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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 LEBANON COMMUNITY HOSPITAL

Lebanon, OR · CCN 381323 · Rates published

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You selected 27447 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

28,929 distinct procedures filed
12 distinct payers
1,291,108 rate rows
2026-01-31 last MRF observed
Data quality

664,959 of 1,291,108 rate rows are consumer-grade (51.5%)

626,149 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 601,564
template filing: same amount across many unrelated codes — excluded 10,845
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,150
placeholder amount (≤ $0.02) — excluded from medians 3,492
percent-of-charges filed in the dollar field — excluded from medians 2,612
per-diem day rate — not a per-procedure price 988
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 294
exceeds 10× this hospital's gross charge — excluded from medians 126
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 78
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://samaritanhealth.pt.panaceainc.com/MRFDownload/samaritanhealth/lebanon
Found on page https://samhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-08-18
Content fingerprint 5c436f62726a0abd… · 15,907,826 bytes · first seen 2026-05-14

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
$809,151
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $525,772.87 $680,485.13 $680,485.13 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $539,227.01 $650,749.29 $650,749.29 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $513,659.78 $646,918.91 $646,918.91 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $524,503.71 $640,915.62 $640,915.62 nat. median
$610,161
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $487,495.47 $613,214.70 $613,214.70 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $487,601.95 $562,700.30 $562,700.30 nat. median
$577,541
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $236,486.00 $236,486.00 $236,486.00 nat. median
$209,736
1.1× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $223,772.00 $223,772.00 $223,772.00 nat. median
$47,707
outlier · 4.7×
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
$92,900
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
$60,895
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
$63,840
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
$48,280
1.8× 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
$52,372
1.7× 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
$74,472
1.2× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 1 $84,297.00 $84,297.00 $84,297.00 nat. median
$24,077
outlier · 3.5×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $72,843.62 $72,843.62 $72,843.62 nat. median
$69,291
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $66,524.00 $66,524.00 $66,524.00 nat. median
$59,257
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $66,524.00 $66,524.00 $66,524.00 nat. median
$79,040
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $64,157.00 $64,157.00 $64,157.00 nat. median
$50,071
1.3× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $64,157.00 $64,157.00 $64,157.00 nat. median
$32,689
2.0× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 2 $40,004.00 $88,089.00 $64,046.50 nat. median
$17,453
outlier · 3.7×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,013.25 $63,563.17 $63,563.17 nat. median
$65,655
1.0× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 1 $56,650.00 $56,650.00 $56,650.00 nat. median
$24,774
outlier · 2.3×
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $54,352.00 $54,352.00 $54,352.00 nat. median
$19,257
outlier · 2.8×
33264
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 8 $19,131.30 $63,990.90 $52,776.00 nat. median
$31,464
1.7× median
J9226
HCPCS 		Supprelin La Implant 1 $48,490.16 $51,773.75 $51,773.75 nat. median
$55,200
0.9× median
194
MS_DRG 		Simple Pneumonia And Pleurisy With Cc 1 $51,066.00 $51,066.00 $51,066.00 nat. median
$9,038
outlier · 5.7×
33289
HCPCS 		Pc Transcatheter Impl Wireless Press Sensor 8 $18,449.80 $61,711.40 $50,896.00 nat. median
$27,692
1.8× median
A9543
HCPCS 		Hc Yttrium 90 Ibrit Tiuxe Dose<41 8 $18,438.20 $61,672.60 $50,864.00 nat. median
$63,643
0.8× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 1 $47,574.00 $47,574.00 $47,574.00 nat. median
$13,455
outlier · 3.5×
36000007
CDM 		Hc Insert/reposit Gen/lead(s) Def 8 $16,872.20 $56,434.60 $46,544.00 nat. median
$2,816
outlier · 16.5×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $46,313.00 $46,313.00 $46,313.00 nat. median
$17,117
outlier · 2.7×
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 1 $45,338.00 $45,338.00 $45,338.00 nat. median
$14,273
outlier · 3.2×
33270
HCPCS 		Pc Ins Rep Subq Defibrillator 8 $15,616.50 $52,234.50 $43,080.00 nat. median
$31,963
1.3× median
637
MS_DRG 		Diabetes With Mcc 1 $41,134.00 $41,134.00 $41,134.00 nat. median
$14,602
outlier · 2.8×
33231
HCPCS 		Pc Insert Pacing Cardio-defib Pulse G 8 $14,790.00 $49,470.00 $40,800.00 nat. median
$29,955
