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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

CASS REGIONAL MEDICAL CENTER

Harrisonville, MO · CCN 261324 · Rates published

11,166 distinct procedures filed
24 distinct payers
166,037 rate rows
2026-04-07 last MRF observed
Data quality

165,777 of 166,037 rate rows are consumer-grade (99.8%)

260 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
placeholder amount (≤ $0.02) — excluded from medians 67
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 53
per-diem day rate — not a per-procedure price 49
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 43
percent-of-charges filed in the dollar field — excluded from medians 27
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7984/440665664_cass-regional-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/cassregionalmedicalcenter/7984
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 26b3bceca8ef11ce… · 95,159,139 bytes · first seen 2026-05-09

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,391,394.89 $1,391,394.89 $1,391,394.89 nat. median
$691,418
outlier · 2.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,380,840.90 $1,380,840.90 $1,380,840.90 nat. median
$631,793
outlier · 2.2×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,319,569.35 $1,319,569.35 $1,319,569.35 nat. median
$610,161
outlier · 2.2×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,290,066.21 $1,290,066.21 $1,290,066.21 nat. median
$624,417
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $1,223,600.40 $1,223,600.40 $1,223,600.40 nat. median
$577,541
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,223,600.40 $1,223,600.40 $1,223,600.40 nat. median
$588,565
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 1 $317,476.00 $317,476.00 $317,476.00 nat. median
$98,002
outlier · 3.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $277,493.00 $277,493.00 $277,493.00 nat. median
$108,240
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $277,493.00 $277,493.00 $277,493.00 nat. median
$261,939
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $183,510.66 $183,510.66 $183,510.66 nat. median
$75,807
outlier · 2.4×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $178,259.99 $178,259.99 $178,259.99 nat. median
$63,643
outlier · 2.8×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $168,250.50 $168,250.50 $168,250.50 nat. median
$69,291
outlier · 2.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $163,462.00 $163,462.00 $163,462.00 nat. median
$60,162
outlier · 2.7×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $145,454.08 $145,454.08 $145,454.08 nat. median
$65,655
outlier · 2.2×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 $144,076.00 $144,076.00 $144,076.00 nat. median
$34,270
outlier · 4.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $144,076.00 $144,076.00 $144,076.00 nat. median
$77,385
1.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $144,076.00 $144,076.00 $144,076.00 nat. median
$54,267
outlier · 2.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $142,470.00 $142,470.00 $142,470.00 nat. median
$92,900
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $142,470.00 $142,470.00 $142,470.00 nat. median
$60,895
outlier · 2.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $142,470.00 $142,470.00 $142,470.00 nat. median
$63,840
outlier · 2.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $136,412.00 $136,412.00 $136,412.00 nat. median
$59,257
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $136,412.00 $136,412.00 $136,412.00 nat. median
$79,040
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $134,787.00 $134,787.00 $134,787.00 nat. median
$57,394
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $134,787.00 $134,787.00 $134,787.00 nat. median
$80,459
1.7× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $134,787.00 $134,787.00 $134,787.00 nat. median
$42,100
outlier · 3.2×
225
MS_DRG 		Ms-DRG Carve Out: 224, 225 1 $130,322.00 $130,322.00 $130,322.00 nat. median
