Hospital

GRANDVIEW MEDICAL CENTER

Birmingham, AL · CCN 010104 · Rates published

8,344 distinct procedures filed

66 distinct payers

838,360 rate rows

2026-05-24 last MRF observed

Data quality

761,002 of 838,360 rate rows are consumer-grade (90.8%)

77,358 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	54,070
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	18,342
template filing: same amount across many unrelated codes — excluded	4,326
placeholder amount (≤ $0.02) — excluded from medians	464
exceeds 10× this hospital's gross charge — excluded from medians	156

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

Source MRF file	https://www.grandviewhealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/203391873_grandview-medical-center_standardcharges.csv
Found on page	https://www.grandviewhealth.com/pricing-information
Discovered via	Public MRF directory
Last fetch	not_modified · 2026-05-15
Content fingerprint	fdd21861b2eea4cb… · 167,487,772 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$302,086.50	$350,833.14	$326,459.82	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	$2,802.45	$448,539.74	$281,200.19	nat. median $386,529 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	$2,802.45	$291,084.25	$180,859.01	nat. median $239,422 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$2,802.45	$248,413.07	$137,905.35	nat. median $146,562 0.9× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$2,802.45	$246,955.20	$137,098.85	nat. median $181,005 0.8× median
7 OTHER	Lung Transplant	24	$2,802.45	$142,697.57	$95,663.62	nat. median $169,933 0.6× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$2,802.45	$161,161.04	$89,636.98	nat. median $134,983 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	24	$2,802.45	$124,829.93	$77,835.57	nat. median $100,915 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	$2,802.45	$117,703.41	$73,419.46	nat. median $111,558 0.7× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	29	$2,802.45	$126,520.15	$70,473.46	nat. median $90,581 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	24	$2,802.45	$107,095.16	$66,845.80	nat. median $94,894 0.7× median
215 OTHER	Other Heart Assist System Implant	29	$2,802.45	$115,849.70	$65,533.71	nat. median $92,359 0.7× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$2,802.45	$113,822.88	$63,133.73	nat. median $90,130 0.7× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	25	$2,802.45	$85,317.69	$57,232.60	nat. median $65,342 0.9× median
8061044 OTHER	Cth Plc Ext Cd W-ang	24	$207.50	$89,999.98	$54,999.99	nat. median $3,455 outlier · 15.9×
8691043 OTHER	S-thoracic Add Order	24	$174.59	$89,999.10	$54,999.45	nat. median $672 outlier · 81.9×
1410018 OTHER	Oth Ster Supp Lvl 18	26	$3,500.00	$99,999.00	$54,999.45	nat. median $37,000 1.5× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	29	$2,802.45	$97,773.56	$54,570.65	nat. median $76,493 0.7× median
231 OTHER	Coronary Bypass With Ptca With Mcc	29	$2,802.45	$98,081.89	$54,469.07	nat. median $74,989 0.7× median
360 OTHER	Removal Of Skin Lesion	54	$2.96	$611,413.83	$53,875.65	nat. median $7,392 outlier · 7.3×
1157902 OTHER	Bilat Lithotripsy	22	$2,600.00	$87,998.00	$53,678.78	nat. median $38,489 1.4× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$50,003.12	$56,822.96	$53,413.04	nat. median $42,666 1.3× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	29	$2,802.45	$91,553.49	$51,129.68	nat. median $74,209 0.7× median
1061570 OTHER	Ic-prq De Cr Rev Ami	26	$2,600.00	$89,999.78	$49,999.88	nat. median $22,908 outlier · 2.2×
8060112 OTHER	Ic-pr De Cr Rv Ch Ea	25	$2,600.00	$89,999.10	$49,999.50	nat. median $15,502 outlier · 3.2×
8060110 OTHER	Ic-pr De Cr Stn Ar B	25	$2,600.00	$89,999.10	$49,999.50	nat. median $16,032 outlier · 3.1×
8060109 OTHER	Ic-prq De Cor Stnt B	25	$2,600.00	$89,999.10	$49,999.50	nat. median $15,728 outlier · 3.2×
8060111 OTHER	Ic-pr De Cr Rv Cab B	25	$2,600.00	$89,999.10	$49,999.50	nat. median $15,940 outlier · 3.1×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	$2,802.45	$89,337.02	$49,655.41	nat. median $72,612 0.7× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	29	$2,802.45	$88,657.54	$49,527.60	nat. median $68,309 0.7× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	29	$2,802.45	$88,951.90	$49,443.43	nat. median $68,249 0.7× median
10 OTHER	Pancreas Transplant	24	$2,802.45	$74,534.00	$46,668.51	nat. median $62,879 0.7× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	29	$2,802.45	$83,454.36	$46,649.19	nat. median $46,003 1.0× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	29	$2,802.45	$82,962.20	$46,376.93	nat. median $29,655 1.6× median
