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

HENRY COUNTY HEALTH CENTER

Mount Pleasant, IA · CCN 161356 · Rates published

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You selected 93306 (HCPCS)

ECHOCARDIOGRAM

This hospital’s price: $1,148 across 27 payers · range $184-$2,465

Source: https://www.henrycountyhospital.org/documents/344477047_henry-county-hospital_standardcharges.csv · observed 2026-07-17

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.

34,266 distinct procedures filed
27 distinct payers
372,510 rate rows
2026-07-17 last MRF observed
Data quality

343,394 of 372,510 rate rows are consumer-grade (92.2%)

29,116 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 12,020
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,626
placeholder amount (≤ $0.02) — excluded from medians 3,368
per-diem day rate — not a per-procedure price 1,746
template filing: same amount across many unrelated codes — excluded 968
percent-of-charges filed in the dollar field — excluded from medians 240
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 106
exceeds 10× this hospital's gross charge — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://greatriver.pt.panaceainc.com/MRFDownload/greatriver/henrycounty
Found on page https://www.greatriverhealth.org/patients-visitors/billing-financial-services/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-23
Content fingerprint 901f021bda0731e4… · 58,892,139 bytes · first seen 2026-05-09

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $489,521.37 $489,521.37 $489,521.37 nat. median
$738,272
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $168,757.24 $639,652.08 $216,134.71 nat. median
$359,358
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $126,047.51 $477,766.48 $166,268.82 nat. median
$249,124
0.7× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $148,553.30 $148,553.30 $148,553.30 nat. median
$16,786
outlier · 8.8×
E0766NU
OTHER 		Elec Stim Cancer Treatment 1 $148,553.30 $148,553.30 $148,553.30 nat. median
$185,002
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $106,154.79 $402,365.73 $127,811.38 nat. median
$198,433
0.6× median
E0766UE
OTHER 		Elec Stim Cancer Treatment 1 $111,414.97 $111,414.97 $111,414.97 nat. median
$72,536
1.5× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $104,498.96 $104,498.96 $104,498.96 nat. median
$2,466,282
outlier · 0.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $95,902.12 $363,504.37 $103,754.08 nat. median
$190,557
0.5× median
62362
CPT 		Pm-implant Spine Inf Pump Np 13 $103,215.00 $103,215.00 $103,215.00 nat. median
$16,426
outlier · 6.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $90,140.47 $90,140.47 $90,140.47 nat. median
$111,503
0.8× median
7
MS_DRG 		Lung Transplant 6 $58,480.27 $221,661.75 $83,085.93 nat. median
$117,894
0.7× median
33975
HCPCS 		Implant Ventricular Device 2 $1,722.09 $89,598.47 $81,600.83 nat. median
$3,558
outlier · 22.9×
33979
HCPCS 		Insert Intracorporeal Device 2 $2,571.97 $89,598.47 $81,600.83 nat. median
$4,160
outlier · 19.6×
33982
HCPCS 		Replace Vad Intra Without Bp 2 $2,583.02 $89,598.47 $81,600.83 nat. median
$4,089
outlier · 20.0×
33991
HCPCS 		Insj Perq Vad L Hrt Artl&ven 2 $627.35 $89,598.47 $81,600.83 nat. median
$3,762
outlier · 21.7×
33981
HCPCS 		Replace Vad Pump Ext 2 $1,098.94 $89,598.47 $81,600.83 nat. median
$3,500
outlier · 23.3×
33976
HCPCS 		Implant Ventricular Device 2 $2,098.27 $89,598.47 $81,600.83 nat. median
$3,824
outlier · 21.3×
33995
HCPCS 		Insj Perq Vad R Hrt Venous 2 $484.02 $89,598.47 $81,600.83 nat. median
$3,805
outlier · 21.4×
33983
HCPCS 		Replace Vad Intra W/bp 2 $3,056.17 $89,598.47 $81,600.83 nat. median
$4,386
outlier · 18.6×
33990
HCPCS 		Insj Perq Vad L Hrt Arterial 2 $479.78 $89,598.47 $81,600.83 nat. median
$4,432
outlier · 18.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $47,653.94 $180,625.96 $79,622.92 nat. median
$94,964
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $58,627.93 $222,221.46 $78,525.90 nat. median
$110,192
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $49,310.95 $186,906.67 $75,371.40 nat. median
$103,967
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $63,228.92 $239,660.91 $68,210.46 nat. median
$126,722
0.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $59,299.54 $73,587.03 $61,770.36 nat. median
$63,643
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $43,186.74 $163,693.66 $60,673.72 nat. median
