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 →

Export CSV
Hospital

MAYO CLINIC HEALTH SYSTEM - LAKE CITY

Lake City, MN · CCN 241338 · Rates published

4,942 distinct procedures filed
312 distinct payers
6,849,380 rate rows
2026-03-31 last MRF observed
Data quality

2,471,733 of 6,849,380 rate rows are consumer-grade (36.1%)

4,377,647 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
professional (physician) fee — not the facility price 4,376,041
per-diem day rate — not a per-procedure price 1,200
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 369
exceeds 10× this hospital's gross charge — excluded from medians 21
placeholder amount (≤ $0.02) — excluded from medians 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/411906820_mayo-clinic-health-system-lake-city_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/locations/lake-city/billing/cms-hospital-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint bcb8d39e2f9e0ce3… · 3,547,298,201 bytes · first seen 2026-05-07

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
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 290 $255.84 $161,500.00 $153,425.00 nat. median
$432
outlier · 354.8×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 288 $17,000.55 $81,733.40 $77,646.73 nat. median
$742
outlier · 104.6×
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 290 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 290 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
3421
APR_DRG 		Fractures And Dislocations Except Femur, Pelvis And Back 22 $13,222.47 $53,655.09 $53,655.09 nat. median
$4,473
outlier · 12.0×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 291 $59.41 $52,256.13 $51,178.69 nat. median
$470
outlier · 109.0×
33264
CPT 		Pr Rmvl&rplc Icd Gen Multi Lead 291 $323.95 $51,708.72 $50,125.80 nat. median
$31,574
1.6× median
2441
APR_DRG 		Diverticulitis And Diverticulosis 22 $12,062.32 $47,223.50 $47,223.50 nat. median
$4,474
outlier · 10.6×
33249
CPT 		Pr Ins/rplc Dfib W Transven Lead 291 $723.02 $48,175.82 $46,701.05 nat. median
$31,620
1.5× median
0620T
CPT 		Pr Endovasc Venous Arterialization Tibial/peroneal 290 $9,111.86 $48,101.03 $41,616.65 nat. median
$32,709
1.3× median
1394
APR_DRG 		Other Pneumonia 22 $38,488.06 $40,513.73 $40,513.73 nat. median
$13,332
outlier · 3.0×
92930
CPT 		Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 290 $487.33 $41,670.58 $40,394.95 nat. median
$27,623
1.5× median
33270
CPT 		Pr Ins/rplc Subq Icd W Subq Elec 291 $447.78 $40,769.96 $39,521.90 nat. median
$32,114
1.2× median
C2616
HCPCS 		Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 290 $8,629.40 $42,870.00 $39,413.13 nat. median
$26,836
1.5× median
93656
CPT 		Pr Ep Eval Tx Art Fib Pulm Vein 291 $718.24 $39,942.84 $38,720.10 nat. median
$27,236
1.4× median
93654
CPT 		Pr Ep Eval W Vent Tachy Ablate 291 $763.57 $38,629.64 $37,447.10 nat. median
$27,016
1.4× median
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 290 $7,984.08 $38,385.00 $36,465.75 nat. median
$20,608
1.8× median
33274
CPT 		Pr Rplc/insrt Transcath Leadls Pm 290 $571.47 $37,485.00 $36,337.50 nat. median
$19,643
1.8× median
37231
CPT 		Pr Revasc Tib/pero Stnt&arth&angp 291 $473.80 $43,050.25 $35,563.25 nat. median
$18,389
1.9× median
C9607
HCPCS 		Hc Perc Translum Revasc Cor Sngl 290 $7,783.36 $37,420.00 $35,549.00 nat. median
$20,030
1.8× median
C9602
HCPCS 		Hc Perc Translum Ather Wangio Sng 290 $7,542.50 $36,262.00 $34,448.90 nat. median
$20,101
1.7× median
C9606
HCPCS 		Hc Perc Translum Revasc Ami Sngl 290 $523.61 $36,105.00 $34,299.75 nat. median
$17,846
1.9× median
33263
CPT 		Pr Rmvl&rplc Icd Gen Dual Lead 291 $312.27 $34,446.02 $33,391.55 nat. median
$23,376
1.4× median
J9272
HCPCS 		Dostarlimab-gxly 50 Mg/ml Intravenous Solution 290 $243.71 $34,619.50 $32,888.53 nat. median
$786
outlier · 41.8×
33262
CPT 		Pr Rmvl&rplc Icd Gen Sngl Lead 291 $300.84 $33,826.66 $32,791.15 nat. median
$23,311
1.4× median
J9382
HCPCS 		Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 290 $7,164.89 $34,446.60 $32,724.27 nat. median
$115
outlier · 284.4×
93653
CPT 		Pr Ep Eval W Supravent Ablate 291 $633.43 $33,084.80 $32,072.00 nat. median
$26,652
1.2× median
J9022
HCPCS 		Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 291 $7,007.52 $32,679.30 $32,005.50 nat. median
$6,785
outlier · 4.7×
J9024
HCPCS 		Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 290 $31.58 $33,689.90 $32,005.41 nat. median
$87
outlier · 368.5×
36836
CPT 		Pr Perq Av Fistula Creation Uxtr Single Access 290 $6,626.88 $31,222.80 $30,267.00 nat. median
$17,555
1.7× median
37290
CPT 		Pr Revsc Evsc Tpvt Athrc Cplx 1 290 $6,082.13 $28,656.18 $27,778.95 nat. median
$22,780
1.2× median
C9766
HCPCS 		Hc Revasc Intra Lithotrip-ather 290 $6,058.21 $29,126.00 $27,669.70 nat. median
$19,268
1.4× median
37227
CPT 		Pr Revasc Fem/pop W Stnt/athr/ang 291 $451.43 $33,261.45 $27,476.85 nat. median
$18,437
1.5× median
37294
CPT 		Pr Rvsc Evsc Tpvt St Athr Cpx 1 290 $6,004.96 $28,292.60 $27,426.50 nat. median
$25,406
1.1× median
7203
APR_DRG 		Septicemia And Disseminated Infections 22 $25,926.57 $27,291.12 $27,291.12 nat. median
$10,768
outlier · 2.5×
C9604
