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 WHEATON MEDICAL CENTER

Wheaton, MN · CCN 241304 · Rates published

7,484 distinct procedures filed
15 distinct payers
96,729 rate rows
2026-03-04 last MRF observed
Data quality

96,565 of 96,729 rate rows are consumer-grade (99.8%)

164 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 110
per-diem day rate — not a per-procedure price 51
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8380/450409348_sanford-wheaton_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordWheaton/8380
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 934c06d0d9ef32fa… · 52,385,871 bytes · first seen 2026-05-08

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 $187,671.72 $187,671.72 $187,671.72 nat. median
$309,665
0.6× median
5884
APR_DRG 		2 $118,615.56 $118,615.56 $118,615.56 nat. median
$246,434
outlier · 0.5×
5833
APR_DRG 		2 $113,311.34 $113,311.34 $113,311.34 nat. median
$244,017
outlier · 0.5×
0114
APR_DRG 		2 $106,288.34 $106,288.34 $106,288.34 nat. median
$197,700
0.5× median
0024
APR_DRG 		2 $96,525.55 $96,525.55 $96,525.55 nat. median
$372,987
outlier · 0.3×
6094
APR_DRG 		2 $83,411.02 $83,411.02 $83,411.02 nat. median
$162,982
0.5× median
0113
APR_DRG 		2 $82,957.99 $82,957.99 $82,957.99 nat. median
$128,705
0.6× median
5914
APR_DRG 		2 $81,614.69 $81,614.69 $81,614.69 nat. median
$164,279
outlier · 0.5×
1614
APR_DRG 		2 $80,259.04 $80,259.04 $80,259.04 nat. median
$207,730
outlier · 0.4×
0094
APR_DRG 		2 $77,241.58 $77,241.58 $77,241.58 nat. median
$166,008
outlier · 0.5×
5883
APR_DRG 		2 $76,784.09 $76,784.09 $76,784.09 nat. median
$182,736
outlier · 0.4×
5882
APR_DRG 		2 $74,053.56 $74,053.56 $74,053.56 nat. median
$145,336
0.5× median
5934
APR_DRG 		2 $72,042.04 $72,042.04 $72,042.04 nat. median
$151,838
outlier · 0.5×
6314
APR_DRG 		2 $71,190.89 $71,190.89 $71,190.89 nat. median
$122,924
0.6× median
5832
APR_DRG 		2 $71,105.43 $71,105.43 $71,105.43 nat. median
$156,126
outlier · 0.5×
0112
APR_DRG 		2 $70,102.59 $70,102.59 $70,102.59 nat. median
$93,442
0.8× median
8414
APR_DRG 		2 $68,661.47 $68,661.47 $68,661.47 nat. median
$160,267
outlier · 0.4×
1613
APR_DRG 		2 $64,582.49 $64,582.49 $64,582.49 nat. median
$119,796
0.5× median
5892
APR_DRG 		2 $62,998.26 $62,998.26 $62,998.26 nat. median
$89,790
0.7× median
5891
APR_DRG 		2 $62,998.26 $62,998.26 $62,998.26 nat. median
$93,260
0.7× median
5893
APR_DRG 		2 $62,998.26 $62,998.26 $62,998.26 nat. median
$69,788
0.9× median
38240
CPT 		Transplt Allo Hct/donor 1 $62,099.45 $62,099.45 $62,099.45 nat. median
$15,912
outlier · 3.9×
5913
APR_DRG 		2 $62,012.23 $62,012.23 $62,012.23 nat. median
$102,636
0.6× median
6304
APR_DRG 		2 $60,493.21 $60,493.21 $60,493.21 nat. median
$150,721
outlier · 0.4×
5831
APR_DRG 		2 $59,995.22 $59,995.22 $59,995.22 nat. median
$145,122
outlier · 0.4×
0074
APR_DRG 		2 $59,461.88 $59,461.88 $59,461.88 nat. median
$178,275
outlier · 0.3×
0044
APR_DRG 		2 $59,008.51 $59,008.51 $59,008.51 nat. median
$195,681
outlier · 0.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,743.27 $58,743.27 $58,743.27 nat. median
$66,682
0.9× median
0014
APR_DRG 		2 $54,725.31 $54,725.31 $54,725.31 nat. median
$190,591
outlier · 0.3×
6024
APR_DRG 		2 $52,618.73 $52,618.73 $52,618.73 nat. median