1.4× median
93656
HCPCS 		Pc Tx Atrial Fib Pulm Vein Isol 8 $14,500.00 $48,500.00 $40,000.00 nat. median
$26,956
1.5× median
93654
HCPCS 		Pc Ep & Ablate Ventricular Tachy 8 $14,500.00 $48,500.00 $40,000.00 nat. median
$26,806
1.5× median
93653
HCPCS 		Pc Ep & Ablate Supravent Arrhythmia 8 $14,500.00 $48,500.00 $40,000.00 nat. median
$26,399
1.5× median
33249
HCPCS 		Pc Insertion Of Cardioverter-defibril 8 $14,195.50 $47,481.50 $39,160.00 nat. median
$31,420
1.2× median
501
MS_DRG 		Soft Tissue Procedures With Cc 1 $38,829.00 $38,829.00 $38,829.00 nat. median
$17,709
outlier · 2.2×
33263
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 8 $14,007.00 $46,851.00 $38,640.00 nat. median
$23,228
1.7× median
33230
HCPCS 		Pc Insert Pacing Cardio-defib Pulse G 8 $13,693.80 $45,803.40 $37,776.00 nat. median
$22,374
1.7× median
33262
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 8 $13,325.50 $44,571.50 $36,760.00 nat. median
$23,104
1.6× median
C2624
HCPCS 		Hc Imp Pulmonary Artery Pressure Sensor W Delry Sys 8 $13,311.00 $44,523.00 $36,720.00 nat. median
$32,499
1.1× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 1 $35,083.20 $35,083.20 $35,083.20 nat. median
$16,025
outlier · 2.2×
48100053
CDM 		Hc Insert Lv Lead With Exist Cardio 8 $12,641.10 $42,282.30 $34,872.00 nat. median
$37,052
0.9× median
48100052
CDM 		Hc Insert Card Defb Gen W Ex Sngl 8 $12,559.90 $42,010.70 $34,648.00 nat. median
$36,814
0.9× median
392
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 $33,325.00 $33,325.00 $33,325.00 nat. median
$8,659
outlier · 3.8×

Other procedures at this hospital

Browse this hospital's 28,929 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
             
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $886,213.00 $886,213.00 $886,213.00 2026-01-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $525,772.87 $680,485.13 $680,485.13 2026-01-31
Q2056 HCPCS Ciltacabtagene Car-pos T 3 1 — — $539,227.01 $650,749.29 $650,749.29 2026-01-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 1 — — $513,659.78 $646,918.91 $646,918.91 2026-01-31
Q2055 HCPCS Idecabtagene Vicleucel Car 3 1 — — $524,503.71 $640,915.62 $640,915.62 2026-01-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 1 — — $487,495.47 $613,214.70 $613,214.70 2026-01-31
Q2053 HCPCS Brexucabtagene Car Pos T 3 1 — — $487,601.95 $562,700.30 $562,700.30 2026-01-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 1 — — $236,486.00 $236,486.00 $236,486.00 2026-01-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $223,772.00 $223,772.00 $223,772.00 2026-01-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $100,181.00 $100,181.00 $100,181.00 2026-01-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 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… 1 1 — — $100,181.00 $100,181.00 $100,181.00 2026-01-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 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… 1 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… 1 1 — — $86,638.00 $86,638.00 $86,638.00 2026-01-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 1 1 — — $84,297.00 $84,297.00 $84,297.00 2026-01-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $72,843.62 $72,843.62 $72,843.62 2026-01-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $66,524.00 $66,524.00 $66,524.00 2026-01-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $66,524.00 $66,524.00 $66,524.00 2026-01-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $64,157.00 $64,157.00 $64,157.00 2026-01-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $64,157.00 $64,157.00 $64,157.00 2026-01-31
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 2 2 — — $40,004.00 $88,089.00 $64,046.50 2026-01-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $58,013.25 $63,563.17 $63,563.17 2026-01-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $56,650.00 $56,650.00 $56,650.00 2026-01-31
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $54,352.00 $54,352.00 $54,352.00 2026-01-31
33264 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 17 8 $65,970.00 $52,776.00 20% off $19,131.30 $63,990.90 $52,776.00 2026-01-31
J9226 HCPCS Supprelin La Implant 3 1 — — $48,490.16 $51,773.75 $51,773.75 2026-01-31
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $51,066.00 $51,066.00 $51,066.00 2026-01-31
33289 HCPCS Pc Transcatheter Impl Wireless Press Sensor 17 8 $63,620.00 $50,896.00 20% off $18,449.80 $61,711.40 $50,896.00 2026-01-31
A9543 HCPCS Hc Yttrium 90 Ibrit Tiuxe Dose<41 17 8 $63,580.00 $50,864.00 20% off $18,438.20 $61,672.60 $50,864.00 2026-01-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 — — $47,574.00 $47,574.00 $47,574.00 2026-01-31
36000007 CDM Hc Insert/reposit Gen/lead(s) Def 17 8 $58,180.00 $46,544.00 20% off $16,872.20 $56,434.60 $46,544.00 2026-01-31
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 — — $46,313.00 $46,313.00 $46,313.00 2026-01-31
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 1 1 — — $45,338.00 $45,338.00 $45,338.00 2026-01-31
33270 HCPCS Pc Ins Rep Subq Defibrillator 17 8 $53,850.00 $43,080.00 20% off $15,616.50 $52,234.50 $43,080.00 2026-01-31