$45,104
outlier · 2.9×
224
MS_DRG 		Ms-DRG Carve Out: 224, 225 1 $130,322.00 $130,322.00 $130,322.00 nat. median
$51,048
outlier · 2.6×
223
MS_DRG 		Ms-DRG Carve Out: 222, 223 1 $128,697.00 $128,697.00 $128,697.00 nat. median
$40,712
outlier · 3.2×
222
MS_DRG 		Ms-DRG Carve Out: 222, 223 1 $128,697.00 $128,697.00 $128,697.00 nat. median
$58,534
outlier · 2.2×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $124,628.01 $124,628.01 $124,628.01 nat. median
$4,125
outlier · 30.2×
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 $122,872.00 $122,872.00 $122,872.00 nat. median
$47,266
outlier · 2.6×
J9226
HCPCS 		Supprelin La Implant 1 $121,358.00 $121,358.00 $121,358.00 nat. median
$55,200
outlier · 2.2×
453
MS_DRG 		Ms-DRG Carve Out: 453, 454, 455 1 $105,557.00 $105,557.00 $105,557.00 nat. median
$83,623
1.3× median
454
MS_DRG 		Ms-DRG Carve Out: 453, 454, 455 1 $105,557.00 $105,557.00 $105,557.00 nat. median
$57,648
1.8× median
455
MS_DRG 		Ms-DRG Carve Out: 453, 454, 455 1 $105,557.00 $105,557.00 $105,557.00 nat. median
$46,399
outlier · 2.3×
226
MS_DRG 		Ms-DRG Carve Out: 226, 227 1 $101,985.00 $101,985.00 $101,985.00 nat. median
$46,826
outlier · 2.2×
227
MS_DRG 		Ms-DRG Carve Out: 226, 227 1 $101,985.00 $101,985.00 $101,985.00 nat. median
$38,383
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $100,167.00 $100,167.00 $100,167.00 nat. median
$73,475
1.4× median
324
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 $100,167.00 $100,167.00 $100,167.00 nat. median
$30,485
outlier · 3.3×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $95,814.00 $95,814.00 $95,814.00 nat. median
$38,059
outlier · 2.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $95,814.00 $95,814.00 $95,814.00 nat. median
$55,685
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $85,824.00 $85,824.00 $85,824.00 nat. median
$74,472
1.2× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $85,824.00 $85,824.00 $85,824.00 nat. median
$52,372
1.6× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $85,824.00 $85,824.00 $85,824.00 nat. median
$48,280
1.8× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $84,447.00 $84,447.00 $84,447.00 nat. median
$32,689
outlier · 2.6×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $84,447.00 $84,447.00 $84,447.00 nat. median
$50,071
1.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $84,047.00 $84,047.00 $84,047.00 nat. median
$57,082
1.5× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 1 $84,047.00 $84,047.00 $84,047.00 nat. median
$41,718
outlier · 2.0×
459
MS_DRG 		Ms-DRG Carve Out: 459, 460 1 $82,399.00 $82,399.00 $82,399.00 nat. median
$62,767
1.3× median
460
MS_DRG 		Ms-DRG Carve Out: 459, 460 1 $82,399.00 $82,399.00 $82,399.00 nat. median
$37,051
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 11,166 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,391,394.89 $1,391,394.89 $1,391,394.89 2026-04-07
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $1,380,840.90 $1,380,840.90 $1,380,840.90 2026-04-07
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $1,319,569.35 $1,319,569.35 $1,319,569.35 2026-04-07
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $1,290,066.21 $1,290,066.21 $1,290,066.21 2026-04-07
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $1,223,600.40 $1,223,600.40 $1,223,600.40 2026-04-07
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $1,223,600.40 $1,223,600.40 $1,223,600.40 2026-04-07
215 MS_DRG Other Heart Assist System Implant 1 1 — — $317,476.00 $317,476.00 $317,476.00 2026-04-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $277,493.00 $277,493.00 $277,493.00 2026-04-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $277,493.00 $277,493.00 $277,493.00 2026-04-07
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $183,510.66 $183,510.66 $183,510.66 2026-04-07
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $178,259.99 $178,259.99 $178,259.99 2026-04-07
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $168,250.50 $168,250.50 $168,250.50 2026-04-07
