Hospital

INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL

Billings, MT · CCN 270049 · Rates published

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This hospital’s price: $623 across 22 payers · range $282-$1,508

Source: https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/810232124_st-vincent-healthcare_standardcharges.ashx · observed 2026-07-14

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

19,243 distinct procedures filed

22 distinct payers

1,140,152 rate rows

2026-07-14 last MRF observed

Data quality

1,134,763 of 1,140,152 rate rows are consumer-grade (99.5%)

5,389 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 — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	5,003
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	224
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	142
per-diem day rate — not a per-procedure price	20

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/810232124_st-vincent-healthcare_standardcharges.ashx
Found on page	https://intermountainhealthcare.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-30
Content fingerprint	91b5531bdd1872bd… · 6,616,305 bytes · first seen 2026-05-14

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
J3391 HCPCS	Inj Atidarsagene Autotemcel	2	$4,505,000.00	$4,595,100.00	$4,595,100.00	nat. median $4,505,000 1.0× median
J1411 HCPCS	Inj Hemgenix Per Tx Dose	2	$3,685,266.67	$3,758,972.00	$3,758,972.00	nat. median $3,705,478 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	6	$2,455,110.61	$4,910,221.22	$3,671,980.41	nat. median $2,467,386 1.5× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	2	$3,316,462.59	$3,382,791.84	$3,382,791.84	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj Lovotibeglogene Autotem	2	$3,248,445.72	$3,313,414.63	$3,313,414.63	nat. median $3,286,000 1.0× median
J3392 HCPCS	Inj Exagamglogene Autotem	5	$2,332,000.00	$4,664,000.00	$3,148,200.00	nat. median $2,401,965 1.3× median
J3393 HCPCS	Inj Betibeglogene Autotemce	3	$2,945,740.00	$4,948,843.20	$3,004,654.80	nat. median $2,994,107 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	8	$770,620.00	$2,119,205.00	$1,464,178.00	nat. median $813,967 1.8× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	13	$591,726.20	$1,640,497.85	$996,370.45	nat. median $739,258 1.3× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	11	$565,868.95	$1,634,082.64	$972,268.50	nat. median $646,415 1.5× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	11	$562,538.19	$1,601,850.84	$945,064.16	nat. median $640,950 1.5× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	11	$557,317.93	$1,632,421.54	$936,294.12	nat. median $622,450 1.5× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	13	$531,525.00	$1,517,313.47	$907,001.72	nat. median $608,239 1.5× median
Q2053 HCPCS	Brexucabtagene Car Pos T	11	$489,304.61	$1,427,644.25	$822,031.74	nat. median $591,721 1.4× median
Q2040 HCPCS	Tisagenlecleucel Car-pos T	1	$676,875.00	$916,037.50	$796,456.25	nat. median $10,345 outlier · 77.0×
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	8	$278,250.00	$765,187.50	$528,675.00	nat. median $319,951 1.7× median
J3403 HCPCS	Revakinagene Per Implant	8	$257,500.00	$708,125.00	$489,250.00	nat. median $265,000 1.8× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	8	$205,640.00	$565,510.00	$390,716.00	nat. median $209,753 1.9× median
0100T CPT	Prosth Retina Receive&gen	2	$349,836.15	$349,836.15	$349,836.15	nat. median $11,291 outlier · 31.0×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	14	$286,059.71	$1,250,707.30	$297,428.54	nat. median $359,454 0.8× median
Q2043 HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	22	$55,272.32	$307,438.38	$210,528.45	nat. median $65,720 outlier · 3.2×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	$185,641.24	$934,173.50	$193,019.16	nat. median $249,036 0.8× median
Q0480 HCPCS	Driver Pneumatic Vad Rep	11	$110,139.19	$302,882.77	$188,003.17	nat. median $111,503 1.7× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$141,434.04	$415,030.23	$147,055.03	nat. median $198,418 0.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	14	$140,604.00	$710,757.58	$146,192.01	nat. median $190,559 0.8× median
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	22	$255.84	$196,985.17	$139,174.31	nat. median $432 outlier · 321.8×
A9543 HCPCS	Y90 Ibritumomab Rx	14	$56,824.55	$177,636.95	$137,167.09	nat. median $63,528 outlier · 2.2×
J9029 HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension	22	$31,537.65	$222,263.08	$128,042.86	nat. median $68,423 1.9× median
J9226 HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	22	$45,020.65	$177,983.35	$121,879.90	nat. median $55,159 outlier · 2.2×
C9293 HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	17	$465.83	$150,270.28	$121,718.93	nat. median $30,297 outlier · 4.0×
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	10	$67,452.66	$185,494.82	$113,320.47	nat. median $70,178 1.6× median
Q9982 HCPCS	Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution	22	$1,866.58	$342,752.26	$110,525.18	nat. median $3,080 outlier · 35.9×
J0223 HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution	22	$117.36	$155,533.07	$109,887.49	nat. median $153 outlier · 720.2×
38240 CPT	Transplt Allo Hct/donor	10	$59,142.33	$162,641.40	$99,359.11	nat. median $12,842 outlier · 7.7×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	14	$91,757.08	$468,607.32	$95,403.76	nat. median $126,695 0.8× median
E0194 HCPCS	Air Fluidized Bed	1	$57,688.00	$94,608.32	$94,608.32	nat. median $4,438 outlier · 21.3×
7 MS_DRG	Lung Transplant	13	$85,787.18	$251,737.64	$89,196.60	nat. median $117,974 0.8× median
A9606 HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	22	$172.22	$130,200.68	$89,159.16	nat. median $266 outlier · 335.2×
33276 CPT	Insj Phrnc Nrv Stim Sys	8	$45,000.50	$123,751.38	$85,500.95	nat. median $43,278 2.0× median
L7181 HCPCS	Electronic Elbo Simultaneous	11	$48,901.12	$134,478.08	$83,472.24	nat. median $50,516 1.7× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	13	$79,611.26	$233,614.76	$82,775.24	nat. median $110,307 0.8× median
J9266 HCPCS	Pegaspargase 750 Unit/ml Injection Solution	22	$21,639.05	$117,691.00	$80,592.75	nat. median $33,233 outlier · 2.4×
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	$75,066.26	$365,457.33	$78,049.61	nat. median $104,013 0.8× median
209 MS_DRG	Complex Aortic Arch Procedures	13	$74,980.15	$220,025.02	$77,960.07	nat. median $92,678 0.8× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	$73,008.73	$347,406.17	$75,910.30	nat. median $93,276 0.8× median
0266T CPT	Implt/rpl Crtd Sns Dev Total	10	$45,000.50	$123,751.38	$75,600.84	nat. median $42,739 1.8× median
212 MS_DRG	Concomitant Aortic And Mitral Valve?procedures	14	$72,034.28	$361,285.30	$74,897.13	nat. median $97,323 0.8× median
C1823 HCPCS	Hc Neurostim Generator/lead Lvl 46	17	$18,384.35	$117,636.26	$74,476.30	nat. median $31,620 outlier · 2.4×
J0202 HCPCS	Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution	22	$2,429.89	$107,480.95	$73,601.09	nat. median $3,902 outlier · 18.9×
J2507 HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	22	$3,428.61	$107,003.07	$73,273.84	nat. median $9,200 outlier · 8.0×

