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

BAPTIST HEALTH RICHMOND

Richmond, KY · CCN 180049 · Rates published

11,756 distinct procedures filed
31 distinct payers
433,721 rate rows
2026-04-01 last MRF observed
Data quality

430,438 of 433,721 rate rows are consumer-grade (99.2%)

3,283 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,143
per-diem day rate — not a per-procedure price 1,033
percent-of-charges filed in the dollar field — excluded from medians 35
exceeds 10× this hospital's gross charge — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 20
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBHRRICHMONDKY&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.baptisthealth.com/patients-visitors/planning/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 64562d7eecc8843e… · 211,914,444 bytes · first seen 2026-05-08

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
SUP_164145
CDM 		Cap Sys Imp Pascal-precision 23 $32,297.71 $358,863.40 $141,392.18 nat. median
$129,191
1.1× median
SUP_126495
CDM 		Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 23 $31,664.42 $351,826.86 $138,619.78 nat. median
$126,658
1.1× median
C1824
HCPCS 		Generator, Cardiac Contractility Modulation (implantable) 22 $27,442.49 $304,916.61 $122,103.86 nat. median
$37,950
outlier · 3.2×
NDC00074106501
CDM 		Skyrizi 180 Mg-1.2ml Sc Soct 23 $27,880.84 $309,787.09 $122,056.11 nat. median
$108,425
1.1× median
C1604
HCPCS 		Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 22 $26,387.01 $293,189.05 $117,407.55 nat. median
$28,350
outlier · 4.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $81,248.03 $420,385.09 $110,007.74 nat. median
$133,161
0.8× median
C1822
HCPCS 		Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 22 $22,798.38 $253,315.34 $101,440.12 nat. median
$31,540
outlier · 3.2×
C1826
HCPCS 		Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 22 $18,734.78 $304,916.61 $94,012.68 nat. median
$30,963
outlier · 3.0×
C2624
HCPCS 		Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 22 $20,581.87 $228,687.46 $91,577.89 nat. median
$32,760
outlier · 2.8×
HB_36033287000
CDM 		Operating Room Services - General Classification 23 $20,682.42 $229,804.67 $90,543.04 nat. median
$81,810
1.1× median
HB_36033278000
CDM 		Operating Room Services - General Classification 23 $20,682.42 $229,804.67 $90,543.04 nat. median
$81,810
1.1× median
C1767
HCPCS 		Generator, Neurostimulator (implantable), Non-rechargeable 22 $11,062.49 $459,075.41 $74,228.43 nat. median
$22,481
outlier · 3.3×
HB_48193653000
CDM 		Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 23 $16,511.67 $183,462.99 $72,284.42 nat. median
$64,726
1.1× median
HB_48193656000
CDM 		Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 23 $15,497.29 $172,192.07 $67,843.68 nat. median
$60,749
1.1× median
C1882
HCPCS 		Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 22 $11,610.29 $233,378.48 $67,110.27 nat. median
$27,114
outlier · 2.5×
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 22 $96.02 $335,027.13 $65,288.51 nat. median
$22,013
outlier · 3.0×
SUP_16402
CDM 		Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 23 $13,721.25 $152,458.31 $60,068.57 nat. median
$54,885
1.1× median
SUP_137662
CDM 		St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 23 $13,077.40 $145,304.49 $57,249.97 nat. median
$52,310
1.1× median
C1772
HCPCS 		Infusion Pump, Programmable (implantable) 22 $12,612.99 $140,144.37 $56,120.81 nat. median
$8,330
outlier · 6.7×
HB_48193654000
CDM 		Hc Ep Eval W/ablat V Tach Imag/rec 23 $12,322.59 $136,917.70 $53,945.57 nat. median
$48,305
1.1× median
SUP_41503
CDM 		Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 23 $12,138.03 $134,866.96 $53,137.58 nat. median
$48,552
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 28 $37,169.54 $150,911.67 $51,702.27 nat. median
$66,526
0.8× median
SUP_166068
CDM 		Guide Face-feminization Vsp 23 $11,568.10 $128,534.43 $50,642.57 nat. median
$46,272
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 28 $37,109.42 $150,667.58 $49,913.68 nat. median
$62,134
0.8× median
HB_36037224001
CDM 		Operating Room Services - General Classification 23 $11,252.04 $125,022.67 $49,258.93 nat. median
$44,508
1.1× median
HB_36107950000
CDM 		Operating Room Services - Minor Surgery 23 $11,168.30 $124,092.26 $48,892.35 nat. median
$44,177
1.1× median
HB_36108230000
CDM 		Operating Room Services - Minor Surgery 23 $11,156.69 $123,963.26 $48,841.52 nat. median
$44,131
1.1× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 31 $5,163.91 $102,284.10 $48,770.31 nat. median
$62,507
0.8× median
HB_36009774000
CDM 		Operating Room Services - General Classification 23 $10,948.29 $121,647.71 $47,929.20 nat. median
$43,307
1.1× median
HB_36036837000
CDM 		Operating Room Services - General Classification 23 $10,948.29 $121,647.71 $47,929.20 nat. median
$43,307
1.1× median
HB_36036836000
CDM 		Operating Room Services - General Classification 23 $10,948.29 $121,647.71 $47,929.20 nat. median
$43,307
1.1× median
C9606
HCPCS 		Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 22 $10,739.57 $119,328.60 $47,785.14 nat. median
$18,105
outlier · 2.6×
C1721
HCPCS 		Cardioverter-defibrillator, Dual Chamber (implantable) 22 $8,338.30 $172,395.16 $47,718.28 nat. median
$22,213
outlier · 2.1×
J9600
HCPCS 		Injection, Porfimer Sodium, 75 Mg 22 $3,543.33 $282,709.27 $47,537.56 nat. median
$31,627
1.5× median
HB_36033277000
CDM 		Operating Room Services - General Classification 23 $10,839.12 $120,434.63 $47,451.24 nat. median
$42,875
1.1× median
HB_36033276000
CDM 		Operating Room Services - General Classification 23 $10,839.12 $120,434.63 $47,451.24 nat. median
$42,875
1.1× median
HB_48133231000
CDM 		Hc Insert Aicd Generator Multi 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48133249001
CDM 		Hc Insert Aicd Gen Dual W Leads 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48133249000
