Hospital

THE JAMES B. HAGGIN MEMORIAL HOSPITAL

Harrodsburg, KY · CCN 181302 · Rates published

Your selected procedure

You selected 93306 (CPT)

"TTE W/DOP COMPLETE HVI W/CONTR"

This hospital’s price: $548 across 7 payers · range $548-$3,159

Source: https://emhealth.slicedhealth.io/pricer/61-0510934-1902862824_EphraimMcDowellHealth_standardcharges.CSV · observed 2026-02-24

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.

3,406 distinct procedures filed

8 distinct payers

172,056 rate rows

2026-02-24 last MRF observed

Data quality

158,322 of 172,056 rate rows are consumer-grade (92.0%)

13,734 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 — reason	Rows
template filing: same amount across many unrelated codes — excluded	13,064
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	570
placeholder amount (≤ $0.02) — excluded from medians	64
exceeds 10× this hospital's gross charge — excluded from medians	20
per-diem day rate — not a per-procedure price	16

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://emhealth.slicedhealth.io/pricer/61-0510934-1902862824_EphraimMcDowellHealth_standardcharges.CSV
Found on page	https://hagginhospital.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-09-21
Content fingerprint	fec0045bcba25f60… · 46,332,208 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
Q2043 HCPCS	"provenge 50,000,000 Cell/250ml"	7	$55,272.32	$123,317.37	$55,272.32	nat. median $63,499 0.9× median
J9029 HCPCS	"adstiladrin 75 Ml Blad Instill"	7	$42,822.64	$152,234.49	$42,822.64	nat. median $66,211 0.6× median
33231 CPT	"insrt Icd W/mult Leads"	7	$32,061.58	$77,569.53	$32,061.58	nat. median $31,377 1.0× median
33249 CPT	"ins Eltrd Pace-defib"	7	$32,061.58	$100,998.51	$32,061.58	nat. median $32,069 1.0× median
33264 CPT	"remv & Replc Cvd Gen Mult Lead"	7	$32,061.58	$77,569.53	$32,061.58	nat. median $32,779 1.0× median
C2624 HCPCS	"cardiomems"	7	$21,157.78	$107,269.78	$30,174.34	nat. median $26,491 1.1× median
33289 CPT	"transc Impl Wirel Pulm Art P/s"	7	$28,428.33	$75,215.91	$28,428.33	nat. median $28,889 1.0× median
L8614 HCPCS	"kit Dual Proc Incl 2 Nucl Proc"	7	$12,432.07	$94,177.53	$26,491.57	nat. median $22,495 1.2× median
C1826 HCPCS	"stimulator, Closed Loop Evoke"	7	$22,576.40	$91,203.53	$25,655.00	nat. median $30,926 0.8× median
3722650 OTHER	"fem/pop Revasc W/stent"	7	$25,435.76	$90,424.13	$25,435.76	—
3722750 OTHER	"fem/pop Revasc W/stent & Ather"	7	$25,435.76	$90,424.13	$25,435.76	—
33230 CPT	"insrt Icd W/dual Leads"	7	$22,446.19	$77,569.53	$22,446.19	nat. median $23,060 1.0× median
33262 CPT	"remv & Replc Cvd Gen Sing Lead"	7	$22,446.19	$77,569.53	$22,446.19	nat. median $23,514 1.0× median
33263 CPT	"remv & Replc Cvd Gen Dual Lead"	7	$22,446.19	$77,569.53	$22,446.19	nat. median $23,924 0.9× median
33240 CPT	"insertion Pulse Generator"	7	$22,446.19	$75,577.24	$22,446.19	nat. median $23,398 1.0× median
64590 CPT	"imp Generator/ipg-stage 2"	7	$15,618.45	$24,140.69	$21,444.39	nat. median $18,089 1.2× median
3722550 OTHER	"fem/pop Revasc W/ather Bilat"	7	$21,232.68	$75,482.18	$21,232.68	—
33229 CPT	"rmvl & Replc Pm Gen Mult Leads"	7	$14,683.52	$22,695.62	$19,071.16	nat. median $19,415 1.0× median
27279 CPT	"cornerloc Proc /si Fusion"	7	$18,390.05	$39,485.28	$18,390.05	nat. median $17,450 1.1× median
J9347PO OTHER	"tremelimumab 25 Mg Vl"	7	$2,322.21	$98,955.90	$18,045.58	—
37231 CPT	"tib/per Revasc Stent & Ather"	7	$17,351.78	$26,819.81	$17,956.72	nat. median $19,288 0.9× median
36906 CPT	"thrombectomy Mech/infus W Sten"	7	$17,956.72	$39,453.43	$17,956.72	nat. median $18,501 1.0× median
37184 CPT	"thrombectomy Prim Art Mech"	7	$6,260.32	$17,956.72	$17,956.72	nat. median $15,255 1.2× median
C9765 HCPCS	"revasc Intra Lithotr-stent"	7	$15,566.61	$24,060.56	$17,956.72	nat. median $19,185 0.9× median
37229 CPT	"tib/per Revasc W/ather"	7	$17,295.75	$26,733.21	$17,956.72	nat. median $18,507 1.0× median
C9607 HCPCS	"prq Card Revasc Chronic 1vsl D"	7	$12,400.86	$19,167.42	$17,956.72	nat. median $19,925 0.9× median
37242 CPT	"vasc Emb Or Occl Arterial"	7	$13,791.58	$21,316.99	$17,956.72	nat. median $17,587 1.0× median
37230 CPT	"tib/per Revasc W/stent"	7	$17,295.75	$26,733.21	$17,956.72	nat. median $17,953 1.0× median
93580 CPT	"perc Closure Asd/pfo"	7	$17,956.72	$34,727.27	$17,956.72	nat. median $18,748 1.0× median
C9767 HCPCS	"revasc Lithotrip Stent-ather"	7	$17,956.72	$38,486.39	$17,956.72	nat. median $19,649 0.9× median
C9766 HCPCS	"revasc Intrav Lithotrip & Athr"	7	$14,779.80	$22,844.43	$17,956.72	nat. median $18,864 1.0× median
J9281 HCPCS	"jelmyto 80 Mg Ureteral Gel Kit"	7	$17,805.15	$63,297.31	$17,805.15	nat. median $403 outlier · 44.2×
J9359PO OTHER	"loncastuximab Tesirine 10 Mg"	7	$17,737.78	$63,057.80	$17,737.78	—
J9228PO OTHER	"yervoy 200mg 5mg/ml 40ml Sdv"	7	$4,415.04	$62,778.88	$16,677.40	—
C1882 HCPCS	"unify Assura Cd3357-40q Cell B"	7	$5,979.82	$60,616.38	$16,092.06	nat. median $24,131 0.7× median
C1822 HCPCS	"generator, Implantable Pulse"	7	$8,874.67	$57,163.58	$16,079.77	nat. median $30,046 0.5× median
C1722 HCPCS	"ellipse Nxtgen 1411-36q Sgl Me"	7	$7,262.64	$67,217.87	$15,639.82	nat. median $19,800 0.8× median
C1721 HCPCS	"fortify Assura Nxt Gen2357 Dua"	7	$4,027.80	$67,217.87	$14,841.82	nat. median $19,958 0.7× median
C1816 HCPCS	"generator Neurostim Spine"	7	$14,445.06	$51,352.19	$14,445.06	nat. median $9,555 1.5× median
3722150 OTHER	"illiac Revasc W/stent Bilat"	7	$14,133.49	$50,244.56	$14,133.49	—
J2327JB OTHER	"skyrizi 360 Mg/2.4 Ml Inj Kit"	7	$14,084.72	$50,071.18	$14,084.72	—
C1820 HCPCS	"battery, Neurostimulator"	7	$8,314.81	$68,988.69	$13,492.74	nat. median $21,100 0.6× median
33880 CPT	"endovascular Repair Of Thoraci"	7	$13,356.91	$47,483.82	$13,356.91	nat. median $3,965 outlier · 3.4×
20982 CPT	"ablation Ther Reduct 1 Bone Tu"	7	$9,689.79	$14,977.04	$12,866.82	nat. median $11,814 1.1× median
0627T CPT	"injection, Vivex"	7	$12,866.82	$28,831.51	$12,866.82	nat. median $12,674 1.0× median
37226LT OTHER	"fem/popl Revasc W/stent Lt"	7	$12,717.95	$45,212.31	$12,717.95	—
3722659LT OTHER	"fem/popl Revasc W/stent Lt"	7	$12,717.95	$45,212.31	$12,717.95	—
3722659RT OTHER	"fem/popl Revasc W/stent Rt"	7	$12,717.95	$45,212.31	$12,717.95	—
37227RT OTHER	"fem/popl Revas Stnt & Ather Rt"	7	$12,717.95	$45,212.31	$12,717.95	—
37226RT OTHER	"fem/popl Revasc W/stent Rt"	7	$12,717.95	$45,212.31	$12,717.95	—

