Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

HUDSON VALLEY HOSPITAL CENTER

Cortlandt Manor, NY · CCN 330267 · Rates published

3,246 distinct procedures filed
22 distinct payers
215,503 rate rows
2026-03-31 last MRF observed
Data quality

212,722 of 215,503 rate rows are consumer-grade (98.7%)

2,781 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
template filing: same amount across many unrelated codes — excluded 1,955
per-diem day rate — not a per-procedure price 413
placeholder amount (≤ $0.02) — excluded from medians 320
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 93
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nyp.widen.net/content/gtk2b9ya33/original/131740120_NewYork-Presbyterian-Hudson-Valley_standardcharges.json.zip?u=n8xzey&download=true
Found on page https://www.nyp.org/hudsonvalley/patients-and-visitors/charges/hospital-price-transparency/standard-charges
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 49d678db97d7d08d… · 3,162,224 bytes · first seen 2026-05-18

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
J0225
HCPCS 		Amvuttra 25 Mg/0.5ml Sc Sosy 22 $4,734.66 $966,599.88 $238,702.00 nat. median
$8,223
outlier · 29.0×
38204
CPT 		Hc Lab Stem Cell Product Procurement 10 $18,963.21 $80,859.13 $68,628.76 nat. median
$1,627
outlier · 42.2×
A9543
HCPCS 		Zevalin Y-90 3.2 Mg/2ml IV Kit 19 $0.03 $71,030.69 $56,824.55 nat. median
$62,507
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome Neonate 17 $14,611.23 $204,777.00 $49,666.25 nat. median
$52,303
0.9× median
J9226
HCPCS 		Supprelin La 50 Mg Sc Kit 22 $43,282.37 $197,478.59 $49,498.88 nat. median
$60,368
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 $31,454.29 $194,532.52 $45,357.81 nat. median
$48,170
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 17 $36,190.37 $210,354.73 $41,673.49 nat. median
$44,810
0.9× median
J9274
HCPCS 		Kimmtrak 100 Mcg/0.5ml IV Soln 22 $206.23 $164,081.69 $40,520.00 nat. median
$418
outlier · 96.9×
33249
CPT 		Insj-rplcmt Perm Dfb W-trnsvns Lds 1-dual Chmbr 22 $4,033.60 $78,218.25 $36,041.54 nat. median
$31,833
1.1× median
793
MS_DRG 		Full Term Neonate With Major Problems 17 $10,508.20 $143,623.03 $34,913.08 nat. median
$34,190
1.0× median
33264
CPT 		Rmvl Impltbl Dfb Pls Gen W-rplcmt Pls Gen Mlt Ld 22 $4,033.60 $78,218.25 $34,802.89 nat. median
$31,873
1.1× median
J9269
HCPCS 		Elzonris 1000 Mcg/ml IV Soln 22 $331.19 $130,184.93 $32,149.19 nat. median
$509
outlier · 63.1×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 17 $22,598.83 $180,231.70 $31,845.85 nat. median
$26,748
1.2× median
J2507
HCPCS 		Krystexxa 8 Mg/ml IV Soln 22 $3,456.92 $118,723.55 $29,318.80 nat. median
$8,536
outlier · 3.4×
J9359
HCPCS 		Zynlonta 10 Mg IV Solr 22 $205.91 $109,427.99 $27,023.26 nat. median
$701
outlier · 38.6×
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 17 $19,866.04 $121,743.25 $25,968.78 nat. median
$28,170
0.9× median
389
MS_DRG 		Gastrointestinal Obstruction With Cc 21 $6,975.92 $91,620.84 $25,599.94 nat. median
$8,897
outlier · 2.9×
J2326
HCPCS 		Spinraza 12 Mg/5ml It Soln 22 $1,183.65 $101,235.00 $25,000.00 nat. median
$2,675
outlier · 9.3×
J9600
HCPCS 		Photofrin 75 Mg IV Solr 22 $21,189.75 $90,321.87 $24,889.25 nat. median
$31,627
0.8× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc-mcc 21 $13,984.35 $90,636.23 $23,957.43 nat. median
$27,218
0.9× median
J0202
HCPCS 		Lemtrada 12 Mg/1.2ml IV Soln 22 $2,318.67 $94,824.43 $23,416.91 nat. median
$4,053
outlier · 5.8×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 $11,922.37 $85,213.38 $23,281.58 nat. median
$26,699
0.9× median
164
MS_DRG 		Major Chest Procedures With Cc 21 $16,486.56 $100,515.71 $23,056.62 nat. median
$25,705
0.9× median
J9229
HCPCS 		Besponsa 0.9 Mg IV Solr 22 $2,563.15 $91,390.99 $22,569.02 nat. median
$6,079
outlier · 3.7×
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours With Mcc 17 $16,608.47 $125,449.21 $22,326.74 nat. median
$19,634
1.1× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 21 $15,814.62 $96,295.04 $22,010.18 nat. median
$24,757
0.9× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 21 $15,498.33 $104,967.48 $21,673.68 nat. median
$24,346
0.9× median
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 21 $14,274.41 $113,213.69 $21,284.33 nat. median
$16,676
1.3× median
280
MS_DRG 		Acute Myocardial Infarction Discharged Alive With Mcc 17 $13,946.55 $118,298.26 $21,084.18 nat. median
$16,529
1.3× median
314
MS_DRG 		Other Circulatory System Diagnoses With Mcc 21 $18,197.15 $111,517.02 $20,973.70 nat. median
$20,752
1.0× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 21 $16,833.41 $108,156.48 $20,358.44 nat. median
$20,254
1.0× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 21 $17,526.64 $107,048.77 $20,155.64 nat. median
$21,529
0.9× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 21 $13,739.87 $97,784.05 $18,459.42 nat. median
$16,234