$118,620
outlier · 0.4×
0023
APR_DRG 		2 $52,197.61 $52,197.61 $52,197.61 nat. median
$167,082
outlier · 0.3×
5933
APR_DRG 		2 $51,465.56 $51,465.56 $51,465.56 nat. median
$108,996
outlier · 0.5×
5912
APR_DRG 		2 $50,353.23 $50,353.23 $50,353.23 nat. median
$81,294
0.6× median
5881
APR_DRG 		2 $49,253.95 $49,253.95 $49,253.95 nat. median
$124,573
outlier · 0.4×
0093
APR_DRG 		2 $43,697.13 $43,697.13 $43,697.13 nat. median
$78,641
0.6× median
1611
APR_DRG 		2 $43,649.77 $43,649.77 $43,649.77 nat. median
$76,806
0.6× median
1612
APR_DRG 		2 $43,649.77 $43,649.77 $43,649.77 nat. median
$85,406
0.5× median
1604
APR_DRG 		2 $42,433.11 $42,433.11 $42,433.11 nat. median
$97,957
outlier · 0.4×
0054
APR_DRG 		2 $41,975.61 $41,975.61 $41,975.61 nat. median
$149,310
outlier · 0.3×
0022
APR_DRG 		2 $40,289.45 $40,289.45 $40,289.45 nat. median
$140,623
outlier · 0.3×
5932
APR_DRG 		2 $40,015.23 $40,015.23 $40,015.23 nat. median
$86,258
outlier · 0.5×
6074
APR_DRG 		2 $39,167.17 $39,167.17 $39,167.17 nat. median
$95,507
outlier · 0.4×
0043
APR_DRG 		2 $39,115.69 $39,115.69 $39,115.69 nat. median
$113,567
outlier · 0.3×
6034
APR_DRG 		2 $38,056.91 $38,056.91 $38,056.91 nat. median
$109,499
outlier · 0.3×
0064
APR_DRG 		2 $36,904.43 $36,904.43 $36,904.43 nat. median
$98,565
outlier · 0.4×
8424
APR_DRG 		2 $36,718.07 $36,718.07 $36,718.07 nat. median
$80,494
outlier · 0.5×
6023
APR_DRG 		2 $36,678.60 $36,678.60 $36,678.60 nat. median
$86,492
outlier · 0.4×
0073
APR_DRG 		2 $35,427.62 $35,427.62 $35,427.62 nat. median
$98,566
outlier · 0.4×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $33,664.66 $33,664.66 $33,664.66 nat. median
$31,873
1.1× median
33270
CPT 		Ins/rep Subq Defibrillator 1 $33,664.66 $33,664.66 $33,664.66 nat. median
$32,221
1.0× median

Other procedures at this hospital

Browse this hospital's 7,484 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
             
5834 APR_DRG — 2 2 — — $187,671.72 $187,671.72 $187,671.72 2026-03-04
5884 APR_DRG — 2 2 — — $118,615.56 $118,615.56 $118,615.56 2026-03-04
5833 APR_DRG — 2 2 — — $113,311.34 $113,311.34 $113,311.34 2026-03-04
0114 APR_DRG — 2 2 — — $106,288.34 $106,288.34 $106,288.34 2026-03-04
0024 APR_DRG — 2 2 — — $96,525.55 $96,525.55 $96,525.55 2026-03-04
6094 APR_DRG — 2 2 — — $83,411.02 $83,411.02 $83,411.02 2026-03-04
0113 APR_DRG — 2 2 — — $82,957.99 $82,957.99 $82,957.99 2026-03-04
5914 APR_DRG — 2 2 — — $81,614.69 $81,614.69 $81,614.69 2026-03-04
1614 APR_DRG — 2 2 — — $80,259.04 $80,259.04 $80,259.04 2026-03-04
0094 APR_DRG — 2 2 — — $77,241.58 $77,241.58 $77,241.58 2026-03-04
5883 APR_DRG — 2 2 — — $76,784.09 $76,784.09 $76,784.09 2026-03-04
5882 APR_DRG — 2 2 — — $74,053.56 $74,053.56 $74,053.56 2026-03-04
5934 APR_DRG — 2 2 — — $72,042.04 $72,042.04 $72,042.04 2026-03-04
6314 APR_DRG — 2 2 — — $71,190.89 $71,190.89 $71,190.89 2026-03-04
5832 APR_DRG — 2 2 — — $71,105.43 $71,105.43 $71,105.43 2026-03-04
0112 APR_DRG — 2 2 — — $70,102.59 $70,102.59 $70,102.59 2026-03-04
8414 APR_DRG — 2 2 — — $68,661.47 $68,661.47 $68,661.47 2026-03-04
1613 APR_DRG — 2 2 — — $64,582.49 $64,582.49 $64,582.49 2026-03-04
5893 APR_DRG — 2 2 — — $62,998.26 $62,998.26 $62,998.26 2026-03-04
5891 APR_DRG — 2 2 — — $62,998.26 $62,998.26 $62,998.26 2026-03-04
