Hospital

Willow Creek Women's Hospital

Johnson, AR · CCN 040141 · Rates published

6,610 distinct procedures filed

43 distinct payers

204,596 rate rows

2026-05-09 last MRF observed

Data quality

183,422 of 204,596 rate rows are consumer-grade (89.7%)

21,174 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	16,829
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,770
exceeds 10× this hospital's gross charge — excluded from medians	1,093
placeholder amount (≤ $0.02) — excluded from medians	482

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

Source MRF file	https://www.northwesthealth.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/205896848_willow-creek-womens-hospital_standardcharges.csv
Found on page	https://www.northwesthealth.com/pricing-information
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	6b9ac53dbb07c13d… · 105,313,678 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	$298,954.41	$344,916.22	$321,935.31	nat. median $0
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	$4,263.00	$823,098.71	$309,843.17	nat. median $386,529 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	26	$4,263.00	$534,157.95	$202,680.86	nat. median $239,422 0.8× median
7 OTHER	Lung Transplant	24	$4,263.00	$283,186.84	$180,295.79	nat. median $169,933 1.1× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	27	$4,263.00	$404,569.29	$154,072.53	nat. median $181,005 0.9× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	27	$4,263.00	$254,690.11	$152,997.68	nat. median $146,562 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	27	$4,263.00	$264,018.77	$100,282.90	nat. median $134,983 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	26	$4,263.00	$162,650.00	$86,184.71	nat. median $100,915 0.9× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	$4,263.00	$215,993.17	$82,247.48	nat. median $111,558 0.7× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	27	$4,263.00	$148,868.05	$78,200.46	nat. median $90,581 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	24	$4,263.00	$196,526.38	$75,286.70	nat. median $94,894 0.8× median
215 OTHER	Other Heart Assist System Implant	28	$4,263.00	$189,788.39	$73,089.82	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$4,263.00	$186,467.99	$70,468.56	nat. median $90,130 0.8× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	22	$4,263.00	$155,983.70	$63,602.26	nat. median $65,342 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	$4,263.00	$160,175.53	$60,990.67	nat. median $76,493 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	29	$4,263.00	$160,680.64	$60,883.23	nat. median $74,989 0.8× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	$4,263.00	$149,985.62	$57,726.09	nat. median $74,209 0.8× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	$4,263.00	$146,354.54	$55,558.12	nat. median $72,612 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	$4,263.00	$145,241.39	$55,410.94	nat. median $68,309 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	29	$4,263.00	$145,723.63	$55,323.60	nat. median $68,249 0.8× median
1410016 OTHER	Oth Ster Supp Lvl 16	17	$13,825.56	$84,194.11	$52,288.97	nat. median $16,746 outlier · 3.1×
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	$4,263.00	$97,075.00	$52,226.19	nat. median $46,003 1.1× median
613 OTHER	Neonate, Birth Weight <750 Grams, Died	2	$48,243.04	$55,362.89	$51,802.96	nat. median $42,666 1.2× median