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $163,462.00 $163,462.00 $163,462.00 2026-04-07
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $145,454.08 $145,454.08 $145,454.08 2026-04-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $144,076.00 $144,076.00 $144,076.00 2026-04-07
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $144,076.00 $144,076.00 $144,076.00 2026-04-07
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $144,076.00 $144,076.00 $144,076.00 2026-04-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,470.00 $142,470.00 $142,470.00 2026-04-07
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,470.00 $142,470.00 $142,470.00 2026-04-07
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $142,470.00 $142,470.00 $142,470.00 2026-04-07
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $136,412.00 $136,412.00 $136,412.00 2026-04-07
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $136,412.00 $136,412.00 $136,412.00 2026-04-07
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $134,787.00 $134,787.00 $134,787.00 2026-04-07
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $134,787.00 $134,787.00 $134,787.00 2026-04-07
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $134,787.00 $134,787.00 $134,787.00 2026-04-07
225 MS_DRG Ms-DRG Carve Out: 224, 225 1 1 — — $130,322.00 $130,322.00 $130,322.00 2026-04-07
224 MS_DRG Ms-DRG Carve Out: 224, 225 1 1 — — $130,322.00 $130,322.00 $130,322.00 2026-04-07
222 MS_DRG Ms-DRG Carve Out: 222, 223 1 1 — — $128,697.00 $128,697.00 $128,697.00 2026-04-07
223 MS_DRG Ms-DRG Carve Out: 222, 223 1 1 — — $128,697.00 $128,697.00 $128,697.00 2026-04-07
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $124,628.01 $124,628.01 $124,628.01 2026-04-07
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $122,872.00 $122,872.00 $122,872.00 2026-04-07
J9226 HCPCS Supprelin La Implant 1 1 — — $121,358.00 $121,358.00 $121,358.00 2026-04-07
454 MS_DRG Ms-DRG Carve Out: 453, 454, 455 1 1 — — $105,557.00 $105,557.00 $105,557.00 2026-04-07
453 MS_DRG Ms-DRG Carve Out: 453, 454, 455 1 1 — — $105,557.00 $105,557.00 $105,557.00 2026-04-07
455 MS_DRG Ms-DRG Carve Out: 453, 454, 455 1 1 — — $105,557.00 $105,557.00 $105,557.00 2026-04-07
227 MS_DRG Ms-DRG Carve Out: 226, 227 1 1 — — $101,985.00 $101,985.00 $101,985.00 2026-04-07
226 MS_DRG Ms-DRG Carve Out: 226, 227 1 1 — — $101,985.00 $101,985.00 $101,985.00 2026-04-07
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $100,167.00 $100,167.00 $100,167.00 2026-04-07
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $100,167.00 $100,167.00 $100,167.00 2026-04-07
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $95,814.00 $95,814.00 $95,814.00 2026-04-07
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $95,814.00 $95,814.00 $95,814.00 2026-04-07
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $85,824.00 $85,824.00 $85,824.00 2026-04-07
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $85,824.00 $85,824.00 $85,824.00 2026-04-07
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $85,824.00 $85,824.00 $85,824.00 2026-04-07
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $84,447.00 $84,447.00 $84,447.00 2026-04-07
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $84,447.00 $84,447.00 $84,447.00 2026-04-07
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $84,047.00 $84,047.00 $84,047.00 2026-04-07
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $84,047.00 $84,047.00 $84,047.00 2026-04-07
459 MS_DRG Ms-DRG Carve Out: 459, 460 1 1 — — $82,399.00 $82,399.00 $82,399.00 2026-04-07
460 MS_DRG Ms-DRG Carve Out: 459, 460 1 1 — — $82,399.00 $82,399.00 $82,399.00 2026-04-07
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $71,451.00 $71,451.00 $71,451.00 2026-04-07
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $71,451.00 $71,451.00 $71,451.00 2026-04-07
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $71,241.00 $71,241.00 $71,241.00 2026-04-07
