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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

MAYO CLINIC HEALTH SYSTEM - WASECA

Waseca, MN · CCN 241345 · Rates published

4,332 distinct procedures filed
312 distinct payers
2,135,322 rate rows
2026-03-31 last MRF observed
Data quality

2,067,934 of 2,135,322 rate rows are consumer-grade (96.8%)

67,388 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 65,990
per-diem day rate — not a per-procedure price 1,086
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 278
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 17
exceeds 10× this hospital's gross charge — excluded from medians 14
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/411236756_mayo-clinic-health-system-waseca_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/locations/waseca/billing/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint ddb8c9c1f127f549… · 3,265,021,168 bytes · first seen 2026-05-06

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
33264
CPT 		Hc Rmvl&rplc Icd Gen Multi Lead 293 $323.95 $51,181.08 $50,125.80 nat. median
$32,779
1.5× median
3831
APR_DRG 		Cellulitis And Other Skin Infections 24 $11,480.87 $48,918.48 $48,918.48 nat. median
$3,744
outlier · 13.1×
33249
CPT 		Hc Ins/rplc Dfib W Transven Lead 293 $723.02 $47,684.23 $46,701.05 nat. median
$32,069
1.5× median
0620T
CPT 		Hc Endovasc Venous Arterialization Tibial/peroneal 292 $9,111.86 $48,101.03 $41,616.65 nat. median
$34,349
1.2× median
92930
CPT 		Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 292 $487.33 $41,245.37 $40,394.95 nat. median
$19,336
outlier · 2.1×
3471
APR_DRG 		Other Back And Neck Disorders, Fractures And Injuries 24 $14,421.02 $40,347.59 $40,347.59 nat. median
$4,993
outlier · 8.1×
33270
CPT 		Hc Ins/rplc Subq Icd W Subq Elec 293 $447.78 $40,353.94 $39,521.90 nat. median
$32,475
1.2× median
C2616
HCPCS 		Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 292 $8,629.40 $42,870.00 $39,413.13 nat. median
$22,121
1.8× median
93656
CPT 		Hc Ep Eval Tx Art Fib Pulm Vein 293 $718.24 $39,535.26 $38,720.10 nat. median
$26,469
1.5× median
93654
CPT 		Hc Ep Eval W Vent Tachy Ablate 293 $763.57 $38,235.46 $37,447.10 nat. median
$26,477
1.4× median
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 292 $7,984.08 $38,385.00 $36,465.75 nat. median
$19,649
1.9× median
33274
CPT 		Hc Rplc/insrt Transcath Leadls Pm 292 $571.47 $37,102.50 $36,337.50 nat. median
$20,959
1.7× median
2821
APR_DRG 		Disorders Of Pancreas Except Malignancy 24 $6,400.05 $35,956.56 $35,956.56 nat. median
$4,491
outlier · 8.0×
37231
CPT 		Hc Revasc Tib/pero Stnt&arth&angp 293 $473.80 $43,050.25 $35,563.25 nat. median
$19,288
1.8× median
C9607
HCPCS 		Hc Perc Translum Revasc Cor Sngl 292 $7,783.36 $37,420.00 $35,549.00 nat. median
$19,925
1.8× median
C9602
HCPCS 		Hc Perc Translum Ather Wangio Sng 292 $7,542.50 $36,262.00 $34,448.90 nat. median
$19,918
1.7× median
C9606
HCPCS 		Hc Perc Translum Revasc Ami Sngl 292 $523.61 $36,105.00 $34,299.75 nat. median
$17,051
outlier · 2.0×
33263
CPT 		Hc Rmvl&rplc Icd Gen Dual Lead 293 $312.27 $34,094.53 $33,391.55 nat. median
$23,924
1.4× median
33262
CPT 		Hc Rmvl&rplc Icd Gen Sngl Lead 293 $300.84 $33,481.49 $32,791.15 nat. median
$23,514
1.4× median
93653
CPT 		Hc Ep Eval W Supravent Ablate 293 $633.43 $32,747.20 $32,072.00 nat. median
$25,502
1.3× median
36836
CPT 		Hc Perq Av Fistula Creation Uxtr Single Access 292 $6,626.88 $30,904.20 $30,267.00 nat. median
$18,385
1.6× median
3413
APR_DRG 		Fracture Of Pelvis Or Dislocation Of Hip 24 $27,059.30 $28,483.47 $28,483.47 nat. median
$7,896
outlier · 3.6×
37290
CPT 		Hc Revsc Evsc Tpvt Athrc Cplx 1 292 $685.01 $28,363.77 $27,778.95 nat. median
$18,837
1.5× median
C9766
HCPCS 		Hc Revasc Intra Lithotrip-ather 292 $6,058.21 $29,126.00 $27,669.70 nat. median
$18,864
1.5× median
37227
CPT 		Hc Revasc Fem/pop W Stnt/athr/ang 293 $451.43 $33,261.45 $27,476.85 nat. median
$19,510
1.4× median
37294
CPT 		Hc Rvsc Evsc Tpvt St Athr Cpx 1 292 $730.79 $28,003.90 $27,426.50 nat. median
$19,143
1.4× median
C9604
HCPCS 		Hc Perc Translum Revasc Sngl Vssl 292 $5,904.08 $28,385.00 $26,965.75 nat. median
$14,775
1.8× median
37277
CPT 		Hc Rvsc Evsc Fpvt St Athr Cpx 1 292 $603.47 $27,450.03 $26,884.05 nat. median
$19,143
1.4× median
C9600
HCPCS 		Hc Perc Transcath Plct Drug Stnt Sng 292 $5,865.39 $28,199.00 $26,789.05 nat. median
$13,311
outlier · 2.0×
37273
CPT 		Hc Revsc Evsc Fpvt Athrc Cplx 1 292 $511.84 $27,058.15 $26,500.25 nat. median
$18,862
1.4× median
92941
CPT 		Hc Perc Revasc Trans Mi Sngl Vesl 293 $420.14 $26,776.85 $26,224.75 nat. median
$7,185
outlier · 3.6×
92933
CPT 		Hc Ptca Intracor Stnt Sngl Mjr 293 $491.39 $26,156.05 $25,616.75 nat. median
$19,143
1.3× median
92945
CPT 		Hc Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 292 $609.30 $25,974.66 $25,439.10 nat. median
$12,675
outlier · 2.0×
37230
CPT 		Hc Revasc Tib/pero W Stent&angiop 293 $438.19 $30,104.70 $24,869.10 nat. median
$17,953
1.4× median
37226
CPT 		Hc Revasc Fem/pop W Stent/angplst 293 $325.34 $29,644.70 $24,489.10 nat. median
$12,895
1.9× median
37229
