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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

KINGS DAUGHTERS MEDICAL CENTER OHIO

Portsmouth, OH · CCN 360361 · Rates published

14,550 distinct procedures filed
9 distinct payers
109,354 rate rows
2026-09-25 last MRF observed
Data quality

108,940 of 109,354 rate rows are consumer-grade (99.6%)

414 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
placeholder amount (≤ $0.02) — excluded from medians 390
exceeds 10× this hospital's gross charge — excluded from medians 16
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7805/453215312_portsmouth-hospital-corporation_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/Kingsdaughtermedicalcenterohio/7805
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-26
Content fingerprint c82b263f3028b882… · 73,641,149 bytes · first seen 2026-09-26

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 		Outpatient Services 1 $4,614,312.50 $4,614,312.50 $4,614,312.50 nat. median
$3,685,267
1.3× median
J1413
HCPCS 		Outpatient Services 1 $4,146,121.41 $4,146,121.41 $4,146,121.41 nat. median
$3,325,455
1.2× median
J3389
HCPCS 		Outpatient Services 1 $4,107,228.38 $4,107,228.38 $4,107,228.38 nat. median
$3,335,820
1.2× median
J3394
HCPCS 		Outpatient Services 1 $4,044,129.98 $4,044,129.98 $4,044,129.98 nat. median
$3,248,446
1.2× median
J3387
HCPCS 		Outpatient Services 1 $3,975,000.00 $3,975,000.00 $3,975,000.00 nat. median
$3,180,000
1.2× median
J3392
HCPCS 		Outpatient Services 2 $2,876,133.33 $4,601,813.33 $3,738,973.33 nat. median
$2,332,000
1.6× median
J3393
HCPCS 		Outpatient Services 1 $3,662,825.43 $3,662,825.43 $3,662,825.43 nat. median
$2,968,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $3,350,046.73 $3,350,046.73 $3,350,046.73 nat. median
$2,455,111
1.4× median
J3405
HCPCS 		Outpatient Services 1 $3,330,285.74 $3,330,285.74 $3,330,285.74 nat. median
$2,830,743
1.2× median
C9309
HCPCS 		Outpatient Services 1 $3,330,285.74 $3,330,285.74 $3,330,285.74 nat. median
$2,664,229
1.3× median
Q2057
HCPCS 		Outpatient Services 2 $1,017,459.22 $1,627,934.75 $1,322,696.98 nat. median
$813,967
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $764,616.46 $1,223,386.34 $994,001.40 nat. median
$621,313
1.6× median
Q2056
HCPCS 		Outpatient Services 2 $734,972.19 $1,175,955.51 $955,463.85 nat. median
$599,737
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $724,463.27 $1,159,141.23 $941,802.25 nat. median
$579,571
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $709,972.23 $1,135,955.56 $922,963.90 nat. median
$574,037
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $703,126.12 $1,125,001.78 $914,063.95 nat. median
$562,501
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $637,629.90 $1,020,207.84 $828,918.87 nat. median
$513,770
1.6× median
Q2058
HCPCS 		Outpatient Services 2 $347,812.50 $556,500.00 $452,156.25 nat. median
$286,598
1.6× median
J3403
HCPCS 		Outpatient Services 2 $326,974.56 $523,159.30 $425,066.93 nat. median
$264,195
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $334,753.07 $606,001.58 $378,750.99 nat. median
$168,055
outlier · 2.3×
J3402
HCPCS 		Outpatient Services 2 $254,574.70 $407,319.53 $330,947.11 nat. median
$207,733
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $217,241.27 $396,734.12 $232,600.05 nat. median
$186,516
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $165,160.36 $264,256.58 $214,708.47 nat. median
$108,243
2.0× median
J3404
HCPCS 		Outpatient Services 2 $152,375.00 $243,800.00 $198,087.50 nat. median
$128,604
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $165,509.08 $304,608.34 $190,380.21 nat. median
$131,925
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 $164,537.75 $302,878.56 $189,299.10 nat. median
$145,435
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $142,621.55 $228,194.48 $185,408.02 nat. median
$95,583
1.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 2 $103,202.56 $165,124.10 $134,163.33 nat. median
$68,802
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 4 $107,376.05 $201,083.86 $125,677.41 nat. median
$97,418
1.3× median
J9183
HCPCS 		Outpatient Services 2 $91,230.30 $145,968.48 $118,599.39 nat. median
$78,093
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $71,030.69 $123,540.72 $118,594.91 nat. median
$65,477
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $112,342.00 $112,342.00 $112,342.00 nat. median