$90,581
0.7× median
8
MS_DRG 		Simultaneous Pancreas/kidney Transplant 6 $24,347.83 $94,030.96 $58,926.73 nat. median
$50,788
1.2× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $57,600.00 $57,600.00 $57,600.00 nat. median
$68,423
0.8× median
75987008010
NDC 		Pegloticase 8 mg/mL Inj 14 $43,776.48 $82,080.90 $56,088.61 nat. median
$39,673
1.4× median
69930
HCPCS 		Implant Cochlear Device 2 $2,010.04 $60,894.09 $55,458.63 nat. median
$29,205
1.9× median
S2235
HCPCS 		Implant Auditory Brain Imp 2 $384.00 $60,894.09 $55,458.63 nat. median
$4,174
outlier · 13.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $43,088.81 $56,171.00 $55,047.58 nat. median
$75,037
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $53,426.66 $53,426.66 $53,426.66 nat. median
$65,720
0.8× median
37227
CPT 		Fem/popl Revasc Stnt&ather-fac 13 $1,669.00 $104,865.00 $53,267.00 nat. median
$18,411
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 6 $47,409.61 $179,699.89 $53,210.43 nat. median
$93,917
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $48,748.02 $184,772.96 $52,438.63 nat. median
$97,414
0.5× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $49,920.00 $49,920.00 $49,920.00 nat. median
$1,036
outlier · 48.2×
J9226
HCPCS 		Supprelin La Implant 2 $44,575.94 $49,754.92 $49,754.92 nat. median
$55,159
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $49,711.58 $49,711.58 $49,711.58 nat. median
$93,270
0.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $36,071.81 $136,725.45 $48,024.47 nat. median
$74,460
0.6× median
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $44,471.25 $48,829.85 $46,650.55 nat. median
$22,425
outlier · 2.1×
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $44,471.25 $48,829.85 $46,650.55 nat. median
$22,408
outlier · 2.1×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $44,471.25 $48,829.85 $46,650.55 nat. median
$22,408
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $37,897.98 $143,647.29 $44,716.96 nat. median
$77,696
0.6× median
61850
HCPCS 		Implant Neuroelectrodes 2 $1,349.63 $48,829.85 $44,471.25 nat. median
$3,245
outlier · 13.7×
64590
HCPCS 		Ins/rpl Prph Sac/gstr Npg/r 2 $231.48 $48,829.85 $44,471.25 nat. median
$17,881
outlier · 2.5×
61860
HCPCS 		Implant Neuroelectrodes 2 $2,132.14 $48,829.85 $44,471.25 nat. median
$3,682
outlier · 12.1×
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 2 $1,228.01 $48,829.85 $44,471.25 nat. median
$28,157
1.6× median
64553
HCPCS 		Implant Neuroelectrodes 2 $524.37 $48,829.85 $44,471.25 nat. median
$11,302
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 34,266 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $489,521.37 $489,521.37 $489,521.37 2025-06-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 6 — — $168,757.24 $639,652.08 $216,134.71 2025-06-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 6 — — $126,047.51 $477,766.48 $166,268.82 2025-06-04
E0766NU OTHER Elec Stim Cancer Treatment 2 1 — — $148,553.30 $148,553.30 $148,553.30 2025-06-04
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $148,553.30 $148,553.30 $148,553.30 2025-06-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 6 — — $106,154.79 $402,365.73 $127,811.38 2025-06-04
E0766UE OTHER Elec Stim Cancer Treatment 2 1 — — $111,414.97 $111,414.97 $111,414.97 2025-06-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $104,498.96 $104,498.96 $104,498.96 2025-06-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 6 — — $95,902.12 $363,504.37 $103,754.08 2025-06-04
62362 CPT Pm-implant Spine Inf Pump Np 13 13 $103,215.00 $77,411.25 25% off $103,215.00 $103,215.00 $103,215.00 2026-07-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $90,140.47 $90,140.47 $90,140.47 2025-06-04
7 MS_DRG Lung Transplant 12 6 — — $58,480.27 $221,661.75 $83,085.93 2025-06-04
33976 HCPCS Implant Ventricular Device 6 2 — — $2,098.27 $89,598.47 $81,600.83 2025-06-04
33982 HCPCS Replace Vad Intra Without Bp 6 2 — — $2,583.02 $89,598.47 $81,600.83 2025-06-04
33991 HCPCS Insj Perq Vad L Hrt Artl&ven 6 2 — — $627.35 $89,598.47 $81,600.83 2025-06-04
33981 HCPCS Replace Vad Pump Ext 6 2 — — $1,098.94 $89,598.47 $81,600.83 2025-06-04
33979 HCPCS Insert Intracorporeal Device 6 2 — — $2,571.97 $89,598.47 $81,600.83 2025-06-04
33990 HCPCS Insj Perq Vad L Hrt Arterial 6 2 — — $479.78 $89,598.47 $81,600.83 2025-06-04
