Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MONUMENT HEALTH SPEARFISH HOSPITAL

Spearfish, SD · CCN 430048 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Colonoscopy Flx Dx W/Collj Spec When Pfrmd

This hospital’s price: $2,508 across 27 payers · range $156-$5,688

Source: https://monument.health/wp-content/uploads/2025/02/460360899_Monument-Health-Network-Inc-Spearfish-Hospital_standardcharges.csv · observed 2026-09-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,891 distinct procedures filed
60 distinct payers
364,287 rate rows
2026-09-01 last MRF observed
Data quality

208,022 of 364,287 rate rows are consumer-grade (57.1%)

156,265 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 116,802
placeholder amount (≤ $0.02) — excluded from medians 32,285
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,568
exceeds 10× this hospital's gross charge — excluded from medians 1,745
per-diem day rate — not a per-procedure price 687
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 471
template filing: same amount across many unrelated codes — excluded 390
percent-of-charges filed in the dollar field — excluded from medians 267
exceeds 3× this hospital's gross charge for a DRG stay — excluded 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSRHSPEARFISHSD&type=CDMWithoutLabel&fileType=CSV
Found on page https://monument.health/price-transparency-cost-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-08
Content fingerprint 63fc44746002b8d8… · 52,920,908 bytes · first seen 2026-09-25

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
J7330
HCPCS 		1 Membrane Maci Implant 20 $40,975.37 $142,856.30 $125,434.80 nat. median
$92,809
1.4× median
33264
HCPCS 		Removal And Replacement Of Multiple Lead Defibrillator 22 $31,601.47 $110,175.20 $90,934.85 nat. median
$32,779
outlier · 2.8×
33249
HCPCS 		Insertion Of Implantable Defibrillator System 22 $30,096.78 $104,929.25 $86,605.02 nat. median
$32,069
outlier · 2.7×
33289
HCPCS 		Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review… 22 $5,681.83 $87,888.63 $72,540.27 nat. median
$28,889
outlier · 2.5×
33230
HCPCS 		Insertion Of Defibrillator With Existing Dual Leads 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$23,060
outlier · 2.8×
33262
HCPCS 		Removal And Replacement Of Single Lead Defibrillator 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$23,514
outlier · 2.8×
33263
HCPCS 		Removal And Replacement Of Dual Lead Defibrillator 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$23,924
outlier · 2.7×
33240
HCPCS 		Insertion Of Defibrillator With Existing Single Lead 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$23,398
outlier · 2.8×
37231
HCPCS 		Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 20 $12,461.74 $60,473.98 $52,214.11 nat. median
$19,288
outlier · 2.7×
37230
HCPCS 		Insertion Of Stent In Artery Of Leg, Initial Vessel 20 $12,461.74 $58,147.23 $50,205.17 nat. median
$17,953
outlier · 2.8×
93653
HCPCS 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 $15,980.37 $55,713.88 $45,984.33 nat. median
$25,502
1.8× median
93654
HCPCS 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 $15,980.37 $55,713.88 $45,984.33 nat. median
$26,477
1.7× median
93656
HCPCS 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 $15,980.37 $55,713.88 $45,984.33 nat. median
$26,469
1.7× median
0238T
OTHER 		Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open… 22 $12,461.74 $54,343.45 $44,853.23 nat. median
$20,987
outlier · 2.1×
37227
HCPCS 		Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 20 $12,461.74 $50,691.38 $43,767.68 nat. median
$19,510
outlier · 2.2×
37229
HCPCS 		Removal Of Plaque In Artery Of Leg, Initial Vessel 20 $12,461.74 $50,691.38 $43,767.68 nat. median
$18,507
outlier · 2.4×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $42,014.66 $62,694.50 $43,065.02 nat. median
$38,795
1.1× median
C9773
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 22 $12,461.74 $51,951.10 $42,878.67 nat. median
$20,101
outlier · 2.1×
C9774
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 $12,461.74 $51,951.10 $42,878.67 nat. median
$20,557
outlier · 2.1×
C9775
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 $12,461.74 $51,951.10 $42,878.67 nat. median
$23,462
1.8× median
C9767
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 22 $12,461.74 $51,496.00 $42,503.04 nat. median
$19,649
outlier · 2.2×
92933
HCPCS 		Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 22 $14,553.88 $50,740.58 $41,879.54 nat. median
$19,143
outlier · 2.2×
36906
HCPCS 		Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 21 $13,444.62 $46,873.25 $39,785.10 nat. median
$18,501
outlier · 2.2×
36836
HCPCS 		Creation Of Opening Between Artery And Vein In Arm With Single Access To Both Bl… 21 $13,444.62 $46,873.25 $39,785.10 nat. median
$18,385
outlier · 2.2×
C2616
HCPCS 		Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 21 $12,835.16 $44,748.43 $37,981.59 nat. median
$22,121
1.7× median
C9606
HCPCS 		Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 20 $12,443.55 $43,383.13 $37,457.62 nat. median
$17,051
outlier · 2.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 $36,405.58 $54,324.60 $37,315.72 nat. median
$34,733
1.1× median
64628
HCPCS 		Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower… 21 $12,241.57 $42,678.95 $36,225.06 nat. median
$12,867
outlier · 2.8×
C9602
HCPCS 		Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary… 22 $12,443.55 $43,383.13 $35,806.95 nat. median
$19,918
1.8× median
93580
HCPCS 		Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 22 $12,443.55 $43,383.13 $35,806.95 nat. median
$18,748
1.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 $34,586.26 $51,609.80 $35,450.91 nat. median
$33,546
1.1× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 4 $33,883.74 $50,561.50 $34,730.83 nat. median
$33,435
1.0× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 $33,531.38 $50,035.70 $34,369.66 nat. median
$31,991