HCPCS 		Hc Perc Translum Revasc Sngl Vssl 290 $5,904.08 $28,385.00 $26,965.75 nat. median
$14,775
1.8× median
37277
CPT 		Pr Rvsc Evsc Fpvt St Athr Cpx 1 290 $5,886.19 $27,733.02 $26,884.05 nat. median
$22,972
1.2× median
C9600
HCPCS 		Hc Perc Transcath Plct Drug Stnt Sng 290 $5,865.39 $28,199.00 $26,789.05 nat. median
$14,512
1.8× median
37273
CPT 		Pr Revsc Evsc Fpvt Athrc Cplx 1 290 $5,802.16 $27,337.10 $26,500.25 nat. median
$22,006
1.2× median
J3263
HCPCS 		Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 290 $5,744.98 $27,620.10 $26,239.10 nat. median
$77
outlier · 341.4×
92941
CPT 		Pr Perc Revasc Trans Mi Sngl Vesl 291 $420.14 $27,052.90 $26,224.75 nat. median
$12,000
outlier · 2.2×
3833
APR_DRG 		Cellulitis And Other Skin Infections 22 $24,881.61 $26,191.16 $26,191.16 nat. median
$8,309
outlier · 3.2×
92933
CPT 		Pr Ptca Intracor Stnt Sngl Mjr 291 $491.39 $26,425.70 $25,616.75 nat. median
$18,549
1.4× median
92945
CPT 		Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 290 $609.30 $26,242.44 $25,439.10 nat. median
$21,231
1.2× median
37230
CPT 		Pr Revasc Tib/pero W Stent&angiop 291 $438.19 $30,104.70 $24,869.10 nat. median
$16,936
1.5× median
37226
CPT 		Pr Revasc Fem/pop W Stent/angplst 291 $325.34 $29,644.70 $24,489.10 nat. median
$12,723
1.9× median
37229
CPT 		Pr Revasc Tib/peroneal W Athrc 291 $440.36 $29,569.95 $24,427.35 nat. median
$17,146
1.4× median
J3380
HCPCS 		Vedolizumab 300 Mg Intravenous Solution 291 $5,316.02 $24,791.07 $24,279.91 nat. median
$162
outlier · 149.9×
37298
CPT 		Pr Revsc Evsc Imvt Angio Cplx 1 290 $5,132.30 $24,963.54 $24,199.35 nat. median
$16,301
1.5× median
37221
CPT 		Pr Revasc Opn/perc Iliac W Stent 291 $278.11 $28,244.00 $23,332.00 nat. median
$12,099
1.9× median

Other procedures at this hospital

Browse this hospital's 4,942 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
             
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 378 290 $161,500.00 $142,120.00 $255.84 $161,500.00 $153,425.00 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 375 288 $81,733.40 $71,925.39 $17,000.55 $81,733.40 $77,646.73 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 378 290 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 378 290 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
3421 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 26 22 — — $13,222.47 $53,655.09 $53,655.09 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 379 291 $53,872.30 $47,407.62 $59.41 $52,256.13 $51,178.69 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 380 291 $52,764.00 $46,432.32 $323.95 $51,708.72 $50,125.80 2026-03-31
2441 APR_DRG Diverticulitis And Diverticulosis 26 22 — — $12,062.32 $47,223.50 $47,223.50 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 380 291 $49,159.00 $43,259.92 $723.02 $48,175.82 $46,701.05 2026-03-31
0620T CPT Pr Endovasc Venous Arterialization Tibial/peroneal 378 290 $43,807.00 $38,550.16 $9,111.86 $48,101.03 $41,616.65 2026-03-31
1394 APR_DRG Other Pneumonia 26 22 — — $38,488.06 $40,513.73 $40,513.73 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 378 290 $42,521.00 $37,418.48 $487.33 $41,670.58 $40,394.95 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 380 291 $41,602.00 $36,609.76 $447.78 $40,769.96 $39,521.90 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 754 290 $41,487.50 $36,509.00 $8,629.40 $42,870.00 $39,413.13 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 380 291 $40,758.00 $35,867.04 $718.24 $39,942.84 $38,720.10 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 380 291 $39,418.00 $34,687.84 $763.57 $38,629.64 $37,447.10 2026-03-31
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 756 290 $38,385.00 $33,778.80 $7,984.08 $38,385.00 $36,465.75 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 378 290 $38,250.00 $33,660.00 $571.47 $37,485.00 $36,337.50 2026-03-31
37231 CPT Pr Revasc Tib/pero Stnt&arth&angp 380 291 $37,435.00 $32,942.80 $473.80 $43,050.25 $35,563.25 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 378 290 $37,420.00 $32,929.60 $7,783.36 $37,420.00 $35,549.00 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 378 290 $36,262.00 $31,910.56 $7,542.50 $36,262.00 $34,448.90 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 378 290 $36,105.00 $31,772.40 $523.61 $36,105.00 $34,299.75 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 380 291 $35,149.00 $30,931.12 $312.27 $34,446.02 $33,391.55 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 377 290 $34,619.50 $30,465.16 $243.71 $34,619.50 $32,888.53 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 380 291 $34,517.00 $30,374.96 $300.84 $33,826.66 $32,791.15 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 377 290 $34,446.60 $30,313.01 $7,164.89 $34,446.60 $32,724.27 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 380 291 $33,760.00 $29,708.80 $633.43 $33,084.80 $32,072.00 2026-03-31
J9022 HCPCS Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 379 291 $33,690.00 $29,647.20 $7,007.52 $32,679.30 $32,005.50 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 377 290 $33,689.90 $29,647.11 $31.58 $33,689.90 $32,005.41 2026-03-31
36836 CPT Pr Perq Av Fistula Creation Uxtr Single Access 378 290 $31,860.00 $28,036.80 $6,626.88 $31,222.80 $30,267.00 2026-03-31
