Price Transparencybeta Hospital negotiated rates

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

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Hospital

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

Altus, OK · CCN 370022 · Rates published

20,111 distinct procedures filed
10 distinct payers
337,346 rate rows
2025-12-31 last MRF observed
Data quality

242,707 of 337,346 rate rows are consumer-grade (71.9%)

94,639 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 89,239
template filing: same amount across many unrelated codes — excluded 5,194
exceeds 10× this hospital's gross charge — excluded from medians 179
per-diem day rate — not a per-procedure price 18
placeholder amount (≤ $0.02) — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/JacksonCountyMemorialHospital/730568956_jackson-county-memorial-hospital_standardcharges.json
Found on page https://www.jcmh.com/patients-visitors/billing-information/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 0574cf119a36dfb4… · 80,871,407 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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 9 $3,779,587.06 $3,779,587.06 $3,779,587.06 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,779,587.06 $3,779,587.06 $3,779,587.06 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,384,086.90 $3,384,086.90 $3,384,086.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 9 $3,252,889.89 $3,252,889.89 $3,252,889.89 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 9 $3,023,669.65 $3,023,669.65 $3,023,669.65 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,448,539.51 $2,448,539.51 $2,448,539.51 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 9 $2,375,740.44 $2,375,740.44 $2,375,740.44 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $576,233.03 $576,233.03 $576,233.03 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $561,659.21 $561,659.21 $561,659.21 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $538,221.79 $538,221.79 $538,221.79 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $526,173.50 $526,173.50 $526,173.50 nat. median
$673,137
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $497,205.71 $497,205.71 $497,205.71 nat. median
$619,808
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $265,770.21 $595,467.11 $430,618.66 nat. median
$265,286
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $355,823.35 $355,823.35 $355,823.35 nat. median
$370,174
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $223,826.55 $396,327.58 $310,077.07 nat. median
$206,474
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $202,208.89 $412,395.68 $307,302.28 nat. median
$202,976
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $37,078.56 $498,698.84 $267,888.70 nat. median
$634,303
outlier · 0.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $103,971.77 $356,745.83 $230,358.80 nat. median
$108,660
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 10 $99,962.80 $301,521.39 $200,742.10 nat. median
$99,019
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $123,616.55 $272,254.38 $197,935.46 nat. median
$117,357
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $133,317.70 $258,940.35 $196,129.02 nat. median
$133,161
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $151,941.68 $227,932.00 $184,515.92 nat. median
$87,428
outlier · 2.1×
7
MS_DRG 		Lung Transplant 10 $123,305.19 $229,125.35 $176,215.27 nat. median
$122,708
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $100,477.96 $244,262.16 $172,370.06 nat. median
$100,136
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $132,352.15 $198,545.19 $160,726.66 nat. median
$63,570
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $91,058.92 $222,281.14 $156,670.03 nat. median
$93,672
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $76,057.14 $233,968.94 $155,013.04 nat. median
$77,570
2.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $79,907.59 $215,373.76 $147,640.67 nat. median
$81,118
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $114,506.48 $171,774.40 $139,055.12 nat. median
$54,196
outlier · 2.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $79,951.94 $189,819.71 $134,885.83 nat. median
$79,312
1.7× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $106,024.29 $159,050.02 $128,754.46 nat. median
$49,935
outlier · 2.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $73,003.94 $178,007.89 $125,505.91 nat. median
$74,915
1.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $101,337.09 $152,018.62 $123,062.39 nat. median
$62,372
2.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $73,748.37 $171,832.90 $122,790.63 nat. median
$73,807
1.7× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $100,482.32 $150,736.36 $122,024.36 nat. median
$44,728
outlier · 2.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $70,425.34 $170,889.92 $120,657.63 nat. median
$72,135
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $56,523.69 $181,400.75 $118,962.22 nat. median
$60,726
2.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $94,182.28 $141,285.50 $114,373.69 nat. median
$65,393
1.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 $52,150.53 $176,341.88 $114,246.21 nat. median
$54,045
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $62,909.35 $152,720.59 $107,814.97 nat. median
$65,950
1.6× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $88,303.40 $132,466.42 $107,234.45 nat. median
$48,704
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $54,151.71 $159,258.27 $106,704.99 nat. median
$58,020