1.1× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 4 $32,382.14 $47,922.36 $33,191.69 nat. median
$30,674
1.1× median
37244
HCPCS 		Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 22 $11,380.15 $39,675.70 $32,746.97 nat. median
$12,413
outlier · 2.6×
64575
HCPCS 		Insertion Of Peripheral Nerve Neurostimulator Electrode 22 $7,426.82 $38,917.20 $32,120.93 nat. median
$12,507
outlier · 2.6×
37241
HCPCS 		Occlusion Of Vein With Review By Radiologist 22 $10,942.39 $38,149.48 $31,487.28 nat. median
$12,310
outlier · 2.6×
61626
HCPCS 		Occlusion Of Head Or Neck Artery 22 $10,942.39 $38,149.48 $31,487.28 nat. median
$11,341
outlier · 2.8×
64590
HCPCS 		Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 22 $10,878.59 $37,927.05 $31,303.69 nat. median
$18,089
1.7× median
37221
HCPCS 		Insertion Of Stent In Groin Artery, Initial Vessel 20 $10,236.79 $35,689.48 $30,814.81 nat. median
$12,268
outlier · 2.5×
33208
HCPCS 		Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 22 $10,446.41 $36,420.30 $30,060.07 nat. median
$11,506
outlier · 2.6×
33224
HCPCS 		Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 22 $9,949.25 $59,952.31 $29,949.28 nat. median
$12,225
outlier · 2.4×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 4 $28,301.94 $42,232.30 $29,009.48 nat. median
$27,194
1.1× median
33207
HCPCS 		Insertion Of Pacemaker And Lower Heart Chamber Electrode 22 $9,949.25 $34,687.03 $28,629.49 nat. median
$11,657
outlier · 2.5×
33206
HCPCS 		Insertion Of Pacemaker And Upper Heart Chamber Electrode 22 $9,949.25 $34,687.03 $28,629.49 nat. median
$11,506
outlier · 2.5×
33213
HCPCS 		Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 22 $9,949.25 $34,687.03 $28,629.49 nat. median
$10,915
outlier · 2.6×
33228
HCPCS 		Removal And Replacement Of Dual Lead Permanent Pacemaker 22 $9,949.25 $34,687.03 $28,629.49 nat. median
$11,484
outlier · 2.5×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 $27,739.48 $41,393.00 $28,432.96 nat. median
$27,340
1.0× median
0076T
OTHER 		Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 20 $9,319.80 $32,492.50 $28,054.50 nat. median
$17,251
1.6× median
4810002100_2
CDM 		Hc Ep Lab Level 5 First 15 Min 20 $9,707.00 $32,026.49 $27,932.38 nat. median
$29,715
0.9× median

Other procedures at this hospital

Browse this hospital's 3,891 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
             
J7330 HCPCS 1 Membrane Maci Implant 20 20 $139,372.00 $111,497.60 $40,975.37 $142,856.30 $125,434.80 2026-09-01
33264 HCPCS Removal And Replacement Of Multiple Lead Defibrillator 22 22 $107,488.00 $85,990.40 20% off $31,601.47 $110,175.20 $90,934.85 2026-09-01
33249 HCPCS Insertion Of Implantable Defibrillator System 22 22 $102,370.00 $81,896.00 20% off $30,096.78 $104,929.25 $86,605.02 2026-09-01
33289 HCPCS Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 22 22 $85,745.00 $68,596.00 20% off $5,681.83 $87,888.63 $72,540.27 2026-09-01
33240 HCPCS Insertion Of Defibrillator With Existing Single Lead 22 22 $76,760.00 $61,408.00 20% off $22,567.44 $78,679.00 $64,938.96 2026-09-01
33262 HCPCS Removal And Replacement Of Single Lead Defibrillator 22 22 $76,760.00 $61,408.00 20% off $22,567.44 $78,679.00 $64,938.96 2026-09-01
33230 HCPCS Insertion Of Defibrillator With Existing Dual Leads 22 22 $76,760.00 $61,408.00 20% off $22,567.44 $78,679.00 $64,938.96 2026-09-01
33263 HCPCS Removal And Replacement Of Dual Lead Defibrillator 22 22 $76,760.00 $61,408.00 20% off $22,567.44 $78,679.00 $64,938.96 2026-09-01
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 20 20 $58,999.00 $47,199.20 20% off $12,461.74 $60,473.98 $52,214.11 2026-09-01
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 20 20 $56,729.00 $45,383.20 20% off $12,461.74 $58,147.23 $50,205.17 2026-09-01
93656 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 22 $54,355.00 $43,484.00 20% off $15,980.37 $55,713.88 $45,984.33 2026-09-01
93654 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 22 $54,355.00 $43,484.00 20% off $15,980.37 $55,713.88 $45,984.33 2026-09-01
93653 HCPCS Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 22 $54,355.00 $43,484.00 20% off $15,980.37 $55,713.88 $45,984.33 2026-09-01
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 22 22 $53,018.00 $42,414.40 20% off $12,461.74 $54,343.45 $44,853.23 2026-09-01
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 20 20 $49,455.00 $39,564.00 20% off $12,461.74 $50,691.38 $43,767.68 2026-09-01
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 20 20 $49,455.00 $39,564.00 20% off $12,461.74 $50,691.38 $43,767.68 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 $108,946.14 $87,156.91 20% off $42,014.66 $62,694.50 $43,065.02 2026-09-01
C9773 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 22 22 $50,684.00 $40,547.20 20% off $12,461.74 $51,951.10 $42,878.67 2026-09-01
C9775 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 22 $50,684.00 $40,547.20 20% off $12,461.74 $51,951.10 $42,878.67 2026-09-01
C9774 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 22 $50,684.00 $40,547.20 20% off $12,461.74 $51,951.10 $42,878.67 2026-09-01
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 22 22 $50,240.00 $40,192.00 20% off $12,461.74 $51,496.00 $42,503.04 2026-09-01
92933 HCPCS Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 22 22 $49,503.00 $39,602.40 20% off $14,553.88 $50,740.58 $41,879.54 2026-09-01
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 21 21 $45,730.00 $36,584.00 20% off $13,444.62 $46,873.25 $39,785.10 2026-09-01
36836 HCPCS Creation Of Opening Between Artery And Vein In Arm With Single Access To Both Bl… 21 21 $45,730.00 $36,584.00 20% off $13,444.62 $46,873.25 $39,785.10 2026-09-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 21 21 $43,657.00 $34,925.60 20% off $12,835.16 $44,748.43 $37,981.59 2026-09-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 20 20 $42,325.00 $33,860.00 20% off $12,443.55 $43,383.13 $37,457.62 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 $71,769.03 $57,415.22 20% off $36,405.58 $54,324.60 $37,315.72 2026-09-01
