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 →

Export CSV
Hospital

KAISER SUNNYSIDE MEDICAL CENTER

Clackamas, OR · CCN 380091 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $11,104 across 1 payer · range $10,206-$32,949

Source: https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-sunnyside-medical-center-standard-charges-nw-en.csv · observed 2026-07-17

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.

15,277 distinct procedures filed
1 distinct payers
59,763 rate rows
2026-07-17 last MRF observed
Data quality

52,227 of 59,763 rate rows are consumer-grade (87.4%)

7,536 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
per-diem day rate — not a per-procedure price 4,608
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,895
placeholder amount (≤ $0.02) — excluded from medians 29
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-sunnyside-medical-center-standard-charges-nw-en.csv
Found on page https://healthy.kaiserpermanente.org/oregon-washington/doctors-locations/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-13
Content fingerprint 3544e006c754d590… · 112,725,249 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
J3391
HCPCS 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$631,793
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$624,417
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$691,418
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$577,541
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $294,709.00 $294,709.00 $294,709.00 nat. median
$302,242
1.0× median
A9543
HCPCS 		Y-90 Ibritumomb Tiuxtn Tx To 40 Mci 1 $79,095.69 $132,881.00 $79,197.00 nat. median
$63,643
1.2× median
J9029
HCPCS 		"Instill Adstiladrin, Tx Dose" 1 $63,431.05 $106,564.00 $63,512.00 nat. median
$69,291
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $55,945.97 $93,989.00 $56,017.00 nat. median
$65,655
0.9× median
38240
CPT 		Transplt Allo Hct/donor 1 $46,913.00 $151,449.00 $51,038.00 nat. median
$13,835
outlier · 3.7×
A9699
HCPCS 		Radiopharmaceutical Therapeutic Noc 1 $49,878.82 $83,796.00 $49,942.00 nat. median
$4,125
outlier · 12.1×
J9226
HCPCS 		Supprelin La Implant 1 $45,560.39 $76,541.00 $45,618.00 nat. median
$55,200
0.8× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 1 $38,368.11 $123,824.37 $41,856.12 nat. median
$470
outlier · 89.1×
0266T
CPT 		Implt/rpl Crtd Sns Dev Total 1 $35,695.00 $115,235.00 $38,834.00 nat. median
$42,997
0.9× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 1 $35,695.00 $115,235.00 $38,834.00 nat. median
$43,061
0.9× median
187001050
NDC 		Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 1 $31,342.61 $101,151.15 $34,191.94 nat. median
$55,630
0.6× median
68875010201
NDC 		Teduglutide 5 Mg Kit 1 Each Kit 1 $31,250.75 $100,854.70 $34,091.73 nat. median
$100,000
outlier · 0.3×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial 1 $31,244.31 $100,833.92 $34,084.70 nat. median
$421
outlier · 81.0×
0620T
CPT 		Evasc Ven Artlz Tibl/prnl Vn 1 $27,763.00 $89,628.00 $30,205.00 nat. median
$32,810
0.9× median
J9266
HCPCS 		Pegaspargase Injection 1 $28,424.06 $47,752.00 $28,460.00 nat. median
$32,688
0.9× median
34847
CPT 		Viscer And Infrarenal Abdom Aorta 3 Prosthesis 1 $25,867.18 $84,349.50 $28,116.50 nat. median
$5,602
outlier · 5.0×
33249
CPT 		Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 1 $25,432.00 $82,102.00 $27,668.00 nat. median
$31,420
0.9× median
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 1 $25,432.00 $82,102.00 $27,668.00 nat. median
$32,062
0.9× median
33231
CPT 		Insj Implntbl Defib Pulse Gen W/exist Multileads 1 $25,432.00 $82,102.00 $27,668.00 nat. median
$29,955
0.9× median
33270
CPT 		Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 1 $25,432.00 $82,102.00 $27,668.00 nat. median
$31,963
0.9× median
33264
CPT 		Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 1 $25,432.00 $82,102.00 $27,668.00 nat. median
$31,464
0.9× median
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 1 $25,432.00 $82,102.00 $27,668.00 nat. median
$32,069
0.9× median
69930
CPT 		Implant Cochlear Device 1 $25,231.00 $81,452.00 $27,449.00 nat. median
$29,361
0.9× median
35001
