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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 PATEWOOD HOSPITAL

Greenville, SC · CCN 420102 · Rates published

5,260 distinct procedures filed
140 distinct payers
544,569 rate rows
2026-07-05 last MRF observed
Data quality

522,429 of 544,569 rate rows are consumer-grade (95.9%)

22,140 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 20,328
placeholder amount (≤ $0.02) — excluded from medians 724
exceeds 10× this hospital's gross charge — excluded from medians 389
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 252
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 55
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/aebbe006-7448-4c38-9044-a424e72b7a1a/81-1723202_patewoodmemorialhospital_standardcharges.xlsx
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-estimates
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-11
Content fingerprint f367f0ce837af291… · 13,922,696 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
Q2053
HCPCS 		Hc Brexucabtagene Car Pos T (Tecartus) Mcl 95 $377,084.40 $2,482,145.82 $748,780.47 nat. median
$513,770
1.5× median
Q2056
HCPCS 		Hc Ciltacabtagene Car-pos T(Carvykti) 70 Ml 94 $8,067.32 $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
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×
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×
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×
C1823
HCPCS 		Hc Remede System 1001 31 $22,233.75 $147,056.25 $100,196.25 nat. median
$86,625
1.2× median
PX-8130000000
CDM 		Hc Cadaver Donor Sac-pancreas 31 $18,634.00 $112,530.00 $83,974.00 —
C1605
HCPCS 		Hc Aveir Ntap C1605 41 $18,280.57 $110,395.65 $70,985.59 nat. median
$17,883
outlier · 4.0×
38240
CPT 		Hc Hpc Allogeneic 82 $4,915.41 $147,856.00 $62,654.62 nat. median
$28,331
outlier · 2.2×
0483T
CPT 		Hc Tmvi Percutaneous Approach 34 $12,874.71 $77,749.86 $55,762.54 nat. median
$2,430
outlier · 22.9×
0268T
CPT 		Hc Implt/Rpl Crtd Sns Dev Gen 37 $10,564.40 $68,600.00 $47,608.40 nat. median
$30,474
1.6× median
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 63 $17,325.15 $104,625.93 $43,663.95 nat. median
$44,163
1.0× median
0620T
OTHER 		Hc Evasc Ven Artlz Tibl/Prnl Vn 66 $9,819.66 $63,764.00 $43,139.15 nat. median
$32,565
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 55 $8,751.91 $136,858.50 $41,410.09 nat. median
$40,584
1.0× median
69718
CPT 		Revise Temple Bone Implant 25 $17,500.00 $57,079.17 $40,000.00 nat. median
$4,966
outlier · 8.1×
69715
CPT 		Temple Bne Implnt W/stimulat 25 $17,500.00 $57,079.17 $40,000.00 nat. median
$6,484
outlier · 6.2×
69930
CPT 		Implant Cochlear Device 39 $17,500.00 $114,498.89 $37,100.00 nat. median
$23,645
1.6× median
95980
CPT 		Io Anal Gast N-stim Init 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$57
outlier · 647.0×
01830
CPT 		Anes Arthr/ndsc Wrst/hnd Nos 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$25
outlier · 1507.7×
00740
CPT 		14 $17,500.00 $42,500.00 $37,000.00 —
D7283
HCPCS 		Place Device Impacted Tooth 17 $17,500.00 $47,500.00 $37,000.00 nat. median
$615
outlier · 60.2×
69990
CPT 		Microsurgery Add-on 15 $17,500.00 $42,500.00 $37,000.00 nat. median
$864
outlier · 42.8×
36120
CPT 		17 $17,500.00 $42,500.00 $37,000.00 nat. median
$2,311
outlier · 16.0×
01820
CPT 		Anes Clsd Px Rds U/w/h Bones 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$38
outlier · 978.8×
76948
CPT 		Echo Guide Ova Aspiration 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$104
outlier · 357.4×
G0414
HCPCS 		Pelvic Ring Fx Treat Int Fix 17 $17,500.00 $42,500.00 $37,000.00 nat. median
$7,434
outlier · 5.0×
S4005
HCPCS 		Interim Labor Facility Globa 17 $17,500.00 $42,500.00 $37,000.00 nat. median
$567
outlier · 65.2×
01610
CPT 		Anes All Px Nrv Musc Sho&ax 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$162
outlier · 227.9×
S1091
HCPCS 		Stent Non-coronary Propel 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$2,514
outlier · 14.7×
43360
CPT 		Gastrointestinal Repair 18 $17,500.00 $42,500.00 $37,000.00 nat. median
$3,740
outlier · 9.9×
G0289
HCPCS 		Arthro, Loose Body + Chondro 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$381
outlier · 97.0×
01392
CPT 		Anes Opn Px Upr Tib Fib&/pat 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$33
outlier · 1108.8×
01250
CPT 		Anes All Px Nrv Musc Upr Leg 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$51
outlier · 725.5×
00140
CPT 		Anes Procedures On Eye Nos 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$209
outlier · 177.4×
C9738
HCPCS 		Blue Light Cysto Imag Agent 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$1,977
outlier · 18.7×
00810
CPT 		14 $17,500.00 $42,500.00 $37,000.00 —
92504
CPT 		Ear Microscopy Examination 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$45
outlier · 819.4×
D9110