CDM 		Hc Insert Aicd Gen Sngl W Leads 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48133264000
CDM 		Hc Remove/replace Aicd Gen Multi Sys 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48193583000
CDM 		Hc Alcohol Septal Ablation 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48033249000
CDM 		Hc Insert Aicd Gen Sngl W Leads 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,481
1.1× median
HB_48192941000
CDM 		Hc Ptca/stent/atherec Ami Init Ves 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48192937000
CDM 		Hc Ptca/stent/atherec Byp Grft Init Ves 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_48033249001
CDM 		Hc Insert Aicd Gen Dual W Leads 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,481
1.1× median
HB_48192943000
CDM 		Hc Ptca/stent/atherec Cto Initial Ves 23 $10,739.57 $119,328.60 $47,015.47 nat. median
$42,099
1.1× median
HB_36100414000
CDM 		Operating Room Services - Minor Surgery 23 $10,710.24 $119,002.66 $46,887.05 nat. median
$42,365
1.1× median
HB_36133274000
CDM 		Operating Room Services - Minor Surgery 23 $10,710.24 $119,002.66 $46,887.05 nat. median
$42,365
1.1× median
HB_36000000779
CDM 		Operating Room Services - General Classification 23 $10,710.24 $119,002.66 $46,887.05 nat. median
$42,365
1.1× median
HB_36133270000
CDM 		Operating Room Services - Minor Surgery 23 $10,710.24 $119,002.66 $46,887.05 nat. median
$42,365
1.1× median

Other procedures at this hospital

Browse this hospital's 11,756 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
             
SUP_164145 CDM Cap Sys Imp Pascal-precision 23 23 $358,863.40 $269,147.55 25% off $32,297.71 $358,863.40 $141,392.18 2026-04-01
SUP_126495 CDM Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701 23 23 $351,826.86 $263,870.15 25% off $31,664.42 $351,826.86 $138,619.78 2026-04-01
C1824 HCPCS Generator, Cardiac Contractility Modulation (implantable) 22 22 $304,916.61 $228,687.46 25% off $27,442.49 $304,916.61 $122,103.86 2026-04-01
NDC00074106501 CDM Skyrizi 180 Mg-1.2ml Sc Soct 23 23 $309,787.09 $232,340.32 25% off $27,880.84 $309,787.09 $122,056.11 2026-04-01
C1604 HCPCS Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S… 22 22 $293,189.05 $219,891.79 25% off $26,387.01 $293,189.05 $117,407.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 28 $420,385.09 $315,288.82 25% off $81,248.03 $420,385.09 $110,007.74 2026-04-01
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 22 22 $253,315.34 $189,986.51 25% off $22,798.38 $253,315.34 $101,440.12 2026-04-01
C1826 HCPCS Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An… 44 22 $256,540.42 $192,405.32 25% off $18,734.78 $304,916.61 $94,012.68 2026-04-01
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 22 22 $228,687.46 $171,515.60 25% off $20,581.87 $228,687.46 $91,577.89 2026-04-01
HB_36033278000 CDM Operating Room Services - General Classification 23 23 $229,804.67 $172,353.50 25% off $20,682.42 $229,804.67 $90,543.04 2026-04-01
HB_36033287000 CDM Operating Room Services - General Classification 23 23 $229,804.67 $172,353.50 25% off $20,682.42 $229,804.67 $90,543.04 2026-04-01
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 264 22 $223,937.80 $167,953.35 25% off $11,062.49 $459,075.41 $74,228.43 2026-04-01
HB_48193653000 CDM Hc Ep Eval W/ablat Svt Arrhythm/imag/rec 23 23 $183,462.99 $137,597.24 25% off $16,511.67 $183,462.99 $72,284.42 2026-04-01
HB_48193656000 CDM Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec 23 23 $172,192.07 $129,144.05 25% off $15,497.29 $172,192.07 $67,843.68 2026-04-01
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 286 22 $180,604.45 $135,453.34 25% off $11,610.29 $233,378.48 $67,110.27 2026-04-01
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 242 22 $202,886.82 $152,165.12 25% off $96.02 $335,027.13 $65,288.51 2026-04-01
SUP_16402 CDM Kt Cann W-20d Dil Circt Pump Hd Bubl Trap 23 23 $152,458.31 $114,343.73 25% off $13,721.25 $152,458.31 $60,068.57 2026-04-01
SUP_137662 CDM St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u 23 23 $145,304.49 $108,978.37 25% off $13,077.40 $145,304.49 $57,249.97 2026-04-01
C1772 HCPCS Infusion Pump, Programmable (implantable) 22 22 $140,144.37 $105,108.28 25% off $12,612.99 $140,144.37 $56,120.81 2026-04-01
HB_48193654000 CDM Hc Ep Eval W/ablat V Tach Imag/rec 23 23 $136,917.70 $102,688.28 25% off $12,322.59 $136,917.70 $53,945.57 2026-04-01
SUP_41503 CDM Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl 23 23 $134,866.96 $101,150.22 25% off $12,138.03 $134,866.96 $53,137.58 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 28 $150,911.67 $113,183.75 25% off $37,169.54 $150,911.67 $51,702.27 2026-04-01
SUP_166068 CDM Guide Face-feminization Vsp 23 23 $128,534.43 $96,400.82 25% off $11,568.10 $128,534.43 $50,642.57 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 28 $150,667.58 $113,000.68 25% off $37,109.42 $150,667.58 $49,913.68 2026-04-01
HB_36037224001 CDM Operating Room Services - General Classification 23 23 $125,022.67 $93,767.00 25% off $11,252.04 $125,022.67 $49,258.93 2026-04-01
HB_36107950000 CDM Operating Room Services - Minor Surgery 23 23 $124,092.26 $93,069.20 25% off $11,168.30 $124,092.26 $48,892.35 2026-04-01
HB_36108230000 CDM Operating Room Services - Minor Surgery 23 23 $123,963.26 $92,972.45 25% off $11,156.69 $123,963.26 $48,841.52 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 31 31 $57,376.83 $43,032.62 25% off $5,163.91 $102,284.10 $48,770.31 2026-04-01
HB_36009774000 CDM Operating Room Services - General Classification 23 23 $121,647.71 $91,235.78 25% off $10,948.29 $121,647.71 $47,929.20 2026-04-01
HB_36036836000 CDM Operating Room Services - General Classification 23 23 $121,647.71 $91,235.78 25% off $10,948.29 $121,647.71 $47,929.20 2026-04-01