637 MS_DRG Diabetes With Mcc 1 1 — — $41,134.00 $41,134.00 $41,134.00 2026-01-31
33231 HCPCS Pc Insert Pacing Cardio-defib Pulse G 17 8 $51,000.00 $40,800.00 20% off $14,790.00 $49,470.00 $40,800.00 2026-01-31
93653 HCPCS Pc Ep & Ablate Supravent Arrhythmia 17 8 $50,000.00 $40,000.00 20% off $14,500.00 $48,500.00 $40,000.00 2026-01-31
93654 HCPCS Pc Ep & Ablate Ventricular Tachy 17 8 $50,000.00 $40,000.00 20% off $14,500.00 $48,500.00 $40,000.00 2026-01-31
93656 HCPCS Pc Tx Atrial Fib Pulm Vein Isol 17 8 $50,000.00 $40,000.00 20% off $14,500.00 $48,500.00 $40,000.00 2026-01-31
33249 HCPCS Pc Insertion Of Cardioverter-defibril 17 8 $48,950.00 $39,160.00 20% off $14,195.50 $47,481.50 $39,160.00 2026-01-31
501 MS_DRG Soft Tissue Procedures With Cc 1 1 — — $38,829.00 $38,829.00 $38,829.00 2026-01-31
33263 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 17 8 $48,300.00 $38,640.00 20% off $14,007.00 $46,851.00 $38,640.00 2026-01-31
33230 HCPCS Pc Insert Pacing Cardio-defib Pulse G 17 8 $47,220.00 $37,776.00 20% off $13,693.80 $45,803.40 $37,776.00 2026-01-31
33262 HCPCS Pc Rem Pacing Cardio-defrib Gen W Rep 17 8 $45,950.00 $36,760.00 20% off $13,325.50 $44,571.50 $36,760.00 2026-01-31
C2624 HCPCS Hc Imp Pulmonary Artery Pressure Sensor W Delry Sys 17 8 $45,900.00 $36,720.00 20% off $13,311.00 $44,523.00 $36,720.00 2026-01-31
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 — — $35,083.20 $35,083.20 $35,083.20 2026-01-31
48100053 CDM Hc Insert Lv Lead With Exist Cardio 17 8 $43,590.00 $34,872.00 20% off $12,641.10 $42,282.30 $34,872.00 2026-01-31
48100052 CDM Hc Insert Card Defb Gen W Ex Sngl 17 8 $43,310.00 $34,648.00 20% off $12,559.90 $42,010.70 $34,648.00 2026-01-31
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 1 — — $33,325.00 $33,325.00 $33,325.00 2026-01-31
27800144-8753 CDM Hc Stent Graft 17 8 $41,136.00 $32,908.80 $11,929.44 $39,901.92 $32,908.80 2026-01-31
J9266 HCPCS Pegaspargase Injection 3 1 — — $27,970.56 $32,687.67 $32,687.67 2026-01-31
784 MS_DRG Cesarean Section With Sterilization With Cc 1 1 — — $32,128.00 $32,128.00 $32,128.00 2026-01-31
102 MS_DRG Headaches With Mcc 1 1 — — $31,805.00 $31,805.00 $31,805.00 2026-01-31
787 MS_DRG Cesarean Section Without Sterilization With Cc 1 1 — — $31,607.00 $31,607.00 $31,607.00 2026-01-31
27800144-8771 CDM Hc Stent Graft 17 8 $38,990.00 $31,192.00 20% off $11,307.10 $37,820.30 $31,192.00 2026-01-31
27800144-8770 CDM Hc Stent Graft 17 8 $36,990.00 $29,592.00 20% off $10,727.10 $35,880.30 $29,592.00 2026-01-31
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 1 1 — — $27,941.00 $27,941.00 $27,941.00 2026-01-31
27800144-8769 CDM Hc Stent Graft 17 8 $33,990.00 $27,192.00 20% off $9,857.10 $32,970.30 $27,192.00 2026-01-31
93580 HCPCS Pc Percu Transcath Closure Intratrl Communication W Implant 17 8 $33,340.00 $26,672.00 20% off $9,668.60 $32,339.80 $26,672.00 2026-01-31
33229 HCPCS Pc Remove Perm Pacemaker Pulse Genera 17 8 $32,990.00 $26,392.00 20% off $9,567.10 $32,000.30 $26,392.00 2026-01-31
603 MS_DRG Cellulitis Without Mcc 2 2 — — $24,826.00 $27,905.00 $26,365.50 2026-01-31
27800144-8772 CDM Hc Stent Graft 17 8 $32,490.00 $25,992.00 20% off $9,422.10 $31,515.30 $25,992.00 2026-01-31
36000043 CDM Hc Revas Endovas Angio/stnt/ather 17 8 $31,800.00 $25,440.00 20% off $9,222.00 $30,846.00 $25,440.00 2026-01-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 2 — — $24,734.00 $26,069.00 $25,401.50 2026-01-31
27800029-3516 CDM Hc Graft 17 8 $31,750.00 $25,400.00 20% off $9,207.50 $30,797.50 $25,400.00 2026-01-31
27800111-8300 CDM Hc Implant 17 8 $31,688.00 $25,350.40 $9,189.52 $30,737.36 $25,350.40 2026-01-31
27800029-3474 CDM Hc Graft 17 8 $31,600.00 $25,280.00 20% off $9,164.00 $30,652.00 $25,280.00 2026-01-31
C1882 HCPCS Hc Bi V W Defirbrillator 323 8 $36,808.00 $29,446.40 $3,074.00 $52,186.00 $25,026.00 2026-01-31
27800029-3515 CDM Hc Graft 17 8 $31,000.00 $24,800.00 20% off $8,990.00 $30,070.00 $24,800.00 2026-01-31
27800029-3504 CDM Hc Graft 17 8 $30,240.00 $24,192.00 20% off $8,769.60 $29,332.80 $24,192.00 2026-01-31
C9600 HCPCS Hc Cor Stnt DRG El W/wo Ptca Sngl 17 8 $30,000.00 $24,000.00 20% off $8,700.00 $29,100.00 $24,000.00 2026-01-31
93591 HCPCS Pc Percu Transcath Closure Paravlvulr Leak Aortic Valve 17 8 $29,370.00 $23,496.00 20% off $8,517.30 $28,488.90 $23,496.00 2026-01-31
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $23,174.00 $23,174.00 $23,174.00 2026-01-31
36905 HCPCS Pc Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 17 8 $28,570.00 $22,856.00 20% off $8,285.30 $27,712.90 $22,856.00 2026-01-31
33274 HCPCS Pc Transcatheter Insert/epl Perm Leadless Pacemaker W/img 17 8 $28,280.00 $22,624.00 20% off $8,201.20 $27,431.60 $22,624.00 2026-01-31
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 1 1 — — $22,398.00 $22,398.00 $22,398.00 2026-01-31
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 — — $20,985.00 $23,619.00 $22,302.00 2026-01-31
33221 HCPCS Hc Insertion Pacemaker Gen W Exist Mult Leads 17 8 $27,580.00 $22,064.00 20% off $7,998.20 $26,752.60 $22,064.00 2026-01-31
