Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST JOSEPHS AREA HEALTH SERVICES

Park Rapids, MN · CCN 241380 · Rates published

13,271 distinct procedures filed
21 distinct payers
419,719 rate rows
2026-08-01 last MRF observed
Data quality

419,101 of 419,719 rate rows are consumer-grade (99.9%)

618 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
per-diem day rate — not a per-procedure price 540
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 57
exceeds 10× this hospital's gross charge — excluded from medians 15
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://chisjh.org/410695603-1023086055_st-josephs-area-health-services_standardcharges.csv
Found on page https://chisjh.org/patients-visitors/price-transparency/standard-charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint a1ebd14a857f7045… · 24,082,620 bytes · first seen 2026-06-22

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
J2350
HCPCS 		Ocrevus 300mg/10ml 9 $76.03 $82,357.43 $30,342.22 nat. median
$331
outlier · 91.7×
90733
OTHER 		Meningococcal Polysaccharide Vaccine Grps A,c,y,w-135 Pf 50 Mcg Vial 1 $13,378.29 $22,611.94 $20,363.42 nat. median
$135
outlier · 150.5×
90733
CPT 		Men Vac Acyw-135 50mcg 9 $13,985.82 $49,209.34 $18,492.36 nat. median
$180
outlier · 102.8×
J0584
HCPCS 		Burosumab-twza 20 Mg/ml Vial 10 $8,413.26 $44,403.25 $16,359.10 nat. median
$795
outlier · 20.6×
272497
OTHER 		Reamer Hollow 2.8mm Scr Ns 1 $15,699.69 $15,699.69 $15,699.69 nat. median
$15,700
1.0× median
J3380
HCPCS 		Vedolizumab 300mg Vial 9 $28.08 $37,346.04 $13,759.07 nat. median
$150
outlier · 91.9×
603005658
CDM 		No Active Code Description 9 $10,338.77 $36,377.14 $13,670.15 nat. median
$22,018
0.6× median
J2327
HCPCS 		Skyrizi 600 Mg/10 Ml Sdv 9 $9,802.21 $34,489.23 $12,960.69 nat. median
$961
outlier · 13.5×
J3101
HCPCS 		Tenecteplase 50 Mg Kit 10 $4,194.63 $33,106.07 $12,196.98 nat. median
$3,475
outlier · 3.5×
426719
OTHER 		Bur Brl 8 Flute F-ser 5.5mm 1 $12,146.75 $12,146.75 $12,146.75 nat. median
$12,147
1.0× median
603005650
CDM 		No Active Code Description 9 $8,657.69 $30,462.23 $11,447.39 nat. median
$18,438
0.6× median
J9217
HCPCS 		Leup Depot 1-month 7.5 Mg Kit 10 $2,318.01 $42,819.33 $11,446.94 nat. median
$1,518
outlier · 7.5×
J3590
HCPCS 		Ropeginterferon 500 Mcg/ml Syr 9 $8,432.24 $29,668.98 $11,149.29 nat. median
$759
outlier · 14.7×
100313
OTHER 		Wire Cerc Coil 0.8 10m Ns 1 $10,771.18 $10,771.18 $10,771.18 nat. median
$2,186
outlier · 4.9×
285524
OTHER 		Sut Mcryl 2 0 CT-2 27in Viol 1 $10,771.18 $10,771.18 $10,771.18 nat. median
$10,771
1.0× median
J2323
HCPCS 		Natalizumab 300 Mg/15 Ml Sdv 9 $8,068.15 $28,387.92 $10,667.89 nat. median
$136
outlier · 78.4×
595544
OTHER 		Cath Safe Cent 8frx5 1 $10,115.35 $10,115.35 $10,115.35 nat. median
$10,115
1.0× median
594424
OTHER 		Stplr Tri 2.0 Rad Xtra Thk 1 $10,115.35 $10,115.35 $10,115.35 nat. median
$10,115
1.0× median
585495
OTHER 		Sealer Lap Blnt Tp Ligasure 1 $10,115.35 $10,115.35 $10,115.35 nat. median
$10,115
1.0× median
589570
OTHER 		Sol Bactisure Wnd Lavage 1l 1 $9,820.72 $9,820.72 $9,820.72 nat. median
$1,595
outlier · 6.2×
398143
OTHER 		Inzii Univ Retrieval Sys 5mm 1 $9,712.40 $9,712.40 $9,712.40 nat. median
$9,712
1.0× median
J2505
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 10 $6,065.01 $25,607.80 $9,434.45 nat. median
$6,405
1.5× median
J2353
HCPCS 		Octreotide 10 Mg Kit 10 $3,765.11 $25,990.30 $9,301.80 nat. median
$5,513
1.7× median
J9271
HCPCS 		Pembrolizumab 100mg/4ml Vial 10 $59.57 $23,070.52 $8,499.67 nat. median
$254
outlier · 33.5×
222590
OTHER 		Blde Infer Turb Rot 2.9mm 1 $7,787.84 $7,787.84 $7,787.84 nat. median
$7,788
1.0× median
J9207
HCPCS 		Ixabepilone 15 Mg Vial 9 $2,284.52 $24,114.30 $7,741.96 nat. median
$1,968
outlier · 3.9×
J0717
HCPCS 		Certolizumab Pegol 400mg Kit 9 $5,669.47 $19,948.11 $7,496.29 nat. median
$1,187
outlier · 6.3×
486541
OTHER 		Reload Radial Egia Xtra Thk 1 $7,391.18 $7,391.18 $7,391.18 nat. median
$7,391
1.0× median
603004102
OTHER 		Teriparatide 600 Mcg/2.4 Ml Pen 1 $3.38 $7,474.81 $6,818.65 nat. median
$6,819
1.0× median
J1950
HCPCS 		Leuprolide 11.25 Mg Kit 10 $1,337.67 $17,966.21 $6,339.91 nat. median
$3,885
1.6× median
603001516
CDM 		Ethacrynate Sodium 50 Mg Vial 9 $4,738.86 $16,673.75 $6,265.82 nat. median
$9,344
0.7× median
236000999
