Price Transparency 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

FORT LOUDOUN MEDICAL CENTER

Lenoir City, TN · CCN 440110 · Rates published

29,307 distinct procedures filed
31 distinct payers
2,466,710 rate rows
2025-12-23 last MRF observed
Data quality

2,105,961 of 2,466,710 rate rows are consumer-grade (85.4%)

360,749 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 341,562
per-diem day rate — not a per-procedure price 16,530
template filing: same amount across many unrelated codes — excluded 1,419
placeholder amount (≤ $0.02) — excluded from medians 751
exceeds 10× this hospital's gross charge — excluded from medians 296
percent-of-charges filed in the dollar field — excluded from medians 191
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/CovenantHealth/621373691_fort-loudoun-medical-center_standardcharges.json
Found on page https://www.covenanthealth.com/patients-visitors/price-estimation/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint a0e6c4733c17bc38… · 337,713,200 bytes · first seen 2026-05-11

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 24 $3,276,739.52 $3,932,600.00 $3,604,669.76 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $112,999.74 $3,932,600.00 $3,557,058.96 nat. median
$3,710,000
1.0× median
J1411
CPT 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 24 $3,263,464.50 $3,815,000.00 $3,426,637.50 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $112,999.74 $3,521,088.40 $3,184,844.39 nat. median
$3,325,455
1.0× median
J1413
CPT 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 24 $2,899,293.50 $3,488,000.00 $3,118,952.38 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 11 $112,999.74 $3,384,580.00 $3,061,371.77 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 11 $112,999.74 $3,146,080.00 $2,845,647.17 nat. median
$3,006,423
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $112,999.74 $2,547,666.28 $2,304,378.56 nat. median
$2,469,189
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 24 $2,119,655.08 $2,471,920.00 $2,295,787.54 nat. median
$2,448,600
0.9× median
J3399
CPT 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 24 $1,111,445.25 $2,784,090.00 $2,086,390.13 nat. median
$2,469,189
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 25 $112,999.74 $599,561.27 $516,482.44 nat. median
$754,974
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 25 $140,999.68 $629,250.00 $489,648.84 nat. median
$625,184
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 25 $140,999.68 $584,397.44 $483,707.80 nat. median
$675,122
0.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 25 $140,999.68 $615,450.00 $478,687.88 nat. median
$674,188
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $140,999.68 $598,500.00 $453,692.72 nat. median
$634,511
0.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 25 $140,999.68 $598,500.00 $452,334.34 nat. median
$620,080
0.7× median
Q2042
CPT 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 24 $219,694.16 $504,744.78 $449,559.81 nat. median
$754,974
0.6× median
Q2056
CPT 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 24 $246,450.00 $522,474.00 $446,149.81 nat. median
$675,122
0.7× median
Q2055
CPT 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 24 $222,335.00 $629,250.00 $439,143.56 nat. median
$625,184
0.7× median
Q2054
CPT 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 24 $217,459.00 $615,450.00 $429,325.13 nat. median
$674,188
0.6× median
Q2041
CPT 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 24 $197,690.00 $598,500.00 $407,205.75 nat. median
$634,511
0.6× median
Q2053
CPT 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 24 $197,690.00 $598,500.00 $407,205.75 nat. median
$620,080
0.7× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $392,740.64 $392,740.64 $392,740.64 nat. median
$30,475
outlier · 12.9×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 $122,207.24 $581,078.82 $250,292.44 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $89,886.06 $434,017.17 $184,095.48 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $40,958.62 $374,926.16 $179,068.94 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $70,719.44 $330,218.09 $144,840.34 nat. median
$202,986
0.7× median
J9999
HCPCS 		Chemotherapy Drug 16 $140,999.68 $140,999.68 $140,999.68 nat. median
$1,829
outlier · 77.1×
J7330
HCPCS 		Implant Maci Graft Vericel 17 $47,980.80 $205,632.00 $114,240.00 nat. median
$76,377
1.5× median
Q0181
HCPCS 		Unspecified Oral Anti-emetic 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$38
outlier · 2979.2×
J8999
HCPCS 		Oral Prescription Drug Chemo 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$194
outlier · 583.0×
J8597
HCPCS 		Antiemetic Drug Oral Nos 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$8
outlier · 13294.1×
J8498