Other procedures at this hospital

Browse this hospital's 19,243 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3391	HCPCS	Inj Atidarsagene Autotemcel	5	2	—	—	$4,505,000.00	$4,595,100.00	$4,595,100.00	2026-07-14
J1411	HCPCS	Inj Hemgenix Per Tx Dose	5	2	—	—	$3,685,266.67	$3,758,972.00	$3,758,972.00	2026-07-14
J3399	HCPCS	Inj Onase Abepar-xioi Treat	22	6	—	—	$2,455,110.61	$4,910,221.22	$3,671,980.41	2026-07-14
J1413	HCPCS	Inj Delandistrogene Mox Rokl	5	2	—	—	$3,316,462.59	$3,382,791.84	$3,382,791.84	2026-07-14
J3394	HCPCS	Inj Lovotibeglogene Autotem	5	2	—	—	$3,248,445.72	$3,313,414.63	$3,313,414.63	2026-07-14
J3392	HCPCS	Inj Exagamglogene Autotem	10	5	—	—	$2,332,000.00	$4,664,000.00	$3,148,200.00	2026-07-14
J3393	HCPCS	Inj Betibeglogene Autotemce	7	3	—	—	$2,945,740.00	$4,948,843.20	$3,004,654.80	2026-07-14
Q2057	HCPCS	Afamitresgene Autoleucel	15	8	—	—	$770,620.00	$2,119,205.00	$1,464,178.00	2026-07-14
Q2042	HCPCS	Tisagenlecleucel Car-pos T	40	13	—	—	$591,726.20	$1,640,497.85	$996,370.45	2026-07-14
Q2056	HCPCS	Ciltacabtagene Car-pos T	37	11	—	—	$565,868.95	$1,634,082.64	$972,268.50	2026-07-14
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	37	11	—	—	$562,538.19	$1,601,850.84	$945,064.16	2026-07-14
Q2055	HCPCS	Idecabtagene Vicleucel Car	37	11	—	—	$557,317.93	$1,632,421.54	$936,294.12	2026-07-14
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	40	13	—	—	$531,525.00	$1,517,313.47	$907,001.72	2026-07-14
Q2053	HCPCS	Brexucabtagene Car Pos T	37	11	—	—	$489,304.61	$1,427,644.25	$822,031.74	2026-07-14
Q2040	HCPCS	Tisagenlecleucel Car-pos T	12	1	—	—	$676,875.00	$916,037.50	$796,456.25	2026-07-14
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	15	8	—	—	$278,250.00	$765,187.50	$528,675.00	2026-07-14
J3403	HCPCS	Revakinagene Per Implant	15	8	—	—	$257,500.00	$708,125.00	$489,250.00	2026-07-14
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	15	8	—	—	$205,640.00	$565,510.00	$390,716.00	2026-07-14
0100T	CPT	Prosth Retina Receive&gen	3	2	—	—	$349,836.15	$349,836.15	$349,836.15	2026-07-14
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	41	14	—	—	$286,059.71	$1,250,707.30	$297,428.54	2026-07-14
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	124	22	$334,172.15	—	$55,272.32	$307,438.38	$210,528.45	2026-07-14
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	41	14	—	—	$185,641.24	$934,173.50	$193,019.16	2026-07-14
Q0480	HCPCS	Driver Pneumatic Vad Rep	24	11	—	—	$110,139.19	$302,882.77	$188,003.17	2026-07-14
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	35	13	—	—	$141,434.04	$415,030.23	$147,055.03	2026-07-14
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	41	14	—	—	$140,604.00	$710,757.58	$146,192.01	2026-07-14
A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	111	22	$214,114.32	—	$255.84	$196,985.17	$139,174.31	2026-07-14
A9543	HCPCS	Y90 Ibritumomab Rx	48	14	—	—	$56,824.55	$177,636.95	$137,167.09	2026-07-14
J9029	HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension	175	22	$150,547.65	—	$31,537.65	$222,263.08	$128,042.86	2026-07-14
J9226	HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	124	22	$193,460.16	—	$45,020.65	$177,983.35	$121,879.90	2026-07-14
C9293	HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	87	17	$163,337.26	—	$465.83	$150,270.28	$121,718.93	2026-07-14
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	18	10	—	—	$67,452.66	$185,494.82	$113,320.47	2026-07-14
Q9982	HCPCS	Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution	177	22	$248,371.20	—	$1,866.58	$342,752.26	$110,525.18	2026-07-14
J0223	HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution	112	22	$169,057.68	—	$117.36	$155,533.07	$109,887.49	2026-07-14
38240	CPT	Transplt Allo Hct/donor	18	10	—	—	$59,142.33	$162,641.40	$99,359.11	2026-07-14
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	41	14	—	—	$91,757.08	$468,607.32	$95,403.76	2026-07-14
E0194	HCPCS	Air Fluidized Bed	6	1	—	—	$57,688.00	$94,608.32	$94,608.32	2026-07-14
7	MS_DRG	Lung Transplant	35	13	—	—	$85,787.18	$251,737.64	$89,196.60	2026-07-14
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	123	22	$141,522.48	—	$172.22	$130,200.68	$89,159.16	2026-07-14
33276	CPT	Insj Phrnc Nrv Stim Sys	15	8	—	—	$45,000.50	$123,751.38	$85,500.95	2026-07-14
L7181	HCPCS	Electronic Elbo Simultaneous	24	11	—	—	$48,901.12	$134,478.08	$83,472.24	2026-07-14
14	MS_DRG	Allogeneic Bone Marrow Transplant	35	13	—	—	$79,611.26	$233,614.76	$82,775.24	2026-07-14