HCPCS 		Tx Dental Pain Minor Proc 14 $17,500.00 $47,500.00 $37,000.00 nat. median
$155
outlier · 238.3×
99100
CPT 		Anes Pt Exteme Age<1 Yr&>70 14 $17,500.00 $42,500.00 $37,000.00 nat. median
$98
outlier · 378.4×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 59 $15,428.09 $106,320.30 $36,749.85 nat. median
$36,541
1.0× median
37231
CPT 		Hc Revsc Tibl Prnl W/Stent & Arth 34 $7,965.03 $51,721.00 $36,049.54 nat. median
$19,288
1.9× median
C2624
HCPCS 		Sensor Cardiomem Heart Failure (cm Patient System 146159) 31 $8,618.23 $52,045.13 $35,816.00 nat. median
$26,491
1.4× median
D2990
HCPCS 		Resin Infiltration Of Lesion 16 $17,500.00 $47,500.00 $34,675.00 nat. median
$1,632
outlier · 21.3×
D4212
HCPCS 		Gingivectomy/plasty Rest 16 $17,500.00 $47,500.00 $34,675.00 nat. median
$3,484
outlier · 10.0×
D2949
HCPCS 		Restorative Foundation 16 $17,500.00 $47,500.00 $34,675.00 nat. median
$1,632
outlier · 21.3×
D4346
HCPCS 		Scaling Gingiv Inflammation 16 $17,500.00 $42,500.00 $34,675.00 nat. median
$1,627
outlier · 21.3×

Other procedures at this hospital

Browse this hospital's 5,260 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
             
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 $748,780.47 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 $8,067.32 $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 $100,196.25 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 102 82 $147,856.00 $96,106.40 35% off $4,915.41 $147,856.00 $62,654.62 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 79 63 $112,501.00 $73,125.65 35% off $17,325.15 $104,625.93 $43,663.95 2026-03-01
0620T OTHER Hc Evasc Ven Artlz Tibl/Prnl Vn 82 66 $63,764.00 $41,446.60 35% off $9,819.66 $63,764.00 $43,139.15 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 70 55 — $12,817.21 $8,751.91 $136,858.50 $41,410.09 2026-03-01
69715 CPT Temple Bne Implnt W/stimulat 25 25 $50,000.00 $32,500.00 35% off $17,500.00 $57,079.17 $40,000.00 2026-07-05
69718 CPT Revise Temple Bone Implant 25 25 $50,000.00 $32,500.00 35% off $17,500.00 $57,079.17 $40,000.00 2026-07-05
69930 CPT Implant Cochlear Device 78 39 $50,000.00 $32,500.00 35% off $17,500.00 $114,498.89 $37,100.00 2026-07-05
G0414 HCPCS Pelvic Ring Fx Treat Int Fix 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
00140 CPT Anes Procedures On Eye Nos 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
D9110 HCPCS Tx Dental Pain Minor Proc 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $37,000.00 2026-07-05
99100 CPT Anes Pt Exteme Age<1 Yr&>70 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
01830 CPT Anes Arthr/ndsc Wrst/hnd Nos 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
01820 CPT Anes Clsd Px Rds U/w/h Bones 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
95980 CPT Io Anal Gast N-stim Init 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
36120 CPT — 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
01392 CPT Anes Opn Px Upr Tib Fib&/pat 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
76948 CPT Echo Guide Ova Aspiration 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
S4005 HCPCS Interim Labor Facility Globa 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
92504 CPT Ear Microscopy Examination 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
D7283 HCPCS Place Device Impacted Tooth 17 17 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $37,000.00 2026-07-05
00810 CPT — 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
G0289 HCPCS Arthro, Loose Body + Chondro 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
C9738 HCPCS Blue Light Cysto Imag Agent 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
00740 CPT — 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
43360 CPT Gastrointestinal Repair 18 18 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
69990 CPT Microsurgery Add-on 15 15 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
01610 CPT Anes All Px Nrv Musc Sho&ax 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
01250 CPT Anes All Px Nrv Musc Upr Leg 14 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
S1091 HCPCS Stent Non-coronary Propel 28 14 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $37,000.00 2026-07-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 75 59 — $93,852.55 $15,428.09 $106,320.30 $36,749.85 2026-03-01
37231 CPT Hc Revsc Tibl Prnl W/Stent & Arth 40 34 $51,721.00 $33,618.65 35% off $7,965.03 $51,721.00 $36,049.54 2026-03-01
C2624 HCPCS Sensor Cardiomem Heart Failure (cm Patient System 146159) 39 31 $55,962.50 $36,375.62 35% off $8,618.23 $52,045.13 $35,816.00 2026-03-01
G8990 HCPCS Other Pt/ot Current Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
D2990 HCPCS Resin Infiltration Of Lesion 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $34,675.00 2026-07-05