1.1× median
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 21 $12,654.53 $76,445.57 $18,375.54 nat. median
$20,421
0.9× median
C2616
HCPCS 		Y-90 Theraspheres 21 $12,185.80 $57,402.63 $18,359.36 nat. median
$28,140
0.7× median
J7311
HCPCS 		Retisert 0.59 Mg Iz Impl 22 $322.77 $73,901.55 $18,250.00 nat. median
$490
outlier · 37.2×
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 21 $15,409.30 $93,749.11 $17,720.70 nat. median
$18,249
1.0× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 21 $15,083.52 $91,702.78 $17,373.92 nat. median
$20,055
0.9× median
J3241
HCPCS 		Tepezza 500 Mg IV Solr 22 $341.13 $68,911.15 $17,017.62 nat. median
$704
outlier · 24.2×
682
MS_DRG 		Renal Failure With Mcc 21 $12,788.65 $89,830.91 $17,003.34 nat. median
$15,223
1.1× median
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 21 $14,699.50 $63,036.56 $16,904.43 nat. median
$19,070
0.9× median
A9508
HCPCS 		Azedra Dosimetric 15 Mci/ml IV Soln 10 $11,035.08 $32,344.20 $16,780.93 nat. median
$1,743
outlier · 9.6×
792
MS_DRG 		Prematurity Without Major Problems 17 $4,340.76 $84,321.41 $16,726.90 nat. median
$20,884
0.8× median
175
MS_DRG 		Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 21 $12,018.38 $93,226.13 $16,144.61 nat. median
$14,623
1.1× median
811
MS_DRG 		Red Blood Cell Disorders With Mcc 21 $12,000.12 $91,173.95 $16,121.79 nat. median
$14,380
1.1× median
789
MS_DRG 		Neonates Died Or Transferred To Another Acute Care Facility 21 $5,580.35 $61,992.85 $16,100.28 nat. median
$16,479
1.0× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 21 $8,787.88 $56,304.64 $15,990.11 nat. median
$10,935
1.5× median
291
MS_DRG 		Heart Failure And Shock With Mcc 21 $11,152.65 $82,794.31 $15,715.05 nat. median
$13,521
1.2× median
637
MS_DRG 		Diabetes With Mcc 21 $12,410.15 $116,481.07 $15,701.55 nat. median
$14,787
1.1× median
393
MS_DRG 		Other Digestive System Diagnoses With Mcc 21 $10,242.24 $93,464.60 $15,289.40 nat. median
$16,482
0.9× median

Other procedures at this hospital

Browse this hospital's 3,246 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
             
J0225 HCPCS Amvuttra 25 Mg/0.5ml Sc Sosy 48 22 — $835,457.00 $4,734.66 $966,599.88 $238,702.00 2026-03-31
38204 CPT Hc Lab Stem Cell Product Procurement 11 10 — $90,301.00 $18,963.21 $80,859.13 $68,628.76 2026-03-31
A9543 HCPCS Zevalin Y-90 3.2 Mg/2ml IV Kit 23 19 — $0.04 $0.03 $71,030.69 $56,824.55 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 38 17 — — $14,611.23 $204,777.00 $49,666.25 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 48 22 — $170,685.80 $43,282.37 $197,478.59 $49,498.88 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 17 — — $31,454.29 $194,532.52 $45,357.81 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 17 — — $36,190.37 $210,354.73 $41,673.49 2026-03-31
J9274 HCPCS Kimmtrak 100 Mcg/0.5ml IV Soln 48 22 — $141,820.00 $206.23 $164,081.69 $40,520.00 2026-03-31
33249 CPT Insj-rplcmt Perm Dfb W-trnsvns Lds 1-dual Chmbr 48 22 — $44,592.25 $4,033.60 $78,218.25 $36,041.54 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 38 17 — — $10,508.20 $143,623.03 $34,913.08 2026-03-31
33264 CPT Rmvl Impltbl Dfb Pls Gen W-rplcmt Pls Gen Mlt Ld 48 22 — $38,457.94 $4,033.60 $78,218.25 $34,802.89 2026-03-31
J9269 HCPCS Elzonris 1000 Mcg/ml IV Soln 48 22 — $112,522.17 $331.19 $130,184.93 $32,149.19 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support Less Than =96 Hours 40 17 — — $22,598.83 $180,231.70 $31,845.85 2026-03-31
J2507 HCPCS Krystexxa 8 Mg/ml IV Soln 48 22 — $102,615.80 $3,456.92 $118,723.55 $29,318.80 2026-03-31
J9359 HCPCS Zynlonta 10 Mg IV Solr 48 22 — $94,581.41 $205.91 $109,427.99 $27,023.26 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 17 — — $19,866.04 $121,743.25 $25,968.78 2026-03-31
389 MS_DRG Gastrointestinal Obstruction With Cc 44 21 — — $6,975.92 $91,620.84 $25,599.94 2026-03-31
J2326 HCPCS Spinraza 12 Mg/5ml It Soln 48 22 — $87,500.00 $1,183.65 $101,235.00 $25,000.00 2026-03-31
J9600 HCPCS Photofrin 75 Mg IV Solr 48 22 — $78,067.50 $21,189.75 $90,321.87 $24,889.25 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc-mcc 44 21 — — $13,984.35 $90,636.23 $23,957.43 2026-03-31
J0202 HCPCS Lemtrada 12 Mg/1.2ml IV Soln 48 22 — $81,959.19 $2,318.67 $94,824.43 $23,416.91 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 44 21 — — $11,922.37 $85,213.38 $23,281.58 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 44 21 — — $16,486.56 $100,515.71 $23,056.62 2026-03-31
J9229 HCPCS Besponsa 0.9 Mg IV Solr 48 22 — $78,991.57 $2,563.15 $91,390.99 $22,569.02 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours With Mcc 40 17 — — $16,608.47 $125,449.21 $22,326.74 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 44 21 — — $15,814.62 $96,295.04 $22,010.18 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 44 21 — — $15,498.33 $104,967.48 $21,673.68 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 44 21 — — $14,274.41 $113,213.69 $21,284.33 2026-03-31