8691044 OTHER	Cth Plc Ext Cd W-ang	24	$207.50	$75,655.80	$46,234.10	nat. median $3,854 outlier · 12.0×
8691045 OTHER	Cth Plc Int Bnch Ang	24	$1,091.21	$75,655.80	$46,234.10	nat. median $7,098 outlier · 6.5×
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	27	$2,802.45	$74,107.09	$46,173.27	nat. median $61,133 0.8× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	$41,165.71	$51,021.90	$46,093.81	nat. median $18,600 outlier · 2.5×
1410047 OTHER	Pmkr Singl Rate-rsl2	27	$3,500.00	$99,999.93	$45,999.97	nat. median $10,000 outlier · 4.6×
1411003 OTHER	Aicd Ohr Thn Sgl/du3	27	$3,500.00	$99,999.93	$45,999.97	nat. median $29,432 1.6× median
1411004 OTHER	Aicd Ohr Thn Sgl/du4	27	$3,500.00	$99,999.90	$45,999.95	nat. median $29,800 1.5× median
1410035 OTHER	Lead Aicd No-sing L5	27	$3,500.00	$99,999.85	$45,999.93	nat. median $13,037 outlier · 3.5×
1413215 OTHER	Pmkr Othr Th Sngl L1	27	$3,500.00	$99,999.65	$45,999.84	nat. median $14,204 outlier · 3.2×
1411002 OTHER	Aicd Ohr Thn Sgl/du2	27	$3,500.00	$99,999.61	$45,999.82	nat. median $25,000 1.8× median
1413006 OTHER	Aicd Single Chamber2	27	$3,500.00	$99,999.53	$45,999.78	nat. median $25,000 1.8× median
1410067 OTHER	Pmkr Dual Rate-rs L3	27	$3,500.00	$99,999.50	$45,999.77	nat. median $19,297 outlier · 2.4×
1410038 OTHER	Aicd Dual Chamber L4	27	$3,500.00	$99,999.00	$45,999.54	nat. median $25,000 1.8× median
1413003 OTHER	Aicd Dual Chamber L1	27	$3,500.00	$99,999.00	$45,999.54	nat. median $21,100 outlier · 2.2×
1410093 OTHER	Pmkr Othr Th Sngl L3	27	$3,500.00	$99,999.00	$45,999.54	nat. median $19,653 outlier · 2.3×
1410039 OTHER	Aicd Dual Chamber L5	27	$3,500.00	$99,999.00	$45,999.54	nat. median $30,000 1.5× median

Other procedures at this hospital

Browse this hospital's 8,344 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	—	—	$302,086.50	$350,833.14	$326,459.82	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	56	28	—	—	$2,802.45	$448,539.74	$281,200.19	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	48	24	—	—	$2,802.45	$291,084.25	$180,859.01	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	60	29	—	—	$2,802.45	$248,413.07	$137,905.35	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	60	29	—	—	$2,802.45	$246,955.20	$137,098.85	2026-05-24
7	OTHER	Lung Transplant	48	24	—	—	$2,802.45	$142,697.57	$95,663.62	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	60	29	—	—	$2,802.45	$161,161.04	$89,636.98	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	48	24	—	—	$2,802.45	$124,829.93	$77,835.57	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	48	24	—	—	$2,802.45	$117,703.41	$73,419.46	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	60	29	—	—	$2,802.45	$126,520.15	$70,473.46	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	48	24	—	—	$2,802.45	$107,095.16	$66,845.80	2026-05-24
215	OTHER	Other Heart Assist System Implant	62	29	—	—	$2,802.45	$115,849.70	$65,533.71	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	62	29	—	—	$2,802.45	$113,822.88	$63,133.73	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	50	25	—	—	$2,802.45	$85,317.69	$57,232.60	2026-05-24
8061044	OTHER	Cth Plc Ext Cd W-ang	62	24	$99,999.98	$15,000.00 85% off	$207.50	$89,999.98	$54,999.99	2026-05-24
1410018	OTHER	Oth Ster Supp Lvl 18	66	26	$99,999.00	$14,999.85 85% off	$3,500.00	$99,999.00	$54,999.45	2026-05-24
8691043	OTHER	S-thoracic Add Order	62	24	$99,999.00	$14,999.85 85% off	$174.59	$89,999.10	$54,999.45	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	29	—	—	$2,802.45	$97,773.56	$54,570.65	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	62	29	—	—	$2,802.45	$98,081.89	$54,469.07	2026-05-24
360	OTHER	Removal Of Skin Lesion	80,788	54	$115,992.60	$17,398.89 85% off	$2.96	$611,413.83	$53,875.65	2026-05-24
1157902	OTHER	Bilat Lithotripsy	54	22	$87,998.00	$13,199.70 85% off	$2,600.00	$87,998.00	$53,678.78	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	4	2	—	—	$50,003.12	$56,822.96	$53,413.04	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	60	29	—	—	$2,802.45	$91,553.49	$51,129.68	2026-05-24
1061570	OTHER	Ic-prq De Cr Rev Ami	66	26	$99,999.75	$14,999.96 85% off	$2,600.00	$89,999.78	$49,999.88	2026-05-24
8060112	OTHER	Ic-pr De Cr Rv Ch Ea	64	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-05-24
8060110	OTHER	Ic-pr De Cr Stn Ar B	64	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-05-24
8060109	OTHER	Ic-prq De Cor Stnt B	64	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-05-24
