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

HARPER UNIVERSITY HOSPITAL

Detroit, MI · CCN 230104 · Rates published

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This hospital’s price: $1,149 across 12 payers · range $93-$3,930

Source: https://mrfs.hyvehealthcare.com/TenetHealth/272844767_HarperUniversityHospitalDMC_standardcharges.json · observed 2025-01-31

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.

20,587 distinct procedures filed
27 distinct payers
1,144,242 rate rows
2025-01-31 last MRF observed · ⚠ 21 mo old
Data quality

551,497 of 1,144,242 rate rows are consumer-grade (48.2%)

592,745 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 578,349
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,168
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3,327
percent-of-charges filed in the dollar field — excluded from medians 328
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 257
per-diem day rate — not a per-procedure price 183
placeholder amount (≤ $0.02) — excluded from medians 89
exceeds 10× this hospital's gross charge — excluded from medians 44

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/272844767_HarperUniversityHospitalDMC_standardcharges.json
Found on page https://www.dmc.org/patients/pricing-info-estimates/hospital-pricing-information
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint dd9705a7d93f97f7… · 965,723,318 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
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 $93.00 $4,200,000.00 $4,200,000.00 nat. median
$3,703,693
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 3 $93.00 $4,524,496.00 $2,705,294.50 nat. median
$2,466,282
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $93.00 $988,128.75 $492,900.00 nat. median
$646,415
0.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $93.00 $974,249.94 $466,069.91 nat. median
$738,272
0.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 3 $93.00 $917,688.81 $460,226.56 nat. median
$622,245
0.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $93.00 $911,125.88 $454,489.31 nat. median
$640,950
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $93.00 $901,003.38 $449,440.00 nat. median
$608,101
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $93.00 $901,003.38 $449,440.00 nat. median
$591,650
0.8× median
0624
RC 		Cs-corevalve-research 1 $247,943.00 $247,943.00 $247,943.00 nat. median
$5,200
outlier · 47.7×
C9081
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab… 1 $93.00 $481,552.44 $240,822.72 nat. median
$27,427
outlier · 8.8×
C9098
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $93.00 $471,508.13 $235,800.57 nat. median
$31,873
outlier · 7.4×
C9076
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $93.00 $470,991.56 $235,542.28 nat. median
$27,935
outlier · 8.4×
0812
RC 		Kidney Acquis Cadaver 1 $190,474.00 $190,474.00 $190,474.00 nat. median
$76,298
outlier · 2.5×
0811
RC 		Kidney Acquis Livng Dnr 1 $160,731.00 $160,731.00 $160,731.00 nat. median
$60,209
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $18,071.00 $135,398.64 $101,245.69 nat. median
$90,581
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $18,071.00 $113,215.16 $84,657.77 nat. median
$77,043
1.1× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 $93.00 $65,476.58 $65,476.58 nat. median
$63,643
1.0× median
K0743
HCPCS 		Suction Pump, Home Model, Portable, For Use On Wounds 27 $55,038.90 $55,038.90 $55,038.90 nat. median
$795
outlier · 69.2×
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 $93.00 $106,375.56 $53,062.44 nat. median
$65,720
0.8× median
C1721
HCPCS 		Defib-st Jd-epc+dr U-239,v-236 13 $5,972.00 $271,863.00 $52,738.50 nat. median
$22,368
outlier · 2.4×
J9226
HCPCS 		Histrelin Implant (supprelin La), 50 Mg 2 $93.00 $44,362.52 $42,755.33 nat. median
$55,159
0.8× median
33249
CPT 		Insrt/rplc Aicd & Lds 12 $931.25 $118,079.00 $40,761.00 nat. median
$31,584
1.3× median
Q0480
HCPCS 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 1 $93.00 $79,397.77 $39,745.39 nat. median
$111,503
outlier · 0.4×
93654
CPT 		Comp Ep/ablat Intra V-tach 3d 12 $93.00 $128,498.00 $37,829.00 nat. median
$27,029
1.4× median
C1767
HCPCS 		Imp Gen Nstm Ipg Pns Nalu71020 13 $1.00 $234,195.00 $37,197.00 nat. median
$23,881
1.6× median
L5969
HCPCS 		Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 27 $35,930.29 $35,930.29 $35,930.29 nat. median
$19,444
1.8× median
C1882
HCPCS 		Dfb Intica Promri Hf-t 404627 27 $0.03 $312,095.00 $33,725.00 nat. median
$27,370
1.2× median
C1722
HCPCS 		Defibrillator-single Chamber 13 $4,159.00 $236,523.00 $32,822.00 nat. median
$20,902
1.6× median
C2616
HCPCS 		Nm-y-90 Bracytherapy Source 13 $5,548.00 $84,793.00 $30,906.00 nat. median
