Price Transparencybeta Hospital negotiated rates

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

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Hospital

HIGHLANDS CASHIERS HOSPITAL

Highlands, NC · CCN 341316 · Rates published

Your selected procedure

You selected 93458 (CPT)

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat

This hospital’s price: $3,850 across 2 payers · range $3,850-$4,235

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048950_HIGHLANDS-CASHIERS-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D · observed 2026-09-01

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.

26,047 distinct procedures filed
33 distinct payers
2,127,014 rate rows
2026-09-01 last MRF observed
Data quality

2,064,258 of 2,127,014 rate rows are consumer-grade (97.0%)

62,756 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 36,066
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 18,429
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4,423
per-diem day rate — not a per-procedure price 3,578
placeholder amount (≤ $0.02) — excluded from medians 150
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 92
exceeds 10× this hospital's gross charge — excluded from medians 17
percent-of-charges filed in the dollar field — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2048950_HIGHLANDS-CASHIERS-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D
Found on page https://www.missionhealth.org/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint 53185d9b304f7777… · 425,586,987 bytes · first seen 2026-09-23

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
9141
OTHER 		Inj Onase Abepar-xioi Tre 1 $4,299,505.20 $4,299,505.20 $4,299,505.20 nat. median
$2,588,981
1.7× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $1,369,371.65 $1,369,371.65 $1,369,371.65 nat. median
$739,258
1.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $1,328,128.35 $1,328,128.35 $1,328,128.35 nat. median
$646,415
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $1,279,600.63 $1,279,600.63 $1,279,600.63 nat. median
$608,239
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 1 $1,175,752.00 $1,175,752.00 $1,175,752.00 nat. median
$591,721
2.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 1 $952,547.22 $952,547.22 $952,547.22 nat. median
$577,163
1.7× median
9498
OTHER 		Ciltacabtagene Car-pos T 1 $948,822.12 $948,822.12 $948,822.12 nat. median
$587,650
1.6× median
9422
OTHER 		Idecabtagene Vicleucel Ca 1 $947,857.68 $947,857.68 $947,857.68 nat. median
$563,449
1.7× median
9413
OTHER 		Lisocabtagene Car Pos T 1 $930,106.98 $930,106.98 $930,106.98 nat. median
$562,201
1.7× median
9035
OTHER 		Axicabtagene Ciloleucel C 1 $881,020.80 $881,020.80 $881,020.80 nat. median
$533,230
1.7× median
9391
OTHER 		Brexucabtagene Car Pos T 1 $828,954.72 $828,954.72 $828,954.72 nat. median
$492,768
1.7× median
1907
OTHER 		New Technology - Level 52 1 $274,500.90 $274,500.90 $274,500.90 nat. median
$155,833
1.8× median
1908
OTHER 		New Technology - Level 52 1 $274,500.90 $274,500.90 $274,500.90 nat. median
$155,563
1.8× median
1906
OTHER 		New Technology - Level 51 1 $247,500.90 $247,500.90 $247,500.90 nat. median
$140,341
1.8× median
1905
OTHER 		New Technology - Level 51 1 $247,500.90 $247,500.90 $247,500.90 nat. median
$140,341
1.8× median
1904
OTHER 		New Technology - Level 50 1 $220,500.90 $220,500.90 $220,500.90 nat. median
$120,722
1.8× median
1903
OTHER 		New Technology - Level 50 1 $220,500.90 $220,500.90 $220,500.90 nat. median
$120,722
1.8× median
1901