$92,809
1.2× median
7
MS_DRG 		Lung Transplant 3 $100,389.95 $188,642.84 $109,145.86 nat. median
$70,649
1.5× median
J9029
HCPCS 		Outpatient Services 2 $80,414.52 $128,663.23 $104,538.88 nat. median
$66,211
1.6× median
209
MS_DRG 		Inpatient Ms-DRG 4 $87,743.34 $166,121.50 $103,825.94 nat. median
$2,110
outlier · 49.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $93,162.76 $175,772.50 $101,510.29 nat. median
$72,715
1.4× median
426
MS_DRG 		Inpatient Ms-DRG 4 $85,436.34 $162,013.14 $101,258.21 nat. median
$2,736
outlier · 37.0×
212
MS_DRG 		Inpatient Ms-DRG 4 $84,296.02 $159,982.44 $99,989.03 nat. median
$74,509
1.3× median
38240
CPT 		Transplt Allo Hct/donor 2 $74,386.63 $119,018.61 $96,702.62 nat. median
$28,331
outlier · 3.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $87,844.11 $166,300.94 $95,891.10 nat. median
$65,418
1.5× median
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $73,458.51 $117,533.62 $95,496.07 nat. median
$48,410
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 4 $77,186.66 $147,321.92 $92,076.20 nat. median
$73,023
1.3× median
C2624
HCPCS 		Hchg Wireless Pulmonary Artery Pressure Sensor 9 $40,971.49 $106,882.14 $91,324.85 nat. median
$26,491
outlier · 3.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $75,836.27 $144,917.12 $90,573.20 nat. median
$69,822
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $79,927.00 $152,201.98 $87,526.62 nat. median
$69,922
1.3× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $66,654.33 $106,646.92 $86,650.62 nat. median
$42,745
outlier · 2.0×
429
MS_DRG 		Inpatient Ms-DRG 4 $69,842.42 $134,243.16 $83,901.98 nat. median
$2,596
outlier · 32.3×
J9226
HCPCS 		Supprelin La Implant 3 $46,864.97 $89,157.50 $82,070.73 nat. median
$57,036
1.4× median
C1882
HCPCS 		Hchg Bi-v Icd 9 $36,340.09 $94,800.22 $81,001.52 nat. median
$24,131
outlier · 3.4×
850
MS_DRG 		Inpatient Ms-DRG 4 $67,128.44 $129,410.04 $80,881.28 nat. median
$2,633
outlier · 30.7×

Other procedures at this hospital

Browse this hospital's 14,550 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 Outpatient Services 1 1 — — $4,614,312.50 $4,614,312.50 $4,614,312.50 2026-09-25
J1413 HCPCS Outpatient Services 1 1 — — $4,146,121.41 $4,146,121.41 $4,146,121.41 2026-09-25
J3389 HCPCS Outpatient Services 1 1 — — $4,107,228.38 $4,107,228.38 $4,107,228.38 2026-09-25
J3394 HCPCS Outpatient Services 1 1 — — $4,044,129.98 $4,044,129.98 $4,044,129.98 2026-09-25
J3387 HCPCS Outpatient Services 1 1 — — $3,975,000.00 $3,975,000.00 $3,975,000.00 2026-09-25
J3392 HCPCS Outpatient Services 2 2 — — $2,876,133.33 $4,601,813.33 $3,738,973.33 2026-09-25
J3393 HCPCS Outpatient Services 1 1 — — $3,662,825.43 $3,662,825.43 $3,662,825.43 2026-09-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $3,350,046.73 $3,350,046.73 $3,350,046.73 2026-09-25
C9309 HCPCS Outpatient Services 1 1 — — $3,330,285.74 $3,330,285.74 $3,330,285.74 2026-09-25
J3405 HCPCS Outpatient Services 1 1 — — $3,330,285.74 $3,330,285.74 $3,330,285.74 2026-09-25
Q2057 HCPCS Outpatient Services 2 2 — — $1,017,459.22 $1,627,934.75 $1,322,696.98 2026-09-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $764,616.46 $1,223,386.34 $994,001.40 2026-09-25
Q2056 HCPCS Outpatient Services 2 2 — — $734,972.19 $1,175,955.51 $955,463.85 2026-09-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $724,463.27 $1,159,141.23 $941,802.25 2026-09-25
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $709,972.23 $1,135,955.56 $922,963.90 2026-09-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $703,126.12 $1,125,001.78 $914,063.95 2026-09-25
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $637,629.90 $1,020,207.84 $828,918.87 2026-09-25
Q2058 HCPCS Outpatient Services 2 2 — — $347,812.50 $556,500.00 $452,156.25 2026-09-25
J3403 HCPCS Outpatient Services 2 2 — — $326,974.56 $523,159.30 $425,066.93 2026-09-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 4 — — $334,753.07 $606,001.58 $378,750.99 2026-09-25
J3402 HCPCS Outpatient Services 2 2 — — $254,574.70 $407,319.53 $330,947.11 2026-09-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $217,241.27 $396,734.12 $232,600.05 2026-09-25
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $165,160.36 $264,256.58 $214,708.47 2026-09-25