CPT 		Dir Rpr Aneurysm Carotid-subclavian Artery 1 $24,283.40 $79,185.00 $26,395.00 nat. median
$3,010
outlier · 8.8×
34846
CPT 		Viscer And Infrarenal Abdom Aorta 2 Prosthesis 1 $24,283.40 $79,185.00 $26,395.00 nat. median
$5,672
outlier · 4.7×
64582
CPT 		Opn Mpltj Hpglsl Nstm Ary Pg 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$28,070
0.9× median
0268T
CPT 		Implt/rpl Crtd Sns Dev Gen 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$29,816
0.9× median
0674T
CPT 		Laps Insj Nw/rpcmt Prm Isdss 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$29,473
0.9× median
64568
CPT 		Opn Impltj Crnl Nrv Nea&pg 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$27,651
1.0× median
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$29,000
0.9× median
63685
CPT 		Ins/rplc Spi Npg/rcvr Pocket 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$21,025
1.3× median
61886
CPT 		Implant Neurostim Arrays 1 $24,172.00 $78,035.00 $26,298.00 nat. median
$27,176
1.0× median
34844
CPT 		Endovasc Viscer Aorta Repr Fenest 4+ Endograft 1 $23,562.35 $76,833.75 $25,611.25 nat. median
$5,312
outlier · 4.8×
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 1 $22,550.00 $72,798.00 $24,533.00 nat. median
$27,692
0.9× median
J9600
HCPCS 		Porfimer Sodium Injection 1 $24,228.42 $40,704.00 $24,260.00 nat. median
$29,477
0.8× median

Other procedures at this hospital

Browse this hospital's 15,277 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
             
J3391 HCPCS "Inj, Atidarsagene Autotemcel" 3 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-07-17
J1414 HCPCS Beqvez (fidanacogene Elaparvovec-dz 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1411 HCPCS "Inj, Hemgenix, Per Tx Dose" 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-07-17
J3394 HCPCS "Inj, Lovotibeglogene Autotem" 3 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-07-17
J3393 HCPCS "Inj, Betibeglogene Autotemce" 3 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-07-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-07-17
J3392 HCPCS Casgevy (exagamglogene Autotemcel) 3 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-07-17
Q2057 HCPCS Tecelra (afamitresgene Autoleucel) 3 1 — — $792,430.00 $792,430.00 $792,430.00 2026-07-17
Q2056 HCPCS Ciltacabtagene Car-pos T 3 1 — — $605,288.00 $605,288.00 $605,288.00 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel Car 3 1 — — $575,861.00 $575,861.00 $575,861.00 2026-07-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 1 — — $567,588.00 $567,588.00 $567,588.00 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $557,936.00 $557,936.00 $557,936.00 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 1 — — $548,902.00 $548,902.00 $548,902.00 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 3 1 — — $503,580.00 $503,580.00 $503,580.00 2026-07-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $294,709.00 $294,709.00 $294,709.00 2026-07-17
A9543 HCPCS Y-90 Ibritumomb Tiuxtn Tx To 40 Mci 3 1 — — $79,095.69 $132,881.00 $79,197.00 2026-07-17
J9029 HCPCS "Instill Adstiladrin, Tx Dose" 3 1 — — $63,431.05 $106,564.00 $63,512.00 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $55,945.97 $93,989.00 $56,017.00 2026-07-17
38240 CPT Transplt Allo Hct/donor 3 1 — — $46,913.00 $151,449.00 $51,038.00 2026-07-17
A9699 HCPCS Radiopharmaceutical Therapeutic Noc 3 1 — — $49,878.82 $83,796.00 $49,942.00 2026-07-17
J9226 HCPCS Supprelin La Implant 3 1 — — $45,560.39 $76,541.00 $45,618.00 2026-07-17
A9513 HCPCS Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 3 1 $209,183.43 $177,805.92 $38,368.11 $123,824.37 $41,856.12 2026-07-17
0266T CPT Implt/rpl Crtd Sns Dev Total 3 1 — — $35,695.00 $115,235.00 $38,834.00 2026-07-17
33276 CPT Insj Phrnc Nrv Stim Sys 3 1 — — $35,695.00 $115,235.00 $38,834.00 2026-07-17
187001050 NDC Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 3 1 $142,466.41 $121,096.45 $31,342.61 $101,151.15 $34,191.94 2026-07-17
68875010201 NDC Teduglutide 5 Mg Kit 1 Each Kit 3 1 $146,310.19 $124,363.67 $31,250.75 $100,854.70 $34,091.73 2026-07-17
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial 3 1 $159,649.57 $135,702.14 $31,244.31 $100,833.92 $34,084.70 2026-07-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 3 1 — — $27,763.00 $89,628.00 $30,205.00 2026-07-17