HB_36036837000 CDM Operating Room Services - General Classification 23 23 $121,647.71 $91,235.78 25% off $10,948.29 $121,647.71 $47,929.20 2026-04-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 22 22 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,785.14 2026-04-01
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 154 22 $123,139.40 $92,354.55 25% off $8,338.30 $172,395.16 $47,718.28 2026-04-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 22 22 $282,709.27 $212,031.95 25% off $3,543.33 $282,709.27 $47,537.56 2026-04-01
HB_36033277000 CDM Operating Room Services - General Classification 23 23 $120,434.63 $90,325.97 25% off $10,839.12 $120,434.63 $47,451.24 2026-04-01
HB_36033276000 CDM Operating Room Services - General Classification 23 23 $120,434.63 $90,325.97 25% off $10,839.12 $120,434.63 $47,451.24 2026-04-01
HB_48133231000 CDM Hc Insert Aicd Generator Multi 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48192937000 CDM Hc Ptca/stent/atherec Byp Grft Init Ves 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48033249000 CDM Hc Insert Aicd Gen Sngl W Leads 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48192943000 CDM Hc Ptca/stent/atherec Cto Initial Ves 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48193583000 CDM Hc Alcohol Septal Ablation 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48033249001 CDM Hc Insert Aicd Gen Dual W Leads 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48133264000 CDM Hc Remove/replace Aicd Gen Multi Sys 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48133249000 CDM Hc Insert Aicd Gen Sngl W Leads 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48133249001 CDM Hc Insert Aicd Gen Dual W Leads 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_48192941000 CDM Hc Ptca/stent/atherec Ami Init Ves 23 23 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $47,015.47 2026-04-01
HB_36037221000 CDM Operating Room Services - General Classification 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36133999009 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36100414000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36137231000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36000000779 CDM Operating Room Services - General Classification 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36133274000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36133270000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36102680000 CDM Operating Room Services - Minor Surgery 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_36000000777 CDM Operating Room Services - General Classification 23 23 $119,002.66 $89,252.00 25% off $10,710.24 $119,002.66 $46,887.05 2026-04-01
HB_48133263000 CDM Hc Remove/replace Aicd Gen Dual Sys 23 23 $118,241.59 $88,681.19 25% off $10,641.74 $118,241.59 $46,587.19 2026-04-01
HB_48133230000 CDM Hc Insert Aicd Generator Dual 23 23 $118,241.59 $88,681.19 25% off $10,641.74 $118,241.59 $46,587.19 2026-04-01
HB_33377372000 CDM Hc Stereotac Radios Cranial Cmplt Sessn 23 23 $117,746.65 $88,309.99 25% off $10,597.20 $117,746.65 $46,392.18 2026-04-01
HB_48133240000 CDM Hc Insert Aicd Generator Single 23 23 $117,495.19 $88,121.39 25% off $10,574.57 $117,495.19 $46,293.10 2026-04-01
HB_48133262000 CDM Hc Remove/replace Aicd Gen Singl Sys 23 23 $117,495.19 $88,121.39 25% off $10,574.57 $117,495.19 $46,293.10 2026-04-01
HB_36009773000 CDM Operating Room Services - General Classification 23 23 $116,856.59 $87,642.44 25% off $10,517.09 $116,856.59 $46,041.50 2026-04-01
C2622 HCPCS Prosthesis, Penile, Non-inflatable 44 22 $116,936.11 $87,702.08 25% off $9,403.28 $129,391.37 $45,373.30 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 28 $225,963.66 $169,472.74 25% off $29,515.67 $225,963.66 $45,336.26 2026-04-01
HB_48193580000 CDM Hc Repair Perc Atr Sept Def W Imp 23 23 $112,885.69 $84,664.27 25% off $10,159.71 $112,885.69 $44,476.96 2026-04-01
HB_36009797000 CDM Operating Room Services - General Classification 23 23 $109,535.99 $82,151.99 25% off $9,858.24 $109,535.99 $43,157.18 2026-04-01
HB_36036906000 CDM Operating Room Services - General Classification 23 23 $107,746.81 $80,810.11 25% off $9,697.21 $107,746.81 $42,452.24 2026-04-01
HB_48136226000 CDM Hc S/p Cath Vert W/vert Circ Incl Arch 23 23 $107,463.87 $80,597.90 25% off $9,671.75 $107,463.87 $42,340.76 2026-04-01
HB_48192933000 CDM Hc Ptca/stent/atherect Initl Art/brnch 23 23 $107,202.26 $80,401.70 25% off $9,648.20 $107,202.26 $42,237.69 2026-04-01
HB_48192938000 CDM Hc Ptca/stent/atherec Byp Grft Addl Ves 23 23 $107,098.36 $80,323.77 25% off $9,638.85 $107,098.36 $42,196.75 2026-04-01
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 220 22 $104,037.21 $78,027.91 25% off $7,282.82 $222,823.68 $41,642.82 2026-04-01
HB_48193582000 CDM Hc Perc Closure Patent Ductus Arteriosus 23 23 $104,090.08 $78,067.56 25% off $9,368.11 $104,090.08 $41,011.49 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 28 $156,021.46 $117,016.09 25% off $28,760.65 $156,021.46 $39,978.07 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 28 $116,306.04 $87,229.53 25% off $28,646.18 $116,306.04 $38,604.23 2026-04-01
HB_48193581000 CDM Hc Repair Perc Vent Sept Def W Imp 23 23 $97,315.78 $72,986.84 25% off $8,758.42 $97,315.78 $38,342.42 2026-04-01
HB_48193799011 CDM Hc Repair Perc Post Mi Vsd W Occluder 23 23 $97,315.78 $72,986.84 25% off $8,758.42 $97,315.78 $38,342.42 2026-04-01
HB_48133214000 CDM Hc Ppm Upgrade 23 23 $97,073.37 $72,805.03 25% off $8,736.60 $97,073.37 $38,246.91 2026-04-01
HB_36000000949 CDM Operating Room Services - General Classification 23 23 $97,062.88 $72,797.16 25% off $8,735.66 $97,062.88 $38,242.77 2026-04-01
HB_36137238000 CDM Operating Room Services - Minor Surgery 23 23 $97,062.88 $72,797.16 25% off $8,735.66 $97,062.88 $38,242.77 2026-04-01
HB_36036908000 CDM Operating Room Services - General Classification 23 23 $97,062.88 $72,797.16 25% off $8,735.66 $97,062.88 $38,242.77 2026-04-01
