Price Transparency 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

SAMARITAN PACIFIC COMMUNITY HOSPITAL

Newport, OR · CCN 381314 · Rates published

28,933 distinct procedures filed
12 distinct payers
2,656,362 rate rows
2026-01-31 last MRF observed
Data quality

1,404,454 of 2,656,362 rate rows are consumer-grade (52.9%)

1,251,908 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
professional (physician) fee — not the facility price 1,203,128
template filing: same amount across many unrelated codes — excluded 20,942
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,938
placeholder amount (≤ $0.02) — excluded from medians 6,412
percent-of-charges filed in the dollar field — excluded from medians 5,304
per-diem day rate — not a per-procedure price 1,932
exceeds 10× this hospital's gross charge — excluded from medians 252
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://samaritanhealth.pt.panaceainc.com/MRFDownload/samaritanhealth/pacific
Found on page https://samhealth.org/patient-visitors/make-a-payment/learn-more-about-price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint bf1d601dbab7c789… · 16,399,670 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $886,213.00 $886,213.00 $886,213.00 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $525,772.87 $680,485.13 $587,733.38 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $539,227.01 $650,749.29 $583,275.31 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $524,503.71 $640,915.62 $557,393.85 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $513,659.78 $646,918.91 $544,931.55 nat. median
$674,188
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $487,601.95 $562,700.30 $516,856.00 nat. median
$620,080
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $487,495.47 $613,214.70 $516,856.00 nat. median
$634,511
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $236,486.00 $236,486.00 $236,486.00 nat. median
$209,753
1.1× median
82
MS_DRG 		Traumatic Stupor And Coma >1 Hour With Mcc 1 $101,641.00 $101,641.00 $101,641.00 nat. median
$22,770
outlier · 4.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $100,181.00 $100,181.00 $100,181.00 nat. median
$93,672
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $100,181.00 $100,181.00 $100,181.00 nat. median
$61,920
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $100,181.00 $100,181.00 $100,181.00 nat. median
$64,510
1.6× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $86,638.00 $86,638.00 $86,638.00 nat. median
$52,879
1.6× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $86,638.00 $86,638.00 $86,638.00 nat. median
$48,732
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $86,638.00 $86,638.00 $86,638.00 nat. median
$74,915
1.2× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $85,143.00 $85,143.00 $85,143.00 nat. median
$24,346
outlier · 3.5×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $72,843.62 $72,843.62 $72,843.62 nat. median
$69,774
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $66,524.00 $66,524.00 $66,524.00 nat. median
$79,312
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $66,524.00 $66,524.00 $66,524.00 nat. median
$59,899
1.1× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $64,157.00 $64,157.00 $64,157.00 nat. median
$50,673
1.3× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $64,157.00 $64,157.00 $64,157.00 nat. median
$33,154
1.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,013.25 $63,563.17 $61,440.66 nat. median
$66,682
0.9× median
33264
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 10 $21,770.10 $64,320.75 $57,687.46 nat. median
$31,873
1.8× median
33289
HCPCS 		Pc Transcatheter Impl Wireless Press Sensor 10 $20,994.60 $62,029.50 $55,632.51 nat. median
$28,318
2.0× median
A9543
HCPCS 		Hc Yttrium 90 Ibrit Tiuxe Dose<41 10 $20,981.40 $61,990.50 $55,597.53 nat. median
$62,507
0.9× median
441
MS_DRG 		Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 1 $55,553.00 $55,553.00 $55,553.00 nat. median
$18,509
outlier · 3.0×
J9226
HCPCS 		Supprelin La Implant 1 $48,490.16 $51,773.75 $51,262.33 nat. median
$60,368
0.8× median
36000007
CDM 		Hc Insert/reposit Gen/lead(s) Def 10 $19,199.40 $56,725.50 $50,875.50 nat. median
$5,853
outlier · 8.7×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 1 $49,460.00 $49,460.00 $49,460.00 nat. median
$17,704
outlier · 2.8×
33270
HCPCS 		Pc Ins Rep Subq Defibrillator 10 $17,770.50 $52,503.75 $47,089.13 nat. median
$32,221
1.5× median
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $46,313.00 $46,313.00 $46,313.00 nat. median
$17,327
outlier · 2.7×
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 1 $45,423.00 $45,423.00 $45,423.00 nat. median
$12,751
outlier · 3.6×
33231
HCPCS 		Pc Insert Pacing Cardio-defib Pulse G 10 $16,830.00 $49,725.00 $44,596.95 nat. median
$30,121
1.5× median
93653
HCPCS 		Pc Ep & Ablate Supravent Arrhythmia 10 $16,500.00 $48,750.00 $43,722.50 nat. median
$26,156
1.7× median
93656
HCPCS 		Pc Tx Atrial Fib Pulm Vein Isol 10 $16,500.00 $48,750.00 $43,722.50 nat. median
$26,811
1.6× median
93654
HCPCS 		Pc Ep & Ablate Ventricular Tachy 10 $16,500.00 $48,750.00 $43,722.50 nat. median
$26,704
1.6× median
33249
HCPCS 		Pc Insertion Of Cardioverter-defibril 10 $16,153.50 $47,726.25 $42,804.33 nat. median
