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

ST JAMES PARISH HOSPITAL

Lutcher, LA · CCN 191305 · Rates published

18,450 distinct procedures filed
11 distinct payers
69,319 rate rows
2026-04-01 last MRF observed
Data quality

51,857 of 69,319 rate rows are consumer-grade (74.8%)

17,462 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 14,283
placeholder amount (≤ $0.02) — excluded from medians 2,994
template filing: same amount across many unrelated codes — excluded 148
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sjph.org/wp-content/uploads/2026/03/726010747_st-james-parish-hospital_standardcharges.csv
Found on page https://www.sjph.org/financial-services/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 271141d0d86d6a05… · 18,109,481 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
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 1 $106,201.20 $174,435.44 $140,318.32 nat. median
$44,163
outlier · 3.2×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $11,887.26 $118,872.58 $89,154.43 nat. median
$16,158
outlier · 5.5×
C9760
HCPCS 		Non-blind Interatrial Shunt 1 $64,901.18 $106,600.19 $85,750.68 nat. median
$28,845
outlier · 3.0×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $77,253.08 $77,253.08 $77,253.08 nat. median
$108,243
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $70,047.59 $74,124.43 $70,047.59 nat. median
$65,477
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $62,702.40 $65,518.20 $65,518.20 nat. median
$92,809
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $54,521.28 $60,516.75 $60,516.75 nat. median
$63,499
1.0× median
0283T
OTHER 		Periph Field Stimul Perm 2 $14,113.00 $57,249.80 $57,249.80 nat. median
$5,538
outlier · 10.3×
C9782
HCPCS 		Blind Myocar Trpl Bon Marrow 1 $41,301.18 $67,837.19 $54,569.18 nat. median
$18,540
outlier · 2.9×
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 $51,757.30 $51,757.30 $51,757.30 nat. median
$10,509
outlier · 4.9×
J9226
HCPCS 		Supprelin La Implant 2 $43,757.85 $47,109.28 $47,109.28 nat. median
$57,036
0.8× median
C9273
HCPCS 		Sipuleucel-t, Per Infusion 1 $41,075.00 $41,075.00 $41,075.00 —
33287
HCPCS 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $29,586.29 $48,595.48 $39,090.89 nat. median
$27,599
1.4× median
C9758
HCPCS 		Interatrial Shunt Ide 1 $29,501.18 $48,455.69 $38,978.43 nat. median
$18,540
outlier · 2.1×
0571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 2 $609.70 $119,461.52 $37,315.76 nat. median
$34,418
1.1× median
C2616
HCPCS 		Brachytx, Non-str,yttrium-90 2 $15,821.91 $60,403.13 $36,775.12 nat. median
$22,121
1.7× median
0387T
OTHER 		Leadless C Pm Ins/rpl Ventr 2 $11,808.00 $35,037.62 $35,037.62 nat. median
$7,678
outlier · 4.6×
947
MS_DRG 		Signs And Symptoms With Mcc 3 $21,293.44 $43,456.00 $34,708.35 nat. median
$8,698
outlier · 4.0×
948
MS_DRG 		Signs And Symptoms Without Mcc 4 $11,320.99 $43,456.00 $30,729.60 nat. median
$5,562
outlier · 5.5×
855
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 1 $30,676.94 $30,676.94 $30,676.94 nat. median
$10,915
outlier · 2.8×
C9792
HCPCS 		Blind/nonblind Trans Atrial 1 $23,011.18 $37,795.86 $30,403.52 nat. median
$10,473
outlier · 2.9×
J9266
HCPCS 		Pegaspargase Injection 2 $23,812.78 $29,777.58 $29,777.58 nat. median
$31,084
1.0× median
0686T
OTHER 		Histotripsy Mal Hepatcel Tis 2 $2,200.00 $48,455.69 $29,501.18 nat. median
$20,566
1.4× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $28,127.67 $28,127.67 $28,127.67 nat. median
$42,745
0.7× median
C9225
HCPCS 		Injection, Fluocinolone Acetonide Intravitreal Implant, Per 0.59 Mg 1 $27,900.77 $27,900.77 $27,900.77 —
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $27,899.13 $27,899.13 $27,899.13 nat. median
$48,410
0.6× median
0817T
OTHER 		Opn Insj/rplcmt Ins Ptn Subf 1 $20,842.84 $34,234.36 $27,538.60 nat. median
$20,997
1.3× median
0816T
OTHER 		Opn Insj/rplcmt Ins Ptn Subq 1 $20,842.84 $34,234.36 $27,538.60 nat. median
$20,997
1.3× median
61891
HCPCS 		Rev/rplcmt Sk-mnt Crnl Nstm 1 $20,842.84 $34,234.36 $27,538.60 nat. median
$20,209
1.4× median
E0194
HCPCS 		Air Fluidized Bed 1 $3,364.81 $33,648.14 $25,236.11 nat. median
$4,113
