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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

LONESOME PINE HOSPITAL

Big Stone Gap, VA · CCN 490114 · Rates published

4,385 distinct procedures filed
20 distinct payers
313,286 rate rows
2026-03-23 last MRF observed
Data quality

303,220 of 313,286 rate rows are consumer-grade (96.8%)

10,066 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 8,402
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,062
per-diem day rate — not a per-procedure price 308
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 237
exceeds 10× this hospital's gross charge — excluded from medians 54
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.balladhealth.org/sites/default/files/2026-03/621636465_lonesome-pine-hospital_standardcharges.zip
Found on page https://www.balladhealth.org/patients-visitors/price-estimator-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-20
Content fingerprint 4b6fcaf90a719133… · 5,383,076 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
C1825
HCPCS 		System Barostim Neo2 7 $23,194.74 $326,686.50 $151,141.51 nat. median
$35,000
outlier · 4.3×
C1822
HCPCS 		Kit Nevro Stim Hf10c 7 $12,149.63 $171,121.50 $79,169.36 nat. median
$30,046
outlier · 2.6×
C1875
HCPCS 		Stent Thoracic 40 X 36 X 154 7 $11,744.64 $165,417.45 $76,530.38 nat. median
$3,632
outlier · 21.1×
C2622
HCPCS 		Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 7 $10,305.09 $145,142.15 $67,150.02 nat. median
$8,606
outlier · 7.8×
A9543
HCPCS 		Hc Nnm Yt90 Zevalin Tx/dose To 40mci 19 $17,845.05 $123,877.52 $64,297.72 nat. median
$65,477
1.0× median
C1767
HCPCS 		Stimulator Pain Prime Advancd 7 $459.54 $189,011.48 $58,670.72 nat. median
$25,172
outlier · 2.3×
C1820
HCPCS 		Stimulator Neuro Rechargeable 7 $577.71 $191,863.50 $57,511.55 nat. median
$21,100
outlier · 2.7×
C2624
HCPCS 		Hc Cardiomems Hf Syst Pa Snsr Dlvry Syst 7 $3,582.94 $197,049.00 $57,255.94 nat. median
$26,491
outlier · 2.2×
231
APR_DRG 		Major Large Bowel Procedures 6 — — $53,223.78 nat. median
$13,774
outlier · 3.9×
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 — — $51,446.05 nat. median
$79,167
0.6× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 19 — — $48,142.86 nat. median
$29,327
1.6× median
0571T
CPT 		Hc Insj/rplcmt Icds W/substernal Electrode 19 $5,851.00 $99,184.00 $45,737.20 nat. median
$32,945
1.4× median
33249
CPT 		Hc Insert/repl Lead/gen Icd Sgl/dual 19 $1,017.92 $104,585.00 $44,698.36 nat. median
$32,069
1.4× median
33270
CPT 		Hc Insertion/replcmt Sq Icd W Sq Electrode 19 $1,571.00 $97,969.00 $44,696.60 nat. median
$32,475
1.4× median
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 19 $5,851.00 $93,686.54 $44,187.01 nat. median
$44,163
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 19 — — $44,075.19 nat. median
$33,435
1.3× median
33289
CPT 		Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 19 $5,851.00 $111,361.00 $43,588.18 nat. median
$28,889
1.5× median
33287
CPT 		Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 19 $5,295.00 $93,168.00 $43,428.14 nat. median
$27,599
1.6× median
33231
CPT 		Hc Insrt Pulse Gen W/mult Leads 19 $5,851.00 $88,432.00 $42,934.08 nat. median
$31,377
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 — — $42,283.51 nat. median
$48,611
0.9× median
C1772
HCPCS 		Synchromed 7 $275.72 $126,567.68 $41,164.72 nat. median
$18,271
outlier · 2.3×
33264
CPT 		Hc Remv & Replc Cvd Gen Mult Lea 19 $5,851.00 $80,544.00 $40,877.62 nat. median
$32,779
1.2× median
661
APR_DRG 		Coagulation And Platelet Disorders 6 — — $40,209.01 nat. median
$18,692
outlier · 2.2×
C2616
HCPCS 		Hc Brachytherapy Source Nonstranded Yttrium 90 Per Source 19 $7,858.14 $137,008.00 $38,663.91 nat. median
$22,121
1.7× median
33240
CPT 		Hc Insert Icd Pulse Gen 19 $488.80 $98,421.00 $38,084.17 nat. median
$23,398
1.6× median
33230
CPT 		Hc Insrt Pulse Gen W/dual Leads 19 $5,851.00 $88,432.00 $37,962.16 nat. median
$23,060
1.6× median
C1882
HCPCS 		Viva Xt Biv Icd 7 $142.80 $174,449.87 $36,739.87 nat. median
$24,131
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 19 — — $36,309.74 nat. median
$35,986
1.0× median
33262
CPT 		Hc Remv & Repl Cvd Gen Sing Lead 19 $5,851.00 $80,544.00 $36,213.68 nat. median
$23,514
1.5× median
33263
CPT 		Hc Remv & Repl Cvd Gen Dual Lead 19 $5,851.00 $80,544.00 $36,213.68 nat. median
$23,924
1.5× median
C1813
HCPCS 		Reservoir Tital Cl 125cc 7 $1,832.38 $150,016.52 $35,535.88 nat. median
$10,938
outlier · 3.2×
547
APR_DRG 		Antepartum With O.r. Procedure 6 — — $34,936.86 nat. median
$11,916
outlier · 2.9×
193
APR_DRG 		Acute And Subacute Endocarditis 6 — — $34,084.91 nat. median
$20,516
1.7× median
0614T
CPT 		Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 19 $5,851.00 $71,063.00 $33,946.43 nat. median
$24,111
1.4× median
952
