Hospital

OHIOHEALTH SHELBY HOSPITAL

Shelby, OH · CCN 361324 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC Echo Rest and Stress

This hospital’s price: $1,608 across 36 payers · range $573-$1,975

Source: https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/34-0714456_shelby_standardcharges.zip · observed 2025-01-21

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,586 distinct procedures filed

50 distinct payers

1,619,782 rate rows

2026-04-01 last MRF observed

Data quality

1,600,344 of 1,619,782 rate rows are consumer-grade (98.8%)

19,438 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	15,721
placeholder amount (≤ $0.02) — excluded from medians	2,943
template filing: same amount across many unrelated codes — excluded	264
percent-of-charges filed in the dollar field — excluded from medians	258
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	252

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/340714456_ohiohealth-shelby-hospital_standardcharges.json
Found on page	https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-23
Content fingerprint	6d480365118c9833… · 7,744,355 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
Q2057 HCPCS	Afamitresgene Autoleucel	1	$1,310,054.00	$1,310,054.00	$1,310,054.00	nat. median $813,967 1.6× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	1	$983,151.78	$983,151.78	$983,151.78	nat. median $739,258 1.3× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	1	$940,744.01	$940,744.01	$940,744.01	nat. median $646,415 1.5× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$920,780.62	$920,780.62	$920,780.62	nat. median $640,950 1.4× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$920,142.76	$920,142.76	$920,142.76	nat. median $622,450 1.5× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	1	$906,230.01	$906,230.01	$906,230.01	nat. median $608,239 1.5× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$832,524.00	$832,524.00	$832,524.00	nat. median $591,721 1.4× median
A9543 HCPCS	Y90 Ibritumomab, Rx	1	$421,582.72	$421,582.72	$421,582.72	nat. median $63,528 outlier · 6.6×
J9029 HCPCS	Inj, Adstiladrin, Per Tx Dos	2	$107,832.79	$412,113.26	$412,113.26	nat. median $68,423 outlier · 6.0×
J7330 HCPCS	Cultured Chondrocytes Implnt	1	$394,322.50	$394,322.50	$394,322.50	nat. median $75,000 outlier · 5.3×
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	2	$95,108.15	$360,987.25	$360,987.25	nat. median $65,720 outlier · 5.5×
J9226 HCPCS	Supprelin La Implant	2	$77,452.66	$294,201.70	$294,201.70	nat. median $55,159 outlier · 5.3×
PX-27800218 CDM	Hc Hm3 Lvad Implant Kit W Controller	27	$86,934.75	$290,781.75	$244,016.85	nat. median $258,912 0.9× median
J9266 HCPCS	Pegaspargase Injection	2	$48,320.90	$175,958.45	$175,958.45	nat. median $33,233 outlier · 5.3×
J9600 HCPCS	Porfimer Sodium Injection	1	$151,599.50	$151,599.50	$151,599.50	nat. median $30,131 outlier · 5.0×
639 MS_DRG	Diabetes Without Cc/Mcc	1	$124,336.67	$124,336.67	$124,336.67	nat. median $6,791 outlier · 18.3×
PX-27800268 CDM	Implant Impella Device 5.5	27	$39,150.00	$130,950.00	$109,890.00	nat. median $107,739 1.0× median
A9604 HCPCS	Sm 153 Lexidronam	1	$105,838.72	$105,838.72	$105,838.72	nat. median $12,627 outlier · 8.4×
J1162 HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	29	$8,446.59	$155,266.80	$94,427.22	nat. median $7,141 outlier · 13.2×
PX-27800238 CDM	Perfusion Tavr Valve	27	$30,186.39	$100,968.27	$84,730.07	nat. median $84,730 1.0× median
5791 OTHER	Pulmonary Treatment	1	$73,039.55	$73,039.55	$73,039.55	nat. median $231 outlier · 316.2×
93656 CPT	Ep Eval W Ablation A Fib Including 3d Mapping	36	$24,715.25	$85,225.00	$69,373.15	nat. median $27,236 outlier · 2.5×
5362 OTHER	Level 2 Laparoscopy And Related Services	3	$49,764.08	$60,765.55	$59,777.23	nat. median $11,101 outlier · 5.4×
J9216 HCPCS	Interferon Gamma 1-b Inj	1	$52,923.72	$52,923.72	$52,923.72	nat. median $9,509 outlier · 5.6×
0398T CPT	MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion	36	$16,810.72	$57,968.00	$47,185.95	nat. median $13,628 outlier · 3.5×
33365 CPT	Hc Tavr Tavi Transaortic Approach	27	$16,790.42	$57,898.00	$47,128.97	nat. median $5,841 outlier · 8.1×
61886 CPT	Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array	27	$16,173.01	$55,769.00	$45,395.97	nat. median $27,176 1.7× median
34708 CPT	Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img	27	$16,118.20	$55,580.00	$45,242.12	nat. median $5,041 outlier · 9.0×
34707 CPT	Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img	27	$16,118.20	$55,580.00	$45,242.12	nat. median $4,869 outlier · 9.3×
93654 CPT	Ep Eval W Ablation Vt Including 3d Mapping	36	$16,061.94	$55,386.00	$45,084.20	nat. median $27,016 1.7× median
561 MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc	1	$44,207.10	$44,207.10	$44,207.10	nat. median $8,655 outlier · 5.1×
34718 CPT	Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat	27	$15,502.53	$53,457.00	$43,514.00	nat. median $5,030 outlier · 8.7×
34717 CPT	Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat	27	$15,502.53	$53,457.00	$43,514.00	nat. median $4,208 outlier · 10.3×
C2616 HCPCS	Hc Yttrium-90 Nonstranded Per Source	36	$15,442.50	$53,250.00	$43,345.50	nat. median $26,836 1.6× median
Q0224 HCPCS	Inj, Pemivibart, 4500 Mg	2	$12,306.30	$42,792.75	$42,792.75	nat. median $6,979 outlier · 6.1×
J9228 HCPCS	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution	38	$311.80	$224,523.00	$41,901.45	nat. median $9,003 outlier · 4.7×
J9042 HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	38	$439.48	$74,990.50	$41,470.69	nat. median $951 outlier · 43.6×
C1882 HCPCS	Defib Bi-v D314trg Protecta Xt Crt-d	36	$14,616.00	$50,400.00	$41,025.60	nat. median $27,360 1.5× median
J0600 HCPCS	Edetate Calcium Disodium Inj	2	$10,972.76	$39,546.65	$39,546.65	nat. median $6,729 outlier · 5.9×
64568 CPT	Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array	27	$14,053.98	$48,462.00	$39,448.07	nat. median $27,694 1.4× median
34706 CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Rupt W Img	27	$14,042.09	$48,421.00	$39,414.69	nat. median $5,465 outlier · 7.2×
34705 CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Not Rupt W Img	27	$14,042.09	$48,421.00	$39,414.69	nat. median $5,225 outlier · 7.5×
34703 CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Not Rupt W Img	27	$13,968.14	$48,166.00	$39,207.12	nat. median $4,817 outlier · 8.1×
34704 CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Rupt W Img	27	$13,968.14	$48,166.00	$39,207.12	nat. median $5,172 outlier · 7.6×
36906 CPT	Hc Dialysis Circuit Perc Thrombectomy Or Thrombolysis Infu W Plcmt Of Stent Peri…	36	$13,792.69	$47,561.00	$38,714.65	nat. median $18,571 outlier · 2.1×
J9022 HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	38	$154.74	$65,473.20	$38,586.90	nat. median $6,785 outlier · 5.7×
393 MS_DRG	Other Digestive System Diagnoses With Mcc	1	$38,505.94	$38,505.94	$38,505.94	nat. median $15,616 outlier · 2.5×
34701 CPT	Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Not Rupt W Img	27	$13,672.05	$47,145.00	$38,376.03	nat. median $4,957 outlier · 7.7×
34702 CPT	Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Rupt W Img	27	$13,672.05	$47,145.00	$38,376.03	nat. median $4,617 outlier · 8.3×
33363 CPT	Hc Tavr Tavi Open Axil Art Approach	27	$13,535.46	$46,674.00	$37,992.64	nat. median $7,000 outlier · 5.4×