C9753 HCPCS Intraosseous Destruct Add'l 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
33282 CPT — 18 18 $50,000.00 $32,500.00 35% off $378.70 $42,500.00 $34,675.00 2026-07-05
G8988 HCPCS Self Care Goal Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
D4212 HCPCS Gingivectomy/plasty Rest 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $34,675.00 2026-07-05
D1353 HCPCS Sealant Repair Per Tooth 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $34,675.00 2026-07-05
D4346 HCPCS Scaling Gingiv Inflammation 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
D2753 HCPCS Crown Porc Fused To Titanium 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $34,675.00 2026-07-05
D7960 HCPCS Frenulectomy/frenectomy 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
G8984 HCPCS Carry Current Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
C9752 HCPCS Intraosseous Des Lumb/sacrum 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
G8989 HCPCS Self Care D/c Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
92586 CPT Auditor Evoke Potent Limit 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
S2325 HCPCS Hip Core Decompression 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
D2949 HCPCS Restorative Foundation 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $34,675.00 2026-07-05
G8985 HCPCS Carry Goal Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
D1354 HCPCS Int Caries Med App Per Tooth 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $34,675.00 2026-07-05
G8986 HCPCS Carry D/c Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
33284 CPT — 18 18 $50,000.00 $32,500.00 35% off $378.70 $42,500.00 $34,675.00 2026-07-05
G8991 HCPCS Other Pt/ot Goal Status 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
C9749 HCPCS Repair Nasal Stenosis W/imp 16 16 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $34,675.00 2026-07-05
PX-2720001417 CDM Hc Oxygenator Centrimag Precon Pack For Cpb Perfusion 30 26 $49,913.00 $32,443.45 35% off $7,686.60 $46,419.09 $34,639.62 2026-03-01
SUP-VAMF2828C100TU CDM Endo Valiant Pm 28x28x100 (vamf2828c100tu C28243) 30 26 $48,839.38 $31,745.60 35% off $7,521.26 $45,420.62 $33,894.53 2026-03-01
SUP-VAMF2626C100TU CDM Endo Valiant Pm 26x26x100 (vamf2626c100tu C28242) 30 26 $48,839.38 $31,745.60 35% off $7,521.26 $45,420.62 $33,894.53 2026-03-01
SUP-TGU404020 CDM Dev C-tag 40x40x20 (tgu404020 A58887) 30 26 $47,338.23 $30,769.85 35% off $7,290.09 $44,024.55 $32,852.73 2026-03-01
37278 CPT Hc Revsc Evsc Fpvt St Athrc Uni Cplx Les Ea Add Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37289 CPT Hc Revsc Evsc Tpvt Athrc Sf Ea Add Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37285 CPT Hc Revsc Evasc Tpvt St Sf Ea Add Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37272 CPT Hc Revsc Evasc Fpvt Athrc Uni Sf Les Ea Addl Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37293 CPT Hc Revsc Evasc Tpvt St Athrc Uni Sf Les Ea Addl Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37295 CPT Hc Revsc Evsc Tpvt St Athrc Uni Cplx Les Ea Add Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37274 CPT Hc Revsc Evasc Fpvt Athrc Uni Cplx Les Ea Addl Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
37276 CPT Hc Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl 33 29 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $32,494.47 2026-03-01
SUP-VAMC2626B100TU CDM Endo Valiant Op 26x26x100 (vamc2626b100tu C28230) 30 26 $46,684.07 $30,344.65 35% off $7,189.35 $43,416.19 $32,398.74 2026-03-01
SUP-VAMC2222C100TU CDM Endo Valiant Cs 22x22x100 (vamc2222c100tu C28182) 30 26 $46,684.07 $30,344.65 35% off $7,189.35 $43,416.19 $32,398.74 2026-03-01
SUP-VAMC4444C100TU CDM Endo Valiant Cs 44x44x100 (vamc4444c100tu C28195) 30 26 $46,684.07 $30,344.65 35% off $7,189.35 $43,416.19 $32,398.74 2026-03-01
SUP-VAMC4242C100TU CDM Endo Valiant Cs 42x42x100 (vamc4242c100tu C28194) 30 26 $46,684.07 $30,344.65 35% off $7,189.35 $43,416.19 $32,398.74 2026-03-01
D7950 HCPCS Mandible Graft 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D4341 HCPCS Periodontal Scaling & Root 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D9970 HCPCS Enamel Microabrasion 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7251 HCPCS Coronectomy 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D3240 HCPCS Pulpal Therapy Posterior Pri 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D4910 HCPCS Periodontal Maint Procedures 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D0180 HCPCS Comp Periodontal Evaluation 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7472 HCPCS Removal Of Torus Palatinus 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
92015 CPT Determine Refractive State 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $42,500.00 $32,350.00 2026-07-05