APR_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 — — $33,585.45 nat. median
$8,045
outlier · 4.2×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 — — $32,230.22 nat. median
$33,546
1.0× median
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 19 $3,678.00 $92,482.00 $31,846.86 nat. median
$19,649
1.6× median
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 19 — — $31,272.42 nat. median
$30,674
1.0× median
C1815
HCPCS 		Pump Control 800 7 $2,536.70 $81,930.90 $29,860.45 nat. median
$8,336
outlier · 3.6×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 19 — — $29,241.63 nat. median
$27,194
1.1× median
710
APR_DRG 		Infections And Parasitic Diseases Including HIV With O.r. Procedure 6 — — $28,717.86 nat. median
$24,434
1.2× median
C1722
HCPCS 		Ilivia Vr-t Df1 Promri With Cls Single Chamber Defib 7 $1,627.11 $197,049.00 $26,734.60 nat. median
$19,800
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 — — $26,554.27 nat. median
$34,733
0.8× median
C1721
HCPCS 		Iperia Dr-t Dual Icd Df-4 MRI 7 $1,592.46 $128,081.85 $26,274.34 nat. median
$19,958
1.3× median
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 19 — — $26,241.76 nat. median
$11,909
outlier · 2.2×
C9766
HCPCS 		Hc Revasc Intra Lithotrip-ather 19 $3,678.00 $57,488.00 $25,771.96 nat. median
$18,864
1.4× median
C1787
HCPCS 		Stimulaotr Neuro Interstim 7 $3,418.97 $133,938.25 $25,608.88 nat. median
$2,498
outlier · 10.3×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 19 — — $24,928.63 nat. median
$25,494
1.0× median
C9773
HCPCS 		Hc Revasc Lithotr-stent Tib/per 19 $3,678.00 $50,829.00 $24,923.48 nat. median
$20,101
1.2× median
C9774
HCPCS 		Hc Revasc Lithotr-ather Tib/per 19 $3,678.00 $50,829.00 $24,923.48 nat. median
$20,557
1.2× median

Other procedures at this hospital

Browse this hospital's 4,385 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
             
C1825 HCPCS System Barostim Neo2 14 7 $326,686.50 $49,002.98 85% off $23,194.74 $326,686.50 $151,141.51 2026-03-23
C1822 HCPCS Kit Nevro Stim Hf10c 14 7 $171,121.50 $25,668.23 85% off $12,149.63 $171,121.50 $79,169.36 2026-03-23
C1875 HCPCS Stent Thoracic 40 X 36 X 154 14 7 $165,417.45 $24,812.62 85% off $11,744.64 $165,417.45 $76,530.38 2026-03-23
C2622 HCPCS Prosthesis Malleable Penile Tactra 9.5 X 14-23cm 14 7 $145,142.15 $21,771.32 85% off $10,305.09 $145,142.15 $67,150.02 2026-03-23
A9543 HCPCS Hc Nnm Yt90 Zevalin Tx/dose To 40mci 44 19 $94,430.00 $14,164.50 85% off $17,845.05 $123,877.52 $64,297.72 2026-03-23
C1767 HCPCS Stimulator Pain Prime Advancd 148 7 $189,011.48 $28,351.72 85% off $459.54 $189,011.48 $58,670.72 2026-03-23
C1820 HCPCS Stimulator Neuro Rechargeable 137 7 $191,863.50 $28,779.53 85% off $577.71 $191,863.50 $57,511.55 2026-03-23
C2624 HCPCS Hc Cardiomems Hf Syst Pa Snsr Dlvry Syst 28 7 $197,049.00 $29,557.35 85% off $3,582.94 $197,049.00 $57,255.94 2026-03-23
231 APR_DRG Major Large Bowel Procedures 9 6 — — — — $53,223.78 2026-03-23
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 6 — — — — $51,446.05 2026-03-23
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 19 — — — — $48,142.86 2026-03-23
0571T CPT Hc Insj/rplcmt Icds W/substernal Electrode 44 19 $99,184.00 $14,877.60 85% off $5,851.00 $99,184.00 $45,737.20 2026-03-23
33249 CPT Hc Insert/repl Lead/gen Icd Sgl/dual 44 19 $104,585.00 $15,687.75 85% off $1,017.92 $104,585.00 $44,698.36 2026-03-23
33270 CPT Hc Insertion/replcmt Sq Icd W Sq Electrode 44 19 $97,969.00 $14,695.35 85% off $1,571.00 $97,969.00 $44,696.60 2026-03-23
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 44 19 $93,168.00 $13,975.20 85% off $5,851.00 $93,686.54 $44,187.01 2026-03-23
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 19 — — — — $44,075.19 2026-03-23
33289 CPT Hc Transcath Impl Wrls Pa Prs Snr L-t Hemdyn Mntr 44 19 $111,361.00 $16,704.15 85% off $5,851.00 $111,361.00 $43,588.18 2026-03-23
33287 CPT Hc Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator 44 19 $93,168.00 $13,975.20 85% off $5,295.00 $93,168.00 $43,428.14 2026-03-23
33231 CPT Hc Insrt Pulse Gen W/mult Leads 44 19 $88,432.00 $13,264.80 85% off $5,851.00 $88,432.00 $42,934.08 2026-03-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 19 — — — — $42,283.51 2026-03-23
C1772 HCPCS Synchromed 39 7 $126,567.68 $18,985.15 85% off $275.72 $126,567.68 $41,164.72 2026-03-23
33264 CPT Hc Remv & Replc Cvd Gen Mult Lea 44 19 $80,544.00 $12,081.60 85% off $5,851.00 $80,544.00 $40,877.62 2026-03-23
661 APR_DRG Coagulation And Platelet Disorders 9 6 — — — — $40,209.01 2026-03-23
C2616 HCPCS Hc Brachytherapy Source Nonstranded Yttrium 90 Per Source 44 19 $137,008.00 $20,551.20 85% off $7,858.14 $137,008.00 $38,663.91 2026-03-23
33240 CPT Hc Insert Icd Pulse Gen 44 19 $98,421.00 $14,763.15 85% off $488.80 $98,421.00 $38,084.17 2026-03-23
