Hospital

BALDWIN HEALTH

Foley, AL · CCN 010083 · Rates published

5,453 distinct procedures filed

50 distinct payers

247,848 rate rows

2026-05-06 last MRF observed

Data quality

224,230 of 247,848 rate rows are consumer-grade (90.5%)

23,618 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	11,076
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,173
template filing: same amount across many unrelated codes — excluded	5,157
placeholder amount (≤ $0.02) — excluded from medians	164
exceeds 10× this hospital's gross charge — excluded from medians	48

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

Source MRF file	https://www.baldwinhealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621811413_south-baldwin-regional-medical-center_standardcharges.csv
Found on page	https://www.baldwinhealth.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	3bcc1344affeeb05… · 90,718,605 bytes · first seen 2026-05-05

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	$297,459.36	$328,914.76	$313,187.06	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	26	$1,292.00	$446,699.99	$297,017.33	nat. median $386,529 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	$1,292.00	$290,911.36	$190,706.01	nat. median $239,422 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$1,292.00	$545,505.27	$148,412.98	nat. median $146,562 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$1,292.00	$542,303.86	$147,547.62	nat. median $181,005 0.8× median
7 OTHER	Lung Transplant	24	$1,292.00	$177,769.45	$118,897.13	nat. median $169,933 0.7× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$1,292.00	$353,903.27	$96,623.10	nat. median $134,983 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	24	$1,292.00	$126,417.03	$82,323.11	nat. median $100,915 0.8× median
1410016 OTHER	Oth Ster Supp Lvl 16	20	$16,099.99	$99,999.96	$80,749.97	nat. median $16,746 outlier · 4.8×
1410017 OTHER	Oth Ster Supp Lvl 17	20	$16,099.85	$99,999.09	$80,749.27	nat. median $26,500 outlier · 3.0×
1414579 OTHER	Genratr Neurostm 6	20	$10,000.00	$99,999.99	$79,999.99	nat. median $35,000 outlier · 2.3×
1413004 OTHER	Aicd Ohr Thn Sgl/du1	20	$10,000.00	$99,999.99	$79,999.99	nat. median $20,000 outlier · 4.0×
1410740 OTHER	Prosth Impl Nos Lv10	20	$10,000.00	$99,999.97	$79,999.98	nat. median $50,000 1.6× median
1418038 OTHER	Genrate Neuro Rech 6	20	$10,000.00	$99,999.96	$79,999.97	nat. median $38,000 outlier · 2.1×
1417404 OTHER	Gen Neuro Ext Cntrl	20	$9,999.99	$99,999.91	$79,999.93	nat. median $25,000 outlier · 3.2×
1410038 OTHER	Aicd Dual Chamber L4	20	$9,999.98	$99,999.78	$79,999.83	nat. median $25,000 outlier · 3.2×
1418021 OTHER	Impl/insert Noc Lv11	20	$9,999.97	$99,999.70	$79,999.76	nat. median $19,814 outlier · 4.0×
1414709 OTHER	Joint Device Implt10	20	$9,999.96	$99,999.61	$79,999.69	nat. median $25,000 outlier · 3.2×
1414708 OTHER	Joint Device Implt 9	20	$9,999.94	$99,999.40	$79,999.52	nat. median $23,000 outlier · 3.5×
1414707 OTHER	Joint Device Implt 8	20	$9,999.93	$99,999.33	$79,999.46	nat. median $21,769 outlier · 3.7×
1413003 OTHER	Aicd Dual Chamber L1	20	$9,999.92	$99,999.22	$79,999.38	nat. median $21,100 outlier · 3.8×
1417403 OTHER	Gen Neuro Closd Loop	20	$9,999.92	$99,999.21	$79,999.37	nat. median $38,000 outlier · 2.1×
1414285 OTHER	Cath Trns Arthr Rot1	20	$9,999.92	$99,999.20	$79,999.36	nat. median $2,451 outlier · 32.6×
1410067 OTHER	Pmkr Dual Rate-rs L3	20	$9,999.92	$99,999.18	$79,999.35	nat. median $19,297 outlier · 4.1×
1414878 OTHER	Prsths Penile Infl 4	20	$9,999.91	$99,999.10	$79,999.28	nat. median $18,047 outlier · 4.4×
1413005 OTHER	Aicd Single Chamber1	20	$9,999.91	$99,999.09	$79,999.27	nat. median $20,000 outlier · 4.0×
1417117 OTHER	Stnt No Cocv W/del 4	20	$9,999.28	$99,992.75	$79,994.20	nat. median $8,180 outlier · 9.8×
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	$1,292.00	$119,365.96	$77,677.26	nat. median $111,558 0.7× median
1414763 OTHER	Mesh Implantable 14	20	$9,612.39	$96,123.94	$76,899.15	nat. median $22,057 outlier · 3.5×
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	29	$1,292.00	$277,833.26	$76,061.42	nat. median $90,581 0.8× median
1414954 OTHER	Stnt Coat/cov W/del4	20	$9,495.70	$94,956.97	$75,965.58	nat. median $16,254 outlier · 4.7×
1418037 OTHER	Genrate Neuro Rech 5	20	$9,375.00	$93,749.96	$74,999.97	nat. median $29,598 outlier · 2.5×
1414578 OTHER	Genratr Neurostm 5	20	$9,375.00	$93,749.96	$74,999.97	nat. median $30,123 outlier · 2.5×
1414577 OTHER	Genratr Neurostm 4	20	$9,000.00	$89,999.96	$71,999.97	nat. median $25,070 outlier · 2.9×
1410739 OTHER	Prosth Impl Nos Lvl9	20	$8,999.94	$89,999.45	$71,999.56	nat. median $50,000 1.4× median
1414275 OTHER	Cath Trns Arthr Dir1	20	$8,947.32	$89,473.21	$71,578.57	nat. median $1,692 outlier · 42.3×
215 OTHER	Other Heart Assist System Implant	29	$1,292.00	$254,401.35	$70,916.29	nat. median $92,359 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	24	$1,292.00	$108,870.00	$70,761.62	nat. median $94,894 0.7× median
1414877 OTHER	Prsths Penile Infl 3	20	$8,709.97	$87,099.74	$69,679.79	nat. median $7,739 outlier · 9.0×
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$1,292.00	$249,950.54	$68,524.74	nat. median $90,130 0.8× median
1414762 OTHER	Mesh Implantable 13	20	$8,299.99	$82,999.88	$66,399.91	nat. median $13,222 outlier · 5.0×
1414300 OTHER	Cath Trnslum Ang La1	20	$8,201.84	$82,018.37	$65,614.70	nat. median $2,218 outlier · 29.6×
1414706 OTHER	Joint Device Implt 7	20	$8,043.21	$80,432.05	$64,345.64	nat. median $19,498 outlier · 3.3×
1417059 OTHER	Tissue Non-human 11	20	$8,039.99	$80,399.88	$64,319.91	nat. median $22,891 outlier · 2.8×
1414576 OTHER	Genratr Neurostm 3	20	$8,000.00	$79,999.99	$63,999.99	nat. median $24,000 outlier · 2.7×
1410730 OTHER	Lead Neurostimulat 7	20	$7,777.80	$77,777.99	$62,222.39	nat. median $25,000 outlier · 2.5×
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	25	$1,292.00	$93,977.53	$60,646.13	nat. median $65,342 0.9× median
1413328 OTHER	Cath Bal Dil Nonvas8	20	$7,500.00	$75,000.00	$60,000.00	nat. median $29,371 outlier · 2.0×
1413215 OTHER	Pmkr Othr Th Sngl L1	20	$7,458.07	$74,580.66	$59,664.53	nat. median $14,204 outlier · 4.2×
231 OTHER	Coronary Bypass With Ptca With Mcc	29	$1,292.00	$215,383.95	$59,181.42	nat. median $74,989 0.8× median