$31,833
1.3× median
33263
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 10 $15,939.00 $47,092.50 $42,235.93 nat. median
$23,504
1.8× median
33230
HCPCS 		Pc Insert Pacing Cardio-defib Pulse G 10 $15,582.60 $46,039.50 $41,291.53 nat. median
$22,359
1.8× median
33262
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 10 $15,163.50 $44,801.25 $40,180.98 nat. median
$23,398
1.7× median
C2624
HCPCS 		Hc Imp Pulmonary Artery Pressure Sensor W Delry Sys 10 $15,147.00 $44,752.50 $40,137.26 nat. median
$32,760
1.2× median
871
MS_DRG 		Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 $35,302.00 $42,092.00 $38,697.00 nat. median
$19,635
2.0× median
48100053
CDM 		Hc Insert Lv Lead With Exist Cardio 10 $14,384.70 $42,500.25 $38,117.28 nat. median
$37,052
1.0× median
48100052
CDM 		Hc Insert Card Defb Gen W Ex Sngl 10 $14,292.30 $42,227.25 $37,872.43 nat. median
$36,814
1.0× median
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $36,184.00 $36,184.00 $36,184.00 nat. median
$13,522
outlier · 2.7×
27800144-8753
CDM 		Hc Stent Graft 10 $13,574.88 $40,107.60 $35,971.38 nat. median
$34,966
1.0× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 1 $35,083.20 $35,083.20 $35,083.20 nat. median
$16,156
outlier · 2.2×
27800144-8771
CDM 		Hc Stent Graft 10 $12,866.70 $38,015.25 $34,094.81 nat. median
$33,142
1.0× median
27800144-8770
CDM 		Hc Stent Graft 10 $12,206.70 $36,065.25 $32,345.90 nat. median
$31,442
1.0× median
639
MS_DRG 		Diabetes Without Cc/mcc 2 $15,032.00 $48,999.00 $32,015.50 nat. median
$7,257
outlier · 4.4×

Other procedures at this hospital

Browse this hospital's 28,933 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
             
36482 HCPCS Pc Endoven Ablat Therpy Vein First Vein 36 10 $8,090.00 $6,472.00 20% off $2,669.70 $7,887.75 $7,074.30 2026-01-31
M1085 HCPCS Hc Rom Rad Therapy Cns Tech 36 10 $8,090.00 $6,472.00 20% off $2,669.70 $7,887.75 $7,074.30 2026-01-31
48100054 CDM Hc Insert/repl Temp Pacer Transv 36 10 $8,130.00 $6,504.00 20% off $2,682.90 $7,926.75 $7,109.28 2026-01-31
M1099 HCPCS Hc Rom Rad Therapy Pancreas Tech 36 10 $8,140.00 $6,512.00 20% off $2,686.20 $7,936.50 $7,118.02 2026-01-31
27000392-8404 CDM Hc Probe 36 10 $8,146.00 $6,516.80 20% off $2,688.18 $7,942.35 $7,123.27 2026-01-31
37237 HCPCS Pc Opn/perq Placement Intravascular Stent Ea Addl 36 10 $8,160.00 $6,528.00 20% off $2,692.80 $7,956.00 $7,135.51 2026-01-31
17300001 CDM Hc Newborn L3 22 7 $7,380.00 $5,904.00 20% off $5,166.00 $7,195.50 $7,158.60 2026-01-31
47538 HCPCS Hc Placement Stent Bile Duct Perc Existing Inc S&i/imaging 36 10 $8,190.00 $6,552.00 20% off $2,702.70 $7,985.25 $7,161.74 2026-01-31
27800111-8330 CDM Hc Implant 36 10 $8,190.00 $6,552.00 20% off $2,702.70 $7,985.25 $7,161.74 2026-01-31
49000197 CDM Hc Biliary Endo Perc W/dil W/sten 36 10 $8,190.00 $6,552.00 20% off $2,702.70 $7,985.25 $7,161.74 2026-01-31
27800029-3502 CDM Hc Graft 36 10 $8,200.00 $6,560.00 20% off $2,706.00 $7,995.00 $7,170.49 2026-01-31
27800147 CDM Hc Powermix Injectable Stimulus 36 10 $8,280.00 $6,624.00 20% off $2,732.40 $8,073.00 $7,240.44 2026-01-31
27800144-8760 CDM Hc Stent Graft 36 10 $8,350.00 $6,680.00 20% off $2,755.50 $8,141.25 $7,301.66 2026-01-31
49000219 CDM Hc Stent Placem Tranphep Biliary 36 10 $8,390.00 $6,712.00 20% off $2,768.70 $8,180.25 $7,336.64 2026-01-31
27800144-8751 CDM Hc Stent Graft 36 10 $8,400.00 $6,720.00 20% off $2,772.00 $8,190.00 $7,345.38 2026-01-31
J0600 HCPCS Edetate Calcium Disodium Inj 2 1 — — $7,369.63 $7,369.63 $7,369.63 2026-01-31
77295 HCPCS Pc 3d Radtherapy Plan Incl Dose-vol Histos 36 10 $8,430.00 $6,744.00 20% off $2,781.90 $8,219.25 $7,371.61 2026-01-31
47540 HCPCS Hc Place Stent Bile Duct Perc New W Drain Cath S&i/imaging 36 10 $8,440.00 $6,752.00 20% off $2,785.20 $8,229.00 $7,380.36 2026-01-31
M1105 HCPCS Hc Rom Rad Therapy Uterus Tech 36 10 $8,450.00 $6,760.00 20% off $2,788.50 $8,238.75 $7,389.10 2026-01-31
93454 HCPCS Pc Catheter Placement In Coronary Art 36 10 $8,500.00 $6,800.00 20% off $2,805.00 $8,287.50 $7,432.82 2026-01-31
36522 HCPCS Hc Photopheresis Extracorporeal 36 10 $8,530.00 $6,824.00 20% off $2,814.90 $8,316.75 $7,459.06 2026-01-31
27800144-8747 CDM Hc Stent Graft 36 10 $8,548.00 $6,838.40 20% off $2,820.84 $8,334.30 $7,474.80 2026-01-31
27800144-8761 CDM Hc Stent Graft 36 10 $8,550.00 $6,840.00 20% off $2,821.50 $8,336.25 $7,476.55 2026-01-31
L5968 HCPCS Hc Addition To Lower Limb Prosthesis Multiaxial Ankle W Dorsifle 36 10 $8,626.90 $6,901.52 $2,846.88 $8,411.23 $7,543.80 2026-01-31
27800029-3541 CDM Hc Graft 36 10 $8,638.00 $6,910.40 20% off $2,850.54 $8,422.05 $7,553.50 2026-01-31
M1103 HCPCS Hc Rom Rad Therapy Gi Tech 36 10 $8,720.00 $6,976.00 20% off $2,877.60 $8,502.00 $7,625.20 2026-01-31
93602 HCPCS Pc Intra Atrial Recording 36 10 $8,740.00 $6,992.00 20% off $2,884.20 $8,521.50 $7,642.69 2026-01-31
0267U HCPCS Rare Do Id Opt Gen Mapg&seq 4 2 — — $7,548.05 $7,750.23 $7,649.14 2026-01-31
52284 HCPCS Pc Cysto Mech Ureth Dilat/therap Drug Deliv Coated Balloon Cath 36 10 $8,770.00 $7,016.00 20% off $2,894.10 $8,550.75 $7,668.93 2026-01-31
C1822 HCPCS Hc Implantable Neurostim Gen, High Freq With Recharg Batt Syst 72 10 $21,314.00 $17,051.20 $660.00 $39,612.30 $7,678.62 2026-01-31
