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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

PRISMA HEALTH HILLCREST HOSPITAL

Simpsonville, SC · CCN 420037 · Rates published

24,483 distinct procedures filed
178 distinct payers
1,862,567 rate rows
2026-10-02 last MRF observed
Data quality

1,765,539 of 1,862,567 rate rows are consumer-grade (94.8%)

97,028 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
exceeds 10× this hospital's gross charge — excluded from medians 43,305
per-diem day rate — not a per-procedure price 21,520
template filing: same amount across many unrelated codes — excluded 14,332
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,848
placeholder amount (≤ $0.02) — excluded from medians 2,265
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,081
percent-of-charges filed in the dollar field — excluded from medians 368
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 277
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/2811042e-b9b1-48fe-b492-2fe834e33dc4/81-1723202_hillcrestmemorialhospital_standardcharges.xlsx
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 91a724ecc78c406f… · 11,779,519 bytes · first seen 2026-05-05

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $654,252.67 $2,288,048.80 $946,504.06 nat. median
$168,055
outlier · 5.6×
7
MS_DRG 		Lung Transplant 23 $82,199.85 $1,730,277.76 $683,066.81 nat. median
$70,649
outlier · 9.7×
Rx24338005008_C9399_100095_000
OTHER 		Carmustine In Polifeprosan 77 Mg Wafer For Implant 28 $9.79 $1,902,341.00 $665,819.35 —
Q2053
HCPCS 		Hc Brexucabtagene Car Pos T (Tecartus) Mcl 95 $377,084.40 $2,482,145.82 $621,536.73 nat. median
$513,770
1.2× median
Q2056
HCPCS 		Hc Ciltacabtagene Car-pos T(Carvykti) 70 Ml 94 $6,696.41 $2,582,193.36 $611,155.56 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 95 $399,062.20 $2,409,921.09 $600,523.18 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 95 $455,372.61 $2,749,977.43 $595,933.32 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 95 $444,144.86 $2,682,173.51 $591,566.63 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 95 $448,012.18 $2,705,528.10 $564,123.78 nat. median
$562,501
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $216,098.57 $677,273.62 $282,183.56 nat. median
$186,516
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $102,194.44 $602,309.54 $224,451.35 nat. median
$65,418
outlier · 3.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $9,845.27 $516,079.53 $211,306.13 nat. median
$145,435
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 28 $45,582.00 $592,708.51 $210,144.28 nat. median
$41,943
outlier · 5.0×
J2326
HCPCS 		Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 37 $94,500.00 $418,481.00 $209,240.50 nat. median
$1,667
outlier · 125.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $119,419.01 $565,788.78 $206,963.84 nat. median
$131,925
1.6× median
PX-8120000001
CDM 		Hc Cadaver Donor Sac- Liver 31 $41,564.60 $251,007.00 $187,310.60 nat. median
$41,420
outlier · 4.5×
6
MS_DRG 		Liver Transplant Without Mcc 24 $41,358.58 $490,405.16 $170,748.75 nat. median
$31,278
outlier · 5.5×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 24 $44,006.90 $473,552.32 $164,661.11 nat. median
$32,772
outlier · 5.0×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 29 $45,019.81 $446,384.20 $151,908.84 nat. median
$47,121
outlier · 3.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 $43,780.86 $432,603.33 $147,486.71 nat. median
$49,569
outlier · 3.0×
PX-8120000000
CDM 		Hc Cadaver Donor Sac- Kidney 31 $29,932.98 $180,764.10 $134,892.78 nat. median
$41,420
outlier · 3.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $88,125.11 $378,849.96 $132,979.98 nat. median
$69,922
1.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 136 $5,009.56 $459,740.10 $129,307.55 nat. median
$6,067
outlier · 21.3×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 $46,382.00 $374,649.90 $121,380.50 nat. median
$32,992
outlier · 3.7×
PX-8110000000
CDM 		Hc Living Donor Sac- Kidney 31 $25,410.00 $153,450.00 $114,510.00 nat. median
$36,065
outlier · 3.2×
653
MS_DRG 		Major Bladder Procedures With Mcc 28 $50,592.08 $346,102.22 $111,327.72 nat. median
$36,547
outlier · 3.0×
Rx68382039601_J3490_100095_000
OTHER 		Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 28 $629.77 $284,700.00 $106,050.75 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 $73,374.12 $309,746.98 $101,411.56 nat. median
$56,428
1.8× median
Rx64406005801_J2326_100095_000
OTHER 		Nusinersen Pf 12 Mg5 Ml Intrathecal Solution 5 Ml 28 $629.77 $284,378.50 $99,532.47 —
215
MS_DRG 		Other Heart Assist System Implant 29 $93,638.26 $281,347.79 $99,332.43 nat. median
$73,023
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 88 $7,797.81 $759,369.02 $98,935.12 nat. median
$97,418
1.0× median
C1823
HCPCS 		Hc Remede System 1001 31 $22,233.75 $147,056.25 $98,319.38 nat. median
$86,625
1.1× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 29 $40,152.66 $311,469.55 $95,961.74 nat. median
$34,932
outlier · 2.7×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 $39,658.82 $299,185.13 $94,568.96 nat. median
$38,844
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 24 $37,170.47 $291,126.68 $93,709.38 nat. median
$23,080
outlier · 4.1×
Sx00000197247_00000_100095_000
OTHER 		Kit Implnt Lvad Heartmate 3 28 $629.77 $244,815.00 $93,029.70 —