5892 APR_DRG — 2 2 — — $62,998.26 $62,998.26 $62,998.26 2026-03-04
38240 CPT Transplt Allo Hct/donor 1 1 — — $62,099.45 $62,099.45 $62,099.45 2026-03-04
5913 APR_DRG — 2 2 — — $62,012.23 $62,012.23 $62,012.23 2026-03-04
6304 APR_DRG — 2 2 — — $60,493.21 $60,493.21 $60,493.21 2026-03-04
5831 APR_DRG — 2 2 — — $59,995.22 $59,995.22 $59,995.22 2026-03-04
0074 APR_DRG — 2 2 — — $59,461.88 $59,461.88 $59,461.88 2026-03-04
0044 APR_DRG — 2 2 — — $59,008.51 $59,008.51 $59,008.51 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $58,743.27 $58,743.27 $58,743.27 2026-03-04
0014 APR_DRG — 2 2 — — $54,725.31 $54,725.31 $54,725.31 2026-03-04
6024 APR_DRG — 2 2 — — $52,618.73 $52,618.73 $52,618.73 2026-03-04
0023 APR_DRG — 2 2 — — $52,197.61 $52,197.61 $52,197.61 2026-03-04
5933 APR_DRG — 2 2 — — $51,465.56 $51,465.56 $51,465.56 2026-03-04
5912 APR_DRG — 2 2 — — $50,353.23 $50,353.23 $50,353.23 2026-03-04
5881 APR_DRG — 2 2 — — $49,253.95 $49,253.95 $49,253.95 2026-03-04
0093 APR_DRG — 2 2 — — $43,697.13 $43,697.13 $43,697.13 2026-03-04
1611 APR_DRG — 2 2 — — $43,649.77 $43,649.77 $43,649.77 2026-03-04
1612 APR_DRG — 2 2 — — $43,649.77 $43,649.77 $43,649.77 2026-03-04
1604 APR_DRG — 2 2 — — $42,433.11 $42,433.11 $42,433.11 2026-03-04
0054 APR_DRG — 2 2 — — $41,975.61 $41,975.61 $41,975.61 2026-03-04
0022 APR_DRG — 2 2 — — $40,289.45 $40,289.45 $40,289.45 2026-03-04
5932 APR_DRG — 2 2 — — $40,015.23 $40,015.23 $40,015.23 2026-03-04
6074 APR_DRG — 2 2 — — $39,167.17 $39,167.17 $39,167.17 2026-03-04
0043 APR_DRG — 2 2 — — $39,115.69 $39,115.69 $39,115.69 2026-03-04
6034 APR_DRG — 2 2 — — $38,056.91 $38,056.91 $38,056.91 2026-03-04
0064 APR_DRG — 2 2 — — $36,904.43 $36,904.43 $36,904.43 2026-03-04
8424 APR_DRG — 2 2 — — $36,718.07 $36,718.07 $36,718.07 2026-03-04
6023 APR_DRG — 2 2 — — $36,678.60 $36,678.60 $36,678.60 2026-03-04
0073 APR_DRG — 2 2 — — $35,427.62 $35,427.62 $35,427.62 2026-03-04
33249 CPT Insj/rplcmt Defib W/lead(s) 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33270 CPT Ins/rep Subq Defibrillator 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33231 CPT Insrt Pulse Gen W/mult Leads 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
69930 CPT Implant Cochlear Device 1 1 — — $33,398.21 $33,398.21 $33,398.21 2026-03-04
6114 APR_DRG — 2 2 — — $33,005.97 $33,005.97 $33,005.97 2026-03-04
6303 APR_DRG — 2 2 — — $32,853.93 $32,853.93 $32,853.93 2026-03-04
1624 APR_DRG — 2 2 — — $32,053.57 $32,053.57 $32,053.57 2026-03-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
61886 CPT Implant Neurostim Arrays 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
8634 APR_DRG — 2 2 — — $31,490.72 $31,490.72 $31,490.72 2026-03-04
0063 APR_DRG — 2 2 — — $31,408.35 $31,408.35 $31,408.35 2026-03-04
0021 APR_DRG — 2 2 — — $30,884.62 $30,884.62 $30,884.62 2026-03-04
4404 APR_DRG — 2 2 — — $30,516.02 $30,516.02 $30,516.02 2026-03-04
0013 APR_DRG — 2 2 — — $30,221.89 $30,221.89 $30,221.89 2026-03-04
33289 CPT Tcat Impl Wrls P-art Prs Snr 1 1 — — $29,849.75 $29,849.75 $29,849.75 2026-03-04
0111 APR_DRG — 2 2 — — $29,615.11 $29,615.11 $29,615.11 2026-03-04
0053 APR_DRG — 2 2 — — $29,614.08 $29,614.08 $29,614.08 2026-03-04
3034 APR_DRG — 2 2 — — $29,384.82 $29,384.82 $29,384.82 2026-03-04