27800112-11257 CDM Hc Mesh Surgimend 36 10 $8,800.00 $7,040.00 20% off $2,904.00 $8,580.00 $7,695.16 2026-01-31
M1083 HCPCS Hc Rom Rad Therapy Cervical Tech 36 10 $8,810.00 $7,048.00 20% off $2,907.30 $8,589.75 $7,703.91 2026-01-31
27000256-3800 CDM Hc Kit 36 10 $8,850.00 $7,080.00 20% off $2,920.50 $8,628.75 $7,738.89 2026-01-31
27000392-8412 CDM Hc Probe 36 10 $8,850.00 $7,080.00 20% off $2,920.50 $8,628.75 $7,738.89 2026-01-31
27800029-3424 CDM Hc Graft 36 10 $8,860.00 $7,088.00 20% off $2,923.80 $8,638.50 $7,747.62 2026-01-31
93650 HCPCS Pc Intracardiac Cath Ablation Atriove 36 10 $8,910.00 $7,128.00 20% off $2,940.30 $8,687.25 $7,791.35 2026-01-31
27800144-8764 CDM Hc Stent Graft 36 10 $8,950.00 $7,160.00 20% off $2,953.50 $8,726.25 $7,826.33 2026-01-31
36000010 CDM Hc Revas Endo Addl Stent & Angio 36 10 $8,960.00 $7,168.00 20% off $2,956.80 $8,736.00 $7,835.07 2026-01-31
36000015 CDM Hc Transcath Placem Stent Cca W E 36 10 $8,960.00 $7,168.00 20% off $2,956.80 $8,736.00 $7,835.07 2026-01-31
93619 HCPCS Pc Comprehensive Ep Eval Without Inductin 36 10 $8,960.00 $7,168.00 20% off $2,956.80 $8,736.00 $7,835.07 2026-01-31
93620 HCPCS Pc Comprehensive Ep Eval W Induction 36 10 $8,960.00 $7,168.00 20% off $2,956.80 $8,736.00 $7,835.07 2026-01-31
36000009 CDM Hc Revas Endo Addl Angioplasty 36 10 $8,960.00 $7,168.00 20% off $2,956.80 $8,736.00 $7,835.07 2026-01-31
77301 HCPCS Pc Intensity Modl Radiotherapy Plan Dose-vol Histos 36 10 $9,000.00 $7,200.00 20% off $2,970.00 $8,775.00 $7,870.05 2026-01-31
C1714 HCPCS Hc Catheter Translum Atherectomy Directional 36 10 $9,000.00 $7,200.00 20% off $2,970.00 $8,775.00 $7,870.05 2026-01-31
27800144-8762 CDM Hc Stent Graft 36 10 $9,150.00 $7,320.00 20% off $3,019.50 $8,921.25 $8,001.22 2026-01-31
27800029-3509 CDM Hc Graft 36 10 $9,160.00 $7,328.00 20% off $3,022.80 $8,931.00 $8,009.96 2026-01-31
27800029-3525 CDM Hc Graft 36 10 $9,170.00 $7,336.00 20% off $3,026.10 $8,940.75 $8,018.70 2026-01-31
27800029-3507 CDM Hc Graft 36 10 $9,210.00 $7,368.00 20% off $3,039.30 $8,979.75 $8,053.69 2026-01-31
77373 HCPCS Hc Sbrt Treat Del Per Fract 36 10 $9,230.00 $7,384.00 20% off $3,045.90 $8,999.25 $8,071.18 2026-01-31
27800029-3543 CDM Hc Graft 36 10 $9,256.00 $7,404.80 20% off $3,054.48 $9,024.60 $8,093.91 2026-01-31
75705 HCPCS Pc Angiography Spinal Selective 36 10 $9,260.00 $7,408.00 20% off $3,055.80 $9,028.50 $8,097.40 2026-01-31
27800144-8757 CDM Hc Stent Graft 36 10 $9,300.00 $7,440.00 20% off $3,069.00 $9,067.50 $8,132.39 2026-01-31
C1896 HCPCS Hc Lead Cardioverter-defib Other Than Single/dual Coil 72 10 $9,350.00 $7,480.00 20% off $2,871.00 $9,750.00 $8,132.50 2026-01-31
27800029-3455 CDM Hc Graft 36 10 $9,322.00 $7,457.60 $3,076.26 $9,088.95 $8,151.62 2026-01-31
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 4 2 — — $8,056.16 $8,271.95 $8,164.06 2026-01-31
27800029-3478 CDM Hc Graft 36 10 $9,340.00 $7,472.00 20% off $3,082.20 $9,106.50 $8,167.36 2026-01-31
27800144-8765 CDM Hc Stent Graft 36 10 $9,350.00 $7,480.00 20% off $3,085.50 $9,116.25 $8,176.11 2026-01-31
92986 HCPCS Hc Percutan Balloon Valvuloplasty Aortic 36 10 $9,360.00 $7,488.00 20% off $3,088.80 $9,126.00 $8,184.85 2026-01-31
C1761 HCPCS Hc Catheter Trans Ivl Coronary 36 10 $9,400.00 $7,520.00 20% off $3,102.00 $9,165.00 $8,219.83 2026-01-31
36224 HCPCS Pc Slectv Cath Intranl Carotid Art Angio Intrcrnl Art 36 10 $9,440.00 $7,552.00 20% off $3,115.20 $9,204.00 $8,254.81 2026-01-31
31626 HCPCS Hc Bronchoscopy Placement Fiducial Markers 36 10 $9,490.00 $7,592.00 20% off $3,131.70 $9,252.75 $8,298.53 2026-01-31
27800144-8746 CDM Hc Stent Graft 36 10 $9,498.00 $7,598.40 20% off $3,134.34 $9,260.55 $8,305.52 2026-01-31
27800029-3527 CDM Hc Graft 36 10 $9,500.00 $7,600.00 20% off $3,135.00 $9,262.50 $8,307.27 2026-01-31
27000256-3690 CDM Hc Kit 36 10 $9,500.00 $7,600.00 20% off $3,135.00 $9,262.50 $8,307.27 2026-01-31
27000256-3683 CDM Hc Kit 36 10 $9,504.00 $7,603.20 20% off $3,136.32 $9,266.40 $8,310.77 2026-01-31
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 2 1 — — $8,324.85 $8,324.85 $8,324.85 2026-01-31
92920 HCPCS Pc Ptca Sngl Artery/branch 36 10 $9,540.00 $7,632.00 20% off $3,148.20 $9,301.50 $8,342.26 2026-01-31
75726 HCPCS Pc Angio Visceral Selectv/subselec 36 10 $9,640.00 $7,712.00 20% off $3,181.20 $9,399.00 $8,429.70 2026-01-31
75736 HCPCS Hc Pelvic Selective S&i 36 10 $9,640.00 $7,712.00 20% off $3,181.20 $9,399.00 $8,429.70 2026-01-31
27800111-8334 CDM Hc Implant 36 10 $9,667.20 $7,733.76 20% off $3,190.18 $9,425.52 $8,453.49 2026-01-31
27800144-8763 CDM Hc Stent Graft 36 10 $9,700.00 $7,760.00 20% off $3,201.00 $9,457.50 $8,482.17 2026-01-31
27800029-3496 CDM Hc Graft 36 10 $9,740.00 $7,792.00 20% off $3,214.20 $9,496.50 $8,517.15 2026-01-31
0094U HCPCS Genome Rapid Sequence Alys 4 2 — — $8,492.06 $8,719.53 $8,605.80 2026-01-31
27800144-8758 CDM Hc Stent Graft 36 10 $9,850.00 $7,880.00 20% off $3,250.50 $9,603.75 $8,613.33 2026-01-31
27800002-6470 CDM Hc Allograft 36 10 $9,900.00 $7,920.00 20% off $3,267.00 $9,652.50 $8,657.06 2026-01-31
36907 HCPCS Pc Trluml Balo Angiop Ctr Dialysis Seg W/img S&i 36 10 $9,940.00 $7,952.00 20% off $3,280.20 $9,691.50 $8,692.03 2026-01-31