Other procedures at this hospital

Browse this hospital's 3,406 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2043	HCPCS	"provenge 50,000,000 Cell/250ml"	16	7	$123,887.25	—	$55,272.32	$123,317.37	$55,272.32	2026-02-24
J9029	HCPCS	"adstiladrin 75 Ml Blad Instill"	16	7	$152,938.00	—	$42,822.64	$152,234.49	$42,822.64	2026-02-24
33249	CPT	"ins Eltrd Pace-defib"	16	7	$101,465.25	—	$32,061.58	$100,998.51	$32,061.58	2026-02-24
33264	CPT	"remv & Replc Cvd Gen Mult Lead"	16	7	$77,928.00	—	$32,061.58	$77,569.53	$32,061.58	2026-02-24
33231	CPT	"insrt Icd W/mult Leads"	16	7	$77,928.00	—	$32,061.58	$77,569.53	$32,061.58	2026-02-24
C2624	HCPCS	"cardiomems"	32	7	$91,664.50	—	$21,157.78	$107,269.78	$30,174.34	2026-02-24
33289	CPT	"transc Impl Wirel Pulm Art P/s"	16	7	$75,563.50	—	$28,428.33	$75,215.91	$28,428.33	2026-02-24
L8614	HCPCS	"kit Dual Proc Incl 2 Nucl Proc"	48	7	$50,212.75	—	$12,432.07	$94,177.53	$26,491.57	2026-02-24
C1826	HCPCS	"stimulator, Closed Loop Evoke"	32	7	$86,127.50	—	$22,576.40	$91,203.53	$25,655.00	2026-02-24
3722650	OTHER	"fem/pop Revasc W/stent"	16	7	$90,842.00	—	$25,435.76	$90,424.13	$25,435.76	2026-02-24
3722750	OTHER	"fem/pop Revasc W/stent & Ather"	16	7	$90,842.00	—	$25,435.76	$90,424.13	$25,435.76	2026-02-24
33263	CPT	"remv & Replc Cvd Gen Dual Lead"	16	7	$77,928.00	—	$22,446.19	$77,569.53	$22,446.19	2026-02-24
33240	CPT	"insertion Pulse Generator"	16	7	$75,926.50	—	$22,446.19	$75,577.24	$22,446.19	2026-02-24
33262	CPT	"remv & Replc Cvd Gen Sing Lead"	16	7	$77,928.00	—	$22,446.19	$77,569.53	$22,446.19	2026-02-24
33230	CPT	"insrt Icd W/dual Leads"	16	7	$77,928.00	—	$22,446.19	$77,569.53	$22,446.19	2026-02-24
64590	CPT	"imp Generator/ipg-stage 2"	16	7	$24,252.25	—	$15,618.45	$24,140.69	$21,444.39	2026-02-24
3722550	OTHER	"fem/pop Revasc W/ather Bilat"	16	7	$75,831.00	—	$21,232.68	$75,482.18	$21,232.68	2026-02-24
33229	CPT	"rmvl & Replc Pm Gen Mult Leads"	16	7	$22,800.50	—	$14,683.52	$22,695.62	$19,071.16	2026-02-24
27279	CPT	"cornerloc Proc /si Fusion"	16	7	$39,667.75	—	$18,390.05	$39,485.28	$18,390.05	2026-02-24
J9347PO	OTHER	"tremelimumab 25 Mg Vl"	32	7	$53,853.40	—	$2,322.21	$98,955.90	$18,045.58	2026-02-24
36906	CPT	"thrombectomy Mech/infus W Sten"	16	7	$39,635.75	—	$17,956.72	$39,453.43	$17,956.72	2026-02-24
37184	CPT	"thrombectomy Prim Art Mech"	16	7	$9,721.00	—	$6,260.32	$17,956.72	$17,956.72	2026-02-24
37229	CPT	"tib/per Revasc W/ather"	16	7	$26,856.75	—	$17,295.75	$26,733.21	$17,956.72	2026-02-24
C9607	HCPCS	"prq Card Revasc Chronic 1vsl D"	16	7	$19,256.00	—	$12,400.86	$19,167.42	$17,956.72	2026-02-24
C9765	HCPCS	"revasc Intra Lithotr-stent"	16	7	$24,171.75	—	$15,566.61	$24,060.56	$17,956.72	2026-02-24
C9767	HCPCS	"revasc Lithotrip Stent-ather"	16	7	$38,664.25	—	$17,956.72	$38,486.39	$17,956.72	2026-02-24
37230	CPT	"tib/per Revasc W/stent"	16	7	$26,856.75	—	$17,295.75	$26,733.21	$17,956.72	2026-02-24
C9766	HCPCS	"revasc Intrav Lithotrip & Athr"	16	7	$22,950.00	—	$14,779.80	$22,844.43	$17,956.72	2026-02-24
37242	CPT	"vasc Emb Or Occl Arterial"	16	7	$21,415.50	—	$13,791.58	$21,316.99	$17,956.72	2026-02-24
37231	CPT	"tib/per Revasc Stent & Ather"	16	7	$26,943.75	—	$17,351.78	$26,819.81	$17,956.72	2026-02-24
93580	CPT	"perc Closure Asd/pfo"	16	7	$34,887.75	—	$17,956.72	$34,727.27	$17,956.72	2026-02-24
J9281	HCPCS	"jelmyto 80 Mg Ureteral Gel Kit"	16	7	$63,589.82	—	$17,805.15	$63,297.31	$17,805.15	2026-02-24
J9359PO	OTHER	"loncastuximab Tesirine 10 Mg"	16	7	$63,349.21	—	$17,737.78	$63,057.80	$17,737.78	2026-02-24
J9228PO	OTHER	"yervoy 200mg 5mg/ml 40ml Sdv"	32	7	$39,418.50	—	$4,415.04	$62,778.88	$16,677.40	2026-02-24
C1882	HCPCS	"unify Assura Cd3357-40q Cell B"	176	7	$53,583.25	—	$5,979.82	$60,616.38	$16,092.06	2026-02-24
C1822	HCPCS	"generator, Implantable Pulse"	64	7	$42,028.88	—	$8,874.67	$57,163.58	$16,079.77	2026-02-24
C1722	HCPCS	"ellipse Nxtgen 1411-36q Sgl Me"	240	7	$46,025.25	—	$7,262.64	$67,217.87	$15,639.82	2026-02-24
C1721	HCPCS	"fortify Assura Nxt Gen2357 Dua"	320	7	$47,922.88	—	$4,027.80	$67,217.87	$14,841.82	2026-02-24
C1816	HCPCS	"generator Neurostim Spine"	16	7	$51,589.50	—	$14,445.06	$51,352.19	$14,445.06	2026-02-24
3722150	OTHER	"illiac Revasc W/stent Bilat"	16	7	$50,476.75	—	$14,133.49	$50,244.56	$14,133.49	2026-02-24