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 $53,964.65 $295,555.84 $92,286.16 nat. median
$38,173
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $31,105.63 $255,485.10 $89,736.38 nat. median
$72,715
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $83,910.51 $243,046.92 $88,995.28 nat. median
$69,822
1.3× median
Sx00000216398_00000_100095_000
OTHER 		Custom Extendible P Tibia 25 $629.77 $166,500.00 $84,915.00 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 $75,999.84 $260,402.15 $84,236.50 nat. median
$59,651
1.4× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 $38,051.22 $286,082.92 $84,109.95 nat. median
$23,282
outlier · 3.6×
PX-8130000000
CDM 		Hc Cadaver Donor Sac-pancreas 31 $18,634.00 $112,530.00 $83,974.00 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 29 $66,759.39 $250,048.24 $82,527.57 nat. median
$60,505
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 28 $5,600.00 $218,924.50 $79,814.93 nat. median
$2,106
outlier · 37.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 $68,978.21 $241,945.65 $76,384.64 nat. median
$55,923
1.4× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 29 $72,111.72 $259,819.52 $76,241.19 nat. median
$74,509
1.0× median
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 1 Eac 37 $29,382.44 $148,225.00 $74,112.50 nat. median
$57,284
1.3× median
C1605
HCPCS 		Hc Aveir Ntap C1605 41 $18,280.57 $110,395.65 $70,985.59 nat. median
$17,883
outlier · 4.0×
Sx00000204485_00000_100095_000
OTHER 		Implant Hvad Pump 28 $629.77 $186,625.00 $70,917.50 —

Other procedures at this hospital

Browse this hospital's 24,483 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
             
Q2053 HCPCS Hc Brexucabtagene Car Pos T (Tecartus) Mcl 145 95 $2,448,600.00 $1,591,590.00 35% off $377,084.40 $2,482,145.82 $621,536.73 2026-03-01
Q2056 HCPCS Hc Ciltacabtagene Car-pos T(Carvykti) 70 Ml 111 94 $2,776,552.00 $1,804,758.80 35% off $6,696.41 $2,582,193.36 $611,155.56 2026-03-01
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 112 95 $2,591,313.00 $1,684,353.45 35% off $399,062.20 $2,409,921.09 $600,523.18 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 112 95 $2,956,964.98 $1,922,027.24 35% off $455,372.61 $2,749,977.43 $595,933.32 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 112 95 $2,884,057.54 $1,874,637.40 35% off $444,144.86 $2,682,173.51 $591,566.63 2026-03-01
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 112 95 $2,909,170.00 $1,890,960.50 35% off $448,012.18 $2,705,528.10 $564,123.78 2026-03-01
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 37 31 $269,900.00 $175,435.00 35% off $41,564.60 $251,007.00 $187,310.60 2026-03-01
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 37 31 $194,370.00 $126,340.50 35% off $29,932.98 $180,764.10 $134,892.78 2026-03-01
PX-8110000000 CDM Hc Living Donor Sac- Kidney 37 31 $165,000.00 $107,250.00 35% off $25,410.00 $153,450.00 $114,510.00 2026-03-01
C1823 HCPCS Hc Remede System 1001 78 31 $151,250.00 $98,312.50 35% off $22,233.75 $147,056.25 $98,319.38 2026-03-01
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 37 31 $121,000.00 $78,650.00 35% off $18,634.00 $112,530.00 $83,974.00 2026-03-01
C1605 HCPCS Hc Aveir Ntap C1605 49 41 $118,705.00 $77,158.25 35% off $18,280.57 $110,395.65 $70,985.59 2026-03-01
38240 CPT Hc Hpc Allogeneic 101 81 $147,856.00 $96,106.40 35% off $4,859.58 $137,506.08 $62,055.06 2026-03-01
0483T CPT Hc Tmvi Percutaneous Approach 40 34 $83,602.00 $54,341.30 35% off $12,874.71 $77,749.86 $55,762.54 2026-03-01
0268T CPT Hc Implt/Rpl Crtd Sns Dev Gen 44 37 $68,600.00 $44,590.00 35% off $10,564.40 $68,600.00 $47,608.40 2026-03-01
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 78 62 $112,501.00 $73,125.65 35% off $17,325.15 $104,625.93 $43,454.03 2026-03-01
0620T OTHER Hc Evasc Ven Artlz Tibl/Prnl Vn 81 65 $63,764.00 $41,446.60 35% off $9,819.66 $63,764.00 $42,824.26 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 25 — — $654,252.67 $2,288,048.80 $946,504.06 2026-09-21
7 MS_DRG Lung Transplant 26 23 — — $82,199.85 $1,730,277.76 $683,066.81 2026-09-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 24 — — $216,098.57 $677,273.62 $282,183.56 2026-09-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 24 — — $102,194.44 $602,309.54 $224,451.35 2026-09-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 27 — — $9,845.27 $516,079.53 $211,306.13 2026-09-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 28 — — $45,582.00 $592,708.51 $210,144.28 2026-09-21
J2326 HCPCS Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml 45 37 $418,481.00 $272,012.65 35% off $94,500.00 $418,481.00 $209,240.50 2026-09-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 27 — — $119,419.01 $565,788.78 $206,963.84 2026-09-21
6 MS_DRG Liver Transplant Without Mcc 27 24 — — $41,358.58 $490,405.16 $170,748.75 2026-09-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 24 — — $44,006.90 $473,552.32 $164,661.11 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 29 — — $45,019.81 $446,384.20 $151,908.84 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 28 — — $43,780.86 $432,603.33 $147,486.71 2026-09-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 24 — — $88,125.11 $378,849.96 $132,979.98 2026-09-21