HCPCS 		Antiemetic Rectal/supp Nos 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$26
outlier · 4299.8×
J8499
HCPCS 		Oral Prescrip Drug Non Chemo 16 $112,999.86 $112,999.86 $112,999.86 nat. median
$83
outlier · 1366.2×
J7199
HCPCS 		Hemophilia Clot Factor Noc 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$250
outlier · 452.2×
J7304
HCPCS 		Contraceptive Hormone Patch 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$116
outlier · 974.3×
J7999
HCPCS 		Compounded Drug, Noc 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$55
outlier · 2049.7×
J3590
HCPCS 		Unclassified Biologics 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$682
outlier · 165.6×
J3490
HCPCS 		Drugs Unclassified Injection 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$48
outlier · 2349.8×
J0574
HCPCS 		Bupren/nal 6.1 To 10mg Bupre 2 $5.86 $112,999.74 $112,999.74 nat. median
$13
outlier · 8800.6×
C9399
HCPCS 		Unclassified Drugs Or Biolog 17 $112,999.74 $112,999.74 $112,999.74 nat. median
$2,476
outlier · 45.6×
J7599
HCPCS 		Immunosuppressive Drug Noc 16 $112,999.74 $112,999.74 $112,999.74 nat. median
$153
outlier · 737.5×
J0573
HCPCS 		Bupren/nal 3.1 To 6mg Bupren 2 $5.31 $112,999.74 $112,999.74 nat. median
$17
outlier · 6531.8×
J0575
HCPCS 		Bupren/nal Over 10mg Bupreno 2 $7.76 $112,999.74 $112,999.74 nat. median
$30
outlier · 3724.4×
J0572
HCPCS 		Bupren/nal Up To 3mg Bupreno 2 $3.79 $112,999.74 $112,999.74 nat. median
$10
outlier · 11530.6×
S5000
HCPCS 		Prescription Drug, Generic 17 $112,999.74 $112,999.74 $112,999.74 nat. median
$124
outlier · 911.7×
S5001
HCPCS 		Prescription Drug,brand Name 17 $112,999.74 $112,999.74 $112,999.74 nat. median
$29
outlier · 3896.5×
790151090
CDM 		Sys Tricuspid Evoque Valve Sz44 3 $47,300.00 $107,500.00 $107,500.00 nat. median
$107,500
1.0× median
790151091
CDM 		Sys Tricuspid Evoque Valve Sz48 3 $47,300.00 $107,500.00 $107,500.00 nat. median
$107,500
1.0× median
790151092
CDM 		Sys Tricuspid Evoque Valve Sz52 3 $47,300.00 $107,500.00 $107,500.00 nat. median
$107,500
1.0× median

Other procedures at this hospital

Browse this hospital's 29,307 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 49 24 — — $3,276,739.52 $3,932,600.00 $3,604,669.76 2025-12-23
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 37 12 — — $112,999.74 $3,932,600.00 $3,557,058.96 2025-12-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 37 12 — — $112,999.74 $3,521,088.40 $3,184,844.39 2025-12-23
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 35 11 — — $112,999.74 $3,384,580.00 $3,061,371.77 2025-12-23
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 35 11 — — $112,999.74 $3,146,080.00 $2,845,647.17 2025-12-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 38 12 — — $112,999.74 $2,547,666.28 $2,304,378.56 2025-12-23
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 49 24 — — $2,119,655.08 $2,471,920.00 $2,295,787.54 2025-12-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 50 25 — — $112,999.74 $599,561.27 $516,482.44 2025-12-23
Q2055 HCPCS Idecabtagene Vicleucel Car 52 25 — — $140,999.68 $629,250.00 $489,648.84 2025-12-23
Q2056 HCPCS Ciltacabtagene Car-pos T 52 25 — — $140,999.68 $584,397.44 $483,707.80 2025-12-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 52 25 — — $140,999.68 $615,450.00 $478,687.88 2025-12-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 52 25 — — $140,999.68 $598,500.00 $453,692.72 2025-12-23
Q2053 HCPCS Brexucabtagene Car Pos T 52 25 — — $140,999.68 $598,500.00 $452,334.34 2025-12-23
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $392,740.64 $392,740.64 $392,740.64 2025-12-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 93 15 — — $122,207.24 $581,078.82 $250,292.44 2025-12-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 92 15 — — $89,886.06 $434,017.17 $184,095.48 2025-12-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 93 15 — — $40,958.62 $374,926.16 $179,068.94 2025-12-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 93 15 — — $70,719.44 $330,218.09 $144,840.34 2025-12-23
J9999 HCPCS Chemotherapy Drug 22 16 — — $140,999.68 $140,999.68 $140,999.68 2025-12-23
J7330 HCPCS Implant Maci Graft Vericel 30 17 $228,480.00 $73,113.60 68% off $47,980.80 $205,632.00 $114,240.00 2025-12-23
Q0181 HCPCS Unspecified Oral Anti-emetic 22 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8999 HCPCS Oral Prescription Drug Chemo 22 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8597 HCPCS Antiemetic Drug Oral Nos 22 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8499 HCPCS Oral Prescrip Drug Non Chemo 22 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J8498 HCPCS Antiemetic Rectal/supp Nos 22 16 — — $112,999.86 $112,999.86 $112,999.86 2025-12-23