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	124	22	$127,925.00	—	$21,639.05	$117,691.00	$80,592.75	2026-07-14
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	41	14	—	—	$75,066.26	$365,457.33	$78,049.61	2026-07-14
209	MS_DRG	Complex Aortic Arch Procedures	35	13	—	—	$74,980.15	$220,025.02	$77,960.07	2026-07-14
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	41	14	—	—	$73,008.73	$347,406.17	$75,910.30	2026-07-14
0266T	CPT	Implt/rpl Crtd Sns Dev Total	18	10	—	—	$45,000.50	$123,751.38	$75,600.84	2026-07-14
212	MS_DRG	Concomitant Aortic And Mitral Valve?procedures	41	14	—	—	$72,034.28	$361,285.30	$74,897.13	2026-07-14
C1823	HCPCS	Hc Neurostim Generator/lead Lvl 46	300	17	$95,528.60	—	$18,384.35	$117,636.26	$74,476.30	2026-07-14
J0202	HCPCS	Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution	124	22	$116,827.12	—	$2,429.89	$107,480.95	$73,601.09	2026-07-14
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	124	22	$116,307.68	—	$3,428.61	$107,003.07	$73,273.84	2026-07-14
K0606	HCPCS	Aed Garment W Elec Analysis	6	1	—	—	$44,640.39	$73,210.24	$73,210.24	2026-07-14
L7180	HCPCS	Electronic Elbow Sequential	24	11	—	—	$42,853.91	$117,848.25	$73,149.92	2026-07-14
J7330	HCPCS	Cultured Chondrocytes Implnt	12	1	—	—	$60,874.32	$82,383.25	$71,628.79	2026-07-14
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	35	13	—	—	$68,300.77	$200,424.78	$71,015.24	2026-07-14
0312T	CPT	Laps Impltj Nstim Vagus	3	2	—	—	$68,965.62	$68,965.62	$68,965.62	2026-07-14
0424T	CPT	Insj/rplc Nstim Apnea Compl	3	2	—	—	$68,965.62	$68,965.62	$68,965.62	2026-07-14
0316T	CPT	Replc Vagus Nerve Pls Gen	3	2	—	—	$68,965.62	$68,965.62	$68,965.62	2026-07-14
0427T	CPT	Insj/rplc Nstim Apnea Pls Gn	3	2	—	—	$68,965.62	$68,965.62	$68,965.62	2026-07-14
0431T	CPT	Rmvl/rplc Nstim Apnea Pls Gn	3	2	—	—	$68,965.62	$68,965.62	$68,965.62	2026-07-14
215	MS_DRG	Other Heart Assist System Implant	41	14	—	—	$65,959.05	$351,365.95	$68,580.45	2026-07-14
26497	CPT	Hc Valve Implant Lvl 59	93	22	$90,871.40	—	$3,244.61	$83,601.69	$67,517.45	2026-07-14
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	14	—	—	$64,805.08	$320,069.08	$67,380.62	2026-07-14
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	124	22	$105,619.80	—	$59.41	$97,170.22	$66,540.47	2026-07-14
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	15	8	—	—	$35,000.50	$96,251.38	$66,500.95	2026-07-14
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	41	14	—	—	$59,683.10	$276,607.66	$62,055.08	2026-07-14
69930	CPT	Implant Cochlear Device	18	10	—	—	$31,807.82	$87,471.51	$62,025.25	2026-07-14
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	15	8	—	—	$32,061.58	$88,169.34	$60,917.00	2026-07-14
0915T	CPT	Insj Perm Ccm-d Sys Pg&eltrd	15	8	—	—	$32,061.58	$88,169.34	$60,917.00	2026-07-14
C1826	HCPCS	Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56	91	22	$78,498.05	—	$53.52	$166,250.00	$60,051.01	2026-07-14
850	MS_DRG	Acute Leukemia With Other Procedures	41	14	—	—	$57,363.91	$305,503.45	$59,643.71	2026-07-14
0268T	CPT	Implt/rpl Crtd Sns Dev Gen	18	10	—	—	$30,473.59	$83,802.36	$59,423.49	2026-07-14
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	18	10	—	—	$30,473.59	$83,802.36	$59,423.49	2026-07-14
61886	CPT	Implant Neurostim Arrays	18	10	—	—	$30,473.59	$83,802.36	$59,423.49	2026-07-14
63685	CPT	Ins/rplc Spi Npg/rcvr Pocket	18	10	—	—	$30,473.59	$83,802.36	$59,423.49	2026-07-14
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	24	11	—	—	$5,287.76	$108,576.60	$59,223.60	2026-07-14
231	MS_DRG	Coronary Bypass With Ptca With Mcc	41	14	—	—	$55,842.95	$281,028.42	$58,062.30	2026-07-14
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	15	8	—	—	$30,473.59	$83,802.36	$57,899.81	2026-07-14
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	15	8	—	—	$30,473.59	$83,802.36	$57,899.81	2026-07-14
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	15	8	—	—	$30,473.59	$83,802.36	$57,899.81	2026-07-14
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	41	14	—	—	$55,667.40	$280,872.55	$57,879.78	2026-07-14
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	18	10	—	—	$34,284.44	$94,282.21	$57,597.86	2026-07-14
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	124	22	$90,876.04	—	$2,698.05	$83,605.96	$57,251.91	2026-07-14
33289	CPT	Tcat Impl Wrls P-art Prs Snr	18	10	—	—	$28,428.33	$78,177.90	$55,435.24	2026-07-14
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	41	14	—	—	$52,126.00	$267,338.32	$54,197.64	2026-07-14