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $28,875.53 $28,875.53 $28,875.53 2026-03-04
1634 APR_DRG — 2 2 — — $28,178.45 $28,178.45 $28,178.45 2026-03-04
8514 APR_DRG — 2 2 — — $27,622.46 $27,622.46 $27,622.46 2026-03-04
6073 APR_DRG — 2 2 — — $27,506.12 $27,506.12 $27,506.12 2026-03-04
6022 APR_DRG — 2 2 — — $26,813.87 $26,813.87 $26,813.87 2026-03-04
2994 APR_DRG — 2 2 — — $26,585.64 $26,585.64 $26,585.64 2026-03-04
0062 APR_DRG — 2 2 — — $26,559.22 $26,559.22 $26,559.22 2026-03-04
0072 APR_DRG — 2 2 — — $26,368.74 $26,368.74 $26,368.74 2026-03-04
1784 APR_DRG — 2 2 — — $26,282.59 $26,282.59 $26,282.59 2026-03-04
0084 APR_DRG — 2 2 — — $25,837.80 $25,837.80 $25,837.80 2026-03-04
93653 CPT Compre Ep Eval Tx Svt 1 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93654 CPT Compre Ep Eval Tx Vt 1 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93656 CPT Compre Ep Eval Abltj Atr Fib 1 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
6093 APR_DRG — 2 2 — — $25,614.72 $25,614.72 $25,614.72 2026-03-04
1654 APR_DRG — 2 2 — — $25,262.93 $25,262.93 $25,262.93 2026-03-04
0042 APR_DRG — 2 2 — — $24,393.60 $24,393.60 $24,393.60 2026-03-04
0012 APR_DRG — 2 2 — — $24,384.67 $24,384.67 $24,384.67 2026-03-04
6124 APR_DRG — 2 2 — — $24,188.02 $24,188.02 $24,188.02 2026-03-04
0092 APR_DRG — 2 2 — — $23,979.01 $23,979.01 $23,979.01 2026-03-04
6334 APR_DRG — 2 2 — — $23,678.01 $23,678.01 $23,678.01 2026-03-04
33230 CPT Insrt Pulse Gen W/dual Leads 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33240 CPT Insrt Pulse Gen W/singl Lead 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
1834 APR_DRG — 2 2 — — $23,322.11 $23,322.11 $23,322.11 2026-03-04
1623 APR_DRG — 2 2 — — $22,959.00 $22,959.00 $22,959.00 2026-03-04
9104 APR_DRG — 2 2 — — $22,615.80 $22,615.80 $22,615.80 2026-03-04
6214 APR_DRG — 2 2 — — $22,597.95 $22,597.95 $22,597.95 2026-03-04
64580 CPT Opn Impltj Nea Neuromuscular 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
63655 CPT Implant Neuroelectrodes 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
61885 CPT Insrt/redo Neurostim 1 Array 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
0071 APR_DRG — 2 2 — — $21,949.29 $21,949.29 $21,949.29 2026-03-04
1664 APR_DRG — 2 2 — — $21,844.96 $21,844.96 $21,844.96 2026-03-04
1794 APR_DRG — 2 2 — — $21,823.68 $21,823.68 $21,823.68 2026-03-04
9114 APR_DRG — 2 2 — — $21,714.89 $21,714.89 $21,714.89 2026-03-04
3044 APR_DRG — 2 2 — — $21,598.88 $21,598.88 $21,598.88 2026-03-04
1674 APR_DRG — 2 2 — — $21,441.35 $21,441.35 $21,441.35 2026-03-04
0061 APR_DRG — 2 2 — — $21,432.09 $21,432.09 $21,432.09 2026-03-04
0914 APR_DRG — 2 2 — — $21,368.59 $21,368.59 $21,368.59 2026-03-04
1783 APR_DRG — 2 2 — — $21,312.65 $21,312.65 $21,312.65 2026-03-04
54410 CPT Remove/replace Penis Prosth 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54411 CPT Remov/replc Penis Pros Comp 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54416 CPT Remv/repl Penis Contain Pros 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54401 CPT Insert Self-contd Prosthesis 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54405 CPT Insert Multi-comp Penis Pros 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53445 CPT Insert Uro/ves Nck Sphincter 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53447 CPT Remove/replace Ur Sphincter 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53444 CPT Insert Tandem Cuff 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
