Hospital

SUMMIT MEDICAL CENTER

Casper, WY · CCN 530034 · Rates published

28,895 distinct procedures filed

97 distinct payers

587,664 rate rows

2026-08-30 last MRF observed

Data quality

559,542 of 587,664 rate rows are consumer-grade (95.2%)

28,122 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	24,907
placeholder amount (≤ $0.02) — excluded from medians	3,009
exceeds 10× this hospital's gross charge — excluded from medians	91
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	85
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	30

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://scfxestimatormrf.blob.core.windows.net/mrf/summit_mrf_tall_v3.csv
Found on page	https://scfx-estimator.azurewebsites.net/download/Mrf
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-03
Content fingerprint	2541b850e0e1a9e3… · 20,274,571 bytes · first seen 2026-08-31

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	J3391	2	$4,210,102.70	$4,210,102.70	$4,210,102.70	nat. median $4,505,000 0.9× median
J1411 HCPCS	J1411	6	$3,432,471.97	$4,484,749.99	$3,829,030.34	nat. median $3,685,267 1.0× median
J3389 HCPCS	J3389	5	$3,070,695.36	$3,991,903.97	$3,745,792.28	nat. median $3,335,820 1.1× median
J1414 HCPCS	J1414	1	$3,675,000.00	$3,675,000.00	$3,675,000.00	nat. median $3,508,750 1.0× median
J3387 HCPCS	J3387	5	$2,971,837.20	$3,863,388.36	$3,625,200.00	nat. median $3,180,000 1.1× median
J1413 HCPCS	J1413	6	$3,099,773.04	$4,029,704.95	$3,444,516.61	nat. median $3,325,455 1.0× median
J3394 HCPCS	J3394	6	$3,023,520.98	$3,930,577.28	$3,379,572.49	nat. median $3,248,446 1.0× median
C9172 HCPCS	C9172	1	$3,369,016.70	$3,369,016.70	$3,369,016.70	nat. median $3,675,000 0.9× median
J3393 HCPCS	J3393	6	$2,738,445.50	$3,559,979.15	$3,057,105.75	nat. median $2,968,000 1.0× median
J3405 HCPCS	J3405	5	$2,489,828.19	$3,236,776.64	$3,037,220.59	nat. median $2,830,743 1.1× median
J3392 HCPCS	J3392	5	$2,150,289.32	$2,795,376.11	$2,623,033.60	nat. median $2,332,000 1.1× median
J3399 HCPCS	J3399	11	$17,544.99	$3,255,982.78	$2,232,255.54	nat. median $2,455,111 0.9× median
Q2057 HCPCS	Q2057	6	$760,685.07	$988,890.59	$880,096.21	nat. median $813,967 1.1× median
Q2056 HCPCS	Q2056	12	$17,544.99	$714,335.35	$521,053.33	nat. median $599,737 0.9× median
Q2054 HCPCS	Q2054	12	$17,544.99	$704,121.50	$512,266.56	nat. median $579,571 0.9× median
Q2055 HCPCS	Q2055	12	$17,544.99	$690,037.34	$511,457.56	nat. median $574,037 0.9× median
Q2042 HCPCS	Q2042	13	$17,544.99	$743,147.26	$494,551.89	nat. median $621,313 0.8× median
Q2041 HCPCS	Q2041	13	$17,544.99	$683,383.46	$457,416.17	nat. median $562,501 0.8× median
Q2053 HCPCS	Q2053	12	$17,544.99	$619,726.27	$453,548.30	nat. median $513,770 0.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other I	23	$287,344.13	$306,599.17	$306,599.17	nat. median $168,055 1.8× median
J3403 HCPCS	J3403	6	$244,456.65	$317,793.64	$292,200.40	nat. median $264,195 1.1× median
Q2058 HCPCS	Q2058	6	$255,150.00	$338,046.48	$288,620.38	nat. median $286,598 1.0× median
09194 OTHER	Tisagenlecleucel Car-pos T	3	$280,820.68	$280,820.68	$280,820.68	nat. median $513,317 0.5× median
09498 OTHER	Ciltacabtagene Car-pos T	3	$279,722.52	$279,722.52	$279,722.52	nat. median $511,310 0.5× median
09422 OTHER	Idecabtagene Vicleucel Car	3	$279,438.18	$279,438.18	$279,438.18	nat. median $510,790 0.5× median
09413 OTHER	Lisocabtagene Car Pos T	3	$274,205.08	$274,205.08	$274,205.08	nat. median $501,224 0.5× median
09035 OTHER	Axicabtagene Ciloleucel Car+	3	$259,733.96	$259,733.96	$259,733.96	nat. median $474,772 0.5× median
09391 OTHER	Brexucabtagene Car Pos T	3	$244,384.37	$244,384.37	$244,384.37	nat. median $446,714 0.5× median
J3402 HCPCS	J3402	6	$190,328.19	$247,426.65	$225,551.40	nat. median $207,733 1.1× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System	26	$56,910.35	$221,842.89	$198,970.53	nat. median $186,516 1.1× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >9	23	$151,589.19	$161,827.64	$151,589.19	nat. median $131,925 1.1× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principa	26	$39,450.62	$150,699.55	$150,699.55	nat. median $145,435 1.0× median
J3404 HCPCS	J3404	6	$111,780.00	$148,096.55	$126,443.21	nat. median $128,604 1.0× median
E0766 HCPCS	E0766	3	$2,409.52	$105,492.90	$105,492.90	nat. median $16,158 outlier · 6.5×
K1007 HCPCS	K1007	2	$68,274.04	$142,621.55	$105,447.79	nat. median $95,583 1.1× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagno	26	$56,225.65	$98,345.35	$98,345.35	nat. median $97,418 1.0× median