33230 CPT Hc Insrt Pulse Gen W/dual Leads 44 19 $88,432.00 $13,264.80 85% off $5,851.00 $88,432.00 $37,962.16 2026-03-23
C1882 HCPCS Viva Xt Biv Icd 641 7 $174,449.87 $26,167.48 85% off $142.80 $174,449.87 $36,739.87 2026-03-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 19 — — — — $36,309.74 2026-03-23
33262 CPT Hc Remv & Repl Cvd Gen Sing Lead 44 19 $80,544.00 $12,081.60 85% off $5,851.00 $80,544.00 $36,213.68 2026-03-23
33263 CPT Hc Remv & Repl Cvd Gen Dual Lead 44 19 $80,544.00 $12,081.60 85% off $5,851.00 $80,544.00 $36,213.68 2026-03-23
C1813 HCPCS Reservoir Tital Cl 125cc 151 7 $150,016.52 $22,502.48 85% off $1,832.38 $150,016.52 $35,535.88 2026-03-23
547 APR_DRG Antepartum With O.r. Procedure 9 6 — — — — $34,936.86 2026-03-23
193 APR_DRG Acute And Subacute Endocarditis 9 6 — — — — $34,084.91 2026-03-23
0614T CPT Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 44 19 $71,063.00 $10,659.45 85% off $5,851.00 $71,063.00 $33,946.43 2026-03-23
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 8 5 — — — — $33,585.45 2026-03-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 19 — — — — $32,230.22 2026-03-23
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 39 19 $92,482.00 $13,872.30 85% off $3,678.00 $92,482.00 $31,846.86 2026-03-23
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 19 — — — — $31,272.42 2026-03-23
C1815 HCPCS Pump Control 800 84 7 $81,930.90 $12,289.64 85% off $2,536.70 $81,930.90 $29,860.45 2026-03-23
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 19 — — — — $29,241.63 2026-03-23
710 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 13 6 — — — — $28,717.86 2026-03-23
C1722 HCPCS Ilivia Vr-t Df1 Promri With Cls Single Chamber Defib 462 7 $197,049.00 $29,557.35 85% off $1,627.11 $197,049.00 $26,734.60 2026-03-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 19 — — — — $26,554.27 2026-03-23
C1721 HCPCS Iperia Dr-t Dual Icd Df-4 MRI 504 7 $128,081.85 $19,212.28 85% off $1,592.46 $128,081.85 $26,274.34 2026-03-23
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 36 19 — — — — $26,241.76 2026-03-23
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 39 19 $57,488.00 $8,623.20 85% off $3,678.00 $57,488.00 $25,771.96 2026-03-23
C1787 HCPCS Stimulaotr Neuro Interstim 42 7 $133,938.25 $20,090.74 85% off $3,418.97 $133,938.25 $25,608.88 2026-03-23
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 19 — — — — $24,928.63 2026-03-23
C9774 HCPCS Hc Revasc Lithotr-ather Tib/per 44 19 $50,829.00 $7,624.35 85% off $3,678.00 $50,829.00 $24,923.48 2026-03-23
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/per 44 19 $50,829.00 $7,624.35 85% off $3,678.00 $50,829.00 $24,923.48 2026-03-23
C9773 HCPCS Hc Revasc Lithotr-stent Tib/per 44 19 $50,829.00 $7,624.35 85% off $3,678.00 $50,829.00 $24,923.48 2026-03-23
L8699 HCPCS System Urolift Atc 64 7 $180,662.82 $27,099.42 85% off $435.91 $180,662.82 $24,854.31 2026-03-23
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 42 19 $57,488.00 $8,623.20 85% off $3,678.00 $57,488.00 $24,230.01 2026-03-23
793 MS_DRG Full Term Neonate With Major Problems 36 19 — — — — $24,037.93 2026-03-23
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 19 — — — — $23,663.10 2026-03-23
36906 CPT Hc Prc Trnslml Thrmbctmy/inf Thrmblss Dysis Crct W Trnscth Plc Intrvs 44 19 $54,084.00 $8,112.60 85% off $1,523.00 $54,084.00 $23,297.36 2026-03-23
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 36 19 — — — — $23,287.46 2026-03-23
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 9 6 — — — — $23,255.10 2026-03-23
253 MS_DRG Other And Unspecified Gastrointestinal Hemorrhage 9 6 — — — — $23,093.36 2026-03-23
347 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 9 6 — — — — $23,006.35 2026-03-23
81416 CPT Hc Exome Sequence Analysis Ea Comp Exome 45 19 $102,665.00 $15,399.75 85% off $2,535.83 $102,665.00 $22,850.80 2026-03-23
C1761 HCPCS Cath, Trans Intra Litho/coro 14 7 $48,743.70 $7,311.56 85% off $3,460.80 $48,743.70 $22,551.27 2026-03-23
133 MS_DRG Respiratory Failure 9 6 — — — — $22,365.55 2026-03-23
542 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c 9 6 — — — — $22,008.97 2026-03-23
37231 CPT Hc Place Vasc Stent/tib-peron W/athr 20 8 $52,339.00 $7,850.85 85% off $5,295.00 $52,339.00 $21,972.63 2026-03-23
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 19 — — — — $21,920.97 2026-03-23
93654 CPT Hc Eps/vt Ablation 44 19 $26,884.00 $4,032.60 85% off $1,571.00 $55,595.04 $21,828.71 2026-03-23
93653 CPT Hc Eps/svt Ablation 44 19 $26,884.00 $4,032.60 85% off $1,571.00 $55,595.04 $21,828.71 2026-03-23
93656 CPT Hc Eps/afib Ablation 44 19 $26,884.00 $4,032.60 85% off $1,571.00 $55,595.04 $21,828.71 2026-03-23
33274 CPT Hc Transcath Insert/replc Perm Leadlass Pm Rv Incl Img Guid 44 19 $46,583.00 $6,987.45 85% off $1,523.00 $46,583.00 $21,747.70 2026-03-23