J3404 HCPCS Outpatient Services 2 2 — — $152,375.00 $243,800.00 $198,087.50 2026-09-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 4 — — $165,509.08 $304,608.34 $190,380.21 2026-09-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 4 — — $164,537.75 $302,878.56 $189,299.10 2026-09-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 2 — — $142,621.55 $228,194.48 $185,408.02 2026-09-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 2 — — $103,202.56 $165,124.10 $134,163.33 2026-09-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 5 4 — — $107,376.05 $201,083.86 $125,677.41 2026-09-25
J9183 HCPCS Outpatient Services 2 2 — — $91,230.30 $145,968.48 $118,599.39 2026-09-25
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $71,030.69 $123,540.72 $118,594.91 2026-09-25
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $112,342.00 $112,342.00 $112,342.00 2026-09-25
7 MS_DRG Lung Transplant 4 3 — — $100,389.95 $188,642.84 $109,145.86 2026-09-25
J9029 HCPCS Outpatient Services 2 2 — — $80,414.52 $128,663.23 $104,538.88 2026-09-25
209 MS_DRG Inpatient Ms-DRG 5 4 — — $87,743.34 $166,121.50 $103,825.94 2026-09-25
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $93,162.76 $175,772.50 $101,510.29 2026-09-25
426 MS_DRG Inpatient Ms-DRG 5 4 — — $85,436.34 $162,013.14 $101,258.21 2026-09-25
212 MS_DRG Inpatient Ms-DRG 5 4 — — $84,296.02 $159,982.44 $99,989.03 2026-09-25
38240 CPT Transplt Allo Hct/donor 2 2 — — $74,386.63 $119,018.61 $96,702.62 2026-09-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $87,844.11 $166,300.94 $95,891.10 2026-09-25
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $73,458.51 $117,533.62 $95,496.07 2026-09-25
215 MS_DRG Other Heart Assist System Implant 5 4 — — $77,186.66 $147,321.92 $92,076.20 2026-09-25
C2624 HCPCS Hchg Wireless Pulmonary Artery Pressure Sensor 13 9 $118,757.93 $47,503.18 60% off $40,971.49 $106,882.14 $91,324.85 2026-09-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $75,836.27 $144,917.12 $90,573.20 2026-09-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $79,927.00 $152,201.98 $87,526.62 2026-09-25
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $66,654.33 $106,646.92 $86,650.62 2026-09-25
429 MS_DRG Inpatient Ms-DRG 5 4 — — $69,842.42 $134,243.16 $83,901.98 2026-09-25
J9226 HCPCS Supprelin La Implant 4 3 — — $46,864.97 $89,157.50 $82,070.73 2026-09-25
C1882 HCPCS Hchg Bi-v Icd 13 9 $105,333.58 $42,133.44 60% off $36,340.09 $94,800.22 $81,001.52 2026-09-25
850 MS_DRG Inpatient Ms-DRG 5 4 — — $67,128.44 $129,410.04 $80,881.28 2026-09-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $65,348.58 $126,240.46 $78,900.29 2026-09-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $65,143.16 $125,874.62 $78,671.64 2026-09-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 — — $60,998.94 $118,494.50 $74,059.06 2026-09-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $59,522.18 $115,864.68 $72,415.43 2026-09-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 4 — — $59,265.59 $115,407.72 $72,129.83 2026-09-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 4 — — $59,069.46 $115,058.44 $71,911.53 2026-09-25
427 MS_DRG Inpatient Ms-DRG 5 4 — — $55,958.59 $109,518.54 $68,449.09 2026-09-25
L8701 HCPCS Ewh S/d Uprt Micro Sensor 2 2 — — $52,455.20 $83,928.32 $68,191.76 2026-09-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 4 — — $55,602.77 $108,884.88 $68,025.89 2026-09-25
33276 CPT Outpatient Services 2 2 — — $52,089.20 $83,342.73 $67,715.96 2026-09-25
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $52,089.20 $83,342.73 $67,715.96 2026-09-25
64654 CPT Outpatient Services 2 2 — — $52,089.20 $83,342.73 $67,715.96 2026-09-25
0870T CPT Outpatient Services 2 2 — — $52,089.20 $83,342.73 $67,715.96 2026-09-25
275 MS_DRG Inpatient Ms-DRG 5 4 — — $55,274.86 $108,300.94 $67,624.71 2026-09-25
J2789 HCPCS Outpatient Services 2 2 — — $50,534.38 $80,855.00 $65,694.69 2026-09-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 — — $53,580.27 $105,283.18 $65,551.51 2026-09-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 4 — — $53,317.48 $104,815.20 $65,230.00 2026-09-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 4 — — $52,179.49 $102,788.62 $63,837.75 2026-09-25
317 MS_DRG Inpatient Ms-DRG 5 4 — — $51,833.75 $102,172.94 $63,414.77 2026-09-25
447 MS_DRG Inpatient Ms-DRG 5 4 — — $51,795.76 $102,105.30 $63,368.29 2026-09-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $50,971.73 $100,637.84 $62,360.15 2026-09-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 4 — — $50,971.73 $100,637.84 $62,360.15 2026-09-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $50,786.45 $100,307.88 $62,133.48 2026-09-25
