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

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You selected 93306 (CPT)

US Echo

This hospital’s price: $837 across 10 payers · range $223-$2,354

Source: https://mrfs.hyvehealthcare.com/JacksonCountyMemorialHospital/730568956_jackson-county-memorial-hospital_standardcharges.json · observed 2025-12-31

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.

20,109 distinct procedures filed
10 distinct payers
337,346 rate rows
2025-12-31 last MRF observed
Data quality

233,455 of 337,346 rate rows are consumer-grade (69.2%)

103,891 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 89,215
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,276
template filing: same amount across many unrelated codes — excluded 5,189
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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
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 · 2026-09-20
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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,779,587.06 $3,779,587.06 $3,779,587.06 nat. median
$3,703,693
1.0× median
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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,384,086.90 $3,384,086.90 $3,384,086.90 nat. median
$3,324,572
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
$2,994,107
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
$2,466,282
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
$2,401,960
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $576,233.03 $576,233.03 $576,233.03 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $561,659.21 $561,659.21 $561,659.21 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $538,221.79 $538,221.79 $538,221.79 nat. median
$622,245
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $526,173.50 $526,173.50 $526,173.50 nat. median
$640,950
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $497,205.71 $497,205.71 $497,205.71 nat. median
$591,650
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $265,770.21 $595,467.11 $453,121.48 nat. median
$249,124
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $355,823.35 $355,823.35 $355,823.35 nat. median
$359,358
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $202,208.89 $412,395.68 $284,344.87 nat. median
$190,557
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $223,826.55 $396,327.58 $273,265.99 nat. median
$198,433
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $103,971.77 $356,745.83 $271,466.22 nat. median
$103,967
outlier · 2.6×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $37,078.56 $498,698.84 $267,888.70 nat. median
$608,101
outlier · 0.4×
215
MS_DRG 		Other Heart Assist System Implant 3 $99,962.80 $301,521.39 $207,897.58 nat. median
$93,917
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $123,616.55 $272,254.38 $187,718.11 nat. median
$110,192
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $100,477.96 $244,262.16 $185,871.61 nat. median
$94,964
2.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $151,941.68 $227,932.00 $184,515.92 nat. median
$71,201
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $133,317.70 $258,940.35 $178,538.15 nat. median
$126,722
1.4× median
7
MS_DRG 		Lung Transplant 2 $123,305.19 $229,125.35 $174,353.23 nat. median
$117,894
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $76,057.14 $233,968.94 $161,320.48 nat. median
$74,460
outlier · 2.2×
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
$47,579
outlier · 3.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $91,058.92 $222,281.14 $153,261.79 nat. median
$90,581
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $79,907.59 $215,373.76 $148,499.18 nat. median
$77,696
1.9× 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
$39,629
outlier · 3.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $79,951.94 $189,819.71 $130,879.79 nat. median
$77,043
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
$38,225
outlier · 3.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $56,523.69 $181,400.75 $125,074.96 nat. median
$58,331
outlier · 2.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $101,337.09 $152,018.62 $123,062.39 nat. median
$49,639
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $73,003.94 $178,007.89 $122,735.60 nat. median
$72,473
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
$32,619
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $52,150.53 $176,341.88 $121,586.90 nat. median
$51,590
outlier · 2.4×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $73,748.37 $171,832.90 $118,477.97 nat. median
$71,758
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $70,425.34 $170,889.92 $117,827.79 nat. median
$68,004
1.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $94,182.28 $141,285.50 $114,373.69 nat. median
$52,841
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $54,151.71 $159,258.27 $109,807.83 nat. median
$55,188
2.0× 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
$34,024
outlier · 3.2×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 3 $47,017.84 $154,349.16 $106,423.02 nat. median
$47,451
outlier · 2.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $62,909.35 $152,720.59 $105,300.13 nat. median
$63,896
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 3 $56,949.21 $150,785.50 $103,965.89 nat. median
$53,907
1.9× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$31,564
outlier · 3.3×
33270
CPT 		Ins/rep Subq Defibrillator 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$32,113
outlier · 3.2×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 10 $32,662.95 $172,965.63 $102,814.29 nat. median
$31,584
outlier · 3.3×
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 2 $102,784.84 $102,784.84 $102,784.84 nat. median
$97,414
1.1× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $84,305.63 $126,469.26 $102,379.62 nat. median
$31,634
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 20,109 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
             