J9266 HCPCS Pegaspargase Injection 3 1 — — $28,424.06 $47,752.00 $28,460.00 2026-07-17
34847 CPT Viscer And Infrarenal Abdom Aorta 3 Prosthesis 3 1 $115,840.00 $98,464.00 $25,867.18 $84,349.50 $28,116.50 2026-07-17
33249 CPT Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 3 1 $94,927.00 $80,687.95 $25,432.00 $82,102.00 $27,668.00 2026-07-17
33231 CPT Insj Implntbl Defib Pulse Gen W/exist Multileads 3 1 $94,927.00 $80,687.95 $25,432.00 $82,102.00 $27,668.00 2026-07-17
33270 CPT Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 3 1 $94,927.00 $80,687.95 $25,432.00 $82,102.00 $27,668.00 2026-07-17
0408T CPT Insj/rplc Cardiac Modulj Sys 3 1 — — $25,432.00 $82,102.00 $27,668.00 2026-07-17
33264 CPT Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 3 1 $94,927.00 $80,687.95 $25,432.00 $82,102.00 $27,668.00 2026-07-17
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 1 — — $25,432.00 $82,102.00 $27,668.00 2026-07-17
69930 CPT Implant Cochlear Device 3 1 — — $25,231.00 $81,452.00 $27,449.00 2026-07-17
34846 CPT Viscer And Infrarenal Abdom Aorta 2 Prosthesis 3 1 $108,747.00 $92,434.95 $24,283.40 $79,185.00 $26,395.00 2026-07-17
35001 CPT Dir Rpr Aneurysm Carotid-subclavian Artery 3 1 $14,216.00 $12,083.60 $24,283.40 $79,185.00 $26,395.00 2026-07-17
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
64568 CPT Opn Impltj Crnl Nrv Nea&pg 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
61886 CPT Implant Neurostim Arrays 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
0268T CPT Implt/rpl Crtd Sns Dev Gen 3 1 — — $24,172.00 $78,035.00 $26,298.00 2026-07-17
34844 CPT Endovasc Viscer Aorta Repr Fenest 4+ Endograft 3 1 $105,518.00 $89,690.30 $23,562.35 $76,833.75 $25,611.25 2026-07-17
33289 CPT Tcat Impl Wrls P-art Prs Snr 3 1 — — $22,550.00 $72,798.00 $24,533.00 2026-07-17
J9600 HCPCS Porfimer Sodium Injection 3 1 — — $24,228.42 $40,704.00 $24,260.00 2026-07-17
33305 CPT Repair Cardiac Wound W/cardiopulmonary Bypass 3 1 $98,426.00 $83,662.10 $21,978.57 $71,669.25 $23,889.75 2026-07-17
C9760 HCPCS Nrnd Nbld Pd Nyha Cls Ii Iii IV Hf; 3 1 — — $21,814.00 $70,422.00 $23,732.00 2026-07-17
34845 CPT Viscer And Infrarenal Abdom Aorta 1 Prosthesis 3 1 $96,673.00 $82,172.05 $21,587.11 $70,392.75 $23,464.25 2026-07-17
34843 CPT Endovasc Viscer Aorta Repair Fenest 3 Endograft 3 1 $95,357.00 $81,053.45 $21,293.40 $69,435.00 $23,145.00 2026-07-17
Q9982 HCPCS flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 2 1 $3,850.00 $3,272.50 $20,911.00 $22,812.00 $21,861.50 2026-07-17
G0448 HCPCS Ins/rpl Prm Cv-dfib Tv Leads Insrt Pace Elctrode 3 1 $91,063.00 $77,403.55 $20,033.86 $64,654.73 $21,855.12 2026-07-17
34842 CPT Endovasc Viscer Aorta Repair Fenest 2 Endograft 3 1 $86,909.00 $73,872.65 $19,406.94 $63,283.50 $21,094.50 2026-07-17
33858 CPT As-aort Grf W/card Byp F/aortic Dissection 3 1 $83,045.00 $70,588.25 $18,543.98 $60,469.50 $20,156.50 2026-07-17
0515T CPT Insj Wcs Lv Compl Sys 3 1 — — $17,805.00 $57,480.00 $19,371.00 2026-07-17
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 1 — — $17,805.00 $57,480.00 $19,371.00 2026-07-17
33263 CPT Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 3 1 $68,013.00 $57,811.05 $17,805.00 $57,480.00 $19,371.00 2026-07-17
33230 CPT Insj Implntbl Defib Pulse Gen W/exist Dual Leads 3 1 $68,013.00 $57,811.05 $17,805.00 $57,480.00 $19,371.00 2026-07-17
33262 CPT Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 3 1 $68,013.00 $57,811.05 $17,805.00 $57,480.00 $19,371.00 2026-07-17
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 1 — — $17,805.00 $57,480.00 $19,371.00 2026-07-17
0409T CPT Insj/rplc Car Modulj Pls Gn 3 1 — — $17,805.00 $57,480.00 $19,371.00 2026-07-17
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 3 1 $68,013.00 $57,811.05 $17,805.00 $57,480.00 $19,371.00 2026-07-17
34841 CPT Endovasc Viscer Aorta Repair Fenest 1 Endograft 3 1 $79,379.00 $67,472.15 $17,725.41 $57,800.25 $19,266.75 2026-07-17
33871 CPT Transvrs A-arch Grf W/card Byp Prfd Hypothermia 3 1 $79,379.00 $67,472.15 $17,725.41 $57,800.25 $19,266.75 2026-07-17