7 MS_DRG	Lung Transplant	23	$88,850.10	$91,946.80	$91,946.80	nat. median $70,649 1.3× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	23	$81,921.63	$85,327.45	$85,327.45	nat. median $72,715 1.2× median
01907 OTHER	New Technology - Level 52 ($145,001-$160,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $145,788 0.6× median
01902 OTHER	New Technology - Level 49 ($100,001-$115,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $102,769 0.8× median
01904 OTHER	New Technology - Level 50 ($115,001-$130,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $117,109 0.7× median
01585 OTHER	New Technology - Level 48 ($90,001-$100,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $90,819 0.9× median
01599 OTHER	New Technology - Level 48 ($90,001-$100,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $90,819 0.9× median
01905 OTHER	New Technology - Level 51 ($130,001-$145,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $131,449 0.6× median
01901 OTHER	New Technology - Level 49 ($100,001-$115,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $102,769 0.8× median
01903 OTHER	New Technology - Level 50 ($115,001-$130,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $117,109 0.7× median
01908 OTHER	New Technology - Level 52 ($145,001-$160,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $145,788 0.6× median
01906 OTHER	New Technology - Level 51 ($130,001-$145,000)	23	$84,818.99	$84,818.99	$84,818.99	nat. median $131,449 0.6× median
J9183 HCPCS	J9183	6	$68,206.69	$88,668.70	$81,068.68	nat. median $78,093 1.0× median
01584 OTHER	New Technology - Level 47 ($80,001-$90,000)	23	$80,853.86	$80,853.86	$80,853.86	nat. median $81,259 1.0× median

Other procedures at this hospital

Browse this hospital's 28,895 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	HCPCS	J3391	2	2	—	—	$4,210,102.70	$4,210,102.70	$4,210,102.70	2026-08-30
J1411	HCPCS	J1411	6	6	—	—	$3,432,471.97	$4,484,749.99	$3,829,030.34	2026-08-30
J3389	HCPCS	J3389	5	5	—	—	$3,070,695.36	$3,991,903.97	$3,745,792.28	2026-08-30
J1414	HCPCS	J1414	1	1	—	—	$3,675,000.00	$3,675,000.00	$3,675,000.00	2026-08-30
J3387	HCPCS	J3387	5	5	—	—	$2,971,837.20	$3,863,388.36	$3,625,200.00	2026-08-30
J1413	HCPCS	J1413	6	6	—	—	$3,099,773.04	$4,029,704.95	$3,444,516.61	2026-08-30
J3394	HCPCS	J3394	6	6	—	—	$3,023,520.98	$3,930,577.28	$3,379,572.49	2026-08-30
C9172	HCPCS	C9172	1	1	—	—	$3,369,016.70	$3,369,016.70	$3,369,016.70	2026-08-30
J3393	HCPCS	J3393	6	6	—	—	$2,738,445.50	$3,559,979.15	$3,057,105.75	2026-08-30
J3405	HCPCS	J3405	5	5	—	—	$2,489,828.19	$3,236,776.64	$3,037,220.59	2026-08-30
J3392	HCPCS	J3392	5	5	—	—	$2,150,289.32	$2,795,376.11	$2,623,033.60	2026-08-30
J3399	HCPCS	J3399	11	11	$4,463,735.93	—	$17,544.99	$3,255,982.78	$2,232,255.54	2026-08-30
Q2057	HCPCS	Q2057	6	6	—	—	$760,685.07	$988,890.59	$880,096.21	2026-08-30
Q2056	HCPCS	Q2056	12	12	$813,285.00	—	$17,544.99	$714,335.35	$521,053.33	2026-08-30
Q2054	HCPCS	Q2054	12	12	$717,614.70	—	$17,544.99	$704,121.50	$512,266.56	2026-08-30
Q2055	HCPCS	Q2055	12	12	$733,705.50	—	$17,544.99	$690,037.34	$511,457.56	2026-08-30
Q2042	HCPCS	Q2042	13	13	$772,928.48	—	$17,544.99	$743,147.26	$494,551.89	2026-08-30
Q2041	HCPCS	Q2041	13	13	$741,255.67	—	$17,544.99	$683,383.46	$457,416.17	2026-08-30
Q2053	HCPCS	Q2053	12	12	$740,441.46	—	$17,544.99	$619,726.27	$453,548.30	2026-08-30
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other I	30	23	—	—	$287,344.13	$306,599.17	$306,599.17	2026-01-21
J3403	HCPCS	J3403	6	6	—	—	$244,456.65	$317,793.64	$292,200.40	2026-08-30
Q2058	HCPCS	Q2058	6	6	—	—	$255,150.00	$338,046.48	$288,620.38	2026-08-30
09194	OTHER	Tisagenlecleucel Car-pos T	3	3	—	—	$280,820.68	$280,820.68	$280,820.68	2026-01-21
09498	OTHER	Ciltacabtagene Car-pos T	3	3	—	—	$279,722.52	$279,722.52	$279,722.52	2026-01-21
09422	OTHER	Idecabtagene Vicleucel Car	3	3	—	—	$279,438.18	$279,438.18	$279,438.18	2026-01-21
09413	OTHER	Lisocabtagene Car Pos T	3	3	—	—	$274,205.08	$274,205.08	$274,205.08	2026-01-21
09035	OTHER	Axicabtagene Ciloleucel Car+	3	3	—	—	$259,733.96	$259,733.96	$259,733.96	2026-01-21
09391	OTHER	Brexucabtagene Car Pos T	3	3	—	—	$244,384.37	$244,384.37	$244,384.37	2026-01-21
J3402	HCPCS	J3402	6	6	—	—	$190,328.19	$247,426.65	$225,551.40	2026-08-30
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System	33	26	—	—	$56,910.35	$221,842.89	$198,970.53	2026-01-21
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >9	30	23	—	—	$151,589.19	$161,827.64	$151,589.19	2026-01-21
