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

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Hospital

BEAR RIVER VALLEY HOSPITAL

Tremonton, UT · CCN 460039 · Rates published

86,759 distinct procedures filed
62 distinct payers
2,914,607 rate rows
2026-08-01 last MRF observed
Data quality

2,667,810 of 2,914,607 rate rows are consumer-grade (91.5%)

246,797 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
placeholder amount (≤ $0.02) — excluded from medians 243,087
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,364
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 341
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/-/media/files/intermountain-health/locations/hospital-prices/942854057_bear-river-valley-hospital_standardcharges.ashx
Found on page https://intermountainhealthcare.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 04aeb24b604f18bd… · 4,269,643 bytes · first seen 2026-05-09

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
J3391
HCPCS 		Inj Atidarsagene Autotemcel 10 $3,727,887.50 $4,955,500.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 11 $3,049,558.17 $4,053,793.34 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 10 $2,760,391.05 $3,669,402.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $2,753,803.93 $3,660,645.70 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 11 $2,691,450.44 $3,577,758.89 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 10 $2,631,450.00 $3,498,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 11 $2,432,824.26 $3,233,965.78 $2,939,968.89 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,142,381.97 $2,847,879.35 $2,588,981.23 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 11 $1,929,730.00 $2,565,200.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $637,688.05 $847,682.00 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $486,280.02 $646,414.53 $587,649.57 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $468,804.65 $623,184.43 $566,531.30 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $465,221.53 $618,421.36 $562,201.24 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $461,812.63 $613,889.90 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $440,389.08 $585,411.46 $532,192.24 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $405,020.04 $538,395.22 $489,450.20 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $288,898.58 $317,900.89 $303,343.51 nat. median
$370,165
0.8× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $297,836.48 $297,836.48 $297,836.48 nat. median
$7,400
outlier · 40.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $230,251.88 $306,075.00 $278,250.00 nat. median
$302,242
0.9× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $272,925.97 $272,925.97 $272,925.97 nat. median
$53,038
outlier · 5.1×
J3403
HCPCS 		Revakinagene Per Implant 10 $219,287.50 $291,500.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $166,881.11 $221,835.92 $201,669.02 nat. median
$209,736
1.0× median
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $197,901.24 $197,901.24 $197,901.24 nat. median
$77,861
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $187,483.56 $336,391.67 $194,982.90 nat. median
$261,939
0.7× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $175,003.73 $175,003.73 $175,003.73 nat. median
$8,001
outlier · 21.9×
32069252
OTHER 		Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 30 $145,223.74 $155,014.10 $155,014.10 nat. median
$155,014
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $142,837.64 $230,465.55 $149,979.52 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 9 $141,999.37 $226,282.87 $149,099.33 nat. median
$199,832
0.7× median
681
MS_DRG 		Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 $119,199.71 $119,199.71 $119,199.71 nat. median
$29,070
outlier · 4.1×
32029878
OTHER 		Kit Lvad Heartmate 3 106524us 30 $107,533.41 $114,782.86 $114,782.86 nat. median
$114,783
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 11 $92,962.98 $123,576.17 $112,341.97 nat. median
$111,503
1.0× median
634
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 $106,754.08 $106,754.08 $106,754.08 nat. median
$13,790
outlier · 7.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 9 $92,667.68 $145,191.99 $97,301.06 nat. median
$132,706
0.7× median
632
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Died 1 $97,125.78 $97,125.78 $97,125.78 nat. median
$65,117
1.5× median
7
MS_DRG 		Lung Transplant 9 $86,638.53 $103,943.75 $90,970.46 nat. median
$122,690
0.7× median
365
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $84,612.76 $84,612.76 $84,612.76 nat. median
$17,293
outlier · 4.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $80,401.32 $102,797.21 $84,421.39 nat. median
$114,305
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $75,811.22 $107,056.03 $79,601.79 nat. median
$108,240
0.7× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 9 $4,656.17 $81,782.19 $78,753.22 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $17,773.09 $79,631.93 $76,682.60 nat. median