J7999 HCPCS Compounded Drug, Noc 22 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J3590 HCPCS Unclassified Biologics 22 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J3490 HCPCS Drugs Unclassified Injection 22 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J0575 HCPCS Bupren/nal Over 10mg Bupreno 9 2 — — $7.76 $112,999.74 $112,999.74 2025-12-23
J0573 HCPCS Bupren/nal 3.1 To 6mg Bupren 9 2 — — $5.31 $112,999.74 $112,999.74 2025-12-23
J0574 HCPCS Bupren/nal 6.1 To 10mg Bupre 9 2 — — $5.86 $112,999.74 $112,999.74 2025-12-23
S5000 HCPCS Prescription Drug, Generic 25 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J7304 HCPCS Contraceptive Hormone Patch 22 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J7599 HCPCS Immunosuppressive Drug Noc 22 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
S5001 HCPCS Prescription Drug,brand Name 25 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J7199 HCPCS Hemophilia Clot Factor Noc 22 16 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
C9399 HCPCS Unclassified Drugs Or Biolog 25 17 — — $112,999.74 $112,999.74 $112,999.74 2025-12-23
J0572 HCPCS Bupren/nal Up To 3mg Bupreno 9 2 — — $3.79 $112,999.74 $112,999.74 2025-12-23
790151091 CDM Sys Tricuspid Evoque Valve Sz48 7 3 $215,000.00 $68,800.00 68% off $47,300.00 $107,500.00 $107,500.00 2025-12-23
790151090 CDM Sys Tricuspid Evoque Valve Sz44 7 3 $215,000.00 $68,800.00 68% off $47,300.00 $107,500.00 $107,500.00 2025-12-23
790151092 CDM Sys Tricuspid Evoque Valve Sz52 7 3 $215,000.00 $68,800.00 68% off $47,300.00 $107,500.00 $107,500.00 2025-12-23
Q0480 HCPCS Dme Pos 50 25 — — $99,999.92 $104,999.92 $102,499.92 2025-12-23
J3570 HCPCS Laetrile Amygdalin Vit B17 22 16 — — $100,444.43 $100,444.43 $100,444.43 2025-12-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 93 15 — — $48,759.90 $217,715.04 $99,865.07 2025-12-23
790151782 CDM Sys Triclip G4 Steer Cath Guide 7 3 $195,000.00 $62,400.00 68% off $42,900.00 $97,500.00 $97,500.00 2025-12-23
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 48 24 — — $93,216.70 $97,877.54 $95,547.12 2025-12-23
790146438 CDM Kit Valve Sapien 3 Ultra Thv Sz23 7 3 $170,000.00 $54,400.00 68% off $37,400.00 $85,000.00 $85,000.00 2025-12-23
790146437 CDM Kit Valve Sapien 3 Ultra Thv Sz26 7 3 $170,000.00 $54,400.00 68% off $37,400.00 $85,000.00 $85,000.00 2025-12-23
790146439 CDM Kit Valve Sapien 3 Ultra Thv Sz20 7 3 $170,000.00 $54,400.00 68% off $37,400.00 $85,000.00 $85,000.00 2025-12-23
790146436 CDM Kit Valve Sapien 3 Ultra Thv Sz29 7 3 $170,000.00 $54,400.00 68% off $37,400.00 $85,000.00 $85,000.00 2025-12-23
7 MS_DRG Lung Transplant 84 15 — — $43,206.63 $201,364.07 $83,332.31 2025-12-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 92 15 — — $40,613.68 $299,738.00 $83,180.81 2025-12-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 11 — — $36,852.46 $161,404.96 $81,729.66 2025-12-23
790140303 CDM Kit Valve Commander+s3 Ultra Sz23 7 3 $162,500.00 $52,000.00 68% off $35,750.00 $81,250.00 $81,250.00 2025-12-23
790140304 CDM Kit Valve Commander+s3 Ultra Sz26 7 3 $162,500.00 $52,000.00 68% off $35,750.00 $81,250.00 $81,250.00 2025-12-23
790133756 CDM Valve Aortic Trnscath 26 Sapien 7 3 $162,500.00 $52,000.00 68% off $35,750.00 $81,250.00 $81,250.00 2025-12-23
790133755 CDM Valve Aortic Trnscath 23 Sapien 7 3 $162,500.00 $52,000.00 68% off $35,750.00 $81,250.00 $81,250.00 2025-12-23
790140302 CDM Kit Valve Commander+s3 Ultra Sz20 7 3 $162,500.00 $52,000.00 68% off $35,750.00 $81,250.00 $81,250.00 2025-12-23
790128801 CDM Valve Thv Sz3-29 Sapien Commander 7 3 $162,500.00 $52,000.00 68% off $35,750.00 $81,250.00 $81,250.00 2025-12-23
14 MS_DRG Allogeneic Bone Marrow Transplant 84 15 — — $49,893.79 $201,872.53 $77,860.10 2025-12-23
790152258 CDM Valve Aortic Transcath Fx+ Sz34 7 3 $150,000.00 $48,000.00 68% off $33,000.00 $75,000.00 $75,000.00 2025-12-23
790142866 CDM Sys Mitraclip G4 Steer Cath Guide 7 3 $150,000.00 $48,000.00 68% off $33,000.00 $75,000.00 $75,000.00 2025-12-23
790152257 CDM Valve Aortic Transcath Fx+ Sz29 7 3 $150,000.00 $48,000.00 68% off $33,000.00 $75,000.00 $75,000.00 2025-12-23
790152256 CDM Valve Aortic Transcath Fx+ Sz26 7 3 $150,000.00 $48,000.00 68% off $33,000.00 $75,000.00 $75,000.00 2025-12-23
790152255 CDM Valve Aortic Transcath Fx+ Sz23 7 3 $150,000.00 $48,000.00 68% off $33,000.00 $75,000.00 $75,000.00 2025-12-23
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 92 15 — — $35,726.41 $167,853.21 $73,171.20 2025-12-23
850 MS_DRG Acute Leukemia With Other Procedures 30 11 — — $32,407.46 $141,936.96 $71,871.77 2025-12-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 84 15 — — $48,980.58 $164,085.96 $70,313.16 2025-12-23
215 MS_DRG Other Heart Assist System Implant 93 15 — — $33,882.49 $163,244.68 $69,394.67 2025-12-23
