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

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $18,338 across 4 payers · range $13,583-$50,875

Source: https://parkview.com/-/media/parkview-media/file/price-transparency/351967665_parkview-whitley-hospital_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.

14,358 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 · 2026-08-03
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 2 $4,505,000.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,984,800.00 $4,385,401.72 nat. median
$3,286,000
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $4,897,200.00 $4,197,679.50 nat. median
$2,997,086
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,974,693.88 $3,979,755.11 nat. median
$3,324,572
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,975,110.00 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $3,965,706.94 $3,498,532.62 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,847,800.00 $3,323,100.00 nat. median
$2,405,851
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,541,240.00 $1,098,133.50 nat. median
$809,151
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,156,649.16 $887,589.30 nat. median
$691,418
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,106,757.66 $848,803.42 nat. median
$631,793
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $1,083,271.32 $843,807.28 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,082,520.90 $835,976.90 nat. median
$610,161
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $1,066,152.96 $799,845.26 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $979,440.00 $733,956.91 nat. median
$577,541
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $422,100.00 $375,637.50 nat. median
$302,242
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $335,681.16 $1,152,030.74 $344,073.19 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $218,663.42 $747,621.60 $224,130.01 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $167,148.72 $569,588.64 $171,327.44 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $166,181.48 $566,245.89 $170,336.02 nat. median
$199,832
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,901.76 $166,352.64 $141,345.39 nat. median
$111,503
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $121,181.71 $121,181.71 $121,181.71 nat. median
$97,404
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $109,260.11 $369,527.65 $111,991.61 nat. median
$132,706
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $120,116.70 $105,841.78 nat. median
$75,807
1.4× median
7
MS_DRG 		Lung Transplant 13 $102,303.38 $345,485.44 $104,860.96 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $95,106.58 $320,613.54 $97,484.24 nat. median
$114,305
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $126,862.11 $97,049.53 nat. median
$69,291
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $89,810.29 $302,309.76 $92,055.54 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $89,709.94 $301,962.95 $91,952.69 nat. median
$96,134
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $87,412.64 $294,023.57 $89,597.96 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $86,277.12 $290,099.24 $88,434.05 nat. median
$100,978
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $103,202.56 $87,688.46 nat. median
$70,178
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $107,421.88 $85,236.82 nat. median
$63,643
1.3× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $111,891.94 $85,150.85 nat. median
$65,655
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $81,926.46 $275,063.52 $83,974.62 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 13 $79,197.65 $265,632.85 $81,177.59 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $77,852.93 $260,985.54 $79,799.26 nat. median
$92,900
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $76,782.00 $76,782.00 $76,782.00 nat. median
$52,716
1.5× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $74,614.73 $74,614.73 $74,614.73 nat. median
$4,125
outlier · 18.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $71,884.28 $240,358.11 $73,681.39 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $69,181.72 $231,018.14 $70,911.26 nat. median
$81,364
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $40,050.00 $99,825.02 $69,877.52 nat. median
$13,835
outlier · 5.1×
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $91,120.78 $69,350.43 nat. median
$55,200
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $67,409.34 $224,892.87 $69,094.57 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $67,204.77 $224,185.91 $68,884.89 nat. median
$80,459
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $63,077.98 $209,923.85 $64,654.93 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $61,607.43 $204,841.69 $63,147.62 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $61,351.92 $203,958.65 $62,885.72 nat. median
$73,475
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,338.18 $74,007.27 $62,881.99 nat. median
$50,449
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $61,156.62 $203,283.69 $62,685.54 nat. median
$71,485
0.9× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $47,919.99 $71,879.98 $61,074.49 nat. median
$46,980
1.3× median

Other procedures at this hospital

Browse this hospital's 14,358 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
