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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

RENOWN SOUTH MEADOWS MEDICAL CENTER

Reno, NV · CCN 290049 · Rates published

45,008 distinct procedures filed
16 distinct payers
351,895 rate rows
2026-03-27 last MRF observed
Data quality

319,497 of 351,895 rate rows are consumer-grade (90.8%)

32,398 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,420
placeholder amount (≤ $0.02) — excluded from medians 501
per-diem day rate — not a per-procedure price 402
percent-of-charges filed in the dollar field — excluded from medians 75
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://renown.pt.panaceainc.com/MRFDownload/renown/south-meadows-medical-center
Found on page https://www.renown.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 4717a5bd45f63e2e… · 325,950,111 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.66 $4,790,846.66 $3,961,661.66 nat. median
$3,710,000
1.1× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $3,180,000.00 $4,960,800.00 $3,895,500.00 nat. median
$3,180,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,327,859.72 $4,991,789.58 $3,827,038.68 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,252,508.07 $4,878,762.11 $3,740,384.28 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,939,968.88 $4,586,351.45 $3,601,461.88 nat. median
$3,006,423
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 3 $3,335,820.00 $4,336,566.00 $3,586,006.50 nat. median
$3,335,820
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,588,981.22 $4,789,615.26 $3,365,675.59 nat. median
$2,469,189
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $4,314,200.00 $3,031,600.00 nat. median
$2,448,600
1.2× median
Q205700
HCPCS 		Afamitresgene Autoleucel 1 $2,595,525.22 $2,595,525.22 $2,595,525.22 —
Q204200
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,992,993.02 $1,992,993.02 $1,992,993.02 —
Q205600
HCPCS 		Ciltacabtagene Car-pos T 1 $1,905,903.19 $1,905,903.19 $1,905,903.19 —
Q205400
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,894,684.86 $1,894,684.86 $1,894,684.86 —
Q205500
HCPCS 		Idecabtagene Vicleucel Car 1 $1,877,102.54 $1,877,102.54 $1,877,102.54 —
Q204100
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,795,972.55 $1,795,972.55 $1,795,972.55 —
Q205300
HCPCS 		Brexucabtagene Car Pos T 1 $1,648,026.84 $1,648,026.84 $1,648,026.84 —
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $2,679,522.80 $1,155,930.00 nat. median
$824,563
1.4× median
Q205800
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $807,880.50 $807,880.50 $807,880.50 —
J340300
HCPCS 		Revakinagene, Per Implant 1 $769,410.00 $769,410.00 $769,410.00 —
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $587,649.57 $1,380,976.49 $763,944.44 nat. median
$675,122
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $566,531.30 $1,331,348.56 $736,490.69 nat. median
$754,974
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,201.24 $1,321,172.91 $730,861.61 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $558,081.72 $1,311,492.04 $725,506.24 nat. median
$625,184
1.2× median
J340200
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $692,616.08 $692,616.08 $692,616.08 —
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $532,192.24 $1,250,651.76 $691,849.91 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,450.20 $1,150,207.97 $636,285.26 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $340,819.58 $1,083,197.36 $521,453.96 nat. median
$370,174
1.4× median
001-ECMO
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $471,814.97 $471,814.97 $471,814.97 —
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $834,025.50 $417,375.00 nat. median
$324,450
1.3× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $262,500.00 $794,310.00 $371,000.00 nat. median
$265,000
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $221,378.63 $702,951.51 $313,173.46 nat. median
$265,286
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $201,669.02 $715,030.84 $302,503.53 nat. median
$209,753
1.4× median
E076600
HCPCS 		Elec Stim Cancer Treatment 1 $291,202.59 $291,202.59 $291,202.59 —
E0766NU
HCPCS 		Elec Stim Cancer Treatment 1 $291,202.59 $291,202.59 $291,202.59 —
Q048000
HCPCS 		Driver Pneumatic Vad, Rep 1 $281,390.05 $281,390.05 $281,390.05 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $20,840.00 $702,718.00 $279,366.08 nat. median
$202,986
1.4× median
001-Trach