37290 CPT Pr Revsc Evsc Tpvt Athrc Cplx 1 378 290 $29,241.00 $25,732.08 $6,082.13 $28,656.18 $27,778.95 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 378 290 $29,126.00 $25,630.88 $6,058.21 $29,126.00 $27,669.70 2026-03-31
37227 CPT Pr Revasc Fem/pop W Stnt/athr/ang 380 291 $28,923.00 $25,452.24 $451.43 $33,261.45 $27,476.85 2026-03-31
37294 CPT Pr Rvsc Evsc Tpvt St Athr Cpx 1 378 290 $28,870.00 $25,405.60 $6,004.96 $28,292.60 $27,426.50 2026-03-31
7203 APR_DRG Septicemia And Disseminated Infections 26 22 — — $25,926.57 $27,291.12 $27,291.12 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 378 290 $28,385.00 $24,978.80 $5,904.08 $28,385.00 $26,965.75 2026-03-31
37277 CPT Pr Rvsc Evsc Fpvt St Athr Cpx 1 378 290 $28,299.00 $24,903.12 $5,886.19 $27,733.02 $26,884.05 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 378 290 $28,199.00 $24,815.12 $5,865.39 $28,199.00 $26,789.05 2026-03-31
37273 CPT Pr Revsc Evsc Fpvt Athrc Cplx 1 378 290 $27,895.00 $24,547.60 $5,802.16 $27,337.10 $26,500.25 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 377 290 $27,620.10 $24,305.69 $5,744.98 $27,620.10 $26,239.10 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 380 291 $27,605.00 $24,292.40 $420.14 $27,052.90 $26,224.75 2026-03-31
3833 APR_DRG Cellulitis And Other Skin Infections 26 22 — — $24,881.61 $26,191.16 $26,191.16 2026-03-31
92933 CPT Pr Ptca Intracor Stnt Sngl Mjr 380 291 $26,965.00 $23,729.20 $491.39 $26,425.70 $25,616.75 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 378 290 $26,778.00 $23,564.64 $609.30 $26,242.44 $25,439.10 2026-03-31
37230 CPT Pr Revasc Tib/pero W Stent&angiop 380 291 $26,178.00 $23,036.64 $438.19 $30,104.70 $24,869.10 2026-03-31
37226 CPT Pr Revasc Fem/pop W Stent/angplst 380 291 $25,778.00 $22,684.64 $325.34 $29,644.70 $24,489.10 2026-03-31
37229 CPT Pr Revasc Tib/peroneal W Athrc 380 291 $25,713.00 $22,627.44 $440.36 $29,569.95 $24,427.35 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 379 291 $25,557.80 $22,490.86 $5,316.02 $24,791.07 $24,279.91 2026-03-31
37298 CPT Pr Revsc Evsc Imvt Angio Cplx 1 378 290 $25,473.00 $22,416.24 $5,132.30 $24,963.54 $24,199.35 2026-03-31
37221 CPT Pr Revasc Opn/perc Iliac W Stent 380 291 $24,560.00 $21,612.80 $278.11 $28,244.00 $23,332.00 2026-03-31
37286 CPT Pr Revsc Evasc Tpvt St Cplx 1st 378 290 $23,931.00 $21,059.28 $4,977.65 $23,452.38 $22,734.45 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 378 290 $23,835.00 $20,974.80 $4,957.68 $23,835.00 $22,643.25 2026-03-31
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 378 290 $23,721.00 $20,874.48 $4,933.97 $23,721.00 $22,534.95 2026-03-31
C9601 HCPCS Hc Perc Transcath Plct Drug Stnt Add 376 288 $23,594.00 $20,762.72 $4,907.55 $23,594.00 $22,414.30 2026-03-31
92924 CPT Pr Ptca W Cor Angio Sngl Mjr 380 291 $23,469.00 $20,652.72 $416.77 $22,999.62 $22,295.55 2026-03-31
33208 CPT Pr Ins/rplc Pcmkr Atrial & Vent 380 291 $23,224.00 $20,437.12 $413.35 $22,759.52 $22,062.80 2026-03-31
37288 CPT Pr Revsc Evsc Tpvt Athrc Sf 1st 378 290 $23,124.00 $20,349.12 $4,809.79 $22,661.52 $21,967.80 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 378 290 $23,121.00 $20,346.48 $4,809.17 $22,658.58 $21,964.95 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 377 290 $23,010.70 $20,249.42 $4,786.23 $23,010.70 $21,860.17 2026-03-31
33206 CPT Pr Ins/rplc Pcmkr Atrial 380 291 $22,911.00 $20,161.68 $367.16 $22,452.78 $21,765.45 2026-03-31
92928 CPT Pr Plc Intracor Stnt Sngl 380 291 $22,745.00 $20,015.60 $411.64 $22,290.10 $21,607.75 2026-03-31
C9603 HCPCS Hc Perc Translum Ather Wangio Ea Add 376 288 $22,591.00 $19,880.08 $4,698.93 $22,591.00 $21,461.45 2026-03-31
92937 CPT Pr Perc Revasc Trans Cor Sngl Vesl 380 291 $22,414.00 $19,724.32 $464.83 $21,965.72 $21,293.30 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 380 291 $22,332.00 $19,652.16 $301.19 $21,885.36 $21,215.40 2026-03-31
37271 CPT Pr Revsc Evsc Fpvt Athrc Sf 1st 378 290 $22,137.00 $19,480.56 $4,604.50 $21,694.26 $21,030.15 2026-03-31
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 754 290 $29,051.30 $25,565.15 $4,431.27 $36,798.40 $20,665.07 2026-03-31
37228 CPT Pr Revasc Tib/pero W Angplst Unilat 380 291 $21,704.00 $19,099.52 $340.01 $24,959.60 $20,618.80 2026-03-31
37242 CPT Pr Vasc Embl/occlude Arterial 380 291 $21,494.00 $18,914.72 $380.00 $21,064.12 $20,419.30 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 378 290 $21,493.00 $18,913.84 $4,470.54 $21,493.00 $20,418.35 2026-03-31
36905 CPT Pr Av Fistula Pta Thrombectomy 378 290 $21,290.00 $18,735.20 $3,343.49 $20,864.20 $20,225.50 2026-03-31
92943 CPT Pr Perc Revasc Trans Chr Sngl Vesl 380 291 $21,248.00 $18,698.24 $563.02 $20,823.04 $20,185.60 2026-03-31
36903 CPT Pr Av Fistula Stent 378 290 $21,239.00 $18,690.32 $4,417.71 $20,814.22 $20,177.05 2026-03-31
36906 CPT Pr Av Fistula Stent Thrombectomy 378 290 $21,146.00 $18,608.48 $4,398.37 $20,723.08 $20,088.70 2026-03-31
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted) 377 290 $21,058.30 $18,531.30 $188.76 $21,058.30 $20,005.39 2026-03-31
37225 CPT Pr Revasc Fem/pop W Athrc/angplst 380 291 $20,831.00 $18,331.28 $377.31 $23,955.65 $19,789.45 2026-03-31