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $4,984,800.00 $4,385,401.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,945,740.00 $4,897,200.00 $4,197,679.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,316,462.59 $4,974,693.88 $3,979,755.11 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,685,266.67 $4,975,110.00 $3,869,530.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,455,110.60 $3,965,706.94 $3,498,532.62 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — — $2,332,000.00 $3,847,800.00 $3,323,100.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 6 — — $770,620.00 $1,541,240.00 $1,098,133.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $1,156,649.16 $887,589.30 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $565,868.94 $1,106,757.66 $848,803.42 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $562,538.19 $1,083,271.32 $843,807.28 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $557,317.93 $1,082,520.90 $835,976.90 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $533,230.17 $1,066,152.96 $799,845.26 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,304.61 $979,440.00 $733,956.91 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $278,250.00 $422,100.00 $375,637.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 13 — — $335,681.16 $1,152,030.74 $344,073.19 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 13 — — $218,663.42 $747,621.60 $224,130.01 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 13 — — $167,148.72 $569,588.64 $171,327.44 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 13 — — $166,181.48 $566,245.89 $170,336.02 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $110,901.76 $166,352.64 $141,345.39 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 13 — — $109,260.11 $369,527.65 $111,991.61 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 18 13 — — $102,303.38 $345,485.44 $104,860.96 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 13 — — $95,106.58 $320,613.54 $97,484.24 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 7 — — $63,342.28 $126,862.11 $97,049.53 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 13 — — $89,810.29 $302,309.76 $92,055.54 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 13 — — $89,709.94 $301,962.95 $91,952.69 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $87,412.64 $294,023.57 $89,597.96 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 13 — — $86,277.12 $290,099.24 $88,434.05 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $103,202.56 $87,688.46 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 6 — — $56,824.55 $107,421.88 $85,236.82 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 7 — — $55,272.32 $111,891.94 $85,150.85 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 13 — — $81,926.46 $275,063.52 $83,974.62 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 13 — — $79,197.65 $265,632.85 $81,177.59 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $77,852.93 $260,985.54 $79,799.26 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 13 — — $71,884.28 $240,358.11 $73,681.39 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 13 — — $69,181.72 $231,018.14 $70,911.26 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 4 — — $40,050.00 $99,825.02 $69,877.52 2026-04-01
J9226 HCPCS Supprelin La Implant 10 7 — — $45,020.65 $91,120.78 $69,350.43 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 13 — — $67,409.34 $224,892.87 $69,094.57 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $67,204.77 $224,185.91 $68,884.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 13 — — $63,077.98 $209,923.85 $64,654.93 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $61,607.43 $204,841.69 $63,147.62 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 13 — — $61,351.92 $203,958.65 $62,885.72 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,338.18 $74,007.27 $62,881.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 13 — — $61,156.62 $203,283.69 $62,685.54 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $47,919.99 $71,879.98 $61,074.49 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $58,058.82 $192,577.81 $59,510.29 2026-04-01
10 MS_DRG Pancreas Transplant 18 13 — — $57,727.66 $191,433.32 $59,170.85 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 13 — — $57,704.50 $191,353.29 $59,147.12 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 13 — — $57,410.39 $190,336.86 $58,845.65 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 — — $57,377.97 $190,224.81 $58,812.42 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 13 — — $55,690.51 $184,393.00 $57,082.78 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 13 — — $55,428.82 $183,488.62 $56,814.54 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 13 — — $54,295.61 $179,572.29 $55,653.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 13 — — $53,951.32 $178,382.45 $55,300.10 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $53,913.50 $178,251.72 $55,261.34 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $53,092.92 $175,415.85 $54,420.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $53,092.92 $175,415.85 $54,420.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 13 — — $52,908.43 $174,778.25 $54,231.14 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 13 — — $52,007.58 $171,664.93 $53,307.77 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 13 — — $49,643.12 $163,493.46 $50,884.20 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
0543T OTHER Ta Mv Rpr W/artif Chord Tend 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
33512 HCPCS Cabg Vein Three 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
33883 HCPCS Insert Endovasc Prosth Taa 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
33506 HCPCS Repair Artery Translocation 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
33315 HCPCS Exploratory Heart Surgery 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
33364 HCPCS Replace Aortic Valve Open 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
34831 HCPCS Open Aortoiliac Prosth Repr 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
