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

GRANT MEDICAL CENTER

Columbus, OH · CCN 360017 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $25,298 across 2 payers · range $12,379-$38,216

Source: https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314394942_grant-medical-center_standardcharges.json · observed 2026-04-01

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.

18,393 distinct procedures filed
54 distinct payers
1,756,595 rate rows
2026-04-01 last MRF observed
Data quality

1,718,996 of 1,756,595 rate rows are consumer-grade (97.9%)

37,599 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 33,268
placeholder amount (≤ $0.02) — excluded from medians 3,157
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 662
percent-of-charges filed in the dollar field — excluded from medians 250
template filing: same amount across many unrelated codes — excluded 240
exceeds 10× this hospital's gross charge — excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314394942_grant-medical-center_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 3651c45c3020309a… · 27,835,655 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $1,532,840.61 $1,247,200.56 nat. median
$691,418
1.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $1,494,072.70 $1,215,656.94 nat. median
$631,793
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,431,726.69 $1,164,928.91 nat. median
$610,161
1.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,399,676.98 $1,138,851.56 nat. median
$624,417
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,326,591.48 $1,079,385.32 nat. median
$588,565
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $1,322,619.59 $1,076,153.58 nat. median
$577,541
1.9× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 42 $495.54 $568,767.10 $384,963.00 nat. median
$818
outlier · 470.8×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $337,120.53 $834,564.44 $337,120.53 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $6,488.68 $1,223,931.40 $219,811.96 nat. median
$261,939
0.8× median
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 25 $87,370.65 $320,039.00 $208,185.37 nat. median
$258,912
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $141,956.10 $197,282.58 $169,619.34 nat. median
$75,807
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $168,169.22 $525,009.29 $168,169.22 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $48,010.32 $680,566.96 $167,199.58 nat. median
$199,832
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $153,994.53 $151,769.78 nat. median
$63,643
outlier · 2.4×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $150,503.92 $129,955.41 nat. median
$65,655
2.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $122,549.05 $122,549.05 $122,549.05 nat. median
$4,125
outlier · 29.7×
61886
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 25 $39,487.81 $144,644.00 $118,608.08 nat. median
$27,176
outlier · 4.4×
64568
CPT 		Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 25 $39,487.81 $144,644.00 $118,608.08 nat. median
$27,651
outlier · 4.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $106,753.90 $143,145.89 $117,393.20 nat. median
$57,648
outlier · 2.0×
J0223
HCPCS 		Givosiran 189 Mg/ml Subcutaneous Solution 33 $117.36 $163,492.05 $115,017.84 nat. median
$152
outlier · 755.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $39,532.35 $357,090.79 $110,136.73 nat. median
$132,706
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $122,659.48 $105,912.61 nat. median
$55,200
1.9× median
7
MS_DRG 		Lung Transplant 12 $103,162.71 $289,205.69 $103,162.71 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $95,948.02 $289,936.02 $95,948.02 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $83,354.14 $243,876.98 $90,638.57 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $90,537.97 $90,537.97 $90,537.97 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $40,932.45 $293,999.10 $88,234.96 nat. median
$96,835
0.9× median
SUP-0550-0008
CDM 		Cath Impella 5.5 Heart Pump 25 $36,855.00 $135,000.00 $87,885.00 nat. median
$103,140
0.9× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 16 $65.73 $108,255.55 $87,578.74 nat. median
$92
outlier · 954.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $87,096.62 $241,075.20 $87,096.62 nat. median
$100,978
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $85,143.73 $91,107.98 $85,687.19 nat. median
$46,399
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $82,735.14 $235,664.17 $82,735.14 nat. median
$99,646
0.8× median
61885
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 25 $27,465.98 $100,608.00 $82,498.56 nat. median
$19,880
outlier · 4.1×
PX-27800268
CDM 		Implant Impella Device 5.5 25 $34,603.30 $126,752.00 $82,452.18 nat. median
$107,739
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 12 $68,091.85 $239,605.43 $79,999.55 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $4,901.57 $445,643.30 $78,651.49 nat. median
$92,900
0.8× median
22867
CPT 		Insj Stablj Device W Dcmp 1lv 25 $26,312.29 $96,382.00 $77,973.04 nat. median
$17,039
outlier · 4.6×
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 42 $2,429.89 $116,350.05 $76,343.28 nat. median
$3,876
outlier · 19.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $22,065.15 $184,572.54 $72,668.01 nat. median
$81,124
0.9× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 29 $5,168.23 $111,090.85 $72,320.14 nat. median
$7,100
outlier · 10.2×
64628
CPT 		Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 38 $11,486.85 $96,382.00 $70,358.86 nat. median
$12,628
outlier · 5.6×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 5 $63,844.99 $85,609.49 $70,207.90 nat. median
$37,051
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $69,958.73 $203,855.28 $69,958.73 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $64,643.70 $187,524.82 $68,181.94 nat. median
$79,040
0.9× median