33995 HCPCS Insj Perq Vad R Hrt Venous 6 2 — — $484.02 $89,598.47 $81,600.83 2025-06-04
33983 HCPCS Replace Vad Intra W/bp 6 2 — — $3,056.17 $89,598.47 $81,600.83 2025-06-04
33975 HCPCS Implant Ventricular Device 6 2 — — $1,722.09 $89,598.47 $81,600.83 2025-06-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 6 — — $47,653.94 $180,625.96 $79,622.92 2025-06-04
14 MS_DRG Allogeneic Bone Marrow Transplant 12 6 — — $58,627.93 $222,221.46 $78,525.90 2025-06-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 6 — — $49,310.95 $186,906.67 $75,371.40 2025-06-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 6 — — $63,228.92 $239,660.91 $68,210.46 2025-06-04
A9543 HCPCS Y90 Ibritumomab, Rx 8 3 — — $59,299.54 $73,587.03 $61,770.36 2025-06-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $43,186.74 $163,693.66 $60,673.72 2025-06-04
8 MS_DRG Simultaneous Pancreas/kidney Transplant 12 6 — — $24,347.83 $94,030.96 $58,926.73 2025-06-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $57,600.00 $57,600.00 $57,600.00 2025-06-04
75987008010 NDC Pegloticase 8 mg/mL Inj 36 14 $91,201.00 — $43,776.48 $82,080.90 $56,088.61 2025-06-04
69930 HCPCS Implant Cochlear Device 6 2 — — $2,010.04 $60,894.09 $55,458.63 2025-06-04
S2235 HCPCS Implant Auditory Brain Imp 6 2 — — $384.00 $60,894.09 $55,458.63 2025-06-04
J7330 HCPCS Cultured Chondrocytes Implnt 8 3 — — $43,088.81 $56,171.00 $55,047.58 2025-06-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $53,426.66 $53,426.66 $53,426.66 2025-06-04
37227 CPT Fem/popl Revasc Stnt&ather-fac 26 13 $53,267.00 $39,950.25 25% off $1,669.00 $104,865.00 $53,267.00 2026-07-17
215 MS_DRG Other Heart Assist System Implant 12 6 — — $47,409.61 $179,699.89 $53,210.43 2025-06-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 4 — — $48,748.02 $184,772.96 $52,438.63 2025-06-04
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $49,920.00 $49,920.00 $49,920.00 2025-06-04
J9226 HCPCS Supprelin La Implant 6 2 — — $44,575.94 $49,754.92 $49,754.92 2025-06-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $49,711.58 $49,711.58 $49,711.58 2025-06-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 6 — — $36,071.81 $136,725.45 $48,024.47 2025-06-04
0424T OTHER Insj/rplc Nstim Apnea Compl 4 1 — — $44,471.25 $48,829.85 $46,650.55 2025-06-04
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 4 1 — — $44,471.25 $48,829.85 $46,650.55 2025-06-04
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 4 1 — — $44,471.25 $48,829.85 $46,650.55 2025-06-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $37,897.98 $143,647.29 $44,716.96 2025-06-04
61850 HCPCS Implant Neuroelectrodes 6 2 — — $1,349.63 $48,829.85 $44,471.25 2025-06-04
64590 HCPCS Ins/rpl Prph Sac/gstr Npg/r 6 2 — — $231.48 $48,829.85 $44,471.25 2025-06-04
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 6 2 — — $515.38 $48,829.85 $44,471.25 2025-06-04
61868 HCPCS Implant Neuroelectrde Addl 6 2 — — $672.31 $48,829.85 $44,471.25 2025-06-04
63664 HCPCS Revise Spine Eltrd Plate 6 2 — — $1,219.89 $48,829.85 $44,471.25 2025-06-04
61885 HCPCS Insrt/redo Neurostim 1 Array 6 2 — — $725.02 $48,829.85 $44,471.25 2025-06-04
64575 HCPCS Opn Impltj Nea Perph Nerve 6 2 — — $473.13 $48,829.85 $44,471.25 2025-06-04
61864 HCPCS Implant Neuroelectrde Addl 6 2 — — $381.73 $48,829.85 $44,471.25 2025-06-04
64580 HCPCS Opn Impltj Nea Neuromuscular 6 2 — — $443.17 $48,829.85 $44,471.25 2025-06-04
63655 HCPCS Implant Neuroelectrodes 6 2 — — $1,160.20 $48,829.85 $44,471.25 2025-06-04
61886 HCPCS Implant Neurostim Arrays 6 2 — — $1,199.07 $48,829.85 $44,471.25 2025-06-04
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 6 2 — — $868.83 $48,829.85 $44,471.25 2025-06-04
0268T OTHER Implt/rpl Crtd Sns Dev Gen 6 2 — — $301.56 $48,829.85 $44,471.25 2025-06-04
61867 HCPCS Implant Neuroelectrode 6 2 — — $3,102.70 $48,829.85 $44,471.25 2025-06-04
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 2 — — $1,228.01 $48,829.85 $44,471.25 2025-06-04
64553 HCPCS Implant Neuroelectrodes 6 2 — — $524.37 $48,829.85 $44,471.25 2025-06-04
61860 HCPCS Implant Neuroelectrodes 6 2 — — $2,132.14 $48,829.85 $44,471.25 2025-06-04
64569 HCPCS Revise/repl Vagus N Eltrd 6 2 — — $1,058.47 $48,829.85 $44,471.25 2025-06-04
61863 HCPCS Implant Neuroelectrode 6 2 — — $2,054.66 $48,829.85 $44,471.25 2025-06-04
0520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 6 2 — — $464.94 $48,528.71 $44,196.99 2025-06-04
