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

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Hospital

DOCTORS HOSPITAL

Columbus, OH · CCN 360152 · Rates published

16,954 distinct procedures filed
53 distinct payers
1,430,030 rate rows
2026-04-01 last MRF observed
Data quality

1,356,815 of 1,430,030 rate rows are consumer-grade (94.9%)

73,215 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 69,052
placeholder amount (≤ $0.02) — excluded from medians 3,263
template filing: same amount across many unrelated codes — excluded 480
percent-of-charges filed in the dollar field — excluded from medians 350
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 48
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_grove-city-methodist_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 Latest re-check couldn't be parsed — showing last good data · 2026-08-17
Content fingerprint 0bf609afc40c6e88… · 25,349,926 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $389,624.13 $882,569.52 $389,624.13 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $253,922.96 $659,206.43 $253,922.96 nat. median
$261,939
1.0× median
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 24 $87,370.65 $320,039.00 $209,625.55 nat. median
$258,912
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $194,183.26 $555,208.41 $194,183.26 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $93,333.11 $501,552.40 $193,061.58 nat. median
$199,832
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $141,956.10 $197,282.58 $169,619.34 nat. median
$75,807
outlier · 2.2×
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $153,994.53 $151,769.78 nat. median
$63,643
outlier · 2.4×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $171,819.53 $148,360.77 nat. median
$69,291
outlier · 2.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $150,503.92 $129,955.41 nat. median
$65,655
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $63,875.49 $575,933.24 $127,051.96 nat. median
$132,706
1.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $122,549.05 $122,549.05 $122,549.05 nat. median
$4,125
outlier · 29.7×
7
MS_DRG 		Lung Transplant 11 $118,984.50 $305,841.13 $118,984.50 nat. median
$122,690
1.0× median
64568
CPT 		Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 24 $39,487.81 $144,644.00 $113,762.51 nat. median
$27,651
outlier · 4.1×
61886
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 24 $39,487.81 $144,644.00 $113,762.51 nat. median
$27,176
outlier · 4.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $110,638.63 $306,613.46 $110,638.63 nat. median
$114,305
1.0× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $122,659.48 $105,912.61 nat. median
$55,200
1.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $104,496.72 $257,905.06 $104,496.72 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $104,380.34 $104,380.34 $104,380.34 nat. median
$96,134
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $101,716.25 $245,311.37 $101,716.25 nat. median
$96,835
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $100,399.43 $254,942.11 $100,399.43 nat. median
$100,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $95,354.13 $249,219.83 $95,354.13 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 11 $13,815.00 $247,946.66 $92,189.63 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $90,630.20 $225,857.96 $90,630.20 nat. median
$92,900
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $83,708.58 $195,189.36 $83,708.58 nat. median
$81,124
1.0× median
PX-27800268
CDM 		Implant Impella Device 5.5 24 $34,603.30 $126,752.00 $83,022.56 nat. median
$107,739
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $80,574.52 $215,581.27 $80,574.52 nat. median
$81,364
1.0× median
61885
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 24 $27,465.98 $100,608.00 $79,128.19 nat. median
$19,880
outlier · 4.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $78,519.16 $198,311.45 $78,519.16 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $78,281.93 $198,199.11 $78,281.93 nat. median
$80,459
1.0× median
22867
CPT 		Insj Stablj Device W Dcmp 1lv 24 $26,312.29 $96,382.00 $75,804.45 nat. median
$17,039
outlier · 4.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $73,496.24 $188,647.94 $73,496.24 nat. median
$77,385
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $71,790.90 $181,076.75 $71,790.90 nat. median
$74,472
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $71,494.59 $182,920.98 $71,494.59 nat. median
$73,475
1.0× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 28 $5,168.23 $97,759.95 $71,320.33 nat. median
$7,100
outlier · 10.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $12,809.01 $174,680.43 $71,268.11 nat. median
$71,485
1.0× median
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×
PX-27800238
CDM 		Perfusion Tavr Valve 24 $28,416.84 $104,091.00 $68,179.61 nat. median
$84,730
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $67,675.71 $166,137.97 $67,675.71 nat. median
$66,640
1.0× median

Other procedures at this hospital