outlier · 6.1×
J9600
HCPCS 		Porfimer Sodium Injection 2 $25,188.84 $25,980.00 $25,188.84 nat. median
$26,416
1.0× median
0796T
OTHER 		Tcat Ins 2chmbr Ldls Pm Ra 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$22,598
1.1× median
0823T
OTHER 		Tcat Ins 1chmbr Ldls Pm Ra 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$23,353
1.1× median
0825T
OTHER 		Tcat Rmv&rpl1chmb Ldls Pm Ra 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$23,197
1.1× median
0803T
OTHER 		Tcat Rmv&rpl2chmb Ldls Pm Rv 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$20,753
1.2× median
0797T
OTHER 		Tcat Ins 2chmbr Ldls Pm Rv 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$20,718
1.2× median
0795T
OTHER 		Tcat Ins 2chmbr Ldls Pm Cmpl 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$22,665
1.1× median
0801T
OTHER 		Tcat Rmv&rpl 2chmbr Ldls Pm 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$22,384
1.1× median
0802T
OTHER 		Tcat Rmv&rpl2chmb Ldls Pm Ra 1 $18,565.35 $30,493.59 $24,529.47 nat. median
$22,384
1.1× median
0375T
OTHER 		Total Disc Arthrp Ant Appr 1 $24,128.64 $24,128.64 $24,128.64 nat. median
$6,729
outlier · 3.6×
G0298
HCPCS 		Insert Dual Chamber Icd 1 $23,988.07 $23,988.07 $23,988.07 nat. median
$1,198
outlier · 20.0×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 3 $720.00 $58,876.27 $23,826.76 nat. median
$22,046
1.1× median
27278
HCPCS 		Arthrd Si Jt Prq Wo Tfxj Dev 1 $17,756.28 $29,164.69 $23,460.49 nat. median
$17,914
1.3× median
77372
HCPCS 		Srs Linear Based 2 $1,461.76 $37,868.43 $23,055.36 nat. median
$7,667
outlier · 3.0×
0793T
OTHER 		Prq Tcat Thrm Ablt Nrv P-art 1 $16,707.31 $27,441.76 $22,074.53 nat. median
$20,987
1.1× median
64573
HCPCS 		Implant Neuroelectrodes 1 $21,530.59 $21,530.59 $21,530.59 nat. median
$3,406
outlier · 6.3×
S2067
HCPCS 		Breast Reconstruct, Stacked Deip Or Gap 1 $20,580.00 $20,580.00 $20,580.00 nat. median
$4,529
outlier · 4.5×
0336T
OTHER 		Lap Ablat Uterine Fibroids 2 $9,038.00 $20,280.42 $20,280.42 nat. median
$6,936
outlier · 2.9×
C9737
HCPCS 		Lap Esoph Augmentation 2 $9,038.00 $20,280.42 $20,280.42 nat. median
$17,820
1.1× median
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $2,603.78 $26,037.84 $19,528.38 nat. median
$3,608
outlier · 5.4×

Other procedures at this hospital

Browse this hospital's 18,450 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
             
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 1 — — $106,201.20 $174,435.44 $140,318.32 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $11,887.26 $118,872.58 $89,154.43 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $64,901.18 $106,600.19 $85,750.68 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $77,253.08 $77,253.08 $77,253.08 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $70,047.59 $74,124.43 $70,047.59 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $62,702.40 $65,518.20 $65,518.20 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $54,521.28 $60,516.75 $60,516.75 2026-04-01
0283T OTHER Periph Field Stimul Perm 3 2 — — $14,113.00 $57,249.80 $57,249.80 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 2 1 — — $41,301.18 $67,837.19 $54,569.18 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 — — $51,757.30 $51,757.30 $51,757.30 2026-04-01
J9226 HCPCS Supprelin La Implant 3 2 — — $43,757.85 $47,109.28 $47,109.28 2026-04-01
C9273 HCPCS Sipuleucel-t, Per Infusion 2 1 — — $41,075.00 $41,075.00 $41,075.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 1 — — $29,586.29 $48,595.48 $39,090.89 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 2 1 — — $29,501.18 $48,455.69 $38,978.43 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 2 — — $609.70 $119,461.52 $37,315.76 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 3 2 — — $15,821.91 $60,403.13 $36,775.12 2026-04-01
0387T OTHER Leadless C Pm Ins/rpl Ventr 3 2 — — $11,808.00 $35,037.62 $35,037.62 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 4 3 — — $21,293.44 $43,456.00 $34,708.35 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 6 4 — — $11,320.99 $43,456.00 $30,729.60 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 1 1 — — $30,676.94 $30,676.94 $30,676.94 2026-04-01