J9266 HCPCS Pegaspargase Injection 1 1 — — $70,190.03 $70,190.03 $70,190.03 2026-04-07
265 MS_DRG Aicd Lead Procedures 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
245 MS_DRG Aicd Generator Procedures 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $67,996.00 $67,996.00 $67,996.00 2026-04-07
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $66,993.00 $66,993.00 $66,993.00 2026-04-07
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $65,835.00 $65,835.00 $65,835.00 2026-04-07
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33249 CPT Insj/rplcmt Defib W/lead(s) 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $58,867.00 $72,355.00 $65,611.00 2026-04-07
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $62,149.66 $62,149.66 $62,149.66 2026-04-07
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0409T CPT Insj/rplc Car Modulj Pls Gn 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0571T CPT Insj/rplcmt Icds Ss Eltrd 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
33289 CPT Tcat Impl Wrls P-art Prs Snr 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0100T CPT Prosth Retina Receive&gen 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0515T CPT Insj Wcs Lv Compl Sys 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $58,867.00 $58,867.00 $58,867.00 2026-04-07
69930 CPT Implant Cochlear Device 2 1 — — $57,184.00 $58,867.00 $58,025.50 2026-04-07
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 1 1 — — $53,590.00 $53,590.00 $53,590.00 2026-04-07
284 MS_DRG Acute Myocardial Infarction, Expired With Cc 1 1 — — $53,590.00 $53,590.00 $53,590.00 2026-04-07
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $53,590.00 $53,590.00 $53,590.00 2026-04-07
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $52,169.00 $52,169.00 $52,169.00 2026-04-07
61886 CPT Implant Neurostim Arrays 2 1 — — $44,539.00 $58,867.00 $51,703.00 2026-04-07
64568 CPT Opn Impltj Crnl Nrv Nea&pg 2 1 — — $44,539.00 $58,867.00 $51,703.00 2026-04-07
247 MS_DRG Ms-DRG Carve Out: 247 1 1 — — $51,354.00 $51,354.00 $51,354.00 2026-04-07
246 MS_DRG Ms-DRG Carve Out: 246 1 1 — — $51,354.00 $51,354.00 $51,354.00 2026-04-07
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $48,718.00 $48,718.00 $48,718.00 2026-04-07
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $48,718.00 $48,718.00 $48,718.00 2026-04-07
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $48,718.00 $48,718.00 $48,718.00 2026-04-07
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $47,373.00 $47,373.00 $47,373.00 2026-04-07
A9604 HCPCS Sm 153 Lexidronam 1 1 — — $46,989.94 $46,989.94 $46,989.94 2026-04-07
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $45,472.00 $45,472.00 $45,472.00 2026-04-07
289 MS_DRG Acute And Subacute Endocarditis With Cc 1 1 — — $45,472.00 $45,472.00 $45,472.00 2026-04-07
290 MS_DRG Acute And Subacute Endocarditis Without Cc/mcc 1 1 — — $45,472.00 $45,472.00 $45,472.00 2026-04-07
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $44,875.00 $44,875.00 $44,875.00 2026-04-07
64565 CPT Neurostimulator 1 1 — — $44,539.00 $44,539.00 $44,539.00 2026-04-07
33271 CPT Insj Subq Impltbl Dfb Elctrd 2 1 — — $16,722.00 $72,355.00 $44,538.50 2026-04-07
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $43,848.00 $43,848.00 $43,848.00 2026-04-07
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $43,848.00 $43,848.00 $43,848.00 2026-04-07
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $43,848.00 $43,848.00 $43,848.00 2026-04-07
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-04-07
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-04-07
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 1 1 — — $43,488.00 $43,488.00 $43,488.00 2026-04-07
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $42,180.00 $42,180.00 $42,180.00 2026-04-07
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $42,180.00 $42,180.00 $42,180.00 2026-04-07
254 MS_DRG Other Vascular Procedures Without Cc/mcc 1 1 — — $42,180.00 $42,180.00 $42,180.00 2026-04-07