10 OTHER	Pancreas Transplant	24	$4,263.00	$136,774.58	$51,721.24	nat. median $62,879 0.8× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	$4,263.00	$89,693.00	$51,687.35	nat. median $61,133 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	27	$4,263.00	$135,911.13	$51,676.23	nat. median $29,655 1.7× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	28	$4,263.00	$131,098.28	$50,599.57	nat. median $67,670 0.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	28	$4,263.00	$131,744.44	$50,368.18	nat. median $54,603 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	28	$4,263.00	$128,300.15	$50,042.32	nat. median $62,467 0.8× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	22	$4,263.00	$100,875.11	$47,891.27	nat. median $50,246 1.0× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$4,263.00	$125,330.48	$47,743.32	nat. median $60,727 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	$4,263.00	$88,990.00	$47,708.10	nat. median $56,507 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	$4,263.00	$88,667.00	$47,556.42	nat. median $54,881 0.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	28	$4,263.00	$116,676.88	$47,422.74	nat. median $64,729 0.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	$4,263.00	$122,650.53	$46,851.82	nat. median $66,849 0.7× median
318 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	$42,238.92	$49,490.23	$45,864.57	nat. median $18,600 outlier · 2.5×
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	$4,263.00	$116,812.21	$45,424.81	nat. median $58,866 0.8× median
1417403 OTHER	Gen Neuro Closd Loop	17	$9,299.99	$84,999.91	$44,499.96	nat. median $38,000 1.2× median
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	22	$4,263.00	$67,554.43	$44,254.44	nat. median $34,066 1.3× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	29	$4,263.00	$115,558.01	$44,110.83	nat. median $56,351 0.8× median
28 OTHER	Spinal Procedures With Mcc	28	$4,263.00	$81,316.00	$43,933.87	nat. median $52,701 0.8× median
276 OTHER	Non-maligant Breast Disorders	27	$4,263.00	$81,293.00	$43,714.07	nat. median $3,947 outlier · 11.1×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	$4,263.00	$80,705.00	$43,611.98	nat. median $52,731 0.8× median
1061570 OTHER	Ic-prq De Cr Rev Ami	18	$5,541.12	$72,089.64	$43,253.78	nat. median $22,908 1.9× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	$4,263.00	$113,024.83	$43,152.79	nat. median $50,271 0.9× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	28	$3,009.70	$70,900.01	$43,036.52	nat. median $42,495 1.0× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	$4,263.00	$111,860.21	$42,938.99	nat. median $56,120 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	$4,263.00	$111,787.78	$42,911.93	nat. median $45,972 0.9× median
8060110 OTHER	Ic-pr De Cr Stn Ar B	17	$5,541.12	$72,089.64	$42,494.94	nat. median $16,032 outlier · 2.7×
8060112 OTHER	Ic-pr De Cr Rv Ch Ea	17	$5,541.12	$72,089.64	$42,494.94	nat. median $15,502 outlier · 2.7×

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

1417403	OTHER	Gen Neuro Closd Loop	18	17	$99,999.90	$41,999.96 58% off	$9,299.99	$84,999.91	$44,499.96	2026-05-09
1414763	OTHER	Mesh Implantable 14	17	16	$99,999.42	$41,999.76 58% off	$9,299.95	$84,999.51	$41,999.76	2026-05-09
1410730	OTHER	Lead Neurostimulat 7	17	16	$99,999.00	$41,999.58 58% off	$9,299.91	$84,999.15	$41,999.58	2026-05-09
1413106	OTHER	Cochlear Imp System1	17	16	$99,999.00	$41,999.58 58% off	$9,299.91	$84,999.15	$41,999.58	2026-05-09
