Hospital

Northwest Medical Center - Bentonville

Bentonville, AR · CCN 040138 · Rates published

6,610 distinct procedures filed

40 distinct payers

216,847 rate rows

2026-05-24 last MRF observed

Data quality

192,921 of 216,847 rate rows are consumer-grade (89.0%)

23,926 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	18,862
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	3,195
exceeds 10× this hospital's gross charge — excluded from medians	1,157
placeholder amount (≤ $0.02) — excluded from medians	494
template filing: same amount across many unrelated codes — excluded	218

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

Source MRF file	https://www.northwesthealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/205896848_northwest-medical-center-bentonville_standardcharges.csv
Found on page	https://www.northwesthealth.com/pricing-information
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	bca8acfc8a829788… · 125,088,807 bytes · first seen 2026-05-09

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	$314,688.86	$344,916.22	$329,802.54	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	$4,263.00	$823,098.71	$317,151.35	nat. median $386,529 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	$4,263.00	$534,157.95	$207,704.05	nat. median $239,422 0.9× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	24	$4,263.00	$404,569.29	$154,296.40	nat. median $181,005 0.9× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	24	$4,263.00	$310,756.53	$153,466.31	nat. median $146,562 1.0× median
7 OTHER	Lung Transplant	21	$4,263.00	$283,186.84	$146,792.92	nat. median $169,933 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	24	$4,263.00	$264,018.77	$101,007.77	nat. median $134,983 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	22	$4,263.00	$174,920.53	$86,276.74	nat. median $100,915 0.9× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	22	$4,263.00	$215,993.17	$83,462.93	nat. median $111,558 0.7× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	25	$4,263.00	$158,272.53	$78,974.38	nat. median $90,581 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	$4,263.00	$196,526.38	$77,149.16	nat. median $94,894 0.8× median
215 OTHER	Other Heart Assist System Implant	25	$4,263.00	$189,788.39	$74,543.72	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$4,263.00	$186,467.99	$70,817.24	nat. median $90,130 0.8× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	18	$4,263.00	$153,247.15	$63,307.69	nat. median $65,342 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	$4,263.00	$160,175.53	$61,296.08	nat. median $76,493 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	26	$4,263.00	$160,680.64	$61,184.46	nat. median $74,989 0.8× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	$4,263.00	$149,985.62	$58,008.48	nat. median $74,209 0.8× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	$4,263.00	$146,354.54	$55,832.99	nat. median $72,612 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	$4,263.00	$145,241.39	$55,689.99	nat. median $68,309 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	26	$4,263.00	$145,723.63	$55,597.31	nat. median $68,249 0.8× median
1410016 OTHER	Oth Ster Supp Lvl 16	15	$13,825.56	$84,194.11	$53,175.23	nat. median $16,746 outlier · 3.2×
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$50,782.15	$55,362.89	$53,072.52	nat. median $42,666 1.2× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	$4,263.00	$104,398.65	$52,490.19	nat. median $46,003 1.1× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	25	$4,263.00	$135,911.13	$52,187.53	nat. median $29,655 1.8× median
10 OTHER	Pancreas Transplant	21	$4,263.00	$136,774.58	$51,997.18	nat. median $62,879 0.8× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	24	$4,263.00	$103,844.10	$51,961.78	nat. median $61,133 0.8× median
955 OTHER	Craniotomy For Multiple Significant Trauma	25	$4,263.00	$128,300.15	$50,854.59	nat. median $62,467 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	$4,263.00	$131,098.28	$50,848.34	nat. median $67,670 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	25	$4,263.00	$131,744.44	$50,623.41	nat. median $54,564 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	25	$4,263.00	$95,355.63	$48,044.67	nat. median $54,881 0.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$4,263.00	$125,330.48	$47,979.50	nat. median $60,727 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$4,263.00	$95,703.49	$47,979.50	nat. median $56,507 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	25	$4,263.00	$116,676.88	$47,857.66	nat. median $64,729 0.7× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	18	$4,263.00	$99,105.37	$47,670.80	nat. median $50,246 0.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	26	$4,263.00	$122,650.53	$47,427.75	nat. median $66,849 0.7× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	$44,462.02	$49,490.23	$46,976.12	nat. median $18,600 outlier · 2.5×
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	25	$4,263.00	$116,812.21	$46,325.41	nat. median $58,866 0.8× median
8060110 OTHER	Ic-pr De Cr Stn Ar B	15	$5,541.12	$72,089.64	$44,771.46	nat. median $16,032 outlier · 2.8×
8060112 OTHER	Ic-pr De Cr Rv Ch Ea	15	$5,541.12	$72,089.64	$44,771.46	nat. median $15,502 outlier · 2.9×
1061570 OTHER	Ic-prq De Cr Rev Ami	16	$5,541.12	$72,089.64	$44,771.46	nat. median $22,908 2.0× median
8060111 OTHER	Ic-pr De Cr Rv Cab B	15	$5,541.12	$72,089.64	$44,771.46	nat. median $15,940 outlier · 2.8×
232 OTHER	Coronary Bypass With Ptca Without Mcc	26	$4,263.00	$115,558.01	$44,329.03	nat. median $56,351 0.8× median
28 OTHER	Spinal Procedures With Mcc	25	$4,263.00	$87,450.81	$44,158.69	nat. median $52,701 0.8× median
276 OTHER	Non-maligant Breast Disorders	25	$4,263.00	$87,426.06	$44,146.54	nat. median $3,947 outlier · 11.2×
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	18	$4,263.00	$67,554.43	$44,051.13	nat. median $34,066 1.3× median
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	$4,263.00	$86,792.92	$43,835.28	nat. median $52,731 0.8× median
1417403 OTHER	Gen Neuro Closd Loop	18	$9,199.99	$89,999.91	$43,499.96	nat. median $38,000 1.1× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	22	$4,263.00	$113,024.83	$43,382.76	nat. median $50,271 0.9× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	25	$3,168.10	$86,507.64	$43,234.09	nat. median $42,432 1.0× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	25	$4,263.00	$111,860.21	$43,159.11	nat. median $56,120 0.8× median