$26,836
1.2× median
J9029
HCPCS 		Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $93.00 $60,839.76 $30,466.38 nat. median
$68,423
outlier · 0.4×
93656
CPT 		Cmp Ep Abl Intra Afib Pvi Ep3d 12 $1,001.08 $80,310.00 $29,272.00 nat. median
$27,253
1.1× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $93.00 $56,957.17 $28,525.08 nat. median
$75,037
outlier · 0.4×
33270
CPT 		Insrt/rpl Sq Defib W/ele 27 $6,674.00 $129,045.00 $27,904.00 nat. median
$32,113
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $14,671.00 $88,802.30 $26,481.00 nat. median
$62,038
outlier · 0.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $14,671.00 $117,598.56 $26,481.00 nat. median
$77,696
outlier · 0.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $14,671.00 $98,156.45 $26,481.00 nat. median
$66,649
outlier · 0.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $14,671.00 $107,578.95 $26,481.00 nat. median
$72,473
outlier · 0.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $14,671.00 $79,474.66 $26,481.00 nat. median
$59,558
outlier · 0.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $14,671.00 $95,629.92 $26,481.00 nat. median
$63,896
outlier · 0.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $14,671.00 $108,812.22 $26,481.00 nat. median
$71,758
outlier · 0.4×
C9150
HCPCS 		Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 1 $93.00 $52,727.79 $26,410.40 nat. median
$1,036
outlier · 25.5×
J9266
HCPCS 		Injection, Pegaspargase, Per Single Dose Vial 3 $93.00 $51,646.63 $25,762.46 nat. median
$33,238
0.8× median
C9608
HCPCS 		Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 27 $15,663.00 $34,745.00 $25,204.00 nat. median
$11,854
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $11,601.00 $86,748.71 $24,716.00 nat. median
$58,118
outlier · 0.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $11,601.00 $82,988.92 $24,716.00 nat. median
$57,804
outlier · 0.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 6 $11,601.00 $86,638.50 $24,716.00 nat. median
$56,686
outlier · 0.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $11,601.00 $87,139.34 $24,716.00 nat. median
$58,331
outlier · 0.4×
C2621
HCPCS 		Pacemaker, Insync 8040 13 $2,360.00 $121,601.00 $24,609.00 nat. median
$10,633
outlier · 2.3×
33240
CPT 		Insrt Aicd W/exis Ld 12 $93.00 $66,587.00 $24,270.00 nat. median
$22,094
1.1× median
93655
CPT 		Intracard Abl Arrhy 12 $93.00 $80,310.00 $23,643.00 nat. median
$6,955
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 20,587 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 6 2 — — $93.00 $4,200,000.00 $4,200,000.00 2025-01-31
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 7 3 — — $93.00 $4,524,496.00 $2,705,294.50 2025-01-31
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 7 3 — — $93.00 $988,128.75 $492,900.00 2025-01-31
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 7 3 — — $93.00 $974,249.94 $466,069.91 2025-01-31
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 7 3 — — $93.00 $917,688.81 $460,226.56 2025-01-31
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 7 3 — — $93.00 $911,125.88 $454,489.31 2025-01-31
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 7 3 — — $93.00 $901,003.38 $449,440.00 2025-01-31
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 7 3 — — $93.00 $901,003.38 $449,440.00 2025-01-31
0624 RC Cs-corevalve-research 4 1 $247,943.00 $185,957.25 25% off $247,943.00 $247,943.00 $247,943.00 2025-01-31
C9081 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous Anti-bcma Car-positive Viab… 2 1 — — $93.00 $481,552.44 $240,822.72 2025-01-31
C9098 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 1 — — $93.00 $471,508.13 $235,800.57 2025-01-31
C9076 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 1 — — $93.00 $470,991.56 $235,542.28 2025-01-31
0812 RC Kidney Acquis Cadaver 4 1 $190,474.00 $142,855.50 25% off $190,474.00 $190,474.00 $190,474.00 2025-01-31
0811 RC Kidney Acquis Livng Dnr 4 1 $160,731.00 $120,548.25 25% off $160,731.00 $160,731.00 $160,731.00 2025-01-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $18,071.00 $135,398.64 $101,245.69 2025-01-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 5 — — $18,071.00 $113,215.16 $84,657.77 2025-01-31
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 6 2 — — $93.00 $65,476.58 $65,476.58 2025-01-31
K0743 HCPCS Suction Pump, Home Model, Portable, For Use On Wounds 51 27 — — $55,038.90 $55,038.90 $55,038.90 2025-01-31
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 7 3 — — $93.00 $106,375.56 $53,062.44 2025-01-31
C1721 HCPCS Defib-st Jd-epc+dr U-239,v-236 114 13 $135,638.00 $101,728.50 25% off $5,972.00 $271,863.00 $52,738.50 2025-01-31