1418038	OTHER	Genrate Neuro Rech 6	17	16	$99,000.00	$41,580.00 58% off	$9,207.00	$84,150.00	$41,580.00	2026-05-09
1414579	OTHER	Genratr Neurostm 6	17	16	$99,000.00	$41,580.00 58% off	$9,207.00	$84,150.00	$41,580.00	2026-05-09
1418034	OTHER	Lead Neurostimulat 6	17	16	$92,500.00	$38,850.00 58% off	$8,602.50	$78,625.00	$38,850.00	2026-05-09
1414578	OTHER	Genratr Neurostm 5	17	16	$92,500.00	$38,850.00 58% off	$8,602.50	$78,625.00	$38,850.00	2026-05-09
1411002	OTHER	Aicd Ohr Thn Sgl/du2	16	15	$89,999.95	$37,799.98 58% off	$8,370.00	$76,499.96	$41,399.98	2026-05-09
1411004	OTHER	Aicd Ohr Thn Sgl/du4	16	15	$89,999.95	$37,799.98 58% off	$8,370.00	$76,499.96	$41,399.98	2026-05-09
1411003	OTHER	Aicd Ohr Thn Sgl/du3	16	15	$89,999.95	$37,799.98 58% off	$8,370.00	$76,499.96	$41,399.98	2026-05-09
1413109	OTHER	Cochlear Imp System3	17	16	$89,999.93	$37,799.97 58% off	$8,369.99	$76,499.94	$37,799.97	2026-05-09
1414020	OTHER	Anchor/scrw Level 20	17	16	$89,999.86	$37,799.94 58% off	$8,369.99	$76,499.88	$37,799.94	2026-05-09
1413006	OTHER	Aicd Single Chamber2	16	15	$89,999.81	$37,799.92 58% off	$8,369.98	$76,499.84	$41,399.91	2026-05-09
1413005	OTHER	Aicd Single Chamber1	16	15	$89,999.81	$37,799.92 58% off	$8,369.98	$76,499.84	$41,399.91	2026-05-09
1410048	OTHER	Pmkr Singl Rate-rsl3	16	15	$89,999.66	$37,799.86 58% off	$8,369.97	$76,499.71	$41,399.85	2026-05-09
1414483	OTHER	Conn Tissue Human 9	17	16	$89,999.67	$37,799.86 58% off	$8,369.97	$76,499.72	$37,799.86	2026-05-09
1410093	OTHER	Pmkr Othr Th Sngl L3	16	15	$89,999.60	$37,799.83 58% off	$8,369.96	$76,499.66	$41,399.82	2026-05-09
1414709	OTHER	Joint Device Implt10	17	16	$89,999.32	$37,799.71 58% off	$8,369.94	$76,499.42	$37,799.71	2026-05-09
1410047	OTHER	Pmkr Singl Rate-rsl2	16	15	$89,999.26	$37,799.69 58% off	$8,369.93	$76,499.37	$41,399.66	2026-05-09
1414021	OTHER	Anchor/scrw Level 21	17	16	$89,999.24	$37,799.68 58% off	$8,369.93	$76,499.35	$37,799.68	2026-05-09
1410037	OTHER	Aicd Dual Chamber L3	16	15	$89,999.10	$37,799.62 58% off	$8,369.92	$76,499.24	$41,399.59	2026-05-09
1410039	OTHER	Aicd Dual Chamber L5	16	15	$89,999.10	$37,799.62 58% off	$8,369.92	$76,499.24	$41,399.59	2026-05-09
1410038	OTHER	Aicd Dual Chamber L4	16	15	$89,999.10	$37,799.62 58% off	$8,369.92	$76,499.24	$41,399.59	2026-05-09
1410036	OTHER	Aicd Dual Chamber L2	16	15	$89,999.10	$37,799.62 58% off	$8,369.92	$76,499.24	$41,399.59	2026-05-09
1417274	OTHER	Wireless Press Sens	17	16	$89,999.10	$37,799.62 58% off	$8,369.92	$76,499.24	$37,799.62	2026-05-09
1414484	OTHER	Conn Tissue Human 10	17	16	$89,999.10	$37,799.62 58% off	$8,369.92	$76,499.24	$37,799.62	2026-05-09
1418037	OTHER	Genrate Neuro Rech 5	17	16	$88,000.00	$36,960.00 58% off	$8,184.00	$74,800.00	$36,960.00	2026-05-09
1411702	OTHER	Impella Device L3	17	16	$87,499.99	$36,750.00 58% off	$8,137.50	$74,374.99	$36,750.00	2026-05-09
1411701	OTHER	Impella Device L2	17	16	$87,499.31	$36,749.71 58% off	$8,137.44	$74,374.41	$36,749.71	2026-05-09
1410069	OTHER	Pmkr Dual Rate-rs L5	16	15	$86,662.75	$36,398.36 58% off	$8,059.64	$73,663.34	$39,864.86	2026-05-09
1417057	OTHER	Tissue Non-human 9	17	16	$86,404.26	$36,289.79 58% off	$8,035.60	$73,443.62	$36,289.79	2026-05-09
1418033	OTHER	Lead Neurostimulat 5	17	16	$83,250.00	$34,965.00 58% off	$7,742.25	$70,762.50	$34,965.00	2026-05-09
1414577	OTHER	Genratr Neurostm 4	17	16	$83,250.00	$34,965.00 58% off	$7,742.25	$70,762.50	$34,965.00	2026-05-09
1414761	OTHER	Mesh Implantable 12	17	16	$82,512.15	$34,655.10 58% off	$7,673.63	$70,135.33	$34,655.10	2026-05-09