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 36 19 — — — — $21,716.07 2026-03-23
100 MS_DRG Seizures With Mcc 36 19 — — — — $21,597.76 2026-03-23
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 36 19 — — — — $21,474.96 2026-03-23
264 MS_DRG Other Circulatory System O.r. Procedures 36 19 — — — — $21,440.37 2026-03-23
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 36 19 — — — — $21,361.75 2026-03-23
786 MS_DRG Cesarean Section Without Sterilization With Mcc 36 19 — — — — $21,152.49 2026-03-23
C1768 HCPCS Vein Saphenous Cryo 39cm 2,781 7 $331,872.00 $49,780.80 85% off $22.10 $331,872.00 $20,696.01 2026-03-23
37227 CPT Hc Place Vasc Stent Fem Popl W/a 20 8 $47,581.00 $7,137.15 85% off $5,295.00 $47,581.00 $20,651.37 2026-03-23
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 36 19 — — — — $20,217.94 2026-03-23
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 36 19 — — — — $20,174.72 2026-03-23
41 APR_DRG Nervous System Malignancy 11 6 — — — — $19,924.59 2026-03-23
C9602 HCPCS Hc Stent Des Px Ather 44 19 $32,844.00 $4,926.60 85% off $3,678.00 $38,991.26 $19,640.74 2026-03-23
C9607 HCPCS Hc Revascular Px Chronic 44 19 $32,844.00 $4,926.60 85% off $3,678.00 $38,991.26 $19,640.74 2026-03-23
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 36 19 — — — — $19,630.71 2026-03-23
C1874 HCPCS Stent Zilver 365 9x80x125 1,828 7 $352,614.00 $52,892.10 85% off $0.25 $352,614.00 $18,885.63 2026-03-23
466 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 9 6 — — — — $18,782.97 2026-03-23
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 36 19 — — — — $18,757.65 2026-03-23
240 MS_DRG Digestive Malignancy 45 19 — — — — $18,693.40 2026-03-23
0238T CPT Hc Ptra Iliac Each Vessel 44 19 $27,977.00 $4,196.55 85% off $3,678.00 $38,991.26 $18,626.06 2026-03-23
C1817 HCPCS Septal Defect Imp Sys 206 7 $103,658.15 $15,548.72 85% off $1,188.61 $103,658.15 $18,615.36 2026-03-23
33990 CPT Hc Insert Ventricular Asst Device Percu Arterial 20 8 $35,768.00 $5,365.20 85% off $557.00 $42,133.10 $18,463.49 2026-03-23
850 MS_DRG Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 8 5 — — — — $18,459.77 2026-03-23
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 36 19 — — — — $18,311.69 2026-03-23
33229 CPT Hc Remv & Replc Pm Gen Mult Lead 44 19 $26,834.00 $4,025.10 85% off $3,678.00 $40,969.48 $18,246.79 2026-03-23
33221 CPT Hc Insert Pulse Gen Mult Leads 44 19 $26,804.00 $4,020.60 85% off $3,678.00 $40,969.48 $18,238.29 2026-03-23
C1763 HCPCS Tt Protector Nerve 10 X 40 Mm 243 7 $148,201.59 $22,230.24 85% off $732.01 $148,201.59 $18,232.70 2026-03-23
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 36 19 — — — — $18,149.07 2026-03-23
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 36 19 — — — — $18,037.25 2026-03-23
570 MS_DRG Skin Debridement With Mcc 36 19 — — — — $17,977.18 2026-03-23
37242 CPT Hc Transcth Ther Embo Art Avm 44 19 $30,126.00 $4,518.90 85% off $1,523.00 $38,991.26 $17,974.40 2026-03-23
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 36 19 — — — — $17,925.15 2026-03-23
Q4116 HCPCS Tt Alloderm 8x12cm 191 19 $174,813.58 $26,222.04 85% off $15.79 $174,813.58 $17,872.91 2026-03-23
C1889 HCPCS Weight Eyelid Gold 1.8g 4,311 7 $352,614.00 $52,892.10 85% off $18.36 $352,614.00 $17,850.42 2026-03-23
C1762 HCPCS Wedge Ilium Tricortical Frozen 19mm 911 7 $187,965.25 $28,194.79 85% off $196.13 $187,965.25 $17,759.18 2026-03-23
93590 CPT Hc Percu Transcath Closure Paravalv Leak Init Occl Device Mitral 44 19 $22,618.00 $3,392.70 85% off $5,295.00 $38,991.26 $17,748.16 2026-03-23
93591 CPT Hc Percu Transcath Closure Paravalv Leak Init Occl Device Aortic 44 19 $22,618.00 $3,392.70 85% off $5,295.00 $38,991.26 $17,748.16 2026-03-23
426 APR_DRG Non-hypovolemic Sodium Disorders 11 5 — — — — $17,516.58 2026-03-23
0825T CPT Hc Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 44 19 $26,834.00 $4,025.10 85% off $1,571.00 $40,969.48 $17,512.72 2026-03-23
0823T CPT Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 44 19 $26,834.00 $4,025.10 85% off $1,571.00 $40,969.48 $17,512.72 2026-03-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 36 19 — — — — $17,424.21 2026-03-23
37217 CPT Hc Stent Placemt Retro Carotid 20 8 $37,860.00 $5,679.00 85% off $557.00 $37,860.00 $17,051.66 2026-03-23
93582 CPT Hc Percu Transcath Clos Patent Ductus Art 44 19 $20,121.00 $3,018.15 85% off $4,737.00 $38,991.26 $16,985.13 2026-03-23
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 36 19 — — — — $16,972.46 2026-03-23
C1821 HCPCS Spacer Xcore 2 Titanium 28-41mm 364 7 $95,413.20 $14,311.98 85% off $131.30 $95,413.20 $16,939.81 2026-03-23
223 APR_DRG Other Small And Large Bowel Procedures 9 6 — — — — $16,821.86 2026-03-23
93580 CPT Hc Congenital Interatl Clos W/implan 44 19 $20,513.00 $3,076.95 85% off $992.08 $38,991.26 $16,801.35 2026-03-23