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 3 2 — — $93.00 $44,362.52 $42,755.33 2025-01-31
33249 CPT Insrt/rplc Aicd & Lds 48 12 $87,497.00 $65,622.75 25% off $931.25 $118,079.00 $40,761.00 2025-01-31
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 2 1 — — $93.00 $79,397.77 $39,745.39 2025-01-31
93654 CPT Comp Ep/ablat Intra V-tach 3d 18 12 $120,091.00 $90,068.25 25% off $93.00 $128,498.00 $37,829.00 2025-01-31
C1767 HCPCS Imp Gen Nstm Ipg Pns Nalu71020 228 13 $99,468.00 $74,601.00 25% off $1.00 $234,195.00 $37,197.00 2025-01-31
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 51 27 — — $35,930.29 $35,930.29 $35,930.29 2025-01-31
C1882 HCPCS Dfb Intica Promri Hf-t 404627 235 27 $85,103.00 $63,827.25 25% off $0.03 $312,095.00 $33,725.00 2025-01-31
C1722 HCPCS Defibrillator-single Chamber 95 13 $99,460.00 $74,595.00 25% off $4,159.00 $236,523.00 $32,822.00 2025-01-31
C2616 HCPCS Nm-y-90 Bracytherapy Source 19 13 $79,245.00 $59,433.75 25% off $5,548.00 $84,793.00 $30,906.00 2025-01-31
J9029 HCPCS Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 2 1 — — $93.00 $60,839.76 $30,466.38 2025-01-31
93656 CPT Cmp Ep Abl Intra Afib Pvi Ep3d 17 12 $75,056.00 $56,292.00 25% off $1,001.08 $80,310.00 $29,272.00 2025-01-31
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $93.00 $56,957.17 $28,525.08 2025-01-31
33270 CPT Insrt/rpl Sq Defib W/ele 71 27 $84,103.00 $63,077.25 25% off $6,674.00 $129,045.00 $27,904.00 2025-01-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 6 — — $14,671.00 $79,474.66 $26,481.00 2025-01-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 6 — — $14,671.00 $108,812.22 $26,481.00 2025-01-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 6 — — $14,671.00 $98,156.45 $26,481.00 2025-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 6 — — $14,671.00 $88,802.30 $26,481.00 2025-01-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 6 — — $14,671.00 $95,629.92 $26,481.00 2025-01-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 6 — — $14,671.00 $107,578.95 $26,481.00 2025-01-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 6 — — $14,671.00 $117,598.56 $26,481.00 2025-01-31
C9150 HCPCS Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 2 1 — — $93.00 $52,727.79 $26,410.40 2025-01-31
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 7 3 — — $93.00 $51,646.63 $25,762.46 2025-01-31
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 55 27 — — $15,663.00 $34,745.00 $25,204.00 2025-01-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 6 — — $11,601.00 $86,748.71 $24,716.00 2025-01-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 6 — — $11,601.00 $87,139.34 $24,716.00 2025-01-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 10 6 — — $11,601.00 $86,638.50 $24,716.00 2025-01-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 6 — — $11,601.00 $82,988.92 $24,716.00 2025-01-31
C2621 HCPCS Pacemaker, Insync 8040 95 13 $103,225.00 $77,418.75 25% off $2,360.00 $121,601.00 $24,609.00 2025-01-31
33240 CPT Insrt Aicd W/exis Ld 21 12 $62,230.00 $46,672.50 25% off $93.00 $66,587.00 $24,270.00 2025-01-31
93655 CPT Intracard Abl Arrhy 18 12 $75,056.00 $56,292.00 25% off $93.00 $80,310.00 $23,643.00 2025-01-31
33993 CPT Repos Vad Perc W/imaging 26 16 $93,297.00 $69,972.75 25% off $93.00 $99,828.00 $23,325.00 2025-01-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 11 6 — — $10,101.00 $76,803.05 $22,951.00 2025-01-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 11 6 — — $10,101.00 $70,857.13 $22,951.00 2025-01-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 6 — — $10,101.00 $40,753.66 $22,951.00 2025-01-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 6 — — $10,101.00 $63,211.98 $22,951.00 2025-01-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 6 — — $10,101.00 $66,719.27 $22,951.00 2025-01-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 6 — — $10,101.00 $64,852.62 $22,951.00 2025-01-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 6 — — $10,101.00 $43,772.66 $22,951.00 2025-01-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 6 — — $10,101.00 $70,548.81 $22,951.00 2025-01-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 11 6 — — $10,101.00 $44,106.09 $22,951.00 2025-01-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 6 — — $10,101.00 $45,212.40 $22,951.00 2025-01-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 6 — — $10,101.00 $37,955.09 $22,951.00 2025-01-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 6 — — $10,101.00 $47,514.32 $22,951.00 2025-01-31
471 MS_DRG Cervical Spinal Fusion With Mcc 11 6 — — $10,101.00 $62,060.71 $22,951.00 2025-01-31