64628 HCPCS Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 21 21 $41,638.00 $33,310.40 $12,241.57 $42,678.95 $36,225.06 2026-09-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 22 22 $42,325.00 $33,860.00 20% off $12,443.55 $43,383.13 $35,806.95 2026-09-01
93580 HCPCS Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 22 22 $42,325.00 $33,860.00 20% off $12,443.55 $43,383.13 $35,806.95 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 $65,816.93 $52,653.54 20% off $34,586.26 $51,609.80 $35,450.91 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 $74,822.24 $59,857.79 20% off $33,883.74 $50,561.50 $34,730.83 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 $87,623.89 $70,099.11 20% off $33,531.38 $50,035.70 $34,369.66 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 $47,922.36 $38,337.89 $32,382.14 $47,922.36 $33,191.69 2026-09-01
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 22 22 $38,708.00 $30,966.40 $11,380.15 $39,675.70 $32,746.97 2026-09-01
64575 HCPCS Insertion Of Peripheral Nerve Neurostimulator Electrode 22 22 $37,968.00 $30,374.40 $7,426.82 $38,917.20 $32,120.93 2026-09-01
61626 HCPCS Occlusion Of Head Or Neck Artery 22 22 $37,219.00 $29,775.20 20% off $10,942.39 $38,149.48 $31,487.28 2026-09-01
37241 HCPCS Occlusion Of Vein With Review By Radiologist 22 22 $37,219.00 $29,775.20 20% off $10,942.39 $38,149.48 $31,487.28 2026-09-01
64590 HCPCS Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Gener… 22 22 $37,002.00 $29,601.60 20% off $10,878.59 $37,927.05 $31,303.69 2026-09-01
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 20 20 $34,819.00 $27,855.20 20% off $10,236.79 $35,689.48 $30,814.81 2026-09-01
33208 HCPCS Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode 22 22 $35,532.00 $28,425.60 20% off $10,446.41 $36,420.30 $30,060.07 2026-09-01
33224 HCPCS Insertion Of Left Lower Heart Electrode And Attachment To Pacemaker Or Defibrill… 22 22 $33,841.00 $27,072.80 20% off $9,949.25 $59,952.31 $29,949.28 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 $185,567.31 $148,453.85 $28,301.94 $42,232.30 $29,009.48 2026-09-01
33206 HCPCS Insertion Of Pacemaker And Upper Heart Chamber Electrode 22 22 $33,841.00 $27,072.80 20% off $9,949.25 $34,687.03 $28,629.49 2026-09-01
33207 HCPCS Insertion Of Pacemaker And Lower Heart Chamber Electrode 22 22 $33,841.00 $27,072.80 20% off $9,949.25 $34,687.03 $28,629.49 2026-09-01
33213 HCPCS Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 22 22 $33,841.00 $27,072.80 20% off $9,949.25 $34,687.03 $28,629.49 2026-09-01
33228 HCPCS Removal And Replacement Of Dual Lead Permanent Pacemaker 22 22 $33,841.00 $27,072.80 20% off $9,949.25 $34,687.03 $28,629.49 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 $54,459.70 $43,567.76 $27,739.48 $41,393.00 $28,432.96 2026-09-01
0076T OTHER Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 20 20 $31,700.00 $25,360.00 20% off $9,319.80 $32,492.50 $28,054.50 2026-09-01
4810002100_2 CDM Hc Ep Lab Level 5 First 15 Min 20 20 $33,017.00 $26,413.60 20% off $9,707.00 $32,026.49 $27,932.38 2026-09-01
37226 HCPCS Insertion Of Stent In Arteries Of Leg 20 20 $31,363.00 $25,090.40 $9,220.72 $32,147.08 $27,756.26 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 $129,227.04 $103,381.63 20% off $27,065.71 $40,387.60 $27,742.35 2026-09-01
77372 HCPCS Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 22 22 $32,765.00 $26,212.00 20% off $1,262.00 $33,584.13 $27,719.19 2026-09-01
37225 HCPCS Removal Of Plaque In Arteries Of Leg 20 20 $31,199.00 $24,959.20 20% off $9,172.51 $31,978.98 $27,611.11 2026-09-01
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 22 22 $32,618.00 $26,094.40 $9,589.69 $33,433.45 $27,594.83 2026-09-01
37242 HCPCS Occlusion Of Artery With Review By Radiologist 22 22 $32,618.00 $26,094.40 $9,589.69 $33,433.45 $27,594.83 2026-09-01
92987 HCPCS Balloon Dilation Repair Of Mitral Valve 22 22 $32,477.00 $25,981.60 20% off $9,548.24 $33,288.93 $27,475.54 2026-09-01
92928 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A… 22 22 $32,477.00 $25,981.60 20% off $9,548.24 $33,288.93 $27,475.54 2026-09-01
37243 HCPCS Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 22 22 $32,448.00 $25,958.40 $9,539.71 $33,259.20 $27,451.01 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 $73,448.04 $58,758.43 20% off $26,727.36 $39,882.70 $27,395.54 2026-09-01
36905 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 21 21 $31,199.00 $24,959.20 20% off $9,172.51 $31,978.98 $27,143.13 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 $51,646.42 $41,317.14 $26,323.39 $39,279.90 $26,981.47 2026-09-01
C9772 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 22 $31,699.00 $25,359.20 20% off $9,319.51 $32,491.48 $26,817.36 2026-09-01
0075T OTHER Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 20 20 $30,144.00 $24,115.20 20% off $8,862.34 $30,897.60 $26,677.44 2026-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 $56,186.79 $44,949.43 20% off $25,996.83 $38,792.60 $26,646.74 2026-09-01
43282 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 21 21 $30,056.00 $24,044.80 20% off $8,836.46 $30,807.40 $26,148.72 2026-09-01
37238 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 22 22 $30,902.00 $24,721.60 20% off $5,435.88 $31,674.55 $26,143.09 2026-09-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 22 22 $30,854.00 $24,683.20 20% off $9,071.08 $31,625.35 $26,102.49 2026-09-01
92937 HCPCS Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary… 22 22 $30,854.00 $24,683.20 20% off $9,071.08 $31,625.35 $26,102.49 2026-09-01
61624 HCPCS Occlusion Of Central Nervous System Or Spinal Cord Artery 22 22 $29,671.00 $23,736.80 20% off $8,723.27 $30,412.78 $25,101.67 2026-09-01
61645 HCPCS Removal Of Blood Clot And Injection To Dissolve Blood Clot From Head Artery Usin… 22 22 $29,671.00 $23,736.80 20% off $660.27 $30,412.78 $25,101.67 2026-09-01
