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 NOBLE HOSPITAL

Kendallville, IN · CCN 150146 · Rates published

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You selected 93350 (HCPCS)

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This hospital’s price: $694 across 4 payers · range $578-$867

Source: https://parkview.com/-/media/parkview-media/file/price-transparency/352087092_parkview-noble-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.

14,327 distinct procedures filed
23 distinct payers
119,212 rate rows
2026-04-01 last MRF observed
Data quality

80,094 of 119,212 rate rows are consumer-grade (67.2%)

39,118 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 38,625
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://www.parkview.com/-/media/parkview-media/file/price-transparency/352087092_parkview-noble-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 · 2026-10-12

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
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
$2,994,107
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
$3,703,693
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
$2,466,282
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,847,800.00 $3,323,100.00 nat. median
$2,401,960
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $1,541,240.00 $1,098,133.50 nat. median
$809,217
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,156,649.16 $887,589.30 nat. median
$738,272
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,106,757.66 $848,803.42 nat. median
$646,415
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,083,271.32 $843,807.28 nat. median
$640,950
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,082,520.90 $835,976.90 nat. median
$622,245
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,066,152.96 $799,845.26 nat. median
$608,101
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $979,440.00 $733,956.91 nat. median
$591,650
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $422,100.00 $375,637.50 nat. median
$319,951
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $341,657.50 $1,152,030.74 $350,198.94 nat. median
$359,358
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $222,475.37 $747,621.60 $228,037.26 nat. median
$249,124
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $170,007.84 $569,588.64 $174,258.04 nat. median
$198,433
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $169,022.71 $566,245.89 $173,248.28 nat. median
$190,557
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
$97,020
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $111,048.50 $369,527.65 $113,824.71 nat. median
$126,722
0.9× median
7
MS_DRG 		Lung Transplant 12 $103,963.10 $345,485.44 $106,562.18 nat. median
$117,894
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $120,116.70 $105,841.78 nat. median
$75,037
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $96,633.18 $320,613.54 $99,049.01 nat. median
$110,192
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $126,862.11 $97,049.53 nat. median
$68,423
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $91,238.93 $302,309.76 $93,519.90 nat. median
$103,967
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $91,136.72 $301,962.95 $93,415.14 nat. median
$92,655
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $88,796.93 $294,023.57 $91,016.85 nat. median
$93,270
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $87,640.41 $290,099.24 $89,831.42 nat. median
$97,414
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
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $83,209.28 $275,063.52 $85,289.51 nat. median
$94,964
0.9× 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+ 6 $55,272.32 $111,891.94 $85,150.85 nat. median
$65,720
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 12 $80,429.99 $265,632.85 $82,440.74 nat. median
$93,917
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $79,060.40 $260,985.54 $81,036.91 nat. median
$90,581
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $76,782.00 $76,782.00 $76,782.00 nat. median
$51,570
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $72,981.35 $240,358.11 $74,805.89 nat. median
$78,037
1.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $74,614.73 $74,614.73 $74,614.73 nat. median
$1,683
outlier · 44.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $70,228.80 $231,018.14 $71,984.52 nat. median
$78,262
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $68,423.64 $224,892.87 $70,134.23 nat. median
$77,043
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $68,215.30 $224,185.91 $69,920.68 nat. median
$77,696
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $40,050.00 $99,825.02 $69,877.52 nat. median
$12,855
outlier · 5.4×
J9226
HCPCS 		Supprelin La Implant 6 $45,020.65 $91,120.78 $69,350.43 nat. median
$55,159
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $64,012.17 $209,923.85 $65,612.48 nat. median
$74,460
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $62,514.42 $204,841.69 $64,077.28 nat. median
$72,473
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $62,254.18 $203,958.65 $63,810.54 nat. median
$71,758
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $62,055.27 $203,283.69 $63,606.65 nat. median
$68,004
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,338.18 $74,007.27 $62,881.99 nat. median
$50,453
1.2× 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 14,327 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 5 — — $770,620.00 $1,541,240.00 $1,098,133.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 6 — — $591,726.20 $1,156,649.16 $887,589.30 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 6 — — $565,868.94 $1,106,757.66 $848,803.42 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 6 — — $562,538.19 $1,083,271.32 $843,807.28 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 6 — — $557,317.93 $1,082,520.90 $835,976.90 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 6 — — $533,230.17 $1,066,152.96 $799,845.26 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 6 — — $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 16 12 — — $341,657.50 $1,152,030.74 $350,198.94 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 12 — — $222,475.37 $747,621.60 $228,037.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 12 — — $170,007.84 $569,588.64 $174,258.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 12 — — $169,022.71 $566,245.89 $173,248.28 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… 16 12 — — $111,048.50 $369,527.65 $113,824.71 2026-04-01