1414708	OTHER	Joint Device Implt 9	17	16	$82,500.00	$34,650.00 58% off	$7,672.50	$70,125.00	$34,650.00	2026-05-09
1414019	OTHER	Anchor/scrw Level 19	17	16	$81,660.87	$34,297.57 58% off	$7,594.46	$69,411.74	$34,297.57	2026-05-09
1414576	OTHER	Genratr Neurostm 3	17	16	$79,999.58	$33,599.82 58% off	$7,439.96	$67,999.64	$33,599.82	2026-05-09
1417059	OTHER	Tissue Non-human 11	17	16	$79,999.52	$33,599.80 58% off	$7,439.96	$67,999.59	$33,599.80	2026-05-09
1413003	OTHER	Aicd Dual Chamber L1	16	15	$79,999.20	$33,599.66 58% off	$7,439.93	$67,999.32	$36,799.63	2026-05-09
1413004	OTHER	Aicd Ohr Thn Sgl/du1	16	15	$79,999.20	$33,599.66 58% off	$7,439.93	$67,999.32	$36,799.63	2026-05-09
1413215	OTHER	Pmkr Othr Th Sngl L1	16	15	$79,698.11	$33,473.21 58% off	$7,411.92	$67,743.39	$36,661.13	2026-05-09
1414607	OTHER	Graft Vascular 8	17	16	$79,386.26	$33,342.23 58% off	$7,382.92	$67,478.32	$33,342.23	2026-05-09
1414707	OTHER	Joint Device Implt 8	17	16	$79,177.67	$33,254.62 58% off	$7,363.52	$67,301.02	$33,254.62	2026-05-09
1414482	OTHER	Conn Tissue Human 8	17	16	$77,763.83	$32,660.81 58% off	$7,232.04	$66,099.26	$32,660.81	2026-05-09
1413175	OTHER	Inf Pump Program Lv4	17	16	$77,657.24	$32,616.04 58% off	$7,222.12	$66,008.65	$32,616.04	2026-05-09
1413192	OTHER	Inf Pump Program Lv6	17	16	$77,657.24	$32,616.04 58% off	$7,222.12	$66,008.65	$32,616.04	2026-05-09
1414575	OTHER	Genratr Neurostm 2	17	16	$77,567.46	$32,578.33 58% off	$7,213.77	$65,932.34	$32,578.33	2026-05-09
1414706	OTHER	Joint Device Implt 7	17	16	$76,978.31	$32,330.89 58% off	$7,158.98	$65,431.56	$32,330.89	2026-05-09
1414955	OTHER	Stnt Coat/cov W/del5	17	16	$75,843.00	$31,854.06 58% off	$7,053.40	$64,466.55	$31,854.06	2026-05-09
1411437	OTHER	Implant Other Lvl 7	17	16	$75,554.60	$31,732.93 58% off	$7,026.58	$64,221.41	$31,732.93	2026-05-09
1413125	OTHER	Genrate Neuro Rech 4	17	16	$74,999.82	$31,499.92 58% off	$6,974.98	$63,749.85	$31,499.92	2026-05-09
1417227	OTHER	Lead Neurostimulat 4	17	16	$74,892.87	$31,455.01 58% off	$6,965.04	$63,658.94	$31,455.01	2026-05-09
1410067	OTHER	Pmkr Dual Rate-rs L3	16	15	$72,218.13	$30,331.61 58% off	$6,716.29	$61,385.41	$33,220.34	2026-05-09
1414018	OTHER	Anchor/scrw Level 18	17	16	$71,721.40	$30,122.99 58% off	$6,670.09	$60,963.19	$30,122.99	2026-05-09
1414762	OTHER	Mesh Implantable 13	17	16	$71,479.88	$30,021.55 58% off	$6,647.63	$60,757.90	$30,021.55	2026-05-09
1413237	OTHER	Septal Defect Implt1	17	16	$70,517.63	$29,617.40 58% off	$6,558.14	$59,939.99	$29,617.40	2026-05-09
1410016	OTHER	Oth Ster Supp Lvl 16	18	17	$88,625.38	$29,246.38 67% off	$13,825.56	$84,194.11	$52,288.97	2026-05-09
1414704	OTHER	Joint Device Implt 5	17	16	$69,260.82	$29,089.54 58% off	$6,441.26	$58,871.70	$29,089.54	2026-05-09
1417058	OTHER	Tissue Non-human 10	17	16	$68,839.58	$28,912.62 58% off	$6,402.08	$58,513.64	$28,912.62	2026-05-09
1414017	OTHER	Anchor/scrw Level 17	17	16	$66,012.83	$27,725.39 58% off	$6,139.19	$56,110.91	$27,725.39	2026-05-09
1414705	OTHER	Joint Device Implt 6	17	16	$65,981.45	$27,712.21 58% off	$6,136.27	$56,084.23	$27,712.21	2026-05-09
1410035	OTHER	Lead Aicd No-sing L5	16	15	$65,561.48	$27,535.82 58% off	$6,097.22	$55,727.26	$30,158.28	2026-05-09
1417056	OTHER	Tissue Non-human 8	17	16	$64,803.15	$27,217.32 58% off	$6,026.69	$55,082.68	$27,217.32	2026-05-09
1413177	OTHER	Lead Aicd End Dul L1	16	15	$61,032.84	$25,633.79 58% off	$5,676.05	$51,877.91	$28,075.10	2026-05-09