$96,835
0.8× median
1111000826
OTHER 		Y90 Ibritumomab Rx 30 $71,643.49 $76,473.38 $76,473.38 nat. median
$76,026
1.0× median
A9543
HCPCS 		Y90 Ibritumomab Rx / Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatme… 41 $47,022.32 $76,473.38 $76,473.38 nat. median
$63,643
1.2× median
212
MS_DRG 		Testes Procedures Age 0-17 9 $72,749.15 $105,833.35 $76,386.61 nat. median
$100,978
0.8× median
1111001379
OTHER 		Brachytx Non-stryttrium-90 30 $69,992.15 $74,710.72 $74,710.72 nat. median
$74,274
1.0× median
C2616
HCPCS 		Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 41 $14,705.51 $74,710.72 $74,710.72 nat. median
$26,606
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $68,978.59 $119,288.98 $72,427.52 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $66,613.63 $92,831.08 $69,944.31 nat. median
$98,002
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 11 $56,933.42 $75,681.88 $68,801.71 nat. median
$70,178
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $65,448.21 $100,452.50 $68,720.62 nat. median
$92,900
0.7× median

Other procedures at this hospital

Browse this hospital's 86,759 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0408T CPT Insj/rplc Cardiac Modulj Sys 14 10 — — $26,299.63 $34,960.24 $31,782.03 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 14 10 — — $26,299.63 $34,960.24 $31,782.03 2026-07-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 14 10 — — $36,905.00 $49,058.01 $44,598.19 2026-07-15
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 15 11 — — $25,854.59 $34,368.64 $31,244.22 2026-07-15
0870T CPT Imp Subq Prtl Ascts Pmp Sys 14 10 — — $28,703.99 $38,156.35 $34,687.60 2026-07-15
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 14 10 — — $25,854.59 $34,368.64 $31,244.22 2026-07-15
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 14 10 — — $25,854.59 $34,368.64 $31,244.22 2026-07-15
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 15 11 — — $26,299.63 $34,960.24 $31,782.03 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $187,483.56 $336,391.67 $194,982.90 2026-07-15
10 MS_DRG Pancreas Transplant 11 9 — — $48,006.37 $77,456.97 $50,406.69 2026-07-15
11 MS_DRG Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 9 — — $36,488.64 $57,675.24 $38,313.07 2026-07-15
1111000826 OTHER Y90 Ibritumomab Rx 30 30 $80,498.30 $60,373.72 25% off $71,643.49 $76,473.38 $76,473.38 2026-08-01
1111001379 OTHER Brachytx Non-stryttrium-90 30 30 $78,642.86 $58,982.14 25% off $69,992.15 $74,710.72 $74,710.72 2026-08-01
1300001589 OTHER Phy-revasc Fem/pop Artery Stnt/athrcmy W/pta / Revasc Fem/pop Artery Stnt/athrcm… 30 30 $36,383.97 $27,287.98 25% off $32,381.73 $34,564.77 $34,564.77 2026-08-01
1300001967 OTHER Endovas Aaa Repair One Docking Limb / Phy-phy-endovas Aaa Repair One Docking Lim… 30 30 $35,396.73 $26,547.55 25% off $31,503.09 $33,626.89 $33,626.89 2026-08-01
1300001974 OTHER Endovas Aaa Repair Two Docking Limbs / Phy-phy-endovas Aaa Repair Two Docking Li… 30 30 $37,134.89 $27,851.17 25% off $33,050.05 $35,278.15 $35,278.15 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 9 — — $80,401.32 $102,797.21 $84,421.39 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 9 — — $39,670.47 $43,961.42 $41,653.99 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 11 9 — — $29,983.83 $34,934.40 $31,483.02 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 9 — — $36,342.80 $58,637.99 $38,159.94 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 9 — — $288,898.58 $317,900.89 $303,343.51 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 9 — — $47,731.41 $77,013.23 $50,117.98 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 9 — — $75,811.22 $107,056.03 $79,601.79 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 9 — — $52,643.30 $113,985.15 $55,275.47 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 9 — — $43,048.98 $58,858.54 $45,201.43 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 11 9 — — $4,656.17 $81,782.19 $78,753.22 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 9 — — $35,416.21 $47,651.35 $37,187.03 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 11 9 — — $72,749.15 $105,833.35 $76,386.61 2026-07-15
213 MS_DRG Splenic Procedures Age 0-17 11 9 — — $16,143.43 $41,234.30 $39,707.10 2026-07-15
215 MS_DRG Other Heart Assist System Implant 11 9 — — $66,613.63 $92,831.08 $69,944.31 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $65,448.21 $100,452.50 $68,720.62 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $43,989.62 $47,508.79 $45,967.43 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 9 — — $43,989.62 $57,796.90 $46,189.10 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $51,368.83 $66,577.11 $53,937.27 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $35,677.13 $45,874.65 $37,460.99 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 9 — — $33,719.60 $38,189.35 $35,405.58 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 9 — — $33,098.75 $56,553.21 $34,753.69 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 9 — — $38,336.46 $55,397.05 $40,253.28 2026-07-15