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 — — $22,029.00 $22,029.00 $22,029.00 2026-01-31
C9606 HCPCS Hc Acute Mi Revs All Incl DRG El Stent 17 8 $27,100.00 $21,680.00 20% off $7,859.00 $26,287.00 $21,680.00 2026-01-31
641 MS_DRG Nutritional & Misc Metabolic Disorders Without Mcc 1 1 — — $21,532.00 $21,532.00 $21,532.00 2026-01-31
27800112-11259 CDM Hc Mesh Surgimend 17 8 $26,400.00 $21,120.00 20% off $7,656.00 $25,608.00 $21,120.00 2026-01-31
638 MS_DRG Diabetes With Cc 2 2 — — $12,368.00 $29,583.00 $20,975.50 2026-01-31
27800107-9504 CDM Hc Block 17 8 $26,070.00 $20,856.00 20% off $7,560.30 $25,287.90 $20,856.00 2026-01-31
27900002 CDM Hc Kit Centrimage Blook Pump 17 8 $25,200.00 $20,160.00 20% off $7,308.00 $24,444.00 $20,160.00 2026-01-31
0238T OTHER Pc Trluml Periph Atherectomy Iliac Artery Ea 17 8 $25,070.00 $20,056.00 20% off $7,270.30 $24,317.90 $20,056.00 2026-01-31
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 1 1 — — $19,981.00 $19,981.00 $19,981.00 2026-01-31
C1767 HCPCS Hc Cyberonic Generator 136 8 $35,608.00 $28,486.40 $261.00 $67,498.42 $19,865.90 2026-01-31
C9607 HCPCS Hc Chr Tot Occl All Incl DRG El Stent 17 8 $24,810.00 $19,848.00 20% off $7,194.90 $24,065.70 $19,848.00 2026-01-31
92933 HCPCS Pc Cor Atherectomy Stent W/wo Ptca 1 Art/br 17 8 $24,810.00 $19,848.00 20% off $7,194.90 $24,065.70 $19,848.00 2026-01-31
27800029-3566 CDM Hc Graft 17 8 $24,764.00 $19,811.20 20% off $7,181.56 $24,021.08 $19,811.20 2026-01-31
33418 HCPCS Pc Transcatheter Mitral Valve Rpr Initial Prosthesis 17 8 $24,530.00 $19,624.00 20% off $7,113.70 $23,794.10 $19,624.00 2026-01-31
C1722 HCPCS Hc Single Chamber Icd 374 8 $27,500.00 $22,000.00 20% off $4,567.50 $64,990.00 $19,382.40 2026-01-31
C2616 HCPCS Hc Brachytherapy Source Yttrium 90 Per Source 34 8 $24,871.00 $19,896.80 20% off $6,556.90 $26,318.04 $19,105.45 2026-01-31
27800029-3473 CDM Hc Graft 17 8 $23,844.00 $19,075.20 20% off $6,914.76 $23,128.68 $19,075.20 2026-01-31
36906 HCPCS Pc Excision Blood Clot Dialysis Seg W Image S&i 17 8 $23,600.00 $18,880.00 20% off $6,844.00 $22,892.00 $18,880.00 2026-01-31
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 — — $18,301.00 $18,301.00 $18,301.00 2026-01-31
27800144-8745 CDM Hc Stent Graft 17 8 $22,798.00 $18,238.40 $6,611.42 $22,114.06 $18,238.40 2026-01-31
682 MS_DRG Renal Failure With Mcc 1 1 — — $18,224.00 $18,224.00 $18,224.00 2026-01-31
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 2 2 — — $16,059.00 $20,227.00 $18,143.00 2026-01-31
27800029-3493 CDM Hc Graft 17 8 $22,590.00 $18,072.00 20% off $6,551.10 $21,912.30 $18,072.00 2026-01-31
36000013 CDM Hc Revas Endovas Init Stent&angio 17 8 $22,390.00 $17,912.00 20% off $6,493.10 $21,718.30 $17,912.00 2026-01-31
36000011 CDM Hc Revas Endovas Angio & Atherect 17 8 $22,390.00 $17,912.00 20% off $6,493.10 $21,718.30 $17,912.00 2026-01-31
C1721 HCPCS Hc Dual Chamber Icd 340 8 $27,800.00 $22,240.00 20% off $902.48 $34,920.00 $17,904.00 2026-01-31
291 MS_DRG Heart Failure And Shock With Mcc 1 1 — — $17,662.00 $17,662.00 $17,662.00 2026-01-31
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 1 1 — — $17,482.00 $17,482.00 $17,482.00 2026-01-31
C9602 HCPCS Hc Cor Arther DRG El Stnt Ptca Sngl 17 8 $21,500.00 $17,200.00 20% off $6,235.00 $20,855.00 $17,200.00 2026-01-31
27800144-8750 CDM Hc Stent Graft 17 8 $21,420.00 $17,136.00 20% off $6,211.80 $20,777.40 $17,136.00 2026-01-31
27800083-7226 CDM Hc Stent 17 8 $21,420.00 $17,136.00 20% off $6,211.80 $20,777.40 $17,136.00 2026-01-31
27800029-3495 CDM Hc Graft 17 8 $21,420.00 $17,136.00 20% off $6,211.80 $20,777.40 $17,136.00 2026-01-31
27800029-3476 CDM Hc Graft 17 8 $21,400.00 $17,120.00 20% off $6,206.00 $20,758.00 $17,120.00 2026-01-31
645 MS_DRG Endocrine Disorders Without Cc/mcc 1 1 — — $17,093.00 $17,093.00 $17,093.00 2026-01-31
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $17,092.00 $17,092.00 $17,092.00 2026-01-31
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $17,092.00 $17,092.00 $17,092.00 2026-01-31
37243 HCPCS Pc Vascular Embolize/occlude Organ Tumor Infarct 17 8 $21,120.00 $16,896.00 20% off $6,124.80 $20,486.40 $16,896.00 2026-01-31
81416 HCPCS Hc Exome Sequence Analysis Ea Comparator Exome 33 8 $35,150.00 $28,120.00 20% off $5,220.00 $34,095.50 $16,180.20 2026-01-31
33999 HCPCS Pc Cardiac Surgery Procedure 17 8 $20,020.00 $16,016.00 20% off $5,805.80 $19,419.40 $16,016.00 2026-01-31
33228 HCPCS Pc Remove Perm Pacemaker Pulse Genera 17 8 $20,020.00 $16,016.00 20% off $5,805.80 $19,419.40 $16,016.00 2026-01-31
33208 HCPCS Pc Insert Pacemaker Dual 17 8 $20,000.00 $16,000.00 20% off $5,800.00 $19,400.00 $16,000.00 2026-01-31
27800029-3489 CDM Hc Graft 17 8 $19,990.00 $15,992.00 20% off $5,797.10 $19,390.30 $15,992.00 2026-01-31
27800144-8754 CDM Hc Stent Graft 17 8 $19,950.00 $15,960.00 20% off $5,785.50 $19,351.50 $15,960.00 2026-01-31
33214 HCPCS Pc Upgrade Pacemaker 17 8 $19,530.00 $15,624.00 20% off $5,663.70 $18,944.10 $15,624.00 2026-01-31
A9604 HCPCS Hc Sm-153 Per Dose Up To 150mci 17 8 $19,490.00 $15,592.00 20% off $5,652.10 $18,905.30 $15,592.00 2026-01-31
897 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 — — $15,434.00 $15,434.00 $15,434.00 2026-01-31