280 MS_DRG Acute Myocardial Infarction Discharged Alive With Mcc 40 17 — — $13,946.55 $118,298.26 $21,084.18 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 44 21 — — $18,197.15 $111,517.02 $20,973.70 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 44 21 — — $16,833.41 $108,156.48 $20,358.44 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 44 21 — — $17,526.64 $107,048.77 $20,155.64 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 44 21 — — $13,739.87 $97,784.05 $18,459.42 2026-03-31
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 44 21 — — $12,654.53 $76,445.57 $18,375.54 2026-03-31
C2616 HCPCS Y-90 Theraspheres 47 21 — $67,532.50 $12,185.80 $57,402.63 $18,359.36 2026-03-31
J7311 HCPCS Retisert 0.59 Mg Iz Impl 48 22 — $63,875.00 $322.77 $73,901.55 $18,250.00 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 44 21 — — $15,409.30 $93,749.11 $17,720.70 2026-03-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 44 21 — — $15,083.52 $91,702.78 $17,373.92 2026-03-31
J3241 HCPCS Tepezza 500 Mg IV Solr 48 22 — $59,561.67 $341.13 $68,911.15 $17,017.62 2026-03-31
682 MS_DRG Renal Failure With Mcc 44 21 — — $12,788.65 $89,830.91 $17,003.34 2026-03-31
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 44 21 — — $14,699.50 $63,036.56 $16,904.43 2026-03-31
A9508 HCPCS Azedra Dosimetric 15 Mci/ml IV Soln 11 10 — $38,052.00 $11,035.08 $32,344.20 $16,780.93 2026-03-31
792 MS_DRG Prematurity Without Major Problems 38 17 — — $4,340.76 $84,321.41 $16,726.90 2026-03-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 44 21 — — $12,018.38 $93,226.13 $16,144.61 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 44 21 — — $12,000.12 $91,173.95 $16,121.79 2026-03-31
789 MS_DRG Neonates Died Or Transferred To Another Acute Care Facility 42 21 — — $5,580.35 $61,992.85 $16,100.28 2026-03-31
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 44 21 — — $8,787.88 $56,304.64 $15,990.11 2026-03-31
291 MS_DRG Heart Failure And Shock With Mcc 44 21 — — $11,152.65 $82,794.31 $15,715.05 2026-03-31
637 MS_DRG Diabetes With Mcc 44 21 — — $12,410.15 $116,481.07 $15,701.55 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 44 21 — — $10,242.24 $93,464.60 $15,289.40 2026-03-31
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 44 21 — — $9,734.56 $58,819.50 $15,273.98 2026-03-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc-mcc 44 21 — — $12,176.71 $73,444.27 $15,244.30 2026-03-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 44 21 — — $12,967.46 $78,411.18 $15,142.36 2026-03-31
786 MS_DRG Cesarean Section Without Sterilization With Mcc 47 21 — — $9,316.98 $65,571.05 $14,963.80 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 44 21 — — $11,210.20 $67,373.36 $14,942.99 2026-03-31
620 MS_DRG O.r. Procedures For Obesity With Cc 46 21 — — $10,092.32 $60,351.57 $14,900.08 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 44 21 — — $10,331.75 $77,659.56 $14,774.97 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 44 21 — — $10,602.34 $76,473.18 $14,557.76 2026-03-31
602 MS_DRG Cellulitis With Mcc 44 21 — — $12,145.58 $91,155.61 $13,967.42 2026-03-31
0275 RC Aicd Secura Dr 37cc 64x51x15mm 1,424 7 — $38,437.77 $2,565.41 $37,044.00 $13,837.60 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 44 21 — — $11,259.73 $72,458.28 $13,819.76 2026-03-31
621 MS_DRG O.r. Procedures For Obesity Without Cc-mcc 46 21 — — $9,005.12 $53,522.59 $13,538.98 2026-03-31
951 MS_DRG Other Factors Influencing Health Status 44 21 — — $5,028.66 $74,059.05 $13,397.10 2026-03-31
A9597 HCPCS Hc Nm Dx Pylarify 12 11 — $20,327.00 $4,268.67 $17,277.95 $12,806.01 2026-03-31
27130 CPT Arthrp Acetblr-prox Fem Prostc Agrft-algrft 48 22 — $8,772.91 $4,527.92 $62,887.29 $12,782.25 2026-03-31
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 48 22 — $9,143.62 $4,033.60 $76,423.65 $12,782.25 2026-03-31
33208 CPT Ins New-rplcmt Prm Pm W-transv Eltrd Atrialandvent 48 22 — $45,333.76 $4,033.60 $38,533.70 $12,755.13 2026-03-31
33228 CPT Remvl Perm Pm Pls Gen W-repl Plse Gen 2 Lead Sys 48 22 — $36,570.46 $4,033.60 $32,963.67 $12,755.13 2026-03-31
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 44 21 — — $9,128.20 $66,626.96 $12,755.09 2026-03-31
C9600 HCPCS Perc Drug-el Cor Stent Sing 48 22 — $30,660.09 $3,486.93 $63,036.56 $12,750.88 2026-03-31
37228 CPT Revsc Opn-prq Tib-pero W-angioplasty Uni 48 22 — $30,935.13 $3,486.92 $26,294.86 $12,748.33 2026-03-31
92928 CPT Prq Trluml Coronary Stent W-angio One Art-brnch 48 22 — $29,280.19 $3,486.93 $63,036.56 $12,748.33 2026-03-31
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 44 21 — — $8,762.98 $65,584.29 $12,564.19 2026-03-31
178 MS_DRG Respiratory Infections And Inflammations With Cc 44 21 — — $8,557.14 $76,895.85 $12,546.37 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 44 21 — — $10,593.21 $68,644.04 $12,414.80 2026-03-31