6134 APR_DRG — 2 2 — — $21,066.23 $21,066.23 $21,066.23 2026-03-04
6804 APR_DRG — 2 2 — — $21,029.85 $21,029.85 $21,029.85 2026-03-04
2993 APR_DRG — 2 2 — — $20,843.15 $20,843.15 $20,843.15 2026-03-04
8413 APR_DRG — 2 2 — — $20,763.18 $20,763.18 $20,763.18 2026-03-04
9124 APR_DRG — 2 2 — — $20,730.58 $20,730.58 $20,730.58 2026-03-04
4403 APR_DRG — 2 2 — — $20,313.93 $20,313.93 $20,313.93 2026-03-04
3004 APR_DRG — 2 2 — — $20,102.51 $20,102.51 $20,102.51 2026-03-04
0011 APR_DRG — 2 2 — — $20,036.96 $20,036.96 $20,036.96 2026-03-04
33221 CPT Insert Pulse Gen Mult Leads 1 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33229 CPT Remv&replc Pm Gen Mult Leads 1 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33274 CPT Tcat Insj/rpl Perm Ldls Pm 1 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
5931 APR_DRG — 2 2 — — $19,836.53 $19,836.53 $19,836.53 2026-03-04
0052 APR_DRG — 2 2 — — $19,831.38 $19,831.38 $19,831.38 2026-03-04
1694 APR_DRG — 2 2 — — $19,723.96 $19,723.96 $19,723.96 2026-03-04
0214 APR_DRG — 2 2 — — $19,699.93 $19,699.93 $19,699.93 2026-03-04
6313 APR_DRG — 2 2 — — $19,688.26 $19,688.26 $19,688.26 2026-03-04
3033 APR_DRG — 2 2 — — $19,617.22 $19,617.22 $19,617.22 2026-03-04
0091 APR_DRG — 2 2 — — $19,401.00 $19,401.00 $19,401.00 2026-03-04
27702 CPT Reconstruct Ankle Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
C8003 HCPCS Imp Extar Knee Shck Absrb 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
20696 CPT App Mltpln Uni Xtrnl Fix 1st 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25442 CPT Arthrp W/prostc Dstl Ulna 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24371 CPT Revise Reconst Elbow Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22856 CPT Tot Disc Arthrp 1ntrspc Crv 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22630 CPT Arthrd Pst Tq 1ntrspc Lum 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24361 CPT Reconstruct Elbow Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23472 CPT Reconstruct Shoulder Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
21243 CPT Reconstruction Of Jaw Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25446 CPT Arthrp W/prostc Dst Rds&crps 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24363 CPT Replace Elbow Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
28705 CPT Arthrodesis Pantalar 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
1633 APR_DRG — 2 2 — — $19,262.00 $19,262.00 $19,262.00 2026-03-04
6083 APR_DRG — 2 2 — — $19,179.98 $19,179.98 $19,179.98 2026-03-04
6084 APR_DRG — 2 2 — — $19,179.98 $19,179.98 $19,179.98 2026-03-04
J2350 HCPCS Ocrelizumab Soln For IV Infusion 300 Mg/10ml 41 15 $25,521.25 $20,417.00 20% off $60.94 $24,143.10 $19,089.90 2026-03-04
1304 APR_DRG — 2 2 — — $19,024.16 $19,024.16 $19,024.16 2026-03-04
0234 APR_DRG — 2 2 — — $19,007.69 $19,007.69 $19,007.69 2026-03-04