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principa	33	26	—	—	$39,450.62	$150,699.55	$150,699.55	2026-01-21
J3404	HCPCS	J3404	6	6	—	—	$111,780.00	$148,096.55	$126,443.21	2026-08-30
E0766	HCPCS	E0766	3	3	$15,050.32	—	$2,409.52	$105,492.90	$105,492.90	2026-08-30
K1007	HCPCS	K1007	2	2	—	—	$68,274.04	$142,621.55	$105,447.79	2026-08-30
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagno	33	26	—	—	$56,225.65	$98,345.35	$98,345.35	2026-01-21
7	MS_DRG	Lung Transplant	30	23	—	—	$88,850.10	$91,946.80	$91,946.80	2026-01-21
14	MS_DRG	Allogeneic Bone Marrow Transplant	30	23	—	—	$81,921.63	$85,327.45	$85,327.45	2026-01-21
01585	OTHER	New Technology - Level 48 ($90,001-$100,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01905	OTHER	New Technology - Level 51 ($130,001-$145,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01901	OTHER	New Technology - Level 49 ($100,001-$115,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01907	OTHER	New Technology - Level 52 ($145,001-$160,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01906	OTHER	New Technology - Level 51 ($130,001-$145,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01904	OTHER	New Technology - Level 50 ($115,001-$130,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01903	OTHER	New Technology - Level 50 ($115,001-$130,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01908	OTHER	New Technology - Level 52 ($145,001-$160,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01599	OTHER	New Technology - Level 48 ($90,001-$100,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
01902	OTHER	New Technology - Level 49 ($100,001-$115,000)	29	23	—	—	$84,818.99	$84,818.99	$84,818.99	2026-01-21
J9183	HCPCS	J9183	6	6	—	—	$68,206.69	$88,668.70	$81,068.68	2026-08-30
01584	OTHER	New Technology - Level 47 ($80,001-$90,000)	29	23	—	—	$80,853.86	$80,853.86	$80,853.86	2026-01-21
01598	OTHER	New Technology - Level 47 ($80,001-$90,000)	29	23	—	—	$80,853.86	$80,853.86	$80,853.86	2026-01-21
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System	33	26	—	—	$77,198.91	$114,861.39	$80,456.11	2026-01-21
209	MS_DRG	Complex Aortic Arch Procedures	29	23	—	—	$80,363.81	$80,363.81	$80,363.81	2026-01-21
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spi	29	23	—	—	$78,250.85	$78,250.85	$78,250.85	2026-01-21
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	29	23	—	—	$77,206.43	$77,206.43	$77,206.43	2026-01-21
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	33	26	—	—	$41,527.64	$78,530.29	$73,204.85	2026-01-21
01597	OTHER	New Technology - Level 46 ($70,001-$80,000)	29	23	—	—	$71,341.69	$71,341.69	$71,341.69	2026-01-21
01583	OTHER	New Technology - Level 46 ($70,001-$80,000)	29	23	—	—	$71,341.69	$71,341.69	$71,341.69	2026-01-21
215	MS_DRG	Other Heart Assist System Implant	30	23	—	—	$70,694.99	$81,011.65	$70,694.99	2026-01-21
L8702	HCPCS	L8702	2	2	—	—	$36,888.24	$103,202.57	$70,045.40	2026-08-30
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	30	23	—	—	$69,458.17	$77,028.74	$69,458.17	2026-01-21
J9029	HCPCS	J9029	7	7	—	—	$59,207.57	$78,156.61	$69,424.88	2026-08-30
J7330	HCPCS	J7330	3	3	$103,458.96	—	$50,788.94	$80,220.00	$67,818.06	2026-08-30
Q0480	HCPCS	Q0480	3	3	$101,369.26	—	$64,127.18	$167,238.26	$64,127.18	2026-08-30
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fu	29	23	—	—	$63,968.43	$63,968.43	$63,968.43	2026-01-21
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With	30	23	—	—	$62,916.20	$70,496.95	$62,916.20	2026-01-21
69718	CPT	$1,995.00	1	1	$28,615.95	—	$62,871.58	$62,871.58	$62,871.58	2026-08-30
69715	CPT	$1,995.00	1	1	$28,615.95	—	$62,871.58	$62,871.58	$62,871.58	2026-08-30
0466T	CPT	0466t	1	1	—	—	$62,871.58	$62,871.58	$62,871.58	2026-08-30
01596	OTHER	New Technology - Level 45 ($60,001-$70,000)	29	23	—	—	$61,829.53	$61,829.53	$61,829.53	2026-01-21
01582	OTHER	New Technology - Level 45 ($60,001-$70,000)	29	23	—	—	$61,829.53	$61,829.53	$61,829.53	2026-01-21
850	MS_DRG	Acute Leukemia With Other Procedures	32	26	—	—	$11,555.65	$61,482.70	$61,482.70	2026-01-21
231	MS_DRG	Coronary Bypass With Ptca With Mcc	30	23	—	—	$59,852.54	$66,874.66	$59,852.54	2026-01-21
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	30	23	—	—	$59,664.39	$65,985.39	$59,664.39	2026-01-21
05244	OTHER	Level 4 Blood Product Exchange And Related Service	32	26	—	—	$27,629.36	$56,257.14	$56,257.14	2026-01-21
20	MS_DRG	Intracranial Vascular Procedures With Principal Di	33	26	—	—	$15,615.40	$79,312.91	$55,868.71	2026-01-21