Browse this hospital's 16,954 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 2 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 3 — — $591,726.20 $1,532,840.61 $1,247,200.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 3 — — $565,868.94 $1,494,072.70 $1,215,656.94 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 3 — — $557,317.93 $1,431,726.69 $1,164,928.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 3 — — $562,538.19 $1,399,676.98 $1,138,851.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 3 — — $533,230.17 $1,326,591.48 $1,079,385.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 3 — — $489,304.61 $1,322,619.59 $1,076,153.58 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 11 — — $389,624.13 $882,569.52 $389,624.13 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 11 — — $253,922.96 $659,206.43 $253,922.96 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 11 — — $63,875.49 $575,933.24 $127,051.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 11 — — $194,183.26 $555,208.41 $194,183.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 11 — — $93,333.11 $501,552.40 $193,061.58 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 11 — — $17,132.86 $430,621.45 $45,056.01 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 100 24 $320,039.00 $208,025.35 35% off $87,370.65 $320,039.00 $209,625.55 2025-01-22
14 MS_DRG Allogeneic Bone Marrow Transplant 32 11 — — $110,638.63 $306,613.46 $110,638.63 2026-04-01
7 MS_DRG Lung Transplant 32 11 — — $118,984.50 $305,841.13 $118,984.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 70 13 — — $13,387.04 $278,337.25 $64,929.26 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 11 — — $104,496.72 $257,905.06 $104,496.72 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 11 — — $100,399.43 $254,942.11 $100,399.43 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 11 — — $95,354.13 $249,219.83 $95,354.13 2026-04-01
215 MS_DRG Other Heart Assist System Implant 38 11 — — $13,815.00 $247,946.66 $92,189.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 11 — — $101,716.25 $245,311.37 $101,716.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 11 — — $90,630.20 $225,857.96 $90,630.20 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 11 — — $9,298.46 $217,247.90 $47,265.34 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 11 — — $80,574.52 $215,581.27 $80,574.52 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 11 — — $78,519.16 $198,311.45 $78,519.16 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 11 — — $78,281.93 $198,199.11 $78,281.93 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 2 — — $141,956.10 $197,282.58 $169,619.34 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 11 — — $83,708.58 $195,189.36 $83,708.58 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 11 — — $73,496.24 $188,647.94 $73,496.24 2026-04-01
10 MS_DRG Pancreas Transplant 32 11 — — $67,291.67 $186,590.73 $67,291.67 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 11 — — $66,923.75 $185,516.49 $66,923.75 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 11 — — $71,494.59 $182,920.98 $71,494.59 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 11 — — $71,790.90 $181,076.75 $71,790.90 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 11 — — $18,401.50 $180,580.96 $54,076.85 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 11 — — $23,810.63 $177,178.76 $64,625.79 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 12 — — $12,809.01 $174,680.43 $71,268.11 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 4 — — $63,342.28 $171,819.53 $148,360.77 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 11 — — $67,675.71 $166,137.97 $67,675.71 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 11 — — $66,886.15 $165,384.37 $66,886.15 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 11 — — $63,311.65 $159,800.17 $63,311.65 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 11 — — $62,868.53 $156,905.10 $62,868.53 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 11 — — $67,264.81 $156,303.61 $67,264.81 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 3 — — $56,824.55 $153,994.53 $151,769.78 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 11 — — $37,935.92 $151,370.05 $60,658.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 11 — — $61,916.94 $151,128.99 $61,916.94 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 4 — — $55,272.32 $150,503.92 $129,955.41 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 11 — — $57,852.77 $148,004.56 $57,852.77 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 11 — — $56,825.99 $144,964.38 $56,825.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 11 — — $62,912.39 $144,777.14 $62,912.39 2026-04-01
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 100 24 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $113,762.51 2025-01-22
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 100 24 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $113,762.51 2025-01-22