19325 HCPCS Insertion Of Breast Implant 22 22 $29,570.00 $23,656.00 20% off $8,693.58 $30,309.25 $25,016.22 2026-09-01
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 20 20 $28,227.00 $22,581.60 20% off $8,298.74 $28,932.68 $24,980.90 2026-09-01
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 21 21 $28,373.00 $22,698.40 $8,341.66 $29,082.33 $24,684.51 2026-09-01
35646 HCPCS Bypass Of Diseased Or Blocked Artery Aorta To Upper Leg And Opposite Upper Leg A… 22 22 $28,980.00 $23,184.00 20% off $1,361.93 $29,704.50 $24,517.08 2026-09-01
61651 HCPCS Infusion Of Chemical Agent Into Artery Of Brain With Insertion Of Tube And Imagi… 22 22 $28,529.00 $22,823.20 20% off $193.40 $29,242.23 $24,135.53 2026-09-01
61623 HCPCS Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist 22 22 $28,529.00 $22,823.20 20% off $8,387.53 $29,242.23 $24,135.53 2026-09-01
61650 HCPCS Infusion Of Chemical Agent Into Artery Of Brain With Insertion Of Tube And Imagi… 22 22 $28,529.00 $22,823.20 20% off $452.64 $29,242.23 $24,135.53 2026-09-01
61635 HCPCS Insertion Of Stent In Blood Vessel Of Head 22 22 $28,529.00 $22,823.20 20% off $1,194.95 $29,242.23 $24,135.53 2026-09-01
61630 HCPCS Balloon Dilation Of Blood Vessel In Head 22 22 $28,529.00 $22,823.20 20% off $1,103.28 $29,242.23 $24,135.53 2026-09-01
37234 HCPCS Insertion Of Stent In Artery Of Leg, Each Additional Vessel 20 20 $27,146.00 $21,716.80 20% off $7,980.92 $27,824.65 $24,024.21 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 $57,536.95 $46,029.56 20% off $23,329.77 $34,812.80 $23,913.01 2026-09-01
92924 HCPCS Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch 22 22 $27,769.00 $22,215.20 20% off $8,164.09 $28,463.23 $23,492.57 2026-09-01
33217 HCPCS Insertion Of 2 Electrodes For Permanent Pacemaker Or Defibrillator 21 21 $26,870.00 $21,496.00 20% off $7,899.78 $27,541.75 $23,376.90 2026-09-01
33225 HCPCS Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator 21 21 $26,360.00 $21,088.00 20% off $352.10 $27,019.00 $22,933.20 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 $44,533.32 $35,626.66 $22,359.66 $33,365.20 $22,918.65 2026-09-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 22 22 $26,380.00 $21,104.00 20% off $7,755.72 $27,039.50 $22,317.48 2026-09-01
33216 HCPCS Insertion Of 1 Electrode For Permanent Pacemaker Or Defibrillator 21 21 $25,590.00 $20,472.00 20% off $7,523.46 $26,229.75 $22,263.30 2026-09-01
570 MS_DRG Skin Debridement With Mcc 4 4 $47,171.73 $37,737.38 20% off $21,680.73 $32,352.10 $22,222.75 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 4 $69,424.72 $55,539.78 $21,468.43 $32,035.30 $22,005.13 2026-09-01
33227 HCPCS Removal And Replacement Of Single Lead Permanent Pacemaker 22 22 $25,590.00 $20,472.00 20% off $7,523.46 $26,229.75 $21,707.67 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 $89,903.15 $71,922.52 $21,158.08 $31,572.20 $21,687.03 2026-09-01
33233 HCPCS Removal Of Permanent Pacemaker Pulse Generator 22 22 $25,590.00 $20,472.00 20% off $7,523.46 $26,229.75 $21,649.14 2026-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 4 $80,389.90 $64,311.92 $20,433.45 $30,490.90 $20,944.28 2026-09-01
4810001900_2 CDM Hc Ep Lab Level 4 First 15 Min 20 20 $24,745.00 $19,796.00 20% off $7,275.03 $24,002.65 $20,934.27 2026-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 4 $63,585.03 $50,868.02 20% off $20,262.43 $30,235.70 $20,768.98 2026-09-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 4 4 $52,254.19 $41,803.35 20% off $20,257.27 $30,228.00 $20,763.70 2026-09-01
33210 HCPCS Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 21 21 $23,152.00 $18,521.60 20% off $6,806.69 $23,730.80 $20,142.24 2026-09-01
4810001500_2 CDM Hc Cath Lab Level 5 First 15 Min 20 20 $23,550.00 $18,840.00 20% off $6,923.70 $22,843.50 $19,923.30 2026-09-01
36903 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 22 22 $23,045.00 $18,436.00 20% off $6,775.23 $23,621.13 $19,496.07 2026-09-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 4 $27,753.61 $22,202.89 $19,012.93 $27,753.61 $19,488.25 2026-09-01
21615 HCPCS Removal Of First And/or Extra Rib At Neck 21 21 $22,240.14 $17,792.11 20% off $6,538.60 $22,796.14 $19,348.92 2026-09-01
37183 HCPCS Revision Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 21 21 $22,098.00 $17,678.40 $6,227.69 $22,650.45 $19,225.26 2026-09-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 4 $80,535.64 $64,428.51 20% off $18,695.22 $27,897.10 $19,162.59 2026-09-01
36023 HCPCS Operating Room Services - General Classification 19 19 $21,151.00 $16,920.80 20% off $6,218.39 $21,679.78 $19,035.90 2026-09-01
37233 HCPCS Removal Of Plaque In Artery Of Leg, Each Additional Vessel 20 20 $21,239.00 $16,991.20 $6,244.27 $21,769.98 $18,796.51 2026-09-01
25575 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 22 22 $22,075.00 $17,660.00 20% off $6,490.05 $22,626.88 $18,675.45 2026-09-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 4 $47,337.82 $37,870.25 20% off $18,123.18 $27,043.50 $18,576.25 2026-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 4 $38,074.42 $30,459.53 20% off $18,017.76 $26,886.20 $18,468.20 2026-09-01
37216 HCPCS Insertion Of Stent In Neck Artery With Review By Radiologist 20 20 $20,825.00 $16,660.00 20% off $6,122.55 $21,345.63 $18,430.12 2026-09-01
C9781 HCPCS Arthroscopy, Shoulder, Surgical; With Implantation Of Subacromial Spacer (e.g., … 21 21 $21,151.00 $16,920.80 20% off $6,218.39 $21,679.78 $18,401.37 2026-09-01
27070 HCPCS Partial Removal Of Superficial Cyst Or Growth Of Hip, Pubic, Or Head Of Thigh Bo… 21 21 $21,149.00 $16,919.20 $3,580.21 $21,677.73 $18,399.63 2026-09-01
22015 HCPCS Drainage Of Abscess Of Deep Tissue Of Lower Spine Or Sacrum 21 21 $21,129.00 $16,903.20 $6,211.93 $21,657.23 $18,382.23 2026-09-01
81529 HCPCS Mrna Gene Analysis Of 31 Genes In Skin Melanoma Tissue Specimen 22 22 $21,579.00 $17,263.20 $132.50 $22,118.48 $18,255.83 2026-09-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 4 $60,772.60 $48,618.08 $17,671.30 $26,369.20 $18,113.08 2026-09-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 $46,540.81 $37,232.65 $17,591.68 $26,250.40 $18,031.47 2026-09-01