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 44 21 — — $6,593.24 $45,953.98 $12,408.60 2026-03-31
27446 CPT Arthrp Knee Condyleandplateau Medial-lat Cmprt 48 22 — $8,093.12 $4,527.92 $62,887.29 $12,391.83 2026-03-31
27447 CPT Arthrp Kne Condyleandplatu Medialandlat Compartments 48 22 — $8,031.62 $4,527.92 $62,887.29 $12,391.83 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 44 21 — — $8,403.74 $59,464.06 $12,388.19 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With Mcc 44 21 — — $10,295.97 $63,754.28 $12,330.47 2026-03-31
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc-mcc 44 21 — — $8,325.47 $47,149.61 $12,236.64 2026-03-31
J9266 HCPCS Oncaspar 750 Unit/ml Ij Soln 48 22 — $17,876.77 $4,852.27 $78,775.24 $12,194.51 2026-03-31
391 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 44 21 — — $10,384.63 $62,187.68 $11,954.64 2026-03-31
61626 CPT Hc Occlus/emboliz Transcath Non-cns Perc 48 22 — $16,300.00 $3,448.52 $21,818.56 $11,837.05 2026-03-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc-mcc 44 21 — — $6,035.49 $47,963.43 $11,747.14 2026-03-31
794 MS_DRG Neonate With Other Significant Problems 42 21 — — $3,230.55 $50,777.93 $11,679.07 2026-03-31
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 44 21 — — $8,865.91 $60,632.18 $11,657.54 2026-03-31
281 MS_DRG Acute Myocardial Infarction Discharged Alive With Cc 44 21 — — $7,973.62 $60,366.19 $11,532.04 2026-03-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 44 21 — — $9,978.09 $59,634.08 $11,474.80 2026-03-31
81416 CPT Hc Lab Exome Sequence Analysis Each Comparator Exome 27 20 — $8,918.00 $306.45 $15,000.00 $11,400.00 2026-03-31
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 48 22 — $10,936.83 $4,033.60 $20,484.13 $11,128.83 2026-03-31
638 MS_DRG Diabetes With Cc 44 21 — — $7,935.44 $43,133.66 $11,076.54 2026-03-31
644 MS_DRG Endocrine Disorders With Cc 44 21 — — $8,899.94 $45,778.50 $10,892.42 2026-03-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv Greater Than 96 Hours Without Mcc 44 21 — — $8,880.02 $55,411.59 $10,701.74 2026-03-31
28320 CPT Repair Nonunion-malunion Tarsal Bones 48 22 — $18,297.00 $2,749.90 $19,031.64 $10,596.59 2026-03-31
683 MS_DRG Renal Failure With Cc 44 21 — — $7,700.54 $54,223.07 $10,484.14 2026-03-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 44 21 — — $8,858.65 $59,603.92 $10,481.12 2026-03-31
24435 CPT Repair Non-malunion Humerus W-iliac-oth Agrft 48 22 — $15,286.02 $2,993.14 $19,031.64 $10,442.31 2026-03-31
23615 CPT Optx Prox Humeral Fx W-int Fixj Rpr Tuberosity 48 22 — $13,780.53 $3,859.74 $19,031.64 $10,404.30 2026-03-31
J9021 HCPCS Rylaze 10 Mg/0.5ml IM Soln 48 22 — $35,910.00 $52.53 $41,546.84 $10,260.00 2026-03-31
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 44 21 — — $8,894.01 $62,458.88 $10,228.11 2026-03-31
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And-or Dandc 47 21 — — $6,408.60 $40,429.48 $10,215.47 2026-03-31
784 MS_DRG Cesarean Section With Sterilization With Cc 47 21 — — $6,800.57 $40,179.55 $10,200.86 2026-03-31
287 MS_DRG Circulatory Disorders Except Ami With Cardiac Catheterization Without Mcc 44 21 — — $7,974.55 $83,458.23 $10,180.72 2026-03-31
445 MS_DRG Disorders Of The Biliary Tract With Cc 44 21 — — $8,738.64 $51,848.74 $10,133.81 2026-03-31
33285 CPT Insertion Subq Cardiac Rhythm Monitor W-prgrmg 48 22 — $27,526.29 $4,033.60 $32,963.67 $10,111.24 2026-03-31
787 MS_DRG Cesarean Section Without Sterilization With Cc 47 21 — — $7,164.33 $41,960.01 $10,097.32 2026-03-31
24515 CPT Optx Humeral Shft Fx W-plate-screws W-wocerclage 48 22 — $13,278.70 $3,859.74 $19,031.64 $10,025.42 2026-03-31
300 MS_DRG Peripheral Vascular Disorders With Cc 44 21 — — $8,403.18 $54,154.53 $10,008.42 2026-03-31
176 MS_DRG Pulmonary Embolism Without Mcc 44 21 — — $7,082.99 $56,050.78 $9,968.55 2026-03-31
202 MS_DRG Bronchitis And Asthma With Cc-mcc 44 21 — — $8,346.31 $56,256.69 $9,937.83 2026-03-31
25810 CPT Arthrodesis Wrist W-iliac-other Autograft 48 22 — $13,278.70 $2,975.25 $19,031.64 $9,918.43 2026-03-31
27415 CPT Osteochondral Allograft Knee Open 48 22 — $8,260.40 $3,957.72 $19,031.64 $9,882.80 2026-03-31
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 44 21 — — $8,136.93 $44,564.98 $9,857.76 2026-03-31
J9247 HCPCS Pepaxto 20 Mg IV Solr 33 18 — $33,250.00 $7,769.35 $33,117.05 $9,642.50 2026-03-31
897 MS_DRG Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 44 21 — — $7,644.93 $108,944.21 $9,589.03 2026-03-31
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc-mcc 44 21 — — $5,422.94 $64,066.88 $9,588.21 2026-03-31
378 MS_DRG Gastrointestinal Hemorrhage With Cc 44 21 — — $8,227.41 $50,209.97 $9,461.52 2026-03-31
805 MS_DRG Vaginal Delivery Without Sterilization Or Dandc With Mcc 47 21 — — $5,982.98 $34,539.58 $9,376.13 2026-03-31
439 MS_DRG Disorders Of Pancreas Except Malignancy With Cc 44 21 — — $7,462.32 $48,027.27 $9,349.79 2026-03-31
