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

HARDTNER MEDICAL CENTER

Olla, LA · CCN 191315 · Rates published

14,387 distinct procedures filed
9 distinct payers
26,364 rate rows
2026-07-31 last MRF observed
Data quality

14,938 of 26,364 rate rows are consumer-grade (56.7%)

11,426 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 6,286
placeholder amount (≤ $0.02) — excluded from medians 5,131
exceeds 10× this hospital's gross charge — excluded from medians 8
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hardtnermedical.com/wp-content/uploads/2025/01/720652984_lasalle-parish-hospital-service-disctrict-no-1_standardcharges.csv
Found on page https://www.hardtnermedical.com/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-08
Content fingerprint 69d661d8161122c9… · 1,237,685 bytes · first seen 2026-05-05

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
0100T
OTHER 		Prosth Retina Receive&Gen 1 $152,500.50 $152,500.50 $152,500.50 nat. median
$66,159
outlier · 2.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $90,885.98 $90,885.98 $90,885.98 nat. median
$108,243
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $40,764.74 $40,764.74 $40,764.74 nat. median
$42,745
1.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $40,433.52 $40,433.52 $40,433.52 nat. median
$48,410
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 1 $37,435.88 $37,435.88 $37,435.88 nat. median
$28,331
1.3× median
69930
HCPCS 		Implant Cochlear Device 1 $33,108.32 $33,108.32 $33,108.32 nat. median
$23,645
1.4× median
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 1 $32,282.64 $32,282.64 $32,282.64 nat. median
$31,377
1.0× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 1 $32,282.64 $32,282.64 $32,282.64 nat. median
$32,069
1.0× median
33270
HCPCS 		Ins/rep Subq Defibrillator 1 $32,282.64 $32,282.64 $32,282.64 nat. median
$32,475
1.0× median
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $32,282.64 $32,282.64 $32,282.64 nat. median
$32,779
1.0× median
0571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 1 $32,282.64 $32,282.64 $32,282.64 nat. median
$34,418
0.9× median
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 1 $30,063.48 $30,063.48 $30,063.48 nat. median
$29,815
1.0× median
63685
HCPCS 		Insrt/redo Spine N Generator 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$21,812
1.3× median
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$14,049
outlier · 2.1×
64568
HCPCS 		Inc For Vagus N Elect Impl 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$27,905
1.0× median
61886
HCPCS 		Implant Neurostim Arrays 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$23,007
1.3× median
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$9,247
outlier · 3.1×
0316T
OTHER 		Replc Vagus Nerve Pls Gen 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$9,247
outlier · 3.1×
0312T
OTHER 		Laps Impltj Nstim Vagus 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$14,049
outlier · 2.1×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$22,046
1.3× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$44,339
0.7× median
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $29,118.74 $29,118.74 $29,118.74 nat. median
$9,247
outlier · 3.1×
33289
HCPCS 		Tcat Impl Wrls P-art Prs Snr 1 $28,521.53 $28,521.53 $28,521.53 nat. median
$28,889
1.0× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 1 $24,224.81 $24,224.81 $24,224.81 nat. median
$29,004
0.8× median
L6880
HCPCS 		Elec Hand Ind Art Digits 1 $24,110.40 $24,110.40 $24,110.40 nat. median
$28,867
0.8× median
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$23,398
1.0× median
33262
HCPCS 		Rmvl& Replc Pulse Gen 1 Lead 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$23,514
1.0× median
0520T
OTHER 		Rmvl&rplcmt Pg Wcs New Eltrd 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$12,283
1.8× median
0414T
OTHER 		Rmvl & Rpl Car Modulj Pls Gn 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$24,467
0.9× median
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$23,060
1.0× median
33263
HCPCS 		Rmvl & Rplcmt Dfb Gen 2 Lead 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$23,924
0.9× median
0409T
OTHER 		Insj/rplc Car Modulj Pls Gn 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$24,467
0.9× median
0515T
OTHER 		Insj Wcs Lv Compl Sys 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$24,506
0.9× median
0614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$26,112
0.9× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 1 $22,712.89 $22,712.89 $22,712.89 nat. median