8060111	OTHER	Ic-pr De Cr Rv Cab B	64	25	$99,999.00	$14,999.85 85% off	$2,600.00	$89,999.10	$49,999.50	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	62	29	—	—	$2,802.45	$89,337.02	$49,655.41	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	60	29	—	—	$2,802.45	$88,657.54	$49,527.60	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	62	29	—	—	$2,802.45	$88,951.90	$49,443.43	2026-05-24
10	OTHER	Pancreas Transplant	48	24	—	—	$2,802.45	$74,534.00	$46,668.51	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	60	29	—	—	$2,802.45	$83,454.36	$46,649.19	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	60	29	—	—	$2,802.45	$82,962.20	$46,376.93	2026-05-24
8691045	OTHER	Cth Plc Int Bnch Ang	62	24	$84,062.00	$12,609.30 85% off	$1,091.21	$75,655.80	$46,234.10	2026-05-24
8691044	OTHER	Cth Plc Ext Cd W-ang	62	24	$84,062.00	$12,609.30 85% off	$207.50	$75,655.80	$46,234.10	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	54	27	—	—	$2,802.45	$74,107.09	$46,173.27	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	4	2	—	—	$41,165.71	$51,021.90	$46,093.81	2026-05-24
1410047	OTHER	Pmkr Singl Rate-rsl2	68	27	$99,999.93	$23,999.98 76% off	$3,500.00	$99,999.93	$45,999.97	2026-05-24
1411003	OTHER	Aicd Ohr Thn Sgl/du3	68	27	$99,999.93	$23,999.98 76% off	$3,500.00	$99,999.93	$45,999.97	2026-05-24
1411004	OTHER	Aicd Ohr Thn Sgl/du4	68	27	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,999.95	2026-05-24
1410035	OTHER	Lead Aicd No-sing L5	68	27	$99,999.85	$23,999.96 76% off	$3,500.00	$99,999.85	$45,999.93	2026-05-24
1413215	OTHER	Pmkr Othr Th Sngl L1	68	27	$99,999.65	$23,999.92 76% off	$3,500.00	$99,999.65	$45,999.84	2026-05-24
1411002	OTHER	Aicd Ohr Thn Sgl/du2	68	27	$99,999.61	$23,999.91 76% off	$3,500.00	$99,999.61	$45,999.82	2026-05-24
1413006	OTHER	Aicd Single Chamber2	68	27	$99,999.53	$23,999.89 76% off	$3,500.00	$99,999.53	$45,999.78	2026-05-24
1410067	OTHER	Pmkr Dual Rate-rs L3	68	27	$99,999.50	$23,999.88 76% off	$3,500.00	$99,999.50	$45,999.77	2026-05-24
1413003	OTHER	Aicd Dual Chamber L1	68	27	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,999.54	2026-05-24
1410038	OTHER	Aicd Dual Chamber L4	68	27	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,999.54	2026-05-24
1410093	OTHER	Pmkr Othr Th Sngl L3	68	27	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,999.54	2026-05-24
1410039	OTHER	Aicd Dual Chamber L5	68	27	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,999.54	2026-05-24
1410066	OTHER	Pmkr Dual Rate-rs L2	68	27	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,999.54	2026-05-24
1410048	OTHER	Pmkr Singl Rate-rsl3	68	27	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,999.54	2026-05-24
1414953	OTHER	Stnt Coat/cov W/del3	72	29	$99,999.97	$23,999.99 76% off	$3,500.00	$99,999.97	$45,499.99	2026-05-24
1413106	OTHER	Cochlear Imp System1	72	29	$99,999.96	$23,999.99 76% off	$3,500.00	$99,999.96	$45,499.98	2026-05-24
1414578	OTHER	Genratr Neurostm 5	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1418037	OTHER	Genrate Neuro Rech 5	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1414579	OTHER	Genratr Neurostm 6	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1417404	OTHER	Gen Neuro Ext Cntrl	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1411702	OTHER	Impella Device L3	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1411440	OTHER	Implant Other Lvl 10	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1417387	OTHER	Gen Neuro Sinus Lvl1	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1410740	OTHER	Prosth Impl Nos Lv10	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1411701	OTHER	Impella Device L2	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1417388	OTHER	Gen Neuro Sinus Lvl2	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1418038	OTHER	Genrate Neuro Rech 6	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1417393	OTHER	Ant/lat Intrbdy Cage	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1417403	OTHER	Gen Neuro Closd Loop	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1418021	OTHER	Impl/insert Noc Lv11	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1418020	OTHER	Impl/insert Noc Lv10	72	29	$99,999.90	$23,999.98 76% off	$3,500.00	$99,999.90	$45,499.96	2026-05-24
1413110	OTHER	Cochlear Imp System4	72	29	$99,999.89	$23,999.97 76% off	$3,500.00	$99,999.89	$45,499.95	2026-05-24
1411006	OTHER	Bone Grow Stim Impl2	72	29	$99,999.87	$23,999.97 76% off	$3,500.00	$99,999.87	$45,499.94	2026-05-24
1413109	OTHER	Cochlear Imp System3	72	29	$99,999.82	$23,999.96 76% off	$3,500.00	$99,999.82	$45,499.92	2026-05-24
1413240	OTHER	Septal Defect Implt4	72	29	$99,999.83	$23,999.96 76% off	$3,500.00	$99,999.83	$45,499.92	2026-05-24