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
249 MS_DRG Ms-DRG Carve Out: 248, 249, 250, 251 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
248 MS_DRG Ms-DRG Carve Out: 248, 249, 250, 251 1 1 — — $41,808.00 $41,808.00 $41,808.00 2026-04-07
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 2 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $41,606.00 $41,606.00 $41,606.00 2026-04-07
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $40,786.00 $40,786.00 $40,786.00 2026-04-07
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 2 1 — — $36,953.00 $44,539.00 $40,746.00 2026-04-07
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 2 1 — — $36,953.00 $44,539.00 $40,746.00 2026-04-07
61885 CPT Insrt/redo Neurostim 1 Array 2 1 — — $36,953.00 $44,539.00 $40,746.00 2026-04-07
33272 CPT Rmvl Of Subq Defibrillator 2 1 — — $6,276.00 $72,355.00 $39,315.50 2026-04-07
77371 CPT Srs Multisource 1 1 — — $39,154.00 $39,154.00 $39,154.00 2026-04-07
77372 CPT Srs Linear Based 1 1 — — $39,154.00 $39,154.00 $39,154.00 2026-04-07
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 1 1 — — $38,741.00 $38,741.00 $38,741.00 2026-04-07
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $38,741.00 $38,741.00 $38,741.00 2026-04-07
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $38,741.00 $38,741.00 $38,741.00 2026-04-07
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $38,327.00 $38,327.00 $38,327.00 2026-04-07
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 1 1 — — $38,327.00 $38,327.00 $38,327.00 2026-04-07
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $38,327.00 $38,327.00 $38,327.00 2026-04-07
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $38,243.00 $38,243.00 $38,243.00 2026-04-07
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 1 1 — — $38,243.00 $38,243.00 $38,243.00 2026-04-07
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $38,243.00 $38,243.00 $38,243.00 2026-04-07
C9758 HCPCS Blind Interatrial Shunt Ide 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
C9782 HCPCS Blind Myocar Trpl Bon Marrow 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
0308T CPT Insj Ocular Telescope Prosth 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
93591 CPT Perq Transcath Cls Aortic 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
93590 CPT Perq Transcath Cls Mitral 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
37231 CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
37227 CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33968 CPT Remove Aortic Assist Device 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33967 CPT Insert I-aort Percut Device 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
33274 CPT Tcat Insj/rpl Perm Ldls Pm 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
0268T CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
0266T CPT Outpatient Procedure Groups 1 1 — — $36,953.00 $36,953.00 $36,953.00 2026-04-07
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $35,728.00 $35,728.00 $35,728.00 2026-04-07
30 MS_DRG Spinal Procedures Without Cc/mcc 1 1 — — $35,728.00 $35,728.00 $35,728.00 2026-04-07
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $35,728.00 $35,728.00 $35,728.00 2026-04-07
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 1 1 — — $34,955.00 $34,955.00 $34,955.00 2026-04-07
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $34,955.00 $34,955.00 $34,955.00 2026-04-07
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 1 1 — — $34,955.00 $34,955.00 $34,955.00 2026-04-07
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $34,594.00 $34,594.00 $34,594.00 2026-04-07
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $34,594.00 $34,594.00 $34,594.00 2026-04-07
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 — — $34,594.00 $34,594.00 $34,594.00 2026-04-07
62361 CPT Implant Spine Infusion Pump 2 1 — — $30,209.00 $36,953.00 $33,581.00 2026-04-07
62362 CPT Implant Spine Infusion Pump 2 1 — — $30,209.00 $36,953.00 $33,581.00 2026-04-07