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $15,250.00 $15,250.00 $15,250.00 2026-01-31
61626 HCPCS Hc Embolization Extracraniall 17 8 $18,940.00 $15,152.00 20% off $5,492.60 $18,371.80 $15,152.00 2026-01-31
27800029-3441 CDM Hc Graft 17 8 $18,900.00 $15,120.00 20% off $5,481.00 $18,333.00 $15,120.00 2026-01-31
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $15,097.00 $15,097.00 $15,097.00 2026-01-31
33285 HCPCS Pc Insertion Subq Cardiac Rhythm Monitor W Prgmg 17 8 $18,670.00 $14,936.00 20% off $5,414.30 $18,109.90 $14,936.00 2026-01-31
36902 HCPCS Pc Intro Cath Dialysis W Trluml Balo Angioplasty 17 8 $18,640.00 $14,912.00 20% off $5,405.60 $18,080.80 $14,912.00 2026-01-31
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 1 1 — — $14,773.00 $14,773.00 $14,773.00 2026-01-31
27800029-3560 CDM Hc Graft 17 8 $18,120.00 $14,496.00 20% off $5,254.80 $17,576.40 $14,496.00 2026-01-31
92928 HCPCS Pc Cor Stent W/wo Ptca Sngl Artery/branch 17 8 $18,100.00 $14,480.00 20% off $5,249.00 $17,557.00 $14,480.00 2026-01-31
27800029-3399 CDM Hc Graft 17 8 $17,820.00 $14,256.00 20% off $5,167.80 $17,285.40 $14,256.00 2026-01-31
27800111-8329 CDM Hc Implant 17 8 $17,725.10 $14,180.08 $5,140.28 $17,193.35 $14,180.08 2026-01-31
C9608 HCPCS Hc Chr Tot Occl All Incl DRG El Add 17 8 $17,710.00 $14,168.00 20% off $5,135.90 $17,178.70 $14,168.00 2026-01-31
19296 HCPCS Pc Place Po Breast Cath For Rad 17 8 $17,690.00 $14,152.00 20% off $5,130.10 $17,159.30 $14,152.00 2026-01-31
C9604 HCPCS Hc Grft Revs Any Comb DRG El Stent 17 8 $17,670.00 $14,136.00 20% off $5,124.30 $17,139.90 $14,136.00 2026-01-31
C9601 HCPCS Hc Cor Stnt DRG El W/wo Ptca Addl 17 8 $17,670.00 $14,136.00 20% off $5,124.30 $17,139.90 $14,136.00 2026-01-31
92941 HCPCS Pc Acute Mi Pci+asp Thrombectomy 1 Vessel 17 8 $17,670.00 $14,136.00 20% off $5,124.30 $17,139.90 $14,136.00 2026-01-31
27310 HCPCS Pc Arthrotomy Knee Infec W/removal Fb 17 8 $17,590.00 $14,072.00 20% off $5,101.10 $17,062.30 $14,072.00 2026-01-31
37241 HCPCS Pc Vascular Embolization Or Occlusion Venous Rs&i 17 8 $17,390.00 $13,912.00 20% off $5,043.10 $16,868.30 $13,912.00 2026-01-31
37244 HCPCS Pc Vascular Embolization Or Occlusion Hemorrhage 17 8 $17,390.00 $13,912.00 20% off $5,043.10 $16,868.30 $13,912.00 2026-01-31
37238 HCPCS Pc Opn/perq Placement Intravascular Stent Same 1st 17 8 $17,390.00 $13,912.00 20% off $5,043.10 $16,868.30 $13,912.00 2026-01-31
37242 HCPCS Pc Vascular Embolization Or Occlusion Arterial Rs&i 17 8 $17,390.00 $13,912.00 20% off $5,043.10 $16,868.30 $13,912.00 2026-01-31
33206 HCPCS Pc Insert Heart Pacemaker 17 8 $17,390.00 $13,912.00 20% off $5,043.10 $16,868.30 $13,912.00 2026-01-31
37236 HCPCS Pc Transcatheter Placement Intravascular Stent 17 8 $17,390.00 $13,912.00 20% off $5,043.10 $16,868.30 $13,912.00 2026-01-31
92987 HCPCS Pc Percutaneous Ballon Valvuloplasty Mitral Valve 17 8 $17,200.00 $13,760.00 20% off $4,988.00 $16,684.00 $13,760.00 2026-01-31
C9603 HCPCS Hc Cor Arther DRG El Stnt Ptca Addl 17 8 $16,940.00 $13,552.00 20% off $4,912.60 $16,431.80 $13,552.00 2026-01-31
92990 HCPCS Pr Percut Pulmonary Valvuloplasty 17 8 $16,700.00 $13,360.00 20% off $4,843.00 $16,199.00 $13,360.00 2026-01-31
92937 HCPCS Pc Graft Pci Any Combo Sngl Vessel 17 8 $16,530.00 $13,224.00 20% off $4,793.70 $16,034.10 $13,224.00 2026-01-31
36000006 CDM Hc Embolization Uterine Fibroid 17 8 $16,460.00 $13,168.00 20% off $4,773.40 $15,966.20 $13,168.00 2026-01-31
27800029-3398 CDM Hc Graft 17 8 $16,330.00 $13,064.00 20% off $4,735.70 $15,840.10 $13,064.00 2026-01-31
49000202 CDM Hc Insert Lead Pace-defib Dual 17 8 $16,150.00 $12,920.00 20% off $4,683.50 $15,665.50 $12,920.00 2026-01-31
33213 HCPCS Pc Replace Generator Dual 17 8 $16,150.00 $12,920.00 20% off $4,683.50 $15,665.50 $12,920.00 2026-01-31
33207 HCPCS Pc Insert Pacemaker Ventri 17 8 $16,150.00 $12,920.00 20% off $4,683.50 $15,665.50 $12,920.00 2026-01-31
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 4 3 — — $10,933.00 $14,885.00 $12,800.00 2026-01-31
C9605 HCPCS Hc Grft Revs Any Comb DRG El Addl 17 8 $15,950.00 $12,760.00 20% off $4,625.50 $15,471.50 $12,760.00 2026-01-31
92943 HCPCS Pc Cto Any Cor Artery Bran Graft 1 Vessel 17 8 $15,870.00 $12,696.00 20% off $4,602.30 $15,393.90 $12,696.00 2026-01-31
92944 HCPCS Hc Chrnc Tot Occl All Incl Non D Add 17 8 $15,870.00 $12,696.00 20% off $4,602.30 $15,393.90 $12,696.00 2026-01-31
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 1 1 — — $12,652.00 $12,652.00 $12,652.00 2026-01-31
36903 HCPCS Pc Intro Cath Dialysis Circuit W Tcat Plmt IV Stent 17 8 $15,590.00 $12,472.00 20% off $4,521.10 $15,122.30 $12,472.00 2026-01-31
27800029-3468 CDM Hc Graft 17 8 $15,552.00 $12,441.60 20% off $4,510.08 $15,085.44 $12,441.60 2026-01-31
27800029-3472 CDM Hc Graft 17 8 $15,518.00 $12,414.40 20% off $4,500.22 $15,052.46 $12,414.40 2026-01-31
27800144-8768 CDM Hc Stent Graft 17 8 $15,450.00 $12,360.00 20% off $4,480.50 $14,986.50 $12,360.00 2026-01-31
684 MS_DRG Renal Failure Without Cc/mcc 1 1 — — $12,357.00 $12,357.00 $12,357.00 2026-01-31