187000714 NDC Ribavirin 6 Gram Recon Soln 4 Each Vial 3 1 $77,884.08 $66,201.47 $17,134.50 $55,297.70 $18,692.18 2026-07-17
33430 CPT Replacement Mitral Valve W/cardiopulmonary Byp 3 1 $76,669.00 $65,168.65 $17,120.28 $55,827.00 $18,609.00 2026-07-17
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
63655 CPT Implant Neuroelectrodes 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
64580 CPT Opn Impltj Nea Neuromuscular 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
0680T CPT Insj/rplcmt Pg Only Isdss 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
61885 CPT Insrt/redo Neurostim 1 Array 3 1 — — $17,010.00 $54,914.00 $18,506.00 2026-07-17
33406 CPT Rplcmt Aortic Valve Opn Allograft Valve Freehand 3 1 $76,030.00 $64,625.50 $16,977.68 $55,362.00 $18,454.00 2026-07-17
A9590 HCPCS Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 6 1 $70,656.00 $60,057.61 $2,539.69 $92,135.25 $18,372.61 2026-07-17
33425 CPT Valvuloplasty Mitral Valve W/cardiac Bypass 3 1 $72,843.00 $61,916.55 $16,265.83 $53,040.75 $17,680.25 2026-07-17
0483T CPT Tmvi W/prosthetic Valve Percutaneous Approach 3 1 $75,593.00 $64,254.05 $16,146.02 $52,107.61 $17,613.84 2026-07-17
54416 CPT Remv/repl Penis Contain Pros 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
53447 CPT Remove/replace Ur Sphincter 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
53445 CPT Insert Uro/ves Nck Sphincter 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
54401 CPT Insert Self-contd Prosthesis 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
54410 CPT Remove/replace Penis Prosth 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
54411 CPT Remov/replc Penis Pros Comp 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
54405 CPT Insert Multi-comp Penis Pros 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
53444 CPT Insert Tandem Cuff 3 1 — — $15,966.00 $51,544.00 $17,370.00 2026-07-17
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
0525T CPT Insj/rplcmt Compl Iims 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
33229 CPT Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 3 1 $56,223.00 $47,789.55 $15,128.00 $48,837.00 $16,458.00 2026-07-17
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
33274 CPT Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 3 1 $53,934.00 $45,843.90 $15,128.00 $48,837.00 $16,458.00 2026-07-17
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 3 1 — — $15,128.00 $48,837.00 $16,458.00 2026-07-17
33221 CPT Ins Pacemaker Pulse Gen Only W/exist Mult Leads 3 1 $56,223.00 $47,789.55 $15,128.00 $48,837.00 $16,458.00 2026-07-17
35216 CPT Rpr Blood Vessel Direct Intrathoracic Without Bypass 3 1 $67,304.00 $57,208.40 $15,029.12 $49,008.00 $16,336.00 2026-07-17
0569T CPT Ttvr Percutaneous Approach Initial Prosthesis 3 1 $68,899.00 $58,564.15 $14,716.24 $47,493.32 $16,054.08 2026-07-17
93653 CPT Compre Ep Eval Abltj 3d Mapg Tx Svt 3 1 $66,534.00 $56,553.90 $14,637.37 $47,238.79 $15,968.04 2026-07-17
21243 CPT Reconstruction Of Jaw Joint 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
25446 CPT Arthrp W/prostc Dst Rds&crps 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
22630 CPT Arthrd Pst Tq 1ntrspc Lum 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
28705 CPT Arthrodesis Pantalar 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
20696 CPT App Mltpln Uni Xtrnl Fix 1st 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
23472 CPT Reconstruct Shoulder Joint 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
25442 CPT Arthrp W/prostc Dstl Ulna 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
27702 CPT Reconstruct Ankle Joint 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
24361 CPT Reconstruct Elbow Joint 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
22856 CPT Tot Disc Arthrp 1ntrspc Crv 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
22867 CPT Insj Stablj Dev W/dcmprn 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
24371 CPT Revise Reconst Elbow Joint 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
27279 CPT Arthrd Si Jt Perq/min Nvas 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
24363 CPT Replace Elbow Joint 3 1 — — $14,588.00 $47,093.00 $15,870.00 2026-07-17