OTHER 		New Technology - Level 49 1 $193,500.90 $193,500.90 $193,500.90 nat. median
$105,940
1.8× median
1902
OTHER 		New Technology - Level 49 1 $193,500.90 $193,500.90 $193,500.90 nat. median
$105,940
1.8× median
1599
OTHER 		New Technology - Level 48 1 $171,000.90 $171,000.90 $171,000.90 nat. median
$97,104
1.8× median
1585
OTHER 		New Technology - Level 48 1 $171,000.90 $171,000.90 $171,000.90 nat. median
$96,901
1.8× median
516430
CDM 		Kit Implnt Hrtmt 3 Kit 18 $124,002.85 $364,495.82 $168,721.06 nat. median
$161,687
1.0× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $166,116.65 $166,116.65 $166,116.65 nat. median
$68,423
outlier · 2.4×
1598
OTHER 		New Technology - Level 47 1 $153,000.90 $153,000.90 $153,000.90 nat. median
$86,858
1.8× median
1584
OTHER 		New Technology - Level 47 1 $153,000.90 $153,000.90 $153,000.90 nat. median
$86,701
1.8× median
456896
CDM 		Device Vntrc Asst Hrtmt 18 $107,940.98 $317,283.30 $146,866.91 nat. median
$104,421
1.4× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 1 $145,223.54 $145,223.54 $145,223.54 nat. median
$65,720
outlier · 2.2×
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 18 $101,742.45 $299,063.26 $138,433.06 nat. median
$131,893
1.0× median
J9999
HCPCS 		Carmustine Wafers 8/box 17 $93,510.07 $274,846.66 $135,591.02 nat. median
$2,706
outlier · 50.1×
C9293
HCPCS 		Glucarpidase 1000 U Inj 17 $94,220.16 $276,933.76 $135,389.84 nat. median
$30,297
outlier · 4.5×
1597
OTHER 		New Technology - Level 46 1 $135,000.90 $135,000.90 $135,000.90 nat. median
$76,639
1.8× median
1583
OTHER 		New Technology - Level 46 1 $135,000.90 $135,000.90 $135,000.90 nat. median
$76,501
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $26,869.21 $129,430.14 $123,385.76 nat. median
$90,551
1.4× median
1643
OTHER 		Y90 Ibritumomab, Rx 1 $117,857.84 $117,857.84 $117,857.84 nat. median
$60,802
1.9× median
1596
OTHER 		New Technology - Level 45 1 $117,000.90 $117,000.90 $117,000.90 nat. median
$66,343
1.8× median
1582
OTHER 		New Technology - Level 45 1 $117,000.90 $117,000.90 $117,000.90 nat. median
$66,421
1.8× median
717
OTHER 		Instill Adstiladrin, Tx D 1 $114,038.59 $114,038.59 $114,038.59 nat. median
$63,355
1.8× median
J9226
HCPCS 		Histrelin Implant (supprelin La), 50 Mg 1 $110,645.59 $110,645.59 $110,645.59 nat. median
$55,159
outlier · 2.0×
9273
OTHER 		Sipuleucel-t Auto Cd54+ 1 $99,027.41 $99,027.41 $99,027.41 nat. median
$56,116
1.8× median
1595
OTHER 		New Technology - Level 44 1 $99,000.90 $99,000.90 $99,000.90 nat. median
$56,202
1.8× median
1581
OTHER 		New Technology - Level 44 1 $99,000.90 $99,000.90 $99,000.90 nat. median
$56,101
1.8× median
5244
OTHER 		Level 4 Blood Product Exc 1 $93,719.11 $93,719.11 $93,719.11 nat. median
$63,725
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $30,575.45 $86,399.97 $82,364.98 nat. median
$77,028
1.1× median
1142
OTHER 		Supprelin La Implant 1 $81,630.38 $81,630.38 $81,630.38 nat. median
$45,350
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $21,886.98 $85,025.73 $81,054.82 nat. median
$66,649
1.2× median
1594
OTHER 		New Technology - Level 43 1 $81,000.90 $81,000.90 $81,000.90 nat. median
$45,984
1.8× median
1580
OTHER 		New Technology - Level 43 1 $81,000.90 $81,000.90 $81,000.90 nat. median
$45,997
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $16,815.50 $84,868.72 $80,905.47 nat. median
$77,632
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $24,182.02 $79,222.53 $75,522.69 nat. median
$71,748
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $19,646.03 $77,507.51 $73,888.08 nat. median
$72,398
1.0× median