93457 HCPCS Pc Coronary Angio Wo Consomitant Rt H 17 8 $15,320.00 $12,256.00 20% off $4,442.80 $14,860.40 $12,256.00 2026-01-31
92924 HCPCS Pc Cor Atherectomy + Ptca 1 Artery/branch 17 8 $15,320.00 $12,256.00 20% off $4,442.80 $14,860.40 $12,256.00 2026-01-31
36000012 CDM Hc Revas Endovas Init Angioplasty 17 8 $15,320.00 $12,256.00 20% off $4,442.80 $14,860.40 $12,256.00 2026-01-31
93456 HCPCS Pc Coronary Angio Wo Consomitant Rt H 17 8 $15,320.00 $12,256.00 20% off $4,442.80 $14,860.40 $12,256.00 2026-01-31
33419 HCPCS Pc Transcatheter Mitral Valve Rep Addl Prosthesis 17 8 $15,200.00 $12,160.00 20% off $4,408.00 $14,744.00 $12,160.00 2026-01-31
27800144-8767 CDM Hc Stent Graft 17 8 $15,150.00 $12,120.00 20% off $4,393.50 $14,695.50 $12,120.00 2026-01-31
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 1 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 1 1 — — $12,095.00 $12,095.00 $12,095.00 2026-01-31
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 1 1 — — $12,095.00 $12,095.00 $12,095.00 2026-01-31
37184 HCPCS Pc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 17 8 $15,020.00 $12,016.00 20% off $4,355.80 $14,569.40 $12,016.00 2026-01-31
27800144-8766 CDM Hc Stent Graft 17 8 $14,950.00 $11,960.00 20% off $4,335.50 $14,501.50 $11,960.00 2026-01-31
27800112-11256 CDM Hc Mesh Surgimend 17 8 $14,950.00 $11,960.00 20% off $4,335.50 $14,501.50 $11,960.00 2026-01-31
37187 HCPCS Pc Prq Transluminal Mechanical Thrombectomy Vein 17 8 $14,910.00 $11,928.00 20% off $4,323.90 $14,462.70 $11,928.00 2026-01-31
33212 HCPCS Pc Replace Generator Single 17 8 $14,910.00 $11,928.00 20% off $4,323.90 $14,462.70 $11,928.00 2026-01-31
33952 HCPCS Pc Ecom Ecls Insert Prph Cannula 6 Yrs Older Perq 17 8 $14,740.00 $11,792.00 20% off $4,274.60 $14,297.80 $11,792.00 2026-01-31
33990 HCPCS Hc Perc Insert Vad, Left Heart Arterial Access With Rad S&i 17 8 $14,520.00 $11,616.00 20% off $4,210.80 $14,084.40 $11,616.00 2026-01-31
33993 HCPCS Pc Perc Repostion Right/left Heart Vad With Image Guide 17 8 $14,520.00 $11,616.00 20% off $4,210.80 $14,084.40 $11,616.00 2026-01-31
33995 HCPCS Hc Perc Insert Vad, Right Heart Venous Access With Rad S&i 17 8 $14,520.00 $11,616.00 20% off $4,210.80 $14,084.40 $11,616.00 2026-01-31
33992 HCPCS Hc Removal Perc Left Heart Vad, Arterial/arterial & Venous 17 8 $14,520.00 $11,616.00 20% off $4,210.80 $14,084.40 $11,616.00 2026-01-31
77372 HCPCS Hc Radiation Tment Delivery Stereotatic Linear Accel Based 17 8 $14,330.00 $11,464.00 20% off $4,155.70 $13,900.10 $11,464.00 2026-01-31
36000014 CDM Hc Revision Tips 17 8 $14,260.00 $11,408.00 20% off $4,135.40 $13,832.20 $11,408.00 2026-01-31
36904 HCPCS Pc Perq Thrmbc/nfs Dialysis Circuit Img Dx Angrph 17 8 $14,070.00 $11,256.00 20% off $4,080.30 $13,647.90 $11,256.00 2026-01-31
92925 HCPCS Hc Cor Atherectmy W Ptca Addl 17 8 $13,940.00 $11,152.00 20% off $4,042.60 $13,521.80 $11,152.00 2026-01-31
27000256-3677 CDM Hc Kit 17 8 $13,874.00 $11,099.20 $4,023.46 $13,457.78 $11,099.20 2026-01-31
92934 HCPCS Pc Cor Atherectomy Cor Stent W/wo Ptca Addl 17 8 $13,340.00 $10,672.00 20% off $3,868.60 $12,939.80 $10,672.00 2026-01-31
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 1 1 — — $10,587.00 $10,587.00 $10,587.00 2026-01-31
93460 HCPCS Pc Coronary Angio Wo Consomitan Lt/rt 17 8 $13,180.00 $10,544.00 20% off $3,822.20 $12,784.60 $10,544.00 2026-01-31
92929 HCPCS Pc Cor Stent W/wo Ptca Addl Branch 17 8 $13,090.00 $10,472.00 20% off $3,796.10 $12,697.30 $10,472.00 2026-01-31
27800029-3542 CDM Hc Graft 17 8 $13,022.00 $10,417.60 20% off $3,776.38 $12,631.34 $10,417.60 2026-01-31
27800002-6488 CDM Hc Allograft 17 8 $13,000.00 $10,400.00 20% off $3,770.00 $12,610.00 $10,400.00 2026-01-31
49000412 CDM Hc Percutaneous Vertebral Augment Kyphoplasy 1 Vert Body 17 8 $12,990.00 $10,392.00 20% off $3,767.10 $12,600.30 $10,392.00 2026-01-31
27800144-8755 CDM Hc Stent Graft 17 8 $12,990.00 $10,392.00 20% off $3,767.10 $12,600.30 $10,392.00 2026-01-31
33227 HCPCS Pc Remove Perm Pacemaker Pulse Genera 17 8 $12,960.00 $10,368.00 20% off $3,758.40 $12,571.20 $10,368.00 2026-01-31
27000256-3768 CDM Hc Kit 17 8 $12,862.40 $10,289.92 20% off $3,730.10 $12,476.53 $10,289.92 2026-01-31
27800002-6469 CDM Hc Allograft 17 8 $12,800.00 $10,240.00 20% off $3,712.00 $12,416.00 $10,240.00 2026-01-31
27800144-8759 CDM Hc Stent Graft 17 8 $12,800.00 $10,240.00 20% off $3,712.00 $12,416.00 $10,240.00 2026-01-31
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 1 1 — — $10,008.00 $10,008.00 $10,008.00 2026-01-31
33233 HCPCS Pc Removal Of Pacemaker Pulse Generat 17 8 $12,420.00 $9,936.00 20% off $3,601.80 $12,047.40 $9,936.00 2026-01-31
M1101 HCPCS Hc Rom Rad Therapy Prostate Tech 17 8 $12,180.00 $9,744.00 20% off $3,532.20 $11,814.60 $9,744.00 2026-01-31
27800029-3435 CDM Hc Graft 17 8 $12,160.00 $9,728.00 20% off $3,526.40 $11,795.20 $9,728.00 2026-01-31
17400001 CDM Hc Newborn L4 9 5 $9,930.00 $7,944.00 20% off $6,951.00 $9,632.10 $9,632.10 2026-01-31
49000203 CDM Hc Insert Lead Pace-defib Single 17 8 $11,930.00 $9,544.00 20% off $3,459.70 $11,572.10 $9,544.00 2026-01-31
93461 HCPCS Pc Coronary Angio Wo Consomitan Lt/rt 17 8 $11,780.00 $9,424.00 20% off $3,416.20 $11,426.60 $9,424.00 2026-01-31
