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

KAISER PERMANENTE CENTRAL HOSPITAL

Seattle, WA · CCN 500052 · Rates published

11,767 distinct procedures filed
1 distinct payers
31,645 rate rows
2026-05-23 last MRF observed
Data quality

25,705 of 31,645 rate rows are consumer-grade (81.2%)

5,940 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 3,066
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,738
placeholder amount (≤ $0.02) — excluded from medians 77
template filing: same amount across many unrelated codes — excluded 54
exceeds 10× this hospital's gross charge — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/910511770-central-hospital-standard-charges-wa-en.csv
Found on page https://healthy.kaiserpermanente.org/washington/doctors-locations/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15
Content fingerprint ed2b8014c05ce932… · 106,404,232 bytes · first seen 2026-05-06

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
OTHER 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1414
OTHER 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1411
OTHER 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,685,267
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,327,860
1.0× median
J3394
OTHER 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,286,000
1.0× median
J3393
OTHER 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,472,216
1.1× median
J3392
OTHER 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,332,000
1.0× median
Q2057
OTHER 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$770,620
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$583,076
1.0× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$558,082
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$562,538
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$591,726
0.9× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$533,230
1.0× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 1 $540,750.00 $540,750.00 $540,750.00 nat. median
$281,111
1.9× median
Q2053
OTHER 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$489,720
1.0× median
A9543344
OTHER 		Hb Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 1 $87,485.72 $146,976.00 $117,230.86 nat. median
$117,231
1.0× median
A9543
OTHER 		Y-90 Ibritumomb Tiuxtn Tx To 40 Mci 1 $87,485.72 $146,976.00 $117,230.86 nat. median
$66,156
1.8× median
38240
OTHER 		Transplt Allo Hct/donor 1 $59,143.00 $131,641.00 $95,392.00 nat. median
$18,374
outlier · 5.2×
J9029
OTHER 		"Instill Adstiladrin, Tx Dose" 1 $63,431.05 $106,564.00 $84,997.52 nat. median
$66,509
1.3× median
Q2043
OTHER 		Sipuleucel-t Auto Cd54+ 1 $55,945.97 $93,989.00 $74,967.49 nat. median
$55,946
1.3× median
33276
OTHER 		Insj Phrnc Nrv Stim Sys 1 $45,001.00 $100,164.00 $72,582.50 nat. median
$43,556
1.7× median
J9226
OTHER 		Supprelin La Implant 1 $45,560.39 $76,541.00 $61,050.69 nat. median
$45,345
1.3× median
0620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 1 $35,001.00 $77,906.00 $56,453.50 nat. median
$34,721
1.6× median
33249481
OTHER 		Hb Insert Defib W/cardio-defib Gene.fac 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$51,713
1.0× median
33231
OTHER 		Insrt Pulse Gen W/mult Leads 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$30,055
1.7× median
0571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$31,782
1.6× median
33270
OTHER 		Ins/rep Subq Defibrillator 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$29,560
1.7× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$31,782
1.6× median
33249
OTHER 		Insj/rplcmt Defib W/lead(s) 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$30,055
1.7× median
33264
OTHER 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $32,062.00 $71,364.00 $51,713.00 nat. median
$29,348
1.8× median
69930
OTHER 		Implant Cochlear Device 1 $31,808.00 $70,799.00 $51,303.50 nat. median
$27,893
1.8× median
61886
OTHER 		Implant Neurostim Arrays 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$27,282
1.8× median
64582
OTHER 		Opn Mpltj Hpglsl Nstm Ary Pg 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$28,637
1.7× median
64582361
OTHER 		Hb Mor CPT 64582 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$49,152
1.0× median
33287
OTHER 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$29,995