Other procedures at this hospital

Browse this hospital's 26,047 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
             
9141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $4,299,505.20 $4,299,505.20 $4,299,505.20 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 8 1 — — $1,369,371.65 $1,369,371.65 $1,369,371.65 2026-09-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 1 — — $1,328,128.35 $1,328,128.35 $1,328,128.35 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 8 1 — — $1,279,600.63 $1,279,600.63 $1,279,600.63 2026-09-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 1 — — $1,175,752.00 $1,175,752.00 $1,175,752.00 2026-09-01
9194 OTHER Tisagenlecleucel Car-pos 1 1 — — $952,547.22 $952,547.22 $952,547.22 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 1 1 — — $948,822.12 $948,822.12 $948,822.12 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $947,857.68 $947,857.68 $947,857.68 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 1 1 — — $930,106.98 $930,106.98 $930,106.98 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 1 1 — — $881,020.80 $881,020.80 $881,020.80 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 1 1 — — $828,954.72 $828,954.72 $828,954.72 2024-10-01
1908 OTHER New Technology - Level 52 1 1 — — $274,500.90 $274,500.90 $274,500.90 2024-10-01
1907 OTHER New Technology - Level 52 1 1 — — $274,500.90 $274,500.90 $274,500.90 2024-10-01
1906 OTHER New Technology - Level 51 1 1 — — $247,500.90 $247,500.90 $247,500.90 2024-10-01
1905 OTHER New Technology - Level 51 1 1 — — $247,500.90 $247,500.90 $247,500.90 2024-10-01
1903 OTHER New Technology - Level 50 1 1 — — $220,500.90 $220,500.90 $220,500.90 2024-10-01
1904 OTHER New Technology - Level 50 1 1 — — $220,500.90 $220,500.90 $220,500.90 2024-10-01
1902 OTHER New Technology - Level 49 1 1 — — $193,500.90 $193,500.90 $193,500.90 2024-10-01
1901 OTHER New Technology - Level 49 1 1 — — $193,500.90 $193,500.90 $193,500.90 2024-10-01
1599 OTHER New Technology - Level 48 1 1 — — $171,000.90 $171,000.90 $171,000.90 2024-10-01
1585 OTHER New Technology - Level 48 1 1 — — $171,000.90 $171,000.90 $171,000.90 2024-10-01
516430 CDM Kit Implnt Hrtmt 3 Kit 116 18 $404,995.35 $404,995.35 $124,002.85 $364,495.82 $168,721.06 2026-09-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 8 1 — — $166,116.65 $166,116.65 $166,116.65 2026-09-01
1598 OTHER New Technology - Level 47 1 1 — — $153,000.90 $153,000.90 $153,000.90 2024-10-01
1584 OTHER New Technology - Level 47 1 1 — — $153,000.90 $153,000.90 $153,000.90 2024-10-01
456896 CDM Device Vntrc Asst Hrtmt 78 18 $326,401.50 $326,401.50 $107,940.98 $317,283.30 $146,866.91 2026-09-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 8 1 — — $145,223.54 $145,223.54 $145,223.54 2026-09-01
494847 CDM Syst Imp Hrtmt2 Lft Vent 78 18 $307,657.85 $307,657.85 $101,742.45 $299,063.26 $138,433.06 2026-09-01
J9999 HCPCS Carmustine Wafers 8/box 88 17 $305,385.18 $305,385.18 $93,510.07 $274,846.66 $135,591.02 2026-09-01
C9293 HCPCS Glucarpidase 1000 U Inj 59 17 $284,911.28 $284,911.28 $94,220.16 $276,933.76 $135,389.84 2026-09-01
1597 OTHER New Technology - Level 46 1 1 — — $135,000.90 $135,000.90 $135,000.90 2024-10-01
1583 OTHER New Technology - Level 46 1 1 — — $135,000.90 $135,000.90 $135,000.90 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $26,869.21 $129,430.14 $123,385.76 2026-09-01
1643 OTHER Y90 Ibritumomab, Rx 1 1 — — $117,857.84 $117,857.84 $117,857.84 2024-10-01
1582 OTHER New Technology - Level 45 1 1 — — $117,000.90 $117,000.90 $117,000.90 2024-10-01
1596 OTHER New Technology - Level 45 1 1 — — $117,000.90 $117,000.90 $117,000.90 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 1 1 — — $114,038.59 $114,038.59 $114,038.59 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 8 1 — — $110,645.59 $110,645.59 $110,645.59 2026-09-01
9273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $99,027.41 $99,027.41 $99,027.41 2024-10-01
1595 OTHER New Technology - Level 44 1 1 — — $99,000.90 $99,000.90 $99,000.90 2024-10-01
1581 OTHER New Technology - Level 44 1 1 — — $99,000.90 $99,000.90 $99,000.90 2024-10-01
5244 OTHER Level 4 Blood Product Exc 1 1 — — $93,719.11 $93,719.11 $93,719.11 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 8 — — $30,575.45 $86,399.97 $82,364.98 2026-09-01
1142 OTHER Supprelin La Implant 1 1 — — $81,630.38 $81,630.38 $81,630.38 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 8 — — $21,886.98 $85,025.73 $81,054.82 2026-09-01
1594 OTHER New Technology - Level 43 1 1 — — $81,000.90 $81,000.90 $81,000.90 2024-10-01