2300001939 OTHER Leadless Pm Insert/replace Rt Vent 30 30 $33,050.95 $24,788.21 25% off $29,415.35 $31,398.40 $31,398.40 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 9 — — $51,850.66 $60,908.90 $58,653.02 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 9 — — $40,559.59 $59,346.04 $42,587.57 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 11 9 — — $51,147.39 $68,682.89 $53,704.76 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 11 9 — — $36,546.18 $56,333.53 $38,373.49 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 9 — — $39,261.70 $52,928.05 $41,224.79 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 9 — — $32,926.82 $35,560.96 $34,573.16 2026-07-15
245 MS_DRG Aicd Generator Procedures 11 9 — — $30,523.05 $47,474.56 $32,049.21 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 9 — — $30,418.02 $37,392.90 $31,938.92 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $36,763.61 $44,279.78 $42,639.79 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 9 — — $3,542.02 $34,398.40 $33,124.39 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 9 — — $13,206.19 $49,695.18 $47,854.61 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 9 — — $3,196.30 $38,123.07 $36,711.10 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $47,703.31 $56,994.32 $50,088.47 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $32,973.91 $43,399.74 $41,792.34 2026-07-15
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 9 — — $30,898.37 $46,890.78 $32,443.29 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 9 — — $28,561.05 $40,217.69 $38,728.15 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 11 9 — — $38,907.03 $43,412.02 $41,804.17 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 11 9 — — $141,999.37 $226,282.87 $149,099.33 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 9 — — $21,645.94 $32,373.14 $31,174.14 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 9 — — $44,733.56 $62,636.87 $46,970.24 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 9 — — $29,857.38 $42,675.73 $31,350.25 2026-07-15
32004588 OTHER Implant Cochlear Concert Pin Flex 28 30 30 $34,579.71 $25,934.78 25% off $30,775.94 $32,850.72 $32,850.72 2026-08-01
32004589 OTHER Implant Cochlear Concert Pin Flex 24 30 30 $34,579.71 $25,934.78 25% off $30,775.94 $32,850.72 $32,850.72 2026-08-01
32006323 OTHER Pump Blood Vad 15ml With Pu Valves 30 30 $62,193.45 $46,645.09 25% off $55,352.17 $59,083.78 $59,083.78 2026-08-01
32006643 OTHER Valve Transcatheter Melody 20mm Tpv 20 30 30 $45,643.19 $34,232.39 25% off $40,622.44 $43,361.03 $43,361.03 2026-08-01
32008741 OTHER Implant Cochlear Synchrony Flex24 30 30 $43,723.85 $32,792.89 25% off $38,914.23 $41,537.66 $41,537.66 2026-08-01
32008742 OTHER Implant Cochlear Synchrony Flex28 30 30 $41,612.68 $31,209.51 25% off $37,035.29 $39,532.05 $39,532.05 2026-08-01
32009208 OTHER Mesh Xenmatrix Surgical Graft 19x35cm 30 30 $36,424.57 $27,318.43 25% off $32,417.87 $34,603.34 $34,603.34 2026-08-01
32010559 OTHER Defibrillator Inogen Crt D Is 1 72.8g G141 30 30 $42,455.63 $31,841.72 25% off $37,785.51 $40,332.85 $40,332.85 2026-08-01
32010894 OTHER Generator Aspire Sr 106 30 30 $54,146.48 $40,609.86 25% off $48,190.37 $51,439.16 $51,439.16 2026-08-01
32011007 OTHER Graft Fem Condyle Whole Fresh Rt 30 30 $35,533.68 $26,650.26 25% off $31,624.98 $33,757.00 $33,757.00 2026-08-01
32011486 OTHER Graft Matristem Thick 30x40cm Plastics 30 30 $51,745.69 $38,809.27 25% off $46,053.66 $49,158.41 $49,158.41 2026-08-01
32012992 OTHER Implant Cochlear Synchrony Compressed 30 30 $37,678.94 $28,259.21 25% off $33,534.26 $35,794.99 $35,794.99 2026-08-01
32018135 OTHER Graft Whole Femoral Condyle Lt 30 30 $35,533.68 $26,650.26 25% off $31,624.98 $33,757.00 $33,757.00 2026-08-01
32018434 OTHER Graft Tibial Plateau W/menisci Rt Refrig 30 30 $32,231.66 $24,173.74 25% off $28,686.18 $30,620.08 $30,620.08 2026-08-01
32019365 OTHER Graft Bicompartment Lt Medial Trochlea 30 30 $32,943.49 $24,707.62 25% off $29,319.71 $31,296.32 $31,296.32 2026-08-01
32019591 OTHER Graft Bicompartment Rt Medial Trochlea 30 30 $32,943.49 $24,707.62 25% off $29,319.71 $31,296.32 $31,296.32 2026-08-01
32019608 OTHER Generator Montage MRI Safe Implantable Pulse Sc 1200 30 30 $32,277.82 $24,208.37 25% off $28,727.26 $30,663.93 $30,663.93 2026-08-01
32019725 OTHER Graft Distal Condyle Whole Rt Refrigerated 30 30 $34,442.63 $25,831.97 25% off $30,653.94 $32,720.50 $32,720.50 2026-08-01
32027068 OTHER Device Dynagen Df4 Crtd Is1/df4/is1 30 30 $44,385.16 $33,288.87 25% off $39,502.79 $42,165.90 $42,165.90 2026-08-01
32027312 OTHER Kit Ipg Nipg1500 30 30 $36,216.05 $27,162.04 25% off $32,232.28 $34,405.25 $34,405.25 2026-08-01