C9765 HCPCS Revasc Intra Lithotrip-stent 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9766 HCPCS Revasc Intra Lithotrip-ather 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9602 HCPCS Perc D-e Cor Stent Ather S 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9773 HCPCS Revasc Lithotr-stent Tib/per 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9774 HCPCS Revasc Lithotr-ather Tib/per 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93581 CPT Transcath Closure Of Vsd 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93580 CPT Transcath Closure Of Asd 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93582 CPT Perq Transcath Closure Pda 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
92933 CPT Prq Trlml C Athrc St Angiop1 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
33902 CPT Perq P-art Revsc 1 Abnor Uni 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36906 CPT Thrmbc/nfs Dialysis Circuit 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93590 CPT Perq Transcath Cls Mitral 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93591 CPT Perq Transcath Cls Aortic 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37242 CPT Vasc Embolize/occlude Artery 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37231 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37227 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37229 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37225 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37230 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37184 CPT Prim Art M-thrmbc 1st Vsl 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9775 HCPCS Revasc Lith-sten-ath Tib/per 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
6072 APR_DRG — 2 2 — — $18,735.18 $18,735.18 $18,735.18 2026-03-04
8504 APR_DRG — 2 2 — — $18,715.28 $18,715.28 $18,715.28 2026-03-04
1603 APR_DRG — 2 2 — — $18,651.10 $18,651.10 $18,651.10 2026-03-04
2604 APR_DRG — 2 2 — — $18,636.34 $18,636.34 $18,636.34 2026-03-04
1653 APR_DRG — 2 2 — — $18,624.67 $18,624.67 $18,624.67 2026-03-04
62362 CPT Implant Spine Infusion Pump 1 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62360 CPT Insert Spine Infusion Device 1 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62361 CPT Implant Spine Infusion Pump 1 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
C9758 HCPCS Blind Interatrial Shunt Ide 1 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 1 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 1 1 — — $18,268.26 $18,268.26 $18,268.26 2026-03-04
0894 APR_DRG — 2 2 — — $18,190.18 $18,190.18 $18,190.18 2026-03-04
2204 APR_DRG — 2 2 — — $18,115.01 $18,115.01 $18,115.01 2026-03-04
7404 APR_DRG — 2 2 — — $18,070.05 $18,070.05 $18,070.05 2026-03-04
4014 APR_DRG — 2 2 — — $17,974.99 $17,974.99 $17,974.99 2026-03-04
6904 APR_DRG — 2 2 — — $17,889.19 $17,889.19 $17,889.19 2026-03-04
1204 APR_DRG — 2 2 — — $17,854.87 $17,854.87 $17,854.87 2026-03-04
9504 APR_DRG — 2 2 — — $17,756.71 $17,756.71 $17,756.71 2026-03-04
1622 APR_DRG — 2 2 — — $17,570.69 $17,570.69 $17,570.69 2026-03-04
4402 APR_DRG — 2 2 — — $17,533.97 $17,533.97 $17,533.97 2026-03-04
0204 APR_DRG — 2 2 — — $17,454.69 $17,454.69 $17,454.69 2026-03-04
0041 APR_DRG — 2 2 — — $17,282.74 $17,282.74 $17,282.74 2026-03-04
3124 APR_DRG — 2 2 — — $17,252.89 $17,252.89 $17,252.89 2026-03-04
4414 APR_DRG — 2 2 — — $17,244.65 $17,244.65 $17,244.65 2026-03-04