1410075	OTHER	Lead Aicd End Dul L5	16	15	$61,032.84	$25,633.79 58% off	$5,676.05	$51,877.91	$28,075.10	2026-05-09
1410074	OTHER	Lead Aicd End Dul L4	16	15	$61,032.84	$25,633.79 58% off	$5,676.05	$51,877.91	$28,075.10	2026-05-09
1410072	OTHER	Lead Aicd End Dul L2	16	15	$61,032.84	$25,633.79 58% off	$5,676.05	$51,877.91	$28,075.10	2026-05-09
1061570	OTHER	Ic-prq De Cr Rev Ami	19	18	$75,883.83	$25,041.66 67% off	$5,541.12	$72,089.64	$43,253.78	2026-05-09
8060111	OTHER	Ic-pr De Cr Rv Cab B	18	17	$75,883.83	$25,041.66 67% off	$5,541.12	$72,089.64	$42,494.94	2026-05-09
8060110	OTHER	Ic-pr De Cr Stn Ar B	18	17	$75,883.83	$25,041.66 67% off	$5,541.12	$72,089.64	$42,494.94	2026-05-09
8060112	OTHER	Ic-pr De Cr Rv Ch Ea	18	17	$75,883.83	$25,041.66 67% off	$5,541.12	$72,089.64	$42,494.94	2026-05-09
8060109	OTHER	Ic-prq De Cor Stnt B	18	17	$75,883.83	$25,041.66 67% off	$572.00	$72,089.64	$36,917.49	2026-05-09
1061571	OTHER	Ic-prq De Cor Rev Ch	31	30	$75,883.83	$25,041.66 67% off	$1,687.00	$72,089.64	$20,488.63	2026-05-09
1061566	OTHER	Ic-prq De Cr Stnt Ar	31	30	$75,883.83	$25,041.66 67% off	$1,687.00	$72,089.64	$20,488.63	2026-05-09
1414481	OTHER	Conn Tissue Human 7	17	16	$58,322.84	$24,495.59 58% off	$5,424.02	$49,574.41	$24,495.59	2026-05-09
1414954	OTHER	Stnt Coat/cov W/del4	17	16	$54,994.34	$23,097.62 58% off	$5,114.47	$46,745.19	$23,097.62	2026-05-09
1414479	OTHER	Conn Tissue Human 5	17	16	$54,409.16	$22,851.85 58% off	$5,060.05	$46,247.79	$22,851.85	2026-05-09
1414605	OTHER	Graft Vascular 6	17	16	$51,685.44	$21,707.88 58% off	$4,806.75	$43,932.62	$21,707.88	2026-05-09
8060115	OTHER	Ic-prq Rv Byp Grf Ad	18	17	$65,042.82	$21,464.13 67% off	$10,000.00	$61,790.68	$37,724.84	2026-05-09
8060076	OTHER	Ic-prq Stnt W-ang Ea	18	17	$65,042.82	$21,464.13 67% off	$10,000.00	$61,790.68	$37,724.84	2026-05-09
1061560	OTHER	Ic-prq Card Rev 1 Vs	20	19	$65,042.82	$21,464.13 67% off	$563.21	$55,286.40	$24,391.06	2026-05-09
1414016	OTHER	Anchor/scrw Level 16	17	16	$49,111.02	$20,626.63 58% off	$4,567.32	$41,744.37	$20,626.63	2026-05-09
1417055	OTHER	Tissue Non-human 7	17	16	$48,602.38	$20,413.00 58% off	$4,520.02	$41,312.02	$20,413.00	2026-05-09
1417117	OTHER	Stnt No Cocv W/del 4	17	16	$48,333.35	$20,300.01 58% off	$4,495.00	$41,083.35	$20,300.01	2026-05-09
1414760	OTHER	Mesh Implantable 11	17	16	$46,791.79	$19,652.55 58% off	$4,351.64	$39,773.02	$19,652.55	2026-05-09
1414480	OTHER	Conn Tissue Human 6	17	16	$46,442.26	$19,505.75 58% off	$4,319.13	$39,475.92	$19,505.75	2026-05-09
1413353	OTHER	Interspinous Impl L3	17	16	$46,348.50	$19,466.37 58% off	$4,310.41	$39,396.22	$19,466.37	2026-05-09
1413216	OTHER	Pmkr Singl Rate-rsl1	16	15	$44,794.70	$18,813.77 58% off	$4,165.91	$38,075.49	$20,605.56	2026-05-09
1410015	OTHER	Oth Ster Supp Lvl 15	18	17	$44,773.13	$14,775.13 67% off	$6,984.61	$42,534.47	$26,416.15	2026-05-09
1061579	OTHER	Ep-atr Fib Pulm Vn I	38	37	$39,665.41	$13,089.59 67% off	$530.95	$44,158.14	$23,881.25	2026-05-09
1061578	OTHER	Ep-ablate Vent Tacy	38	37	$39,665.41	$13,089.59 67% off	$530.69	$44,158.14	$23,881.25	2026-05-09
1061577	OTHER	Ep-ablate Sprvnt Art	38	37	$39,665.41	$13,089.59 67% off	$397.78	$44,158.14	$23,881.25	2026-05-09
8060075	OTHER	Ic-ptca, Addl	18	17	$38,545.05	$12,719.87 67% off	$6,013.03	$36,617.80	$22,356.13	2026-05-09
1110865	OTHER	Bilat Lithotripsy	18	17	$36,711.35	$12,114.75 67% off	$5,726.97	$34,875.78	$21,659.70	2026-05-09
1140244	OTHER	Bilat Lithotripsy	18	17	$34,332.13	$11,329.60 67% off	$5,355.81	$32,615.52	$20,255.96	2026-05-09