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $65,635.15 $142,490.55 $104,062.85 nat. median
$66,526
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $60,930.81 $147,013.58 $103,972.20 nat. median
$64,508
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 10 $56,949.21 $150,785.50 $103,867.35 nat. median
$56,918
1.8× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$31,873
outlier · 3.2×
33270
CPT 		Ins/rep Subq Defibrillator 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$32,221
outlier · 3.2×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$31,833
outlier · 3.2×
33231
CPT 		Insrt Pulse Gen W/mult Leads 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$30,121
outlier · 3.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $102,784.84 $102,784.84 $102,784.84 nat. median
$102,358
1.0× median

Other procedures at this hospital

Browse this hospital's 20,111 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 15 9 — — $3,779,587.06 $3,779,587.06 $3,779,587.06 2025-12-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 9 — — $3,779,587.06 $3,779,587.06 $3,779,587.06 2025-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 9 — — $3,384,086.90 $3,384,086.90 $3,384,086.90 2025-12-31
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 15 9 — — $3,252,889.89 $3,252,889.89 $3,252,889.89 2025-12-31
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 15 9 — — $3,023,669.65 $3,023,669.65 $3,023,669.65 2025-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 9 — — $2,448,539.51 $2,448,539.51 $2,448,539.51 2025-12-31
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 15 9 — — $2,375,740.44 $2,375,740.44 $2,375,740.44 2025-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 9 — — $576,233.03 $576,233.03 $576,233.03 2025-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $561,659.21 $561,659.21 $561,659.21 2025-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $538,221.79 $538,221.79 $538,221.79 2025-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $526,173.50 $526,173.50 $526,173.50 2025-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $497,205.71 $497,205.71 $497,205.71 2025-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 10 — — $265,770.21 $595,467.11 $430,618.66 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $355,823.35 $355,823.35 $355,823.35 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $223,826.55 $396,327.58 $310,077.07 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 — — $202,208.89 $412,395.68 $307,302.28 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 10 — — $37,078.56 $498,698.84 $267,888.70 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 10 — — $103,971.77 $356,745.83 $230,358.80 2025-12-31
215 MS_DRG Other Heart Assist System Implant 20 10 — — $99,962.80 $301,521.39 $200,742.10 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $123,616.55 $272,254.38 $197,935.46 2025-12-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $133,317.70 $258,940.35 $196,129.02 2025-12-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 1 — — $151,941.68 $227,932.00 $184,515.92 2025-12-31
7 MS_DRG Lung Transplant 18 10 — — $123,305.19 $229,125.35 $176,215.27 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 10 — — $100,477.96 $244,262.16 $172,370.06 2025-12-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 1 — — $132,352.15 $198,545.19 $160,726.66 2025-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $91,058.92 $222,281.14 $156,670.03 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $76,057.14 $233,968.94 $155,013.04 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $79,907.59 $215,373.76 $147,640.67 2025-12-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 1 — — $114,506.48 $171,774.40 $139,055.12 2025-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $79,951.94 $189,819.71 $134,885.83 2025-12-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 1 — — $106,024.29 $159,050.02 $128,754.46 2025-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $73,003.94 $178,007.89 $125,505.91 2025-12-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 1 — — $101,337.09 $152,018.62 $123,062.39 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $73,748.37 $171,832.90 $122,790.63 2025-12-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 1 — — $100,482.32 $150,736.36 $122,024.36 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $70,425.34 $170,889.92 $120,657.63 2025-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $56,523.69 $181,400.75 $118,962.22 2025-12-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $94,182.28 $141,285.50 $114,373.69 2025-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $52,150.53 $176,341.88 $114,246.21 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $62,909.35 $152,720.59 $107,814.97 2025-12-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 1 — — $88,303.40 $132,466.42 $107,234.45 2025-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $54,151.71 $159,258.27 $106,704.99 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $65,635.15 $142,490.55 $104,062.85 2025-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $60,930.81 $147,013.58 $103,972.20 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 10 — — $56,949.21 $150,785.50 $103,867.35 2025-12-31
33270 CPT Ins/rep Subq Defibrillator 20 10 — — $32,662.95 $172,965.63 $102,814.29 2025-12-31
33249 CPT Insj/rplcmt Defib W/lead(s) 20 10 — — $32,662.95 $172,965.63 $102,814.29 2025-12-31
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 20 10 — — $32,662.95 $172,965.63 $102,814.29 2025-12-31