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 3 3 — — $8,500.00 $9,775.00 $9,350.00 2026-01-31
C2621 HCPCS Hc Bi V Without Defibrillator 221 8 $14,000.00 $11,200.00 20% off $254.48 $16,587.00 $9,348.56 2026-01-31
33225 HCPCS Pc Left Ventric Pacing Lead Add-on 17 8 $11,680.00 $9,344.00 20% off $3,387.20 $11,329.60 $9,344.00 2026-01-31
93458 HCPCS Pc Coronary Angio Wo Consomitant Lt H 17 8 $11,670.00 $9,336.00 20% off $3,384.30 $11,319.90 $9,336.00 2026-01-31
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 3 3 — — $8,455.00 $9,723.25 $9,300.50 2026-01-31
45000201 CDM Hc Eyelid Reconstuction (blepharoplasty) 17 8 $11,470.00 $9,176.00 20% off $3,326.30 $11,125.90 $9,176.00 2026-01-31
27800029-3483 CDM Hc Graft 17 8 $11,350.00 $9,080.00 20% off $3,291.50 $11,009.50 $9,080.00 2026-01-31
27800002-6529 CDM Hc Allograft 17 8 $11,350.00 $9,080.00 20% off $3,291.50 $11,009.50 $9,080.00 2026-01-31
27800118-11119 CDM Hc Stimulator Spinal 17 8 $11,290.00 $9,032.00 20% off $3,274.10 $10,951.30 $9,032.00 2026-01-31
48100056 CDM Hc Percutaneous Valvuloplasty 17 8 $11,210.00 $8,968.00 20% off $3,250.90 $10,873.70 $8,968.00 2026-01-31
92938 HCPCS Pc Graft Pci Any Combo Addl Vessel 17 8 $11,110.00 $8,888.00 20% off $3,221.90 $10,776.70 $8,888.00 2026-01-31
27800002-6513 CDM Hc Allograft 17 8 $11,107.20 $8,885.76 20% off $3,221.09 $10,773.98 $8,885.76 2026-01-31
C1817 HCPCS Hc Intracardiac Septal Defect Implant System 136 8 $16,432.00 $13,145.60 20% off $533.60 $19,390.30 $8,882.53 2026-01-31
50593 HCPCS Pc Ablation Renal Tumor(s) Unilat Per 17 8 $11,100.00 $8,880.00 20% off $3,219.00 $10,767.00 $8,880.00 2026-01-31
93459 HCPCS Pc Coronary Angio Wo Consomitant Lt H 17 8 $10,720.00 $8,576.00 20% off $3,108.80 $10,398.40 $8,576.00 2026-01-31
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 3 3 — — $7,776.00 $8,942.40 $8,553.60 2026-01-31
37246 HCPCS Pc Transluminal Balloon Angioplasty Initial Artery 17 8 $10,690.00 $8,552.00 20% off $3,100.10 $10,369.30 $8,552.00 2026-01-31
27800029-3430 CDM Hc Graft 17 8 $10,600.00 $8,480.00 20% off $3,074.00 $10,282.00 $8,480.00 2026-01-31
93453 HCPCS Pc Combined Rt & Lt Heart Catheteriza 17 8 $10,490.00 $8,392.00 20% off $3,042.10 $10,175.30 $8,392.00 2026-01-31
M1089 HCPCS Hc Rom Rad Therapy Head/neck Tech 17 8 $10,450.00 $8,360.00 20% off $3,030.50 $10,136.50 $8,360.00 2026-01-31
0094U OTHER Genome Rapid Sequence Alys 3 3 — — $7,582.20 $8,719.53 $8,340.42 2026-01-31
27000392-8405 CDM Hc Probe 17 8 $10,414.00 $8,331.20 $3,020.06 $10,101.58 $8,331.20 2026-01-31
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 2 1 — — $8,324.85 $8,324.85 $8,324.85 2026-01-31
27800029-3488 CDM Hc Graft 17 8 $10,332.00 $8,265.60 $2,996.28 $10,022.04 $8,265.60 2026-01-31
93452 HCPCS Pc Lt Heart Catheterization 17 8 $10,250.00 $8,200.00 20% off $2,972.50 $9,942.50 $8,200.00 2026-01-31
794 MS_DRG Neonate With Other Significant Problems 2 2 — — $7,079.00 $9,164.00 $8,121.50 2026-01-31
36223 HCPCS Pc Slectv Cath Carotid/innom Art Angio Intracranl Art 17 8 $10,150.00 $8,120.00 20% off $2,943.50 $9,845.50 $8,120.00 2026-01-31
27000256-3751 CDM Hc Kit 17 8 $10,000.00 $8,000.00 20% off $2,900.00 $9,700.00 $8,000.00 2026-01-31
27800144-8744 CDM Hc Stent Graft 17 8 $9,998.00 $7,998.40 20% off $2,899.42 $9,698.06 $7,998.40 2026-01-31
27800144-8756 CDM Hc Stent Graft 17 8 $9,950.00 $7,960.00 20% off $2,885.50 $9,651.50 $7,960.00 2026-01-31
36907 HCPCS Pc Trluml Balo Angiop Ctr Dialysis Seg W/img S&i 17 8 $9,940.00 $7,952.00 20% off $2,882.60 $9,641.80 $7,952.00 2026-01-31
27800002-6470 CDM Hc Allograft 17 8 $9,900.00 $7,920.00 20% off $2,871.00 $9,603.00 $7,920.00 2026-01-31
C1813 HCPCS Hc Implant Penile 136 8 $11,700.00 $9,360.00 20% off $684.40 $15,779.96 $7,917.00 2026-01-31
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 3 3 — — $7,193.00 $8,271.95 $7,912.30 2026-01-31
27800144-8758 CDM Hc Stent Graft 17 8 $9,850.00 $7,880.00 20% off $2,856.50 $9,554.50 $7,880.00 2026-01-31
27800029-3496 CDM Hc Graft 17 8 $9,740.00 $7,792.00 20% off $2,824.60 $9,447.80 $7,792.00 2026-01-31
27800144-8763 CDM Hc Stent Graft 17 8 $9,700.00 $7,760.00 20% off $2,813.00 $9,409.00 $7,760.00 2026-01-31
27800111-8334 CDM Hc Implant 17 8 $9,667.20 $7,733.76 20% off $2,803.49 $9,377.18 $7,733.76 2026-01-31
75726 HCPCS Pc Angio Visceral Selectv/subselec 17 8 $9,640.00 $7,712.00 20% off $2,795.60 $9,350.80 $7,712.00 2026-01-31
75736 HCPCS Hc Pelvic Selective S&i 17 8 $9,640.00 $7,712.00 20% off $2,795.60 $9,350.80 $7,712.00 2026-01-31
92920 HCPCS Pc Ptca Sngl Artery/branch 17 8 $9,540.00 $7,632.00 20% off $2,766.60 $9,253.80 $7,632.00 2026-01-31
27000256-3683 CDM Hc Kit 17 8 $9,504.00 $7,603.20 20% off $2,756.16 $9,218.88 $7,603.20 2026-01-31
27000256-3690 CDM Hc Kit 17 8 $9,500.00 $7,600.00 20% off $2,755.00 $9,215.00 $7,600.00 2026-01-31
27800029-3527 CDM Hc Graft 17 8 $9,500.00 $7,600.00 20% off $2,755.00 $9,215.00 $7,600.00 2026-01-31
27800144-8746 CDM Hc Stent Graft 17 8 $9,498.00 $7,598.40 20% off $2,754.42 $9,213.06 $7,598.40 2026-01-31