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $279,366.08 $279,366.08 $279,366.08 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $168,797.16 $535,555.94 $258,259.65 nat. median
$206,368
1.3× median
E0766UE
HCPCS 		Elec Stim Cancer Treatment 1 $218,401.94 $218,401.94 $218,401.94 —
J733000
HCPCS 		Cultured Chondrocytes Implnt 1 $214,732.07 $214,732.07 $214,732.07 —
J902900
HCPCS 		Instill Adstiladrin, Tx Dose 1 $213,343.15 $213,343.15 $213,343.15 —
A954300
HCPCS 		Y90 Ibritumomab, Rx 1 $208,684.63 $208,684.63 $208,684.63 —
L870200
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $193,366.70 $193,366.70 $193,366.70 —
K100700
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $188,463.67 $188,463.67 $188,463.67 —
Q204300
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $186,162.70 $186,162.70 $186,162.70 —
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $73,260.60 $221,681.33 $177,917.75 nat. median
$76,377
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $109,709.79 $347,448.52 $167,855.98 nat. median
$133,176
1.3× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $16,384.73 $300,626.62 $158,505.68 nat. median
$16,785
outlier · 9.4×
7
MS_DRG 		Lung Transplant 7 $102,609.00 $324,842.82 $156,991.77 nat. median
$122,708
1.3× median
J922600
HCPCS 		Supprelin La Implant 1 $151,634.06 $151,634.06 $151,634.06 —

Other procedures at this hospital

Browse this hospital's 45,008 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
             
001-ECMO MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $471,814.97 $471,814.97 $471,814.97 2026-03-27
001-Trach MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $279,366.08 $279,366.08 $279,366.08 2026-03-27
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 5 — — $34,310.33 $80,629.29 $48,034.46 2026-03-27
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 8 5 — — $34,310.33 $80,629.29 $48,034.46 2026-03-27
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 8 5 — — $48,146.04 $113,143.18 $67,404.45 2026-03-27
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 8 5 — — $33,729.73 $79,264.87 $47,221.62 2026-03-27
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 8 5 — — $37,447.04 $88,000.53 $52,425.85 2026-03-27
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 8 5 — — $29,422.79 $69,143.54 $41,191.90 2026-03-27
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 5 — — $33,729.73 $79,264.87 $47,221.62 2026-03-27
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 5 — — $33,729.73 $79,264.87 $47,221.62 2026-03-27
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 5 — — $34,310.33 $80,629.29 $48,034.46 2026-03-27
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 8 5 — — $29,659.48 $69,699.78 $41,523.27 2026-03-27
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 8 5 — — $29,659.48 $69,699.78 $41,523.27 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 8 — — $221,378.63 $702,951.51 $313,173.46 2026-03-27
10 MS_DRG Pancreas Transplant 10 7 — — $57,110.20 $179,995.26 $87,378.61 2026-03-27
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 7 — — $43,545.26 $136,810.64 $66,624.25 2026-03-27
110371-480 CDM Device Ventricular Assist Impella 5.5 S2 (1ea) 13 10 $135,000.00 $94,500.00 30% off $75.00 $135,000.00 $49,950.00 2026-03-27
110372-684 CDM Kit 20 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve With 15 11 $97,500.00 $68,250.00 30% off $75.00 $97,500.00 $44,655.00 2026-03-27
110372-685 CDM Kit 23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve With 15 11 $97,500.00 $68,250.00 30% off $75.00 $97,500.00 $44,655.00 2026-03-27
110372-686 CDM Kit 26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv) 15 11 $97,500.00 $68,250.00 30% off $75.00 $97,500.00 $44,655.00 2026-03-27
110372-687 CDM Kit Transcatheter Heart Valve Sapien-3 29mm 15 11 $97,500.00 $68,250.00 30% off $75.00 $97,500.00 $44,655.00 2026-03-27
110372-688 CDM Kit Sapien 3 29mm Ultra Resilia Valve With Edwards Commander Del 15 11 $101,971.61 $71,380.13 30% off $75.00 $101,971.61 $46,703.00 2026-03-27
110372-689 CDM Kit Sapien 3 20mm Ultra Resilia Valve With Edwards Commander Del 15 11 $102,000.00 $71,400.00 30% off $75.00 $102,000.00 $46,716.00 2026-03-27
110372-690 CDM Kit Sapien 3 23mm Ultra Resilia Valve With Edwards Commander Del 15 11 $102,000.00 $71,400.00 30% off $75.00 $102,000.00 $46,716.00 2026-03-27
110372-691 CDM Kit Sapien 3 26mm Ultra Resilia Valve With Edwards Commander Del 15 11 $102,000.00 $71,400.00 30% off $75.00 $102,000.00 $46,716.00 2026-03-27