1.6× median
0674T
OTHER 		Laps Insj Nw/rpcmt Prm Isdss 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$31,043
1.6× median
63685
OTHER 		Ins/rplc Spi Npg/rcvr Pocket 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$25,009
2.0× median
64568
OTHER 		Opn Impltj Crnl Nrv Nea&pg 1 $30,474.00 $67,829.00 $49,151.50 nat. median
$25,829
1.9× median
33289
OTHER 		Tcat Impl Wrls P-art Prs Snr 1 $28,429.00 $63,277.00 $45,853.00 nat. median
$26,244
1.7× median
C9760
OTHER 		Nrnd Nbld Pd Nyha Cls Ii Iii IV Hf; 1 $27,501.00 $61,212.00 $44,356.50 nat. median
$27,604
1.6× median
J9266
OTHER 		Pegaspargase Injection 1 $28,424.06 $47,752.00 $38,088.03 nat. median
$28,424
1.3× median
0414T
OTHER 		Rmvl & Rpl Car Modulj Pls Gn 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$22,811
1.6× median
33230
OTHER 		Insrt Pulse Gen W/dual Leads 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$1,403
outlier · 25.8×
33240481
OTHER 		"hb Insert Implantable Cardioverter-defib," 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$36,204
1.0× median
33240
OTHER 		Insrt Pulse Gen W/singl Lead 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$21,324
1.7× median
0614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$23,016
1.6× median
0409T
OTHER 		Insj/rplc Car Modulj Pls Gn 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$23,016
1.6× median
0515T
OTHER 		Insj Wcs Lv Compl Sys 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$22,522
1.6× median
33262
OTHER 		Rmvl& Replc Pulse Gen 1 Lead 1 $22,447.00 $49,962.00 $36,204.50 nat. median
$21,449
1.7× median

Other procedures at this hospital

Browse this hospital's 11,767 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
             
J3391 OTHER "Inj, Atidarsagene Autotemcel" 2 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-05-23
J1411 OTHER "Inj, Hemgenix, Per Tx Dose" 2 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-05-23
J1414 OTHER Beqvez (fidanacogene Elaparvovec-dz 2 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-05-23
J1413 OTHER Inj Delandistrogene Mox Rokl 2 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-05-23
J3394 OTHER "Inj, Lovotibeglogene Autotem" 2 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-05-23
J3393 OTHER "Inj, Betibeglogene Autotemce" 2 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-05-23
J3399 OTHER Inj Onase Abepar-xioi Treat 2 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-05-23
J3392 OTHER Casgevy (exagamglogene Autotemcel) 2 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-05-23
Q2057 OTHER Tecelra (afamitresgene Autoleucel) 1 1 — — $792,430.00 $792,430.00 $792,430.00 2026-05-23
Q2056 OTHER Ciltacabtagene Car-pos T 2 1 — — $605,288.00 $605,288.00 $605,288.00 2026-05-23
Q2055 OTHER Idecabtagene Vicleucel Car 2 1 — — $575,861.00 $575,861.00 $575,861.00 2026-05-23
Q2054 OTHER Lisocabtagene Mara Car Pos T 2 1 — — $567,588.00 $567,588.00 $567,588.00 2026-05-23
Q2042 OTHER Tisagenlecleucel Car-pos T 2 1 — — $557,936.00 $557,936.00 $557,936.00 2026-05-23
Q2041 OTHER Axicabtagene Ciloleucel Car+ 2 1 — — $548,902.00 $548,902.00 $548,902.00 2026-05-23
Q2058 OTHER Obecbtge Autol Up To 400 Mil 1 1 — — $540,750.00 $540,750.00 $540,750.00 2026-05-23
Q2053 OTHER Brexucabtagene Car Pos T 2 1 — — $503,580.00 $503,580.00 $503,580.00 2026-05-23
A9543344 OTHER Hb Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 2 1 $191,069.00 $152,855.20 $87,485.72 $146,976.00 $117,230.86 2026-05-23
A9543 OTHER Y-90 Ibritumomb Tiuxtn Tx To 40 Mci 2 1 — — $87,485.72 $146,976.00 $117,230.86 2026-05-23
J9029 OTHER "Instill Adstiladrin, Tx Dose" 2 1 — — $63,431.05 $106,564.00 $84,997.52 2026-05-23
38240 OTHER Transplt Allo Hct/donor 2 1 — — $59,143.00 $131,641.00 $95,392.00 2026-05-23
Q2043 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $55,945.97 $93,989.00 $74,967.49 2026-05-23
J9226 OTHER Supprelin La Implant 2 1 — — $45,560.39 $76,541.00 $61,050.69 2026-05-23
33276 OTHER Insj Phrnc Nrv Stim Sys 2 1 — — $45,001.00 $100,164.00 $72,582.50 2026-05-23
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 1 — — $35,001.00 $77,906.00 $56,453.50 2026-05-23
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 1 — — $32,062.00 $71,364.00 $51,713.00 2026-05-23