Other procedures at this hospital

Browse this hospital's 5,453 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

1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	24	—	—	$1,292.00	$290,911.36	$190,706.01	2026-05-06
10	OTHER	Pancreas Transplant	24	24	—	—	$1,292.00	$76,653.53	$49,534.67	2026-05-06
1061560	OTHER	Ic-prq Card Rev 1 Vs	29	26	$54,897.09	$9,881.48 82% off	$569.55	$49,956.35	$41,996.27	2026-05-06
1061566	OTHER	Ic-prq De Cr Stnt Ar	45	42	$52,523.83	$9,454.29 82% off	$6,911.00	$63,483.03	$21,548.02	2026-05-06
1061570	OTHER	Ic-prq De Cr Rev Ami	25	22	$56,725.76	$10,210.64 82% off	$2,885.00	$51,620.44	$44,359.54	2026-05-06
1061571	OTHER	Ic-prq De Cor Rev Ch	45	42	$56,725.76	$10,210.64 82% off	$6,911.00	$63,483.03	$21,737.92	2026-05-06
1061577	OTHER	Ep-ablate Sprvnt Art	49	46	$99,999.14	$17,999.85 82% off	$718.97	$90,999.22	$29,455.53	2026-05-06
1061578	OTHER	Ep-ablate Vent Tacy	49	46	$99,999.14	$17,999.85 82% off	$866.46	$90,999.22	$29,455.53	2026-05-06
1061579	OTHER	Ep-atr Fib Pulm Vn I	49	46	$99,999.14	$17,999.85 82% off	$814.99	$90,999.22	$29,455.53	2026-05-06
1062275	OTHER	Ic-prq Cor Stnt 2p	45	42	$54,000.00	$9,720.00 82% off	$6,283.00	$63,483.03	$21,600.00	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	30	29	—	—	$1,292.00	$139,352.26	$38,630.11	2026-05-06
1110864	OTHER	Lithotripsy	20	17	$71,865.02	$17,247.60 76% off	$12,935.70	$71,865.02	$58,031.00	2026-05-06
1110865	OTHER	Bilat Lithotripsy	20	17	$37,998.81	$9,119.72 76% off	$6,839.79	$37,998.81	$30,684.04	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	30	29	—	—	$1,292.00	$107,718.80	$30,079.61	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	30	29	—	—	$1,292.00	$73,629.99	$20,746.31	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	24	24	—	—	$1,292.00	$126,417.03	$82,323.11	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	30	29	—	—	$1,292.00	$108,978.41	$30,420.08	2026-05-06
1410013	OTHER	Oth Ster Supp Lvl 13	23	20	$28,877.85	$5,198.01 82% off	$4,649.33	$28,877.85	$23,318.86	2026-05-06
1410014	OTHER	Oth Ster Supp Lvl 14	23	20	$46,922.00	$8,445.96 82% off	$7,554.44	$46,922.00	$37,889.51	2026-05-06
1410016	OTHER	Oth Ster Supp Lvl 16	23	20	$99,999.96	$17,999.99 82% off	$16,099.99	$99,999.96	$80,749.97	2026-05-06
1410017	OTHER	Oth Ster Supp Lvl 17	23	20	$99,999.09	$17,999.84 82% off	$16,099.85	$99,999.09	$80,749.27	2026-05-06
1410038	OTHER	Aicd Dual Chamber L4	23	20	$99,999.78	$17,999.96 82% off	$9,999.98	$99,999.78	$79,999.83	2026-05-06
1410047	OTHER	Pmkr Singl Rate-rsl2	23	20	$33,213.25	$5,978.39 82% off	$3,321.33	$33,213.25	$26,570.60	2026-05-06
1410048	OTHER	Pmkr Singl Rate-rsl3	23	20	$66,404.09	$11,952.74 82% off	$6,640.41	$66,404.09	$53,123.27	2026-05-06
1410062	OTHER	Lead Aicd Endo Sn L2	23	20	$30,736.05	$5,532.49 82% off	$3,073.60	$30,736.05	$24,588.84	2026-05-06
1410066	OTHER	Pmkr Dual Rate-rs L2	23	20	$27,853.30	$5,013.59 82% off	$2,785.33	$27,853.30	$22,282.64	2026-05-06
1410067	OTHER	Pmkr Dual Rate-rs L3	23	20	$99,999.18	$17,999.85 82% off	$9,999.92	$99,999.18	$79,999.35	2026-05-06
1410105	OTHER	Cath-angio Nonlsr L5	23	20	$42,999.99	$7,740.00 82% off	$4,300.00	$42,999.99	$34,399.99	2026-05-06
1410730	OTHER	Lead Neurostimulat 7	23	20	$77,777.99	$14,000.04 82% off	$7,777.80	$77,777.99	$62,222.39	2026-05-06
1410736	OTHER	Prosth Impl Nos Lvl6	23	20	$44,097.60	$7,937.57 82% off	$4,409.76	$44,097.60	$35,278.08	2026-05-06
1410737	OTHER	Prosth Impl Nos Lvl7	23	20	$55,057.00	$9,910.26 82% off	$5,505.70	$55,057.00	$44,045.60	2026-05-06
1410738	OTHER	Prosth Impl Nos Lvl8	23	20	$67,325.15	$12,118.53 82% off	$6,732.51	$67,325.15	$53,860.12	2026-05-06
1410739	OTHER	Prosth Impl Nos Lvl9	23	20	$89,999.45	$16,199.90 82% off	$8,999.94	$89,999.45	$71,999.56	2026-05-06
1410740	OTHER	Prosth Impl Nos Lv10	23	20	$99,999.97	$17,999.99 82% off	$10,000.00	$99,999.97	$79,999.98	2026-05-06
1410742	OTHER	Genratr Neurostm 1	23	20	$41,999.95	$7,559.99 82% off	$4,199.99	$41,999.95	$33,599.96	2026-05-06
1410744	OTHER	Genrate Neuro Rech 1	23	20	$29,999.96	$5,399.99 82% off	$3,000.00	$29,999.96	$23,999.97	2026-05-06
1411011	OTHER	Cath Ep Not Cool-tp6	23	20	$30,900.00	$5,562.00 82% off	$3,090.00	$30,900.00	$24,720.00	2026-05-06
1413003	OTHER	Aicd Dual Chamber L1	23	20	$99,999.22	$17,999.86 82% off	$9,999.92	$99,999.22	$79,999.38	2026-05-06
1413004	OTHER	Aicd Ohr Thn Sgl/du1	23	20	$99,999.99	$18,000.00 82% off	$10,000.00	$99,999.99	$79,999.99	2026-05-06