CPT 		Hc Revasc Tib/peroneal W Athrc 293 $440.36 $29,569.95 $24,427.35 nat. median
$18,507
1.3× median
J3380
HCPCS 		Vedolizumab 300 Mg Intravenous Solution 293 $5,316.02 $24,791.07 $24,279.91 nat. median
$59
outlier · 412.9×
37298
CPT 		Hc Revsc Evsc Imvt Angio Cplx 1 292 $548.58 $24,708.81 $24,199.35 nat. median
$12,371
2.0× median
37221
CPT 		Hc Revasc Opn/perc Iliac W Stent 293 $278.11 $28,244.00 $23,332.00 nat. median
$12,268
1.9× median
37286
CPT 		Hc Revsc Evasc Tpvt St Cplx 1st 292 $548.67 $23,213.07 $22,734.45 nat. median
$19,143
1.2× median
C9765
HCPCS 		Hc Revasc Intra Lithotrip-stent 292 $4,957.68 $23,835.00 $22,643.25 nat. median
$19,185
1.2× median
C9772
HCPCS 		Hc Revasc Lithotrip Tibi/perone 292 $4,933.97 $23,721.00 $22,534.95 nat. median
$13,732
1.6× median
C9601
HCPCS 		Hc Perc Transcath Plct Drug Stnt Add 290 $4,907.55 $23,594.00 $22,414.30 nat. median
$9,005
outlier · 2.5×
92924
CPT 		Hc Ptca W Cor Angio Sngl Mjr 293 $416.77 $22,764.93 $22,295.55 nat. median
$13,110
1.7× median
33208
CPT 		Hc Ins/rplc Pcmkr Atrial & Vent 293 $413.35 $22,527.28 $22,062.80 nat. median
$11,506
1.9× median
37288
CPT 		Hc Revsc Evsc Tpvt Athrc Sf 1st 292 $544.64 $22,430.28 $21,967.80 nat. median
$19,143
1.1× median
37282
CPT 		Hc Rvsc Evsc Tpvt Angio Cplx 1 292 $494.83 $22,427.37 $21,964.95 nat. median
$12,568
1.7× median
6602
APR_DRG 		Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 24 $17,764.35 $21,961.66 $21,961.66 nat. median
$6,390
outlier · 3.4×
33206
CPT 		Hc Ins/rplc Pcmkr Atrial 293 $367.16 $22,223.67 $21,765.45 nat. median
$11,506
1.9× median
92928
CPT 		Hc Plc Intracor Stnt Sngl 293 $411.64 $22,062.65 $21,607.75 nat. median
$13,221
1.6× median

Other procedures at this hospital

Browse this hospital's 4,332 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
             
4692 APR_DRG Acute Kidney Injury 27 24 — — $11,579.60 $15,509.14 $15,509.14 2026-03-31
5662 APR_DRG Antepartum Without O.r. Procedure 27 24 — — $7,246.17 $14,816.25 $14,816.25 2026-03-31
J0401 HCPCS Aripiprazole ER 400 Mg Suspension, Extended Rel.intramuscular Syringe 376 293 $7,079.30 $6,229.78 $7.28 $6,866.92 $6,725.34 2026-03-31
3831 APR_DRG Cellulitis And Other Skin Infections 27 24 — — $11,480.87 $48,918.48 $48,918.48 2026-03-31
J0717 HCPCS Certolizumab Pegol 400 Mg/2 Ml Subcutaneous Injection (wrapper) (restricted) 376 293 $15,549.50 $13,683.56 $3.91 $15,083.02 $14,772.03 2026-03-31
J7189 HCPCS Coagulation Factor Viia Recomb 2 Mg (2,000 Mcg) Intravenous Solution 376 293 $12,475.00 $10,978.00 $2.66 $12,100.75 $11,851.25 2026-03-31
A9592 HCPCS Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution 374 292 $8,500.00 $7,480.00 $594.28 $8,500.00 $8,075.00 2026-03-31
RX-126579 CDM Dantrolene 250 Mg Intravenous Suspension 372 290 $5,810.90 $5,113.59 $1,208.67 $5,810.90 $5,520.36 2026-03-31
2821 APR_DRG Disorders Of Pancreas Except Malignancy 27 24 — — $6,400.05 $35,956.56 $35,956.56 2026-03-31
2822 APR_DRG Disorders Of Pancreas Except Malignancy 27 24 — — $12,800.10 $17,001.74 $17,001.74 2026-03-31
J2777 HCPCS Faricimab-svoa 6 Mg/0.05 Ml Intravitreal Solution (wrapper) 374 292 $6,346.00 $5,584.48 $33.88 $6,346.00 $6,028.70 2026-03-31
5313 APR_DRG Female Reproductive System Infections 27 24 — — $19,700.68 $20,737.56 $20,737.56 2026-03-31
A9586 HCPCS Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution 374 292 $13,597.50 $11,965.80 $1,825.64 $13,597.50 $12,917.63 2026-03-31
3413 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 27 24 — — $27,059.30 $28,483.47 $28,483.47 2026-03-31
32994 CPT Hc Ablate Pulm Tumor Perq Crybl 374 292 $8,575.00 $7,546.00 $1,783.60 $11,608.33 $8,146.25 2026-03-31
20982 CPT Hc Ablation Bn Tmr Radiofrequency 376 293 $11,346.00 $9,984.48 $297.91 $19,147.84 $10,778.70 2026-03-31
50593 CPT Hc Ablation Renal Tumor Perc Cryo 376 293 $14,306.00 $12,589.28 $378.73 $13,876.82 $13,590.70 2026-03-31
50592 CPT Hc Ablation Renal Tumors Unilat Rf 376 293 $11,581.00 $10,191.28 $283.15 $11,233.57 $11,001.95 2026-03-31
47382 CPT Hc Ablt >=1 Lvr Tmr Perc Radiofreq 376 293 $6,517.00 $5,734.96 $604.91 $6,602.03 $6,191.15 2026-03-31
93655 CPT Hc Ablt Arrhythmia Add On 374 291 $14,891.00 $13,104.08 $232.14 $14,444.27 $14,146.45 2026-03-31
93657 CPT Hc Ablt Atrium Add Linear Cath 374 291 $10,486.00 $9,227.68 $232.14 $10,171.42 $9,961.70 2026-03-31
93650 CPT Hc Ablt Av Node 376 293 $12,153.00 $10,694.64 $444.22 $11,788.41 $11,545.35 2026-03-31
47383 CPT Hc Ablt Perc Liver Tmr Cryoablat 376 293 $16,104.00 $14,171.52 $379.03 $15,620.88 $15,298.80 2026-03-31
20983 CPT Hc Ablt Thrpy Reduc/eradctn Bn Tmr 376 293 $11,071.00 $9,742.48 $284.57 $10,738.87 $10,517.45 2026-03-31
27130 CPT Hc Arthro Acetab&fem Prosth (tha) 376 292 $17,244.00 $15,174.72 $1,078.05 $16,726.68 $16,381.80 2026-03-31
23470 CPT Hc Arthro Glh Jt Hemiarthro 374 290 $9,156.00 $8,057.28 $1,015.36 $8,881.32 $8,698.20 2026-03-31
23472 CPT Hc Arthro Glh Jt Total Shoulder 376 292 $11,239.00 $9,890.32 $1,210.36 $19,147.84 $10,677.05 2026-03-31
27447 CPT Hc Arthro Knee Condyle&plat (tka) 376 292 $11,818.00 $10,399.84 $1,076.03 $14,020.50 $11,227.10 2026-03-31