C9792 HCPCS Blind/nonblind Trans Atrial 2 1 — — $23,011.18 $37,795.86 $30,403.52 2026-04-01
J9266 HCPCS Pegaspargase Injection 3 2 — — $23,812.78 $29,777.58 $29,777.58 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 3 2 — — $2,200.00 $48,455.69 $29,501.18 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $28,127.67 $28,127.67 $28,127.67 2026-04-01
C9225 HCPCS Injection, Fluocinolone Acetonide Intravitreal Implant, Per 0.59 Mg 2 1 — — $27,900.77 $27,900.77 $27,900.77 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $27,899.13 $27,899.13 $27,899.13 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 1 — — $20,842.84 $34,234.36 $27,538.60 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 1 — — $20,842.84 $34,234.36 $27,538.60 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 1 — — $20,842.84 $34,234.36 $27,538.60 2026-04-01
E0194 HCPCS Air Fluidized Bed 3 1 — — $3,364.81 $33,648.14 $25,236.11 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $25,188.84 $25,980.00 $25,188.84 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 2 1 — — $18,565.35 $30,493.59 $24,529.47 2026-04-01
0375T OTHER Total Disc Arthrp Ant Appr 2 1 — — $24,128.64 $24,128.64 $24,128.64 2026-04-01
G0298 HCPCS Insert Dual Chamber Icd 2 1 — — $23,988.07 $23,988.07 $23,988.07 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 3 — — $720.00 $58,876.27 $23,826.76 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 1 — — $17,756.28 $29,164.69 $23,460.49 2026-04-01
77372 HCPCS Srs Linear Based 3 2 — — $1,461.76 $37,868.43 $23,055.36 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 2 1 — — $16,707.31 $27,441.76 $22,074.53 2026-04-01
64573 HCPCS Implant Neuroelectrodes 2 1 — — $21,530.59 $21,530.59 $21,530.59 2026-04-01
S2067 HCPCS Breast Reconstruct, Stacked Deip Or Gap 1 1 — — $20,580.00 $20,580.00 $20,580.00 2026-04-01
0336T OTHER Lap Ablat Uterine Fibroids 3 2 — — $9,038.00 $20,280.42 $20,280.42 2026-04-01
C9737 HCPCS Lap Esoph Augmentation 3 2 — — $9,038.00 $20,280.42 $20,280.42 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 3 1 — — $2,603.78 $26,037.84 $19,528.38 2026-04-01
C9751 HCPCS Microwave Bronch, 3d, Ebus 3 2 — — $1,900.00 $31,981.41 $19,471.18 2026-04-01
C9780 HCPCS Insert Cv Cath Inf & Sup App 3 2 — — $3,000.00 $31,981.41 $19,471.18 2026-04-01
0302T OTHER Icar Ischm Mntrng Sys Compl 3 2 — — $9,038.00 $19,423.13 $19,423.13 2026-04-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 2 1 — — $15,832.63 $22,058.78 $18,945.70 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 3 2 — — $1,400.00 $31,108.28 $18,939.59 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 3 2 — — $1,400.00 $31,108.28 $18,939.59 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 3 2 — — $374.00 $30,092.41 $18,321.10 2026-04-01
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 3 2 — — $9,038.00 $30,092.41 $18,321.10 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 3 2 — — $374.00 $30,092.41 $18,321.10 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 3 2 — — $374.00 $30,092.41 $18,321.10 2026-04-01
61793 HCPCS Focus Radiation Beam 2 1 — — $18,000.00 $18,000.00 $18,000.00 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 3 2 — — $17,585.51 $19,539.46 $17,585.51 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 3 2 — — $4,380.41 $17,280.00 $17,280.00 2026-04-01
0786T OTHER Insj/rplcmt Prq Ra Sac Nstim 2 1 — — $12,978.95 $21,317.93 $17,148.44 2026-04-01
33288 HCPCS Rmv&rplcmt Phrnc Nrv Stim Ld 2 1 — — $12,978.95 $21,317.93 $17,148.44 2026-04-01
64596 HCPCS Ins/rplcmt Prq Eltrd Ra Pn 1 2 1 — — $12,978.95 $21,317.93 $17,148.44 2026-04-01
0784T OTHER Ins/rplmt Eltrd Ra Spi Nstim 2 1 — — $12,978.95 $21,317.93 $17,148.44 2026-04-01
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 3 2 — — $1,900.00 $28,047.28 $17,075.97 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $16,715.12 $16,715.12 $16,715.12 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $16,636.18 $16,636.18 $16,636.18 2026-04-01
638 MS_DRG Diabetes With Cc 2 2 — — $12,136.88 $21,053.98 $16,595.43 2026-04-01
S2066 HCPCS Breast Reconstruct, Gap 1 1 — — $16,145.40 $16,145.40 $16,145.40 2026-04-01