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 7 — — $33,789.94 $105,754.14 $51,698.61 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $95,263.16 $301,457.00 $145,752.64 2026-03-27
140 MS_DRG Major Head And Neck Procedures With Mcc 10 7 — — $34,178.39 $106,990.79 $52,292.94 2026-03-27
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 7 — — $30,091.42 $93,979.71 $46,039.88 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 7 — — $47,292.64 $148,740.59 $72,357.74 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 10 7 — — $35,884.25 $112,421.47 $54,902.90 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 7 — — $30,021.29 $93,756.47 $45,932.57 2026-03-27
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 — — $43,373.49 $136,263.81 $66,361.44 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 7 — — $340,819.58 $1,083,197.36 $521,453.96 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 7 — — $56,786.36 $178,964.31 $86,883.13 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 8 — — $89,857.20 $284,246.87 $140,177.23 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 7 — — $62,571.31 $197,380.98 $95,734.11 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 7 — — $51,271.66 $161,408.01 $78,445.64 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 10 7 — — $89,754.77 $283,920.78 $137,324.80 2026-03-27
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 7 — — $42,282.21 $132,789.68 $64,691.79 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 7 — — $86,250.86 $272,765.92 $131,963.82 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 7 — — $45,537.14 $143,151.88 $69,671.83 2026-03-27
215 MS_DRG Other Heart Assist System Implant 12 9 — — $29,135.00 $249,761.39 $111,547.83 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 9 — — $49,287.00 $245,391.76 $109,603.76 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 9 — — $49,287.00 $164,934.83 $74,860.12 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 8 — — $49,287.00 $164,934.83 $78,569.24 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 9 — — $49,287.00 $192,602.48 $93,437.57 2026-03-27
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 7 — — $25,606.54 $79,701.90 $39,178.00 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 9 — — $42,589.50 $133,767.96 $65,161.93 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 8 — — $40,284.03 $126,428.38 $60,426.05 2026-03-27
22633 HCPCS Arthrd Cmbn 1ntrspc Lumbar 8 5 — — $29,659.48 $69,699.78 $41,523.27 2026-03-27
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 9 — — $39,552.84 $124,100.58 $60,515.85 2026-03-27
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 9 — — $25,386.71 $79,002.06 $40,528.49 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $45,721.51 $143,738.85 $69,953.92 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 9 — — $49,287.00 $211,455.61 $95,165.78 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 9 — — $48,339.79 $152,074.26 $73,959.88 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 12 9 — — $49,287.00 $191,772.20 $85,748.26 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 12 9 — — $43,613.02 $137,026.37 $62,537.26 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 9 — — $29,135.00 $147,207.96 $66,993.41 2026-03-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 9 — — $29,135.00 $105,071.86 $50,935.22 2026-03-27
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 7 — — $39,350.34 $123,455.92 $60,206.02 2026-03-27
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $31,393.86 $98,126.10 $48,032.60 2026-03-27
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 9 — — $25,727.88 $80,088.20 $39,363.65 2026-03-27
245 MS_DRG Aicd Generator Procedures 11 8 — — $29,135.00 $114,443.24 $54,778.98 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 7 — — $36,395.62 $114,049.42 $55,685.30 2026-03-27
252 MS_DRG Other Vascular Procedures With Mcc 12 9 — — $28,056.21 $87,500.52 $39,357.48 2026-03-27
264 MS_DRG Other Circulatory System O.r. Procedures 11 8 — — $26,892.44 $83,795.61 $40,338.66 2026-03-27
265 MS_DRG Aicd Lead Procedures 10 7 — — $29,079.72 $90,758.93 $44,491.97 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 12 9 — — $43,360.00 $153,724.79 $74,753.12 2026-03-27
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 12 9 — — $38,082.57 $119,419.91 $58,266.33 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 9 — — $29,135.00 $172,525.24 $83,788.54 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 9 — — $29,135.00 $105,934.75 $51,785.42 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 9 — — $29,135.00 $132,350.71 $64,480.82 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 9 — — $28,592.00 $89,206.23 $43,745.76 2026-03-27