37241 CPT Pr Vasc Embl/occlude Venous 380 291 $20,631.00 $18,155.28 $342.49 $20,218.38 $19,599.45 2026-03-31
92929 CPT Hc Plc Intracor Stnt Ea Add 378 290 $20,621.00 $18,146.48 $4,289.17 $20,621.00 $19,589.95 2026-03-31
37258 CPT Pr Revsc Evasc Ivt Stent Sf 1st 378 290 $20,526.00 $18,062.88 $4,269.41 $20,115.48 $19,499.70 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 390 291 $20,226.50 $17,799.32 $172.22 $19,619.71 $19,215.18 2026-03-31
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 375 288 $20,018.00 $17,615.84 $4,163.74 $20,018.00 $19,017.10 2026-03-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 377 290 $19,572.30 $17,223.62 $4,071.04 $19,572.30 $18,593.69 2026-03-31
33207 CPT Pr Ins/rplc Pcmkr Vent 380 291 $19,378.00 $17,052.64 $383.48 $18,990.44 $18,409.10 2026-03-31
33228 CPT Pr Rplc Perm Gen Dual Lead 380 291 $19,304.00 $16,987.52 $287.90 $18,917.92 $18,338.80 2026-03-31
37243 CPT Pr Vasc Embl/occlude Tmr Infarct 380 291 $19,158.00 $16,859.04 $453.38 $18,774.84 $18,200.10 2026-03-31
37236 CPT Pr Plc Opn/perc Stent Init 380 291 $18,926.00 $16,654.88 $344.94 $18,547.48 $17,979.70 2026-03-31
37244 CPT Pr Vasc Embl/occlude Hemorrhage 380 291 $18,816.00 $16,558.08 $532.12 $18,439.68 $17,875.20 2026-03-31
37280 CPT Pr Revsc Evsc Tpvt Angio Sf 1st 378 290 $18,431.00 $16,219.28 $3,833.65 $18,062.38 $17,509.45 2026-03-31
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 754 290 $64,435.90 $56,703.59 $2,141.15 $118,577.80 $17,479.09 2026-03-31
93461 CPT Pr Cath Plc Art/grft Ang W R&l Hrt 380 291 $18,302.00 $16,105.76 $1,321.96 $17,935.96 $17,386.90 2026-03-31
SUP-ZARTHABS110120 CDM Graft Tissue Disc Frozen Regenerative Sterile 20mm 376 288 $17,510.00 $15,408.80 $3,642.08 $17,510.00 $16,634.50 2026-03-31
37238 CPT Pr Plc Opn/perc Stent Same Init 380 291 $17,437.00 $15,344.56 $242.67 $17,088.26 $16,565.15 2026-03-31
27130 CPT Pr Arthro Acetab&fem Prosth (tha) 379 290 $17,244.00 $15,174.72 $1,078.05 $16,899.12 $16,381.80 2026-03-31
33285 CPT Pr Impl Pt Actv Card Event Record 380 291 $17,228.00 $15,160.64 $67.76 $16,883.44 $16,366.60 2026-03-31
3832 APR_DRG Cellulitis And Other Skin Infections 26 22 — — $11,480.87 $16,251.11 $16,251.11 2026-03-31
1392 APR_DRG Other Pneumonia 26 22 — — $10,778.74 $16,023.03 $16,023.03 2026-03-31
J9039 HCPCS Blinatumomab 35 Mcg Intravenous (wrapper) 379 291 $16,850.20 $14,828.18 $164.25 $16,344.69 $16,007.69 2026-03-31
37187 CPT Pr Thrmbct Mech Trluml Vein 380 291 $16,597.00 $14,605.36 $316.30 $16,265.06 $15,767.15 2026-03-31
47554 CPT Pr Bilry Endo Perc Via T-tube W Rmvl 378 289 $16,587.00 $14,596.56 $368.82 $16,255.26 $15,757.65 2026-03-31
37224 CPT Pr Revasc Fem/pop W Angplst Unilat 380 291 $16,175.00 $14,234.00 $251.03 $18,601.25 $15,366.25 2026-03-31
47383 CPT Pr Ablt Perc Liver Tmr Cryoablat 380 291 $16,104.00 $14,171.52 $379.03 $15,781.92 $15,298.80 2026-03-31
33225 CPT Hc Ins Pacing Elctd Lv Lead Add 378 289 $15,770.00 $13,877.60 $351.28 $15,454.60 $14,981.50 2026-03-31
27138 CPT Pr Rev Total Hip Femoral Only 379 290 $15,377.00 $13,531.76 $1,264.39 $15,069.46 $14,608.15 2026-03-31
33227 CPT Pr Rplc Perm Gen Sngl Lead 380 291 $15,344.00 $13,502.72 $276.12 $15,037.12 $14,576.80 2026-03-31
J2353 HCPCS Octreotide,microspheres ER 30 Mg Intramuscular Susp, Extended Release 379 291 $15,160.10 $13,340.89 $203.58 $14,705.30 $14,402.10 2026-03-31
37222 CPT Hc Revasc Iliac Arty Ea Ipsi Vssl 380 291 $15,123.00 $13,308.24 $116.70 $17,391.45 $14,366.85 2026-03-31
93655 CPT Hc Ablt Arrhythmia Add On 378 289 $14,891.00 $13,104.08 $232.14 $14,593.18 $14,146.45 2026-03-31
37234 CPT Hc Revasc Tib/pero Stnt&angiop Ea 380 291 $14,875.00 $13,090.00 $178.30 $17,106.25 $14,131.25 2026-03-31
J9011 HCPCS Datopotamab Deruxtecan-dlnk 100 Mg/5 Ml Intravenous Solution (wetted) 377 290 $14,341.70 $12,620.70 $2,983.07 $14,341.70 $13,624.62 2026-03-31
50593 CPT Pr Ablation Renal Tumor Perc Cryo 380 291 $14,306.00 $12,589.28 $378.73 $14,019.88 $13,590.70 2026-03-31
93620 CPT Pr Ep Eval W Arrhythmia 380 291 $14,166.00 $12,466.08 $923.08 $13,882.68 $13,457.70 2026-03-31
37220 CPT Pr Revasc Iliac Artery Init Vessel 380 291 $13,910.00 $12,240.80 $226.77 $15,996.50 $13,214.50 2026-03-31
37233 CPT Hc Revasc Tib/pero Athr&angiop Ea 378 289 $13,890.00 $12,223.20 $2,889.12 $15,973.50 $13,195.50 2026-03-31
93453 CPT Pr Rt&lt Hrt Cath W Ventriclgrphy 380 291 $13,890.00 $12,223.20 $1,112.95 $13,612.20 $13,195.50 2026-03-31
A9586 HCPCS Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution 378 290 $13,597.50 $11,965.80 $1,825.64 $13,597.50 $12,917.63 2026-03-31
33990 CPT Pr Ins Perc Vent Assist Dev Left Heart Arterial Only W Img 378 289 $13,570.00 $11,941.60 $278.21 $13,298.60 $12,891.50 2026-03-31
27487 CPT Pr Rev Tot Knee Arthro Fem&tib 377 288 $13,549.00 $11,923.12 $1,457.47 $13,278.02 $12,871.55 2026-03-31
93459 CPT Pr Cath Plc Arty/grft Ang W L Hrt 380 291 $13,411.00 $11,801.68 $1,081.49 $13,142.78 $12,740.45 2026-03-31
33216 CPT Pr Ins Sngl Eltrd/ppcmkr/icd 380 291 $13,388.00 $11,781.44 $304.05 $13,120.24 $12,718.60 2026-03-31
93460 CPT Pr Cath Plc Art/ven Ang W R&l Hrt 380 291 $13,371.00 $11,766.48 $1,199.76 $13,103.58 $12,702.45 2026-03-31