1417226	OTHER	Lead Neurostimulat 3	72	29	$99,999.80	$23,999.95 76% off	$3,500.00	$99,999.80	$45,499.91	2026-05-24
1417227	OTHER	Lead Neurostimulat 4	72	29	$99,999.81	$23,999.95 76% off	$3,500.00	$99,999.81	$45,499.91	2026-05-24
1414606	OTHER	Graft Vascular 7	72	29	$99,999.73	$23,999.94 76% off	$3,500.00	$99,999.73	$45,499.88	2026-05-24
1417274	OTHER	Wireless Press Sens	72	29	$99,999.64	$23,999.91 76% off	$3,500.00	$99,999.64	$45,499.83	2026-05-24
1413192	OTHER	Inf Pump Program Lv6	72	29	$99,999.58	$23,999.90 76% off	$3,500.00	$99,999.58	$45,499.81	2026-05-24
1417057	OTHER	Tissue Non-human 9	72	29	$99,999.58	$23,999.90 76% off	$3,500.00	$99,999.58	$45,499.81	2026-05-24
1414707	OTHER	Joint Device Implt 8	72	29	$99,999.57	$23,999.90 76% off	$3,500.00	$99,999.57	$45,499.81	2026-05-24
1414482	OTHER	Conn Tissue Human 8	72	29	$99,999.52	$23,999.88 76% off	$3,500.00	$99,999.52	$45,499.78	2026-05-24
1414762	OTHER	Mesh Implantable 13	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1411131	OTHER	Gen Neuro Hf Recarge	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414906	OTHER	Tavr L1	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414484	OTHER	Conn Tissue Human 10	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414709	OTHER	Joint Device Implt10	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1418019	OTHER	Impl/insert Noc Lvl9	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414763	OTHER	Mesh Implantable 14	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1413241	OTHER	Septal Defect Implt5	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1411811	OTHER	Generator Ccm Implnt	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414904	OTHER	Watchman Atr App L1	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1413125	OTHER	Genrate Neuro Rech 4	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1410739	OTHER	Prosth Impl Nos Lvl9	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1411011	OTHER	Cath Ep Not Cool-tp6	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1413124	OTHER	Evnt Rcrdr Crdc Lvl1	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1410728	OTHER	Tmvr/mitraclip L1	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1417059	OTHER	Tissue Non-human 11	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414453	OTHER	Closure Devic Vasc 4	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414905	OTHER	Watchman Atr App L2	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414575	OTHER	Genratr Neurostm 2	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1417054	OTHER	Tissue Non-human 6	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414907	OTHER	Tavr L2	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
1414576	OTHER	Genratr Neurostm 3	72	29	$99,999.00	$23,999.76 76% off	$3,500.00	$99,999.00	$45,499.54	2026-05-24
4070094	OTHER	Pmkr Othr Th Sngl L4	68	27	$98,100.00	$23,544.00 76% off	$3,500.00	$98,100.00	$45,126.00	2026-05-24
4070095	OTHER	Pmkr Othr Th Sngl L5	68	27	$98,100.00	$23,544.00 76% off	$3,500.00	$98,100.00	$45,126.00	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	60	29	—	—	$2,802.45	$80,024.37	$44,751.69	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	60	29	—	—	$2,802.45	$71,792.87	$44,746.33	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	60	29	—	—	$2,802.45	$94,430.61	$44,677.92	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	50	25	—	—	$2,802.45	$63,855.89	$42,956.28	2026-05-24
1157901	OTHER	Lithotripsy	54	22	$70,398.00	$10,559.70 85% off	$2,600.00	$70,398.00	$42,942.78	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	60	29	—	—	$2,802.45	$76,503.62	$42,804.01	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	60	29	—	—	$2,802.45	$76,503.62	$42,804.01	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	60	29	—	—	$2,802.45	$76,225.54	$42,650.16	2026-05-24
1414577	OTHER	Genratr Neurostm 4	72	29	$91,659.00	$21,998.16 76% off	$3,500.00	$91,659.00	$41,704.85	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	60	29	—	—	$2,802.45	$66,837.23	$41,690.73	2026-05-24
1418018	OTHER	Impl/insert Noc Lvl8	72	29	$91,434.00	$21,944.16 76% off	$3,500.00	$91,434.00	$41,602.47	2026-05-24
1110864	OTHER	Lithotripsy	54	22	$66,878.00	$10,031.70 85% off	$2,600.00	$66,878.00	$40,795.58	2026-05-24
1414481	OTHER	Conn Tissue Human 7	72	29	$89,502.00	$21,480.48 76% off	$3,500.00	$89,502.00	$40,723.41	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	60	29	—	—	$2,802.45	$114,742.74	$40,721.39	2026-05-24
1414022	OTHER	Anchor/scrw Level 22	72	29	$88,620.00	$21,268.80 76% off	$3,500.00	$88,620.00	$40,322.10	2026-05-24
1414706	OTHER	Joint Device Implt 7	72	29	$88,482.00	$21,235.68 76% off	$3,500.00	$88,482.00	$40,259.31	2026-05-24