$32,779
0.7× median
603
MS_DRG 		Cellulitis Without Mcc 2 — — $21,659.82 nat. median
$6,621
outlier · 3.3×
641
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 2 — — $21,012.30 nat. median
$5,850
outlier · 3.6×
0308T
OTHER 		Insj Ocular Telescope Prosth 1 $20,675.62 $20,675.62 $20,675.62 nat. median
$17,943
1.2× median
93656
HCPCS 		Tx Atrial Fib Pulm Vein Isol 1 $20,435.27 $20,435.27 $20,435.27 nat. median
$26,469
0.8× median
93653
HCPCS 		Ep & Ablate Supravent Arrhyt 1 $20,435.27 $20,435.27 $20,435.27 nat. median
$25,502
0.8× median
93654
HCPCS 		Ep & Ablate Ventric Tachy 1 $20,435.27 $20,435.27 $20,435.27 nat. median
$26,477
0.8× median
L8614
HCPCS 		Cochlear Device 1 $19,316.01 $19,316.01 $19,316.01 nat. median
$22,495
0.9× median
63664
HCPCS 		Revise Spine Eltrd Plate 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$9,701
2.0× median
63655
HCPCS 		Implant Neuroelectrodes 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$18,350
1.1× median
64575
HCPCS 		Implant Neuroelectrodes 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$12,507
1.5× median
0426T
OTHER 		Insj/rplc Nstim Apnea Stm Ld 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$9,247
outlier · 2.1×
61867
HCPCS 		Implant Neuroelectrode 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$6,180
outlier · 3.1×
61885
HCPCS 		Insrt/redo Neurostim 1 Array 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$18,802
1.0× median
64580
HCPCS 		Implant Neuroelectrodes 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$17,811
1.1× median
64590
HCPCS 		Insrt/redo Pn/gastr Stimul 1 $19,279.42 $19,279.42 $19,279.42 nat. median
$18,089
1.1× median

Other procedures at this hospital

Browse this hospital's 14,387 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
             
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $152,500.50 $152,500.50 $152,500.50 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $90,885.98 $90,885.98 $90,885.98 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $40,764.74 $40,764.74 $40,764.74 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $40,433.52 $40,433.52 $40,433.52 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 1 1 — — $37,435.88 $37,435.88 $37,435.88 2026-04-01
69930 HCPCS Implant Cochlear Device 1 1 — — $33,108.32 $33,108.32 $33,108.32 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 1 1 — — $32,282.64 $32,282.64 $32,282.64 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 1 1 — — $32,282.64 $32,282.64 $32,282.64 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $32,282.64 $32,282.64 $32,282.64 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 1 1 — — $32,282.64 $32,282.64 $32,282.64 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 1 1 — — $32,282.64 $32,282.64 $32,282.64 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $30,063.48 $30,063.48 $30,063.48 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
61886 HCPCS Implant Neurostim Arrays 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $29,118.74 $29,118.74 $29,118.74 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 1 1 — — $28,521.53 $28,521.53 $28,521.53 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $24,224.81 $24,224.81 $24,224.81 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $24,110.40 $24,110.40 $24,110.40 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $22,712.89 $22,712.89 $22,712.89 2026-04-01
603 MS_DRG Cellulitis Without Mcc 3 2 — — — — $21,659.82 2026-04-01
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 3 2 — — — — $21,012.30 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 1 1 — — $20,675.62 $20,675.62 $20,675.62 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 1 1 — — $20,435.27 $20,435.27 $20,435.27 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 1 1 — — $20,435.27 $20,435.27 $20,435.27 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 1 1 — — $20,435.27 $20,435.27 $20,435.27 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $19,316.01 $19,316.01 $19,316.01 2026-04-01
64575 HCPCS Implant Neuroelectrodes 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
63664 HCPCS Revise Spine Eltrd Plate 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
64580 HCPCS Implant Neuroelectrodes 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
61867 HCPCS Implant Neuroelectrode 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