252 MS_DRG Other Vascular Procedures With Mcc 11 6 — — $10,101.00 $46,788.86 $22,951.00 2025-01-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 6 — — $10,101.00 $58,016.63 $22,951.00 2025-01-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 6 — — $10,101.00 $68,083.67 $22,951.00 2025-01-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 6 — — $10,101.00 $82,040.25 $22,951.00 2025-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 6 — — $10,101.00 $73,167.41 $22,951.00 2025-01-31
800 MS_DRG Splenectomy With Cc 11 6 — — $10,101.00 $39,309.73 $22,951.00 2025-01-31
500 MS_DRG Soft Tissue Procedures With Mcc 11 6 — — $10,101.00 $45,240.30 $22,951.00 2025-01-31
653 MS_DRG Major Bladder Procedures With Mcc 11 6 — — $10,101.00 $75,525.13 $22,951.00 2025-01-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 6 — — $10,101.00 $49,961.32 $22,951.00 2025-01-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 6 — — $10,101.00 $63,013.88 $22,951.00 2025-01-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 6 — — $10,101.00 $48,217.45 $22,951.00 2025-01-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 6 — — $10,101.00 $54,367.05 $22,951.00 2025-01-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 6 — — $10,101.00 $84,756.51 $22,951.00 2025-01-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 11 6 — — $10,101.00 $54,560.96 $22,951.00 2025-01-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 11 6 — — $10,101.00 $48,202.10 $22,951.00 2025-01-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 6 — — $10,101.00 $46,395.45 $22,951.00 2025-01-31
799 MS_DRG Splenectomy With Mcc 11 6 — — $10,101.00 $69,121.63 $22,951.00 2025-01-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 6 — — $10,101.00 $56,610.37 $22,951.00 2025-01-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 6 — — $10,101.00 $72,515.91 $22,951.00 2025-01-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 6 — — $10,101.00 $49,180.07 $22,951.00 2025-01-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 6 — — $10,101.00 $56,378.78 $22,951.00 2025-01-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 11 6 — — $10,101.00 $46,627.03 $22,951.00 2025-01-31
J0600 HCPCS Edetate Cal Disod 1000mg 20 13 $58,146.00 $43,609.50 25% off $93.00 $62,217.00 $22,677.00 2025-01-31
33975 CPT Insrt Vad Sgl Ventricle 26 16 $90,451.00 $67,838.25 25% off $93.00 $96,783.00 $22,613.00 2025-01-31
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 7 3 — — $93.00 $42,198.11 $22,490.02 2025-01-31
93653 CPT Comp Ep Ind/abla Intr Ep3d Svt 32 12 $46,920.00 $35,190.00 25% off $93.00 $91,263.00 $22,435.00 2025-01-31
33231 CPT Ins Aicd W/multi Lds 21 12 $54,152.00 $40,614.00 25% off $93.00 $57,943.00 $22,152.00 2025-01-31
33262 CPT Rem/repl Aicd Singl Ld 21 12 $54,152.00 $40,614.00 25% off $93.00 $57,943.00 $22,152.00 2025-01-31
33263 CPT Rem/repl Aicd Dual Ld 21 12 $54,152.00 $40,614.00 25% off $93.00 $57,943.00 $22,152.00 2025-01-31
33264 CPT Rem/repl Aicd Mult Ld 21 12 $54,152.00 $40,614.00 25% off $93.00 $57,943.00 $22,152.00 2025-01-31
33230 CPT Ins Aicd W/dual Lds 21 12 $55,670.00 $41,752.50 25% off $93.00 $59,567.00 $22,152.00 2025-01-31
93580 CPT Perc Cls Intratrl W Impl 35 12 $70,994.00 $53,245.50 25% off $93.00 $75,964.00 $21,025.00 2025-01-31
C9607 HCPCS Per Cor Revas Chronc Sng 55 27 $31,800.00 $23,850.00 25% off $2,862.00 $34,745.00 $20,709.50 2025-01-31
C9606 HCPCS Per Cor Revas D-e W/ami 55 27 $31,800.00 $23,850.00 25% off $2,862.00 $34,745.00 $20,709.50 2025-01-31
C9602 HCPCS Perc Cor Ath D-e Stnt 55 27 $29,586.00 $22,189.50 25% off $2,663.00 $34,745.00 $20,709.50 2025-01-31
C9604 HCPCS Perc Cor Revasc D-e Cabg 55 27 $35,245.00 $26,433.75 25% off $3,173.00 $37,713.00 $20,709.50 2025-01-31
C9605 HCPCS Per Cor Revas Cabg Addl 55 27 $33,794.00 $25,345.50 25% off $3,042.00 $36,160.00 $20,709.50 2025-01-31
C9603 HCPCS Perc Cor Ather Stnt Add 55 27 $34,085.00 $25,563.75 25% off $3,068.00 $36,471.00 $20,709.50 2025-01-31
C9600 HCPCS Perc Cor Drug-elut Stnt 55 27 $40,043.00 $30,032.25 25% off $3,604.00 $42,847.00 $20,709.50 2025-01-31
C9601 HCPCS Perc Drug-elut Stnt Addl 55 27 $32,033.00 $24,024.75 25% off $2,883.00 $34,745.00 $20,709.50 2025-01-31
33225 CPT Ins Lv Ld W/pm Or Aicd 21 12 $85,909.00 $64,431.75 25% off $93.00 $91,923.00 $20,481.00 2025-01-31
33206 CPT Ins/rpl Pm W/trnsv Ld At 87 27 $36,217.00 $27,162.75 25% off $2,675.00 $38,753.00 $19,831.50 2025-01-31
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 7 3 — — $12,202.00 $27,201.00 $19,701.50 2025-01-31
33361 CPT Tavr Perc Fem 25 16 $76,989.00 $57,741.75 25% off $1,379.05 $82,379.00 $19,248.00 2025-01-31
33362 CPT Tavr Open Fem 26 16 $76,989.00 $57,741.75 25% off $93.00 $82,379.00 $19,248.00 2025-01-31
C1895 HCPCS Lead Defib, Sprint 6945 114 13 $70,582.00 $52,936.50 25% off $1,696.00 $81,176.00 $19,003.50 2025-01-31