1413005	OTHER	Aicd Single Chamber1	23	20	$99,999.09	$17,999.84 82% off	$9,999.91	$99,999.09	$79,999.27	2026-05-06
1413052	OTHER	Cath Intra Echocard2	23	20	$30,939.89	$5,569.18 82% off	$3,093.99	$30,939.89	$24,751.91	2026-05-06
1413124	OTHER	Evnt Rcrdr Crdc Lvl1	23	20	$47,275.66	$8,509.62 82% off	$4,727.57	$47,275.66	$37,820.53	2026-05-06
1413125	OTHER	Genrate Neuro Rech 4	23	20	$71,999.76	$12,959.96 82% off	$7,199.98	$71,999.76	$57,599.81	2026-05-06
1413177	OTHER	Lead Aicd End Dul L1	23	20	$38,718.59	$6,969.35 82% off	$3,871.86	$38,718.59	$30,974.87	2026-05-06
1413180	OTHER	Lead Lt Vent Cor Lv1	23	20	$26,826.24	$4,828.72 82% off	$2,682.62	$26,826.24	$21,460.99	2026-05-06
1413209	OTHER	Patient Progr Neuro1	23	20	$27,656.44	$4,978.16 82% off	$2,765.64	$27,656.44	$22,125.15	2026-05-06
1413215	OTHER	Pmkr Othr Th Sngl L1	23	20	$74,580.66	$13,424.52 82% off	$7,458.07	$74,580.66	$59,664.53	2026-05-06
1413224	OTHER	Probe Perc Lum Disc1	23	20	$26,932.31	$4,847.82 82% off	$2,693.23	$26,932.31	$21,545.85	2026-05-06
1413242	OTHER	Cath Ep Cool-tip L2	23	20	$36,444.56	$6,560.02 82% off	$3,644.46	$36,444.56	$29,155.65	2026-05-06
1413253	OTHER	Rep Dev Urnry Wo Sl3	23	20	$36,712.28	$6,608.21 82% off	$3,671.23	$36,712.28	$29,369.83	2026-05-06
1413261	OTHER	Stnt Noncor Tm Without 4	23	20	$36,000.00	$6,480.00 82% off	$3,600.00	$36,000.00	$28,800.00	2026-05-06
1413326	OTHER	Cath Bal Dil Nonvas6	23	20	$29,999.94	$5,399.99 82% off	$2,999.99	$29,999.94	$23,999.95	2026-05-06
1413327	OTHER	Cath Bal Dil Nonvas7	23	20	$59,999.94	$10,799.99 82% off	$5,999.99	$59,999.94	$47,999.95	2026-05-06
1413328	OTHER	Cath Bal Dil Nonvas8	23	20	$75,000.00	$13,500.00 82% off	$7,500.00	$75,000.00	$60,000.00	2026-05-06
1413353	OTHER	Interspinous Impl L3	23	20	$67,362.00	$12,125.16 82% off	$6,736.20	$67,362.00	$53,889.60	2026-05-06
1414015	OTHER	Anchor/scrw Level 15	23	20	$27,055.92	$4,870.07 82% off	$2,705.59	$27,055.92	$21,644.74	2026-05-06
1414020	OTHER	Anchor/scrw Level 20	23	20	$40,417.20	$7,275.10 82% off	$4,041.72	$40,417.20	$32,333.76	2026-05-06
1414107	OTHER	Breast Implant 8	23	20	$48,949.69	$8,810.94 82% off	$4,894.97	$48,949.69	$39,159.75	2026-05-06
1414251	OTHER	Cath Thrmb/embol 3	23	20	$66,347.19	$11,942.49 82% off	$6,634.72	$66,347.19	$53,077.75	2026-05-06
1414275	OTHER	Cath Trns Arthr Dir1	23	20	$89,473.21	$16,105.18 82% off	$8,947.32	$89,473.21	$71,578.57	2026-05-06
1414285	OTHER	Cath Trns Arthr Rot1	23	20	$99,999.20	$17,999.86 82% off	$9,999.92	$99,999.20	$79,999.36	2026-05-06
1414287	OTHER	Cath Trns Arthr Rot3	23	20	$26,571.30	$4,782.83 82% off	$2,657.13	$26,571.30	$21,257.04	2026-05-06
1414300	OTHER	Cath Trnslum Ang La1	23	20	$82,018.37	$14,763.31 82% off	$8,201.84	$82,018.37	$65,614.70	2026-05-06
1414378	OTHER	Catheter Guiding 4	23	20	$58,287.78	$10,491.80 82% off	$5,828.78	$58,287.78	$46,630.23	2026-05-06
1414414	OTHER	Cath-infus Perif 15	23	20	$37,933.95	$6,828.11 82% off	$3,793.40	$37,933.95	$30,347.16	2026-05-06
1414482	OTHER	Conn Tissue Human 8	23	20	$36,179.92	$6,512.39 82% off	$3,617.99	$36,179.92	$28,943.94	2026-05-06
1414483	OTHER	Conn Tissue Human 9	23	20	$46,409.84	$8,353.77 82% off	$4,640.98	$46,409.84	$37,127.87	2026-05-06
1414525	OTHER	Emboliz Protect Sys1	23	20	$38,560.54	$6,940.90 82% off	$3,856.05	$38,560.54	$30,848.43	2026-05-06
1414575	OTHER	Genratr Neurostm 2	23	20	$66,349.39	$11,942.89 82% off	$6,634.94	$66,349.39	$53,079.51	2026-05-06
1414576	OTHER	Genratr Neurostm 3	23	20	$79,999.99	$14,400.00 82% off	$8,000.00	$79,999.99	$63,999.99	2026-05-06
1414577	OTHER	Genratr Neurostm 4	23	20	$89,999.96	$16,199.99 82% off	$9,000.00	$89,999.96	$71,999.97	2026-05-06
1414578	OTHER	Genratr Neurostm 5	23	20	$93,749.96	$16,874.99 82% off	$9,375.00	$93,749.96	$74,999.97	2026-05-06
1414579	OTHER	Genratr Neurostm 6	23	20	$99,999.99	$18,000.00 82% off	$10,000.00	$99,999.99	$79,999.99	2026-05-06
1414605	OTHER	Graft Vascular 6	23	20	$28,641.47	$5,155.46 82% off	$2,864.15	$28,641.47	$22,913.18	2026-05-06
1414606	OTHER	Graft Vascular 7	23	20	$32,413.19	$5,834.37 82% off	$3,241.32	$32,413.19	$25,930.55	2026-05-06
1414607	OTHER	Graft Vascular 8	23	20	$44,199.85	$7,955.97 82% off	$4,419.98	$44,199.85	$35,359.88	2026-05-06
1414705	OTHER	Joint Device Implt 6	23	20	$40,219.38	$7,239.49 82% off	$4,021.94	$40,219.38	$32,175.51	2026-05-06
1414706	OTHER	Joint Device Implt 7	23	20	$80,432.05	$14,477.77 82% off	$8,043.21	$80,432.05	$64,345.64	2026-05-06