J2327JB	OTHER	"skyrizi 360 Mg/2.4 Ml Inj Kit"	16	7	$50,302.57	—	$14,084.72	$50,071.18	$14,084.72	2026-02-24
C1820	HCPCS	"battery, Neurostimulator"	160	7	$38,019.25	—	$8,314.81	$68,988.69	$13,492.74	2026-02-24
33880	CPT	"endovascular Repair Of Thoraci"	16	7	$47,703.25	—	$13,356.91	$47,483.82	$13,356.91	2026-02-24
0627T	CPT	"injection, Vivex"	16	7	$28,964.75	—	$12,866.82	$28,831.51	$12,866.82	2026-02-24
20982	CPT	"ablation Ther Reduct 1 Bone Tu"	16	7	$15,046.25	—	$9,689.79	$14,977.04	$12,866.82	2026-02-24
37227LT	OTHER	"fem/popl Revas Stnt & Ather Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37226LT	OTHER	"fem/popl Revasc W/stent Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722659RT	OTHER	"fem/popl Revasc W/stent Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37226RT	OTHER	"fem/popl Revasc W/stent Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722759RT	OTHER	"fem/popl Revas Stnt & Ather Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37227RT	OTHER	"fem/popl Revas Stnt & Ather Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722659LT	OTHER	"fem/popl Revasc W/stent Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722759LT	OTHER	"fem/popl Revas Stnt & Ather Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
63664	CPT	"revise Spine Eltrd Plate"	16	7	$47,134.50	—	$12,470.31	$46,917.68	$12,470.31	2026-02-24
C1767	HCPCS	"generator, Battery"	112	7	$31,436.00	—	$588.84	$64,501.92	$12,363.68	2026-02-24
0234T50	OTHER	"triuml Perip Athrc Renal Art B"	16	7	$42,745.00	—	$11,968.60	$42,548.37	$11,968.60	2026-02-24
0238T50	OTHER	"triuml Perp Athrc Illiac Art B"	16	7	$42,745.00	—	$11,968.60	$42,548.37	$11,968.60	2026-02-24
0237T50	OTHER	"triuml Perip Athrc Brchiocph B"	16	7	$42,745.00	—	$11,968.60	$42,548.37	$11,968.60	2026-02-24
33881	CPT	"tvar, W/out Subclavian"	16	7	$40,806.00	—	$11,425.68	$40,618.29	$11,425.68	2026-02-24
37243	CPT	"vascular Emboliz Or Occlusion"	16	7	$23,550.00	—	$11,340.57	$23,441.67	$11,340.57	2026-02-24
C9604	HCPCS	"perc Trans Revasc Coron Art"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
36905	CPT	"thrombectomy Mech W/pta Dialy"	16	7	$26,149.25	—	$11,340.57	$26,028.96	$11,340.57	2026-02-24
37228	CPT	"tib/per Revasc W/tla"	16	7	$12,651.00	—	$8,147.24	$12,592.81	$11,340.57	2026-02-24
C9600	HCPCS	"prq Card Stent W/angio 1 Vsl D"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
37244	CPT	"vasc Occl Art-ven Hem"	16	7	$27,272.75	—	$11,340.57	$27,147.30	$11,340.57	2026-02-24
36903	CPT	"stent Dialysis Graft With S&i"	16	7	$26,149.25	—	$11,340.57	$26,028.96	$11,340.57	2026-02-24
C9764	HCPCS	"revasc Intravasc Lithotripsy"	16	7	$11,930.50	—	$7,683.24	$11,875.62	$11,340.57	2026-02-24
92943	CPT	"prq Card Revasc Chronic 1vsl D"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
37187	CPT	"thrombectomy Venous Mech"	16	7	$9,721.00	—	$6,260.32	$11,340.57	$11,340.57	2026-02-24
37241	CPT	"vasc Emb Or Occl Venous"	16	7	$21,415.50	—	$11,340.57	$21,316.99	$11,340.57	2026-02-24
37236	CPT	"tc IV Stent Arter Initial W/si"	16	7	$24,047.25	—	$11,340.57	$23,936.63	$11,340.57	2026-02-24
92937	CPT	"perc Trans Revasc Coron Art"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
92928	CPT	"prq Card Stent W/angio 1 Vsl D"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
37238	CPT	"tc IV Stent Venous Init W/si"	16	7	$24,047.25	—	$11,340.57	$23,936.63	$11,340.57	2026-02-24
36836	CPT	"perc Arterio Fistula Single Ac"	16	7	$39,326.00	—	$11,011.28	$39,145.10	$11,011.28	2026-02-24
36837	CPT	"perc Arterio Fistula Sep Acc"	16	7	$39,326.00	—	$11,011.28	$39,145.10	$11,011.28	2026-02-24
33902	CPT	"perc Parvstent Initi Abnor Uni"	16	7	$39,326.00	—	$11,011.28	$39,145.10	$11,011.28	2026-02-24
J3101	HCPCS	"tenecteplase 50 Mg Vial"	22	7	$17,064.50	—	$172.22	$18,722.23	$10,989.54	2026-02-24
C9775	HCPCS	"revasc Lith-sten-ath Tib/per"	16	7	$38,664.25	—	$10,825.99	$38,486.39	$10,825.99	2026-02-24
C9774	HCPCS	"revasc Lithotr-ather Tib/per"	16	7	$38,664.25	—	$10,825.99	$38,486.39	$10,825.99	2026-02-24
C9773	HCPCS	"revasc Lithotr-stent-tib/per"	16	7	$38,664.25	—	$10,825.99	$38,486.39	$10,825.99	2026-02-24
G2171	HCPCS	"perc Avf Magnetic Art/ven Cath"	16	7	$38,579.50	—	$10,802.26	$38,402.03	$10,802.26	2026-02-24
G2170	HCPCS	"perc Arterioven Fistula Creat"	16	7	$38,579.50	—	$10,802.26	$38,402.03	$10,802.26	2026-02-24