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 12 9 — — $33,076.87 $103,484.04 $50,607.61 2026-03-27
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 12 9 — — $26,507.14 $82,569.00 $42,338.25 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 8 — — $29,135.00 $178,858.95 $85,129.91 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 8 — — $29,135.00 $150,669.55 $71,847.83 2026-03-27
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 8 — — $29,135.00 $115,850.45 $55,442.03 2026-03-27
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $44,428.52 $139,622.56 $67,975.64 2026-03-27
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $28,986.75 $90,462.94 $44,349.73 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 10 7 — — $47,911.95 $150,712.20 $73,305.29 2026-03-27
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 7 — — $27,451.87 $85,576.57 $42,001.36 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 10 — — $20,840.00 $702,718.00 $279,366.08 2026-03-27
305949 CDM Hchg Red Trauma Act Pre-notify No Cc 15 11 $47,348.00 $33,143.60 30% off $75.00 $47,348.00 $42,944.64 2026-03-27
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 7 — — $35,874.01 $112,388.86 $54,887.24 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 9 — — $49,287.00 $167,724.17 $81,481.16 2026-03-27
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 9 — — $29,135.00 $111,947.38 $54,675.06 2026-03-27
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 7 — — $34,667.69 $108,548.50 $53,041.57 2026-03-27
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 7 — — $25,866.56 $80,529.67 $39,575.83 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 7 — — $39,868.01 $125,103.94 $60,998.06 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 7 — — $36,788.00 $115,298.61 $56,285.64 2026-03-27
332 MS_DRG Rectal Resection With Mcc 10 7 — — $29,099.42 $90,821.64 $44,522.11 2026-03-27
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 5 — — $48,146.04 $113,143.18 $67,404.45 2026-03-27
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 5 — — $33,729.73 $79,264.87 $47,221.62 2026-03-27
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 7 — — $28,707.03 $89,572.46 $43,921.76 2026-03-27
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 7 — — $31,069.24 $97,092.64 $47,535.93 2026-03-27
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 7 — — $35,183.00 $110,189.00 $53,829.99 2026-03-27
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 7 — — $27,664.61 $86,253.84 $42,326.85 2026-03-27
37 MS_DRG Extracranial Procedures With Mcc 10 7 — — $26,510.29 $82,579.04 $40,560.75 2026-03-27
38240 HCPCS Transplt Allo Hct/donor 11 8 — — $212.54 $161,575.52 $79,068.87 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 7 — — $109,709.79 $347,448.52 $167,855.98 2026-03-27
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 7 — — $30,994.38 $96,854.34 $47,421.40 2026-03-27
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 7 — — $32,249.55 $100,850.22 $49,341.82 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 7 — — $43,674.48 $137,222.02 $66,821.96 2026-03-27
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 7 — — $28,665.27 $89,439.51 $43,857.87 2026-03-27
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 7 — — $26,598.54 $82,859.98 $40,695.76 2026-03-27
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 7 — — $28,641.63 $89,364.26 $43,821.69 2026-03-27
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 7 — — $27,416.41 $85,463.70 $41,947.11 2026-03-27
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 7 — — $33,293.55 $104,173.85 $50,939.14 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $87,409.90 $276,455.78 $133,737.15 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $57,448.22 $181,071.36 $87,895.77 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $44,868.19 $141,022.25 $68,648.33 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 7 — — $71,559.98 $225,996.81 $109,486.77 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 7 — — $46,011.47 $144,661.94 $70,397.55 2026-03-27
4410702 CDM Hchg Ventricular Assist Dvc 5.5 13 10 $148,500.00 $103,950.00 30% off $75.00 $148,500.00 $54,945.00 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 7 — — $53,217.05 $167,601.25 $81,422.09 2026-03-27
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 7 — — $33,985.35 $106,376.23 $51,997.59 2026-03-27
