Price Transparency 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

SANFORD WESTBROOK MEDICAL CENTER

Westbrook, MN · CCN 241302 · Rates published

7,623 distinct procedures filed
16 distinct payers
228,374 rate rows
2026-03-04 last MRF observed
Data quality

227,550 of 228,374 rate rows are consumer-grade (99.6%)

824 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 720
per-diem day rate — not a per-procedure price 78
exceeds 10× this hospital's gross charge — excluded from medians 18
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8377/460388596_sanford-westbrook-hospital_standardcharges.csv
Found on page https://sanfordhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 7b1d971d944a8a5b… · 57,895,150 bytes · first seen 2026-05-14

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
5834
APR_DRG 		2 $255,556.88 $255,556.88 $255,556.88 nat. median
$309,665
0.8× median
5884
APR_DRG 		2 $161,521.53 $161,521.53 $161,521.53 nat. median
$246,434
0.7× median
5833
APR_DRG 		2 $154,298.64 $154,298.64 $154,298.64 nat. median
$244,017
0.6× median
0114
APR_DRG 		2 $144,735.27 $144,735.27 $144,735.27 nat. median
$197,700
0.7× median
0024
APR_DRG 		2 $131,441.06 $131,441.06 $131,441.06 nat. median
$372,987
outlier · 0.4×
6094
APR_DRG 		2 $113,582.70 $113,582.70 $113,582.70 nat. median
$162,982
0.7× median
0113
APR_DRG 		2 $112,965.80 $112,965.80 $112,965.80 nat. median
$128,705
0.9× median
5914
APR_DRG 		2 $111,136.60 $111,136.60 $111,136.60 nat. median
$164,279
0.7× median
1614
APR_DRG 		2 $109,290.57 $109,290.57 $109,290.57 nat. median
$207,730
0.5× median
0094
APR_DRG 		2 $105,181.63 $105,181.63 $105,181.63 nat. median
$166,008
0.6× median
5883
APR_DRG 		2 $104,558.66 $104,558.66 $104,558.66 nat. median
$182,736
0.6× median
5882
APR_DRG 		2 $100,840.43 $100,840.43 $100,840.43 nat. median
$145,336
0.7× median
5934
APR_DRG 		2 $98,101.29 $98,101.29 $98,101.29 nat. median
$151,838
0.6× median
6314
APR_DRG 		2 $96,942.27 $96,942.27 $96,942.27 nat. median
$122,924
0.8× median
5832
APR_DRG 		2 $96,825.90 $96,825.90 $96,825.90 nat. median
$156,126
0.6× median
0112
APR_DRG 		2 $95,460.30 $95,460.30 $95,460.30 nat. median
$93,442
1.0× median
8414
APR_DRG 		2 $93,497.90 $93,497.90 $93,497.90 nat. median
$160,267
0.6× median
1613
APR_DRG 		2 $87,943.45 $87,943.45 $87,943.45 nat. median
$119,796
0.7× median
5893
APR_DRG 		2 $85,786.17 $85,786.17 $85,786.17 nat. median
$69,788
1.2× median
5891
APR_DRG 		2 $85,786.17 $85,786.17 $85,786.17 nat. median
$93,260
0.9× median
5892
APR_DRG 		2 $85,786.17 $85,786.17 $85,786.17 nat. median
$89,790
1.0× median
5913
APR_DRG 		2 $84,443.48 $84,443.48 $84,443.48 nat. median
$102,636
0.8× median
6304
APR_DRG 		2 $82,374.99 $82,374.99 $82,374.99 nat. median
$150,721
0.5× median
5831
APR_DRG 		2 $81,696.86 $81,696.86 $81,696.86 nat. median
$145,122
0.6× median
0074
APR_DRG 		2 $80,970.60 $80,970.60 $80,970.60 nat. median
$178,275
outlier · 0.5×
0044
APR_DRG 		2 $80,353.23 $80,353.23 $80,353.23 nat. median
$195,681
outlier · 0.4×
0014
APR_DRG 		2 $74,520.72 $74,520.72 $74,520.72 nat. median
$190,591
outlier · 0.4×
6024
APR_DRG 		2 $71,652.13 $71,652.13 $71,652.13 nat. median
$118,620
0.6× median
0023