1580 OTHER New Technology - Level 43 1 1 — — $81,000.90 $81,000.90 $81,000.90 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $16,815.50 $84,868.72 $80,905.47 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 8 — — $24,182.02 $79,222.53 $75,522.69 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $19,646.03 $77,507.51 $73,888.08 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 8 — — $20,973.67 $74,318.03 $70,847.52 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $13,894.64 $69,807.77 $66,547.27 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 14 7 — — $64,228.00 $69,395.72 $66,475.98 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 8 — — $15,467.31 $68,113.92 $64,933.26 2026-09-01
J2350 HCPCS Ocrelizumab 300 Mg Inj 96 17 $150,336.52 $150,336.52 $157.62 $135,302.87 $63,614.62 2026-09-01
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 91 18 $144,380.93 $144,380.93 $26,737.21 $129,942.84 $63,527.61 2026-09-01
1579 OTHER New Technology - Level 42 1 1 — — $63,000.90 $63,000.90 $63,000.90 2024-10-01
1593 OTHER New Technology - Level 42 1 1 — — $63,000.90 $63,000.90 $63,000.90 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 7 — — $60,008.00 $64,836.46 $62,108.28 2026-09-01
551981 CDM Pump Heart 21fr 85mm 80 19 $136,815.00 $136,815.00 $27,363.00 $139,608.00 $61,635.16 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $18,149.90 $64,374.29 $61,368.43 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 8 — — $23,434.49 $64,374.29 $61,368.43 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 8 — — $20,254.54 $64,153.79 $61,157.28 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 8 — — $24,532.25 $63,193.83 $60,242.64 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 8 — — $21,207.07 $60,959.85 $58,112.60 2026-09-01
J9266 HCPCS Pegaspargase Singl Vial 96 17 $125,252.60 $125,252.60 $38,352.81 $112,727.34 $57,843.51 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 8 — — $15,336.68 $60,437.56 $57,615.11 2026-09-01
5166 OTHER Cochlear Implant Procedur 1 1 — — $57,512.52 $57,512.52 $57,512.52 2024-10-01
457579 CDM Valve Hrt Sapien 26mm As 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
463211 CDM Valve 29mm Sapien Xt Trn 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
463209 CDM Valve 23mm Sapien Xt Trn 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
451503 CDM Valve Heart Sapien Trans 80 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-03-01
451502 CDM Valve Heart Sapien Trans 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
485943 CDM Valve Heart W/cert 29a 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
463210 CDM Valve 26mm Sapien Xt Trn 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
485939 CDM Valve Hrt W/cert Sys 20a 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
441862 CDM Valve Pulm 26mm Sapien R 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
463214 CDM Valve Xt Sapien 26mm Ta 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
463213 CDM Valve Xt Sapien 23mm Ta 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
469507 CDM Valve 29mm Thv 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
457578 CDM Valve Hrt Sapien 23mm As 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
485942 CDM Valve Hrt W/cert Sys 23a 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
469508 CDM Valve Aor 20mm Edwrd Sap 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
463212 CDM Valve 29mm Sapien Xt Trn 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
441861 CDM Valve Pulm 23mm Sapien R 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
485646 CDM Valve Hrt W Cert Sys 26a 116 18 $137,215.00 $137,215.00 $42,012.95 $123,493.50 $57,163.77 2026-09-01
469504 CDM Valve 23mm Thv 78 18 $127,042.50 $127,042.50 $42,012.95 $123,493.50 $57,163.77 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 8 — — $11,473.03 $59,288.27 $56,519.19 2026-09-01
5232 OTHER Level 2 Icd And Similar P 1 1 — — $56,422.76 $56,422.76 $56,422.76 2024-10-01
544809 CDM Valve Tavr 25mm 116 18 $132,993.00 $132,993.00 $40,720.25 $119,693.70 $55,404.88 2026-09-01
496433 CDM Valve Ao 9000tfx 23mm 42 18 $127,042.50 $127,042.50 $42,012.95 $114,338.25 $54,780.73 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 8 — — $15,897.86 $56,851.62 $54,196.54 2026-09-01
5465 OTHER Level 5 Neurostimulator A 1 1 — — $53,255.32 $53,255.32 $53,255.32 2024-10-01
547229 CDM Valve Mitral 46.5x39.5mm 78 18 $117,270.00 $117,270.00 $38,781.19 $113,994.00 $52,766.56 2026-09-01
487218 CDM Valve Tavr 34mm 78 18 $117,270.00 $117,270.00 $38,781.19 $113,994.00 $52,766.56 2026-09-01
777080 CDM Valve Tavor Aor 29mm 116 18 $126,660.00 $126,660.00 $38,781.19 $113,994.00 $52,766.56 2026-09-01
487214 CDM Valve Aor Evolut Pro 23m 116 18 $126,660.00 $126,660.00 $38,781.19 $113,994.00 $52,766.56 2026-09-01