0408T	CPT	Insj/rplc Cardiac Modulj Sys	18	10	—	—	$32,061.58	$88,169.34	$54,025.65	2026-07-14
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	41	14	—	—	$50,864.05	$256,606.45	$52,885.54	2026-07-14
J9274	HCPCS	Inv Tebentafusp 0.2 Mg/ml Injection	112	22	$81,244.16	—	$217.09	$74,744.63	$52,808.70	2026-07-14
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	41	14	—	—	$50,644.79	$259,223.09	$52,657.56	2026-07-14
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	41	14	—	—	$50,477.19	$247,542.73	$52,483.30	2026-07-14
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	112	22	$80,708.32	—	$197.83	$74,251.65	$52,460.41	2026-07-14
C9760	HCPCS	Non-blind Interatrial Shunt	15	8	—	—	$27,500.50	$75,626.39	$52,250.96	2026-07-14
J9381	HCPCS	Teplizumab-mzwv 1 Mg/ml Intravenous Solution	175	22	$67,789.12	—	$37.66	$62,366.00	$50,516.44	2026-07-14
C2616	HCPCS	Hc Brachytx Non-str Yttrium-90	93	22	$67,596.45	—	$17,485.10	$62,188.73	$50,224.16	2026-07-14
C1717	HCPCS	Hc Brachytherapy Source Hdr Ir192	93	22	$67,596.45	—	$342.39	$62,188.73	$50,224.16	2026-07-14
L5856	HCPCS	Elec Knee-shin Swing/stance	24	11	—	—	$29,277.32	$80,512.63	$49,975.22	2026-07-14
L6880	HCPCS	Elec Hand Ind Art Digits	24	11	—	—	$29,217.93	$80,349.31	$49,873.84	2026-07-14
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	41	14	—	—	$47,818.82	$235,553.94	$49,719.28	2026-07-14
10	MS_DRG	Pancreas Transplant	35	13	—	—	$47,534.64	$139,487.71	$49,423.80	2026-07-14
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	35	13	—	—	$47,514.76	$139,429.40	$49,403.13	2026-07-14
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	41	14	—	—	$47,262.37	$262,900.98	$49,140.71	2026-07-14
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	41	14	—	—	$47,234.55	$234,369.99	$49,111.79	2026-07-14
93653	CPT	Hc Ep & Ablate Supravent Arryth	93	22	$62,222.70	—	$24,532.30	$67,463.83	$49,031.49	2026-07-14
93656	CPT	Hc Tx Atrial Fib Ablate Pulm Vein Isol	93	22	$62,222.70	—	$24,532.30	$67,463.83	$49,031.49	2026-07-14
93654	CPT	Hc Ep & Ablate Ventricular Tachycardia	93	22	$62,222.70	—	$24,532.30	$67,463.83	$49,031.49	2026-07-14
L6700	HCPCS	Ue Add Ext Power Myoel	18	10	—	—	$28,931.56	$79,561.79	$48,605.02	2026-07-14
92933	CPT	Hc Ptca W Stent/ather Major Art Or Branch-ri	93	22	$65,003.07	—	$17,956.72	$59,802.82	$48,297.28	2026-07-14
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	41	14	—	—	$45,786.46	$230,705.37	$47,606.14	2026-07-14
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	41	14	—	—	$45,561.89	$221,124.29	$47,372.65	2026-07-14
33231	CPT	Hc Insrt Pulse Gen W/mult Leads	93	22	$57,031.40	—	$30,226.64	$88,169.34	$46,765.75	2026-07-14
955	MS_DRG	Craniotomy For Multiple Significant Trauma	41	14	—	—	$44,589.43	$226,453.74	$46,361.54	2026-07-14
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	41	14	—	—	$44,293.98	$205,165.77	$46,054.35	2026-07-14
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	41	14	—	—	$44,261.52	$222,354.67	$46,020.60	2026-07-14
C1882	HCPCS	Hc Icd Biv/crt-d Lvl 46	975	17	$61,451.25	—	$18,384.35	$123,518.10	$45,707.49	2026-07-14
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	14	—	—	$43,557.35	$214,169.80	$45,288.45	2026-07-14
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	14	—	—	$43,557.35	$197,302.59	$45,288.45	2026-07-14
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	41	14	—	—	$43,399.03	$204,230.54	$45,123.83	2026-07-14
K0864	HCPCS	Pwc Gp3 Xhd Mult Pow Opt S/b	6	1	—	—	$27,419.80	$44,968.47	$44,968.47	2026-07-14
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	41	14	—	—	$42,625.96	$214,478.22	$44,320.04	2026-07-14
J9316	HCPCS	Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln	187	22	$61,904.40	—	$62.10	$68,343.55	$44,074.88	2026-07-14
J3241	HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution	112	22	$67,508.90	—	$359.19	$62,108.19	$43,880.78	2026-07-14
0515T	CPT	Insj Wcs Lv Compl Sys	18	10	—	—	$22,446.19	$61,727.03	$43,770.07	2026-07-14
0409T	CPT	Insj/rplc Car Modulj Pls Gn	18	10	—	—	$22,446.19	$61,727.03	$43,770.07	2026-07-14
0414T	CPT	Rmvl & Rpl Car Modulj Pls Gn	18	10	—	—	$22,446.19	$61,727.03	$43,770.07	2026-07-14
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	124	22	$68,381.05	—	$127.45	$62,910.57	$43,080.06	2026-07-14
0956T	CPT	Prt Crn Ch Cr&tun Elt S-sclp	15	8	—	—	$22,500.50	$61,876.39	$42,750.96	2026-07-14
0960T	CPT	Rpl S-sclp Eltr Ra Rcvr&tlmt	15	8	—	—	$22,500.50	$61,876.39	$42,750.96	2026-07-14