32028905 OTHER Device Implantable Pulse Generator 3028 30 30 $33,547.26 $25,160.44 25% off $29,857.06 $31,869.90 $31,869.90 2026-08-01
32029565 OTHER Femur Antegrade Trochanter 10.7mm X245mm 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32029878 OTHER Kit Lvad Heartmate 3 106524us 30 30 $120,824.06 $90,618.04 25% off $107,533.41 $114,782.86 $114,782.86 2026-08-01
32032394 OTHER Implant Medpor Customized Xl 30 30 $32,221.24 $24,165.93 25% off $28,676.90 $30,610.18 $30,610.18 2026-08-01
32033730 OTHER Graft Dermal Alloderm 16x20cm Bilateral Pair Med 30 30 $32,704.74 $24,528.56 25% off $29,107.22 $31,069.50 $31,069.50 2026-08-01
32034173 OTHER Graft Alloderm Select Perforated 16x20cm Thick 30 30 $36,653.84 $27,490.38 25% off $32,621.92 $34,821.15 $34,821.15 2026-08-01
32034342 OTHER Generator Sentiva 1000 30 30 $59,116.45 $44,337.34 25% off $52,613.64 $56,160.63 $56,160.63 2026-08-01
32034390 OTHER Generator Spectra Wavewriter Implantable Pulse Sc 1160 30 30 $32,277.82 $24,208.37 25% off $28,727.26 $30,663.93 $30,663.93 2026-08-01
32034944 OTHER Graft Alloderm Select Duo Perf 16x20cm Med 30 30 $34,002.62 $25,501.97 25% off $30,262.33 $32,302.49 $32,302.49 2026-08-01
32035140 OTHER Bone Distal Femur Lt Mops24 30 30 $38,385.46 $28,789.10 25% off $34,163.06 $36,466.19 $36,466.19 2026-08-01
32035611 OTHER Bone Distal Femur Rt Mops25 30 30 $38,385.46 $28,789.10 25% off $34,163.06 $36,466.19 $36,466.19 2026-08-01
32035646 OTHER Rod Magec 4.5mm 70mm Offset 30 30 $35,450.49 $26,587.87 25% off $31,550.94 $33,677.97 $33,677.97 2026-08-01
32036146 OTHER Tibia Antegrade Rod 10deg Bend 8.5x245mm 30 30 $33,174.66 $24,880.99 25% off $29,525.45 $31,515.93 $31,515.93 2026-08-01
32036163 OTHER Femur Antegrade Trochanter 8.5x275mm 30 30 $33,174.66 $24,880.99 25% off $29,525.45 $31,515.93 $31,515.93 2026-08-01
32036618 OTHER Femur Antegrade Trochanter 10.7mm X 215mm 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32037145 OTHER Kit Rns Neurostimulator 30 30 $55,336.47 $41,502.35 25% off $49,249.46 $52,569.65 $52,569.65 2026-08-01
32037712 OTHER Actuator Magec 6.0x90mm Offset 30 30 $32,886.31 $24,664.73 25% off $29,268.82 $31,241.99 $31,241.99 2026-08-01
32037738 OTHER Generator Pulse Infinity 7 Ipg 30 30 $34,125.46 $25,594.10 25% off $30,371.66 $32,419.19 $32,419.19 2026-08-01
32039025 OTHER Kit Generator Vercise Ipg 30 30 $36,478.13 $27,358.60 25% off $32,465.54 $34,654.22 $34,654.22 2026-08-01
32039163 OTHER Stent Graft Valiant Navion 31x31x223mm 30 30 $32,137.95 $24,103.46 25% off $28,602.78 $30,531.05 $30,531.05 2026-08-01
32039778 OTHER Actuator Magec 2 4.5x70mm Offset 30 30 $32,886.31 $24,664.73 25% off $29,268.82 $31,241.99 $31,241.99 2026-08-01
32039995 OTHER Stent Graft Valiant Navion 40x34x200mm 30 30 $32,137.95 $24,103.46 25% off $28,602.78 $30,531.05 $30,531.05 2026-08-01
32040062 OTHER Actuator Magec 2 Rod 6.0x70mm Std 30 30 $35,450.49 $26,587.87 25% off $31,550.94 $33,677.97 $33,677.97 2026-08-01
32042003 OTHER Kit Generator Vercise Gevia Ipg 30 30 $39,322.37 $29,491.78 25% off $34,996.91 $37,356.25 $37,356.25 2026-08-01
32042071 OTHER Rod Magec 2 4.5x90mm Std 30 30 $35,450.49 $26,587.87 25% off $31,550.94 $33,677.97 $33,677.97 2026-08-01
32042085 OTHER Rod Magec 2 5.5x70mm Std 30 30 $32,886.31 $24,664.73 25% off $29,268.82 $31,241.99 $31,241.99 2026-08-01
32042336 OTHER Rod Magec 2 4.5x70mm Std 30 30 $35,450.49 $26,587.87 25% off $31,550.94 $33,677.97 $33,677.97 2026-08-01
32042632 OTHER Femur Antegrade Nail Trochanter 10.0x250mm 30 30 $35,857.20 $26,892.90 25% off $31,912.91 $34,064.34 $34,064.34 2026-08-01
32043307 OTHER Tibia Antegrade 10deg Bend 3hl 10.0x280mm 30 30 $35,857.20 $26,892.90 25% off $31,912.91 $34,064.34 $34,064.34 2026-08-01
32043410 OTHER Graft Thoracic Stent 28x28mmx15cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32044115 OTHER Graft Thoracic Stent 34mmx34mmx15cm 22fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32044116 OTHER Graft Thoracic Stent 37mmx37mmx20cm 22fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32044279 OTHER Graft Thoracic Stent 31x31mmx20cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32044288 OTHER Stent Graft Valiant Navion 34x34x229 30 30 $32,137.95 $24,103.46 25% off $28,602.78 $30,531.05 $30,531.05 2026-08-01
32044486 OTHER Graft Thoracic Stent 31x31mmx10cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32044695 OTHER Graft Thoracic Stent 37x37mmx15cm 22fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32044720 OTHER Rod Magec 2 4.5mm 90mm Offset 30 30 $32,886.31 $24,664.73 25% off $29,268.82 $31,241.99 $31,241.99 2026-08-01
32045255 OTHER Graft Thoracic Stent 21x21mmx10cm 18fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32045394 OTHER Valve Heart Sapien 3 23mm Ultra Transcatheter W/commander Sy 30 30 $50,855.11 $38,141.33 25% off $45,261.05 $48,312.35 $48,312.35 2026-08-01
32045556 OTHER Graft Thoracic Stent 26x26mmx10cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32045603 OTHER Actuator Magec 2 Rod 6.0x90mm Std 30 30 $32,886.31 $24,664.73 25% off $29,268.82 $31,241.99 $31,241.99 2026-08-01