1414605	OTHER	Graft Vascular 6	72	29	$88,085.00	$21,140.40 76% off	$3,500.00	$88,085.00	$40,078.68	2026-05-24
1417056	OTHER	Tissue Non-human 8	72	29	$87,992.00	$21,118.08 76% off	$3,500.00	$87,992.00	$40,036.36	2026-05-24
1413026	OTHER	Aud Osseo Dev Comp 1	72	29	$87,904.00	$21,096.96 76% off	$3,500.00	$87,904.00	$39,996.32	2026-05-24
1410037	OTHER	Aicd Dual Chamber L3	68	27	$86,700.00	$20,808.00 76% off	$3,500.00	$86,700.00	$39,882.00	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$71,221.33	$39,881.81	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	62	29	—	—	$2,802.45	$70,538.35	$39,700.35	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	50	25	—	—	$2,802.45	$58,887.82	$39,651.54	2026-05-24
1410049	OTHER	Pmkr Singl Rate-rsl4	68	27	$85,832.00	$20,599.68 76% off	$3,500.00	$85,832.00	$39,482.72	2026-05-24
1413005	OTHER	Aicd Single Chamber1	68	27	$85,366.00	$20,487.84 76% off	$3,500.00	$85,366.00	$39,268.36	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	4	2	—	—	$35,059.17	$43,453.30	$39,256.24	2026-05-24
28	OTHER	Spinal Procedures With Mcc	60	29	—	—	$2,802.45	$69,906.57	$39,154.47	2026-05-24
276	OTHER	Non-maligant Breast Disorders	60	29	—	—	$2,802.45	$69,886.79	$39,143.53	2026-05-24
1414955	OTHER	Stnt Coat/cov W/del5	72	29	$85,832.00	$20,599.68 76% off	$3,500.00	$85,832.00	$39,053.56	2026-05-24
1410016	OTHER	Oth Ster Supp Lvl 16	66	26	$70,847.00	$10,627.05 85% off	$3,500.00	$70,847.00	$38,965.85	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	29	—	—	$2,802.45	$69,380.67	$38,863.54	2026-05-24
1410738	OTHER	Prosth Impl Nos Lvl8	72	29	$85,358.00	$20,485.92 76% off	$3,500.00	$85,358.00	$38,837.89	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	48	24	—	—	$2,802.45	$61,591.79	$38,648.57	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	62	30	—	—	$2,802.45	$61,735.13	$38,544.82	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$68,236.95	$38,230.82	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	62	29	—	—	$2,802.45	$68,281.16	$38,065.14	2026-05-24
1414021	OTHER	Anchor/scrw Level 21	72	29	$83,603.00	$20,064.72 76% off	$3,500.00	$83,603.00	$38,039.36	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	62	30	—	—	$2,802.45	$130,131.48	$37,550.82	2026-05-24
1061647	OTHER	S-perc Trns L Atr Ap	72	29	$99,999.88	$14,999.98 85% off	$672.32	$89,999.89	$37,499.96	2026-05-24
1070088	OTHER	S-perc Trns L Atr Ap	72	29	$99,999.88	$14,999.98 85% off	$672.32	$89,999.89	$37,499.96	2026-05-24
1413027	OTHER	Aud Osseo Dev Comp 2	72	29	$82,013.00	$19,683.12 76% off	$3,500.00	$82,013.00	$37,315.92	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	60	29	—	—	$2,802.45	$66,313.68	$37,166.86	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	48	24	—	—	$2,802.45	$58,214.98	$36,556.04	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	60	29	—	—	$2,802.45	$64,762.74	$36,308.88	2026-05-24
1410017	OTHER	Oth Ster Supp Lvl 17	66	26	$65,996.00	$9,899.40 85% off	$3,500.00	$65,996.00	$36,297.80	2026-05-24
1410744	OTHER	Genrate Neuro Rech 1	72	29	$79,272.00	$19,025.28 76% off	$3,500.00	$79,272.00	$36,068.76	2026-05-24
1410730	OTHER	Lead Neurostimulat 7	72	29	$79,272.00	$19,025.28 76% off	$3,500.00	$79,272.00	$36,068.76	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	60	29	—	—	$2,802.45	$64,260.10	$36,030.82	2026-05-24
1414020	OTHER	Anchor/scrw Level 20	72	29	$79,030.00	$18,967.20 76% off	$3,500.00	$79,030.00	$35,958.65	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	60	29	—	—	$2,802.45	$63,649.27	$35,692.90	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$57,023.59	$35,639.74	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	60	29	—	—	$2,802.45	$63,458.45	$35,587.33	2026-05-24
1414708	OTHER	Joint Device Implt 9	72	29	$78,205.00	$18,769.20 76% off	$3,500.00	$78,205.00	$35,583.28	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	62	29	—	—	$2,802.45	$63,558.51	$35,465.53	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	48	24	—	—	$2,802.45	$56,425.30	$35,447.01	2026-05-24
1410741	OTHER	Impella Device L1	72	29	$77,273.00	$18,545.52 76% off	$3,500.00	$77,273.00	$35,159.21	2026-05-24
1413178	OTHER	Lead Aicd Endo Sn L1	68	27	$76,353.00	$18,324.72 76% off	$3,500.00	$76,353.00	$35,122.38	2026-05-24
1410065	OTHER	Lead Aicd Endo Sn L5	68	27	$76,353.00	$18,324.72 76% off	$3,500.00	$76,353.00	$35,122.38	2026-05-24
1413054	OTHER	Cath Intra Echocard4	70	28	$76,254.00	$18,300.96 76% off	$3,500.00	$76,254.00	$35,076.84	2026-05-24