27446 CPT Hc Arthro Knee Med/lat Cmprt (unilat) 374 290 $7,652.00 $6,733.76 $975.23 $7,422.44 $7,269.40 2026-03-31
27870 CPT Hc Arthrodesis Ankle Opn 376 292 $7,172.00 $6,311.36 $874.38 $14,020.50 $6,813.40 2026-03-31
28725 CPT Hc Arthrodesis Subtalar 376 292 $5,905.00 $5,196.40 $694.40 $14,020.50 $5,609.75 2026-03-31
27702 CPT Hc Arthroplasty Ank W Implant 376 292 $11,262.00 $9,910.56 $832.54 $29,631.76 $10,698.90 2026-03-31
25448 CPT Hc Arthrp Intercarp/carp/mtcrpl Jt Susp 374 291 $6,676.00 $5,874.88 $863.09 $6,475.72 $6,342.20 2026-03-31
29888 CPT Hc Arthsc Aid Acl Rpr 376 292 $7,692.00 $6,768.96 $834.67 $7,924.16 $7,307.40 2026-03-31
29883 CPT Hc Arthsc Kne W Mnsc Rpr Med&lat 376 292 $6,419.00 $5,648.72 $738.59 $6,226.43 $6,098.05 2026-03-31
29882 CPT Hc Arthsc Kne W Mnsc Rpr Med/lat 376 292 $5,720.00 $5,033.60 $605.98 $5,548.40 $5,434.00 2026-03-31
29880 CPT Hc Arthsc Kne W Mnscectomy Med&lat 376 292 $6,217.00 $5,470.96 $505.56 $6,030.49 $5,906.15 2026-03-31
29806 CPT Hc Arthsc Shldr Capsulorrhaphy 376 292 $6,210.00 $5,464.80 $912.95 $7,924.16 $5,899.50 2026-03-31
29807 CPT Hc Arthsc Shldr Rpr Slap Lesn 376 292 $6,429.00 $5,657.52 $893.95 $7,924.16 $6,107.55 2026-03-31
29827 CPT Hc Arthsc Shldr W Rotator Cuff Rpr 376 292 $5,985.00 $5,266.80 $915.23 $7,924.16 $5,685.75 2026-03-31
36909 CPT Hc Av Fistula Embolization 372 290 $10,896.00 $9,588.48 $2,266.37 $10,569.12 $10,351.20 2026-03-31
36902 CPT Hc Av Fistula Pta 374 292 $12,877.00 $11,331.76 $1,804.62 $12,490.69 $12,233.15 2026-03-31
36907 CPT Hc Av Fistula Pta Central 372 290 $12,564.00 $11,056.32 $872.13 $12,187.08 $11,935.80 2026-03-31
36905 CPT Hc Av Fistula Pta Thrombectomy 374 292 $21,290.00 $18,735.20 $3,343.49 $20,651.30 $20,225.50 2026-03-31
36903 CPT Hc Av Fistula Stent 374 292 $21,239.00 $18,690.32 $4,417.71 $20,601.83 $20,177.05 2026-03-31
36908 CPT Hc Av Fistula Stent Central 372 290 $13,332.00 $11,732.16 $2,115.89 $12,932.04 $12,665.40 2026-03-31
36906 CPT Hc Av Fistula Stent Thrombectomy 374 292 $21,146.00 $18,608.48 $4,398.37 $20,511.62 $20,088.70 2026-03-31
36904 CPT Hc Av Fistula Thrombectomy 374 292 $10,451.00 $9,196.88 $2,173.81 $10,137.47 $9,928.45 2026-03-31
47554 CPT Hc Bilry Endo Perc Via T-tube W Rmvl 374 291 $16,587.00 $14,596.56 $368.82 $16,089.39 $15,757.65 2026-03-31
47542 CPT Hc Bln Dilat Bil Duct Perc Ea 374 291 $6,149.00 $5,411.12 $109.86 $5,964.53 $5,841.55 2026-03-31
31641 CPT Hc Bronch Dest Tmr Rlf Stenosis 376 293 $5,660.00 $4,980.80 $214.23 $5,490.20 $5,377.00 2026-03-31
36253 CPT Hc Cath 2nd+ord Renal Artery Unilat 376 293 $7,807.00 $6,870.16 $285.35 $7,572.79 $7,416.65 2026-03-31
93461 CPT Hc Cath Plc Art/grft Ang W R&l Hrt 376 293 $18,302.00 $16,105.76 $1,321.96 $17,752.94 $17,386.90 2026-03-31
93460 CPT Hc Cath Plc Art/ven Ang W R&l Hrt 376 293 $13,371.00 $11,766.48 $1,199.76 $12,969.87 $12,702.45 2026-03-31
93459 CPT Hc Cath Plc Arty/grft Ang W L Hrt 376 293 $13,411.00 $11,801.68 $1,081.49 $13,008.67 $12,740.45 2026-03-31
93457 CPT Hc Cath Plc Arty/grft Ang W R Hrt 376 293 $11,730.00 $10,322.40 $1,189.19 $11,378.10 $11,143.50 2026-03-31
93458 CPT Hc Cath Plc Arty/vent Ang W L Hrt 376 293 $10,711.00 $9,425.68 $1,006.38 $10,389.67 $10,175.45 2026-03-31
93454 CPT Hc Cath Plc Cor Arty Angio S&i 376 293 $8,907.00 $7,838.16 $876.42 $8,639.79 $8,461.65 2026-03-31
93456 CPT Hc Cath Plc Cor Arty/ang W Rt Hrt 376 293 $12,132.00 $10,676.16 $1,091.29 $11,768.04 $11,525.40 2026-03-31
93455 CPT Hc Cath Plc Cor Arty/grft Angio 376 293 $11,903.00 $10,474.64 $976.27 $11,545.91 $11,307.85 2026-03-31
47490 CPT Hc Cholecystostomy Perc W Cath Plc 376 293 $6,174.00 $5,433.12 $290.43 $5,988.78 $5,865.30 2026-03-31
45389 CPT Hc Colonoscopy Flex Stent Plc 376 293 $8,000.00 $7,040.00 $241.37 $7,760.00 $7,600.00 2026-03-31
33952 CPT Hc Ecmo Insert Cannula >=6yr Perc 374 291 $7,851.00 $6,908.88 $343.68 $7,615.47 $7,458.45 2026-03-31
43266 CPT Hc Egd W Stent Plc 376 293 $6,253.00 $5,502.64 $182.52 $6,629.73 $5,940.35 2026-03-31
43240 CPT Hc Egd W Transmural Drn 376 293 $8,891.00 $7,824.08 $325.85 $8,624.27 $8,446.45 2026-03-31
0620T CPT Hc Endovasc Venous Arterialization Tibial/peroneal 374 292 $43,807.00 $38,550.16 $9,111.86 $48,101.03 $41,616.65 2026-03-31
36475 CPT Hc Endovenous Ablation 1st Vein 747 293 $6,890.00 $6,063.20 $220.48 $7,163.45 $6,601.45 2026-03-31
36478 CPT Hc Endovenous Ablt Laser 1st Vein 376 293 $6,665.00 $5,865.20 $222.30 $6,465.05 $6,331.75 2026-03-31
36479 CPT Hc Endovenous Ablt Laser 2nd+vein 374 291 $6,205.00 $5,460.40 $106.98 $6,018.85 $5,894.75 2026-03-31
93656 CPT Hc Ep Eval Tx Art Fib Pulm Vein 376 293 $40,758.00 $35,867.04 $718.24 $39,535.26 $38,720.10 2026-03-31
93620 CPT Hc Ep Eval W Arrhythmia 376 293 $14,166.00 $12,466.08 $923.08 $13,741.02 $13,457.70 2026-03-31
93653 CPT Hc Ep Eval W Supravent Ablate 376 293 $33,760.00 $29,708.80 $633.43 $32,747.20 $32,072.00 2026-03-31
93654 CPT Hc Ep Eval W Vent Tachy Ablate 376 293 $39,418.00 $34,687.84 $763.57 $38,235.46 $37,447.10 2026-03-31
43274 CPT Hc Ercp Duct Stent Plc W Dil 376 293 $8,078.00 $7,108.64 $383.27 $7,835.66 $7,674.10 2026-03-31
43262 CPT Hc Ercp Sphinc/papillot 376 293 $6,067.00 $5,338.96 $297.04 $5,884.99 $5,763.65 2026-03-31