OTHER 		Graphix 1 $6,260.04 $6,260.04 $6,260.04 nat. median
$6,260
1.0× median
Q5111
HCPCS 		Pegfilgrastim 6mg/0.6ml Syr 10 $4,167.74 $16,658.25 $6,260.00 nat. median
$1,862
outlier · 3.4×
366066
OTHER 		Blde Hel Fx-nail 11x75 Ti Strl 1 $6,252.62 $6,252.62 $6,252.62 nat. median
$6,253
1.0× median
359707
OTHER 		Spindle Carriage Lg Distractor 1 $6,252.62 $6,252.62 $6,252.62 nat. median
$6,253
1.0× median
236010140
OTHER 		Or Level 5 First 30 Mins 1 $6,191.91 $6,191.91 $6,191.91 nat. median
$6,192
1.0× median
603005705
CDM 		No Active Code Description 9 $4,681.04 $16,470.33 $6,189.38 nat. median
$9,969
0.6× median
39503
OTHER 		Repair Of Diaphragm Hernia 5 $6,038.83 $6,038.83 $6,038.83 nat. median
$8,053
0.7× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Vial 10 $2,577.27 $15,903.48 $5,976.36 nat. median
$7,100
0.8× median
547330
OTHER 		Sys Prevena Incision Mgmt 13cm 1 $5,835.78 $5,835.78 $5,835.78 nat. median
$5,836
1.0× median
515167
OTHER 		Inst Pediguard Curve Xs 1 $5,835.78 $5,835.78 $5,835.78 nat. median
$5,836
1.0× median
538871
OTHER 		Ndl Retrct Aspir 1 $5,835.78 $5,835.78 $5,835.78 nat. median
$5,836
1.0× median
570795
OTHER 		Instr Opn Crv Lg Jaw Seal 7.1 1 $5,835.78 $5,835.78 $5,835.78 nat. median
$5,836
1.0× median
47135
OTHER 		Transplantation Of Liver 5 $5,668.95 $5,668.95 $5,668.95 nat. median
$7,522
0.8× median
J9355
HCPCS 		Trastuzumab 440 Mg Vial 10 $86.01 $15,199.81 $5,599.93 nat. median
$544
outlier · 10.3×
620553
OTHER 		Drsng Aquacel Ag Adv 0.39x18 1 $5,557.88 $5,557.88 $5,557.88 nat. median
$5,558
1.0× median
631125
OTHER 		Sut Passing Pin And Trial Size 1 $5,557.88 $5,557.88 $5,557.88 nat. median
$5,558
1.0× median
J2997
HCPCS 		Alteplase 100 Mg Vial 10 $144.65 $35,113.44 $5,498.03 nat. median
$488
outlier · 11.3×
603004102
CDM 		Teripara 20mcg/2.4ml Pen 9 $4,053.95 $14,263.89 $5,360.22 nat. median
$8,633
0.6× median
470006180
OTHER 		Ankle W Cont Bi 1 $5,313.72 $5,313.72 $5,313.72 nat. median
$5,314
1.0× median

Other procedures at this hospital

Browse this hospital's 13,271 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J2350 HCPCS Ocrevus 300mg/10ml 66 9 $86,692.03 $47,680.62 45% off $76.03 $82,357.43 $30,342.22 2026-02-28
90733 CPT Men Vac Acyw-135 50mcg 57 9 $51,799.30 $28,489.62 45% off $13,985.82 $49,209.34 $18,492.36 2026-02-28
J3380 HCPCS Vedolizumab 300mg Vial 66 9 $39,311.62 $21,621.40 45% off $28.08 $37,346.04 $13,759.07 2026-02-28
603005658 CDM No Active Code Description 57 9 $38,291.72 $21,060.45 45% off $10,338.77 $36,377.14 $13,670.15 2026-02-28
J2327 HCPCS Skyrizi 600 Mg/10 Ml Sdv 57 9 $36,304.45 $19,967.45 45% off $9,802.21 $34,489.23 $12,960.69 2026-02-28
603005650 CDM No Active Code Description 57 9 $32,065.50 $17,636.03 45% off $8,657.69 $30,462.23 $11,447.39 2026-02-28
J3590 HCPCS Ropeginterferon 500 Mcg/ml Syr 57 9 $31,230.50 $17,176.78 45% off $8,432.24 $29,668.98 $11,149.29 2026-02-28
J2323 HCPCS Natalizumab 300 Mg/15 Ml Sdv 57 9 $29,882.02 $16,435.12 45% off $8,068.15 $28,387.92 $10,667.89 2026-02-28
J9207 HCPCS Ixabepilone 15 Mg Vial 114 9 $16,922.31 $9,307.28 45% off $2,284.52 $24,114.30 $7,741.96 2026-02-28
J0717 HCPCS Certolizumab Pegol 400mg Kit 57 9 $20,998.01 $11,548.91 45% off $5,669.47 $19,948.11 $7,496.29 2026-02-28
603001516 CDM Ethacrynate Sodium 50 Mg Vial 57 9 $17,551.31 $9,653.23 45% off $4,738.86 $16,673.75 $6,265.82 2026-02-28
603005705 CDM No Active Code Description 57 9 $17,337.18 $9,535.45 45% off $4,681.04 $16,470.33 $6,189.38 2026-02-28
603004102 CDM Teripara 20mcg/2.4ml Pen 57 9 $15,014.62 $8,258.05 45% off $4,053.95 $14,263.89 $5,360.22 2026-02-28
603004834 CDM Bari Sulf 105% W/v 650ml Bot 57 9 $14,150.50 $7,782.78 45% off $3,820.64 $13,442.98 $5,051.73 2026-02-28
J1459 HCPCS Imm Glob G(igg)/pro/0-50 400ml 237 9 $14,067.48 $7,737.12 45% off $49.16 $26,728.22 $4,782.95 2026-02-28
Q5123 HCPCS Rituxim-arrx(riabni)500mg/50ml 57 9 $12,544.00 $6,899.20 45% off $3,386.88 $11,916.80 $4,478.21 2026-02-28
J9034 HCPCS Bendamustine 100 Mg Vial 57 9 $12,481.56 $6,864.86 45% off $3,370.03 $11,857.49 $4,455.92 2026-02-28
J7168 HCPCS Kcentra 1000 Unit Vial 114 9 $9,066.75 $4,986.72 45% off $1,483.65 $12,006.58 $4,360.28 2026-02-28
90378 CPT Palivizumab 100 Mg/ml Sdv 114 9 $9,202.51 $5,061.39 45% off $1,720.53 $11,431.09 $4,211.46 2026-02-28
603005988 CDM Dantrolenesodium 250mg/5ml Mdv 57 9 $11,600.26 $6,380.15 45% off $3,132.08 $11,020.25 $4,141.30 2026-02-28