Other procedures at this hospital

Browse this hospital's 6,610 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…	2	2	—	—	$314,688.86	$344,916.22	$329,802.54	2026-05-24
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	26	24	—	—	$4,263.00	$823,098.71	$317,151.35	2026-05-24
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	23	—	—	$4,263.00	$534,157.95	$207,704.05	2026-05-24
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	26	24	—	—	$4,263.00	$404,569.29	$154,296.40	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	26	24	—	—	$4,263.00	$310,756.53	$153,466.31	2026-05-24
7	OTHER	Lung Transplant	23	21	—	—	$4,263.00	$283,186.84	$146,792.92	2026-05-24
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	26	24	—	—	$4,263.00	$264,018.77	$101,007.77	2026-05-24
14	OTHER	Allogeneic Bone Marrow Transplant	24	22	—	—	$4,263.00	$174,920.53	$86,276.74	2026-05-24
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	22	—	—	$4,263.00	$215,993.17	$83,462.93	2026-05-24
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	27	25	—	—	$4,263.00	$158,272.53	$78,974.38	2026-05-24
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	23	21	—	—	$4,263.00	$196,526.38	$77,149.16	2026-05-24
215	OTHER	Other Heart Assist System Implant	27	25	—	—	$4,263.00	$189,788.39	$74,543.72	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	26	—	—	$4,263.00	$186,467.99	$70,817.24	2026-05-24
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	18	18	—	—	$4,263.00	$153,247.15	$63,307.69	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	27	25	—	—	$4,263.00	$160,175.53	$61,296.08	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	28	26	—	—	$4,263.00	$160,680.64	$61,184.46	2026-05-24
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	27	25	—	—	$4,263.00	$149,985.62	$58,008.48	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	26	—	—	$4,263.00	$146,354.54	$55,832.99	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	27	25	—	—	$4,263.00	$145,241.39	$55,689.99	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	28	26	—	—	$4,263.00	$145,723.63	$55,597.31	2026-05-24
1410016	OTHER	Oth Ster Supp Lvl 16	19	15	$88,625.38	$21,270.09 76% off	$13,825.56	$84,194.11	$53,175.23	2026-05-24
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$50,782.15	$55,362.89	$53,072.52	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	27	25	—	—	$4,263.00	$104,398.65	$52,490.19	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	27	25	—	—	$4,263.00	$135,911.13	$52,187.53	2026-05-24
10	OTHER	Pancreas Transplant	23	21	—	—	$4,263.00	$136,774.58	$51,997.18	2026-05-24
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	24	—	—	$4,263.00	$103,844.10	$51,961.78	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	27	25	—	—	$4,263.00	$128,300.15	$50,854.59	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	27	25	—	—	$4,263.00	$131,098.28	$50,848.34	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	27	25	—	—	$4,263.00	$131,744.44	$50,623.41	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	27	25	—	—	$4,263.00	$95,355.63	$48,044.67	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	26	—	—	$4,263.00	$95,703.49	$47,979.50	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	26	—	—	$4,263.00	$125,330.48	$47,979.50	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$116,676.88	$47,857.66	2026-05-24
459	OTHER	Spinal Fusion Except Cervical With Mcc	18	18	—	—	$4,263.00	$99,105.37	$47,670.80	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	26	—	—	$4,263.00	$122,650.53	$47,427.75	2026-05-24
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$44,462.02	$49,490.23	$46,976.12	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	27	25	—	—	$4,263.00	$116,812.21	$46,325.41	2026-05-24
1061570	OTHER	Ic-prq De Cr Rev Ami	20	16	$75,883.83	$18,212.12 76% off	$5,541.12	$72,089.64	$44,771.46	2026-05-24
8060112	OTHER	Ic-pr De Cr Rv Ch Ea	19	15	$75,883.83	$18,212.12 76% off	$5,541.12	$72,089.64	$44,771.46	2026-05-24
8060111	OTHER	Ic-pr De Cr Rv Cab B	19	15	$75,883.83	$18,212.12 76% off	$5,541.12	$72,089.64	$44,771.46	2026-05-24
8060110	OTHER	Ic-pr De Cr Stn Ar B	19	15	$75,883.83	$18,212.12 76% off	$5,541.12	$72,089.64	$44,771.46	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	28	26	—	—	$4,263.00	$115,558.01	$44,329.03	2026-05-24
28	OTHER	Spinal Procedures With Mcc	27	25	—	—	$4,263.00	$87,450.81	$44,158.69	2026-05-24
276	OTHER	Non-maligant Breast Disorders	27	25	—	—	$4,263.00	$87,426.06	$44,146.54	2026-05-24