0DM64ZZ OTHER Reattachment Of Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DF60ZZ OTHER Fragmentation In Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DM60ZZ OTHER Reattachment Of Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL78ZZ OTHER Occlusion Of Stomach, Pylorus, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D764ZZ OTHER Dilation Of Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV64ZZ OTHER Restriction Of Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D763DZ OTHER Dilation Of Stomach With Intraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D760DZ OTHER Dilation Of Stomach With Intraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DQ60ZZ OTHER Repair Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DF68ZZ OTHER Fragmentation In Stomach, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D768ZZ OTHER Dilation Of Stomach, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB60Z3 OTHER Excision Of Stomach, Open Approach, Vertical 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB63Z3 OTHER Excision Of Stomach, Percutaneous Approach, Vertical 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DF63ZZ OTHER Fragmentation In Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB68Z3 OTHER Excision Of Stomach, Via Natural Or Artificial Opening Endoscopic, Vertical 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D763ZZ OTHER Dilation Of Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168ZB OTHER Bypass Stomach To Ileum, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168ZL OTHER Bypass Stomach To Transverse Colon, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DF64ZZ OTHER Fragmentation In Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168Z9 OTHER Bypass Stomach To Duodenum, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D764DZ OTHER Dilation Of Stomach With Intraluminal Device, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DF67ZZ OTHER Fragmentation In Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute, Via Natural Or Art… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL63ZZ OTHER Occlusion Of Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168ZA OTHER Bypass Stomach To Jejunum, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DN60ZZ OTHER Release Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DP64CZ OTHER Removal Of Extraluminal Device From Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Via Natural Or Artificial … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DH60DZ OTHER Insertion Of Intraluminal Device Into Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU647Z OTHER Supplement Stomach With Autologous Tissue Substitute, Percutaneous Endoscopic Ap… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU677Z OTHER Supplement Stomach With Autologous Tissue Substitute, Via Natural Or Artificial … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Via Natural Or Artificial Ope… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV60CZ OTHER Restriction Of Stomach With Extraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV60ZZ OTHER Restriction Of Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL78DZ OTHER Occlusion Of Stomach, Pylorus With Intraluminal Device, Via Natural Or Artificia… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Via Natural Or Art… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU64KZ OTHER Supplement Stomach With Nonautologous Tissue Substitute, Percutaneous Endoscopic… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL77DZ OTHER Occlusion Of Stomach, Pylorus With Intraluminal Device, Via Natural Or Artificia… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL77ZZ OTHER Occlusion Of Stomach, Pylorus, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DQ64ZZ OTHER Repair Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU67JZ OTHER Supplement Stomach With Synthetic Substitute, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV68ZZ OTHER Restriction Of Stomach, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL63DZ OTHER Occlusion Of Stomach With Intraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DW64CZ OTHER Revision Of Extraluminal Device In Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164ZL OTHER Bypass Stomach To Transverse Colon, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU60KZ OTHER Supplement Stomach With Nonautologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV60DZ OTHER Restriction Of Stomach With Intraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DN63ZZ OTHER Release Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DY60Z0 OTHER Transplantation Of Stomach, Allogeneic, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164Z9 OTHER Bypass