1414707	OTHER	Joint Device Implt 8	23	20	$99,999.33	$17,999.88 82% off	$9,999.93	$99,999.33	$79,999.46	2026-05-06
1414708	OTHER	Joint Device Implt 9	23	20	$99,999.40	$17,999.89 82% off	$9,999.94	$99,999.40	$79,999.52	2026-05-06
1414709	OTHER	Joint Device Implt10	23	20	$99,999.61	$17,999.93 82% off	$9,999.96	$99,999.61	$79,999.69	2026-05-06
1414758	OTHER	Mesh Implantable 9	23	20	$29,999.88	$5,399.98 82% off	$2,999.99	$29,999.88	$23,999.91	2026-05-06
1414759	OTHER	Mesh Implantable 10	23	20	$35,999.88	$6,479.98 82% off	$3,599.99	$35,999.88	$28,799.91	2026-05-06
1414760	OTHER	Mesh Implantable 11	23	20	$47,999.88	$8,639.98 82% off	$4,799.99	$47,999.88	$38,399.91	2026-05-06
1414761	OTHER	Mesh Implantable 12	23	20	$71,999.88	$12,959.98 82% off	$7,199.99	$71,999.88	$57,599.91	2026-05-06
1414762	OTHER	Mesh Implantable 13	23	20	$82,999.88	$14,939.98 82% off	$8,299.99	$82,999.88	$66,399.91	2026-05-06
1414763	OTHER	Mesh Implantable 14	23	20	$96,123.94	$17,302.31 82% off	$9,612.39	$96,123.94	$76,899.15	2026-05-06
1414876	OTHER	Prsths Penile Infl 2	23	20	$52,259.78	$9,406.76 82% off	$5,225.98	$52,259.78	$41,807.83	2026-05-06
1414877	OTHER	Prsths Penile Infl 3	23	20	$87,099.74	$15,677.95 82% off	$8,709.97	$87,099.74	$69,679.79	2026-05-06
1414878	OTHER	Prsths Penile Infl 4	23	20	$99,999.10	$17,999.84 82% off	$9,999.91	$99,999.10	$79,999.28	2026-05-06
1414902	OTHER	Rep Dev Urinry W/sl3	23	20	$27,326.30	$4,918.73 82% off	$2,732.63	$27,326.30	$21,861.04	2026-05-06
1414931	OTHER	Sheath Non-lasr 8	23	20	$54,000.00	$9,720.00 82% off	$5,400.00	$54,000.00	$43,200.00	2026-05-06
1414951	OTHER	Stnt Coat/cov W/del1	23	20	$30,521.42	$5,493.86 82% off	$3,052.14	$30,521.42	$24,417.14	2026-05-06
1414952	OTHER	Stnt Coat/cov W/del2	23	20	$41,068.50	$7,392.33 82% off	$4,106.85	$41,068.50	$32,854.80	2026-05-06
1414953	OTHER	Stnt Coat/cov W/del3	23	20	$49,564.70	$8,921.65 82% off	$4,956.47	$49,564.70	$39,651.76	2026-05-06
1414954	OTHER	Stnt Coat/cov W/del4	23	20	$94,956.97	$17,092.25 82% off	$9,495.70	$94,956.97	$75,965.58	2026-05-06
1414972	OTHER	Stnt No Cocv W/del 3	23	20	$25,689.12	$4,624.04 82% off	$2,568.91	$25,689.12	$20,551.30	2026-05-06
1415232	OTHER	Prsths Urnary Sphc 2	23	20	$40,199.92	$7,235.99 82% off	$4,019.99	$40,199.92	$32,159.94	2026-05-06
1417034	OTHER	Bone Void Per 0.5cc5	23	20	$39,999.99	$7,200.00 82% off	$4,000.00	$39,999.99	$31,999.99	2026-05-06
1417056	OTHER	Tissue Non-human 8	23	20	$28,139.94	$5,065.19 82% off	$2,813.99	$28,139.94	$22,511.95	2026-05-06
1417057	OTHER	Tissue Non-human 9	23	20	$36,179.92	$6,512.39 82% off	$3,617.99	$36,179.92	$28,943.94	2026-05-06
1417058	OTHER	Tissue Non-human 10	23	20	$48,239.92	$8,683.19 82% off	$4,823.99	$48,239.92	$38,591.94	2026-05-06
1417059	OTHER	Tissue Non-human 11	23	20	$80,399.88	$14,471.98 82% off	$8,039.99	$80,399.88	$64,319.91	2026-05-06
1417075	OTHER	Vena Cava Filter 1	23	20	$43,884.40	$7,899.19 82% off	$4,388.44	$43,884.40	$35,107.52	2026-05-06
1417117	OTHER	Stnt No Cocv W/del 4	23	20	$99,992.75	$17,998.70 82% off	$9,999.28	$99,992.75	$79,994.20	2026-05-06
1417395	OTHER	Cath Ivl Cornry Lv3	23	20	$36,712.28	$6,608.21 82% off	$3,671.23	$36,712.28	$29,369.83	2026-05-06
1417403	OTHER	Gen Neuro Closd Loop	23	20	$99,999.21	$17,999.86 82% off	$9,999.92	$99,999.21	$79,999.37	2026-05-06
1417404	OTHER	Gen Neuro Ext Cntrl	23	20	$99,999.91	$17,999.98 82% off	$9,999.99	$99,999.91	$79,999.93	2026-05-06
1418018	OTHER	Impl/insert Noc Lvl8	23	20	$29,479.94	$5,306.39 82% off	$2,947.99	$29,479.94	$23,583.95	2026-05-06
1418019	OTHER	Impl/insert Noc Lvl9	23	20	$37,519.92	$6,753.59 82% off	$3,751.99	$37,519.92	$30,015.94	2026-05-06
1418020	OTHER	Impl/insert Noc Lv10	23	20	$49,579.92	$8,924.39 82% off	$4,957.99	$49,579.92	$39,663.94	2026-05-06
1418021	OTHER	Impl/insert Noc Lv11	23	20	$99,999.70	$17,999.95 82% off	$9,999.97	$99,999.70	$79,999.76	2026-05-06
1418034	OTHER	Lead Neurostimulat 6	23	20	$41,999.95	$7,559.99 82% off	$4,199.99	$41,999.95	$33,599.96	2026-05-06
1418035	OTHER	Genrate Neuro Rech 2	23	20	$48,749.96	$8,774.99 82% off	$4,875.00	$48,749.96	$38,999.97	2026-05-06
1418036	OTHER	Genrate Neuro Rech 3	23	20	$63,749.96	$11,474.99 82% off	$6,375.00	$63,749.96	$50,999.97	2026-05-06
1418037	OTHER	Genrate Neuro Rech 5	23	20	$93,749.96	$16,874.99 82% off	$9,375.00	$93,749.96	$74,999.97	2026-05-06