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 48 24 — — $67,452.66 $70,825.29 $69,138.98 2025-12-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 15 — — $32,192.48 $148,704.15 $65,933.36 2025-12-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 11 — — $29,342.23 $128,511.96 $65,073.83 2025-12-23
J9029 HCPCS Instill Adstiladrin, Tx Dose 50 25 — — $56,536.22 $69,214.27 $61,831.80 2025-12-23
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 63 11 — — $29,393.26 $126,044.55 $60,200.29 2025-12-23
C2624 HCPCS Sensor Pulmonary Art W Del Sys 25 17 $100,250.00 $32,080.00 68% off $21,052.50 $90,225.00 $60,150.00 2025-12-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 93 15 — — $28,036.61 $124,205.43 $57,421.74 2025-12-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 15 — — $27,960.32 $130,493.43 $57,265.49 2025-12-23
C1822 HCPCS Kit Ipg Senza Omnia 50 17 $97,500.00 $31,200.00 68% off $19,425.00 $92,250.00 $56,425.00 2025-12-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 11 — — $24,987.30 $109,438.40 $55,415.67 2025-12-23
A9543 HCPCS Y90 Ibritumomab, Rx 52 25 — — $21,848.24 $88,838.14 $55,343.19 2025-12-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 93 15 — — $26,918.12 $130,565.85 $55,130.95 2025-12-23
90288 CPT Botulinum Human Antitoxin For Infusion Into Vein 64 20 — — $55,036.65 $55,036.65 $55,036.65 2025-12-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 87 15 — — $26,514.44 $122,143.84 $54,304.17 2025-12-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 52 25 — — $18,970.96 $77,571.47 $53,247.06 2025-12-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 93 15 — — $24,517.55 $120,435.09 $52,986.91 2025-12-23
790147117 CDM Kit MRI Perc Intellis 7 3 $104,980.30 $33,593.70 68% off $23,095.66 $52,490.15 $52,490.15 2025-12-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 15 — — $25,578.05 $119,219.40 $52,386.36 2025-12-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 11 — — $23,587.13 $103,306.02 $52,310.44 2025-12-23
C1820 HCPCS Device Stimulation Ipg Eterna 150 17 $91,875.00 $29,400.00 68% off $10,626.00 $114,671.70 $50,331.60 2025-12-23
L7181 HCPCS Dme Pos 50 25 — — $48,632.79 $51,064.43 $49,848.61 2025-12-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 93 15 — — $23,990.20 $115,008.39 $49,134.29 2025-12-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 11 — — $21,763.76 $95,320.05 $48,266.64 2025-12-23
790113529 CDM Valve Pulmonary W Conduit Sz29 7 3 $96,425.00 $30,856.00 68% off $21,213.50 $48,212.50 $48,212.50 2025-12-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 92 15 — — $23,337.75 $108,888.34 $47,798.01 2025-12-23
38240 CPT Transplantation Of Donor Stem Cells, Per Donor 112 16 — — $1,848.28 $56,704.24 $47,631.47 2025-12-23
C1882 HCPCS Defib Quad Polar Hf-t Rivacor 325 17 $84,500.00 $27,040.00 68% off $12,705.00 $88,006.50 $47,567.50 2025-12-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 93 15 — — $23,102.57 $107,185.75 $47,316.34 2025-12-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 93 15 — — $18,835.72 $102,908.49 $47,009.28 2025-12-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 93 15 — — $22,751.61 $99,646.62 $46,929.79 2025-12-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 93 15 — — $22,248.89 $97,755.86 $46,689.30 2025-12-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 93 15 — — $22,737.04 $102,734.38 $46,567.69 2025-12-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 93 15 — — $18,022.15 $96,986.34 $46,321.77 2025-12-23
C1767 HCPCS Device Pulse Generator Proclaim 375 17 $82,500.00 $26,400.00 68% off $8,627.85 $105,919.11 $45,562.50 2025-12-23
459 MS_DRG Spinal Fusion Except Cervical With Mcc 63 11 — — $21,999.34 $94,337.84 $45,056.81 2025-12-23
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $43,633.91 $43,633.91 $43,633.91 2025-12-23
790148600 CDM Stent Flow Divert 4.5x20 Fredx 27 7 3 $86,750.00 $27,760.00 68% off $19,085.00 $43,375.00 $43,375.00 2025-12-23
790143872 CDM Stent Flow Divert 4.5x20 Fred 27 7 3 $86,600.00 $27,712.00 68% off $19,052.00 $43,300.00 $43,300.00 2025-12-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 15 — — $21,113.70 $99,503.32 $43,242.94 2025-12-23
J9226 HCPCS Supprelin La Implant 52 25 — — $13,881.22 $65,163.50 $42,982.62 2025-12-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 11 — — $19,363.42 $84,807.17 $42,943.30 2025-12-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 11 — — $19,245.22 $84,289.46 $42,681.15 2025-12-23
790151926 CDM Device Watchman Flx Pro 7 3 $85,000.00 $27,200.00 68% off $18,700.00 $42,500.00 $42,500.00 2025-12-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 93 15 — — $20,718.31 $92,306.25 $42,433.15 2025-12-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 93 15 — — $20,625.44 $94,885.55 $42,242.93 2025-12-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc 92 15 — — $20,599.23 $95,443.32 $42,189.25 2025-12-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 84 15 — — $20,165.82 $93,001.15 $41,963.71 2025-12-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 84 15 — — $28,342.88 $93,001.15 $41,963.71 2025-12-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 93 15 — — $19,445.04 $87,355.27 $41,721.86 2025-12-23