43276 CPT Hc Ercp Stent Exchange W Dil 376 293 $8,308.00 $7,311.04 $398.99 $8,058.76 $7,892.60 2026-03-31
43261 CPT Hc Ercp W Bx 376 293 $5,969.00 $5,252.72 $281.96 $5,789.93 $5,670.55 2026-03-31
43275 CPT Hc Ercp W Rmvl Fb/stnt Duct 376 293 $5,971.00 $5,254.48 $312.77 $5,791.87 $5,672.45 2026-03-31
43264 CPT Hc Ercp W Rmvl Stone 376 293 $5,762.00 $5,070.56 $302.63 $5,589.14 $5,473.90 2026-03-31
43277 CPT Hc Ercp W Trans Baln Dil 376 293 $6,967.00 $6,130.96 $314.69 $6,757.99 $6,618.65 2026-03-31
47536 CPT Hc Exchg Bil Drn Cath Perc W Img 376 293 $6,437.00 $5,664.56 $108.57 $6,243.89 $6,115.15 2026-03-31
26123 CPT Hc Fasctmy Palm Prtl W Sngl Dig 376 292 $5,883.00 $5,177.04 $744.17 $5,706.51 $5,588.85 2026-03-31
58262 CPT Hc Hyst Vag <=250g Rmvl Tubes/ov 374 290 $6,057.00 $5,330.16 $761.73 $5,875.29 $5,754.15 2026-03-31
58563 CPT Hc Hysteroscopy Endometrial Ablt 376 292 $7,000.00 $6,160.00 $200.08 $6,790.00 $6,650.00 2026-03-31
63650 CPT Hc Impl Neurostim Elec Perc Epi 376 293 $9,059.00 $7,971.92 $360.22 $8,787.23 $8,606.05 2026-03-31
64555 CPT Hc Impl Neurostim Peripheral Perc 376 293 $12,927.00 $11,375.76 $282.81 $12,539.19 $12,280.65 2026-03-31
33285 CPT Hc Impl Pt Actv Card Event Record 376 293 $17,228.00 $15,160.64 $67.76 $16,711.16 $16,366.60 2026-03-31
77386 CPT Hc Imrt Complex 746 292 $5,814.00 $5,116.32 $256.27 $7,268.00 $5,639.58 2026-03-31
77301 CPT Hc Imrt Radiotherapy Plan 376 293 $7,631.00 $6,715.28 $1,322.19 $7,402.07 $7,249.45 2026-03-31
77385 CPT Hc Imrt Simple 374 292 $5,814.00 $5,116.32 $256.03 $5,814.00 $5,523.30 2026-03-31
47532 CPT Hc Inj Cholangio Perc New Access 374 291 $5,936.00 $5,223.68 $171.99 $5,757.92 $5,639.20 2026-03-31
49418 CPT Hc Ins Intraperitoneal Cath W Img 376 293 $6,674.00 $5,873.12 $165.24 $6,473.78 $6,340.30 2026-03-31
33225 CPT Hc Ins Pacing Elctd Lv Lead Add 374 291 $15,770.00 $13,877.60 $351.28 $15,296.90 $14,981.50 2026-03-31
33990 CPT Hc Ins Perc Vent Assist Dev Left Heart Arterial Only W Img 374 291 $13,570.00 $11,941.60 $278.21 $13,162.90 $12,891.50 2026-03-31
33216 CPT Hc Ins Sngl Eltrd/ppcmkr/icd 376 293 $13,388.00 $11,781.44 $304.05 $12,986.36 $12,718.60 2026-03-31
36557 CPT Hc Ins Tunl Cvc Wo Port < 5 Yr 376 293 $7,548.00 $6,642.24 $281.27 $7,321.56 $7,170.60 2026-03-31
36558 CPT Hc Ins Tunl Cvc Wo Port >=5yr 376 293 $6,689.00 $5,886.32 $219.20 $6,488.33 $6,354.55 2026-03-31
33249 CPT Hc Ins/rplc Dfib W Transven Lead 376 293 $49,159.00 $43,259.92 $723.02 $47,684.23 $46,701.05 2026-03-31
33206 CPT Hc Ins/rplc Pcmkr Atrial 376 293 $22,911.00 $20,161.68 $367.16 $22,223.67 $21,765.45 2026-03-31
33208 CPT Hc Ins/rplc Pcmkr Atrial & Vent 376 293 $23,224.00 $20,437.12 $413.35 $22,527.28 $22,062.80 2026-03-31
33207 CPT Hc Ins/rplc Pcmkr Vent 376 293 $19,378.00 $17,052.64 $383.48 $18,796.66 $18,409.10 2026-03-31
33270 CPT Hc Ins/rplc Subq Icd W Subq Elec 376 293 $41,602.00 $36,609.76 $447.78 $40,353.94 $39,521.90 2026-03-31
33210 CPT Hc Ins/rplc Temp Elec/pcmkr Sngl 376 293 $12,358.00 $10,875.04 $125.91 $11,987.26 $11,740.10 2026-03-31
37191 CPT Hc Insert Evasc Vena Cava Filter 376 293 $6,722.00 $5,915.36 $176.71 $6,520.34 $6,385.90 2026-03-31
32550 CPT Hc Insertion/cath Pleural Cavity 376 293 $6,488.00 $5,709.44 $170.44 $6,293.36 $6,163.60 2026-03-31
37252 CPT Hc Intravasc US Noncoronary Init Vsl 374 291 $7,686.00 $6,763.68 $70.69 $7,455.42 $7,301.70 2026-03-31
PX-720000006 CDM Hc Labor & Delivery Level 2 Long 372 290 $7,103.00 $6,250.64 $1,477.42 $7,103.00 $6,747.85 2026-03-31
PX-720000007 CDM Hc Labor & Delivery Level 2 Short 372 290 $6,184.00 $5,441.92 $1,286.27 $6,184.00 $5,874.80 2026-03-31
PX-720000008 CDM Hc Labor & Delivery Level 3 Long 372 290 $9,757.00 $8,586.16 $2,029.46 $9,757.00 $9,269.15 2026-03-31
PX-720000009 CDM Hc Labor & Delivery Level 3 Short 372 290 $7,540.00 $6,635.20 $1,568.32 $7,540.00 $7,163.00 2026-03-31
58571 CPT Hc Lap Tot Hyst Utrs<=250g W Tb/ov 376 292 $6,046.00 $5,320.48 $765.82 $11,608.33 $5,743.70 2026-03-31
58573 CPT Hc Lap Tot Hyst Utrs>250g W Tb/ov 376 292 $7,730.00 $6,802.40 $1,017.86 $11,608.33 $7,343.50 2026-03-31
58552 CPT Hc Lap Vag Hyst Utrs=<250 W Rmvl 374 290 $6,018.00 $5,295.84 $812.98 $5,837.46 $5,717.10 2026-03-31
58554 CPT Hc Lap Vag Hyst Utrs>250 G W Rmvl 374 290 $7,650.00 $6,732.00 $1,072.68 $7,420.50 $7,267.50 2026-03-31
58570 CPT Hc Lap W Total Hyst Utrs<=250g 374 290 $6,070.00 $5,341.60 $674.89 $5,887.90 $5,766.50 2026-03-31
57425 CPT Hc Laparoscopy Colpopexy 374 290 $5,726.00 $5,038.88 $801.61 $5,554.22 $5,439.70 2026-03-31
52649 CPT Hc Laser Enucleation Prostate 376 292 $6,178.00 $5,436.64 $623.86 $5,992.66 $5,869.10 2026-03-31
37607 CPT Hc Lig/banding Angioaccess Avf 376 293 $10,027.00 $8,823.76 $313.93 $9,726.19 $9,525.65 2026-03-31
93462 CPT Hc Lt Hrt Cath Txsptl Punc 374 291 $9,724.00 $8,557.12 $157.58 $9,432.28 $9,237.80 2026-03-31
36465 CPT Hc Njx Noncmpnd Sclrsnt 1 Vein 374 292 $5,879.00 $5,173.52 $1,222.83 $5,702.63 $5,585.05 2026-03-31
27828 CPT Hc Opn Tx Dist Tib W Tib&fib Fix 374 290 $7,792.00 $6,856.96 $1,159.31 $7,558.24 $7,402.40 2026-03-31