1418038	OTHER	Genrate Neuro Rech 6	23	20	$99,999.96	$17,999.99 82% off	$10,000.00	$99,999.96	$79,999.97	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$95,725.63	$26,828.20	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	24	24	—	—	$1,292.00	$63,848.32	$41,097.50	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	30	29	—	—	$1,292.00	$114,509.99	$31,915.26	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$304,468.97	$26,926.11	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	24	24	—	—	$1,292.00	$58,736.50	$37,729.39	2026-05-06
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	30	29	—	—	$1,292.00	$76,047.02	$21,411.60	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	26	26	—	—	$1,292.00	$446,699.99	$297,017.33	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	26	—	—	$1,292.00	$76,231.15	$49,256.36	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	24	—	—	$1,292.00	$119,365.96	$77,677.26	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	30	29	—	—	$1,292.00	$201,047.84	$55,306.39	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	30	29	—	—	$1,292.00	$69,038.26	$44,517.07	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	30	29	—	—	$1,292.00	$135,256.59	$37,523.06	2026-05-06
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	30	29	—	—	$1,292.00	$277,833.26	$76,061.42	2026-05-06
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$36,409.47	$48,351.40	$42,380.43	2026-05-06
215	OTHER	Other Heart Assist System Implant	30	29	—	—	$1,292.00	$254,401.35	$70,916.29	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	29	—	—	$1,292.00	$249,950.54	$68,524.74	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	29	—	—	$1,292.00	$167,998.92	$46,373.29	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	30	29	—	—	$1,292.00	$167,998.92	$46,373.29	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	29	—	—	$1,292.00	$196,180.57	$53,990.76	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	30	29	—	—	$1,292.00	$81,182.57	$23,032.99	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	29	—	—	$1,292.00	$136,253.04	$37,792.40	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	30	29	—	—	$1,292.00	$128,777.11	$35,771.65	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	30	29	—	—	$1,292.00	$126,406.07	$35,130.79	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	30	29	—	—	$1,292.00	$80,469.73	$22,628.96	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	30	29	—	—	$1,292.00	$146,409.16	$40,537.59	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	30	29	—	—	$1,292.00	$215,383.95	$59,181.42	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	30	29	—	—	$1,292.00	$154,899.43	$42,832.51	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	30	29	—	—	$1,292.00	$195,334.86	$53,762.18	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	30	29	—	—	$1,292.00	$139,571.98	$38,689.52	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	30	29	—	—	$1,292.00	$149,942.73	$41,492.71	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	30	29	—	—	$1,292.00	$107,023.84	$29,891.78	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	30	29	—	—	$1,292.00	$125,749.44	$34,953.28	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	30	29	—	—	$1,292.00	$99,949.04	$27,979.47	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	30	29	—	—	$1,292.00	$72,830.27	$20,526.18	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	30	29	—	—	$1,292.00	$81,576.04	$22,933.48	2026-05-06
245	OTHER	Aicd Generator Procedures	30	29	—	—	$1,292.00	$116,569.32	$32,471.90	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	30	29	—	—	$1,292.00	$116,168.19	$32,363.49	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	30	29	—	—	$1,292.00	$89,126.07	$25,011.65	2026-05-06
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	30	29	—	—	$1,292.00	$80,280.65	$22,576.93	2026-05-06
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	30	29	—	—	$1,292.00	$79,440.06	$22,345.56	2026-05-06
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	30	29	—	—	$1,292.00	$83,109.04	$23,355.45	2026-05-06
263	OTHER	Vein Ligation And Stripping	30	29	—	—	$1,292.00	$78,116.57	$21,981.26	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	30	29	—	—	$1,292.00	$85,352.33	$23,972.92	2026-05-06