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 11 — — $35,908.42 $144,117.15 $61,702.99 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 12 — — $16,467.76 $143,956.64 $40,861.14 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 11 — — $52,496.84 $143,623.33 $52,496.84 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 11 — — $57,327.29 $142,958.65 $57,327.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 11 — — $56,841.20 $142,275.26 $56,841.20 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 32 11 — — $56,137.58 $141,254.84 $56,137.58 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 32 11 — — $51,684.90 $141,254.84 $51,684.90 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 11 — — $57,916.33 $140,199.32 $57,916.33 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 11 — — $61,916.94 $139,232.74 $61,916.94 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 11 — — $56,261.12 $139,136.78 $56,261.12 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 11 — — $55,590.62 $137,704.46 $55,590.62 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 11 — — $55,556.60 $136,255.75 $55,556.60 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 11 — — $56,436.58 $134,315.56 $56,436.58 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 11 — — $54,352.57 $133,512.80 $54,352.57 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 34 11 — — $47,198.59 $130,458.58 $49,573.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 11 — — $50,445.06 $129,360.93 $50,445.06 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 11 — — $52,200.53 $129,351.57 $52,200.53 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 11 — — $53,383.08 $128,843.70 $53,383.08 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 11 — — $54,682.00 $128,022.22 $54,682.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 11 — — $53,227.32 $127,336.48 $53,227.32 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 11 — — $52,026.87 $127,046.27 $52,026.87 2026-04-01
PX-27800268 CDM Implant Impella Device 5.5 100 24 $126,752.00 $82,388.80 35% off $34,603.30 $126,752.00 $83,022.56 2025-01-22
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 11 — — $51,880.05 $126,278.62 $51,880.05 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 11 — — $46,930.54 $126,262.24 $46,930.54 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 11 — — $51,957.04 $124,506.94 $51,957.04 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 11 — — $50,794.19 $123,954.61 $50,794.19 2026-04-01
J9226 HCPCS Supprelin La Implant 12 4 — — $45,020.65 $122,659.48 $105,912.61 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $122,549.05 $122,549.05 $122,549.05 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 11 — — $50,765.54 $120,523.58 $50,765.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 11 — — $4,776.00 $120,128.05 $50,288.40 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 11 — — $42,336.89 $119,227.00 $49,653.71 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 11 — — $37,589.00 $118,861.89 $47,702.20 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 12 — — $12,307.73 $117,874.25 $47,114.05 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 11 — — $46,063.10 $117,179.15 $46,063.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 11 — — $52,883.56 $117,087.87 $52,883.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 11 — — $47,344.12 $116,619.79 $47,344.12 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 11 — — $43,897.63 $114,363.65 $43,897.63 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 11 — — $46,281.53 $113,673.23 $46,281.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 32 11 — — $44,565.44 $113,483.66 $44,565.44 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 11 — — $44,930.68 $111,758.78 $44,930.68 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 11 — — $43,597.74 $111,274.32 $43,597.74 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 11 — — $45,673.69 $110,101.78 $45,673.69 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 11 — — $9,995.57 $109,512.00 $44,098.16 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 11 — — $44,399.83 $108,880.09 $44,399.83 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 42 11 — — $5,428.76 $107,866.70 $43,176.11 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 11 — — $45,141.95 $107,822.23 $45,141.95 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 11 — — $48,174.86 $107,478.19 $48,174.86 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 11 — — $28,717.91 $107,464.15 $44,202.89 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 11 — — $16,461.70 $105,582.47 $43,774.99 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 11 — — $13,603.28 $104,952.90 $41,485.09 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 11 — — $43,757.09 $104,662.69 $43,757.09 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 10 — — $104,380.34 $104,380.34 $104,380.34 2026-04-01
PX-27800238 CDM Perfusion Tavr Valve 100 24 $104,091.00 $67,659.15 35% off $28,416.84 $104,091.00 $68,179.61 2025-01-22
