Hospital

MEDICAL CENTER ENTERPRISE

Enterprise, AL · CCN 010049 · Rates published

4,716 distinct procedures filed

50 distinct payers

264,790 rate rows

2026-05-23 last MRF observed

Data quality

226,934 of 264,790 rate rows are consumer-grade (85.7%)

37,856 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
per-diem day rate — not a per-procedure price	28,582
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,228
template filing: same amount across many unrelated codes — excluded	1,576
placeholder amount (≤ $0.02) — excluded from medians	424
exceeds 10× this hospital's gross charge — excluded from medians	46

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

Source MRF file	https://www.mcehospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/631159023_medical-center-enterprise_standardcharges.csv
Found on page	https://www.mcehospital.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	3db1ead152ec1834… · 56,986,790 bytes · first seen 2026-05-08

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
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$309,286.13	$364,632.07	$336,959.10	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	$2,392.00	$396,690.66	$272,851.10	nat. median $386,529 0.7× median
583-4 OTHER	Neonate With Ecmo	1	$221,000.00	$221,000.00	$221,000.00	nat. median $309,400 0.7× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$221,000.00	$221,000.00	$221,000.00	nat. median $267,493 0.8× median
583-3 OTHER	Neonate With Ecmo	1	$221,000.00	$221,000.00	$221,000.00	nat. median $259,487 0.9× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$203,108.61	$203,108.61	$203,108.61	nat. median $171,094 1.2× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	$195,638.13	$195,638.13	$195,638.13	nat. median $203,379 1.0× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$177,423.74	$177,423.74	$177,423.74	nat. median $210,669 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$2,392.00	$310,520.59	$177,404.08	nat. median $239,422 0.7× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$165,000.00	$165,000.00	$165,000.00	nat. median $169,856 1.0× median
7 OTHER	Lung Transplant	17	$2,392.00	$275,969.70	$157,668.61	nat. median $169,933 0.9× median
583-2 OTHER	Neonate With Ecmo	1	$137,155.23	$137,155.23	$137,155.23	nat. median $191,347 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	$2,392.00	$260,817.71	$135,437.68	nat. median $146,562 0.9× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$2,392.00	$259,287.04	$134,649.04	nat. median $181,005 0.7× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$132,000.00	$132,000.00	$132,000.00	nat. median $165,000 0.8× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$121,000.00	$121,000.00	$121,000.00	nat. median $151,250 0.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$120,000.00	$120,000.00	$120,000.00	nat. median $156,696 0.8× median
002-4 OTHER	Heart And/or Lung Transplant	1	$118,068.03	$118,068.03	$118,068.03	nat. median $216,800 0.5× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$109,629.69	$109,629.69	$109,629.69	nat. median $153,523 0.7× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$100,000.00	$100,000.00	$100,000.00	nat. median $125,000 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$99,000.00	$99,000.00	$99,000.00	nat. median $112,711 0.9× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$98,014.40	$98,014.40	$98,014.40	nat. median $100,015 1.0× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$95,000.00	$95,000.00	$95,000.00	nat. median $95,000 1.0× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$91,000.00	$91,000.00	$91,000.00	nat. median $99,157 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	23	$2,392.00	$169,208.70	$88,238.03	nat. median $134,983 0.7× median
161-4 OTHER	Implantable Heart Assist Systems	1	$88,107.75	$88,107.75	$88,107.75	nat. median $202,242 outlier · 0.4×
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$88,037.04	$88,037.04	$88,037.04	nat. median $99,067 0.9× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$87,000.00	$87,000.00	$87,000.00	nat. median $87,000 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$86,374.15	$86,374.15	$86,374.15	nat. median $150,954 0.6× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	$81,519.79	$81,519.79	$81,519.79	nat. median $93,000 0.9× median
583-1 OTHER	Neonate With Ecmo	1	$80,995.71	$80,995.71	$80,995.71	nat. median $171,226 outlier · 0.5×
591-2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$80,000.00	$80,000.00	$80,000.00	nat. median $80,000 1.0× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$80,000.00	$80,000.00	$80,000.00	nat. median $107,050 0.7× median
863-4 OTHER	Neonatal Aftercare	1	$79,729.28	$79,729.28	$79,729.28	nat. median $108,047 0.7× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	1	$78,374.13	$78,374.13	$78,374.13	nat. median $151,691 0.5× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	$78,139.45	$78,139.45	$78,139.45	nat. median $108,000 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	16	$2,392.00	$110,400.18	$76,701.94	nat. median $100,915 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	$2,392.00	$126,664.19	$72,385.31	nat. median $111,558 0.6× median
609-3 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$70,558.76	$70,558.76	$70,558.76	nat. median $83,785 0.8× median
1417403 OTHER	Gen Neuro Closd Loop	15	$8,999.94	$99,999.36	$69,999.55	nat. median $38,000 1.8× median
1417404 OTHER	Gen Neuro Ext Cntrl	15	$8,999.94	$99,999.36	$69,999.55	nat. median $25,000 outlier · 2.8×
1414709 OTHER	Joint Device Implt10	15	$8,999.92	$99,999.14	$69,999.40	nat. median $25,000 outlier · 2.8×
007-4 OTHER	Allogeneic Bone Marrow Transplant	1	$69,513.90	$69,513.90	$69,513.90	nat. median $172,311 outlier · 0.4×
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	23	$2,392.00	$132,838.01	$69,505.69	nat. median $90,581 0.8× median
161-3 OTHER	Implantable Heart Assist Systems	1	$68,990.52	$68,990.52	$68,990.52	nat. median $152,491 outlier · 0.5×
607-3 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$67,200.62	$67,200.62	$67,200.62	nat. median $77,124 0.9× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$66,379.62	$66,379.62	$66,379.62	nat. median $110,000 0.6× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	$2,392.00	$115,415.02	$65,959.78	nat. median $94,894 0.7× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	1	$65,719.16	$65,719.16	$65,719.16	nat. median $124,561 0.5× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$65,165.40	$65,165.40	$65,165.40	nat. median $89,334 0.7× median