92920 CPT Pr Ptca Sngl Mjr Arty/brnch 380 291 $13,369.00 $11,764.72 $343.70 $13,101.62 $12,700.55 2026-03-31
36908 CPT Hc Av Fistula Stent Central 376 288 $13,332.00 $11,732.16 $2,115.89 $13,065.36 $12,665.40 2026-03-31
36832 CPT Pr Rev Art Ven Fstl Wo Thrmbct 380 291 $13,182.00 $11,600.16 $614.33 $12,918.36 $12,522.90 2026-03-31
64555 CPT Pr Impl Neurostim Peripheral Perc 380 291 $12,927.00 $11,375.76 $282.81 $12,668.46 $12,280.65 2026-03-31
0201T CPT Hc Perc Sacrl Augmntation Bilat 378 290 $12,905.00 $11,356.40 $2,684.24 $12,646.90 $12,259.75 2026-03-31
36902 CPT Pr Av Fistula Pta 378 290 $12,877.00 $11,331.76 $1,804.62 $12,619.46 $12,233.15 2026-03-31
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution 754 290 $20,965.20 $18,449.38 $2,569.13 $29,578.80 $11,981.05 2026-03-31
36907 CPT Hc Av Fistula Pta Central 376 288 $12,564.00 $11,056.32 $872.13 $12,312.72 $11,935.80 2026-03-31
1132 APR_DRG Infections Of Upper Respiratory Tract 26 22 — — $7,276.34 $11,885.91 $11,885.91 2026-03-31
33210 CPT Pr Ins/rplc Temp Elec/pcmkr Sngl 378 289 $12,358.00 $10,875.04 $125.91 $12,110.84 $11,740.10 2026-03-31
22510 CPT Pr Perc Cervicothoracic Inject 380 291 $12,326.00 $10,846.88 $358.36 $12,079.48 $11,709.70 2026-03-31
22514 CPT Pr Perc Vert Agmntj Cav Crtj Lmbr 380 291 $12,216.00 $10,750.08 $393.69 $11,971.68 $11,605.20 2026-03-31
J9177 HCPCS Enfortumab Vedotin-ejfv 30 Mg/3 Ml Intravenous Solution (wetted) 379 291 $12,183.00 $10,721.04 $36.74 $11,817.51 $11,573.85 2026-03-31
0644T CPT Pr Tcat Rmvl/dblk Icar Mas Perq 378 290 $12,165.00 $10,705.20 $2,507.93 $11,921.70 $11,556.75 2026-03-31
22511 CPT Pr Perc Lumbosacral Injection 380 291 $12,157.00 $10,698.16 $338.76 $11,913.86 $11,549.15 2026-03-31
93650 CPT Pr Ablt Av Node 380 291 $12,153.00 $10,694.64 $444.22 $11,909.94 $11,545.35 2026-03-31
J9200 HCPCS Floxuridine 0.5 Gram/5 Ml Solution For Injection (wetted) 379 291 $12,145.60 $10,688.13 $2,526.28 $11,781.23 $11,538.32 2026-03-31
93456 CPT Pr Cath Plc Cor Arty/ang W Rt Hrt 380 291 $12,132.00 $10,676.16 $1,091.29 $11,889.36 $11,525.40 2026-03-31
0913T CPT Pr Prq Tcat Ther Rx Ntrac Balo1 378 290 $12,113.00 $10,659.44 $2,519.50 $12,606.85 $11,507.35 2026-03-31
22513 CPT Pr Perc Vertebplsty Cavty Img Guid 1 380 291 $12,092.00 $10,640.96 $420.13 $11,850.16 $11,487.40 2026-03-31
A9582 HCPCS Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln 378 290 $12,059.00 $10,611.92 $2,317.50 $12,059.00 $11,456.05 2026-03-31
77373 CPT Hc Stereotactic Body Radtn Del 380 291 $12,020.00 $10,577.60 $1,000.91 $11,779.60 $11,419.00 2026-03-31
93455 CPT Pr Cath Plc Cor Arty/grft Angio 380 291 $11,903.00 $10,474.64 $976.27 $11,664.94 $11,307.85 2026-03-31
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 378 290 $11,901.00 $10,472.88 $2,000.94 $11,901.00 $11,305.95 2026-03-31
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe 377 290 $11,836.50 $10,416.12 $18.01 $11,836.50 $11,244.68 2026-03-31
27447 CPT Pr Arthro Knee Condyle&plat (tka) 379 290 $11,818.00 $10,399.84 $1,076.03 $14,020.50 $11,227.10 2026-03-31
A9548 HCPCS Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution 378 290 $11,758.00 $10,347.04 $745.62 $11,522.84 $11,170.10 2026-03-31
93457 CPT Pr Cath Plc Arty/grft Ang W R Hrt 380 291 $11,730.00 $10,322.40 $1,189.19 $11,495.40 $11,143.50 2026-03-31
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 377 290 $11,722.90 $10,316.15 $89.34 $11,722.90 $11,136.76 2026-03-31
50592 CPT Pr Ablation Renal Tumors Unilat Rf 380 291 $11,581.00 $10,191.28 $283.15 $11,349.38 $11,001.95 2026-03-31
93596 CPT Pr R&l Hrt Cath Chd Nml Nt Cnj 378 290 $11,564.00 $10,176.32 $2,405.31 $11,564.00 $10,985.80 2026-03-31
20982 CPT Pr Ablation Bn Tmr Radiofrequency 380 291 $11,346.00 $9,984.48 $297.91 $19,147.84 $10,778.70 2026-03-31
27702 CPT Pr Arthroplasty Ank W Implant 377 288 $11,262.00 $9,910.56 $832.54 $11,036.76 $10,698.90 2026-03-31
23472 CPT Pr Arthro Glh Jt Total Shoulder 379 290 $11,239.00 $9,890.32 $1,210.36 $19,147.84 $10,677.05 2026-03-31
20983 CPT Pr Ablation Bn Tmr Cryoablation 380 291 $11,071.00 $9,742.48 $284.57 $10,849.58 $10,517.45 2026-03-31
0200T CPT Hc Perc Sac Augmentation Unlat Inj 378 290 $11,068.00 $9,739.84 $2,302.14 $10,846.64 $10,514.60 2026-03-31
J9061 HCPCS Amivantamab-vmjw 50 Mg/ml Intravenous Solution 377 290 $11,050.10 $9,724.09 $22.54 $11,050.10 $10,497.60 2026-03-31
37223 CPT Hc Revasc Iliac Arty Stnt Angplst 380 291 $10,922.00 $9,611.36 $132.35 $12,560.30 $10,375.90 2026-03-31
36909 CPT Hc Av Fistula Embolization 376 288 $10,896.00 $9,588.48 $2,266.37 $10,678.08 $10,351.20 2026-03-31
93458 CPT Pr Cath Plc Arty/vent Ang W L Hrt 380 291 $10,711.00 $9,425.68 $1,006.38 $10,496.78 $10,175.45 2026-03-31
J9276 HCPCS Zanidatamab-hrii 300 Mg/6 Ml Intravenous Solution (wetted) 377 290 $10,641.70 $9,364.70 $2,213.47 $10,641.70 $10,109.62 2026-03-31
0238T CPT Hc Tlpa Iliac Arty Ea Vssl 378 290 $10,629.00 $9,353.52 $2,210.83 $10,629.00 $10,097.55 2026-03-31
J2997 HCPCS Alteplase 100 Mg Intravenous Solution 1,133 291 $10,620.30 $9,345.86 $94.45 $20,191.04 $10,089.29 2026-03-31
RX-707829 CDM Denileukin Diftitox-cxdl 150 Mcg/ml Intravenous Solution (wetted) 378 290 $10,558.20 $9,291.22 $2,196.11 $10,558.20 $10,030.29 2026-03-31