77372 CPT Hc Stereotactic Radiosurgery Cranial Complete Linear 48 22 — $34,377.00 $1,918.26 $29,220.45 $9,339.72 2026-03-31
37243 CPT Vascular Embolize-occlude Organ Tumor Infarct 48 22 — $12,238.87 $3,486.93 $21,818.56 $9,240.35 2026-03-31
28715 CPT Arthrodesis Triple 48 22 — $12,275.04 $2,749.90 $19,031.64 $9,167.97 2026-03-31
28730 CPT Arthrd Midtarsl-tarsometatarsal Mult-transvrs 48 22 — $12,275.04 $2,749.90 $19,031.64 $9,167.97 2026-03-31
552 MS_DRG Medical Back Problems Without Mcc 44 21 — — $6,346.54 $36,823.23 $9,044.96 2026-03-31
394 MS_DRG Other Digestive System Diagnoses With Cc 44 21 — — $6,796.88 $40,573.48 $8,841.98 2026-03-31
558 MS_DRG Tendonitis Myositis And Bursitis Without Mcc 44 21 — — $7,492.20 $44,738.90 $8,747.75 2026-03-31
37242 CPT Vascular Embolization Or Occlusion Arterial Rsandi 48 22 — $11,471.47 $3,486.93 $26,560.23 $8,717.81 2026-03-31
37241 CPT Vascular Embolization Or Occlusion Venous Rsandi 48 22 — $11,238.92 $3,486.93 $21,818.56 $8,717.31 2026-03-31
J9037 HCPCS Blenrep 100 Mg IV Solr 33 18 — $28,969.50 $44.13 $33,117.05 $8,717.21 2026-03-31
812 MS_DRG Red Blood Cell Disorders Without Mcc 44 21 — — $6,805.40 $39,705.49 $8,675.99 2026-03-31
788 MS_DRG Cesarean Section Without Sterilization Without Cc-mcc 47 21 — — $6,646.48 $38,344.90 $8,656.07 2026-03-31
101 MS_DRG Seizures Without Mcc 44 21 — — $5,619.66 $32,245.35 $8,644.18 2026-03-31
24666 CPT Open Tx Radial Head-neck Fracture Prosthetic 48 22 — $8,762.23 $3,859.74 $19,031.64 $8,491.44 2026-03-31
24575 CPT Open Tx Humeral Epicondylar Fracture 48 22 — $8,260.40 $3,859.74 $19,031.64 $8,491.44 2026-03-31
27726 CPT Repair Fibula Nonunion-malunion W-int Fixation 48 22 — $13,278.70 $2,788.53 $17,537.19 $8,453.18 2026-03-31
27412 CPT Autologous Chondrocyte Implantation Knee 27 20 — $8,511.32 $4,033.60 $17,537.19 $8,453.18 2026-03-31
25608 CPT Optx Dstl Radl I-artic Fx-epiphysl Sep 2 Frag 48 22 — $11,271.38 $3,859.74 $17,537.19 $8,453.18 2026-03-31
29916 CPT Arthroscopy Hip W-labral Repair 48 22 — $11,271.38 $4,033.60 $18,190.64 $8,453.18 2026-03-31
785 MS_DRG Cesarean Section With Sterilization Without Cc-mcc 47 21 — — $6,377.62 $37,018.44 $8,369.84 2026-03-31
23410 CPT Open Repair Of Rotator Cuff Acute 48 22 — $14,282.36 $2,993.14 $16,313.50 $8,362.31 2026-03-31
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 44 21 — — $5,563.79 $31,906.55 $8,328.00 2026-03-31
603 MS_DRG Cellulitis Without Mcc 44 21 — — $6,947.46 $40,597.82 $8,296.20 2026-03-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 44 21 — — $7,183.01 $42,077.32 $8,260.46 2026-03-31
312 MS_DRG Syncope And Collapse 44 21 — — $6,891.89 $55,163.42 $8,210.50 2026-03-31
J0638 HCPCS Ilaris 150 Mg/ml Sc Soln 48 22 — $68,053.51 $133.95 $57,845.48 $8,178.26 2026-03-31
J9153 HCPCS Vyxeos 44-100 Mg IV Susr 48 22 — $36,592.50 $242.34 $33,117.05 $8,178.26 2026-03-31
J3316 HCPCS Triptodur 22.5 Mg IM Srer 48 22 — $71,598.03 $3,584.21 $60,858.33 $8,178.26 2026-03-31
J0596 HCPCS Ruconest 2100 Units IV Solr 48 22 — $26,687.50 $34.90 $33,117.05 $8,178.26 2026-03-31
J3357 HCPCS Stelara 45 Mg/0.5ml Sc Soln 48 22 — $97,450.01 $149.80 $82,832.51 $8,178.26 2026-03-31
J9118 HCPCS Asparlas 3750 Unit/5ml IV Soln 33 18 — $18,951.32 $81.91 $33,117.05 $8,178.26 2026-03-31
J9042 HCPCS Adcetris 50 Mg IV Solr 48 22 — $41,097.00 $245.59 $34,932.45 $8,178.26 2026-03-31
J3245 HCPCS Ilumya 100 Mg/ml Sc Sosy 48 22 — $47,573.05 $119.93 $40,437.09 $8,178.26 2026-03-31
J0180 HCPCS Fabrazyme 35 Mg IV Solr 48 22 — $26,091.56 $218.75 $33,117.05 $8,178.26 2026-03-31
29827 CPT Surgical Arthroscopy Shoulder W-rotator Cuff Rpr 48 22 — $8,370.18 $4,010.32 $18,190.64 $8,150.98 2026-03-31
25609 CPT Optx Dstl Radl I-artic Fx-epiphysl Sep 3+ Frag 48 22 — $8,833.92 $3,859.74 $17,537.19 $8,150.98 2026-03-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 44 21 — — $7,080.50 $41,433.47 $8,142.58 2026-03-31
20692 CPT Application Multiplane External Fixation System 48 22 — $16,289.68 $2,279.27 $19,031.64 $8,070.57 2026-03-31
27822 CPT Open Tx Trimalleolar Ankle Fx W-o Fixj Pst Lip 48 22 — $9,464.79 $3,859.74 $17,537.19 $8,037.80 2026-03-31
29888 CPT Arthrs Aided Ant Cruciate Ligm Rpr-agmntj-rcnstj 48 22 — $8,734.35 $4,033.60 $18,190.64 $8,030.52 2026-03-31
29806 CPT Surgical Arthroscopy Shoulder Capsulorrhaphy 48 22 — $7,543.50 $3,614.24 $18,190.64 $8,030.52 2026-03-31
27829 CPT Open Tx Distal Tibiofibular Joint Disruption 48 22 — $6,504.00 $2,772.00 $17,537.19 $8,030.52 2026-03-31
27814 CPT Open Treatment Bimalleolar Ankle Fracture 48 22 — $8,762.23 $3,859.74 $17,537.19 $8,030.52 2026-03-31
63030 CPT Lamnotmy Incl W-dcmprsn Nrv Root 1 Intrspc Lumbr 48 22 — $8,148.88 $3,904.30 $17,537.19 $8,030.52 2026-03-31
24685 CPT Open Treatment Ulnar Fracture Proximal End 48 22 — $9,063.33 $3,859.74 $17,537.19 $8,030.52 2026-03-31
24345 CPT Repair Medial Collateral Ligament Elbow 48 22 — $14,282.36 $2,772.00 $14,696.88 $8,030.52 2026-03-31