HB_36000000947 CDM Operating Room Services - General Classification 23 23 $97,062.88 $72,797.16 25% off $8,735.66 $97,062.88 $38,242.77 2026-04-01
HB_36000000041 CDM Operating Room Services - General Classification 23 23 $97,015.11 $72,761.33 25% off $8,731.36 $97,015.11 $38,223.95 2026-04-01
HB_36036903000 CDM Operating Room Services - General Classification 23 23 $96,616.82 $72,462.62 25% off $8,695.51 $96,616.82 $38,067.03 2026-04-01
HB_36133999004 CDM Operating Room Services - Minor Surgery 23 23 $96,453.19 $72,339.89 25% off $8,680.79 $96,453.19 $38,002.56 2026-04-01
HB_36133208000 CDM Operating Room Services - Minor Surgery 23 23 $96,271.86 $72,203.90 25% off $8,664.47 $96,271.86 $37,931.11 2026-04-01
HB_36037223000 CDM Operating Room Services - General Classification 23 23 $95,480.13 $71,610.10 25% off $8,593.21 $95,480.13 $37,619.17 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 28 $266,715.66 $200,036.75 25% off $24,492.12 $266,715.66 $37,182.90 2026-04-01
HB_48193590000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Val 23 23 $94,074.06 $70,555.55 25% off $8,466.67 $94,074.06 $37,065.18 2026-04-01
HB_48193591000 CDM Hc Perq Transcath Cls Paravalvr Leak 1 Aort Val 23 23 $94,074.06 $70,555.55 25% off $8,466.67 $94,074.06 $37,065.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 28 $132,394.24 $99,295.68 25% off $27,339.15 $132,394.24 $36,895.33 2026-04-01
HB_48192934000 CDM Hc Ptca/stent/atherect Addl Branch 23 23 $92,415.11 $69,311.33 25% off $8,317.36 $92,415.11 $36,411.55 2026-04-01
HB_48192944000 CDM Hc Ptca/stent/atherec Cto Addl Ves 23 23 $92,326.73 $69,245.05 25% off $8,309.41 $92,326.73 $36,376.73 2026-04-01
HB_36133999010 CDM Operating Room Services - Minor Surgery 23 23 $92,218.12 $69,163.59 25% off $8,299.63 $92,218.12 $36,333.94 2026-04-01
HB_36104080000 CDM Operating Room Services - Minor Surgery 23 23 $92,218.12 $69,163.59 25% off $8,299.63 $92,218.12 $36,333.94 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 28 $144,862.47 $108,646.85 25% off $24,527.77 $144,862.47 $36,309.06 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 28 $135,274.40 $101,455.80 25% off $26,404.13 $135,274.40 $36,145.91 2026-04-01
HB_48192924000 CDM Hc Ptca /atherect Initial Art/brnch 23 23 $88,470.27 $66,352.70 25% off $7,962.32 $88,470.27 $34,857.29 2026-04-01
HB_36000000948 CDM Operating Room Services - General Classification 23 23 $88,296.91 $66,222.68 25% off $7,946.72 $88,296.91 $34,788.98 2026-04-01
HB_48133289000 CDM Hc Implant Pulm Artery Sensor For Hd Monitoring 23 23 $86,731.67 $65,048.75 25% off $7,805.85 $86,731.67 $34,172.28 2026-04-01
HB_36109330000 CDM Operating Room Services - Minor Surgery 23 23 $86,731.67 $65,048.75 25% off $7,805.85 $86,731.67 $34,172.28 2026-04-01
HB_36033288000 CDM Operating Room Services - General Classification 23 23 $86,662.15 $64,996.61 25% off $7,799.59 $86,662.15 $34,144.89 2026-04-01
HB_36109150000 CDM Operating Room Services - Minor Surgery 23 23 $84,509.16 $63,381.87 25% off $7,605.82 $84,509.16 $33,296.61 2026-04-01
HB_48133224000 CDM Hc Insert Lv Lead & Connect 23 23 $84,206.77 $63,155.08 25% off $7,578.61 $84,206.77 $33,177.47 2026-04-01
SUP_121894 CDM Retrv Trevo-nxt Provue 3x32mm 23 23 $83,860.04 $62,895.03 25% off $7,547.40 $83,860.04 $33,040.86 2026-04-01
SUP_121897 CDM Retrv Trevo-nxt Provue Lng 4x41mm 23 23 $83,860.04 $62,895.03 25% off $7,547.40 $83,860.04 $33,040.86 2026-04-01
SUP_121895 CDM Retrv Trevo-nxt Provue 4x28mm 23 23 $83,860.04 $62,895.03 25% off $7,547.40 $83,860.04 $33,040.86 2026-04-01
SUP_121896 CDM Retrv Trevo-nxt Provue 6x37mm 23 23 $83,860.04 $62,895.03 25% off $7,547.40 $83,860.04 $33,040.86 2026-04-01
HB_36034718000 CDM Operating Room Services - General Classification 23 23 $83,537.25 $62,652.94 25% off $7,518.35 $83,537.25 $32,913.68 2026-04-01
HB_36034717000 CDM Operating Room Services - General Classification 23 23 $83,537.25 $62,652.94 25% off $7,518.35 $83,537.25 $32,913.68 2026-04-01
HB_36034707000 CDM Operating Room Services - General Classification 23 23 $83,464.47 $62,598.35 25% off $7,511.80 $83,464.47 $32,885.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 28 $176,870.14 $132,652.61 25% off $21,979.19 $176,870.14 $32,333.33 2026-04-01
HB_36000000774 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $7,343.99 $81,599.94 $32,150.38 2026-04-01
HB_36000000772 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $7,343.99 $81,599.94 $32,150.38 2026-04-01
HB_36000000897 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $7,343.99 $81,599.94 $32,150.38 2026-04-01
HB_36137229000 CDM Operating Room Services - Minor Surgery 23 23 $81,599.94 $61,199.96 25% off $7,343.99 $81,599.94 $32,150.38 2026-04-01
HB_36000000771 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $7,343.99 $81,599.94 $32,150.38 2026-04-01
HB_36000000769 CDM Operating Room Services - General Classification 23 23 $81,599.94 $61,199.96 25% off $7,343.99 $81,599.94 $32,150.38 2026-04-01
HB_36009767000 CDM Operating Room Services - General Classification 23 23 $81,513.13 $61,134.85 25% off $7,336.18 $81,513.13 $32,116.17 2026-04-01
HB_36102350000 CDM Operating Room Services - Minor Surgery 23 23 $81,505.26 $61,128.95 25% off $7,335.47 $81,505.26 $32,113.07 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 28 $136,193.28 $102,144.96 25% off $20,419.68 $136,193.28 $31,547.99 2026-04-01
HB_33377373003 CDM Hc Sterotactic Radiosurg, Each Fraction 23 23 $79,734.42 $59,800.82 25% off $7,176.10 $79,734.42 $31,415.36 2026-04-01
HB_48192928000 CDM Hc Ptca /stent Initial Art/brnch 23 23 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $31,009.07 2026-04-01
HB_48193799016 CDM Hc Stent Pseudoaneurysm Coronary Artery 23 23 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $31,009.07 2026-04-01
HB_36037228000 CDM Operating Room Services - General Classification 23 23 $78,613.48 $58,960.11 25% off $7,075.21 $78,613.48 $30,973.71 2026-04-01