1061618	OTHER	Cc-imp Press Sen Ang	32	31	$32,985.77	$10,885.30 67% off	$285.58	$51,170.99	$26,392.58	2026-05-09
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$298,954.41	$344,916.22	$321,935.31	2026-05-09
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	28	—	—	$4,263.00	$823,098.71	$309,843.17	2026-05-09
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	26	26	—	—	$4,263.00	$534,157.95	$202,680.86	2026-05-09
7	OTHER	Lung Transplant	24	24	—	—	$4,263.00	$283,186.84	$180,295.79	2026-05-09
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	27	27	—	—	$4,263.00	$404,569.29	$154,072.53	2026-05-09
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	27	27	—	—	$4,263.00	$254,690.11	$152,997.68	2026-05-09
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	27	27	—	—	$4,263.00	$264,018.77	$100,282.90	2026-05-09
14	OTHER	Allogeneic Bone Marrow Transplant	26	26	—	—	$4,263.00	$162,650.00	$86,184.71	2026-05-09
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	25	—	—	$4,263.00	$215,993.17	$82,247.48	2026-05-09
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	27	27	—	—	$4,263.00	$148,868.05	$78,200.46	2026-05-09
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	24	24	—	—	$4,263.00	$196,526.38	$75,286.70	2026-05-09
215	OTHER	Other Heart Assist System Implant	28	28	—	—	$4,263.00	$189,788.39	$73,089.82	2026-05-09
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	29	—	—	$4,263.00	$186,467.99	$70,468.56	2026-05-09
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	22	22	—	—	$4,263.00	$155,983.70	$63,602.26	2026-05-09
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	28	—	—	$4,263.00	$160,175.53	$60,990.67	2026-05-09
231	OTHER	Coronary Bypass With Ptca With Mcc	29	29	—	—	$4,263.00	$160,680.64	$60,883.23	2026-05-09
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	28	—	—	$4,263.00	$149,985.62	$57,726.09	2026-05-09
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	29	—	—	$4,263.00	$146,354.54	$55,558.12	2026-05-09
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	28	—	—	$4,263.00	$145,241.39	$55,410.94	2026-05-09
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	29	29	—	—	$4,263.00	$145,723.63	$55,323.60	2026-05-09
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	28	—	—	$4,263.00	$97,075.00	$52,226.19	2026-05-09
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$48,243.04	$55,362.89	$51,802.96	2026-05-09
10	OTHER	Pancreas Transplant	24	24	—	—	$4,263.00	$136,774.58	$51,721.24	2026-05-09
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	28	—	—	$4,263.00	$89,693.00	$51,687.35	2026-05-09
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	27	27	—	—	$4,263.00	$135,911.13	$51,676.23	2026-05-09
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	28	28	—	—	$4,263.00	$131,098.28	$50,599.57	2026-05-09
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	28	28	—	—	$4,263.00	$131,744.44	$50,368.18	2026-05-09
955	OTHER	Craniotomy For Multiple Significant Trauma	28	28	—	—	$4,263.00	$128,300.15	$50,042.32	2026-05-09
459	OTHER	Spinal Fusion Except Cervical With Mcc	22	22	—	—	$4,263.00	$100,875.11	$47,891.27	2026-05-09
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	29	—	—	$4,263.00	$125,330.48	$47,743.32	2026-05-09
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	29	29	—	—	$4,263.00	$88,990.00	$47,708.10	2026-05-09
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	28	—	—	$4,263.00	$88,667.00	$47,556.42	2026-05-09