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 176 136 $459,740.10 $298,831.06 35% off $5,009.56 $459,740.10 $129,307.55 2026-09-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 29 — — $46,382.00 $374,649.90 $121,380.50 2026-09-21
653 MS_DRG Major Bladder Procedures With Mcc 33 28 — — $50,592.08 $346,102.22 $111,327.72 2026-09-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 29 — — $73,374.12 $309,746.98 $101,411.56 2026-09-21
215 MS_DRG Other Heart Assist System Implant 35 29 — — $93,638.26 $281,347.79 $99,332.43 2026-09-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 105 88 — $268,783.37 $7,797.81 $759,369.02 $98,935.12 2026-09-21
471 MS_DRG Cervical Spinal Fusion With Mcc 35 29 — — $40,152.66 $311,469.55 $95,961.74 2026-09-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 29 — — $39,658.82 $299,185.13 $94,568.96 2026-09-21
10 MS_DRG Pancreas Transplant 27 24 — — $37,170.47 $291,126.68 $93,709.38 2026-09-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 29 — — $53,964.65 $295,555.84 $92,286.16 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 28 24 — — $31,105.63 $255,485.10 $89,736.38 2026-09-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $83,910.51 $243,046.92 $88,995.28 2026-09-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 28 — — $75,999.84 $260,402.15 $84,236.50 2026-09-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 29 — — $38,051.22 $286,082.92 $84,109.95 2026-09-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 29 — — $66,759.39 $250,048.24 $82,527.57 2026-09-21
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 33 28 — — $5,600.00 $218,924.50 $79,814.93 2026-09-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 29 — — $68,978.21 $241,945.65 $76,384.64 2026-09-21
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 35 29 — — $72,111.72 $259,819.52 $76,241.19 2026-09-21
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 1 Eac 47 37 $148,225.00 $96,346.25 35% off $29,382.44 $148,225.00 $74,112.50 2026-09-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 29 — — $42,951.40 $229,530.84 $65,622.20 2026-09-21
Q2043 HCPCS Sipuleucelt In Lactated Ringers 50 Million Cell 25 72 42 $586,116.90 $380,975.99 35% off $31,928.12 $586,116.90 $65,338.10 2026-09-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 29 — — $60,200.30 $186,421.14 $65,202.42 2026-09-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 33 28 — — $22,281.25 $232,256.88 $61,809.45 2026-09-21
347 MS_DRG Anal And Stomal Procedures With Mcc 45 40 — — $6,958.86 $235,994.58 $60,809.41 2026-09-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 29 — — $54,768.88 $178,021.17 $58,083.35 2026-09-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 28 — — $49,367.90 $162,854.95 $57,167.93 2026-09-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 25 — — $13,095.12 $154,582.35 $54,556.40 2026-09-21
849 MS_DRG Radiotherapy 33 28 — — $11,161.05 $212,886.40 $54,053.82 2026-09-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 33 28 — — $5,600.00 $141,579.10 $52,346.65 2026-09-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 29 — — $48,614.87 $168,547.95 $51,412.50 2026-09-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 29 — — $48,331.52 $155,398.09 $51,268.33 2026-09-21
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 188 140 $180,079.10 $117,051.41 35% off $484.40 $176,030.40 $51,152.46 2026-09-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 28 — — $41,160.35 $180,115.88 $50,792.48 2026-09-21
A9543 HCPCS Y90 Zevalin Inj Ghs 40 Millicurie Kit 56 38 $58,305.80 $37,898.77 35% off $14,051.70 $148,693.62 $50,614.56 2026-09-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 28 — — $46,813.80 $149,906.89 $49,580.23 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 102 85 — $125,421.72 $9,059.83 $165,912.52 $49,368.28 2026-09-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $46,503.51 $154,020.92 $49,205.49 2026-09-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 101 83 — $85,608.81 $4,715.00 $159,291.76 $48,792.17 2026-09-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 23 — — $45,781.79 $141,557.60 $48,470.43 2026-09-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 23 — — $25,853.79 $189,318.00 $47,790.70 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 123 101 — $67,802.35 $9,059.83 $304,865.89 $47,497.38 2026-09-21
277 MS_DRG Cellulitis Age >17 W Cc 35 29 — — $44,297.44 $186,329.60 $47,005.36 2026-09-21
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 30 24 — — $8,470.12 $196,661.72 $45,831.01 2026-09-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 35 29 — — $26,840.60 $187,111.74 $45,060.09 2026-09-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 28 — — $42,298.67 $138,861.86 $44,757.85 2026-09-21
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 32 27 — — $6,712.98 $194,587.44 $44,339.61 2026-09-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 28 — — $30,246.21 $184,119.26 $44,323.30 2026-09-21
276 MS_DRG Non-maligant Breast Disorders 35 29 — — $40,373.25 $147,736.44 $42,661.21 2026-09-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 28 — — $30,679.20 $146,873.07 $42,411.90 2026-09-21
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 34 29 — — $5,600.00 $108,613.26 $42,123.32 2026-09-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 28 — — $39,599.30 $129,474.49 $41,901.30 2026-09-21