29915 CPT Arthroscopy Hip W-acetabuloplasty 48 22 — $7,858.94 $3,765.37 $18,190.64 $8,030.52 2026-03-31
23515 CPT Open Tx Clavicular Fracture Internal Fixation 48 22 — $8,762.23 $3,859.74 $17,537.19 $8,030.52 2026-03-31
63047 CPT Lam Facetectomy And Foramotomy 1 Vrt Sgm Lumbar 48 22 — $8,762.23 $4,033.60 $17,537.19 $8,030.52 2026-03-31
22514 CPT Perq Vert Agmntj Cavity Crtj Uni-bi Cannulj Lmbr 48 22 — $5,556.24 $1,166.81 $17,537.19 $8,030.52 2026-03-31
103 MS_DRG Headaches Without Mcc 44 21 — — $5,291.65 $29,711.78 $8,000.73 2026-03-31
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 44 21 — — $6,773.06 $35,127.15 $7,789.02 2026-03-31
J9331 HCPCS Fyarro 100 Mg IV Susr 48 22 — $23,744.00 $80.30 $33,117.05 $7,775.13 2026-03-31
J0896 HCPCS Reblozyl 25 Mg Sc Solr 48 22 — $13,836.97 $39.86 $33,117.05 $7,769.35 2026-03-31
J9309 HCPCS Polivy 30 Mg IV Solr 48 22 — $13,552.04 $129.42 $33,117.05 $7,769.35 2026-03-31
J7313 HCPCS Iluvien 0.19 Mg Iz Impl 48 22 — $21,290.50 $472.91 $33,117.05 $7,769.35 2026-03-31
J1290 HCPCS Kalbitor 10 Mg/ml Sc Soln 48 22 — $17,228.90 $550.99 $33,117.05 $7,769.35 2026-03-31
19318 CPT Breast Reduction 48 22 — $11,104.10 $4,033.60 $16,715.35 $7,716.84 2026-03-31
69 MS_DRG Transient Ischemia Without Thrombolytic 44 21 — — $5,388.70 $56,366.20 $7,568.19 2026-03-31
446 MS_DRG Disorders Of The Biliary Tract Without Cc-mcc 44 21 — — $5,478.27 $36,308.16 $7,542.93 2026-03-31
641 MS_DRG Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without … 44 21 — — $5,950.54 $34,335.86 $7,399.49 2026-03-31
392 MS_DRG Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 44 21 — — $5,956.58 $35,737.49 $7,389.57 2026-03-31
27428 CPT Ligamentous Reconstruction Knee Intra-articular 48 22 — $9,765.89 $2,642.08 $19,031.64 $7,373.25 2026-03-31
15830 CPT Exc Excsv Skn Abd Infraumbilical Panniculectomy 48 22 — $10,267.72 $2,733.75 $16,313.50 $7,331.00 2026-03-31
19380 CPT Revision Of Reconstructed Breast 48 22 — $9,598.61 $2,917.07 $16,313.50 $7,312.97 2026-03-31
27698 CPT Repair Secondary Disrupted Ligament Ankle Coltrl 48 22 — $9,765.89 $2,642.08 $14,696.88 $7,302.81 2026-03-31
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 44 21 — — $6,335.84 $36,756.03 $7,286.22 2026-03-31
49595 CPT Rpr Aa Hernia 1st Greater Than 10 Cm Reducible 48 22 — $11,271.38 $2,366.99 $14,696.88 $7,192.20 2026-03-31
J9381 HCPCS Teplizumab-mzwv 2 Mg/20ml IV Soln 48 22 — $24,969.47 $35.77 $28,888.97 $7,134.14 2026-03-31
J9273 HCPCS Tivdak 40 Mg IV Solr 48 22 — $24,930.50 $179.22 $28,843.88 $7,123.00 2026-03-31
305 MS_DRG Hypertension Without Mcc 44 21 — — $5,700.42 $32,764.75 $7,122.55 2026-03-31
19303 CPT Mastectomy Simple Complete 48 22 — $8,511.32 $2,917.07 $14,696.88 $7,113.19 2026-03-31
149 MS_DRG Dysequilibrium 44 21 — — $4,830.56 $31,494.00 $7,093.68 2026-03-31
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 44 21 — — $5,611.85 $26,493.22 $7,092.77 2026-03-31
58571 CPT Laps Total Hysterect 250 Gm-less Than W-rmvl Tube-ovary 48 22 — $9,264.06 $2,709.87 $17,537.19 $7,054.45 2026-03-31
28297 CPT Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis 48 22 — $9,264.06 $2,749.90 $19,031.64 $7,054.45 2026-03-31
49593 CPT Rpr Aa Hernia 1st 3-10 Cm Reducible 48 22 — $8,762.23 $1,840.07 $14,696.88 $7,014.32 2026-03-31
806 MS_DRG Vaginal Delivery Without Sterilization Or Dandc With Cc 47 21 — — $4,959.30 $27,739.16 $6,994.65 2026-03-31
92920 CPT Prq Trluml Coronary Angioplasty One Art-branch 48 22 — $36,760.49 $3,486.93 $63,036.56 $6,965.88 2026-03-31
27427 CPT Ligamentous Reconstruction Knee Extra-articular 48 22 — $9,013.15 $2,642.08 $17,537.19 $6,946.35 2026-03-31
28299 CPT Corrj Hlx Vlgs Bncty Sesmdc W-double Osteotomy 48 22 — $6,754.91 $2,749.90 $14,696.88 $6,844.05 2026-03-31
23430 CPT Tenodesis Long Tendon Biceps 48 22 — $7,340.38 $2,993.14 $16,313.50 $6,803.69 2026-03-31
49651 CPT Laps Surg Rpr Recurrent Inguinal Hernia 48 22 — $8,547.16 $2,747.20 $17,537.19 $6,796.55 2026-03-31
313 MS_DRG Chest Pain 44 21 — — $4,821.01 $27,240.95 $6,786.06 2026-03-31
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Ncrc8-strangulated 48 22 — $8,962.96 $1,882.22 $17,537.19 $6,783.61 2026-03-31
24342 CPT Rinsj Rptd Biceps-triceps Tdn Dstl W-wo Tdn Grf 48 22 — $6,880.37 $2,993.14 $16,313.50 $6,780.33 2026-03-31
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 44 21 — — $3,738.95 $24,465.42 $6,770.53 2026-03-31
27654 CPT Repair Secondary Achilles Tendon W-wo Graft 48 22 — $8,661.86 $2,642.08 $16,313.50 $6,767.35 2026-03-31
47562 CPT Laparoscopy Surg Cholecystectomy 48 22 — $6,905.27 $3,308.45 $17,537.19 $6,755.18 2026-03-31
47563 CPT Laps Surg Cholecystectomy W-cholangiography 48 22 — $7,220.90 $3,459.68 $17,537.19 $6,755.18 2026-03-31
19342 CPT Insj-rplcmt Breast Implant Sep Day Mastectomy 48 22 — $7,507.66 $2,917.07 $17,537.19 $6,726.61 2026-03-31
44970 CPT Laparoscopic Appendectomy 48 22 — $5,552.85 $2,660.48 $17,537.19 $6,723.14 2026-03-31