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 2 — — $500.88 $48,528.71 $44,196.99 2025-06-04
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 6 2 — — $369.00 $48,528.71 $44,196.99 2025-06-04
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 2 — — $550.10 $48,528.71 $44,196.99 2025-06-04
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 2 — — $543.60 $48,528.71 $44,196.99 2025-06-04
33270 HCPCS Ins/rep Subq Defibrillator 6 2 — — $755.35 $48,528.71 $44,196.99 2025-06-04
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 2 — — $520.88 $48,528.71 $44,196.99 2025-06-04
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 6 2 — — $748.73 $48,528.71 $44,196.99 2025-06-04
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 2 — — $513.70 $48,528.71 $44,196.99 2025-06-04
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 2 — — $1,227.31 $48,528.71 $44,196.99 2025-06-04
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 2 — — $442.52 $48,528.71 $44,196.99 2025-06-04
0409T OTHER Insj/rplc Car Modulj Pls Gn 6 2 — — $331.54 $48,528.71 $44,196.99 2025-06-04
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 2 — — $488.66 $48,528.71 $44,196.99 2025-06-04
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 2 — — $536.92 $48,528.71 $44,196.99 2025-06-04
G0448 HCPCS Place Perm Pacing Cardiovert 6 2 — — $40.00 $48,528.71 $44,196.99 2025-06-04
850 MS_DRG Acute Leukemia With Other Procedures 2 1 — — $43,715.57 $43,715.57 $43,715.57 2025-06-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 6 — — $20,616.75 $78,145.06 $43,486.29 2025-06-04
33514 HCPCS Cabg Vein Five 6 2 — — $3,471.05 $47,580.12 $43,333.08 2025-06-04
33512 HCPCS Cabg Vein Three 6 2 — — $3,208.12 $47,580.12 $43,333.08 2025-06-04
33510 HCPCS Cabg Vein Single 6 2 — — $2,563.27 $47,580.12 $43,333.08 2025-06-04
33505 HCPCS Repair Artery W/tunnel 6 2 — — $2,729.56 $47,580.12 $43,333.08 2025-06-04
33519 HCPCS Cabg Artery-vein Three 6 2 — — $720.05 $47,580.12 $43,333.08 2025-06-04
33511 HCPCS Cabg Vein Two 6 2 — — $2,813.61 $47,580.12 $43,333.08 2025-06-04
33503 HCPCS Coronary Artery Graft 6 2 — — $1,761.73 $47,580.12 $43,333.08 2025-06-04
33502 HCPCS Coronary Artery Correction 6 2 — — $1,694.86 $47,580.12 $43,333.08 2025-06-04
33521 HCPCS Cabg Artery-vein Four 6 2 — — $863.91 $47,580.12 $43,333.08 2025-06-04
33504 HCPCS Coronary Artery Graft 6 2 — — $1,945.59 $47,580.12 $43,333.08 2025-06-04
33508 HCPCS Endoscopic Vein Harvest 6 2 — — $21.10 $47,580.12 $43,333.08 2025-06-04
33536 HCPCS Cabg Arterial Four Or More 6 2 — — $3,492.51 $47,580.12 $43,333.08 2025-06-04
33522 HCPCS Cabg Artery-vein Five 6 2 — — $969.56 $47,580.12 $43,333.08 2025-06-04
33509 HCPCS Ndsc Hrv Uxtr Art 1 Sgm Cab 6 2 — — $227.48 $47,580.12 $43,333.08 2025-06-04
33507 HCPCS Repair Art Intramural 6 2 — — $2,280.87 $47,580.12 $43,333.08 2025-06-04
33534 HCPCS Cabg Arterial Two 6 2 — — $2,912.12 $47,580.12 $43,333.08 2025-06-04
35600 HCPCS Open Hrv Uxtr Art 1 Sgm Cab 6 2 — — $338.94 $47,580.12 $43,333.08 2025-06-04
33517 HCPCS Cabg Artery-vein Single 6 2 — — $247.79 $47,580.12 $43,333.08 2025-06-04
33530 HCPCS Coronary Artery Bypass/reop 6 2 — — $694.85 $47,580.12 $43,333.08 2025-06-04
33535 HCPCS Cabg Arterial Three 6 2 — — $3,244.09 $47,580.12 $43,333.08 2025-06-04
33523 HCPCS Cabg Art-vein Six Or More 6 2 — — $1,098.93 $47,580.12 $43,333.08 2025-06-04
33513 HCPCS Cabg Vein Four 6 2 — — $3,292.55 $47,580.12 $43,333.08 2025-06-04
33572 HCPCS Open Coronary Endarterectomy 6 2 — — $304.85 $47,580.12 $43,333.08 2025-06-04
33506 HCPCS Repair Artery Translocation 6 2 — — $2,717.96 $47,580.12 $43,333.08 2025-06-04
33533 HCPCS Cabg Arterial Single 6 2 — — $2,480.49 $47,580.12 $43,333.08 2025-06-04
33516 HCPCS Cabg Vein Six Or More 6 2 — — $3,581.61 $47,580.12 $43,333.08 2025-06-04
33518 HCPCS Cabg Artery-vein Two 6 2 — — $544.31 $47,580.12 $43,333.08 2025-06-04
63650 CPT Bil-implt Neuroelect-epidural 26 13 $43,117.50 $32,338.12 25% off $38,325.00 $47,910.00 $43,117.50 2026-07-17
E0194 HCPCS Air Fluidized Bed 2 1 — — $42,049.58 $42,049.58 $42,049.58 2025-06-04
E0194NU OTHER Air Fluidized Bed 2 1 — — $42,049.58 $42,049.58 $42,049.58 2025-06-04