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	18	18	—	—	$4,263.00	$67,554.43	$44,051.13	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	27	25	—	—	$4,263.00	$86,792.92	$43,835.28	2026-05-24
1417403	OTHER	Gen Neuro Closd Loop	20	18	$99,999.90	$35,999.96 64% off	$9,199.99	$89,999.91	$43,499.96	2026-05-24
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	24	22	—	—	$4,263.00	$113,024.83	$43,382.76	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	27	25	—	—	$3,168.10	$86,507.64	$43,234.09	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	27	25	—	—	$4,263.00	$111,860.21	$43,159.11	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$111,787.78	$43,131.92	2026-05-24
8060109	OTHER	Ic-prq De Cor Stnt B	19	15	$75,883.83	$18,212.12 76% off	$572.00	$72,089.64	$42,494.94	2026-05-24
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	27	25	—	—	$4,263.00	$109,224.10	$42,169.57	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	27	25	—	—	$4,263.00	$108,637.03	$41,949.18	2026-05-24
8	OTHER	Simultaneous Pancreas And Kidney Transplant	23	21	—	—	$4,263.00	$106,828.16	$41,270.15	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	27	25	—	—	$4,263.00	$105,272.80	$40,686.28	2026-05-24
278	OTHER	Cellulitis Age >17 Without Cc	27	25	—	—	$4,263.00	$81,016.04	$40,593.81	2026-05-24
1411002	OTHER	Aicd Ohr Thn Sgl/du2	18	16	$89,999.95	$32,399.98 64% off	$8,280.00	$80,999.96	$40,499.98	2026-05-24
1411004	OTHER	Aicd Ohr Thn Sgl/du4	18	16	$89,999.95	$32,399.98 64% off	$8,280.00	$80,999.96	$40,499.98	2026-05-24
1411003	OTHER	Aicd Ohr Thn Sgl/du3	18	16	$89,999.95	$32,399.98 64% off	$8,280.00	$80,999.96	$40,499.98	2026-05-24
1413006	OTHER	Aicd Single Chamber2	18	16	$89,999.81	$32,399.93 64% off	$8,279.98	$80,999.83	$40,499.91	2026-05-24
1413005	OTHER	Aicd Single Chamber1	18	16	$89,999.81	$32,399.93 64% off	$8,279.98	$80,999.83	$40,499.91	2026-05-24
1410048	OTHER	Pmkr Singl Rate-rsl3	18	16	$89,999.66	$32,399.88 64% off	$8,279.97	$80,999.69	$40,499.85	2026-05-24
1410093	OTHER	Pmkr Othr Th Sngl L3	18	16	$89,999.60	$32,399.86 64% off	$8,279.96	$80,999.64	$40,499.82	2026-05-24
1410047	OTHER	Pmkr Singl Rate-rsl2	18	16	$89,999.26	$32,399.73 64% off	$8,279.93	$80,999.33	$40,499.66	2026-05-24
1410038	OTHER	Aicd Dual Chamber L4	18	16	$89,999.10	$32,399.68 64% off	$8,279.92	$80,999.19	$40,499.60	2026-05-24
1410037	OTHER	Aicd Dual Chamber L3	18	16	$89,999.10	$32,399.68 64% off	$8,279.92	$80,999.19	$40,499.60	2026-05-24
1410039	OTHER	Aicd Dual Chamber L5	18	16	$89,999.10	$32,399.68 64% off	$8,279.92	$80,999.19	$40,499.60	2026-05-24
1410036	OTHER	Aicd Dual Chamber L2	18	16	$89,999.10	$32,399.68 64% off	$8,279.92	$80,999.19	$40,499.60	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	27	25	—	—	$4,263.00	$104,123.43	$40,254.84	2026-05-24
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	27	25	—	—	$4,263.00	$103,959.51	$40,193.29	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	26	24	—	—	$4,263.00	$79,623.13	$40,113.22	2026-05-24
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$79,905.49	$40,053.23	2026-05-24
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$37,866.51	$42,148.83	$40,007.67	2026-05-24
1414763	OTHER	Mesh Implantable 14	19	17	$99,999.42	$35,999.79 64% off	$9,199.95	$89,999.48	$39,999.77	2026-05-24
1410730	OTHER	Lead Neurostimulat 7	19	17	$99,999.00	$35,999.64 64% off	$9,199.91	$89,999.10	$39,999.60	2026-05-24
1413106	OTHER	Cochlear Imp System1	19	17	$99,999.00	$35,999.64 64% off	$9,199.91	$89,999.10	$39,999.60	2026-05-24
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	24	22	—	—	$4,263.00	$79,067.13	$39,629.63	2026-05-24
1414579	OTHER	Genratr Neurostm 6	19	17	$99,000.00	$35,640.00 64% off	$9,108.00	$89,100.00	$39,600.00	2026-05-24
1418038	OTHER	Genrate Neuro Rech 6	19	17	$99,000.00	$35,640.00 64% off	$9,108.00	$89,100.00	$39,600.00	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	26	—	—	$4,263.00	$101,647.43	$39,504.50	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	27	25	—	—	$3,887.40	$97,783.91	$39,275.36	2026-05-24
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	27	25	—	—	$4,263.00	$100,904.06	$39,046.32	2026-05-24
1410069	OTHER	Pmkr Dual Rate-rs L5	18	16	$86,662.75	$31,198.59 64% off	$7,972.97	$77,996.48	$38,998.24	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	27	25	—	—	$4,263.00	$75,764.60	$38,413.79	2026-05-24
8060115	OTHER	Ic-prq Rv Byp Grf Ad	19	15	$65,042.82	$15,610.28 76% off	$10,000.00	$61,790.68	$38,375.26	2026-05-24