33249 OTHER Insj/rplcmt Defib W/lead(s) 2 1 — — $32,062.00 $71,364.00 $51,713.00 2026-05-23
33231 OTHER Insrt Pulse Gen W/mult Leads 2 1 — — $32,062.00 $71,364.00 $51,713.00 2026-05-23
33270 OTHER Ins/rep Subq Defibrillator 2 1 — — $32,062.00 $71,364.00 $51,713.00 2026-05-23
33249481 OTHER Hb Insert Defib W/cardio-defib Gene.fac 2 1 $30,826.00 $24,660.80 20% off $32,062.00 $71,364.00 $51,713.00 2026-05-23
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 1 — — $32,062.00 $71,364.00 $51,713.00 2026-05-23
33264 OTHER Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $32,062.00 $71,364.00 $51,713.00 2026-05-23
69930 OTHER Implant Cochlear Device 2 1 — — $31,808.00 $70,799.00 $51,303.50 2026-05-23
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 2 1 — — $30,474.00 $67,829.00 $49,151.50 2026-05-23
64582 OTHER Opn Mpltj Hpglsl Nstm Ary Pg 2 1 — — $30,474.00 $67,829.00 $49,151.50 2026-05-23
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 2 1 — — $30,474.00 $67,829.00 $49,151.50 2026-05-23
64568 OTHER Opn Impltj Crnl Nrv Nea&pg 2 1 — — $30,474.00 $67,829.00 $49,151.50 2026-05-23
64582361 OTHER Hb Mor CPT 64582 2 1 $89,400.00 $71,520.00 20% off $30,474.00 $67,829.00 $49,151.50 2026-05-23
63685 OTHER Ins/rplc Spi Npg/rcvr Pocket 2 1 — — $30,474.00 $67,829.00 $49,151.50 2026-05-23
61886 OTHER Implant Neurostim Arrays 2 1 — — $30,474.00 $67,829.00 $49,151.50 2026-05-23
33289 OTHER Tcat Impl Wrls P-art Prs Snr 2 1 — — $28,429.00 $63,277.00 $45,853.00 2026-05-23
J9266 OTHER Pegaspargase Injection 2 1 — — $28,424.06 $47,752.00 $38,088.03 2026-05-23
C9760 OTHER Nrnd Nbld Pd Nyha Cls Ii Iii IV Hf; 2 1 — — $27,501.00 $61,212.00 $44,356.50 2026-05-23
J9600 OTHER Porfimer Sodium Injection 2 1 — — $24,228.42 $40,704.00 $32,466.21 2026-05-23
33262 OTHER Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
33263 OTHER Rmvl & Rplcmt Dfb Gen 2 Lead 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
0515T OTHER Insj Wcs Lv Compl Sys 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
33240481 OTHER "hb Insert Implantable Cardioverter-defib," 2 1 $70,165.00 $56,132.00 20% off $22,447.00 $49,962.00 $36,204.50 2026-05-23
33240 OTHER Insrt Pulse Gen W/singl Lead 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
33230 OTHER Insrt Pulse Gen W/dual Leads 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 1 — — $22,447.00 $49,962.00 $36,204.50 2026-05-23
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
61885 OTHER Insrt/redo Neurostim 1 Array 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
0680T OTHER Insj/rplcmt Pg Only Isdss 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
61891 OTHER Rev/rplcmt Sk-mnt Crnl Nstm 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
63655 OTHER Implant Neuroelectrodes 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
64580 OTHER Opn Impltj Nea Neuromuscular 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
64590 OTHER Ins/rpl Prph Sac/gstr Npg/r 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 1 — — $21,445.00 $47,732.00 $34,588.50 2026-05-23
54410 OTHER Remove/replace Penis Prosth 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
53447 OTHER Remove/replace Ur Sphincter 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
54416 OTHER Remv/repl Penis Contain Pros 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
54401 OTHER Insert Self-contd Prosthesis 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
54411 OTHER Remov/replc Penis Pros Comp 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
54405 OTHER Insert Multi-comp Penis Pros 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
53445 OTHER Insert Uro/ves Nck Sphincter 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
53444 OTHER Insert Tandem Cuff 2 1 — — $20,129.00 $44,803.00 $32,466.00 2026-05-23
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
33221 OTHER Insert Pulse Gen Mult Leads 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
33274 OTHER Tcat Insj/rpl Perm Ldls Pm 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
33229 OTHER Remv&replc Pm Gen Mult Leads 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 1 — — $19,072.00 $42,449.00 $30,760.50 2026-05-23
0525T OTHER Insj/rplcmt Compl Iims 2 1 — — $19,072.00 $37,190.00 $28,131.00 2026-05-23