6 MS_DRG Liver Transplant Without Mcc 12 6 — — $21,699.20 $82,247.96 $42,003.35 2025-06-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 6 — — $37,919.01 $143,727.00 $41,823.25 2025-06-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 6 — — $35,473.08 $134,456.05 $41,493.73 2025-06-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $39,580.77 $39,580.77 $39,580.77 2025-06-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $34,623.77 $131,236.82 $38,380.84 2025-06-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 6 — — $33,400.80 $126,601.34 $37,889.90 2025-06-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 6 — — $31,128.95 $117,990.17 $37,835.44 2025-06-04
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $37,695.71 $37,695.71 $37,695.71 2025-06-04
62365 CPT Pm-rem Spinal Inf Device 13 13 $37,400.00 $28,050.00 25% off $37,400.00 $37,400.00 $37,400.00 2026-07-17
62350 CPT Pm-ip Spinal Canal Cath (p/s 13 13 $37,400.00 $28,050.00 25% off $37,400.00 $37,400.00 $37,400.00 2026-07-17
33881 HCPCS Evasc Rpr Ta Ndgft Xcov Lsa 6 2 — — $2,024.19 $40,983.72 $37,325.48 2025-06-04
34842 HCPCS Endovasc Visc Aorta 2 Graft 6 2 — — $2,260.96 $40,983.72 $37,325.48 2025-06-04
34813 HCPCS Femoral Endovas Graft Add-on 6 2 — — $311.13 $40,983.72 $37,325.48 2025-06-04
34710 HCPCS Dlyd Plmt Xtn Prosth 1st Vsl 6 2 — — $1,052.95 $40,983.72 $37,325.48 2025-06-04
33883 HCPCS Delayed Plmt Prox Xtn Prosth 6 2 — — $1,470.38 $40,983.72 $37,325.48 2025-06-04
34848 HCPCS Visc & Infraren Abd 4+ Prost 6 2 — — $2,863.76 $40,983.72 $37,325.48 2025-06-04
34847 HCPCS Visc & Infraren Abd 3 Prosth 6 2 — — $2,675.41 $40,983.72 $37,325.48 2025-06-04
35840 HCPCS Explore Abdominal Vessels 6 2 — — $1,602.62 $40,983.72 $37,325.48 2025-06-04
34846 HCPCS Visc & Infraren Abd 2 Prosth 6 2 — — $2,526.68 $40,983.72 $37,325.48 2025-06-04
34843 HCPCS Endovasc Visc Aorta 3 Graft 6 2 — — $2,480.10 $40,983.72 $37,325.48 2025-06-04
34706 HCPCS Evasc Rpr A-biiliac Rpt 6 2 — — $3,028.42 $40,983.72 $37,325.48 2025-06-04
34051 HCPCS Removal Of Artery Clot 6 2 — — $1,319.15 $40,983.72 $37,325.48 2025-06-04
34844 HCPCS Endovasc Visc Aorta 4 Graft 6 2 — — $2,744.13 $40,983.72 $37,325.48 2025-06-04
34717 HCPCS Evasc Rpr A-iliac Ndgft 6 2 — — $580.17 $40,983.72 $37,325.48 2025-06-04
34718 HCPCS Evasc Rpr N/a A-iliac Ndgft 6 2 — — $1,619.57 $40,983.72 $37,325.48 2025-06-04
34820 HCPCS Opn Iliac Art Expos 6 2 — — $456.16 $40,983.72 $37,325.48 2025-06-04
34711 HCPCS Dlyd Plmt Xtn Prosth Ea Addl 6 2 — — $391.93 $40,983.72 $37,325.48 2025-06-04
34712 HCPCS Tcat Dlvr Enhncd Fixj Dev 6 2 — — $870.54 $40,983.72 $37,325.48 2025-06-04
34708 HCPCS Evasc Rpr Ilio-iliac Rpt 6 2 — — $2,437.88 $40,983.72 $37,325.48 2025-06-04
34845 HCPCS Visc & Infraren Abd 1 Prosth 6 2 — — $2,373.66 $40,983.72 $37,325.48 2025-06-04
34713 HCPCS Perq Access & Clsr Fem Art 6 2 — — $163.50 $40,983.72 $37,325.48 2025-06-04
0339T OTHER Trnscth Renal Symp Denrv Bil 6 2 — — $1,262.89 $40,983.72 $37,325.48 2025-06-04
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 6 2 — — $3,018.40 $40,983.72 $37,325.48 2025-06-04
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 6 2 — — $1,293.66 $40,983.72 $37,325.48 2025-06-04
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 6 2 — — $2,438.45 $40,983.72 $37,325.48 2025-06-04
34705 HCPCS Evac Rpr A-biiliac Ndgft 6 2 — — $2,014.44 $40,983.72 $37,325.48 2025-06-04
34703 HCPCS Evasc Rpr A-unilac Ndgft 6 2 — — $1,811.07 $40,983.72 $37,325.48 2025-06-04
33895 HCPCS Evasc St Rpr Thrc/aa X Crsg 6 2 — — $1,029.27 $40,983.72 $37,325.48 2025-06-04
34701 HCPCS Evasc Rpr A-ao Ndgft 6 2 — — $1,637.32 $40,983.72 $37,325.48 2025-06-04
34808 HCPCS Endovas Iliac A Device Addon 6 2 — — $260.70 $40,983.72 $37,325.48 2025-06-04
33884 HCPCS Endovasc Prosth Taa Add-on 6 2 — — $516.44 $40,983.72 $37,325.48 2025-06-04
34709 HCPCS Plmt Xtn Prosth Evasc Rpr 6 2 — — $425.58 $40,983.72 $37,325.48 2025-06-04
33886 HCPCS Delayed Plmt Dstl Xtn Prosth 6 2 — — $1,257.27 $40,983.72 $37,325.48 2025-06-04
34707 HCPCS Evasc Rpr Ilio-iliac Ndgft 6 2 — — $1,538.14 $40,983.72 $37,325.48 2025-06-04
0234T OTHER Trluml Perip Athrc Renal Art 6 2 — — $1,952.64 $40,983.72 $37,325.48 2025-06-04
33880 HCPCS Evasc Rpr Ta Ndgft Cov Lsa 6 2 — — $2,362.77 $40,983.72 $37,325.48 2025-06-04
0338T OTHER Trnscth Renal Symp Denrv Unl 6 2 — — $1,100.52 $40,983.72 $37,325.48 2025-06-04
34841 HCPCS Endovasc Visc Aorta 1 Graft 6 2 — — $2,063.97 $40,983.72 $37,325.48 2025-06-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 12 6 — — $34,976.83 $132,575.05 $37,067.77 2025-06-04