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 7 — — $42,564.29 $133,687.69 $65,123.36 2026-03-27
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 7 — — $26,024.14 $81,031.35 $39,816.93 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $66,783.57 $210,790.89 $102,178.86 2026-03-27
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $47,555.80 $149,578.40 $72,760.38 2026-03-27
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $33,447.98 $104,665.50 $51,175.41 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 7 — — $44,088.14 $138,538.93 $67,454.86 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 — — $45,478.83 $142,966.26 $69,582.61 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 7 — — $41,585.69 $130,572.25 $63,626.11 2026-03-27
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 7 — — $28,357.98 $88,461.23 $43,387.71 2026-03-27
471 MS_DRG Cervical Spinal Fusion With Mcc 10 7 — — $38,617.57 $121,123.11 $59,084.89 2026-03-27
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 7 — — $34,395.86 $107,683.10 $52,625.67 2026-03-27
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 7 — — $27,790.67 $86,655.19 $42,519.73 2026-03-27
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 7 — — $25,998.14 $80,948.58 $39,777.15 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 7 — — $29,500.47 $92,098.41 $45,135.72 2026-03-27
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 7 — — $29,138.82 $90,947.06 $44,582.40 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 7 — — $81,810.11 $258,628.58 $125,169.47 2026-03-27
500 MS_DRG Soft Tissue Procedures With Mcc 10 7 — — $25,507.26 $79,385.84 $39,026.11 2026-03-27
500863 CDM Hchg Transcatheter Heart Valve 15 11 $107,250.00 $75,075.00 30% off $75.00 $107,250.00 $49,120.50 2026-03-27
501787 CDM Hchg Mitraclip Nt System 15 11 $99,000.00 $69,300.00 30% off $75.00 $99,000.00 $45,342.00 2026-03-27
502448 CDM Hchg Organ Acq Kidney Live Donor 13 10 $275,603.00 $192,922.10 30% off $75.00 $275,603.00 $101,973.11 2026-03-27
502449 CDM Hchg Organ Acq Kidney Dcsd Donor 13 10 $336,349.00 $235,444.30 30% off $75.00 $336,349.00 $124,449.13 2026-03-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 7 — — $25,681.40 $79,940.20 $39,292.54 2026-03-27
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 7 — — $30,018.14 $93,746.43 $45,927.76 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $52,191.17 $164,335.32 $79,852.49 2026-03-27
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 7 — — $27,923.05 $87,076.60 $42,722.27 2026-03-27
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $39,188.82 $122,941.70 $59,958.90 2026-03-27
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 7 — — $26,087.97 $81,234.53 $39,914.60 2026-03-27
6 MS_DRG Liver Transplant Without Mcc 10 7 — — $37,107.11 $116,314.51 $56,773.88 2026-03-27
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 7 — — $28,049.11 $87,477.94 $42,915.14 2026-03-27
61885 HCPCS Insrt/redo Neurostim 1 Array 10 7 — — $11,696.02 $79,264.87 $41,318.92 2026-03-27
61886 HCPCS Implant Neurostim Arrays 10 7 — — $16,803.08 $79,264.87 $41,318.92 2026-03-27
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 5 — — $33,729.73 $79,264.87 $47,221.62 2026-03-27
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 7 — — $28,614.85 $89,278.97 $43,780.72 2026-03-27
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 7 — — $29,935.41 $93,483.05 $45,801.18 2026-03-27
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 10 7 — — $16,803.08 $113,143.18 $58,978.90 2026-03-27
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 5 — — $48,146.04 $113,143.18 $67,404.45 2026-03-27
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 5 — — $33,729.73 $79,264.87 $47,221.62 2026-03-27
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 7 — — $37,614.54 $117,929.92 $57,550.24 2026-03-27
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 7 — — $29,769.94 $92,956.29 $45,548.01 2026-03-27
652 MS_DRG Kidney Transplant 10 7 — — $26,017.05 $81,008.78 $39,806.09 2026-03-27
653 MS_DRG Major Bladder Procedures With Mcc 10 7 — — $41,514.77 $130,346.50 $63,517.60 2026-03-27
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 7 — — $25,656.97 $79,862.44 $39,255.17 2026-03-27
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 7 — — $33,676.48 $105,392.93 $51,525.01 2026-03-27
69930 HCPCS Implant Cochlear Device 11 8 — — $1,185.88 $84,696.23 $41,447.09 2026-03-27
7 MS_DRG Lung Transplant 10 7 — — $102,609.00 $324,842.82 $156,991.77 2026-03-27