APR_DRG 		2 $71,078.69 $71,078.69 $71,078.69 nat. median
$167,082
outlier · 0.4×
5933
APR_DRG 		2 $70,081.83 $70,081.83 $70,081.83 nat. median
$108,996
0.6× median
5912
APR_DRG 		2 $68,567.15 $68,567.15 $68,567.15 nat. median
$81,294
0.8× median
5881
APR_DRG 		2 $67,070.23 $67,070.23 $67,070.23 nat. median
$124,573
0.5× median
38240
CPT 		Transplt Allo Hct/donor 1 $62,099.45 $62,099.45 $62,099.45 nat. median
$15,912
outlier · 3.9×
0093
APR_DRG 		2 $59,503.38 $59,503.38 $59,503.38 nat. median
$78,641
0.8× median
1611
APR_DRG 		2 $59,438.89 $59,438.89 $59,438.89 nat. median
$76,806
0.8× median
1612
APR_DRG 		2 $59,438.89 $59,438.89 $59,438.89 nat. median
$85,406
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,743.27 $58,743.27 $58,743.27 nat. median
$66,682
0.9× median
1604
APR_DRG 		2 $57,782.13 $57,782.13 $57,782.13 nat. median
$97,957
0.6× median
0054
APR_DRG 		2 $57,159.16 $57,159.16 $57,159.16 nat. median
$149,310
outlier · 0.4×
0022
APR_DRG 		2 $54,863.07 $54,863.07 $54,863.07 nat. median
$140,623
outlier · 0.4×
5932
APR_DRG 		2 $54,489.66 $54,489.66 $54,489.66 nat. median
$86,258
0.6× median
6074
APR_DRG 		2 $53,334.84 $53,334.84 $53,334.84 nat. median
$95,507
0.6× median
0043
APR_DRG 		2 $53,264.73 $53,264.73 $53,264.73 nat. median
$113,567
outlier · 0.5×
6034
APR_DRG 		2 $51,822.96 $51,822.96 $51,822.96 nat. median
$109,499
outlier · 0.5×
0064
APR_DRG 		2 $50,253.60 $50,253.60 $50,253.60 nat. median
$98,565
0.5× median
8424
APR_DRG 		2 $49,999.83 $49,999.83 $49,999.83 nat. median
$80,494
0.6× median
6023
APR_DRG 		2 $49,946.09 $49,946.09 $49,946.09 nat. median
$86,492
0.6× median
0073
APR_DRG 		2 $48,242.60 $48,242.60 $48,242.60 nat. median
$98,566
outlier · 0.5×
6114
APR_DRG 		2 $44,944.98 $44,944.98 $44,944.98 nat. median
$72,694
0.6× median
6303
APR_DRG 		2 $44,737.95 $44,737.95 $44,737.95 nat. median
$72,936
0.6× median

Other procedures at this hospital

Browse this hospital's 7,623 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
             
0011 APR_DRG — 4 2 — — $27,284.79 $27,284.79 $27,284.79 2026-03-04
0012 APR_DRG — 4 2 — — $33,205.17 $33,205.17 $33,205.17 2026-03-04
0013 APR_DRG — 4 2 — — $41,153.84 $41,153.84 $41,153.84 2026-03-04
0014 APR_DRG — 4 2 — — $74,520.72 $74,520.72 $74,520.72 2026-03-04
0021 APR_DRG — 4 2 — — $42,056.30 $42,056.30 $42,056.30 2026-03-04
0022 APR_DRG — 4 2 — — $54,863.07 $54,863.07 $54,863.07 2026-03-04
0023 APR_DRG — 4 2 — — $71,078.69 $71,078.69 $71,078.69 2026-03-04
0024 APR_DRG — 4 2 — — $131,441.06 $131,441.06 $131,441.06 2026-03-04
0041 APR_DRG — 4 2 — — $23,534.31 $23,534.31 $23,534.31 2026-03-04
0042 APR_DRG — 4 2 — — $33,217.32 $33,217.32 $33,217.32 2026-03-04
0043 APR_DRG — 4 2 — — $53,264.73 $53,264.73 $53,264.73 2026-03-04
0044 APR_DRG — 4 2 — — $80,353.23 $80,353.23 $80,353.23 2026-03-04
0052 APR_DRG — 4 2 — — $27,004.84 $27,004.84 $27,004.84 2026-03-04
0053 APR_DRG — 4 2 — — $40,326.17 $40,326.17 $40,326.17 2026-03-04
0054 APR_DRG — 4 2 — — $57,159.16 $57,159.16 $57,159.16 2026-03-04
0061 APR_DRG — 4 2 — — $29,184.56 $29,184.56 $29,184.56 2026-03-04
0062 APR_DRG — 4 2 — — $36,166.29 $36,166.29 $36,166.29 2026-03-04
0063 APR_DRG — 4 2 — — $42,769.47 $42,769.47 $42,769.47 2026-03-04