63655 HCPCS Implant Neuroelectrodes 1 1 — — $19,279.42 $19,279.42 $19,279.42 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $19,271.41 $19,271.41 $19,271.41 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 1 1 — — $19,168.52 $19,168.52 $19,168.52 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $18,920.48 $18,920.48 $18,920.48 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 1 1 — — $18,858.64 $18,858.64 $18,858.64 2026-04-01
L5858 HCPCS Stance Phase Only 1 1 — — $18,754.73 $18,754.73 $18,754.73 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 1 1 — — $18,313.22 $18,313.22 $18,313.22 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 1 1 — — $18,313.22 $18,313.22 $18,313.22 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
53444 HCPCS Insert Tandem Cuff 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
54400 HCPCS Insert Semi-rigid Prosthesis 1 1 — — $17,573.96 $17,573.96 $17,573.96 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $17,361.63 $17,361.63 $17,361.63 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 1 1 — — $17,091.57 $17,091.57 $17,091.57 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 1 1 — — $16,516.44 $16,516.44 $16,516.44 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 1 1 — — $16,516.44 $16,516.44 $16,516.44 2026-04-01
62360 HCPCS Insert Spine Infusion Device 1 1 — — $16,516.44 $16,516.44 $16,516.44 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $16,403.04 $16,403.04 $16,403.04 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22610 HCPCS Thorax Spine Fusion 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
25446 HCPCS Wrist Replacement 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22864 HCPCS Remove Cerv Artif Disc 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22556 HCPCS Thorax Spine Fusion 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
24546 HCPCS Treat Humerus Fracture 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
27590 HCPCS Amputate Leg At Thigh 2 1 $4,532.00 $3,625.60 20% off $15,946.08 $15,946.08 $15,946.08 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
20816 HCPCS Replantation Digit Complete 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
28705 HCPCS Fusion Of Foot Bones 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
27880 HCPCS Amputation Of Lower Leg 2 1 $5,293.00 $4,234.40 20% off $15,946.08 $15,946.08 $15,946.08 2026-04-01
24363 HCPCS Replace Elbow Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
23616 HCPCS Treat Humerus Fracture 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 1 1 — — $15,946.08 $15,946.08 $15,946.08 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
33990 HCPCS Insert Vad Artery Access 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
33418 HCPCS Repair Tcat Mitral Valve 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 1 $6,820.00 $5,456.00 20% off $15,939.97 $15,939.97 $15,939.97 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
33967 HCPCS Insert I-aort Percut Device 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
33477 HCPCS Implant Tcat Pulm Vlv Perq 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
93580 HCPCS Transcath Closure Of Asd 1 1 — — $15,939.97 $15,939.97 $15,939.97 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 3 2 — — — — $15,351.75 2026-04-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 3 2 — — — — $15,035.57 2026-04-01
292 MS_DRG Heart Failure And Shock With Cc 3 2 — — — — $14,846.57 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 1 1 — — $14,663.41 $14,663.41 $14,663.41 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $14,641.65 $14,641.65 $14,641.65 2026-04-01
55815 HCPCS Extensive Prostate Surgery 1 1 — — $14,514.78 $14,514.78 $14,514.78 2026-04-01
55845 HCPCS Extensive Prostate Surgery 1 1 — — $14,514.78 $14,514.78 $14,514.78 2026-04-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 3 2 — — — — $14,372.81 2026-04-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 3 2 — — — — $13,889.41 2026-04-01
19357 HCPCS Breast Reconstruction 1 1 — — $13,853.33 $13,853.33 $13,853.33 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 1 1 — — $13,091.94 $13,091.94 $13,091.94 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 1 1 — — $12,909.29 $12,909.29 $12,909.29 2026-04-01
67027 HCPCS Implant Eye Drug System 1 1 — — $12,876.13 $12,876.13 $12,876.13 2026-04-01
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 3 2 — — — — $12,726.90 2026-04-01
69716 HCPCS Impltj Oi Implt Skl Tc Esp 1 1 — — $12,593.29 $12,593.29 $12,593.29 2026-04-01