33426 CPT Vlvp Mitral Valve W/card Byp W/prostc Ring 3 1 $65,312.00 $55,515.20 $14,584.30 $47,557.50 $15,852.50 2026-07-17
93654 CPT Compre Ep Eval Abltj 3d Mapg Tx Vt 3 1 $65,740.00 $55,879.00 $14,462.80 $46,675.40 $15,777.60 2026-07-17
37242 CPT Vascular Embolization Or Occlusion Arterial Rs&i 3 1 $50,596.00 $43,006.60 $14,244.00 $45,983.00 $15,496.00 2026-07-17
37230 CPT Tib/per Revasc W/stent 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
37229 CPT Tib/per Revasc W/ather 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
37227 CPT Fem/popl Revasc Stnt & Ather 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
36906 CPT Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 3 1 $50,596.00 $43,006.60 $14,244.00 $45,983.00 $15,496.00 2026-07-17
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9797 HCPCS Vasc Emb/occ W/prs-gen Cath 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
0238T CPT Trluml Peripheral Atherectomy Iliac Artery Ea 3 1 $47,175.00 $40,098.75 $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9775 HCPCS Rvsc Evar O/p Tb/pa; Ivl & Tsp & At 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
33902 CPT Perq P-art Revsc 1 Abnor Uni 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9765 HCPCS Rev Evar Any Ves;iv Lithotripsy & Tl Stent Plcmt 3 1 $48,536.00 $41,255.60 $14,244.00 $45,983.00 $15,496.00 2026-07-17
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9774 HCPCS Rvsc Evar O/pc Tib/pa;ivasc Lith&at 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9767 HCPCS Rev Evr Le Aa; IV Litho & Tl St&ath 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 1 $49,122.70 $41,754.30 $14,244.00 $45,983.00 $15,496.00 2026-07-17
37184 CPT Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 3 1 $50,596.00 $43,006.60 $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9766 HCPCS Rev Evar Le Aa; IV Litho & Atherect 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
37225 CPT Fem/popl Revas W/ather 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
37231 CPT Tib/per Revasc Stent & Ather 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9602 HCPCS Pc Tl Cor Atherect W/rx Elut Ic Stent; 1 Mca/br 3 1 $50,596.00 $43,006.60 $14,244.00 $45,983.00 $15,496.00 2026-07-17
0645T CPT Tcat Impltj C Sins Rdctj Dev 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
C9607 HCPCS Pc Tl Rev Chrn Tot Occl Ca Ca Br/cabg; 1 Ves 3 1 $50,596.00 $43,006.60 $14,244.00 $45,983.00 $15,496.00 2026-07-17
0632T CPT Perq Tcat US Abltj Nrv P-art 3 1 — — $14,244.00 $45,983.00 $15,496.00 2026-07-17
62362 CPT Implant Spine Infusion Pump 3 1 — — $14,020.00 $45,259.00 $15,252.00 2026-07-17
62360 CPT Insert Spine Infusion Device 3 1 — — $14,020.00 $45,259.00 $15,252.00 2026-07-17
62361 CPT Implant Spine Infusion Pump 3 1 — — $14,020.00 $45,259.00 $15,252.00 2026-07-17
C9782 HCPCS Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra 3 1 — — $13,882.00 $44,814.00 $15,102.00 2026-07-17
0686T CPT Histotripsy Mal Hepatcel Tis 3 1 — — $13,882.00 $44,814.00 $15,102.00 2026-07-17
C9758 HCPCS Bi Prc Nyha 3/4 Hf;trnscth I Ias/pc 3 1 — — $13,882.00 $44,814.00 $15,102.00 2026-07-17
0888T CPT Histotripsy Mal Renal Tissue 3 1 — — $13,882.00 $44,814.00 $15,102.00 2026-07-17
33859 CPT As-aort Grf W/card Byp F/aortic Ds Oth/thn Dsj 3 1 $62,005.00 $52,704.25 $13,845.77 $45,149.25 $15,049.75 2026-07-17
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 3 1 — — $13,801.00 $44,553.00 $15,014.00 2026-07-17
81416 CPT Exome Sequence Analysis 6 1 — — $13,494.00 $43,561.09 $14,680.00 2026-07-17
0308T CPT Insj Ocular Telescope Prosth 3 1 — — $13,022.00 $42,039.00 $14,167.00 2026-07-17
66683 CPT Implantation Iris Prosthesis 3 1 — — $13,022.00 $42,039.00 $14,167.00 2026-07-17
61711 CPT Anast Artl Extracranial-intracranial Arteries 3 1 $56,982.00 $48,434.70 $12,724.06 $41,491.50 $13,830.50 2026-07-17
77372 CPT Radiation Delivery Stereotactic Cranial Linear 6 1 $42,916.00 $36,478.60 $12,666.00 $40,890.00 $13,780.00 2026-07-17
77371 CPT Srs Multisource 6 1 — — $12,666.00 $40,890.00 $13,780.00 2026-07-17
90288 CPT Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 3 1 $57,310.00 $48,713.50 $12,608.20 $40,690.10 $13,754.40 2026-07-17