33231 CPT Insrt Pulse Gen W/mult Leads 20 10 — — $32,662.95 $172,965.63 $102,814.29 2025-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 9 — — $102,784.84 $102,784.84 $102,784.84 2025-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $64,425.57 $141,100.65 $102,763.11 2025-12-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 1 — — $84,305.63 $126,469.26 $102,379.62 2025-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $47,017.84 $154,349.16 $100,683.50 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $98,836.25 $98,836.25 $98,836.25 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 10 — — $63,015.97 $133,453.86 $98,234.91 2025-12-31
33240 CPT Insrt Pulse Gen W/singl Lead 20 10 — — $22,867.20 $172,965.63 $97,916.41 2025-12-31
33230 CPT Insrt Pulse Gen W/dual Leads 20 10 — — $22,867.20 $172,965.63 $97,916.41 2025-12-31
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 20 10 — — $22,867.20 $172,965.63 $97,916.41 2025-12-31
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 20 10 — — $22,867.20 $172,965.63 $97,916.41 2025-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $57,636.08 $136,659.52 $97,147.80 2025-12-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 1 — — $79,209.76 $118,824.80 $96,191.26 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $55,517.91 $135,213.46 $95,365.68 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 10 — — $61,018.56 $128,331.82 $94,675.19 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $56,132.13 $132,999.92 $94,566.02 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $57,360.58 $130,065.68 $93,713.13 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $44,389.23 $142,888.33 $93,638.78 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $59,670.29 $127,384.16 $93,527.23 2025-12-31
33224 CPT Insert Pacing Lead & Connect 20 10 — — $10,661.62 $172,965.63 $91,813.62 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 10 — — $56,089.67 $126,637.73 $91,363.70 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $53,828.08 $128,575.17 $91,201.62 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $52,596.81 $129,396.47 $90,996.64 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $54,933.88 $126,766.42 $90,850.15 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $47,243.34 $133,460.88 $90,352.11 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $52,150.53 $128,551.77 $90,351.15 2025-12-31
69930 CPT Implant Cochlear Device 20 10 — — $32,404.43 $143,855.99 $88,130.21 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $51,220.23 $123,719.87 $87,470.05 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $86,915.03 $86,915.03 $86,915.03 2025-12-31
245 MS_DRG Aicd Generator Procedures 20 10 — — $46,107.36 $127,580.71 $86,844.04 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $57,900.27 $114,479.61 $86,189.94 2025-12-31
10 MS_DRG Pancreas Transplant 18 10 — — $68,197.58 $102,305.11 $85,251.35 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $49,974.80 $120,277.88 $85,126.34 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 10 — — $51,337.22 $118,445.74 $84,891.48 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $50,196.52 $118,319.38 $84,257.95 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $50,958.88 $117,395.12 $84,177.00 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $47,187.67 $119,987.73 $83,587.70 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $33,309.61 $133,774.42 $83,542.01 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $45,057.23 $122,023.45 $83,540.34 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $40,740.68 $125,552.01 $83,146.35 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $48,067.97 $118,001.16 $83,034.57 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $50,910.76 $115,102.02 $83,006.39 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 10 — — $48,430.27 $115,616.80 $82,023.54 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 10 — — $56,949.21 $105,950.67 $81,449.94 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $45,829.02 $115,092.66 $80,460.84 2025-12-31
22515 CPT Perq Vertebral Augmentation 17 10 — — $64,039.77 $96,014.79 $80,027.28 2025-12-31
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $43,488.18 $115,642.54 $79,565.36 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $44,861.93 $114,114.58 $79,488.26 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 10 — — $43,324.95 $114,966.31 $79,145.63 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 9 — — $78,694.24 $78,694.24 $78,694.24 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $50,905.10 $106,065.33 $78,485.21 2025-12-31
61886 CPT Implant Neurostim Arrays 20 10 — — $31,045.17 $125,633.62 $78,339.40 2025-12-31
64568 CPT Opn Impltj Crnl Nrv Nea&pg 20 10 — — $31,045.17 $125,633.62 $78,339.40 2025-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 10 — — $47,523.56 $108,702.39 $78,112.98 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 10 — — $47,920.78 $106,413.97 $77,167.38 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $58,103.12 $95,081.84 $76,592.48 2025-12-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 1 — — $62,624.41 $93,944.65 $76,050.24 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 18 10 — — $45,752.60 $105,337.62 $75,545.11 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $43,331.56 $107,256.34 $75,293.95 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 9 — — $74,794.72 $74,794.72 $74,794.72 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $42,567.31 $104,155.97 $73,361.64 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $44,853.43 $100,845.01 $72,849.22 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $44,151.46 $100,910.53 $72,530.99 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $42,196.52 $100,765.45 $71,480.99 2025-12-31