HB_48133225000 CDM Hc Lead Placement Coronary Sinus 23 23 $78,471.16 $58,853.37 25% off $7,062.40 $78,471.16 $30,917.64 2026-04-01
HB_48133227000 CDM Hc Remove/replace Pacemaker Sl System 23 23 $78,135.23 $58,601.42 25% off $7,032.17 $78,135.23 $30,785.28 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 28 $64,656.82 $48,492.61 25% off $15,924.97 $64,656.82 $30,673.80 2026-04-01
HB_36133206000 CDM Operating Room Services - Minor Surgery 23 23 $77,795.60 $58,346.70 25% off $7,001.60 $77,795.60 $30,651.47 2026-04-01
HB_36133207000 CDM Operating Room Services - Minor Surgery 23 23 $77,795.60 $58,346.70 25% off $7,001.60 $77,795.60 $30,651.47 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 28 $134,118.77 $100,589.08 25% off $19,806.69 $134,118.77 $30,557.28 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 28 $285,129.09 $213,846.82 25% off $19,694.56 $285,129.09 $30,302.08 2026-04-01
HB_36037244000 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,907.17 $76,746.38 $30,238.07 2026-04-01
HB_36000001012 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,907.17 $76,746.38 $30,238.07 2026-04-01
HB_36000001010 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,907.17 $76,746.38 $30,238.07 2026-04-01
HB_36000000952 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,907.17 $76,746.38 $30,238.07 2026-04-01
HB_36000001011 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,907.17 $76,746.38 $30,238.07 2026-04-01
HB_36000001009 CDM Operating Room Services - General Classification 23 23 $76,746.38 $57,559.79 25% off $6,907.17 $76,746.38 $30,238.07 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 28 $97,381.87 $73,036.40 25% off $22,906.73 $97,381.87 $30,191.44 2026-04-01
HB_36000000950 CDM Operating Room Services - General Classification 23 23 $76,321.66 $57,241.25 25% off $6,868.95 $76,321.66 $30,070.73 2026-04-01
HB_36137239000 CDM Operating Room Services - Minor Surgery 23 23 $76,321.66 $57,241.25 25% off $6,868.95 $76,321.66 $30,070.73 2026-04-01
HB_36000000759 CDM Operating Room Services - General Classification 23 23 $75,849.31 $56,886.98 25% off $6,826.44 $75,849.31 $29,884.63 2026-04-01
HB_48193657000 CDM Hc Ablate Atrial Fib W/pulm Vein 23 23 $75,707.42 $56,780.57 25% off $6,813.67 $75,707.42 $29,828.72 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 28 $340,465.66 $255,349.25 25% off $20,143.66 $340,465.66 $29,458.31 2026-04-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 31 31 $119,328.60 $89,496.45 25% off $10,739.57 $119,328.60 $29,390.63 2026-04-01
HB_36032994001 CDM Operating Room Services - General Classification 23 23 $73,822.44 $55,366.83 25% off $6,644.02 $73,822.44 $29,086.04 2026-04-01
HB_48133213000 CDM Hc Ppm Generator Dual 23 23 $73,535.77 $55,151.83 25% off $6,618.22 $73,535.77 $28,973.09 2026-04-01
HB_36133418001 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $6,589.16 $73,212.94 $28,845.90 2026-04-01
HB_36105690000 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $6,589.16 $73,212.94 $28,845.90 2026-04-01
HB_36105700000 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $6,589.16 $73,212.94 $28,845.90 2026-04-01
HB_36033361000 CDM Operating Room Services - General Classification 23 23 $73,212.94 $54,909.71 25% off $6,589.16 $73,212.94 $28,845.90 2026-04-01
HB_36133419000 CDM Operating Room Services - Minor Surgery 23 23 $73,212.94 $54,909.71 25% off $6,589.16 $73,212.94 $28,845.90 2026-04-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 31 31 $116,619.14 $87,464.36 25% off $10,495.72 $116,619.14 $28,723.29 2026-04-01
SUP_172623 CDM Mdl Suppl Maxilla-craniips Classc Patnt-spec 23 23 $72,863.34 $54,647.51 25% off $6,557.70 $72,863.34 $28,708.16 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 28 $95,871.95 $71,903.96 25% off $20,838.89 $95,871.95 $28,080.81 2026-04-01
HB_36122511000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $6,336.95 $70,410.60 $27,741.78 2026-04-01
HB_36122510000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $6,336.95 $70,410.60 $27,741.78 2026-04-01
HB_36122513000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $6,336.95 $70,410.60 $27,741.78 2026-04-01
HB_36122514000 CDM Operating Room Services - Minor Surgery 23 23 $70,410.60 $52,807.95 25% off $6,336.95 $70,410.60 $27,741.78 2026-04-01
HB_36000000776 CDM Operating Room Services - General Classification 23 23 $70,344.43 $52,758.32 25% off $6,331.00 $70,344.43 $27,715.71 2026-04-01
HB_36137230000 CDM Operating Room Services - Minor Surgery 23 23 $70,344.43 $52,758.32 25% off $6,331.00 $70,344.43 $27,715.71 2026-04-01
HB_36000000898 CDM Operating Room Services - General Classification 23 23 $70,344.43 $52,758.32 25% off $6,331.00 $70,344.43 $27,715.71 2026-04-01
HB_48133229000 CDM Hc Remove/replace Ppm Mult System 23 23 $70,072.33 $52,554.25 25% off $6,306.51 $70,072.33 $27,608.50 2026-04-01
HB_36009772000 CDM Operating Room Services - General Classification 23 23 $69,988.41 $52,491.31 25% off $6,298.96 $69,988.41 $27,575.43 2026-04-01
HB_36000000070 CDM Operating Room Services - General Classification 23 23 $69,871.33 $52,403.50 25% off $6,288.42 $69,871.33 $27,529.30 2026-04-01
HB_48133221000 CDM Hc Pacemaker Perm Generator Mult 23 23 $69,660.25 $52,245.19 25% off $6,269.42 $69,660.25 $27,446.14 2026-04-01
HB_48133228000 CDM Hc Remove/replace Ppm Dual System 23 23 $69,660.25 $52,245.19 25% off $6,269.42 $69,660.25 $27,446.14 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 28 $99,992.08 $74,994.06 25% off $22,224.74 $99,992.08 $27,424.18 2026-04-01
HB_36036482001 CDM Operating Room Services - General Classification 23 23 $68,653.47 $51,490.10 25% off $6,178.81 $68,653.47 $27,049.47 2026-04-01
HB_36000000033 CDM Operating Room Services - General Classification 23 23 $68,440.06 $51,330.05 25% off $6,159.61 $68,440.06 $26,965.38 2026-04-01