Other procedures at this hospital

Browse this hospital's 9,586 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2057	HCPCS	Afamitresgene Autoleucel	1	1	—	—	$1,310,054.00	$1,310,054.00	$1,310,054.00	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	1	1	—	—	$983,151.78	$983,151.78	$983,151.78	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	1	1	—	—	$940,744.01	$940,744.01	$940,744.01	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	1	1	—	—	$920,780.62	$920,780.62	$920,780.62	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	1	1	—	—	$920,142.76	$920,142.76	$920,142.76	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	1	1	—	—	$906,230.01	$906,230.01	$906,230.01	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	1	1	—	—	$832,524.00	$832,524.00	$832,524.00	2026-04-01
A9543	HCPCS	Y90 Ibritumomab, Rx	2	1	—	—	$421,582.72	$421,582.72	$421,582.72	2026-04-01
J9029	HCPCS	Inj, Adstiladrin, Per Tx Dos	3	2	—	—	$107,832.79	$412,113.26	$412,113.26	2026-04-01
J7330	HCPCS	Cultured Chondrocytes Implnt	2	1	—	—	$394,322.50	$394,322.50	$394,322.50	2026-04-01
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	3	2	—	—	$95,108.15	$360,987.25	$360,987.25	2026-04-01
J9226	HCPCS	Supprelin La Implant	3	2	—	—	$77,452.66	$294,201.70	$294,201.70	2026-04-01
PX-27800218	CDM	Hc Hm3 Lvad Implant Kit W Controller	102	27	$299,775.00	$194,853.75 35% off	$86,934.75	$290,781.75	$244,016.85	2025-01-21
J9266	HCPCS	Pegaspargase Injection	3	2	—	—	$48,320.90	$175,958.45	$175,958.45	2026-04-01
J9600	HCPCS	Porfimer Sodium Injection	2	1	—	—	$151,599.50	$151,599.50	$151,599.50	2026-04-01
639	MS_DRG	Diabetes Without Cc/Mcc	1	1	—	—	$124,336.67	$124,336.67	$124,336.67	2026-04-01
PX-27800268	CDM	Implant Impella Device 5.5	102	27	$135,000.00	$87,750.00 35% off	$39,150.00	$130,950.00	$109,890.00	2025-01-21
A9604	HCPCS	Sm 153 Lexidronam	2	1	—	—	$105,838.72	$105,838.72	$105,838.72	2026-04-01
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	105	29	$111,090.85	$72,209.05 35% off	$8,446.59	$155,266.80	$94,427.22	2026-04-01
PX-27800238	CDM	Perfusion Tavr Valve	102	27	$104,091.00	$67,659.15 35% off	$30,186.39	$100,968.27	$84,730.07	2025-01-21
5791	OTHER	Pulmonary Treatment	1	1	—	—	$73,039.55	$73,039.55	$73,039.55	2026-04-01
93656	CPT	Ep Eval W Ablation A Fib Including 3d Mapping	117	36	$85,225.00	$55,396.25 35% off	$24,715.25	$85,225.00	$69,373.15	2025-01-21
5362	OTHER	Level 2 Laparoscopy And Related Services	3	3	—	—	$49,764.08	$60,765.55	$59,777.23	2026-04-01
J9216	HCPCS	Interferon Gamma 1-b Inj	2	1	—	—	$52,923.72	$52,923.72	$52,923.72	2026-04-01
0398T	CPT	MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion	117	36	$57,968.00	$37,679.20 35% off	$16,810.72	$57,968.00	$47,185.95	2025-01-21
33365	CPT	Hc Tavr Tavi Transaortic Approach	102	27	$57,898.00	$37,633.70 35% off	$16,790.42	$57,898.00	$47,128.97	2025-01-21
61886	CPT	Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array	102	27	$55,769.00	$36,249.85 35% off	$16,173.01	$55,769.00	$45,395.97	2025-01-21
34708	CPT	Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img	102	27	$55,580.00	$36,127.00 35% off	$16,118.20	$55,580.00	$45,242.12	2025-01-21
34707	CPT	Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img	102	27	$55,580.00	$36,127.00 35% off	$16,118.20	$55,580.00	$45,242.12	2025-01-21
93654	CPT	Ep Eval W Ablation Vt Including 3d Mapping	117	36	$55,386.00	$36,000.90 35% off	$16,061.94	$55,386.00	$45,084.20	2025-01-21
561	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc	1	1	—	—	$44,207.10	$44,207.10	$44,207.10	2026-04-01
34717	CPT	Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat	102	27	$53,457.00	$34,747.05 35% off	$15,502.53	$53,457.00	$43,514.00	2025-01-21
34718	CPT	Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat	102	27	$53,457.00	$34,747.05 35% off	$15,502.53	$53,457.00	$43,514.00	2025-01-21
C2616	HCPCS	Hc Yttrium-90 Nonstranded Per Source	117	36	$53,250.00	$34,612.50 35% off	$15,442.50	$53,250.00	$43,345.50	2025-01-21
Q0224	HCPCS	Inj, Pemivibart, 4500 Mg	3	2	—	—	$12,306.30	$42,792.75	$42,792.75	2026-04-01
J9228	HCPCS	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution	237	38	$90,335.67	$58,718.19 35% off	$311.80	$224,523.00	$41,901.45	2026-04-01
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	120	38	$48,789.05	$31,712.88 35% off	$439.48	$74,990.50	$41,470.69	2026-04-01
C1882	HCPCS	Defib Bi-v D314trg Protecta Xt Crt-d	117	36	$50,400.00	$32,760.00 35% off	$14,616.00	$50,400.00	$41,025.60	2025-01-21
J0600	HCPCS	Edetate Calcium Disodium Inj	3	2	—	—	$10,972.76	$39,546.65	$39,546.65	2026-04-01
64568	CPT	Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array	102	27	$48,462.00	$31,500.30 35% off	$14,053.98	$48,462.00	$39,448.07	2025-01-21
34705	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Not Rupt W Img	102	27	$48,421.00	$31,473.65 35% off	$14,042.09	$48,421.00	$39,414.69	2025-01-21
34706	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-bi-ilc Endgrft Rupt W Img	102	27	$48,421.00	$31,473.65 35% off	$14,042.09	$48,421.00	$39,414.69	2025-01-21
34704	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Rupt W Img	102	27	$48,166.00	$31,307.90 35% off	$13,968.14	$48,166.00	$39,207.12	2025-01-21
34703	CPT	Hc Endvsc Rep Infrnl Aort/Ilc Art By Aorto-uni-ilc Endgrft Not Rupt W Img	102	27	$48,166.00	$31,307.90 35% off	$13,968.14	$48,166.00	$39,207.12	2025-01-21
