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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 59510 (HCPCS)

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

28,173 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 · 2026-10-12
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
$813,967
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $525,772.87 $680,485.13 $680,485.13 nat. median
$621,313
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $539,227.01 $650,749.29 $650,749.29 nat. median
$599,737
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $513,659.78 $646,918.91 $646,918.91 nat. median
$579,571
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $524,503.71 $640,915.62 $640,915.62 nat. median
$574,037
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $487,495.47 $613,214.70 $613,214.70 nat. median
$562,501
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $487,601.95 $562,700.30 $562,700.30 nat. median
$513,770
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $236,486.00 $236,486.00 $236,486.00 nat. median
$207,733
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
$45,446
outlier · 2.2×
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
$69,822
1.4× 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
$47,458
outlier · 2.1×
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
$35,297
outlier · 2.5×
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
$55,923
1.5× 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
$38,832
outlier · 2.2×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $72,843.62 $72,843.62 $72,843.62 nat. median
$66,211
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $66,524.00 $66,524.00 $66,524.00 nat. median
$43,803
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $66,524.00 $66,524.00 $66,524.00 nat. median
$60,505
1.1× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 1 $64,157.00 $64,157.00 $64,157.00 nat. median
$22,934
outlier · 2.8×
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 1 $64,157.00 $64,157.00 $64,157.00 nat. median
$35,725
1.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,013.25 $63,563.17 $63,563.17 nat. median
$63,499
1.0× median
33264
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 8 $19,131.30 $63,990.90 $52,776.00 nat. median
$32,779
1.6× median
J9226
HCPCS 		Supprelin La Implant 1 $48,490.16 $51,773.75 $51,773.75 nat. median
$57,036
0.9× median
33289
HCPCS 		Pc Transcatheter Impl Wireless Press Sensor 8 $18,449.80 $61,711.40 $50,896.00 nat. median
$28,889
1.8× median
A9543
HCPCS 		Hc Yttrium 90 Ibrit Tiuxe Dose<41 8 $18,438.20 $61,672.60 $50,864.00 nat. median
$65,477
0.8× median
36000007
CDM 		Hc Insert/reposit Gen/lead(s) Def 8 $16,872.20 $56,434.60 $46,544.00 —
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $46,313.00 $46,313.00 $46,313.00 nat. median
$11,967
outlier · 3.9×
33270
HCPCS 		Pc Ins Rep Subq Defibrillator 8 $15,616.50 $52,234.50 $43,080.00 nat. median
$32,475
1.3× median
33231
HCPCS 		Pc Insert Pacing Cardio-defib Pulse G 8 $14,790.00 $49,470.00 $40,800.00 nat. median
$31,377
1.3× median
93656
HCPCS 		Pc Tx Atrial Fib Pulm Vein Isol 8 $14,500.00 $48,500.00 $40,000.00 nat. median
$26,469
1.5× median
93654
HCPCS 		Pc Ep & Ablate Ventricular Tachy 8 $14,500.00 $48,500.00 $40,000.00 nat. median
$26,477
1.5× median
93653
HCPCS 		Pc Ep & Ablate Supravent Arrhythmia 8 $14,500.00 $48,500.00 $40,000.00 nat. median
$25,502
1.6× median
33249
HCPCS 		Pc Insertion Of Cardioverter-defibril 8 $14,195.50 $47,481.50 $39,160.00 nat. median
$32,069
1.2× median
33263
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 8 $14,007.00 $46,851.00 $38,640.00 nat. median
$23,924
1.6× median
33230
HCPCS 		Pc Insert Pacing Cardio-defib Pulse G 8 $13,693.80 $45,803.40 $37,776.00 nat. median
$23,060
1.6× median
33262
HCPCS 		Pc Rem Pacing Cardio-defrib Gen W Rep 8 $13,325.50 $44,571.50 $36,760.00 nat. median
$23,514
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
$26,491
1.4× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 1 $35,083.20 $35,083.20 $35,083.20 nat. median
$11,185
outlier · 3.1×
48100053
CDM 		Hc Insert Lv Lead With Exist Cardio 8 $12,641.10 $42,282.30 $34,872.00 —
48100052
CDM 		Hc Insert Card Defb Gen W Ex Sngl 8 $12,559.90 $42,010.70 $34,648.00 —
27800144-8753
CDM 		Hc Stent Graft 8 $11,929.44 $39,901.92 $32,908.80 —
J9266
HCPCS 		Pegaspargase Injection 1 $27,970.56 $32,687.67 $32,687.67 nat. median
$31,084
1.1× median
27800144-8771
CDM 		Hc Stent Graft 8 $11,307.10 $37,820.30 $31,192.00 —
27800144-8770
CDM 		Hc Stent Graft 8 $10,727.10 $35,880.30 $29,592.00 —
27800144-8769
CDM 		Hc Stent Graft 8 $9,857.10 $32,970.30 $27,192.00 —
93580
HCPCS 		Pc Percu Transcath Closure Intratrl Communication W Implant 8 $9,668.60 $32,339.80 $26,672.00 nat. median
$18,748
1.4× median
33229
HCPCS 		Pc Remove Perm Pacemaker Pulse Genera 8 $9,567.10 $32,000.30 $26,392.00 nat. median
$19,415
1.4× median
27800144-8772
CDM 		Hc Stent Graft 8 $9,422.10 $31,515.30 $25,992.00 —
36000043
CDM 		Hc Revas Endovas Angio/stnt/ather 8 $9,222.00 $30,846.00 $25,440.00 —
27800029-3516
CDM 		Hc Graft 8 $9,207.50 $30,797.50 $25,400.00 —
27800111-8300
CDM 		Hc Implant 8 $9,189.52 $30,737.36 $25,350.40 —