93591	CPT	Hc Perivalvular Leak Initial Device, Aortic Valve	93	22	$55,883.30	—	$17,956.72	$51,412.64	$42,750.72	2026-07-14
93582	CPT	Hc Perc Transcath Closure Pda	93	22	$55,883.30	—	$17,956.72	$51,412.64	$42,750.72	2026-07-14
93590	CPT	Hc Closure Paravalvular Leak Perc; Initial, Mitral Valve	93	22	$55,883.30	—	$17,956.72	$51,412.64	$42,750.72	2026-07-14
93580	CPT	Hc Transcath Asd Repair	93	22	$55,883.30	—	$17,956.72	$51,412.64	$42,750.72	2026-07-14
J9600	HCPCS	Porfimer Sodium Injection	48	14	—	—	$7,853.90	$66,628.16	$42,710.81	2026-07-14
0614T	CPT	Rmvl&rplcmt Ss Impl Dfb Pg	15	8	—	—	$22,446.19	$61,727.03	$42,647.76	2026-07-14
0916T	CPT	Insj Perm Ccm-d Sys Pg Only	15	8	—	—	$22,446.19	$61,727.03	$42,647.76	2026-07-14
0923T	CPT	Rmvl&rplcmt Perm Ccm-d Pg	15	8	—	—	$22,446.19	$61,727.03	$42,647.76	2026-07-14
C1820	HCPCS	Hc Generator Neuro Rechg Battery System Implant Lvl 16	225	17	$61,451.25	—	$636.37	$62,188.73	$42,585.76	2026-07-14
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	124	22	$67,543.47	—	$227.28	$62,139.99	$42,552.39	2026-07-14
266	MS_DRG	Endovascular Cardiac Valve Replacement W Mcc	41	14	—	—	$40,596.91	$198,678.89	$42,210.35	2026-07-14
J9228	HCPCS	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution	199	22	$118,466.02	—	$183.48	$174,381.91	$42,173.98	2026-07-14
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	41	14	—	—	$40,549.88	$209,739.09	$42,161.45	2026-07-14
64580	CPT	Opn Impltj Nea Neuromuscular	18	10	—	—	$21,444.39	$58,972.06	$41,816.55	2026-07-14
64590	CPT	Ins/rpl Prph Sac/gstr Npg/r	18	10	—	—	$21,444.39	$58,972.06	$41,816.55	2026-07-14
61885	CPT	Insrt/redo Neurostim 1 Array	18	10	—	—	$21,444.39	$58,972.06	$41,816.55	2026-07-14
63655	CPT	Implant Neuroelectrodes	18	10	—	—	$21,444.39	$58,972.06	$41,816.55	2026-07-14
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	41	14	—	—	$40,161.03	$202,588.93	$41,757.14	2026-07-14
28	MS_DRG	Spinal Procedures With Mcc	41	14	—	—	$39,801.32	$201,620.54	$41,383.14	2026-07-14
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	41	14	—	—	$39,790.06	$205,431.08	$41,371.43	2026-07-14
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	41	14	—	—	$39,501.90	$190,341.46	$41,071.82	2026-07-14
16	MS_DRG	Autolous Bone Marrow Transplant With Cc/mcc	41	14	—	—	$39,280.65	$200,174.59	$40,841.77	2026-07-14
33249	CPT	Hc Implant/repos Defib Pulse Gen W/leads Sng/dual	93	22	$49,705.60	—	$26,343.97	$88,169.34	$40,758.59	2026-07-14
0680T	CPT	Insj/rplcmt Pg Only Isdss	15	8	—	—	$21,444.39	$58,972.06	$40,744.33	2026-07-14
0816T	CPT	Opn Insj/rplcmt Ins Ptn Subq	15	8	—	—	$21,444.39	$58,972.06	$40,744.33	2026-07-14
61891	CPT	Rev/rplcmt Sk-mnt Crnl Nstm	15	8	—	—	$21,444.39	$58,972.06	$40,744.33	2026-07-14
0817T	CPT	Opn Insj/rplcmt Ins Ptn Subf	15	8	—	—	$21,444.39	$58,972.06	$40,744.33	2026-07-14
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	41	14	—	—	$38,875.90	$195,143.61	$40,420.93	2026-07-14
L8614	HCPCS	Cochlear Device	6	1	—	—	$24,636.83	$40,404.39	$40,404.39	2026-07-14
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	41	14	—	—	$38,850.72	$193,090.76	$40,394.76	2026-07-14
J9307	HCPCS	Pralatrexate 40 Mg/2 Ml (20 Mg/ml) Intravenous Solution	124	22	$63,856.99	—	$387.72	$58,748.43	$40,229.90	2026-07-14
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	33	12	—	—	$39,372.06	$110,368.88	$40,134.14	2026-07-14
37229	CPT	Hc Revasc Tib Pero Arther Pta/initial Bilateral	168	22	$55,356.40	—	$17,956.72	$61,113.44	$40,078.07	2026-07-14
37227	CPT	Hc Revas Fem-pop W/ather W Stnt/pta Bilateral	168	22	$55,172.40	—	$17,956.72	$61,113.44	$39,910.60	2026-07-14
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	41	14	—	—	$38,203.52	$181,423.66	$39,721.84	2026-07-14
J2329	HCPCS	Ublituximab-xiiy 25 Mg/ml Intravenous Solution	100	22	$53,587.80	—	$70.75	$49,300.78	$39,654.97	2026-07-14
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	41	14	—	—	$37,959.74	$189,203.94	$39,468.37	2026-07-14
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	35	13	—	—	$37,804.73	$110,935.86	$39,307.20	2026-07-14
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	41	14	—	—	$37,755.71	$179,118.76	$39,256.23	2026-07-14
53447	CPT	Remove/replace Ur Sphincter	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
54401	CPT	Insert Self-contd Prosthesis	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
54411	CPT	Remov/replc Penis Pros Comp	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
