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 WHITLEY HOSPITAL

Columbia City, IN · CCN 150101 · Rates published

14,409 distinct procedures filed
26 distinct payers
122,798 rate rows
2026-04-01 last MRF observed
Data quality

82,050 of 122,798 rate rows are consumer-grade (66.8%)

40,748 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 40,255
template filing: same amount across many unrelated codes — excluded 283
placeholder amount (≤ $0.02) — excluded from medians 182
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://parkview.com/-/media/parkview-media/file/price-transparency/351967665_parkview-whitley-hospital_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 · 2026-09-12
Content fingerprint 66ae9aeccd5140e8… · 27,437,407 bytes · first seen 2026-05-13

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 5 $0.02 $6,834,000.00 $4,818,083.34 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $0.02 $6,121,500.00 $4,258,186.67 nat. median
$3,685,267
1.2× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $0.02 $6,121,500.00 $3,916,500.01 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $0.02 $5,480,939.49 $3,839,600.88 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $0.02 $5,268,450.00 $3,738,662.00 nat. median
$3,248,446
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $0.02 $4,897,200.00 $3,404,818.00 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $0.02 $3,965,706.94 $2,834,515.95 nat. median
$2,455,111
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $0.02 $3,847,800.00 $2,687,457.15 nat. median
$2,332,000
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $0.02 $1,541,240.00 $1,044,618.22 nat. median
$813,967
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,156,649.16 $894,945.24 nat. median
$621,313
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $0.02 $1,106,757.66 $772,209.86 nat. median
$599,737
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.02 $1,083,271.32 $756,257.93 nat. median
$579,571
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.02 $1,082,520.90 $755,377.47 nat. median
$574,037
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.02 $1,066,152.96 $731,198.94 nat. median
$562,501
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $0.02 $979,440.00 $677,783.36 nat. median
$513,770
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 $335,681.16 $1,152,030.74 $490,956.39 nat. median
$168,055
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $218,663.42 $747,621.60 $319,244.05 nat. median
$186,516
1.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $0.02 $422,100.00 $297,587.50 nat. median
$286,598
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $167,148.72 $569,588.64 $243,651.16 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $166,181.48 $566,245.89 $242,231.83 nat. median
$145,435
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $109,260.11 $369,527.65 $158,705.16 nat. median
$97,418
1.6× median
7
MS_DRG 		Lung Transplant 19 $102,303.38 $345,485.44 $148,496.83 nat. median
$70,649
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $95,106.58 $320,613.54 $137,936.21 nat. median
$72,715
1.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,901.76 $166,352.64 $136,952.80 nat. median
$108,243
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $89,810.29 $302,309.76 $130,164.41 nat. median
$65,418
2.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $89,709.94 $301,962.95 $130,017.15 nat. median
$2,110
outlier · 61.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $87,412.64 $294,023.57 $126,646.09 nat. median
$2,736
outlier · 46.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 19 $86,277.12 $290,099.24 $124,979.82 nat. median
$74,509
1.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $121,181.71 $121,181.71 $121,181.71 nat. median
$95,583
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 19 $81,926.46 $275,063.52 $118,595.64 nat. median
$69,922
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 19 $79,197.65 $265,632.85 $114,591.38 nat. median
$73,023
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $77,852.93 $260,985.54 $112,618.13 nat. median
$69,822
1.6× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $120,116.70 $109,593.01 nat. median
$92,809
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 $71,884.28 $240,358.11 $103,859.71 nat. median
$2,596
outlier · 40.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 19 $69,181.72 $231,018.14 $99,893.96 nat. median
$2,633
outlier · 37.9×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $126,862.11 $97,712.29 nat. median
$66,211
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $67,409.34 $224,892.87 $97,293.16 nat. median
$60,505
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $67,204.77 $224,185.91 $96,992.98 nat. median
$59,651
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $63,077.98 $209,923.85 $90,937.30 nat. median
$56,428
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $61,607.43 $204,841.69 $88,779.41 nat. median
$55,923
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $61,351.92 $203,958.65 $88,404.48 nat. median
$55,935
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $61,156.62 $203,283.69 $88,117.89 nat. median
$52,327
1.7× median
Q2043
HCPCS 		Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 7 $55,272.32 $111,891.94 $85,826.84 nat. median
$63,499
1.4× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $103,202.56 $84,963.37 nat. median
$68,802
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $58,058.82 $192,577.81 $83,572.17 nat. median
$9,905
outlier · 8.4×
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $107,421.88 $83,425.46 nat. median
$65,477
1.3× median
10
MS_DRG 		Pancreas Transplant 19 $57,727.66 $191,433.32 $83,086.22 nat. median
$23,080
outlier · 3.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 $57,704.50 $191,353.29 $83,052.24 nat. median
$37,013
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 $57,410.39 $190,336.86 $82,620.66 nat. median
$45,605
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 $57,377.97 $190,224.81 $82,573.08 nat. median
$51,518
1.6× median

Other procedures at this hospital