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	30	23	—	—	$54,516.16	$61,823.71	$54,516.16	2026-01-21
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	33	26	—	—	$6,959.87	$61,005.80	$54,362.08	2026-01-21
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Op	30	23	—	—	$54,281.14	$60,785.59	$54,281.14	2026-01-21
957	MS_DRG	Other O.r. Procedures For Multiple Significant Tra	30	23	—	—	$54,101.51	$56,938.49	$54,101.51	2026-01-21
A9543	HCPCS	A9543	14	14	$108,036.36	—	$17,544.99	$69,036.26	$53,104.81	2026-08-30
01581	OTHER	New Technology - Level 44 ($50,001-$60,000)	29	23	—	—	$52,317.37	$52,317.37	$52,317.37	2026-01-21
01595	OTHER	New Technology - Level 44 ($50,001-$60,000)	29	23	—	—	$52,317.37	$52,317.37	$52,317.37	2026-01-21
Q2043	HCPCS	Q2043	14	14	$88,490.11	—	$17,544.99	$67,952.42	$51,842.51	2026-08-30
C1820	HCPCS	Eterna Battery	54	47	$60,750.00	$24,907.50 59% off	$1,630.18	$60,750.00	$51,637.50	2026-08-30
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spi	29	23	—	—	$51,252.27	$51,252.27	$51,252.27	2026-01-21
10	MS_DRG	Pancreas Transplant	30	23	—	—	$27,775.25	$50,947.68	$50,947.68	2026-01-21
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation	30	23	—	—	$50,115.14	$50,926.38	$50,926.38	2026-01-21
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With H	30	23	—	—	$50,655.87	$51,251.47	$50,655.87	2026-01-21
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	29	23	—	—	$50,626.05	$50,626.05	$50,626.05	2026-01-21
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	33	26	—	—	$9,642.58	$57,691.95	$50,333.53	2026-01-21
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	30	23	—	—	$49,073.98	$49,404.64	$49,073.98	2026-01-21
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsatio	30	23	—	—	$48,833.29	$53,427.45	$48,833.29	2026-01-21
64654	CPT	64654	6	6	—	—	$496.42	$76,500.85	$48,362.99	2026-08-30
0870T	CPT	0870t	6	6	—	—	$32,818.57	$76,500.85	$48,362.99	2026-08-30
3100017	CDM	Bi-lat Or Level 7	52	45	$56,752.80	$23,268.64 59% off	$23,268.64	$56,752.80	$48,239.88	2026-01-21
0313T	CPT	$1,629.00	1	1	$12,748.00	—	$48,049.28	$48,049.28	$48,049.28	2026-08-30
0312T	CPT	$7,154.00	1	1	$12,748.00	—	$48,049.28	$48,049.28	$48,049.28	2026-08-30
955	MS_DRG	Craniotomy For Multiple Significant Trauma	30	23	—	—	$47,791.01	$48,256.04	$47,791.01	2026-01-21
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Card	32	26	—	—	$6,984.50	$47,474.35	$47,474.35	2026-01-21
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With	29	23	—	—	$47,439.56	$47,439.56	$47,439.56	2026-01-21
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	30	23	—	—	$47,089.52	$51,664.26	$47,089.52	2026-01-21
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	30	23	—	—	$46,684.82	$49,746.08	$46,684.82	2026-01-21
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	30	23	—	—	$46,684.82	$46,874.95	$46,684.82	2026-01-21
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	23	—	—	$42,499.96	$46,515.13	$46,515.13	2026-01-21
J2789	HCPCS	J2789	5	5	—	—	$37,781.12	$49,115.45	$46,087.35	2026-08-30
C1767	HCPCS	Proclaim 7	210	47	$54,405.00	$22,914.90 58% off	$9,908.33	$60,750.00	$45,900.00	2026-08-30
207	MS_DRG	Respiratory System Diagnosis With Ventilator Suppo	33	26	—	—	$4,390.14	$45,686.56	$45,686.56	2026-01-21
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath	33	26	—	—	$5,472.40	$50,371.41	$45,446.58	2026-01-21
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplem	30	23	—	—	$43,511.82	$54,076.56	$43,511.82	2026-01-21
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	30	23	—	—	$43,461.41	$44,899.99	$43,461.41	2026-01-21
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With	30	23	—	—	$43,425.91	$46,750.65	$43,425.91	2026-01-21
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	30	23	—	—	$43,044.64	$45,681.84	$43,044.64	2026-01-21
01594	OTHER	New Technology - Level 43 ($40,001-$50,000)	29	23	—	—	$42,805.21	$42,805.21	$42,805.21	2026-01-21
01580	OTHER	New Technology - Level 43 ($40,001-$50,000)	32	26	—	—	$23,879.90	$42,805.21	$42,805.21	2026-01-21
28	MS_DRG	Spinal Procedures With Mcc	30	23	—	—	$42,659.11	$44,679.02	$42,659.11	2026-01-21
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid	29	23	—	—	$42,647.04	$42,647.04	$42,647.04	2026-01-21
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	30	23	—	—	$42,338.18	$49,841.22	$42,338.18	2026-01-21
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrom	30	23	—	—	$42,199.02	$43,520.44	$42,199.02	2026-01-21
33276	CPT	33276	8	8	—	—	$699.35	$76,500.85	$42,124.97	2026-08-30