10 MS_DRG Pancreas Transplant 4 3 — — $55,626.03 $108,926.32 $61,852.49 2026-09-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $55,307.42 $108,358.94 $61,515.88 2026-09-25
33249 CPT Hchg Insert/replace Icd System /w Lead (s) 15 9 $79,758.42 $31,903.37 60% off $27,516.65 $71,782.58 $61,334.22 2026-09-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 4 — — $49,881.79 $98,696.86 $61,026.69 2026-09-25
C1721 HCPCS Hchg Icd Dual 13 9 $78,221.20 $31,288.48 60% off $26,986.31 $70,399.08 $60,152.11 2026-09-25
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml Susp 250 Ml Bag 15 9 $77,781.25 $31,112.50 60% off $26,834.53 $111,864.85 $59,813.79 2026-09-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 4 — — $47,507.36 $94,468.40 $58,121.75 2026-09-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 4 — — $47,452.32 $94,370.40 $58,054.41 2026-09-25
L6700 HCPCS Outpatient Services 2 2 — — $44,265.29 $70,824.46 $57,544.88 2026-09-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 — — $46,997.28 $93,560.04 $57,497.70 2026-09-25
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $44,074.64 $70,519.42 $57,297.03 2026-09-25
28 MS_DRG Spinal Procedures With Mcc 5 4 — — $46,576.34 $92,810.44 $56,982.72 2026-09-25
276 MS_DRG Inpatient Ms-DRG 5 4 — — $46,563.16 $92,786.98 $56,966.59 2026-09-25
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $43,814.06 $70,102.50 $56,958.28 2026-09-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $46,225.95 $92,186.48 $56,554.04 2026-09-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 4 — — $46,074.01 $91,915.88 $56,368.15 2026-09-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 4 — — $45,493.39 $90,881.90 $55,657.80 2026-09-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 4 — — $45,463.93 $90,829.44 $55,621.76 2026-09-25
430 MS_DRG Inpatient Ms-DRG 5 4 — — $44,706.56 $89,480.70 $54,695.18 2026-09-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $44,421.29 $88,972.66 $54,346.17 2026-09-25
213 MS_DRG Inpatient Ms-DRG 5 4 — — $44,239.89 $88,649.64 $54,124.24 2026-09-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $44,182.52 $88,547.48 $54,054.06 2026-09-25
428 MS_DRG Inpatient Ms-DRG 5 4 — — $43,581.74 $87,477.60 $53,319.05 2026-09-25
278 MS_DRG Inpatient Ms-DRG 5 4 — — $43,149.18 $86,707.28 $52,789.84 2026-09-25
0871T CPT Outpatient Services 2 2 — — $40,513.95 $64,822.33 $52,668.14 2026-09-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 4 — — $42,814.30 $86,110.92 $52,380.13 2026-09-25
33231 CPT Hchg Insertion Icd Generator Only /w Existing Multiple Leads 15 9 $68,048.38 $27,219.36 60% off $23,476.69 $61,243.54 $52,329.21 2026-09-25
33264 CPT Hchg Removal/replace Icd Multiple Lead System 15 9 $68,048.38 $27,219.36 60% off $23,476.69 $61,243.54 $52,329.21 2026-09-25
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 5 4 — — $42,557.70 $85,653.98 $52,066.21 2026-09-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 4 — — $42,407.32 $85,386.16 $51,882.22 2026-09-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $42,346.85 $85,278.48 $51,808.25 2026-09-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 — — $42,280.18 $85,159.76 $51,726.68 2026-09-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $45,967.03 $91,725.38 $51,647.69 2026-09-25
J9266 HCPCS Pegaspargase Injection 4 3 — — $37,079.96 $59,327.93 $51,562.92 2026-09-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $41,339.87 $83,485.20 $50,576.28 2026-09-25
450 MS_DRG Inpatient Ms-DRG 5 4 — — $41,315.06 $83,441.06 $50,545.93 2026-09-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 4 — — $41,037.54 $82,946.82 $50,206.40 2026-09-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 — — $40,901.88 $82,705.24 $50,040.43 2026-09-25
33270 CPT Hchg Insert S-icd System 15 9 $64,887.14 $25,954.86 60% off $22,386.06 $59,392.57 $49,898.21 2026-09-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $40,352.26 $81,726.48 $49,368.01 2026-09-25
653 MS_DRG Major Bladder Procedures With Mcc 5 4 — — $40,282.49 $81,602.22 $49,282.66 2026-09-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 3 — — $43,446.86 $87,237.42 $48,985.12 2026-09-25
0571T CPT Insj/rplcmt Icds Ss Eltrd 2 2 — — $37,120.36 $59,392.57 $48,256.46 2026-09-25