67027 CPT Implant Eye Drug System 3 1 — — $12,188.00 $39,346.00 $13,260.00 2026-07-17
33533 CPT Cabg W/arterial Graft Single Arterial Graft 3 1 $52,760.00 $44,846.00 $11,781.29 $38,417.25 $12,805.75 2026-07-17
33418 CPT Tcat Mitral Valve Repair Initial Prosthesis 3 1 $52,481.00 $44,608.85 $11,718.96 $38,214.00 $12,738.00 2026-07-17
61680 CPT Intracranial Arven Malfrmj Supratentrl Smpl 3 1 $52,125.00 $44,306.25 $11,639.61 $37,955.25 $12,651.75 2026-07-17
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 3 1 — — $12,368.21 $20,779.00 $12,384.00 2026-07-17
65770 CPT Keratoprosthesis 3 1 — — $11,334.00 $36,591.00 $12,331.00 2026-07-17
32110 CPT Thorcom Ctrl Traumtc Hemrrg&/rpr Lng Tear 3 1 $49,772.00 $42,306.20 $11,114.06 $36,241.50 $12,080.50 2026-07-17
C9293 HCPCS Glucarpidase 1,000 Unit Recon Soln 1 Each Vial 3 1 $51,889.60 $44,106.16 $10,872.14 $35,087.35 $11,860.51 2026-07-17
93590 CPT Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 3 1 $48,536.00 $41,255.60 $10,677.92 $34,460.56 $11,648.64 2026-07-17
93591 CPT Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 3 1 $48,536.00 $41,255.60 $10,677.92 $34,460.56 $11,648.64 2026-07-17
92933 CPT Perq Trluml C Athrc St Angiop 1 Maj C Art&/brnch 3 1 $48,536.00 $41,255.60 $10,677.92 $34,460.56 $11,648.64 2026-07-17
93580 CPT Prq Tcat Clsr Cgen Intratrl Comunicaj W/implt 3 1 $48,536.00 $41,255.60 $10,677.92 $34,460.56 $11,648.64 2026-07-17
93582 CPT Percutan Transcath Closure Pat Duct Arteriosus 3 1 $48,536.00 $41,255.60 $10,677.92 $34,460.56 $11,648.64 2026-07-17
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 6 1 — — $10,400.00 $33,575.38 $11,315.00 2026-07-17
62192 CPT Crtj Shunt Sarach/sdrl-prtl-pleural Oth 3 1 $46,503.00 $39,527.55 $10,384.27 $33,861.75 $11,287.25 2026-07-17
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 6 1 — — $10,346.00 $33,398.42 $11,255.00 2026-07-17
55882 CPT Ablt Trurl Prst8 Tis Trnsdcr 3 1 — — $10,306.00 $33,270.00 $11,212.00 2026-07-17
53451 CPT Tprnl Balo Cntnc Dev Bi 3 1 — — $10,306.00 $33,270.00 $11,212.00 2026-07-17
53440 CPT Male Sling Procedure 3 1 — — $10,306.00 $33,270.00 $11,212.00 2026-07-17
54400 CPT Insert Semi-rigid Prosthesis 3 1 — — $10,306.00 $33,270.00 $11,212.00 2026-07-17
54417 CPT Remv/replc Penis Pros Compl 3 1 — — $10,306.00 $33,270.00 $11,212.00 2026-07-17
C9734 HCPCS Focused U/s Abl/tx Int Oth Than Ul 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
C9757 HCPCS Laminotomy Decomp Nerve Root; 1 Interspace Lumb 3 1 $37,976.00 $32,279.60 $10,206.00 $32,949.00 $11,104.00 2026-07-17
28735 CPT Fusion Of Foot Bones 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28737 CPT Revision Of Foot Bones 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
20692 CPT Appl Mltpln Uni Ext Fixj Sys 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28730 CPT Fusion Of Foot Bones 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24346 CPT Reconstruct Elbow Med Ligmnt 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24410 CPT Revision Of Humerus 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28725 CPT Arthrodesis Subtalar 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
22554 CPT Arthrd Ant Ntrbd Min Dsc Crv 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
0737T CPT Xenograft Impltj Artclr Surf 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23680 CPT Optx Sho Dislc Neck Fx Fixj 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
25810 CPT Arthrd Wrst Iliac/oth Agrft 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23470 CPT Reconstruct Shoulder Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27446 CPT Arthrp Knee Condyle&plateau Medial/lat Cmprt 3 1 $37,976.00 $32,279.60 $10,206.00 $32,949.00 $11,104.00 2026-07-17
24515 CPT Treat Humerus Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
22551 CPT Arthrd Ant Ntrbdy Cervical 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
0627T CPT Perq Njx Algc Fluor Lmbr 1st 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24365 CPT Reconstruct Head Of Radius 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
20982 CPT Ablation Bone Tumor Rf Perq W/img Gdn When Done 3 1 $37,976.00 $32,279.60 $10,206.00 $32,949.00 $11,104.00 2026-07-17