J9026PO	OTHER	"tarlatamab 10mg Vl"	16	7	$38,235.00	—	$10,705.80	$38,059.12	$10,705.80	2026-02-24
3722559LT	OTHER	"fem/popl Revas W/ather Lt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
3722559RT	OTHER	"fem/popl Revas W/ather Rt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
37225LT	OTHER	"fem/popl Revas W/ather Lt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
37225RT	OTHER	"fem/popl Revas W/ather Rt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
33214	CPT	"pacemaker Upgrade Sngl To Dual"	16	7	$34,165.25	—	$10,465.33	$34,008.09	$10,465.33	2026-02-24
33228	CPT	"rmvl & Rplc Pm Gen Dual Lead"	16	7	$22,800.50	—	$10,465.33	$22,695.62	$10,465.33	2026-02-24
33224	CPT	"insert Pacing Lead & Connect"	16	7	$34,165.00	—	$10,465.33	$34,007.84	$10,465.33	2026-02-24
33213	CPT	"ins/rpl Pulse Gen Dual Chamber"	16	7	$25,860.00	—	$10,465.33	$25,741.04	$10,465.33	2026-02-24
33208	CPT	"pacemaker Ins Atrial/vent"	16	7	$34,165.25	—	$10,465.33	$34,008.09	$10,465.33	2026-02-24
33206	CPT	"pacemaker Ins Atrial"	16	7	$27,937.25	—	$10,465.33	$27,808.74	$10,465.33	2026-02-24
33207	CPT	"pacemaker Ins Ventricular"	16	7	$27,937.25	—	$10,465.33	$27,808.74	$10,465.33	2026-02-24
C1772	HCPCS	"pump, Programmable"	48	7	$28,069.25	—	$7,383.18	$37,091.59	$10,433.64	2026-02-24
32994	CPT	"ablation Ther Pulm Tum Cryoabl"	16	7	$12,154.25	—	$7,827.34	$12,098.34	$10,411.22	2026-02-24
47383	CPT	"ablation 1 + Liver Tum Cryoabl"	16	7	$12,154.75	—	$7,827.66	$12,098.84	$10,411.22	2026-02-24
J9309PO	OTHER	"polatuzumab-vedotin 140 Mg"	32	7	$25,106.08	—	$2,533.77	$40,973.65	$10,266.59	2026-02-24
J9298PO	OTHER	"opdualag 20ml Vial"	16	7	$35,804.50	—	$10,025.26	$35,639.80	$10,025.26	2026-02-24
3722050	OTHER	"illiac Revasc Init Bilat"	16	7	$35,464.75	—	$9,930.13	$35,301.61	$9,930.13	2026-02-24
3722450	OTHER	"fem/pop Revasc Bilat"	16	7	$33,833.50	—	$9,473.38	$33,677.87	$9,473.38	2026-02-24
34705	CPT	"endo Rpr Infrarenal/iliac W Bi"	16	7	$33,816.50	—	$9,468.62	$33,660.94	$9,468.62	2026-02-24
J9316PO	OTHER	"phesgo 1800 Mg Vl"	32	7	$27,687.75	—	$6,202.49	$33,070.92	$9,302.65	2026-02-24
C9761	HCPCS	"sure Flat Fee"	16	7	$22,425.00	—	$9,247.15	$22,321.85	$9,247.15	2026-02-24
0075T	CPT	"transcath Vertebral Art Stent"	16	7	$32,584.25	—	$9,123.59	$32,434.36	$9,123.59	2026-02-24
37215	CPT	"cerv Carotid Stent W/dep"	16	7	$32,584.25	—	$9,123.59	$32,434.36	$9,123.59	2026-02-24
5059350	OTHER	"ablation Renal Tum Uni Cryo Bi"	16	7	$32,093.25	—	$8,986.11	$31,945.62	$8,986.11	2026-02-24
33225	CPT	"l Ventric Pacing Lead Add-on"	16	7	$31,405.00	—	$8,793.40	$31,260.54	$8,793.40	2026-02-24
J0896PO	OTHER	"luspatercept 75 Mg Vial"	32	7	$20,519.38	—	$2,872.73	$30,637.42	$8,618.12	2026-02-24
37218	CPT	"transcath, Placemt Intrav Sten"	16	7	$30,337.00	—	$8,494.36	$30,197.45	$8,494.36	2026-02-24
37216	CPT	"carotid Stent Without Eps"	16	7	$30,337.00	—	$8,494.36	$30,197.45	$8,494.36	2026-02-24
33285	CPT	"cardiac Event Rec, Implantat"	16	7	$18,382.00	—	$8,275.98	$18,297.44	$8,275.98	2026-02-24
33233	CPT	"rmvl Pacemaker Pulse Generator"	16	7	$17,845.25	—	$8,275.98	$17,763.16	$8,275.98	2026-02-24
33227	CPT	"rmvl & Rplc Pm Gen Single Lead"	16	7	$20,804.75	—	$8,275.98	$20,709.05	$8,275.98	2026-02-24
33217	CPT	"ins Dual Transvenous Electrode"	16	7	$11,979.00	—	$7,714.48	$11,923.90	$8,275.98	2026-02-24
33216	CPT	"ins Sngl Transvenous Electrode"	16	7	$11,979.00	—	$7,714.48	$11,923.90	$8,275.98	2026-02-24
33211	CPT	"leads Insertion Dual Pacing"	16	7	$11,979.00	—	$7,714.48	$11,923.90	$8,275.98	2026-02-24
33210	CPT	"transven Ins Temp Pacing Elect"	16	7	$17,845.25	—	$8,275.98	$17,763.16	$8,275.98	2026-02-24
33212	CPT	"ins/rpl Pulse Gen Sngl Chamber"	16	7	$22,848.50	—	$8,275.98	$22,743.40	$8,275.98	2026-02-24
33883	CPT	"placement Of Proximal Extensio"	16	7	$29,094.25	—	$8,146.39	$28,960.42	$8,146.39	2026-02-24
C1602	HCPCS	"cerament 10ml W/gentamicin"	16	7	$27,257.00	—	$7,631.96	$27,131.62	$7,631.96	2026-02-24
37233	CPT	"tib/per Revasc W/ather Add-on"	16	7	$26,856.75	—	$7,519.89	$26,733.21	$7,519.89	2026-02-24
J9022PO	OTHER	"atezolizumab 1200 Mg"	32	7	$22,538.00	—	$5,197.01	$26,393.28	$7,424.27	2026-02-24
J9119PO	OTHER	"cemiplimab-rwlc 350 Mg Vial"	16	7	$25,676.00	—	$7,189.28	$25,557.89	$7,189.28	2026-02-24