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $32,729.00 $32,729.00 $32,729.00 2026-04-07
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $32,729.00 $32,729.00 $32,729.00 2026-04-07
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $32,729.00 $32,729.00 $32,729.00 2026-04-07
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 1 1 — — $32,691.27 $32,691.27 $32,691.27 2026-04-07
Q4244 HCPCS Drug Pass Throughs 1 1 — — $32,342.49 $32,342.49 $32,342.49 2026-04-07
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $31,650.00 $31,650.00 $31,650.00 2026-04-07
93656 CPT Compre Ep Eval Abltj Atr Fib 2 1 — — $25,153.00 $37,794.00 $31,473.50 2026-04-07
93654 CPT Compre Ep Eval Tx Vt 2 1 — — $25,153.00 $37,794.00 $31,473.50 2026-04-07
93653 CPT Compre Ep Eval Tx Svt 2 1 — — $25,153.00 $37,794.00 $31,473.50 2026-04-07
J9309 HCPCS Nf Polatuzuamab J9309 61 24 $56,946.19 $39,862.34 30% off $338.38 $67,355.36 $31,291.93 2026-04-07
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 1 1 — — $30,979.00 $30,979.00 $30,979.00 2026-04-07
64575 CPT Opn Impltj Nea Perph Nerve 2 1 — — $16,722.00 $44,539.00 $30,630.50 2026-04-07
64580 CPT Opn Impltj Nea Neuromuscular 2 1 — — $16,722.00 $44,539.00 $30,630.50 2026-04-07
63655 CPT Implant Neuroelectrodes 2 1 — — $16,722.00 $44,539.00 $30,630.50 2026-04-07
77373 CPT Strtctc Bdy Rad Ther Tx Dlvr 1 1 — — $28,911.00 $28,911.00 $28,911.00 2026-04-07
54405 CPT Insert Multi-comp Penis Pros 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
54401 CPT Insert Self-contd Prosthesis 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
54410 CPT Remove/replace Penis Prosth 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
54416 CPT Remv/repl Penis Contain Pros 2 1 — — $25,153.00 $30,413.00 $27,783.00 2026-04-07
33208 CPT Insrt Heart Pm Atrial & Vent 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
33214 CPT Upgrade Of Pacemaker System 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
33224 CPT Insert Pacing Lead & Connect 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
33225 CPT L Ventric Pacing Lead Add-on 2 1 — — $25,153.00 $30,209.00 $27,681.00 2026-04-07
64553 CPT Implant Neuroelectrodes 2 1 — — $10,567.00 $44,539.00 $27,553.00 2026-04-07
64555 CPT Implant Neuroelectrodes 2 1 — — $10,567.00 $44,539.00 $27,553.00 2026-04-07
64561 CPT Implant Neuroelectrodes 2 1 — — $10,567.00 $44,539.00 $27,553.00 2026-04-07
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 — — $27,124.00 $27,124.00 $27,124.00 2026-04-07
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 1 1 — — $26,985.00 $26,985.00 $26,985.00 2026-04-07
J9216 HCPCS Interferon Gamma 1-b Inj 1 1 — — $26,600.24 $26,600.24 $26,600.24 2026-04-07
27447 CPT Total Knee Arthroplasty 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27446 CPT Revision Of Knee Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
23470 CPT Reconstruct Shoulder Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
23472 CPT Reconstruct Shoulder Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27130 CPT Total Hip Arthroplasty 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27132 CPT Total Hip Arthroplasty 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27134 CPT Revise Hip Joint Replacement 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27137 CPT Revise Hip Joint Replacement 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27138 CPT Revise Hip Joint Replacement 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27486 CPT Revise/replace Knee Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
27487 CPT Revise/replace Knee Joint 2 1 — — $16,722.00 $36,164.00 $26,443.00 2026-04-07
93581 CPT Transcath Closure Of Vsd 2 1 — — $25,153.00 $27,126.00 $26,139.50 2026-04-07
93580 CPT Transcath Closure Of Asd 2 1 — — $25,153.00 $27,126.00 $26,139.50 2026-04-07
J9119 HCPCS Cemiplimab-rwlc 350 Mg/7 Ml Vi 33 24 $47,605.53 $33,323.88 30% off $74.76 $46,129.76 $25,706.99 2026-04-07