33288 CPT Hc Rmvl&rplcmt Phrnc Nrv Stim Trnsvns Stimj/snsg Ld 44 19 $35,553.00 $5,332.95 85% off $3,678.00 $35,553.00 $16,724.61 2026-03-23
398 MS_DRG Appendix Procedures With Cc 36 19 — — — — $16,688.12 2026-03-23
92941 CPT Hc Revasc Acute Occl - Ami Sgl Ves 25 8 $29,051.00 $4,357.65 85% off $2,786.00 $29,051.00 $16,667.96 2026-03-23
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 9 6 — — — — $16,588.15 2026-03-23
20983 CPT Hc Ablation Bone Tumor(s) Cryo Perq W Img Guid When Prfmd 44 19 $92,896.00 $13,934.40 85% off $1,523.00 $92,896.00 $16,563.35 2026-03-23
C9600 HCPCS Hc Stent Des Px Angio 44 19 $32,844.00 $4,926.60 85% off $3,678.00 $32,844.00 $16,560.18 2026-03-23
C9604 HCPCS Hc Pci Graft Px St/ang/ath 44 19 $32,844.00 $4,926.60 85% off $3,678.00 $32,844.00 $16,560.18 2026-03-23
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 57 19 — — — — $16,555.42 2026-03-23
37218 CPT Hc Stent Placemt Ante Carotid 25 8 $39,161.00 $5,874.15 85% off $557.00 $39,161.00 $16,466.51 2026-03-23
L8690 HCPCS Kit Osia Sound Processor 78 7 $49,210.40 $7,381.56 85% off $403.21 $49,210.40 $16,455.88 2026-03-23
0646T CPT Hc Ttvi/rplcmt Prostc Vlv Perq W/r Hrt Cath&angrph 25 8 $25,556.00 $3,833.40 85% off $1,571.00 $25,556.00 $16,334.82 2026-03-23
614 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 9 6 — — — — $16,299.01 2026-03-23
37182 CPT Hc Insert Transven Intrahep Portosys Shunt Tips 44 19 $22,791.00 $3,418.65 85% off $1,336.00 $38,991.26 $16,293.75 2026-03-23
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 19 — — — — $16,241.67 2026-03-23
92933 CPT Hc Stent Plcmnt Intra W Ather&angio 44 19 $22,265.00 $3,339.75 85% off $2,786.00 $38,991.26 $16,170.59 2026-03-23
C1764 HCPCS Recorder Loop Confirm Rx Icm 181 7 $48,743.70 $7,311.56 85% off $2,429.93 $48,743.70 $16,146.99 2026-03-23
36903 CPT Hc Intro Ndl/cath Dlyss Crct W Dx Angio W Transcath Plcmt Intrvs Stent 44 19 $35,682.00 $5,352.30 85% off $1,523.00 $35,682.00 $16,099.15 2026-03-23
137 MS_DRG Major Respiratory Infections And Inflammations 9 6 — — — — $16,002.91 2026-03-23
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 44 19 $31,777.00 $4,766.55 85% off $3,678.00 $31,777.00 $15,985.90 2026-03-23
592 MS_DRG Skin Ulcers With Mcc 36 19 — — — — $15,918.41 2026-03-23
336 MS_DRG Peritoneal Adhesiolysis With Cc 36 19 — — — — $15,832.17 2026-03-23
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 36 19 — — — — $15,830.12 2026-03-23
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 36 19 — — — — $15,826.19 2026-03-23
0237T CPT Hc Ptra Brachiocephalic Each Vessel 44 19 $27,977.00 $4,196.55 85% off $3,678.00 $27,977.00 $15,656.11 2026-03-23
92924 CPT Hc Atherectomy W/ptca Sgl Maj Art/bn 44 19 $29,051.00 $4,357.65 85% off $3,678.00 $29,051.00 $15,571.32 2026-03-23
194 APR_DRG Heart Failure 13 6 — — — — $15,532.60 2026-03-23
36905 CPT Hc Prc Trnslml Mch Thrmbctmy/nf Thrmbls Dlys\s Crctwtrnslml Bl Angplst 44 19 $35,681.00 $5,352.15 85% off $1,523.00 $35,681.00 $15,438.05 2026-03-23
0234T CPT Hc Sp Ather Renal Ea Vessel 39 19 $22,958.00 $3,443.70 85% off $3,678.00 $24,554.41 $15,422.88 2026-03-23
37229 CPT Hc Ather Pta Tib Per Initial 20 8 $30,457.00 $4,568.55 85% off $3,678.00 $30,457.00 $15,304.75 2026-03-23
33214 CPT Hc Insrt Bi V Lead Upgrad Pm / I 44 19 $31,869.00 $4,780.35 85% off $498.19 $31,869.00 $15,244.11 2026-03-23
36836 CPT Hc Perq Av Fistula Creation Uxtr Single Access 44 19 $22,618.00 $3,392.70 85% off $1,523.00 $38,991.26 $15,152.55 2026-03-23
36837 CPT Hc Perq Av Fistula Creation Uxtr Sep Access Sites 44 19 $22,618.00 $3,392.70 85% off $1,523.00 $38,991.26 $15,152.55 2026-03-23
37238 CPT Hc Stent Place Vein 1st Vessel 44 19 $31,068.00 $4,660.20 85% off $1,523.00 $31,068.00 $15,149.50 2026-03-23
37236 CPT Hc Stent Place Art 1st Vessel 44 19 $31,068.00 $4,660.20 85% off $1,523.00 $31,068.00 $15,149.50 2026-03-23
37230 CPT Hc Place Vasc Stent Tibo Peronea 20 8 $30,222.00 $4,533.30 85% off $3,678.00 $30,222.00 $15,129.15 2026-03-23
92937 CPT Hc Pci Bp Grft-combo St Pl Ath-angio 44 19 $29,051.00 $4,357.65 85% off $2,786.00 $29,051.00 $15,099.62 2026-03-23
92943 CPT Hc Revasc Chron Ttl Occl Add Sgl Art 44 19 $29,051.00 $4,357.65 85% off $2,786.00 $29,051.00 $15,099.62 2026-03-23
37241 CPT Hc Transcat Ther Embolization Ven Avm 44 19 $30,126.00 $4,518.90 85% off $1,523.00 $30,126.00 $14,955.61 2026-03-23
37243 CPT Hc Transcth Ther Embo Art Ven Tum 44 19 $30,126.00 $4,518.90 85% off $1,523.00 $30,126.00 $14,955.61 2026-03-23
37244 CPT Hc Transcth Ther Embo Ven Tum 44 19 $30,126.00 $4,518.90 85% off $1,523.00 $30,126.00 $14,955.61 2026-03-23
0484T CPT Hc Tmvi/replac W Prosth Valve Transth Exposure 15 7 $30,366.00 $4,554.90 85% off $557.00 $30,366.00 $14,924.71 2026-03-23
0483T CPT Hc Tmvi/replac W Prosth Valve Percu Appr Incl Transseptal Punct 15 7 $30,366.00 $4,554.90 85% off $557.00 $30,366.00 $14,924.71 2026-03-23