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 7 — — $28,735.40 $89,662.76 $43,965.16 2026-03-27
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 7 — — $28,800.80 $89,870.96 $44,065.22 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 6 — — $47,401.37 $149,086.75 $71,102.06 2026-03-27
791 MS_DRG Prematurity With Major Problems 9 6 — — $32,552.90 $101,815.96 $48,829.35 2026-03-27
793 MS_DRG Full Term Neonate With Major Problems 9 6 — — $33,424.35 $104,590.25 $50,136.53 2026-03-27
799 MS_DRG Splenic Procedures With Mcc 10 7 — — $36,255.37 $113,602.93 $55,470.72 2026-03-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 7 — — $44,731.09 $140,585.79 $68,438.57 2026-03-27
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 7 — — $31,962.74 $99,937.16 $48,902.99 2026-03-27
8141600 HCPCS Exome Sequence Analysis 1 1 — — $42,642.00 $42,642.00 $42,642.00 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 7 — — $46,781.27 $147,112.64 $71,575.35 2026-03-27
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 7 — — $36,695.82 $115,005.12 $56,144.61 2026-03-27
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 — — $37,428.59 $117,337.94 $57,265.74 2026-03-27
834 MS_DRG Acute Leukemia With Mcc 10 7 — — $43,827.34 $137,708.65 $67,055.83 2026-03-27
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 7 — — $38,425.31 $120,511.06 $58,790.73 2026-03-27
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 7 — — $26,059.60 $81,144.23 $39,871.19 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 10 7 — — $68,801.45 $217,214.90 $105,266.22 2026-03-27
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 7 — — $39,483.50 $123,879.84 $60,409.76 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 7 — — $36,411.38 $114,099.59 $55,709.41 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 7 — — $55,030.86 $173,375.59 $84,197.21 2026-03-27
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 6 — — $31,023.54 $63,384.36 $46,535.31 2026-03-27
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 — — $33,637.09 $105,267.51 $51,464.75 2026-03-27
90288 HCPCS Botulism Ig IV 2 2 — — $121,762.50 $155,368.95 $138,565.73 2026-03-27
9028800 HCPCS Botulism Ig IV 1 1 — — $150,498.45 $150,498.45 $150,498.45 2026-03-27
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 7 — — $29,512.29 $92,136.04 $45,153.81 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 7 — — $30,821.83 $96,305.00 $47,157.40 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 7 — — $168,797.16 $535,555.94 $258,259.65 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 7 — — $57,086.56 $179,920.01 $87,342.43 2026-03-27
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 7 — — $25,948.50 $80,790.55 $39,701.21 2026-03-27
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 7 — — $31,254.40 $97,682.11 $47,819.23 2026-03-27
93653 HCPCS Hchg Ep & Ablate Supravent Arrhyt 19 13 $158,404.00 $110,882.80 30% off $756.08 $110,882.80 $42,855.90 2026-03-27
93654 HCPCS Hchg Ep & Ablate Ventric Tachy 19 13 $158,404.00 $110,882.80 30% off $1,006.82 $110,882.80 $42,855.90 2026-03-27
93656 HCPCS Hchg Tx Atrial Fib Pulm Vein Isol 19 13 $158,404.00 $110,882.80 30% off $1,008.08 $110,882.80 $42,855.90 2026-03-27
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 7 — — $29,160.88 $91,017.29 $44,616.15 2026-03-27
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 7 — — $28,301.25 $88,280.63 $43,300.91 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $53,607.08 $168,842.91 $82,018.83 2026-03-27
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 7 — — $30,220.64 $94,391.09 $46,237.58 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 7 — — $60,610.17 $191,137.57 $92,733.57 2026-03-27
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 7 — — $33,773.40 $105,701.47 $51,673.30 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 7 — — $48,802.30 $153,546.69 $74,667.52 2026-03-27
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 7 — — $29,029.29 $90,598.39 $44,414.82 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 — — $37,538.90 $117,689.11 $57,434.51 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 7 — — $27,584.24 $85,997.99 $42,203.89 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 11 8 — — $56,824.54 $215,438.18 $85,236.81 2026-03-27
A954300 HCPCS Y90 Ibritumomab, Rx 1 1 — — $208,684.63 $208,684.63 $208,684.63 2026-03-27
A960400 HCPCS Sm 153 Lexidronam 1 1 — — $50,112.85 $50,112.85 $50,112.85 2026-03-27
