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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

DUBLIN METHODIST HOSPITAL

Dublin, OH · CCN 360348 · Rates published

16,433 distinct procedures filed
54 distinct payers
1,219,494 rate rows
2026-04-01 last MRF observed
Data quality

1,179,792 of 1,219,494 rate rows are consumer-grade (96.7%)

39,702 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 35,969
placeholder amount (≤ $0.02) — excluded from medians 3,005
percent-of-charges filed in the dollar field — excluded from medians 450
template filing: same amount across many unrelated codes — excluded 240
exceeds 10× this hospital's gross charge — excluded from medians 22
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
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_dublin-methodist-hospital_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 · 2026-08-03
Content fingerprint 0f331126e6015c33… · 25,295,385 bytes · first seen 2026-05-05

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 12 $320,517.85 $834,564.44 $320,517.85 nat. median
$370,165
0.9× median
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 25 $87,370.65 $320,039.00 $209,625.55 nat. median
$258,912
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $208,408.41 $623,350.60 $208,408.41 nat. median
$261,939
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 $159,054.49 $525,009.29 $159,054.49 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $144,042.56 $474,271.76 $158,127.82 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×
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
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $122,549.05 $122,549.05 $122,549.05 nat. median
$4,125
outlier · 29.7×
64568
CPT 		Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 25 $39,487.81 $144,644.00 $117,017.00 nat. median
$27,651
outlier · 4.2×
61886
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 25 $39,487.81 $144,644.00 $117,017.00 nat. median
$27,176
outlier · 4.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $106,753.90 $143,145.89 $113,793.76 nat. median
$57,648
2.0× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $122,659.48 $105,912.61 nat. median
$55,200
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $39,028.93 $312,691.11 $103,594.00 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 12 $96,929.07 $289,205.69 $96,929.07 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $90,034.14 $289,936.02 $90,034.14 nat. median
$114,305
0.8× 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
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $84,960.00 $243,876.98 $84,960.00 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $84,863.86 $84,863.86 $84,863.86 nat. median
$96,134
0.9× median
PX-27800268
CDM 		Implant Impella Device 5.5 25 $34,603.30 $126,752.00 $83,022.56 nat. median
$107,739
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $82,662.92 $231,968.29 $82,662.92 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $81,575.03 $241,075.20 $81,575.03 nat. median
$100,978
0.8× median
61885
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 25 $27,465.98 $100,608.00 $81,391.87 nat. median
$19,880
outlier · 4.1×
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×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $77,406.86 $235,664.17 $77,406.86 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 12 $74,792.51 $234,460.24 $74,792.51 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $73,504.19 $213,573.00 $73,504.19 nat. median
$92,900
0.8× median
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 29 $5,168.23 $111,090.85 $71,320.33 nat. median
$7,100
outlier · 10.0×
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 25 $28,416.84 $104,091.00 $68,179.61 nat. median
$84,730
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $63,844.99 $85,609.49 $68,055.23 nat. median
$37,051
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $60,787.32 $184,572.54 $67,785.90 nat. median
$81,124
0.8× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 7 $7,493.74 $175,151.72 $67,782.81 nat. median
$16,222
outlier · 4.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $65,196.69 $203,855.28 $65,196.69 nat. median
$81,364
0.8× median
62362
CPT 		Hc Implant Or Replace Programmable Pump 25 $21,619.42 $79,192.00 $64,066.33 nat. median
$16,486
outlier · 3.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $63,498.66 $187,524.82 $63,498.66 nat. median
$79,040
0.8× median
J9266
HCPCS 		Pegaspargase Injection 4 $28,424.06 $73,361.14 $63,345.04 nat. median
$32,688
1.9× median