812 APR_DRG Poisoning Of Medicinal Agents 9 6 — — — — $14,914.44 2026-03-23
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 36 19 — — — — $14,874.77 2026-03-23
C1778 HCPCS Stimulation Lead 284 7 $181,492.50 $27,223.88 85% off $105.04 $181,492.50 $14,871.27 2026-03-23
C9353 HCPCS Tt Protector Nerve 56 7 $38,746.06 $5,811.91 85% off $1,809.19 $38,746.06 $14,858.65 2026-03-23
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 8 5 — — — — $14,852.82 2026-03-23
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 36 19 — — — — $14,774.71 2026-03-23
92987 CPT Hc Percu Balloon Valvuloplasty Mitral Valve 44 19 $29,051.00 $4,357.65 85% off $1,574.76 $29,051.00 $14,673.23 2026-03-23
C1786 HCPCS Pmkr, Single, Rate-resp 396 7 $126,733.62 $19,010.04 85% off $1,044.55 $126,733.62 $14,608.89 2026-03-23
33208 CPT Hc Insert / Replc Pacemaker Dual 44 19 $28,971.00 $4,345.65 85% off $619.98 $28,971.00 $14,537.46 2026-03-23
720 APR_DRG Septicemia And Disseminated Infections 18 5 — — — — $14,501.58 2026-03-23
91 MS_DRG Other Disorders Of Nervous System With Mcc 36 19 — — — — $14,497.28 2026-03-23
37225 CPT Hc Ptra Fem Popliteal Init Vess 20 8 $27,475.00 $4,121.25 85% off $3,678.00 $27,475.00 $14,448.72 2026-03-23
380 MS_DRG Complicated Peptic Ulcer With Mcc 36 19 — — — — $14,411.04 2026-03-23
189 MS_DRG Pulmonary Edema And Respiratory Failure 47 19 — — — — $14,404.99 2026-03-23
37226 CPT Hc Place Vasc Stent Femor Poplit 20 8 $27,475.00 $4,121.25 85% off $3,678.00 $27,475.00 $14,366.53 2026-03-23
399 MS_DRG Appendix Procedures Without Cc/mcc 36 19 — — — — $14,358.39 2026-03-23
205 MS_DRG Other Respiratory System Diagnoses With Mcc 36 19 — — — — $14,334.05 2026-03-23
C1776 HCPCS Wedge Anotomic Biosync Evans 20 X 20 X 12.0mm 9,987 7 $221,420.85 $33,213.13 85% off $0.03 $221,420.85 $14,300.22 2026-03-23
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 19 — — — — $14,234.71 2026-03-23
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 36 19 — — — — $14,229.43 2026-03-23
33213 CPT Hc Insert / Replc Gener Dual 44 19 $27,715.00 $4,157.25 85% off $434.68 $27,715.00 $14,164.87 2026-03-23
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 19 — — — — $14,133.58 2026-03-23
33228 CPT Hc Remv & Replc Pm Gen Dual Lead 44 19 $25,871.00 $3,880.65 85% off $3,678.00 $25,871.00 $14,115.17 2026-03-23
33991 CPT Hc Insert Ventricular Asst Device Arterial & Venous W Transseptal Punc 20 8 $18,306.00 $2,745.90 85% off $557.00 $42,133.10 $14,049.01 2026-03-23
305 APR_DRG Amputation Of Lower Limb Except Toes 9 6 — — — — $13,987.83 2026-03-23
33207 CPT Hc Insert / Replc Pacemaker Vent 44 19 $26,541.00 $3,981.15 85% off $608.32 $26,541.00 $13,881.42 2026-03-23
33206 CPT Hc Insert/replc Pacemaker Atrial 44 19 $26,541.00 $3,981.15 85% off $512.16 $26,541.00 $13,879.24 2026-03-23
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 36 19 — — — — $13,837.35 2026-03-23
710 MS_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 9 6 — — — — $13,814.37 2026-03-23
81529 CPT Hc Onc Cutan Mlnma Mrna Gene Xprs Prfl 31 Genes Alg 45 19 $61,539.00 $9,230.85 85% off $2,535.83 $61,539.00 $13,810.68 2026-03-23
314 APR_DRG Foot And Toe Procedures 9 6 — — — — $13,804.97 2026-03-23
C1747 HCPCS Ureteroscope W Suction Cvac Aspiration 30 7 $36,246.65 $5,437.00 85% off $3,938.91 $36,246.65 $13,683.11 2026-03-23
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 36 19 — — — — $13,678.90 2026-03-23
C9606 HCPCS Hc Revascular Px Ami 20 8 $32,844.00 $4,926.60 85% off $557.00 $32,844.00 $13,671.40 2026-03-23
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 42 19 $28,743.00 $4,311.45 85% off $2,786.00 $28,743.00 $13,641.55 2026-03-23
C1877 HCPCS Stent Cordis P4010 141 7 $129,637.50 $19,445.63 85% off $138.25 $129,637.50 $13,598.53 2026-03-23
571 MS_DRG Skin Debridement With Cc 36 19 — — — — $13,593.63 2026-03-23
C1737 HCPCS Si&pelvis Fusn&fixn Dev 40 19 $44,076.75 $6,611.51 85% off $3,129.45 $44,076.75 $13,536.08 2026-03-23
37221 CPT Hc Stent Iliac Initial Vessel Bilat 40 8 $24,836.00 $3,725.40 85% off $3,678.00 $24,836.00 $13,490.79 2026-03-23
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 50 19 — — — — $13,475.90 2026-03-23
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 45 19 — — — — $13,324.88 2026-03-23
607 MS_DRG Minor Skin Disorders Without Mcc 36 19 — — — — $13,252.51 2026-03-23
123 MS_DRG Neurological Eye Disorders 36 19 — — — — $13,227.10 2026-03-23
92928 CPT Hc Stent Plcmnt Intra W Angio 44 19 $22,265.00 $3,339.75 85% off $2,786.00 $24,554.41 $13,222.11 2026-03-23
180 MS_DRG Respiratory Neoplasms With Mcc 36 19 — — — — $13,219.15 2026-03-23
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 36 19 — — — — $13,141.44 2026-03-23
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 36 19 — — — — $13,131.16 2026-03-23