10 MS_DRG Pancreas Transplant 12 6 — — $24,050.98 $135,231.17 $36,756.94 2025-06-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 6 — — $27,009.45 $102,375.74 $36,229.83 2025-06-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 6 — — $24,733.56 $93,749.31 $35,816.26 2025-06-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 6 — — $27,335.21 $103,610.52 $35,512.90 2025-06-04
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 12 6 — — $26,807.63 $101,610.80 $35,224.80 2025-06-04
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 12 6 — — $27,460.51 $104,085.43 $35,171.15 2025-06-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $30,555.28 $115,815.75 $35,147.08 2025-06-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $28,897.81 $109,533.35 $34,947.86 2025-06-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 6 — — $28,299.98 $107,267.34 $34,674.28 2025-06-04
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 12 6 — — $24,733.56 $93,749.31 $34,191.86 2025-06-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 6 — — $28,939.43 $109,691.08 $34,019.79 2025-06-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 4 — — $31,623.41 $119,864.38 $34,017.55 2025-06-04
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $33,967.81 $33,967.81 $33,967.81 2025-06-04
J0775 HCPCS Collagen Clos Hist Inj 0.01 Mg 19 15 $33,823.00 $25,367.25 25% off $66.27 $33,823.00 $33,823.00 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $33,706.25 $33,706.25 $33,706.25 2025-06-04
37221 CPT Iliac Stent Artery-fac 26 13 $33,690.50 $25,267.88 25% off $1,151.00 $66,230.00 $33,690.50 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 6 — — $29,836.18 $113,090.10 $33,619.62 2025-06-04
37187 CPT Perc Mechan Thrombect Vn-fac 26 13 $33,574.00 $25,180.50 25% off $918.00 $66,230.00 $33,574.00 2026-07-17
652 MS_DRG Kidney Transplant 12 6 — — $13,743.90 $93,261.48 $33,543.90 2025-06-04
36903 CPT Fistulagram With IV Stent-fac 26 13 $33,482.50 $25,111.88 25% off $735.00 $66,230.00 $33,482.50 2026-07-17
37238 CPT Ven Stent Pl W/wo Angio-pro 26 13 $33,473.50 $25,105.12 25% off $717.00 $66,230.00 $33,473.50 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $27,556.71 $104,450.09 $33,437.39 2025-06-04
37226 CPT Stent Plmt W Ang Fem/popl-fac 26 13 $33,236.00 $24,927.00 25% off $242.00 $66,230.00 $33,236.00 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 6 — — $26,053.63 $98,752.85 $33,116.35 2025-06-04
K0606NU OTHER Aed Garment W Elec Analysis 2 1 — — $32,539.10 $32,539.10 $32,539.10 2025-06-04
K0606 HCPCS Aed Garment W Elec Analysis 2 1 — — $32,539.10 $32,539.10 $32,539.10 2025-06-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 6 — — $26,621.93 $100,906.91 $31,947.48 2025-06-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $31,817.52 $31,817.52 $31,817.52 2025-06-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $25,682.67 $97,346.77 $31,773.80 2025-06-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 6 — — $25,529.18 $96,765.00 $31,770.50 2025-06-04
E0194UE OTHER Air Fluidized Bed 2 1 — — $31,537.19 $31,537.19 $31,537.19 2025-06-04
54405 HCPCS Insert Multi-comp Penis Pros 6 2 — — $1,293.63 $34,354.33 $31,287.84 2025-06-04
54411 HCPCS Remov/replc Penis Pros Comp 6 2 — — $1,649.04 $34,354.33 $31,287.84 2025-06-04
54416 HCPCS Remv/repl Penis Contain Pros 6 2 — — $1,141.84 $34,354.33 $31,287.84 2025-06-04
54417 HCPCS Remv/replc Penis Pros Compl 6 2 — — $1,436.49 $34,354.33 $31,287.84 2025-06-04
54400 HCPCS Insert Semi-rigid Prosthesis 6 2 — — $850.28 $34,354.33 $31,287.84 2025-06-04
54401 HCPCS Insert Self-contd Prosthesis 6 2 — — $1,055.41 $34,354.33 $31,287.84 2025-06-04
54410 HCPCS Remove/replace Penis Prosth 6 2 — — $1,378.91 $34,354.33 $31,287.84 2025-06-04
27295 HCPCS Amputation Of Leg At Hip 6 2 — — $1,976.21 $34,269.73 $31,210.78 2025-06-04
27279 HCPCS Arthrd Si Jt Plmt Tartclr Dv 6 2 — — $1,349.25 $34,269.73 $31,210.78 2025-06-04
27280 HCPCS Arthr Si Jt Opn B1grf Instrm 6 2 — — $2,112.49 $34,269.73 $31,210.78 2025-06-04
27282 HCPCS Arthrodesis Symphysis Pubis 6 2 — — $1,363.38 $34,269.73 $31,210.78 2025-06-04
27284 HCPCS Arthrodesis Hip Joint 6 2 — — $2,540.39 $34,269.73 $31,210.78 2025-06-04
27077 HCPCS Resect Hip Tum W/innom Bone 6 2 — — $4,446.83 $34,269.73 $31,210.78 2025-06-04
27286 HCPCS Arthrd Hip Jt Sbtrchc Osteot 6 2 — — $2,600.43 $34,269.73 $31,210.78 2025-06-04
27290 HCPCS Amputation Of Leg At Hip 6 2 — — $2,571.90 $34,269.73 $31,210.78 2025-06-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 6 — — $21,592.45 $113,281.76 $30,790.91 2025-06-04