1414483	OTHER	Conn Tissue Human 9	72	29	$76,721.00	$18,413.04 76% off	$3,500.00	$76,721.00	$34,908.06	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	64	30	—	—	$2,802.45	$303,516.78	$34,806.58	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	60	29	—	—	$2,802.45	$61,593.36	$34,555.55	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	60	29	—	—	$2,802.45	$61,389.75	$34,442.93	2026-05-24
1414878	OTHER	Prsths Penile Infl 4	72	29	$75,112.00	$18,026.88 76% off	$3,500.00	$75,112.00	$34,175.96	2026-05-24
1414019	OTHER	Anchor/scrw Level 19	72	29	$75,039.00	$18,009.36 76% off	$3,500.00	$75,039.00	$34,142.75	2026-05-24
1414705	OTHER	Joint Device Implt 6	72	29	$74,811.00	$17,954.64 76% off	$3,500.00	$74,811.00	$34,039.00	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	60	29	—	—	$2,802.45	$60,564.83	$33,986.56	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	60	29	—	—	$2,802.45	$60,460.11	$33,928.64	2026-05-24
1414954	OTHER	Stnt Coat/cov W/del4	72	29	$74,471.00	$17,873.04 76% off	$3,500.00	$74,471.00	$33,884.31	2026-05-24
1418036	OTHER	Genrate Neuro Rech 3	72	29	$74,286.00	$17,828.64 76% off	$3,500.00	$74,286.00	$33,800.13	2026-05-24
1414607	OTHER	Graft Vascular 8	72	29	$73,959.00	$17,750.16 76% off	$3,500.00	$73,959.00	$33,651.35	2026-05-24
1414018	OTHER	Anchor/scrw Level 18	72	29	$73,510.00	$17,642.40 76% off	$3,500.00	$73,510.00	$33,447.05	2026-05-24
1413353	OTHER	Interspinous Impl L3	72	29	$72,882.00	$17,491.68 76% off	$3,500.00	$72,882.00	$33,161.31	2026-05-24
1414017	OTHER	Anchor/scrw Level 17	72	29	$72,563.00	$17,415.12 76% off	$3,500.00	$72,563.00	$33,016.17	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	60	29	—	—	$2,802.45	$58,642.73	$32,923.25	2026-05-24
1410064	OTHER	Lead Aicd Endo Sn L4	68	27	$71,356.00	$17,125.44 76% off	$3,500.00	$71,356.00	$32,823.76	2026-05-24
1061618	OTHER	Cc-imp Press Sen Ang	102	43	$99,999.85	$14,999.98 85% off	$288.80	$89,999.87	$32,795.54	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	60	29	—	—	$2,802.45	$58,028.40	$32,583.40	2026-05-24
1413004	OTHER	Aicd Ohr Thn Sgl/du1	68	27	$70,741.00	$16,977.84 76% off	$3,500.00	$70,741.00	$32,540.86	2026-05-24
1410094	OTHER	Pmkr Othr Th Sngl L4	68	27	$70,421.00	$16,901.04 76% off	$3,500.00	$70,421.00	$32,393.66	2026-05-24
1418017	OTHER	Impl/insert Noc Lvl7	72	29	$71,131.00	$17,071.44 76% off	$3,500.00	$71,131.00	$32,364.60	2026-05-24
1410737	OTHER	Prosth Impl Nos Lvl7	72	29	$71,131.00	$17,071.44 76% off	$3,500.00	$71,131.00	$32,364.60	2026-05-24
1410075	OTHER	Lead Aicd End Dul L5	68	27	$70,188.00	$16,845.12 76% off	$3,500.00	$70,188.00	$32,286.48	2026-05-24
1417055	OTHER	Tissue Non-human 7	72	29	$70,924.00	$17,021.76 76% off	$3,500.00	$70,924.00	$32,270.42	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$57,460.61	$32,269.28	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	2	—	—	$28,780.96	$35,671.91	$32,226.44	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	62	29	—	—	$2,802.45	$57,563.00	$32,165.27	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	60	29	—	—	$2,802.45	$57,263.98	$32,160.53	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	60	29	—	—	$2,802.45	$57,025.46	$32,028.56	2026-05-24
1413213	OTHER	Pmkr Dual Rate-rs L1	68	27	$68,783.00	$16,507.92 76% off	$3,500.00	$68,783.00	$31,640.18	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	60	29	—	—	$2,802.45	$56,181.92	$31,561.91	2026-05-24
1414107	OTHER	Breast Implant 8	72	29	$68,717.00	$16,492.08 76% off	$3,500.00	$68,717.00	$31,266.24	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	60	29	—	—	$2,802.45	$49,902.26	$31,248.78	2026-05-24
1417034	OTHER	Bone Void Per 0.5cc5	72	29	$68,667.00	$16,480.08 76% off	$3,500.00	$68,667.00	$31,243.49	2026-05-24
1417033	OTHER	Bone Void Per 0.5cc4	72	29	$68,667.00	$16,480.08 76% off	$3,500.00	$68,667.00	$31,243.49	2026-05-24
1062226	OTHER	Ic-cor Deb Thr Rx 1	94	39	$89,000.00	$13,350.00 85% off	$3,500.00	$80,100.00	$31,150.00	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	60	29	—	—	$2,802.45	$55,391.91	$31,124.87	2026-05-24
1417052	OTHER	Tissue Non-human 4	72	29	$68,281.00	$16,387.44 76% off	$3,500.00	$68,281.00	$31,067.85	2026-05-24
1414761	OTHER	Mesh Implantable 12	72	29	$68,154.00	$16,356.96 76% off	$3,500.00	$68,154.00	$31,010.07	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	60	29	—	—	$2,802.45	$54,589.09	$30,680.76	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	60	29	—	—	$2,802.45	$54,426.20	$30,590.64	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	54	27	—	—	$2,705.02	$48,833.44	$30,589.77	2026-05-24
1413108	OTHER	Cochlear Imp System2	72	29	$66,841.00	$16,041.84 76% off	$3,500.00	$66,841.00	$30,412.65	2026-05-24