32045608 OTHER Graft Thoracic Stent 40x40mmx20cm 22fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32045733 OTHER Graft Thoracic Stent 34x34mmx20cm 22 Fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32046652 OTHER Graft Thoracic Stent 31x26mmx10cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32046737 OTHER Graft Strattice 30x30cm Firm 3030002 30 30 $37,199.07 $27,899.30 25% off $33,107.17 $35,339.12 $35,339.12 2026-08-01
32047137 OTHER Kit Ipg 1060 A 30 30 $40,043.48 $30,032.61 25% off $35,638.70 $38,041.31 $38,041.31 2026-08-01
32047564 OTHER Implant Cochlear Synchrony Pin Flex28 30 30 $40,102.06 $30,076.54 25% off $35,690.83 $38,096.96 $38,096.96 2026-08-01
32047898 OTHER Stent Graft Relay Thoracic Single Straight 38mmx250mm 30 30 $39,035.32 $29,276.49 25% off $34,741.43 $37,083.55 $37,083.55 2026-08-01
32047899 OTHER Stent Graft Relay Single 200mm Straight 38x190mm 30 30 $35,818.00 $26,863.50 25% off $31,878.02 $34,027.10 $34,027.10 2026-08-01
32053612 OTHER Graft Thoracic Stent 40x40mmx10cm 22fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32053689 OTHER Graft Thoracic Stent Sg Ac 34mmx34mmx10cm 22 Fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32054100 OTHER Femur Retrograde Straight 10.7x80mm 30 30 $33,174.66 $24,880.99 25% off $29,525.45 $31,515.93 $31,515.93 2026-08-01
32054339 OTHER Femur Antegrade 10deg Bend Trochanter 10x280mm 30 30 $35,857.20 $26,892.90 25% off $31,912.91 $34,064.34 $34,064.34 2026-08-01
32054424 OTHER Graft Thoracic Stent 40x40mmx15cm 22fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32054973 OTHER Mesh Phasix 19.5x19.5in Square 1195050 30 30 $56,114.80 $42,086.10 25% off $49,942.17 $53,309.06 $53,309.06 2026-08-01
32055971 OTHER Femur Antegrade Trochanter 8.5x50mm 30 30 $33,174.66 $24,880.99 25% off $29,525.45 $31,515.93 $31,515.93 2026-08-01
32056393 OTHER Graft Thoracic Stent 31x31mmx15cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32057265 OTHER Neurostimulator Deep Brain Percept Pc B35200 30 30 $37,002.39 $27,751.79 25% off $32,932.13 $35,152.27 $35,152.27 2026-08-01
32057494 OTHER Graft Thoracic Stent 37x37mmx10cm 22fr Sg Ac 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32057495 OTHER Graft Thoracic Stent Sg Ac 28mmx28mmx10cm 20fr 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32057681 OTHER Graft Matristem Thick 20x30cm Plastics 30 30 $32,792.64 $24,594.48 25% off $29,185.45 $31,153.01 $31,153.01 2026-08-01
32059296 OTHER Kit Ipg Vercise Genus R16 30 30 $39,322.37 $29,491.78 25% off $34,996.91 $37,356.25 $37,356.25 2026-08-01
32060219 OTHER Femur Antegrade Nail Piriformis 12.5x335 P12.5 80b335 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32060835 OTHER Implant Tmj Mandibular Oversized Comp Chg024 30 30 $35,638.31 $26,728.73 25% off $31,718.10 $33,856.39 $33,856.39 2026-08-01
32061412 OTHER Device Implantable Pluse Generator 3028 900 007 010 30 30 $33,547.26 $25,160.44 25% off $29,857.06 $31,869.90 $31,869.90 2026-08-01
32061868 OTHER Graft Thoracic Stent Conformable 30 30 $34,123.93 $25,592.95 25% off $30,370.30 $32,417.73 $32,417.73 2026-08-01
32063219 OTHER Graft Relay Thoriacic Stent 34x3 30 30 $32,588.29 $24,441.22 25% off $29,003.58 $30,958.88 $30,958.88 2026-08-01
32063515 OTHER Nail Intramed Retrograde Fem Strght 12.5 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32063618 OTHER Mesh Hernia Phasix St 30x35cm Rectangle 30 30 $33,773.11 $25,329.83 25% off $30,058.07 $32,084.45 $32,084.45 2026-08-01
32064302 OTHER Femure Antegrade Piriformis 8.5x50mm 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32064674 OTHER Nail Intramed Retro 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32064705 OTHER System Spinal Cord Stim Ipg Patient 30 30 $40,043.48 $30,032.61 25% off $35,638.70 $38,041.31 $38,041.31 2026-08-01
32065033 OTHER Nail Tibial Antegrade 8.5x50x215mm 10deg P8.5 50c215 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32065936 OTHER Nail Intramed Retrograde Fem Str 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32066139 OTHER Kit Osteotomy My3d Femoral 30 30 $45,874.95 $34,406.21 25% off $40,828.71 $43,581.20 $43,581.20 2026-08-01
32066239 OTHER Femure Retrograde Straight 10.7x21 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32066640 OTHER Femur Antegrade Nail Pirifor 30 30 $35,761.33 $26,821.00 25% off $31,827.58 $33,973.26 $33,973.26 2026-08-01
32067254 OTHER Nail Tibial Precise 10.7x245mm 30 30 $35,761.32 $26,820.99 25% off $31,827.57 $33,973.25 $33,973.25 2026-08-01
32067270 OTHER Nail Tibial Precise Tibia 10.7x305mm 30 30 $35,761.32 $26,820.99 25% off $31,827.57 $33,973.25 $33,973.25 2026-08-01
32067294 OTHER Device Cardiac Ventricular Assis 30 30 $69,677.72 $52,258.29 25% off $62,013.17 $66,193.83 $66,193.83 2026-08-01
32067523 OTHER Nail Tibial Antegrade Precice 8. 30 30 $35,761.32 $26,820.99 25% off $31,827.57 $33,973.25 $33,973.25 2026-08-01