Other procedures at this hospital

Browse this hospital's 4,716 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

681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	4	2	—	—	$309,286.13	$364,632.07	$336,959.10	2026-05-23
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	38	19	—	—	$2,392.00	$396,690.66	$272,851.10	2026-05-23
583-4	OTHER	Neonate With Ecmo	2	1	—	—	$221,000.00	$221,000.00	$221,000.00	2026-05-23
583-3	OTHER	Neonate With Ecmo	2	1	—	—	$221,000.00	$221,000.00	$221,000.00	2026-05-23
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$221,000.00	$221,000.00	$221,000.00	2026-05-23
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$203,108.61	$203,108.61	$203,108.61	2026-05-23
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	1	—	—	$195,638.13	$195,638.13	$195,638.13	2026-05-23
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	1	—	—	$177,423.74	$177,423.74	$177,423.74	2026-05-23
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	36	18	—	—	$2,392.00	$310,520.59	$177,404.08	2026-05-23
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	1	—	—	$165,000.00	$165,000.00	$165,000.00	2026-05-23
7	OTHER	Lung Transplant	34	17	—	—	$2,392.00	$275,969.70	$157,668.61	2026-05-23
583-2	OTHER	Neonate With Ecmo	2	1	—	—	$137,155.23	$137,155.23	$137,155.23	2026-05-23
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	46	23	—	—	$2,392.00	$260,817.71	$135,437.68	2026-05-23
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	46	23	—	—	$2,392.00	$259,287.04	$134,649.04	2026-05-23
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$132,000.00	$132,000.00	$132,000.00	2026-05-23
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$121,000.00	$121,000.00	$121,000.00	2026-05-23
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$120,000.00	$120,000.00	$120,000.00	2026-05-23
002-4	OTHER	Heart And/or Lung Transplant	2	1	—	—	$118,068.03	$118,068.03	$118,068.03	2026-05-23
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	1	—	—	$109,629.69	$109,629.69	$109,629.69	2026-05-23
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$100,000.00	$100,000.00	$100,000.00	2026-05-23
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$99,000.00	$99,000.00	$99,000.00	2026-05-23
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$98,014.40	$98,014.40	$98,014.40	2026-05-23
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	1	—	—	$95,000.00	$95,000.00	$95,000.00	2026-05-23
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$91,000.00	$91,000.00	$91,000.00	2026-05-23
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	46	23	—	—	$2,392.00	$169,208.70	$88,238.03	2026-05-23
161-4	OTHER	Implantable Heart Assist Systems	2	1	—	—	$88,107.75	$88,107.75	$88,107.75	2026-05-23
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$88,037.04	$88,037.04	$88,037.04	2026-05-23
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$87,000.00	$87,000.00	$87,000.00	2026-05-23
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$86,374.15	$86,374.15	$86,374.15	2026-05-23
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	1	—	—	$81,519.79	$81,519.79	$81,519.79	2026-05-23
583-1	OTHER	Neonate With Ecmo	2	1	—	—	$80,995.71	$80,995.71	$80,995.71	2026-05-23
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	1	—	—	$80,000.00	$80,000.00	$80,000.00	2026-05-23
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	1	—	—	$80,000.00	$80,000.00	$80,000.00	2026-05-23
863-4	OTHER	Neonatal Aftercare	2	1	—	—	$79,729.28	$79,729.28	$79,729.28	2026-05-23
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	2	1	—	—	$78,374.13	$78,374.13	$78,374.13	2026-05-23
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$78,139.45	$78,139.45	$78,139.45	2026-05-23
14	OTHER	Allogeneic Bone Marrow Transplant	32	16	—	—	$2,392.00	$110,400.18	$76,701.94	2026-05-23
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	36	18	—	—	$2,392.00	$126,664.19	$72,385.31	2026-05-23
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	1	—	—	$70,558.76	$70,558.76	$70,558.76	2026-05-23
1417403	OTHER	Gen Neuro Closd Loop	34	15	$99,999.36	$29,999.81 70% off	$8,999.94	$99,999.36	$69,999.55	2026-05-23
1417404	OTHER	Gen Neuro Ext Cntrl	34	15	$99,999.36	$29,999.81 70% off	$8,999.94	$99,999.36	$69,999.55	2026-05-23
1414709	OTHER	Joint Device Implt10	34	15	$99,999.14	$29,999.74 70% off	$8,999.92	$99,999.14	$69,999.40	2026-05-23
007-4	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$69,513.90	$69,513.90	$69,513.90	2026-05-23