27800144-8756 CDM Hc Stent Graft 36 10 $9,950.00 $7,960.00 20% off $3,283.50 $9,701.25 $8,700.78 2026-01-31
27800144-8744 CDM Hc Stent Graft 36 10 $9,998.00 $7,998.40 20% off $3,299.34 $9,748.05 $8,742.75 2026-01-31
27000256-3751 CDM Hc Kit 36 10 $10,000.00 $8,000.00 20% off $3,300.00 $9,750.00 $8,744.50 2026-01-31
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 4 2 — — $8,709.12 $8,942.40 $8,825.76 2026-01-31
36223 HCPCS Pc Slectv Cath Carotid/innom Art Angio Intracranl Art 36 10 $10,150.00 $8,120.00 20% off $3,349.50 $9,896.25 $8,875.67 2026-01-31
93452 HCPCS Pc Lt Heart Catheterization 36 10 $10,250.00 $8,200.00 20% off $3,382.50 $9,993.75 $8,963.11 2026-01-31
27800029-3488 CDM Hc Graft 36 10 $10,332.00 $8,265.60 $3,409.56 $10,073.70 $9,034.82 2026-01-31
27000392-8405 CDM Hc Probe 36 10 $10,414.00 $8,331.20 $3,436.62 $10,153.65 $9,106.52 2026-01-31
M1089 HCPCS Hc Rom Rad Therapy Head/neck Tech 36 10 $10,450.00 $8,360.00 20% off $3,448.50 $10,188.75 $9,138.01 2026-01-31
93453 HCPCS Pc Combined Rt & Lt Heart Catheteriza 36 10 $10,490.00 $8,392.00 20% off $3,461.70 $10,227.75 $9,172.98 2026-01-31
27800029-3430 CDM Hc Graft 36 10 $10,600.00 $8,480.00 20% off $3,498.00 $10,335.00 $9,269.17 2026-01-31
37246 HCPCS Pc Transluminal Balloon Angioplasty Initial Artery 36 10 $10,690.00 $8,552.00 20% off $3,527.70 $10,422.75 $9,347.87 2026-01-31
93459 HCPCS Pc Coronary Angio Wo Consomitant Lt H 36 10 $10,720.00 $8,576.00 20% off $3,537.60 $10,452.00 $9,374.10 2026-01-31
0211U HCPCS Onc Pan-tum Dna&rna Gnrj Seq 4 2 — — $9,469.60 $9,723.25 $9,596.42 2026-01-31
17400001 CDM Hc Newborn L4 22 7 $9,930.00 $7,944.00 20% off $6,951.00 $9,681.75 $9,632.10 2026-01-31
0315U HCPCS Onc Cutan Sq Cll Ca Mrna 40 4 2 — — $9,520.00 $9,775.00 $9,647.50 2026-01-31
50593 HCPCS Pc Ablation Renal Tumor(s) Unilat Per 36 10 $11,100.00 $8,880.00 20% off $3,663.00 $10,822.50 $9,706.40 2026-01-31
27800002-6513 CDM Hc Allograft 36 10 $11,107.20 $8,885.76 20% off $3,665.38 $10,829.52 $9,712.69 2026-01-31
92938 HCPCS Pc Graft Pci Any Combo Addl Vessel 36 10 $11,110.00 $8,888.00 20% off $3,666.30 $10,832.25 $9,715.14 2026-01-31
48100056 CDM Hc Percutaneous Valvuloplasty 36 10 $11,210.00 $8,968.00 20% off $3,699.30 $10,929.75 $9,802.58 2026-01-31
C1813 HCPCS Hc Implant Penile 288 10 $11,700.00 $9,360.00 20% off $778.80 $15,861.30 $9,810.20 2026-01-31
27800118-11119 CDM Hc Stimulator Spinal 36 10 $11,290.00 $9,032.00 20% off $3,725.70 $11,007.75 $9,872.54 2026-01-31
27800029-3483 CDM Hc Graft 36 10 $11,350.00 $9,080.00 20% off $3,745.50 $11,066.25 $9,925.01 2026-01-31
27800002-6529 CDM Hc Allograft 36 10 $11,350.00 $9,080.00 20% off $3,745.50 $11,066.25 $9,925.01 2026-01-31
45000201 CDM Hc Eyelid Reconstuction (blepharoplasty) 36 10 $11,470.00 $9,176.00 20% off $3,785.10 $11,183.25 $10,029.94 2026-01-31
93458 HCPCS Pc Coronary Angio Wo Consomitant Lt H 36 10 $11,670.00 $9,336.00 20% off $3,851.10 $11,378.25 $10,204.83 2026-01-31
33225 HCPCS Pc Left Ventric Pacing Lead Add-on 36 10 $11,680.00 $9,344.00 20% off $3,854.40 $11,388.00 $10,213.58 2026-01-31
93461 HCPCS Pc Coronary Angio Wo Consomitan Lt/rt 36 10 $11,780.00 $9,424.00 20% off $3,887.40 $11,485.50 $10,301.02 2026-01-31
49000203 CDM Hc Insert Lead Pace-defib Single 36 10 $11,930.00 $9,544.00 20% off $3,936.90 $11,631.75 $10,432.19 2026-01-31
C2621 HCPCS Hc Bi V Without Defibrillator 468 10 $14,000.00 $11,200.00 20% off $289.58 $16,672.50 $10,463.62 2026-01-31
27800029-3435 CDM Hc Graft 36 10 $12,160.00 $9,728.00 20% off $4,012.80 $11,856.00 $10,633.31 2026-01-31
M1101 HCPCS Hc Rom Rad Therapy Prostate Tech 36 10 $12,180.00 $9,744.00 20% off $4,019.40 $11,875.50 $10,650.80 2026-01-31
C1817 HCPCS Hc Intracardiac Septal Defect Implant System 288 10 $16,432.00 $13,145.60 20% off $607.20 $19,490.25 $10,769.67 2026-01-31
33233 HCPCS Pc Removal Of Pacemaker Pulse Generat 36 10 $12,420.00 $9,936.00 20% off $4,098.60 $12,109.50 $10,860.67 2026-01-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 2 1 — — $10,869.00 $10,869.00 $10,869.00 2026-01-31
27800144-8759 CDM Hc Stent Graft 36 10 $12,800.00 $10,240.00 20% off $4,224.00 $12,480.00 $11,192.96 2026-01-31
27800002-6469 CDM Hc Allograft 36 10 $12,800.00 $10,240.00 20% off $4,224.00 $12,480.00 $11,192.96 2026-01-31
27000256-3768 CDM Hc Kit 36 10 $12,862.40 $10,289.92 20% off $4,244.59 $12,540.84 $11,247.53 2026-01-31
33227 HCPCS Pc Remove Perm Pacemaker Pulse Genera 36 10 $12,960.00 $10,368.00 20% off $4,276.80 $12,636.00 $11,332.87 2026-01-31
27800144-8755 CDM Hc Stent Graft 36 10 $12,990.00 $10,392.00 20% off $4,286.70 $12,665.25 $11,359.10 2026-01-31
49000412 CDM Hc Percutaneous Vertebral Augment Kyphoplasy 1 Vert Body 36 10 $12,990.00 $10,392.00 20% off $4,286.70 $12,665.25 $11,359.10 2026-01-31
27800002-6488 CDM Hc Allograft 36 10 $13,000.00 $10,400.00 20% off $4,290.00 $12,675.00 $11,367.85 2026-01-31
27800029-3542 CDM Hc Graft 36 10 $13,022.00 $10,417.60 20% off $4,297.26 $12,696.45 $11,387.09 2026-01-31
92929 HCPCS Pc Cor Stent W/wo Ptca Addl Branch 36 10 $13,090.00 $10,472.00 20% off $4,319.70 $12,762.75 $11,446.55 2026-01-31
552 MS_DRG Medical Back Problems Without Mcc 2 1 — — $11,461.00 $11,461.00 $11,461.00 2026-01-31
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 4 2 — — $11,496.00 $11,526.00 $11,511.00 2026-01-31