36906	CPT	Hc Dialysis Circuit Perc Thrombectomy Or Thrombolysis Infu W Plcmt Of Stent Peri…	117	36	$47,561.00	$30,914.65 35% off	$13,792.69	$47,561.00	$38,714.65	2025-01-21
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	120	38	$45,396.35	$29,507.63 35% off	$154.74	$65,473.20	$38,586.90	2026-04-01
393	MS_DRG	Other Digestive System Diagnoses With Mcc	1	1	—	—	$38,505.94	$38,505.94	$38,505.94	2026-04-01
34701	CPT	Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Not Rupt W Img	102	27	$47,145.00	$30,644.25 35% off	$13,672.05	$47,145.00	$38,376.03	2025-01-21
34702	CPT	Hc Endvsc Rep Infrnl Aorta By Aorto-aortic Endgrft Rupt W Img	102	27	$47,145.00	$30,644.25 35% off	$13,672.05	$47,145.00	$38,376.03	2025-01-21
33418	CPT	Hc Transcath Mitral Valve Rep Perc	102	27	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
33362	CPT	Hc Tavr Tavi Open Fem Art Approach	102	27	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
0484T	CPT	Hc Tmvi W Prosthetic Valve Transthoracic Exposure	102	27	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
33340	CPT	Hc Transcatheter Closure L Atrial Appendage	117	36	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
33366	CPT	Hc Trcath Replace Aortic Valve	102	27	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
0483T	CPT	Hc Tmvi W Prosthetic Valve Percutaneous	102	27	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
33361	CPT	Hc Tavr Tavi Perc Fem Art Approach	117	36	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
33363	CPT	Hc Tavr Tavi Open Axil Art Approach	102	27	$46,674.00	$30,338.10 35% off	$13,535.46	$46,674.00	$37,992.64	2025-01-21
PX-27800203	CDM	Hc Aortic Homograft Valve	102	27	$46,478.00	$30,210.70 35% off	$13,478.62	$45,083.66	$37,833.09	2025-01-21
33477	CPT	Transcatheter Pulmonary Valve Placement Percutaneous Approach	102	27	$46,322.00	$30,109.30 35% off	$13,433.38	$46,322.00	$37,706.11	2025-01-21
C1820	HCPCS	Generator Ipg Precision Spectra	702	36	$47,400.00	$30,810.00 35% off	$1,000.50	$75,570.00	$37,362.60	2025-01-21
PX-27800257	CDM	Heart Valve 42	102	27	$45,887.00	$29,826.55 35% off	$13,307.23	$44,510.39	$37,352.02	2025-01-21
93653	CPT	Ep Eval W Ablation Svt Including 3d Mapping	117	36	$45,695.00	$29,701.75 35% off	$13,251.55	$45,695.00	$37,195.73	2025-01-21
0569T	CPT	Hc Transcath Tricuspid Valve Repair Perct App Initial Prosthesis	102	27	$45,228.00	$29,398.20 35% off	$13,116.12	$45,228.00	$36,815.59	2025-01-21
0646T	CPT	Transcath Tricuspid Valve Implant Rplcmnt With Prostc Valve Perq Approach Rgt Hear…	102	27	$45,228.00	$29,398.20 35% off	$13,116.12	$45,228.00	$36,815.59	2025-01-21
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	120	38	$43,275.70	$28,129.20 35% off	$37.51	$43,275.70	$36,784.35	2026-04-01
PX-27800171	CDM	Hc Implant Impella Device 3.5	102	27	$45,000.00	$29,250.00 35% off	$13,050.00	$43,650.00	$36,630.00	2025-01-21
PX-27800213	CDM	Hc Impella Right Side	102	27	$45,000.00	$29,250.00 35% off	$13,050.00	$43,650.00	$36,630.00	2025-01-21
PX-27800256	CDM	Heart Valve 41	102	27	$44,679.00	$29,041.35 35% off	$12,956.91	$43,338.63	$36,368.71	2025-01-21
J9015	HCPCS	Aldesleukin Injection	2	1	—	—	$36,084.56	$36,084.56	$36,084.56	2026-04-01
PX-27200393	CDM	Hc Aspiration Embolectomy System	102	27	$43,500.00	$28,275.00 35% off	$12,615.00	$42,195.00	$35,409.00	2025-01-21
PX-27800255	CDM	Heart Valve 40	102	27	$43,472.00	$28,256.80 35% off	$12,606.88	$42,167.84	$35,386.21	2025-01-21
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	120	38	$41,449.15	$26,941.95 35% off	$92.93	$57,096.00	$35,231.78	2026-04-01
33269	CPT	Exclusion Left Atrial Appendage Thoracoscopic Any Method	102	27	$43,136.00	$28,038.40 35% off	$12,509.44	$43,136.00	$35,112.70	2025-01-21
0543T	CPT	Transapical Mitral Valve Repair Transthoracic Echocardiography	102	27	$42,905.00	$27,888.25 35% off	$12,442.45	$42,905.00	$34,924.67	2025-01-21
0545T	CPT	Transcatheter Tricuspid Valve Annulus Reconstruction With Device Percutaneous	102	27	$42,905.00	$27,888.25 35% off	$12,442.45	$42,905.00	$34,924.67	2025-01-21
0544T	CPT	Transcatheter Mitral Valve Annulus Reconstruction With Device Percutaneous	102	27	$42,905.00	$27,888.25 35% off	$12,442.45	$42,905.00	$34,924.67	2025-01-21
555	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc	2	2	—	—	$26,250.11	$43,322.95	$34,786.53	2026-04-01
38230	CPT	Procurement Of Allo Bone Marrow Harvest For Transplant	102	27	$42,705.00	$27,758.25 35% off	$12,384.45	$42,705.00	$34,761.87	2025-01-21
PX-27800254	CDM	Heart Valve 39	102	27	$42,265.00	$27,472.25 35% off	$12,256.85	$40,997.05	$34,403.71	2025-01-21
J0716	HCPCS	Centruroides Immune F(ab)	2	1	—	—	$34,099.65	$34,099.65	$34,099.65	2026-04-01
PX-27200472	CDM	Hc Vad Cardiohelp (Hls Set Advanced 7.0)	102	27	$41,343.00	$26,872.95 35% off	$11,989.47	$40,102.71	$33,653.20	2025-01-21
5465	OTHER	Level 5 Neurostimulator And Related Procedures	8	4	—	—	$26,779.31	$79,762.02	$33,498.55	2026-04-01
PX-27800253	CDM	Heart Valve 38	102	27	$41,058.00	$26,687.70 35% off	$11,906.82	$39,826.26	$33,421.21	2025-01-21
A9582	HCPCS	Iodine I-123 Iobenguane	2	1	—	—	$33,204.67	$33,204.67	$33,204.67	2026-04-01
A9515	HCPCS	Choline C-11	2	1	—	—	$32,500.00	$32,500.00	$32,500.00	2026-04-01
PX-27800236	CDM	Heart Valve 37	102	27	$39,851.00	$25,903.15 35% off	$11,556.79	$38,655.47	$32,438.71	2025-01-21