266T CPT Implt/rpl Crtd Sns Dev Total 20 10 — — $45,844.56 $96,014.79 $70,929.68 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $41,802.13 $97,201.79 $69,501.96 2025-12-31
69714 CPT Impl Oi Implt Skull Perq Esp 20 10 — — $13,108.16 $125,633.62 $69,370.89 2025-12-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $38,776.30 $99,581.46 $69,178.88 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $29,308.19 $107,265.70 $68,286.95 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 10 — — $39,256.54 $97,236.88 $68,246.71 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $37,586.53 $97,622.97 $67,604.75 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $39,538.65 $95,332.21 $67,435.43 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $67,014.55 $67,014.55 $67,014.55 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 9 — — $66,677.72 $66,677.72 $66,677.72 2025-12-31
69717 CPT Rplcmt Oi Implt Skl Prq Esp 20 10 — — $7,277.72 $125,633.62 $66,455.67 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $42,313.51 $90,390.34 $66,351.93 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 10 — — $36,466.59 $94,602.16 $65,534.38 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $36,690.20 $93,404.13 $65,047.17 2025-12-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $34,187.07 $95,790.83 $64,988.95 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $38,798.00 $90,877.04 $64,837.52 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $40,247.23 $89,058.93 $64,653.08 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $64,591.25 $64,591.25 $64,591.25 2025-12-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $37,151.58 $91,904.25 $64,527.92 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $33,301.12 $94,960.16 $64,130.64 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 20 10 — — $39,349.01 $88,843.66 $64,096.33 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $36,064.66 $91,410.53 $63,737.60 2025-12-31
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 20 10 — — $31,045.17 $96,014.79 $63,529.98 2025-12-31
268T CPT Implt/rpl Crtd Sns Dev Gen 20 10 — — $31,045.17 $96,014.79 $63,529.98 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $38,376.25 $88,612.01 $63,494.13 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 — — $63,259.39 $63,259.39 $63,259.39 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $35,869.35 $89,650.93 $62,760.14 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $33,035.05 $92,353.51 $62,694.28 2025-12-31
791 MS_DRG Prematurity With Major Problems 20 10 — — $38,305.49 $86,489.72 $62,397.61 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $35,590.07 $89,098.71 $62,344.39 2025-12-31
332 MS_DRG Rectal Resection With Mcc 20 10 — — $32,727.47 $89,416.00 $61,071.74 2025-12-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $39,529.22 $82,462.76 $60,995.99 2025-12-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 5 1 — — $50,074.26 $75,117.81 $60,809.50 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $38,718.74 $82,448.72 $60,583.73 2025-12-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 10 — — $37,228.00 $83,681.84 $60,454.92 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $36,894.00 $83,747.36 $60,320.68 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $37,560.12 $82,862.88 $60,211.50 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $35,306.08 $84,505.49 $59,905.79 2025-12-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $36,327.89 $82,996.25 $59,662.07 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $37,076.10 $82,116.45 $59,596.28 2025-12-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $32,003.80 $86,704.99 $59,354.39 2025-12-31
61885 CPT Insrt/redo Neurostim 1 Array 20 10 — — $21,846.61 $96,014.79 $58,930.70 2025-12-31
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 20 10 — — $21,846.61 $96,014.79 $58,930.70 2025-12-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $40,824.65 $76,180.12 $58,502.39 2025-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 9 — — $58,444.67 $58,444.67 $58,444.67 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 — — $58,369.19 $58,369.19 $58,369.19 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $32,137.77 $83,943.91 $58,040.84 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $33,058.64 $82,991.57 $58,025.11 2025-12-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 5 1 — — $47,536.46 $71,310.79 $57,727.64 2025-12-31
92938 CPT Prq Revasc Byp Graft Addl 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
C9601 HCPCS Perc Drug-el Cor Stent Bran 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92998 CPT Pul Art Balloon Repr Percut 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92941 CPT Prq Card Revasc Mi 1 Vsl 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
C9608 HCPCS Perc D-e Cor Revasc Chro Add 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
C9603 HCPCS Perc D-e Cor Stent Ather Br 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92944 CPT Prq Card Revasc Chronic Addl 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92925 CPT Prq Card Angio/athrect Addl 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92921 CPT Prq Cardiac Angio Addl Art 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92929 CPT Prq Card Stent W/angio Addl 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92934 CPT Prq Card Stent/ath/angio 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