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 6 2 — — $265,770.21 $595,467.11 $453,121.48 2025-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $355,823.35 $355,823.35 $355,823.35 2025-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 3 — — $202,208.89 $412,395.68 $284,344.87 2025-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 3 — — $223,826.55 $396,327.58 $273,265.99 2025-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $103,971.77 $356,745.83 $271,466.22 2025-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 10 — — $37,078.56 $498,698.84 $267,888.70 2025-12-31
215 MS_DRG Other Heart Assist System Implant 8 3 — — $99,962.80 $301,521.39 $207,897.58 2025-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 8 3 — — $123,616.55 $272,254.38 $187,718.11 2025-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $100,477.96 $244,262.16 $185,871.61 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 3 — — $133,317.70 $258,940.35 $178,538.15 2025-12-31
7 MS_DRG Lung Transplant 6 2 — — $123,305.19 $229,125.35 $174,353.23 2025-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 3 — — $76,057.14 $233,968.94 $161,320.48 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… 8 3 — — $91,058.92 $222,281.14 $153,261.79 2025-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $79,907.59 $215,373.76 $148,499.18 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 8 3 — — $79,951.94 $189,819.71 $130,879.79 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 3 — — $56,523.69 $181,400.75 $125,074.96 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $73,003.94 $178,007.89 $122,735.60 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 3 — — $52,150.53 $176,341.88 $121,586.90 2025-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 3 — — $73,748.37 $171,832.90 $118,477.97 2025-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 3 — — $70,425.34 $170,889.92 $117,827.79 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $54,151.71 $159,258.27 $109,807.83 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 3 — — $47,017.84 $154,349.16 $106,423.02 2025-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 3 — — $62,909.35 $152,720.59 $105,300.13 2025-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 3 — — $56,949.21 $150,785.50 $103,965.89 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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 2 — — $102,784.84 $102,784.84 $102,784.84 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $60,930.81 $147,013.58 $101,365.17 2025-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $98,836.25 $98,836.25 $98,836.25 2025-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 3 — — $44,389.23 $142,888.33 $98,520.83 2025-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 3 — — $65,635.15 $142,490.55 $98,246.56 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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 3 — — $64,425.57 $141,100.65 $97,288.23 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 3 — — $57,636.08 $136,659.52 $94,226.10 2025-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 3 — — $55,517.91 $135,213.46 $93,229.04 2025-12-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 3 — — $33,309.61 $133,774.42 $92,236.83 2025-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 3 — — $47,243.34 $133,460.88 $92,020.64 2025-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 3 — — $63,015.97 $133,453.86 $92,015.80 2025-12-31
33224 CPT Insert Pacing Lead & Connect 20 10 — — $10,661.62 $172,965.63 $91,813.62 2025-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $56,132.13 $132,999.92 $91,702.82 2025-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 2 — — $51,337.22 $118,445.74 $90,131.44 2025-12-31
28 MS_DRG Spinal Procedures With Mcc 8 3 — — $57,360.58 $130,065.68 $89,679.67 2025-12-31
653 MS_DRG Major Bladder Procedures With Mcc 8 3 — — $52,596.81 $129,396.47 $89,218.26 2025-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 3 — — $53,828.08 $128,575.17 $88,651.97 2025-12-31
834 MS_DRG Acute Leukemia With Mcc 8 3 — — $52,150.53 $128,551.77 $88,635.84 2025-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 3 — — $61,018.56 $128,331.82 $88,484.18 2025-12-31
69930 CPT Implant Cochlear Device 20 10 — — $32,404.43 $143,855.99 $88,130.21 2025-12-31
245 MS_DRG Aicd Generator Procedures 8 3 — — $46,107.36 $127,580.71 $87,966.30 2025-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 3 — — $59,670.29 $127,384.16 $87,830.77 2025-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 3 — — $54,933.88 $126,766.42 $87,404.85 2025-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 3 — — $56,089.67 $126,637.73 $87,316.11 2025-12-31