27827 CPT Hc Opn Tx Dist Tibia Fx 374 290 $6,908.00 $6,079.04 $997.72 $6,700.76 $6,562.60 2026-03-31
27535 CPT Hc Opn Tx Tib Fx Prox Unicondylar 376 292 $5,816.00 $5,118.08 $758.97 $7,924.16 $5,525.20 2026-03-31
27823 CPT Hc Opn Tx Trimalor Ank Fx W Fix 376 292 $6,362.00 $5,598.56 $875.60 $7,924.16 $6,043.90 2026-03-31
27822 CPT Hc Opn Tx Trimalor Ank Fx Wo Fix 376 292 $5,853.00 $5,150.64 $787.32 $7,924.16 $5,560.35 2026-03-31
PX-360000004 CDM Hc Or Level 10 591 292 $7,143.00 $6,285.84 $1,485.74 $7,143.00 $6,785.85 2026-03-31
PX-360000006 CDM Hc Or Level 11 591 292 $8,400.00 $7,392.00 $1,747.20 $8,400.00 $7,980.00 2026-03-31
PX-360000008 CDM Hc Or Level 12 591 292 $8,983.00 $7,905.04 $1,868.46 $8,983.00 $8,533.85 2026-03-31
PX-360000027 CDM Hc Or Level 8 591 292 $5,788.00 $5,093.44 $1,203.90 $5,788.00 $5,498.60 2026-03-31
PX-360000029 CDM Hc Or Level 9 591 292 $6,835.00 $6,014.80 $1,421.68 $6,835.00 $6,493.25 2026-03-31
22510 CPT Hc Perc Cervicothoracic Inject 376 293 $12,326.00 $10,846.88 $358.36 $11,956.22 $11,709.70 2026-03-31
22511 CPT Hc Perc Lumbosacral Injection 376 293 $12,157.00 $10,698.16 $338.76 $11,792.29 $11,549.15 2026-03-31
92943 CPT Hc Perc Revasc Trans Chr Sngl Vesl 376 293 $21,248.00 $18,698.24 $563.02 $20,610.56 $20,185.60 2026-03-31
92937 CPT Hc Perc Revasc Trans Cor Sngl Vesl 376 293 $22,414.00 $19,724.32 $464.83 $21,741.58 $21,293.30 2026-03-31
92941 CPT Hc Perc Revasc Trans Mi Sngl Vesl 376 293 $27,605.00 $24,292.40 $420.14 $26,776.85 $26,224.75 2026-03-31
0200T CPT Hc Perc Sac Augmentation Unlat Inj 374 292 $11,068.00 $9,739.84 $2,302.14 $10,735.96 $10,514.60 2026-03-31
0201T CPT Hc Perc Sacrl Augmntation Bilat 374 292 $12,905.00 $11,356.40 $2,684.24 $12,517.85 $12,259.75 2026-03-31
C9601 HCPCS Hc Perc Transcath Plct Drug Stnt Add 372 290 $23,594.00 $20,762.72 $4,907.55 $23,594.00 $22,414.30 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 374 292 $28,199.00 $24,815.12 $5,865.39 $28,199.00 $26,789.05 2026-03-31
C9603 HCPCS Hc Perc Translum Ather Wangio Ea Add 372 290 $22,591.00 $19,880.08 $4,698.93 $22,591.00 $21,461.45 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 374 292 $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 374 292 $36,105.00 $31,772.40 $523.61 $36,105.00 $34,299.75 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 374 292 $37,420.00 $32,929.60 $7,783.36 $37,420.00 $35,549.00 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 374 292 $28,385.00 $24,978.80 $5,904.08 $28,385.00 $26,965.75 2026-03-31
22515 CPT Hc Perc Vert Agmnt Mech Ea Add 374 291 $7,229.00 $6,361.52 $171.41 $7,012.13 $6,867.55 2026-03-31
22514 CPT Hc Perc Vert Agmntj Cav Crtj Lmbr 376 293 $12,216.00 $10,750.08 $393.69 $11,849.52 $11,605.20 2026-03-31
22513 CPT Hc Perc Vertebplsty Cavty Img Guid 1 376 293 $12,092.00 $10,640.96 $420.13 $11,729.24 $11,487.40 2026-03-31
33018 CPT Hc Peri Drain W Fluor/us Guide Cong 374 291 $5,754.00 $5,063.52 $222.60 $5,581.38 $5,466.30 2026-03-31
36836 CPT Hc Perq Av Fistula Creation Uxtr Single Access 374 292 $31,860.00 $28,036.80 $6,626.88 $30,904.20 $30,267.00 2026-03-31
50437 CPT Hc Perq Dil Xst Trc New Acs Ren Coltj Sys 374 292 $7,162.00 $6,302.56 $318.12 $6,947.14 $6,803.90 2026-03-31
92930 CPT Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 374 292 $42,521.00 $37,418.48 $487.33 $41,245.37 $40,394.95 2026-03-31
92945 CPT Hc Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 374 292 $26,778.00 $23,564.64 $609.30 $25,974.66 $25,439.10 2026-03-31
78815 CPT Hc Pet/ct Trunk 376 293 $7,418.00 $6,527.84 $1,365.96 $7,195.46 $7,047.10 2026-03-31
47533 CPT Hc Plc Biliary Drn Cath Extrnl 376 293 $6,304.00 $5,547.52 $214.33 $6,114.88 $5,988.80 2026-03-31
47534 CPT Hc Plc Biliary Drn Cath Intrnl-extrnl 376 293 $6,643.00 $5,845.84 $298.91 $6,443.71 $6,310.85 2026-03-31
92929 CPT Hc Plc Intracor Stnt Ea Add 374 292 $20,621.00 $18,146.48 $4,289.17 $20,621.00 $19,589.95 2026-03-31
92928 CPT Hc Plc Intracor Stnt Sngl 376 293 $22,745.00 $20,015.60 $411.64 $22,062.65 $21,607.75 2026-03-31
50433 CPT Hc Plc Nephroureteral Cath Perc New 376 293 $5,600.00 $4,928.00 $208.07 $5,432.00 $5,320.00 2026-03-31
37236 CPT Hc Plc Opn/perc Stent Init 376 293 $18,926.00 $16,654.88 $344.94 $18,358.22 $17,979.70 2026-03-31
37239 CPT Hc Plc Opn/perc Stent Same Ea Add 374 291 $9,187.00 $8,084.56 $118.16 $8,911.39 $8,727.65 2026-03-31
37238 CPT Hc Plc Opn/perc Stent Same Init 376 293 $17,437.00 $15,344.56 $242.67 $16,913.89 $16,565.15 2026-03-31
50695 CPT Hc Plc Ureter Stnt New W Nephrost Cath 376 293 $5,805.00 $5,108.40 $277.96 $5,630.85 $5,514.75 2026-03-31
50694 CPT Hc Plc Ureter Stnt New Wo Nephrost Cath 376 293 $9,736.00 $8,567.68 $217.35 $9,443.92 $9,249.20 2026-03-31
50693 CPT Hc Plc Ureter Stnt Pre-exist Nephrost Trct 376 293 $6,570.00 $5,781.60 $167.45 $6,372.90 $6,241.50 2026-03-31
0913T CPT Hc Prq Tcat Ther Rx Ntrac Balo1 374 292 $12,113.00 $10,659.44 $2,519.50 $12,606.85 $11,507.35 2026-03-31
37246 CPT Hc Pta Arterial Initial 374 292 $10,002.00 $8,801.76 $2,080.42 $9,701.94 $9,501.90 2026-03-31
37249 CPT Hc Pta Venous Ea Add 372 290 $6,896.00 $6,068.48 $635.85 $6,689.12 $6,551.20 2026-03-31