0915T CPT Outpatient Services 2 2 — — $37,120.36 $59,392.57 $48,256.46 2026-09-25
0408T CPT Insj/rplc Cardiac Modulj Sys 2 2 — — $37,120.36 $59,392.57 $48,256.46 2026-09-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 4 — — $39,071.63 $79,445.88 $47,801.26 2026-09-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $42,111.19 $84,858.80 $47,573.97 2026-09-25
0909T CPT Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
64656 CPT Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
C8007 HCPCS Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
61891 CPT Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
33287 CPT Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
C8011 HCPCS Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
0908T CPT Outpatient Services 2 2 — — $36,492.20 $58,387.52 $47,439.86 2026-09-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $38,662.32 $78,716.98 $47,300.50 2026-09-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 4 — — $38,352.24 $78,164.80 $46,921.14 2026-09-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 4 — — $38,284.03 $78,043.30 $46,837.68 2026-09-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 4 — — $38,153.02 $77,810.02 $46,677.40 2026-09-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 4 — — $37,994.10 $77,527.02 $46,482.98 2026-09-25
L8614 HCPCS Cochlear Device 2 2 — — $35,461.13 $56,737.80 $46,099.46 2026-09-25
471 MS_DRG Cervical Spinal Fusion With Mcc 5 4 — — $37,432.08 $76,526.14 $45,795.39 2026-09-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 4 — — $37,242.93 $76,189.34 $45,563.98 2026-09-25
J9600 HCPCS Porfimer Sodium Injection 2 1 — — $45,278.00 $45,278.00 $45,278.00 2026-09-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 4 — — $36,905.72 $75,588.80 $45,151.43 2026-09-25
33274 CPT Hchg Insert Single Ldls Ppm, Rt Venticular 15 9 $58,691.69 $23,476.68 60% off $20,248.63 $52,822.52 $45,133.91 2026-09-25
Q0483 HCPCS Monitor Elec Vad, Rep 2 2 — — $34,382.80 $55,012.48 $44,697.64 2026-09-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $36,370.83 $74,636.26 $44,497.03 2026-09-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 — — $36,262.31 $74,443.00 $44,364.26 2026-09-25
L5858 HCPCS Stance Phase Only 2 2 — — $34,073.05 $54,516.88 $44,294.96 2026-09-25
277 MS_DRG Inpatient Ms-DRG 5 4 — — $35,802.61 $73,624.34 $43,801.85 2026-09-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 4 — — $35,632.07 $73,320.66 $43,593.21 2026-09-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 4 — — $35,541.37 $73,159.14 $43,482.24 2026-09-25
36837 CPT Hchg Perc Av Fistula Creat/separate Access/ue/w Guidance 15 9 $56,426.65 $22,570.66 60% off $19,467.19 $50,783.99 $43,392.10 2026-09-25
245 MS_DRG Aicd Generator Procedures 5 4 — — $35,367.72 $72,849.90 $43,269.80 2026-09-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 4 — — $35,261.52 $72,660.78 $43,139.87 2026-09-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 4 — — $35,246.02 $72,633.16 $43,120.90 2026-09-25
799 MS_DRG Splenectomy With Mcc 5 4 — — $35,108.03 $72,387.44 $42,952.09 2026-09-25
163 MS_DRG Major Chest Procedures With Mcc 5 4 — — $34,742.91 $71,737.24 $42,505.39 2026-09-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 4 — — $34,732.84 $71,719.30 $42,493.06 2026-09-25
C1722 HCPCS Hchg Sq - Icd Pulse Generator 21 9 $55,250.27 $22,100.11 60% off $19,061.34 $66,948.03 $42,487.46 2026-09-25
L6975 HCPCS Interscap-thor Myoelectronic 2 2 — — $32,606.69 $52,170.70 $42,388.69 2026-09-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 4 — — $34,596.40 $71,476.32 $42,326.14 2026-09-25
33263 CPT Hchg Removal/replace Icd Dual Lead System 15 9 $54,823.43 $21,929.38 60% off $18,914.08 $49,341.09 $42,159.22 2026-09-25
33262 CPT Hchg Removal/replace Icd Single Lead System 15 9 $54,823.43 $21,929.38 60% off $18,914.08 $49,341.09 $42,159.22 2026-09-25
20696 CPT Comp Multiplane Ext Fixation 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
27702 CPT Reconstruct Ankle Joint 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
22630 CPT Arthrd Pst Tq 1ntrspc Lum 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
0956T CPT Outpatient Services 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
0960T CPT Outpatient Services 2 2 — — $32,088.60 $51,341.75 $41,715.18 2026-09-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 4 — — $34,052.99 $70,508.60 $41,661.32 2026-09-25