28 MS_DRG Spinal Procedures With Mcc 35 29 — — $39,624.96 $144,996.08 $41,869.88 2026-09-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 24 — — $15,118.50 $117,700.05 $41,569.62 2026-09-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $38,777.05 $141,890.81 $40,973.18 2026-09-21
J9269 HCPCS Tagraxofusperzs Dilution 100 Mcg Ml IV Soln 10 Ml 95 42 $119,075.70 $77,399.21 35% off $651.11 $123,838.70 $40,948.00 2026-09-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 28 — — $2,984.35 $141,783.48 $40,942.19 2026-09-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 28 — — $25,532.09 $167,214.62 $40,604.51 2026-09-21
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 23 — — $25,853.78 $175,317.80 $40,589.38 2026-09-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 29 — — $38,353.09 $140,338.17 $40,524.84 2026-09-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 29 — — $38,172.51 $126,886.77 $40,382.42 2026-09-21
J9118 HCPCS Calaspargase Pegolmknl 750 Unit Ml Intravenous Sol 55 39 $112,977.00 $73,435.05 35% off $145.77 $112,977.00 $39,541.95 2026-09-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 28 — — $37,410.08 $136,884.69 $39,527.59 2026-09-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 28 — — $33,917.01 $136,344.24 $38,787.02 2026-09-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 28 — — $36,317.98 $133,371.04 $38,451.16 2026-09-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 28 — — $34,358.68 $167,148.60 $38,070.11 2026-09-21
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 35 29 — — $31,852.48 $131,826.11 $38,066.85 2026-09-21
333 MS_DRG Rectal Resection With Cc 33 28 — — $20,997.07 $173,308.88 $37,982.45 2026-09-21
140 MS_DRG Major Head And Neck Procedures With Mcc 35 29 — — $16,293.38 $147,696.34 $37,770.22 2026-09-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 29 — — $35,571.73 $128,813.85 $37,588.56 2026-09-21
163 MS_DRG Major Chest Procedures With Mcc 122 100 — $80,906.37 $9,059.83 $368,003.46 $37,257.06 2026-09-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 28 — — $10,184.35 $128,677.91 $37,130.94 2026-09-21
Rx24338005008_C9399_100095_000 OTHER Carmustine In Polifeprosan 77 Mg Wafer For Implant 35 28 $1,902,341.00 $1,236,521.65 35% off $9.79 $1,902,341.00 $665,819.35 2026-10-02
Rx68382039601_J3490_100095_000 OTHER Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 32 28 $284,700.00 $185,055.00 35% off $629.77 $284,700.00 $106,050.75 2026-10-02
Rx64406005801_J2326_100095_000 OTHER Nusinersen Pf 12 Mg5 Ml Intrathecal Solution 5 Ml 35 28 $284,378.50 $184,846.02 35% off $629.77 $284,378.50 $99,532.47 2026-10-02
Sx00000197247_00000_100095_000 OTHER Kit Implnt Lvad Heartmate 3 36 28 $244,815.00 $159,129.75 35% off $629.77 $244,815.00 $93,029.70 2026-10-02
Sx00000216398_00000_100095_000 OTHER Custom Extendible P Tibia 33 25 $166,500.00 $108,225.00 35% off $629.77 $166,500.00 $84,915.00 2026-10-02
Sx00000204485_00000_100095_000 OTHER Implant Hvad Pump 36 28 $186,625.00 $121,306.25 35% off $629.77 $186,625.00 $70,917.50 2026-10-02
Rx30237890006_Q2043_100095_000 OTHER Sipuleucel-t In Lactated Ringers 50 Million Cell25 40 25 $72,291.80 $46,989.67 35% off $629.77 $112,706.40 $51,889.43 2026-10-02
Sx00000243045_00000_100095_000 OTHER Ipg Barostim Neo 33 25 $78,750.00 $51,187.50 35% off $629.77 $78,750.00 $40,162.50 2026-10-02
69715 CPT Temple Bne Implnt W/stimulat 25 25 $50,000.00 $32,500.00 35% off $17,500.00 $46,768.09 $40,000.00 2026-10-02
69718 CPT Revise Temple Bone Implant 25 25 $50,000.00 $32,500.00 35% off $17,500.00 $46,768.09 $40,000.00 2026-10-02
Sx00000240843_00000_100095_000 OTHER Cnterpc Vbr 20 Mm Ht 40-62 Mm 33 25 $75,020.00 $48,763.00 35% off $629.77 $75,020.00 $38,260.20 2026-10-02
Sx00000075478_00000_100095_000 OTHER Cath Trans Evolut R 34mm 33 25 $75,000.00 $48,750.00 35% off $629.77 $75,000.00 $38,250.00 2026-10-02
Rx50633011011_J0840_100095_000 OTHER Crotalidae Polyval Immune Fab Solution For Injecti 32 25 $99,777.60 $64,855.44 35% off $629.77 $99,777.60 $37,915.49 2026-10-02
69990 CPT Microsurgery Add-on 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
61783 CPT Scan Proc Spinal 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
20703 CPT Rmvl Imed Rx Delivery Device 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
69930 CPT Implant Cochlear Device 80 40 $50,000.00 $32,500.00 35% off $17,500.00 $98,580.55 $37,050.00 2026-10-02
65757 CPT Prep Corneal Endo Allograft 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
61782 CPT Scan Proc Cranial Extra 42 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
64913 CPT Nrv Rpr W/nrv Algrft Ea Addl 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
66990 CPT Ophthalmic Endoscope Add-on 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
20702 CPT Mnl Prep&insj Imed Rx Dev 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
35572 CPT Harvest Femoropopliteal Vein 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
47001 CPT Ndl Biopsy Lvr Tm Oth Maj Px 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
20701 CPT Rmvl Deep Rx Delivery Device 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
36100 CPT Establish Access To Artery 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
20985 CPT Cptr-asst Dir Ms Px 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,050.00 2026-10-02