0064 APR_DRG — 4 2 — — $50,253.60 $50,253.60 $50,253.60 2026-03-04
0071 APR_DRG — 4 2 — — $29,888.86 $29,888.86 $29,888.86 2026-03-04
0072 APR_DRG — 4 2 — — $35,906.91 $35,906.91 $35,906.91 2026-03-04
0073 APR_DRG — 4 2 — — $48,242.60 $48,242.60 $48,242.60 2026-03-04
0074 APR_DRG — 4 2 — — $80,970.60 $80,970.60 $80,970.60 2026-03-04
0082 APR_DRG — 4 2 — — $18,677.15 $18,677.15 $18,677.15 2026-03-04
0083 APR_DRG — 4 2 — — $23,077.71 $23,077.71 $23,077.71 2026-03-04
0084 APR_DRG — 4 2 — — $35,183.92 $35,183.92 $35,183.92 2026-03-04
0091 APR_DRG — 4 2 — — $26,418.79 $26,418.79 $26,418.79 2026-03-04
0092 APR_DRG — 4 2 — — $32,652.76 $32,652.76 $32,652.76 2026-03-04
0093 APR_DRG — 4 2 — — $59,503.38 $59,503.38 $59,503.38 2026-03-04
0094 APR_DRG — 4 2 — — $105,181.63 $105,181.63 $105,181.63 2026-03-04
0111 APR_DRG — 4 2 — — $40,327.57 $40,327.57 $40,327.57 2026-03-04
0112 APR_DRG — 4 2 — — $95,460.30 $95,460.30 $95,460.30 2026-03-04
0113 APR_DRG — 4 2 — — $112,965.80 $112,965.80 $112,965.80 2026-03-04
0114 APR_DRG — 4 2 — — $144,735.27 $144,735.27 $144,735.27 2026-03-04
0204 APR_DRG — 4 2 — — $23,768.45 $23,768.45 $23,768.45 2026-03-04
0213 APR_DRG — 4 2 — — $18,278.03 $18,278.03 $18,278.03 2026-03-04
0214 APR_DRG — 4 2 — — $26,825.85 $26,825.85 $26,825.85 2026-03-04
0224 APR_DRG — 4 2 — — $19,343.59 $19,343.59 $19,343.59 2026-03-04
0234 APR_DRG — 4 2 — — $25,883.21 $25,883.21 $25,883.21 2026-03-04
0264 APR_DRG — 4 2 — — $17,719.08 $17,719.08 $17,719.08 2026-03-04
0274 APR_DRG — 4 2 — — $21,073.71 $21,073.71 $21,073.71 2026-03-04
0294 APR_DRG — 4 2 — — $19,358.08 $19,358.08 $19,358.08 2026-03-04
0304 APR_DRG — 4 2 — — $20,246.97 $20,246.97 $20,246.97 2026-03-04
0434 APR_DRG — 4 2 — — $17,662.53 $17,662.53 $17,662.53 2026-03-04
0893 APR_DRG — 4 2 — — $17,275.57 $17,275.57 $17,275.57 2026-03-04
0894 APR_DRG — 4 2 — — $24,769.98 $24,769.98 $24,769.98 2026-03-04
0913 APR_DRG — 4 2 — — $18,482.26 $18,482.26 $18,482.26 2026-03-04
0914 APR_DRG — 4 2 — — $29,098.10 $29,098.10 $29,098.10 2026-03-04
0924 APR_DRG — 4 2 — — $21,173.73 $21,173.73 $21,173.73 2026-03-04
1204 APR_DRG — 4 2 — — $24,313.38 $24,313.38 $24,313.38 2026-03-04
1214 APR_DRG — 4 2 — — $20,556.36 $20,556.36 $20,556.36 2026-03-04
1303 APR_DRG — 4 2 — — $19,373.03 $19,373.03 $19,373.03 2026-03-04
1304 APR_DRG — 4 2 — — $25,905.64 $25,905.64 $25,905.64 2026-03-04
1602 APR_DRG — 4 2 — — $19,827.29 $19,827.29 $19,827.29 2026-03-04
1603 APR_DRG — 4 2 — — $25,397.63 $25,397.63 $25,397.63 2026-03-04
1604 APR_DRG — 4 2 — — $57,782.13 $57,782.13 $57,782.13 2026-03-04
1611 APR_DRG — 4 2 — — $59,438.89 $59,438.89 $59,438.89 2026-03-04
1612 APR_DRG — 4 2 — — $59,438.89 $59,438.89 $59,438.89 2026-03-04
1613 APR_DRG — 4 2 — — $87,943.45 $87,943.45 $87,943.45 2026-03-04
1614 APR_DRG — 4 2 — — $109,290.57 $109,290.57 $109,290.57 2026-03-04
1621 APR_DRG — 4 2 — — $20,558.23 $20,558.23 $20,558.23 2026-03-04
1622 APR_DRG — 4 2 — — $23,926.41 $23,926.41 $23,926.41 2026-03-04
1623 APR_DRG — 4 2 — — $31,263.80 $31,263.80 $31,263.80 2026-03-04
1624 APR_DRG — 4 2 — — $43,648.09 $43,648.09 $43,648.09 2026-03-04
1631 APR_DRG — 4 2 — — $17,258.74 $17,258.74 $17,258.74 2026-03-04