93460 HCPCS Pc Coronary Angio Wo Consomitan Lt/rt 36 10 $13,180.00 $10,544.00 20% off $4,349.40 $12,850.50 $11,525.25 2026-01-31
92934 HCPCS Pc Cor Atherectomy Cor Stent W/wo Ptca Addl 36 10 $13,340.00 $10,672.00 20% off $4,402.20 $13,006.50 $11,665.17 2026-01-31
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 1 — — $12,095.00 $12,095.00 $12,095.00 2026-01-31
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 1 — — $12,095.00 $12,095.00 $12,095.00 2026-01-31
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 2 1 — — $12,095.00 $12,095.00 $12,095.00 2026-01-31
27000256-3677 CDM Hc Kit 36 10 $13,874.00 $11,099.20 $4,578.42 $13,527.15 $12,132.12 2026-01-31
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 2 1 — — $12,188.00 $12,188.00 $12,188.00 2026-01-31
92925 HCPCS Hc Cor Atherectmy W Ptca Addl 36 10 $13,940.00 $11,152.00 20% off $4,600.20 $13,591.50 $12,189.83 2026-01-31
36904 HCPCS Pc Perq Thrmbc/nfs Dialysis Circuit Img Dx Angrph 36 10 $14,070.00 $11,256.00 20% off $4,643.10 $13,718.25 $12,303.51 2026-01-31
36000014 CDM Hc Revision Tips 36 10 $14,260.00 $11,408.00 20% off $4,705.80 $13,903.50 $12,469.65 2026-01-31
77372 HCPCS Hc Radiation Tment Delivery Stereotatic Linear Accel Based 36 10 $14,330.00 $11,464.00 20% off $4,728.90 $13,971.75 $12,530.87 2026-01-31
33995 HCPCS Hc Perc Insert Vad, Right Heart Venous Access With Rad S&i 36 10 $14,520.00 $11,616.00 20% off $4,791.60 $14,157.00 $12,697.01 2026-01-31
33993 HCPCS Pc Perc Repostion Right/left Heart Vad With Image Guide 36 10 $14,520.00 $11,616.00 20% off $4,791.60 $14,157.00 $12,697.01 2026-01-31
33990 HCPCS Hc Perc Insert Vad, Left Heart Arterial Access With Rad S&i 36 10 $14,520.00 $11,616.00 20% off $4,791.60 $14,157.00 $12,697.01 2026-01-31
33992 HCPCS Hc Removal Perc Left Heart Vad, Arterial/arterial & Venous 36 10 $14,520.00 $11,616.00 20% off $4,791.60 $14,157.00 $12,697.01 2026-01-31
33952 HCPCS Pc Ecom Ecls Insert Prph Cannula 6 Yrs Older Perq 36 10 $14,740.00 $11,792.00 20% off $4,864.20 $14,371.50 $12,889.40 2026-01-31
37187 HCPCS Pc Prq Transluminal Mechanical Thrombectomy Vein 36 10 $14,910.00 $11,928.00 20% off $4,920.30 $14,537.25 $13,038.05 2026-01-31
33212 HCPCS Pc Replace Generator Single 36 10 $14,910.00 $11,928.00 20% off $4,920.30 $14,537.25 $13,038.05 2026-01-31
27800144-8766 CDM Hc Stent Graft 36 10 $14,950.00 $11,960.00 20% off $4,933.50 $14,576.25 $13,073.03 2026-01-31
27800112-11256 CDM Hc Mesh Surgimend 36 10 $14,950.00 $11,960.00 20% off $4,933.50 $14,576.25 $13,073.03 2026-01-31
37184 HCPCS Pc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 36 10 $15,020.00 $12,016.00 20% off $4,956.60 $14,644.50 $13,134.24 2026-01-31
27800144-8767 CDM Hc Stent Graft 36 10 $15,150.00 $12,120.00 20% off $4,999.50 $14,771.25 $13,247.92 2026-01-31
33419 HCPCS Pc Transcatheter Mitral Valve Rep Addl Prosthesis 36 10 $15,200.00 $12,160.00 20% off $5,016.00 $14,820.00 $13,291.64 2026-01-31
92924 HCPCS Pc Cor Atherectomy + Ptca 1 Artery/branch 36 10 $15,320.00 $12,256.00 20% off $5,055.60 $14,937.00 $13,396.58 2026-01-31
93457 HCPCS Pc Coronary Angio Wo Consomitant Rt H 36 10 $15,320.00 $12,256.00 20% off $5,055.60 $14,937.00 $13,396.58 2026-01-31
93456 HCPCS Pc Coronary Angio Wo Consomitant Rt H 36 10 $15,320.00 $12,256.00 20% off $5,055.60 $14,937.00 $13,396.58 2026-01-31
36000012 CDM Hc Revas Endovas Init Angioplasty 36 10 $15,320.00 $12,256.00 20% off $5,055.60 $14,937.00 $13,396.58 2026-01-31
27800144-8768 CDM Hc Stent Graft 36 10 $15,450.00 $12,360.00 20% off $5,098.50 $15,063.75 $13,510.26 2026-01-31
27800029-3472 CDM Hc Graft 36 10 $15,518.00 $12,414.40 20% off $5,120.94 $15,130.05 $13,569.72 2026-01-31
27800029-3468 CDM Hc Graft 36 10 $15,552.00 $12,441.60 20% off $5,132.16 $15,163.20 $13,599.44 2026-01-31
36903 HCPCS Pc Intro Cath Dialysis Circuit W Tcat Plmt IV Stent 36 10 $15,590.00 $12,472.00 20% off $5,144.70 $15,200.25 $13,632.67 2026-01-31
92943 HCPCS Pc Cto Any Cor Artery Bran Graft 1 Vessel 36 10 $15,870.00 $12,696.00 20% off $5,237.10 $15,473.25 $13,877.52 2026-01-31
92944 HCPCS Hc Chrnc Tot Occl All Incl Non D Add 36 10 $15,870.00 $12,696.00 20% off $5,237.10 $15,473.25 $13,877.52 2026-01-31
C9605 HCPCS Hc Grft Revs Any Comb DRG El Addl 36 10 $15,950.00 $12,760.00 20% off $5,263.50 $15,551.25 $13,947.48 2026-01-31
33207 HCPCS Pc Insert Pacemaker Ventri 36 10 $16,150.00 $12,920.00 20% off $5,329.50 $15,746.25 $14,122.37 2026-01-31
49000202 CDM Hc Insert Lead Pace-defib Dual 36 10 $16,150.00 $12,920.00 20% off $5,329.50 $15,746.25 $14,122.37 2026-01-31
33213 HCPCS Pc Replace Generator Dual 36 10 $16,150.00 $12,920.00 20% off $5,329.50 $15,746.25 $14,122.37 2026-01-31
27800029-3398 CDM Hc Graft 36 10 $16,330.00 $13,064.00 20% off $5,388.90 $15,921.75 $14,279.77 2026-01-31
36000006 CDM Hc Embolization Uterine Fibroid 36 10 $16,460.00 $13,168.00 20% off $5,431.80 $16,048.50 $14,393.44 2026-01-31
92937 HCPCS Pc Graft Pci Any Combo Sngl Vessel 36 10 $16,530.00 $13,224.00 20% off $5,454.90 $16,116.75 $14,454.66 2026-01-31
92990 HCPCS Pr Percut Pulmonary Valvuloplasty 36 10 $16,700.00 $13,360.00 20% off $5,511.00 $16,282.50 $14,603.31 2026-01-31
C9603 HCPCS Hc Cor Arther DRG El Stnt Ptca Addl 36 10 $16,940.00 $13,552.00 20% off $5,590.20 $16,516.50 $14,813.19 2026-01-31