236010140 CDM Or Level 5 First 30 Mins 57 9 $11,575.00 $6,366.25 45% off $3,125.25 $10,996.25 $4,132.28 2026-02-28
90375 CPT Rabies IM Glob 150u/ml 10ml 171 9 $11,732.67 $6,452.97 45% off $771.69 $13,575.85 $4,106.44 2026-02-28
220000005 CDM ICU Bed 27 6 $4,658.00 $2,561.90 45% off $1,257.66 $4,425.10 $3,866.14 2026-02-28
470006210 CDM Ankle W Wo Cont Bi 57 9 $9,933.00 $5,463.15 45% off $1,993.00 $9,436.35 $3,476.55 2026-02-28
470006855 CDM Hand W Cont Bi 57 9 $9,757.00 $5,366.35 45% off $1,993.00 $9,269.15 $3,414.95 2026-02-28
236000999 CDM Graphix 57 9 $9,514.00 $5,232.70 45% off $2,568.78 $9,038.30 $3,396.50 2026-02-28
Other Inpatient LOCAL No Active Code Description 24 5 — — $3,139.50 $3,139.50 $3,139.50 2026-02-28
Q5108 HCPCS Pegfilgrastim 6mg/0.6ml Syr 57 9 $8,767.50 $4,822.13 45% off $2,367.23 $8,329.13 $3,130.00 2026-02-28
90733 OTHER Meningococcal Polysaccharide Vaccine Grps A,c,y,w-135 Pf 50 Mcg Vial 3 1 $30,190.39 $18,687.86 38% off $13,378.29 $22,611.94 $20,363.42 2026-08-01
J0584 HCPCS Burosumab-twza 20 Mg/ml Vial 116 10 $31,160.19 $18,102.40 42% off $8,413.26 $44,403.25 $16,359.10 2026-08-01
272497 OTHER Reamer Hollow 2.8mm Scr Ns 1 1 $23,276.04 $14,407.87 38% off $15,699.69 $15,699.69 $15,699.69 2026-08-01
J3101 HCPCS Tenecteplase 50 Mg Kit 62 10 $34,848.49 $19,166.67 45% off $4,194.63 $33,106.07 $12,196.98 2026-08-01
426719 OTHER Bur Brl 8 Flute F-ser 5.5mm 1 1 $18,008.52 $11,147.28 38% off $12,146.75 $12,146.75 $12,146.75 2026-08-01
J9217 HCPCS Leup Depot 1-month 7.5 Mg Kit 292 10 $29,412.22 $16,176.73 45% off $2,318.01 $42,819.33 $11,446.94 2026-08-01
100313 OTHER Wire Cerc Coil 0.8 10m Ns 1 1 $15,969.12 $9,884.89 38% off $10,771.18 $10,771.18 $10,771.18 2026-08-01
285524 OTHER Sut Mcryl 2 0 CT-2 27in Viol 1 1 $15,969.12 $9,884.89 38% off $10,771.18 $10,771.18 $10,771.18 2026-08-01
594424 OTHER Stplr Tri 2.0 Rad Xtra Thk 1 1 $14,996.80 $9,283.02 38% off $10,115.35 $10,115.35 $10,115.35 2026-08-01
585495 OTHER Sealer Lap Blnt Tp Ligasure 1 1 $14,996.80 $9,283.02 38% off $10,115.35 $10,115.35 $10,115.35 2026-08-01
595544 OTHER Cath Safe Cent 8frx5 1 1 $14,996.80 $9,283.02 38% off $10,115.35 $10,115.35 $10,115.35 2026-08-01
589570 OTHER Sol Bactisure Wnd Lavage 1l 1 1 $14,560.00 $9,012.64 38% off $9,820.72 $9,820.72 $9,820.72 2026-08-01
398143 OTHER Inzii Univ Retrieval Sys 5mm 1 1 $14,399.40 $8,913.23 38% off $9,712.40 $9,712.40 $9,712.40 2026-08-01
J2505 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 121 10 $22,462.97 $12,354.64 45% off $6,065.01 $25,607.80 $9,434.45 2026-08-01
J2353 HCPCS Octreotide 10 Mg Kit 175 10 $18,270.14 $10,048.58 45% off $3,765.11 $25,990.30 $9,301.80 2026-08-01
J9271 HCPCS Pembrolizumab 100mg/4ml Vial 67 10 $24,284.75 $13,356.62 45% off $59.57 $23,070.52 $8,499.67 2026-08-01
222590 OTHER Blde Infer Turb Rot 2.9mm 1 1 $11,546.09 $7,147.03 38% off $7,787.84 $7,787.84 $7,787.84 2026-08-01
486541 OTHER Reload Radial Egia Xtra Thk 1 1 $10,958.00 $6,783.01 38% off $7,391.18 $7,391.18 $7,391.18 2026-08-01
603004102 OTHER Teriparatide 600 Mcg/2.4 Ml Pen 3 1 $10,109.18 $6,257.59 38% off $3.38 $7,474.81 $6,818.65 2026-08-01
J1950 HCPCS Leuprolide 11.25 Mg Kit 118 10 $7,204.44 $3,962.45 45% off $1,337.67 $17,966.21 $6,339.91 2026-08-01
236000999 OTHER Graphix 1 1 $9,281.00 $5,744.94 38% off $6,260.04 $6,260.04 $6,260.04 2026-08-01
Q5111 HCPCS Pegfilgrastim 6mg/0.6ml Syr 59 10 $17,535.00 $9,644.25 45% off $4,167.74 $16,658.25 $6,260.00 2026-08-01
366066 OTHER Blde Hel Fx-nail 11x75 Ti Strl 1 1 $9,270.00 $5,738.13 38% off $6,252.62 $6,252.62 $6,252.62 2026-08-01
359707 OTHER Spindle Carriage Lg Distractor 1 1 $9,270.00 $5,738.13 38% off $6,252.62 $6,252.62 $6,252.62 2026-08-01
236010140 OTHER Or Level 5 First 30 Mins 1 1 $9,180.00 $5,682.42 38% off $6,191.91 $6,191.91 $6,191.91 2026-08-01
39503 OTHER Repair Of Diaphragm Hernia 5 5 — — $6,038.83 $6,038.83 $6,038.83 2026-08-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Vial 61 10 $16,740.50 $9,207.28 45% off $2,577.27 $15,903.48 $5,976.36 2026-08-01
547330 OTHER Sys Prevena Incision Mgmt 13cm 1 1 $8,652.00 $5,355.59 38% off $5,835.78 $5,835.78 $5,835.78 2026-08-01
570795 OTHER Instr Opn Crv Lg Jaw Seal 7.1 1 1 $8,652.00 $5,355.59 38% off $5,835.78 $5,835.78 $5,835.78 2026-08-01
515167 OTHER Inst Pediguard Curve Xs 1 1 $8,652.00 $5,355.59 38% off $5,835.78 $5,835.78 $5,835.78 2026-08-01