1632 APR_DRG — 4 2 — — $19,935.72 $19,935.72 $19,935.72 2026-03-04
1633 APR_DRG — 4 2 — — $26,229.51 $26,229.51 $26,229.51 2026-03-04
1634 APR_DRG — 4 2 — — $38,371.25 $38,371.25 $38,371.25 2026-03-04
1651 APR_DRG — 4 2 — — $19,026.72 $19,026.72 $19,026.72 2026-03-04
1652 APR_DRG — 4 2 — — $20,840.97 $20,840.97 $20,840.97 2026-03-04
1653 APR_DRG — 4 2 — — $25,361.64 $25,361.64 $25,361.64 2026-03-04
1654 APR_DRG — 4 2 — — $34,401.11 $34,401.11 $34,401.11 2026-03-04
1662 APR_DRG — 4 2 — — $17,867.23 $17,867.23 $17,867.23 2026-03-04
1663 APR_DRG — 4 2 — — $21,594.81 $21,594.81 $21,594.81 2026-03-04
1664 APR_DRG — 4 2 — — $29,746.78 $29,746.78 $29,746.78 2026-03-04
1673 APR_DRG — 4 2 — — $18,121.47 $18,121.47 $18,121.47 2026-03-04
1674 APR_DRG — 4 2 — — $29,197.18 $29,197.18 $29,197.18 2026-03-04
1693 APR_DRG — 4 2 — — $18,254.66 $18,254.66 $18,254.66 2026-03-04
1694 APR_DRG — 4 2 — — $26,858.56 $26,858.56 $26,858.56 2026-03-04
1704 APR_DRG — 4 2 — — $19,710.46 $19,710.46 $19,710.46 2026-03-04
1744 APR_DRG — 4 2 — — $17,583.08 $17,583.08 $17,583.08 2026-03-04
1754 APR_DRG — 4 2 — — $19,485.19 $19,485.19 $19,485.19 2026-03-04
1764 APR_DRG — 4 2 — — $18,336.45 $18,336.45 $18,336.45 2026-03-04
1781 APR_DRG — 4 2 — — $21,464.89 $21,464.89 $21,464.89 2026-03-04
1782 APR_DRG — 4 2 — — $23,395.51 $23,395.51 $23,395.51 2026-03-04
1783 APR_DRG — 4 2 — — $29,021.92 $29,021.92 $29,021.92 2026-03-04
1784 APR_DRG — 4 2 — — $35,789.61 $35,789.61 $35,789.61 2026-03-04
1792 APR_DRG — 4 2 — — $18,034.54 $18,034.54 $18,034.54 2026-03-04
1793 APR_DRG — 4 2 — — $21,938.78 $21,938.78 $21,938.78 2026-03-04
1794 APR_DRG — 4 2 — — $29,717.81 $29,717.81 $29,717.81 2026-03-04
1814 APR_DRG — 4 2 — — $21,055.49 $21,055.49 $21,055.49 2026-03-04
1831 APR_DRG — 4 2 — — $17,271.36 $17,271.36 $17,271.36 2026-03-04
1832 APR_DRG — 4 2 — — $18,303.27 $18,303.27 $18,303.27 2026-03-04
1833 APR_DRG — 4 2 — — $22,377.15 $22,377.15 $22,377.15 2026-03-04
1834 APR_DRG — 4 2 — — $31,758.25 $31,758.25 $31,758.25 2026-03-04
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 2 1 — — $18,268.26 $18,268.26 $18,268.26 2026-03-04
20696 CPT App Mltpln Uni Xtrnl Fix 1st 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
21243 CPT Reconstruction Of Jaw Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
2204 APR_DRG — 4 2 — — $24,667.63 $24,667.63 $24,667.63 2026-03-04
2244 APR_DRG — 4 2 — — $17,317.63 $17,317.63 $17,317.63 2026-03-04
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22630 CPT Arthrd Pst Tq 1ntrspc Lum 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22856 CPT Tot Disc Arthrp 1ntrspc Crv 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
2294 APR_DRG — 4 2 — — $17,484.94 $17,484.94 $17,484.94 2026-03-04
2304 APR_DRG — 4 2 — — $21,097.55 $21,097.55 $21,097.55 2026-03-04
2314 APR_DRG — 4 2 — — $18,461.70 $18,461.70 $18,461.70 2026-03-04
23472 CPT Reconstruct Shoulder Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24361 CPT Reconstruct Elbow Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24363 CPT Replace Elbow Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24371 CPT Revise Reconst Elbow Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25442 CPT Arthrp W/prostc Dstl Ulna 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25446 CPT Arthrp W/prostc Dst Rds&crps 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