787 MS_DRG Cesarean Section Without Sterilization With Cc 36 19 — — — — $13,084.44 2026-03-23
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 9 5 — — — — $13,068.63 2026-03-23
280 APR_DRG Alcoholic Liver Disease 9 6 — — — — $13,054.45 2026-03-23
254 MS_DRG Other Digestive System Diagnoses 9 6 — — — — $13,019.00 2026-03-23
278 RC Valve Mv Standard 700-23 1,142 7 $200,055.00 $30,008.25 85% off $0.25 $200,055.00 $12,968.80 2026-03-23
A2006 HCPCS Wound Matrix 20 X 40 Novosorb Btm 63 19 $89,854.34 $13,478.15 85% off $121.42 $89,854.34 $12,924.35 2026-03-23
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 36 19 — — — — $12,906.53 2026-03-23
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 36 19 — — — — $12,874.43 2026-03-23
C1886 HCPCS Probe Rf Ablation 95 7 $45,901.53 $6,885.23 85% off $273.10 $45,901.53 $12,873.10 2026-03-23
33212 CPT Hc Insert / Replc Pm Gener Singl 44 19 $26,539.00 $3,980.85 85% off $399.51 $26,539.00 $12,814.83 2026-03-23
33227 CPT Hc Remove & Replace Pm Gen Singl 44 19 $24,915.00 $3,737.25 85% off $3,678.00 $24,915.00 $12,804.57 2026-03-23
196 MS_DRG Interstitial Lung Disease With Mcc 36 19 — — — — $12,784.97 2026-03-23
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 48 19 — — — — $12,775.95 2026-03-23
33285 CPT Hc Insert Subq Cardiac Rhythm Monitor W Prgrmg 44 19 $28,101.00 $4,215.15 85% off $1,571.00 $28,101.00 $12,740.56 2026-03-23
Q4128 HCPCS Tissue Dermal Flexhd Pliable 11 X 20cm 170 19 $171,347.17 $25,702.08 85% off $22.63 $171,347.17 $12,693.92 2026-03-23
660 APR_DRG Major Hematologic/immunologic Diagnoses Except Sickle Cell Crisis And Coagulatio… 9 6 — — — — $12,655.23 2026-03-23
C1052 HCPCS Hemostatic Agent, Gi, Topic 14 7 $23,853.30 $3,578.00 85% off $6,039.66 $23,853.30 $12,649.24 2026-03-23
93650 CPT Hc Ep Nodal His Ablation 44 19 $24,872.00 $3,730.80 85% off $836.28 $24,872.00 $12,644.94 2026-03-23
33277 CPT Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld 20 8 $35,553.00 $5,332.95 85% off $223.00 $35,553.00 $12,620.40 2026-03-23
380 APR_DRG Skin Ulcers 11 6 — — — — $12,618.36 2026-03-23
C2621 HCPCS Pmkr, Other Than Sing/dual 258 7 $56,277.19 $8,441.58 85% off $1,001.31 $56,277.19 $12,558.47 2026-03-23
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 36 19 — — — — $12,546.66 2026-03-23
177 MS_DRG Respiratory Infections And Inflammations With Mcc 47 19 — — — — $12,494.07 2026-03-23
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 9 6 — — — — $12,461.40 2026-03-23
643 MS_DRG Endocrine Disorders With Mcc 36 19 — — — — $12,419.50 2026-03-23
183 MS_DRG Major Chest Trauma With Mcc 36 19 — — — — $12,395.76 2026-03-23
37233 CPT Hc Sp Ather Pta Tib Per Addtl 19 8 $24,933.00 $3,739.95 85% off $1,523.00 $24,933.00 $12,392.92 2026-03-23
314 MS_DRG Other Circulatory System Diagnoses With Mcc 36 19 — — — — $12,375.28 2026-03-23
201 APR_DRG Cardiac Arrhythmia And Conduction Disorders 11 6 — — — — $12,303.09 2026-03-23
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 36 19 — — — — $12,300.83 2026-03-23
299 MS_DRG Peripheral Vascular Disorders With Mcc 36 19 — — — — $12,253.87 2026-03-23
C9605 HCPCS Hc Pci Graft Px St/ang/ath Addl 20 8 $28,716.00 $4,307.40 85% off $223.00 $28,716.00 $12,172.81 2026-03-23
344 MS_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 45 19 — — — — $12,158.55 2026-03-23
77372 CPT Hc Rad Del Srs Cranial Linear 44 19 $27,348.00 $4,102.20 85% off $768.64 $27,348.00 $12,149.38 2026-03-23
0913T CPT Hc Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art 35 19 $16,363.00 $2,454.45 85% off $4,143.11 $24,554.41 $12,134.75 2026-03-23
36908 CPT Hc Transcath Plcmt Intravas Stent Cntrl Dialysis Segment 19 8 $42,123.00 $6,318.45 85% off $223.00 $42,123.00 $12,080.82 2026-03-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 44 19 — — — — $12,076.93 2026-03-23
C9601 HCPCS Hc Stent Des Addl Px Angio 20 8 $28,289.00 $4,243.35 85% off $223.00 $28,289.00 $12,034.66 2026-03-23
0572T CPT Hc Insj Substernal Implantable Defibrillator Eltrd 44 19 $25,614.00 $3,842.10 85% off $1,991.80 $25,614.00 $12,029.15 2026-03-23
C9603 HCPCS Hc Stent Des Px Ather Addl 20 8 $28,236.00 $4,235.40 85% off $223.00 $28,236.00 $12,017.51 2026-03-23
C9608 HCPCS Hc Revasc Px Chronic Addl 20 8 $28,236.00 $4,235.40 85% off $223.00 $28,236.00 $12,017.51 2026-03-23
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 45 19 — — — — $11,972.46 2026-03-23
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 43 19 — — — — $11,948.01 2026-03-23
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 36 19 — — — — $11,861.20 2026-03-23
388 MS_DRG Gastrointestinal Obstruction With Mcc 36 19 — — — — $11,690.36 2026-03-23
445 MS_DRG Disorders Of The Biliary Tract With Cc 36 19 — — — — $11,677.39 2026-03-23
33224 CPT Hc Insrt Bi-v Lead Prev Pm/icd 44 19 $18,096.00 $2,714.40 85% off $502.02 $22,231.32 $11,666.40 2026-03-23