22514	CPT	"vertebral Augmentation Lumbar"	16	7	$15,046.25	—	$7,143.73	$14,977.04	$7,143.73	2026-02-24
22513	CPT	"vertebral Augmentation Percut"	16	7	$15,046.25	—	$7,143.73	$14,977.04	$7,143.73	2026-02-24
3722350	OTHER	"illiac Revasc W/stent Addl Bil"	16	7	$25,300.75	—	$7,084.21	$25,184.37	$7,084.21	2026-02-24
3722250	OTHER	"illiac Revasc Add Bilat"	16	7	$25,300.75	—	$7,084.21	$25,184.37	$7,084.21	2026-02-24
35151	CPT	"popliteal Aneurysm Repair"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
37221RT	OTHER	"iliac Revasc W/stent Rt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
37221LT	OTHER	"iliac Revasc W/stene Lt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
3722159LT	OTHER	"iliac Revasc W/stent Lt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
3722159RT	OTHER	"iliac Revasc W/stent Rt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
33886	CPT	"placement Of Distal Extension"	16	7	$24,956.50	—	$6,987.82	$24,841.70	$6,987.82	2026-02-24
Q4116	HCPCS	"tissue, Alloderm 6 X 16"	80	7	$23,671.25	—	$2,807.28	$31,743.31	$6,963.46	2026-02-24
J0870PO	OTHER	"imetelstat 47mg"	32	7	$16,220.57	—	$1,817.21	$25,831.72	$6,863.25	2026-02-24
J2267	HCPCS	"mirikizumab-mrkz 300mg/15ml Vl"	16	7	$24,454.19	—	$6,847.17	$24,341.70	$6,847.17	2026-02-24
J9043PO	OTHER	"jevtana 60mg Kit W/diluent"	16	7	$24,346.00	—	$6,816.88	$24,234.01	$6,816.88	2026-02-24
33901	CPT	"perc Parvstent Initi Norm Bil"	16	7	$24,302.00	—	$6,804.56	$24,190.21	$6,804.56	2026-02-24
33900	CPT	"perc Parvstent Initi Norm Uni"	16	7	$24,302.00	—	$6,804.56	$24,190.21	$6,804.56	2026-02-24
33903	CPT	"perc Parvstent Initi Abno Bil"	16	7	$24,302.00	—	$6,804.56	$24,190.21	$6,804.56	2026-02-24
C9772	HCPCS	"revasc Lithotrip Tibi/perone"	16	7	$24,171.75	—	$6,768.09	$24,060.56	$6,768.09	2026-02-24
J2278	HCPCS	"ziconotide Acetate 25mcg/ml 20"	22	7	$10,556.50	—	$10.14	$10,507.94	$6,733.50	2026-02-24
37237	CPT	"tc IV Stent Arter Ea Addl W/si"	16	7	$24,047.25	—	$6,733.23	$23,936.63	$6,733.23	2026-02-24
37239	CPT	"tc IV Stent Venous Ea Addl W/s"	16	7	$24,047.25	—	$6,733.23	$23,936.63	$6,733.23	2026-02-24
Q4107	HCPCS	"jacket Grft Acel Dermal 8x16WD"	16	7	$23,919.00	—	$6,697.32	$23,808.97	$6,697.32	2026-02-24
36907	CPT	"transluminal Balloon Ap Cds"	16	7	$23,528.00	—	$6,587.84	$23,419.77	$6,587.84	2026-02-24
64581	CPT	"imp Tined Lead-stage 1"	16	7	$15,433.50	—	$6,562.90	$15,362.51	$6,562.90	2026-02-24
63663	CPT	"revise Spine Eltrd Perq Aray"	16	7	$13,975.50	—	$6,562.90	$13,911.21	$6,562.90	2026-02-24
63650	CPT	"perc Electrode Screening"	16	7	$13,362.75	—	$6,562.90	$13,301.28	$6,562.90	2026-02-24
64555	CPT	"perc Implnt Neur Stim Perip Nr"	16	7	$15,505.00	—	$6,562.90	$15,433.68	$6,562.90	2026-02-24
64561	CPT	"percutaneous(nonincisional)lea"	16	7	$13,975.50	—	$6,562.90	$13,911.21	$6,562.90	2026-02-24
J2327	HCPCS	"risankizumab-rzaa 600 Mg/10ml"	16	7	$23,289.86	—	$6,521.16	$23,182.73	$6,521.16	2026-02-24
J3263PO	OTHER	"toripalimab 240 Mg Vl"	16	7	$23,127.28	—	$6,475.64	$23,020.89	$6,475.64	2026-02-24
J1440	HCPCS	"rebyota Fecal 150 Ml Enema"	16	7	$22,939.20	—	$6,422.98	$22,833.68	$6,422.98	2026-02-24
0442T	CPT	"ablation Perc Plexus Trunc Nrv"	16	7	$13,697.75	—	$6,404.07	$13,634.74	$6,404.07	2026-02-24
2098350	OTHER	"abl Ther 1/ +bone Cryob Bil"	16	7	$22,569.25	—	$6,319.39	$22,465.43	$6,319.39	2026-02-24
34703	CPT	"endo Rpr Infrarenal/iliac W Un"	16	7	$22,543.50	—	$6,312.18	$22,439.80	$6,312.18	2026-02-24
J1459	HCPCS	"privigen 10% 40 Gm/400 Ml Vial"	22	7	$19,198.52	—	$50.74	$19,110.21	$6,300.42	2026-02-24
47541	CPT	"plmt Access Biliary Tree Sm Bo"	16	7	$7,482.25	—	$4,818.57	$7,447.83	$6,239.75	2026-02-24
34701	CPT	"endo Rpr Infrarenal Tube Endog"	16	7	$21,783.00	—	$6,099.24	$21,682.80	$6,099.24	2026-02-24
34707	CPT	"endo Rpr Iliac Art W Ilio-ilia"	16	7	$21,783.00	—	$6,099.24	$21,682.80	$6,099.24	2026-02-24
C1815	HCPCS	"pump Control With Iz"	48	7	$20,795.75	—	$2,997.33	$21,487.70	$6,044.36	2026-02-24
50593LT	OTHER	"ablation Renal Tum Uni Cryo Lt"	16	7	$21,395.25	—	$5,990.67	$21,296.83	$5,990.67	2026-02-24
50593RT	OTHER	"ablation Renal Tum Uni Cryo Rt"	16	7	$21,395.25	—	$5,990.67	$21,296.83	$5,990.67	2026-02-24
0234TLT	OTHER	"trluml Peri Arth Renal Art Lt"	16	7	$21,372.75	—	$5,984.37	$21,274.44	$5,984.37	2026-02-24