69719 HCPCS Revj/rplcmt Oi Implt Tc Esp 1 1 — — $12,593.29 $12,593.29 $12,593.29 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $12,500.50 $12,500.50 $12,500.50 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 1 1 — — $12,500.50 $12,500.50 $12,500.50 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $12,500.50 $12,500.50 $12,500.50 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 1 1 — — $12,500.50 $12,500.50 $12,500.50 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 3 2 — — — — $12,214.72 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/Mcc 3 2 — — — — $12,207.73 2026-04-01
L7191 HCPCS Elbow Child Myoelectronic CT 1 1 — — $12,120.77 $12,120.77 $12,120.77 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 1 1 — — $12,083.79 $12,083.79 $12,083.79 2026-04-01
81416 HCPCS Exome Sequence Analysis 2 2 — — $12,000.00 $12,000.00 $12,000.00 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
25810 HCPCS Fusion/graft Of Wrist Joint 2 1 $4,064.00 $3,251.20 20% off $11,900.71 $11,900.71 $11,900.71 2026-04-01
23473 HCPCS Revis Reconst Shoulder Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27827 HCPCS Treat Lower Leg Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27828 HCPCS Treat Lower Leg Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24900 HCPCS Amputation Of Upper Arm 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22612 HCPCS Lumbar Spine Fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23474 HCPCS Revis Reconst Shoulder Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22830 HCPCS Exploration Of Spinal Fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22869 HCPCS Insj Stablj Dev Without Dcmprn 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22630 HCPCS Lumbar Spine Fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
69718 HCPCS Revise Temple Bone Implant 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23470 HCPCS Reconstruct Shoulder Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
69714 HCPCS Implant Temple Bone W/Stimul 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
64628 HCPCS Trml Dstrj Ios Bvn 1st 2 L/s 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22318 HCPCS Treat Odontoid Fx Without Graft 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27598 HCPCS Amputate Lower Leg At Knee 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27447 HCPCS Total Knee Arthroplasty 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23491 HCPCS Reinforce Shoulder Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27446 HCPCS Revision Of Knee Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27134 HCPCS Revise Hip Joint Replacement 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23802 HCPCS Fusion Of Shoulder Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24587 HCPCS Treat Elbow Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24362 HCPCS Reconstruct Elbow Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23680 HCPCS Treat Dislocation/fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
25491 HCPCS Reinforce Ulna 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24498 HCPCS Reinforce Humerus 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
25444 HCPCS Reconstruct Wrist Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
20692 HCPCS Apply Bone Fixation Device 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24410 HCPCS Revision Of Humerus 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22600 HCPCS Neck Spine Fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22558 HCPCS Lumbar Spine Fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24370 HCPCS Revise Reconst Elbow Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24366 HCPCS Reconstruct Head Of Radius 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
C9757 HCPCS Spine/lumbar Disk Surgery 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22852 HCPCS Remove Spine Fixation Device 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
25441 HCPCS Reconstruct Wrist Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22551 HCPCS Neck Spine Fuse&remov Bel C2 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22855 HCPCS Remove Spine Fixation Device 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22850 HCPCS Remove Spine Fixation Device 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24545 HCPCS Treat Humerus Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22849 HCPCS Reinsert Spinal Fixation 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