D0160 HCPCS Extensv Oral Eval Prob Focus 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D1110 HCPCS Dental Prophylaxis Adult 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D6040 HCPCS Odontics Eposteal Implant 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D0330 HCPCS Panoramic Image 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
C9741 HCPCS Impl Pressure Sensor W/angio 17 17 $50,000.00 $32,500.00 35% off $1,128.80 $42,500.00 $32,350.00 2026-07-05
D7471 HCPCS Rem Exostosis Any Site 38 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D3230 HCPCS Pulpal Therapy Anterior Prim 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7280 HCPCS Exposure Of Unerupted Tooth 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D0273 HCPCS Bitewings - Three Images 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D2955 HCPCS Post Removal 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D2663 HCPCS Dental Onlay Resin 3 Surface 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D2971 HCPCS Add Proc Construct New Crown 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7473 HCPCS Remove Torus Mandibularis 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D4211 HCPCS Gingivectomy/plasty 1 To 3 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7955 HCPCS Repair Maxillofacial Defects 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D3110 HCPCS Pulp Cap Direct 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7310 HCPCS Alveoplasty With Extraction 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D3222 HCPCS Part Pulp For Apexogenesis 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
D7311 HCPCS Alveoloplasty W/extract 1-3 19 19 $50,000.00 $32,500.00 35% off $17,500.00 $47,500.00 $32,350.00 2026-07-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 72 58 — $84,681.11 $11,532.26 $92,907.20 $32,113.59 2026-03-01
PX-2720000940 CDM Hc Pack Hls Cardio Adult 30 26 $46,225.00 $30,046.25 35% off $7,118.65 $42,989.25 $32,080.15 2026-03-01
37227 CPT Hc Fem/Popl Revasc Stnt & Ather 45 38 $46,087.00 $29,956.55 35% off $7,097.40 $46,087.00 $31,984.38 2026-03-01
0408T OTHER Hc Insj/Rplc Cardiac Modulj Sys 96 76 $80,154.00 $52,100.10 35% off $12,343.72 $80,154.00 $31,265.86 2026-03-01
59410 CPT Obstetrical Care 18 18 $50,000.00 $32,500.00 35% off $3,656.42 $42,500.00 $31,175.00 2026-07-05
0915T OTHER Hc Insj Perm Ccm-d Sys Pg&Dual Transvns Eltrds/Lds 79 63 $80,154.00 $52,100.10 35% off $12,343.72 $74,543.22 $31,116.26 2026-03-01
33270 CPT Hc Ins/Rep Subq Defibrillator 97 77 $50,819.00 $33,032.35 35% off $7,826.13 $133,547.75 $30,966.67 2026-03-01
33231 CPT Hc Ins Cardio-defib Gener W/m 103 83 $87,540.00 $56,901.00 35% off $2,048.75 $133,547.75 $30,966.67 2026-03-01
64656 CPT Hc Revision/Rplcmt Bat Modulation System Pg Only 88 68 $78,815.00 $51,229.75 35% off $12,137.51 $84,474.84 $30,883.84 2026-03-01
33264 CPT Hc Rem Defibrillator W/Repl Mult Lead Sys 108 88 $125,369.00 $81,489.85 35% off $3,935.79 $133,547.75 $30,742.27 2026-03-01
33249 CPT Hc Ins/Repl Defibrillator W/Sgl Lead 108 88 $108,000.00 $70,200.00 35% off $2,426.17 $100,440.00 $30,742.27 2026-03-01
0571T OTHER Hc Insj/Rplcmt Icds Ss Eltrd 87 70 $76,314.00 $49,604.10 35% off $11,752.36 $70,972.02 $30,525.60 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 81 65 — $59,805.70 $8,751.91 $107,970.77 $30,415.91 2026-03-01
D0603 HCPCS Caries Risk Assess High Risk 16 16 $50,000.00 $32,500.00 35% off $4.75 $42,500.00 $30,000.00 2026-07-05
99143 CPT — 25 25 $50,000.00 $32,500.00 35% off $393.62 $42,500.00 $30,000.00 2026-07-05
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami Sgl 46 36 $44,654.00 $29,025.10 35% off $6,876.72 $41,528.22 $29,784.22 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 87 71 — $90,371.39 $8,751.91 $148,261.01 $29,521.36 2026-03-01
33225 CPT Hc Ins Electrode Defibrillator/ Pacemaker 50 43 $78,541.00 $51,051.65 35% off $1,258.01 $83,665.16 $29,452.88 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 81 65 — $81,303.92 $8,751.91 $114,753.99 $28,835.87 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 70 55 — $3,140.20 $3,223.22 $77,419.73 $28,481.19 2026-03-01
69710 CPT Implant/replace Hearing Aid 28 28 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $28,225.00 2026-07-05
791 MS_DRG Prematurity With Major Problems 70 55 — $3,861.84 $6,934.34 $75,366.12 $28,222.79 2026-03-01
37226 CPT Hc Fem/Popl Revasc W/Stent 45 38 $39,932.00 $25,955.80 35% off $6,149.53 $39,932.00 $27,712.81 2026-03-01
PX-2720001123 CDM Hc Cann W/Dilatr Ango 20-180 Bubbltrap 30 26 $39,875.00 $25,918.75 35% off $6,140.75 $37,083.75 $27,673.25 2026-03-01
33289 CPT Hc Transcath Impl Wrls P-art Prs Snr 94 78 $32,300.00 $20,995.00 35% off $385.61 $50,306.75 $27,340.62 2026-03-01
C1882 HCPCS Icd Amplia MRI Biv (dtmb1d1 146113) 36 29 $38,720.00 $25,168.00 35% off $5,962.88 $36,009.60 $26,871.68 2026-03-01
C9601 HCPCS Hc Perc Drug-el Cor Stent Bran Each 39 31 $41,442.00 $26,937.30 35% off $6,382.07 $38,541.06 $26,522.88 2026-03-01