32067740 OTHER Generator Wavewriter Alpha 32 Ipg 30 30 $33,052.08 $24,789.06 25% off $29,416.35 $31,399.48 $31,399.48 2026-08-01
32068244 OTHER Kit Implantable Pulse Generator Vercise Genus P16 30 30 $34,125.46 $25,594.10 25% off $30,371.66 $32,419.19 $32,419.19 2026-08-01
32068524 OTHER Graft Zenith Tx2 Dissection Endovascula 30 30 $34,527.15 $25,895.36 25% off $30,729.16 $32,800.79 $32,800.79 2026-08-01
32068640 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx15cm 12mm 30 30 $54,187.93 $40,640.95 25% off $48,227.26 $51,478.53 $51,478.53 2026-08-01
32068799 OTHER Femur Nail Antegrade Trochanter Precice 8.5x165mm 10deg 30 30 $35,761.32 $26,820.99 25% off $31,827.57 $33,973.25 $33,973.25 2026-08-01
32069011 OTHER Endoprosthesis Thoracic Aortic Branch 40mmx 30 30 $54,187.93 $40,640.95 25% off $48,227.26 $51,478.53 $51,478.53 2026-08-01
32069100 OTHER Generator Wavewriter Kit Alpha 30 30 $32,277.82 $24,208.37 25% off $28,727.26 $30,663.93 $30,663.93 2026-08-01
32069252 OTHER Kit Implantable Pulse Generator Wavewriter Alpha Prime 32 30 30 $163,172.74 $122,379.55 25% off $145,223.74 $155,014.10 $155,014.10 2026-08-01
32070120 OTHER Device Spinal Mid C 105mm W/40mm 30 30 $63,502.38 $47,626.79 25% off $56,517.12 $60,327.26 $60,327.26 2026-08-01
32070419 OTHER Endoprosthesis Thoracic Aortic Branch 34mmx12mm 30 30 $54,187.93 $40,640.95 25% off $48,227.26 $51,478.53 $51,478.53 2026-08-01
32070533 OTHER Implant Biological Tissue Xenmat 30 30 $44,835.11 $33,626.33 25% off $39,903.25 $42,593.35 $42,593.35 2026-08-01
32070635 OTHER Nail Antegrade Femur Piriformis St 30 30 $35,761.32 $26,820.99 25% off $31,827.57 $33,973.25 $33,973.25 2026-08-01
32070679 OTHER Graft Thoracic Stent 45x45mmx20cm 24fr 30 30 $32,498.98 $24,374.24 25% off $28,924.09 $30,874.03 $30,874.03 2026-08-01
32070691 OTHER Implant Cochlear Synchrony 2 Custom Device 30 30 $36,386.03 $27,289.52 25% off $32,383.57 $34,566.73 $34,566.73 2026-08-01
32070930 OTHER Nail Intramed Antegrade Fem Troch Dst 12.5x 30 30 $35,761.32 $26,820.99 25% off $31,827.57 $33,973.25 $33,973.25 2026-08-01
32071196 OTHER Endoprosthesis Thoracic Aortic Branch 30 30 $51,607.56 $38,705.67 25% off $45,930.73 $49,027.18 $49,027.18 2026-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 11 9 — — $33,366.36 $42,290.63 $35,034.68 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 9 — — $30,751.19 $34,161.59 $32,288.75 2026-07-15
33274 OTHER Transcatheter Insertion Or Replacement Of Permanent Leadless 30 30 $33,050.95 $24,788.21 25% off $29,415.35 $31,398.40 $31,398.40 2026-08-01
33276 CPT Insj Phrnc Nrv Stim Sys 14 10 — — $36,905.00 $49,058.01 $44,598.19 2026-07-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 15 11 — — $25,854.59 $34,368.64 $31,244.22 2026-07-15
34802 OTHER Evasc Rpr Aaa W/mdlr Bfrc Prosth 1 Limb 30 30 $35,396.73 $26,547.55 25% off $31,503.09 $33,626.89 $33,626.89 2026-08-01
34803 OTHER Evasc Rpr Aaa W/mdlr Bfrc Prosth 2 Limbs / Endovascular Repair Of Infrarenal Abd… 30 30 $37,134.89 $27,851.17 25% off $33,050.05 $35,278.15 $35,278.15 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 9 — — $28,473.53 $31,739.48 $30,563.94 2026-07-15
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $40,740.61 $40,740.61 $40,740.61 2026-07-15
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $37,998.55 $37,998.55 $37,998.55 2026-07-15
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $30,894.39 $30,894.39 $30,894.39 2026-07-15
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $84,612.76 $84,612.76 $84,612.76 2026-07-15
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $64,396.93 $64,396.93 $64,396.93 2026-07-15
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $49,345.78 $49,345.78 $49,345.78 2026-07-15
37227 OTHER Revasc Fem/pop Art Stnt/athrcmy W/pta / Revsc Opn/prq Fem/pop W/stnt/athrc/angio… 30 30 $36,383.97 $27,287.98 25% off $32,381.73 $34,564.77 $34,564.77 2026-08-01
38240 CPT Transplt Allo Hct/donor 29 11 — — $231.35 $70,057.90 $52,702.65 2026-07-15
396 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $37,775.37 $37,775.37 $37,775.37 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 11 9 — — $92,667.68 $145,191.99 $97,301.06 2026-07-15
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $47,202.36 $47,202.36 $47,202.36 2026-07-15
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $34,234.23 $34,234.23 $34,234.23 2026-07-15