901 MS_DRG Wound Debridements For Injuries With Mcc 34 11 — — $36,330.33 $103,684.40 $40,623.02 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 11 — — $43,006.92 $102,802.07 $43,006.92 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 11 — — $40,408.18 $101,051.45 $40,408.18 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 100 24 $100,608.00 $65,395.20 35% off $27,465.98 $100,608.00 $79,128.19 2025-01-22
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 34 11 — — $40,026.83 $99,827.42 $42,379.39 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 11 — — $28,852.86 $99,682.32 $41,793.93 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 11 — — $41,238.02 $98,975.52 $41,238.02 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 11 — — $43,164.47 $98,069.78 $43,164.47 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 58 12 — — $4,369.36 $98,062.76 $40,667.78 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 112 28 $111,090.85 $72,209.05 35% off $5,168.23 $97,759.95 $71,320.33 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 52 12 — — $2,136.05 $97,608.72 $40,381.32 2026-04-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 139 42 $97,485.00 $63,365.25 35% off $225.11 $97,485.00 $63,462.74 2026-04-01
22867 CPT Insj Stablj Device W Dcmp 1lv 100 24 $96,382.00 $62,648.30 35% off $26,312.29 $96,382.00 $75,804.45 2025-01-22
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 11 — — $40,553.20 $96,232.57 $40,553.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 11 — — $40,777.89 $96,178.74 $40,777.89 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 11 — — $40,796.69 $96,035.97 $40,796.69 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 11 — — $41,018.70 $95,563.21 $41,018.70 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 11 — — $40,232.72 $95,186.41 $40,232.72 2026-04-01
791 MS_DRG Prematurity With Major Problems 42 12 — — $2,116.81 $95,022.58 $39,391.24 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 11 — — $39,046.59 $91,959.00 $39,046.59 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 11 — — $39,986.54 $91,509.64 $39,986.54 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 11 — — $38,720.74 $83,893.98 $38,720.74 2026-04-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 139 42 $81,859.30 $53,208.54 35% off $59.41 $81,859.30 $51,735.08 2026-04-01
C1767 HCPCS Generator Pulse Interstim 2 635 38 $53,550.00 $34,807.50 35% off $6,898.50 $80,214.00 $39,842.76 2025-01-22
62362 CPT Hc Implant Or Replace Programmable Pump 100 24 $79,192.00 $51,474.80 35% off $21,619.42 $79,192.00 $62,284.51 2025-01-22
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 120 33 $78,733.90 $51,177.03 35% off $33.89 $78,733.90 $50,547.16 2026-04-01
PX-27800171 CDM Hc Implant Impella Device 3.5 100 24 $77,288.00 $50,237.20 35% off $21,099.62 $77,288.00 $50,623.64 2025-01-22
27279 CPT Hc Athrodesis Sacroiliac Joint W Img Guidance 100 24 $76,124.00 $49,480.60 35% off $20,781.85 $76,124.00 $59,871.53 2025-01-22
J9266 HCPCS Pegaspargase Injection 12 4 — — $28,424.06 $73,361.14 $63,345.04 2026-04-01
61635 CPT Hc Stent Intracranial Transcath 100 24 $72,630.00 $47,209.50 35% off $19,827.99 $72,630.00 $57,123.49 2025-01-22
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 10 5 — — $5,607.76 $66,156.44 $40,596.20 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 3 — — $24,228.42 $65,659.02 $54,575.82 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
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
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
0584T OTHER Perq Islet Cell Transplant 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0872T OTHER Rplcmt Ndwllg Bldr&prtl Cath 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0585T OTHER Laps Islet Cell Transplant 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
47135 HCPCS Transplantation Of Liver 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0586T OTHER Open Islet Cell Transplant 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
93583 HCPCS Hc Perq Transcath Septal Reduction 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32853 HCPCS Lung Transplant Double 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
54438 HCPCS Replantation Of Penis 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37230 HCPCS Hc Revasc Endo Tibiopero W Stent 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33945 HCPCS Transplantation Of Heart 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32851 HCPCS Lung Transplant Single 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37231 HCPCS Hc Revasc/Endo Tibioper W Stnt&Ather 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0873T OTHER Revj Subq Prtl Asct Pmp Sys 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0814T OTHER Prq Njx Biod Osteo Matrl Fem 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37229 HCPCS Hc Revasc Endo Tibiopero W Atherectm 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0942T OTHER Cysto Flx Rmv&rplc Urtl Scaf 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 2 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 2 — — $61,977.02 $63,079.00 $62,528.01 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 2 — — $43,399.38 $63,079.00 $53,239.19 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 2 — — $43,399.38 $63,079.00 $53,239.19 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 2 — — $43,399.38 $63,079.00 $53,239.19 2026-04-01