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	46	23	—	—	$2,392.00	$132,838.01	$69,505.69	2026-05-23
161-3	OTHER	Implantable Heart Assist Systems	2	1	—	—	$68,990.52	$68,990.52	$68,990.52	2026-05-23
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$67,200.62	$67,200.62	$67,200.62	2026-05-23
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$66,379.62	$66,379.62	$66,379.62	2026-05-23
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	34	17	—	—	$2,392.00	$115,415.02	$65,959.78	2026-05-23
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$65,719.16	$65,719.16	$65,719.16	2026-05-23
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	1	—	—	$65,165.40	$65,165.40	$65,165.40	2026-05-23
215	OTHER	Other Heart Assist System Implant	46	23	—	—	$2,392.00	$121,634.71	$64,363.76	2026-05-23
002-3	OTHER	Heart And/or Lung Transplant	2	1	—	—	$64,313.84	$64,313.84	$64,313.84	2026-05-23
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$64,215.88	$64,215.88	$64,215.88	2026-05-23
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	2	1	—	—	$64,047.27	$64,047.27	$64,047.27	2026-05-23
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	1	—	—	$62,975.60	$62,975.60	$62,975.60	2026-05-23
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	23	—	—	$2,392.00	$119,506.68	$62,639.76	2026-05-23
1410014	OTHER	Oth Ster Supp Lvl 14	36	15	$89,349.50	$8,041.46 91% off	$8,041.46	$89,349.50	$62,544.65	2026-05-23
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	1	—	—	$62,000.00	$62,000.00	$62,000.00	2026-05-23
1414708	OTHER	Joint Device Implt 9	34	15	$87,823.50	$26,347.05 70% off	$7,904.12	$87,823.50	$61,476.45	2026-05-23
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$58,911.54	$58,911.54	$58,911.54	2026-05-23
613	OTHER	Neonate, Birth Weight <750 Grams, Died	4	2	—	—	$54,048.96	$63,720.88	$58,884.92	2026-05-23
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$58,048.83	$58,048.83	$58,048.83	2026-05-23
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	2	1	—	—	$57,782.49	$57,782.49	$57,782.49	2026-05-23
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	1	—	—	$57,501.25	$57,501.25	$57,501.25	2026-05-23
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	40	20	—	—	$2,392.00	$99,453.81	$56,836.74	2026-05-23
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	1	—	—	$55,904.01	$55,904.01	$55,904.01	2026-05-23
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	2	1	—	—	$55,822.59	$55,822.59	$55,822.59	2026-05-23
231	OTHER	Coronary Bypass With Ptca With Mcc	46	23	—	—	$2,392.00	$102,979.66	$54,127.95	2026-05-23
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	23	—	—	$2,392.00	$102,655.93	$53,961.21	2026-05-23
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	1	—	—	$52,514.62	$52,514.62	$52,514.62	2026-05-23
754-4	OTHER	Depression Except Major Depressive Disorder	2	1	—	—	$50,828.51	$50,828.51	$50,828.51	2026-05-23
161-2	OTHER	Implantable Heart Assist Systems	2	1	—	—	$50,763.40	$50,763.40	$50,763.40	2026-05-23
161-1	OTHER	Implantable Heart Assist Systems	2	1	—	—	$50,763.40	$50,763.40	$50,763.40	2026-05-23
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	46	23	—	—	$2,392.00	$96,125.26	$50,597.78	2026-05-23
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$50,578.61	$50,578.61	$50,578.61	2026-05-23
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$50,021.00	$50,021.00	$50,021.00	2026-05-23
1414576	OTHER	Genratr Neurostm 3	34	15	$71,433.55	$21,430.07 70% off	$6,429.02	$71,433.55	$50,003.49	2026-05-23
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-23
588-1	OTHER	Female Reproductive System Reconstructive Procedures	2	1	—	—	$50,000.00	$50,000.00	$50,000.00	2026-05-23
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	23	—	—	$2,392.00	$93,798.11	$49,399.24	2026-05-23
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	46	23	—	—	$2,392.00	$93,393.76	$49,190.99	2026-05-23
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	46	23	—	—	$2,392.00	$93,084.70	$49,031.81	2026-05-23
002-2	OTHER	Heart And/or Lung Transplant	2	1	—	—	$48,700.82	$48,700.82	$48,700.82	2026-05-23
1110865	OTHER	Bilat Lithotripsy	32	13	$67,440.29	$6,069.63 91% off	$6,069.63	$67,440.29	$48,422.12	2026-05-23
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	1	—	—	$48,256.70	$48,256.70	$48,256.70	2026-05-23
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$46,288.65	$46,288.65	$46,288.65	2026-05-23