92987 HCPCS Pc Percutaneous Ballon Valvuloplasty Mitral Valve 36 10 $17,200.00 $13,760.00 20% off $5,676.00 $16,770.00 $15,040.54 2026-01-31
33206 HCPCS Pc Insert Heart Pacemaker 36 10 $17,390.00 $13,912.00 20% off $5,738.70 $16,955.25 $15,206.69 2026-01-31
37238 HCPCS Pc Opn/perq Placement Intravascular Stent Same 1st 36 10 $17,390.00 $13,912.00 20% off $5,738.70 $16,955.25 $15,206.69 2026-01-31
37236 HCPCS Pc Transcatheter Placement Intravascular Stent 36 10 $17,390.00 $13,912.00 20% off $5,738.70 $16,955.25 $15,206.69 2026-01-31
37241 HCPCS Pc Vascular Embolization Or Occlusion Venous Rs&i 36 10 $17,390.00 $13,912.00 20% off $5,738.70 $16,955.25 $15,206.69 2026-01-31
37242 HCPCS Pc Vascular Embolization Or Occlusion Arterial Rs&i 36 10 $17,390.00 $13,912.00 20% off $5,738.70 $16,955.25 $15,206.69 2026-01-31
37244 HCPCS Pc Vascular Embolization Or Occlusion Hemorrhage 36 10 $17,390.00 $13,912.00 20% off $5,738.70 $16,955.25 $15,206.69 2026-01-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 1 — — $15,250.00 $15,250.00 $15,250.00 2026-01-31
27310 HCPCS Pc Arthrotomy Knee Infec W/removal Fb 36 10 $17,590.00 $14,072.00 20% off $5,804.70 $17,150.25 $15,381.58 2026-01-31
C9601 HCPCS Hc Cor Stnt DRG El W/wo Ptca Addl 36 10 $17,670.00 $14,136.00 20% off $5,831.10 $17,228.25 $15,451.53 2026-01-31
C9604 HCPCS Hc Grft Revs Any Comb DRG El Stent 36 10 $17,670.00 $14,136.00 20% off $5,831.10 $17,228.25 $15,451.53 2026-01-31
92941 HCPCS Pc Acute Mi Pci+asp Thrombectomy 1 Vessel 36 10 $17,670.00 $14,136.00 20% off $5,831.10 $17,228.25 $15,451.53 2026-01-31
19296 HCPCS Pc Place Po Breast Cath For Rad 36 10 $17,690.00 $14,152.00 20% off $5,837.70 $17,247.75 $15,469.02 2026-01-31
C9608 HCPCS Hc Chr Tot Occl All Incl DRG El Add 36 10 $17,710.00 $14,168.00 20% off $5,844.30 $17,267.25 $15,486.51 2026-01-31
27800111-8329 CDM Hc Implant 36 10 $17,725.10 $14,180.08 $5,849.28 $17,281.97 $15,499.72 2026-01-31
27800029-3399 CDM Hc Graft 36 10 $17,820.00 $14,256.00 20% off $5,880.60 $17,374.50 $15,582.70 2026-01-31
92928 HCPCS Pc Cor Stent W/wo Ptca Sngl Artery/branch 36 10 $18,100.00 $14,480.00 20% off $5,973.00 $17,647.50 $15,827.55 2026-01-31
27800029-3560 CDM Hc Graft 36 10 $18,120.00 $14,496.00 20% off $5,979.60 $17,667.00 $15,845.03 2026-01-31
36902 HCPCS Pc Intro Cath Dialysis W Trluml Balo Angioplasty 36 10 $18,640.00 $14,912.00 20% off $6,151.20 $18,174.00 $16,299.75 2026-01-31
33285 HCPCS Pc Insertion Subq Cardiac Rhythm Monitor W Prgmg 36 10 $18,670.00 $14,936.00 20% off $6,161.10 $18,203.25 $16,325.98 2026-01-31
27800029-3441 CDM Hc Graft 36 10 $18,900.00 $15,120.00 20% off $6,237.00 $18,427.50 $16,527.10 2026-01-31
61626 HCPCS Hc Embolization Extracraniall 36 10 $18,940.00 $15,152.00 20% off $6,250.20 $18,466.50 $16,562.08 2026-01-31
176 MS_DRG Pulmonary Embolism Without Mcc 2 1 — — $16,988.00 $16,988.00 $16,988.00 2026-01-31
A9604 HCPCS Hc Sm-153 Per Dose Up To 150mci 36 10 $19,490.00 $15,592.00 20% off $6,431.70 $19,002.75 $17,043.03 2026-01-31
33214 HCPCS Pc Upgrade Pacemaker 36 10 $19,530.00 $15,624.00 20% off $6,444.90 $19,041.75 $17,078.01 2026-01-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 1 — — $17,092.00 $17,092.00 $17,092.00 2026-01-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 2 1 — — $17,092.00 $17,092.00 $17,092.00 2026-01-31
897 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 2 1 — — $17,342.00 $17,342.00 $17,342.00 2026-01-31
27800144-8754 CDM Hc Stent Graft 36 10 $19,950.00 $15,960.00 20% off $6,583.50 $19,451.25 $17,445.28 2026-01-31
81416 HCPCS Hc Exome Sequence Analysis Ea Comparator Exome 68 10 $35,150.00 $28,120.00 20% off $5,940.00 $34,271.25 $17,460.00 2026-01-31
27800029-3489 CDM Hc Graft 36 10 $19,990.00 $15,992.00 20% off $6,596.70 $19,490.25 $17,480.25 2026-01-31
33208 HCPCS Pc Insert Pacemaker Dual 36 10 $20,000.00 $16,000.00 20% off $6,600.00 $19,500.00 $17,489.00 2026-01-31
33999 HCPCS Pc Cardiac Surgery Procedure 36 10 $20,020.00 $16,016.00 20% off $6,606.60 $19,519.50 $17,506.49 2026-01-31
33228 HCPCS Pc Remove Perm Pacemaker Pulse Genera 36 10 $20,020.00 $16,016.00 20% off $6,606.60 $19,519.50 $17,506.49 2026-01-31
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 1 — — $17,519.00 $17,519.00 $17,519.00 2026-01-31
37243 HCPCS Pc Vascular Embolize/occlude Organ Tumor Infarct 36 10 $21,120.00 $16,896.00 20% off $6,969.60 $20,592.00 $18,468.39 2026-01-31
27800029-3476 CDM Hc Graft 36 10 $21,400.00 $17,120.00 20% off $7,062.00 $20,865.00 $18,713.23 2026-01-31
27800144-8750 CDM Hc Stent Graft 36 10 $21,420.00 $17,136.00 20% off $7,068.60 $20,884.50 $18,730.72 2026-01-31
27800029-3495 CDM Hc Graft 36 10 $21,420.00 $17,136.00 20% off $7,068.60 $20,884.50 $18,730.72 2026-01-31
27800083-7226 CDM Hc Stent 36 10 $21,420.00 $17,136.00 20% off $7,068.60 $20,884.50 $18,730.72 2026-01-31
C9602 HCPCS Hc Cor Arther DRG El Stnt Ptca Sngl 36 10 $21,500.00 $17,200.00 20% off $7,095.00 $20,962.50 $18,800.67 2026-01-31
36000013 CDM Hc Revas Endovas Init Stent&angio 36 10 $22,390.00 $17,912.00 20% off $7,388.70 $21,830.25 $19,578.93 2026-01-31
36000011 CDM Hc Revas Endovas Angio & Atherect 36 10 $22,390.00 $17,912.00 20% off $7,388.70 $21,830.25 $19,578.93 2026-01-31