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	30	23	—	—	$42,101.04	$51,685.74	$42,101.04	2026-01-21
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization Wi	30	23	—	—	$41,667.23	$46,835.05	$41,667.23	2026-01-21
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures W	30	23	—	—	$41,640.25	$43,670.82	$41,640.25	2026-01-21
Q2040	HCPCS	Q2040	1	1	—	—	$41,594.26	$41,594.26	$41,594.26	2026-08-30
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fu	29	23	—	—	$40,946.58	$40,946.58	$40,946.58	2026-01-21
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Comp	33	26	—	—	$12,322.75	$43,518.90	$40,685.30	2026-01-21
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Pro	29	23	—	—	$40,519.16	$40,519.16	$40,519.16	2026-01-21
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For M	33	26	—	—	$3,668.06	$41,204.81	$40,466.62	2026-01-21
4402572	CDM	Vanco 1 Gm/200 Bax	52	45	$47,107.50	$19,314.07 59% off	$19,314.07	$47,107.50	$40,041.37	2026-01-21
64568	CPT	64568	16	16	$60,461.00	—	$548.01	$76,500.85	$39,970.27	2026-08-30
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spi	29	23	—	—	$39,916.36	$39,916.36	$39,916.36	2026-01-21
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	30	23	—	—	$39,792.82	$41,688.19	$39,792.82	2026-01-21
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of P	29	23	—	—	$39,520.18	$39,520.18	$39,520.18	2026-01-21
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lo	33	26	—	—	$4,834.42	$46,663.18	$39,213.46	2026-01-21
834	MS_DRG	Acute Leukemia With Mcc	30	23	—	—	$38,978.45	$46,436.84	$38,978.45	2026-01-21
0915T	CPT	0915t	7	7	—	—	$29,969.51	$59,636.65	$38,960.36	2026-08-30
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	33	26	—	—	$11,000.08	$44,023.00	$38,840.71	2026-01-21
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Op	30	23	—	—	$38,785.33	$40,941.63	$38,785.33	2026-01-21
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or	30	23	—	—	$38,527.80	$38,724.27	$38,724.27	2026-01-21
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	30	23	—	—	$37,256.43	$38,569.49	$38,569.49	2026-01-21
J9226	HCPCS	J9226	14	14	$71,842.65	—	$17,544.99	$46,790.57	$38,316.01	2026-08-30
0908T	CPT	0908t	7	7	—	—	$29,462.36	$58,627.48	$38,301.07	2026-08-30
C8007	HCPCS	C8007	7	7	—	—	$29,462.36	$58,627.48	$38,301.07	2026-08-30
C8011	HCPCS	C8011	7	7	—	—	$29,462.36	$58,627.48	$38,301.07	2026-08-30
0909T	CPT	0909t	7	7	—	—	$29,462.36	$58,627.48	$38,301.07	2026-08-30
64656	CPT	64656	7	7	—	—	$378.30	$58,627.48	$38,301.07	2026-08-30
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	33	26	—	—	$10,868.41	$41,473.35	$37,863.03	2026-01-21
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mc	29	23	—	—	$37,840.31	$37,840.31	$37,840.31	2026-01-21
0871T	CPT	0871t	6	6	—	—	$25,786.12	$59,500.85	$37,615.78	2026-08-30
21	MS_DRG	Intracranial Vascular Procedures With Principal Di	33	26	—	—	$16,988.19	$57,879.16	$37,586.13	2026-01-21
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	30	23	—	—	$37,461.88	$39,798.40	$37,461.88	2026-01-21
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	33	26	—	—	$8,926.46	$44,491.03	$37,052.92	2026-01-21
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	33	26	—	—	$3,724.98	$41,016.06	$36,958.49	2026-01-21
653	MS_DRG	Major Bladder Procedures With Mcc	30	23	—	—	$36,894.59	$41,886.91	$36,894.59	2026-01-21
33231	CPT	33231	17	17	$74,311.00	—	$507.91	$86,558.25	$36,511.37	2026-08-30
33264	CPT	33264	17	17	$74,311.00	—	$514.67	$86,558.25	$36,511.37	2026-08-30
0571T	CPT	0571t	15	15	$60,461.00	—	$486.56	$86,558.25	$36,511.37	2026-08-30
33270	CPT	33270	17	17	$93,654.55	—	$716.72	$86,558.25	$36,511.37	2026-08-30
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	33	26	—	—	$6,654.90	$43,103.81	$35,909.82	2026-01-21
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	33	26	—	—	$11,132.60	$35,785.57	$35,785.57	2026-01-21
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath	33	26	—	—	$8,357.29	$39,990.98	$35,647.12	2026-01-21
L8701	HCPCS	L8701	2	2	—	—	$18,749.34	$52,455.20	$35,602.27	2026-08-30
C1882	HCPCS	Momentum Battery Icd	54	47	$41,850.00	$17,158.50 59% off	$12,087.27	$41,850.00	$35,572.50	2026-08-30
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With M	30	23	—	—	$35,410.68	$40,790.48	$35,410.68	2026-01-21
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	33	26	—	—	$6,327.84	$40,897.90	$35,126.68	2026-01-21
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Proced	30	23	—	—	$35,064.20	$38,116.54	$35,064.20	2026-01-21