Other procedures at this hospital

Browse this hospital's 16,433 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 12 — — $320,517.85 $834,564.44 $320,517.85 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 101 25 $320,039.00 $208,025.35 35% off $87,370.65 $320,039.00 $209,625.55 2025-01-22
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 12 — — $208,408.41 $623,350.60 $208,408.41 2026-04-01
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 17 12 — — $159,054.49 $525,009.29 $159,054.49 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 — — $144,042.56 $474,271.76 $158,127.82 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $153,994.53 $151,769.78 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $63,342.28 $171,819.53 $148,360.77 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
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 101 25 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $117,017.00 2025-01-22
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 101 25 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $117,017.00 2025-01-22
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 4 — — $106,753.90 $143,145.89 $113,793.76 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $122,659.48 $105,912.61 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 12 — — $39,028.93 $312,691.11 $103,594.00 2026-04-01
7 MS_DRG Lung Transplant 17 12 — — $96,929.07 $289,205.69 $96,929.07 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 12 — — $90,034.14 $289,936.02 $90,034.14 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 12 — — $84,960.00 $243,876.98 $84,960.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 11 11 — — $84,863.86 $84,863.86 $84,863.86 2026-04-01
PX-27800268 CDM Implant Impella Device 5.5 101 25 $126,752.00 $82,388.80 35% off $34,603.30 $126,752.00 $83,022.56 2025-01-22
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 12 — — $82,662.92 $231,968.29 $82,662.92 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 12 — — $81,575.03 $241,075.20 $81,575.03 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 101 25 $100,608.00 $65,395.20 35% off $27,465.98 $100,608.00 $81,391.87 2025-01-22
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $77,406.86 $235,664.17 $77,406.86 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 12 — — $74,792.51 $234,460.24 $74,792.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $73,504.19 $213,573.00 $73,504.19 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 107 29 $111,090.85 $72,209.05 35% off $5,168.23 $111,090.85 $71,320.33 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
PX-27800238 CDM Perfusion Tavr Valve 101 25 $104,091.00 $67,659.15 35% off $28,416.84 $104,091.00 $68,179.61 2025-01-22
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 4 — — $63,844.99 $85,609.49 $68,055.23 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $60,787.32 $184,572.54 $67,785.90 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 14 7 — — $7,493.74 $175,151.72 $67,782.81 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 17 12 — — $65,196.69 $203,855.28 $65,196.69 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 12 — — $63,498.66 $187,524.82 $63,498.66 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $28,424.06 $73,361.14 $63,345.04 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $3,734.47 $338,024.00 $63,302.67 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
G0343 HCPCS Laparotomy Islet Cell Transp 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
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 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
0873T OTHER Revj Subq Prtl Asct Pmp Sys 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
48554 HCPCS Transpl Allograft Pancreas 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
50380 HCPCS Reimplantation Of Kidney 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
0586T OTHER Open Islet Cell Transplant 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
0585T OTHER Laps Islet Cell Transplant 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
0266T OTHER Implt/rpl Crtd Sns Dev Total 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
0100T OTHER Prosth Retina Receive&Gen 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
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 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
33391 HCPCS Valvuloplasty Aortic Valve 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
37229 HCPCS Hc Revasc Endo Tibiopero W Atherectm 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
33422 HCPCS Revision Of Mitral Valve 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
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 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
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 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
32851 HCPCS Lung Transplant Single 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
32852 HCPCS Lung Transplant With Bypass 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
33268 HCPCS Excl Laa Opn Oth Px Any Meth 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
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
47135 HCPCS Transplantation Of Liver 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
50360 HCPCS Transplantation Of Kidney 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
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $60,650.62 $63,079.00 $61,864.81 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 12 — — $59,348.97 $178,386.93 $59,348.97 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 12 — — $57,940.11 $171,227.55 $57,940.11 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 12 — — $57,695.31 $172,971.47 $57,695.31 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $57,508.21 $165,179.14 $57,508.21 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $65,659.02 $54,575.82 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 13 — — $51,422.70 $346,054.60 $54,540.34 2026-04-01