C9734 HCPCS U/s Trtmt, Not Leiomyomata 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22554 HCPCS Neck Spine Fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23485 HCPCS Revision Of Collar Bone 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24516 HCPCS Treat Humerus Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
29889 HCPCS Knee Arthroscopy/surgery 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
29867 HCPCS Allgrft Implnt Knee W/scope 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
29907 HCPCS Subtalar Arthro W/fusion 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
23615 HCPCS Treat Humerus Fracture 2 1 $3,749.00 $2,999.20 20% off $11,900.71 $11,900.71 $11,900.71 2026-04-01
27137 HCPCS Revise Hip Joint Replacement 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27125 HCPCS Partial Hip Replacement 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
25365 HCPCS Revise Radius & Ulna 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
28737 HCPCS Revision Of Foot Bones 2 1 $3,381.00 $2,704.80 $11,900.71 $11,900.71 $11,900.71 2026-04-01
28735 HCPCS Fusion Of Foot Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
25391 HCPCS Lengthen Radius Or Ulna 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27122 HCPCS Reconstruction Of Hip Socket 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
28420 HCPCS Treat/graft Heel Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
28715 HCPCS Fusion Of Foot Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
28725 HCPCS Fusion Of Foot Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
28320 HCPCS Repair Of Foot Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22325 HCPCS Treat Spine Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27870 HCPCS Fusion Of Ankle Joint Open 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
0629T OTHER Perq Njx Algc CT Lmbr 1st 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
22846 HCPCS Insert Spine Fixation Device 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
28730 HCPCS Fusion Of Foot Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27759 HCPCS Treatment Of Tibia Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27871 HCPCS Fusion Of Tibiofibular Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27488 HCPCS Removal Of Knee Prosthesis 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27709 HCPCS Incision Of Tibia & Fibula 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27557 HCPCS Treat Knee Dislocation 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27715 HCPCS Revision Of Lower Leg 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27712 HCPCS Realignment Of Lower Leg 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24666 HCPCS Treat Radius Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24586 HCPCS Treat Elbow Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27486 HCPCS Revise/replace Knee Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27441 HCPCS Revision Of Knee Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24575 HCPCS Treat Humerus Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27442 HCPCS Revision Of Knee Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
69710 HCPCS Implant/replace Hearing Aid 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24579 HCPCS Treat Humerus Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24435 HCPCS Repair Humerus With Graft 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24515 HCPCS Treat Humerus Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27440 HCPCS Revision Of Knee Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27443 HCPCS Revision Of Knee Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27415 HCPCS Osteochondral Knee Allograft 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27429 HCPCS Reconstruction Knee 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27438 HCPCS Revise Kneecap With Implant 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24365 HCPCS Reconstruct Head Of Radius 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27282 HCPCS Fusion Of Pubic Bones 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27356 HCPCS Remove Femur Lesion/graft 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
29856 HCPCS Tibial Arthroscopy/surgery 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27138 HCPCS Revise Hip Joint Replacement 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24346 HCPCS Reconstruct Elbow Med Ligmnt 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27130 HCPCS Total Hip Arthroplasty 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24802 HCPCS Fusion/graft Of Elbow Joint 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