547223 CDM Valve Mitral 36.5x52.5mm 78 18 $117,270.00 $117,270.00 $38,781.19 $113,994.00 $52,766.56 2026-09-01
545488 CDM Valve Aor Tavr 26mm 116 18 $126,660.00 $126,660.00 $38,781.19 $113,994.00 $52,766.56 2026-09-01
488819 CDM Set Pump 21fr 5.0 119 19 $124,096.00 $124,096.00 $21,890.40 $111,686.40 $51,332.99 2026-09-01
J9118 HCPCS Calasparg 3750 Units Inj 155 17 $146,285.16 $146,285.16 $129.01 $142,189.17 $51,199.81 2026-09-01
575013 CDM Valve Tavr 23mm 42 18 $117,270.00 $117,270.00 $38,781.19 $105,543.00 $50,566.82 2024-10-01
547215 CDM Valve Mitral 29m 42 18 $117,270.00 $117,270.00 $38,781.19 $105,543.00 $50,566.82 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $13,934.67 $53,009.53 $50,533.86 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 8 — — $13,166.59 $52,790.15 $50,324.77 2026-09-01
5200 OTHER Implantation Wireless Pa 1 1 — — $49,846.45 $49,846.45 $49,846.45 2024-10-01
1592 OTHER New Technology - Level 41 1 1 — — $49,500.90 $49,500.90 $49,500.90 2024-10-01
1578 OTHER New Technology - Level 41 1 1 — — $49,500.90 $49,500.90 $49,500.90 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 8 — — $12,344.42 $51,520.59 $49,114.52 2026-09-01
843 OTHER Pegaspargase Injection 1 1 — — $48,726.95 $48,726.95 $48,726.95 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 8 — — $14,311.94 $50,079.54 $47,740.50 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 8 — — $11,953.35 $49,176.37 $46,879.42 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 7 — — $44,816.00 $48,422.43 $46,384.56 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 8 — — $16,873.38 $48,603.95 $46,333.52 2026-09-01
371977 CDM Set Vntrc 17.4x13.8in 119 19 $110,800.00 $110,800.00 $19,545.00 $99,720.00 $45,833.03 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $13,934.67 $47,873.41 $45,637.24 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 15 8 — — $10,652.21 $46,473.55 $44,303.39 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 8 — — $13,445.42 $45,614.93 $43,484.54 2026-09-01
856 OTHER Porfimer Sodium Injection 1 1 — — $42,966.25 $42,966.25 $42,966.25 2024-10-01
5213 OTHER Level 3 Electrophysiologi 1 1 — — $40,732.54 $40,732.54 $40,732.54 2024-10-01
1591 OTHER New Technology - Level 40 1 1 — — $40,500.90 $40,500.90 $40,500.90 2024-10-01
1577 OTHER New Technology - Level 40 1 1 — — $40,500.90 $40,500.90 $40,500.90 2024-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 8 — — $10,944.84 $42,444.38 $40,461.49 2026-09-01
544808 CDM Valve Tavr 27mm 116 18 $97,106.00 $97,106.00 $29,732.24 $87,395.40 $40,454.36 2026-09-01
544807 CDM Valve Heart 29 Mm 78 18 $89,907.00 $89,907.00 $29,732.24 $87,395.40 $40,454.36 2026-09-01
5231 OTHER Level 1 Icd And Similar P 1 1 — — $40,425.57 $40,425.57 $40,425.57 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 15 8 — — $15,827.27 $41,335.19 $39,404.71 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 7 — — $37,437.00 $40,449.84 $38,747.29 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 8 — — $14,188.62 $40,378.57 $38,492.13 2026-09-01
J3357 HCPCS Ustekinumab 90 Mg Sq 248 18 $94,247.81 $94,247.81 $378.69 $192,195.33 $38,189.21 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 15 8 — — $13,077.07 $39,421.95 $37,580.58 2026-09-01
5464 OTHER Level 4 Neurostimulator A 1 1 — — $37,517.11 $37,517.11 $37,517.11 2024-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 8 — — $12,196.21 $38,840.62 $37,026.44 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 8 — — $10,924.56 $38,303.84 $36,514.53 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 8 — — $16,749.24 $37,487.54 $35,736.88 2026-09-01
J9119 HCPCS Cemiplimab-rwlc 350mginj 96 17 $84,188.44 $84,188.44 $72.46 $75,769.60 $35,624.18 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 8 — — $30,880.52 $37,155.68 $35,420.67 2026-09-01
443520 CDM Pump Cath Lv Impella 9fr 80 19 $78,180.00 $78,180.00 $15,636.00 $79,776.00 $35,220.09 2026-09-01
772801 CDM Kit Impl Neurostim 116 18 $83,511.16 $83,511.16 $25,569.73 $75,160.04 $34,790.75 2026-09-01
5378 OTHER Level 8 Urology And Relat 1 1 — — $34,595.10 $34,595.10 $34,595.10 2024-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 8 — — $7,489.30 $36,095.48 $34,409.21 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 8 — — $11,583.64 $35,820.41 $34,147.59 2026-09-01
C1822 HCPCS Pulse Gen Imp 428 18 $80,134.50 $80,134.50 $19,784.30 $81,695.70 $34,035.65 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 8 — — $12,498.31 $35,689.01 $34,021.93 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 8 — — $8,079.15 $35,513.05 $33,854.04 2026-09-01