C9606 HCPCS Perc D-e Cor Revasc W Ami S 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $34,425.78 $79,863.13 $57,144.46 2025-12-31
62362 CPT Implant Spine Infusion Pump 20 10 — — $18,005.63 $96,014.79 $57,010.21 2025-12-31
62361 CPT Implant Spine Infusion Pump 20 10 — — $18,005.63 $96,014.79 $57,010.21 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 10 — — $32,317.04 $81,377.04 $56,847.04 2025-12-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $33,820.99 $79,652.54 $56,736.76 2025-12-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 10 — — $36,429.79 $76,067.81 $56,248.80 2025-12-31
54401 CPT Insert Self-contd Prosthesis 20 10 — — $20,506.10 $91,578.97 $56,042.54 2025-12-31
54416 CPT Remv/repl Penis Contain Pros 20 10 — — $20,506.10 $91,578.97 $56,042.54 2025-12-31
54405 CPT Insert Multi-comp Penis Pros 20 10 — — $20,506.10 $91,578.97 $56,042.54 2025-12-31
54410 CPT Remove/replace Penis Prosth 20 10 — — $20,506.10 $91,578.97 $56,042.54 2025-12-31
54411 CPT Remov/replc Penis Pros Comp 20 10 — — $20,506.10 $91,578.97 $56,042.54 2025-12-31
33976 CPT Implant Ventricular Device 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33513 CPT Cabg Vein Four 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33935 CPT Transplantation Heart/lung 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32120 CPT Re-exploration Of Chest 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32140 CPT Removal Of Lung Lesion(s) 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33702 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33929 CPT Rmvl Rplcmt Hrt Sys F/trnspl 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33697 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33510 CPT Cabg Vein Single 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33979 CPT Insert Intracorporeal Device 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33710 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33690 CPT Reinforce Pulmonary Artery 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32036 CPT Thoracostomy W/flap Drainage 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33940 CPT Removal Of Donor Heart 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34702 CPT Evasc Rpr A-ao Ndgft Rpt 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35626 CPT Art Byp Aorsubcl/carot/innom 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33926 CPT Repr Pul Art Unifocal W/cpb 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35631 CPT Art Byp Aor-celiac-msn-renal 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35531 CPT Art Byp Grft Aorcel/aormesen 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33945 CPT Transplantation Of Heart 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35560 CPT Art Byp Grft Aortorenal 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35636 CPT Art Byp Spenorenal 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33507 CPT Repair Art Intramural 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33688 CPT Repair Heart Septum Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33720 CPT Repair Of Heart Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34707 CPT Evasc Rpr Ilio-iliac Ndgft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33922 CPT Transect Pulmonary Artery 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33670 CPT Repair Of Heart Chambers 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34830 CPT Open Aortic Tube Prosth Repr 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35646 CPT Art Byp Aortobifemoral 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33641 CPT Repair Heart Septum Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33910 CPT Remove Lung Artery Emboli 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32151 CPT Remove Lung Foreign Body 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33617 CPT Repair Single Ventricle 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33645 CPT Revision Of Heart Veins 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35189 CPT Repair Blood Vessel Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33619 CPT Repair Single Ventricle 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32160 CPT Open Chest Heart Massage 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33647 CPT Repair Heart Septum Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34703 CPT Evasc Rpr A-unilac Ndgft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33928 CPT Rmvl & Rplcmt Tot Hrt Sys 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32850 CPT Donor Pneumonectomy 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33516 CPT Cabg Vein Six Or More 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32820 CPT Reconstruct Injured Chest 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33506 CPT Repair Artery Translocation 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33676 CPT Close Mult Vsd W/resection 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33927 CPT Impltj Tot Rplcmt Hrt Sys 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33675 CPT Close Mult Vsd 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33684 CPT Repair Heart Septum Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32503 CPT Resect Apical Lung Tumor 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33681 CPT Repair Heart