Browse this hospital's 14,409 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 6 5 — — $0.02 $6,834,000.00 $4,818,083.34 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $0.02 $6,121,500.00 $4,258,186.67 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $0.02 $6,121,500.00 $3,916,500.01 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $0.02 $5,480,939.49 $3,839,600.88 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $0.02 $5,268,450.00 $3,738,662.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $0.02 $4,897,200.00 $3,404,818.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $0.02 $3,965,706.94 $2,834,515.95 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 6 — — $0.02 $3,847,800.00 $2,687,457.15 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 6 — — $0.02 $1,541,240.00 $1,044,618.22 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $1,156,649.16 $894,945.24 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 7 — — $0.02 $1,106,757.66 $772,209.86 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 7 — — $0.02 $1,083,271.32 $756,257.93 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 7 — — $0.02 $1,082,520.90 $755,377.47 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 7 — — $0.02 $1,066,152.96 $731,198.94 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 7 — — $0.02 $979,440.00 $677,783.36 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 53 19 — — $335,681.16 $1,152,030.74 $490,956.39 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 19 — — $218,663.42 $747,621.60 $319,244.05 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 5 — — $0.02 $422,100.00 $297,587.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 53 19 — — $167,148.72 $569,588.64 $243,651.16 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 53 19 — — $166,181.48 $566,245.89 $242,231.83 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 53 19 — — $109,260.11 $369,527.65 $158,705.16 2026-04-01
7 MS_DRG Lung Transplant 53 19 — — $102,303.38 $345,485.44 $148,496.83 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 53 19 — — $95,106.58 $320,613.54 $137,936.21 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $110,901.76 $166,352.64 $136,952.80 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 53 19 — — $89,810.29 $302,309.76 $130,164.41 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 53 19 — — $89,709.94 $301,962.95 $130,017.15 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 19 — — $87,412.64 $294,023.57 $126,646.09 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 53 19 — — $86,277.12 $290,099.24 $124,979.82 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $121,181.71 $121,181.71 $121,181.71 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 19 — — $81,926.46 $275,063.52 $118,595.64 2026-04-01
215 MS_DRG Other Heart Assist System Implant 53 19 — — $79,197.65 $265,632.85 $114,591.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 19 — — $77,852.93 $260,985.54 $112,618.13 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $102,820.55 $120,116.70 $109,593.01 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 53 19 — — $71,884.28 $240,358.11 $103,859.71 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 53 19 — — $69,181.72 $231,018.14 $99,893.96 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 7 — — $63,342.28 $126,862.11 $97,712.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 53 19 — — $67,409.34 $224,892.87 $97,293.16 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 19 — — $67,204.77 $224,185.91 $96,992.98 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 53 19 — — $63,077.98 $209,923.85 $90,937.30 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 19 — — $61,607.43 $204,841.69 $88,779.41 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 19 — — $61,351.92 $203,958.65 $88,404.48 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 53 19 — — $61,156.62 $203,283.69 $88,117.89 2026-04-01
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 11 7 $206,606.90 $103,303.45 50% off $55,272.32 $111,891.94 $85,826.84 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $103,202.56 $84,963.37 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 19 — — $58,058.82 $192,577.81 $83,572.17 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 6 — — $56,824.55 $107,421.88 $83,425.46 2026-04-01
10 MS_DRG Pancreas Transplant 53 19 — — $57,727.66 $191,433.32 $83,086.22 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 53 19 — — $57,704.50 $191,353.29 $83,052.24 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 19 — — $57,410.39 $190,336.86 $82,620.66 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 53 19 — — $57,377.97 $190,224.81 $82,573.08 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 53 19 — — $29,900.73 $95,264.47 $80,449.77 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 19 — — $55,690.51 $184,393.00 $80,096.89 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 53 19 — — $55,428.82 $183,488.62 $79,712.89 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 53 19 — — $54,295.61 $179,572.29 $78,050.01 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 53 19 — — $53,951.32 $178,382.45 $77,544.81 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 53 19 — — $53,913.50 $178,251.72 $77,489.30 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 19 — — $53,092.92 $175,415.85 $76,285.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 19 — — $53,092.92 $175,415.85 $76,285.19 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 53 19 — — $52,908.43 $174,778.25 $76,014.46 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 53 19 — — $52,007.58 $171,664.93 $74,692.55 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $40,050.00 $99,825.02 $73,229.02 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 53 19 — — $49,643.12 $163,493.46 $71,222.93 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 53 19 — — $49,588.31 $163,304.04 $71,142.51 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 53 19 — — $49,135.18 $161,738.04 $70,477.58 2026-04-01