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 2 — — $31,993.40 $51,189.44 $41,591.42 2026-09-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $36,445.25 $74,768.78 $41,587.87 2026-09-25
C9760 HCPCS Non-blind Interatrial Shunt 2 2 — — $31,832.52 $50,932.03 $41,382.28 2026-09-25
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $35,946.02 $73,879.76 $41,060.43 2026-09-25
323 MS_DRG Inpatient Ms-DRG 5 4 — — $33,546.00 $69,605.74 $41,041.06 2026-09-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 4 — — $33,278.56 $69,129.48 $40,713.86 2026-09-25
140 MS_DRG Major Head And Neck Procedures With Mcc 5 4 — — $33,064.61 $68,748.46 $40,452.11 2026-09-25
448 MS_DRG Inpatient Ms-DRG 5 4 — — $32,874.68 $68,410.24 $40,219.75 2026-09-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 4 — — $32,738.25 $68,167.28 $40,052.83 2026-09-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 4 — — $32,682.43 $68,067.88 $39,984.54 2026-09-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 4 — — $32,666.15 $68,038.88 $39,964.63 2026-09-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 — — $32,570.80 $67,869.10 $39,847.97 2026-09-25
901 MS_DRG Wound Debridements For Injuries With Mcc 5 4 — — $32,532.04 $67,800.08 $39,800.55 2026-09-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 — — $32,471.58 $67,692.38 $39,726.58 2026-09-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 — — $32,346.00 $67,468.74 $39,572.94 2026-09-25
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $32,322.74 $67,427.32 $39,544.49 2026-09-25
36836 CPT Hchg Perc Av Fistula Creat/singl Access/ue/w Guidance 15 9 $51,296.96 $20,518.79 60% off $17,697.45 $46,167.26 $39,447.36 2026-09-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $32,194.06 $67,198.16 $39,387.05 2026-09-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 4 — — $31,980.88 $66,818.54 $39,126.24 2026-09-25
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 2 — — $29,808.01 $47,692.82 $38,750.42 2026-09-25
L6970 HCPCS Interscapular-thor Switch CT 2 2 — — $29,759.25 $47,614.80 $38,687.03 2026-09-25
791 MS_DRG Prematurity With Major Problems 5 4 — — $31,465.37 $65,900.52 $38,495.56 2026-09-25
402 MS_DRG Inpatient Ms-DRG 5 4 — — $31,166.92 $65,369.02 $38,130.42 2026-09-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 4 — — $30,884.74 $64,866.50 $37,785.20 2026-09-25
L6965 HCPCS Shldr Disartic Myoelectronic 2 2 — — $28,917.98 $46,268.76 $37,593.37 2026-09-25
33240 CPT Hchg Insert Icd Pulse Generator /w Existing Single Lead 15 9 $48,512.12 $19,404.85 60% off $16,736.68 $43,660.91 $37,305.82 2026-09-25
33230 CPT Hchg Insertion Icd Generator Only; /w Existing Dual Leads 15 9 $48,512.12 $19,404.85 60% off $16,736.68 $43,660.91 $37,305.82 2026-09-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 4 — — $30,325.05 $63,869.80 $37,100.46 2026-09-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 4 — — $30,187.84 $63,625.44 $36,932.59 2026-09-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $30,005.67 $63,301.04 $36,709.72 2026-09-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 4 — — $29,960.70 $63,220.96 $36,654.71 2026-09-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 4 — — $29,932.02 $63,169.90 $36,619.62 2026-09-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $29,762.25 $62,867.56 $36,411.92 2026-09-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $29,170.78 $61,814.24 $35,688.29 2026-09-25
36906 CPT Hchg Av Shuntogram /w Thrombectomy & Stent/pta 15 9 $46,392.15 $18,556.86 60% off $2,698.00 $41,752.94 $35,675.57 2026-09-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 4 — — $29,043.64 $61,587.86 $35,532.75 2026-09-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 4 — — $28,974.65 $61,464.98 $35,448.35 2026-09-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 — — $28,971.55 $61,459.46 $35,444.55 2026-09-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 4 — — $28,890.15 $61,314.50 $35,344.97 2026-09-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 4 — — $28,473.87 $60,573.18 $34,835.68 2026-09-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 4 — — $28,462.24 $60,552.50 $34,821.45 2026-09-25
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 2 — — $26,696.16 $42,713.86 $34,705.01 2026-09-25
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 2 — — $26,646.71 $42,634.74 $34,640.72 2026-09-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 4 — — $28,128.13 $59,957.48 $34,412.69 2026-09-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 4 — — $28,106.43 $59,918.82 $34,386.14 2026-09-25