24430 CPT Repair Of Humerus 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27130 CPT Total Hip Arthroplasty 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24516 CPT Treat Humerus Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
25444 CPT Arthrp W/prostc Lunate 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
25441 CPT Arthrp W/prostc Dstl Rds 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23802 CPT Arthrd Glenohumeral Jt W/grf 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
25491 CPT Prophylactic Tx Ulna 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
69729 CPT Impl Oi Implt Sk Tc Esp>=100 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24370 CPT Revise Reconst Elbow Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24575 CPT Treat Humerus Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
0629T CPT Perq Njx Algc CT Lmbr 1st 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
25391 CPT Lengthen Radius Or Ulna 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
22869 CPT Insj Stablj Dev Without Dcmprn 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
25365 CPT Revise Radius & Ulna 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23485 CPT Revision Of Collar Bone 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
69714 CPT Impl Oi Implt Skull Perq Esp 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
69716 CPT Impl Oi Implt Sk Tc Esp<100 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
29907 CPT Subtalar Arthro W/fusion 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
C9781 HCPCS Arthrosc Shldr Sx; W/imp Sa Spacer 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
29856 CPT Tibial Arthroscopy/surgery 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
29867 CPT Allgrft Implnt Knee W/scope 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
29889 CPT Knee Arthroscopy/surgery 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24802 CPT Fusion/graft Of Elbow Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28420 CPT Treat/graft Heel Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23473 CPT Revis Reconst Shoulder Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28715 CPT Arthrodesis Triple 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27759 CPT Treatment Of Tibia Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24666 CPT Treat Radius Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27870 CPT Fusion Of Ankle Joint Open 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27827 CPT Treat Lower Leg Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24587 CPT Treat Elbow Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27828 CPT Treat Lower Leg Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27871 CPT Fusion Of Tibiofibular Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24579 CPT Treat Humerus Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27709 CPT Osteotomy Tibia & Fibula 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28297 CPT Cor Hlx Vlgs Jt Arthrd 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27447 CPT Total Knee Arthroplasty 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24546 CPT Treat Humerus Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27443 CPT Revision Of Knee Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27758 CPT Treatment Of Tibia Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27438 CPT Revise Kneecap With Implant 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27429 CPT Reconstruction Knee 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27440 CPT Revision Of Knee Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27428 CPT Reconstruction Knee 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24545 CPT Treat Humerus Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27441 CPT Revision Of Knee Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
28320 CPT Repair Of Foot Bones 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24366 CPT Reconstruct Head Of Radius 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24435 CPT Repair Humerus With Graft 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27356 CPT Remove Femur Lesion/graft 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23615 CPT Optx Prox Humrl Fx W/int Fix 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