37182320 OTHER Hb Insrtion Transvenous Intrahep Portosys Shnt-tips 2 1 $17,061.00 $13,648.80 20% off $18,728.69 $47,940.00 $33,334.35 2026-05-23
25446 OTHER Arthrp W/prostc Dst Rds&crps 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
22867 OTHER Insj Stablj Dev W/dcmprn 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
22856 OTHER Tot Disc Arthrp 1ntrspc Crv 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
28705 OTHER Arthrodesis Pantalar 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
27278 OTHER Arthrd Si Jt Prq Wo Tfxj Dev 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
27702 OTHER Reconstruct Ankle Joint 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
23616 OTHER Optx Prx Hmrl Fx Fix Rpr Rpl 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
21243 OTHER Reconstruction Of Jaw Joint 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
27279 OTHER Arthrd Si Jt Perq/min Nvas 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
25442 OTHER Arthrp W/prostc Dstl Ulna 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
24363 OTHER Replace Elbow Joint 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
23472 OTHER Reconstruct Shoulder Joint 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
24361 OTHER Reconstruct Elbow Joint 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
22612 OTHER Arthrd Pst Tq 1ntrspc Lumbar 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
24371 OTHER Revise Reconst Elbow Joint 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
22630 OTHER Arthrd Pst Tq 1ntrspc Lum 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
20696 OTHER App Mltpln Uni Xtrnl Fix 1st 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
22633 OTHER Arthrd Cmbn 1ntrspc Lumbar 2 1 — — $18,391.00 $40,933.00 $29,662.00 2026-05-23
C9602 OTHER Perq Tl Coronary Atherect; 1 Mca/br 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9766 OTHER Rev Evar Le Aa; IV Litho & Atherect 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9607 OTHER Perq Tl Rev Chrn Tot Occl; 1 Vessel 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
0238T OTHER Trluml Perip Athrc Iliac Art 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9775 OTHER Rvsc Evar O/p Tb/pa; Ivl & Tsp & At 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9774 OTHER Rvsc Evar O/pc Tib/pa;ivasc Lith&at 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
37242 OTHER Vasc Embolize/occlude Artery 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
37242320 OTHER "ivr Vasc Emb/occ, Inclusive Rad S&i/image Guide; Venous, Not Hemorrhage/tumor" 2 1 $50,100.00 $40,080.00 20% off $17,957.00 $39,969.00 $28,963.00 2026-05-23
36837 OTHER Prq Av Fstl Crt Uxtr Sep Acs 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
36836 OTHER Prq Av Fstl Crtj Uxtr 1 Acs 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9765 OTHER Rev Evr Le Aa;iv Lith&tl Stnt Plcmt 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
0645T OTHER Tcat Impltj C Sins Rdctj Dev 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
33902 OTHER Perq P-art Revsc 1 Abnor Uni 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
37184 OTHER Prim Art M-thrmbc 1st Vsl 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
36906 OTHER Thrmbc/nfs Dialysis Circuit 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9767 OTHER Rev Evr Le Aa; IV Litho & Tl St&ath 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9773 OTHER Rvsc Evar O/pc Tb/pa;ivasc Lth&tsp 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
C9797 OTHER Vasc Emb/occ W/prs-gen Cath 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
0632T OTHER Perq Tcat US Abltj Nrv P-art 2 1 — — $17,957.00 $39,969.00 $28,963.00 2026-05-23
62360 OTHER Insert Spine Infusion Device 2 1 — — $17,675.00 $39,340.00 $28,507.50 2026-05-23
62361 OTHER Implant Spine Infusion Pump 2 1 — — $17,675.00 $39,340.00 $28,507.50 2026-05-23
62362 OTHER Implant Spine Infusion Pump 2 1 — — $17,675.00 $39,340.00 $28,507.50 2026-05-23
C9782 OTHER Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra 2 1 — — $17,501.00 $38,953.00 $28,227.00 2026-05-23
0686T OTHER Histotripsy Mal Hepatcel Tis 2 1 — — $17,501.00 $38,953.00 $28,227.00 2026-05-23