8060076	OTHER	Ic-prq Stnt W-ang Ea	19	15	$65,042.82	$15,610.28 76% off	$10,000.00	$61,790.68	$38,375.26	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	27	25	—	—	$4,263.00	$99,047.54	$38,349.41	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	26	—	—	$4,263.00	$96,070.24	$37,049.44	2026-05-24
1414578	OTHER	Genratr Neurostm 5	19	17	$92,500.00	$33,300.00 64% off	$8,510.00	$83,250.00	$37,000.00	2026-05-24
1418034	OTHER	Lead Neurostimulat 6	19	17	$92,500.00	$33,300.00 64% off	$8,510.00	$83,250.00	$37,000.00	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	27	25	—	—	$4,263.00	$94,301.40	$36,898.77	2026-05-24
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	26	24	—	—	$4,263.00	$72,591.61	$36,673.49	2026-05-24
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$84,615.14	$36,504.80	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	27	25	—	—	$4,263.00	$93,811.54	$36,383.88	2026-05-24
1413109	OTHER	Cochlear Imp System3	19	17	$89,999.93	$32,399.97 64% off	$8,279.99	$80,999.94	$35,999.97	2026-05-24
1414020	OTHER	Anchor/scrw Level 20	19	17	$89,999.86	$32,399.95 64% off	$8,279.99	$80,999.87	$35,999.94	2026-05-24
1414483	OTHER	Conn Tissue Human 9	19	17	$89,999.67	$32,399.88 64% off	$8,279.97	$80,999.70	$35,999.87	2026-05-24
1414709	OTHER	Joint Device Implt10	19	17	$89,999.32	$32,399.76 64% off	$8,279.94	$80,999.39	$35,999.73	2026-05-24
1414021	OTHER	Anchor/scrw Level 21	19	17	$89,999.24	$32,399.73 64% off	$8,279.93	$80,999.32	$35,999.70	2026-05-24
1413003	OTHER	Aicd Dual Chamber L1	18	16	$79,999.20	$28,799.71 64% off	$7,359.93	$71,999.28	$35,999.64	2026-05-24
1413004	OTHER	Aicd Ohr Thn Sgl/du1	18	16	$79,999.20	$28,799.71 64% off	$7,359.93	$71,999.28	$35,999.64	2026-05-24
1414484	OTHER	Conn Tissue Human 10	19	17	$89,999.10	$32,399.68 64% off	$8,279.92	$80,999.19	$35,999.64	2026-05-24
1417274	OTHER	Wireless Press Sens	19	17	$89,999.10	$32,399.68 64% off	$8,279.92	$80,999.19	$35,999.64	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	27	25	—	—	$4,263.00	$71,336.97	$35,882.28	2026-05-24
1413215	OTHER	Pmkr Othr Th Sngl L1	18	16	$79,698.11	$28,691.32 64% off	$7,332.23	$71,728.30	$35,864.15	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	27	25	—	—	$4,263.00	$92,038.88	$35,718.45	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	27	25	—	—	$4,263.00	$91,573.80	$35,543.87	2026-05-24
6	OTHER	Liver Transplant Without Mcc	23	21	—	—	$4,263.00	$88,384.93	$35,333.19	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	27	25	—	—	$3,140.14	$90,744.66	$35,232.61	2026-05-24
1418037	OTHER	Genrate Neuro Rech 5	19	17	$88,000.00	$31,680.00 64% off	$8,096.00	$79,200.00	$35,200.00	2026-05-24
1411702	OTHER	Impella Device L3	19	17	$87,499.99	$31,500.00 64% off	$8,050.00	$78,749.99	$35,000.00	2026-05-24
1411701	OTHER	Impella Device L2	19	17	$87,499.31	$31,499.75 64% off	$8,049.94	$78,749.38	$34,999.72	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	26	24	—	—	$2,921.63	$89,612.45	$34,964.39	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	27	25	—	—	$4,263.00	$88,334.89	$34,738.89	2026-05-24
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	27	25	—	—	$4,263.00	$89,162.61	$34,638.73	2026-05-24
1417057	OTHER	Tissue Non-human 9	19	17	$86,404.26	$31,105.53 64% off	$7,949.19	$77,763.83	$34,561.70	2026-05-24
277	OTHER	Cellulitis Age >17 W Cc	27	25	—	—	$4,263.00	$88,032.30	$34,214.43	2026-05-24
329	OTHER	Major Small And Large Bowel Procedures With Mcc	27	25	—	—	$4,263.00	$87,612.97	$34,057.01	2026-05-24
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	27	25	—	—	$4,263.00	$87,389.96	$33,973.30	2026-05-24
245	OTHER	Aicd Generator Procedures	27	25	—	—	$4,263.00	$86,962.99	$33,813.02	2026-05-24
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	19	19	—	—	$4,263.00	$189,262.01	$33,787.93	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$66,578.88	$33,714.98	2026-05-24
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	27	25	—	—	$4,263.00	$86,663.74	$33,700.70	2026-05-24
799	OTHER	Splenectomy With Mcc	27	25	—	—	$4,263.00	$86,324.46	$33,573.33	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	28	26	—	—	$4,263.00	$85,426.69	$33,523.79	2026-05-24
1414577	OTHER	Genratr Neurostm 4	19	17	$83,250.00	$29,970.00 64% off	$7,659.00	$74,925.00	$33,300.00	2026-05-24
1418033	OTHER	Lead Neurostimulat 5	19	17	$83,250.00	$29,970.00 64% off	$7,659.00	$74,925.00	$33,300.00	2026-05-24
31	OTHER	Ventricular Shunt Procedures With Mcc	27	25	—	—	$4,263.00	$85,401.91	$33,227.01	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	27	25	—	—	$4,263.00	$85,066.44	$33,101.08	2026-05-24