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$46,242.32	$46,242.32	$46,242.32	2026-05-23
10	OTHER	Pancreas Transplant	34	17	—	—	$2,392.00	$80,886.54	$46,237.11	2026-05-23
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	46	23	—	—	$2,392.00	$87,621.70	$46,218.24	2026-05-23
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	38	19	—	—	$2,392.00	$80,433.85	$45,978.54	2026-05-23
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	46	23	—	—	$2,392.00	$87,104.97	$45,952.11	2026-05-23
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$45,773.76	$45,773.76	$45,773.76	2026-05-23
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	2	1	—	—	$44,986.56	$44,986.56	$44,986.56	2026-05-23
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$44,469.23	$44,469.23	$44,469.23	2026-05-23
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	46	23	—	—	$2,392.00	$84,020.43	$44,363.51	2026-05-23
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	44	22	—	—	$2,392.00	$63,493.93	$44,349.98	2026-05-23
1414707	OTHER	Joint Device Implt 8	34	15	$63,233.08	$18,969.92 70% off	$5,690.98	$63,233.08	$44,263.16	2026-05-23
007-3	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$44,211.42	$44,211.42	$44,211.42	2026-05-23
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	2	1	—	—	$43,878.16	$43,878.16	$43,878.16	2026-05-23
955	OTHER	Craniotomy For Multiple Significant Trauma	46	23	—	—	$2,392.00	$101,002.22	$43,865.43	2026-05-23
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	1	—	—	$43,646.76	$43,646.76	$43,646.76	2026-05-23
002-1	OTHER	Heart And/or Lung Transplant	2	1	—	—	$43,043.59	$43,043.59	$43,043.59	2026-05-23
006-4	OTHER	Pancreas Transplant	2	1	—	—	$42,927.52	$42,927.52	$42,927.52	2026-05-23
459	OTHER	Spinal Fusion Except Cervical With Mcc	40	20	—	—	$2,392.00	$74,901.24	$42,809.51	2026-05-23
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	23	—	—	$2,392.00	$80,323.86	$42,459.67	2026-05-23
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	23	—	—	$2,392.00	$80,323.86	$42,459.67	2026-05-23
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	46	23	—	—	$2,392.00	$80,031.90	$42,309.32	2026-05-23
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	2	—	—	$38,698.74	$45,623.78	$42,161.26	2026-05-23
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$41,643.23	$41,643.23	$41,643.23	2026-05-23
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	44	22	—	—	$2,392.00	$59,111.15	$41,362.41	2026-05-23
1414481	OTHER	Conn Tissue Human 7	34	15	$57,521.33	$17,256.40 70% off	$5,176.92	$57,521.33	$40,264.93	2026-05-23
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	46	23	—	—	$2,392.00	$119,137.06	$40,036.37	2026-05-23
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$74,777.80	$39,603.33	2026-05-23
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	40	20	—	—	$2,392.00	$69,217.70	$39,562.42	2026-05-23
232	OTHER	Coronary Bypass With Ptca Without Mcc	46	23	—	—	$2,392.00	$74,060.72	$39,234.02	2026-05-23
28	OTHER	Spinal Procedures With Mcc	46	23	—	—	$2,392.00	$73,397.39	$38,892.40	2026-05-23
276	OTHER	Non-maligant Breast Disorders	46	23	—	—	$2,392.00	$73,376.63	$38,881.69	2026-05-23
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	2	1	—	—	$38,849.30	$38,849.30	$38,849.30	2026-05-23
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	23	—	—	$2,392.00	$72,845.23	$38,608.00	2026-05-23
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	32	16	—	—	$2,392.00	$54,472.08	$38,397.88	2026-05-23
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	44	22	—	—	$2,392.00	$54,598.84	$38,286.54	2026-05-23
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	46	23	—	—	$2,392.00	$71,690.82	$38,013.46	2026-05-23
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$71,644.40	$37,989.56	2026-05-23
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	23	—	—	$2,392.00	$70,001.34	$37,143.33	2026-05-23
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	46	23	—	—	$2,392.00	$69,625.09	$36,949.56	2026-05-23
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	4	2	—	—	$33,874.20	$39,935.90	$36,905.05	2026-05-23
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	1	—	—	$36,398.35	$36,398.35	$36,398.35	2026-05-23
8	OTHER	Simultaneous Pancreas And Kidney Transplant	34	17	—	—	$2,392.00	$63,581.54	$36,352.50	2026-05-23
278	OTHER	Cellulitis Age >17 Without Cc	46	23	—	—	$2,392.00	$67,996.70	$36,110.90	2026-05-23