239	MS_DRG	Amputation For Circulatory System Disorders Except	30	23	—	—	$34,944.21	$36,951.82	$34,944.21	2026-01-21
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis Wit	30	23	—	—	$34,798.66	$38,852.35	$34,798.66	2026-01-21
01643	OTHER	Y90 Ibritumomab, Rx	3	3	—	—	$34,745.70	$34,745.70	$34,745.70	2026-01-21
471	MS_DRG	Cervical Spinal Fusion With Mcc	30	23	—	—	$34,283.91	$38,514.75	$34,283.91	2026-01-21
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diag	30	23	—	—	$34,110.67	$43,729.13	$34,110.67	2026-01-21
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplem	30	23	—	—	$33,801.82	$42,951.89	$33,801.82	2026-01-21
0960T	CPT	0960t	7	7	—	—	$25,907.07	$51,552.74	$33,679.19	2026-08-30
00717	OTHER	Instill Adstiladrin, Tx Dose	3	3	—	—	$33,619.75	$33,619.75	$33,619.75	2026-01-21
33722	CPT	$1,995.00	1	1	$8,280.00	—	$33,582.95	$33,582.95	$33,582.95	2026-08-30
C9750	HCPCS	$14,044.00	1	1	$16,854.00	—	$33,582.95	$33,582.95	$33,582.95	2026-08-30
33470	CPT	$1,995.00	1	1	$8,280.00	—	$33,582.95	$33,582.95	$33,582.95	2026-08-30
4600009	CDM	Impl/repl Nonprogrammable Pump	52	45	$39,504.40	—	$16,196.80	$39,504.40	$33,578.74	2026-01-21
4600010	CDM	Impl Spinal Pump Programmable	52	45	$39,504.40	—	$16,196.80	$39,504.40	$33,578.74	2026-01-21
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	33	26	—	—	$10,633.95	$34,686.07	$33,380.08	2026-01-21
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal D	30	23	—	—	$33,311.92	$35,405.77	$33,311.92	2026-01-21
01593	OTHER	New Technology - Level 42 ($30,001-$40,000)	29	23	—	—	$33,293.04	$33,293.04	$33,293.04	2026-01-21
01579	OTHER	New Technology - Level 42 ($30,001-$40,000)	29	23	—	—	$33,293.04	$33,293.04	$33,293.04	2026-01-21
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentia	30	23	—	—	$33,212.52	$38,705.04	$33,212.52	2026-01-21
6	MS_DRG	Liver Transplant Without Mcc	33	26	—	—	$32,922.83	$54,111.25	$32,922.83	2026-01-21
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	29	23	—	—	$32,791.48	$32,791.48	$32,791.48	2026-01-21
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion With	30	23	—	—	$32,699.89	$36,685.58	$32,699.89	2026-01-21
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	30	23	—	—	$32,635.28	$37,490.44	$32,635.28	2026-01-21
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedu	30	23	—	—	$32,552.21	$34,541.05	$32,552.21	2026-01-21
245	MS_DRG	Aicd Generator Procedures	33	26	—	—	$5,085.87	$41,569.26	$32,393.17	2026-01-21
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.	30	23	—	—	$32,295.90	$35,784.80	$32,295.90	2026-01-21
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedure	30	23	—	—	$32,281.70	$34,507.29	$32,281.70	2026-01-21
799	MS_DRG	Splenic Procedures With Mcc	30	23	—	—	$32,155.32	$39,494.56	$32,155.32	2026-01-21
163	MS_DRG	Major Chest Procedures With Mcc	33	26	—	—	$31,094.95	$38,415.77	$31,820.91	2026-01-21
31	MS_DRG	Ventricular Shunt Procedures With Mcc	30	23	—	—	$31,811.68	$33,542.83	$31,811.68	2026-01-21
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With M	30	23	—	—	$31,686.72	$33,130.04	$31,686.72	2026-01-21
69930	CPT	69930	17	17	$94,265.55	—	$1,170.83	$71,990.72	$31,586.28	2026-08-30
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	30	23	—	—	$31,189.01	$33,052.54	$31,189.01	2026-01-21
323	MS_DRG	Coronary Intravascular Lithotripsy With Intralumin	29	23	—	—	$30,724.66	$30,724.66	$30,724.66	2026-01-21
230	MS_DRG	Other Cardiothoracic Procedures Without Cc/mcc	30	23	—	—	$30,542.90	$33,006.51	$30,542.90	2026-01-21
05232	OTHER	Level 2 Icd And Similar Procedures	32	26	—	—	$16,634.01	$30,497.49	$30,497.49	2026-01-21
474	MS_DRG	Amputation For Musculoskeletal System And Connecti	30	23	—	—	$30,479.71	$31,274.77	$30,479.71	2026-01-21
140	MS_DRG	Major Head And Neck Procedures With Mcc	33	26	—	—	$4,308.58	$30,521.31	$30,283.75	2026-01-21
05166	OTHER	Cochlear Implant Procedure	32	26	—	—	$16,955.28	$30,256.12	$30,256.12	2026-01-21
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Witho	29	23	—	—	$30,109.80	$30,109.80	$30,109.80	2026-01-21
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsatio	30	23	—	—	$29,984.84	$33,108.55	$29,984.84	2026-01-21
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or	30	23	—	—	$29,408.00	$29,933.72	$29,933.72	2026-01-21
958	MS_DRG	Other O.r. Procedures For Multiple Significant Tra	30	23	—	—	$29,918.81	$32,269.16	$29,918.81	2026-01-21
0956T	CPT	0956t	6	6	—	—	$25,907.07	$51,552.74	$29,836.38	2026-08-30
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	30	23	—	—	$26,611.29	$29,831.48	$29,831.48	2026-01-21