1414761	OTHER	Mesh Implantable 12	19	17	$82,512.15	$29,704.37 64% off	$7,591.12	$74,260.93	$33,004.86	2026-05-24
1414708	OTHER	Joint Device Implt 9	19	17	$82,500.00	$29,700.00 64% off	$7,590.00	$74,250.00	$33,000.00	2026-05-24
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$31,085.57	$34,601.04	$32,843.31	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Mcc	28	26	—	—	$4,263.00	$296,809.90	$32,745.40	2026-05-24
1414019	OTHER	Anchor/scrw Level 19	19	17	$81,660.87	$29,397.91 64% off	$7,512.80	$73,494.78	$32,664.35	2026-05-24
1410067	OTHER	Pmkr Dual Rate-rs L3	18	16	$72,218.13	$25,998.53 64% off	$6,644.07	$64,996.32	$32,498.16	2026-05-24
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	27	25	—	—	$4,263.00	$62,985.31	$32,131.56	2026-05-24
1414576	OTHER	Genratr Neurostm 3	19	17	$79,999.58	$28,799.85 64% off	$7,359.96	$71,999.62	$31,999.83	2026-05-24
1417059	OTHER	Tissue Non-human 11	19	17	$79,999.52	$28,799.83 64% off	$7,359.96	$71,999.57	$31,999.81	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	27	25	—	—	$4,263.00	$67,395.91	$31,884.69	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$79,159.50	$31,765.92	2026-05-24
1414607	OTHER	Graft Vascular 8	19	17	$79,386.26	$28,579.05 64% off	$7,303.54	$71,447.63	$31,754.50	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	27	25	—	—	$3,415.03	$81,300.03	$31,687.20	2026-05-24
1414707	OTHER	Joint Device Implt 8	19	17	$79,177.67	$28,503.96 64% off	$7,284.35	$71,259.90	$31,671.07	2026-05-24
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	27	25	—	—	$4,263.00	$80,360.33	$31,613.76	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	27	25	—	—	$4,208.11	$80,497.57	$31,385.97	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	27	25	—	—	$4,263.00	$73,140.24	$31,319.45	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	27	25	—	—	$4,263.00	$79,533.09	$31,300.16	2026-05-24
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	27	25	—	—	$4,263.00	$80,085.86	$31,231.43	2026-05-24
901	OTHER	Wound Debridements For Injuries With Mcc	27	25	—	—	$4,263.00	$79,990.55	$31,195.65	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	27	25	—	—	$4,263.00	$79,841.88	$31,139.86	2026-05-24
1414482	OTHER	Conn Tissue Human 8	19	17	$77,763.83	$27,994.98 64% off	$7,154.27	$69,987.45	$31,105.53	2026-05-24
1413192	OTHER	Inf Pump Program Lv6	19	17	$77,657.24	$27,956.61 64% off	$7,144.47	$69,891.52	$31,062.90	2026-05-24
1413175	OTHER	Inf Pump Program Lv4	19	17	$77,657.24	$27,956.61 64% off	$7,144.47	$69,891.52	$31,062.90	2026-05-24
1414575	OTHER	Genratr Neurostm 2	19	17	$77,567.46	$27,924.29 64% off	$7,136.21	$69,810.71	$31,026.98	2026-05-24
1414706	OTHER	Joint Device Implt 7	19	17	$76,978.31	$27,712.19 64% off	$7,082.00	$69,280.48	$30,791.32	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	27	25	—	—	$4,263.00	$78,635.33	$30,686.92	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	28	26	—	—	$1,983.75	$60,688.53	$30,685.67	2026-05-24
1414955	OTHER	Stnt Coat/cov W/del5	19	17	$75,843.00	$27,303.48 64% off	$6,977.56	$68,258.70	$30,337.20	2026-05-24
1411437	OTHER	Implant Other Lvl 7	19	17	$75,554.60	$27,199.66 64% off	$6,951.02	$67,999.14	$30,221.84	2026-05-24
1413125	OTHER	Genrate Neuro Rech 4	19	17	$74,999.82	$26,999.94 64% off	$6,899.98	$67,499.84	$29,999.93	2026-05-24
1417227	OTHER	Lead Neurostimulat 4	19	17	$74,892.87	$26,961.43 64% off	$6,890.14	$67,403.58	$29,957.15	2026-05-24
791	OTHER	Prematurity With Major Problems	26	24	—	—	$2,052.88	$59,078.75	$29,902.27	2026-05-24
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	27	25	—	—	$4,263.00	$75,940.13	$29,675.18	2026-05-24
1410035	OTHER	Lead Aicd No-sing L5	18	16	$65,561.48	$23,602.13 64% off	$6,031.66	$59,005.33	$29,502.67	2026-05-24
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	27	25	—	—	$4,263.00	$74,563.94	$29,158.58	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	27	25	—	—	$4,263.00	$74,226.57	$29,031.93	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	26	24	—	—	$3,444.39	$73,668.09	$28,949.51	2026-05-24
34	OTHER	Carotid Artery Stent Procedures With Mcc	27	25	—	—	$4,263.00	$73,778.64	$28,863.78	2026-05-24
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	27	25	—	—	$4,263.00	$73,597.56	$28,795.80	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$308,422.95	$28,704.96	2026-05-24