J3241 HCPCS Teprotumumab Trbw 500 Mg Inj 42 14 $52,919.00 — $328.00 $47,627.10 $30,523.68 2025-06-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 6 — — $24,142.89 $91,510.44 $29,989.12 2025-06-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 4 — — $27,718.70 $105,064.09 $29,817.22 2025-06-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 6 — — $22,299.27 $84,522.45 $29,728.58 2025-06-04
S2060 HCPCS Lobar Lung Transplantation 4 1 — — $28,293.83 $31,066.89 $29,680.36 2025-06-04
S2061 HCPCS Donor Lobectomy (lung) 4 1 — — $28,293.83 $31,066.89 $29,680.36 2025-06-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $29,357.90 $29,357.90 $29,357.90 2025-06-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 6 — — $26,330.62 $99,802.74 $29,226.69 2025-06-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 12 6 — — $23,806.83 $90,236.66 $28,815.15 2025-06-04
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 12 6 — — $21,052.59 $79,797.08 $28,806.31 2025-06-04
93620 HCPCS Comp Ep Evl R At Ven Pac&rec 6 2 — — $1,045.45 $31,616.11 $28,794.03 2025-06-04
93613 HCPCS Intracardiac Ephys 3d Mapg 6 2 — — $369.49 $31,616.11 $28,794.03 2025-06-04
93609 HCPCS Intra-vntr Mapg Tchycar Site 6 2 — — $481.08 $31,616.11 $28,794.03 2025-06-04
93619 HCPCS Comprehensive Ep Evaluation 6 2 — — $853.65 $31,616.11 $28,794.03 2025-06-04
93655 HCPCS Icar Cath Abltj Dscrt Arrhyt 6 2 — — $530.34 $31,616.11 $28,794.03 2025-06-04
93656 HCPCS Compre Ep Eval Abltj Atr Fib 6 2 — — $1,398.77 $31,616.11 $28,794.03 2025-06-04
93623 HCPCS Prgrmd Stimj&pacg IV Rx Nfs 6 2 — — $212.09 $31,616.11 $28,794.03 2025-06-04
93657 HCPCS Tx L/r Atrial Fib Addl 6 2 — — $529.91 $31,616.11 $28,794.03 2025-06-04
93621 HCPCS Comp Ep Evl L Pac&rec C Sins 6 2 — — $194.79 $31,616.11 $28,794.03 2025-06-04
93654 HCPCS Compre Ep Eval Tx Vt 6 2 — — $1,394.17 $31,616.11 $28,794.03 2025-06-04
93624 HCPCS Ep F-up Study Pacg&rec 6 2 — — $383.34 $31,616.11 $28,794.03 2025-06-04
93622 HCPCS Comp Ep Eval L Ventr Pac&rec 6 2 — — $286.30 $31,616.11 $28,794.03 2025-06-04
93650 HCPCS Icar Cath Abltj Av Node Func 6 2 — — $736.80 $31,616.11 $28,794.03 2025-06-04
0745T OTHER Car Ablt Rad Arr N-invas Loc 6 2 — — $225.01 $31,616.11 $28,794.03 2025-06-04
0746T OTHER Car Ablt Rad Arr Cnv Loc Map 6 2 — — $201.58 $31,616.11 $28,794.03 2025-06-04
0747T OTHER Car Ablt Rad Arrhyt Dlvr Rad 6 2 — — $890.42 $31,616.11 $28,794.03 2025-06-04
93653 HCPCS Compre Ep Eval Tx Svt 6 2 — — $1,041.77 $31,616.11 $28,794.03 2025-06-04
62360 HCPCS Insert Spine Infusion Device 6 2 — — $453.12 $31,515.73 $28,702.61 2025-06-04
62361 HCPCS Implant Spine Infusion Pump 6 2 — — $594.59 $31,515.73 $28,702.61 2025-06-04
62362 HCPCS Implant Spine Infusion Pump 6 2 — — $546.45 $31,515.73 $28,702.61 2025-06-04
J9266 HCPCS Pegaspargase Injection 6 2 — — $25,781.46 $28,700.12 $28,700.12 2025-06-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $23,701.67 $89,838.07 $28,645.80 2025-06-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 6 — — $21,369.41 $80,997.92 $28,398.88 2025-06-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 6 — — $22,969.15 $87,061.53 $28,305.73 2025-06-04
32854 HCPCS Lung Transplant With Bypass 6 2 — — $6,947.54 $31,066.89 $28,293.83 2025-06-04
32852 HCPCS Lung Transplant With Bypass 6 2 — — $5,134.80 $31,066.89 $28,293.83 2025-06-04
28 MS_DRG Spinal Procedures With Mcc 12 6 — — $24,605.30 $103,115.25 $28,027.57 2025-06-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 6 — — $19,322.19 $73,238.20 $28,002.03 2025-06-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 6 — — $26,225.72 $102,375.74 $27,828.09 2025-06-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 6 — — $25,557.08 $100,830.59 $27,406.58 2025-06-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 6 — — $22,539.12 $85,431.57 $27,235.37 2025-06-04
245 MS_DRG Aicd Generator Procedures 12 6 — — $21,867.45 $82,885.70 $26,869.34 2025-06-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 6 — — $24,292.35 $92,076.94 $26,849.75 2025-06-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $26,120.00 $26,120.00 $26,120.00 2025-06-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $25,960.55 $25,960.55 $25,960.55 2025-06-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 1 — — $25,737.78 $25,737.78 $25,737.78 2025-06-04
653 MS_DRG Major Bladder Procedures With Mcc 12 6 — — $22,350.15 $94,551.57 $25,699.90 2025-06-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 6 — — $17,104.48 $64,832.26 $25,485.33 2025-06-04