Other procedures at this hospital

Browse this hospital's 28,173 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
             
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
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
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
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
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
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
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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $58,013.25 $63,563.17 $63,563.17 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
93454 HCPCS Pc Catheter Placement In Coronary Art 17 8 $8,500.00 $6,800.00 20% off $2,465.00 $8,245.00 $6,800.00 2026-01-31
Q4358 HCPCS Xwrap Dual, Per Sq Cm 2 1 — — $6,777.35 $6,777.35 $6,777.35 2026-01-31
M1105 HCPCS Hc Rom Rad Therapy Uterus Tech 17 8 $8,450.00 $6,760.00 20% off $2,450.50 $8,196.50 $6,760.00 2026-01-31
47540 HCPCS Hc Place Stent Bile Duct Perc New W Drain Cath S&i/imaging 17 8 $8,440.00 $6,752.00 20% off $2,447.60 $8,186.80 $6,752.00 2026-01-31
77295 HCPCS Pc 3d Radtherapy Plan Incl Dose-vol Histos 17 8 $8,430.00 $6,744.00 20% off $2,444.70 $8,177.10 $6,744.00 2026-01-31
27800144-8751 CDM Hc Stent Graft 17 8 $8,400.00 $6,720.00 20% off $2,436.00 $8,148.00 $6,720.00 2026-01-31
49000219 CDM Hc Stent Placem Tranphep Biliary 17 8 $8,390.00 $6,712.00 20% off $2,433.10 $8,138.30 $6,712.00 2026-01-31
27800144-8760 CDM Hc Stent Graft 17 8 $8,350.00 $6,680.00 20% off $2,421.50 $8,099.50 $6,680.00 2026-01-31
27800147 CDM Hc Powermix Injectable Stimulus 17 8 $8,280.00 $6,624.00 20% off $2,401.20 $8,031.60 $6,624.00 2026-01-31
27800029-3502 CDM Hc Graft 17 8 $8,200.00 $6,560.00 20% off $2,378.00 $7,954.00 $6,560.00 2026-01-31
27800111-8330 CDM Hc Implant 17 8 $8,190.00 $6,552.00 20% off $2,375.10 $7,944.30 $6,552.00 2026-01-31
47538 HCPCS Hc Placement Stent Bile Duct Perc Existing Inc S&i/imaging 17 8 $8,190.00 $6,552.00 20% off $2,375.10 $7,944.30 $6,552.00 2026-01-31
49000197 CDM Hc Biliary Endo Perc W/dil W/sten 17 8 $8,190.00 $6,552.00 20% off $2,375.10 $7,944.30 $6,552.00 2026-01-31
37237 HCPCS Pc Opn/perq Placement Intravascular Stent Ea Addl 17 8 $8,160.00 $6,528.00 20% off $2,366.40 $7,915.20 $6,528.00 2026-01-31
27000392-8404 CDM Hc Probe 17 8 $8,146.00 $6,516.80 20% off $2,362.34 $7,901.62 $6,516.80 2026-01-31
M1099 HCPCS Hc Rom Rad Therapy Pancreas Tech 17 8 $8,140.00 $6,512.00 20% off $2,360.60 $7,895.80 $6,512.00 2026-01-31
48100054 CDM Hc Insert/repl Temp Pacer Transv 17 8 $8,130.00 $6,504.00 20% off $2,357.70 $7,886.10 $6,504.00 2026-01-31