265	OTHER	Aicd Lead Procedures	30	29	—	—	$1,292.00	$92,445.01	$25,925.19	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	30	29	—	—	$1,292.00	$156,580.62	$43,829.31	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	30	29	—	—	$1,292.00	$121,638.44	$33,842.08	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	30	29	—	—	$1,292.00	$175,730.35	$48,463.07	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	30	29	—	—	$1,292.00	$107,902.76	$30,129.34	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	30	29	—	—	$1,292.00	$134,809.46	$37,402.19	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	30	29	—	—	$1,292.00	$90,863.46	$25,489.89	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	30	29	—	—	$1,292.00	$105,406.52	$29,454.60	2026-05-06
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	30	29	—	—	$1,292.00	$84,102.93	$23,827.17	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	30	29	—	—	$1,292.00	$182,181.72	$50,206.88	2026-05-06
276	OTHER	Non-maligant Breast Disorders	30	29	—	—	$1,292.00	$153,468.63	$42,445.76	2026-05-06
277	OTHER	Cellulitis Age >17 W Cc	30	29	—	—	$1,292.00	$118,002.68	$32,859.34	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	30	29	—	—	$1,292.00	$142,216.41	$39,404.30	2026-05-06
279	OTHER	Cellulitis Age 0-17	30	29	—	—	$1,292.00	$92,143.52	$25,842.22	2026-05-06
28	OTHER	Spinal Procedures With Mcc	30	29	—	—	$1,292.00	$153,512.07	$42,457.51	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	30	29	—	—	$1,292.00	$87,166.38	$24,472.24	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	30	29	—	—	$1,292.00	$542,303.86	$147,547.62	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	30	29	—	—	$1,292.00	$114,476.78	$31,906.28	2026-05-06
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$29,889.46	$39,692.88	$34,791.17	2026-05-06
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$42,751.20	$56,773.14	$49,762.17	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	30	29	—	—	$1,292.00	$114,027.10	$31,784.74	2026-05-06
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	30	29	—	—	$1,292.00	$110,565.07	$30,848.96	2026-05-06
324	OTHER	Urinary Stones Without Cc	30	29	—	—	$1,292.00	$80,508.05	$22,849.54	2026-05-06
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	30	29	—	—	$1,292.00	$82,025.72	$23,057.26	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	31	30	—	—	$1,292.00	$127,428.07	$35,579.57	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	30	29	—	—	$1,292.00	$117,440.57	$32,707.41	2026-05-06
332	OTHER	Rectal Resection With Mcc	30	29	—	—	$1,292.00	$92,508.88	$25,942.78	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	30	29	—	—	$1,292.00	$91,236.49	$25,592.56	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	30	29	—	—	$1,292.00	$98,896.38	$27,694.92	2026-05-06
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	30	29	—	—	$1,292.00	$74,146.10	$20,888.36	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$112,236.04	$31,300.61	2026-05-06
360	OTHER	Removal Of Skin Lesion	21,035	49	$64,780.40	$11,660.47 82% off	$3.70	$385,793.05	$35,877.06	2026-05-06
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$22,220.61	$29,508.74	$25,864.68	2026-05-06
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	2	—	—	$21,325.98	$28,320.68	$24,823.33	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	30	29	—	—	$1,292.00	$84,113.15	$23,631.83	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	30	29	—	—	$1,292.00	$353,903.27	$96,623.10	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	30	29	—	—	$1,292.00	$98,653.66	$27,629.31	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	30	29	—	—	$1,292.00	$139,771.28	$38,743.38	2026-05-06
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	30	29	—	—	$1,292.00	$74,100.11	$20,875.70	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	30	29	—	—	$1,292.00	$91,101.08	$25,555.28	2026-05-06
411	OTHER	Cholecystectomy With C.d.e. With Mcc	30	29	—	—	$1,292.00	$84,399.32	$23,710.60	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	30	29	—	—	$1,292.00	$91,024.43	$25,709.46	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$106,109.15	$29,811.76	2026-05-06
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	25	25	—	—	$1,292.00	$93,977.53	$60,646.13	2026-05-06
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	25	25	—	—	$1,292.00	$65,766.04	$42,150.48	2026-05-06
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	25	25	—	—	$1,292.00	$50,240.51	$32,610.56	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	29	—	—	$1,292.00	$214,706.87	$58,998.42	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	29	—	—	$1,292.00	$152,357.20	$42,145.35	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	30	29	—	—	$1,292.00	$106,609.93	$29,779.88	2026-05-06