53444	CPT	Insert Tandem Cuff	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
54416	CPT	Remv/repl Penis Contain Pros	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
54405	CPT	Insert Multi-comp Penis Pros	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
53445	CPT	Insert Uro/ves Nck Sphincter	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
54410	CPT	Remove/replace Penis Prosth	18	10	—	—	$20,128.56	$55,353.55	$39,250.70	2026-07-14
J9272	HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	112	22	$60,351.85	—	$243.71	$55,523.70	$39,228.70	2026-07-14
Q0483	HCPCS	Monitor Elec Vad Rep	24	11	—	—	$22,928.60	$63,053.65	$39,138.20	2026-07-14
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	41	14	—	—	$37,242.32	$182,537.97	$38,722.44	2026-07-14
L5858	HCPCS	Stance Phase Only	24	11	—	—	$22,682.29	$62,376.30	$38,717.76	2026-07-14
L6975	HCPCS	Interscap-thor Myoelectronic	24	11	—	—	$22,653.52	$62,297.18	$38,668.65	2026-07-14
8	MS_DRG	Simultaneous Pancreas/kidney Transplant	35	13	—	—	$37,127.06	$108,947.26	$38,602.59	2026-07-14
37230	CPT	Hc Revasc Tib Pero W/stent Pta Initial Bilateral	168	22	$53,049.90	—	$17,956.72	$58,567.06	$38,408.15	2026-07-14
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	41	14	—	—	$36,872.68	$165,929.44	$38,338.11	2026-07-14
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	41	14	—	—	$36,586.51	$203,517.52	$38,040.56	2026-07-14
834	MS_DRG	Acute Leukemia Without Major O.r. Procedures With Mcc	41	14	—	—	$36,367.24	$183,307.38	$37,812.58	2026-07-14
K0863	HCPCS	Pwc Gp3 Vhd Mult Pow Opt S/b	6	1	—	—	$23,041.78	$37,788.51	$37,788.51	2026-07-14
K0860	HCPCS	Pwc Gp3 Vhd Sing Pow Opt S/b	6	1	—	—	$23,041.78	$37,788.51	$37,788.51	2026-07-14
405	MS_DRG	Pancreas- Liver And Shunt Procedures With Mcc	41	14	—	—	$36,238.73	$180,037.41	$37,678.96	2026-07-14
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	41	14	—	—	$36,187.06	$176,439.11	$37,625.23	2026-07-14
11	MS_DRG	Tracheostomy For Facemouth & Neck Diagnoses W Mcc	41	14	—	—	$36,130.09	$178,949.63	$37,566.00	2026-07-14
17	MS_DRG	Autolous Bone Marrow Transplant Without Cc/mcc	35	13	—	—	$35,985.67	$105,597.94	$37,415.85	2026-07-14
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	41	14	—	—	$35,326.55	$175,659.76	$36,730.52	2026-07-14
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	41	14	—	—	$35,305.35	$170,797.92	$36,708.48	2026-07-14
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	41	14	—	—	$35,068.20	$183,307.38	$36,461.91	2026-07-14
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	41	14	—	—	$34,952.27	$170,230.81	$36,341.37	2026-07-14
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	24	11	—	—	$21,285.87	$58,536.14	$36,334.13	2026-07-14
0801T	CPT	Tcat Rmv&rpl 2chmbr Ldls Pm	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0802T	CPT	Tcat Rmv&rpl2chmb Ldls Pm Ra	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0823T	CPT	Tcat Ins 1chmbr Ldls Pm Ra	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0795T	CPT	Tcat Ins 2chmbr Ldls Pm Cmpl	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0796T	CPT	Tcat Ins 2chmbr Ldls Pm Ra	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0797T	CPT	Tcat Ins 2chmbr Ldls Pm Rv	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0825T	CPT	Tcat Rmv&rpl1chmb Ldls Pm Ra	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
0803T	CPT	Tcat Rmv&rpl2chmb Ldls Pm Rv	15	8	—	—	$19,071.16	$52,445.70	$36,235.21	2026-07-14
K0854	HCPCS	Pwc Gp 3 Xhd Seat/back	6	1	—	—	$22,089.21	$36,226.31	$36,226.31	2026-07-14
L6970	HCPCS	Interscapular-thor Switch CT	24	11	—	—	$21,143.84	$58,145.56	$36,091.69	2026-07-14
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	199	22	$51,052.89	—	$91.34	$55,257.24	$36,037.33	2026-07-14
22867	CPT	Insj Stablj Dev W/dcmprn	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
22856	CPT	Tot Disc Arthrp 1ntrspc Crv	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
22630	CPT	Arthrd Pst Tq 1ntrspc Lum	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
24361	CPT	Reconstruct Elbow Joint	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
20696	CPT	App Mltpln Uni Xtrnl Fix 1st	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
23616	CPT	Optx Prx Hmrl Fx Fix Rpr Rpl	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
24363	CPT	Replace Elbow Joint	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
24371	CPT	Revise Reconst Elbow Joint	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