901	MS_DRG	Wound Debridements For Injuries With Mcc	30	23	—	—	$29,795.98	$32,752.54	$29,795.98	2026-01-21
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Wi	30	23	—	—	$29,740.60	$31,435.13	$29,740.60	2026-01-21
L6700	HCPCS	L6700	2	2	—	—	$15,044.44	$44,265.29	$29,654.86	2026-08-30
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	30	23	—	—	$29,625.58	$38,421.91	$29,625.58	2026-01-21
793	MS_DRG	Full Term Neonate With Major Problems	30	23	—	—	$29,604.28	$30,531.29	$29,604.28	2026-01-21
33287	CPT	33287	9	9	—	—	$467.90	$58,627.48	$29,560.73	2026-08-30
61886	CPT	61886	17	17	$65,149.05	—	$773.97	$62,871.58	$29,560.73	2026-08-30
61891	CPT	61891	9	9	—	—	$527.85	$58,627.48	$29,560.73	2026-08-30
64582	CPT	64582	16	16	$37,953.00	—	$780.11	$58,627.48	$29,511.54	2026-08-30
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures Wi	30	23	—	—	$29,486.42	$32,117.24	$29,486.42	2026-01-21
0674T	CPT	0674t	12	12	$6,949.00	—	$1,265.00	$58,627.48	$29,462.36	2026-08-30
63685	CPT	Insrt/repl Spinal Neurost	17	17	$40,811.60	—	$323.52	$58,627.48	$29,462.36	2026-08-30
61885	CPT	Insrt/repl Cranial Neuros	17	17	$35,644.29	—	$465.70	$58,627.48	$29,462.36	2026-08-30
0735T	CPT	0735t	6	6	$3,742.00	—	$579.00	$43,521.66	$29,353.65	2026-08-30
3100016	CDM	Bi-lat Or Level 6	52	45	$34,496.80	$14,143.68 59% off	$14,143.68	$34,496.80	$29,322.28	2026-01-21
33249	CPT	Insrt/repos Lead Cardiove	7	7	$3,559.74	—	$1,166.46	$30,069.57	$29,294.07	2026-08-30
273	MS_DRG	Percutaneous And Other Intracardiac Procedures Wit	30	23	—	—	$29,291.17	$29,361.20	$29,291.17	2026-01-21
09273	OTHER	Sipuleucel-t Auto Cd54+	3	3	—	—	$29,194.30	$29,194.30	$29,194.30	2026-01-21
05465	OTHER	Level 5 Neurostimulator And Related Procedures	32	26	—	—	$15,700.21	$28,986.97	$28,986.97	2026-01-21
791	MS_DRG	Prematurity With Major Problems	33	26	—	—	$7,966.52	$29,722.58	$28,819.02	2026-01-21
402	MS_DRG	Single Level Combined Anterior And Posterior Spina	29	23	—	—	$28,545.67	$28,545.67	$28,545.67	2026-01-21
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Formi	30	23	—	—	$28,287.22	$28,478.83	$28,287.22	2026-01-21
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Comp	33	26	—	—	$9,111.65	$30,222.84	$27,774.60	2026-01-21
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >9	30	23	—	—	$17,362.60	$27,648.93	$27,648.93	2026-01-21
33240	CPT	Insrt Pacing Cardioverter	17	17	$12,014.12	—	$466.34	$86,558.25	$27,609.09	2026-08-30
0916T	CPT	0916t	7	7	—	—	$21,237.76	$42,261.24	$27,609.09	2026-08-30
0614T	CPT	0614t	14	14	$60,461.00	—	$662.35	$59,918.31	$27,609.09	2026-08-30
33262	CPT	33262	17	17	$74,311.00	—	$475.05	$86,558.25	$27,609.09	2026-08-30
33263	CPT	33263	17	17	$74,311.00	—	$494.05	$86,558.25	$27,609.09	2026-08-30
33230	CPT	33230	17	17	$74,311.00	—	$488.77	$86,558.25	$27,609.09	2026-08-30
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	30	23	—	—	$27,482.08	$30,522.85	$27,482.08	2026-01-21
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental	30	23	—	—	$25,074.45	$27,440.90	$27,440.90	2026-01-21
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System	33	26	—	—	$7,825.51	$29,653.53	$27,414.63	2026-01-21
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	30	23	—	—	$27,259.14	$30,293.43	$27,259.14	2026-01-21
E0194	HCPCS	E0194	3	3	$4,260.15	—	$618.47	$27,077.48	$27,077.48	2026-08-30
05200	OTHER	Implantation Wireless Pa Pressure Monitor	32	26	—	—	$14,695.24	$27,041.48	$27,041.48	2026-01-21
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Mu	30	23	—	—	$26,717.41	$29,539.97	$26,717.41	2026-01-21
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures	30	23	—	—	$22,863.17	$26,600.97	$26,600.97	2026-01-21
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	33	26	—	—	$22,732.50	$28,569.37	$26,537.78	2026-01-21
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With	33	26	—	—	$6,457.81	$27,521.28	$26,534.94	2026-01-21
61736	CPT	61736	9	9	$8,280.00	—	$0.60	$43,521.66	$26,520.04	2026-08-30
61737	CPT	61737	9	9	$8,280.00	—	$0.60	$43,521.66	$26,520.04	2026-08-30
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Pr	30	23	—	—	$26,460.39	$28,231.01	$26,460.39	2026-01-21
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	33	26	—	—	$8,517.85	$28,376.79	$26,311.29	2026-01-21
01578	OTHER	New Technology - Level 41 ($25,001-$30,000)	32	26	—	—	$14,593.37	$26,158.93	$26,158.93	2026-01-21
01592	OTHER	New Technology - Level 41 ($25,001-$30,000)	32	26	—	—	$14,593.37	$26,158.93	$26,158.93	2026-01-21