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $151,246.07 $151,246.07 $151,246.07 2026-03-27
A969900 HCPCS Radiopharm Rx Agent Noc 1 1 — — $146,504.81 $146,504.81 $146,504.81 2026-03-27
C1816 HCPCS Receiver/transmitter, Neuro 1 1 — — $48,839.54 $48,839.54 $48,839.54 2026-03-27
C181600 HCPCS Receiver/transmitter, Neuro 1 1 — — $47,308.52 $47,308.52 $47,308.52 2026-03-27
C261600 HCPCS Brachytx, Non-str,yttrium-90 1 1 — — $48,889.70 $48,889.70 $48,889.70 2026-03-27
C9760 HCPCS Non-blind Interatrial Shunt 8 5 — — $29,422.79 $69,143.54 $41,191.90 2026-03-27
E0194 HCPCS Air Fluidized Bed 2 2 — — $4,637.87 $85,095.55 $44,866.71 2026-03-27
E019400 HCPCS Air Fluidized Bed 1 1 — — $82,427.97 $82,427.97 $82,427.97 2026-03-27
E0194NU HCPCS Air Fluidized Bed 1 1 — — $82,427.97 $82,427.97 $82,427.97 2026-03-27
E0194UE HCPCS Air Fluidized Bed 1 1 — — $61,820.98 $61,820.98 $61,820.98 2026-03-27
E073800 HCPCS Upper Extremity Rehab 1 1 — — $40,428.42 $40,428.42 $40,428.42 2026-03-27
E0738NU HCPCS Upper Extremity Rehab 1 1 — — $40,428.42 $40,428.42 $40,428.42 2026-03-27
E0766 HCPCS Elec Stim Cancer Treatment 2 2 — — $16,384.73 $300,626.62 $158,505.68 2026-03-27
E076600 HCPCS Elec Stim Cancer Treatment 1 1 — — $291,202.59 $291,202.59 $291,202.59 2026-03-27
E0766NU HCPCS Elec Stim Cancer Treatment 1 1 — — $291,202.59 $291,202.59 $291,202.59 2026-03-27
E0766UE HCPCS Elec Stim Cancer Treatment 1 1 — — $218,401.94 $218,401.94 $218,401.94 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,685,266.66 $4,790,846.66 $3,961,661.66 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 5 4 — — $3,327,859.72 $4,991,789.58 $3,827,038.68 2026-03-27
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 28 14 $137,095.29 $95,966.70 30% off $495.54 $137,095.29 $39,757.63 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 6 4 — — $3,180,000.00 $4,960,800.00 $3,895,500.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 3 — — $3,335,820.00 $4,336,566.00 $3,586,006.50 2026-03-27
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 7 5 — — $2,332,000.00 $4,314,200.00 $3,031,600.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 6 4 — — $2,939,968.88 $4,586,351.45 $3,601,461.88 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 4 — — $3,252,508.07 $4,878,762.11 $3,740,384.28 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 5 — — $2,588,981.22 $4,789,615.26 $3,365,675.59 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 8 — — $201,669.02 $715,030.84 $302,503.53 2026-03-27
J340200 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $692,616.08 $692,616.08 $692,616.08 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 12 9 — — $262,500.00 $794,310.00 $371,000.00 2026-03-27
J340300 HCPCS Revakinagene, Per Implant 1 1 — — $769,410.00 $769,410.00 $769,410.00 2026-03-27
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $73,260.60 $221,681.33 $177,917.75 2026-03-27
J733000 HCPCS Cultured Chondrocytes Implnt 1 1 — — $214,732.07 $214,732.07 $214,732.07 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 10 — — $64,274.79 $220,247.46 $83,557.23 2026-03-27
J902900 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $213,343.15 $213,343.15 $213,343.15 2026-03-27
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 28 14 $165,797.41 $116,058.19 30% off $230.79 $165,797.41 $48,081.25 2026-03-27
J9226 HCPCS Supprelin La Implant 15 10 — — $43,185.33 $156,541.31 $56,140.93 2026-03-27
J922600 HCPCS Supprelin La Implant 1 1 — — $151,634.06 $151,634.06 $151,634.06 2026-03-27
J926600 HCPCS Pegaspargase Injection 1 1 — — $95,735.06 $95,735.06 $95,735.06 2026-03-27
J960000 HCPCS Porfimer Sodium Injection 1 1 — — $71,779.80 $71,779.80 $71,779.80 2026-03-27
K060600 HCPCS Aed Garment W Elec Analysis 1 1 — — $63,784.92 $63,784.92 $63,784.92 2026-03-27
K0606NU HCPCS Aed Garment W Elec Analysis 1 1 — — $63,784.92 $63,784.92 $63,784.92 2026-03-27
K0606UE HCPCS Aed Garment W Elec Analysis 1 1 — — $47,838.67 $47,838.67 $47,838.67 2026-03-27
K086400 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $39,178.98 $39,178.98 $39,178.98 2026-03-27
K0864NU HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $39,178.98 $39,178.98 $39,178.98 2026-03-27
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $43,166.00 $43,166.00 $43,166.00 2026-03-27
K089100 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $41,812.83 $41,812.83 $41,812.83 2026-03-27
K0891NU HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $41,812.83 $41,812.83 $41,812.83 2026-03-27