0234TRT	OTHER	"trluml Peri Arth Renal Art R"	16	7	$21,372.75	—	$5,984.37	$21,274.44	$5,984.37	2026-02-24
0235T	CPT	"trluml Perip Arth Visceral"	16	7	$21,372.75	—	$5,984.37	$21,274.44	$5,984.37	2026-02-24
0238TLT	OTHER	"trluml Perip Arth Iliac Art Lt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0238TRT	OTHER	"trluml Perip Arth Iliac Art Rt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0237TRT	OTHER	"trluml Perip Arth Brchiocph Rt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0237TLT	OTHER	"trluml Perip Arth Brchiocph Lt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
43276	CPT	"ercp Stent Exch Pre/post Dilat"	16	7	$12,091.75	—	$5,952.81	$12,036.13	$5,952.81	2026-02-24
41019	CPT	"place Ndl H&n For Rt"	16	7	$5,725.25	—	$3,687.06	$5,915.66	$5,915.66	2026-02-24
47539	CPT	"plmt Stent Duct Per New Access"	16	7	$12,154.75	—	$5,834.36	$12,098.84	$5,834.36	2026-02-24
47538	CPT	"plmt Stent Bile Duct Perc"	16	7	$12,154.75	—	$5,834.36	$12,098.84	$5,834.36	2026-02-24
47540	CPT	"plmt Stent New Access Sep Bil"	16	7	$12,154.75	—	$5,834.36	$12,098.84	$5,834.36	2026-02-24
47382	CPT	"ablation 1 Or More Liver Tumor"	16	7	$12,154.25	—	$5,834.36	$12,098.34	$5,834.36	2026-02-24
J9144PO	OTHER	"darzalex Faspro 1800 Mg"	16	7	$20,789.75	—	$5,821.13	$20,694.12	$5,821.13	2026-02-24
J9311PO	OTHER	"rituxan Hycela 1400 Mg"	32	7	$19,315.75	—	$5,048.05	$20,507.98	$5,768.77	2026-02-24
C9610	HCPCS	"balloon, Drug Coat Coronary Bs"	16	7	$20,524.00	—	$5,746.72	$20,429.59	$5,746.72	2026-02-24
37183	CPT	"revision Hepatic Shunt (tips)"	16	7	$11,906.25	—	$5,701.52	$11,851.48	$5,701.52	2026-02-24
37248	CPT	"pta Brach/ceph Art"	16	7	$16,917.50	—	$5,701.52	$16,839.68	$5,701.52	2026-02-24
37246	CPT	"pta Aorta"	16	7	$16,917.50	—	$5,701.52	$16,839.68	$5,701.52	2026-02-24
36904	CPT	"percu Thrombect Av Fistula"	16	7	$12,385.00	—	$5,701.52	$12,328.03	$5,701.52	2026-02-24
36902	CPT	"sc Pta Percu Renal/viseral Art"	16	7	$16,917.50	—	$5,701.52	$16,839.68	$5,701.52	2026-02-24
92920	CPT	"prq Cardiac Angioplast 1 Art"	16	7	$12,678.00	—	$5,701.52	$12,619.68	$5,701.52	2026-02-24
Q4104	HCPCS	"matrix, Integra Mesh Bil 4x5"	22	7	$13,172.75	—	$51.00	$13,112.16	$5,472.55	2026-02-24
75605	CPT	"aortogram Thorac By Serial"	16	7	$11,213.00	—	$5,405.70	$11,161.42	$5,405.70	2026-02-24
37211	CPT	"infusion For Art Thromboly S&i"	16	7	$10,113.25	—	$5,405.70	$10,066.73	$5,405.70	2026-02-24
36482	CPT	"endoven Ablation Ther Chem 1st"	16	7	$11,271.50	—	$5,405.70	$11,219.65	$5,405.70	2026-02-24
75726	CPT	"angiography Visceral Sel"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
75705	CPT	"angiography Spinal Sel"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
37191	CPT	"vena Cava Filter Insertion"	16	7	$10,091.25	—	$5,405.70	$10,044.83	$5,405.70	2026-02-24
75893	CPT	"venous Sampling Thru Cath S&i"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
36224	CPT	"place Cath Carotd Art"	16	7	$12,860.25	—	$5,405.70	$12,801.09	$5,405.70	2026-02-24
49419	CPT	"insert Tun Ip Cath W/port"	16	7	$11,455.00	—	$5,405.70	$11,402.31	$5,405.70	2026-02-24
36226	CPT	"place Cath Vertebral Art"	16	7	$12,860.25	—	$5,405.70	$12,801.09	$5,405.70	2026-02-24
36223	CPT	"place Cath Carotid/inom Art"	16	7	$7,863.75	—	$5,064.26	$7,827.58	$5,405.70	2026-02-24
75842	CPT	"venography Adrenal Bilat Sel"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
37200	CPT	"transcatheter Biopsy"	16	7	$7,059.50	—	$4,546.32	$7,027.03	$5,405.70	2026-02-24
75736	CPT	"angiography Pelvic (selective)"	16	7	$11,212.00	—	$5,405.70	$11,160.42	$5,405.70	2026-02-24
C9606	HCPCS	"prq Card Revasc M1 1 Vsl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92938	CPT	"prq Revasc Byp Graft Addl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92941	CPT	"prq Card Revasc M1 1 Vsl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92944	CPT	"prq Card Revasc Chronic Addl N"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9601	HCPCS	"prq Card Stent W/angio Addl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92929	CPT	"prq Card Stent W/angio Addl Nd"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9608	HCPCS	"prq Card Revasc Chronic Addl D"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9603	HCPCS	"prq Revasc Byp Graft Addl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C1817	HCPCS	"amplatzer Occluder"	16	7	$19,114.75	—	$5,352.13	$19,026.82	$5,352.13	2026-02-24