J9226 HCPCS Supprelin La Implant 10 7 — — $45,020.65 $91,120.78 $69,904.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 53 19 — — $48,716.02 $160,289.43 $69,862.50 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 53 19 — — $48,702.90 $160,244.07 $69,843.25 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 19 — — $48,367.10 $159,083.58 $69,350.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 19 — — $48,215.80 $158,560.69 $69,128.48 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 53 19 — — $48,109.27 $158,192.54 $68,972.16 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 19 — — $47,637.62 $156,562.51 $68,280.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 53 19 — — $47,608.29 $156,461.13 $68,237.01 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 53 19 — — $46,854.10 $153,854.69 $67,130.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 19 — — $46,570.02 $152,872.94 $66,713.45 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 53 19 — — $46,389.39 $152,248.68 $66,448.39 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 19 — — $46,332.27 $152,051.26 $66,364.57 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 19 — — $45,734.01 $149,983.72 $65,486.69 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 53 19 — — $45,599.70 $149,519.52 $65,289.60 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 53 19 — — $45,303.27 $148,495.08 $64,854.61 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 53 19 — — $40,835.28 $133,053.86 $64,731.39 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 19 — — $37,817.76 $122,625.43 $64,676.23 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 53 19 — — $44,969.79 $147,342.59 $64,365.27 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 53 19 — — $44,714.28 $146,459.55 $63,990.33 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 53 19 — — $44,564.52 $145,942.00 $63,770.57 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 53 19 — — $44,504.31 $145,733.91 $63,682.22 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 53 19 — — $44,437.92 $145,504.48 $63,584.80 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 53 19 — — $44,269.64 $144,922.90 $63,337.86 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 19 — — $43,501.56 $142,268.44 $62,210.78 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 53 19 — — $43,476.86 $142,183.07 $62,174.53 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 53 19 — — $43,200.50 $141,228.00 $61,769.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 19 — — $43,065.41 $140,761.13 $61,570.77 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,338.18 $74,007.27 $60,927.81 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 53 19 — — $42,448.63 $138,629.56 $60,665.71 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $47,919.99 $71,879.98 $59,176.49 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 19 — — $41,242.86 $134,462.46 $58,896.35 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 53 19 — — $40,526.50 $131,986.74 $57,845.16 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 19 — — $40,458.57 $131,751.97 $57,745.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 53 19 — — $40,169.86 $130,754.21 $57,321.83 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 53 19 — — $39,610.21 $128,820.06 $56,500.59 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 53 19 — — $39,421.85 $128,169.12 $56,224.20 2026-04-01
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/Mcc 53 19 — — $11,912.97 $33,099.39 $55,842.76 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 53 19 — — $39,086.06 $127,008.62 $55,731.45 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 19 — — $42,518.11 $138,869.66 $55,671.38 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 53 19 — — $38,627.53 $125,423.95 $55,058.61 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 19 — — $38,553.42 $125,167.84 $54,949.86 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 53 19 — — $38,445.35 $124,794.35 $54,791.27 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 53 19 — — $38,130.40 $123,705.89 $54,329.11 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 53 19 — — $21,203.28 $65,206.37 $54,203.88 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 53 19 — — $37,987.59 $123,212.34 $54,119.55 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 53 19 — — $37,727.44 $122,313.29 $53,737.81 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $40,050.00 $69,902.43 $53,679.59 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $40,050.00 $69,902.43 $53,679.59 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $40,050.00 $69,902.43 $53,679.59 2026-04-01
245 MS_DRG Aicd Generator Procedures 53 19 — — $37,554.53 $121,715.71 $53,484.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 53 19 — — $37,448.77 $121,350.22 $53,328.89 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 53 19 — — $37,433.33 $121,296.86 $53,306.24 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 53 19 — — $37,295.93 $120,821.99 $53,104.61 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 53 19 — — $36,932.34 $119,565.46 $52,571.08 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 53 19 — — $36,922.31 $119,530.78 $52,556.36 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 53 19 — — $36,786.45 $119,061.25 $52,357.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 53 19 — — $36,245.32 $117,191.12 $51,562.94 2026-04-01
33863 HCPCS Ascending Aortic Graft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33864 HCPCS Ascending Aortic Graft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33871 HCPCS Transvrs A-arch Grf Hypthrm 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33475 HCPCS Replacement Pulmonary Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0235T OTHER Trluml Perip Athrc Visceral 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33875 HCPCS Thoracic Aortic Graft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33993 HCPCS Reposition Vad Diff Session 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33390 HCPCS Valvuloplasty Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33979 HCPCS Insert Intracorporeal Device 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33463 HCPCS Valvuloplasty Tricuspid 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0613T OTHER Perq Tcat Intratrl Septl Sht 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33511 HCPCS Cabg Vein Two 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33880 HCPCS Endovasc Taa Repr Incl Subcl 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33840 HCPCS Remove Aorta Constriction 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0570T OTHER Ttvr Perq Ea Addl Prosth 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33602 HCPCS Closure Of Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
22226 HCPCS Revise Extra Spine Segment 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33845 HCPCS Remove Aorta Constriction 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33851 HCPCS Remove Aorta Constriction 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0345T OTHER Transcath Mtral Vlve Repair 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