538871 OTHER Ndl Retrct Aspir 1 1 $8,652.00 $5,355.59 38% off $5,835.78 $5,835.78 $5,835.78 2026-08-01
47135 OTHER Transplantation Of Liver 5 5 — — $5,668.95 $5,668.95 $5,668.95 2026-08-01
J9355 HCPCS Trastuzumab 440 Mg Vial 69 10 $15,999.80 $8,799.89 45% off $86.01 $15,199.81 $5,599.93 2026-08-01
631125 OTHER Sut Passing Pin And Trial Size 1 1 $8,240.00 $5,100.56 38% off $5,557.88 $5,557.88 $5,557.88 2026-08-01
620553 OTHER Drsng Aquacel Ag Adv 0.39x18 1 1 $8,240.00 $5,100.56 38% off $5,557.88 $5,557.88 $5,557.88 2026-08-01
J2997 HCPCS Alteplase 100 Mg Vial 185 10 $15,400.63 $8,470.35 45% off $144.65 $35,113.44 $5,498.03 2026-08-01
470006900 OTHER Hip W Cont Bi 1 1 $7,878.00 $4,876.49 38% off $5,313.72 $5,313.72 $5,313.72 2026-08-01
470006180 OTHER Ankle W Cont Bi 1 1 $7,878.00 $4,876.49 38% off $5,313.72 $5,313.72 $5,313.72 2026-08-01
470006795 OTHER Foot W Cont Bi 1 1 $7,737.00 $4,789.21 38% off $5,218.61 $5,218.61 $5,218.61 2026-08-01
49605 OTHER Repair Umbilical Lesion 5 5 — — $5,162.25 $5,162.25 $5,162.25 2026-08-01
43116 OTHER Partial Removal Of Esophagus 5 5 — — $5,162.04 $5,162.04 $5,162.04 2026-08-01
597268 OTHER Adptr Hum Cup 1 1 $7,603.46 $4,706.55 38% off $5,128.54 $5,128.54 $5,128.54 2026-08-01
33935 OTHER Transplantation Heart/lung 5 5 — — $5,117.58 $5,117.58 $5,117.58 2026-08-01
J9305 HCPCS Pemetrexed 500 Mg Vial 60 10 $14,150.50 $7,782.78 45% off $2,595.67 $13,442.98 $5,051.73 2026-08-01
33945 OTHER Transplantation Of Heart 5 5 — — $5,040.36 $5,040.36 $5,040.36 2026-08-01
32854 OTHER Lung Transplant With Bypass 5 5 — — $5,026.29 $5,026.29 $5,026.29 2026-08-01
224080 OTHER Stylet Ld Ball Tap 0.014in 58 1 1 $7,405.70 $4,584.13 38% off $4,995.15 $4,995.15 $4,995.15 2026-08-01
47142 OTHER Partial Removal Donor Liver 5 5 — — $4,946.61 $4,946.61 $4,946.61 2026-08-01
Q5120 HCPCS Pegfilgras-bmez 6mg/0.6 Ml Syr 58 10 $13,739.36 $7,556.65 45% off $3,709.63 $13,052.40 $4,904.96 2026-08-01
J0897 HCPCS Denosu 120mg/1.7ml Sdv 119 10 $7,501.69 $4,125.93 45% off $1,531.88 $13,109.02 $4,829.64 2026-08-01
32853 OTHER Lung Transplant Double 5 5 — — $4,743.65 $4,743.65 $4,743.65 2026-08-01
43123 OTHER Partial Removal Of Esophagus 5 5 — — $4,682.19 $4,682.19 $4,682.19 2026-08-01
61698 OTHER Brain Aneurysm Repr Complx 5 5 — — $4,680.96 $4,680.96 $4,680.96 2026-08-01
43108 OTHER Removal Of Esophagus 5 5 — — $4,618.95 $4,618.95 $4,618.95 2026-08-01
230122 OTHER Blde Shv Cut Res 3.5mm Strl 1 1 $6,812.42 $4,216.89 38% off $4,594.98 $4,594.98 $4,594.98 2026-08-01
61686 OTHER Intracranial Vessel Surgery 5 5 — — $4,546.83 $4,546.83 $4,546.83 2026-08-01
43113 OTHER Removal Of Esophagus 5 5 — — $4,517.58 $4,517.58 $4,517.58 2026-08-01
47141 OTHER Partial Removal Donor Liver 5 5 — — $4,492.89 $4,492.89 $4,492.89 2026-08-01
46748 OTHER Repair Of Cloacal Anomaly 5 5 — — $4,454.53 $4,454.53 $4,454.53 2026-08-01
576164 OTHER Sensor Monitoring Bis Quatroxp 1 1 $6,556.98 $4,058.78 38% off $4,422.69 $4,422.69 $4,422.69 2026-08-01
600435 OTHER Plug Cable 5.0mm 1 1 $6,556.98 $4,058.78 38% off $4,422.69 $4,422.69 $4,422.69 2026-08-01
576190 OTHER Device Ut Kt Endomet Abl Impdn 1 1 $6,556.98 $4,058.78 38% off $4,422.69 $4,422.69 $4,422.69 2026-08-01
61576 OTHER Skull Base/brainstem Surgery 5 5 — — $4,367.01 $4,367.01 $4,367.01 2026-08-01
33916 OTHER Surgery Of Great Vessel 5 5 — — $4,365.16 $4,365.16 $4,365.16 2026-08-01
61697 OTHER Brain Aneurysm Repr Complx 5 5 — — $4,265.31 $4,265.31 $4,265.31 2026-08-01
33305 OTHER Repair Of Heart Wound 5 5 — — $4,236.80 $4,236.80 $4,236.80 2026-08-01
20808 OTHER Replantation Hand Complete 5 5 — — $4,234.55 $4,234.55 $4,234.55 2026-08-01
470022816 OTHER Thoracic Epidural Inj (p) 1 1 $6,245.00 $3,865.66 38% off $4,212.26 $4,212.26 $4,212.26 2026-08-01
470007300 OTHER Shoulder W Cont Bi 1 1 $6,245.00 $3,865.66 38% off $4,212.26 $4,212.26 $4,212.26 2026-08-01
470006945 OTHER Humerus W Cont Bi 1 1 $6,245.00 $3,865.66 38% off $4,212.26 $4,212.26 $4,212.26 2026-08-01
470006930 OTHER Hip W Wo Cont Bi 1 1 $6,245.00 $3,865.66 38% off $4,212.26 $4,212.26 $4,212.26 2026-08-01
470006210 OTHER Ankle W Wo Cont Bi 1 1 $6,245.00 $3,865.66 38% off $4,212.26 $4,212.26 $4,212.26 2026-08-01
470006645 OTHER Elbow W Cont Bi 1 1 $6,245.00 $3,865.66 38% off $4,212.26 $4,212.26 $4,212.26 2026-08-01