93657 CPT Hc Ablt Atrium Add Linear Cath 378 289 $10,486.00 $9,227.68 $232.14 $10,276.28 $9,961.70 2026-03-31
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 380 291 $10,470.00 $9,213.60 $2,177.76 $10,260.60 $9,946.50 2026-03-31
36904 CPT Pr Av Fistula Thrombectomy 378 290 $10,451.00 $9,196.88 $2,173.81 $10,241.98 $9,928.45 2026-03-31
J9047 HCPCS Carfilzomib 60 Mg/30 Ml Intravenous Solution (wetted) 379 291 $10,356.80 $9,113.98 $55.65 $10,046.10 $9,838.96 2026-03-31
42330 CPT Pr Sialolithtomy Uncomp Intraoral 380 291 $10,353.00 $9,110.64 $144.45 $10,145.94 $9,835.35 2026-03-31
0237T CPT Hc Trluml Periph Athrc W/rs&i Brchiocphl Ea Vsl 378 290 $10,338.00 $9,097.44 $2,150.30 $12,606.85 $9,821.10 2026-03-31
49618 CPT Pr Rpr Aa Hrn Rcr > 10 Ncr/strn 375 287 $10,337.00 $9,096.56 $1,003.73 $10,130.26 $9,820.15 2026-03-31
J1573 HCPCS Hepatitis B Immune Globulin > 312 Units/ml Ivpb Bag Of Straight Drug (wrapper) 744 290 $10,987.70 $9,669.18 $66.64 $10,987.70 $9,562.65 2026-03-31
37607 CPT Pr Lig/banding Angioaccess Avf 380 291 $10,027.00 $8,823.76 $313.93 $9,826.46 $9,525.65 2026-03-31
37246 CPT Pr Pta Arterial Initial 378 290 $10,002.00 $8,801.76 $2,080.42 $9,801.96 $9,501.90 2026-03-31
A9800 HCPCS Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution 378 290 $10,000.00 $8,800.00 $362.50 $10,000.00 $9,500.00 2026-03-31
PX-720000008 CDM Hc Labor & Delivery Level 3 Long 376 288 $9,757.00 $8,586.16 $2,029.46 $9,757.00 $9,269.15 2026-03-31
50694 CPT Pr Plc Ureter Stnt New Wo Nephrost Cath 380 291 $9,736.00 $8,567.68 $217.35 $9,541.28 $9,249.20 2026-03-31
93462 CPT Hc Lt Hrt Cath Txsptl Punc 378 289 $9,724.00 $8,557.12 $157.58 $9,529.52 $9,237.80 2026-03-31
33235 CPT Pr Rmvl Pcmkr Elec Dual Lead Sys 380 291 $9,466.00 $8,330.08 $519.11 $9,276.68 $8,992.70 2026-03-31
37289 CPT Hc Revsc Evsc Tpvt Athrc Sf Ea 376 288 $9,279.00 $8,165.52 $1,378.40 $9,093.42 $8,815.05 2026-03-31
27486 CPT Pr Rev Tot Knee Arthro 1 Compnt 379 290 $9,202.00 $8,097.76 $1,185.44 $14,020.50 $8,741.90 2026-03-31
37239 CPT Hc Plc Opn/perc Stent Same Ea Add 378 289 $9,187.00 $8,084.56 $118.16 $9,003.26 $8,727.65 2026-03-31
37248 CPT Pr Pta Venous Initial 378 290 $9,172.00 $8,071.36 $1,907.78 $8,988.56 $8,713.40 2026-03-31
23470 CPT Pr Arthro Glh Jt Hemiarthro 377 288 $9,156.00 $8,057.28 $1,015.36 $8,972.88 $8,698.20 2026-03-31
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 377 290 $9,098.80 $8,006.94 $12.32 $9,098.80 $8,643.86 2026-03-31
33233 CPT Pr Rmvl Pcmkr Pulse Gen Only 380 291 $9,080.00 $7,990.40 $198.00 $9,037.15 $8,626.00 2026-03-31
63650 CPT Pr Impl Neurostim Elec Perc Epi 380 291 $9,059.00 $7,971.92 $360.22 $8,877.82 $8,606.05 2026-03-31
37235 CPT Hc Revasc Tib/pero Stnt&anthr Ea 380 291 $8,996.00 $7,916.48 $243.04 $10,345.40 $8,546.20 2026-03-31
PX-360000008 CDM Hc Or Level 12 605 290 $8,983.00 $7,905.04 $1,868.46 $8,983.00 $8,533.85 2026-03-31
93454 CPT Pr Cath Plc Cor Arty Angio S&i 380 291 $8,907.00 $7,838.16 $876.42 $8,728.86 $8,461.65 2026-03-31
43240 CPT Pr Egd W Transmural Drn 380 291 $8,891.00 $7,824.08 $325.85 $8,713.18 $8,446.45 2026-03-31
J9326 HCPCS Telisotuzumab Vedotin-tllv 20 Mg/ml Intravenous Solution (wrapper) 754 290 $23,807.30 $20,950.42 $1,713.05 $39,378.80 $8,190.79 2026-03-31
32994 CPT Pr Ablate Pulm Tumor Perq Crybl 378 290 $8,575.00 $7,546.00 $1,783.60 $11,608.33 $8,146.25 2026-03-31
A9592 HCPCS Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution 378 290 $8,500.00 $7,480.00 $594.28 $8,500.00 $8,075.00 2026-03-31
37232 CPT Hc Revasc Tib/pero W Angplst Ea 380 291 $8,457.00 $7,442.16 $113.27 $9,725.55 $8,034.15 2026-03-31
66989 CPT Pr Xcpsl Ctrc Rmvl Cplx Insj 1+ 377 289 $8,452.00 $7,437.76 $833.37 $8,282.96 $8,029.40 2026-03-31
PX-360000006 CDM Hc Or Level 11 605 290 $8,400.00 $7,392.00 $1,747.20 $8,400.00 $7,980.00 2026-03-31
33218 CPT Pr Rpr Sngl Eltrd/ppcmkr/icd 380 291 $8,367.00 $7,362.96 $320.42 $8,199.66 $7,948.65 2026-03-31
43276 CPT Pr Ercp Stent Exchange W Dil 380 291 $8,308.00 $7,311.04 $398.99 $8,141.84 $7,892.60 2026-03-31
J9286 HCPCS Glofitamab-gxbm 1 Mg/ml Intravenous Solution 754 290 $19,601.00 $17,248.88 $1,686.96 $31,091.60 $7,867.09 2026-03-31
43274 CPT Pr Ercp Duct Stent Plc W Dil 380 291 $8,078.00 $7,108.64 $383.27 $7,916.44 $7,674.10 2026-03-31
J0870 HCPCS Imetelstat 188 Mg/6 Ml Intravenous Solution (wetted) 754 290 $18,974.25 $16,697.34 $1,634.82 $30,088.80 $7,623.91 2026-03-31
93623 CPT Hc Stim Hrt Pacing Post IV Inf 378 289 $8,007.00 $7,046.16 $296.97 $7,846.86 $7,606.65 2026-03-31
45389 CPT Pr Colonoscopy Flex Stent Plc 380 291 $8,000.00 $7,040.00 $241.37 $7,840.00 $7,600.00 2026-03-31
37211 CPT Pr Transcath Artl Thpy W S&i Init 380 291 $7,956.00 $7,001.28 $304.12 $7,796.88 $7,558.20 2026-03-31
66991 CPT Pr Xcapsl Ctrc Rmvl Insj 1+ 379 290 $7,941.00 $6,988.08 $48.49 $7,782.18 $7,543.95 2026-03-31
36251 CPT Pr Sel Cath Renal Arty&angio Unilat 380 291 $7,917.00 $6,966.96 $202.89 $7,758.66 $7,521.15 2026-03-31
33952 CPT Pr Ecmo Insert Cannula >=6yr Perc 378 289 $7,851.00 $6,908.88 $343.68 $7,693.98 $7,458.45 2026-03-31
36253 CPT Pr Cath 2nd+ord Renal Artery Unilat 380 291 $7,807.00 $6,870.16 $285.35 $7,650.86 $7,416.65 2026-03-31
27828 CPT Pr Opn Tx Dist Tib W Tib&fib Fix 377 288 $7,792.00 $6,856.96 $1,159.31 $7,636.16 $7,402.40 2026-03-31