20000002 CDM Hc Room & Board ICU (d) 9 5 $6,700.00 $5,360.00 20% off $4,690.00 $6,499.00 $6,499.00 2026-01-31
20200001 CDM Hc Room & Board ICU Medical 9 5 $6,700.00 $5,360.00 20% off $4,690.00 $6,499.00 $6,499.00 2026-01-31
M1085 HCPCS Hc Rom Rad Therapy Cns Tech 17 8 $8,090.00 $6,472.00 20% off $2,346.10 $7,847.30 $6,472.00 2026-01-31
36482 HCPCS Pc Endoven Ablat Therpy Vein First Vein 17 8 $8,090.00 $6,472.00 20% off $2,346.10 $7,847.30 $6,472.00 2026-01-31
M1075 HCPCS Hc Rom Rad Therapy Bladder Tech 17 8 $8,090.00 $6,472.00 20% off $2,346.10 $7,847.30 $6,472.00 2026-01-31
81415 HCPCS Hc Exome Sequence Analysis 33 8 $13,620.00 $10,896.00 20% off $2,079.30 $13,211.40 $6,445.11 2026-01-31
45000087 CDM Hc Open/percut Treatment Fracture 17 8 $8,050.00 $6,440.00 20% off $2,334.50 $7,808.50 $6,440.00 2026-01-31
75605 HCPCS Hc Thoracic Aorta S&i 17 8 $8,050.00 $6,440.00 20% off $2,334.50 $7,808.50 $6,440.00 2026-01-31
27800029-3467 CDM Hc Graft 17 8 $8,018.00 $6,414.40 20% off $2,325.22 $7,777.46 $6,414.40 2026-01-31
34705 HCPCS Pc Endovascular Rpr Infra Aorta Or Iliac Artery 17 8 $8,010.00 $6,408.00 20% off $2,322.90 $7,769.70 $6,408.00 2026-01-31
92921 HCPCS Pc Ptca Addl Branch 17 8 $8,010.00 $6,408.00 20% off $2,322.90 $7,769.70 $6,408.00 2026-01-31
37239 HCPCS Pc Opn/perq Placement Intravasc Stent Same Ea Addl 17 8 $8,000.00 $6,400.00 20% off $2,320.00 $7,760.00 $6,400.00 2026-01-31
75756 HCPCS Pc Angiography Internal Mamary 17 8 $7,980.00 $6,384.00 20% off $2,314.20 $7,740.60 $6,384.00 2026-01-31
27800002-6509 CDM Hc Allograft 17 8 $7,972.00 $6,377.60 $2,311.88 $7,732.84 $6,377.60 2026-01-31
37248 HCPCS Pc Transluminal Balloon Angioplasty Initial Vein 17 8 $7,950.00 $6,360.00 20% off $2,305.50 $7,711.50 $6,360.00 2026-01-31
46230 HCPCS Pc Excision Of Hemorrhoid Tags 17 8 $7,940.00 $6,352.00 20% off $2,302.60 $7,701.80 $6,352.00 2026-01-31
81519 HCPCS Hc Oncotype Dx Breast 17 8 $7,900.00 $6,320.00 20% off $2,291.00 $7,663.00 $6,320.00 2026-01-31
27800002-6510 CDM Hc Allograft 17 8 $7,894.00 $6,315.20 20% off $2,289.26 $7,657.18 $6,315.20 2026-01-31
C1764 HCPCS Hc Loop Recorder 136 8 $8,500.00 $6,800.00 20% off $1,885.00 $9,399.30 $6,305.00 2026-01-31
27800029-3512 CDM Hc Graft 17 8 $7,840.00 $6,272.00 20% off $2,273.60 $7,604.80 $6,272.00 2026-01-31
27800002-6514 CDM Hc Allograft 17 8 $7,832.00 $6,265.60 $2,271.28 $7,597.04 $6,265.60 2026-01-31
A9572 HCPCS Hc Octreoscan Per Dose Up To 6 Millicuries 17 8 $7,820.00 $6,256.00 20% off $2,267.80 $7,585.40 $6,256.00 2026-01-31
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