11970 CPT Replacement Tissue Expander W-permanent Implant 48 22 — $6,587.63 $2,917.07 $16,313.50 $6,679.89 2026-03-31
27279 CPT Arthrodesis Si Joint Percutaneous-min Invasive 48 22 — $6,378.54 $1,339.49 $27,201.18 $6,631.91 2026-03-31
27405 CPT Rpr Primary Torn Ligmand-capsule Knee Collateral 48 22 — $8,260.40 $2,642.08 $16,313.50 $6,606.76 2026-03-31
58662 CPT Laps Fulg-exc Ovary Viscera-peritoneal Surface 48 22 — $8,260.40 $2,295.19 $17,537.19 $6,558.61 2026-03-31
49322 CPT Laps Surg W-aspir Cavity-cyst Single-multiple 48 22 — $7,925.85 $2,742.06 $16,313.50 $6,558.61 2026-03-31
49650 CPT Laparoscopy Surg Rpr Initial Inguinal Hernia 48 22 — $8,186.96 $2,747.20 $17,537.19 $6,558.61 2026-03-31
49592 CPT Rpr Aa Hernia 1st Less Than 3 Cm Ncrc8-strangulated 48 22 — $7,033.70 $1,477.08 $17,537.19 $6,501.15 2026-03-31
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc-mcc 44 21 — — $5,427.91 $32,411.65 $6,490.83 2026-03-31
50593 CPT Hc Ablation Tumor Renal Unilateral Perc Cryosurgical 48 22 — $6,278.00 $2,591.31 $17,537.19 $6,478.27 2026-03-31
J2787 HCPCS Photrexa-photrexa Viscous Kit 0.146 &0.146-20 % Op Sosy 12 11 — $21,000.00 $2,280.00 $17,850.00 $6,453.27 2026-03-31
37248 CPT Hc Angioplasty Balloon Trnslum Initial Vein 48 22 — $6,542.00 $1,373.82 $17,537.19 $6,409.28 2026-03-31
37200 CPT Transcatheter Biopsy 48 22 — $8,215.82 $2,911.12 $17,537.19 $6,396.56 2026-03-31
J0600 HCPCS Calcium Disodium Versenate 1 Gm/5ml Ij Soln 28 20 — $3,769.83 $1,093.25 $18,798.69 $6,385.18 2026-03-31
36830 CPT Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf 48 22 — $7,686.88 $3,321.54 $17,537.19 $6,327.80 2026-03-31
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc-mcc 44 21 — — $5,448.32 $31,181.27 $6,265.57 2026-03-31
807 MS_DRG Vaginal Delivery Without Sterilization Or Dandc Without Cc-mcc 47 21 — — $4,720.27 $25,685.82 $6,202.93 2026-03-31
36825 CPT Crtj Arven Fstl Xcp Dir Arven Anast Autog Grf 48 22 — $6,587.63 $3,156.27 $17,537.19 $6,170.52 2026-03-31
66175 CPT Trluml Dilat Aqueous O-f Can W-retention Dev-st 48 22 — $4,942.18 $2,367.89 $16,313.50 $6,039.85 2026-03-31
52648 CPT Laser Vaporization Of Prostate For Urine Flow 48 22 — $5,680.99 $2,721.88 $16,313.50 $6,015.45 2026-03-31
52601 CPT Trurl Electrosurg Rescj Prostate Bleed Complete 48 22 — $6,941.45 $3,325.78 $16,313.50 $6,015.45 2026-03-31
59151 CPT Laps Tx Ectopic Preg W-salpingand-oophorectomy 48 22 — $7,256.74 $2,150.83 $17,537.19 $5,986.81 2026-03-31
55874 CPT Transperineal Plmt Biodegradable Matrl 1-mlt Njx 48 22 — $4,422.88 $928.80 $17,537.19 $5,950.78 2026-03-31
J0870 HCPCS Rytelo 47 Mg IV Solr 48 22 — $8,648.50 $54.17 $33,117.05 $5,889.63 2026-03-31
27650 CPT Repair Primary Open-prq Ruptured Achilles Tendon 48 22 — $6,855.28 $2,332.20 $16,313.50 $5,828.74 2026-03-31
J7316 HCPCS Jetrea 0.375 Mg/0.3ml Iz Soln 33 18 — $41,482.00 $2,379.77 $35,259.70 $5,800.91 2026-03-31
52356 CPT Cysto-uretero W-lithotripsy Andindwell Stent Insrt 48 22 — $5,844.61 $2,573.26 $16,313.50 $5,752.25 2026-03-31
58661 CPT Laparoscopy W-rmvl Adnexal Structures 48 22 — $6,754.91 $2,295.19 $17,537.19 $5,739.82 2026-03-31
J9015 HCPCS Proleukin 22000000 Units IV Solr 48 22 — $19,430.15 $5,036.20 $22,480.13 $5,634.74 2026-03-31
58561 CPT Hysteroscopy Removal Leiomyomata 48 22 — $7,615.19 $1,631.77 $14,696.88 $5,549.24 2026-03-31
390 MS_DRG Gastrointestinal Obstruction Without Cc-mcc 44 21 — — $4,808.96 $27,165.26 $5,530.30 2026-03-31
52240 CPT Cystourethroscopy W-dest And-rmvl Tumor Large 48 22 — $5,751.25 $2,163.35 $13,311.21 $5,148.47 2026-03-31
J1162 HCPCS Digifab 40 Mg IV Solr 28 20 — $15,652.39 $4,539.19 $14,458.57 $5,117.64 2026-03-31
J9019 HCPCS Erwinase 10000 Units Ij Solr 33 18 — $16,436.46 $403.08 $19,016.51 $5,005.60 2026-03-31
57288 CPT Sling Operation Stress Incontinence 48 22 — $6,420.36 $1,383.03 $16,313.50 $4,968.95 2026-03-31
J7504 HCPCS Atgam 50 Mg/ml IV Soln 28 20 — $2,743.35 $795.57 $12,735.00 $4,959.22 2026-03-31
52354 CPT Cysto-pyeloscopy Bxand-fulguration Pelivc Lesion 48 22 — $5,650.88 $1,940.97 $13,311.21 $4,852.41 2026-03-31
52353 CPT Cysto W-ureteroscopy W-lithotripsy 48 22 — $5,048.69 $1,940.97 $16,313.50 $4,852.41 2026-03-31
J0480 HCPCS Simulect 20 Mg IV Solr 27 20 — $14,627.31 $4,241.92 $13,641.09 $4,812.64 2026-03-31
81415 CPT Hc Lab Exome Sequence Analysis 27 20 — $6,367.00 $306.45 $5,975.00 $4,780.00 2026-03-31
A9596 HCPCS Illuccix Configuration A 25 Mcg IV Kit 38 20 — $16,450.00 $485.97 $17,141.10 $4,770.50 2026-03-31
58563 CPT Hysteroscopy Endometrial Ablation 48 22 — $5,625.79 $1,879.57 $15,342.00 $4,740.42 2026-03-31
19301 CPT Mastectomy Partial 48 22 — $7,928.36 $2,917.07 $13,311.21 $4,678.45 2026-03-31
43774 CPT Laps Gastric Restrictive Px Remove Device And Port 48 22 — $5,650.88 $3,304.34 $21,818.56 $4,636.96 2026-03-31
19125 CPT Exc Breast Les Preop Plmt Rad Marker Open 1 Les 48 22 — $6,517.01 $2,099.54 $13,311.21 $4,599.15 2026-03-31