1414018	OTHER	Anchor/scrw Level 18	19	17	$71,721.40	$25,819.70 64% off	$6,598.37	$64,549.26	$28,688.56	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Mcc	27	25	—	—	$4,263.00	$73,180.13	$28,639.09	2026-05-24
1414762	OTHER	Mesh Implantable 13	19	17	$71,479.88	$25,732.76 64% off	$6,576.15	$64,331.89	$28,591.95	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	27	25	—	—	$4,263.00	$71,725.79	$28,340.44	2026-05-24
1413237	OTHER	Septal Defect Implt1	19	17	$70,517.63	$25,386.35 64% off	$6,487.62	$63,465.87	$28,207.05	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$71,413.19	$27,975.82	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	27	25	—	—	$4,263.00	$70,012.22	$27,963.25	2026-05-24
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	27	25	—	—	$4,263.00	$71,235.93	$27,909.28	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$54,815.89	$27,834.16	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	26	24	—	—	$4,263.00	$70,635.51	$27,805.52	2026-05-24
1414704	OTHER	Joint Device Implt 5	19	17	$69,260.82	$24,933.90 64% off	$6,372.00	$62,334.74	$27,704.33	2026-05-24
1417058	OTHER	Tissue Non-human 10	19	17	$68,839.58	$24,782.25 64% off	$6,333.24	$61,955.62	$27,535.83	2026-05-24
1410072	OTHER	Lead Aicd End Dul L2	18	16	$61,032.84	$21,971.82 64% off	$5,615.02	$54,929.56	$27,464.78	2026-05-24
1413177	OTHER	Lead Aicd End Dul L1	18	16	$61,032.84	$21,971.82 64% off	$5,615.02	$54,929.56	$27,464.78	2026-05-24
1410074	OTHER	Lead Aicd End Dul L4	18	16	$61,032.84	$21,971.82 64% off	$5,615.02	$54,929.56	$27,464.78	2026-05-24
1410075	OTHER	Lead Aicd End Dul L5	18	16	$61,032.84	$21,971.82 64% off	$5,615.02	$54,929.56	$27,464.78	2026-05-24
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	27	25	—	—	$4,263.00	$67,420.69	$27,439.17	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	27	25	—	—	$4,263.00	$82,386.97	$27,414.42	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	27	25	—	—	$4,263.00	$73,261.74	$27,389.37	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	27	25	—	—	$4,263.00	$69,162.11	$27,130.80	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	27	25	—	—	$4,263.00	$69,108.74	$27,110.77	2026-05-24
332	OTHER	Rectal Resection With Mcc	27	25	—	—	$4,263.00	$69,013.44	$27,074.98	2026-05-24
265	OTHER	Aicd Lead Procedures	27	25	—	—	$4,263.00	$68,965.79	$27,057.11	2026-05-24
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	27	25	—	—	$4,263.00	$68,843.80	$27,011.31	2026-05-24
460	OTHER	Spinal Fusion Except Cervical Without Mcc	18	18	—	—	$4,263.00	$44,648.18	$26,927.32	2026-05-24
1410015	OTHER	Oth Ster Supp Lvl 15	19	15	$44,773.13	$10,745.55 76% off	$6,984.61	$42,534.47	$26,863.88	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	27	25	—	—	$4,263.00	$68,291.03	$26,803.81	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	27	25	—	—	$4,263.00	$68,132.83	$26,744.42	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Mcc	27	25	—	—	$4,263.00	$68,064.21	$26,718.65	2026-05-24
279	OTHER	Cellulitis Age 0-17	27	25	—	—	$4,263.00	$52,491.15	$26,708.56	2026-05-24
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	27	25	—	—	$4,263.00	$51,897.31	$26,680.74	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Cc	27	25	—	—	$3,436.88	$67,785.92	$26,614.19	2026-05-24
570	OTHER	Skin Debridement With Mcc	27	25	—	—	$3,276.84	$56,059.72	$26,549.25	2026-05-24
1414017	OTHER	Anchor/scrw Level 17	19	17	$66,012.83	$23,764.62 64% off	$6,073.18	$59,411.55	$26,405.13	2026-05-24
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	27	25	—	—	$4,263.00	$64,303.70	$26,401.67	2026-05-24
1414705	OTHER	Joint Device Implt 6	19	17	$65,981.45	$23,753.32 64% off	$6,070.29	$59,383.30	$26,392.58	2026-05-24
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	27	25	—	—	$4,263.00	$67,082.58	$26,350.16	2026-05-24
252	OTHER	Other Vascular Procedures With Mcc	27	25	—	—	$4,263.00	$66,489.79	$26,127.65	2026-05-24
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	27	25	—	—	$4,263.00	$66,472.63	$26,121.19	2026-05-24
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	27	25	—	—	$4,263.00	$64,056.51	$26,006.73	2026-05-24
1417056	OTHER	Tissue Non-human 8	19	17	$64,803.15	$23,329.13 64% off	$5,961.89	$58,322.83	$25,921.26	2026-05-24
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	27	25	—	—	$4,263.00	$65,847.44	$25,886.52	2026-05-24
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	27	25	—	—	$4,263.00	$59,319.28	$25,578.83	2026-05-24
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	27	25	—	—	$4,263.00	$49,900.36	$25,447.42	2026-05-24