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 2 1 — — $19,682.00 $19,682.00 $19,682.00 2026-01-31
27800029-3493 CDM Hc Graft 36 10 $22,590.00 $18,072.00 20% off $7,454.70 $22,025.25 $19,753.83 2026-01-31
27800144-8745 CDM Hc Stent Graft 36 10 $22,798.00 $18,238.40 $7,523.34 $22,228.05 $19,935.71 2026-01-31
36906 HCPCS Pc Excision Blood Clot Dialysis Seg W Image S&i 36 10 $23,600.00 $18,880.00 20% off $7,788.00 $23,010.00 $20,637.02 2026-01-31
27800029-3473 CDM Hc Graft 36 10 $23,844.00 $19,075.20 20% off $7,868.52 $23,247.90 $20,850.39 2026-01-31
C1721 HCPCS Hc Dual Chamber Icd 720 10 $27,800.00 $22,240.00 20% off $1,026.96 $35,100.00 $20,855.00 2026-01-31
C1722 HCPCS Hc Single Chamber Icd 792 10 $27,500.00 $22,000.00 20% off $5,197.50 $65,325.00 $21,279.47 2026-01-31
33418 HCPCS Pc Transcatheter Mitral Valve Rpr Initial Prosthesis 36 10 $24,530.00 $19,624.00 20% off $8,094.90 $23,916.75 $21,450.26 2026-01-31
C2616 HCPCS Hc Brachytherapy Source Yttrium 90 Per Source 72 10 $24,871.00 $19,896.80 20% off $7,461.30 $26,453.70 $21,479.50 2026-01-31
27800029-3566 CDM Hc Graft 36 10 $24,764.00 $19,811.20 20% off $8,172.12 $24,144.90 $21,654.88 2026-01-31
C9607 HCPCS Hc Chr Tot Occl All Incl DRG El Stent 36 10 $24,810.00 $19,848.00 20% off $8,187.30 $24,189.75 $21,695.10 2026-01-31
92933 HCPCS Pc Cor Atherectomy Stent W/wo Ptca 1 Art/br 36 10 $24,810.00 $19,848.00 20% off $8,187.30 $24,189.75 $21,695.10 2026-01-31
0238T HCPCS Pc Trluml Periph Atherectomy Iliac Artery Ea 36 10 $25,070.00 $20,056.00 20% off $8,273.10 $24,443.25 $21,922.46 2026-01-31
27900002 CDM Hc Kit Centrimage Blook Pump 36 10 $25,200.00 $20,160.00 20% off $8,316.00 $24,570.00 $22,036.14 2026-01-31
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 1 — — $22,271.00 $22,271.00 $22,271.00 2026-01-31
C1767 HCPCS Hc Cyberonic Generator 288 10 $35,608.00 $28,486.40 $297.00 $67,846.35 $22,659.20 2026-01-31
27800107-9504 CDM Hc Block 36 10 $26,070.00 $20,856.00 20% off $8,603.10 $25,418.25 $22,796.91 2026-01-31
27800112-11259 CDM Hc Mesh Surgimend 36 10 $26,400.00 $21,120.00 20% off $8,712.00 $25,740.00 $23,085.48 2026-01-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 2 1 — — $23,633.00 $23,633.00 $23,633.00 2026-01-31
C9606 HCPCS Hc Acute Mi Revs All Incl DRG El Stent 36 10 $27,100.00 $21,680.00 20% off $8,943.00 $26,422.50 $23,697.60 2026-01-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 2 1 — — $23,774.00 $23,774.00 $23,774.00 2026-01-31
33221 HCPCS Hc Insertion Pacemaker Gen W Exist Mult Leads 36 10 $27,580.00 $22,064.00 20% off $9,101.40 $26,890.50 $24,117.33 2026-01-31
33274 HCPCS Pc Transcatheter Insert/epl Perm Leadless Pacemaker W/img 36 10 $28,280.00 $22,624.00 20% off $9,332.40 $27,573.00 $24,729.44 2026-01-31
36905 HCPCS Pc Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 36 10 $28,570.00 $22,856.00 20% off $9,428.10 $27,855.75 $24,983.03 2026-01-31
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 2 1 — — $25,592.00 $25,592.00 $25,592.00 2026-01-31
93591 HCPCS Pc Percu Transcath Closure Paravlvulr Leak Aortic Valve 36 10 $29,370.00 $23,496.00 20% off $9,692.10 $28,635.75 $25,682.60 2026-01-31
C9600 HCPCS Hc Cor Stnt DRG El W/wo Ptca Sngl 36 10 $30,000.00 $24,000.00 20% off $9,900.00 $29,250.00 $26,233.50 2026-01-31
27800029-3504 CDM Hc Graft 36 10 $30,240.00 $24,192.00 20% off $9,979.20 $29,484.00 $26,443.37 2026-01-31
27800029-3515 CDM Hc Graft 36 10 $31,000.00 $24,800.00 20% off $10,230.00 $30,225.00 $27,107.95 2026-01-31
C1882 HCPCS Hc Bi V W Defirbrillator 684 10 $36,808.00 $29,446.40 $3,498.00 $52,455.00 $27,487.50 2026-01-31
27800029-3474 CDM Hc Graft 36 10 $31,600.00 $25,280.00 20% off $10,428.00 $30,810.00 $27,632.62 2026-01-31
27800111-8300 CDM Hc Implant 36 10 $31,688.00 $25,350.40 $10,457.04 $30,895.80 $27,709.57 2026-01-31
27800029-3516 CDM Hc Graft 36 10 $31,750.00 $25,400.00 20% off $10,477.50 $30,956.25 $27,763.79 2026-01-31
36000043 CDM Hc Revas Endovas Angio/stnt/ather 36 10 $31,800.00 $25,440.00 20% off $10,494.00 $31,005.00 $27,807.51 2026-01-31
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 4 2 — — $25,568.00 $31,074.00 $28,321.00 2026-01-31
27800144-8772 CDM Hc Stent Graft 36 10 $32,490.00 $25,992.00 20% off $10,721.70 $31,677.75 $28,410.88 2026-01-31
33229 HCPCS Pc Remove Perm Pacemaker Pulse Genera 36 10 $32,990.00 $26,392.00 20% off $10,886.70 $32,165.25 $28,848.10 2026-01-31
90 MS_DRG Concussion Without Cc/mcc 2 1 — — $29,149.00 $29,149.00 $29,149.00 2026-01-31
93580 HCPCS Pc Percu Transcath Closure Intratrl Communication W Implant 36 10 $33,340.00 $26,672.00 20% off $11,002.20 $32,506.50 $29,154.17 2026-01-31
787 MS_DRG Cesarean Section Without Sterilization With Cc 2 1 — — $29,531.00 $29,531.00 $29,531.00 2026-01-31
J9266 HCPCS Pegaspargase Injection 6 1 — — $27,970.56 $32,687.67 $29,648.68 2026-01-31
27800144-8769 CDM Hc Stent Graft 36 10 $33,990.00 $27,192.00 20% off $11,216.70 $33,140.25 $29,722.56 2026-01-31
637 MS_DRG Diabetes With Mcc 2 1 — — $29,826.00 $29,826.00 $29,826.00 2026-01-31
639 MS_DRG Diabetes Without Cc/mcc 4 2 — — $15,032.00 $48,999.00 $32,015.50 2026-01-31
27800144-8770 CDM Hc Stent Graft 36 10 $36,990.00 $29,592.00 20% off $12,206.70 $36,065.25 $32,345.90 2026-01-31
27800144-8771 CDM Hc Stent Graft 36 10 $38,990.00 $31,192.00 20% off $12,866.70 $38,015.25 $34,094.81 2026-01-31