J9015	HCPCS	"proleukin 22 Mmu Vial"	16	7	$2,876.25	—	$1,852.31	$5,301.26	$5,301.26	2026-02-24
J1299	HCPCS	"eculizumab 300mg Vial"	16	7	$18,772.75	—	$5,256.37	$18,686.40	$5,256.37	2026-02-24
Q4122	HCPCS	"dcell, Decellular Dermis 16x20"	16	7	$18,601.00	—	$5,208.28	$18,515.44	$5,208.28	2026-02-24
J1162	HCPCS	"digifab 40mg Vial"	16	7	$1,666.75	—	$1,073.39	$5,168.23	$5,168.23	2026-02-24
J7504	HCPCS	"atgam 250mg/5ml Ampule"	16	7	$1,643.75	—	$1,058.58	$5,135.09	$5,135.09	2026-02-24
C2621	HCPCS	"percepta Crt P MRI Ppm Gen"	112	7	$17,674.00	—	$4,528.16	$20,091.15	$5,120.64	2026-02-24
3299850	OTHER	"ablation Ther Pulm Tum-bil"	16	7	$18,232.50	—	$5,105.10	$18,148.63	$5,105.10	2026-02-24
5059250	OTHER	"ablat Or> Renal Tum Bil"	16	7	$18,231.50	—	$5,104.82	$18,147.64	$5,104.82	2026-02-24
J9223PO	OTHER	"lurbinectedin 4 Mg Vial"	16	7	$18,210.50	—	$5,098.94	$18,126.73	$5,098.94	2026-02-24
55875	CPT	"transperi Needle Place, Pros"	16	7	$8,346.00	—	$5,083.62	$8,307.61	$5,083.62	2026-02-24
37182	CPT	"tips Insertion Transv Ih Porto"	16	7	$18,000.00	—	$5,040.00	$17,917.20	$5,040.00	2026-02-24
3321052	OTHER	"repos Temp Tran Sing Chamb Car"	16	7	$17,845.25	—	$4,996.67	$17,763.16	$4,996.67	2026-02-24
3722059LT	OTHER	"iliac Revasc Lt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
37220LT	OTHER	"iliac Revasc Lt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
37220RT	OTHER	"iliac Revasc Rt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
3722059RT	OTHER	"iliac Revasc Rt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
J9042PO	OTHER	"brentuximab 5mg/ml Vial"	16	7	$16,999.50	—	$4,759.86	$16,921.30	$4,759.86	2026-02-24
3722459RT	OTHER	"fem/popl Revas W/tla Rt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
37224LT	OTHER	"fem/popl Revas W/tla Lt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
3722459LT	OTHER	"fem/popl Revas W/tla Lt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
37224RT	OTHER	"fem/popl Revas W/tla Rt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
J9063PO	OTHER	"elahere 100mg Vl"	16	7	$16,916.47	—	$4,736.61	$16,838.65	$4,736.61	2026-02-24
J9273PO	OTHER	"tivdak 40mg"	16	7	$16,829.53	—	$4,712.27	$16,752.11	$4,712.27	2026-02-24
J1930PO	OTHER	"somatuline Depot 60mg Syr"	48	7	$13,477.50	—	$2,833.88	$16,695.10	$4,696.23	2026-02-24
36516	CPT	"apheresis Immunoad Slctv"	16	7	$9,602.00	—	$4,685.17	$9,557.83	$4,685.17	2026-02-24
J1299PO	OTHER	"eculizumab 300mg"	16	7	$16,628.82	—	$4,656.07	$16,552.33	$4,656.07	2026-02-24
J9354	HCPCS	"ado-trastuzumab Emtans 100mg V"	22	7	$7,185.75	—	$42.16	$11,441.13	$4,627.62	2026-02-24
J9301PO	OTHER	"obinutuzumab 1000 Mg Vial"	16	7	$16,154.50	—	$4,523.26	$16,080.19	$4,523.26	2026-02-24
Q4100	HCPCS	"cortiva, 1mm 16x20 Allograft"	16	7	$16,010.75	—	$4,483.01	$15,937.10	$4,483.01	2026-02-24
5059050	OTHER	"bilateral Lithotripsy"	16	7	$15,957.50	—	$4,468.10	$15,884.10	$4,468.10	2026-02-24
C1874	HCPCS	"stent, Icast Covered"	226	7	$9,376.00	—	$1,764.00	$29,831.39	$4,448.64	2026-02-24
J9332	HCPCS	"efgartigimod Alfa 400mg/20ml"	16	7	$15,555.25	—	$4,355.47	$15,483.70	$4,355.47	2026-02-24
A9604	HCPCS	"samarium 153"	16	7	$17,182.25	—	$4,314.91	$17,103.21	$4,314.91	2026-02-24
20983RT	OTHER	"abl Ther 1/ +bone Cryob Rt"	16	7	$15,046.25	—	$4,212.95	$14,977.04	$4,212.95	2026-02-24
20983LT	OTHER	"abl Ther 1/ +bone Cryob Lt"	16	7	$15,046.25	—	$4,212.95	$14,977.04	$4,212.95	2026-02-24
J2506PO	OTHER	"neulasta 6mg 0.6 Ml Syr"	16	7	$15,003.75	—	$4,201.05	$14,934.73	$4,201.05	2026-02-24
93462	CPT	"l Hrt Cath Trnsptl Puncture"	16	7	$14,879.75	—	$4,166.33	$14,811.30	$4,166.33	2026-02-24
A9600	HCPCS	"strontium 89 Chloride 4 Mci's"	16	7	$10,488.75	—	$4,146.34	$10,440.50	$4,146.34	2026-02-24
C1786	HCPCS	"mdt Adapta Sr Gen"	224	7	$11,466.38	—	$2,190.44	$24,290.75	$4,124.05	2026-02-24
C2596	HCPCS	"aquabeam, Handpiece Kit"	16	7	$14,625.00	—	$4,095.00	$14,557.73	$4,095.00	2026-02-24
C1821	HCPCS	"x-stop Kyphon"	16	7	$14,224.25	—	$3,982.79	$14,158.82	$3,982.79	2026-02-24
C1785	HCPCS	"assur 2240 Dl Chbr Pacer Merl"	256	7	$12,866.88	—	$67.69	$15,831.84	$3,952.27	2026-02-24
J2353PO	OTHER	"sandostatin Lar Depot 30mg Syr"	32	7	$11,771.00	—	$2,639.63	$14,049.82	$3,952.13	2026-02-24