23405 HCPCS Incision Of Shoulder Tendon 21 21 $20,647.00 $16,517.60 20% off $6,070.22 $21,163.18 $17,962.89 2026-09-01
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 22 22 $21,187.00 $16,949.60 20% off $6,228.98 $21,716.68 $17,924.20 2026-09-01
28210 HCPCS Repair Of Tendon On Top Side Of Foot With Graft 22 22 $21,151.00 $16,920.80 20% off $6,218.39 $21,679.78 $17,893.74 2026-09-01
29828 HCPCS Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 22 22 $21,063.00 $16,850.40 $5,806.53 $21,589.58 $17,819.30 2026-09-01
64555 HCPCS Insertion Of Peripheral Nerve Neurostimulator Electrode Through Skin 22 22 $20,815.00 $16,652.00 20% off $6,119.61 $21,335.38 $17,609.49 2026-09-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 4 $50,546.03 $40,436.82 20% off $17,142.75 $25,580.50 $17,571.32 2026-09-01
20982 HCPCS Destruction Of Growths And Adjacent Soft Tissue 21 21 $19,222.00 $15,377.60 20% off $5,651.27 $19,702.55 $17,299.80 2026-09-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 4 $41,676.58 $33,341.26 20% off $16,747.63 $24,990.90 $17,166.32 2026-09-01
37184 HCPCS Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 21 21 $18,663.00 $14,930.40 20% off $5,486.92 $20,058.40 $16,796.70 2026-09-01
22514 HCPCS Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 22 22 $19,853.00 $15,882.40 20% off $5,836.78 $20,349.33 $16,795.64 2026-09-01
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 22 22 $18,627.00 $14,901.60 20% off $5,476.34 $20,058.40 $16,764.30 2026-09-01
62223 HCPCS Creation Of Brain Fluid Drainage Shunt, Ventriculo-peritoneal, -pleural, Other T… 21 21 $19,256.00 $15,404.80 20% off $910.96 $19,737.40 $16,752.72 2026-09-01
64912 HCPCS Repair Of Nerve Using Nerve Graft, First Strand 22 22 $19,790.00 $15,832.00 20% off $5,818.26 $20,284.75 $16,742.34 2026-09-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 $72,085.97 $57,668.78 $16,275.84 $24,286.90 $16,682.74 2026-09-01
4810000400_2 CDM Hc Cath Lab Level 4 First 15 Min 20 20 $19,710.00 $15,768.00 20% off $5,794.74 $19,118.70 $16,674.66 2026-09-01
33361 HCPCS Replacement Of Aortic Valve Through The Skin And Femoral Artery 21 21 $19,066.00 $15,252.80 20% off $962.53 $19,542.65 $16,587.42 2026-09-01
33362 HCPCS Replacement Of Aortic Valve By Through Femoral Artery 21 21 $19,066.00 $15,252.80 20% off $1,047.19 $19,542.65 $16,587.42 2026-09-01
33367 HCPCS Insertion Of Tube In Peripheral Blood Vessel Accessed Through Skin For Heart-lun… 21 21 $19,066.00 $15,252.80 20% off $497.25 $19,542.65 $16,587.42 2026-09-01
37237 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 22 22 $19,416.00 $15,532.80 20% off $165.53 $19,901.40 $16,425.93 2026-09-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 4 4 $27,784.15 $22,227.32 20% off $15,780.47 $23,547.70 $16,174.98 2026-09-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 20 20 $17,919.00 $14,335.20 $5,268.19 $18,784.41 $16,127.10 2026-09-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 4 $29,620.36 $23,696.29 $15,677.27 $23,393.70 $16,069.20 2026-09-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 4 $49,307.78 $39,446.22 20% off $15,610.92 $23,294.70 $16,001.19 2026-09-01
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 22 22 $17,739.00 $14,191.20 $5,215.27 $20,058.40 $15,965.10 2026-09-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 4 $58,773.10 $47,018.48 $15,544.58 $23,195.70 $15,933.19 2026-09-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 4 $48,177.56 $38,542.05 $15,498.87 $23,127.50 $15,886.34 2026-09-01
37248 HCPCS Balloon Dilation Of Vein With Review By Radiologist, Initial Vein 22 22 $18,728.00 $14,982.40 20% off $5,506.03 $19,196.20 $15,843.89 2026-09-01
36902 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Balloon Dilation O… 22 22 $18,728.00 $14,982.40 20% off $5,506.03 $19,196.20 $15,843.89 2026-09-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 4 $55,764.65 $44,611.72 20% off $15,439.90 $23,039.50 $15,825.90 2026-09-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 4 $111,248.45 $88,998.76 20% off $15,414.84 $23,002.10 $15,800.21 2026-09-01
0644T OTHER Removal Or Reduction Of Mass Within Heart By Suction Through Catheter 20 20 $17,445.00 $13,956.00 20% off $5,128.83 $18,784.41 $15,700.50 2026-09-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 $51,466.87 $41,173.50 $15,234.97 $22,733.70 $15,615.84 2026-09-01
34841 HCPCS Repair Of Aorta In Abdomen With Graft, Including Graft In Abdominal Organ Arteri… 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34843 HCPCS Repair Of Aorta In Abdomen Below Kidneys With Graft, Including 3 Grafts In Abdom… 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34844 HCPCS Repair Of Aorta In Abdomen Below Kidneys With Graft, Including 4 Or More Grafts … 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34848 HCPCS Repair Of Aorta In Abdomen Between And Below Kidneys With Graft, Including 4 Or … 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34845 HCPCS Repair Of Aorta In Abdomen Between And Below Kidneys With Graft, Including Graft… 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34846 HCPCS Repair Of Aorta In Abdomen Between And Below Kidneys With Graft, Including 2 Gra… 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34847 HCPCS Repair Of Aorta In Abdomen Between And Below Kidneys With Graft, Including 3 Gra… 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
34842 HCPCS Repair Of Aorta In Abdomen Below Kidneys With Graft, Including 2 Grafts In Abdom… 20 20 $17,331.00 $13,864.80 20% off $5,095.31 $21,152.05 $15,597.90 2026-09-01
0483T OTHER Insertion Of Artificial Valve Between Left Heart Chambers, Accessed Through The … 20 20 $17,274.00 $13,819.20 $5,078.56 $21,152.05 $15,546.60 2026-09-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 4 4 $36,158.77 $28,927.02 $15,105.23 $22,540.10 $15,482.86 2026-09-01