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $86,915.03 $86,915.03 $86,915.03 2025-12-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $40,740.68 $125,552.01 $86,567.52 2025-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 3 — — $51,220.23 $123,719.87 $85,304.27 2025-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 3 — — $45,057.23 $122,023.45 $84,134.59 2025-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $49,974.80 $120,277.88 $82,931.03 2025-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 3 — — $47,187.67 $119,987.73 $82,730.98 2025-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 3 — — $50,196.52 $118,319.38 $81,580.66 2025-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 3 — — $48,067.97 $118,001.16 $81,361.24 2025-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 3 — — $50,958.88 $117,395.12 $80,943.38 2025-12-31
6 MS_DRG Liver Transplant Without Mcc 6 2 — — $45,752.60 $105,337.62 $80,156.80 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 8 3 — — $43,488.18 $115,642.54 $79,734.99 2025-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 3 — — $48,430.27 $115,616.80 $79,717.24 2025-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 3 — — $50,910.76 $115,102.02 $79,362.30 2025-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 8 3 — — $45,829.02 $115,092.66 $79,355.85 2025-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 3 — — $43,324.95 $114,966.31 $79,268.73 2025-12-31
10 MS_DRG Pancreas Transplant 6 2 — — $68,197.58 $102,305.11 $79,022.06 2025-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 3 — — $57,900.27 $114,479.61 $78,933.15 2025-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $78,694.24 $78,694.24 $78,694.24 2025-12-31
799 MS_DRG Splenic Procedures With Mcc 8 3 — — $44,861.93 $114,114.58 $78,681.47 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
61886 CPT Implant Neurostim Arrays 20 10 — — $31,045.17 $125,633.62 $78,339.40 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 3 — — $47,523.56 $108,702.39 $74,949.79 2025-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $74,794.72 $74,794.72 $74,794.72 2025-12-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 3 — — $29,308.19 $107,265.70 $73,959.19 2025-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $43,331.56 $107,256.34 $73,952.74 2025-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 3 — — $47,920.78 $106,413.97 $73,371.93 2025-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 3 — — $50,905.10 $106,065.33 $73,131.54 2025-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 3 — — $56,949.21 $105,950.67 $73,052.49 2025-12-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 3 — — $42,567.31 $104,155.97 $71,815.05 2025-12-31
266T OTHER Implt/rpl Crtd Sns Dev Total 20 10 — — $45,844.56 $96,014.79 $70,929.68 2025-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 3 — — $44,151.46 $100,910.53 $69,577.33 2025-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 3 — — $44,853.43 $100,845.01 $69,532.16 2025-12-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 3 — — $42,196.52 $100,765.45 $69,477.30 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 8 3 — — $38,776.30 $99,581.46 $68,660.95 2025-12-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 3 — — $37,586.53 $97,622.97 $67,310.57 2025-12-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 3 — — $39,256.54 $97,236.88 $67,044.38 2025-12-31
901 MS_DRG Wound Debridements For Injuries With Mcc 8 3 — — $41,802.13 $97,201.79 $67,020.17 2025-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $67,014.55 $67,014.55 $67,014.55 2025-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $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
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 3 — — $34,187.07 $95,790.83 $66,047.32 2025-12-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 3 — — $39,538.65 $95,332.21 $65,731.10 2025-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 3 — — $58,103.12 $95,081.84 $65,558.48 2025-12-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 3 — — $33,301.12 $94,960.16 $65,474.58 2025-12-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 3 — — $36,466.59 $94,602.16 $65,227.74 2025-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 15 9 — — $64,591.25 $64,591.25 $64,591.25 2025-12-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 3 — — $36,690.20 $93,404.13 $64,401.71 2025-12-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 3 — — $33,035.05 $92,353.51 $63,677.32 2025-12-31
268T OTHER Implt/rpl Crtd Sns Dev Gen 20 10 — — $31,045.17 $96,014.79 $63,529.98 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
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 3 — — $37,151.58 $91,904.25 $63,367.54 2025-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $63,259.39 $63,259.39 $63,259.39 2025-12-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 3 — — $36,064.66 $91,410.53 $63,027.14 2025-12-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 3 — — $38,798.00 $90,877.04 $62,659.29 2025-12-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 3 — — $42,313.51 $90,390.34 $62,323.71 2025-12-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 3 — — $35,869.35 $89,650.93 $61,813.90 2025-12-31