213	OTHER	Splenic Procedures Age 0-17	4	2	—	—	$32,958.16	$38,855.94	$35,907.05	2026-05-23
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	46	23	—	—	$2,392.00	$67,468.97	$35,839.12	2026-05-23
1414706	OTHER	Joint Device Implt 7	34	15	$50,939.71	$15,281.91 70% off	$4,584.57	$50,939.71	$35,657.80	2026-05-23
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	46	23	—	—	$2,392.00	$66,827.63	$35,508.80	2026-05-23
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	46	23	—	—	$2,392.00	$66,732.34	$35,459.74	2026-05-23
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	44	22	—	—	$2,392.00	$50,431.93	$35,446.13	2026-05-23
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	46	23	—	—	$2,392.00	$66,627.29	$35,405.63	2026-05-23
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	32	16	—	—	$2,392.00	$49,902.79	$35,268.46	2026-05-23
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	23	—	—	$2,392.00	$65,145.48	$34,642.46	2026-05-23
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$34,425.83	$34,425.83	$34,425.83	2026-05-23
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	46	23	—	—	$2,392.00	$64,669.06	$34,397.10	2026-05-23
483-4	OTHER	Penis, Testes And Scrotal Procedures	2	1	—	—	$34,391.52	$34,391.52	$34,391.52	2026-05-23
270	OTHER	Other Major Cardiovascular Procedures With Mcc	46	23	—	—	$2,392.00	$64,455.28	$34,287.00	2026-05-23
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$34,119.63	$34,119.63	$34,119.63	2026-05-23
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	1	—	—	$33,990.74	$33,990.74	$33,990.74	2026-05-23
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	46	23	—	—	$2,392.00	$63,589.17	$33,840.92	2026-05-23
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	2	1	—	—	$33,834.71	$33,834.71	$33,834.71	2026-05-23
653	OTHER	Major Bladder Procedures With Mcc	46	23	—	—	$2,392.00	$63,479.22	$33,784.28	2026-05-23
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$33,559.57	$33,559.57	$33,559.57	2026-05-23
232-4	OTHER	Gastric Fundoplication	2	1	—	—	$33,454.73	$33,454.73	$33,454.73	2026-05-23
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	1	—	—	$33,354.00	$33,354.00	$33,354.00	2026-05-23
440-4	OTHER	Kidney Transplant	2	1	—	—	$33,283.63	$33,283.63	$33,283.63	2026-05-23
006-3	OTHER	Pancreas Transplant	2	1	—	—	$33,082.46	$33,082.46	$33,082.46	2026-05-23
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$33,026.75	$33,026.75	$33,026.75	2026-05-23
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	23	—	—	$2,392.00	$61,571.08	$32,801.56	2026-05-23
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	46	23	—	—	$2,392.00	$60,926.08	$32,469.36	2026-05-23
228	OTHER	Other Cardiothoracic Procedures With Mcc	46	23	—	—	$2,392.00	$60,437.44	$32,217.70	2026-05-23
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$60,329.94	$32,162.35	2026-05-23
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	46	23	—	—	$2,392.00	$60,123.49	$32,056.02	2026-05-23
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	46	23	—	—	$2,392.00	$59,873.06	$31,927.04	2026-05-23
1414878	OTHER	Prsths Penile Infl 4	34	15	$45,118.72	$13,535.62 70% off	$4,060.68	$45,118.72	$31,583.10	2026-05-23
471	OTHER	Cervical Spinal Fusion With Mcc	46	23	—	—	$2,392.00	$58,987.40	$31,470.90	2026-05-23
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	44	22	—	—	$2,392.00	$44,133.79	$31,152.94	2026-05-23
007-2	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$31,134.17	$31,134.17	$31,134.17	2026-05-23
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	46	23	—	—	$2,392.00	$58,157.93	$31,043.71	2026-05-23
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	2	1	—	—	$30,917.70	$30,917.70	$30,917.70	2026-05-23
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	38	19	—	—	$2,392.00	$53,633.18	$30,669.99	2026-05-23
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	46	23	—	—	$2,392.00	$57,315.03	$30,609.60	2026-05-23
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	46	23	—	—	$2,392.00	$57,144.00	$30,521.51	2026-05-23
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	1	—	—	$30,294.81	$30,294.81	$30,294.81	2026-05-23
6	OTHER	Liver Transplant Without Mcc	34	17	—	—	$2,392.00	$52,923.83	$30,264.81	2026-05-23
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	40	20	—	—	$2,392.00	$52,577.96	$30,206.12	2026-05-23
277	OTHER	Cellulitis Age >17 W Cc	46	23	—	—	$2,392.00	$56,419.60	$30,148.43	2026-05-23