0686T	CPT	Histotripsy Malignant Hepatocellular Tiss W Img Gdn	102	27	$39,840.00	$25,896.00 35% off	$11,553.60	$39,840.00	$32,429.76	2025-01-21
J0225	HCPCS	Inj, Vutrisiran, 1 Mg	3	2	—	—	$8,472.55	$31,965.38	$31,965.38	2026-04-01
5471	OTHER	Implantation Of Drug Infusion Device	2	2	—	—	$16,350.29	$47,374.66	$31,862.48	2026-04-01
33947	CPT	Hc Ecmo Initial Day Veno-arterial	102	27	$39,005.00	$25,353.25 35% off	$11,311.45	$39,005.00	$31,750.07	2025-01-21
33949	CPT	Hc Ecmo Addl Day Veno-arterial	102	27	$39,005.00	$25,353.25 35% off	$11,311.45	$39,005.00	$31,750.07	2025-01-21
33948	CPT	Hc Ecmo Addl Day Veno-veno	102	27	$39,005.00	$25,353.25 35% off	$11,311.45	$39,005.00	$31,750.07	2025-01-21
33946	CPT	Hc Ecmo Initial Day Veno-veno	102	27	$39,005.00	$25,353.25 35% off	$11,311.45	$39,005.00	$31,750.07	2025-01-21
PX-27200545	CDM	Protek Duo Cannula	102	27	$39,000.00	$25,350.00 35% off	$11,310.00	$37,830.00	$31,746.00	2025-01-21
C1721	HCPCS	Defib D314drg Protecta Xt Dr	117	36	$39,000.00	$25,350.00 35% off	$11,310.00	$39,000.00	$31,746.00	2025-01-21
36903	CPT	Hc Dialysis Circuit Intro Needle/Cath W Plcmt Of Stent Peripheral W Img	117	36	$38,918.00	$25,296.70 35% off	$11,286.22	$38,918.00	$31,679.25	2025-01-21
PX-27800235	CDM	Heart Valve 36	102	27	$38,644.00	$25,118.60 35% off	$11,206.76	$37,484.68	$31,456.22	2025-01-21
33224	CPT	Hc Ins Electrode Prev Placed Icd Or Pacer	117	36	$38,422.00	$24,974.30 35% off	$11,142.38	$38,422.00	$31,275.51	2025-01-21
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	105	29	$37,704.85	$24,508.15 35% off	$67.15	$37,704.85	$31,106.50	2026-04-01
PX-27200401	CDM	Hc Blood Pump Disposable	102	27	$37,800.00	$24,570.00 35% off	$10,962.00	$36,666.00	$30,769.20	2025-01-21
PX-27800234	CDM	Heart Valve 35	102	27	$37,436.00	$24,333.40 35% off	$10,856.44	$36,312.92	$30,472.90	2025-01-21
J0480	HCPCS	Basiliximab	3	2	—	—	$7,943.19	$30,274.27	$30,274.27	2026-04-01
0825T	CPT	Transcath Remove & Replace Perm Single Chamb Leadless Pacemaker Right Atrial	102	27	$37,168.00	$24,159.20 35% off	$10,778.72	$37,168.00	$30,254.75	2025-01-21
0823T	CPT	Transcatheter Insert Perm Single Chamb Leadless Pacemaker Right Atrial	102	27	$37,168.00	$24,159.20 35% off	$10,778.72	$37,168.00	$30,254.75	2025-01-21
22867	CPT	Insj Stablj Device W Dcmp 1lv	102	27	$37,160.00	$24,154.00 35% off	$10,776.40	$37,160.00	$30,248.24	2025-01-21
33952	CPT	Ecmo Insertion Peripheral Cannula	102	27	$36,536.00	$23,748.40 35% off	$10,595.44	$36,536.00	$29,740.30	2025-01-21
PX-27800228	CDM	Hc Heart Valve 34	102	27	$36,229.00	$23,548.85 35% off	$10,506.41	$35,142.13	$29,490.41	2025-01-21
C1772	HCPCS	Pump 20ml Infusion Pain Synchromed Iii	234	36	$33,865.50	$22,012.58 35% off	$9,309.00	$35,631.00	$29,003.63	2025-01-21
33206	CPT	Hc Insert Pacer Atrial W Lead	117	36	$35,240.00	$22,906.00 35% off	$10,219.60	$35,240.00	$28,685.36	2025-01-21
560	MS_DRG	Aftercare, Musculoskeletal System And Connective Tissue With Cc	1	1	—	—	$28,612.90	$28,612.90	$28,612.90	2026-04-01
PX-27800227	CDM	Hc Heart Valve 33	102	27	$35,022.00	$22,764.30 35% off	$10,156.38	$33,971.34	$28,507.91	2025-01-21
J9223	HCPCS	Lurbinectedin 4 Mg Intravenous Solution	120	38	$33,391.30	$21,704.34 35% off	$350.41	$51,875.20	$28,382.61	2026-04-01
J7504	HCPCS	Lymphocyte Immune Globulin	3	2	—	—	$8,522.29	$28,312.25	$28,312.25	2026-04-01
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	237	38	$62,065.75	$40,342.74 35% off	$382.83	$158,551.25	$28,270.65	2026-04-01
62362	CPT	Hc Implant Or Replace Programmable Pump	102	27	$34,700.00	$22,555.00 35% off	$10,063.00	$34,700.00	$28,245.80	2025-01-21
37235	CPT	Hc Tibiopero W Stnt&Atherec Ea Addl	102	27	$34,578.00	$22,475.70 35% off	$10,027.62	$34,578.00	$28,146.49	2025-01-21
177	MS_DRG	Respiratory Infections And Inflammations With Mcc	1	1	—	—	$28,074.67	$28,074.67	$28,074.67	2026-04-01
33214	CPT	Hc Upgrade Implanted Pacemaker	117	36	$34,385.00	$22,350.25 35% off	$9,971.65	$34,385.00	$27,989.39	2025-01-21
64628	CPT	Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac	117	36	$34,344.00	$22,323.60 35% off	$9,959.76	$34,344.00	$27,956.02	2025-01-21
37231	CPT	Hc Revasc/Endo Tibioper W Stnt&Ather	117	36	$34,251.00	$22,263.15 35% off	$9,932.79	$34,251.00	$27,880.31	2025-01-21
PX-27800226	CDM	Hc Heart Valve 32	102	27	$33,815.00	$21,979.75 35% off	$9,806.35	$32,800.55	$27,525.41	2025-01-21
61885	CPT	Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array	102	27	$33,708.00	$21,910.20 35% off	$9,775.32	$33,708.00	$27,438.31	2025-01-21
93620	CPT	Hc Ep Comprehensive W Induction Arrhythmia	117	36	$33,685.00	$21,895.25 35% off	$9,768.65	$33,685.00	$27,419.59	2025-01-21
A9570	HCPCS	Indium In-111 Auto Wbc	2	1	—	—	$27,364.74	$27,364.74	$27,364.74	2026-04-01
A9571	HCPCS	Indium In-111 Auto Platelet	2	1	—	—	$27,364.74	$27,364.74	$27,364.74	2026-04-01
C1767	HCPCS	Generator Pulse Interstim 2	819	36	$31,500.00	$20,475.00 35% off	$4,306.50	$49,500.00	$26,998.75	2025-01-21
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	2	2	—	—	$3,430.60	$49,860.86	$26,645.73	2026-04-01
PX-27800225	CDM	Hc Heart Valve 31	102	27	$32,608.00	$21,195.20 35% off	$9,456.32	$31,629.76	$26,542.91	2025-01-21
J9332	HCPCS	Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution	120	38	$30,920.45	$20,098.29 35% off	$55.07	$41,691.00	$26,282.38	2026-04-01