22632 HCPCS Spine Fusion Extra Segment 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33600 HCPCS Closure Of Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33877 HCPCS Thoracoabdominal Graft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33980 HCPCS Remove Intracorporeal Device 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
43279 HCPCS Lap Myotomy Heller 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33468 HCPCS Revision Of Tricuspid Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
15778 HCPCS Impl Absrb Msh/prsth Dly Cls 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33745 HCPCS Tis Cgen Car Anomal 1st Shnt 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33735 HCPCS Revision Of Heart Chamber 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
43283 HCPCS Lap Esoph Lengthening 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33366 HCPCS Trcath Replace Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32507 HCPCS Wedge Resect Of Lung Diag 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32540 HCPCS Removal Of Lung Lesion 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33464 HCPCS Valvuloplasty Tricuspid 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33746 HCPCS Tis Cgen Car Anomal Ea Addl 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0553T OTHER Perq Tcat Iliac Anast Implt 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33368 HCPCS Replace Aortic Valve W/byp 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32504 HCPCS Resect Apical Lung Tum/chest 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32505 HCPCS Wedge Resect Of Lung Initial 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33507 HCPCS Repair Art Intramural 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33975 HCPCS Implant Ventricular Device 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
51721 HCPCS Ins Trurl Ablt Trnsdc Thr US 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33981 HCPCS Replace Vad Pump Ext 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33886 HCPCS Endovasc Prosth Delayed 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33710 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32501 HCPCS Repair Bronchus Add-on 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33889 HCPCS Artery Transpose/endovas Taa 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34701 HCPCS Evasc Rpr A-ao Ndgft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33405 HCPCS Replacement Aortic Valve Opn 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33976 HCPCS Implant Ventricular Device 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33991 HCPCS Insert Vad Art&vein Access 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33518 HCPCS Cabg Artery-vein Two 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33521 HCPCS Cabg Artery-vein Four 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32486 HCPCS Sleeve Lobectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0544T OTHER Tcat Mv Annulus Rcnstj 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33606 HCPCS Anastomosis/artery-aorta 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33992 HCPCS Remove Vad Different Session 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33363 HCPCS Replace Aortic Valve Open 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33883 HCPCS Insert Endovasc Prosth Taa 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0543T OTHER Ta Mv Rpr W/artif Chord Tend 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33505 HCPCS Repair Artery W/tunnel 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32440 HCPCS Remove Lung Pneumonectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32442 HCPCS Sleeve Pneumonectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32445 HCPCS Removal Of Lung Extrapleural 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33978 HCPCS Remove Ventricular Device 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33517 HCPCS Cabg Artery-vein Single 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32482 HCPCS Bilobectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33548 HCPCS Restore/remodel Ventricle 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32484 HCPCS Segmentectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32491 HCPCS Lung Volume Reduction 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32488 HCPCS Completion Pneumonectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33977 HCPCS Remove Ventricular Device 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33533 HCPCS Cabg Arterial Single 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33430 HCPCS Replacement Of Mitral Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33881 HCPCS Endovasc Taa Repr Without Subcl 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33545 HCPCS Repair Of Heart Damage 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33982 HCPCS Replace Vad Intra Without Bp 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0952T OTHER Tot Impl Amei Rev/rplc Mstdc 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32503 HCPCS Resect Apical Lung Tumor 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33506 HCPCS Repair Artery Translocation 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33692 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33365 HCPCS Replace Aortic Valve Open 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32506 HCPCS Wedge Resect Of Lung Add-on 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33367 HCPCS Replace Aortic Valve W/byp 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33694 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33677 HCPCS Cl Mult Vsd W/rem Pul Band 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0953T OTHER Tot Impl Amei Rev/rplc Without 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33688 HCPCS Repair Heart Septum Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33720 HCPCS Repair Of Heart Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33741 HCPCS Tas Congenital Car Anomal 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0569T OTHER Ttvr Perq Appr 1st Prosth 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