S2068 HCPCS Breast Reconstruct, Deip 1 1 — — $16,145.40 $16,145.40 $16,145.40 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $16,082.41 $16,082.41 $16,082.41 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 2 — — $2,200.00 $26,385.12 $16,064.00 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 3 2 — — $1,400.00 $26,385.12 $16,064.00 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 2 — — $2,200.00 $26,385.12 $16,064.00 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 2 — — $2,200.00 $26,385.12 $16,064.00 2026-04-01
33864 HCPCS Ascending Aortic Graft 3 2 — — $3,778.17 $26,095.27 $15,887.53 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 3 2 — — $8,962.30 $21,941.99 $15,748.81 2026-04-01
C9746 HCPCS Trans Imp Balloon Cont 2 1 — — $15,697.82 $15,697.82 $15,697.82 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 2 — — $1,200.00 $49,379.27 $15,664.81 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 2 — — $383.38 $48,192.15 $15,620.36 2026-04-01
0304T OTHER Icar Ischm Mntrng Sys Device 3 2 — — $9,038.00 $15,605.17 $15,605.17 2026-04-01
0334T OTHER Perq Stablj Sacroiliac Joint 2 1 — — $15,356.43 $15,356.43 $15,356.43 2026-04-01
C1816 HCPCS Receiver/transmitter, Neuro 1 1 — — $15,310.20 $15,310.20 $15,310.20 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 4 2 — — $1,121.70 $26,728.39 $14,864.19 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 1 1 — — $14,188.00 $14,188.00 $14,188.00 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 — — $7,094.00 $21,239.54 $14,166.77 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 3 2 — — $2,666.54 $19,676.95 $14,123.08 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 3 — — $928.11 $88,396.77 $14,113.00 2026-04-01
69930 HCPCS Implant Cochlear Device 5 3 — — $1,286.34 $55,507.63 $14,113.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 3 — — $468.26 $92,707.45 $14,113.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 3 — — $654.27 $119,461.52 $14,113.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 3 — — $1,272.81 $44,039.65 $14,113.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 5 3 — — $421.70 $66,095.00 $14,113.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 3 — — $1,061.56 $53,633.31 $14,113.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 3 — — $464.04 $92,707.45 $14,113.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 5 3 — — $447.48 $92,707.45 $14,113.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 5 3 — — $441.07 $92,707.45 $14,113.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 5 3 — — $430.33 $92,707.45 $14,113.00 2026-04-01
C9783 HCPCS Blind Cor Sinus Reducer Impl 2 1 — — $10,615.31 $17,435.65 $14,025.48 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $13,942.58 $13,942.58 $13,942.58 2026-04-01
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 1 1 — — $13,939.00 $13,939.00 $13,939.00 2026-04-01
603 MS_DRG Cellulitis Without Mcc 3 2 — — $6,963.92 $17,314.64 $13,916.74 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 3 1 — — $3,137.38 $14,188.00 $13,914.24 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $13,914.24 $13,914.24 $13,914.24 2026-04-01
312 MS_DRG Syncope And Collapse 1 1 — — $13,913.04 $13,913.04 $13,913.04 2026-04-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 1 1 — — $13,913.04 $13,913.04 $13,913.04 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 3 2 — — $3,986.59 $22,839.73 $13,905.47 2026-04-01
637 MS_DRG Diabetes With Mcc 1 1 — — $13,904.24 $13,904.24 $13,904.24 2026-04-01
202 MS_DRG Bronchitis And Asthma With Cc/Mcc 1 1 — — $13,893.12 $13,893.12 $13,893.12 2026-04-01
33440 HCPCS Rplcmt A-valve Tlcj Autol Pv 3 2 — — $4,024.05 $22,651.50 $13,790.87 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 4 3 — — $912.27 $30,092.41 $13,679.55 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 4 3 — — $933.86 $30,092.41 $13,679.55 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 3 — — $688.00 $30,092.41 $13,679.55 2026-04-01
C9600 HCPCS Perc Drug-el Cor Stent Sing 4 3 — — $673.30 $30,092.41 $13,679.55 2026-04-01