Stomach To Duodenum, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV64CZ OTHER Restriction Of Stomach With Extraluminal Device, Percutaneous Endoscopic Approac… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV64DZ OTHER Restriction Of Stomach With Intraluminal Device, Percutaneous Endoscopic Approac… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Percutaneous End… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DH68DZ OTHER Insertion Of Intraluminal Device Into Stomach, Via Natural Or Artificial Opening… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL73ZZ OTHER Occlusion Of Stomach, Pylorus, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Percutaneous En… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DQ67ZZ OTHER Repair Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DQ68ZZ OTHER Repair Stomach, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL60DZ OTHER Occlusion Of Stomach With Intraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU60JZ OTHER Supplement Stomach With Synthetic Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DH67DZ OTHER Insertion Of Intraluminal Device Into Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL73DZ OTHER Occlusion Of Stomach, Pylorus With Intraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV67ZZ OTHER Restriction Of Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL74CZ OTHER Occlusion Of Stomach, Pylorus With Extraluminal Device, Percutaneous Endoscopic … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DY60Z2 OTHER Transplantation Of Stomach, Zooplastic, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DH63DZ OTHER Insertion Of Intraluminal Device Into Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL60ZZ OTHER Occlusion Of Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute, Percutaneous Endos… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL74DZ OTHER Occlusion Of Stomach, Pylorus With Intraluminal Device, Percutaneous Endoscopic … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Percutaneous Endoscopic Ap… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Percutaneous Endoscopic Appro… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DP643Z OTHER Removal Of Infusion Device From Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DQ63ZZ OTHER Repair Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1647B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Percutaneous Endoscop… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Percutaneous Endos… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1647L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Percutaneo… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute, Percuta… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL70ZZ OTHER Occlusion Of Stomach, Pylorus, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D16479 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Percutaneous Endos… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1647A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Percutaneous Endosc… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL60CZ OTHER Occlusion Of Stomach With Extraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160ZB OTHER Bypass Stomach To Ileum, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160ZL OTHER Bypass Stomach To Transverse Colon, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Percutaneous Endoscopic App… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL73CZ OTHER Occlusion Of Stomach, Pylorus With Extraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU687Z OTHER Supplement Stomach With Autologous Tissue Substitute, Via Natural Or Artificial … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160KB OTHER Bypass Stomach To Ileum With Nonautologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164ZA OTHER Bypass Stomach To Jejunum, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D164ZB OTHER Bypass Stomach To Ileum, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL68DZ OTHER Occlusion Of Stomach With Intraluminal Device, Via Natural Or Artificial Opening… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DN64ZZ OTHER Release Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL70CZ OTHER Occlusion Of Stomach, Pylorus With Extraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL68ZZ OTHER Occlusion Of Stomach, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Via Natural Or … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1687A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Via Natural Or Arti… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D16879 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Via Natural Or