37248 CPT Hc Pta Venous Initial 374 292 $9,172.00 $8,071.36 $1,907.78 $8,896.84 $8,713.40 2026-03-31
92933 CPT Hc Ptca Intracor Stnt Sngl Mjr 376 293 $26,965.00 $23,729.20 $491.39 $26,156.05 $25,616.75 2026-03-31
92920 CPT Hc Ptca Sngl Mjr Arty/brnch 376 293 $13,369.00 $11,764.72 $343.70 $12,967.93 $12,700.55 2026-03-31
92924 CPT Hc Ptca W Cor Angio Sngl Mjr 376 293 $23,469.00 $20,652.72 $416.77 $22,764.93 $22,295.55 2026-03-31
93596 CPT Hc R&l Hrt Cath Chd Nml Nt Cnj 374 292 $11,564.00 $10,176.32 $2,405.31 $11,564.00 $10,985.80 2026-03-31
23420 CPT Hc Rcnst Avul Cmplx Shldr Chr 374 290 $7,692.00 $6,768.96 $852.19 $7,461.24 $7,307.40 2026-03-31
27427 CPT Hc Rcnst Lgmnt Knee Exart 376 292 $5,823.00 $5,124.24 $626.86 $7,924.16 $5,531.85 2026-03-31
24342 CPT Hc Reins Tndn Bicep/tricep Distal 376 292 $5,744.00 $5,054.72 $674.97 $7,924.16 $5,456.80 2026-03-31
33222 CPT Hc Relocation Skin Pocket Pcmkr 376 293 $5,786.00 $5,091.68 $287.29 $5,612.42 $5,496.70 2026-03-31
93229 CPT Hc Remote 30 Day ECG Tech Supp 376 293 $6,845.00 $6,023.60 $356.46 $6,639.65 $6,502.75 2026-03-31
36576 CPT Hc Repair Cv Cath W Subq Port 376 293 $6,361.00 $5,597.68 $158.84 $6,170.17 $6,042.95 2026-03-31
36832 CPT Hc Rev Art Ven Fstl Wo Thrmbct 376 293 $13,182.00 $11,600.16 $614.33 $12,786.54 $12,522.90 2026-03-31
27486 CPT Hc Rev Tot Knee Arthro 1 Compnt 376 292 $9,202.00 $8,097.76 $1,185.44 $14,020.50 $8,741.90 2026-03-31
27487 CPT Hc Rev Tot Knee Arthro Fem&tib 374 290 $13,549.00 $11,923.12 $1,457.47 $13,142.53 $12,871.55 2026-03-31
27138 CPT Hc Rev Total Hip Femoral Only 374 290 $15,377.00 $13,531.76 $1,264.39 $14,915.69 $14,608.15 2026-03-31
37224 CPT Hc Revasc Fem/pop W Angplst Unilat 376 293 $16,175.00 $14,234.00 $251.03 $18,601.25 $15,366.25 2026-03-31
37225 CPT Hc Revasc Fem/pop W Athrc/angplst 376 293 $20,831.00 $18,331.28 $377.31 $23,955.65 $19,789.45 2026-03-31
37226 CPT Hc Revasc Fem/pop W Stent/angplst 376 293 $25,778.00 $22,684.64 $325.34 $29,644.70 $24,489.10 2026-03-31
37227 CPT Hc Revasc Fem/pop W Stnt/athr/ang 376 293 $28,923.00 $25,452.24 $451.43 $33,261.45 $27,476.85 2026-03-31
37220 CPT Hc Revasc Iliac Artery Init Vessel 376 293 $13,910.00 $12,240.80 $226.77 $15,996.50 $13,214.50 2026-03-31
37222 CPT Hc Revasc Iliac Arty Ea Ipsi Vssl 376 293 $15,123.00 $13,308.24 $116.70 $17,391.45 $14,366.85 2026-03-31
37223 CPT Hc Revasc Iliac Arty Stnt Angplst 376 293 $10,922.00 $9,611.36 $132.35 $12,560.30 $10,375.90 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 374 292 $29,126.00 $25,630.88 $6,058.21 $29,126.00 $27,669.70 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 374 292 $23,835.00 $20,974.80 $4,957.68 $23,835.00 $22,643.25 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 374 292 $21,493.00 $18,913.84 $4,470.54 $21,493.00 $20,418.35 2026-03-31
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 374 292 $23,721.00 $20,874.48 $4,933.97 $23,721.00 $22,534.95 2026-03-31
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 748 292 $38,385.00 $33,778.80 $7,984.08 $38,385.00 $36,465.75 2026-03-31
37221 CPT Hc Revasc Opn/perc Iliac W Stent 376 293 $24,560.00 $21,612.80 $278.11 $28,244.00 $23,332.00 2026-03-31
37233 CPT Hc Revasc Tib/pero Athr&angiop Ea 374 291 $13,890.00 $12,223.20 $2,889.12 $15,973.50 $13,195.50 2026-03-31
37234 CPT Hc Revasc Tib/pero Stnt&angiop Ea 376 293 $14,875.00 $13,090.00 $178.30 $17,106.25 $14,131.25 2026-03-31
37235 CPT Hc Revasc Tib/pero Stnt&anthr Ea 376 293 $8,996.00 $7,916.48 $243.04 $10,345.40 $8,546.20 2026-03-31
37231 CPT Hc Revasc Tib/pero Stnt&arth&angp 376 293 $37,435.00 $32,942.80 $473.80 $43,050.25 $35,563.25 2026-03-31
37232 CPT Hc Revasc Tib/pero W Angplst Ea 376 293 $8,457.00 $7,442.16 $113.27 $9,725.55 $8,034.15 2026-03-31
37228 CPT Hc Revasc Tib/pero W Angplst Unilat 376 293 $21,704.00 $19,099.52 $340.01 $24,959.60 $20,618.80 2026-03-31
37230 CPT Hc Revasc Tib/pero W Stent&angiop 376 293 $26,178.00 $23,036.64 $438.19 $30,104.70 $24,869.10 2026-03-31
37229 CPT Hc Revasc Tib/peroneal W Athrc 376 293 $25,713.00 $22,627.44 $440.36 $29,569.95 $24,427.35 2026-03-31
37258 CPT Hc Revsc Evasc Ivt Stent Sf 1st 374 292 $20,526.00 $18,062.88 $353.13 $19,910.22 $19,499.70 2026-03-31
37286 CPT Hc Revsc Evasc Tpvt St Cplx 1st 374 292 $23,931.00 $21,059.28 $548.67 $23,213.07 $22,734.45 2026-03-31
37273 CPT Hc Revsc Evsc Fpvt Athrc Cplx 1 374 292 $27,895.00 $24,547.60 $511.84 $27,058.15 $26,500.25 2026-03-31
37271 CPT Hc Revsc Evsc Fpvt Athrc Sf 1st 374 292 $22,137.00 $19,480.56 $365.75 $21,472.89 $21,030.15 2026-03-31
37298 CPT Hc Revsc Evsc Imvt Angio Cplx 1 374 292 $25,473.00 $22,416.24 $548.58 $24,708.81 $24,199.35 2026-03-31
37280 CPT Hc Revsc Evsc Tpvt Angio Sf 1st 374 292 $18,431.00 $16,219.28 $394.50 $17,878.07 $17,509.45 2026-03-31
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1 374 292 $29,241.00 $25,732.08 $685.01 $28,363.77 $27,778.95 2026-03-31
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st 374 292 $23,124.00 $20,349.12 $544.64 $22,430.28 $21,967.80 2026-03-31
37289 CPT Hc Revsc Evsc Tpvt Athrc Sf Ea 374 292 $9,279.00 $8,165.52 $191.67 $9,000.63 $8,815.05 2026-03-31