0888T OTHER Histotripsy Mal Renal Tissue 2 1 — — $17,501.00 $38,953.00 $28,227.00 2026-05-23
C9758 OTHER Bi Prc Nyha 3/4 Hf;trnscth I Ias/pc 2 1 — — $17,501.00 $38,953.00 $28,227.00 2026-05-23
19357 OTHER Tiss Xpndr Plmt Brst Rcnstj 2 1 — — $17,399.00 $38,726.00 $28,062.50 2026-05-23
66683 OTHER Implantation Iris Prosthesis 2 1 — — $16,417.00 $36,540.00 $26,478.50 2026-05-23
0308T OTHER Insj Ocular Telescope Prosth 2 1 — — $16,417.00 $36,540.00 $26,478.50 2026-05-23
67027 OTHER Implant Eye Drug System 2 1 — — $15,365.00 $34,200.00 $24,782.50 2026-05-23
65770 OTHER Keratoprosthesis 2 1 — — $14,290.00 $31,806.00 $23,048.00 2026-05-23
55882 OTHER Ablt Trurl Prst8 Tis Trnsdcr 2 1 — — $12,993.00 $28,919.00 $20,956.00 2026-05-23
54400 OTHER Insert Semi-rigid Prosthesis 2 1 — — $12,993.00 $28,919.00 $20,956.00 2026-05-23
53451361 OTHER Hb Mor CPT 53451 2 1 $37,000.00 $29,600.00 20% off $12,993.00 $28,919.00 $20,956.00 2026-05-23
53440 OTHER Male Sling Procedure 2 1 — — $12,993.00 $28,919.00 $20,956.00 2026-05-23
54417 OTHER Remv/replc Penis Pros Compl 2 1 — — $12,993.00 $28,919.00 $20,956.00 2026-05-23
53451 OTHER Tprnl Balo Cntnc Dev Bi 2 1 — — $12,993.00 $28,919.00 $20,956.00 2026-05-23
0737T OTHER Xenograft Impltj Artclr Surf 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24365 OTHER Reconstruct Head Of Radius 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
20982 OTHER Ablate Bone Tumor(s) Perq 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24430 OTHER Repair Of Humerus 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24435 OTHER Repair Humerus With Graft 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
69729 OTHER Impl Oi Implt Sk Tc Esp>=100 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
69719 OTHER Rplcm Oi Implt Sk Tc Esp<100 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
69730 OTHER Rplc Oi Implt Sk Tc Esp>=100 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24370 OTHER Revise Reconst Elbow Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24586 OTHER Treat Elbow Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24498 OTHER Reinforce Humerus 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
64628 OTHER Trml Dstrj Ios Bvn 1st 2 L/s 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
69714 OTHER Implant Osseointegrated Implant Temporal Bon 2 1 $37,900.00 $30,320.00 20% off $12,867.00 $28,639.00 $20,753.00 2026-05-23
24410 OTHER Revision Of Humerus 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
25810 OTHER Arthrd Wrst Iliac/oth Agrft 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
69714761 OTHER "intergrated Implant,temple Bone" 2 1 $35,913.00 $28,730.40 $12,867.00 $28,639.00 $20,753.00 2026-05-23
24362 OTHER Reconstruct Elbow Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24366 OTHER Reconstruct Head Of Radius 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24587 OTHER Treat Elbow Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
C9781 OTHER Arthrosc Shldr Sx; W/imp Sa Spacer 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23491 OTHER Reinforce Shoulder Bones 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
C9734 OTHER Focused U/s Abl/tx Int Oth Than Ul 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24545 OTHER Treat Humerus Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24666 OTHER Treat Radius Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
69716 OTHER Impl Oi Implt Sk Tc Esp<100 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23802 OTHER Arthrd Glenohumeral Jt W/grf 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27429 OTHER Reconstruction Knee 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24515 OTHER Treat Humerus Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27130 OTHER Total Hip Arthroplasty 2 1 $37,900.00 $30,320.00 20% off $12,867.00 $28,639.00 $20,753.00 2026-05-23
27415 OTHER Osteochondral Knee Allograft 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27758 OTHER Treatment Of Tibia Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23473 OTHER Revis Reconst Shoulder Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27440 OTHER Revision Of Knee Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23485 OTHER Revision Of Collar Bone 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