6	OTHER	Liver Transplant Without Mcc	48	24	—	—	$2,802.45	$48,164.52	$30,328.03	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	50	25	—	—	$2,802.45	$44,342.78	$30,275.62	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	60	29	—	—	$2,802.45	$53,736.25	$30,208.96	2026-05-24
1411801	OTHER	Orth-dev-DRG-bn Lvl1	72	29	$66,323.00	$15,917.52 76% off	$3,500.00	$66,323.00	$30,176.97	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	60	29	—	—	$2,802.45	$53,480.28	$30,067.35	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	60	29	—	—	$2,802.45	$53,344.15	$29,992.04	2026-05-24
245	OTHER	Aicd Generator Procedures	60	29	—	—	$2,802.45	$53,083.52	$29,847.85	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$52,924.12	$29,759.69	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	60	29	—	—	$2,802.45	$52,900.85	$29,746.81	2026-05-24
799	OTHER	Splenectomy With Mcc	60	29	—	—	$2,802.45	$52,693.75	$29,632.25	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	62	30	—	—	$2,802.45	$52,145.74	$29,474.82	2026-05-24
1417395	OTHER	Cath Ivl Cornry Lv3	72	29	$64,707.00	$15,529.68 76% off	$3,500.00	$64,707.00	$29,441.69	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	60	29	—	—	$2,802.45	$52,130.62	$29,320.70	2026-05-24
1418035	OTHER	Genrate Neuro Rech 2	72	29	$64,409.00	$15,458.16 76% off	$3,500.00	$64,409.00	$29,306.10	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	60	29	—	—	$2,802.45	$51,925.84	$29,207.42	2026-05-24
1413175	OTHER	Inf Pump Program Lv4	72	29	$63,947.00	$15,347.28 76% off	$3,500.00	$63,947.00	$29,095.89	2026-05-24
1414480	OTHER	Conn Tissue Human 6	72	29	$63,926.00	$15,342.24 76% off	$3,500.00	$63,926.00	$29,086.33	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$51,110.23	$28,756.22	2026-05-24
1413216	OTHER	Pmkr Singl Rate-rsl1	68	27	$61,907.00	$14,857.68 76% off	$3,500.00	$61,907.00	$28,477.22	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	60	29	—	—	$2,802.45	$50,349.30	$28,335.29	2026-05-24
1418034	OTHER	Lead Neurostimulat 6	72	29	$61,932.00	$14,863.68 76% off	$3,500.00	$61,932.00	$28,179.06	2026-05-24
1061408	OTHER	Ep-comp Ep W-o Arry	102	43	$99,999.00	$14,999.85 85% off	$225.43	$89,999.10	$28,178.39	2026-05-24
1061409	OTHER	Ep-comp Ep W- Arry	102	43	$99,999.00	$14,999.85 85% off	$261.03	$89,999.10	$28,178.39	2026-05-24
1071408	OTHER	Ep-comp Ep W-o Arry	102	43	$99,999.00	$14,999.85 85% off	$225.43	$89,999.10	$28,178.39	2026-05-24
1071409	OTHER	Ep-comp Ep W- Arry	102	43	$99,999.00	$14,999.85 85% off	$261.03	$89,999.10	$28,178.39	2026-05-24
1413327	OTHER	Cath Bal Dil Nonvas7	72	29	$61,799.00	$14,831.76 76% off	$3,500.00	$61,799.00	$28,118.54	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	60	29	—	—	$2,802.45	$49,947.89	$28,113.21	2026-05-24
1414016	OTHER	Anchor/scrw Level 16	72	29	$61,622.00	$14,789.28 76% off	$3,500.00	$61,622.00	$28,038.01	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	60	29	—	—	$2,802.45	$49,626.77	$27,935.56	2026-05-24
1414952	OTHER	Stnt Coat/cov W/del2	72	29	$61,029.00	$14,646.96 76% off	$3,500.00	$61,029.00	$27,768.19	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$48,320.15	$27,753.58	2026-05-24
1414704	OTHER	Joint Device Implt 5	72	29	$60,865.00	$14,607.60 76% off	$3,500.00	$60,865.00	$27,693.58	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	60	29	—	—	$2,802.45	$49,136.93	$27,664.59	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	60	29	—	—	$2,802.45	$49,053.16	$27,618.25	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	60	29	—	—	$2,802.45	$49,028.73	$27,604.71	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	60	29	—	—	$2,802.45	$48,885.62	$27,525.55	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	60	29	—	—	$2,802.45	$48,827.44	$27,493.36	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	29	—	—	$2,802.45	$48,548.20	$27,338.89	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	62	29	—	—	$2,802.45	$48,736.69	$27,306.81	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	62	30	—	—	$2,163.60	$43,309.64	$27,183.83	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	60	29	—	—	$2,802.45	$48,000.19	$27,035.72	2026-05-24
1414760	OTHER	Mesh Implantable 11	72	29	$58,875.00	$14,130.00 76% off	$3,500.00	$58,875.00	$26,788.12	2026-05-24
1061578	OTHER	Ep-ablate Vent Tacy	108	46	$99,999.00	$14,999.85 85% off	$866.46	$89,999.10	$26,589.07	2026-05-24
1061577	OTHER	Ep-ablate Sprvnt Art	108	46	$99,999.00	$14,999.85 85% off	$718.97	$89,999.10	$26,589.07	2026-05-24
1061579	OTHER	Ep-atr Fib Pulm Vn I	108	46	$99,999.00	$14,999.85 85% off	$814.99	$89,999.10	$26,589.07	2026-05-24
1071578	OTHER	Ep-ablate Vent Tacy	108	46	$99,999.00	$14,999.85 85% off	$866.46	$89,999.10	$26,589.07	2026-05-24