D2710 HCPCS Crown Resin-based Indirect 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D7450 HCPCS Rem Odontogen Cyst To 1.25cm 27 27 $50,000.00 $32,500.00 35% off $427.85 $47,500.00 $26,450.00 2026-07-05
D7285 HCPCS Biopsy Of Oral Tissue Hard 27 27 $50,000.00 $32,500.00 35% off $427.85 $47,500.00 $26,450.00 2026-07-05
D7670 HCPCS Closd Rductn Splint Alveolus 27 27 $50,000.00 $32,500.00 35% off $1,951.00 $47,500.00 $26,450.00 2026-07-05
69717 CPT Revj/rplcmt Oi Implt Prq Esp 39 39 $50,000.00 $32,500.00 35% off $5,866.51 $57,079.17 $26,450.00 2026-07-05
D2161 HCPCS Amalgam 4 Or > Surfaces Perm 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D7410 HCPCS Rad Exc Lesion Up To 1.25 Cm 27 27 $50,000.00 $32,500.00 35% off $427.85 $47,500.00 $26,450.00 2026-07-05
69714 CPT Impltj Oi Implt Skl Perq Esp 39 39 $50,000.00 $32,500.00 35% off $11,541.13 $57,079.17 $26,450.00 2026-07-05
D2140 HCPCS Amalgam One Surface Permanen 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D2150 HCPCS Amalgam Two Surfaces Permane 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D2160 HCPCS Amalgam Three Surfaces Perma 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D3330 HCPCS End Thxpy, Molar Tooth 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D3310 HCPCS End Thxpy, Anterior Tooth 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D3320 HCPCS End Thxpy, Premolar Tooth 27 27 $50,000.00 $32,500.00 35% off $1,197.99 $47,500.00 $26,450.00 2026-07-05
D7451 HCPCS Rem Odontogen Cyst > 1.25 Cm 27 27 $50,000.00 $32,500.00 35% off $427.85 $47,500.00 $26,450.00 2026-07-05
37225 CPT Hc Fem/Popl Revas W/Ather 42 36 $37,435.00 $24,332.75 35% off $5,764.99 $37,435.00 $25,979.89 2026-03-01
37230 CPT Hc Tib/per Revasc W/Stent 42 36 $37,435.00 $24,332.75 35% off $5,764.99 $37,435.00 $25,979.89 2026-03-01
69554 CPT Exc Aurl Glomus Tum Extended 26 26 $50,000.00 $32,500.00 35% off $1,197.99 $42,500.00 $25,975.00 2026-07-05
59514 CPT Cesarean Delivery Only 26 26 $50,000.00 $32,500.00 35% off $2,310.41 $42,500.00 $25,975.00 2026-07-05
58611 CPT Ligate Oviduct(s) Add-on 26 26 $50,000.00 $32,500.00 35% off $2,310.41 $42,500.00 $25,975.00 2026-07-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 73 59 — $64,154.53 $11,300.48 $74,054.92 $25,597.25 2026-03-01
SUP-G53419 CDM Graf Endo Tx2 2p-28-140 (g53419 C27410) 30 26 $36,584.35 $23,779.83 35% off $5,633.99 $34,023.45 $25,389.54 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 87 71 — $79,968.93 $8,751.91 $89,787.24 $24,950.87 2026-03-01
93656 CPT Hc Ep Eval & Pulmonary Vein Isola 103 83 $59,094.00 $38,411.10 35% off $2,048.75 $54,957.42 $24,914.29 2026-03-01
93653 CPT Hc Ep Eval & Ablate Svt Arrhyt 103 83 $51,165.00 $33,257.25 35% off $2,048.75 $47,583.45 $24,914.29 2026-03-01
93654 CPT Hc Ep Eval & Ablate Ventric Tachy 103 83 $58,945.00 $38,314.25 35% off $2,048.75 $54,818.85 $24,914.29 2026-03-01
PX-2720001150 CDM Hc Cannula Protek Duo 31fr 37 31 $35,750.00 $23,237.50 35% off $5,505.50 $33,247.50 $24,810.50 2026-03-01
PX-2780000215 CDM Hc Cann Pvad Protek Duo Arterial 29fr 46cm 37 31 $35,750.00 $23,237.50 35% off $5,505.50 $33,247.50 $24,810.50 2026-03-01
PX-2720001122 CDM Hc Cann W/Dilator Angovac C20-180 37 31 $35,750.00 $23,237.50 35% off $5,505.50 $33,247.50 $24,810.50 2026-03-01
678 OTHER Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $24,615.97 $24,615.97 $24,615.97 2026-03-01
650 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $24,192.66 $24,192.66 $24,192.66 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 81 65 — $69,712.40 $8,751.91 $82,245.98 $23,169.11 2026-03-01
PX-2780000900 CDM Hc Set Blood Pump Centrimag 30 26 $33,000.00 $21,450.00 35% off $5,082.00 $30,690.00 $22,902.00 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 78 62 — $50,937.85 $8,751.91 $66,995.29 $22,863.63 2026-03-01
0659T CPT Hc Tcat Intra-c Nfs Supersat O2 40 34 $33,816.00 $21,980.40 35% off $5,207.66 $31,448.88 $22,555.27 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 78 62 — $50,505.58 $8,751.91 $64,641.04 $22,343.31 2026-03-01
PX-2780001068 CDM Hc Cannula Perfusion 72cm 21fr Tandemheart Venous Dilator Introducer Sterile Lat… 30 26 $31,815.00 $20,679.75 35% off $4,899.51 $29,587.95 $22,079.61 2026-03-01
SUP-25-16-155BL CDM Endopro Trunk 25x16x155 (25-16-155bl A56248) 30 26 $31,747.38 $20,635.80 35% off $4,889.10 $29,525.06 $22,032.68 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 78 62 — $57,154.75 $8,193.55 $68,225.70 $21,989.61 2026-03-01
22515 CPT Hc Kyphoplasty Perc T/l W/Img 39 32 $31,573.00 $20,522.45 35% off $4,862.24 $36,335.93 $21,911.66 2026-03-01
33230 CPT Hc Insrt Pulse Gen W/Dual Leads 103 83 $33,529.00 $21,793.85 35% off $2,048.75 $133,547.75 $21,626.35 2026-03-01
33262 CPT Hc Rem Defibrillator Plse Gen W/Repl Plse Gen 1 Lead 108 88 $36,115.00 $23,474.75 35% off $3,935.79 $133,547.75 $21,626.35 2026-03-01