31626 HCPCS Hc Bronchoscopy Placement Fiducial Markers 17 8 $9,490.00 $7,592.00 20% off $2,752.10 $9,205.30 $7,592.00 2026-01-31
36224 HCPCS Pc Slectv Cath Intranl Carotid Art Angio Intrcrnl Art 17 8 $9,440.00 $7,552.00 20% off $2,737.60 $9,156.80 $7,552.00 2026-01-31
C1761 HCPCS Hc Catheter Trans Ivl Coronary 17 8 $9,400.00 $7,520.00 20% off $2,726.00 $9,118.00 $7,520.00 2026-01-31
92986 HCPCS Hc Percutan Balloon Valvuloplasty Aortic 17 8 $9,360.00 $7,488.00 20% off $2,714.40 $9,079.20 $7,488.00 2026-01-31
27800144-8765 CDM Hc Stent Graft 17 8 $9,350.00 $7,480.00 20% off $2,711.50 $9,069.50 $7,480.00 2026-01-31
27800029-3478 CDM Hc Graft 17 8 $9,340.00 $7,472.00 20% off $2,708.60 $9,059.80 $7,472.00 2026-01-31
27800029-3455 CDM Hc Graft 17 8 $9,322.00 $7,457.60 $2,703.38 $9,042.34 $7,457.60 2026-01-31
27800144-8757 CDM Hc Stent Graft 17 8 $9,300.00 $7,440.00 20% off $2,697.00 $9,021.00 $7,440.00 2026-01-31
0267U OTHER Rare Do Id Opt Gen Mapg&seq 3 3 — — $6,739.33 $7,750.23 $7,413.26 2026-01-31
75705 HCPCS Pc Angiography Spinal Selective 17 8 $9,260.00 $7,408.00 20% off $2,685.40 $8,982.20 $7,408.00 2026-01-31
27800029-3543 CDM Hc Graft 17 8 $9,256.00 $7,404.80 20% off $2,684.24 $8,978.32 $7,404.80 2026-01-31
77373 HCPCS Hc Sbrt Treat Del Per Fract 17 8 $9,230.00 $7,384.00 20% off $2,676.70 $8,953.10 $7,384.00 2026-01-31
J0600 HCPCS Edetate Calcium Disodium Inj 2 1 — — $7,369.63 $7,369.63 $7,369.63 2026-01-31
27800029-3507 CDM Hc Graft 17 8 $9,210.00 $7,368.00 20% off $2,670.90 $8,933.70 $7,368.00 2026-01-31
27800029-3525 CDM Hc Graft 17 8 $9,170.00 $7,336.00 20% off $2,659.30 $8,894.90 $7,336.00 2026-01-31
27800029-3509 CDM Hc Graft 17 8 $9,160.00 $7,328.00 20% off $2,656.40 $8,885.20 $7,328.00 2026-01-31
27800144-8762 CDM Hc Stent Graft 17 8 $9,150.00 $7,320.00 20% off $2,653.50 $8,875.50 $7,320.00 2026-01-31
77301 HCPCS Pc Intensity Modl Radiotherapy Plan Dose-vol Histos 17 8 $9,000.00 $7,200.00 20% off $2,610.00 $8,730.00 $7,200.00 2026-01-31
C1714 HCPCS Hc Catheter Translum Atherectomy Directional 17 8 $9,000.00 $7,200.00 20% off $2,610.00 $8,730.00 $7,200.00 2026-01-31
C1896 HCPCS Hc Lead Cardioverter-defib Other Than Single/dual Coil 34 8 $9,350.00 $7,480.00 20% off $2,523.00 $9,700.00 $7,197.50 2026-01-31
93619 HCPCS Pc Comprehensive Ep Eval Without Inductin 17 8 $8,960.00 $7,168.00 20% off $2,598.40 $8,691.20 $7,168.00 2026-01-31
93620 HCPCS Pc Comprehensive Ep Eval W Induction 17 8 $8,960.00 $7,168.00 20% off $2,598.40 $8,691.20 $7,168.00 2026-01-31
36000015 CDM Hc Transcath Placem Stent Cca W E 17 8 $8,960.00 $7,168.00 20% off $2,598.40 $8,691.20 $7,168.00 2026-01-31
36000010 CDM Hc Revas Endo Addl Stent & Angio 17 8 $8,960.00 $7,168.00 20% off $2,598.40 $8,691.20 $7,168.00 2026-01-31
36000009 CDM Hc Revas Endo Addl Angioplasty 17 8 $8,960.00 $7,168.00 20% off $2,598.40 $8,691.20 $7,168.00 2026-01-31
27800144-8764 CDM Hc Stent Graft 17 8 $8,950.00 $7,160.00 20% off $2,595.50 $8,681.50 $7,160.00 2026-01-31
17300001 CDM Hc Newborn L3 9 5 $7,380.00 $5,904.00 20% off $5,166.00 $7,158.60 $7,158.60 2026-01-31
93650 HCPCS Pc Intracardiac Cath Ablation Atriove 17 8 $8,910.00 $7,128.00 20% off $2,583.90 $8,642.70 $7,128.00 2026-01-31
27800029-3424 CDM Hc Graft 17 8 $8,860.00 $7,088.00 20% off $2,569.40 $8,594.20 $7,088.00 2026-01-31
27000256-3800 CDM Hc Kit 17 8 $8,850.00 $7,080.00 20% off $2,566.50 $8,584.50 $7,080.00 2026-01-31
27000392-8412 CDM Hc Probe 17 8 $8,850.00 $7,080.00 20% off $2,566.50 $8,584.50 $7,080.00 2026-01-31
21000001 CDM Hc Room & Board Ccu 9 5 $7,290.00 $5,832.00 20% off $5,103.00 $7,071.30 $7,071.30 2026-01-31
M1083 HCPCS Hc Rom Rad Therapy Cervical Tech 17 8 $8,810.00 $7,048.00 20% off $2,554.90 $8,545.70 $7,048.00 2026-01-31
27800112-11257 CDM Hc Mesh Surgimend 17 8 $8,800.00 $7,040.00 20% off $2,552.00 $8,536.00 $7,040.00 2026-01-31
52284 HCPCS Pc Cysto Mech Ureth Dilat/therap Drug Deliv Coated Balloon Cath 17 8 $8,770.00 $7,016.00 20% off $2,543.30 $8,506.90 $7,016.00 2026-01-31
93602 HCPCS Pc Intra Atrial Recording 17 8 $8,740.00 $6,992.00 20% off $2,534.60 $8,477.80 $6,992.00 2026-01-31
M1103 HCPCS Hc Rom Rad Therapy Gi Tech 17 8 $8,720.00 $6,976.00 20% off $2,528.80 $8,458.40 $6,976.00 2026-01-31
27800029-3541 CDM Hc Graft 17 8 $8,638.00 $6,910.40 20% off $2,505.02 $8,378.86 $6,910.40 2026-01-31
L5968 HCPCS Hc Addition To Lower Limb Prosthesis Multiaxial Ankle W Dorsifle 17 8 $8,626.90 $6,901.52 $2,501.80 $8,368.09 $6,901.52 2026-01-31
C1822 HCPCS Hc Implantable Neurostim Gen, High Freq With Recharg Batt Syst 34 8 $21,314.00 $17,051.20 $580.00 $39,409.16 $6,861.06 2026-01-31
27800144-8761 CDM Hc Stent Graft 17 8 $8,550.00 $6,840.00 20% off $2,479.50 $8,293.50 $6,840.00 2026-01-31
27800144-8747 CDM Hc Stent Graft 17 8 $8,548.00 $6,838.40 20% off $2,478.92 $8,291.56 $6,838.40 2026-01-31
36522 HCPCS Hc Photopheresis Extracorporeal 17 8 $8,530.00 $6,824.00 20% off $2,473.70 $8,274.10 $6,824.00 2026-01-31
20000001 CDM Hc Room & Board ICU 9 5 $7,030.00 $5,624.00 20% off $4,921.00 $6,819.10 $6,819.10 2026-01-31
20300001 CDM Hc Room & Board ICU Ped 9 5 $7,030.00 $5,624.00 20% off $4,921.00 $6,819.10 $6,819.10 2026-01-31
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