25444 OTHER Arthrp W/prostc Lunate 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
0629T OTHER Perq Njx Algc CT Lmbr 1st 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
25441 OTHER Arthrp W/prostc Dstl Rds 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24516 OTHER Treat Humerus Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24346 OTHER Reconstruct Elbow Med Ligmnt 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24575 OTHER Treat Humerus Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
25491 OTHER Prophylactic Tx Ulna 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
20692 OTHER Appl Mltpln Uni Ext Fixj Sys 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24579 OTHER Treat Humerus Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
25365 OTHER Revise Radius & Ulna 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28320 OTHER Repair Of Foot Bones 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
22869 OTHER Insj Stablj Dev Without Dcmprn 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28737 OTHER Revision Of Foot Bones 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
29867 OTHER Allgrft Implnt Knee W/scope 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28735 OTHER Fusion Of Foot Bones 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
25391 OTHER Lengthen Radius Or Ulna 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23615 OTHER Optx Prox Humrl Fx W/int Fix 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24546 OTHER Treat Humerus Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23470 OTHER Reconstruct Shoulder Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27356 OTHER Remove Femur Lesion/graft 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
23680 OTHER Optx Sho Dislc Neck Fx Fixj 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27709 OTHER Osteotomy Tibia & Fibula 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
22551 OTHER Arthrd Ant Ntrbdy Cervical 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
22554 OTHER Arthrd Ant Ntrbd Min Dsc Crv 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
29907361 OTHER "hb Mor Arthroscopy, Subtalar Joint" 2 1 $37,900.00 $30,320.00 20% off $12,867.00 $28,639.00 $20,753.00 2026-05-23
29889 OTHER Knee Arthroscopy/surgery 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
29856 OTHER Tibial Arthroscopy/surgery 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
29907 OTHER Subtalar Arthro W/fusion 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
C9757 OTHER Laminotomy Decomp Nrv Rt;1 Isp Lumb 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28725 OTHER Arthrodesis Subtalar 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28715 OTHER Arthrodesis Triple 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28725360 OTHER Hb Arthrodesis Subtalar 0360 2 1 $37,900.00 $30,320.00 20% off $12,867.00 $28,639.00 $20,753.00 2026-05-23
28420 OTHER Treat/graft Heel Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28730 OTHER Fusion Of Foot Bones 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27827 OTHER Treat Lower Leg Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27759 OTHER Treatment Of Tibia Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27828 OTHER Treat Lower Leg Fracture 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27447 OTHER Total Knee Arthroplasty 2 1 $37,900.00 $30,320.00 20% off $12,867.00 $28,639.00 $20,753.00 2026-05-23
27446 OTHER Revision Of Knee Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27870 OTHER Fusion Of Ankle Joint Open 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27442 OTHER Revision Of Knee Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
24802 OTHER Fusion/graft Of Elbow Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27871 OTHER Fusion Of Tibiofibular Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27438 OTHER Revise Kneecap With Implant 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27428 OTHER Reconstruction Knee 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
27443 OTHER Revision Of Knee Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
64628361 OTHER Hb Mor CPT 64628 2 1 $37,900.00 $30,320.00 20% off $12,867.00 $28,639.00 $20,753.00 2026-05-23