77059 CPT Hc MRI Breast Without Contrast Bilateral 12 11 — $6,370.00 $610.81 $6,370.32 $4,586.40 2026-03-31
78609 CPT Hc Nm PET Brain Perfusion Eval 33 18 — $15,817.00 $1,830.15 $13,444.45 $4,575.38 2026-03-31
J1823 HCPCS Uplizna 100 Mg/10ml IV Soln 48 22 — $15,994.45 $469.71 $18,505.13 $4,569.84 2026-03-31
J9225 HCPCS Vantas 50 Mg Sc Kit 33 18 — $15,658.51 $3,149.07 $13,422.98 $4,540.97 2026-03-31
19120 CPT Exc Cyst-aberrant Breast Tissue Open 1-greater Than Lesion 48 22 — $5,249.42 $2,099.54 $13,311.21 $4,488.02 2026-03-31
15731 CPT Hc Forehead Flap W/vasc Pedicle 48 22 — $11,436.00 $1,946.54 $14,696.88 $4,461.99 2026-03-31
15273 CPT Hc Skin Graft, Trunk, Allogeneic, Tissue Cultured Dermal Substitute, 1% Of Body … 48 22 — $11,439.00 $1,946.54 $14,696.88 $4,461.99 2026-03-31
38500 CPT Hc Biopsy/excision Lymph Node(s) Open Superficial 48 22 — $5,366.00 $1,930.47 $13,311.21 $4,324.10 2026-03-31
25447 CPT Arthrp Intercarpal-carp-mtcrpl Jt Interposition 48 22 — $8,260.40 $3,647.38 $16,313.50 $4,318.06 2026-03-31
A9604 HCPCS Quadramet 1850 Mbq/ml IV Soln 47 21 — $53,776.45 $999.57 $45,709.98 $4,314.91 2026-03-31
49505 CPT Rpr 1st Ingun Hrna Age 5 Yrs-greater Than Reducible 48 22 — $7,256.74 $2,747.20 $14,696.88 $4,311.65 2026-03-31
49421 CPT Hc Insert Tunneled Cath Intraperitoneal Open 48 22 — $13,132.00 $2,500.00 $14,696.88 $4,311.65 2026-03-31
49520 CPT Rpr Recrt Inguinal Hernia Any Age Reducible 48 22 — $7,256.74 $2,747.20 $14,696.88 $4,311.65 2026-03-31
47536 CPT Hc Exch Biliary Drainage Cath Perc Rad 48 22 — $10,963.00 $1,943.00 $14,696.88 $4,301.21 2026-03-31
47534 CPT Hc Place Biliary Drainage Cath Perc Int/ext Rad 48 22 — $14,873.00 $1,943.00 $14,696.88 $4,301.21 2026-03-31
49591 CPT Rpr Aa Hernia 1st Less Than 3 Cm Reducible 48 22 — $5,751.25 $1,207.76 $14,696.88 $4,301.21 2026-03-31
26785 CPT Hc Open Rx Ip Jt Dislocation 48 22 — $10,323.00 $2,772.00 $15,629.64 $4,259.40 2026-03-31
26756 CPT Hc Pin Finger Fracture Each 48 22 — $10,554.00 $2,772.00 $15,629.64 $4,259.40 2026-03-31
50693 CPT Hc Inject Urethrocystogram Chain 48 22 — $14,709.00 $1,940.97 $14,696.88 $4,203.60 2026-03-31
50433 CPT Hc Place Nephroureteral Cath Percut Neph/uret New Acc 48 22 — $10,287.00 $1,940.97 $13,311.21 $4,203.60 2026-03-31
43264 CPT Ercp Remove Calculi-debris Biliary-pancreas Duct 48 22 — $4,607.08 $1,759.47 $13,311.21 $4,189.58 2026-03-31
26727 CPT Prq Skel Fixj Phlngl Shft Fx Prox-middle Px-f-t 48 22 — $5,751.25 $2,755.54 $15,629.64 $4,176.60 2026-03-31
52235 CPT Cystourethroscopy W-dest And-rmvl Med Bladder Tum 48 22 — $5,509.97 $2,163.35 $13,311.21 $4,160.03 2026-03-31
55040 CPT Excision Hydrocele Unilateral 48 22 — $6,002.17 $1,310.28 $14,696.88 $4,139.15 2026-03-31
52318 CPT Litholapaxy Comp-lg Greater Than 2.5 Cm 48 22 — $5,450.15 $2,163.35 $13,311.21 $4,094.98 2026-03-31
J1786 HCPCS Cerezyme 400 Units IV Solr 48 22 — $6,009.36 $41.13 $33,117.05 $4,092.38 2026-03-31
50590 CPT Lithotripsy Xtrcorp Shock Wave 48 22 — $5,200.01 $1,092.00 $17,537.19 $4,081.17 2026-03-31
52234 CPT Cysto W-removal Of Tumors Small 48 22 — $4,981.78 $2,163.35 $13,311.21 $4,081.17 2026-03-31
26952 CPT Hc Amputation Fing/thumb W/flaps 48 22 — $10,317.00 $2,759.12 $11,172.76 $4,067.98 2026-03-31
37212 CPT Hc Thrombolytic Venous Therapy 48 22 — $9,335.00 $2,911.12 $14,696.88 $4,065.24 2026-03-31
52332 CPT Cysto W-insert Ureteral Stent 48 22 — $4,699.80 $2,163.35 $13,311.21 $4,057.39 2026-03-31
26123 CPT Fasct Prtl Palmar 1 Dgt Prox Iphal Jt W-wo Rpr 48 22 — $8,427.68 $2,759.12 $14,696.88 $4,035.73 2026-03-31
29882 CPT Arthroscopy Knee W-meniscus Rpr Medial-lateral 48 22 — $7,315.78 $2,418.63 $14,696.88 $4,031.31 2026-03-31
29823 CPT Surgical Arthroscopy Shoulder Xtnsv Dbrdmt 3+ 48 22 — $6,683.22 $2,418.63 $17,537.19 $4,031.31 2026-03-31
27306 CPT Hc Perc Incision Of Thigh Tendon 48 22 — $6,492.00 $2,883.86 $13,311.21 $4,031.31 2026-03-31
29881 CPT Arthrs Kne Surg W-meniscectomy Med-lat W-shvg 48 22 — $5,576.19 $2,418.63 $14,696.88 $4,002.51 2026-03-31
29880 CPT Arthrs Knee W-meniscectomy Medandlat W-shaving 48 22 — $5,386.28 $2,418.63 $14,696.88 $4,002.51 2026-03-31
29873 CPT Arthroscopy Knee Lateral Release 48 22 — $5,751.25 $2,418.63 $14,696.88 $4,002.51 2026-03-31
47532 CPT Hc Inj Proc For Cholangiogram Trnshep W/image And S&i 48 22 — $6,808.00 $563.42 $14,696.88 $4,000.37 2026-03-31
93459 CPT Cath Plmt L Hrt-arts-grfts Wnjx And Angio Img Sandi 47 22 — $26,433.71 $2,388.44 $23,864.36 $3,996.28 2026-03-31
93460 CPT R And L Hrt Cath Winjx Hrt Artand L Ventr Img 47 22 — $25,288.88 $2,388.44 $21,495.55 $3,996.28 2026-03-31
93458 CPT Cath Plmt L Hrt And Arts W-njx And Angio Img Sandi 47 22 — $23,322.43 $2,388.44 $21,413.21 $3,996.28 2026-03-31
28308 CPT Osteot W-wo Lngth Shrt-corrj Metar Xcp 1st Ea 48 22 — $8,260.40 $2,174.40 $13,311.21 $3,965.72 2026-03-31
26540 CPT Rpr Coltrl Ligm Mtcarphlngl-iphal Jt 48 22 — $7,256.74 $1,713.89 $10,867.86 $3,954.53 2026-03-31
See an error in this hospital's data? Submit a correction