25442	CPT	Arthrp W/prostc Dstl Ulna	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
25446	CPT	Arthrp W/prostc Dst Rds&crps	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
28705	CPT	Arthrodesis Pantalar	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
21243	CPT	Reconstruction Of Jaw Joint	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
27279	CPT	Arthrd Si Jt Plmt Tartclr Dv	18	10	—	—	$18,390.05	$50,572.62	$35,860.59	2026-07-14
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	41	14	—	—	$34,482.60	$168,957.31	$35,853.04	2026-07-14
653	MS_DRG	Major Bladder Procedures With Mcc	41	14	—	—	$34,422.98	$184,876.03	$35,791.05	2026-07-14
L6965	HCPCS	Shldr Disartic Myoelectronic	24	11	—	—	$20,885.99	$57,436.47	$35,651.55	2026-07-14
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	112	22	$54,404.05	—	$14.94	$50,051.73	$35,362.63	2026-07-14
C9602	HCPCS	Perc D-e Cor Stent Ather S	18	10	—	—	$17,956.72	$49,380.98	$35,015.60	2026-07-14
93581	CPT	Transcath Closure Of Vsd	18	10	—	—	$17,956.72	$49,380.98	$35,015.60	2026-07-14
37231	CPT	Tib/per Revasc Stent & Ather	18	10	—	—	$17,956.72	$49,380.98	$35,015.60	2026-07-14
C8003	HCPCS	Imp Extar Knee Shck Absrb	15	8	—	—	$18,390.05	$50,572.62	$34,941.09	2026-07-14
27278	CPT	Arthrd Si Jt Plmt Iartic Dev	15	8	—	—	$18,390.05	$50,572.62	$34,941.09	2026-07-14
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	112	22	$53,500.78	—	$55.57	$49,220.72	$34,775.51	2026-07-14
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	41	14	—	—	$33,388.25	$152,308.99	$34,715.20	2026-07-14
62361	CPT	Implant Spine Infusion Pump	18	10	—	—	$17,674.12	$48,603.82	$34,464.53	2026-07-14
62362	CPT	Implant Spine Infusion Pump	18	10	—	—	$17,674.12	$48,603.82	$34,464.53	2026-07-14
62360	CPT	Insert Spine Infusion Device	18	10	—	—	$17,674.12	$48,603.82	$34,464.53	2026-07-14
326	MS_DRG	Stomach- Esophageal And Duodenal Procedures With Mcc	41	14	—	—	$33,038.48	$168,439.96	$34,351.53	2026-07-14
K0855	HCPCS	Pwc Gp 3 Xhd Cap Chair	6	1	—	—	$20,866.55	$34,221.14	$34,221.14	2026-07-14
J9119	HCPCS	Cemiplimab-rwlc 50 Mg/ml Intravenous Solution	121	22	$54,274.78	—	$29.29	$49,932.80	$34,193.11	2026-07-14
0793T	CPT	Prq Tcat Thrm Ablt Nrv P-art	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
0981T	CPT	Tcat Impl Wrls Ivc Snr	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
C9797	HCPCS	Vasc Emb/occ W/prs Cath	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
0632T	CPT	Perq Tcat US Abltj Nrv P-art	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
0645T	CPT	Tcat Impltj C Sins Rdctj Dev	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
36836	CPT	Prq Av Fstl Crtj Uxtr 1 Acs	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
36837	CPT	Prq Av Fstl Crt Uxtr Sep Acs	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
33902	CPT	Perq P-art Revsc 1 Abnor Uni	15	8	—	—	$17,956.72	$49,380.98	$34,117.77	2026-07-14
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	41	14	—	—	$32,773.51	$165,266.16	$34,076.02	2026-07-14
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	41	14	—	—	$32,715.21	$165,863.11	$34,015.41	2026-07-14
Q0489	HCPCS	Pwr Pck Base Combo Vad Rep	24	11	—	—	$19,877.86	$54,664.12	$33,930.71	2026-07-14
19357	CPT	Tiss Xpndr Plmt Brst Rcnstj	18	10	—	—	$17,398.35	$47,845.47	$33,926.79	2026-07-14
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	41	14	—	—	$32,603.26	$167,043.75	$33,899.01	2026-07-14
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	41	14	—	—	$32,467.46	$178,929.73	$33,757.81	2026-07-14
33240	CPT	Hc Insert Pulse Gen With Single Lead	93	22	$41,100.75	—	$21,783.40	$61,727.03	$33,702.62	2026-07-14
33230	CPT	Hc Insrt Pulse Gen W/dual Leads	93	22	$41,100.75	—	$21,783.40	$61,727.03	$33,702.62	2026-07-14
471	MS_DRG	Cervical Spinal Fusion With Mcc	41	14	—	—	$31,987.19	$161,087.50	$33,258.45	2026-07-14
0888T	CPT	Histotripsy Mal Renal Tissue	15	8	—	—	$17,500.50	$48,126.39	$33,250.96	2026-07-14
C9758	HCPCS	Blind Interatrial Shunt Ide	15	8	—	—	$17,500.50	$48,126.39	$33,250.96	2026-07-14
C9782	HCPCS	Blind Myocar Trpl Bon Marrow	15	8	—	—	$17,500.50	$48,126.39	$33,250.96	2026-07-14
C8005	HCPCS	Pef Bronch Ablt 3d Nav Ebus	15	8	—	—	$17,500.50	$48,126.39	$33,250.96	2026-07-14
0686T	CPT	Histotripsy Mal Hepatcel Tis	15	8	—	—	$17,500.50	$48,126.39	$33,250.96	2026-07-14
93583	CPT	Hc Perc Transcath Septal Redux Incl Pmkr	90	22	$43,356.10	—	$13,512.80	$39,887.61	$33,167.42	2026-07-14