92924 HCPCS Prq Card Angio/athrect 1 Art 4 3 — — $782.67 $29,735.79 $13,570.99 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 4 3 — — $199.60 $29,735.79 $13,570.99 2026-04-01
23474 HCPCS Revis Reconst Shoulder Joint 4 2 — — $1,400.00 $40,941.74 $13,564.51 2026-04-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 3 2 — — $7,624.58 $18,666.91 $13,398.13 2026-04-01
33871 HCPCS Transvrs A-arch Grf Hypthrm 3 2 — — $3,834.94 $21,966.25 $13,373.67 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $13,328.05 $13,328.05 $13,328.05 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $13,297.27 $13,297.27 $13,297.27 2026-04-01
0810T OTHER Subrta Njx Rx Agt W/vtrc 2 1 — — $10,031.18 $16,476.21 $13,253.69 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 1 1 — — $13,226.28 $13,226.28 $13,226.28 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 2 — — $2,200.00 $26,385.12 $13,138.01 2026-04-01
C9781 HCPCS Arthro/shoul Surg; W/spacer 3 2 — — $1,400.00 $21,431.47 $13,048.08 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 1 1 — — $13,012.46 $13,012.46 $13,012.46 2026-04-01
C9785 HCPCS Endo Outlet Restrict W/tube 2 1 — — $9,807.76 $16,109.25 $12,958.51 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 2 1 — — $9,807.76 $16,109.25 $12,958.51 2026-04-01
L5858 HCPCS Stance Phase Only 1 1 — — $12,940.76 $12,940.76 $12,940.76 2026-04-01
43325 HCPCS Revise Esophagus & Stomach 3 2 — — $1,962.93 $21,238.76 $12,930.75 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 3 2 — — $10,435.68 $13,904.24 $12,743.00 2026-04-01
C7533 HCPCS Ptca With Plcmt Brachytx Dev 2 1 — — $9,494.40 $15,594.55 $12,544.47 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 1 1 — — $12,463.90 $12,463.90 $12,463.90 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 2 — — $844.11 $37,843.46 $12,370.08 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 1 1 — — $12,254.97 $12,254.97 $12,254.97 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 4 2 — — $540.98 $36,129.19 $12,098.23 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 4 2 — — $528.54 $36,129.19 $12,098.23 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 1 1 — — $12,087.27 $12,087.27 $12,087.27 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 4 3 — — $1,117.62 $24,756.14 $12,055.11 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 1 — — $1,599.34 $15,993.39 $11,995.05 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $11,979.52 $11,979.52 $11,979.52 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $416.05 $36,020.07 $11,915.01 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 2 — — $962.46 $36,020.07 $11,915.01 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 2 — — $373.62 $36,020.07 $11,915.01 2026-04-01
C9757 HCPCS Spine/lumbar Disk Surgery 3 2 — — $1,400.00 $19,546.92 $11,900.71 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 5 3 — — $232.51 $27,137.48 $11,808.00 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 5 3 — — $561.40 $21,857.60 $11,808.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 3 — — $526.03 $27,137.48 $11,808.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 5 3 — — $889.35 $53,875.56 $11,808.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 5 3 — — $853.95 $53,875.56 $11,808.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 3 — — $767.96 $27,486.25 $11,808.00 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 5 3 — — $636.00 $21,857.60 $11,808.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 3 2 — — $1,900.00 $19,292.05 $11,745.54 2026-04-01
0861T OTHER Rmvl Pg Wcs Lv Both Compnt 2 1 — — $8,830.22 $14,503.64 $11,666.93 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $9,102.66 $13,914.24 $11,508.45 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 2 1 — — $9,102.66 $13,914.24 $11,508.45 2026-04-01
0326U OTHER Trgt Gen Seq Alys Pnl 83+ 2 1 — — $9,313.31 $12,975.75 $11,144.53 2026-04-01
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc 2 2 — — $10,435.68 $11,784.86 $11,110.27 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 4 3 — — $604.17 $23,685.90 $10,938.82 2026-04-01