J2802 HCPCS Romiplostim 250 Mcg Subcutaneous Solution 752 290 $7,611.20 $6,697.86 $11.01 $14,797.40 $7,382.86 2026-03-31
58573 CPT Pr Lap Tot Hyst Utrs>250g W Tb/ov 379 290 $7,730.00 $6,802.40 $1,017.86 $11,608.33 $7,343.50 2026-03-31
29888 CPT Pr Arthsc Aid Acl Rpr 379 290 $7,692.00 $6,768.96 $834.67 $7,924.16 $7,307.40 2026-03-31
23420 CPT Pr Rcnst Avul Cmplx Shldr Chr 377 288 $7,692.00 $6,768.96 $852.19 $7,538.16 $7,307.40 2026-03-31
37252 CPT Hc Intravasc US Noncoronary Init Vsl 378 289 $7,686.00 $6,763.68 $70.69 $7,532.28 $7,301.70 2026-03-31
27446 CPT Pr Arthro Knee Med/lat Cmprt (unilat) 377 288 $7,652.00 $6,733.76 $975.23 $7,498.96 $7,269.40 2026-03-31
58554 CPT Pr Lap Vag Hyst Utrs>250 G W Rmvl 379 290 $7,650.00 $6,732.00 $1,072.68 $11,608.33 $7,267.50 2026-03-31
24357 CPT Pr Tenotomy Elbow Percutaneous 380 291 $7,632.00 $6,716.16 $375.28 $7,479.36 $7,250.40 2026-03-31
77301 CPT Hc Imrt Radiotherapy Plan 380 291 $7,631.00 $6,715.28 $1,322.19 $7,478.38 $7,249.45 2026-03-31
Q5115 HCPCS Rituximab-abbs 10 Mg/ml Intravenous Solution 380 291 $7,628.10 $6,712.73 $29.38 $7,475.54 $7,246.70 2026-03-31
36557 CPT Hc Ins Tunl Cvc Wo Port < 5 Yr 380 291 $7,548.00 $6,642.24 $281.27 $7,397.04 $7,170.60 2026-03-31
PX-720000009 CDM Hc Labor & Delivery Level 3 Short 376 288 $7,540.00 $6,635.20 $1,568.32 $7,540.00 $7,163.00 2026-03-31
J9321 HCPCS Epcoritamab-bysp 0.8 Mg/ml Subcutaneous Dilution 754 290 $25,804.95 $22,708.36 $904.97 $47,259.10 $7,090.34 2026-03-31
49617 CPT Pr Rpr Aa Hrn Rcr > 10 Rdc 375 287 $7,452.00 $6,557.76 $718.67 $7,302.96 $7,079.40 2026-03-31
J0177 HCPCS Aflibercept 8 Mg/0.07 Ml Intravitreal Solution For Injection 377 290 $7,418.80 $6,528.54 $1,543.11 $7,418.80 $7,047.86 2026-03-31
78815 CPT Pr Pet/ct Trunk 380 291 $7,418.00 $6,527.84 $1,365.96 $7,269.64 $7,047.10 2026-03-31
J9026 HCPCS Tarlatamab-dlle 10 Mg Intravenous Solution 754 290 $24,112.15 $21,218.69 $988.46 $43,472.10 $6,897.20 2026-03-31
22515 CPT Hc Perc Vert Agmnt Mech Ea Add 378 289 $7,229.00 $6,361.52 $171.41 $7,084.42 $6,867.55 2026-03-31
27870 CPT Pr Arthrodesis Ankle Opn 379 290 $7,172.00 $6,311.36 $874.38 $14,020.50 $6,813.40 2026-03-31
50437 CPT Pr Perq Dil Xst Trc New Acs Ren Coltj Sys 378 290 $7,162.00 $6,302.56 $318.12 $7,018.76 $6,803.90 2026-03-31
PX-360000004 CDM Hc Or Level 10 605 290 $7,143.00 $6,285.84 $1,485.74 $7,143.00 $6,785.85 2026-03-31
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 754 290 $28,309.80 $24,912.62 $467.46 $54,372.20 $6,778.41 2026-03-31
33244 CPT Pr Rmvl Icd Elec Transven Extract 380 291 $7,135.00 $6,278.80 $697.95 $6,992.30 $6,778.25 2026-03-31
PX-720000006 CDM Hc Labor & Delivery Level 2 Long 376 288 $7,103.00 $6,250.64 $1,477.42 $7,103.00 $6,747.85 2026-03-31
J0401 HCPCS Aripiprazole ER 400 Mg Suspension, Extended Rel.intramuscular Syringe 379 291 $7,079.30 $6,229.78 $7.28 $6,866.92 $6,725.34 2026-03-31
23412 CPT Pr Rpr Rupt Musctndn Cuff Chronic 379 290 $7,038.00 $6,193.44 $744.29 $7,924.16 $6,686.10 2026-03-31
58563 CPT Pr Hysteroscopy Endometrial Ablt 379 290 $7,000.00 $6,160.00 $200.08 $6,860.00 $6,650.00 2026-03-31
A9557 HCPCS Kit For Preparation Of Tc-99m-bicisate 0.9 Mg Intravenous Solution 378 290 $6,996.00 $6,156.48 $775.52 $6,996.00 $6,646.20 2026-03-31
37200 CPT Pr Transcatheter Biopsy 380 291 $6,989.00 $6,150.32 $174.35 $6,849.22 $6,639.55 2026-03-31
49616 CPT Pr Rpr Aa Hrn Rcr 3-10 Ncr/strn 377 289 $6,987.00 $6,148.56 $558.50 $6,847.26 $6,637.65 2026-03-31
36475 CPT Hc Endovenous Ablation 1st Vein 754 291 $6,890.00 $6,063.20 $220.48 $7,237.30 $6,623.98 2026-03-31
43277 CPT Pr Ercp W Trans Baln Dil 380 291 $6,967.00 $6,130.96 $314.69 $6,827.66 $6,618.65 2026-03-31
27827 CPT Pr Opn Tx Dist Tibia Fx 377 288 $6,908.00 $6,079.04 $997.72 $6,769.84 $6,562.60 2026-03-31
37249 CPT Hc Pta Venous Ea Add 376 288 $6,896.00 $6,068.48 $635.85 $6,758.08 $6,551.20 2026-03-31
RX-163412 CDM Idarucizumab 2.5 Gram/50 Ml Intravenous Solution 376 288 $6,890.70 $6,063.82 $1,433.27 $6,890.70 $6,546.17 2026-03-31
93229 CPT Hc Remote 30 Day ECG Tech Supp 380 291 $6,845.00 $6,023.60 $356.46 $6,708.10 $6,502.75 2026-03-31
A9515 HCPCS Choline-11 (c-11) 33.1 Mci/ml Intravenous Solution 378 290 $6,840.00 $6,019.20 $1,422.72 $6,840.00 $6,498.00 2026-03-31
PX-360000029 CDM Hc Or Level 9 605 290 $6,835.00 $6,014.80 $1,421.68 $6,835.00 $6,493.25 2026-03-31
36252 CPT Pr Sel Cath Renal Arty&angio Bil 380 291 $6,828.00 $6,008.64 $276.01 $6,691.44 $6,486.60 2026-03-31
37197 CPT Pr Rtrev/rmvl Intravasc Fb W Img 380 291 $6,813.00 $5,995.44 $240.55 $6,676.74 $6,472.35 2026-03-31
37191 CPT Pr Insert Evasc Vena Cava Filter 380 291 $6,722.00 $5,915.36 $176.71 $6,587.56 $6,385.90 2026-03-31
36558 CPT Pr Ins Tunl Cvc Wo Port >=5yr 380 291 $6,689.00 $5,886.32 $219.20 $6,555.22 $6,354.55 2026-03-31
25448 CPT Pr Arthrp Intercarp/carp/mtcrpl Jt Susp 377 289 $6,676.00 $5,874.88 $863.09 $6,542.48 $6,342.20 2026-03-31
49418 CPT Pr Ins Intraperitoneal Cath W Img 380 291 $6,674.00 $5,873.12 $165.24 $6,540.52 $6,340.30 2026-03-31
36478 CPT Pr Endovenous Ablt Laser 1st Vein 380 291 $6,665.00 $5,865.20 $222.30 $6,531.70 $6,331.75 2026-03-31
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 379 291 $6,650.00 $5,852.00 $12.07 $6,450.50 $6,317.50 2026-03-31