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 1 1 — — $25,409.00 $25,409.00 $25,409.00 2026-04-07
53447 CPT Remove/replace Ur Sphincter 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
93582 CPT Perq Transcath Closure Pda 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
33820 CPT Repair Pda By Ligation 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
33824 CPT Repair Pda Div 18 Yrs&older 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 1 1 — — $25,153.00 $25,153.00 $25,153.00 2026-04-07
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $25,152.00 $25,152.00 $25,152.00 2026-04-07
63620 CPT Srs Spinal Lesion 2 1 — — $10,567.00 $39,154.00 $24,860.50 2026-04-07
61798 CPT Srs Cranial Lesion Complex 2 1 — — $10,567.00 $39,154.00 $24,860.50 2026-04-07
61796 CPT Srs Cranial Lesion Simple 2 1 — — $10,567.00 $39,154.00 $24,860.50 2026-04-07
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $24,603.00 $24,603.00 $24,603.00 2026-04-07
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 1 1 — — $24,603.00 $24,603.00 $24,603.00 2026-04-07
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 1 1 — — $24,603.00 $24,603.00 $24,603.00 2026-04-07
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 1 1 — — $24,196.00 $24,196.00 $24,196.00 2026-04-07
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 1 1 — — $24,196.00 $24,196.00 $24,196.00 2026-04-07
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $24,196.00 $24,196.00 $24,196.00 2026-04-07
93650 CPT Icar Cath Abltj Av Node Func 2 1 — — $10,567.00 $37,794.00 $24,180.50 2026-04-07
75893 CPT Venous Sampling By Catheter 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75842 CPT Other Diagnostic Radiology 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75736 CPT Artery X-rays Pelvis 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75705 CPT Artery X-rays Spine 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75726 CPT Artery X-rays Abdomen 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
75605 CPT Contrast Exam Thoracic Aorta 1 1 — — $24,149.99 $24,149.99 $24,149.99 2026-04-07
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 — — $24,149.00 $24,149.00 $24,149.00 2026-04-07
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $24,149.00 $24,149.00 $24,149.00 2026-04-07
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 — — $24,149.00 $24,149.00 $24,149.00 2026-04-07
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $23,630.00 $23,630.00 $23,630.00 2026-04-07
54400 CPT Insert Semi-rigid Prosthesis 2 1 — — $16,722.00 $30,413.00 $23,567.50 2026-04-07
33212 CPT Insert Pulse Gen Sngl Lead 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33229 CPT Remv&replc Pm Gen Mult Leads 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33221 CPT Insert Pulse Gen Mult Leads 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33213 CPT Insert Pulse Gen Dual Leads 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33206 CPT Insert Heart Pm Atrial 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33207 CPT Insert Heart Pm Ventricular 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33227 CPT Remove&replace Pm Gen Singl 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
33228 CPT Remv&replc Pm Gen Dual Lead 2 1 — — $16,722.00 $30,209.00 $23,465.50 2026-04-07
27438 CPT Revise Kneecap With Implant 2 1 — — $10,567.00 $36,164.00 $23,365.50 2026-04-07
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 1 1 — — $23,216.00 $23,216.00 $23,216.00 2026-04-07
27440 CPT Revision Of Knee Joint 2 1 — — $10,171.00 $36,164.00 $23,167.50 2026-04-07
27437 CPT Revise Kneecap 2 1 — — $10,171.00 $36,164.00 $23,167.50 2026-04-07
23473 CPT Revis Reconst Shoulder Joint 2 1 — — $10,171.00 $36,164.00 $23,167.50 2026-04-07
92925 CPT Outpatient Procedure Groups 2 1 — — $16,722.00 $29,198.00 $22,960.00 2026-04-07
92924 CPT Prq Trluml C Athrc 1 Art&/br 2 1 — — $16,722.00 $29,198.00 $22,960.00 2026-04-07
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