L8614 HCPCS Implant Cochlear Model Ci612 129 25 $88,500.00 $28,320.00 68% off $16,593.15 $81,900.00 $41,562.50 2025-12-23
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 63 11 — — $20,287.77 $86,998.25 $41,551.35 2025-12-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 93 15 — — $20,201.19 $105,210.45 $41,374.03 2025-12-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 15 — — $20,151.77 $88,432.68 $41,272.80 2025-12-23
33276 CPT Insertion Of Phrenic Nerve Stimulator System (pulse Generator And Stimulating Le… 111 16 — — $1,587.60 $43,145.40 $41,090.86 2025-12-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 93 15 — — $20,056.90 $89,710.00 $41,078.51 2025-12-23
28 MS_DRG Spinal Procedures With Mcc 93 15 — — $14,558.72 $93,672.94 $40,938.57 2025-12-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 81 15 — — $14,982.19 $46,381.66 $40,761.93 2025-12-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 93 15 — — $19,731.51 $94,122.85 $40,412.06 2025-12-23
L7180 HCPCS Dme Pos 50 25 — — $39,208.42 $41,168.84 $40,188.63 2025-12-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 11 — — $18,118.05 $79,352.74 $40,181.37 2025-12-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 93 15 — — $19,505.95 $90,663.75 $39,950.11 2025-12-23
790071089 CDM Valve Aortic W Conduit Sz23-30 7 3 $79,650.00 $25,488.00 68% off $17,523.00 $39,825.00 $39,825.00 2025-12-23
L2006 HCPCS Dme Pos 50 25 — — $38,606.32 $40,536.64 $39,571.48 2025-12-23
790148800 CDM Stent Flow Divert 5x36 Fredx 27 7 3 $78,500.00 $25,120.00 68% off $17,270.00 $39,250.00 $39,250.00 2025-12-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 15 — — $18,895.95 $91,666.81 $38,700.77 2025-12-23
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $38,674.73 $38,674.73 $38,674.73 2025-12-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 93 15 — — $11,640.02 $83,130.78 $38,608.37 2025-12-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 93 15 — — $18,803.41 $87,904.18 $38,511.23 2025-12-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 93 15 — — $18,786.49 $83,218.61 $38,476.59 2025-12-23
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 93 15 — — $18,571.88 $85,164.64 $38,037.04 2025-12-23
790145652 CDM Conduit Aortic Valve Sz21 Konect 7 3 $75,000.00 $24,000.00 68% off $16,500.00 $37,500.00 $37,500.00 2025-12-23
790147902 CDM Conduit Aortic Valve Sz27 Konect 7 3 $75,000.00 $24,000.00 68% off $16,500.00 $37,500.00 $37,500.00 2025-12-23
790148094 CDM Conduit Aortic Valve Sz29 Konect 7 3 $75,000.00 $24,000.00 68% off $16,500.00 $37,500.00 $37,500.00 2025-12-23
790142924 CDM Conduit Aortic Valve Sz25 Konect 7 3 $75,000.00 $24,000.00 68% off $16,500.00 $37,500.00 $37,500.00 2025-12-23
790148093 CDM Conduit Aortic Valve Sz23 Konect 7 3 $75,000.00 $24,000.00 68% off $16,500.00 $37,500.00 $37,500.00 2025-12-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 93 15 — — $14,194.47 $83,645.41 $37,399.80 2025-12-23
790130142 CDM Stent 5x40 Surpass Evolve 7 3 $74,609.10 $23,874.91 68% off $16,414.00 $37,304.55 $37,304.55 2025-12-23
790150770 CDM Stent Vantage W Shield 5x25 Pipel 7 3 $74,420.00 $23,814.40 68% off $16,372.40 $37,210.00 $37,210.00 2025-12-23
790151013 CDM Stent Vantage W Shield 6x40 Pipel 7 3 $74,420.00 $23,814.40 68% off $16,372.40 $37,210.00 $37,210.00 2025-12-23
790151014 CDM Stent Vantage W Shield 6x50 Pipel 7 3 $74,420.00 $23,814.40 68% off $16,372.40 $37,210.00 $37,210.00 2025-12-23
653 MS_DRG Major Bladder Procedures With Mcc 93 15 — — $17,956.91 $85,893.44 $36,777.52 2025-12-23
790148274 CDM Stent Flex W Shield 4.25x25pipeli 7 3 $73,500.00 $23,520.00 68% off $16,170.00 $36,750.00 $36,750.00 2025-12-23
790142146 CDM Stent Flex W Shield 4x25 Pipeli 7 3 $73,500.00 $23,520.00 68% off $16,170.00 $36,750.00 $36,750.00 2025-12-23
790144027 CDM Stent Flex W Shield 5x35 Pipeli 7 3 $73,500.00 $23,520.00 68% off $16,170.00 $36,750.00 $36,750.00 2025-12-23
790144208 CDM Stent Flex W Shield 5x25 Pipeli 7 3 $73,500.00 $23,520.00 68% off $16,170.00 $36,750.00 $36,750.00 2025-12-23
C1813 HCPCS Pros Penile Ms Pump Ip Iz 15 75 17 $61,168.35 $19,573.87 68% off $12,492.75 $55,723.14 $36,701.01 2025-12-23
790148939 CDM Stent Vista Silk 2.25x15 7 3 $72,500.00 $23,200.00 68% off $15,950.00 $36,250.00 $36,250.00 2025-12-23
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 84 15 — — $24,217.69 $83,836.47 $35,745.58 2025-12-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 15 — — $17,396.34 $81,611.55 $35,629.41 2025-12-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 93 15 — — $16,620.61 $81,973.64 $35,312.15 2025-12-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 93 15 — — $16,641.76 $78,497.60 $35,235.39 2025-12-23