61682 OTHER Intracranial Vessel Surgery 5 5 — — $4,207.87 $4,207.87 $4,207.87 2026-08-01
26554 OTHER Double Transfer Toe-hand 5 5 — — $4,148.61 $4,148.61 $4,148.61 2026-08-01
90375 OTHER Rabies Immune Globulin Pf 150 Units/ml 10 Ml Sdv 6 1 $6,114.23 $3,784.71 38% off $811.95 $6,536.65 $4,124.05 2026-08-01
46746 OTHER Repair Of Cloacal Anomaly 5 5 — — $4,112.80 $4,112.80 $4,112.80 2026-08-01
61702 OTHER Inner Skull Vessel Surgery 5 5 — — $4,075.23 $4,075.23 $4,075.23 2026-08-01
507417 OTHER Cath Prfx Sprngwnd 19g Opn Tip 1 1 $6,025.50 $3,729.79 38% off $4,064.20 $4,064.20 $4,064.20 2026-08-01
603005988 OTHER Dantrolene Sodium 250 Mg/5 Ml Vial 1 1 $6,025.41 $3,729.73 38% off $4,064.14 $4,064.14 $4,064.14 2026-08-01
J0630 HCPCS Cal (sal) 200 Ml 2 Ml Sdv 60 10 $11,352.88 $6,244.09 45% off $3,065.28 $10,785.24 $4,052.98 2026-08-01
199977 OTHER Infusion Set Y 20gx0.75in 1 1 $6,006.96 $3,718.31 38% off $4,051.70 $4,051.70 $4,051.70 2026-08-01
236010130 OTHER Or Level 4 First 30 Mins 1 1 $5,983.00 $3,703.48 38% off $4,035.54 $4,035.54 $4,035.54 2026-08-01
43124 OTHER Removal Of Esophagus 5 5 — — $3,964.91 $3,964.91 $3,964.91 2026-08-01
43288 OTHER Esphg Thrsc Moblj 5 5 — — $3,929.49 $3,929.49 $3,929.49 2026-08-01
437586 OTHER Implant Kt Htr 10mm 1 1 $5,768.00 $3,570.40 38% off $3,890.52 $3,890.52 $3,890.52 2026-08-01
444199 OTHER Cath Set Triple Lumn Abg 1 1 $5,768.00 $3,570.40 38% off $3,890.52 $3,890.52 $3,890.52 2026-08-01
442418 OTHER Bit Drl Cann 6x15mm 1 1 $5,768.00 $3,570.40 38% off $3,890.52 $3,890.52 $3,890.52 2026-08-01
457395 OTHER Drsng Mepitel One 6.8x10in 1 1 $5,768.00 $3,570.40 38% off $3,890.52 $3,890.52 $3,890.52 2026-08-01
438034 OTHER TB Trach Cuff Nsl Rae 7mm 1 1 $5,768.00 $3,570.40 38% off $3,890.52 $3,890.52 $3,890.52 2026-08-01
61520 OTHER Removal Of Brain Lesion 5 5 — — $3,833.58 $3,833.58 $3,833.58 2026-08-01
411732 OTHER Resection Elec Roller Ball Hf 1 1 $5,665.00 $3,506.64 38% off $3,821.05 $3,821.05 $3,821.05 2026-08-01
43118 OTHER Partial Removal Of Esophagus 5 5 — — $3,769.94 $3,769.94 $3,769.94 2026-08-01
47140 OTHER Partial Removal Donor Liver 5 5 — — $3,760.40 $3,760.40 $3,760.40 2026-08-01
J3111 HCPCS Romosozumab-aqqg 210mg/2.34ml 58 10 $10,515.72 $5,783.65 45% off $2,826.07 $9,989.94 $3,754.12 2026-08-01
324189 OTHER Shears Laparoscopic L45cm Har 1 1 $5,562.00 $3,442.88 38% off $3,751.57 $3,751.57 $3,751.57 2026-08-01
272732 OTHER Frcp Bx Gas-ped Rad Ndl 1.8mm 1 1 $5,562.00 $3,442.88 38% off $3,751.57 $3,751.57 $3,751.57 2026-08-01
312786 OTHER Sut Vcrl + Br Vl 0 3-18in 1 1 $5,562.00 $3,442.88 38% off $3,751.57 $3,751.57 $3,751.57 2026-08-01
46744 OTHER Repair Of Cloacal Anomaly 5 5 — — $3,736.01 $3,736.01 $3,736.01 2026-08-01
43287 OTHER Esphg Dstl 2/3 W/laps Moblj 5 5 — — $3,724.68 $3,724.68 $3,724.68 2026-08-01
32852 OTHER Lung Transplant With Bypass 5 5 — — $3,720.99 $3,720.99 $3,720.99 2026-08-01
33877 OTHER Thoracoabdominal Graft 5 5 — — $3,713.07 $3,713.07 $3,713.07 2026-08-01
26556 OTHER Toe Joint Transfer 5 5 — — $3,711.61 $3,711.61 $3,711.61 2026-08-01
61692 OTHER Intracranial Vessel Surgery 5 5 — — $3,698.58 $3,698.58 $3,698.58 2026-08-01
32445 OTHER Removal Of Lung Extrapleural 5 5 — — $3,671.52 $3,671.52 $3,671.52 2026-08-01
43112 OTHER Esphg Tot W/thrcm 5 5 — — $3,636.48 $3,636.48 $3,636.48 2026-08-01
574592 OTHER Infus Set Pwrloc 20gx1.5in 1 1 $5,369.08 $3,323.47 38% off $3,621.45 $3,621.45 $3,621.45 2026-08-01
33783 OTHER Nikaidoh Proc W/ostia Implt 5 5 — — $3,612.73 $3,612.73 $3,612.73 2026-08-01
276450 OTHER Bit Drl Qc 16-stp 2.0x-- Ns 1 1 $5,349.82 $3,311.54 38% off $3,608.46 $3,608.46 $3,608.46 2026-08-01
47122 OTHER Extensive Removal Of Liver 5 5 — — $3,605.77 $3,605.77 $3,605.77 2026-08-01
26551 OTHER Great Toe-hand Transfer 5 5 — — $3,593.61 $3,593.61 $3,593.61 2026-08-01
26553 OTHER Single Transfer Toe-hand 5 5 — — $3,569.84 $3,569.84 $3,569.84 2026-08-01
33622 OTHER Redo Compl Cardiac Anomaly 5 5 — — $3,554.54 $3,554.54 $3,554.54 2026-08-01
33858 OTHER As-aort Grf F/aortic Dsj 5 5 — — $3,518.65 $3,518.65 $3,518.65 2026-08-01
20805 OTHER Replant Forearm Complete 5 5 — — $3,510.89 $3,510.89 $3,510.89 2026-08-01
33440 OTHER Rplcmt A-valve Tlcj Autol Pv 5 5 — — $3,510.63 $3,510.63 $3,510.63 2026-08-01
61616 OTHER Resect/excise Lesion Skull 5 5 — — $3,502.88 $3,502.88 $3,502.88 2026-08-01
61526 OTHER Removal Of Brain Lesion 5 5 — — $3,494.42 $3,494.42 $3,494.42 2026-08-01