HB_36000000032 CDM Operating Room Services - General Classification 23 23 $68,440.06 $51,330.05 25% off $6,159.61 $68,440.06 $26,965.38 2026-04-01
HB_48193655000 CDM Hc Cath Ablation Arrhythmia Add On 23 23 $68,340.67 $51,255.50 25% off $6,150.66 $68,340.67 $26,926.22 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 28 $80,643.93 $60,482.95 25% off $19,774.49 $80,643.93 $26,754.30 2026-04-01
HB_36036905000 CDM Operating Room Services - General Classification 23 23 $67,549.70 $50,662.28 25% off $6,079.47 $67,549.70 $26,614.58 2026-04-01
C9610 HCPCS Catheter, Transluminal Drug Delivery With Or Without Angioplasty, Coronary, Non-… 22 22 $66,260.73 $49,695.55 25% off $5,963.47 $66,260.73 $26,534.11 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 28 $104,504.20 $78,378.15 25% off $18,537.00 $104,504.20 $26,437.82 2026-04-01
NDC24338005008 CDM Gliadel Wafer 23 23 $67,041.32 $50,280.99 25% off $6,033.72 $67,041.32 $26,414.28 2026-04-01
HB_36036909000 CDM Operating Room Services - General Classification 23 23 $66,160.80 $49,620.60 25% off $5,954.47 $66,160.80 $26,067.36 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 28 $149,551.28 $112,163.46 25% off $18,795.20 $149,551.28 $26,062.57 2026-04-01
HB_36036227000 CDM Operating Room Services - General Classification 23 23 $65,578.99 $49,184.24 25% off $5,902.11 $65,578.99 $25,838.12 2026-04-01
HB_36106000000 CDM Operating Room Services - Minor Surgery 23 23 $65,487.70 $49,115.78 25% off $5,893.89 $65,487.70 $25,802.15 2026-04-01
C1815 HCPCS Prosthesis, Urinary Sphincter (implantable) 88 22 $81,852.52 $61,389.39 25% off $3,438.76 $87,077.15 $25,652.25 2026-04-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 22 22 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $25,640.29 2026-04-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 22 22 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $25,640.29 2026-04-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 22 22 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $25,640.29 2026-04-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 22 22 $64,028.70 $48,021.53 25% off $5,762.58 $64,028.70 $25,640.29 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 28 $123,608.61 $92,706.45 25% off $17,311.02 $123,608.61 $25,271.21 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 28 $76,568.21 $57,426.15 25% off $18,741.14 $76,568.21 $25,250.25 2026-04-01
HB_36036902000 CDM Operating Room Services - General Classification 23 23 $63,613.57 $47,710.18 25% off $5,725.22 $63,613.57 $25,063.75 2026-04-01
HB_48109130000 CDM Hc Pta Drug Eluting Balln Sgl Cor Artery 23 23 $63,559.36 $47,669.52 25% off $5,720.34 $63,559.36 $25,042.39 2026-04-01
HB_36000000068 CDM Operating Room Services - General Classification 23 23 $63,559.36 $47,669.52 25% off $5,720.34 $63,559.36 $25,042.39 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 28 $110,237.36 $82,678.02 25% off $16,911.94 $110,237.36 $25,023.75 2026-04-01
SUP_147794 CDM Clmp Ablat Isolatorsynergy Trnspolar 23 23 $63,328.83 $47,496.62 25% off $5,699.59 $63,328.83 $24,951.56 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 28 $111,108.24 $83,331.18 25% off $16,864.78 $111,108.24 $24,935.25 2026-04-01
HB_48133212000 CDM Hc Ppm Generator Single 23 23 $63,019.07 $47,264.30 25% off $5,671.72 $63,019.07 $24,829.51 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 28 $111,234.13 $83,425.60 25% off $16,760.13 $111,234.13 $24,662.01 2026-04-01
HB_36000000756 CDM Operating Room Services - General Classification 23 23 $62,511.33 $46,883.50 25% off $5,626.02 $62,511.33 $24,629.46 2026-04-01
HB_36161626000 CDM Operating Room Services - Minor Surgery 23 23 $62,493.35 $46,870.01 25% off $5,624.40 $62,493.35 $24,622.38 2026-04-01
HB_36147383000 CDM Operating Room Services - Minor Surgery 23 23 $62,280.26 $46,710.20 25% off $5,605.22 $62,280.26 $24,538.42 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 28 $78,503.98 $58,877.99 25% off $16,955.64 $78,503.98 $24,493.35 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 28 $55,350.92 $41,513.19 25% off $13,632.93 $55,350.92 $24,388.07 2026-04-01
HB_36000001006 CDM Operating Room Services - General Classification 23 23 $61,444.61 $46,083.46 25% off $5,530.01 $61,444.61 $24,209.18 2026-04-01
HB_48133244000 CDM Hc Removal Aicd Lead(s) Transvenous 23 23 $61,209.38 $45,907.04 25% off $5,508.84 $61,209.38 $24,116.50 2026-04-01
HB_48133235000 CDM Hc Remove Pm Leads Dual 23 23 $61,209.38 $45,907.04 25% off $5,508.84 $61,209.38 $24,116.50 2026-04-01
HB_36161645000 CDM Operating Room Services - Minor Surgery 23 23 $61,116.89 $45,837.67 25% off $5,500.52 $61,116.89 $24,080.05 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 28 $70,833.12 $53,124.84 25% off $17,446.20 $70,833.12 $23,976.92 2026-04-01
HB_36137233000 CDM Operating Room Services - Minor Surgery 23 23 $60,457.94 $45,343.46 25% off $5,441.21 $60,457.94 $23,820.43 2026-04-01
HB_36000000770 CDM Operating Room Services - General Classification 23 23 $60,457.94 $45,343.46 25% off $5,441.21 $60,457.94 $23,820.43 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 28 $153,958.05 $115,468.54 25% off $14,652.60 $153,958.05 $23,817.37 2026-04-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 31 31 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $23,768.37 2026-04-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 31 31 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $23,768.37 2026-04-01
HB_36000000066 CDM Operating Room Services - General Classification 23 23 $60,233.68 $45,175.26 25% off $5,421.03 $60,233.68 $23,732.07 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 28 $41,525.35 $31,144.01 25% off $10,227.69 $41,525.35 $23,616.40 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 28 $189,821.41 $142,366.06 25% off $16,369.67 $189,821.41 $23,378.29 2026-04-01