47544 CPT Hc Rmvl Bil Duct &/ Galbldr Calc 374 291 $5,765.00 $5,073.20 $126.35 $5,592.05 $5,476.75 2026-03-31
66982 CPT Hc Rmvl Cataract Extracap Cmplx 376 292 $6,279.00 $5,525.52 $619.88 $6,090.63 $5,965.05 2026-03-31
66984 CPT Hc Rmvl Cataract Insert Lens 376 292 $5,689.00 $5,006.32 $455.85 $5,518.33 $5,404.55 2026-03-31
33244 CPT Hc Rmvl Icd Elec Transven Extract 376 293 $7,135.00 $6,278.80 $697.95 $6,920.95 $6,778.25 2026-03-31
33241 CPT Hc Rmvl Icd Gen Only Subq 376 293 $6,109.00 $5,375.92 $183.46 $5,925.73 $5,803.55 2026-03-31
66850 CPT Hc Rmvl Lens Material Phacofragm 376 292 $5,982.00 $5,264.16 $659.41 $5,802.54 $5,682.90 2026-03-31
33234 CPT Hc Rmvl Pcmkr Elec 1 Lead Sys 376 293 $6,003.00 $5,282.64 $391.32 $5,822.91 $5,702.85 2026-03-31
33235 CPT Hc Rmvl Pcmkr Elec Dual Lead Sys 376 293 $9,466.00 $8,330.08 $519.11 $9,182.02 $8,992.70 2026-03-31
33233 CPT Hc Rmvl Pcmkr Pulse Gen Only 376 293 $9,080.00 $7,990.40 $198.00 $9,037.15 $8,626.00 2026-03-31
49422 CPT Hc Rmvl Tunl Intraperitoneal Cath 376 293 $6,242.00 $5,492.96 $180.31 $6,054.74 $5,929.90 2026-03-31
33263 CPT Hc Rmvl&rplc Icd Gen Dual Lead 376 293 $35,149.00 $30,931.12 $312.27 $34,094.53 $33,391.55 2026-03-31
33264 CPT Hc Rmvl&rplc Icd Gen Multi Lead 376 293 $52,764.00 $46,432.32 $323.95 $51,181.08 $50,125.80 2026-03-31
33262 CPT Hc Rmvl&rplc Icd Gen Sngl Lead 376 293 $34,517.00 $30,374.96 $300.84 $33,481.49 $32,791.15 2026-03-31
36582 CPT Hc Rplc Complt Tunl Cvad W Port 376 293 $6,280.00 $5,526.40 $241.67 $6,091.60 $5,966.00 2026-03-31
33228 CPT Hc Rplc Perm Gen Dual Lead 376 293 $19,304.00 $16,987.52 $287.90 $18,724.88 $18,338.80 2026-03-31
33229 CPT Hc Rplc Perm Gen Mult Lead 376 293 $22,332.00 $19,652.16 $301.19 $21,662.04 $21,215.40 2026-03-31
33227 CPT Hc Rplc Perm Gen Sngl Lead 376 293 $15,344.00 $13,502.72 $276.12 $14,883.68 $14,576.80 2026-03-31
33274 CPT Hc Rplc/insrt Transcath Leadls Pm 374 292 $38,250.00 $33,660.00 $571.47 $37,102.50 $36,337.50 2026-03-31
49594 CPT Hc Rpr Aa Hrn 1st 3-10 Ncr/strn 374 291 $5,928.00 $5,216.64 $673.95 $6,602.03 $5,631.60 2026-03-31
49616 CPT Hc Rpr Aa Hrn Rcr 3-10 Ncr/strn 374 291 $6,987.00 $6,148.56 $558.50 $6,777.39 $6,637.65 2026-03-31
49618 CPT Hc Rpr Aa Hrn Rcr > 10 Ncr/strn 372 289 $10,337.00 $9,096.56 $1,003.73 $10,026.89 $9,820.15 2026-03-31
49617 CPT Hc Rpr Aa Hrn Rcr > 10 Rdc 372 289 $7,452.00 $6,557.76 $718.67 $7,228.44 $7,079.40 2026-03-31
23410 CPT Hc Rpr Rupt Musctndn Cuff Acute 376 292 $5,915.00 $5,205.20 $719.99 $7,924.16 $5,619.25 2026-03-31
23412 CPT Hc Rpr Rupt Musctndn Cuff Chronic 376 292 $7,038.00 $6,193.44 $744.29 $7,924.16 $6,686.10 2026-03-31
33218 CPT Hc Rpr Sngl Eltrd/ppcmkr/icd 376 293 $8,367.00 $7,362.96 $320.42 $8,115.99 $7,948.65 2026-03-31
93453 CPT Hc Rt&lt Hrt Cath W Ventriclgrphy 376 293 $13,890.00 $12,223.20 $1,112.95 $13,473.30 $13,195.50 2026-03-31
37197 CPT Hc Rtrev/rmvl Intravasc Fb W Img 376 293 $6,813.00 $5,995.44 $240.55 $6,608.61 $6,472.35 2026-03-31
37277 CPT Hc Rvsc Evsc Fpvt St Athr Cpx 1 374 292 $28,299.00 $24,903.12 $603.47 $27,450.03 $26,884.05 2026-03-31
37282 CPT Hc Rvsc Evsc Tpvt Angio Cplx 1 374 292 $23,121.00 $20,346.48 $494.83 $22,427.37 $21,964.95 2026-03-31
37294 CPT Hc Rvsc Evsc Tpvt St Athr Cpx 1 374 292 $28,870.00 $25,405.60 $730.79 $28,003.90 $27,426.50 2026-03-31
36252 CPT Hc Sel Cath Renal Arty&angio Bil 376 293 $6,828.00 $6,008.64 $276.01 $6,623.16 $6,486.60 2026-03-31
36251 CPT Hc Sel Cath Renal Arty&angio Unilat 376 293 $7,917.00 $6,966.96 $202.89 $7,679.49 $7,521.15 2026-03-31
42330 CPT Hc Sialolithtomy Uncomp Intraoral 376 293 $10,353.00 $9,110.64 $144.45 $10,042.41 $9,835.35 2026-03-31
45347 CPT Hc Sigmoidoscopy W Plcmt Stent 376 293 $5,747.00 $5,057.36 $130.66 $6,629.73 $5,459.65 2026-03-31
77373 CPT Hc Stereotactic Body Radtn Del 376 293 $12,020.00 $10,577.60 $1,000.91 $11,659.40 $11,419.00 2026-03-31
93623 CPT Hc Stim Hrt Pacing Post IV Inf 374 291 $8,007.00 $7,046.16 $296.97 $7,766.79 $7,606.65 2026-03-31
0644T CPT Hc Tcat Rmvl/dblk Icar Mas Perq 374 292 $12,165.00 $10,705.20 $2,507.93 $11,800.05 $11,556.75 2026-03-31
23430 CPT Hc Tenodesis Bicep Long Tendon 376 292 $6,467.00 $5,690.96 $658.27 $7,924.16 $6,143.65 2026-03-31
24357 CPT Hc Tenotomy Elbow Percutaneous 376 293 $7,632.00 $6,716.16 $375.28 $7,403.04 $7,250.40 2026-03-31
37184 CPT Hc Thrmbct Mech Prim Perc Init Vsl 376 293 $6,643.00 $5,845.84 $342.43 $20,019.10 $6,310.85 2026-03-31
37187 CPT Hc Thrmbct Mech Trluml Vein 376 293 $16,597.00 $14,605.36 $316.30 $16,099.09 $15,767.15 2026-03-31
37186 CPT Hc Thrmbct Perc Trluml Sec Noncor 374 291 $6,570.00 $5,781.60 $193.49 $6,372.90 $6,241.50 2026-03-31
0238T CPT Hc Tlpa Iliac Arty Ea Vssl 374 292 $10,629.00 $9,353.52 $2,210.83 $10,629.00 $10,097.55 2026-03-31
37211 CPT Hc Transcath Artl Thpy W S&i Init 374 291 $7,956.00 $7,001.28 $304.12 $7,717.32 $7,558.20 2026-03-31
37200 CPT Hc Transcatheter Biopsy 376 293 $6,989.00 $6,150.32 $174.35 $6,779.33 $6,639.55 2026-03-31
0237T CPT Hc Trluml Periph Athrc W/rs&i Brchiocphl Ea Vsl 374 292 $10,338.00 $9,097.44 $2,150.30 $12,606.85 $9,821.10 2026-03-31
27418 CPT Hc Tubercleplasty Anterior Tibial 376 292 $6,570.00 $5,781.60 $719.06 $7,924.16 $6,241.50 2026-03-31