66683 CPT Implantation Iris Prosthesis 1 1 — — $17,237.25 $17,237.25 $17,237.25 2026-03-04
1782 APR_DRG — 2 2 — — $17,180.81 $17,180.81 $17,180.81 2026-03-04
5204 APR_DRG — 2 2 — — $17,056.23 $17,056.23 $17,056.23 2026-03-04
6814 APR_DRG — 2 2 — — $16,999.26 $16,999.26 $16,999.26 2026-03-04
0083 APR_DRG — 2 2 — — $16,947.43 $16,947.43 $16,947.43 2026-03-04
6123 APR_DRG — 2 2 — — $16,736.36 $16,736.36 $16,736.36 2026-03-04
2614 APR_DRG — 2 2 — — $16,507.79 $16,507.79 $16,507.79 2026-03-04
4854 APR_DRG — 2 2 — — $16,457.68 $16,457.68 $16,457.68 2026-03-04
1833 APR_DRG — 2 2 — — $16,432.97 $16,432.97 $16,432.97 2026-03-04
6092 APR_DRG — 2 2 — — $16,402.08 $16,402.08 $16,402.08 2026-03-04
3614 APR_DRG — 2 2 — — $16,245.58 $16,245.58 $16,245.58 2026-03-04
67027 CPT Implant Eye Drug System 1 1 — — $16,133.07 $16,133.07 $16,133.07 2026-03-04
1793 APR_DRG — 2 2 — — $16,111.04 $16,111.04 $16,111.04 2026-03-04
4401 APR_DRG — 2 2 — — $16,019.07 $16,019.07 $16,019.07 2026-03-04
6144 APR_DRG — 2 2 — — $15,946.31 $15,946.31 $15,946.31 2026-03-04
3214 APR_DRG — 2 2 — — $15,902.03 $15,902.03 $15,902.03 2026-03-04
1663 APR_DRG — 2 2 — — $15,858.45 $15,858.45 $15,858.45 2026-03-04
1781 APR_DRG — 2 2 — — $15,763.03 $15,763.03 $15,763.03 2026-03-04
6021 APR_DRG — 2 2 — — $15,723.22 $15,723.22 $15,723.22 2026-03-04
2992 APR_DRG — 2 2 — — $15,616.14 $15,616.14 $15,616.14 2026-03-04
6033 APR_DRG — 2 2 — — $15,575.65 $15,575.65 $15,575.65 2026-03-04
0924 APR_DRG — 2 2 — — $15,549.22 $15,549.22 $15,549.22 2026-03-04
6133 APR_DRG — 2 2 — — $15,534.46 $15,534.46 $15,534.46 2026-03-04
2304 APR_DRG — 2 2 — — $15,493.28 $15,493.28 $15,493.28 2026-03-04
6954 APR_DRG — 2 2 — — $15,487.10 $15,487.10 $15,487.10 2026-03-04
0274 APR_DRG — 2 2 — — $15,475.77 $15,475.77 $15,475.77 2026-03-04
1814 APR_DRG — 2 2 — — $15,462.39 $15,462.39 $15,462.39 2026-03-04
3043 APR_DRG — 2 2 — — $15,428.07 $15,428.07 $15,428.07 2026-03-04
7924 APR_DRG — 2 2 — — $15,376.93 $15,376.93 $15,376.93 2026-03-04
1652 APR_DRG — 2 2 — — $15,304.86 $15,304.86 $15,304.86 2026-03-04
6514 APR_DRG — 2 2 — — $15,288.04 $15,288.04 $15,288.04 2026-03-04
5114 APR_DRG — 2 2 — — $15,213.56 $15,213.56 $15,213.56 2026-03-04
5124 APR_DRG — 2 2 — — $15,139.09 $15,139.09 $15,139.09 2026-03-04
1621 APR_DRG — 2 2 — — $15,097.22 $15,097.22 $15,097.22 2026-03-04
1214 APR_DRG — 2 2 — — $15,095.85 $15,095.85 $15,095.85 2026-03-04
65770 CPT Keratoprosthesis 1 1 — — $15,003.78 $15,003.78 $15,003.78 2026-03-04
0304 APR_DRG — 2 2 — — $14,868.64 $14,868.64 $14,868.64 2026-03-04
3032 APR_DRG — 2 2 — — $14,662.72 $14,662.72 $14,662.72 2026-03-04
7104 APR_DRG — 2 2 — — $14,644.19 $14,644.19 $14,644.19 2026-03-04
1632 APR_DRG — 2 2 — — $14,640.07 $14,640.07 $14,640.07 2026-03-04
8633 APR_DRG — 2 2 — — $14,577.61 $14,577.61 $14,577.61 2026-03-04
4054 APR_DRG — 2 2 — — $14,576.58 $14,576.58 $14,576.58 2026-03-04
1602 APR_DRG — 2 2 — — $14,560.45 $14,560.45 $14,560.45 2026-03-04
1704 APR_DRG — 2 2 — — $14,474.65 $14,474.65 $14,474.65 2026-03-04
4284 APR_DRG — 2 2 — — $14,467.10 $14,467.10 $14,467.10 2026-03-04
4034 APR_DRG — 2 2 — — $14,464.35 $14,464.35 $14,464.35 2026-03-04
6113 APR_DRG — 2 2 — — $14,348.35 $14,348.35 $14,348.35 2026-03-04
1754 APR_DRG — 2 2 — — $14,309.22 $14,309.22 $14,309.22 2026-03-04
2644 APR_DRG — 2 2 — — $14,259.80 $14,259.80 $14,259.80 2026-03-04