47130 OTHER Partial Removal Of Liver 5 5 — — $3,482.67 $3,482.67 $3,482.67 2026-08-01
33411 OTHER Replacement Of Aortic Valve 5 5 — — $3,481.17 $3,481.17 $3,481.17 2026-08-01
223897 OTHER Wand Super Turbo Vac 90 5.5mm 1 1 $5,150.00 $3,187.85 38% off $3,473.68 $3,473.68 $3,473.68 2026-08-01
229655 OTHER Bit Drl Fast 2.0mm 1 1 $5,150.00 $3,187.85 38% off $3,473.68 $3,473.68 $3,473.68 2026-08-01
232887 OTHER Kt Tisseel Frz 10ml 1 1 $5,150.00 $3,187.85 38% off $3,473.68 $3,473.68 $3,473.68 2026-08-01
315754 OTHER Pin Sect W/grip Acet Cup Sz 60 1 1 $5,150.00 $3,187.85 38% off $3,473.68 $3,473.68 $3,473.68 2026-08-01
61700 OTHER Brain Aneurysm Repr Simple 5 5 — — $3,469.21 $3,469.21 $3,469.21 2026-08-01
546119 OTHER Drl Bit Scale Ao 2.0x130mm 1 1 $5,088.20 $3,149.60 38% off $3,432.00 $3,432.00 $3,432.00 2026-08-01
61585 OTHER Orbitocranial Approach/skull 5 5 — — $3,430.43 $3,430.43 $3,430.43 2026-08-01
61613 OTHER Remove Aneurysm Sinus 5 5 — — $3,416.28 $3,416.28 $3,416.28 2026-08-01
47785 OTHER Fuse Bile Ducts And Bowel 5 5 — — $3,413.05 $3,413.05 $3,413.05 2026-08-01
32851 OTHER Lung Transplant Single 5 5 — — $3,401.99 $3,401.99 $3,401.99 2026-08-01
43117 OTHER Partial Removal Of Esophagus 5 5 — — $3,398.33 $3,398.33 $3,398.33 2026-08-01
61608 OTHER Resect/excise Cranial Lesion 5 5 — — $3,390.56 $3,390.56 $3,390.56 2026-08-01
33871 OTHER Transvrs A-arch Grf Hypthrm 5 5 — — $3,377.49 $3,377.49 $3,377.49 2026-08-01
33413 OTHER Replacement Of Aortic Valve 5 5 — — $3,347.08 $3,347.08 $3,347.08 2026-08-01
33782 OTHER Nikaidoh Proc 5 5 — — $3,344.20 $3,344.20 $3,344.20 2026-08-01
J9312 HCPCS Rituximab 100mg/10ml Sdv 118 10 $4,947.60 $3,062.57 38% off $728.14 $18,743.43 $3,337.16 2026-08-01
43286 OTHER Esphg Tot W/laps Moblj 5 5 — — $3,336.28 $3,336.28 $3,336.28 2026-08-01
33864 OTHER Ascending Aortic Graft 5 5 — — $3,332.92 $3,332.92 $3,332.92 2026-08-01
61592 OTHER Orbitocranial Approach/skull 5 5 — — $3,332.19 $3,332.19 $3,332.19 2026-08-01
41155 OTHER Tongue Jaw Neck Surgery 5 5 — — $3,320.14 $3,320.14 $3,320.14 2026-08-01
61591 OTHER Infratemporal Approach/skull 5 5 — — $3,309.66 $3,309.66 $3,309.66 2026-08-01
48150 OTHER Partial Removal Of Pancreas 5 5 — — $3,293.46 $3,293.46 $3,293.46 2026-08-01
61590 OTHER Infratemporal Approach/skull 5 5 — — $3,290.34 $3,290.34 $3,290.34 2026-08-01
48153 OTHER Pancreatectomy 5 5 — — $3,281.36 $3,281.36 $3,281.36 2026-08-01
31395 OTHER Reconstruct Larynx Pharynx 5 5 — — $3,276.69 $3,276.69 $3,276.69 2026-08-01
C1785 HCPCS Dev Pacemaker MRI Revo 575 10 $7,471.00 $4,109.05 45% off $62.06 $11,835.10 $3,268.86 2026-08-01
33412 OTHER Replacement Of Aortic Valve 5 5 — — $3,265.32 $3,265.32 $3,265.32 2026-08-01
395270 OTHER Ndl Set 15g Ez-io 25mm Ndl 1 1 $4,841.00 $2,996.58 38% off $3,265.26 $3,265.26 $3,265.26 2026-08-01
33863 OTHER Ascending Aortic Graft 5 5 — — $3,263.06 $3,263.06 $3,263.06 2026-08-01
90378 OTHER Palivizumab 100 Mg/ml Sdv 4 1 $4,824.07 $2,986.11 38% off $1,625.45 $5,840.51 $3,253.84 2026-08-01
61545 OTHER Excision Of Brain Tumor 5 5 — — $3,245.38 $3,245.38 $3,245.38 2026-08-01
47125 OTHER Partial Removal Of Liver 5 5 — — $3,240.84 $3,240.84 $3,240.84 2026-08-01
61582 OTHER Craniofacial Approach Skull 5 5 — — $3,235.11 $3,235.11 $3,235.11 2026-08-01
20973 OTHER Bone/skin Graft Great Toe 5 5 — — $3,229.60 $3,229.60 $3,229.60 2026-08-01
61521 OTHER Removal Of Brain Lesion 5 5 — — $3,220.56 $3,220.56 $3,220.56 2026-08-01
33463 OTHER Valvuloplasty Tricuspid 5 5 — — $3,216.40 $3,216.40 $3,216.40 2026-08-01
47765 OTHER Fuse Liver Ducts Bowel 5 5 — — $3,199.54 $3,199.54 $3,199.54 2026-08-01
47361 OTHER Repair Liver Wound 5 5 — — $3,191.81 $3,191.81 $3,191.81 2026-08-01
33545 OTHER Repair Of Heart Damage 5 5 — — $3,185.01 $3,185.01 $3,185.01 2026-08-01
58240 OTHER Removal Of Pelvis Contents 5 5 — — $3,172.96 $3,172.96 $3,172.96 2026-08-01
32442 OTHER Sleeve Pneumonectomy 5 5 — — $3,170.43 $3,170.43 $3,170.43 2026-08-01
61607 OTHER Resect/excise Cranial Lesion 5 5 — — $3,167.92 $3,167.92 $3,167.92 2026-08-01
61581 OTHER Craniofacial Approach Skull 5 5 — — $3,139.23 $3,139.23 $3,139.23 2026-08-01
61530 OTHER Removal Of Brain Lesion 5 5 — — $3,121.44 $3,121.44 $3,121.44 2026-08-01
43107 OTHER Removal Of Esophagus 5 5 — — $3,117.98 $3,117.98 $3,117.98 2026-08-01
P9604 HCPCS Travel Charge - Lab 1 1 $4,604.00 $2,849.88 38% off $3,105.40 $3,105.40 $3,105.40 2026-08-01