37182 HCPCS Insertion Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 21 21 $17,149.00 $13,719.20 $5,041.81 $20,058.40 $15,434.10 2026-09-01
93650 HCPCS Destruction Of Heart Conduction Tissue To Create Heart Block 22 22 $17,344.00 $13,875.20 $5,099.14 $36,207.46 $15,349.44 2026-09-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 4 4 $21,807.83 $17,446.26 20% off $14,947.47 $21,807.83 $15,321.16 2026-09-01
37246 HCPCS Balloon Dilation Of Artery With Review By Radiologist, Initial Artery 22 22 $18,007.00 $14,405.60 20% off $5,294.06 $18,457.18 $15,233.92 2026-09-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 4 4 $27,805.23 $22,244.18 20% off $14,824.37 $22,121.00 $15,194.98 2026-09-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 4 4 $41,616.25 $33,293.00 20% off $14,791.20 $22,071.50 $15,160.97 2026-09-01
61640 HCPCS Balloon Dilation Of Blood Vessel Spasm In Head 20 20 $17,061.00 $13,648.80 20% off $5,015.93 $17,487.53 $15,098.99 2026-09-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 4 4 $54,785.99 $43,828.79 20% off $14,729.27 $21,979.10 $15,097.50 2026-09-01
37215 HCPCS Insertion Of Stent And Blood Clot Protection Device In Neck Artery With Review B… 22 22 $17,826.00 $14,260.80 20% off $787.00 $18,271.65 $15,080.80 2026-09-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 4 4 $55,466.34 $44,373.07 20% off $14,707.90 $21,947.20 $15,075.59 2026-09-01
34471 HCPCS Removal Of Blood Clot In Upper Chest Vein 21 21 $17,253.50 $13,802.80 20% off $686.39 $17,684.84 $15,010.55 2026-09-01
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 22 22 $17,739.00 $14,191.20 $5,215.27 $18,182.48 $15,007.19 2026-09-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 4 4 $41,207.08 $32,965.66 20% off $14,508.86 $21,650.20 $14,871.58 2026-09-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 4 4 $39,914.57 $31,931.66 $14,319.41 $21,367.50 $14,677.39 2026-09-01
592 MS_DRG Skin Ulcers With Mcc 4 4 $42,714.41 $34,171.53 $14,266.33 $21,288.30 $14,622.99 2026-09-01
30460 HCPCS Revision Of Congenital Nasal Defect To Lengthen Tip Of Nose 22 22 $17,243.00 $13,794.40 20% off $5,069.44 $17,674.08 $14,587.58 2026-09-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 4 4 $46,227.70 $36,982.16 $14,219.16 $21,217.90 $14,574.63 2026-09-01
31634 HCPCS Exam Of Lung Airways With Repair Of Air Leak Using An Endoscope 22 22 $17,225.00 $13,780.00 20% off $2,547.77 $17,655.63 $14,572.35 2026-09-01
93619 HCPCS Insertion Of Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 22 22 $16,422.00 $13,137.60 20% off $4,828.07 $36,207.46 $14,533.47 2026-09-01
93620 HCPCS Insertion Of Catheters For Recording And Pacing Of Right Heart Chambers Rhythm A… 22 22 $16,422.00 $13,137.60 20% off $4,828.07 $36,207.46 $14,533.47 2026-09-01
36832 HCPCS Revision Of Hemodialysis Graft 21 21 $16,705.00 $13,364.00 20% off $4,911.27 $17,122.63 $14,533.35 2026-09-01
42226 HCPCS Lengthening Of Roof Of Mouth With Throat Tissue Graft 22 22 $17,175.00 $13,740.00 20% off $5,049.45 $17,604.38 $14,530.05 2026-09-01
42815 HCPCS Removal Of Congenital Cyst Or Abnormal Drainage Tract Of Neck And/or Throat 22 22 $17,175.00 $13,740.00 20% off $4,644.36 $17,604.38 $14,530.05 2026-09-01
37187 HCPCS Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init… 21 21 $16,611.00 $13,288.80 20% off $4,883.63 $17,026.28 $14,451.57 2026-09-01
37290 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37277 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37271 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37286 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37273 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37292 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37288 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37294 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37284 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
37275 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $20,058.40 $14,374.80 2026-09-01
196 MS_DRG Interstitial Lung Disease With Mcc 4 4 $27,232.03 $21,785.62 20% off $13,911.76 $20,759.20 $14,259.55 2026-09-01
69706 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On Both Sides … 22 22 $16,816.00 $13,452.80 20% off $4,256.39 $17,236.40 $14,226.33 2026-09-01
69705 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On One Side Of… 22 22 $16,816.00 $13,452.80 20% off $4,256.39 $17,236.40 $14,226.33 2026-09-01
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 20 20 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $14,135.22 2026-09-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 $36,232.87 $28,986.30 $13,787.18 $20,573.30 $14,131.86 2026-09-01
504 MS_DRG Foot Procedures With Cc 4 4 $99,917.30 $79,933.84 20% off $13,779.07 $20,561.20 $14,123.54 2026-09-01
37224 HCPCS Balloon Dilation Of Artery Of Leg 20 20 $15,781.00 $12,624.80 20% off $4,639.61 $16,175.53 $13,966.18 2026-09-01
81554 HCPCS Mrna Gene Analysis Of 190 Genes Associated With Lung Disease (idiopathic Pulmona… 22 22 $16,500.00 $13,200.00 20% off $163.67 $16,912.50 $13,959.00 2026-09-01
92986 HCPCS Balloon Dilation Repair Of Aortic Valve 22 22 $15,713.00 $12,570.40 20% off $4,619.62 $18,784.41 $13,906.01 2026-09-01
33880 HCPCS Repair Of Descending Aorta And Subclavian Artery With Insertion Of Graft And Ext… 22 22 $15,707.00 $12,565.60 20% off $1,141.34 $21,152.05 $13,900.69 2026-09-01
37254 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37265 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37267 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37279 HCPCS Intravascular Lithotripsy(ies), Femoral And Popliteal Vascular Territory, Includ… 21 21 $15,972.00 $12,777.60 20% off $163.74 $16,371.30 $13,895.64 2026-09-01