Other procedures at this hospital

Browse this hospital's 18,393 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $591,726.20 $1,532,840.61 $1,247,200.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $1,494,072.70 $1,215,656.94 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $557,317.93 $1,431,726.69 $1,164,928.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $1,399,676.98 $1,138,851.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $1,326,591.48 $1,079,385.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $1,322,619.59 $1,076,153.58 2026-04-01
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 150 42 $568,767.10 $369,698.61 35% off $495.54 $568,767.10 $384,963.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 12 — — $337,120.53 $834,564.44 $337,120.53 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 12 — — $6,488.68 $1,223,931.40 $219,811.96 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 118 25 $320,039.00 $208,025.35 35% off $87,370.65 $320,039.00 $208,185.37 2025-01-22
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $141,956.10 $197,282.58 $169,619.34 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $168,169.22 $525,009.29 $168,169.22 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 13 — — $48,010.32 $680,566.96 $167,199.58 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $153,994.53 $151,769.78 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $55,272.32 $150,503.92 $129,955.41 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $122,549.05 $122,549.05 $122,549.05 2026-04-01
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 118 25 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $118,608.08 2025-01-22
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 118 25 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $118,608.08 2025-01-22
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $106,753.90 $143,145.89 $117,393.20 2026-04-01
J0223 HCPCS Givosiran 189 Mg/ml Subcutaneous Solution 129 33 $163,492.05 $106,269.83 35% off $117.36 $163,492.05 $115,017.84 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 13 — — $39,532.35 $357,090.79 $110,136.73 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $122,659.48 $105,912.61 2026-04-01
7 MS_DRG Lung Transplant 18 12 — — $103,162.71 $289,205.69 $103,162.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $95,948.02 $289,936.02 $95,948.02 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $83,354.14 $243,876.98 $90,638.57 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $90,537.97 $90,537.97 $90,537.97 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 13 — — $40,932.45 $293,999.10 $88,234.96 2026-04-01
SUP-0550-0008 CDM Cath Impella 5.5 Heart Pump 101 25 $135,000.00 $87,750.00 35% off $36,855.00 $135,000.00 $87,885.00 2025-01-22
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 71 16 $108,255.55 $70,366.11 35% off $65.73 $108,255.55 $87,578.74 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $87,096.62 $241,075.20 $87,096.62 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 3 — — $85,143.73 $91,107.98 $85,687.19 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $82,735.14 $235,664.17 $82,735.14 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 118 25 $100,608.00 $65,395.20 35% off $27,465.98 $100,608.00 $82,498.56 2025-01-22
PX-27800268 CDM Implant Impella Device 5.5 118 25 $126,752.00 $82,388.80 35% off $34,603.30 $126,752.00 $82,452.18 2025-01-22
215 MS_DRG Other Heart Assist System Implant 23 12 — — $68,091.85 $239,605.43 $79,999.55 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $4,901.57 $445,643.30 $78,651.49 2026-04-01
22867 CPT Insj Stablj Device W Dcmp 1lv 101 25 $96,382.00 $62,648.30 35% off $26,312.29 $96,382.00 $77,973.04 2025-01-22
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 150 42 $116,350.05 $75,627.53 35% off $2,429.89 $116,350.05 $76,343.28 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 12 — — $22,065.15 $184,572.54 $72,668.01 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 185 29 $111,090.85 $72,209.05 35% off $5,168.23 $111,090.85 $72,320.14 2026-04-01
64628 CPT Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 127 38 $96,382.00 $62,648.30 35% off $11,486.85 $96,382.00 $70,358.86 2025-01-22
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $63,844.99 $85,609.49 $70,207.90 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $69,958.73 $203,855.28 $69,958.73 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 12 — — $64,643.70 $187,524.82 $68,181.94 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 13 — — $45,913.62 $187,418.59 $67,976.87 2026-04-01
PX-27800238 CDM Perfusion Tavr Valve 118 25 $104,091.00 $67,659.15 35% off $28,416.84 $104,091.00 $67,711.20 2025-01-22
C1825 HCPCS Generator Pulse Implantable Kit Barostim Neo2 Sys With Lead 254 38 $99,750.00 $64,837.50 35% off $20,695.50 $105,000.00 $67,305.00 2025-01-22