L8701 HCPCS Ewh S/d Uprt Micro Sensor 48 24 — — $34,284.44 $35,998.66 $35,141.55 2025-12-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 93 15 — — $17,103.45 $83,140.03 $35,029.54 2025-12-23
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $34,969.98 $34,969.98 $34,969.98 2025-12-23
C1721 HCPCS Icd Cobalt Dr MRI Df1 325 17 $62,820.00 $20,102.40 68% off $8,925.00 $69,403.50 $34,701.75 2025-12-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 93 15 — — $16,847.04 $78,257.23 $34,504.40 2025-12-23
790150942 CDM Stent Vantage W Shield 3x12 Pipel 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
790151353 CDM Stent Vantage Wshield 3.5x14pipel 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
790151875 CDM Stent Vantage W Shield 5.5x20 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
790151585 CDM Stent Vantage W Shield 4x16 Pipel 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
790151646 CDM Stent Vantage W Shield 4.5x14 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
790151026 CDM Stent Vantage W Shield 4x20 Pipel 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
790151874 CDM Stent Vantage W Shield 4.5x16 7 3 $68,905.00 $22,049.60 68% off $15,159.10 $34,452.50 $34,452.50 2025-12-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 93 15 — — $16,773.74 $79,089.26 $34,354.27 2025-12-23
790143951 CDM Stent 3.25x12 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143954 CDM Stent 4x20 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790141864 CDM Stent 5x15 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143617 CDM Stent 4x15 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143956 CDM Stent 4.5x12 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143957 CDM Stent 4.5x15 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143953 CDM Stent 3.25x20 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790144043 CDM Stent 4.5x17 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143607 CDM Stent 5x30 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790141862 CDM Stent 4.5x25 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143499 CDM Stent 4x12 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143606 CDM Stent 5x25 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143952 CDM Stent 3.25x15 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143958 CDM Stent 4.5x20 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790143955 CDM Stent 4x25 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790141865 CDM Stent 5x20 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790141863 CDM Stent 4.5x30 Surpass Evolve 7 3 $68,602.95 $21,952.94 68% off $15,092.64 $34,301.47 $34,301.47 2025-12-23
790145043 CDM Stent Flex W Shield 4x20 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145040 CDM Stent Flex W Shield 3.75x18pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145039 CDM Stent Flex W Shield 3.75x14pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790144025 CDM Stent Flex W Shield 5x18 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145036 CDM Stent Flex W Shield 2.5x16 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790148686 CDM Stent Flex W Shield 2.75x12pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790144827 CDM Stent Flex W Shield 4x12 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145234 CDM Stent Flex W Shield 3x14 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790150267 CDM Stent Flex W Shield 4.25x10pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145038 CDM Stent Flex W Shield 3.75x12pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145044 CDM Stent Flex W Shield 4.25x14pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145025 CDM Stent Flex W Shield 4.75x16pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145037 CDM Stent Flex W Shield 3.5x14 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790144011 CDM Stent Flex W Shield 4.5x12 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790148809 CDM Stent Flex W Shield 3.25x12pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145023 CDM Stent Flex W Shield 4.50x16pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145024 CDM Stent Flex W Shield 4.75x14pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790148687 CDM Stent Flex W Shield 4.5x20 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145042 CDM Stent Flex W Shield 4x18 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790147331 CDM Stent Flex W Shield 2.75x14pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790143853 CDM Stent Flex W Shield 2.5x12 