7 MS_DRG Lung Transplant 16 12 — — $103,963.10 $345,485.44 $106,562.18 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $102,820.55 $120,116.70 $105,841.78 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $96,633.18 $320,613.54 $99,049.01 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 6 — — $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 16 12 — — $91,238.93 $302,309.76 $93,519.90 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 12 — — $91,136.72 $301,962.95 $93,415.14 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $88,796.93 $294,023.57 $91,016.85 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 12 — — $87,640.41 $290,099.24 $89,831.42 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $83,209.28 $275,063.52 $85,289.51 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 6 — — $55,272.32 $111,891.94 $85,150.85 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 12 — — $80,429.99 $265,632.85 $82,440.74 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $79,060.40 $260,985.54 $81,036.91 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $76,782.00 $76,782.00 $76,782.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 12 — — $72,981.35 $240,358.11 $74,805.89 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 12 — — $70,228.80 $231,018.14 $71,984.52 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 12 — — $68,423.64 $224,892.87 $70,134.23 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $68,215.30 $224,185.91 $69,920.68 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 6 — — $45,020.65 $91,120.78 $69,350.43 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 12 — — $64,012.17 $209,923.85 $65,612.48 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $62,514.42 $204,841.69 $64,077.28 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 12 — — $62,254.18 $203,958.65 $63,810.54 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 12 — — $62,055.27 $203,283.69 $63,606.65 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,338.18 $74,007.27 $62,881.99 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… 16 12 — — $58,900.17 $192,577.81 $60,372.68 2026-04-01
10 MS_DRG Pancreas Transplant 16 12 — — $58,562.89 $191,433.32 $60,026.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 12 — — $58,539.30 $191,353.29 $60,002.79 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 12 — — $58,239.75 $190,336.86 $59,695.74 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 12 — — $58,206.73 $190,224.81 $59,661.90 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 12 — — $56,488.06 $184,393.00 $57,900.26 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 12 — — $56,221.53 $183,488.62 $57,627.07 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 12 — — $55,067.36 $179,572.29 $56,444.04 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 12 — — $54,716.70 $178,382.45 $56,084.62 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 12 — — $54,678.18 $178,251.72 $56,045.13 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $53,842.43 $175,415.85 $55,188.49 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $53,842.43 $175,415.85 $55,188.49 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $53,654.52 $174,778.25 $54,995.88 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 12 — — $52,737.01 $171,664.93 $54,055.43 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 12 — — $50,328.82 $163,493.46 $51,587.04 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 12 — — $50,273.00 $163,304.04 $51,529.82 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 12 — — $49,811.48 $161,738.04 $51,056.76 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 12 — — $49,384.57 $160,289.43 $50,619.18 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 12 — — $49,371.20 $160,244.07 $50,605.48 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $49,029.20 $159,083.58 $50,254.93 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 12 — — $48,875.10 $158,560.69 $50,096.98 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 12 — — $48,766.60 $158,192.54 $49,985.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 12 — — $48,286.22 $156,562.51 $49,493.38 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 12 — — $48,256.34 $156,461.13 $49,462.75 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
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $40,050.00 $69,902.43 $48,931.70 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 12 — — $47,488.21 $153,854.69 $48,675.42 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 12 — — $47,198.88 $152,872.94 $48,378.85 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 12 — — $47,014.90 $152,248.68 $48,190.27 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 12 — — $46,956.72 $152,051.26 $48,130.64 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $46,347.40 $149,983.72 $47,506.08 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 12 — — $46,210.60 $149,519.52 $47,365.86 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $45,908.69 $148,495.08 $47,056.40 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 12 — — $45,569.05 $147,342.59 $46,708.28 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 12 — — $45,308.81 $146,459.55 $46,441.53 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 12 — — $45,156.28 $145,942.00 $46,285.18 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 12 — — $45,094.96 $145,733.91 $46,222.33 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 12 — — $45,027.34 $145,504.48 $46,153.02 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 12 — — $44,855.95 $144,922.90 $45,977.35 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $44,073.66 $142,268.44 $45,175.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 12 — — $44,048.50 $142,183.07 $45,149.71 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 12 — — $43,767.03 $141,228.00 $44,861.21 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 12 — — $43,629.45 $140,761.13 $44,720.18 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $52,455.19 $44,569.77 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 12 — — $43,072.02 $138,869.66 $44,148.82 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 12 — — $43,001.26 $138,629.56 $44,076.29 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 6 — — $28,424.06 $56,848.12 $43,518.