0570T CPT Hc Ttvr Percu Appr Ea Addl Prosthesis 20 7 $15,085.00 $2,262.75 85% off $557.00 $19,481.46 $11,664.45 2026-03-23
0569T CPT Hc Ttvr Percu Appr Initial Prosthesis 20 7 $15,085.00 $2,262.75 85% off $557.00 $19,481.46 $11,664.45 2026-03-23
813 MS_DRG Coagulation Disorders 36 19 — — — — $11,664.26 2026-03-23
J9041 HCPCS Bortezomib For Inj 3.5 Mg 19 8 $41,444.53 $6,216.68 85% off $2.11 $41,444.53 $11,620.38 2026-03-23
37184 CPT Hc Thrombectomy Prim Art Int Ves 44 19 $13,360.00 $2,004.00 85% off $2,736.47 $38,991.26 $11,531.22 2026-03-23
133 APR_DRG Respiratory Failure 11 6 — — — — $11,508.48 2026-03-23
291 MS_DRG Heart Failure And Shock With Mcc 54 19 — — — — $11,495.05 2026-03-23
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 36 19 — — — — $11,478.24 2026-03-23
92920 CPT Hc Coronary Angioplasty Ptca 44 19 $29,051.00 $4,357.65 85% off $2,786.00 $29,051.00 $11,437.80 2026-03-23
33271 CPT Hc Insertion Sq Icd Electrode 44 19 $26,622.00 $3,993.30 85% off $1,571.00 $26,622.00 $11,421.18 2026-03-23
C1771 HCPCS Tvt Obturator Kit 143 7 $108,325.10 $16,248.77 85% off $1,045.66 $108,325.10 $11,323.03 2026-03-23
351 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 9 6 — — — — $11,315.68 2026-03-23
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 36 19 — — — — $11,260.77 2026-03-23
263 MS_DRG Cholecystectomy 9 6 — — — — $11,249.01 2026-03-23
37237 CPT Hc Stent Place Art Ea Add 19 8 $24,666.00 $3,699.90 85% off $1,523.00 $24,666.00 $11,243.56 2026-03-23
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 36 19 — — — — $11,195.00 2026-03-23
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 36 19 — — — — $11,139.84 2026-03-23
861 MS_DRG Signs, Symptoms And Other Factors Influencing Health Status 8 5 — — — — $11,036.64 2026-03-23
92986 CPT Hc Valvuloplasty Aortic Vlv 44 19 $29,051.00 $4,357.65 85% off $1,525.20 $29,051.00 $11,010.29 2026-03-23
C1896 HCPCS Lead, Aicd, Non Sing/dual 36 7 $41,484.00 $6,222.60 85% off $1,679.98 $41,484.00 $10,924.92 2026-03-23
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 15 6 — — — — $10,843.90 2026-03-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 19 — — — — $10,793.25 2026-03-23
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 36 19 — — — — $10,749.51 2026-03-23
885 MS_DRG Psychoses 36 19 — — — — $10,749.36 2026-03-23
C1781 HCPCS Ventral Mesh Patch Parietex Parastomal 2,822 7 $172,417.88 $25,862.68 85% off $29.75 $172,417.88 $10,730.73 2026-03-23
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 36 19 — — — — $10,721.00 2026-03-23
37215 CPT Hc Stent Place Carotid W Protect & Rad Si 25 8 $18,747.00 $2,812.05 85% off $557.00 $18,747.00 $10,699.22 2026-03-23
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 36 19 — — — — $10,644.88 2026-03-23
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 9 6 — — — — $10,597.59 2026-03-23
935 MS_DRG Non-extensive Burns 36 19 — — — — $10,590.26 2026-03-23
81554 CPT Hc Pulm Ds Ipf Mrna 190 Gene Transbronch Bx Alg 45 19 $47,055.00 $7,058.25 85% off $2,535.83 $47,055.00 $10,571.63 2026-03-23
137 APR_DRG Major Respiratory Infections And Inflammations 14 6 — — — — $10,486.86 2026-03-23
682 MS_DRG Renal Failure With Mcc 36 19 — — — — $10,469.53 2026-03-23
300 MS_DRG Peripheral Vascular Disorders With Cc 36 19 — — — — $10,389.19 2026-03-23
379 MS_DRG Gastrointestinal Hemorrhage Without Cc/mcc 36 19 — — — — $10,381.43 2026-03-23
37216 CPT Hc Transcath Stent Cca Without Eps 20 8 $18,747.00 $2,812.05 85% off $557.00 $18,747.00 $10,261.58 2026-03-23
518 APR_DRG Other Female Reproductive System And Related Procedures 9 6 — — — — $10,257.48 2026-03-23
33225 CPT Hc Insrt Bi-v Lead Upgrad Pm/icd 20 8 $18,096.00 $2,714.40 85% off $445.23 $18,096.00 $10,245.64 2026-03-23
639 APR_DRG Neonate Birth Weight > 2499g With Other Significant Condition 9 6 — — — — $10,206.72 2026-03-23
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 36 19 — — — — $10,159.40 2026-03-23
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 51 19 — — — — $10,123.14 2026-03-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 36 19 — — — — $10,116.24 2026-03-23
70 MS_DRG Other Cerebrovascular Disorders With Mcc 36 19 — — — — $10,093.24 2026-03-23
22514 CPT Hc Percu Vert Augmentation 1 Vert Body Unil Bil Lumbar 44 19 $23,030.00 $3,454.50 85% off $1,523.00 $23,030.00 $10,038.42 2026-03-23
22513 CPT Hc Percu Vert Augmentation 1 Vert Body Unil Bil Thor 44 19 $23,030.00 $3,454.50 85% off $1,523.00 $23,030.00 $10,038.42 2026-03-23
540 APR_DRG Cesarean Section Without Sterilization 22 6 — — — — $10,029.46 2026-03-23
33361 CPT Hc Tavr Perq Femoral Approach 25 8 $15,085.00 $2,262.75 85% off $557.00 $19,481.46 $10,022.80 2026-03-23
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 36 19 — — — — $10,021.83 2026-03-23
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