329	OTHER	Major Small And Large Bowel Procedures With Mcc	46	23	—	—	$2,392.00	$56,150.84	$30,010.02	2026-05-23
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	46	23	—	—	$2,392.00	$56,007.92	$29,936.40	2026-05-23
245	OTHER	Aicd Generator Procedures	46	23	—	—	$2,392.00	$55,734.28	$29,795.46	2026-05-23
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	1	—	—	$29,743.10	$29,743.10	$29,743.10	2026-05-23
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$55,566.92	$29,709.28	2026-05-23
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	46	23	—	—	$2,392.00	$55,542.49	$29,696.69	2026-05-23
799	OTHER	Splenectomy With Mcc	46	23	—	—	$2,392.00	$55,325.04	$29,584.72	2026-05-23
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	2	—	—	$27,056.19	$31,897.82	$29,477.00	2026-05-23
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	1	—	—	$29,328.79	$29,328.79	$29,328.79	2026-05-23
163	OTHER	Major Chest Procedures With Mcc	46	23	—	—	$2,392.00	$54,749.67	$29,288.38	2026-05-23
31	OTHER	Ventricular Shunt Procedures With Mcc	46	23	—	—	$2,392.00	$54,733.79	$29,280.19	2026-05-23
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	1	—	—	$29,251.04	$29,251.04	$29,251.04	2026-05-23
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	46	23	—	—	$2,392.00	$54,518.79	$29,169.47	2026-05-23
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$29,134.61	$29,134.61	$29,134.61	2026-05-23
1414761	OTHER	Mesh Implantable 12	34	15	$41,578.37	$12,473.51 70% off	$3,742.05	$41,578.37	$29,104.86	2026-05-23
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	2	1	—	—	$28,994.23	$28,994.23	$28,994.23	2026-05-23
095-4	OTHER	Cleft Lip And Palate Repair	2	1	—	—	$28,837.39	$28,837.39	$28,837.39	2026-05-23
356	OTHER	Other Digestive System O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$53,662.44	$28,728.44	2026-05-23
1410066	OTHER	Pmkr Dual Rate-rs L2	32	14	$39,894.97	$11,968.49 70% off	$3,590.55	$39,894.97	$28,644.59	2026-05-23
1410036	OTHER	Aicd Dual Chamber L2	32	14	$39,894.97	$11,968.49 70% off	$3,590.55	$39,894.97	$28,644.59	2026-05-23
006-2	OTHER	Pancreas Transplant	2	1	—	—	$28,521.14	$28,521.14	$28,521.14	2026-05-23
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	46	23	—	—	$2,392.00	$52,863.52	$28,316.96	2026-05-23
178-4	OTHER	External Heart Assist Systems	2	1	—	—	$28,283.31	$28,283.31	$28,283.31	2026-05-23
547-4	OTHER	Antepartum With O.r. Procedure	2	1	—	—	$28,227.77	$28,227.77	$28,227.77	2026-05-23
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	1	—	—	$28,194.45	$28,194.45	$28,194.45	2026-05-23
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	46	23	—	—	$2,392.00	$52,442.07	$28,099.91	2026-05-23
1414480	OTHER	Conn Tissue Human 6	34	15	$39,894.97	$11,968.49 70% off	$3,590.55	$39,894.97	$27,926.48	2026-05-23
140	OTHER	Major Head And Neck Procedures With Mcc	46	23	—	—	$2,392.00	$52,104.90	$27,926.27	2026-05-23
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	46	23	—	—	$2,392.00	$51,590.61	$27,661.38	2026-05-23
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	46	23	—	—	$2,392.00	$51,502.66	$27,616.08	2026-05-23
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	46	23	—	—	$2,392.00	$51,477.00	$27,602.88	2026-05-23
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	46	23	—	—	$2,392.00	$51,326.75	$27,525.48	2026-05-23
901	OTHER	Wound Debridements For Injuries With Mcc	46	23	—	—	$2,392.00	$51,265.67	$27,494.03	2026-05-23
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$50,733.05	$27,486.23	2026-05-23
007-1	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$27,483.27	$27,483.27	$27,483.27	2026-05-23
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	46	23	—	—	$2,392.00	$51,170.38	$27,444.96	2026-05-23
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	46	23	—	—	$2,392.00	$50,972.48	$27,343.04	2026-05-23
793	OTHER	Full Term Neonate With Major Problems	44	22	—	—	$2,392.00	$38,303.26	$27,178.50	2026-05-23
639-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	2	1	—	—	$27,049.35	$27,049.35	$27,049.35	2026-05-23
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	46	23	—	—	$2,392.00	$50,397.11	$27,046.70	2026-05-23
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	1	—	—	$26,721.33	$26,721.33	$26,721.33	2026-05-23
791	OTHER	Prematurity With Major Problems	44	22	—	—	$1,786.78	$37,287.24	$26,485.92	2026-05-23
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$26,368.13	$26,368.13	$26,368.13	2026-05-23