2604 APR_DRG — 4 2 — — $25,377.53 $25,377.53 $25,377.53 2026-03-04
2614 APR_DRG — 4 2 — — $22,479.03 $22,479.03 $22,479.03 2026-03-04
2644 APR_DRG — 4 2 — — $19,417.90 $19,417.90 $19,417.90 2026-03-04
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
27702 CPT Reconstruct Ankle Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
28705 CPT Arthrodesis Pantalar 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
2991 APR_DRG — 4 2 — — $18,096.23 $18,096.23 $18,096.23 2026-03-04
2992 APR_DRG — 4 2 — — $21,264.86 $21,264.86 $21,264.86 2026-03-04
2993 APR_DRG — 4 2 — — $28,382.59 $28,382.59 $28,382.59 2026-03-04
2994 APR_DRG — 4 2 — — $36,202.28 $36,202.28 $36,202.28 2026-03-04
3003 APR_DRG — 4 2 — — $18,700.98 $18,700.98 $18,700.98 2026-03-04
3004 APR_DRG — 4 2 — — $27,374.05 $27,374.05 $27,374.05 2026-03-04
3031 APR_DRG — 4 2 — — $17,616.73 $17,616.73 $17,616.73 2026-03-04
3032 APR_DRG — 4 2 — — $19,966.56 $19,966.56 $19,966.56 2026-03-04
3033 APR_DRG — 4 2 — — $26,713.22 $26,713.22 $26,713.22 2026-03-04
3034 APR_DRG — 4 2 — — $40,013.98 $40,013.98 $40,013.98 2026-03-04
3043 APR_DRG — 4 2 — — $21,008.75 $21,008.75 $21,008.75 2026-03-04
3044 APR_DRG — 4 2 — — $29,411.69 $29,411.69 $29,411.69 2026-03-04
3124 APR_DRG — 4 2 — — $23,493.65 $23,493.65 $23,493.65 2026-03-04
3134 APR_DRG — 4 2 — — $17,690.11 $17,690.11 $17,690.11 2026-03-04
3214 APR_DRG — 4 2 — — $21,654.16 $21,654.16 $21,654.16 2026-03-04
3254 APR_DRG — 4 2 — — $18,079.41 $18,079.41 $18,079.41 2026-03-04
33221 CPT Insert Pulse Gen Mult Leads 2 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33229 CPT Remv&replc Pm Gen Mult Leads 2 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33249 CPT Insj/rplcmt Defib W/lead(s) 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33274 CPT Tcat Insj/rpl Perm Ldls Pm 2 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33289 CPT Tcat Impl Wrls P-art Prs Snr 2 1 — — $29,849.75 $29,849.75 $29,849.75 2026-03-04
33902 CPT Perq P-art Revsc 1 Abnor Uni 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
3614 APR_DRG — 4 2 — — $22,121.98 $22,121.98 $22,121.98 2026-03-04
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36906 CPT Thrmbc/nfs Dialysis Circuit 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37184 CPT Prim Art M-thrmbc 1st Vsl 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37225 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37227 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37229 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37230 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37231 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37242 CPT Vasc Embolize/occlude Artery 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
38240 CPT Transplt Allo Hct/donor 2 1 — — $62,099.45 $62,099.45 $62,099.45 2026-03-04
4014 APR_DRG — 4 2 — — $24,476.95 $24,476.95 $24,476.95 2026-03-04
4034 APR_DRG — 4 2 — — $19,696.44 $19,696.44 $19,696.44 2026-03-04
4044 APR_DRG — 4 2 — — $19,011.77 $19,011.77 $19,011.77 2026-03-04