332 MS_DRG Rectal Resection With Mcc 5 4 — — $28,067.67 $59,849.80 $34,338.72 2026-09-25
265 MS_DRG Aicd Lead Procedures 5 4 — — $28,048.29 $59,815.30 $34,315.01 2026-09-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $27,998.67 $59,726.94 $34,254.31 2026-09-25
279 MS_DRG Inpatient Ms-DRG 5 4 — — $27,956.81 $59,652.40 $34,203.10 2026-09-25
0923T CPT Outpatient Services 2 2 — — $26,305.17 $42,088.28 $34,196.72 2026-09-25
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $26,305.17 $42,088.28 $34,196.72 2026-09-25
0916T CPT Outpatient Services 2 2 — — $26,305.17 $42,088.28 $34,196.72 2026-09-25
0515T CPT Insj Wcs Lv Compl Sys 2 2 — — $26,305.17 $42,088.28 $34,196.72 2026-09-25
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 2 2 — — $26,305.17 $42,088.28 $34,196.72 2026-09-25
0409T CPT Insj/rplc Car Modulj Pls Gn 2 2 — — $26,305.17 $42,088.28 $34,196.72 2026-09-25
93580 CPT Hchg Transcatheter Pfo/asd Closure 15 9 $44,256.37 $17,702.55 60% off $15,268.45 $39,830.73 $34,033.14 2026-09-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 4 — — $27,773.87 $59,326.58 $33,979.28 2026-09-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $27,709.52 $59,212.02 $33,900.56 2026-09-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 5 4 — — $27,681.62 $59,162.32 $33,866.42 2026-09-25
37183 CPT Hchg Revision Of Tips 15 9 $43,984.05 $17,593.62 60% off $6,730.82 $39,585.65 $33,823.74 2026-09-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 4 — — $27,640.53 $59,089.18 $33,816.15 2026-09-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 4 — — $27,617.28 $59,047.74 $33,787.70 2026-09-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $27,590.92 $59,000.80 $33,755.45 2026-09-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 5 4 — — $27,568.44 $58,960.78 $33,727.95 2026-09-25
37236 CPT Hchg Stent Place 1st Artery Open/perc 15 9 $43,801.26 $17,520.51 60% off $13,652.12 $39,421.13 $33,683.17 2026-09-25
37238 CPT Hchg Stent Place 1st Veneous Open/perc 15 9 $43,801.26 $17,520.51 60% off $13,652.12 $39,421.13 $33,683.17 2026-09-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $27,338.20 $58,550.78 $33,446.27 2026-09-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $28,727.36 $61,024.62 $33,433.88 2026-09-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 4 — — $27,282.39 $58,451.38 $33,377.99 2026-09-25
252 MS_DRG Other Vascular Procedures With Mcc 5 4 — — $27,041.30 $58,022.02 $33,083.04 2026-09-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 4 — — $27,034.32 $58,009.60 $33,074.50 2026-09-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 4 — — $26,910.29 $57,788.74 $32,922.76 2026-09-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 5 4 — — $26,780.06 $57,556.82 $32,763.43 2026-09-25
359 MS_DRG Inpatient Ms-DRG 5 4 — — $26,656.03 $57,335.92 $32,611.68 2026-09-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 4 — — $26,576.96 $57,195.12 $32,514.95 2026-09-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 — — $26,446.72 $56,963.18 $32,355.61 2026-09-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 4 — — $26,411.84 $56,901.08 $32,312.94 2026-09-25
L6960 HCPCS Shldr Disartic Switch Contro 2 2 — — $24,578.68 $39,325.88 $31,952.28 2026-09-25
54417 CPT Remv/replc Penis Pros Compl 2 2 — — $24,510.64 $39,217.02 $31,863.83 2026-09-25
54411 CPT Remov/replc Penis Pros Comp 2 2 — — $24,510.64 $39,217.02 $31,863.83 2026-09-25
264 MS_DRG Other Circulatory System O.r. Procedures 5 4 — — $25,896.33 $55,983.06 $31,682.25 2026-09-25
L6955 HCPCS Above Elbow Myoelectronic CT 2 2 — — $24,369.70 $38,991.52 $31,680.61 2026-09-25
93653 CPT Hchg Ablation Svt /w Complete Ep Study Rt Side 15 9 $41,192.71 $16,477.09 60% off $14,211.48 $49,456.86 $31,677.19 2026-09-25
93654 CPT Hchg Ablation V-tach /w Complete Ep Study Rt Side 15 9 $41,192.71 $16,477.09 60% off $14,211.48 $49,456.86 $31,677.19 2026-09-25
93656 CPT Hchg Ablation By Pulmonary Vein /w Complete Ep Study 15 9 $41,192.71 $16,477.09 60% off $14,211.48 $49,456.86 $31,677.19 2026-09-25
J2350 HCPCS Ocrelizumab 30 mg/mL Soln 10 Ml Vial 15 9 $41,006.88 $16,402.76 60% off $76.21 $36,906.19 $31,534.29 2026-09-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 4 — — $25,607.18 $55,468.12 $31,328.50 2026-09-25