Septum Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32150 CPT Removal Of Lung Lesion(s) 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33677 CPT Cl Mult Vsd W/rem Pul Band 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33916 CPT Surgery Of Great Vessel 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33615 CPT Repair Modified Fontan 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33514 CPT Cabg Vein Five 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33511 CPT Cabg Vein Two 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32141 CPT Remove/treat Lung Lesions 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32035 CPT Thoracostomy W/rib Resection 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33692 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33694 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33891 CPT Car-car Bp Grft/endovas Taa 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32491 CPT Lung Volume Reduction 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32110 CPT Explore/repair Chest 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32100 CPT Exploration Of Chest 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34704 CPT Evasc Rpr A-unilac Ndgft Rpt 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33930 CPT Removal Of Donor Heart/lung 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32124 CPT Explore Chest Free Adhesions 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33512 CPT Cabg Vein Three 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35211 CPT Repair Blood Vessel Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
483T CPT Tmvi Percutaneous Approach 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33886 CPT Endovasc Prosth Delayed 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33889 CPT Artery Transpose/endovas Taa 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33917 CPT Repair Pulmonary Artery 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33610 CPT Repair By Enlargement 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32504 CPT Resect Apical Lung Tum/chest 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33611 CPT Repair Double Ventricle 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35241 CPT Repair Blood Vessel Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33502 CPT Coronary Artery Correction 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33881 CPT Endovasc Taa Repr Without Subcl 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33883 CPT Insert Endovasc Prosth Taa 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33612 CPT Repair Double Ventricle 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33504 CPT Coronary Artery Graft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33660 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34708 CPT Evasc Rpr Ilio-iliac Rpt 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
35271 CPT Repair Blood Vessel Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
495T CPT Mntr Cdvr Don Lng 1st 2 Hrs 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33477 CPT Implant Tcat Pulm Vlv Perq 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33476 CPT Revision Of Heart Chamber 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33478 CPT Revision Of Heart Chamber 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33496 CPT Repair Prosth Valve Clot 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33863 CPT Ascending Aortic Graft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33875 CPT Thoracic Aortic Graft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33877 CPT Thoracoabdominal Graft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33500 CPT Repair Heart Vessel Fistula 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33517 CPT Cabg Artery-vein Single 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33606 CPT Anastomosis/artery-aorta 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32215 CPT Treat Chest Lining 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33602 CPT Closure Of Valve 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33853 CPT Repair Septal Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34831 CPT Open Aortoiliac Prosth Repr 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33608 CPT Repair Anomaly W/conduit 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33475 CPT Replacement Pulmonary Valve 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33665 CPT Repair Of Heart Defects 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33474 CPT Revision Of Pulmonary Valve 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33880 CPT Endovasc Taa Repr Incl Subcl 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33920 CPT Repair Pulmonary Atresia 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33967 CPT Insert I-aort Percut Device 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32810 CPT Close Chest After Drainage 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32800 CPT Repair Lung Hernia 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32851 CPT Lung Transplant Single 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33471 CPT Vlvt Pv Clsd Hrt Via P-art 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32200 CPT Drain Open Lung Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33505 CPT Repair Artery W/tunnel 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33724 CPT Repair Venous Anomaly 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
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