34706 HCPCS Evasc Rpr A-biiliac Rpt 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34718 HCPCS Evasc Rpr N/a A-iliac Ndgft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33361 HCPCS Replace Aortic Valve Perq 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
32940 HCPCS Revision Of Lung 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
32666 HCPCS Thoracoscopy W/wedge Resect 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
33502 HCPCS Coronary Artery Correction 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
32484 HCPCS Segmentectomy 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
33840 HCPCS Remove Aorta Constriction 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34830 HCPCS Open Aortic Tube Prosth Repr 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
32505 HCPCS Wedge Resect Of Lung Initial 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
32506 HCPCS Wedge Resect Of Lung Add-on 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
0569T OTHER Ttvr Perq Appr 1st Prosth 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
33602 HCPCS Closure Of Valve 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
33983 HCPCS Replace Vad Intra W/bp 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
34701 HCPCS Evasc Rpr A-ao Ndgft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34717 HCPCS Evasc Rpr A-iliac Ndgft 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 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
34832 HCPCS Open Aortofemor Prosth Repr 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
33300 HCPCS Repair Of Heart Wound 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
33507 HCPCS Repair Art Intramural 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
33505 HCPCS Repair Artery W/tunnel 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
22632 HCPCS Spine Fusion Extra Segment 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
33511 HCPCS Cabg Vein Two 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
33976 HCPCS Implant Ventricular Device 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
0646T OTHER Ttvi/rplcmt W/prstc Vlv Perq 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 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
C7530 HCPCS Cath/aplasty Dial Cir W/stnt 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
C7531 HCPCS Angio Fem/pop With US 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
0805T OTHER Tcat S&ivc Prstc Vl Impl Prq 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
33813 HCPCS Repair Septal Defect 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
92941 HCPCS Prq Card Revasc Mi 1 Vsl 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
G0448 HCPCS Place Perm Pacing Cardiovert 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
33746 HCPCS Tis Cgen Car Anomal Ea Addl 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
33735 HCPCS Revision Of Heart Chamber 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
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
0659T OTHER Tcat Intra-c Nfs Supersat O2 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
33430 HCPCS Replacement Of Mitral Valve 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
33720 HCPCS Repair Of Heart Defect 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
33886 HCPCS Endovasc Prosth Delayed 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
33692 HCPCS Repair Of Heart Defects 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
33694 HCPCS Repair Of Heart Defects 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
33681 HCPCS Repair Heart Septum Defect 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
32440 HCPCS Remove Lung Pneumonectomy 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
33684 HCPCS Repair Heart Septum Defect 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33884 HCPCS Endovasc Prosth Taa Add-on 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
33745 HCPCS Tis Cgen Car Anomal 1st Shnt 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
33464 HCPCS Valvuloplasty Tricuspid 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33910 HCPCS Remove Lung Artery Emboli 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33990 HCPCS Insert Vad Artery Access 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
33425 HCPCS Repair Of Mitral Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33675 HCPCS Close Mult Vsd 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
33676 HCPCS Close Mult Vsd W/resection 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33989 HCPCS Removal Of Left Heart Vent 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
C7515 HCPCS Cath/angio Dial Cir W/embol 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
C9751 HCPCS Microwave Bronch, 3d, Ebus 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
37228 HCPCS Tib/per Revasc W/tla 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
33975 HCPCS Implant Ventricular Device 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
33474 HCPCS Revision Of Pulmonary Valve 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
33979 HCPCS Insert Intracorporeal Device 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
33982 HCPCS Replace Vad Intra Without Bp 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
32486 HCPCS Sleeve Lobectomy 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
32480 HCPCS Partial Removal Of Lung 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
32504 HCPCS Resect Apical Lung Tum/chest 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
32491 HCPCS Lung Volume Reduction 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
0235T OTHER Trluml Perip Athrc Visceral 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