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	1	—	—	$26,181.92	$26,181.92	$26,181.92	2026-05-23
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	46	23	—	—	$2,392.00	$48,669.77	$26,157.09	2026-05-23
1414105	OTHER	Breast Implant 6	34	15	$37,111.95	$11,133.59 70% off	$3,340.08	$37,111.95	$25,978.36	2026-05-23
223-4	OTHER	Other Small And Large Bowel Procedures	2	1	—	—	$25,727.95	$25,727.95	$25,727.95	2026-05-23
1414705	OTHER	Joint Device Implt 6	34	15	$36,725.03	$11,017.51 70% off	$3,305.25	$36,725.03	$25,707.52	2026-05-23
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	46	23	—	—	$2,392.00	$47,787.77	$25,702.84	2026-05-23
625-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	2	1	—	—	$25,641.28	$25,641.28	$25,641.28	2026-05-23
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	44	22	—	—	$2,392.00	$47,213.62	$25,521.77	2026-05-23
183-4	OTHER	Percutaneous Structural Cardiac Procedures	2	1	—	—	$25,455.58	$25,455.58	$25,455.58	2026-05-23
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	44	22	—	—	$2,392.00	$35,773.32	$25,453.94	2026-05-23
34	OTHER	Carotid Artery Stent Procedures With Mcc	46	23	—	—	$2,392.00	$47,284.47	$25,443.62	2026-05-23
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	46	23	—	—	$2,392.00	$47,168.42	$25,383.86	2026-05-23
910-4	OTHER	Craniotomy For Multiple Significant Trauma	2	1	—	—	$25,380.45	$25,380.45	$25,380.45	2026-05-23
1414016	OTHER	Anchor/scrw Level 16	34	15	$36,177.98	$10,853.39 70% off	$3,256.02	$36,177.98	$25,324.59	2026-05-23
907	OTHER	Other O.r. Procedures For Injuries With Mcc	46	23	—	—	$2,392.00	$46,900.89	$25,246.07	2026-05-23
539-4	OTHER	Cesarean Section With Sterilization	2	1	—	—	$25,106.40	$25,106.40	$25,106.40	2026-05-23
757-4	OTHER	Organic Mental Health Disturbances	2	1	—	—	$24,998.11	$24,998.11	$24,998.11	2026-05-23
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	1	—	—	$24,864.19	$24,864.19	$24,864.19	2026-05-23
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$318,977.49	$24,847.76	2026-05-23
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	46	23	—	—	$2,392.00	$45,654.86	$24,825.24	2026-05-23
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	46	23	—	—	$2,392.00	$45,968.81	$24,766.03	2026-05-23
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	1	—	—	$24,670.14	$24,670.14	$24,670.14	2026-05-23
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$45,768.47	$24,662.84	2026-05-23
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	46	23	—	—	$2,392.00	$45,526.59	$24,538.26	2026-05-23
904	OTHER	Skin Grafts For Injuries With Cc/mcc	46	23	—	—	$2,392.00	$44,870.59	$24,437.35	2026-05-23
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	38	19	—	—	$2,392.00	$42,667.07	$24,406.15	2026-05-23
1414704	OTHER	Joint Device Implt 5	34	15	$34,790.03	$10,437.01 70% off	$3,131.10	$34,790.03	$24,353.02	2026-05-23
1110864	OTHER	Lithotripsy	32	13	$33,720.82	$3,034.87 91% off	$3,034.87	$33,720.82	$24,211.54	2026-05-23
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	46	23	—	—	$2,392.00	$44,852.27	$24,190.98	2026-05-23
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	1	—	—	$24,140.70	$24,140.70	$24,140.70	2026-05-23
460	OTHER	Spinal Fusion Except Cervical Without Mcc	40	20	—	—	$2,392.00	$42,139.48	$24,104.79	2026-05-23
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	46	23	—	—	$2,392.00	$44,325.76	$23,919.82	2026-05-23
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	46	23	—	—	$2,392.00	$44,291.55	$23,902.20	2026-05-23
332	OTHER	Rectal Resection With Mcc	46	23	—	—	$2,392.00	$44,230.47	$23,870.74	2026-05-23
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	1	—	—	$23,855.86	$23,855.86	$23,855.86	2026-05-23
265	OTHER	Aicd Lead Procedures	46	23	—	—	$2,392.00	$44,199.93	$23,855.02	2026-05-23
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	1	—	—	$23,821.68	$23,821.68	$23,821.68	2026-05-23
279	OTHER	Cellulitis Age 0-17	46	23	—	—	$2,392.00	$44,055.78	$23,780.78	2026-05-23
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	46	23	—	—	$2,392.00	$88,643.71	$23,735.30	2026-05-23
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	46	23	—	—	$2,392.00	$80,468.47	$23,713.71	2026-05-23
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	44	22	—	—	$2,392.00	$33,395.32	$23,685.58	2026-05-23
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	46	23	—	—	$2,392.00	$43,767.48	$23,632.30	2026-05-23