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 150 42 $97,485.00 $63,365.25 35% off $225.11 $97,485.00 $65,942.80 2026-04-01
62362 CPT Hc Implant Or Replace Programmable Pump 101 25 $79,192.00 $51,474.80 35% off $21,619.42 $79,192.00 $64,066.33 2025-01-22
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $63,839.82 $178,386.93 $63,839.82 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $28,424.06 $73,361.14 $63,345.04 2026-04-01
50365 HCPCS Transplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0942T OTHER Cysto Flx Rmv&rplc Urtl Scaf 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0872T OTHER Rplcmt Ndwllg Bldr&prtl Cath 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0584T OTHER Perq Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0586T OTHER Open Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0814T OTHER Prq Njx Biod Osteo Matrl Fem 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37229 HCPCS Hc Revasc Endo Tibiopero W Atherectm 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32851 HCPCS Lung Transplant Single 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0585T OTHER Laps Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0873T OTHER Revj Subq Prtl Asct Pmp Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32853 HCPCS Lung Transplant Double 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
47135 HCPCS Transplantation Of Liver 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37231 HCPCS Hc Revasc/Endo Tibioper W Stnt&Ather 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
54438 HCPCS Replantation Of Penis 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
93583 HCPCS Hc Perq Transcath Septal Reduction 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37230 HCPCS Hc Revasc Endo Tibiopero W Stent 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 12 — — $31,171.49 $502,232.43 $62,365.62 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 13 — — $3,969.76 $345,247.31 $62,109.47 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 14 — — $952.74 $373,206.00 $61,913.68 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $60,650.62 $63,079.00 $61,864.81 2026-04-01
J9359 HCPCS Inv Loncastuximab Tesirine-lpyl (adct-402) 5 Mg/ml Intravenous Solution 316 42 $112,177.25 $72,915.21 35% off $0.18 $112,177.25 $61,697.49 2026-04-01
27279 CPT Hc Athrodesis Sacroiliac Joint W Img Guidance 101 25 $76,124.00 $49,480.60 35% off $20,781.85 $76,124.00 $61,584.32 2025-01-22
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 12 — — $3,921.51 $224,002.20 $58,808.19 2026-04-01
61635 CPT Hc Stent Intracranial Transcath 101 25 $72,630.00 $47,209.50 35% off $19,827.99 $72,630.00 $58,757.67 2025-01-22
10 MS_DRG Pancreas Transplant 18 12 — — $58,476.20 $176,441.61 $58,476.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 12 — — $20,259.72 $147,801.88 $58,452.98 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 12 — — $58,158.14 $175,425.80 $58,158.14 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 12 — — $30,612.81 $509,696.00 $58,125.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 14 — — $12,973.82 $292,525.47 $56,433.98 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 12 — — $49,978.48 $147,551.80 $56,171.65 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 13 — — $38,710.83 $384,254.35 $55,035.62 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $49,492.60 $271,308.15 $54,690.48 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 13 — — $19,579.78 $149,289.36 $54,652.56 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $65,659.02 $54,575.82 2026-04-01
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 150 42 $86,041.05 $55,926.68 35% off $127.45 $86,041.05 $54,377.94 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $47,183.46 $142,908.72 $53,829.95 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $53,829.95 $131,659.53 $53,829.95 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 12 — — $31,614.82 $136,278.27 $53,645.00 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $42,470.57 $63,079.00 $52,774.79 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 2 2 — — $42,470.57 $63,079.00 $52,774.79 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $42,470.57 $63,079.00 $52,774.79 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 13 — — $3,298.29 $384,292.46 $52,741.90 2026-04-01
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 131 33 $78,733.90 $51,177.03 35% off $33.89 $78,733.90 $50,547.16 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 12 — — $44,845.42 $363,227.29 $50,371.57 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 12 — — $48,114.26 $139,954.23 $50,316.63 2026-04-01
PX-27800171 CDM Hc Implant Impella Device 3.5 118 25 $77,288.00 $50,237.20 35% off $21,099.62 $77,288.00 $50,275.85 2025-01-22