33889 HCPCS Artery Transpose/endovas Taa 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
33427 HCPCS Repair 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
0951T OTHER Tot Impl Amei 1st Plmt 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
33611 HCPCS Repair Double Ventricle 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
33612 HCPCS Repair Double Ventricle 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
33615 HCPCS Repair Modified Fontan 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
33390 HCPCS Valvuloplasty Aortic Valve 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
33875 HCPCS Thoracic Aortic Graft 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
33120 HCPCS Removal Of Heart Lesion 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 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
33500 HCPCS Repair Heart Vessel Fistula 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
15778 HCPCS Impl Absrb Msh/prsth Dly Cls 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
33545 HCPCS Repair Of Heart Damage 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
33366 HCPCS Trcath Replace Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 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
37225 HCPCS Fem/popl Revas W/ather 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
33877 HCPCS Thoracoabdominal Graft 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
33417 HCPCS Repair Of Aortic Valve 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
22226 HCPCS Revise Extra Spine Segment 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
33503 HCPCS Coronary Artery Graft 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
0398T OTHER Mrgfus Strtctc Les Abltj 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
33880 HCPCS Endovasc Taa Repr Incl Subcl 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
33891 HCPCS Car-car Bp Grft/endovas Taa 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
33852 HCPCS Repair Septal Defect 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
33991 HCPCS Insert Vad Art&vein Access 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
33851 HCPCS Remove Aorta Constriction 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
33414 HCPCS Repair Of Aortic Valve 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
33814 HCPCS Repair Septal Defect 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
33362 HCPCS Replace Aortic Valve Open 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
33420 HCPCS Revision Of Mitral Valve 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
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 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
33519 HCPCS Cabg Artery-vein Three 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
33405 HCPCS Replacement Aortic Valve Opn 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
33410 HCPCS Replacement Aortic Valve Opn 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
33412 HCPCS Replacement Of Aortic Valve 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33619 HCPCS Repair Single Ventricle 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
33530 HCPCS Coronary Artery Bypass/reop 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33610 HCPCS Repair By Enlargement 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33608 HCPCS Repair Anomaly W/conduit 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33617 HCPCS Repair Single Ventricle 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
33548 HCPCS Restore/remodel Ventricle 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33535 HCPCS Cabg Arterial Three 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33536 HCPCS Cabg Arterial Four Or More 1 1 — — $50,875.00 $50,875.00 $50,875.00 2026-04-01
33542 HCPCS Removal Of Heart Lesion 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
33871 HCPCS Transvrs A-arch Grf Hypthrm 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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 13 — — $49,588.31 $163,304.04 $50,828.02 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 4 — — $39,537.89 $59,306.84 $50,391.42 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 13 — — $49,135.18 $161,738.04 $50,363.56 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 13 — — $48,716.02 $160,289.43 $49,933.92 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 13 — — $48,702.90 $160,244.07 $49,920.48 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $48,367.10 $159,083.58 $49,576.28 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 13 — — $48,215.80 $158,560.69 $49,421.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 13 — — $48,109.27 $158,192.54 $49,312.00 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $40,050.00 $69,902.43 $48,931.70 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $40,050.00 $69,902.43 $48,931.70 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $40,050.00 $69,902.43 $48,931.70 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 13 — — $47,637.62 $156,562.51 $48,828.56 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 13 — — $47,608.29 $156,461.13 $48,798.49 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 13 — — $46,854.10 $153,854.69 $48,025.45 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 13 — — $46,570.02 $152,872.94 $47,734.27 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 13 — — $46,389.39 $152,248.68 $47,549.12 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 13 — — $46,332.27 $152,051.26 $47,490.57 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $45,734.01 $149,983.72 $46,877.36 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 13 — — $45,599.70 $149,519.52 $46,739.69 2026-04-01
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