10 MS_DRG Pancreas Transplant 17 12 — — $54,223.07 $176,441.61 $54,223.07 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 12 — — $54,200.88 $147,801.88 $54,200.88 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 12 — — $53,919.11 $175,425.80 $53,919.11 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — — $53,888.05 $156,388.71 $53,888.05 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
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 13 — — $2,396.59 $153,954.30 $52,271.37 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 12 — — $52,020.66 $147,551.80 $52,020.66 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 12 — — $50,934.98 $151,108.25 $50,934.98 2026-04-01
PX-27800171 CDM Hc Implant Impella Device 3.5 101 25 $77,288.00 $50,237.20 35% off $21,099.62 $77,288.00 $50,623.64 2025-01-22
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 12 — — $50,605.13 $136,902.37 $50,605.13 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 12 — — $50,568.90 $148,370.65 $50,568.90 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $49,782.74 $131,659.53 $49,782.74 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $49,782.74 $142,908.72 $49,782.74 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $49,605.99 $136,278.27 $49,605.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 12 — — $35,860.84 $143,136.67 $48,742.92 2026-04-01
69930 HCPCS Implant Cochlear Device 2 2 — — $31,792.44 $63,079.00 $47,435.72 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
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss 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
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 12 — — $46,477.64 $132,573.54 $46,477.64 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $46,425.13 $139,954.23 $46,425.13 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
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 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
63685 HCPCS Insrt/redo Spine N Generator 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
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
93656 CPT Ep Eval W Ablation A Fib Including 3d Mapping 127 38 $63,198.00 $41,078.70 35% off $11,375.64 $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 $11,375.64 $63,198.00 $46,134.54 2025-01-22
93654 CPT Ep Eval W Ablation Vt Including 3d Mapping 127 38 $63,198.00 $41,078.70 35% off $11,375.64 $63,198.00 $46,134.54 2025-01-22
C1820 HCPCS Neurostimulator Bundle With Ipg Programmer Rechargable 254 38 $64,245.00 $41,759.25 35% off $9,525.60 $75,570.00 $46,097.70 2025-01-22
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 12 — — $45,991.01 $135,182.79 $45,991.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 12 — — $45,589.43 $134,536.56 $45,589.43 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 12 — — $45,576.85 $137,079.41 $45,576.85 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $44,667.87 $127,009.81 $45,255.14 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 12 — — $5,288.16 $131,568.80 $45,110.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 12 — — $45,008.13 $133,571.65 $45,008.13 2026-04-01
81416 HCPCS Exome Sequence Analysis 3 2 — — $12,000.00 $45,000.00 $45,000.00 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 2 2 — — $26,163.21 $63,079.00 $44,621.10 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 2 2 — — $26,163.21 $63,079.00 $44,621.10 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 12 — — $44,556.26 $130,214.38 $44,556.26 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 12 — — $44,528.15 $128,844.47 $44,528.15 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
93653 HCPCS Ep & Ablate Supravent Arrhyt 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 12 — — $35,746.86 $121,058.78 $43,805.60 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 12 — — $43,533.44 $126,250.72 $43,533.44 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 11 — — $43,360.39 $43,360.39 $43,360.39 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 12 — — $35,651.97 $119,522.89 $43,305.66 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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $2,971.97 $226,374.43 $42,732.50 2026-04-01
0398T CPT MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion 127 38 $57,968.00 $37,679.20 35% off $10,434.24 $57,968.00 $42,664.45 2025-01-22
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 12 — — $42,603.81 $120,410.34 $42,603.81 2026-04-01
9440 OTHER Instill, Bupivac And Meloxic 1 1 — — $42,429.00 $42,429.00 $42,429.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 12 — — $42,319.82 $110,719.18 $42,319.82 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
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 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
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 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
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 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
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 12 — — $42,000.33 $135,811.31 $42,000.33 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 12 — — $41,755.54 $122,315.82 $41,755.54 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $33,328.74 $120,135.92 $41,612.06 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 12 — — $41,554.38 $117,734.71 $41,554.38 2026-04-01
53444 HCPCS Insert Tandem Cuff 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
54401 HCPCS Insert Self-contd Prosthesis 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
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
54411 HCPCS Remov/replc Penis Pros Comp 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