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	27	25	—	—	$4,263.00	$62,742.44	$25,417.79	2026-05-24
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	27	25	—	—	$4,263.00	$49,590.34	$25,296.52	2026-05-24
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$24,587.84	$25,774.85	$25,181.35	2026-05-24
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	27	25	—	—	$4,263.00	$58,121.58	$25,176.51	2026-05-24
264	OTHER	Other Circulatory System O.r. Procedures	27	25	—	—	$4,263.00	$49,580.14	$25,070.81	2026-05-24
652	OTHER	Kidney Transplant	23	21	—	—	$4,263.00	$61,556.85	$24,959.36	2026-05-24
37	OTHER	Extracranial Procedures With Mcc	27	25	—	—	$4,263.00	$54,638.26	$24,937.77	2026-05-24
411	OTHER	Cholecystectomy With C.d.e. With Mcc	27	25	—	—	$4,263.00	$62,963.54	$24,803.93	2026-05-24
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	27	25	—	—	$4,263.00	$60,563.79	$24,575.34	2026-05-24
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	27	25	—	—	$4,263.00	$62,000.97	$24,442.59	2026-05-24
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$23,109.84	$25,723.33	$24,416.58	2026-05-24
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	27	25	—	—	$4,263.00	$61,728.40	$24,340.27	2026-05-24
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	27	25	—	—	$4,263.00	$47,083.97	$24,314.51	2026-05-24
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	27	25	—	—	$4,263.00	$61,511.11	$24,258.70	2026-05-24
1061618	OTHER	Cc-imp Press Sen Ang	33	28	$32,985.77	$7,916.58 76% off	$285.58	$51,170.99	$24,234.61	2026-05-24
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	27	25	—	—	$4,263.00	$61,391.02	$24,213.62	2026-05-24
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	27	25	—	—	$4,263.00	$60,685.78	$24,155.21	2026-05-24
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	27	25	—	—	$4,263.00	$61,192.79	$24,139.21	2026-05-24
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	28	26	—	—	$4,263.00	$60,857.32	$24,116.75	2026-05-24
324	OTHER	Urinary Stones Without Cc	27	25	—	—	$4,263.00	$45,862.80	$23,918.19	2026-05-24
229	OTHER	Other Cardiothoracic Procedures Without Mcc	27	25	—	—	$4,263.00	$60,031.99	$23,907.36	2026-05-24
1061579	OTHER	Ep-atr Fib Pulm Vn I	39	35	$39,665.41	$9,519.70 76% off	$530.95	$44,158.14	$23,881.25	2026-05-24
1061578	OTHER	Ep-ablate Vent Tacy	39	35	$39,665.41	$9,519.70 76% off	$530.69	$44,158.14	$23,881.25	2026-05-24
1061577	OTHER	Ep-ablate Sprvnt Art	39	35	$39,665.41	$9,519.70 76% off	$397.78	$44,158.14	$23,881.25	2026-05-24
500	OTHER	Soft Tissue Procedures With Mcc	27	25	—	—	$4,263.00	$60,323.62	$23,812.94	2026-05-24
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	27	25	—	—	$4,263.00	$46,628.89	$23,778.60	2026-05-24
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	27	25	—	—	$4,263.00	$59,890.94	$23,650.52	2026-05-24
665	OTHER	Prostatectomy With Mcc	27	25	—	—	$4,263.00	$59,492.57	$23,500.97	2026-05-24
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	27	25	—	—	$4,263.00	$45,334.46	$23,454.46	2026-05-24
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	2	—	—	$22,179.41	$24,687.68	$23,433.54	2026-05-24
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	27	25	—	—	$4,263.00	$59,263.84	$23,415.10	2026-05-24
1414481	OTHER	Conn Tissue Human 7	19	17	$58,322.84	$20,996.22 64% off	$5,365.70	$52,490.56	$23,329.14	2026-05-24
662	OTHER	Minor Bladder Procedures With Mcc	27	25	—	—	$4,263.00	$44,560.13	$23,073.81	2026-05-24
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	27	25	—	—	$4,263.00	$57,815.22	$23,066.97	2026-05-24
1061560	OTHER	Ic-prq Card Rev 1 Vs	22	18	$65,042.82	$15,610.28 76% off	$563.21	$55,286.40	$23,057.68	2026-05-24
263	OTHER	Vein Ligation And Stripping	27	25	—	—	$4,263.00	$58,276.49	$23,044.46	2026-05-24
472	OTHER	Cervical Spinal Fusion With Cc	27	25	—	—	$4,263.00	$56,155.02	$22,870.58	2026-05-24
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	27	25	—	—	$4,263.00	$57,573.15	$22,780.44	2026-05-24
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	27	25	—	—	$4,263.00	$57,565.52	$22,777.59	2026-05-24
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	27	25	—	—	$4,263.00	$43,909.52	$22,753.99	2026-05-24
8060075	OTHER	Ic-ptca, Addl	19	15	$38,545.05	$9,250.81 76% off	$6,013.03	$36,617.80	$22,741.58	2026-05-24
974	OTHER	HIV With Major Related Condition With Mcc	27	25	—	—	$4,263.00	$75,476.94	$22,427.62	2026-05-24
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	27	25	—	—	$4,263.00	$56,116.90	$22,423.16	2026-05-24