33276	CPT	Insertion Of Phrenic Nerve Stimulator System	117	36	$32,093.00	$20,860.45 35% off	$9,306.97	$32,093.00	$26,123.70	2025-01-21
33249	CPT	Hc Ins Or Repl Icd W Pulse Gen Sgl Or Dual	117	36	$32,050.00	$20,832.50 35% off	$9,294.50	$32,050.00	$26,088.70	2025-01-21
27279	CPT	Hc Athrodesis Sacroiliac Joint W Img Guidance	102	27	$31,989.00	$20,792.85 35% off	$9,276.81	$31,989.00	$26,039.05	2025-01-21
J9200	HCPCS	Floxuridine Injection	3	2	—	—	$7,013.44	$25,932.66	$25,932.66	2026-04-01
33264	CPT	Hc Remove Replace Icd Gen Mult Lead Sys	117	36	$31,815.00	$20,679.75 35% off	$9,226.35	$31,815.00	$25,897.41	2025-01-21
0571T	CPT	Hc Insert Or Replce Impnt Cardioverter Defib System W Substernal Elect Incl Img	117	36	$31,815.00	$20,679.75 35% off	$9,226.35	$31,815.00	$25,897.41	2025-01-21
33270	CPT	Hc Insert Subq Defib W Electrode	117	36	$31,814.00	$20,679.10 35% off	$9,226.06	$31,814.00	$25,896.60	2025-01-21
33903	CPT	Pulmonary Artery Revascularization Abnormal Bilateral	102	27	$31,794.00	$20,666.10 35% off	$9,220.26	$31,794.00	$25,880.32	2025-01-21
176	MS_DRG	Pulmonary Embolism Without Mcc	2	2	—	—	$13,402.16	$37,735.82	$25,568.99	2026-04-01
PX-27800224	CDM	Hc Heart Valve 30	102	27	$31,401.00	$20,410.65 35% off	$9,106.29	$30,458.97	$25,560.41	2025-01-21
33226	CPT	Hc Reposition Previously Impl Cvs Electrode	117	36	$31,235.00	$20,302.75 35% off	$9,058.15	$31,235.00	$25,425.29	2025-01-21
37227	CPT	Hc Revasc Endo Fempop W Stnt&Atherec	117	36	$31,149.00	$20,246.85 35% off	$9,033.21	$31,149.00	$25,355.29	2025-01-21
61635	CPT	Hc Stent Intracranial Transcath	102	27	$31,039.00	$20,175.35 35% off	$9,001.31	$31,039.00	$25,265.75	2025-01-21
558	MS_DRG	Tendonitis, Myositis And Bursitis Without Mcc	3	3	—	—	$19,153.67	$25,688.84	$25,261.20	2026-04-01
37230	CPT	Hc Revasc Endo Tibiopero W Stent	117	36	$30,749.00	$19,986.85 35% off	$8,917.21	$30,749.00	$25,029.69	2025-01-21
J0801	HCPCS	Inj. Acthar Gel To 40 Units	3	2	—	—	$7,118.63	$24,880.90	$24,880.90	2026-04-01
33231	CPT	Hc Insert Icd Generator Only Mult	102	27	$30,300.00	$19,695.00 35% off	$8,787.00	$30,300.00	$24,664.20	2025-01-21
PX-27800223	CDM	Hc Heart Valve 29	102	27	$30,193.00	$19,625.45 35% off	$8,755.97	$29,287.21	$24,577.10	2025-01-21
A9600	HCPCS	Sr89 Strontium	2	1	—	—	$24,375.00	$24,375.00	$24,375.00	2026-04-01
556	MS_DRG	Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc	6	5	—	—	$20,727.55	$55,700.94	$24,186.40	2026-04-01
92943	CPT	Hc Revasc Chronic Occlusion Sgl Vessel	117	36	$29,678.00	$19,290.70 35% off	$8,606.62	$29,678.00	$24,157.89	2025-01-21
J3316	HCPCS	Inj., Triptorelin Xr 3.75 Mg	3	2	—	—	$6,413.85	$24,155.82	$24,155.82	2026-04-01
C9607	HCPCS	Hc Revasc Chronic Occ De Stent Sgl Vessel	117	36	$29,359.00	$19,083.35 35% off	$8,514.11	$29,359.00	$23,898.23	2025-01-21
A9557	HCPCS	Tc99m Bicisate	2	1	—	—	$23,831.15	$23,831.15	$23,831.15	2026-04-01
L8699	HCPCS	Accurate Ide Neo2 Aortic Valve System	3,978	36	$32,750.00	$21,287.50 35% off	$0.29	$129,000.00	$23,750.00	2025-01-21
93650	CPT	Hc Ablation Av	117	36	$29,156.00	$18,951.40 35% off	$8,455.24	$29,156.00	$23,732.98	2025-01-21
63685	CPT	Hc Ins Or Repl Spinal Neurostim Pulse Gen	102	27	$29,120.00	$18,928.00 35% off	$8,444.80	$29,120.00	$23,703.68	2025-01-21
5116	OTHER	Level 6 Musculoskeletal Procedures	3	2	—	—	$22,280.96	$61,906.79	$23,604.15	2026-04-01
PX-27800222	CDM	Hc Heart Valve 28	102	27	$28,986.00	$18,840.90 35% off	$8,405.94	$28,116.42	$23,594.60	2025-01-21
33240	CPT	Hc Insertion Icd Generator Only Single	102	27	$28,835.00	$18,742.75 35% off	$8,362.15	$28,835.00	$23,471.69	2025-01-21
C9600	HCPCS	Hc De Stent Sgl Maj Cor Artery Or Branch	117	36	$28,770.00	$18,700.50 35% off	$8,343.30	$28,770.00	$23,418.78	2025-01-21
J2507	HCPCS	Pegloticase Injection	3	2	—	—	$6,186.07	$23,075.33	$23,075.33	2026-04-01
C9767	HCPCS	Revas Intravasc Lithotrip Translum Stent And Atherect Incl Angio	117	36	$28,110.00	$18,271.50 35% off	$8,151.90	$28,110.00	$22,881.54	2025-01-21
C9773	HCPCS	Revascularization Endovascular Lithotr Tib Per Stent Angio	117	36	$28,056.00	$18,236.40 35% off	$8,136.24	$28,056.00	$22,837.58	2025-01-21
C9775	HCPCS	Revascularization Endovascular Lithotr Atherectomy Tib Per Stent Angio	102	27	$28,056.00	$18,236.40 35% off	$8,136.24	$28,056.00	$22,837.58	2025-01-21
C9774	HCPCS	Revascularization Endovascular Lithotr Atherectomy Tib Per Angio	102	27	$28,056.00	$18,236.40 35% off	$8,136.24	$28,056.00	$22,837.58	2025-01-21
37225	CPT	Hc Revasc Endo Fempop W Atherectomy	117	36	$28,033.00	$18,221.45 35% off	$8,129.57	$28,033.00	$22,818.86	2025-01-21
PX-27800221	CDM	Hc Heart Valve 27	102	27	$27,779.00	$18,056.35 35% off	$8,055.91	$26,945.63	$22,612.11	2025-01-21
J0802	HCPCS	Inj. (ani), Up To 40 Units	3	2	—	—	$6,030.44	$22,547.53	$22,547.53	2026-04-01
536	MS_DRG	Fractures Of Hip And Pelvis Without Mcc	1	1	—	—	$22,350.28	$22,350.28	$22,350.28	2026-04-01
435	MS_DRG	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	1	1	—	—	$22,324.61	$22,324.61	$22,324.61	2026-04-01
J2353	HCPCS	Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release	237	38	$27,860.35	$18,109.22 35% off	$360.74	$41,059.20	$22,317.85	2026-04-01
Q9983	HCPCS	Florbetaben F18 Diagnostic	2	1	—	—	$22,100.00	$22,100.00	$22,100.00	2026-04-01
92986	CPT	Hc Percutaneous Balloon Valvoplasty Aortic	117	36	$27,097.00	$17,613.05 35% off	$7,858.13	$27,097.00	$22,056.96	2025-01-21