37 MS_DRG Extracranial Procedures With Mcc 5 4 — — $25,520.36 $55,313.52 $31,222.28 2026-09-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 5 4 — — $25,517.26 $55,308.00 $31,218.48 2026-09-25
36903 CPT Hchg Av Shuntogram /w Stent/pta Perip Dialysis Segment 15 9 $40,198.31 $16,079.33 60% off $1,669.00 $36,178.48 $30,912.50 2026-09-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 5 4 — — $25,215.71 $54,770.96 $30,849.56 2026-09-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 4 — — $25,104.85 $54,573.56 $30,713.93 2026-09-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 4 — — $25,076.94 $54,523.86 $30,679.79 2026-09-25
451 MS_DRG Inpatient Ms-DRG 5 4 — — $25,042.06 $54,461.74 $30,637.11 2026-09-25
37237 CPT Hchg Stent Place Ea Addl Artery Open/perc 15 9 $39,828.99 $15,931.60 60% off $1,406.91 $35,846.09 $30,628.49 2026-09-25
37239 CPT Hchg Stent Place Ea Addl Venous Open/perc 15 9 $39,828.99 $15,931.60 60% off $1,907.00 $35,846.09 $30,628.49 2026-09-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 — — $25,016.48 $54,416.18 $30,605.82 2026-09-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 5 4 — — $24,967.64 $54,329.24 $30,546.07 2026-09-25
325 MS_DRG Inpatient Ms-DRG 5 4 — — $24,887.02 $54,185.66 $30,447.43 2026-09-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 5 4 — — $24,750.59 $53,942.70 $30,280.52 2026-09-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 4 — — $24,704.85 $53,861.22 $30,224.56 2026-09-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 4 — — $24,680.82 $53,818.42 $30,195.16 2026-09-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 4 — — $24,631.20 $53,730.10 $30,134.46 2026-09-25
500 MS_DRG Soft Tissue Procedures With Mcc 5 4 — — $24,533.53 $53,556.14 $30,014.96 2026-09-25
0238T CPT Hchg Perc Iliac Atherectomy 15 9 $38,976.15 $15,590.46 60% off $13,446.77 $35,078.54 $29,972.66 2026-09-25
0237T CPT Hchg Atherectomy-brachioceph Or Bran 15 9 $38,976.15 $15,590.46 60% off $13,446.77 $35,078.54 $29,972.66 2026-09-25
0236T CPT Hchg Atherectomy, Abdominal Aorta 15 9 $38,976.15 $15,590.46 60% off $13,446.77 $35,078.54 $29,972.66 2026-09-25
0235T CPT Hchg Atherectomy; Visceral Artery 13 9 $38,976.15 $15,590.46 60% off $13,446.77 $35,078.54 $29,972.66 2026-09-25
0234T CPT Hchg Atherectomy; Renal Artery 15 9 $38,976.15 $15,590.46 60% off $13,446.77 $35,078.54 $29,972.66 2026-09-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 4 — — $24,496.32 $53,489.88 $29,969.44 2026-09-25
324 MS_DRG Inpatient Ms-DRG 5 4 — — $24,426.55 $53,365.64 $29,884.08 2026-09-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $24,414.92 $53,344.94 $29,869.86 2026-09-25
0816T CPT Outpatient Services 2 2 — — $22,942.50 $36,708.01 $29,825.26 2026-09-25
0817T CPT Outpatient Services 2 2 — — $22,942.50 $36,708.01 $29,825.26 2026-09-25
0680T CPT Insj/rplcmt Pg Only Isdss 2 2 — — $22,942.50 $36,708.01 $29,825.26 2026-09-25
63655 CPT Implant Neuroelectrodes 2 2 — — $22,942.50 $36,708.01 $29,825.26 2026-09-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 4 — — $24,357.56 $53,242.76 $29,799.68 2026-09-25
0795T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0825T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0801T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0802T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0525T CPT Insj/rplcmt Compl Iims 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0823T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0797T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0796T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
0803T CPT Outpatient Services 2 2 — — $22,778.81 $36,446.09 $29,612.45 2026-09-25
665 MS_DRG Prostatectomy With Mcc 5 4 — — $24,195.54 $52,954.24 $29,601.46 2026-09-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 4 — — $24,145.15 $52,864.52 $29,539.81 2026-09-25
652 MS_DRG Kidney Transplant 4 3 — — $25,035.08 $54,449.30 $29,532.94 2026-09-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 5 4 — — $24,102.52 $52,788.58 $29,487.65 2026-09-25
662 MS_DRG Minor Bladder Procedures With Mcc 5 4 — — $23,732.75 $52,130.10 $29,035.27 2026-09-25
33225 CPT Hchg Insert Lt Ventricular Lead /w New Generator Implant 15 9 $37,748.92 $15,099.57 60% off $487.25 $33,974.03 $29,028.92 2026-09-25
263 MS_DRG Vein Ligation And Stripping 5 4 — — $23,700.96 $52,073.50 $28,996.38 2026-09-25
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