5224 OTHER Level 4 Pacemaker And Sim 1 1 — — $33,417.63 $33,417.63 $33,417.63 2024-10-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 8 — — $7,887.94 $34,528.59 $32,915.71 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 8 — — $7,982.60 $34,468.44 $32,858.03 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 8 — — $12,691.14 $33,697.81 $32,123.64 2026-09-01
5116 OTHER Level 6 Musculoskeletal P 1 1 — — $31,961.30 $31,961.30 $31,961.30 2024-10-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 8 — — $7,171.52 $33,424.97 $31,864.08 2026-09-01
514663 CDM Cap Endrnt Grft 162698 42 18 $73,489.20 $73,489.20 $24,302.88 $66,140.28 $31,688.54 2024-10-01
1590 OTHER New Technology - Level 39 1 1 — — $31,500.90 $31,500.90 $31,500.90 2024-10-01
1576 OTHER New Technology - Level 39 1 1 — — $31,500.90 $31,500.90 $31,500.90 2024-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 8 — — $7,297.28 $32,849.21 $31,315.09 2026-09-01
1295 OTHER Sm 153 Lexidronam 1 1 — — $31,067.73 $31,067.73 $31,067.73 2024-10-01
2616 OTHER Brachytx, Non-str,yttrium 1 1 — — $30,918.62 $30,918.62 $30,918.62 2024-10-01
337140 CDM Stnt Prox Str24x24x152 78 18 $68,682.11 $68,682.11 $22,713.17 $66,763.44 $30,904.05 2026-09-01
903264 CDM Ep Generator Subcutaneo 43 19 $71,174.00 $71,174.00 $14,234.80 $64,056.60 $30,690.23 2024-10-01
5471 OTHER Implantation Of Drug Infu 1 1 — — $30,586.28 $30,586.28 $30,586.28 2024-10-01
438918 CDM Stent Graft Evas 199mm 3 116 18 $72,935.05 $72,935.05 $22,331.50 $65,641.54 $30,384.74 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 8 — — $9,531.20 $31,830.23 $30,343.80 2026-09-01
J9307 HCPCS Pralatrexate 40 Mg Inj 214 17 $54,403.52 $54,403.52 $723.00 $97,926.31 $30,224.18 2026-09-01
5094 OTHER Level 4 Breast/Lymphatic 1 1 — — $30,222.02 $30,222.02 $30,222.02 2024-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 8 — — $8,783.95 $31,562.95 $30,088.36 2026-09-01
5194 OTHER Level 4 Endovascular Proc 1 1 — — $30,073.16 $30,073.16 $30,073.16 2024-10-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 8 — — $7,284.84 $31,530.65 $30,057.46 2026-09-01
903280 CDM Ep Generator Bi-vent 20 43 19 $69,489.00 $69,489.00 $13,897.80 $62,540.10 $29,963.66 2024-10-01
773095 CDM Device Clsr 12fr 24mm 78 18 $66,453.00 $66,453.00 $21,976.01 $64,596.60 $29,901.05 2026-09-01
773097 CDM Device Clsr 12fr 31mm 78 18 $66,453.00 $66,453.00 $21,976.01 $64,596.60 $29,901.05 2026-09-01
773096 CDM Device Clsr 12fr 27mm 78 18 $66,453.00 $66,453.00 $21,976.01 $64,596.60 $29,901.05 2026-09-01
773094 CDM Device Clsr 12fr 20mm 78 18 $66,453.00 $66,453.00 $21,976.01 $64,596.60 $29,901.05 2026-09-01
773098 CDM Device Clsr 12f 35mm 116 18 $71,774.00 $71,774.00 $21,976.01 $64,596.60 $29,901.05 2026-09-01
J2327 HCPCS Risankizum-rzaa 1mg Inj 67 17 $72,508.18 $72,508.18 $39.21 $70,477.95 $29,757.36 2026-09-01
5496 OTHER Level 6 Intraocular Proce 1 1 — — $29,754.70 $29,754.70 $29,754.70 2024-10-01
337145 CDM Stnt Clsweb Tpr44x40x150 78 18 $65,896.94 $65,896.94 $21,792.12 $64,056.08 $29,650.85 2026-09-01
337141 CDM Stnt Clsweb Tpr42x38x150 78 18 $65,896.94 $65,896.94 $21,792.12 $64,056.08 $29,650.85 2026-09-01
337142 CDM Stent Evas Cls 150x40x40 116 18 $71,173.42 $71,173.42 $21,792.12 $64,056.08 $29,650.85 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 8 — — $11,300.48 $30,777.83 $29,340.58 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 8 — — $9,951.75 $30,685.40 $29,252.00 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 8 — — $7,163.95 $30,659.78 $29,227.28 2026-09-01
253 MS_DRG Other Vascular Procedures With Cc 15 8 — — $7,666.72 $30,555.09 $29,127.37 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 8 — — $11,216.10 $30,517.23 $29,091.32 2026-09-01
C1767 HCPCS Gwire Vasc .018in 200cm 1,834 19 $66,496.50 $66,496.50 $1,009.00 $140,888.99 $28,994.79 2026-09-01
709 MS_DRG Penis Procedures With Cc/mcc 15 8 — — $5,488.51 $30,280.03 $28,865.75 2026-09-01
J1412 HCPCS Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10°13… 8 1 — — $28,750.78 $28,750.78 $28,750.78 2026-09-01
J9298 HCPCS Nivol/relat 240/80mg Inj 155 17 $81,624.67 $81,624.67 $337.42 $79,339.18 $28,568.63 2026-09-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 15 8 — — $7,191.54 $29,752.16 $28,362.08 2026-09-01
418030 CDM Stent Graft Evas 161mm 2 116 18 $68,079.75 $68,079.75 $20,844.89 $61,271.78 $28,362.02 2026-09-01
421752 CDM Stent Aaa 40x40x159mm Ta 116 18 $68,079.75 $68,079.75 $20,844.89 $61,271.78 $28,362.02 2026-09-01
430213 CDM Stent Grf Mn Prx Thr 38m 116 18 $68,079.75 $68,079.75 $20,844.89 $61,271.78 $28,362.02 2026-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 8 — — $8,510.79 $29,264.38 $27,897.55 2026-09-01
495522 CDM Kit Nucleus 6 Processor 119 19 $67,111.63 $67,111.63 $11,837.03 $60,400.47 $27,757.83 2026-09-01
495512 CDM Kit Nucleus 7 Processor 119 19 $67,111.63 $67,111.63 $11,837.03 $60,400.47 $27,757.83 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 8 — — $6,859.42 $28,755.45 $27,412.42 2026-09-01