27759 CPT Hc Tx Tib Fx Intramdlry Impl 376 292 $6,523.00 $5,740.24 $858.46 $14,020.50 $6,196.85 2026-03-31
37242 CPT Hc Vasc Embl/occlude Arterial 376 293 $21,494.00 $18,914.72 $380.00 $20,849.18 $20,419.30 2026-03-31
37244 CPT Hc Vasc Embl/occlude Hemorrhage 376 293 $18,816.00 $16,558.08 $532.12 $18,251.52 $17,875.20 2026-03-31
37243 CPT Hc Vasc Embl/occlude Tmr Infarct 376 293 $19,158.00 $16,859.04 $453.38 $18,583.26 $18,200.10 2026-03-31
37241 CPT Hc Vasc Embl/occlude Venous 376 293 $20,631.00 $18,155.28 $342.49 $20,012.07 $19,599.45 2026-03-31
66991 CPT Hc Xcapsl Ctrc Rmvl Insj 1+ 374 291 $7,941.00 $6,988.08 $668.41 $7,702.77 $7,543.95 2026-03-31
66989 CPT Hc Xcpsl Ctrc Rmvl Cplx Insj 1+ 374 291 $8,452.00 $7,437.76 $833.37 $8,198.44 $8,029.40 2026-03-31
J1573 HCPCS Hepatitis B Immune Globulin > 312 Units/ml Ivpb Bag Of Straight Drug (wrapper) 372 290 $9,858.40 $8,675.39 $2,050.55 $9,858.40 $9,365.48 2026-03-31
J1744 HCPCS Icatibant 30 Mg/3 Ml Subcutaneous Syringe 372 290 $6,465.60 $5,689.73 $1,344.84 $7,112.16 $6,142.32 2026-03-31
RX-163412 CDM Idarucizumab 2.5 Gram/50 Ml Intravenous Solution 372 290 $6,890.70 $6,063.82 $1,433.27 $6,890.70 $6,546.17 2026-03-31
J1459 HCPCS Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution 376 293 $6,267.00 $5,514.96 $50.74 $6,078.99 $5,953.65 2026-03-31
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 374 292 $9,098.80 $8,006.94 $12.32 $9,098.80 $8,643.86 2026-03-31
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 374 292 $11,901.00 $10,472.88 $2,475.41 $11,901.00 $11,305.95 2026-03-31
A9570 HCPCS Indium In-111 Oxyquinoline Wbc Intravenous Soln 374 292 $6,563.00 $5,775.44 $1,103.19 $6,563.00 $6,234.85 2026-03-31
PX-200000000 CDM Intensive Care - Facility 321 190 $6,531.00 $5,747.28 $5,551.40 $6,335.00 $6,204.40 2026-03-31
A9584 HCPCS Ioflupane I 123 5 Mci/2.5 Ml (185 Mbq/2.5 Ml) Intravenous Solution 374 292 $6,311.00 $5,553.68 $1,312.69 $6,311.00 $5,995.45 2026-03-31
4632 APR_DRG Kidney And Urinary Tract Infections 27 24 — — $11,659.14 $15,307.05 $15,307.05 2026-03-31
J1950 HCPCS Leuprolide Acetate 11.25 Mg (3 Month) Intramuscular Syringe Kit 376 293 $8,575.30 $7,546.26 $1,730.32 $8,318.04 $8,146.54 2026-03-31
6602 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 27 24 — — $17,764.35 $21,961.66 $21,961.66 2026-03-31
J2182 HCPCS Mepolizumab 100 Mg Subcutaneous Solution 377 293 $8,648.00 $7,610.24 $1,798.78 $8,388.56 $8,215.60 2026-03-31
J2353 HCPCS Octreotide,microspheres ER 30 Mg Intramuscular Susp, Extended Release 750 293 $15,160.10 $13,340.89 $203.58 $14,705.30 $7,697.63 2026-03-31
3471 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 27 24 — — $14,421.02 $40,347.59 $40,347.59 2026-03-31
3472 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 27 24 — — $14,421.02 $20,353.58 $20,353.58 2026-03-31
J2426 HCPCS Paliperidone Palmitate 156 Mg/ml Intramuscular Syringe 376 293 $5,957.70 $5,242.78 $15.11 $5,778.97 $5,659.82 2026-03-31
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 374 292 $11,722.90 $10,316.15 $89.34 $11,722.90 $11,136.76 2026-03-31
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 376 293 $8,261.00 $7,269.68 $106.33 $8,013.17 $7,847.95 2026-03-31
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 376 293 $17,201.30 $15,137.14 $60.29 $16,685.26 $16,341.24 2026-03-31
90375 HCPCS Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 376 293 $6,020.30 $5,297.86 $1,252.22 $5,839.69 $5,719.29 2026-03-31
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 376 293 $10,470.00 $9,213.60 $2,177.76 $10,155.90 $9,946.50 2026-03-31
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 376 293 $13,629.00 $11,993.52 $377.52 $13,220.13 $12,947.55 2026-03-31
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 376 293 $11,961.30 $10,525.94 $2,487.95 $11,602.46 $11,363.24 2026-03-31
Q5115 HCPCS Rituximab-abbs 10 Mg/ml Intravenous Solution 376 293 $7,628.10 $6,712.73 $29.38 $7,399.26 $7,246.70 2026-03-31
Q5119 HCPCS Rituximab-pvvr 10 Mg/ml Intravenous Solution 376 293 $6,378.60 $5,613.17 $27.85 $6,187.24 $6,059.67 2026-03-31
J2802 HCPCS Romiplostim 250 Mcg Subcutaneous Solution 374 292 $7,611.20 $6,697.86 $11.01 $7,611.20 $7,230.64 2026-03-31
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 376 293 $6,650.00 $5,852.00 $12.07 $6,450.50 $6,317.50 2026-03-31
RX-127972 CDM Secukinumab 150 Mg/ml Subcutaneous Pen Injector 374 292 $10,376.60 $9,131.41 $2,158.33 $11,414.26 $9,857.77 2026-03-31
7202 APR_DRG Septicemia And Disseminated Infections 27 24 — — $6,600.26 $8,874.74 $8,874.74 2026-03-31
C9482 HCPCS Sotalol 150 Mg/10 Ml (15 Mg/ml) Intravenous Solution 374 292 $10,380.00 $9,134.40 $25.05 $10,380.00 $9,861.00 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 379 293 $20,226.50 $17,799.32 $172.22 $19,619.71 $19,215.18 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 377 293 $25,557.80 $22,490.86 $5,316.02 $24,791.07 $24,279.91 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 746 292 $41,487.50 $36,509.00 $8,629.40 $42,870.00 $39,413.13 2026-03-31
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