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$116,676.88	$47,422.74	2026-05-09
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	28	—	—	$4,263.00	$122,650.53	$46,851.82	2026-05-09
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$42,238.92	$49,490.23	$45,864.57	2026-05-09
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	28	—	—	$4,263.00	$116,812.21	$45,424.81	2026-05-09
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	22	22	—	—	$4,263.00	$67,554.43	$44,254.44	2026-05-09
232	OTHER	Coronary Bypass With Ptca Without Mcc	29	29	—	—	$4,263.00	$115,558.01	$44,110.83	2026-05-09
28	OTHER	Spinal Procedures With Mcc	28	28	—	—	$4,263.00	$81,316.00	$43,933.87	2026-05-09
276	OTHER	Non-maligant Breast Disorders	27	27	—	—	$4,263.00	$81,293.00	$43,714.07	2026-05-09
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	28	—	—	$4,263.00	$80,705.00	$43,611.98	2026-05-09
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	26	—	—	$4,263.00	$113,024.83	$43,152.79	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	28	28	—	—	$3,009.70	$70,900.01	$43,036.52	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	28	—	—	$4,263.00	$111,860.21	$42,938.99	2026-05-09
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$111,787.78	$42,911.93	2026-05-09
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	28	—	—	$4,263.00	$109,224.10	$41,954.10	2026-05-09
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	28	28	—	—	$4,263.00	$108,637.03	$41,734.74	2026-05-09
8	OTHER	Simultaneous Pancreas And Kidney Transplant	24	24	—	—	$4,263.00	$106,828.16	$41,058.90	2026-05-09
278	OTHER	Cellulitis Age >17 Without Cc	27	27	—	—	$4,263.00	$75,333.00	$40,562.30	2026-05-09
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	28	28	—	—	$4,263.00	$105,272.80	$40,477.79	2026-05-09
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	28	28	—	—	$4,263.00	$104,123.43	$40,048.36	2026-05-09
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$74,300.00	$40,037.61	2026-05-09
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	28	28	—	—	$4,263.00	$103,959.51	$39,987.11	2026-05-09
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	27	27	—	—	$4,263.00	$74,038.00	$39,915.79	2026-05-09
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	26	26	—	—	$4,263.00	$65,482.00	$39,430.30	2026-05-09
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	29	—	—	$4,263.00	$101,647.43	$39,306.37	2026-05-09
270	OTHER	Other Major Cardiovascular Procedures With Mcc	28	28	—	—	$3,693.03	$97,783.91	$39,080.91	2026-05-09
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$35,973.18	$42,148.83	$39,061.01	2026-05-09
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	28	28	—	—	$4,263.00	$100,904.06	$38,845.53	2026-05-09
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	28	28	—	—	$4,263.00	$70,708.36	$38,215.98	2026-05-09
653	OTHER	Major Bladder Procedures With Mcc	28	28	—	—	$4,263.00	$99,047.54	$38,151.89	2026-05-09
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	29	—	—	$4,263.00	$96,070.24	$36,867.10	2026-05-09
228	OTHER	Other Cardiothoracic Procedures With Mcc	28	28	—	—	$4,263.00	$94,301.40	$36,715.48	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	27	27	—	—	$4,263.00	$67,499.00	$36,493.00	2026-05-09
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$84,615.14	$36,315.96	2026-05-09
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	28	28	—	—	$4,263.00	$93,811.54	$36,195.61	2026-05-09