C9603 HCPCS Hc Perc D-e Cor Stent Ather Br Each 39 31 $31,679.00 $20,591.35 35% off $4,878.57 $36,052.99 $21,612.44 2026-03-01
33263 CPT Hc Rem Defibrillator W/Repl Dual Lead Sys 108 88 $41,650.00 $27,072.50 35% off $3,935.79 $133,547.75 $21,202.31 2026-03-01
SUP-RMT231414 CDM Excluder C3 23x14x14 (rmt231414 A57781) 30 26 $30,234.88 $19,652.67 35% off $4,656.17 $28,118.44 $20,983.01 2026-03-01
SUP-RMT281414 CDM Excluder C3 28x14x14 (rmt281414 A57797) 30 26 $30,234.88 $19,652.67 35% off $4,656.17 $28,118.44 $20,983.01 2026-03-01
SUP-ENBF2816C124E CDM Endo End Trk 28x16x124 (enbf2816c124e C23800) 30 26 $30,174.38 $19,613.35 35% off $4,646.85 $28,062.17 $20,941.02 2026-03-01
SUP-ENBF2316C124E CDM Endo End Trk 23x16x124 (enbf2316c124e C23788) 30 26 $30,174.38 $19,613.35 35% off $4,646.85 $28,062.17 $20,941.02 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 88 72 — $72,944.66 $7,297.28 $75,007.71 $20,843.79 2026-03-01
37281 CPT Hc Revsc Evsc Tpvt Angio Sf Ea Add Vsl 33 29 $29,486.00 $19,165.90 35% off $4,540.84 $29,486.00 $20,463.28 2026-03-01
37299 CPT Hc Revsc Evasc Imvt Angiop Uni Cplx Les Ea Addl Vsl 33 29 $29,486.00 $19,165.90 35% off $4,540.84 $29,486.00 $20,463.28 2026-03-01
37268 CPT Hc Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl 33 29 $29,486.00 $19,165.90 35% off $4,540.84 $29,486.00 $20,463.28 2026-03-01
37297 CPT Hc Revsc Evasc Imvt Angiop Uni Sf Les Ea Addl Vsl 33 29 $29,486.00 $19,165.90 35% off $4,540.84 $29,486.00 $20,463.28 2026-03-01
37283 CPT Hc Rvsc Evsc Tpvt Angio Cplx Ea Add Vsl 33 29 $29,486.00 $19,165.90 35% off $4,540.84 $29,486.00 $20,463.28 2026-03-01
92972 CPT Hc Perq Trluml Coronry Lithotrp 31 27 $28,987.00 $18,841.55 35% off $126.24 $26,957.91 $20,116.98 2026-03-01
470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $19,833.39 $19,833.39 $19,833.39 2026-03-01
93655 CPT Hc Ablate Arrhythmia Add On 30 26 $28,568.00 $18,569.20 35% off $4,399.47 $26,568.24 $19,826.19 2026-03-01
C7564 HCPCS Hc Vein Mech Throm W/Intrvas US 36 32 $28,351.00 $18,428.15 35% off $4,366.05 $28,351.00 $19,675.59 2026-03-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 88 72 — $73,426.88 $8,510.79 $70,572.57 $19,596.64 2026-03-01
C1813 HCPCS Pros Srotal Narw Od Cyl 16cm (en8916 148430) 72 29 $32,716.13 $21,265.48 35% off $4,011.90 $36,624.29 $19,551.50 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 78 62 — $69,203.64 $7,947.44 $56,127.90 $19,400.74 2026-03-01
D2750 HCPCS Crown Porcelain With H Noble M 27 27 $50,000.00 $32,500.00 35% off $759.59 $42,500.00 $19,250.00 2026-07-05
0570T CPT Hc Ttvr Perq Ea Addl Prosth 37 31 $27,515.00 $17,884.75 35% off $4,237.31 $25,588.95 $19,095.41 2026-03-01
0569T CPT Hc Ttvr Perq Appr 1st Prosth 37 31 $27,515.00 $17,884.75 35% off $4,237.31 $25,588.95 $19,095.41 2026-03-01
0797T OTHER Hc Tcat Ins 2chmbr Ldls Pm Rv 82 66 $47,678.00 $30,990.70 35% off $7,342.41 $44,340.54 $19,094.41 2026-03-01
0796T OTHER Hc Tcat Ins 2chmbr Ldls Pm Ra 82 66 $47,678.00 $30,990.70 35% off $7,342.41 $44,340.54 $19,094.41 2026-03-01
0803T CPT Hc Tcat Rmvl&Rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 93 73 $50,062.00 $32,540.30 35% off $7,709.55 $46,557.66 $19,094.41 2026-03-01
0801T CPT Hc Tcat Rmv&Rpl 2chmbr Ldls Pm 82 66 $47,678.00 $30,990.70 35% off $7,342.41 $44,340.54 $19,094.41 2026-03-01
0795T CPT Hc Tcat Ins 2chmbr Ldls Pm Cmpl 93 73 $50,062.00 $32,540.30 35% off $7,709.55 $46,557.66 $19,094.41 2026-03-01
0825T OTHER Hc Tcat Rmv&Rpl1chmb Ldls Pm Ra 82 66 $46,413.00 $30,168.45 35% off $7,147.60 $43,164.09 $19,094.41 2026-03-01
0823T OTHER Hc Tcat Ins 1chmbr Ldls Pm Ra 93 73 $45,199.00 $29,379.35 35% off $6,960.65 $42,035.07 $19,002.61 2026-03-01
0525T OTHER Hc Insj/Rplcmt Compl Iims 84 68 $32,500.00 $21,125.00 35% off $5,005.00 $33,782.42 $19,002.61 2026-03-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 78 62 — $63,853.93 $8,751.91 $63,458.74 $18,779.46 2026-03-01
33274 CPT Hc Transcath Insj/Rpl Perm Ldls Pm 102 82 $33,769.00 $21,949.85 35% off $573.29 $33,782.42 $18,727.21 2026-03-01
69716 CPT Impltj Oi Implt Skl Tc Esp 31 31 $50,000.00 $32,500.00 35% off $11,541.13 $42,500.00 $18,700.00 2026-07-05
C2616 HCPCS Hc Therasphere Yttrium-90 94 74 $66,719.00 $43,367.35 35% off $10,274.73 $62,048.67 $18,659.56 2026-03-01
37229 CPT Hc Tib/per Revasc W/Ather 42 36 $26,610.00 $17,296.50 35% off $4,097.94 $26,610.00 $18,467.34 2026-03-01
33221 CPT Hc Ins/Repl Pacemaker Generator Mult Leads 108 88 $21,174.00 $13,763.10 35% off $2,426.17 $44,335.40 $18,360.01 2026-03-01
33229 CPT Hc Rem Pacemaker W/Repl Mult Lead S 108 88 $44,117.00 $28,676.05 35% off $2,426.17 $44,335.40 $18,360.01 2026-03-01
37273 CPT Hc Revsc Evsc Fpvt Athrc Cplx 1st Vsl 91 71 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37286 CPT Hc Revsc Evasc Tpvt St Cplx 1st Vsl 91 71 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37294 CPT Hc Rvsc Evsc Tpvt St Athr Cpx 1st Vsl 85 69 $51,721.00 $33,618.65 35% off $7,965.03 $51,721.00 $18,347.17 2026-03-01