6456159	OTHER	"percutaneous(non-inc)lead Tst2"	16	7	$13,975.50	—	$3,913.14	$13,911.21	$3,913.14	2026-02-24
Q2050PO	OTHER	"doxil 50mg 2mg/ml 25ml"	32	7	$9,126.50	—	$1,200.08	$13,902.75	$3,910.76	2026-02-24
0913T	CPT	"perc Trans Thr Dr Del Intr Bal"	16	7	$13,827.00	—	$3,871.56	$13,763.40	$3,871.56	2026-02-24
C1895	HCPCS	"durata Dual Icd Tachy Leads"	80	7	$12,760.75	—	$786.80	$13,802.47	$3,835.79	2026-02-24
38308	CPT	"incision Lymph Channels"	16	7	$8,115.00	—	$3,829.28	$8,077.67	$3,829.28	2026-02-24
J9057PO	OTHER	"copanlisib 60mg Vial"	16	7	$13,567.50	—	$3,798.90	$13,505.09	$3,798.90	2026-02-24
J9271PO	OTHER	"keytruda Pembrolizumab 100mg/4"	16	7	$13,514.75	—	$3,784.13	$13,452.58	$3,784.13	2026-02-24
33995	CPT	"insert Percut Vent Asst Dev Rt"	16	7	$13,494.50	—	$3,778.46	$13,432.43	$3,778.46	2026-02-24
33990	CPT	"insert Perc Vent Asst Dev Lt"	16	7	$13,494.50	—	$3,778.46	$13,432.43	$3,778.46	2026-02-24
31653	CPT	"bronch Ebus Sampling 3> Node"	16	7	$5,467.75	—	$3,521.23	$5,442.60	$3,686.95	2026-02-24
31652	CPT	"bronch Ebus Sampling 1/2 Node"	16	7	$5,467.75	—	$3,521.23	$5,442.60	$3,686.95	2026-02-24
15273	CPT	"skin Sub Grft T/arm/lg Child"	16	7	$5,696.00	—	$3,660.97	$5,669.80	$3,660.97	2026-02-24
L8690	HCPCS	"implant, Osia Aoi"	80	7	$11,781.50	—	$1,548.12	$13,084.53	$3,645.25	2026-02-24
33244	CPT	"remove Eltrd Transvenous"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33241	CPT	"remove Pulse Generator"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33235	CPT	"rmvl Pacemaker Electrode Dual"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33234	CPT	"rmvl Pacemaker System Sng Lead"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33220	CPT	"rpr Two Transvenous Electrodes"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33218	CPT	"rpr Sngl Transvenous Electrode"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
J7504PO	OTHER	"atgam 250mg/5ml"	16	7	$12,903.27	—	$3,612.92	$12,843.92	$3,612.92	2026-02-24
A2008	HCPCS	"theragen Mesh Bilay Graft 49.2"	32	7	$11,683.75	—	$2,934.75	$12,826.97	$3,608.15	2026-02-24
J2406	HCPCS	"oritavancin Inj 1200 Mg Vial"	16	7	$12,769.00	—	$3,575.32	$12,710.26	$3,575.32	2026-02-24
C1764	HCPCS	"linq System Implant"	16	7	$12,681.50	—	$3,550.82	$12,623.17	$3,550.82	2026-02-24
92921	CPT	"prq Cardiac Angio Addl Art"	16	7	$12,678.00	—	$3,549.84	$12,619.68	$3,549.84	2026-02-24
37223RT	OTHER	"iliac Revasc W/stent Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37223LT	OTHER	"iliac Revasc W/stent Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37222RT	OTHER	"iliac Revasc Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37222LT	OTHER	"iliac Revasc Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722359LT	OTHER	"iliac Revasc W/stent Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722359RT	OTHER	"iliac Revasc W/stent Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722259LT	OTHER	"iliac Revasc Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37234	CPT	"revsc Opn/prq Tib/pero Stent"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37235	CPT	"tib/per Revas Stnt&ather Addl"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37232	CPT	"tib/per Revasc Add-on"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722259RT	OTHER	"iliac Revasc Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
49418	CPT	"insrt Tun Ip Cath Perc"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47531	CPT	"injection Procedure T-tube"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47533	CPT	"plmt Biliary Drainage Cath Per"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47532	CPT	"inject Cholangiography New Acc"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
32550	CPT	"insert Indw Tunn Pleural Cath"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47490	CPT	"cholecystostomy Percut Complet"	16	7	$7,642.25	—	$3,529.06	$7,607.10	$3,529.06	2026-02-24
47534	CPT	"plmt Biliary Drain Cath Int/ex"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47535	CPT	"conv Ext Biliary Drain Cath"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
49402	CPT	"remove Fb Abdomen"	16	7	$7,642.25	—	$3,529.06	$7,607.10	$3,529.06	2026-02-24
47536	CPT	"exch Biliary Drain Cath /conv"	16	7	$7,591.25	—	$3,529.06	$7,556.33	$3,529.06	2026-02-24

See an error in this hospital's data? Submit a correction