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 2 1 — — $35,083.20 $35,083.20 $35,083.20 2026-01-31
27800144-8753 CDM Hc Stent Graft 36 10 $41,136.00 $32,908.80 $13,574.88 $40,107.60 $35,971.38 2026-01-31
291 MS_DRG Heart Failure And Shock With Mcc 2 1 — — $36,184.00 $36,184.00 $36,184.00 2026-01-31
48100052 CDM Hc Insert Card Defb Gen W Ex Sngl 36 10 $43,310.00 $34,648.00 20% off $14,292.30 $42,227.25 $37,872.43 2026-01-31
48100053 CDM Hc Insert Lv Lead With Exist Cardio 36 10 $43,590.00 $34,872.00 20% off $14,384.70 $42,500.25 $38,117.28 2026-01-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 2 — — $35,302.00 $42,092.00 $38,697.00 2026-01-31
C2624 HCPCS Hc Imp Pulmonary Artery Pressure Sensor W Delry Sys 36 10 $45,900.00 $36,720.00 20% off $15,147.00 $44,752.50 $40,137.26 2026-01-31
33262 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 36 10 $45,950.00 $36,760.00 20% off $15,163.50 $44,801.25 $40,180.98 2026-01-31
33230 HCPCS Pc Insert Pacing Cardio-defib Pulse G 36 10 $47,220.00 $37,776.00 20% off $15,582.60 $46,039.50 $41,291.53 2026-01-31
33263 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 36 10 $48,300.00 $38,640.00 20% off $15,939.00 $47,092.50 $42,235.93 2026-01-31
33249 HCPCS Pc Insertion Of Cardioverter-defibril 36 10 $48,950.00 $39,160.00 20% off $16,153.50 $47,726.25 $42,804.33 2026-01-31
93654 HCPCS Pc Ep & Ablate Ventricular Tachy 36 10 $50,000.00 $40,000.00 20% off $16,500.00 $48,750.00 $43,722.50 2026-01-31
93653 HCPCS Pc Ep & Ablate Supravent Arrhythmia 36 10 $50,000.00 $40,000.00 20% off $16,500.00 $48,750.00 $43,722.50 2026-01-31
93656 HCPCS Pc Tx Atrial Fib Pulm Vein Isol 36 10 $50,000.00 $40,000.00 20% off $16,500.00 $48,750.00 $43,722.50 2026-01-31
33231 HCPCS Pc Insert Pacing Cardio-defib Pulse G 36 10 $51,000.00 $40,800.00 20% off $16,830.00 $49,725.00 $44,596.95 2026-01-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 2 1 — — $45,423.00 $45,423.00 $45,423.00 2026-01-31
620 MS_DRG O.r. Procedures For Obesity With Cc 2 1 — — $46,313.00 $46,313.00 $46,313.00 2026-01-31
33270 HCPCS Pc Ins Rep Subq Defibrillator 36 10 $53,850.00 $43,080.00 20% off $17,770.50 $52,503.75 $47,089.13 2026-01-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 1 — — $49,460.00 $49,460.00 $49,460.00 2026-01-31
36000007 CDM Hc Insert/reposit Gen/lead(s) Def 36 10 $58,180.00 $46,544.00 20% off $19,199.40 $56,725.50 $50,875.50 2026-01-31
J9226 HCPCS Supprelin La Implant 6 1 — — $48,490.16 $51,773.75 $51,262.33 2026-01-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 2 1 — — $55,553.00 $55,553.00 $55,553.00 2026-01-31
A9543 HCPCS Hc Yttrium 90 Ibrit Tiuxe Dose<41 36 10 $63,580.00 $50,864.00 20% off $20,981.40 $61,990.50 $55,597.53 2026-01-31
33289 HCPCS Pc Transcatheter Impl Wireless Press Sensor 36 10 $63,620.00 $50,896.00 20% off $20,994.60 $62,029.50 $55,632.51 2026-01-31
33264 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 36 10 $65,970.00 $52,776.00 20% off $21,770.10 $64,320.75 $57,687.46 2026-01-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 1 — — $58,013.25 $63,563.17 $61,440.66 2026-01-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 1 — — $64,157.00 $64,157.00 $64,157.00 2026-01-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 1 — — $64,157.00 $64,157.00 $64,157.00 2026-01-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — — $66,524.00 $66,524.00 $66,524.00 2026-01-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 1 — — $66,524.00 $66,524.00 $66,524.00 2026-01-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $72,843.62 $72,843.62 $72,843.62 2026-01-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — — $85,143.00 $85,143.00 $85,143.00 2026-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $86,638.00 $86,638.00 $86,638.00 2026-01-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $86,638.00 $86,638.00 $86,638.00 2026-01-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $86,638.00 $86,638.00 $86,638.00 2026-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $100,181.00 $100,181.00 $100,181.00 2026-01-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $100,181.00 $100,181.00 $100,181.00 2026-01-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $100,181.00 $100,181.00 $100,181.00 2026-01-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 2 1 — — $101,641.00 $101,641.00 $101,641.00 2026-01-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $236,486.00 $236,486.00 $236,486.00 2026-01-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 1 — — $487,495.47 $613,214.70 $516,856.00 2026-01-31
Q2053 HCPCS Brexucabtagene Car Pos T 6 1 — — $487,601.95 $562,700.30 $516,856.00 2026-01-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 1 — — $513,659.78 $646,918.91 $544,931.55 2026-01-31
Q2055 HCPCS Idecabtagene Vicleucel Car 6 1 — — $524,503.71 $640,915.62 $557,393.85 2026-01-31
Q2056 HCPCS Ciltacabtagene Car-pos T 6 1 — — $539,227.01 $650,749.29 $583,275.31 2026-01-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 1 — — $525,772.87 $680,485.13 $587,733.38 2026-01-31
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $886,213.00 $886,213.00 $886,213.00 2026-01-31
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