37277 CPT Hc Rvsc Evsc Fpvt St Athr Cpx 1st Vsl 85 69 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37275 CPT Hc Rvsc Evsc Fpvt St Athrc Sf 1st Vsl 85 69 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37284 CPT Hc Revsc Evasc Tpvt St Sf 1st Vsl 91 71 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1st Vsl 91 71 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st Vsl 91 71 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
37292 CPT Hc Rvsc Evsc Tpvt St Athrc Sf 1st Vsdl 85 69 $51,721.00 $33,618.65 35% off $7,965.03 $51,721.00 $18,347.17 2026-03-01
37271 CPT Hc Revsc Evsc Fpvt Athrc Sf 1st Vsl 91 71 $46,822.00 $30,434.30 35% off $7,210.59 $46,822.00 $18,347.17 2026-03-01
C9765 HCPCS Hc Revascularization Intravasc Lithotripsy Stent 97 77 $57,974.00 $37,683.10 35% off $8,928.00 $57,974.00 $18,261.81 2026-03-01
0646T OTHER Hc Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 37 31 $26,205.00 $17,033.25 35% off $4,035.57 $24,370.65 $18,186.27 2026-03-01
0238T CPT Hc Trluml Perip Athrc Iliac Art 96 76 $38,738.00 $25,179.70 35% off $5,965.65 $38,738.00 $18,172.43 2026-03-01
C9602 HCPCS Hc Perc D-e Cor Stent Ather Sgl 94 74 $32,953.00 $21,419.45 35% off $5,074.76 $36,052.99 $18,172.43 2026-03-01
C9767 HCPCS Hc Revascularization Intravasc Litho Stent Atherect 94 74 $44,892.00 $29,179.80 35% off $6,913.37 $41,749.56 $18,085.07 2026-03-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sgl 94 74 $44,654.00 $29,025.10 35% off $6,876.72 $41,528.22 $18,085.07 2026-03-01
C9797 HCPCS Hc Vascular Embol/Occl W/Press Cath 96 76 $44,892.00 $29,179.80 35% off $6,913.37 $44,892.00 $18,085.07 2026-03-01
92930 CPT Hc Prq Tcat Plmt Ntrac St 2+Les 90 71 $46,822.00 $30,434.30 35% off $7,210.59 $43,544.46 $18,085.07 2026-03-01
0981T OTHER Hc Tcat Impl Wrls Ivc Snr 79 63 $44,892.00 $29,179.80 35% off $6,913.37 $41,749.56 $18,085.07 2026-03-01
93580 CPT Hc Ptc W/Implnt Atrial 94 74 $27,475.00 $17,858.75 35% off $4,231.15 $60,403.81 $18,085.07 2026-03-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 78 62 — $62,134.19 $6,541.37 $51,799.84 $17,873.79 2026-03-01
C9784 HCPCS Hc Endo Sleeve Gastro W/Tube 38 32 $25,745.00 $16,734.25 35% off $3,964.73 $23,942.85 $17,867.03 2026-03-01
C9766 HCPCS Hc Revascularization Intravasc Lithotripsy Atherect 113 97 $32,851.00 $21,353.15 35% off $1,128.80 $42,500.00 $17,822.96 2026-07-05
93590 CPT Hc Perq Transcath Cls Mitral 91 75 $42,279.00 $27,481.35 35% off $1,412.37 $39,319.47 $17,822.96 2026-03-01
C1982 HCPCS Hc Sup 278 With HCPCS C1982 39 31 $27,823.00 $18,084.95 35% off $4,284.74 $25,875.39 $17,806.72 2026-03-01
92933 CPT Hc Stent Plmnt W/Ath/Angio Sgl 108 88 $46,686.00 $30,345.90 35% off $2,048.75 $43,417.98 $17,665.10 2026-03-01
37184 CPT Hc Prim Perc Thromb Init Vessel 108 88 $44,892.00 $29,179.80 35% off $535.50 $41,749.56 $17,473.49 2026-03-01
37242 CPT Hc Vasc Embolize/Occlude Artery 108 88 $35,908.00 $23,340.20 35% off $5,529.83 $38,250.96 $17,473.49 2026-03-01
36906 CPT Hc Perq Thmbc/Nfs Dial Circuit Tcat Plmt IV Stent 108 88 $20,658.00 $13,427.70 35% off $353.37 $32,151.23 $17,473.49 2026-03-01
C1820 HCPCS Kit Charging 2.0 (sc-6412-3 A59919) 108 29 $51,425.00 $33,426.25 35% off $762.30 $49,254.38 $17,340.85 2026-03-01
C1875 HCPCS Stent Cp Mounted Cov 30x5 (614503 149145) 30 26 $24,653.75 $16,024.94 35% off $3,796.68 $22,927.99 $17,109.70 2026-03-01
23472 CPT Asc Reconstr Total Shoulder Implant 96 80 $41,171.00 $26,761.15 35% off $1,513.86 $38,289.03 $17,047.28 2026-03-01
PX-2780001048 CDM Hc Graft Soft Tissue Via Disc Np Nucleus Pulposus Allograft 1 Year Shelf Life 10… 30 26 $24,240.00 $15,756.00 35% off $3,732.96 $22,543.20 $16,822.56 2026-03-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 75 59 — $22,765.17 $3,274.61 $45,585.42 $16,769.98 2026-03-01
792 MS_DRG Prematurity Without Major Problems 73 57 — $3,388.06 $2,396.46 $45,475.91 $16,729.69 2026-03-01
20982 CPT Hc Ablation Bone Tumr Perc W/ct 108 88 $32,167.00 $20,908.55 35% off $1,258.01 $30,751.96 $16,713.02 2026-03-01
0275T OTHER Hc Perq Lamot/Lam Lumbar 40 34 $23,952.00 $15,568.80 35% off $3,688.61 $23,952.00 $16,694.54 2026-03-01
C8005 HCPCS Hc Pef Bronch Ablt 3d Nav Ebus 106 86 $17,500.00 $11,375.00 35% off $2,695.00 $30,042.81 $16,327.62 2026-03-01
93613 CPT Hc Ep Intracardiac 3-d Mapping 33 29 $22,992.00 $14,944.80 35% off $3,540.77 $22,992.00 $15,956.45 2026-03-01
37182 CPT Hc Tips Insertion 108 88 $5,426.00 $3,526.90 35% off $736.13 $32,151.23 $15,933.60 2026-03-01
PX-2780001120 CDM Hc Dual Lumen Cannula 30 26 $22,688.00 $14,747.20 35% off $3,493.95 $21,099.84 $15,745.47 2026-03-01
L8690 HCPCS Ponto 3 Superpwr Chroma Bei Rt (m52653 144317) 36 29 $22,572.00 $14,671.80 35% off $3,476.09 $20,991.96 $15,664.97 2026-03-01