31390 OTHER Removal Of Larynx Pharynx 5 5 — — $3,104.24 $3,104.24 $3,104.24 2026-08-01
33548 OTHER Restore/remodel Ventricle 5 5 — — $3,084.11 $3,084.11 $3,084.11 2026-08-01
63251 OTHER Revise Spinal Cord Vsls Thrc 5 5 — — $3,082.79 $3,082.79 $3,082.79 2026-08-01
63252 OTHER Revise Spine Cord Vsl Thrlmb 5 5 — — $3,082.26 $3,082.26 $3,082.26 2026-08-01
61597 OTHER Transcondylar Approach/skull 5 5 — — $3,077.11 $3,077.11 $3,077.11 2026-08-01
61606 OTHER Resect/excise Cranial Lesion 5 5 — — $3,073.04 $3,073.04 $3,073.04 2026-08-01
48154 OTHER Pancreatectomy 5 5 — — $3,072.46 $3,072.46 $3,072.46 2026-08-01
61583 OTHER Craniofacial Approach Skull 5 5 — — $3,069.36 $3,069.36 $3,069.36 2026-08-01
20970 OTHER Bone/skin Graft Iliac Crest 5 5 — — $3,067.28 $3,067.28 $3,067.28 2026-08-01
43314 OTHER Tracheo-esophagoplasty Cong 5 5 — — $3,065.85 $3,065.85 $3,065.85 2026-08-01
41145 OTHER Tongue Removal Neck Surgery 5 5 — — $3,063.16 $3,063.16 $3,063.16 2026-08-01
50365 OTHER Transplantation Of Kidney 5 5 — — $3,060.21 $3,060.21 $3,060.21 2026-08-01
48152 OTHER Pancreatectomy 5 5 — — $3,059.35 $3,059.35 $3,059.35 2026-08-01
20972 OTHER Bone/skin Graft Metatarsal 5 5 — — $3,058.85 $3,058.85 $3,058.85 2026-08-01
21160 OTHER Lefort Iii W/fhd With Lefort I 5 5 — — $3,058.69 $3,058.69 $3,058.69 2026-08-01
528002 OTHER Drsng Hydrfr Foam 4x5 Blu 1 1 $4,532.00 $2,805.31 38% off $3,056.84 $3,056.84 $3,056.84 2026-08-01
61584 OTHER Orbitocranial Approach/skull 5 5 — — $3,035.76 $3,035.76 $3,035.76 2026-08-01
27077 OTHER Resect Hip Tum W/innom Bone 5 5 — — $3,022.69 $3,022.69 $3,022.69 2026-08-01
63250 OTHER Revise Spinal Cord Vsls Crvl 5 5 — — $3,014.12 $3,014.12 $3,014.12 2026-08-01
48105 OTHER Resect/debride Pancreas 5 5 — — $3,011.68 $3,011.68 $3,011.68 2026-08-01
61598 OTHER Transpetrosal Approach/skull 5 5 — — $3,005.41 $3,005.41 $3,005.41 2026-08-01
20838 OTHER Replantation Foot Complete 5 5 — — $3,004.71 $3,004.71 $3,004.71 2026-08-01
44127 OTHER Enterectomy W/taper Cong 5 5 — — $3,001.58 $3,001.58 $3,001.58 2026-08-01
61519 OTHER Remove Brain Lining Lesion 5 5 — — $2,998.46 $2,998.46 $2,998.46 2026-08-01
J1602 HCPCS Golimumab 50 Mg/4 Ml Vial 59 10 $8,396.61 $4,618.14 45% off $2,124.03 $7,976.78 $2,997.59 2026-08-01
33406 OTHER Replacement Aortic Valve Opn 5 5 — — $2,995.83 $2,995.83 $2,995.83 2026-08-01
J1568 HCPCS Imm Glo (igg)/5gm/100ml 300 10 $6,798.75 $3,739.32 45% off $367.14 $19,376.44 $2,991.46 2026-08-01
611464 OTHER Set Inf Mini-loc Saf 22gx.75in 1 1 $4,418.70 $2,735.18 38% off $2,980.42 $2,980.42 $2,980.42 2026-08-01
43121 OTHER Partial Removal Of Esophagus 5 5 — — $2,979.37 $2,979.37 $2,979.37 2026-08-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
155 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
265 OTHER Aicd Lead Procedures 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
052 OTHER Spinal Disorders And Injuries With Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
087 OTHER Traumatic Stupor And Coma, Coma Less Than One Hour Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
165 OTHER Major Chest Procedures Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
024 OTHER Craniotomy With Major Device Implant/acute Complex Central Nervous System Princi… 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
195 OTHER Simple Pneumonia And Pleurisy Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
122 OTHER Acute Major Eye Infections Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
013 OTHER Tracheostomy For Face, Mouth, And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
078 OTHER Hypertensive Encephalopathy With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
151 OTHER Epistaxis Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
264 OTHER Other Circulatory System O.r. Procedures 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
075 OTHER Viral Meningitis With Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
070 OTHER Nonspecific Cerebrovascular Disorders With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
185 OTHER Major Chest Trauma Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
102 OTHER Headaches With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
082 OTHER Traumatic Stupor And Coma, Coma Greater Than One Hour With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