D1002 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0904 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D1003 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0902 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0903 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D1004 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0207 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0302 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0805 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0401 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0101 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0804 HCPCS 3d Facial Scan Indirect 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0901 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D1102 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0703 HCPCS 2d Oral/facial Photo Image 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $37,000.00 2026-10-02
D0702 HCPCS 2d Cephal Radio Image 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $37,000.00 2026-10-02
D0704 HCPCS 3d Photo Image Capture Only 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $37,000.00 2026-10-02
D0604 HCPCS Antigen Test Pub Hlth Pathog 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0505 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0701 HCPCS Pano Radio Image 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $37,000.00 2026-10-02
D0801 HCPCS 3d Intraoral Scan Direct 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1004 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0901 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0205 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0902 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1001 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0102 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0402 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0802 HCPCS 3d Dental Scan Indirect 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D1401 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0703 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0804 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0405 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0201 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1301 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0404 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0407 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1501 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0602 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0402 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1502 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0603 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0202 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0403 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0503 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0303 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0206 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0304 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0203 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0506 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0204 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0305 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0108 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0102 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0109 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $50,000.00 $37,000.00 2026-10-02
A1701 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
27370 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0103 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0110 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0401 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0504 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D1402 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0101 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
11752 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
41999 CPT — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0805 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
00140 CPT Anes Procedures On Eye Nos 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
63048 CPT Lam Facetec &foramot Ea Addl 26 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0203 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0403 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
01392 CPT Anes Opn Px Upr Tib Fib&/pat 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0505 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0201 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0202 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0303 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0205 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0207 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0302 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0206 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
22851 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
64413 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0204 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
34825 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0203 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