92943 HCPCS Prq Card Revasc Chronic 1vsl 4 3 — — $821.06 $23,685.90 $10,938.82 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 4 3 — — $273.84 $23,685.90 $10,938.82 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 4 3 — — $316.80 $23,685.90 $10,938.82 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 4 3 — — $821.06 $23,685.90 $10,938.82 2026-04-01
92928 HCPCS Prq Card Stent W/angio 1 Vsl 4 3 — — $730.16 $23,685.90 $10,938.82 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 4 3 — — $352.65 $23,685.90 $10,938.82 2026-04-01
92937 HCPCS Prq Revasc Byp Graft 1 Vsl 4 3 — — $729.36 $23,685.90 $10,938.82 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 4 3 — — $820.04 $23,685.90 $10,938.82 2026-04-01
58674 HCPCS Laps Abltj Uterine Fibroids 4 2 — — $994.50 $33,310.59 $10,840.21 2026-04-01
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $10,770.60 $10,770.60 $10,770.60 2026-04-01
390 MS_DRG Gastrointestinal Obstruction Without Cc/Mcc 1 1 — — $10,662.04 $10,662.04 $10,662.04 2026-04-01
Q4244 HCPCS Procenta, Per 200 Mg 1 1 — — $10,585.07 $10,585.07 $10,585.07 2026-04-01
G0243 HCPCS Multi-source Proton Stereotactic Radiosurgery 2 1 — — $10,535.61 $10,535.61 $10,535.61 2026-04-01
0421T OTHER Waterjet Prostate Abltj Cmpl 4 2 — — $1,200.00 $31,273.71 $10,520.16 2026-04-01
0282T OTHER Periph Field Stimul Trial 3 2 — — $7,457.00 $10,471.60 $10,471.60 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 — — $10,435.68 $10,435.68 $10,435.68 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 — — $10,435.68 $10,435.68 $10,435.68 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 1 1 — — $10,435.68 $10,435.68 $10,435.68 2026-04-01
293 MS_DRG Heart Failure And Shock Without Cc/Mcc 1 1 — — $10,435.68 $10,435.68 $10,435.68 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 1 1 — — $10,428.18 $10,428.18 $10,428.18 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 1 1 — — $10,271.22 $10,271.22 $10,271.22 2026-04-01
81554 HCPCS Pulm Ds Ipf Mrna 190 Gen Alg 3 2 — — $5,830.00 $14,273.33 $10,244.64 2026-04-01
0212U OTHER Rare Ds Gen DNA Alys Proband 3 2 — — $5,803.71 $14,208.97 $10,198.45 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 4 2 — — $377.19 $17,359.37 $10,179.68 2026-04-01
0505T OTHER Ev Fempop Artl Revsc 4 2 — — $2,200.00 $15,881.40 $10,160.94 2026-04-01
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 3 1 — — $1,353.17 $13,531.66 $10,148.75 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 3 2 — — $2,680.25 $16,659.52 $10,142.78 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $10,102.74 $10,102.74 $10,102.74 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 3 1 — — $1,343.98 $13,439.80 $10,079.86 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 3 1 — — $1,343.98 $13,439.80 $10,079.86 2026-04-01
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 3 2 — — $1,900.00 $16,500.90 $10,046.21 2026-04-01
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 3 2 — — $1,900.00 $16,500.90 $10,046.21 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 3 2 — — $2,200.00 $16,495.53 $10,042.94 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 3 2 — — $1,400.00 $16,495.53 $10,042.94 2026-04-01
C9772 HCPCS Revasc Lithotrip Tibi/perone 3 2 — — $2,200.00 $16,495.53 $10,042.94 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 3 — — $1,011.95 $34,783.01 $9,977.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 3 — — $1,355.48 $34,783.01 $9,977.00 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 5 3 — — $1,101.39 $17,894.17 $9,977.00 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 5 3 — — $900.00 $17,894.17 $9,977.00 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 5 3 — — $887.65 $17,894.17 $9,977.00 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 5 3 — — $964.48 $17,894.17 $9,977.00 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 5 3 — — $1,112.00 $25,222.94 $9,977.00 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 5 3 — — $1,169.53 $17,894.17 $9,977.00 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 5 3 — — $600.94 $23,874.74 $9,977.00 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 5 3 — — $548.58 $23,874.74 $9,977.00 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 5 3 — — $603.79 $19,292.05 $9,977.