332 MS_DRG Rectal Resection With Mcc 8 3 — — $32,727.47 $89,416.00 $61,651.91 2025-12-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 3 — — $35,590.07 $89,098.71 $61,433.14 2025-12-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 3 — — $40,247.23 $89,058.93 $61,405.71 2025-12-31
793 MS_DRG Full Term Neonate With Major Problems 8 3 — — $39,349.01 $88,843.66 $61,257.29 2025-12-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 3 — — $38,376.25 $88,612.01 $61,097.57 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
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 3 — — $32,003.80 $86,704.99 $59,782.68 2025-12-31
791 MS_DRG Prematurity With Major Problems 8 3 — — $38,305.49 $86,489.72 $59,634.26 2025-12-31
652 MS_DRG Kidney Transplant 6 2 — — $28,978.91 $77,677.66 $59,108.92 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
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 2 — — $58,444.67 $58,444.67 $58,444.67 2025-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 2 — — $58,369.19 $58,369.19 $58,369.19 2025-12-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 3 — — $35,306.08 $84,505.49 $58,266.13 2025-12-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 3 — — $32,137.77 $83,943.91 $57,878.93 2025-12-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 3 — — $36,894.00 $83,747.36 $57,743.41 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
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 3 — — $37,228.00 $83,681.84 $57,698.24 2025-12-31
92925 CPT Prq Card Angio/athrect Addl 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
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
92934 CPT Prq Card Stent/ath/angio 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
C9608 HCPCS Perc D-e Cor Revasc Chro Add 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
C9606 HCPCS Perc D-e Cor Revasc W Ami S 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
92929 CPT Prq Card Stent W/angio Addl 17 10 — — $45,877.62 $68,784.28 $57,330.95 2025-12-31
92938 CPT Prq Revasc Byp Graft Addl 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 3 — — $36,327.89 $82,996.25 $57,225.53 2025-12-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 3 — — $33,058.64 $82,991.57 $57,222.30 2025-12-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 3 — — $37,560.12 $82,862.88 $57,133.57 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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 3 — — $39,529.22 $82,462.76 $56,857.68 2025-12-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 3 — — $38,718.74 $82,448.72 $56,848.00 2025-12-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 3 — — $37,076.10 $82,116.45 $56,618.90 2025-12-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 3 — — $29,946.95 $81,477.66 $56,178.46 2025-12-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 3 — — $32,317.04 $81,377.04 $56,109.08 2025-12-31
54401 CPT Insert Self-contd Prosthesis 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
54411 CPT Remov/replc Penis Pros Comp 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
54416 CPT Remv/repl Penis Contain Pros 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
33535 CPT Cabg Arterial Three 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
33536 CPT Cabg Arterial Four Or More 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33518 CPT Cabg Artery-vein Two 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33522 CPT Cabg Artery-vein Five 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33975 CPT Implant Ventricular Device 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
33516 CPT Cabg Vein Six Or More 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
33766 CPT Major Vessel Shunt 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
33511 CPT Cabg Vein Two 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33542 CPT Removal Of Heart Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33981 CPT Replace Vad Pump Ext 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33545 CPT Repair Of Heart Damage 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
33930 CPT Removal Of Donor Heart/lung 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
33506 CPT Repair Artery Translocation 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
34841 CPT Endovasc Visc Aorta 1 Graft 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33767 CPT Major Vessel Shunt 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
34712 CPT Tcat Dlvr Enhncd Fixj Dev 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33982 CPT Replace Vad Intra Without Bp 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
32540 CPT Removal Of Lung Lesion 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
33983 CPT Replace Vad Intra W/bp 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34834 CPT Opn Brach Art Expos 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