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	46	23	—	—	$2,392.00	$43,666.09	$23,580.07	2026-05-23
335	OTHER	Peritoneal Adhesiolysis With Mcc	46	23	—	—	$2,392.00	$43,622.11	$23,557.43	2026-05-23
360	OTHER	Removal Of Skin Lesion	18,878	48	$74,482.67	$6,703.44 91% off	$9.65	$389,783.12	$23,524.94	2026-05-23
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	46	23	—	—	$2,392.00	$43,557.37	$23,524.08	2026-05-23
179-4	OTHER	Defibrillator Implants	2	1	—	—	$23,511.21	$23,511.21	$23,511.21	2026-05-23
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	1	—	—	$23,475.60	$23,475.60	$23,475.60	2026-05-23
271	OTHER	Other Major Cardiovascular Procedures With Cc	46	23	—	—	$2,392.00	$43,443.76	$23,465.57	2026-05-23
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$23,443.20	$23,443.20	$23,443.20	2026-05-23
091-4	OTHER	Other Major Head And Neck Procedures	2	1	—	—	$23,374.13	$23,374.13	$23,374.13	2026-05-23
234-4	OTHER	Appendectomy Without Complex Principal Diagnosis	2	1	—	—	$23,286.55	$23,286.55	$23,286.55	2026-05-23
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	46	23	—	—	$2,392.00	$43,080.95	$23,278.71	2026-05-23
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$23,165.13	$23,165.13	$23,165.13	2026-05-23
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	44	22	—	—	$2,392.00	$32,619.90	$23,106.98	2026-05-23
252	OTHER	Other Vascular Procedures With Mcc	46	23	—	—	$2,392.00	$42,613.07	$23,037.75	2026-05-23
480-4	OTHER	Major Male Pelvic Procedures	2	1	—	—	$23,032.22	$23,032.22	$23,032.22	2026-05-23
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	46	23	—	—	$2,392.00	$42,602.08	$23,032.08	2026-05-23
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	2	1	—	—	$23,014.88	$23,014.88	$23,014.88	2026-05-23
021-4	OTHER	Open Craniotomy Except Trauma	2	1	—	—	$22,982.48	$22,982.48	$22,982.48	2026-05-23
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	46	23	—	—	$2,392.00	$42,406.62	$22,931.40	2026-05-23
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	46	23	—	—	$2,392.00	$42,201.39	$22,825.72	2026-05-23
178-3	OTHER	External Heart Assist Systems	2	1	—	—	$22,821.54	$22,821.54	$22,821.54	2026-05-23
097-4	OTHER	Tonsil And Adenoid Procedures	2	1	—	—	$22,772.51	$22,772.51	$22,772.51	2026-05-23
423-4	OTHER	Inborn Errors Of Metabolism	2	1	—	—	$22,756.85	$22,756.85	$22,756.85	2026-05-23
636-3	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	2	1	—	—	$22,756.06	$22,756.06	$22,756.06	2026-05-23
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	2	1	—	—	$22,756.06	$22,756.06	$22,756.06	2026-05-23
1414760	OTHER	Mesh Implantable 11	34	15	$32,471.87	$9,741.56 70% off	$2,922.47	$32,471.87	$22,730.31	2026-05-23
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	1	—	—	$22,685.53	$22,685.53	$22,685.53	2026-05-23
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	46	23	—	—	$2,392.00	$41,881.33	$22,660.88	2026-05-23
440-3	OTHER	Kidney Transplant	2	1	—	—	$22,628.92	$22,628.92	$22,628.92	2026-05-23
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	46	23	—	—	$2,392.00	$41,676.11	$22,555.20	2026-05-23
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	46	23	—	—	$2,392.00	$41,621.13	$22,526.87	2026-05-23
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	1	—	—	$22,445.56	$22,445.56	$22,445.56	2026-05-23
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	1	—	—	$22,377.20	$22,377.20	$22,377.20	2026-05-23
264	OTHER	Other Circulatory System O.r. Procedures	46	23	—	—	$2,392.00	$40,808.77	$22,108.49	2026-05-23
411	OTHER	Cholecystectomy With C.d.e. With Mcc	46	23	—	—	$2,392.00	$40,353.11	$22,087.92	2026-05-23
690-4	OTHER	Acute Leukemia	2	1	—	—	$22,051.77	$22,051.77	$22,051.77	2026-05-23
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	46	23	—	—	$2,392.00	$40,211.41	$22,014.21	2026-05-23
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	1	—	—	$21,936.65	$21,936.65	$21,936.65	2026-05-23
362	OTHER	Cardiac Defibrillator Implant Without Mcc	4	2	—	—	$20,114.28	$23,713.68	$21,913.98	2026-05-23
542-4	OTHER	Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c	2	1	—	—	$21,811.72	$21,811.72	$21,811.72	2026-05-23
540-4	OTHER	Cesarean Section Without Sterilization	2	1	—	—	$21,807.51	$21,807.51	$21,807.51	2026-05-23
37	OTHER	Extracranial Procedures With Mcc	46	23	—	—	$2,392.00	$40,216.29	$21,803.35	2026-05-23
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	1	—	—	$21,794.86	$21,794.86	$21,794.86	2026-05-23

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