24430 HCPCS Repair Of Humerus 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27120 HCPCS Reconstruction Of Hip Socket 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27132 HCPCS Total Hip Arthroplasty 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27758 HCPCS Treatment Of Tibia Fracture 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
27428 HCPCS Reconstruction Knee 1 1 — — $11,900.71 $11,900.71 $11,900.71 2026-04-01
49654 HCPCS Md Lap Inc Hernia Repair 4 3 $4,755.00 $3,804.00 20% off $8,413.11 $15,200.81 $11,806.96 2026-04-01
49655 HCPCS Md Lap Hernia Incars/strangulated 4 3 $6,090.00 $4,872.00 20% off $8,413.11 $15,200.81 $11,806.96 2026-04-01
49656 HCPCS Md Laparoscopy Hernia Repair Recur 4 3 $6,817.00 $5,453.60 $8,413.11 $15,200.81 $11,806.96 2026-04-01
49215 HCPCS Excise Sacral Spine Tumor 4 3 $8,831.00 $7,064.80 20% off $8,413.11 $15,200.81 $11,806.96 2026-04-01
64583 HCPCS Rev/rplct Hpglsl Nstm Ary Pg 1 1 — — $11,483.38 $11,483.38 $11,483.38 2026-04-01
32110 HCPCS Md Thoracotomy 4 3 $4,687.00 $3,749.60 20% off $8,135.56 $14,699.33 $11,417.44 2026-04-01
32160 HCPCS Open Chest Heart Massage 4 3 $4,634.00 $3,707.20 20% off $8,135.56 $14,699.33 $11,417.44 2026-04-01
L7186 HCPCS Electron Elbow Child Switch 1 1 — — $11,402.75 $11,402.75 $11,402.75 2026-04-01
5071 OTHER Level 1 Excision/ Biopsy/ Incision And Drainage 3 2 — — — — $11,393.69 2026-04-01
198 MS_DRG Interstitial Lung Disease Without Cc/Mcc 3 2 — — — — $11,296.16 2026-04-01
5161 OTHER Level 1 ENT Procedures 3 2 — — — — $11,249.00 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 1 1 — — $11,100.67 $11,100.67 $11,100.67 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 3 2 — — — — $10,979.92 2026-04-01
540 MS_DRG Osteomyelitis With Cc 3 2 — — — — $10,798.62 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 3 2 — — — — $10,798.62 2026-04-01
153 MS_DRG Otitis Media And Uri Without Mcc 3 2 — — — — $10,798.62 2026-04-01
33210 HCPCS Md Pacemaker Temp 4 3 $699.00 $559.20 $7,641.85 $13,807.29 $10,724.57 2026-04-01
L6950 HCPCS Above Elbow Switch Control 1 1 — — $10,432.98 $10,432.98 $10,432.98 2026-04-01
33228 HCPCS Remv&replc Pm Gen Dual Lead 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33213 HCPCS Insert Pulse Gen Dual Leads 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33202 HCPCS Insert Epicard Eltrd Open 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33206 HCPCS Insert Heart Pm Atrial 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
33207 HCPCS Insert Heart Pm Ventricular 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 1 1 — — $10,251.94 $10,251.94 $10,251.94 2026-04-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/Mcc 3 2 — — — — $10,232.44 2026-04-01
637 MS_DRG Diabetes With Mcc 3 2 — — — — $10,175.10 2026-04-01
33533 HCPCS Cabg Arterial Single 1 1 — — $10,169.45 $10,169.45 $10,169.45 2026-04-01
33732 HCPCS Repair Heart-vein Defect 1 1 — — $10,169.45 $10,169.45 $10,169.45 2026-04-01
33261 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $10,169.45 $10,169.45 $10,169.45 2026-04-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 3 2 — — — — $10,137.57 2026-04-01
L7190 HCPCS Elbow Adolescent Myoelectron 1 1 — — $10,052.26 $10,052.26 $10,052.26 2026-04-01
92997 HCPCS Pul Art Balloon Repr Percut 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
C9600 HCPCS Perc Drug-el Cor Stent Sing 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
92943 HCPCS Prq Card Revasc Chronic 1vsl 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
92970 HCPCS Cardioassist Internal 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
92987 HCPCS Revision Of Mitral Valve 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
92937 HCPCS Prq Revasc Byp Graft 1 Vsl 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 2 1 $4,316.00 $3,452.80 $9,908.48 $9,908.48 $9,908.48 2026-04-01
92990 HCPCS Revision Of Pulmonary Valve 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
92924 HCPCS Prq Card Angio/athrect 1 Art 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
37244 HCPCS Vasc Embolize/occlude Bleed 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
37243 HCPCS Vasc Embolize/occlude Organ 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
61600 HCPCS Resect/excise Cranial Lesion 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
37241 HCPCS Vasc Embolize/occlude Venous 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 1 1 — — $9,908.48 $9,908.48 $9,908.48 2026-04-01
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