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 12 — — $40,974.38 $131,751.97 $43,023.10 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $41,773.18 $134,462.46 $42,817.51 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 12 — — $41,358.06 $133,053.86 $42,392.01 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 12 — — $41,043.57 $131,986.74 $42,069.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 12 — — $40,841.51 $131,301.11 $41,862.55 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 12 — — $40,680.34 $130,754.21 $41,697.35 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 12 — — $40,110.33 $128,820.06 $41,113.09 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 12 — — $39,918.49 $128,169.12 $40,916.45 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 12 — — $39,576.49 $127,008.62 $40,565.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 12 — — $38,284.73 $122,625.43 $40,198.97 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 12 — — $39,109.47 $125,423.95 $40,087.21 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
54438 HCPCS Replantation Of Penis 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 4 — — $30,347.28 $45,520.92 $40,050.00 2026-04-01
0585T OTHER Laps Islet Cell Transplant 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
93583 HCPCS Perq Transcath Septal Reduxn 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32853 HCPCS Lung Transplant Double 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32851 HCPCS Lung Transplant Single 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
0942T OTHER Cysto Flx Rmv&rplc Urtl Scaf 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0968T OTHER Insj/rplcmt Epcrnl Nstim Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
0814T OTHER Prq Njx Biod Osteo Matrl Fem 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0586T OTHER Open Islet Cell Transplant 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0584T OTHER Perq Islet Cell Transplant 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
47135 HCPCS Transplantation Of Liver 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0873T OTHER Revj Subq Prtl Asct Pmp Sys 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
0872T OTHER Rplcmt Ndwllg Bldr&prtl Cath 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
69930 HCPCS Implant Cochlear Device 5 4 — — $34,884.84 $52,327.26 $40,050.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 4 — — $33,209.74 $49,814.60 $40,050.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 1 1 — — $40,050.00 $40,050.00 $40,050.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $32,647.76 $48,971.64 $40,050.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 12 — — $39,034.00 $125,167.84 $40,009.85 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 12 — — $38,923.93 $124,794.35 $39,897.03 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 12 — — $38,603.15 $123,705.89 $39,568.23 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 12 — — $38,457.70 $123,212.34 $39,419.14 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $32,647.76 $48,971.64 $39,177.31 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 12 — — $38,192.74 $122,313.29 $39,147.56 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 12 — — $38,016.63 $121,715.71 $38,967.04 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 12 — — $37,908.92 $121,350.22 $38,856.65 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 12 — — $37,893.19 $121,296.86 $38,840.52 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 5 4 — — $28,708.07 $43,062.10 $38,755.89 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 5 4 — — $28,708.07 $43,062.10 $38,755.89 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 12 — — $37,753.25 $120,821.99 $38,697.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 12 — — $37,382.94 $119,565.46 $38,317.51 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 12 — — $37,372.72 $119,530.78 $38,307.04 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 12 — — $37,234.34 $119,061.25 $38,165.20 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 5 5 — — $26,501.06 $54,368.73 $38,058.11 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $29,559.78 $44,339.67 $37,674.23 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 5 4 — — $29,510.19 $44,265.28 $37,611.03 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 12 — — $36,683.20 $117,191.12 $37,600.28 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $29,420.21 $44,130.32 $37,496.34 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 4 — — $27,654.12 $41,481.18 $37,333.06 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 4 — — $27,654.12 $41,481.18 $37,333.06 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 4 — — $27,654.12 $41,481.18 $37,333.06 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 12 — — $36,169.02 $115,446.38 $37,073.24 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 12 — — $35,897.77 $114,525.99 $36,795.21 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 12 — — $35,680.77 $113,789.67 $36,572.79 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 12 — — $35,488.15 $113,136.06 $36,375.35 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 6 — — $24,228.42 $39,976.89 $36,342.63 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 12 — — $35,349.78 $112,666.53 $36,233.52 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 12 — — $35,293.17 $112,474.45 $36,175.50 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 12 — — $35,276.66 $112,418.42 $36,158.57 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 12 — — $35,179.95 $112,090.28 $36,059.45 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 12 — — $35,140.64 $111,956.89 $36,019.15 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 12 — — $35,079.32 $111,748.81 $35,956.31 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $34,951.95 $111,316.62 $35,825.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 12 — — $34,797.85 $110,793.73 $35,667.79 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 12 — — $34,581.64 $110,060.09 $35,446.