513 HCPCS Cabg Vein Four 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33993 HCPCS Reposition Vad Diff Session 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33511 HCPCS Cabg Vein Two 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32940 HCPCS Revision Of Lung 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32906 HCPCS Revise & Repair Chest Wall 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33514 HCPCS Cabg Vein Five 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34718 HCPCS Evasc Rpr N/a A-iliac Ndgft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32666 HCPCS Thoracoscopy W/wedge Resect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33910 HCPCS Remove Lung Artery Emboli 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C9751 HCPCS Microwave Bronch, 3d, Ebus 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33430 HCPCS Replacement Of Mitral Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33478 HCPCS Revision Of Heart Chamber 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33468 HCPCS Revision Of Tricuspid Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33474 HCPCS Revision Of Pulmonary Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33120 HCPCS Removal Of Heart Lesion 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
22226 HCPCS Revise Extra Spine Segment 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32540 HCPCS Removal Of Lung Lesion 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33915 HCPCS Remove Lung Artery Emboli 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33465 HCPCS Replace Tricuspid Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33464 HCPCS Valvuloplasty Tricuspid 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32504 HCPCS Resect Apical Lung Tum/chest 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33463 HCPCS Valvuloplasty Tricuspid 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32505 HCPCS Wedge Resect Of Lung Initial 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32501 HCPCS Repair Bronchus Add-on 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32503 HCPCS Resect Apical Lung Tumor 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32506 HCPCS Wedge Resect Of Lung Add-on 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32486 HCPCS Sleeve Lobectomy 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32488 HCPCS Completion Pneumonectomy 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32507 HCPCS Wedge Resect Of Lung Diag 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32482 HCPCS Bilobectomy 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32484 HCPCS Segmentectomy 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32491 HCPCS Lung Volume Reduction 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32440 HCPCS Remove Lung Pneumonectomy 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32480 HCPCS Partial Removal Of Lung 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33897 HCPCS Perq Trluml Angp Nt/recr Coa 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33895 HCPCS Evasc St Rpr Thrc/aa X Crsg 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32442 HCPCS Sleeve Pneumonectomy 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C7515 HCPCS Cath/angio Dial Cir W/embol 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C7530 HCPCS Cath/aplasty Dial Cir W/stnt 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
32445 HCPCS Removal Of Lung Extrapleural 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33315 HCPCS Exploratory Heart Surgery 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33310 HCPCS Exploratory Heart Surgery 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33305 HCPCS Repair Of Heart Wound 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33361 HCPCS Hc Replace Aortic Valve Perq 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33390 HCPCS Valvuloplasty Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33362 HCPCS Hc Replace Aortic Valve Open Fem 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33365 HCPCS Replace Aortic Valve Open 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33364 HCPCS Replace Aortic Valve Open 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33367 HCPCS Replace Aortic Valve W/byp 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33366 HCPCS Trcath Replace Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C7531 HCPCS Angio Fem/pop With US 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33501 HCPCS Repair Heart Vessel Fistula 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33425 HCPCS Repair Of Mitral Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
92941 HCPCS Hc Prq Card Revasc Mi 1 Vsl 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33502 HCPCS Coronary Artery Correction 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33406 HCPCS Replacement Aortic Valve Opn 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
22632 HCPCS Spine Fusion Extra Segment 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33411 HCPCS Replacement Of Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33881 HCPCS Endovasc Taa Repr Without Subcl 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33413 HCPCS Replacement Of Aortic Valve 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33880 HCPCS Endovasc Taa Repr Incl Subcl 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33416 HCPCS Revise Ventricle Muscle 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33980 HCPCS Remove Intracorporeal Device 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33981 HCPCS Replace Vad Pump Ext 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33883 HCPCS Insert Endovasc Prosth Taa 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33875 HCPCS Thoracic Aortic Graft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33877 HCPCS Thoracoabdominal Graft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33884 HCPCS Endovasc Prosth Taa Add-on 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33889 HCPCS Artery Transpose/endovas Taa 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33864 HCPCS Ascending Aortic Graft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33871 HCPCS Transvrs A-arch Grf Hypthrm 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33886 HCPCS Endovasc Prosth Delayed 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33851 HCPCS Remove Aorta Constriction 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33852 HCPCS Repair Septal Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33853 HCPCS Repair Septal Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33814 HCPCS Repair Septal Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33745 HCPCS Tis Cgen Car Anomal 1st Shnt 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33840 HCPCS Remove Aorta Constriction 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33720 HCPCS Repair Of Heart Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33697 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33735 HCPCS Revision Of Heart Chamber 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33684 HCPCS Repair Heart Septum Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33676 HCPCS Close Mult Vsd W/resection 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33688 HCPCS Repair Heart Septum Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
51721 HCPCS Ins Trurl Ablt Trnsdc Thr US 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33641 HCPCS Repair Heart Septum Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33622 HCPCS Redo Compl Cardiac Anomaly 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33647 HCPCS Repair Heart Septum Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33619 HCPCS Repair Single Ventricle 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33617 HCPCS Repair Single Ventricle 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33660 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33665 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
43283 HCPCS Lap Esoph Lengthening 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33615 HCPCS Repair Modified Fontan 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33677 HCPCS Cl Mult Vsd W/rem Pul Band 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33681 HCPCS Repair Heart Septum Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33692 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33694 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33702 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33710 HCPCS Repair Of Heart Defects 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
43279 HCPCS Lap Myotomy Heller 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33741 HCPCS Tas Congenital Car Anomal 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33746 HCPCS Tis Cgen Car Anomal Ea Addl 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33813 HCPCS Repair Septal Defect 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33845 HCPCS Remove Aorta Constriction 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
33608 HCPCS Repair Anomaly W/conduit 1 1 — — $47,628.00 $47,628.00 $47,628.00 2026-04-01
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