27441 OTHER Revision Of Knee Joint 2 1 — — $12,867.00 $28,639.00 $20,753.00 2026-05-23
28297 OTHER Cor Hlx Vlgs Jt Arthrd 2 1 — — $12,867.00 $24,916.00 $18,891.50 2026-05-23
43647 OTHER Lap Impl Electrode Antrum 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
64583361 OTHER Hb Mor CPT 64583 2 1 $39,200.00 $31,360.00 20% off $12,471.00 $27,757.00 $20,114.00 2026-05-23
33288 OTHER Rmv&rplcmt Phrnc Nrv Stim Ld 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
64569 OTHER Revise/repl Vagus N Eltrd 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
64575 OTHER Opn Impltj Nea Perph Nerve 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
64583 OTHER Rev/rplct Hpglsl Nstm Ary Pg 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
64596 OTHER Ins/rplcmt Prq Eltrd Ra Pn 1 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
0675T OTHER Laps Insj Nw/rpcmt Isdss 1ld 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
63664 OTHER Revise Spine Eltrd Plate 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
61888 OTHER Revise/remove Neuroreceiver 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
64553 OTHER Implant Neuroelectrodes 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
61715 OTHER Mrgfus Strtctc Ablt Trgt Icr 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
0784T OTHER Ins/rplmt Eltrd Ra Spi Nstim 2 1 — — $12,471.00 $27,757.00 $20,114.00 2026-05-23
C9600 OTHER Perq Transcath Plcmt; 1 Maj Ca/br 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
61623 OTHER Endovasc Tempory Vessel Occl 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
61626 OTHER Transcath Occlusion Non-cns 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
61626320 OTHER Ivr Transcath Occlusion/embol 2 1 $31,400.00 $25,120.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
0237T OTHER Trluml Perip Athrc Brchiocph 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
0505T OTHER Ev Fempop Artl Revsc 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
0236T OTHER Trluml Perip Athrc Abd Aorta 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
0234T OTHER Trluml Perip Athrc Renal Art 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
C9783 OTHER Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
C9772 OTHER Rvsc Evar Opn/perc Tb/pa Ivasc Lith 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37243320 OTHER "ivr Vasc Emb/occ, Inc S&i/intraprocedural Roadmapping/image Guide; Tumors/organ… 2 1 $28,500.00 $22,800.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
37243 OTHER Vasc Emb/occ, Inc S&i/intraprocedural Roadmapping/image Guide; Tumors/ Organ Isc… 4 1 $31,844.00 $25,475.20 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
37244 OTHER Vasc Embolize/occlude Bleed 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37244320 OTHER "ivr Vasc Emb/occ, Inc S&i/image Guide; Art/ven Hemorrhage, Lymph Extravasation" 2 1 $31,400.00 $25,120.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
37238320 OTHER "ivr Transcath Place Stent, Open/perc, Inc S&i, Angio With In Same Vessel; Intl Ve… 2 1 $31,400.00 $25,120.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
37241 OTHER Vasc Embolize/occlude Venous 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37238 OTHER Open/perq Place Stent Same 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37241320 OTHER "ivr Vasc Emb/occ, Inc S&i/intraprocedural Roadmapping/image Guide; Venous, Not … 2 1 $31,400.00 $25,120.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
36905 OTHER Thrmbc/nfs Dialysis Circuit 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37187320 OTHER Ivr Thrombolysis Inc Fluoro 2 1 $31,400.00 $25,120.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
36903 OTHER Intro Cath Dialysis Circuit 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37187 OTHER Venous Mech Thrombectomy 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
33901 OTHER Perq P-art Revsc 1 Nm Nt Bi 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
33900 OTHER Perq P-art Revsc 1 Nm Nt Uni 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
33903 OTHER Perq P-art Revsc 1 Abnor Bi 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37236 OTHER Open/perq Place Stent 1st 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