4054 APR_DRG — 4 2 — — $19,849.26 $19,849.26 $19,849.26 2026-03-04
4284 APR_DRG — 4 2 — — $19,700.18 $19,700.18 $19,700.18 2026-03-04
4401 APR_DRG — 4 2 — — $21,813.53 $21,813.53 $21,813.53 2026-03-04
4402 APR_DRG — 4 2 — — $23,876.41 $23,876.41 $23,876.41 2026-03-04
4403 APR_DRG — 4 2 — — $27,661.94 $27,661.94 $27,661.94 2026-03-04
4404 APR_DRG — 4 2 — — $41,554.36 $41,554.36 $41,554.36 2026-03-04
4414 APR_DRG — 4 2 — — $23,482.43 $23,482.43 $23,482.43 2026-03-04
4424 APR_DRG — 4 2 — — $18,770.62 $18,770.62 $18,770.62 2026-03-04
4474 APR_DRG — 4 2 — — $18,819.22 $18,819.22 $18,819.22 2026-03-04
4484 APR_DRG — 4 2 — — $18,273.36 $18,273.36 $18,273.36 2026-03-04
4854 APR_DRG — 4 2 — — $22,410.80 $22,410.80 $22,410.80 2026-03-04
5114 APR_DRG — 4 2 — — $20,716.66 $20,716.66 $20,716.66 2026-03-04
5124 APR_DRG — 4 2 — — $20,615.24 $20,615.24 $20,615.24 2026-03-04
5204 APR_DRG — 4 2 — — $23,225.86 $23,225.86 $23,225.86 2026-03-04
53444 CPT Insert Tandem Cuff 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53445 CPT Insert Uro/ves Nck Sphincter 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53447 CPT Remove/replace Ur Sphincter 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54401 CPT Insert Self-contd Prosthesis 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54405 CPT Insert Multi-comp Penis Pros 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54410 CPT Remove/replace Penis Prosth 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54411 CPT Remov/replc Penis Pros Comp 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54416 CPT Remv/repl Penis Contain Pros 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
5831 APR_DRG — 4 2 — — $81,696.86 $81,696.86 $81,696.86 2026-03-04
5832 APR_DRG — 4 2 — — $96,825.90 $96,825.90 $96,825.90 2026-03-04
5833 APR_DRG — 4 2 — — $154,298.64 $154,298.64 $154,298.64 2026-03-04
5834 APR_DRG — 4 2 — — $255,556.88 $255,556.88 $255,556.88 2026-03-04
5881 APR_DRG — 4 2 — — $67,070.23 $67,070.23 $67,070.23 2026-03-04
5882 APR_DRG — 4 2 — — $100,840.43 $100,840.43 $100,840.43 2026-03-04
5883 APR_DRG — 4 2 — — $104,558.66 $104,558.66 $104,558.66 2026-03-04
5884 APR_DRG — 4 2 — — $161,521.53 $161,521.53 $161,521.53 2026-03-04
5891 APR_DRG — 4 2 — — $85,786.17 $85,786.17 $85,786.17 2026-03-04
5892 APR_DRG — 4 2 — — $85,786.17 $85,786.17 $85,786.17 2026-03-04
5893 APR_DRG — 4 2 — — $85,786.17 $85,786.17 $85,786.17 2026-03-04
5912 APR_DRG — 4 2 — — $68,567.15 $68,567.15 $68,567.15 2026-03-04
5913 APR_DRG — 4 2 — — $84,443.48 $84,443.48 $84,443.48 2026-03-04
5914 APR_DRG — 4 2 — — $111,136.60 $111,136.60 $111,136.60 2026-03-04
5931 APR_DRG — 4 2 — — $27,011.85 $27,011.85 $27,011.85 2026-03-04
5932 APR_DRG — 4 2 — — $54,489.66 $54,489.66 $54,489.66 2026-03-04
5933 APR_DRG — 4 2 — — $70,081.83 $70,081.83 $70,081.83 2026-03-04
5934 APR_DRG — 4 2 — — $98,101.29 $98,101.29 $98,101.29 2026-03-04
6021 APR_DRG — 4 2 — — $21,410.67 $21,410.67 $21,410.67 2026-03-04
6022 APR_DRG — 4 2 — — $36,513.07 $36,513.07 $36,513.07 2026-03-04
6023 APR_DRG — 4 2 — — $49,946.09 $49,946.09 $49,946.09 2026-03-04
6024 APR_DRG — 4 2 — — $71,652.13 $71,652.13 $71,652.13 2026-03-04