37233 CPT Hc Tibper Revasc W/Ather Add-on 40 34 $22,434.00 $14,582.10 35% off $3,454.84 $22,434.00 $15,636.50 2026-03-01
37291 CPT Hc Revsc Evsc Tpvt Athr Cplx Ea Addd Vsl 33 29 $22,434.00 $14,582.10 35% off $3,454.84 $22,434.00 $15,569.20 2026-03-01
644 MS_DRG Endocrine Disorders With Cc 88 72 — $35,418.27 $8,428.57 $62,165.05 $15,507.09 2026-03-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 88 72 — $36,616.78 $8,428.57 $62,165.05 $15,507.09 2026-03-01
C1896 HCPCS Hc Lead Cardioverter-defib, Other Than Endocardial Single/Dual Coil 30 26 $22,275.00 $14,478.75 35% off $3,430.35 $20,715.75 $15,458.85 2026-03-01
SUP-09.820.045S CDM Prodisc-c 5mm Lg Str (09.820.045s A53472) 30 26 $22,275.00 $14,478.75 35% off $3,430.35 $20,715.75 $15,458.85 2026-03-01
141 MS_DRG Major Head And Neck Procedures With Cc 84 70 — $39,636.20 $5,847.94 $58,536.40 $15,419.83 2026-03-01
37228 CPT Hc Tib/per Revasc W/Tla 42 36 $22,049.00 $14,331.85 35% off $3,395.55 $22,049.00 $15,302.01 2026-03-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 88 72 — $44,270.80 $6,071.87 $54,522.59 $15,151.22 2026-03-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 77 61 — $45,663.38 $6,493.50 $43,254.02 $14,950.85 2026-03-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 88 72 — $42,454.74 $5,633.20 $53,239.41 $14,794.63 2026-03-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 78 62 — $74,236.19 $6,475.11 $47,906.35 $14,787.06 2026-03-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 78 62 — $66,971.64 $5,620.76 $46,919.67 $14,671.28 2026-03-01
92921 CPT Hc Ptca Ea Add Art/Branch 42 36 $20,801.00 $13,520.65 35% off $3,203.35 $20,801.00 $14,435.89 2026-03-01
92929 CPT Hc Stent Plmnt Intrcor Ea Addl 42 36 $20,720.00 $13,468.00 35% off $3,190.88 $20,720.00 $14,379.68 2026-03-01
37221 CPT Hc Iliac Revasc W/Stent 42 36 $20,672.00 $13,436.80 35% off $3,183.49 $20,672.00 $14,346.37 2026-03-01
37224 CPT Hc Fem/Popl Revas W/Tla 42 36 $20,672.00 $13,436.80 35% off $3,183.49 $20,672.00 $14,346.37 2026-03-01
92938 CPT Hc Prq Revasc Byp Graft Addl 42 36 $20,514.00 $13,334.10 35% off $3,159.16 $20,514.00 $14,236.72 2026-03-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 87 71 — $78,266.15 $4,252.01 $51,085.49 $14,185.45 2026-03-01
PX-3600000008 CDM Hc Or Time Intl 60 Min Lev V 40 34 $20,349.00 $13,226.85 35% off $3,133.75 $20,349.00 $14,183.25 2026-03-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 88 72 — $25,374.63 $5,434.96 $50,797.79 $14,116.14 2026-03-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 75 61 — $54,005.45 $3,890.96 $41,152.29 $13,980.67 2026-03-01
C9605 HCPCS Hc Revasc Cor Byp Graft Any Add 39 31 $18,538.00 $12,049.70 35% off $2,854.85 $36,052.99 $13,903.50 2026-03-01
C1889 HCPCS Hc Limflow Sysytem 72 29 $52,389.00 $34,052.85 35% off $2,286.90 $83,633.04 $13,829.70 2026-03-01
SUP-G53473 CDM Graf Endo Tx2 2d-30-147 (g53473 C27380) 30 26 $19,895.43 $12,932.03 35% off $3,063.90 $18,502.75 $13,807.43 2026-03-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 85 71 — $35,099.39 $4,322.06 $58,758.99 $13,619.35 2026-03-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 78 62 — $54,217.31 $5,651.86 $39,397.78 $13,617.93 2026-03-01
37259 CPT Hc Revsc Evasc Ivt Stent Sf Ea Add Vsl 33 29 $19,502.00 $12,676.30 35% off $3,003.31 $19,502.00 $13,534.39 2026-03-01
37220 CPT Hc Iliac Revasc 42 36 $19,502.00 $12,676.30 35% off $3,003.31 $19,502.00 $13,534.39 2026-03-01
37223 CPT Hc Iliac Revasc W/Stent Add-on 41 35 $19,502.00 $12,676.30 35% off $3,003.31 $19,502.00 $13,534.39 2026-03-01
SUP-11-1750 CDM Spacer Spinal 22x9x8mm (11-1750 149315) 30 26 $19,305.00 $12,548.25 35% off $2,972.97 $17,953.65 $13,397.67 2026-03-01
36909 CPT Hc Dialysis Circuit Vasc Emboli Occls Evasc Img S&i 45 38 $20,726.00 $13,471.90 35% off $2,222.60 $38,250.96 $13,264.64 2026-03-01
SUP-014712 CDM Spacer Lum T-plif 12mm (014712 A52021) 30 26 $18,949.19 $12,316.97 35% off $2,918.18 $17,622.75 $13,150.74 2026-03-01
55882 CPT Hc Ablt Trurl Prst8 Tis Trnsdcr 91 71 $32,481.00 $21,112.65 35% off $5,002.07 $32,481.00 $13,016.00 2026-03-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 88 72 — $47,451.01 $4,367.23 $46,714.01 $12,976.43 2026-03-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 85 71 — $54,294.00 $4,676.35 $46,431.40 $12,893.11 2026-03-01
PX-2720001554 CDM Hc Antenna Ablation Emprint L15 Cm Percutaneous 30 26 $18,480.00 $12,012.00 35% off $2,845.92 $17,186.40 $12,825.12 2026-03-01
PX-7900000000 CDM Hc Lithotripsy 37 31 $18,408.00 $11,965.20 35% off $2,834.83 $17,119.44 $12,775.15 2026-03-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 85 71 — $53,678.59 $4,494.34 $45,927.29 $12,753.11 2026-03-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 85 71 — $33,103.80 $8,633.30 $45,751.62 $12,686.73 2026-03-01
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