J2329 HCPCS Ublituxi-xiiy 150 Mg Inj 155 17 $77,950.62 $77,950.62 $171.85 $75,768.00 $27,282.72 2026-09-01
903642 CDM MRI Biv Icd Generator 42 18 $63,231.00 $63,231.00 $20,910.49 $56,907.90 $27,265.21 2024-10-01
336176 CDM Device Embl 5x35mm 78 18 $60,511.32 $60,511.32 $20,011.09 $58,820.90 $27,227.54 2026-09-01
336178 CDM Device Embl 4x30mm 116 18 $65,356.56 $65,356.56 $20,011.09 $58,820.90 $27,227.54 2026-09-01
534224 CDM Device Embl 25mm 5mm Pip 78 18 $60,511.32 $60,511.32 $20,011.09 $58,820.90 $27,227.54 2026-09-01
322980 CDM Device Embl Pln 30x4.25 116 18 $65,356.56 $65,356.56 $20,011.09 $58,820.90 $27,227.54 2026-09-01
534130 CDM Device Embl 25mm 3.5mm P 78 18 $60,511.32 $60,511.32 $20,011.09 $58,820.90 $27,227.54 2026-09-01
551864 CDM Device Embl Ped25x4.75mm 78 18 $60,511.32 $60,511.32 $20,011.09 $58,820.90 $27,227.54 2026-09-01
337143 CDM Stent Gft Vlnt 100x46x46 116 18 $65,157.07 $65,157.07 $19,950.01 $58,641.36 $27,144.44 2026-09-01
337144 CDM Stnt Distal Str40x40x107 78 18 $60,326.62 $60,326.62 $19,950.01 $58,641.36 $27,144.44 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 8 — — $10,370.95 $28,438.05 $27,109.60 2026-09-01
5495 OTHER Level 5 Intraocular Proce 1 1 — — $27,069.16 $27,069.16 $27,069.16 2024-10-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 8 — — $11,023.27 $28,258.77 $26,938.62 2026-09-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 15 8 — — $6,493.50 $28,258.77 $26,938.62 2026-09-01
468315 CDM Graft Evas 13cm 31mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482285 CDM Graft Evas 14cm 26mm 12m 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482331 CDM Graft Evas 10cm 10mm Gor 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432592 CDM Stent Excluder Gore C3 D 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
473744 CDM Graft Excluder 16cm 28.5 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
429860 CDM Graft Evas 18cm 23mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
459377 CDM Graft Evas 15cm 31x14.5 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
399606 CDM Stent Grft Main C3 28mmx 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482288 CDM Graft Evas 14cm 26mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
473999 CDM Graft Evas 18x23x14.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
479246 CDM Graft Evas 26x12mm 12cm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432599 CDM Graft Evas 12cm 28.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
420304 CDM Stent Aaa Exldr C3 23x12 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
468669 CDM Graft Evas 14cm 23mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
476745 CDM Graft Evas 12cm 23mm 12m 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432598 CDM Graft Evas 16cm 28.5mm 1 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432594 CDM Graft Evas 12cm 28.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
480996 CDM Graft Evas 12cm 28.5mm 1 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432593 CDM Graft Evas 18cm 26mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
459060 CDM Graft Evas 17cm 31x14.5 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
474099 CDM Graft Evas 14 Cm 28.5 14 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432590 CDM Graft Evas 18cm 26mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
476831 CDM Graft Evas 10cm 12mm Aaa 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482289 CDM Graft Evs 18cm 26x14.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432589 CDM Graft Evas 16cm 26mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
476296 CDM Graft Evas 16cm 23mm 12m 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482291 CDM Graft Evas 28.5x12m 16cm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432586 CDM Graft Evas 18cm 23mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432595 CDM Graft Evas 14cm 28.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
474489 CDM Graft Evas 18cm 28.5mm 1 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
429513 CDM Graft Evas 18cm 28.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432585 CDM Graft Evas 16cm 23mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
467555 CDM Graft Evas 12cm 26x14.5 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432587 CDM Graft Evas 12cm 26mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
429542 CDM Graft Evas 14cm 23x14.5m 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