37184 CPT Pr Thrmbct Mech Prim Perc Init Vsl 380 291 $6,643.00 $5,845.84 $342.43 $20,019.10 $6,310.85 2026-03-31
47534 CPT Pr Plc Biliary Drn Cath Intrnl-extrnl 380 291 $6,643.00 $5,845.84 $298.91 $6,510.14 $6,310.85 2026-03-31
Q4125 HCPCS Graft Tissue Patch Dermis Room Temperature Achilles Sterile Thick 0.8 1.7mm Arth… 378 290 $6,600.00 $5,808.00 $118.88 $6,468.00 $6,270.00 2026-03-31
37186 CPT Hc Thrmbct Perc Trluml Sec Noncor 378 289 $6,570.00 $5,781.60 $193.49 $6,438.60 $6,241.50 2026-03-31
27418 CPT Pr Tubercleplasty Anterior Tibial 379 290 $6,570.00 $5,781.60 $719.06 $7,924.16 $6,241.50 2026-03-31
50693 CPT Pr Plc Ureter Stnt Pre-exist Nephrost Trct 380 291 $6,570.00 $5,781.60 $167.45 $6,438.60 $6,241.50 2026-03-31
A9570 HCPCS Indium In-111 Oxyquinoline Wbc Intravenous Soln 378 290 $6,563.00 $5,775.44 $1,103.19 $6,563.00 $6,234.85 2026-03-31
PX-200000000 CDM Intensive Care - Facility 309 183 $6,531.00 $5,747.28 $5,551.40 $6,335.00 $6,204.40 2026-03-31
27759 CPT Pr Tx Tib Fx Intramdlry Impl 377 288 $6,523.00 $5,740.24 $858.46 $6,392.54 $6,196.85 2026-03-31
47382 CPT Pr Ablt >=1 Lvr Tmr Perc Radiofreq 380 291 $6,517.00 $5,734.96 $604.91 $6,602.03 $6,191.15 2026-03-31
32550 CPT Hc Insertion/cath Pleural Cavity 380 291 $6,488.00 $5,709.44 $170.44 $6,358.24 $6,163.60 2026-03-31
23430 CPT Pr Tenodesis Bicep Long Tendon 379 290 $6,467.00 $5,690.96 $658.27 $7,924.16 $6,143.65 2026-03-31
47536 CPT Pr Exchg Bil Drn Cath Perc W Img 380 291 $6,437.00 $5,664.56 $108.57 $6,308.26 $6,115.15 2026-03-31
29807 CPT Pr Arthsc Shldr Rpr Slap Lesn 379 290 $6,429.00 $5,657.52 $893.95 $7,924.16 $6,107.55 2026-03-31
29883 CPT Pr Arthsc Kne W Mnsc Rpr Med&lat 379 290 $6,419.00 $5,648.72 $738.59 $6,290.62 $6,098.05 2026-03-31
27823 CPT Pr Opn Tx Trimalor Ank Fx W Fix 379 290 $6,362.00 $5,598.56 $875.60 $7,924.16 $6,043.90 2026-03-31
36576 CPT Pr Repair Cv Cath W Subq Port 380 291 $6,361.00 $5,597.68 $158.84 $6,233.78 $6,042.95 2026-03-31
J2777 HCPCS Faricimab-svoa 6 Mg/0.05 Ml Intravitreal Solution (wrapper) 377 290 $6,346.00 $5,584.48 $33.88 $6,346.00 $6,028.70 2026-03-31
A9584 HCPCS Ioflupane I 123 5 Mci/2.5 Ml (185 Mbq/2.5 Ml) Intravenous Solution 378 290 $6,311.00 $5,553.68 $1,312.69 $6,311.00 $5,995.45 2026-03-31
47533 CPT Pr Plc Biliary Drn Cath Extrnl 380 291 $6,304.00 $5,547.52 $214.33 $6,177.92 $5,988.80 2026-03-31
36582 CPT Pr Rplc Complt Tunl Cvad W Port 380 291 $6,280.00 $5,526.40 $241.67 $6,154.40 $5,966.00 2026-03-31
66982 CPT Pr Rmvl Cataract Extracap Cmplx 381 290 $6,279.00 $5,525.52 $619.88 $6,153.42 $5,965.05 2026-03-31
J1459 HCPCS Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution 379 291 $6,267.00 $5,514.96 $50.74 $6,078.99 $5,953.65 2026-03-31
43266 CPT Pr Egd W Stent Plc 380 291 $6,253.00 $5,502.64 $182.52 $6,629.73 $5,940.35 2026-03-31
49422 CPT Pr Rmvl Tunl Intraperitoneal Cath 380 291 $6,242.00 $5,492.96 $180.31 $6,117.16 $5,929.90 2026-03-31
29880 CPT Pr Arthsc Kne W Mnscectomy Med&lat 379 290 $6,217.00 $5,470.96 $505.56 $6,092.66 $5,906.15 2026-03-31
29806 CPT Pr Arthsc Shldr Capsulorrhaphy 379 290 $6,210.00 $5,464.80 $912.95 $7,924.16 $5,899.50 2026-03-31
36479 CPT Hc Endovenous Ablt Laser 2nd+vein 378 289 $6,205.00 $5,460.40 $106.98 $6,080.90 $5,894.75 2026-03-31
PX-720000007 CDM Hc Labor & Delivery Level 2 Short 376 288 $6,184.00 $5,441.92 $1,286.27 $6,184.00 $5,874.80 2026-03-31
52649 CPT Pr Laser Enucleation Prostate 379 290 $6,178.00 $5,436.64 $623.86 $6,054.44 $5,869.10 2026-03-31
47490 CPT Pr Cholecystostomy Perc W Cath Plc 380 291 $6,174.00 $5,433.12 $290.43 $6,050.52 $5,865.30 2026-03-31
47542 CPT Hc Bln Dilat Bil Duct Perc Ea 378 289 $6,149.00 $5,411.12 $109.86 $6,026.02 $5,841.55 2026-03-31
33241 CPT Pr Rmvl Icd Gen Only Subq 380 291 $6,109.00 $5,375.92 $183.46 $5,986.82 $5,803.55 2026-03-31
58570 CPT Pr Lap W Total Hyst Utrs<=250g 379 290 $6,070.00 $5,341.60 $674.89 $11,608.33 $5,766.50 2026-03-31
43262 CPT Pr Ercp Sphinc/papillot 380 291 $6,067.00 $5,338.96 $297.04 $5,945.66 $5,763.65 2026-03-31
58262 CPT Pr Hyst Vag <=250g Rmvl Tubes/ov 377 288 $6,057.00 $5,330.16 $761.73 $5,935.86 $5,754.15 2026-03-31
58571 CPT Pr Lap Tot Hyst Utrs<=250g W Tb/ov 379 290 $6,046.00 $5,320.48 $765.82 $11,608.33 $5,743.70 2026-03-31
90375 HCPCS Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 380 291 $6,020.30 $5,297.86 $1,252.22 $5,899.89 $5,719.29 2026-03-31
58552 CPT Pr Lap Vag Hyst Utrs=<250 W Rmvl 379 290 $6,018.00 $5,295.84 $812.98 $11,608.33 $5,717.10 2026-03-31
33234 CPT Pr Rmvl Pcmkr Elec 1 Lead Sys 380 291 $6,003.00 $5,282.64 $391.32 $5,882.94 $5,702.85 2026-03-31
29827 CPT Pr Arthsc Shldr W Rotator Cuff Rpr 379 290 $5,985.00 $5,266.80 $915.23 $7,924.16 $5,685.75 2026-03-31
66850 CPT Pr Rmvl Lens Material Phacofragm 379 290 $5,982.00 $5,264.16 $659.41 $5,862.36 $5,682.90 2026-03-31
43275 CPT Pr Ercp W Rmvl Fb/stnt Duct 380 291 $5,971.00 $5,254.48 $312.77 $5,851.58 $5,672.45 2026-03-31
43261 CPT Pr Ercp W Bx 380 291 $5,969.00 $5,252.72 $281.96 $5,849.62 $5,670.55 2026-03-31
J3358 HCPCS Ustekinumab 130 Mg/26 Ml Intravenous Solution 379 291 $5,955.80 $5,241.10 $1,238.81 $5,777.13 $5,658.01 2026-03-31
See an error in this hospital's data? Submit a correction