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $49,862.37 $135,182.79 $49,862.37 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 29 13 — — $21,937.75 $251,330.05 $49,442.16 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 13 — — $28,667.76 $137,079.41 $49,429.01 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $22,281.29 $127,009.81 $49,092.38 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 14 — — $1,515.20 $131,568.80 $48,940.70 2026-04-01
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 124 29 $59,003.95 $38,352.57 35% off $16,108.08 $172,099.63 $48,914.27 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 12 — — $48,833.91 $133,571.65 $48,833.91 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 15 — — $17,838.90 $246,581.60 $48,361.08 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 12 — — $44,132.03 $236,725.70 $48,331.68 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 13 — — $13,519.98 $121,058.78 $47,575.62 2026-04-01
69930 HCPCS Implant Cochlear Device 2 2 — — $31,792.44 $63,079.00 $47,435.72 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 12 — — $14,542.75 $209,311.13 $47,290.84 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 12 — — $45,876.39 $47,109.75 $47,109.75 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 14 — — $14,567.78 $119,522.89 $47,052.49 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 12 — — $23,328.64 $129,116.21 $46,452.75 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
61886 HCPCS Implant Neurostim Arrays 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $46,318.09 $120,410.34 $46,318.09 2026-04-01
93654 CPT Ep Eval W Ablation Vt Including 3d Mapping 127 38 $63,198.00 $41,078.70 35% off $13,840.36 $63,198.00 $46,134.54 2025-01-22
93656 CPT Ep Eval W Ablation A Fib Including 3d Mapping 127 38 $63,198.00 $41,078.70 35% off $13,840.36 $63,198.00 $46,134.54 2025-01-22
93653 CPT Ep Eval W Ablation Svt Including 3d Mapping 127 38 $63,198.00 $41,078.70 35% off $13,840.36 $63,198.00 $46,134.54 2025-01-22
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $38,532.17 $110,719.18 $46,020.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 12 — — $45,686.62 $135,811.31 $45,686.62 2026-04-01
L8614 HCPCS Implant Cl512 Nucleus Profile W/contour Advance Bundle 6 381 38 $61,540.62 $40,001.40 35% off $13,213.01 $62,316.72 $45,491.21 2025-01-22
834 MS_DRG Acute Leukemia With Mcc 20 12 — — $43,317.29 $122,315.82 $45,430.48 2026-04-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 150 42 $70,672.90 $45,937.38 35% off $359.19 $70,672.90 $45,372.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 — — $27,657.11 $63,079.00 $45,368.06 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $42,373.73 $120,135.92 $45,280.35 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 12 — — $3,071.95 $297,042.98 $45,219.99 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 12 — — $41,434.99 $119,410.02 $45,153.44 2026-04-01
81416 HCPCS Exome Sequence Analysis 3 2 — — $12,000.00 $45,000.00 $45,000.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 12 — — $44,984.73 $133,571.65 $44,984.73 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 2 2 — — $26,163.21 $63,079.00 $44,621.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 2 2 — — $26,163.21 $63,079.00 $44,621.10 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 12 — — $2,504.32 $255,110.20 $44,214.74 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 12 — — $34,728.46 $113,968.01 $44,189.98 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 2 2 — — $25,202.69 $63,079.00 $44,140.85 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 2 2 — — $25,202.69 $63,079.00 $44,140.85 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 2 2 — — $25,202.69 $63,079.00 $44,140.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $43,912.94 $122,324.68 $43,912.94 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 15 — — $20,349.65 $271,081.23 $43,777.51 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 13 — — $17,707.32 $112,741.95 $43,228.85 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 22 12 — — $395.00 $123,362.62 $43,159.20 2026-04-01
33365 CPT Hc Tavr Tavi Transaortic Approach 101 25 $53,222.00 $34,594.30 35% off $14,529.61 $53,222.00 $43,056.60 2025-01-22
0398T CPT MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion 127 38 $57,968.00 $37,679.20 35% off $11,889.10 $57,968.00 $42,664.45 2025-01-22
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $16,235.63 $141,478.49 $41,950.43 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 13 — — $21,522.95 $265,142.37 $41,541.83 2026-04-01
53444 HCPCS Insert Tandem Cuff 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $39,939.96 $110,276.56 $41,232.29 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 15 — — $11,948.38 $242,376.50 $41,164.19 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 12 — — $22,365.46 $111,462.78 $41,033.41 2026-04-01
34717 CPT Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat 101 25 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $41,026.01 2025-01-22