459	OTHER	Spinal Fusion Except Cervical With Mcc	25	25	—	—	$1,292.00	$71,068.99	$45,627.13	2026-05-06
460	OTHER	Spinal Fusion Except Cervical Without Mcc	25	25	—	—	$1,292.00	$40,500.96	$25,842.02	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	30	29	—	—	$1,292.00	$141,112.65	$39,105.95	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	30	29	—	—	$1,292.00	$145,622.22	$40,324.88	2026-05-06
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	30	29	—	—	$1,292.00	$79,580.58	$22,384.23	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	30	29	—	—	$1,292.00	$132,997.97	$36,912.57	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	30	29	—	—	$1,292.00	$90,104.63	$25,404.34	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	31	30	—	—	$1,292.00	$77,498.26	$21,817.81	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	30	29	—	—	$1,292.00	$123,373.29	$34,311.01	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	30	29	—	—	$1,292.00	$75,272.85	$21,425.82	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	30	29	—	—	$1,292.00	$109,683.60	$30,610.69	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	30	29	—	—	$1,292.00	$88,265.03	$24,774.65	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	30	29	—	—	$1,292.00	$82,452.40	$23,174.71	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	30	29	—	—	$1,292.00	$93,809.38	$26,300.75	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	30	29	—	—	$1,292.00	$92,636.64	$25,977.95	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	30	29	—	—	$1,292.00	$77,079.24	$21,695.72	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	24	24	—	—	$1,292.00	$108,870.00	$70,761.62	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	30	29	—	—	$1,292.00	$80,860.64	$22,736.58	2026-05-06
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	30	29	—	—	$1,292.00	$77,173.78	$21,721.74	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$81,425.29	$23,099.00	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	30	29	—	—	$1,292.00	$95,488.01	$26,893.24	2026-05-06
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	31	30	—	—	$1,292.00	$73,333.61	$20,645.35	2026-05-06
570	OTHER	Skin Debridement With Mcc	30	29	—	—	$1,292.00	$75,145.10	$21,163.34	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	30	29	—	—	$1,292.00	$167,388.27	$46,208.21	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	30	29	—	—	$1,292.00	$88,694.27	$24,892.80	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	30	29	—	—	$1,292.00	$125,225.66	$34,811.71	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	30	29	—	—	$1,292.00	$82,743.67	$23,254.88	2026-05-06
6	OTHER	Liver Transplant Without Mcc	24	24	—	—	$1,292.00	$50,563.18	$32,344.11	2026-05-06
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$47,402.89	$48,671.97	$48,037.43	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	30	29	—	—	$1,292.00	$89,103.07	$25,005.32	2026-05-06
619	OTHER	O.r. Procedures For Obesity With Mcc	30	29	—	—	$1,292.00	$73,773.07	$20,904.10	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	30	29	—	—	$1,292.00	$90,937.56	$25,685.84	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	30	29	—	—	$1,292.00	$77,163.55	$21,718.93	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$95,219.74	$26,688.96	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	26	26	—	—	$1,292.00	$51,225.02	$32,780.19	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	26	26	—	—	$1,292.00	$40,993.21	$26,038.60	2026-05-06
652	OTHER	Kidney Transplant	24	24	—	—	$1,292.00	$36,098.27	$22,813.40	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	30	29	—	—	$1,292.00	$132,768.02	$36,850.39	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	30	29	—	—	$1,292.00	$81,346.09	$22,870.18	2026-05-06
662	OTHER	Minor Bladder Procedures With Mcc	30	29	—	—	$1,292.00	$78,221.32	$22,010.08	2026-05-06
665	OTHER	Prostatectomy With Mcc	30	29	—	—	$1,292.00	$79,746.66	$22,429.94	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	30	29	—	—	$1,292.00	$74,606.00	$21,014.95	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	30	29	—	—	$1,292.00	$107,350.88	$29,980.17	2026-05-06
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$297,459.36	$328,914.76	$313,187.06	2026-05-06
7	OTHER	Lung Transplant	24	24	—	—	$1,292.00	$177,769.45	$118,897.13	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	30	29	—	—	$1,292.00	$91,328.48	$25,617.88	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	30	29	—	—	$1,292.00	$91,540.54	$25,676.25	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	30	29	—	—	$1,292.00	$63,990.15	$41,190.94	2026-05-06