SUP_102012 CDM Ds Anch-endovasc Helifx-86cm W-10-endoanchor-0.5x3x4.5mm 23 23 $59,048.27 $44,286.20 25% off $5,314.34 $59,048.27 $23,265.02 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 28 $246,824.90 $185,118.68 25% off $15,706.08 $246,824.90 $23,252.85 2026-04-01
HB_48192925000 CDM Hc Ptca/atherect Addl Art/brnch 23 23 $58,781.58 $44,086.19 25% off $5,290.34 $58,781.58 $23,159.94 2026-04-01
SUP_106501 CDM Dev Ds Gi Fastnr Esophyxz Pls W-serosafuse Imp 23 23 $58,646.19 $43,984.64 25% off $5,278.16 $58,646.19 $23,106.60 2026-04-01
HB_36037218000 CDM Operating Room Services - General Classification 23 23 $58,615.83 $43,961.87 25% off $5,275.42 $58,615.83 $23,094.64 2026-04-01
HB_36000001059 CDM Operating Room Services - General Classification 23 23 $58,205.28 $43,653.96 25% off $5,238.48 $58,205.28 $22,932.88 2026-04-01
SUP_159981 CDM Knif Iq Apex 106mm-len 12.4mm-cut-len 0.73mm-cut-wd 11cm 23 23 $57,796.71 $43,347.53 25% off $5,201.70 $57,796.71 $22,771.90 2026-04-01
HB_36036907000 CDM Operating Room Services - General Classification 23 23 $56,867.52 $42,650.64 25% off $5,118.08 $56,867.52 $22,405.80 2026-04-01
HB_36037248000 CDM Operating Room Services - General Classification 23 23 $56,867.52 $42,650.64 25% off $5,118.08 $56,867.52 $22,405.80 2026-04-01
HB_36037249000 CDM Operating Room Services - General Classification 23 23 $56,867.52 $42,650.64 25% off $5,118.08 $56,867.52 $22,405.80 2026-04-01
SUP_168043 CDM Guide Mark Ips W-plan Trnsfrm Cust 1p-u 23 23 $56,843.49 $42,632.62 25% off $5,115.91 $56,843.49 $22,396.34 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 28 28 $202,715.28 $152,036.46 25% off $14,680.21 $202,715.28 $22,302.53 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 28 $103,462.97 $77,597.23 25% off $15,493.89 $103,462.97 $22,192.54 2026-04-01
C1761 HCPCS Catheter, Transluminal Intravascular Lithotripsy, Coronary 68 22 $55,119.54 $41,339.66 25% off $4,850.52 $60,803.51 $22,178.94 2026-04-01
HB_48133285000 CDM Hc Insertion Subc Cardiac Rhythm Moni W Prog 23 23 $56,173.63 $42,130.22 25% off $5,055.63 $56,173.63 $22,132.41 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 28 $107,829.92 $80,872.44 25% off $13,806.72 $107,829.92 $21,791.28 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 28 $278,784.13 $209,088.10 25% off $14,472.62 $278,784.13 $21,687.31 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 28 $71,844.55 $53,883.41 25% off $15,544.49 $71,844.55 $21,681.26 2026-04-01
HB_48192986000 CDM Hc Perc Valvuloplasty Aortic Valve 23 23 $54,983.96 $41,237.97 25% off $4,948.56 $54,983.96 $21,663.68 2026-04-01
HB_48192987000 CDM Hc Perc Valvuloplasty Mitral Valve 23 23 $54,983.96 $41,237.97 25% off $4,948.56 $54,983.96 $21,663.68 2026-04-01
HB_36000000065 CDM Operating Room Services - General Classification 23 23 $54,791.76 $41,093.82 25% off $4,931.26 $54,791.76 $21,587.95 2026-04-01
HB_36000000069 CDM Operating Room Services - General Classification 23 23 $54,791.76 $41,093.82 25% off $4,931.26 $54,791.76 $21,587.95 2026-04-01
HB_36105250000 CDM Operating Room Services - Minor Surgery 23 23 $54,595.68 $40,946.76 25% off $4,913.61 $54,595.68 $21,510.70 2026-04-01
C2621 HCPCS Pacemaker, Other Than Single Or Dual Chamber (implantable) 132 22 $57,758.24 $43,318.68 25% off $4,116.37 $73,883.64 $21,472.35 2026-04-01
C1818 HCPCS Integrated Keratoprosthesis 66 22 $54,357.25 $40,767.94 25% off $4,433.02 $55,119.54 $21,423.97 2026-04-01
HB_36137799004 CDM Operating Room Services - Minor Surgery 23 23 $54,142.33 $40,606.75 25% off $4,872.81 $54,142.33 $21,332.08 2026-04-01
HB_36133271000 CDM Operating Room Services - Minor Surgery 23 23 $54,129.16 $40,596.87 25% off $4,871.62 $54,129.16 $21,326.89 2026-04-01
HB_30002110000 CDM Hc Mi Cancer Seek Z016q 23 23 $53,669.47 $40,252.10 25% off $4,830.25 $53,669.47 $21,145.77 2026-04-01
HB_31002110000 CDM Hc Mi Cancer Seek 23 23 $53,669.47 $40,252.10 25% off $4,830.25 $53,669.47 $21,145.77 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 28 $103,083.19 $77,312.39 25% off $13,446.74 $103,083.19 $21,130.51 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 28 $41,782.34 $31,336.76 25% off $10,290.99 $41,782.34 $21,069.26 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 28 28 $140,197.27 $105,147.95 25% off $13,612.36 $140,197.27 $20,976.71 2026-04-01
HB_48192929000 CDM Hc Ptca/stent Addl Art/brnch 23 23 $52,838.33 $39,628.75 25% off $4,755.45 $52,838.33 $20,818.30 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 28 $61,169.76 $45,877.32 25% off $15,066.11 $61,169.76 $20,763.18 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 28 $29,867.78 $22,400.84 25% off $7,356.43 $29,867.78 $20,758.20 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 28 $87,461.92 $65,596.44 25% off $13,592.23 $87,461.92 $20,597.79 2026-04-01
HB_36161650000 CDM Operating Room Services - Minor Surgery 23 23 $52,122.83 $39,092.12 25% off $4,691.05 $52,122.83 $20,536.40 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 28 28 $100,128.44 $75,096.33 25% off $10,842.39 $100,128.44 $20,440.75 2026-04-01
SUP_11898 CDM Prob 2 Abl Osteocool Rf 17g 20mmx2 23 23 $51,601.27 $38,700.95 25% off $4,644.11 $51,601.27 $20,330.90 2026-04-01
SUP_41885 CDM Prob 2 Abl Osteocool Rf 17g 15mmx2 23 23 $51,601.27 $38,700.95 25% off $4,644.11 $51,601.27 $20,330.90 2026-04-01
SUP_11897 CDM Prob 2 Abl Osteocool Rf 17g 10mmx2 23 23 $51,601.27 $38,700.95 25% off $4,644.11 $51,601.27 $20,330.90 2026-04-01
HB_48093620000 CDM Hc Eval Ep W Or Attemt Induction 23 23 $51,508.39 $38,631.29 25% off $4,635.76 $51,508.39 $20,294.31 2026-04-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 31 31 $78,703.22 $59,027.42 25% off $7,083.29 $78,703.22 $20,115.00 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 28 $80,791.79 $60,593.84 25% off $13,665.83 $80,791.79 $19,982.97 2026-04-01
HB_36009765000 CDM Operating Room Services - General Classification 23 23 $50,667.02 $38,000.27 25% off $4,560.03 $50,667.02 $19,962.81 2026-04-01