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790148684 CDM Stent Flex W Shield 3x16 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145113 CDM Stent Flex W Shield 3.50x12pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145120 CDM Stent Flex W Shield 4.25x12pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790148158 CDM Stent Flex W Shield 4.75x20pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145022 CDM Stent Flex W Shield 5x14 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145278 CDM Stent Flex W Shield 5x12 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145045 CDM Stent Flex W Shield 4.25x16pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145033 CDM Stent Flex W Shield 4x14 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790148273 CDM Stent Flex W Shield 5x20 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145041 CDM Stent Flex W Shield 4x16 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145035 CDM Stent Flex W Shield 2.5x14 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145034 CDM Stent Flex W Shield 2.5x10 Pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
790145046 CDM Stent Flex W Shield 4.50x14pipeli 7 3 $68,525.00 $21,928.00 68% off $15,075.50 $34,262.50 $34,262.50 2025-12-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 93 15 — — $16,713.37 $76,782.69 $34,230.62 2025-12-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 106 27 — — $16,582.68 $77,060.03 $33,962.95 2025-12-23
799 MS_DRG Splenectomy With Mcc 105 27 — — $3,518.00 $70,474.23 $33,659.28 2025-12-23
471 MS_DRG Cervical Spinal Fusion With Mcc 93 15 — — $16,316.32 $74,841.28 $33,417.44 2025-12-23
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 93 15 — — $16,187.62 $72,490.02 $33,153.84 2025-12-23
C1722 HCPCS Icd Cobalt Vr MRI Df1 300 17 $58,530.00 $18,729.60 68% off $8,127.00 $93,375.00 $33,150.00 2025-12-23
C1772 HCPCS Pump Implant Sz20 Synchromed Ii 50 17 $57,640.00 $18,444.80 68% off $10,290.00 $59,652.00 $33,140.00 2025-12-23
6 MS_DRG Liver Transplant Without Mcc 84 15 — — $22,390.33 $74,716.47 $32,859.69 2025-12-23
10 MS_DRG Pancreas Transplant 84 15 — — $19,530.38 $122,847.98 $32,701.39 2025-12-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 93 15 — — $15,944.16 $77,608.56 $32,655.20 2025-12-23
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 92 15 — — $15,863.22 $71,676.48 $32,489.44 2025-12-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 93 15 — — $15,777.64 $77,150.94 $32,314.16 2025-12-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 93 15 — — $15,723.91 $73,248.09 $32,204.11 2025-12-23
163 MS_DRG Major Chest Procedures With Mcc 93 15 — — $15,635.01 $71,018.55 $32,022.04 2025-12-23
790129519 CDM Stent Embolic Flex 4.75x25 Pipeli 7 3 $63,750.00 $20,400.00 68% off $14,025.00 $31,875.00 $31,875.00 2025-12-23
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 11 — — $14,365.75 $62,918.57 $31,859.70 2025-12-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 15 — — $15,419.41 $70,762.78 $31,580.46 2025-12-23
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $31,389.16 $31,389.16 $31,389.16 2025-12-23
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 63 11 — — $15,276.78 $65,510.05 $31,288.34 2025-12-23
245 MS_DRG Aicd Generator Procedures 93 15 — — $15,030.65 $75,295.81 $30,784.26 2025-12-23
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 15 — — $15,029.33 $66,531.74 $30,781.54 2025-12-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 106 27 — — $14,982.23 $70,752.00 $30,685.07 2025-12-23
790129508 CDM Stent Embolic Flex 4x20 Pipeline 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790129499 CDM Stent Embolic Flex 3x14 Pipeline 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790129521 CDM Stent Embolic Flex 5x14 Pipeline 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790129504 CDM Stent Embolic Flex 3.75x14 Pipeli 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790127116 CDM Stent Embolic Flex 5x20 Pipeline 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790126886 CDM Stent Embolic Flex 4x16 Pipeline 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790138326 CDM Stent Embolic Flex 2.5x12 Pipeln 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790138329 CDM Stent Embolic Flex 4.25x14 Pipeli 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790129513 CDM Stent Embolic Flex 4.5x14 Pipeli 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
790129514 CDM Stent Embolic Flex 4.5x16 Pipeli 7 3 $61,250.00 $19,600.00 68% off $13,475.00 $30,625.00 $30,625.00 2025-12-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 93 15 — — $14,932.80 $72,101.74 $30,583.84 2025-12-23
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 92 15 — — $14,918.21 $70,989.28 $30,553.95 2025-12-23