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 3 — — $1,358.94 $34,783.01 $9,977.00 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 5 3 — — $900.00 $17,894.17 $9,977.00 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 5 3 — — $552.87 $19,292.05 $9,977.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 3 2 — — $2,858.75 $16,376.55 $9,970.50 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 1 1 — — $9,908.33 $9,908.33 $9,908.33 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 4 2 — — $810.49 $28,214.21 $9,863.80 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 6 2 — — $3,481.96 $12,136.88 $9,798.34 2026-04-01
C7515 HCPCS Cath/angio Dial Cir W/embol 3 2 — — $1,900.00 $16,018.37 $9,752.43 2026-04-01
0214U OTHER Rare Ds Xom DNA Alys Proband 3 2 — — $5,538.08 $13,558.62 $9,731.67 2026-04-01
0340T OTHER Ablate Pulm Tumors + Extnsn 3 2 — — $7,457.00 $9,690.61 $9,690.61 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 3 1 — — $1,288.42 $12,884.17 $9,663.13 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 4 2 — — $501.47 $28,214.21 $9,538.80 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 4 2 — — $382.20 $28,214.21 $9,538.80 2026-04-01
58580 HCPCS Transcrv Abltj Utrn Fibrd Rf 2 1 — — $7,199.80 $11,825.67 $9,512.74 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 4 3 — — $374.00 $30,092.41 $9,474.54 2026-04-01
0393T OTHER Es Sph Augmnt Device Removal 2 1 — — $9,442.71 $9,442.71 $9,442.71 2026-04-01
291 MS_DRG Heart Failure And Shock With Mcc 2 1 — — $4,683.00 $14,188.00 $9,435.50 2026-04-01
0242U OTHER Trgt Gen Seq Alys Pnl 55-74 3 2 — — $5,300.00 $12,975.75 $9,313.31 2026-04-01
G0290 HCPCS Drug-eluting Stents, Single 2 1 — — $9,282.28 $9,282.28 $9,282.28 2026-04-01
G0291 HCPCS Drug-eluting Stents,each Add 2 1 — — $9,282.28 $9,282.28 $9,282.28 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 4 2 — — $413.82 $17,359.37 $9,279.68 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 4 2 — — $358.04 $17,359.37 $9,279.68 2026-04-01
0572T OTHER Insertion Ss Dfb Electrode 4 2 — — $490.77 $25,371.70 $9,223.50 2026-04-01
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 3 1 — — $1,217.10 $12,171.02 $9,128.27 2026-04-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 2 — — $6,068.44 $13,935.74 $9,102.66 2026-04-01
24370 HCPCS Revise Reconst Elbow Joint 5 3 — — $1,400.00 $37,219.77 $9,038.00 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 5 3 — — $1,900.00 $37,219.77 $9,038.00 2026-04-01
27446 HCPCS Revision Of Knee Joint 5 3 — — $1,400.00 $19,097.43 $9,038.00 2026-04-01
37236 HCPCS Open/perq Place Stent 1st 5 3 — — $522.24 $35,350.69 $9,038.00 2026-04-01
37238 HCPCS Open/perq Place Stent Same 5 3 — — $355.99 $35,350.69 $9,038.00 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 5 3 — — $431.75 $28,047.28 $9,038.00 2026-04-01
33228 HCPCS Remv&replc Pm Gen Dual Lead 5 3 — — $408.92 $28,047.28 $9,038.00 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 5 3 — — $416.66 $28,047.28 $9,038.00 2026-04-01
33227 HCPCS Remove&replace Pm Gen Singl 5 3 — — $390.32 $25,572.15 $9,038.00 2026-04-01
0237T OTHER Trluml Perip Athrc Brchiocph 5 3 — — $1,351.10 $24,756.14 $9,038.00 2026-04-01
0236T OTHER Trluml Perip Athrc Abd Aorta 5 3 — — $1,216.08 $24,756.14 $9,038.00 2026-04-01
33206 HCPCS Insert Heart Pm Atrial 5 3 — — $524.23 $16,500.90 $9,038.00 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 5 3 — — $382.90 $31,108.28 $9,038.00 2026-04-01
33207 HCPCS Insert Heart Pm Ventricular 5 3 — — $555.10 $16,500.90 $9,038.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 5 3 — — $825.76 $31,108.28 $9,038.00 2026-04-01
0234T OTHER Trluml Perip Athrc Renal Art 5 3 — — $1,432.25 $24,756.14 $9,038.00 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 5 3 — — $613.10 $31,108.28 $9,038.00 2026-04-01
33213 HCPCS Insert Pulse Gen Dual Leads 5 3 — — $387.09 $15,793.41 $9,038.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 5 3 — — $821.74 $31,108.28 $9,038.00 2026-04-01
37183 HCPCS Remove Hepatic Shunt (tips) 5 3 — — $422.52 $17,595.38 $9,038.00 2026-04-01