471 MS_DRG Cervical Spinal Fusion With Mcc 12 6 — — $21,735.45 $82,385.35 $25,411.88 2025-06-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 6 — — $21,272.75 $80,631.56 $25,385.81 2025-06-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 6 — — $20,939.83 $79,369.65 $25,268.03 2025-06-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 6 — — $19,656.90 $74,506.90 $25,068.06 2025-06-04
901 MS_DRG Wound Debridements For Injuries With Mcc 12 6 — — $19,825.60 $75,146.33 $24,981.96 2025-06-04
61635 HCPCS Intracran Angioplsty W/stent 6 2 — — $2,026.45 $27,429.55 $24,981.16 2025-06-04
61623 HCPCS Evasc Temp Balo Artl Occ H/n 6 2 — — $790.17 $27,429.55 $24,981.16 2025-06-04
61645 HCPCS Perq Art M-thrombect &/nfs 6 2 — — $1,168.48 $27,429.55 $24,981.16 2025-06-04
37218 HCPCS Stent Placemt Ante Carotid 6 2 — — $1,087.12 $27,429.55 $24,981.16 2025-06-04
37217 HCPCS Stent Placemt Retro Carotid 6 2 — — $1,416.81 $27,429.55 $24,981.16 2025-06-04
37215 HCPCS Transcath Stent Cca W/eps 6 2 — — $1,314.38 $27,429.55 $24,981.16 2025-06-04
61650 HCPCS Evasc Prlng Admn Rx Agnt 1st 6 2 — — $789.67 $27,429.55 $24,981.16 2025-06-04
61651 HCPCS Evasc Prlng Admn Rx Agnt Add 6 2 — — $337.72 $27,429.55 $24,981.16 2025-06-04
61624 HCPCS Tcat Perm Occls/embolj Cns 6 2 — — $1,592.90 $27,429.55 $24,981.16 2025-06-04
61626 HCPCS Tcat Perm Occls/embol Noncns 6 2 — — $1,251.74 $27,429.55 $24,981.16 2025-06-04
61630 HCPCS Balo Angioplasty Icr Perq 6 2 — — $1,898.44 $27,429.55 $24,981.16 2025-06-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 6 — — $22,269.72 $91,607.12 $24,899.57 2025-06-04
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 12 6 — — $23,452.13 $91,520.62 $24,881.11 2025-06-04
163 MS_DRG Major Chest Procedures With Mcc 12 6 — — $20,625.25 $78,177.29 $24,795.01 2025-06-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 6 — — $15,797.83 $59,879.61 $24,770.96 2025-06-04
J9600 HCPCS Porfimer Sodium Injection 8 3 — — $21,412.80 $25,930.50 $24,716.28 2025-06-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 6 — — $20,550.97 $77,895.73 $24,630.21 2025-06-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $24,440.08 $24,440.08 $24,440.08 2025-06-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 6 — — $22,379.82 $84,827.75 $24,421.76 2025-06-04
K0606UE OTHER Aed Garment W Elec Analysis 2 1 — — $24,404.33 $24,404.33 $24,404.33 2025-06-04
90288 HCPCS Botulism Ig IV 4 2 — — $27.17 $48,705.00 $24,366.08 2025-06-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $22,388.77 $84,861.67 $24,083.77 2025-06-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 6 — — $22,797.32 $86,410.22 $23,955.35 2025-06-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 6 — — $17,619.97 $66,786.18 $23,765.59 2025-06-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 6 — — $22,287.01 $86,145.63 $23,529.14 2025-06-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 6 — — $20,012.65 $75,855.31 $23,436.32 2025-06-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 6 — — $20,436.62 $84,927.82 $23,084.08 2025-06-04
799 MS_DRG Splenic Procedures With Mcc 12 6 — — $21,276.78 $80,646.83 $22,753.04 2025-06-04
C2616 HCPCS Brachytx, Non-str,yttrium-90 8 3 — — $15,821.91 $31,441.88 $22,653.87 2025-06-04
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $22,579.33 $22,579.33 $22,579.33 2025-06-04
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $22,477.88 $22,477.88 $22,477.88 2025-06-04
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 3 — — $279.37 $48,829.85 $22,424.26 2025-06-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 6 — — $20,547.83 $77,883.86 $22,422.20 2025-06-04
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 12 6 — — $17,813.73 $67,520.60 $22,420.35 2025-06-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 4 — — $20,816.32 $78,901.53 $22,392.28 2025-06-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 6 — — $18,400.83 $69,745.90 $22,322.19 2025-06-04
332 MS_DRG Rectal Resection With Mcc 12 6 — — $15,521.74 $58,833.11 $22,293.76 2025-06-04
0775T OTHER Arthrd Si Jt Prq Iartic Impl 4 1 — — $21,222.50 $23,302.50 $22,262.50 2025-06-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 6 — — $18,200.80 $68,987.74 $21,649.46 2025-06-04
24361 HCPCS Reconstruct Elbow Joint 6 2 — — $1,598.04 $23,639.49 $21,529.41 2025-06-04
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