179 OTHER Respiratory Infections And Inflammations Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
010 OTHER Pancreas Transplant 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
129 OTHER No Active Code Description 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
085 OTHER Traumatic Stupor And Coma, Coma Less Than One Hour With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
184 OTHER Major Chest Trauma With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
030 OTHER Spinal Procedures Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
261 OTHER Cardiac Pacemaker Revision Except Device Replacement With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
072 OTHER Nonspecific Cerebrovascular Disorders Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
137 OTHER Mouth Procedures With Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
086 OTHER Traumatic Stupor And Coma, Coma Less Than One Hour With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
091 OTHER Other Disorders Of Nervous System With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
131 OTHER No Active Code Description 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
159 OTHER Dental And Oral Diseases Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
259 OTHER Cardiac Pacemaker Device Replacement Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
113 OTHER Orbital Procedures With Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
215 OTHER Other Heart Assist System Implant 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
262 OTHER Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
089 OTHER Concussion With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
263 OTHER Vein Ligation And Stripping 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
008 OTHER Simultaneous Pancreas/kidney Transplant 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
231 OTHER Coronary Bypass With Ptca With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
225 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Acute Myocard… 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
038 OTHER Extracranial Procedures With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
011 OTHER Tracheostomy For Face, Mouth, And Neck Diagnoses Or Laryngectomy With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
229 OTHER Other Cardiothoracic Procedures Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
203 OTHER Bronchitis And Asthma Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
257 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
059 OTHER Multiple Sclerosis And Cerebellar Ataxia With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
103 OTHER Headaches Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
067 OTHER Nonspecific Cerebrovascular Accident And Precerebral Occlusion Without Infarctio… 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
037 OTHER Extracranial Procedures With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
256 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
063 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
125 OTHER Other Disorders Of The Eye Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
228 OTHER Other Cardiothoracic Procedures With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
007 OTHER Lung Transplant 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
193 OTHER Simple Pneumonia And Pleurisy With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
055 OTHER Nervous System Neoplasms Without Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
181 OTHER Respiratory Neoplasms With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
133 OTHER No Active Code Description 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
080 OTHER Nontraumatic Stupor And Coma With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
200 OTHER Pneumothorax With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
031 OTHER Ventricular Shunt Procedures With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
139 OTHER Salivary Gland Procedures 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
150 OTHER Epistaxis With Mcc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
197 OTHER Interstitial Lung Disease With Cc 10 10 — — $2,727.00 $3,231.00 $2,979.00 2026-08-01
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