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 11 — — $13,763.12 $60,279.18 $30,523.21 2025-12-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 92 15 — — $14,795.15 $77,090.85 $30,301.92 2025-12-23
571T CPT Icd Ins/rep W Substernal Electro 55 25 $44,296.00 $14,174.72 68% off $475.00 $40,582.00 $30,154.35 2025-12-23
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 93 15 — — $14,689.00 $69,514.73 $30,084.53 2025-12-23
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 93 15 — — $14,647.87 $68,909.20 $30,000.29 2025-12-23
L5856 HCPCS Dme Pos 50 25 — — $29,137.22 $30,594.08 $29,865.65 2025-12-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 93 15 — — $14,557.65 $73,580.90 $29,815.50 2025-12-23
L6880 HCPCS Dme Pos 50 25 — — $28,999.68 $30,449.66 $29,724.67 2025-12-23
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 93 15 — — $14,468.42 $67,684.26 $29,632.75 2025-12-23
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $29,537.58 $29,537.58 $29,537.58 2025-12-23
901 MS_DRG Wound Debridements For Injuries With Mcc 93 15 — — $13,410.98 $68,265.14 $29,401.09 2025-12-23
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 49 24 — — $2,396.00 $40,582.00 $29,276.07 2025-12-23
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 93 15 — — $14,272.39 $69,100.26 $29,231.25 2025-12-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 93 15 — — $14,192.45 $65,725.91 $29,067.53 2025-12-23
33231 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Multiple Leads 127 28 $38,339.00 $12,268.48 68% off $475.00 $40,582.00 $28,951.84 2025-12-23
408T CPT Insj/rplc Cardiac Modulj Sys 52 25 — — $2,281.00 $40,582.00 $28,676.11 2025-12-23
33264 CPT Removal And Replacement Of Defibrillator Pulse Generator, Multiple Wires (leads) 127 28 $28,813.00 $9,220.16 68% off $475.00 $40,582.00 $28,676.11 2025-12-23
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 127 28 $28,813.00 $9,220.16 68% off $475.00 $40,582.00 $28,676.11 2025-12-23
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 127 28 $28,813.00 $9,220.16 68% off $475.00 $40,582.00 $28,676.11 2025-12-23
J1411 CPT Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 86 24 — — $3,263,464.50 $3,815,000.00 $3,426,637.50 2024-12-10
J1413 CPT Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 96 24 — — $2,899,293.50 $3,488,000.00 $3,118,952.38 2024-12-10
J3399 CPT Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 88 24 — — $1,111,445.25 $2,784,090.00 $2,086,390.13 2024-12-10
Q2042 CPT Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 94 24 — — $219,694.16 $504,744.78 $449,559.81 2024-12-10
Q2056 CPT Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 88 24 — — $246,450.00 $522,474.00 $446,149.81 2024-12-10
Q2055 CPT Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 88 24 — — $222,335.00 $629,250.00 $439,143.56 2024-12-10
Q2054 CPT Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 88 24 — — $217,459.00 $615,450.00 $429,325.13 2024-12-10
Q2053 CPT Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 88 24 — — $197,690.00 $598,500.00 $407,205.75 2024-12-10
Q2041 CPT Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 88 24 — — $197,690.00 $598,500.00 $407,205.75 2024-12-10
Q0480 CPT Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 96 24 — — $99,999.92 $104,999.92 $102,499.92 2024-12-10
J7330 CPT Autologous Cultured Chondrocytes, Implant 48 17 — — $64,742.69 $66,464.54 $65,603.62 2024-12-10
C9150 CPT Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 48 17 — — $59,935.20 $59,935.20 $59,935.20 2024-12-10
A9543 CPT Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 96 24 — — $21,848.24 $88,838.14 $59,323.69 2024-12-10
J9029 CPT Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 96 24 — — $54,361.75 $65,400.00 $58,480.36 2024-12-10
Q2043 CPT Sipuleucel-t 250ml 98 24 $190,238.96 $95,119.48 50% off $18,970.96 $171,216.00 $49,346.03 2024-12-10
L7181 CPT Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 96 24 — — $47,492.96 $49,867.61 $48,680.29 2024-12-10
J9226 CPT Histrelin Implant (supprelin La), 50 Mg 98 24 — — $13,881.22 $65,163.50 $40,779.21 2024-12-10
0266T CPT Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 72 12 — — $1,848.28 $41,563.45 $40,178.00 2024-12-10
L7180 CPT Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 96 24 — — $38,289.48 $40,203.95 $39,246.71 2024-12-10
L2006 CPT Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 96 24 — — $37,701.48 $39,586.55 $38,644.01 2024-12-10
C1721 CPT Icd Cobalt Xt Dr MRI Df-1 24 17 $54,000.00 $27,000.00 50% off $24,300.00 $48,600.00 $33,480.00 2024-12-10
L5856 CPT Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 96 24 — — $28,454.32 $29,877.04 $29,165.68 2024-12-10
L6880 CPT Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 96 24 — — $28,320.00 $29,736.00 $29,028.00 2024-12-10
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