55873 HCPCS Cryoablate Prostate 5 3 — — $1,039.04 $15,701.33 $9,038.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 5 3 — — $709.20 $31,108.28 $9,038.00 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 1 1 — — $9,033.44 $9,033.44 $9,033.44 2026-04-01
27486 HCPCS Revise/replace Knee Joint 5 3 — — $1,700.00 $14,792.98 $9,006.38 2026-04-01
24366 HCPCS Reconstruct Head Of Radius 5 3 — — $850.73 $14,765.32 $8,989.54 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 5 3 — — $1,261.26 $14,765.32 $8,989.54 2026-04-01
23470 HCPCS Reconstruct Shoulder Joint 5 3 — — $1,400.00 $14,765.32 $8,989.54 2026-04-01
25446 HCPCS Wrist Replacement 5 3 — — $1,464.96 $14,765.32 $8,989.54 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 5 3 — — $1,001.95 $14,765.32 $8,989.54 2026-04-01
24363 HCPCS Replace Elbow Joint 5 3 — — $1,822.73 $14,765.32 $8,989.54 2026-04-01
25441 HCPCS Reconstruct Wrist Joint 5 3 — — $1,172.24 $14,765.32 $8,989.54 2026-04-01
50542 HCPCS Laparo Ablate Renal Mass 5 3 — — $1,834.64 $14,691.21 $8,944.42 2026-04-01
47370 HCPCS Laparo Ablate Liver Tumor Rf 5 3 — — $1,801.27 $14,691.21 $8,944.42 2026-04-01
44208 HCPCS L Colectomy/coloproctostomy 3 2 — — $2,813.19 $14,691.21 $8,944.42 2026-04-01
44207 HCPCS L Colectomy/coloproctostomy 3 2 — — $2,590.55 $14,691.21 $8,944.42 2026-04-01
44206 HCPCS Lap Part Colectomy W/stoma 3 2 — — $2,500.97 $14,691.21 $8,944.42 2026-04-01
38780 HCPCS Remove Abdomen Lymph Nodes 3 2 — — $1,103.67 $14,691.21 $8,944.42 2026-04-01
C7531 HCPCS Angio Fem/pop With US 3 2 — — $1,400.00 $14,653.10 $8,921.22 2026-04-01
37221 HCPCS Iliac Revasc W/stent 5 3 — — $582.57 $14,653.10 $8,921.22 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 1 1 — — $8,907.41 $8,907.41 $8,907.41 2026-04-01
0320T OTHER Insert Subq Defib Electrode 2 1 — — $8,887.88 $8,887.88 $8,887.88 2026-04-01
0303T OTHER Icar Ischm Mntrng Sys Eltrd 3 2 — — $7,457.00 $8,887.88 $8,887.88 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 2 — — $562.41 $25,219.77 $8,777.25 2026-04-01
K0880 HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 3 1 — — $1,084.87 $10,848.70 $8,678.96 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 2 — — $1,043.73 $24,279.66 $8,666.07 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 2 — — $1,259.50 $24,279.66 $8,666.07 2026-04-01
0306U OTHER Onc Mrd Nxt-gnrj Alys 1st 2 1 — — $7,224.24 $10,065.16 $8,644.70 2026-04-01
E0764 HCPCS Functional Neuromuscularstim 3 1 — — $1,144.24 $11,442.37 $8,581.78 2026-04-01
33390 HCPCS Valvuloplasty Aortic Valve 3 2 — — $2,255.11 $14,059.34 $8,559.72 2026-04-01
92920 HCPCS Prq Cardiac Angioplast 1 Art 4 3 — — $656.33 $15,594.55 $8,475.70 2026-04-01
92921 HCPCS Prq Cardiac Angio Addl Art 4 3 — — $300.69 $15,594.55 $8,475.70 2026-04-01
0321T OTHER Insert Subq Defib Pls Gen 2 1 — — $8,446.46 $8,446.46 $8,446.46 2026-04-01
0319T OTHER Insert Subq Defib W/eltrd 2 1 — — $8,446.46 $8,446.46 $8,446.46 2026-04-01
0323T OTHER Rmvl & Replc Subq Pls Gen 2 1 — — $8,446.46 $8,446.46 $8,446.46 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 5 2 — — $102.00 $14,637.32 $8,399.69 2026-04-01
305 MS_DRG Hypertension Without Mcc 1 1 — — $8,373.00 $8,373.00 $8,373.00 2026-04-01
L7191 HCPCS Elbow Child Myoelectronic CT 1 1 — — $8,363.33 $8,363.33 $8,363.33 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 5 3 — — $1,400.00 $13,718.29 $8,352.08 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 3 2 — — $3,547.00 $13,913.04 $8,352.04 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 2 — — $589.25 $24,279.66 $8,341.07 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 3 2 — — $8,334.25 $9,050.79 $8,334.25 2026-04-01
E0483 HCPCS Chest Compression Gen System 3 1 — — $1,099.23 $10,992.30 $8,244.23 2026-04-01
811 MS_DRG Red Blood Cell Disorders With Mcc 2 1 — — $6,955.92 $9,196.00 $8,075.96 2026-04-01
0362U OTHER Onc Pap Thyr Ca RNA 82&10 2 1 — — $6,705.58 $9,342.54 $8,024.06 2026-04-01
0391U OTHER Onc Sld Tum Dna&rna 437 Gen 2 1 — — $6,705.58 $9,342.54 $8,024.06 2026-04-01
64581 HCPCS Implant Neuroelectrodes 5 3 — — $971.76 $13,168.19 $8,017.16 2026-04-01
64580 HCPCS Implant Neuroelectrodes 5 3 — — $457.13 $13,168.19 $8,017.16 2026-04-01
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