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 21 13 — — $4,480.34 $111,236.59 $34,928.36 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 12 — — $33,756.11 $107,258.90 $34,600.01 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 12 — — $33,469.93 $106,287.82 $34,306.68 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $31,608.00 $48,971.64 $34,280.15 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $15,154.00 $48,971.64 $34,280.15 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 12 — — $3,997.70 $108,286.00 $34,058.80 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 12 — — $32,902.28 $104,361.67 $33,724.83 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 12 — — $32,763.11 $103,889.47 $33,582.19 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 12 — — $32,578.35 $103,262.53 $33,392.81 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 12 — — $32,532.75 $103,107.80 $33,346.07 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 12 — — $32,503.66 $103,009.09 $33,316.25 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 12 — — $32,331.48 $102,424.85 $33,139.76 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 12 — — $31,731.60 $100,389.31 $32,524.89 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 12 — — $31,602.66 $99,951.79 $32,392.72 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 12 — — $31,532.68 $99,714.36 $32,320.99 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 12 — — $31,529.54 $99,703.69 $32,317.78 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 12 — — $31,446.98 $99,423.57 $32,233.15 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 12 — — $31,281.88 $98,863.33 $32,063.93 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 16 12 — — $31,024.79 $97,990.96 $31,800.41 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 12 — — $31,012.99 $97,950.94 $31,788.32 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 5 4 — — $23,533.93 $40,050.00 $31,770.80 2026-04-01
22630 HCPCS Lumbar Spine Fusion 5 4 — — $28,708.07 $43,062.10 $31,608.00 2026-04-01
33513 HCPCS Cabg Vein Four 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33510 HCPCS Cabg Vein Single 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33511 HCPCS Cabg Vein Two 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
22632 HCPCS Spine Fusion Extra Segment 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33512 HCPCS Cabg Vein Three 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33514 HCPCS Cabg Vein Five 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33503 HCPCS Coronary Artery Graft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33502 HCPCS Coronary Artery Correction 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33504 HCPCS Coronary Artery Graft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33310 HCPCS Exploratory Heart Surgery 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33505 HCPCS Repair Artery W/tunnel 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33517 HCPCS Cabg Artery-vein Single 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33315 HCPCS Exploratory Heart Surgery 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33506 HCPCS Repair Artery Translocation 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 5 4 — — $28,708.07 $43,062.10 $31,608.00 2026-04-01
33366 HCPCS Trcath Replace Aortic Valve 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33507 HCPCS Repair Art Intramural 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33364 HCPCS Replace Aortic Valve Open 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33300 HCPCS Repair Of Heart Wound 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34831 HCPCS Open Aortoiliac Prosth Repr 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33305 HCPCS Repair Of Heart Wound 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33365 HCPCS Replace Aortic Valve Open 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33368 HCPCS Replace Aortic Valve W/byp 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33367 HCPCS Replace Aortic Valve W/byp 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33516 HCPCS Cabg Vein Six Or More 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34832 HCPCS Open Aortofemor Prosth Repr 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
15778 HCPCS Impl Absrb Msh/prsth Dly Cls 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33340 HCPCS Perq Clsr Tcat L Atr Apndge 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33203 HCPCS Insert Epicard Eltrd Endo 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34706 HCPCS Evasc Rpr A-biiliac Rpt 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34701 HCPCS Evasc Rpr A-ao Ndgft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34717 HCPCS Evasc Rpr A-iliac Ndgft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33120 HCPCS Removal Of Heart Lesion 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33476 HCPCS Revision Of Heart Chamber 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33478 HCPCS Revision Of Heart Chamber 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33361 HCPCS Replace Aortic Valve Perq 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32940 HCPCS Revision Of Lung 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
34718 HCPCS Evasc Rpr N/a A-iliac Ndgft 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
51721 HCPCS Ins Trurl Ablt Trnsdc Thr US 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32905 HCPCS Revise & Repair Chest Wall 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
22226 HCPCS Revise Extra Spine Segment 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32906 HCPCS Revise & Repair Chest Wall 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33518 HCPCS Cabg Artery-vein Two 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32666 HCPCS Thoracoscopy W/wedge Resect 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33363 HCPCS Replace Aortic Valve Open 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33995 HCPCS Insj Perq Vad R Hrt Venous 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32507 HCPCS Wedge Resect Of Lung Diag 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33992 HCPCS Remove Vad Different Session 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
33993 HCPCS Reposition Vad Diff Session 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32505 HCPCS Wedge Resect Of Lung Initial 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32506 HCPCS Wedge Resect Of Lung Add-on 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
32540 HCPCS Removal Of Lung Lesion 1 1 — — $31,608.00 $31,608.00 $31,608.00 2026-04-01
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