33289	CPT	Hc Trcath Implant Of Wireless Pulm Artery Pressure Sensor	117	36	$27,083.00	$17,603.95 35% off	$7,854.07	$27,083.00	$22,045.56	2025-01-21
33901	CPT	Pulmonary Artery Revascularization Bilateral	102	27	$26,826.00	$17,436.90 35% off	$7,779.54	$26,826.00	$21,836.36	2025-01-21
36905	CPT	Hc Dialysis Circuit Perc Thrombectomy Or Thrombolysis Infu W Tba Peripheral W Im…	117	36	$26,756.00	$17,391.40 35% off	$7,759.24	$26,756.00	$21,779.38	2025-01-21
0795T	CPT	Transcath Insert Dual Chamber Leadles Pacemaker	117	36	$26,745.00	$17,384.25 35% off	$7,756.05	$26,745.00	$21,770.43	2025-01-21
PX-27800220	CDM	Hc Heart Valve 26	102	27	$26,572.00	$17,271.80 35% off	$7,705.88	$25,774.84	$21,629.61	2025-01-21
33902	CPT	Pulmonary Artery Revascularization Abnormal Unilateral	102	27	$26,495.00	$17,221.75 35% off	$7,683.55	$26,495.00	$21,566.93	2025-01-21
J9306	HCPCS	Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution	120	38	$25,350.95	$16,478.12 35% off	$28.72	$42,096.60	$21,548.31	2026-04-01
0520T	CPT	Hc Removal And Rplce Cardiac Stimulator Left W New Electro	102	27	$26,215.00	$17,039.75 35% off	$7,602.35	$26,215.00	$21,339.01	2025-01-21
33230	CPT	Hc Insert Icd Generator Only Dual	102	27	$25,908.00	$16,840.20 35% off	$7,513.32	$25,908.00	$21,089.11	2025-01-21
33220	CPT	Hc Repair Transvenous Electrode Dual	102	27	$25,826.00	$16,786.90 35% off	$7,489.54	$25,826.00	$21,022.36	2025-01-21
33217	CPT	Hc Insertion Transvenous Electrode Dual	117	36	$25,584.00	$16,629.60 35% off	$7,419.36	$25,584.00	$20,825.38	2025-01-21
Q9982	HCPCS	Flutemetamol F18 Diagnostic	2	1	—	—	$20,800.00	$20,800.00	$20,800.00	2026-04-01
PX-27800219	CDM	Hc Heart Valve 25	102	27	$25,365.00	$16,487.25 35% off	$7,355.85	$24,604.05	$20,647.11	2025-01-21
C9766	HCPCS	Revas Intravasc Lithotrip And Atherectomy Incl Angio	117	36	$25,299.00	$16,444.35 35% off	$7,336.71	$25,299.00	$20,593.39	2025-01-21
C9765	HCPCS	Revas Intravsc Lithotrip And Transluminal Stent Plcmt Incl Angio	117	36	$25,299.00	$16,444.35 35% off	$7,336.71	$25,299.00	$20,593.39	2025-01-21
54	MS_DRG	Nervous System Neoplasms With Mcc	1	1	—	—	$20,583.18	$20,583.18	$20,583.18	2026-04-01
C9772	HCPCS	Revascularization Endovascular Lithotrip Tibial Peroneal Artery Angio	117	36	$25,251.00	$16,413.15 35% off	$7,322.79	$25,251.00	$20,554.31	2025-01-21
63663	CPT	Revision W Replacement Of Spinal Neurostimulator Electrode	102	27	$25,142.00	$16,342.30 35% off	$7,291.18	$25,142.00	$20,465.59	2025-01-21
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution	120	38	$24,066.70	$15,643.35 35% off	$99.56	$37,251.50	$20,456.70	2026-04-01
55880	CPT	High Intesity Focused Ultrasound Ablation Of Malignant Prostate Transrectal	102	27	$24,857.00	$16,157.05 35% off	$7,208.53	$24,857.00	$20,233.60	2025-01-21
37226	CPT	Hc Revasc Endo Fempop W Stent	117	36	$24,775.00	$16,103.75 35% off	$7,184.75	$24,775.00	$20,166.85	2025-01-21
5361	OTHER	Level 1 Laparoscopy And Related Services	10	8	—	—	$6,051.70	$30,855.15	$20,135.23	2026-04-01
33228	CPT	Hc Rem And Replace Pacer Pulse Gen Dual	117	36	$24,731.00	$16,075.15 35% off	$7,171.99	$24,731.00	$20,131.03	2025-01-21
33207	CPT	Hc Insert Pacer Ventricular W Lead	117	36	$24,701.00	$16,055.65 35% off	$7,163.29	$24,701.00	$20,106.61	2025-01-21
33208	CPT	Hc Insert Pacer Atrial And Ventricular W Lead	117	36	$24,701.00	$16,055.65 35% off	$7,163.29	$24,701.00	$20,106.61	2025-01-21
37229	CPT	Hc Revasc Endo Tibiopero W Atherectm	117	36	$24,652.00	$16,023.80 35% off	$7,149.08	$24,652.00	$20,066.73	2025-01-21
37228	CPT	Hc Revasc Endo Tibiopero W Pta	117	36	$24,493.00	$15,920.45 35% off	$7,102.97	$24,493.00	$19,937.30	2025-01-21
33262	CPT	Hc Remove Replace Icd Gen Sgl Lead Sys	117	36	$24,400.00	$15,860.00 35% off	$7,076.00	$24,400.00	$19,861.60	2025-01-21
33216	CPT	Hc Insertion Transvenous Electrode Single	117	36	$24,366.00	$15,837.90 35% off	$7,066.14	$24,366.00	$19,833.92	2025-01-21
93	MS_DRG	Other Disorders Of Nervous System Without Cc/Mcc	1	1	—	—	$19,805.27	$19,805.27	$19,805.27	2026-04-01
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	1	1	—	—	$19,803.14	$19,803.14	$19,803.14	2026-04-01
J9311	HCPCS	Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln	120	38	$23,270.35	$15,125.73 35% off	$62.84	$33,888.40	$19,779.80	2026-04-01
J0896	HCPCS	Luspatercept-aamt 25 Mg Subcutaneous Solution	237	38	$39,484.82	$25,665.13 35% off	$71.34	$77,961.00	$19,758.95	2026-04-01
PX-27800170	CDM	Hc Heart Valve 24	102	27	$24,158.00	$15,702.70 35% off	$7,005.82	$23,433.26	$19,664.61	2025-01-21
0505T	CPT	Hc Endovenous Femoral-popliteal Arterial Revasc	102	27	$24,136.00	$15,688.40 35% off	$6,999.44	$24,136.00	$19,646.70	2025-01-21
J2993	HCPCS	Reteplase Injection	2	1	—	—	$19,636.76	$19,636.76	$19,636.76	2026-04-01
33274	CPT	Hc Trcath Ins Or Repl Perm Leadless Pacer Right	117	36	$24,064.00	$15,641.60 35% off	$6,978.56	$24,064.00	$19,588.10	2025-01-21
33263	CPT	Hc Remove Replace Icd Gen Dual Lead Sys	117	36	$24,055.00	$15,635.75 35% off	$6,975.95	$24,055.00	$19,580.77	2025-01-21
0408T	CPT	Hc Ins Or Rep Perm Card Contrac Mod Sys Pulse Gen W Transven Electrode	117	36	$24,020.00	$15,613.00 35% off	$6,965.80	$24,020.00	$19,552.28	2025-01-21
0614T	CPT	Removal And Replacement Of Substernal Implantable Defibrillator Pulse Gen	102	27	$24,020.00	$15,613.00 35% off	$6,965.80	$24,020.00	$19,552.28	2025-01-21