Art… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL74ZZ OTHER Occlusion Of Stomach, Pylorus, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL64CZ OTHER Occlusion Of Stomach With Extraluminal Device, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DH64DZ OTHER Insertion Of Intraluminal Device Into Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1687L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Via Natura… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute, Open Ap… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1687B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Via Natural Or Artifi… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU607Z OTHER Supplement Stomach With Autologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU68JZ OTHER Supplement Stomach With Synthetic Substitute, Via Natural Or Artificial Opening … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Via Natural Or Artificial O… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160Z9 OTHER Bypass Stomach To Duodenum, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU64JZ OTHER Supplement Stomach With Synthetic Substitute, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160K9 OTHER Bypass Stomach To Duodenum With Nonautologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DN67ZZ OTHER Release Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Via Natural Or A… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Open Appro… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DN68ZZ OTHER Release Stomach, Via Natural Or Artificial Opening Endoscopic 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D168KL OTHER Bypass Stomach To Transverse Colon With Nonautologous Tissue Substitute, Via Nat… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU67KZ OTHER Supplement Stomach With Nonautologous Tissue Substitute, Via Natural Or Artifici… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL63CZ OTHER Occlusion Of Stomach With Extraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DY60Z1 OTHER Transplantation Of Stomach, Syngeneic, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL64ZZ OTHER Occlusion Of Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL67DZ OTHER Occlusion Of Stomach With Intraluminal Device, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV63ZZ OTHER Restriction Of Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DW643Z OTHER Revision Of Infusion Device In Stomach, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D760ZZ OTHER Dilation Of Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL67ZZ OTHER Occlusion Of Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV63CZ OTHER Restriction Of Stomach With Extraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DU68KZ OTHER Supplement Stomach With Nonautologous Tissue Substitute, Via Natural Or Artifici… 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DV63DZ OTHER Restriction Of Stomach With Intraluminal Device, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D767DZ OTHER Dilation Of Stomach With Intraluminal Device, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D768DZ OTHER Dilation Of Stomach With Intraluminal Device, Via Natural Or Artificial Opening … 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D767ZZ OTHER Dilation Of Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL64DZ OTHER Occlusion Of Stomach With Intraluminal Device, Percutaneous Endoscopic Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB63ZZ OTHER Excision Of Stomach, Percutaneous Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB60ZZ OTHER Excision Of Stomach, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0D160ZA OTHER Bypass Stomach To Jejunum, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DL70DZ OTHER Occlusion Of Stomach, Pylorus With Intraluminal Device, Open Approach 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB64Z3 OTHER Excision Of Stomach, Percutaneous Endoscopic Approach, Vertical 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB67ZZ OTHER Excision Of Stomach, Via Natural Or Artificial Opening 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
0DB67Z3 OTHER Excision Of Stomach, Via Natural Or Artificial Opening, Vertical 1 1 — — $18,858.00 $18,858.00 $18,858.00 2025-01-31
33208 CPT Ins/rpl Pmw/trnsv Ld A-v 20 12 $40,847.00 $30,635.25 25% off $539.68 $43,707.00 $18,586.00 2025-01-31
33229 CPT Rem/repl Pm Mult Lds 17 11 $46,471.00 $34,853.25 25% off $93.00 $49,724.00 $18,124.00 2025-01-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 11 6 — — $10,101.00 $42,010.52 $18,071.00 2025-01-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 6 — — $10,101.00 $46,073.04 $18,071.00 2025-01-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 11 6 — — $10,101.00 $43,679.69 $18,071.00 2025-01-31