34708 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img 101 25 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $41,026.01 2025-01-22
34707 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img 101 25 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $41,026.01 2025-01-22
34718 CPT Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat 101 25 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $41,026.01 2025-01-22
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
64580 HCPCS Implant Neuroelectrodes 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
63655 HCPCS Implant Neuroelectrodes 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $31,379.88 $119,394.53 $40,874.77 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93580 HCPCS Transcath Closure Of Asd 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 12 — — $20,421.72 $162,422.92 $40,313.72 2026-04-01
62360 HCPCS Insert Spine Infusion Device 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $40,124.90 $110,805.49 $40,124.90 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
23616 HCPCS Treat Humerus Fracture 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
24363 HCPCS Replace Elbow Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
28705 HCPCS Fusion Of Foot Bones 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
25446 HCPCS Wrist Replacement 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
64629 CPT Thermal Desctruction Intraosseous Bvn Ea Addtl Lmbr Sac 127 38 $48,192.00 $31,324.80 35% off $8,674.56 $48,192.00 $39,951.17 2025-01-22
22870 CPT Insj Stablj Device Wo Dcmp 2lv 127 38 $48,192.00 $31,324.80 35% off $8,674.56 $48,192.00 $39,951.17 2025-01-22
47540 CPT Hc Place Stent Bile Duct W Img Via New Acc W Separate Bdc 101 25 $49,337.00 $32,069.05 35% off $13,469.00 $49,337.00 $39,913.63 2025-01-22
47539 CPT Hc Place Stent Bile Duct W Img Via New Acc Wo Separate Bdc 101 25 $49,337.00 $32,069.05 35% off $13,469.00 $49,337.00 $39,913.63 2025-01-22
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 12 — — $37,381.02 $144,860.94 $39,788.27 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 2 2 — — $15,871.89 $63,079.00 $39,475.44 2026-04-01
37211 CPT Hc Trnscth Tx Thrmb Art Init Day 101 25 $48,736.00 $31,678.40 35% off $13,304.93 $48,736.00 $39,427.42 2025-01-22
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 12 — — $39,328.60 $101,957.52 $39,328.60 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 14 — — $662.68 $105,217.41 $39,254.31 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $38,063.68 $105,679.95 $39,145.97 2026-04-01
22868 CPT Insj Stablj Device W Dcmp 2lv 101 25 $48,192.00 $31,324.80 35% off $13,156.42 $48,192.00 $38,987.33 2025-01-22
6 MS_DRG Liver Transplant Without Mcc 18 12 — — $38,830.23 $107,311.01 $38,830.23 2026-04-01
0075T CPT Hc Transcath Stent Xtracran Cca Perc Initial Vessel 108 29 $50,656.00 $32,926.40 35% off $11,093.66 $50,656.00 $38,701.18 2025-01-22
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 12 — — $36,027.59 $105,001.00 $38,687.07 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 16 — — $15,179.81 $134,780.63 $38,516.82 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 12 — — $35,123.15 $103,555.38 $38,426.28 2026-04-01
67027 HCPCS Implant Eye Drug System 2 2 — — $13,453.74 $63,079.00 $38,266.37 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 12 — — $36,332.94 $108,143.13 $38,252.93 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33475 HCPCS Replacement Pulmonary Valve 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
43283 HCPCS Lap Esoph Lengthening 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33362 HCPCS Hc Tavr Tavi Open Fem Art Approach 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33367 HCPCS Replace Aortic Valve W/byp 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33478 HCPCS Revision Of Heart Chamber 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33363 HCPCS Hc Tavr Tavi Open Axil Art Approach 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33852 HCPCS Repair Septal Defect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34701 HCPCS Evasc Rpr A-ao Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33471 HCPCS Valvotomy Pulmonary Valve 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33995 HCPCS Hc Insert Right Vad Arterial Access Percutaneous W Img 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33993 HCPCS Hc Reposition Right Or Left Vad Percutaneous With Img 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33474 HCPCS Revision Of Pulmonary Valve 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33851 HCPCS Remove Aorta Constriction 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33476 HCPCS Revision Of Heart Chamber 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
See an error in this hospital's data? Submit a correction