1071577	OTHER	Ep-ablate Sprvnt Art	108	46	$99,999.00	$14,999.85 85% off	$718.97	$89,999.10	$26,589.07	2026-05-24
1071579	OTHER	Ep-atr Fib Pulm Vn I	108	46	$99,999.00	$14,999.85 85% off	$814.99	$89,999.10	$26,589.07	2026-05-24
791	OTHER	Prematurity With Major Problems	60	29	—	—	$1,900.68	$42,160.83	$26,475.50	2026-05-24
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	4	2	—	—	$25,856.35	$26,546.33	$26,201.34	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	60	29	—	—	$2,802.45	$46,355.00	$26,125.61	2026-05-24
1413181	OTHER	Lead Neurostimulat 2	72	29	$56,558.00	$13,573.92 76% off	$3,500.00	$56,558.00	$25,733.89	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	60	29	—	—	$2,802.45	$45,514.96	$25,660.89	2026-05-24
1061675	OTHER	S-perc Tran Sept Red	72	29	$68,245.00	$10,236.75 85% off	$638.94	$61,420.50	$25,591.88	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	60	29	—	—	$2,802.45	$40,449.06	$25,420.05	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	60	29	—	—	$2,802.45	$45,035.59	$25,395.68	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	60	29	—	—	$2,802.45	$44,925.06	$25,334.56	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	58	28	—	—	$2,802.45	$44,968.11	$25,232.38	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	60	29	—	—	$2,802.45	$44,670.26	$25,193.60	2026-05-24
1061566	OTHER	Ic-prq De Cr Stnt Ar	98	41	$99,999.75	$14,999.96 85% off	$2,600.00	$89,999.78	$25,151.70	2026-05-24
1061571	OTHER	Ic-prq De Cor Rev Ch	98	41	$99,999.75	$14,999.96 85% off	$2,600.00	$89,999.78	$25,151.70	2026-05-24
1414201	OTHER	Cath Intravas Ultra2	72	29	$55,033.00	$13,207.92 76% off	$3,500.00	$55,033.00	$25,040.01	2026-05-24
1417354	OTHER	Intrphlng Jnt Spacer	72	29	$54,987.00	$13,196.88 76% off	$3,500.00	$54,987.00	$25,019.08	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	62	30	—	—	$2,802.45	$314,508.21	$24,905.39	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	60	29	—	—	$2,802.45	$43,483.49	$24,780.86	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	60	29	—	—	$2,802.45	$43,782.50	$24,702.49	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	60	29	—	—	$2,802.45	$42,736.52	$24,603.22	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$43,591.69	$24,596.92	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	60	29	—	—	$2,802.45	$43,361.32	$24,469.49	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	54	27	—	—	$2,802.45	$38,492.14	$24,213.41	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	60	29	—	—	$2,802.45	$42,719.07	$24,114.19	2026-05-24
1061586	OTHER	Ir-ang Int Car Ip Bi	106	45	$99,999.82	$14,999.97 85% off	$383.49	$89,999.84	$23,999.96	2026-05-24
1691208	OTHER	Ir-ang Int Car Ip Un	106	45	$99,999.81	$14,999.97 85% off	$383.49	$89,999.83	$23,999.95	2026-05-24
1061568	OTHER	Ic-prq De Cr Rev Cab	98	41	$99,999.75	$14,999.96 85% off	$2,600.00	$89,999.78	$23,999.94	2026-05-24
1061564	OTHER	Ic-prq De Cor Stnt	98	41	$99,999.75	$14,999.96 85% off	$2,600.00	$89,999.78	$23,999.94	2026-05-24
1061590	OTHER	Ir-ang Vert Ips Bi	106	45	$99,999.57	$14,999.94 85% off	$383.49	$89,999.61	$23,999.90	2026-05-24
1061588	OTHER	Ir-ang Subcl Ips Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1691211	OTHER	Ir-ang Subcl Ips Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1691206	OTHER	Ir-ang Cartd Ips Uni	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1691209	OTHER	Ir-ang Int Car Ip Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1061585	OTHER	Ir-ang Int Car Ip Un	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1691205	OTHER	Ir-ang Crt Ext Cc Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1417416	OTHER	Pmkr Dual Leadless	102	43	$99,999.00	$14,999.85 85% off	$3,500.00	$99,999.00	$23,999.76	2026-05-24
1061583	OTHER	Ir-ang Cartd Ips Uni	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1061582	OTHER	Ir-ang Crt Ext Cc Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1061584	OTHER	Ir-ang Cartd Ips Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
1691207	OTHER	Ir-ang Cartd Ips Bi	106	45	$99,999.00	$14,999.85 85% off	$383.49	$89,999.10	$23,999.76	2026-05-24
362	OTHER	Cardiac Defibrillator Implant Without Mcc	4	2	—	—	$21,396.52	$26,519.44	$23,957.98	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Mcc	50	25	—	—	$2,802.45	$35,541.68	$23,906.65	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	60	29	—	—	$2,802.45	$84,387.41	$23,877.83	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	60	29	—	—	$2,802.45	$74,948.33	$23,855.50	2026-05-24
1413243	OTHER	Cath Ep Cool-tip L3	72	29	$52,402.00	$12,576.48 76% off	$3,500.00	$52,402.00	$23,842.91	2026-05-24

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