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 3 — — $76,466.82 $194,562.82 $95,081.03 2026-03-27
K100700 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $188,463.67 $188,463.67 $188,463.67 2026-03-27
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 3 — — $32,119.35 $49,216.85 $39,938.10 2026-03-27
L200600 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $47,674.00 $47,674.00 $47,674.00 2026-03-27
L585600 HCPCS Elec Knee-shin Swing/stance 1 1 — — $72,705.85 $72,705.85 $72,705.85 2026-03-27
L585800 HCPCS Stance Phase Only 1 1 — — $56,288.49 $56,288.49 $56,288.49 2026-03-27
L585900 HCPCS Knee-shin Pro Flex/ext Cont 1 1 — — $43,943.94 $43,943.94 $43,943.94 2026-03-27
L597300 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $53,242.25 $53,242.25 $53,242.25 2026-03-27
L670000 HCPCS Ue Add Ext Power Myoel 1 1 — — $40,229.42 $40,229.42 $40,229.42 2026-03-27
L688000 HCPCS Elec Hand Ind Art Digits 1 1 — — $72,362.58 $72,362.58 $72,362.58 2026-03-27
L696000 HCPCS Shldr Disartic Switch Contro 1 1 — — $39,423.89 $39,423.89 $39,423.89 2026-03-27
L696500 HCPCS Shldr Disartic Myoelectronic 1 1 — — $45,774.15 $45,774.15 $45,774.15 2026-03-27
L697000 HCPCS Interscapular-thor Switch CT 1 1 — — $48,478.36 $48,478.36 $48,478.36 2026-03-27
L697500 HCPCS Interscap-thor Myoelectronic 1 1 — — $57,323.70 $57,323.70 $57,323.70 2026-03-27
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $35,673.02 $115,397.93 $44,356.85 2026-03-27
L718000 HCPCS Electronic Elbow Sequential 1 1 — — $111,780.44 $111,780.44 $111,780.44 2026-03-27
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $38,728.00 $125,280.39 $48,155.50 2026-03-27
L718100 HCPCS Electronic Elbo Simultaneous 1 1 — — $121,353.11 $121,353.11 $121,353.11 2026-03-27
L861400 HCPCS Cochlear Device 1 1 — — $60,856.25 $60,856.25 $60,856.25 2026-03-27
L870100 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $98,283.29 $98,283.29 $98,283.29 2026-03-27
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 3 3 — — $55,332.26 $199,624.52 $68,801.71 2026-03-27
L870200 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $193,366.70 $193,366.70 $193,366.70 2026-03-27
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $87,052.32 $290,496.52 $108,243.35 2026-03-27
Q048000 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $281,390.05 $281,390.05 $281,390.05 2026-03-27
Q048100 HCPCS Microprcsr Cu Elec Vad, Rep 1 1 — — $45,398.93 $45,398.93 $45,398.93 2026-03-27
Q048300 HCPCS Monitor Elec Vad, Rep 1 1 — — $58,579.32 $58,579.32 $58,579.32 2026-03-27
Q048900 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $50,785.08 $50,785.08 $50,785.08 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 8 — — $532,192.24 $1,250,651.76 $691,849.91 2026-03-27
Q204100 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $1,795,972.55 $1,795,972.55 $1,795,972.55 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 8 — — $566,531.30 $1,331,348.56 $736,490.69 2026-03-27
Q204200 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,992,993.02 $1,992,993.02 $1,992,993.02 2026-03-27
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 10 — — $54,404.10 $192,187.39 $70,725.33 2026-03-27
Q204300 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $186,162.70 $186,162.70 $186,162.70 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 13 8 — — $489,450.20 $1,150,207.97 $636,285.26 2026-03-27
Q205300 HCPCS Brexucabtagene Car Pos T 1 1 — — $1,648,026.84 $1,648,026.84 $1,648,026.84 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 8 — — $562,201.24 $1,321,172.91 $730,861.61 2026-03-27
Q205400 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $1,894,684.86 $1,894,684.86 $1,894,684.86 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 13 8 — — $558,081.72 $1,311,492.04 $725,506.24 2026-03-27
Q205500 HCPCS Idecabtagene Vicleucel Car 1 1 — — $1,877,102.54 $1,877,102.54 $1,877,102.54 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 13 8 — — $587,649.57 $1,380,976.49 $763,944.44 2026-03-27
Q205600 HCPCS Ciltacabtagene Car-pos T 1 1 — — $1,905,903.19 $1,905,903.19 $1,905,903.19 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 11 8 — — $770,620.00 $2,679,522.80 $1,155,930.00 2026-03-27
Q205700 HCPCS Afamitresgene Autoleucel 1 1 — — $2,595,525.22 $2,595,525.22 $2,595,525.22 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 6 — — $278,250.00 $834,025.50 $417,375.00 2026-03-27
Q205800 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $807,880.50 $807,880.50 $807,880.50 2026-03-27
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