Q0479	HCPCS	Hc Power Module	117	36	$24,000.00	$15,600.00 35% off	$6,960.00	$24,000.00	$19,536.00	2025-01-21
33271	CPT	Hc Insert Subq Defib Electrode	117	36	$23,917.00	$15,546.05 35% off	$6,935.93	$23,917.00	$19,468.44	2025-01-21
37221	CPT	Hc Revasc/Endo Iliac W Stnt W/wo Pta	117	36	$23,797.00	$15,468.05 35% off	$6,901.13	$23,797.00	$19,370.76	2025-01-21
33273	CPT	Hc Repos Subq Defib Electrode And Gen	117	36	$23,532.00	$15,295.80 35% off	$6,824.28	$23,532.00	$19,155.05	2025-01-21
37224	CPT	Hc Revasc Endo Fempop W Pta	117	36	$23,417.00	$15,221.05 35% off	$6,790.93	$23,417.00	$19,061.44	2025-01-21
33225	CPT	Hc Ins Electrode At Ins Icd Or Pacer	117	36	$23,411.00	$15,217.15 35% off	$6,789.19	$23,411.00	$19,056.55	2025-01-21
948	MS_DRG	Signs And Symptoms Without Mcc	8	5	—	—	$9,342.28	$40,320.93	$19,049.78	2026-04-01
33234	CPT	Hc Remove Tvs Electrode Sgl Lead System	117	36	$23,290.00	$15,138.50 35% off	$6,754.10	$23,290.00	$18,958.06	2025-01-21
0580T	CPT	Hc Removal Of Substernal Implantable Defib Pulse Generator Only	102	27	$23,177.00	$15,065.05 35% off	$6,721.33	$23,177.00	$18,866.08	2025-01-21
0574T	CPT	Hc Reposition Of Prev Implanted Substernal Implantable Defib Pacing	102	27	$23,177.00	$15,065.05 35% off	$6,721.33	$23,177.00	$18,866.08	2025-01-21
0572T	CPT	Hc Insertion Of Substernal Implantable Defib Electrode	117	36	$23,177.00	$15,065.05 35% off	$6,721.33	$23,177.00	$18,866.08	2025-01-21
0573T	CPT	Hc Removal Of Substernal Implantable Defib Electrode	117	36	$23,177.00	$15,065.05 35% off	$6,721.33	$23,177.00	$18,866.08	2025-01-21
33244	CPT	Hc Icd Lead Extraction	117	36	$23,110.00	$15,021.50 35% off	$6,701.90	$23,110.00	$18,811.54	2025-01-21
33272	CPT	Hc Removal Subq Defib Electrode	117	36	$23,110.00	$15,021.50 35% off	$6,701.90	$23,110.00	$18,811.54	2025-01-21
PX-27800169	CDM	Hc Heart Valve 23	102	27	$22,950.00	$14,917.50 35% off	$6,655.50	$22,261.50	$18,681.30	2025-01-21
C9606	HCPCS	Hc Revasc Occ During Mi De Stent Sgl	117	36	$22,940.00	$14,911.00 35% off	$6,652.60	$22,940.00	$18,673.16	2025-01-21
A9586	HCPCS	Florbetapir F18	2	1	—	—	$18,573.10	$18,573.10	$18,573.10	2026-04-01
0519T	CPT	Hc Removal And Rplce Cardiac Stimulator Left	102	27	$22,809.00	$14,825.85 35% off	$6,614.61	$22,809.00	$18,566.53	2025-01-21
0570T	CPT	Hc Transcath Tricuspid Valve Repair Perct App Each Addtl Prosthesis	102	27	$22,614.00	$14,699.10 35% off	$6,558.06	$22,614.00	$18,407.80	2025-01-21
33229	CPT	Hc Rem And Replace Pacer Pulse Gen Mult	117	36	$22,511.00	$14,632.15 35% off	$6,528.19	$22,511.00	$18,323.95	2025-01-21
33900	CPT	Pulmonary Artery Revascularization Unilateral	102	27	$22,355.00	$14,530.75 35% off	$6,482.95	$22,355.00	$18,196.97	2025-01-21
33227	CPT	Hc Rem And Replace Pacer Pulse Gen Single	117	36	$22,352.00	$14,528.80 35% off	$6,482.08	$22,352.00	$18,194.53	2025-01-21
36837	CPT	Arteriovenous Fistula Creation Upper Extremity Separate Access	102	27	$22,288.00	$14,487.20 35% off	$6,463.52	$22,288.00	$18,142.43	2025-01-21
C9602	HCPCS	Hc De Stent W Ather Maj Cor Artery Or Branch	117	36	$22,135.00	$14,387.75 35% off	$6,419.15	$22,135.00	$18,017.89	2025-01-21
J9286	HCPCS	Inj Glofitamab Gxbm, 2.5 Mg	3	2	—	—	$4,709.97	$18,010.92	$18,010.92	2026-04-01
5115	OTHER	Level 5 Musculoskeletal Procedures	8	5	—	—	$9,138.11	$50,551.31	$17,781.72	2026-04-01
33235	CPT	Hc Remove Tvs Electrode Dual Lead System	117	36	$21,835.00	$14,192.75 35% off	$6,332.15	$21,835.00	$17,773.69	2025-01-21
33285	CPT	Hc Insert Subq Cardiac Rhythm Monitor Incl Programming	117	36	$21,835.00	$14,192.75 35% off	$6,332.15	$21,835.00	$17,773.69	2025-01-21
J9268	HCPCS	Pentostatin Injection	3	2	—	—	$4,324.62	$17,761.45	$17,761.45	2026-04-01
37217	CPT	Hc Stent Placemt Retro Carotid	102	27	$21,747.00	$14,135.55 35% off	$6,306.63	$21,747.00	$17,702.06	2025-01-21
37218	CPT	Hc Transcath Stent Intrathoracic	102	27	$21,747.00	$14,135.55 35% off	$6,306.63	$21,747.00	$17,702.06	2025-01-21
PX-27800168	CDM	Hc Heart Valve 22	102	27	$21,742.00	$14,132.30 35% off	$6,305.18	$21,089.74	$17,697.99	2025-01-21
C1722	HCPCS	Ide G190186 Ev Icd Device	117	36	$21,710.00	$14,111.50 35% off	$6,295.90	$21,710.00	$17,671.94	2025-01-21
562	MS_DRG	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	2	2	—	—	$14,753.40	$20,583.18	$17,668.29	2026-04-01
Q0495	HCPCS	Hc Battery Charger	102	27	$21,600.00	$14,040.00 35% off	$6,264.00	$21,600.00	$17,582.40	2025-01-21
C2624	HCPCS	Hc Ide G170258 Guide Hf Cardiomems Hf System	117	36	$21,500.00	$13,975.00 35% off	$6,235.00	$21,500.00	$17,501.00	2025-01-21
92941	CPT	Hc Revasc Acute Occlusion During Mi Sgl Ves	117	36	$21,380.00	$13,897.00 35% off	$6,200.20	$21,380.00	$17,403.32	2025-01-21
J9229	HCPCS	Inj Inotuzumab Ozogam 0.1 Mg	3	2	—	—	$4,586.69	$17,277.85	$17,277.85	2026-04-01
37220	CPT	Hc Revasc Endo Iliac Init W Pta	117	36	$21,222.00	$13,794.30 35% off	$6,154.38	$21,222.00	$17,274.71	2025-01-21
33221	CPT	Hc Insert Pacer Pulse Generator Mult Leads	117	36	$21,221.00	$13,793.65 35% off	$6,154.09	$21,221.00	$17,273.89	2025-01-21
37211	CPT	Hc Trnscth Tx Thrmb Art Init Day	102	27	$21,217.00	$13,791.05 35% off	$6,152.93	$21,217.00	$17,270.64	2025-01-21
33904	CPT	Pulmonary Artery Revascularization Each Addl Norm/Abnorm	102	27	$21,196.00	$13,777.40 35% off	$6,146.84	$21,196.00	$17,253.54	2025-01-21
C9764	HCPCS	Revascularization Intravasc Lithotripsy Incl Angioplasty	117	36	$21,131.00	$13,735.15 35% off	$6,127.99	$21,131.00	$17,200.63	2025-01-21