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 11 9 — — $36,598.36 $42,015.81 $38,428.28 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $17,773.09 $79,631.93 $76,682.60 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $13,323.47 $52,156.85 $50,225.11 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 9 — — $10,123.67 $40,620.87 $39,116.39 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 9 — — $60,275.40 $81,028.74 $63,289.17 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 9 — — $38,582.65 $49,512.07 $40,511.79 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 9 — — $44,700.78 $93,782.44 $46,935.82 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $35,655.72 $53,349.91 $37,438.51 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 9 — — $56,219.85 $62,079.35 $59,030.84 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 11 9 — — $39,893.92 $55,571.22 $41,888.62 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 11 9 — — $36,949.59 $59,617.36 $38,797.07 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $38,130.40 $51,115.47 $40,036.92 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 11 9 — — $34,824.81 $41,272.75 $36,566.05 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 11 9 — — $32,304.63 $38,555.19 $33,919.87 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 9 — — $68,978.59 $119,288.98 $72,427.52 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $43,829.72 $59,826.54 $46,021.21 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 9 — — $32,789.67 $52,415.17 $34,429.15 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 11 9 — — $31,022.14 $58,033.21 $32,573.24 2026-07-15
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $32,378.76 $32,378.76 $32,378.76 2026-07-15
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $272,925.97 $272,925.97 $272,925.97 2026-07-15
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 1 1 — — $38,264.62 $38,264.62 $38,264.62 2026-07-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 15 11 — — $20,557.88 $34,368.64 $31,244.22 2026-07-15
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $197,901.24 $197,901.24 $197,901.24 2026-07-15
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $97,125.78 $97,125.78 $97,125.78 2026-07-15
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $297,836.48 $297,836.48 $297,836.48 2026-07-15
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $106,754.08 $106,754.08 $106,754.08 2026-07-15
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $59,416.06 $59,416.06 $59,416.06 2026-07-15
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $175,003.73 $175,003.73 $175,003.73 2026-07-15
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $55,440.81 $55,440.81 $55,440.81 2026-07-15
64654 CPT 1st Opn Implt Bat Modulj Sys 14 10 — — $36,905.00 $49,058.01 $44,598.19 2026-07-15
64656 CPT Revj/rplcmt Bat Mod Sys Pg 14 10 — — $25,854.59 $34,368.64 $31,244.22 2026-07-15
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $59,540.34 $59,540.34 $59,540.34 2026-07-15
648 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $41,504.68 $41,504.68 $41,504.68 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 9 — — $23,159.20 $33,969.22 $32,711.10 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 11 9 — — $31,973.54 $37,545.76 $36,155.18 2026-07-15
677 MS_DRG Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 1 1 — — $39,314.88 $39,314.88 $39,314.88 2026-07-15
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $119,199.71 $119,199.71 $119,199.71 2026-07-15
691 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $45,991.06 $45,991.06 $45,991.06 2026-07-15
7 MS_DRG Lung Transplant 11 9 — — $86,638.53 $103,943.75 $90,970.46 2026-07-15
70390588 OTHER Generator Demipulse Vns Implantable 103 30 30 $46,731.00 $35,048.25 25% off $41,590.59 $44,394.45 $44,394.45 2026-08-01
70396940 OTHER Generator Demipulse Vns Implantable 104 30 30 $49,816.37 $37,362.28 25% off $44,336.57 $47,325.55 $47,325.55 2026-08-01
70397229 OTHER Mesh Permacol 20cmx30cm 1.5mm Thick 30 30 $35,309.16 $26,481.87 25% off $31,425.15 $33,543.70 $33,543.70 2026-08-01
70401435 OTHER Stimulator Neuro Activa Pc Implantable 30 30 $34,353.90 $25,765.42 25% off $30,574.97 $32,636.20 $32,636.20 2026-08-01
70402800 OTHER Mesh Surgimend 3.0 Hernia Repair 25x40cm 30 30 $42,374.04 $31,780.53 25% off $37,712.90 $40,255.34 $40,255.34 2026-08-01
70403009 OTHER Femur Distal Fresh Rt Oc 460525 30 30 $35,122.62 $26,341.97 25% off $31,259.13 $33,366.49 $33,366.49 2026-08-01
70403618 OTHER Graft Strattice 25x40cm Firm 2540002 30 30 $40,336.01 $30,252.01 25% off $35,899.05 $38,319.21 $38,319.21 2026-08-01
70403619 OTHER Graft Strattice 20x40cm Firm 2040002 30 30 $33,954.36 $25,465.77 25% off $30,219.38 $32,256.64 $32,256.64 2026-08-01
70403671 OTHER Generator Aspire Hc Vns Implantable 105 30 30 $41,147.39 $30,860.54 25% off $36,621.18 $39,090.02 $39,090.02 2026-08-01
70404119 OTHER Implant Cochlear Flex 24 Internal Device 30 30 $34,989.75 $26,242.31 25% off $31,140.88 $33,240.26 $33,240.26 2026-08-01
70404658 OTHER Kit Generator Precision Spectra Sc-1132 30 30 $32,277.82 $24,208.37 25% off $28,727.26 $30,663.93 $30,663.93 2026-08-01
70404854 OTHER Neurostimulator Dbs Activa Rc 37612 30 30 $46,864.73 $35,148.55 25% off $41,709.61 $44,521.49 $44,521.49 2026-08-01
73005479 OTHER Graft Iliac Aorta R010 30 30 $39,315.14 $29,486.35 25% off $34,990.47 $37,349.38 $37,349.38 2026-08-01
73006137 OTHER Pump Blood Vad 10ml With Pu Valves 30 30 $62,193.45 $46,645.09 25% off $55,352.17 $59,083.78 $59,083.78 2026-08-01