37236320 OTHER "ivr Transcath Place Stent (non-cor), Open/perc, Inc S&i, Angio Same Vessel; Int… 2 1 $31,400.00 $25,120.00 20% off $11,341.00 $25,242.00 $18,291.50 2026-05-23
C9764 OTHER Rev Evar Open/perq Le Aa; IV Litho 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
C9604 OTHER Perq Tl Revision Of/thru Cabg;1 Ves 2 1 — — $11,341.00 $25,242.00 $18,291.50 2026-05-23
33228 OTHER Remv&replc Pm Gen Dual Lead 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33224 OTHER Insert Pacing Lead & Connect 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33214481 OTHER Hb Upgrade Implanted Pacemaker System 2 1 $31,787.00 $25,429.60 20% off $10,466.00 $23,294.00 $16,880.00 2026-05-23
33214 OTHER Upgrade Of Pacemaker System 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33213481 OTHER Hb Insert Pulse Generator Only Dl Cham 2 1 $31,787.00 $25,429.60 20% off $10,466.00 $23,294.00 $16,880.00 2026-05-23
33213 OTHER Insert Pulse Gen Dual Leads 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
0519T OTHER Rmv&rplcmt Pg Wcs Lv Both 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33208481 OTHER Hb Insert Pacemaker Av Sequential 2 1 $21,978.00 $17,582.40 $10,466.00 $23,294.00 $16,880.00 2026-05-23
0516T OTHER Insj Wcs Lv Eltrd Only 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33208 OTHER Insrt Heart Pm Atrial & Vent 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
0520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33207481 OTHER Hb Insert Pacemaker Ventricular 2 1 $31,787.00 $25,429.60 20% off $10,466.00 $23,294.00 $16,880.00 2026-05-23
33207 OTHER Insert Heart Pm Ventricular 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33206 OTHER Insert Heart Pm Atrial 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
33206481 OTHER Hb Insert Pacemaker Atrial 2 1 $31,787.00 $25,429.60 20% off $10,466.00 $23,294.00 $16,880.00 2026-05-23
0517T OTHER Insj Wcs Lv Both Compnt Pg 2 1 — — $10,466.00 $23,294.00 $16,880.00 2026-05-23
58541 OTHER Laparoscopy Hysterectomy Supracervical 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
0601T OTHER Ire Abltj 1+tumors Open 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
58542 OTHER "supracerv Lap Hysterectomy, Uterus 250 G Or Less" 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
58673 OTHER Laparoscopy Salpingostomy 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
58674 OTHER Laps Abltj Uterine Fibroids 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
57425 OTHER "laparoscopy, Surgical, Colpopexy" 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
0600T OTHER Ire Abltj 1+tum Organ Perq 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
58572 OTHER "laparoscopy, Surgical, W/total Hysterectomy" 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
57423 OTHER Repair Paravag Defect Lap 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
58543 OTHER "surg Lap Supracervical Hyst, Uterus >250g" 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
58573 OTHER Total Hysterectomy Uterus Greater 250g W/rem Tub/ov 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
0679T OTHER Laps Rmvl Lead Isdss 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
58554 OTHER Laparo-vag Hyst W/t/o Compl 2 1 — — $10,412.00 $23,174.00 $16,793.00 2026-05-23
58544 OTHER "lap Hyst, Supracerv, Uter <250g, W/rem Tube/overy" 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
58546 OTHER Lap Myomect Exc;5/>myomas&/myomas Tot Wt>250 Gms 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
58570 OTHER Total Hysterectomy Uterus 250g Or Less 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
58571 OTHER Total Hysterctmy Uterus 250g Or Less W/rem Tub/ov 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
55866 OTHER Lap Surg Prosctomy Retropub Radl Incl Nerve Spar 2 1 $29,700.00 $23,760.00 20% off $10,412.00 $23,174.00 $16,793.00 2026-05-23
77371 OTHER Srs Multisource 4 1 — — $7,645.00 $27,355.00 $17,500.00 2026-05-23
77372 OTHER Radiation Dlvr Strtctc Cerebral Linear 4 1 $32,800.00 $26,240.00 20% off $7,645.00 $27,355.00 $17,500.00 2026-05-23
81416 OTHER Exome Sequence Analysis 4 1 — — $7,408.00 $26,520.00 $16,964.00 2026-05-23
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