6032 APR_DRG — 4 2 — — $18,247.65 $18,247.65 $18,247.65 2026-03-04
6033 APR_DRG — 4 2 — — $21,209.71 $21,209.71 $21,209.71 2026-03-04
6034 APR_DRG — 4 2 — — $51,822.96 $51,822.96 $51,822.96 2026-03-04
6072 APR_DRG — 4 2 — — $25,512.13 $25,512.13 $25,512.13 2026-03-04
6073 APR_DRG — 4 2 — — $37,455.71 $37,455.71 $37,455.71 2026-03-04
6074 APR_DRG — 4 2 — — $53,334.84 $53,334.84 $53,334.84 2026-03-04
6083 APR_DRG — 4 2 — — $26,117.82 $26,117.82 $26,117.82 2026-03-04
6084 APR_DRG — 4 2 — — $26,117.82 $26,117.82 $26,117.82 2026-03-04
6091 APR_DRG — 4 2 — — $17,977.99 $17,977.99 $17,977.99 2026-03-04
6092 APR_DRG — 4 2 — — $22,335.09 $22,335.09 $22,335.09 2026-03-04
6093 APR_DRG — 4 2 — — $34,880.15 $34,880.15 $34,880.15 2026-03-04
6094 APR_DRG — 4 2 — — $113,582.70 $113,582.70 $113,582.70 2026-03-04
6113 APR_DRG — 4 2 — — $19,538.47 $19,538.47 $19,538.47 2026-03-04
6114 APR_DRG — 4 2 — — $44,944.98 $44,944.98 $44,944.98 2026-03-04
6123 APR_DRG — 4 2 — — $22,790.29 $22,790.29 $22,790.29 2026-03-04
6124 APR_DRG — 4 2 — — $32,937.38 $32,937.38 $32,937.38 2026-03-04
6133 APR_DRG — 4 2 — — $21,153.63 $21,153.63 $21,153.63 2026-03-04
6134 APR_DRG — 4 2 — — $28,686.37 $28,686.37 $28,686.37 2026-03-04
6143 APR_DRG — 4 2 — — $17,998.56 $17,998.56 $17,998.56 2026-03-04
6144 APR_DRG — 4 2 — — $21,714.45 $21,714.45 $21,714.45 2026-03-04
61885 CPT Insrt/redo Neurostim 1 Array 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
61886 CPT Implant Neurostim Arrays 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
6214 APR_DRG — 4 2 — — $30,772.15 $30,772.15 $30,772.15 2026-03-04
6224 APR_DRG — 4 2 — — $19,236.56 $19,236.56 $19,236.56 2026-03-04
6234 APR_DRG — 4 2 — — $18,490.68 $18,490.68 $18,490.68 2026-03-04
62360 CPT Insert Spine Infusion Device 2 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62361 CPT Implant Spine Infusion Pump 2 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62362 CPT Implant Spine Infusion Pump 2 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
6254 APR_DRG — 4 2 — — $17,564.39 $17,564.39 $17,564.39 2026-03-04
6302 APR_DRG — 4 2 — — $17,622.34 $17,622.34 $17,622.34 2026-03-04
6303 APR_DRG — 4 2 — — $44,737.95 $44,737.95 $44,737.95 2026-03-04
6304 APR_DRG — 4 2 — — $82,374.99 $82,374.99 $82,374.99 2026-03-04
6313 APR_DRG — 4 2 — — $26,809.96 $26,809.96 $26,809.96 2026-03-04
6314 APR_DRG — 4 2 — — $96,942.27 $96,942.27 $96,942.27 2026-03-04
6334 APR_DRG — 4 2 — — $32,242.90 $32,242.90 $32,242.90 2026-03-04
6344 APR_DRG — 4 2 — — $18,264.01 $18,264.01 $18,264.01 2026-03-04
63655 CPT Implant Neuroelectrodes 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
64580 CPT Opn Impltj Nea Neuromuscular 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
6504 APR_DRG — 4 2 — — $18,940.27 $18,940.27 $18,940.27 2026-03-04
6514 APR_DRG — 4 2 — — $20,818.07 $20,818.07 $20,818.07 2026-03-04
6804 APR_DRG — 4 2 — — $28,636.83 $28,636.83 $28,636.83 2026-03-04
6814 APR_DRG — 4 2 — — $23,148.28 $23,148.28 $23,148.28 2026-03-04
6904 APR_DRG — 4 2 — — $24,360.11 $24,360.11 $24,360.11 2026-03-04
6954 APR_DRG — 4 2 — — $21,089.14 $21,089.14 $21,089.14 2026-03-04
69930 CPT Implant Cochlear Device 2 1 — — $33,398.21 $33,398.21 $33,398.21 2026-03-04