74128107 OTHER Implant Tmj Bilateral Bundled Charge 30 30 $32,588.29 $24,441.22 25% off $29,003.58 $30,958.88 $30,958.88 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 11 9 — — $6,428.49 $42,943.82 $41,353.30 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 11 9 — — $30,298.93 $46,192.36 $31,813.88 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 11 9 — — $37,495.51 $52,859.78 $39,370.28 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 9 — — $39,236.28 $43,187.73 $41,198.09 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 9 — — $30,672.91 $46,537.20 $32,206.56 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 9 — — $31,295.09 $45,774.88 $32,859.85 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 11 9 — — $36,728.15 $79,702.78 $38,564.56 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 9 — — $32,141.40 $44,530.32 $33,748.47 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 11 9 — — $57,933.19 $83,950.22 $60,829.85 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 9 — — $33,039.88 $41,502.93 $34,691.87 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 9 — — $30,431.40 $32,865.91 $31,952.97 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 9 — — $46,240.85 $66,662.00 $48,552.89 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $142,837.64 $230,465.55 $149,979.52 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 9 — — $30,111.07 $51,825.21 $49,905.75 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $45,031.94 $87,608.64 $47,283.54 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 9 — — $50,978.13 $58,372.80 $53,527.03 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 9 — — $40,952.30 $61,440.44 $42,999.91 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 9 — — $31,388.76 $48,993.06 $32,958.19 2026-07-15
A9543 HCPCS Y90 Ibritumomab Rx / Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatme… 45 41 $80,498.30 $60,373.72 25% off $47,022.32 $76,473.38 $76,473.38 2026-08-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 45 41 $78,642.86 $58,982.14 25% off $14,705.51 $74,710.72 $74,710.72 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 15 11 — — $3,049,558.17 $4,053,793.34 $3,685,266.67 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 11 — — $2,753,803.93 $3,660,645.70 $3,327,859.73 2026-07-15
J1414 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-07-15
J3387 HCPCS Inj Elivaldogene Autotemecel 14 10 — — $2,631,450.00 $3,498,000.00 $3,180,000.00 2026-07-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 14 10 — — $2,760,391.05 $3,669,402.00 $3,335,820.00 2026-07-15
J3391 HCPCS Inj Atidarsagene Autotemcel 14 10 — — $3,727,887.50 $4,955,500.00 $4,505,000.00 2026-07-15
J3392 HCPCS Inj Exagamglogene Autotem 15 11 — — $1,929,730.00 $2,565,200.00 $2,332,000.00 2026-07-15
J3393 HCPCS Inj Betibeglogene Autotemce 15 11 — — $2,432,824.26 $3,233,965.78 $2,939,968.89 2026-07-15
J3394 HCPCS Inj Lovotibeglogene Autotem 15 11 — — $2,691,450.44 $3,577,758.89 $3,252,508.08 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 11 — — $2,142,381.97 $2,847,879.35 $2,588,981.23 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 10 — — $166,881.11 $221,835.92 $201,669.02 2026-07-15
J3403 HCPCS Revakinagene Per Implant 14 10 — — $219,287.50 $291,500.00 $265,000.00 2026-07-15
J9029 HCPCS Instill Adstiladrin Tx Dose 15 11 — — $53,187.39 $70,702.27 $64,274.79 2026-07-15
J9226 HCPCS Supprelin La Implant 29 11 — — $35,735.87 $47,503.87 $43,324.60 2026-07-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 15 11 — — $33,325.12 $44,299.26 $40,272.05 2026-07-15
L7180 HCPCS Electronic Elbow Sequential 15 11 — — $36,170.84 $48,082.09 $43,710.99 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 15 11 — — $41,274.99 $54,867.05 $49,879.14 2026-07-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 15 11 — — $28,937.78 $38,467.14 $34,970.13 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 15 11 — — $56,933.42 $75,681.88 $68,801.71 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad Rep 15 11 — — $92,962.98 $123,576.17 $112,341.97 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 11 — — $440,389.08 $585,411.46 $532,192.24 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 11 — — $468,804.65 $623,184.43 $566,531.30 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 29 11 — — $45,019.40 $59,844.52 $53,981.46 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 15 11 — — $405,020.04 $538,395.22 $489,450.20 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 11 — — $465,221.53 $618,421.36 $562,201.24 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 15 11 — — $461,812.63 $613,889.90 $558,081.73 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 15 11 — — $486,280.02 $646,414.53 $587,649.57 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 14 10 — — $637,688.05 $847,682.00 $770,620.00 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 10 — — $230,251.88 $306,075.00 $278,250.00 2026-07-15
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