C9600 HCPCS Perc Drug-el Cor Stent Sing 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
C9602 HCPCS Perc D-e Cor Stent Ather S 2 1 — — $16,722.00 $28,522.00 $22,622.00 2026-04-07
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 1 1 — — $22,168.00 $22,168.00 $22,168.00 2026-04-07
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $22,168.00 $22,168.00 $22,168.00 2026-04-07
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $22,168.00 $22,168.00 $22,168.00 2026-04-07
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $21,927.00 $21,927.00 $21,927.00 2026-04-07
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 1 1 — — $21,642.00 $21,642.00 $21,642.00 2026-04-07
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 1 — — $21,642.00 $21,642.00 $21,642.00 2026-04-07
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 — — $21,642.00 $21,642.00 $21,642.00 2026-04-07
36906 CPT Thrmbc/nfs Dialysis Circuit 2 1 — — $5,597.00 $36,953.00 $21,275.00 2026-04-07
63621 CPT Srs Spinal Lesion Addl 2 1 — — $2,869.00 $39,154.00 $21,011.50 2026-04-07
61799 CPT Srs Cran Les Complex Addl 2 1 — — $2,869.00 $39,154.00 $21,011.50 2026-04-07
61797 CPT Srs Cran Les Simple Addl 2 1 — — $2,869.00 $39,154.00 $21,011.50 2026-04-07
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 1 1 — — $20,941.00 $20,941.00 $20,941.00 2026-04-07
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $20,548.00 $20,548.00 $20,548.00 2026-04-07
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 1 1 — — $20,548.00 $20,548.00 $20,548.00 2026-04-07
J9228 HCPCS Ipilimumab Yervoy 50mg 33 24 $38,029.92 $26,620.95 30% off $469.41 $36,850.99 $20,536.16 2026-04-07
36260 CPT Insertion Of Infusion Pump 2 1 — — $10,567.00 $30,209.00 $20,388.00 2026-04-07
37238 CPT Open/perq Place Stent Same 2 1 — — $16,722.00 $23,866.00 $20,294.00 2026-04-07
37236 CPT Open/perq Place Stent 1st 2 1 — — $16,722.00 $23,866.00 $20,294.00 2026-04-07
62360 CPT Insert Spine Infusion Device 2 1 — — $10,171.00 $30,209.00 $20,190.00 2026-04-07
61215 CPT Ins Subq Rsvr Pmp/nfs Sys 2 1 — — $10,171.00 $30,209.00 $20,190.00 2026-04-07
55873 CPT Cryoablate Prostate 2 1 — — $16,722.00 $23,617.00 $20,169.50 2026-04-07
61800 CPT Apply Srs Headframe Add-on 2 1 — — $1,160.00 $39,154.00 $20,157.00 2026-04-07
92920 CPT Prq Trluml C Angiop 1art&/br 2 1 — — $10,567.00 $29,198.00 $19,882.50 2026-04-07
92921 CPT Outpatient Procedure Groups 2 1 — — $10,567.00 $29,198.00 $19,882.50 2026-04-07
38 MS_DRG Extracranial Procedures With Cc 1 1 — — $19,810.00 $19,810.00 $19,810.00 2026-04-07
39 MS_DRG Extracranial Procedures Without Cc/mcc 1 1 — — $19,810.00 $19,810.00 $19,810.00 2026-04-07
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $19,810.00 $19,810.00 $19,810.00 2026-04-07
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $10,485.00 $28,522.00 $19,503.50 2026-04-07
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 2 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
504 MS_DRG Foot Procedures With Cc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
503 MS_DRG Foot Procedures With Mcc 1 1 — — $19,486.00 $19,486.00 $19,486.00 2026-04-07
93655 CPT Icar Cath Abltj Dscrt Arrhyt 2 1 — — $1,160.00 $37,794.00 $19,477.00 2026-04-07
93657 CPT Tx L/r Atrial Fib Addl 2 1 — — $1,160.00 $37,794.00 $19,477.00 2026-04-07
22857 CPT Tot Disc Arthrp 1ntrspc Lmbr 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22849 CPT Reinsert Spinal Fixation 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22600 CPT Arthrd Pst Tq 1ntrspc Crv 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22595 CPT Arthrd Pst Tq Atlas-axis 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22610 CPT Arthrd Pst Tq 1ntrspc Thrc 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22590 CPT Arthrd Pst Tq Craniocervical 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22556 CPT Arthrd Ant Ntrbd Min Dsc Thc 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 2 1 — — $16,722.00 $22,117.00 $19,419.50 2026-04-07
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