7104 APR_DRG — 4 2 — — $19,941.33 $19,941.33 $19,941.33 2026-03-04
7114 APR_DRG — 4 2 — — $19,278.63 $19,278.63 $19,278.63 2026-03-04
7404 APR_DRG — 4 2 — — $24,606.41 $24,606.41 $24,606.41 2026-03-04
7524 APR_DRG — 4 2 — — $18,002.30 $18,002.30 $18,002.30 2026-03-04
7924 APR_DRG — 4 2 — — $20,939.12 $20,939.12 $20,939.12 2026-03-04
8413 APR_DRG — 4 2 — — $28,273.70 $28,273.70 $28,273.70 2026-03-04
8414 APR_DRG — 4 2 — — $93,497.90 $93,497.90 $93,497.90 2026-03-04
8423 APR_DRG — 4 2 — — $17,438.67 $17,438.67 $17,438.67 2026-03-04
8424 APR_DRG — 4 2 — — $49,999.83 $49,999.83 $49,999.83 2026-03-04
8504 APR_DRG — 4 2 — — $25,485.02 $25,485.02 $25,485.02 2026-03-04
8514 APR_DRG — 4 2 — — $37,614.14 $37,614.14 $37,614.14 2026-03-04
8633 APR_DRG — 4 2 — — $19,850.66 $19,850.66 $19,850.66 2026-03-04
8634 APR_DRG — 4 2 — — $42,881.64 $42,881.64 $42,881.64 2026-03-04
9103 APR_DRG — 4 2 — — $18,236.90 $18,236.90 $18,236.90 2026-03-04
9104 APR_DRG — 4 2 — — $30,796.45 $30,796.45 $30,796.45 2026-03-04
9114 APR_DRG — 4 2 — — $29,569.66 $29,569.66 $29,569.66 2026-03-04
9124 APR_DRG — 4 2 — — $28,229.30 $28,229.30 $28,229.30 2026-03-04
92933 CPT Prq Trlml C Athrc St Angiop1 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93580 CPT Transcath Closure Of Asd 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93581 CPT Transcath Closure Of Vsd 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93582 CPT Perq Transcath Closure Pda 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93590 CPT Perq Transcath Cls Mitral 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93591 CPT Perq Transcath Cls Aortic 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93653 CPT Compre Ep Eval Tx Svt 2 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93654 CPT Compre Ep Eval Tx Vt 2 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93656 CPT Compre Ep Eval Abltj Atr Fib 2 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
9504 APR_DRG — 4 2 — — $24,179.72 $24,179.72 $24,179.72 2026-03-04
9514 APR_DRG — 4 2 — — $18,382.72 $18,382.72 $18,382.72 2026-03-04
C8003 HCPCS Imp Extar Knee Shck Absrb 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 2 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
C9602 HCPCS Perc D-e Cor Stent Ather S 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9758 HCPCS Blind Interatrial Shunt Ide 2 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $28,875.53 $28,875.53 $28,875.53 2026-03-04
C9765 HCPCS Revasc Intra Lithotrip-stent 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9766 HCPCS Revasc Intra Lithotrip-ather 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9767 HCPCS Revasc Lithotrip-stent-ather 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9773 HCPCS Revasc Lithotr-stent Tib/per 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9774 HCPCS Revasc Lithotr-ather Tib/per 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
J2350 HCPCS Ocrelizumab Soln For IV Infusion 300 Mg/10ml 90 16 $35,668.80 $28,535.04 20% off $60.94 $33,742.68 $26,680.26 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $58,743.27 $58,743.27 $58,743.27 2026-03-04
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