69930 HCPCS Implant Cochlear Device 4 2 — — $32,487.72 $63,079.00 $47,783.36 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 2 — — $30,927.72 $63,079.00 $47,003.36 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 2 — — $30,404.36 $63,079.00 $46,741.68 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 2 — — $28,261.96 $63,079.00 $45,670.48 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 4 2 — — $26,735.39 $63,079.00 $44,907.19 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 4 2 — — $26,735.39 $63,079.00 $44,907.19 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 2 — — $25,753.86 $63,079.00 $44,416.43 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 2 — — $25,753.86 $63,079.00 $44,416.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 2 — — $25,753.86 $63,079.00 $44,416.43 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 2 — — $21,916.79 $63,079.00 $42,497.90 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
53444 HCPCS Insert Tandem Cuff 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 4 2 — — $20,421.63 $63,079.00 $41,750.32 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 4 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 4 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
64580 HCPCS Implant Neuroelectrodes 4 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
63655 HCPCS Implant Neuroelectrodes 4 2 — — $19,115.10 $63,079.00 $41,097.05 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 2 — — $18,978.72 $63,079.00 $41,028.86 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93580 HCPCS Transcath Closure Of Asd 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 4 2 — — $18,062.32 $63,079.00 $40,570.66 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 4 2 — — $17,759.06 $63,079.00 $40,419.03 2026-04-01
62360 HCPCS Insert Spine Infusion Device 4 2 — — $17,759.06 $63,079.00 $40,419.03 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 4 2 — — $17,759.06 $63,079.00 $40,419.03 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
25446 HCPCS Wrist Replacement 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
23616 HCPCS Treat Humerus Fracture 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
28705 HCPCS Fusion Of Foot Bones 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
24363 HCPCS Replace Elbow Joint 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 4 2 — — $17,276.22 $63,079.00 $40,177.61 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 4 2 — — $16,219.00 $63,079.00 $39,649.00 2026-04-01
67027 HCPCS Implant Eye Drug System 4 2 — — $13,747.97 $63,079.00 $38,413.49 2026-04-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 120 33 $61,569.90 $40,020.43 35% off $197.83 $61,569.90 $41,300.80 2026-04-01
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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 10 — — $54,143.10 $54,143.10 $54,143.10 2026-04-01
33365 CPT Hc Tavr Tavi Transaortic Approach 100 24 $53,222.00 $34,594.30 35% off $14,529.61 $53,222.00 $41,859.10 2025-01-22
34717 CPT Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat 100 24 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $39,884.99 2025-01-22
34707 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img 100 24 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $39,884.99 2025-01-22
34718 CPT Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat 100 24 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $39,884.99 2025-01-22
34708 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img 100 24 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $39,884.99 2025-01-22
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
47539 CPT Hc Place Stent Bile Duct W Img Via New Acc Wo Separate Bdc 100 24 $49,337.00 $32,069.05 35% off $13,469.00 $49,337.00 $38,803.55 2025-01-22
47540 CPT Hc Place Stent Bile Duct W Img Via New Acc W Separate Bdc 100 24 $49,337.00 $32,069.05 35% off $13,469.00 $49,337.00 $38,803.55 2025-01-22
37211 CPT Hc Trnscth Tx Thrmb Art Init Day 100 24 $48,736.00 $31,678.40 35% off $13,304.93 $48,736.00 $38,330.86 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
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
81416 HCPCS Exome Sequence Analysis 6 2 — — $12,000.00 $45,000.00 $45,000.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 2 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33852 HCPCS Repair Septal Defect 2 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 2 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33851 HCPCS Remove Aorta Constriction 2 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33502 HCPCS Coronary Artery Correction 2 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
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