23491 CPT Reinforce Shoulder Bones 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24362 CPT Reconstruct Elbow Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27442 CPT Revision Of Knee Joint 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24586 CPT Treat Elbow Fracture 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
27415 CPT Osteochondral Knee Allograft 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
24498 CPT Reinforce Humerus 3 1 — — $10,206.00 $32,949.00 $11,104.00 2026-07-17
33243 CPT Rmvl 1/dual Chamber Defib Electrode By Thoracom 3 1 $45,467.00 $38,646.95 $10,152.89 $33,107.25 $11,035.75 2026-07-17
61635 CPT Tcat Plmt IV Stent Icra W/balo Angiop If Pfrmd 3 1 $44,853.00 $38,125.05 $10,015.81 $32,660.25 $10,886.75 2026-07-17
61624 CPT Tcat Perm Occls/embolization Perq Cns 3 1 $44,853.00 $38,125.05 $10,015.81 $32,660.25 $10,886.75 2026-07-17
0784T CPT Ins/rplmt Eltrd Ra Spi Nstim 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
43647 CPT Lap Impl Electrode Antrum 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
61888 CPT Revise/remove Neuroreceiver 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
61715 CPT Mrgfus Strtctc Ablt Trgt Icr 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
64569 CPT Revise/repl Vagus N Eltrd 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
63664 CPT Revise Spine Eltrd Plate 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
0675T CPT Laps Insj Nw/rpcmt Isdss 1ld 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
64553 CPT Implant Neuroelectrodes 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
64596 CPT Ins/rplcmt Prq Eltrd Ra Pn 1 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
64575 CPT Opn Impltj Nea Perph Nerve 3 1 — — $9,892.00 $31,933.00 $10,761.00 2026-07-17
33620 CPT Application Right & Left Pulmonary Artery Band 3 1 $44,271.00 $37,630.35 $9,885.86 $32,236.50 $10,745.50 2026-07-17
33322 CPT Suture Repair Aorta/great Vessel W/bypass 3 1 $43,275.00 $36,783.75 $9,663.45 $31,511.25 $10,503.75 2026-07-17
C9606 HCPCS Perq Tl Rev Ac Total/subtotal Occlusion 1 Ves 3 1 $44,853.00 $38,125.05 $9,580.34 $30,918.37 $10,451.28 2026-07-17
93656 CPT Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 3 1 $43,007.00 $36,555.95 $9,461.54 $30,534.97 $10,321.68 2026-07-17
34706 CPT Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rpt 3 1 $41,881.00 $35,598.85 $9,352.03 $30,495.75 $10,165.25 2026-07-17
0094U CPT Genome Rapid Sequence Alys 6 1 — — $9,278.00 $29,950.82 $10,093.00 2026-07-17
35840 CPT Expl Po Hemrrg Thrombosis/infctj Abd 3 1 $41,482.00 $35,259.70 $9,263.02 $30,205.50 $10,068.50 2026-07-17
33979 CPT Insj Ventr Assist Dev Impltable Icorp 1 Vntrc 3 1 $41,283.00 $35,090.55 $9,218.63 $30,060.75 $10,020.25 2026-07-17
C9600 HCPCS Pc Trnscth Plcmt Rx Elut Ic Stents; 1 Maj Ca/br 3 1 $31,742.00 $26,980.70 $8,995.00 $29,040.00 $9,786.00 2026-07-17
C9604 HCPCS Pc Tl Rev Of/thru Cabg Comb De Ic Stnt; 1 Ves 3 1 $31,742.00 $26,980.70 $8,995.00 $29,040.00 $9,786.00 2026-07-17
37243 CPT Vascular Embolize/occlude Organ Tumor Infarct 3 1 $31,742.00 $26,980.70 $8,995.00 $29,040.00 $9,786.00 2026-07-17
37241 CPT Vascular Embolization Or Occlusion Venous Rs&i 3 1 $31,742.00 $26,980.70 $8,995.00 $29,040.00 $9,786.00 2026-07-17
37244 CPT Vascular Embolization Or Occlusion Hemorrhage 3 1 $31,742.00 $26,980.70 $8,995.00 $29,040.00 $9,786.00 2026-07-17
37228 CPT Tib/per Revasc W/tla 3 1 — — $8,995.00 $29,040.00 $9,786.00 2026-07-17
37236 CPT Open/perq Placement Intravascular Stent Initial 3 1 $31,742.00 $26,980.70 $8,995.00 $29,040.00 $9,786.00 2026-07-17
37226 CPT Fem/popl Revasc W/stent 3 1 — — $8,995.00 $29,040.00 $9,786.00 2026-07-17
37221 CPT Iliac Revasc W/stent 3 1 — — $8,995.00 $29,040.00 $9,786.00 2026-07-17
C9764 HCPCS Rev Evar Open/perq Any Vessel;iv Lithotripsy 3 1 $30,451.00 $25,883.35 $8,995.00 $29,040.00 $9,786.00 2026-07-17
C9783 HCPCS Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl 3 1 — — $8,995.00 $29,040.00 $9,786.00 2026-07-17
See an error in this hospital's data? Submit a correction