C1820 HCPCS Generator Pulse Implt W/chrgr 19 13 $46,179.00 $34,634.25 25% off $3,233.00 $49,412.00 $18,010.00 2025-01-31
C1785 HCPCS Pacemaker Dual Chamber-r 209 13 $71,721.00 $53,790.75 25% off $1,355.00 $144,368.00 $17,809.00 2025-01-31
93620 CPT Ep Comp Study W/inductn 22 13 $45,000.00 $33,750.00 25% off $93.00 $48,151.00 $17,597.93 2025-01-31
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 6 2 — — $93.00 $17,259.85 $17,259.85 2025-01-31
93590 CPT Perc Trnscath Ls Mitral 22 13 $61,498.00 $46,123.50 25% off $93.00 $65,803.00 $17,250.00 2025-01-31
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 2 1 — — $93.00 $33,437.89 $16,765.44 2025-01-31
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 55 27 — — $10,636.00 $22,810.00 $16,723.00 2025-01-31
33289 CPT Tcat Impl Wrls P-art Prs Snr 55 27 $80,752.00 $60,564.00 25% off $6,994.00 $86,405.00 $16,723.00 2025-01-31
93619 CPT Comp Ep Without Induc/arryth 22 13 $40,150.00 $30,112.50 25% off $93.00 $42,961.00 $16,652.43 2025-01-31
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 2 1 — — $93.00 $32,476.78 $16,284.89 2025-01-31
33221 CPT Insrt Pulse Gen Mult Lds 21 12 $41,520.00 $31,140.00 25% off $93.00 $44,427.00 $16,193.00 2025-01-31
C1786 HCPCS Pacemaker Single Chamber-r 76 13 $60,034.00 $45,025.50 25% off $1,401.00 $65,860.00 $15,813.00 2025-01-31
33228 CPT Rem/repl Pm Gen Dual Ld 17 11 $39,794.00 $29,845.50 25% off $93.00 $42,580.00 $15,520.00 2025-01-31
37231 CPT Revasc Tibper Stnt Ather 21 12 $41,145.00 $30,858.75 25% off $93.00 $44,026.00 $15,199.00 2025-01-31
33214 CPT Conversion To Two Chamber Pacemaker System 7 3 — — $93.00 $32,989.00 $14,873.00 2025-01-31
33213 CPT Ins/pmgen W/exisduallds 21 12 $33,567.00 $25,175.25 25% off $93.00 $35,917.00 $14,873.00 2025-01-31
C1982 HCPCS Catheter Infusion 18 12 $39,288.00 $29,466.00 25% off $4,715.00 $42,039.00 $14,201.00 2025-01-31
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 55 27 — — $8,999.00 $19,301.00 $14,150.00 2025-01-31
36906 CPT Thro+stn+img 72 27 $59,391.00 $44,543.25 25% off $5,144.00 $76,138.00 $14,150.00 2025-01-31
33968 CPT Perc Iabp Removal 55 27 $4,300.00 $3,225.00 25% off $373.00 $19,301.00 $14,150.00 2025-01-31
C9758 HCPCS Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 55 27 — — $8,999.00 $19,301.00 $14,150.00 2025-01-31
33274 CPT Transcath Ins/rpl Perm Ldls Pm 55 27 $57,139.00 $42,854.25 25% off $4,949.00 $61,139.00 $14,150.00 2025-01-31
54405 CPT Insertion Of Multi-component Inflatable Penile Prosthesis 20 12 — — $784.45 $41,569.00 $14,069.50 2025-01-31
33477 CPT Implt Transcath Pulm Val Perc 26 16 $53,086.75 $39,815.06 25% off $93.00 $56,803.00 $14,068.50 2025-01-31
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 21 12 — — $93.00 $38,244.00 $13,940.00 2025-01-31
92924 CPT Cor Atherect Aplas Init 22 13 $35,598.00 $26,698.50 25% off $93.00 $38,090.00 $13,884.00 2025-01-31
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 2 1 — — $93.00 $26,949.13 $13,521.07 2025-01-31
J9225 HCPCS Histrelin(vantas) Per 50mg 20 13 $34,228.00 $25,671.00 25% off $93.00 $36,624.00 $13,349.00 2025-01-31
58571 CPT Abdominal Removal Of Uterus (250 Grams Or Less) With Removal Of Tubes And/or Ova… 20 12 — — $1,035.76 $44,893.00 $13,157.00 2025-01-31
93631 CPT Intra-operative Heart Pacing And Mapping Of Abnormal Heart Rhythm For Surgical C… 7 3 — — $93.00 $29,129.00 $13,132.00 2025-01-31
93615 CPT Insertion Of Probe In Esophagus For Recording Electrical Impulses To Upper And L… 7 3 — — $12.69 $29,129.00 $13,132.00 2025-01-31
93616 CPT Insertion Of Probe In Esophagus For Recording Electrical Impulses To Upper And L… 7 3 — — $21.07 $29,129.00 $13,132.00 2025-01-31
93603 CPT Insertion Of Catheter For Recording Of Right Lower Heart Chamber Rhythm 7 3 — — $65.99 $29,129.00 $13,132.00 2025-01-31
0520T CPT Removal And Replacement Of Pulse Generator Components Of Wireless Heart Stimulat… 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0424T CPT Insertion Or Replacement Of Complete Neurostimulator System For Treatment Of Cen… 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0515T CPT Insertion Of Complete Wireless Heart Stimulator System For Pacing Of Lower Left … 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0408T CPT Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0414T CPT Replacement Of Pulse Generator Of Heart Contractility Modulator System 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0100T CPT Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
0409T CPT Insertion Or Replacement Of Pulse Generator Of Heart Contractility Modulator Sys… 6 2 — — $93.00 $22,810.00 $13,115.50 2025-01-31
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