HB_36009766000 CDM Operating Room Services - General Classification 23 23 $50,667.02 $38,000.27 25% off $4,560.03 $50,667.02 $19,962.81 2026-04-01
HB_36000001064 CDM Operating Room Services - General Classification 23 23 $50,363.64 $37,772.73 25% off $4,532.73 $50,363.64 $19,843.27 2026-04-01
SUP_11896 CDM Prob 2 Abl Osteocool Rf 17g 7mmx2 23 23 $49,798.98 $37,349.24 25% off $4,481.91 $49,798.98 $19,620.80 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 28 28 $137,826.58 $103,369.93 25% off $12,404.20 $137,826.58 $19,553.81 2026-04-01
HB_36122515000 CDM Operating Room Services - Minor Surgery 23 23 $49,159.62 $36,869.72 25% off $4,424.37 $49,159.62 $19,368.89 2026-04-01
HB_48136224000 CDM Hc S/p Cath Int Carotid Unil + Ext Arch 23 23 $49,070.26 $36,802.70 25% off $4,416.32 $49,070.26 $19,333.68 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 28 $60,273.89 $45,205.42 25% off $14,079.86 $60,273.89 $19,333.13 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 28 $56,973.74 $42,730.31 25% off $14,032.63 $56,973.74 $19,268.46 2026-04-01
HB_36120982000 CDM Operating Room Services - Minor Surgery 23 23 $48,881.29 $36,660.97 25% off $4,399.32 $48,881.29 $19,259.23 2026-04-01
HB_36120983000 CDM Operating Room Services - Minor Surgery 23 23 $48,881.29 $36,660.97 25% off $4,399.32 $48,881.29 $19,259.23 2026-04-01
HB_36000000646 CDM Operating Room Services - General Classification 23 23 $48,855.16 $36,641.37 25% off $4,396.96 $48,855.16 $19,248.93 2026-04-01
C1764 HCPCS Event Recorder, Cardiac (implantable) 154 22 $53,360.41 $40,020.31 25% off $3,208.66 $59,224.19 $19,228.10 2026-04-01
HB_36000001021 CDM Operating Room Services - General Classification 23 23 $48,507.56 $36,380.67 25% off $4,365.68 $48,507.56 $19,111.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 28 28 $18,990.90 $14,243.18 25% off $4,677.46 $34,131.60 $18,990.90 2026-04-01
HB_48133234000 CDM Hc Remove 1-pacer Lead Only Atrial/ventr 23 23 $48,084.73 $36,063.55 25% off $4,327.63 $48,084.73 $18,945.38 2026-04-01
SUP_165237 CDM Sys Remov Thromb Pvasc Dropzone 4.0x30mm 180cm 23 23 $48,024.37 $36,018.28 25% off $4,322.19 $48,024.37 $18,921.60 2026-04-01
HB_36000000773 CDM Operating Room Services - General Classification 23 23 $47,918.30 $35,938.73 25% off $4,312.65 $47,918.30 $18,879.81 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 28 28 $175,872.13 $131,904.09 25% off $13,298.96 $175,872.13 $18,752.99 2026-04-01
HB_36104130000 CDM Operating Room Services - Minor Surgery 23 23 $47,533.31 $35,649.98 25% off $4,278.00 $47,533.31 $18,728.12 2026-04-01
HB_48192999000 CDM Hc Perc Valvuloplasty Pulmonary Valve 23 23 $47,398.92 $35,549.19 25% off $4,265.90 $47,398.92 $18,675.17 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 28 28 $70,713.18 $53,034.89 25% off $13,273.66 $70,713.18 $18,540.82 2026-04-01
SUP_159435 CDM Templt Unid Pt-spec 23 23 $46,910.25 $35,182.69 25% off $4,221.92 $46,910.25 $18,482.64 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 28 28 $82,045.72 $61,534.29 25% off $12,141.98 $82,045.72 $18,376.64 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 28 28 $89,139.99 $66,854.99 25% off $12,123.00 $89,139.99 $18,196.20 2026-04-01
HB_36020982000 CDM Operating Room Services - General Classification 23 23 $46,045.10 $34,533.83 25% off $4,144.06 $46,045.10 $18,141.77 2026-04-01
SUP_104597 CDM Handpc Crani Myriad 13g 13cm 23 23 $45,882.14 $34,411.61 25% off $4,129.39 $45,882.14 $18,077.56 2026-04-01
C1734 HCPCS Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (… 22 22 $45,061.63 $33,796.22 25% off $4,055.55 $45,061.63 $18,044.93 2026-04-01
SUP_167057 CDM Kt Proc Thor-lum Safeop-3 EMG-ssep Electrd W-ndl 23 23 $45,737.49 $34,303.12 25% off $4,116.37 $45,737.49 $18,020.57 2026-04-01
SUP_145569 CDM Kt Proc Safeop EMG-ssep Electrd W-ndl 23 23 $45,737.49 $34,303.12 25% off $4,116.37 $45,737.49 $18,020.57 2026-04-01
SUP_170968 CDM Kt Proc Cerv Safeop-so3 EMG-ssep-mep Electrd W-ndl 23 23 $45,737.49 $34,303.12 25% off $4,116.37 $45,737.49 $18,020.57 2026-04-01
SUP_167056 CDM Kt Proc Prone-transpoas-lat Safeop-3 EMG-ssep Electrd W-ndl 23 23 $45,737.49 $34,303.12 25% off $4,116.37 $45,737.49 $18,020.57 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 28 $104,510.06 $78,382.54 25% off $11,931.51 $104,510.06 $17,996.86 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 31 31 $64,202.07 $48,151.55 25% off $8,192.00 $64,202.07 $17,878.77 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 28 28 $77,208.38 $57,906.28 25% off $11,567.51 $77,208.38 $17,855.94 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 28 28 $54,154.48 $40,615.86 25% off $13,338.25 $54,154.48 $17,840.85 2026-04-01
HB_48093613000 CDM Hc Mapping 3d Tachycardia Sites 23 23 $45,241.30 $33,930.98 25% off $4,071.72 $45,241.30 $17,825.07 2026-04-01
HB_48093609000 CDM Hc Mapping Of Tachycardia Site(s) 23 23 $45,241.30 $33,930.98 25% off $4,071.72 $45,241.30 $17,825.07 2026-04-01
HB_48108970000 CDM Hc Vmap Computational ECG Arrhythmia Analysis 23 23 $45,069.60 $33,802.20 25% off $4,056.26 $45,069.60 $17,757.42 2026-04-01
SUP_171499 CDM Duodenoscope Exalt Mdl-d Strl 1p-u 23 23 $44,857.92 $33,643.44 25% off $4,037.21 $44,857.92 $17,674.02 2026-04-01
HB_48192972000 CDM Hc Percutaneous Transluminal Coronary Lithotripsy 23 23 $44,623.04 $33,467.28 25% off $4,016.07 $44,623.04 $17,581.48 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 28 28 $71,678.54 $53,758.91 25% off $11,278.84 $71,678.54 $17,569.91 2026-04-01
HB_36062365000 CDM Operating Room Services - General Classification 23 23 $44,502.10 $33,376.58 25% off $4,005.19 $44,502.10 $17,533.83 2026-04-01
HB_36037246000 CDM Operating Room Services - General Classification 23 23 $44,501.15 $33,375.86 25% off $4,005.10 $44,501.15 $17,533.45 2026-04-01
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