75964 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0601 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0604 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0101 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0205 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0802 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0701 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0704 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0702 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1803 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
28290 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
67183 CPT — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0207 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
41985 CPT — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0102 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
19324 CPT Enlarge Breast 33 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1402 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1804 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0904 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0204 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
19366 CPT Breast Reconstruction 33 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0506 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
19260 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0903 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
31588 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
36148 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
00740 CPT — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1003 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1002 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0303 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A2001 HCPCS Innovamatrix Ac, Per Sq Cm 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
95980 CPT Io Anal Gast N-stim Init 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1904 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0206 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0103 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0305 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
15732 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1805 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
01250 CPT Anes All Px Nrv Musc Upr Leg 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0304 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1904 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C9738 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0104 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
20005 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
19304 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1901 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0502 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1902 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1403 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1901 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1404 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
92504 CPT Ear Microscopy Examination 26 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
35475 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0503 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1502 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1903 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0105 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0406 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0407 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0901 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1705 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0107 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0806 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0903 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0702 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0604 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0703 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1802 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0201 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0603 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0704 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0904 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0505 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0301 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0506 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0501 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A0202 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0504 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0601 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
B0109 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1902 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0502 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
20700 CPT Mnl Prep&insj Dp Rx Dlvr Dev 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
A1403 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0503 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C0602 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
C1002 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
D0106 HCPCS — 13 13 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-10-02
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