37296 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37269 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37298 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Inframalleolar Vascular T… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37280 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37256 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37258 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37262 HCPCS Intravascular Lithotripsy(ies), Iliac Vascular Territory, Including All Imaging … 21 21 $15,972.00 $12,777.60 20% off $122.63 $16,371.30 $13,895.64 2026-09-01
37282 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37263 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
37260 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Iliac Vascular Territory,… 21 21 $15,972.00 $12,777.60 20% off $4,695.77 $16,371.30 $13,895.64 2026-09-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 4 4 $54,056.48 $43,245.18 20% off $13,525.49 $20,182.80 $13,863.62 2026-09-01
50590 HCPCS Shock Wave Crushing Of Kidney Stones 21 21 $15,916.00 $12,732.80 20% off $3,857.02 $16,313.90 $13,846.92 2026-09-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 $21,718.78 $17,375.02 20% off $13,497.47 $20,141.00 $13,834.91 2026-09-01
919 MS_DRG Complications Of Treatment With Mcc 4 4 $26,140.36 $20,912.28 20% off $13,496.00 $20,138.80 $13,833.40 2026-09-01
44970 HCPCS Removal Of Appendix Using An Endoscope 21 21 $15,895.00 $12,716.00 20% off $4,673.13 $16,292.38 $13,828.65 2026-09-01
47539 HCPCS Placement Of Stent Of Biliary Duct Through New Skin Access Using Imaging With Re… 21 21 $15,895.00 $12,716.00 20% off $4,673.13 $16,292.38 $13,828.65 2026-09-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 4 4 $20,939.58 $16,751.66 20% off $13,443.66 $20,060.70 $13,779.75 2026-09-01
37223 HCPCS Insertion Of Stent In Groin Artery, Additional Vessel 20 20 $15,512.00 $12,409.60 20% off $4,560.53 $15,899.80 $13,728.12 2026-09-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 4 4 $27,875.88 $22,300.70 20% off $13,296.23 $19,840.70 $13,628.63 2026-09-01
75893 HCPCS Review By Radiologist Of Imaging Guidance For Removal Of Blood Sample 22 22 $16,104.00 $12,883.20 $129.94 $16,506.60 $13,623.99 2026-09-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 4 4 $46,635.16 $37,308.13 $13,229.88 $19,741.70 $13,560.63 2026-09-01
35876 HCPCS Removal Of Blood Clot And Revision Of Artery Or Vein Graft 21 21 $15,502.00 $12,401.60 20% off $4,557.59 $15,889.55 $13,486.74 2026-09-01
60699 HCPCS Other Procedure On Endocrine System 22 22 $15,895.00 $12,716.00 20% off $4,673.13 $16,292.38 $13,447.17 2026-09-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 4 4 $33,839.72 $27,071.78 $13,070.65 $19,504.10 $13,397.42 2026-09-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 4 4 $25,406.63 $20,325.30 20% off $13,022.00 $19,431.50 $13,347.55 2026-09-01
199 MS_DRG Pneumothorax With Mcc 4 4 $26,559.90 $21,247.92 20% off $13,004.31 $19,405.10 $13,329.42 2026-09-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 4 4 $28,988.12 $23,190.49 20% off $12,946.07 $19,318.20 $13,269.72 2026-09-01
52284 HCPCS Drug Delivery Using A Drug-coated Balloon For Male Treatment Of Urethral Strictu… 21 21 $15,234.00 $12,187.20 $4,478.80 $15,614.85 $13,253.58 2026-09-01
501 MS_DRG Soft Tissue Procedures With Cc 4 4 $38,914.41 $31,131.53 $12,886.36 $19,229.10 $13,208.52 2026-09-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 4 4 $121,266.95 $97,013.56 20% off $12,864.25 $19,196.10 $13,185.85 2026-09-01
55920 HCPCS Insertion Of Needles Or Tubes Into Pelvic Or Genital Organs For Radiation Therap… 21 21 $15,144.00 $12,115.20 $4,452.34 $15,522.60 $13,175.28 2026-09-01
47538 HCPCS Placement Of Stent Of Biliary Duct Through Existing Skin Access Using Imaging Gu… 21 21 $15,137.00 $12,109.60 20% off $4,450.28 $15,515.43 $13,169.19 2026-09-01
47540 HCPCS Placement Of Stent And Drainage Tube Of Biliary Duct Using Imaging Guidance With… 21 21 $15,137.00 $12,109.60 20% off $4,450.28 $15,515.43 $13,169.19 2026-09-01
35266 HCPCS Repair Of Blood Vessel Of Arm With Graft 21 21 $15,103.00 $12,082.40 20% off $4,440.28 $15,480.58 $13,139.61 2026-09-01
34201 HCPCS Removal Of Blood Clot In Artery Of Groin And Leg 21 21 $15,103.00 $12,082.40 20% off $4,440.28 $15,480.58 $13,139.61 2026-09-01
35286 HCPCS Repair Of Blood Vessel Of Leg With Graft 21 21 $15,103.00 $12,082.40 20% off $4,440.28 $15,480.58 $13,139.61 2026-09-01
34451 HCPCS Removal Of Blood Clot In Vena Cava, Pelvic, Or Thigh Vein By Abdominal And Leg I… 22 22 $15,502.00 $12,401.60 20% off $1,148.62 $15,889.55 $13,114.69 2026-09-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 4 4 $34,695.32 $27,756.26 $12,738.19 $19,008.00 $13,056.65 2026-09-01
157 MS_DRG Dental And Oral Diseases With Mcc 4 4 $107,211.12 $85,768.90 $12,655.63 $18,884.80 $12,972.02 2026-09-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 4 4 $84,499.04 $67,599.23 20% off $12,634.99 $18,854.00 $12,950.86 2026-09-01
47556 HCPCS Dilation Of Bile Ducts With Stent Insertion Using An Endoscope 22 22 $15,137.00 $12,109.60 20% off $4,450.28 $15,515.43 $12,805.90 2026-09-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 4 4 $41,038.78 $32,831.02 20% off $12,469.87 $18,607.60 $12,781.61 2026-09-01
92941 HCPCS Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of … 22 22 $14,438.00 $11,550.40 20% off $525.21 $18,784.41 $12,777.63 2026-09-01
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 22 22 $15,103.00 $12,082.40 20% off $4,440.28 $15,480.58 $12,777.14 2026-09-01
571 MS_DRG Skin Debridement With Cc 4 4 $32,214.33 $25,771.46 20% off $12,454.39 $18,584.50 $12,765.74 2026-09-01
93459 HCPCS Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 22 22 $15,032.00 $12,025.60 20% off $3,547.31 $15,407.80 $12,717.07 2026-09-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 4 4 $41,244.37 $32,995.50 $12,405.73 $18,511.90 $12,715.87 2026-09-01
551 MS_DRG Medical Back Problems With Mcc 4 4 $28,960.81 $23,168.65 $12,355.61 $18,437.10 $12,664.49 2026-09-01
4810000300_2 CDM Hc Cath Lab Level 3 First 15 Min 20 20 $14,927.00 $11,941.60 20% off $4,388.54 $14,479.19 $12,628.24 2026-09-01
37200 HCPCS Biopsy Of Blood Vessel Using Tube 22 22 $14,922.00 $11,937.60 20% off $1,304.20 $15,295.05 $12,624.01 2026-09-01