430572 CDM Graft Evas 15cm 31mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482284 CDM Graft Evas 16cm 23mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432582 CDM Graft Evas 12cm 23mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432583 CDM Graft Evas 14cm 23mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482292 CDM Graft Evas 18cm 28.5mm 1 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432588 CDM Graft Evas 14cm 26mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
477230 CDM Graft Evs 16cm 26x14.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432591 CDM Graft Evas 12cm 26mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432597 CDM Graft Evas 16cm 28.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
423167 CDM Graft Excluder Stent Trk 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482281 CDM Graft Evas 18cm 23mm 12m 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
421811 CDM Graft Evas 16cm 26mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482282 CDM Graft Excldr 12x23x15.5 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
428598 CDM Graft Evas 13cm 31mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
432584 CDM Graft Evas 12cm 23x14.5m 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
456456 CDM Graft Evas 18cm 35mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482334 CDM Graft Evas 16cm 35mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
429502 CDM Stnt/gft Eprsth 17cm 31m 78 18 $59,480.25 $59,480.25 $19,670.12 $57,814.08 $26,761.50 2026-09-01
472352 CDM Stent Gft Ilic 14cm 23mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
477365 CDM Graft Evas 14cm 35mm 14. 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
478737 CDM Graft Evas 10cm 14.5mm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
482290 CDM Graft Excluder 14cm 28.5 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
479247 CDM Graft Evas 28.5x12m 12cm 116 18 $64,237.87 $64,237.87 $19,670.12 $57,814.08 $26,761.50 2026-09-01
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 15 8 — — $7,296.74 $28,048.28 $26,737.77 2026-09-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 15 8 — — $6,680.12 $28,048.28 $26,737.77 2026-09-01
421624 CDM Graft Endur Main 32mmx20 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421619 CDM Graft Evas Endurant Stnt 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421627 CDM Stent Graft End Main 25m 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421687 CDM Graft Vasc Aaa 32x16x166 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421681 CDM Graft Evas 28mm 16mm End 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421682 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
449767 CDM Graft Evas 124mm 32-20mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421615 CDM Graft Evas 145mm 28x13mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421590 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421589 CDM Graft Evas 166mm 20x36mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421602 CDM Graft Evas 166mm 28x13mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421620 CDM Graft Evas 145mm 36mm 16 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421617 CDM Graft Evas 124mm 28x13mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421584 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421596 CDM Stnet Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421581 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421593 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421992 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421625 CDM Stent Graft End Main 25x 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421470 CDM Graft Evas 145mm 25mm 16 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421342 CDM Graft Evas 145mm 28mm 16 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
368334 CDM Graft Evas 145mm 28x20mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421585 CDM Graft Evas 145mm 23x13mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421582 CDM Graft Evas 166mm 23x16mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421686 CDM Graft Evas 166mm 25x13mm 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421591 CDM Graft Evas 145mm 32mm 16 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421586 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
421622 CDM Stent Graft Endurant Mai 116 18 $64,109.33 $64,109.33 $19,630.76 $57,698.40 $26,707.95 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 8 — — $9,031.14 $27,882.35 $26,580.18 2026-09-01
J9228 HCPCS Ipilimumab 1 Mg Injjw 243 17 $64,258.47 $64,258.47 $393.52 $249,836.18 $26,371.68 2026-09-01
545198 CDM Coil Emb Endo Sn Ly 8mmx 116 18 $63,118.90 $63,118.90 $19,325.96 $56,807.01 $26,295.33 2026-09-01
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