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	27	25	—	—	$4,263.00	$43,321.50	$22,244.99	2026-05-24
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	28	26	—	—	$4,263.00	$55,510.77	$22,099.82	2026-05-24
668	OTHER	Transurethral Procedures With Mcc	27	25	—	—	$4,263.00	$55,657.54	$22,061.36	2026-05-24
1110865	OTHER	Bilat Lithotripsy	19	15	$36,711.35	$8,810.72 76% off	$5,726.97	$34,875.78	$22,026.81	2026-05-24
1414954	OTHER	Stnt Coat/cov W/del4	19	17	$54,994.34	$19,797.96 64% off	$5,059.48	$49,494.91	$21,997.74	2026-05-24
619	OTHER	O.r. Procedures For Obesity With Mcc	26	24	—	—	$4,263.00	$42,026.11	$21,987.17	2026-05-24
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	27	25	—	—	$4,263.00	$55,314.44	$21,932.55	2026-05-24
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	27	25	—	—	$4,263.00	$55,280.13	$21,919.67	2026-05-24
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	27	25	—	—	$4,263.00	$54,929.41	$21,788.03	2026-05-24
1414479	OTHER	Conn Tissue Human 5	19	17	$54,409.16	$19,587.30 64% off	$5,005.64	$48,968.24	$21,763.66	2026-05-24
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	27	25	—	—	$4,263.00	$54,708.31	$21,705.03	2026-05-24
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	27	25	—	—	$4,263.00	$52,834.63	$21,586.64	2026-05-24
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	27	25	—	—	$4,263.00	$51,095.05	$21,564.05	2026-05-24
1062275	OTHER	Ic-prq Cor Stnt 2p	31	27	$65,042.82	$15,610.28 76% off	$445.86	$61,790.68	$21,486.49	2026-05-24
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	27	25	—	—	$4,263.00	$52,379.08	$21,410.49	2026-05-24
800	OTHER	Splenectomy With Cc	27	25	—	—	$4,263.00	$53,549.41	$21,269.99	2026-05-24
654	OTHER	Major Bladder Procedures With Cc	27	25	—	—	$4,263.00	$53,356.90	$21,197.73	2026-05-24
503	OTHER	Foot Procedures With Mcc	27	25	—	—	$4,263.00	$53,200.60	$21,139.04	2026-05-24
8510062	OTHER	Brachtx Src Ytrium90	32	30	$99,999.04	$23,999.77 76% off	$9,199.91	$89,999.14	$20,899.54	2026-05-24
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	27	25	—	—	$4,263.00	$52,552.53	$20,895.76	2026-05-24
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	27	25	—	—	$4,263.00	$52,392.42	$20,835.66	2026-05-24
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	27	25	—	—	$4,263.00	$50,701.73	$20,761.90	2026-05-24
963	OTHER	Other Multiple Significant Trauma With Mcc	27	25	—	—	$4,263.00	$52,108.42	$20,729.06	2026-05-24
1414605	OTHER	Graft Vascular 6	19	17	$51,685.44	$18,606.76 64% off	$4,755.06	$46,516.90	$20,674.18	2026-05-24
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	27	25	—	—	$4,263.00	$39,601.24	$20,636.04	2026-05-24
1140244	OTHER	Bilat Lithotripsy	19	15	$34,332.13	$8,239.71 76% off	$5,355.81	$32,615.52	$20,599.28	2026-05-24
849	OTHER	Radiotherapy	27	25	—	—	$4,263.00	$51,645.24	$20,555.19	2026-05-24
288	OTHER	Acute And Subacute Endocarditis With Mcc	27	25	—	—	$4,263.00	$51,582.34	$20,531.57	2026-05-24
1061571	OTHER	Ic-prq De Cor Rev Ch	31	27	$75,883.83	$18,212.12 76% off	$1,687.00	$72,089.64	$20,488.63	2026-05-24
1061566	OTHER	Ic-prq De Cr Stnt Ar	31	27	$75,883.83	$18,212.12 76% off	$1,687.00	$72,089.64	$20,488.63	2026-05-24
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	27	25	—	—	$4,263.00	$39,260.66	$20,468.60	2026-05-24
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	27	25	—	—	$4,263.00	$41,098.30	$20,303.08	2026-05-24
1413216	OTHER	Pmkr Singl Rate-rsl1	18	16	$44,794.70	$16,126.09 64% off	$4,121.11	$40,315.23	$20,157.61	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	27	25	—	—	$4,263.00	$50,270.95	$20,039.29	2026-05-24
253	OTHER	Other Vascular Procedures With Cc	28	26	—	—	$4,263.00	$173,952.50	$19,822.57	2026-05-24
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	27	25	—	—	$4,263.00	$48,088.49	$19,751.42	2026-05-24
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	27	25	—	—	$4,263.00	$49,230.23	$19,648.62	2026-05-24
1414016	OTHER	Anchor/scrw Level 16	19	17	$49,111.02	$17,679.97 64% off	$4,518.21	$44,199.92	$19,644.41	2026-05-24
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	27	25	—	—	$4,263.00	$49,161.62	$19,622.86	2026-05-24
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	27	25	—	—	$4,263.00	$37,540.26	$19,622.86	2026-05-24
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	27	25	—	—	$4,263.00	$48,940.51	$19,539.85	2026-05-24
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	27	25	—	—	$4,263.00	$37,733.84	$19,525.05	2026-05-24

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