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	41	14	—	—	$31,825.56	$166,058.78	$33,090.40	2026-07-14
33270	CPT	Hc Insert/replmnt Subq Impl Defib W Sbq Electrode	93	22	$40,146.85	—	$21,277.83	$88,169.34	$32,920.42	2026-07-14
L6960	HCPCS	Shldr Disartic Switch Contro	24	11	—	—	$19,277.39	$53,012.82	$32,905.74	2026-07-14
267	MS_DRG	Endovascular Cardiac Valve Replacement Without Mcc	41	14	—	—	$31,537.40	$156,026.67	$32,790.78	2026-07-14
00173089601	NDC	Belantamab Mafodotin-blmf 100 Mg Intravenous Solution	75	17	$41,519.72	—	$22,005.45	$38,198.14	$32,717.54	2026-07-14
33264	CPT	Hc Remove & Replac Defib Pulse Gen Mult Leads	93	22	$39,577.80	—	$20,976.23	$88,169.34	$32,702.81	2026-07-14
L6955	HCPCS	Above Elbow Myoelectronic CT	24	11	—	—	$19,113.49	$52,562.10	$32,625.96	2026-07-14
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	35	13	—	—	$31,143.91	$91,390.04	$32,381.66	2026-07-14
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	41	14	—	—	$31,080.31	$157,658.34	$32,315.53	2026-07-14
81416	CPT	Exome Sequence Analysis	50	15	—	—	$12,000.00	$77,430.00	$32,220.00	2026-07-14
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	41	14	—	—	$30,987.57	$158,374.68	$32,219.11	2026-07-14
E0764	HCPCS	Functional Neuromuscularstim	6	1	—	—	$19,617.25	$32,172.29	$32,172.29	2026-07-14
0525T	CPT	Insj/rplcmt Compl Iims	18	10	—	—	$19,071.16	$52,445.70	$32,039.55	2026-07-14
0308T	CPT	Insj Ocular Telescope Prosth	18	10	—	—	$16,416.44	$55,437.47	$32,012.06	2026-07-14
C1721	HCPCS	Hc Icd Dual Chamber Lvl 1	750	17	$44,070.53	—	$3.33	$83,601.69	$31,995.24	2026-07-14
6	MS_DRG	Liver Transplant Without Mcc	35	13	—	—	$30,717.30	$90,138.18	$31,938.09	2026-07-14
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	41	14	—	—	$30,594.75	$154,275.61	$31,810.67	2026-07-14
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	41	14	—	—	$30,449.01	$152,285.77	$31,659.14	2026-07-14
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	41	14	—	—	$30,371.50	$155,190.94	$31,578.55	2026-07-14
33263	CPT	Hc Remove & Replac Defib Pulse Gen Dual Leads	93	22	$38,470.75	—	$20,389.50	$61,727.03	$31,546.02	2026-07-14
245	MS_DRG	Aicd Generator Procedures	41	14	—	—	$30,223.12	$162,065.84	$31,424.27	2026-07-14
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	41	14	—	—	$30,132.36	$149,622.70	$31,329.91	2026-07-14
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	41	14	—	—	$30,119.11	$148,319.36	$31,316.13	2026-07-14
799	MS_DRG	Splenic Procedures With Mcc	41	14	—	—	$30,001.20	$157,688.19	$31,193.53	2026-07-14
66683	CPT	Implantation Iris Prosthesis	15	8	—	—	$16,416.44	$45,145.21	$31,191.24	2026-07-14
C2624	HCPCS	Hc Wireless Pressure Sensor Implant Lvl 37	150	17	$53,086.70	—	$8,110.06	$83,601.69	$31,119.84	2026-07-14
E0483	HCPCS	Hi Freq Chest Wall Oscil Sys	6	1	—	—	$18,845.66	$30,906.89	$30,906.89	2026-07-14
23472	CPT	Reconstruct Shoulder Joint	18	10	—	—	$18,390.05	$50,572.62	$30,895.28	2026-07-14
22633	CPT	Arthrd Cmbn 1ntrspc Lumbar	18	10	—	—	$18,390.05	$50,572.62	$30,895.28	2026-07-14
22612	CPT	Arthrd Pst Tq 1ntrspc Lumbar	18	10	—	—	$18,390.05	$50,572.62	$30,895.28	2026-07-14
27702	CPT	Reconstruct Ankle Joint	18	10	—	—	$18,390.05	$50,572.62	$30,895.28	2026-07-14
163	MS_DRG	Major Chest Procedures With Mcc	41	14	—	—	$29,689.19	$152,859.51	$30,869.12	2026-07-14
31	MS_DRG	Ventricular Shunt Procedures With Mcc	41	14	—	—	$29,680.58	$138,977.06	$30,860.17	2026-07-14
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	41	14	—	—	$29,563.99	$145,682.82	$30,738.95	2026-07-14
33262	CPT	Hc Remove & Repl Implant Defib Pls Gen Single Lead	93	22	$37,422.20	—	$19,833.77	$61,727.03	$30,686.20	2026-07-14
92941	CPT	Hc Revasc During Acute Mi Single Vessel-rc	90	22	$39,438.20	—	$13,512.80	$37,160.19	$30,623.76	2026-07-14
C9775	HCPCS	Hc Open/perc Intravascular Litho W/ather & Stent Tib/peroneal Artery	90	22	$38,767.55	—	$17,956.72	$49,380.98	$30,548.83	2026-07-14
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	124	22	$48,397.40	—	$210.81	$44,525.61	$30,490.36	2026-07-14
K1021	HCPCS	Exsuff Belt Incl All Sup Acc	6	1	—	—	$18,526.35	$30,383.21	$30,383.21	2026-07-14
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	41	14	—	—	$29,099.62	$141,467.67	$30,256.12	2026-07-14
L5859	HCPCS	Knee-shin Pro Flex/ext Cont	24	11	—	—	$17,707.86	$48,696.62	$30,226.61	2026-07-14
J1412	HCPCS	Inj Roctavian Ml 2x10^13vc G	24	10	—	—	$12,553.71	$34,522.70	$30,019.53	2026-07-14

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