53447 HCPCS Remove/replace Ur Sphincter 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 12 — — $41,490.77 $119,410.02 $41,490.77 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 12 — — $41,329.55 $133,571.65 $41,329.55 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
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
64580 HCPCS Implant Neuroelectrodes 2 2 — — $18,706.01 $63,079.00 $40,892.51 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
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 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
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $18,572.54 $63,079.00 $40,825.77 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
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 12 — — $40,593.69 $117,212.42 $40,593.69 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $37,646.68 $113,968.01 $40,570.02 2026-04-01
C1822 HCPCS Kit Generator Pulse Implantable Senza Ii Nevro Ipg 127 38 $55,500.00 $36,075.00 35% off $9,990.00 $55,500.00 $40,515.00 2025-01-22
93581 HCPCS Transcath Closure Of Vsd 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
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
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 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
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
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
93582 HCPCS Perq Transcath Closure Pda 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 12 — — $40,305.26 $122,324.68 $40,305.26 2026-04-01
62360 HCPCS Insert Spine Infusion Device 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
62362 HCPCS Implant Spine Infusion Pump 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 12 — — $40,175.83 $113,594.00 $40,175.83 2026-04-01
25446 HCPCS Wrist Replacement 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
23616 HCPCS Treat Humerus Fracture 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
22856 HCPCS Cerv Artific Diskectomy 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 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
28705 HCPCS Fusion Of Foot Bones 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
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 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
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
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
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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 12 — — $36,349.58 $112,741.95 $39,651.48 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $39,458.26 $123,362.62 $39,584.92 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
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
0075T CPT Hc Transcath Stent Xtracran Cca Perc Initial Vessel 108 29 $50,656.00 $32,926.40 35% off $9,118.08 $50,656.00 $38,701.18 2025-01-22
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 12 — — $38,429.73 $101,632.19 $38,429.73 2026-04-01
67027 HCPCS Implant Eye Drug System 2 2 — — $13,453.74 $63,079.00 $38,266.37 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
33478 HCPCS Revision Of Heart Chamber 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
43283 HCPCS Lap Esoph Lengthening 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
32666 HCPCS Thoracoscopy W/wedge Resect 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
33851 HCPCS Remove Aorta Constriction 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33853 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
34832 HCPCS Open Aortofemor Prosth Repr 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33845 HCPCS Remove Aorta Constriction 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33992 HCPCS Hc Remove Left Vad Percutaneous 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34830 HCPCS Open Aortic Tube Prosth Repr 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33990 HCPCS Hc Insert Left Vad Arterial Access Percutaneous With Img 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
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
33852 HCPCS Repair Septal Defect 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
33991 HCPCS Hc Insert Left Vad Arterial & Venous Access Percutaneous With Img 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
34831 HCPCS Open Aortoiliac Prosth Repr 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33982 HCPCS Replace Vad Intra Without Bp 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33983 HCPCS Hc Vad Pump Replace Intracorporeal W Bypass 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34717 HCPCS Evasc Rpr A-iliac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34718 HCPCS Evasc Rpr N/a A-iliac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33814 HCPCS Repair Septal Defect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33988 HCPCS Insertion Of Left Heart Vent 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33813 HCPCS Repair Septal Defect 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
43279 HCPCS Lap Myotomy Heller 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
51721 HCPCS Ins Trurl Ablt Trnsdc Thr US 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33979 HCPCS Hc Vad Insert Intracorp Single Ventricle 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32540 HCPCS Removal Of Lung Lesion 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33980 HCPCS Hc Vad Removal Intracorp Single Ventricle 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33863 HCPCS Ascending Aortic Graft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33981 HCPCS Hc Vad Pump Replace Extracorp 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
33364 HCPCS Replace Aortic Valve Open 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33502 HCPCS Coronary Artery Correction 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33840 HCPCS Remove Aorta Constriction 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
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