37221 HCPCS Iliac Revasc W/stent 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0951T OTHER Tot Impl Amei 1st Plmt 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33681 HCPCS Repair Heart Septum Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33915 HCPCS Remove Lung Artery Emboli 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33420 HCPCS Revision Of Mitral Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0483T OTHER Tmvi Percutaneous Approach 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33572 HCPCS Open Coronary Endarterectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33406 HCPCS Replacement Aortic Valve Opn 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33676 HCPCS Close Mult Vsd W/resection 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33684 HCPCS Repair Heart Septum Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33891 HCPCS Car-car Bp Grft/endovas Taa 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33425 HCPCS Repair Of Mitral Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33697 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33988 HCPCS Insertion Of Left Heart Vent 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33814 HCPCS Repair Septal Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33813 HCPCS Repair Septal Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33362 HCPCS Replace Aortic Valve Open 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33514 HCPCS Cabg Vein Five 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33471 HCPCS Valvotomy Pulmonary Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33504 HCPCS Coronary Artery Graft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33523 HCPCS Cabg Art-vein Six Or More 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0806T OTHER Tcat S&ivc Prstc Vl Impl Opn 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33853 HCPCS Repair Septal Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33852 HCPCS Repair Septal Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33647 HCPCS Repair Heart Septum Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33310 HCPCS Exploratory Heart Surgery 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32666 HCPCS Thoracoscopy W/wedge Resect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33660 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33426 HCPCS Repair Of Mitral Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33369 HCPCS Replace Aortic Valve W/byp 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33427 HCPCS Repair Of Mitral Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33415 HCPCS Revision Subvalvular Tissue 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33503 HCPCS Coronary Artery Graft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33670 HCPCS Repair Of Heart Chambers 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33983 HCPCS Replace Vad Intra W/bp 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33315 HCPCS Exploratory Heart Surgery 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33340 HCPCS Perq Clsr Tcat L Atr Apndge 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33501 HCPCS Repair Heart Vessel Fistula 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0659T OTHER Tcat Intra-c Nfs Supersat O2 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33665 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33702 HCPCS Repair Of Heart Defects 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33120 HCPCS Removal Of Heart Lesion 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33516 HCPCS Cabg Vein Six Or More 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33416 HCPCS Revise Ventricle Muscle 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33478 HCPCS Revision Of Heart Chamber 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33895 HCPCS Evasc St Rpr Thrc/aa X Crsg 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33460 HCPCS Revision Of Tricuspid Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33641 HCPCS Repair Heart Septum Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33897 HCPCS Perq Trluml Angp Nt/recr Coa 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34831 HCPCS Open Aortoiliac Prosth Repr 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33305 HCPCS Repair Of Heart Wound 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33410 HCPCS Replacement Aortic Valve Opn 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33513 HCPCS Cabg Vein Four 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33534 HCPCS Cabg Arterial Two 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32906 HCPCS Revise & Repair Chest Wall 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33465 HCPCS Replace Tricuspid Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33622 HCPCS Redo Compl Cardiac Anomaly 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33522 HCPCS Cabg Artery-vein Five 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32940 HCPCS Revision Of Lung 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33530 HCPCS Coronary Artery Bypass/reop 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32905 HCPCS Revise & Repair Chest Wall 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33413 HCPCS Replacement Of Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33476 HCPCS Revision Of Heart Chamber 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33995 HCPCS Insj Perq Vad R Hrt Venous 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34832 HCPCS Open Aortofemor Prosth Repr 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33203 HCPCS Insert Epicard Eltrd Endo 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33417 HCPCS Repair Of Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33502 HCPCS Coronary Artery Correction 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33414 HCPCS Repair Of Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33364 HCPCS Replace Aortic Valve Open 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0545T OTHER Tcat Tv Annulus Rcnstj 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33510 HCPCS Cabg Vein Single 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33300 HCPCS Repair Of Heart Wound 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33474 HCPCS Revision Of Pulmonary Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33411 HCPCS Replacement Of Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
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