1303 APR_DRG — 2 2 — — $14,226.85 $14,226.85 $14,226.85 2026-03-04
0294 APR_DRG — 2 2 — — $14,215.87 $14,215.87 $14,215.87 2026-03-04
0224 APR_DRG — 2 2 — — $14,205.23 $14,205.23 $14,205.23 2026-03-04
7114 APR_DRG — 2 2 — — $14,157.52 $14,157.52 $14,157.52 2026-03-04
6224 APR_DRG — 2 2 — — $14,126.64 $14,126.64 $14,126.64 2026-03-04
1651 APR_DRG — 2 2 — — $13,972.54 $13,972.54 $13,972.54 2026-03-04
4044 APR_DRG — 2 2 — — $13,961.55 $13,961.55 $13,961.55 2026-03-04
6504 APR_DRG — 2 2 — — $13,909.04 $13,909.04 $13,909.04 2026-03-04
4474 APR_DRG — 2 2 — — $13,820.15 $13,820.15 $13,820.15 2026-03-04
4424 APR_DRG — 2 2 — — $13,784.46 $13,784.46 $13,784.46 2026-03-04
3003 APR_DRG — 2 2 — — $13,733.32 $13,733.32 $13,733.32 2026-03-04
0082 APR_DRG — 2 2 — — $13,715.82 $13,715.82 $13,715.82 2026-03-04
54400 CPT Insert Semi-rigid Prosthesis 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
54417 CPT Remv/replc Penis Pros Compl 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
53451 CPT Tprnl Balo Cntnc Dev Bi 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
53440 CPT Male Sling Procedure 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
6234 APR_DRG — 2 2 — — $13,578.88 $13,578.88 $13,578.88 2026-03-04
0913 APR_DRG — 2 2 — — $13,572.70 $13,572.70 $13,572.70 2026-03-04
2314 APR_DRG — 2 2 — — $13,557.60 $13,557.60 $13,557.60 2026-03-04
25810 CPT Arthrd Wrst Iliac/oth Agrft 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
C9757 HCPCS Spine Device Implant Surgery 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
27758 CPT Treatment Of Tibia Fracture 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
27759 CPT Treatment Of Tibia Fracture 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
25391 CPT Lengthen Radius Or Ulna 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
27709 CPT Osteotomy Tibia & Fibula 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
25365 CPT Revise Radius & Ulna 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
69716 CPT Impl Oi Implt Sk Tc Esp<100 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
69714 CPT Impl Oi Implt Skull Perq Esp 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
69729 CPT Impl Oi Implt Sk Tc Esp>=100 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
23802 CPT Arthrd Glenohumeral Jt W/grf 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
24802 CPT Arthrd Elbow Jt Autog Graft 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
24666 CPT Optx Radial Head/nck Fx Rplc 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
23615 CPT Optx Prox Humrl Fx W/int Fix 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
23680 CPT Optx Sho Dislc Neck Fx Fixj 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
22551 CPT Arthrd Ant Ntrbdy Cervical 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
24587 CPT Optx Partclr Fx&/dslc Elbw W 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
24586 CPT Optx Partclr Fx&/dislc Elbow 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
22554 CPT Arthrd Ant Ntrbd Min Dsc Crv 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
27446 CPT Revision Of Knee Joint 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
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