19296 HCPCS Insertion Of Expandable Tube In Breast For Radiation Treatment Using Imaging Gui… 22 22 $14,882.00 $11,905.60 20% off $4,375.31 $15,254.05 $12,590.17 2026-09-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 4 4 $23,854.29 $19,083.43 20% off $12,272.31 $18,312.80 $12,579.11 2026-09-01
35875 HCPCS Removal Of Blood Clot Of Artery Or Vein Graft 21 21 $14,384.00 $11,507.20 $4,228.90 $14,743.60 $12,514.08 2026-09-01
47382 HCPCS Destruction Of Growth Of Liver Through Skin Using Radiofrequency 21 21 $14,381.00 $11,504.80 20% off $4,228.01 $14,740.53 $12,511.47 2026-09-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 4 4 $38,713.67 $30,970.93 20% off $12,195.64 $18,198.40 $12,500.53 2026-09-01
75842 HCPCS Review By Radiologist Of Both Adrenal Gland Veins Image 20 20 $14,102.00 $11,281.60 20% off $145.10 $14,454.55 $12,480.27 2026-09-01
786 MS_DRG Cesarean Section Without Sterilization With Mcc 4 4 $24,749.00 $19,799.20 20% off $12,159.52 $18,144.50 $12,463.51 2026-09-01
643 MS_DRG Endocrine Disorders With Mcc 4 4 $42,808.94 $34,247.15 20% off $12,134.46 $18,107.10 $12,437.82 2026-09-01
37211 HCPCS Insertion Of Tube Into Artery For Drug Infusion For Blood Clot With Review By Ra… 22 22 $14,102.00 $11,281.60 20% off $4,145.99 $14,454.55 $12,365.24 2026-09-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 4 4 $75,720.63 $60,576.50 20% off $12,035.68 $17,959.70 $12,336.57 2026-09-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 4 4 $24,688.81 $19,751.04 20% off $12,026.09 $17,945.40 $12,326.74 2026-09-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 4 4 $56,746.29 $45,397.03 20% off $12,023.14 $17,941.00 $12,323.72 2026-09-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 4 4 $64,866.77 $51,893.42 $12,017.25 $17,932.20 $12,317.68 2026-09-01
75705 HCPCS Review By Radiologist Of Spinal Artery Image 22 22 $14,471.00 $11,576.80 20% off $218.73 $14,832.78 $12,242.47 2026-09-01
27350 HCPCS Removal Of Kneecap 21 21 $14,042.00 $11,233.60 20% off $4,128.35 $14,393.05 $12,216.54 2026-09-01
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 21 21 $14,042.00 $11,233.60 20% off $4,128.35 $14,393.05 $12,216.54 2026-09-01
36482 HCPCS Chemical Destruction Of First Incompetent Vein Of Arm Or Leg Using Imaging Guida… 22 22 $14,384.00 $11,507.20 $4,228.90 $14,743.60 $12,168.86 2026-09-01
884 MS_DRG Organic Disturbances And Intellectual Disability 4 4 $16,258.29 $13,006.63 20% off $11,860.23 $16,258.29 $12,156.74 2026-09-01
92930 HCPCS Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 21 21 $13,493.00 $10,794.40 20% off $3,966.94 $20,058.40 $12,143.70 2026-09-01
92929 HCPCS Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add… 20 20 $13,493.00 $10,794.40 20% off $3,966.94 $18,784.41 $12,143.70 2026-09-01
37191 HCPCS Insertion Of Vena Cava Filter With Review By Radiologist 21 21 $13,933.00 $11,146.40 20% off $4,096.30 $14,281.33 $12,121.71 2026-09-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 4 4 $36,840.61 $29,472.49 $11,824.85 $17,645.10 $12,120.47 2026-09-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 4 4 $34,596.61 $27,677.28 20% off $11,811.58 $17,625.30 $12,106.87 2026-09-01
620 MS_DRG O.r. Procedures For Obesity With Cc 4 4 $36,965.45 $29,572.36 $11,796.84 $17,603.30 $12,091.75 2026-09-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 4 4 $23,761.71 $19,009.37 $11,789.46 $17,592.30 $12,084.20 2026-09-01
37193 HCPCS Removal Of Vena Cava Filter With Review By Radiologist 21 21 $13,718.00 $10,974.40 20% off $3,454.91 $14,060.95 $11,934.66 2026-09-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 4 4 $34,393.69 $27,514.95 20% off $11,561.68 $17,252.40 $11,850.72 2026-09-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 4 4 $31,763.91 $25,411.13 $11,519.66 $17,189.70 $11,807.65 2026-09-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 4 $24,097.98 $19,278.38 20% off $11,378.86 $16,979.60 $11,663.33 2026-09-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 4 4 $29,049.45 $23,239.56 20% off $11,315.47 $16,885.00 $11,598.35 2026-09-01
964 MS_DRG Other Multiple Significant Trauma With Cc 4 4 $39,253.43 $31,402.74 20% off $11,297.78 $16,858.60 $11,580.22 2026-09-01
183 MS_DRG Major Chest Trauma With Mcc 4 4 $39,168.65 $31,334.92 20% off $11,277.87 $16,828.90 $11,559.82 2026-09-01
55875 HCPCS Insertion Of Needle Or Tube Into Prostate For Radiation Therapy 22 22 $13,023.00 $10,418.40 20% off $3,828.76 $13,348.58 $11,525.35 2026-09-01
813 MS_DRG Coagulation Disorders 4 4 $26,406.14 $21,124.91 20% off $11,243.96 $16,778.30 $11,525.06 2026-09-01
50592 HCPCS Destruction Of Growth Of Kidney Using Radiofrequency 21 21 $13,243.00 $10,594.40 20% off $3,893.44 $13,574.08 $11,521.41 2026-09-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 4 4 $36,900.32 $29,520.26 $11,231.43 $16,759.60 $11,512.21 2026-09-01
55874 HCPCS Injection Of Biodegradable Material Next To Prostate 22 22 $12,967.00 $10,373.60 20% off $3,812.30 $13,291.18 $11,475.80 2026-09-01
37222 HCPCS Balloon Dilation Of Groin Artery, Each Additional Vessel 20 20 $12,749.00 $10,199.20 $3,748.21 $13,067.73 $11,474.10 2026-09-01
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 4 4 $28,821.73 $23,057.38 20% off $11,163.61 $16,658.40 $11,442.70 2026-09-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 4 4 $39,018.76 $31,215.00 20% off $11,119.38 $16,592.40 $11,397.36 2026-09-01
4810001100_2 CDM Hc Ep Lab Level 3 First 15 Min 20 20 $13,469.00 $10,775.20 $3,959.89 $13,064.93 $11,394.78 2026-09-01
75736 HCPCS Review By Radiologist Of Pelvis Artery Image 22 22 $13,397.00 $10,717.60 20% off $148.89 $13,731.93 $11,333.86 2026-09-01
75605 HCPCS Review By Radiologist Of Chest Aorta Serial Images 22 22 $13,397.00 $10,717.60 20% off $110.99 $13,731.93 $11,333.86 2026-09-01
36226 HCPCS Insertion Of Tube Into Brain Artery For Diagnosis Or Treatment With Review By Ra… 22 22 $13,377.00 $10,701.60 20% off $3,932.84 $13,711.43 $11,316.94 2026-09-01
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