791	OTHER	Prematurity With Major Problems	30	29	—	—	$1,292.00	$44,623.07	$28,430.26	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	30	29	—	—	$1,292.00	$45,759.70	$29,179.17	2026-05-06
799	OTHER	Splenectomy With Mcc	30	29	—	—	$1,292.00	$115,713.40	$32,240.54	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	24	24	—	—	$1,292.00	$60,507.27	$38,896.13	2026-05-06
800	OTHER	Splenectomy With Cc	30	29	—	—	$1,292.00	$71,780.17	$20,237.13	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	30	29	—	—	$1,292.00	$101,793.76	$28,478.07	2026-05-06
8060078	OTHER	Ic-cor Thrombectomy	24	21	$56,725.76	$10,210.64 82% off	$151.72	$51,620.44	$44,870.07	2026-05-06
8060109	OTHER	Ic-prq De Cor Stnt B	23	20	$56,725.76	$10,210.64 82% off	$6,911.00	$51,620.44	$45,380.61	2026-05-06
8060111	OTHER	Ic-pr De Cr Rv Cab B	23	20	$56,725.76	$10,210.64 82% off	$6,911.00	$51,620.44	$45,380.61	2026-05-06
8060112	OTHER	Ic-pr De Cr Rv Ch Ea	23	20	$52,523.83	$9,454.29 82% off	$6,911.00	$47,796.69	$42,019.06	2026-05-06
8060122	OTHER	Cc-revasc Ivl Cornry	22	19	$32,424.61	$5,836.43 82% off	$131.07	$29,506.40	$25,939.69	2026-05-06
8061248	OTHER	Ic-cor Deb Thr Sep L	23	20	$35,383.00	$6,368.94 82% off	$396.00	$32,198.53	$28,306.40	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$149,845.64	$41,466.46	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	30	29	—	—	$1,292.00	$117,141.64	$32,626.60	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	30	29	—	—	$1,292.00	$119,517.79	$33,268.87	2026-05-06
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	30	29	—	—	$1,292.00	$80,738.00	$22,702.81	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$59,328.48	$38,119.44	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	30	29	—	—	$1,292.00	$52,282.54	$33,476.97	2026-05-06
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	30	29	—	—	$1,292.00	$36,153.75	$22,849.96	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	31	30	—	—	$1,292.00	$136,132.57	$35,240.90	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$116,219.28	$32,377.30	2026-05-06
8650049	OTHER	Tc99m Mertiati-dose	24	21	$26,210.30	$4,717.85 82% off	$160.00	$26,210.30	$20,968.24	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	30	29	—	—	$1,292.00	$73,941.41	$47,747.69	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	30	29	—	—	$1,292.00	$98,748.19	$27,654.85	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	30	29	—	—	$1,292.00	$107,223.13	$29,945.64	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	30	29	—	—	$1,292.00	$93,847.71	$26,439.57	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	30	29	—	—	$1,292.00	$98,094.11	$27,478.08	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	30	29	—	—	$1,292.00	$545,505.27	$148,412.98	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	30	29	—	—	$1,292.00	$183,262.48	$50,499.01	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	30	29	—	—	$1,292.00	$82,291.44	$23,130.40	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	30	29	—	—	$1,292.00	$42,929.42	$27,314.34	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	30	29	—	—	$1,292.00	$92,708.18	$25,997.65	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	30	29	—	—	$1,292.00	$39,077.60	$24,776.43	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	30	29	—	—	$1,292.00	$171,979.60	$48,093.37	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	30	29	—	—	$1,292.00	$96,144.65	$26,943.54	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	30	29	—	—	$1,292.00	$194,688.45	$53,587.44	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	30	29	—	—	$1,292.00	$107,665.14	$30,065.11	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	30	29	—	—	$1,292.00	$75,221.76	$21,184.44	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	30	29	—	—	$1,292.00	$156,399.21	$43,237.90	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	30	29	—	—	$1,292.00	$40,027.20	$25,402.11	2026-05-06
974	OTHER	HIV With Major Related Condition With Mcc	30	29	—	—	$1,292.00	$73,584.89	$20,775.84	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	30	29	—	—	$1,292.00	$119,875.49	$33,365.56	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	30	29	—	—	$1,292.00	$87,595.62	$24,590.39	2026-05-06

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