33478 CPT Revision Of Heart Chamber 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32440 CPT Remove Lung Pneumonectomy 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
34706 CPT Evasc Rpr A-biiliac Rpt 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32486 CPT Sleeve Lobectomy 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32320 CPT Free/remove Chest Lining 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32310 CPT Removal Of Chest Lining 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34709 CPT Plmt Xtn Prosth Evasc Rpr 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
32491 CPT Lung Volume Reduction 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
32484 CPT Segmentectomy 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33120 CPT Removal Of Heart Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32482 CPT Bilobectomy 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33762 CPT Major Vessel Shunt 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
32488 CPT Completion Pneumonectomy 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
33755 CPT Major Vessel Shunt 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
33750 CPT Major Vessel Shunt 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32445 CPT Removal Of Lung Extrapleural 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32480 CPT Partial Removal Of Lung 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
33477 CPT Implant Tcat Pulm Vlv Perq 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
33764 CPT Major Vessel Shunt & Graft 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
33512 CPT Cabg Vein Three 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
33945 CPT Transplantation Of Heart 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
35636 CPT Art Byp Spenorenal 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33519 CPT Cabg Artery-vein Three 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33521 CPT Cabg Artery-vein Four 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33523 CPT Cabg Art-vein Six Or More 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33530 CPT Coronary Artery Bypass/reop 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33533 CPT Cabg Arterial Single 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33534 CPT Cabg Arterial Two 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
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
33910 CPT Remove Lung Artery Emboli 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32442 CPT Sleeve Pneumonectomy 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
33891 CPT Car-car Bp Grft/endovas Taa 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
33732 CPT Repair Heart-vein Defect 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32905 CPT Revise & Repair Chest Wall 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33736 CPT Revision Of Heart Chamber 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32225 CPT Partial Release Of Lung 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
33476 CPT Revision Of Heart Chamber 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
34711 CPT Dlyd Plmt Xtn Prosth Ea Addl 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
32160 CPT Open Chest Heart Massage 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
32215 CPT Treat Chest Lining 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
33880 CPT Endovasc Taa Repr Incl 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
32141 CPT Remove/treat Lung Lesions 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
33726 CPT Repair Pul Venous Stenosis 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
32151 CPT Remove Lung Foreign Body 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
33881 CPT Endovasc Taa Repr Without Subcl 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
33025 CPT Incision Of Heart Sac 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33737 CPT Revision Of Heart Chamber 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
33020 CPT Incision Of Heart Sac 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33130 CPT Removal Of Heart Lesion 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33548 CPT Restore/remodel Ventricle 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
34713 CPT Perq Access & Clsr Fem Art 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
32220 CPT Release Of Lung 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33468 CPT Revision Of Tricuspid Valve 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
33475 CPT Replacement Pulmonary Valve 12 9 — — $55,933.27 $55,933.27 $55,933.27 2025-12-31
33730 CPT Repair Heart-vein Defect(s) 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
34842 CPT Endovasc Visc Aorta 2 Graft 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
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