0682T	CPT	Removal Pulse Generator Only Isdss	102	27	$21,114.00	$13,724.10 35% off	$6,123.06	$21,114.00	$17,186.80	2025-01-21
47539	CPT	Hc Place Stent Bile Duct W Img Via New Acc Wo Separate Bdc	102	27	$21,083.00	$13,703.95 35% off	$6,114.07	$21,083.00	$17,161.56	2025-01-21
47540	CPT	Hc Place Stent Bile Duct W Img Via New Acc W Separate Bdc	102	27	$21,083.00	$13,703.95 35% off	$6,114.07	$21,083.00	$17,161.56	2025-01-21
863	MS_DRG	Postoperative And Post-traumatic Infections Without Mcc	1	1	—	—	$17,152.65	$17,152.65	$17,152.65	2026-04-01
33287	CPT	Hc Remove & Replace Phrenic Nerve Stim Pulse Generator	102	27	$21,028.00	$13,668.20 35% off	$6,098.12	$21,028.00	$17,116.79	2025-01-21
33288	CPT	Remove & Replace Phrenic Nerve Stim Transvenous Stim Or Sensing Lead(S)	102	27	$21,028.00	$13,668.20 35% off	$6,098.12	$21,028.00	$17,116.79	2025-01-21
949	MS_DRG	Aftercare With Cc/Mcc	2	2	—	—	$2,418.15	$31,627.34	$17,022.74	2026-04-01
93624	CPT	Hc Ep Followup Study	117	36	$20,869.00	$13,564.85 35% off	$6,052.01	$20,869.00	$16,987.37	2025-01-21
33215	CPT	Hc Reposition Previously Implanted Pacer	117	36	$20,858.00	$13,557.70 35% off	$6,048.82	$20,858.00	$16,978.41	2025-01-21
SUP-AP21	CDM	Device 2.1mm X 26cm Cannula Artemis	102	27	$20,685.00	$13,445.25 35% off	$5,998.65	$20,064.45	$16,837.59	2025-01-21
SUP-AP28	CDM	Device 2.8mm X 27cm Cannula Artemis	102	27	$20,685.00	$13,445.25 35% off	$5,998.65	$20,064.45	$16,837.59	2025-01-21
178	MS_DRG	Respiratory Infections And Inflammations With Cc	2	2	—	—	$15,800.63	$17,630.79	$16,715.71	2026-04-01
PX-27800167	CDM	Hc Heart Valve 21	102	27	$20,535.00	$13,347.75 35% off	$5,955.15	$19,918.95	$16,715.49	2025-01-21
33019	CPT	Hc Perc Pericardial Drainage W CT	102	27	$20,399.00	$13,259.35 35% off	$5,915.71	$20,399.00	$16,604.79	2025-01-21
33213	CPT	Hc Insert Pulse Generator Only Dual	117	36	$20,211.00	$13,137.15 35% off	$5,861.19	$20,211.00	$16,451.75	2025-01-21
34710	CPT	Hc Delayed Plcmnt Ext Prosthesis For Endovasc Rep Init Vessel W Img	102	27	$20,149.00	$13,096.85 35% off	$5,843.21	$20,149.00	$16,401.29	2025-01-21
J9354	HCPCS	Ado-trastuzumab Emtansine 100 Mg Intravenous Solution	237	38	$21,278.33	$13,830.91 35% off	$71.15	$39,977.60	$16,386.90	2026-04-01
36836	CPT	Arteriovenous Fistula Creation Upper Extremity Single Access	102	27	$19,973.00	$12,982.45 35% off	$5,792.17	$19,973.00	$16,258.02	2025-01-21
602	MS_DRG	Cellulitis With Mcc	3	3	—	—	$12,630.60	$30,874.84	$16,253.40	2026-04-01
300	MS_DRG	Peripheral Vascular Disorders With Cc	1	1	—	—	$16,253.40	$16,253.40	$16,253.40	2026-04-01
433	MS_DRG	Cirrhosis And Alcoholic Hepatitis With Cc	1	1	—	—	$16,253.40	$16,253.40	$16,253.40	2026-04-01
203	MS_DRG	Bronchitis And Asthma Without Cc/Mcc	1	1	—	—	$16,253.40	$16,253.40	$16,253.40	2026-04-01
PX-36000012	CDM	Hc Assemble Operate Heartlung Machine	102	27	$19,966.00	$12,977.90 35% off	$5,790.14	$19,367.02	$16,252.32	2025-01-21
Q2017	HCPCS	Teniposide, 50 Mg	2	1	—	—	$16,223.68	$16,223.68	$16,223.68	2026-04-01
C1817	HCPCS	Occluder 36mm Amplatzer Septal	117	36	$19,869.00	$12,914.85 35% off	$5,762.01	$19,869.00	$16,173.37	2025-01-21
682	MS_DRG	Renal Failure With Mcc	2	2	—	—	$15,053.40	$17,138.79	$16,096.10	2026-04-01
557	MS_DRG	Tendonitis, Myositis And Bursitis With Mcc	1	1	—	—	$16,092.48	$16,092.48	$16,092.48	2026-04-01
A9584	HCPCS	Iodine I-123 Ioflupane	2	1	—	—	$16,042.00	$16,042.00	$16,042.00	2026-04-01
93461	CPT	Hc Coronary Angiogrphy W Byp Grfts Lhc And Rhc	117	36	$19,704.00	$12,807.60 35% off	$5,714.16	$19,704.00	$16,039.06	2025-01-21
92933	CPT	Hc Atherectomy W Stent Maj Cor Art Or Branch	102	27	$19,660.00	$12,779.00 35% off	$5,701.40	$19,660.00	$16,003.24	2025-01-21
92924	CPT	Hc Atherectomy Sgl Maj Cor Art Or Branch	117	36	$19,660.00	$12,779.00 35% off	$5,701.40	$19,660.00	$16,003.24	2025-01-21
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	2	2	—	—	$15,707.15	$16,253.40	$15,980.27	2026-04-01
93581	CPT	Hc Transcath Closure Vsd W/Implant	102	27	$19,407.00	$12,614.55 35% off	$5,628.03	$19,407.00	$15,797.30	2025-01-21
37236	CPT	Hc Open Or Perq Place Stent 1st Artery	117	36	$19,391.00	$12,604.15 35% off	$5,623.39	$19,391.00	$15,784.27	2025-01-21
37238	CPT	Hc Open Or Perq Place Stent 1st Vein	117	36	$19,391.00	$12,604.15 35% off	$5,623.39	$19,391.00	$15,784.27	2025-01-21
J7294	HCPCS	Seg Acet And Eth Estr Yearly	2	1	—	—	$15,733.51	$15,733.51	$15,733.51	2026-04-01
PX-27800166	CDM	Hc Heart Valve 20	102	27	$19,327.00	$12,562.55 35% off	$5,604.83	$18,747.19	$15,732.18	2025-01-21
J0202	HCPCS	Injection, Alemtuzumab	3	2	—	—	$4,149.19	$15,686.84	$15,686.84	2026-04-01
33212	CPT	Hc Insert Pulse Generator Only Sgl	102	27	$19,249.00	$12,511.85 35% off	$5,582.21	$19,249.00	$15,668.69	2025-01-21
PX-27200513	CDM	Atriclip Exclusion Pro-v Series	102	27	$19,249.00	$12,511.85 35% off	$5,582.21	$18,671.53	$15,668.69	2025-01-21
Q0222	HCPCS	Bebtelovimab 175 Mg	2	1	—	—	$15,561.00	$15,561.00	$15,561.00	2026-04-01
Q0247	HCPCS	Sotrovimab	2	1	—	—	$15,561.00	$15,561.00	$15,561.00	2026-04-01
C9604	HCPCS	Hc Revasc Cabg De Stent	117	36	$19,072.00	$12,396.80 35% off	$5,530.88	$19,072.00	$15,524.61	2025-01-21
Q5120	HCPCS	Pegfilgrastim-bmez 6 Mg/0.6 Ml Subcutaneous Syringe	120	38	$18,262.55	$11,870.66 35% off	$47.58	$25,516.14	$15,523.17	2026-04-01

See an error in this hospital's data? Submit a correction