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	30	23	—	—	$26,079.12	$28,596.23	$26,079.12	2026-01-21
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip,	30	23	—	—	$26,068.47	$26,624.34	$26,068.47	2026-01-21
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	33	26	—	—	$4,757.97	$30,159.16	$25,971.19	2026-01-21
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact Wi	30	23	—	—	$25,762.45	$25,892.36	$25,762.45	2026-01-21
495	MS_DRG	Local Excision And Removal Of Internal Fixation De	30	23	—	—	$25,742.57	$27,943.28	$25,742.57	2026-01-21
332	MS_DRG	Rectal Resection With Mcc	30	23	—	—	$25,707.07	$31,930.02	$25,707.07	2026-01-21
265	MS_DRG	Aicd Lead Procedures	30	23	—	—	$25,689.32	$25,822.54	$25,689.32	2026-01-21
97	MS_DRG	Non-bacterial Infection Of Nervous System Except V	33	26	—	—	$3,518.55	$28,852.50	$25,643.88	2026-01-21
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of P	32	26	—	—	$4,396.08	$25,605.54	$25,605.54	2026-01-21
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And	30	23	—	—	$25,437.98	$29,340.48	$25,437.98	2026-01-21
J9266	HCPCS	J9266	14	14	$38,902.07	—	$3,145.99	$36,038.81	$25,380.83	2026-08-30
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnex	30	23	—	—	$25,379.05	$32,691.16	$25,379.05	2026-01-21
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	30	23	—	—	$25,353.49	$30,027.19	$25,353.49	2026-01-21
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystecto	30	23	—	—	$25,315.86	$28,794.95	$25,315.86	2026-01-21
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.	30	23	—	—	$25,294.56	$27,838.93	$25,294.56	2026-01-21
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, N	33	26	—	—	$13,081.35	$27,736.12	$25,270.42	2026-01-21
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	30	23	—	—	$25,249.83	$27,356.32	$25,249.83	2026-01-21
3105662	CDM	X-core Core	52	45	$29,700.00	$12,177.00 59% off	$12,177.00	$29,700.00	$25,245.00	2026-01-21
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	30	23	—	—	$25,038.96	$27,449.16	$25,038.96	2026-01-21
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous Sy	30	23	—	—	$24,987.84	$27,912.59	$24,987.84	2026-01-21
3106164	CDM	Zimmer Vrs Glenoid	52	45	$29,241.00	$11,988.81 59% off	$11,988.81	$29,241.00	$24,854.85	2026-01-21
252	MS_DRG	Other Vascular Procedures With Mcc	30	23	—	—	$24,767.03	$25,517.16	$24,767.03	2026-01-21
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritiona	30	23	—	—	$24,760.64	$30,431.54	$24,760.64	2026-01-21
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	30	23	—	—	$24,647.04	$24,909.49	$24,647.04	2026-01-21
0266T	CPT	0266t	9	9	$37,953.00	—	$416.84	$48,049.28	$24,598.93	2026-08-30
0268T	CPT	0268t	9	9	$37,953.00	—	$266.72	$48,049.28	$24,598.93	2026-08-30
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective	30	23	—	—	$24,527.76	$25,771.90	$24,527.76	2026-01-21
0923T	CPT	0923t	6	6	—	—	$21,237.76	$42,261.24	$24,458.88	2026-08-30
359	MS_DRG	Percutaneous Coronary Atherectomy With Intralumina	29	23	—	—	$24,414.16	$24,414.16	$24,414.16	2026-01-21
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Princip	30	23	—	—	$24,341.74	$25,135.06	$24,341.74	2026-01-21
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulato	30	23	—	—	$24,222.46	$25,295.42	$24,222.46	2026-01-21
984	MS_DRG	Prostatic O.r. Procedure Unrelated To Principal Di	30	23	—	—	$24,217.49	$26,170.88	$24,217.49	2026-01-21
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	33	26	—	—	$3,565.27	$26,981.12	$24,190.51	2026-01-21
4600019	CDM	Insert/repl Scs Gen/rec	52	45	$28,376.40	—	$11,634.32	$28,376.40	$24,119.94	2026-01-21
4600052	CDM	Ins/repl Periph/gstric Scs Gen	52	45	$28,376.40	—	$11,634.32	$28,376.40	$24,119.94	2026-01-21
3106088	CDM	Omnia Psif Implant	52	45	$28,350.00	$11,623.50 59% off	$11,623.50	$28,350.00	$24,097.50	2026-01-21
01142	OTHER	Supprelin La Implant	3	3	—	—	$24,065.48	$24,065.48	$24,065.48	2026-01-21
L7180	HCPCS	L7180	3	3	$40,637.42	—	$24,040.48	$75,010.73	$24,040.48	2026-08-30
L7181	HCPCS	L7181	3	3	$45,097.30	—	$23,845.15	$74,401.25	$23,845.15	2026-08-30
264	MS_DRG	Other Circulatory System O.r. Procedures	33	26	—	—	$11,694.97	$24,963.96	$23,718.36	2026-01-21
C9754	HCPCS	C9754	1	1	—	—	$23,509.91	$23,509.91	$23,509.91	2026-08-30
C9755	HCPCS	C9755	1	1	—	—	$23,509.91	$23,509.91	$23,509.91	2026-08-30
92993	CPT	$730.15	1	1	$20,641.00	—	$23,509.91	$23,509.91	$23,509.91	2026-08-30
92992	CPT	$728.86	1	1	$20,641.00	—	$23,509.91	$23,509.91	$23,509.91	2026-08-30

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