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	28	28	—	—	$4,263.00	$66,333.00	$35,867.74	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	28	28	—	—	$4,263.00	$92,038.88	$35,533.31	2026-05-09
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	28	28	—	—	$4,249.64	$91,573.80	$35,359.55	2026-05-09
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	28	28	—	—	$2,983.13	$90,744.66	$35,049.75	2026-05-09
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	28	28	—	—	$2,775.55	$89,612.45	$34,626.71	2026-05-09
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	28	—	—	$4,263.00	$88,334.89	$34,558.36	2026-05-09
6	OTHER	Liver Transplant Without Mcc	24	24	—	—	$4,263.00	$88,384.93	$34,483.10	2026-05-09
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	28	—	—	$4,263.00	$89,162.61	$34,458.67	2026-05-09
329	OTHER	Major Small And Large Bowel Procedures With Mcc	28	28	—	—	$4,263.00	$87,612.97	$33,879.68	2026-05-09
277	OTHER	Cellulitis Age >17 W Cc	27	27	—	—	$4,263.00	$88,032.30	$33,879.34	2026-05-09
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	28	28	—	—	$4,263.00	$87,389.96	$33,796.37	2026-05-09
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	22	22	—	—	$4,263.00	$83,310.26	$33,773.93	2026-05-09
245	OTHER	Aicd Generator Procedures	28	28	—	—	$4,263.00	$86,962.99	$33,636.84	2026-05-09
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$66,578.88	$33,539.26	2026-05-09
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	28	—	—	$4,263.00	$86,663.74	$33,525.04	2026-05-09
799	OTHER	Splenectomy With Mcc	28	28	—	—	$4,263.00	$86,324.46	$33,398.27	2026-05-09
163	OTHER	Major Chest Procedures With Mcc	28	28	—	—	$4,263.00	$85,426.69	$33,364.02	2026-05-09
31	OTHER	Ventricular Shunt Procedures With Mcc	28	28	—	—	$4,263.00	$85,401.91	$33,053.58	2026-05-09
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	28	28	—	—	$4,263.00	$85,066.44	$32,928.24	2026-05-09
356	OTHER	Other Digestive System O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$83,730.28	$32,429.03	2026-05-09
317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	2	—	—	$29,531.29	$34,601.04	$32,066.17	2026-05-09
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	27	27	—	—	$4,263.00	$58,567.00	$31,816.88	2026-05-09
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	28	28	—	—	$4,263.00	$67,395.91	$31,717.58	2026-05-09
140	OTHER	Major Head And Neck Procedures With Mcc	28	28	—	—	$3,244.27	$81,300.03	$31,521.02	2026-05-09
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	28	28	—	—	$4,263.00	$80,360.33	$31,366.93	2026-05-09
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	28	28	—	—	$3,997.70	$80,497.57	$31,221.21	2026-05-09
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	28	28	—	—	$4,263.00	$73,140.24	$31,155.00	2026-05-09
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$79,159.50	$31,150.80	2026-05-09
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	28	—	—	$4,263.00	$79,533.09	$31,143.15	2026-05-09
901	OTHER	Wound Debridements For Injuries With Mcc	28	28	—	—	$4,263.00	$79,990.55	$31,031.78	2026-05-09
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	28	28	—	—	$4,263.00	$79,841.88	$30,976.25	2026-05-09
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	28	28	—	—	$4,263.00	$80,085.86	$30,912.33	2026-05-09
793	OTHER	Full Term Neonate With Major Problems	28	28	—	—	$3,712.72	$49,739.16	$30,533.86	2026-05-09
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	28	28	—	—	$4,263.00	$78,635.33	$30,525.44	2026-05-09
791	OTHER	Prematurity With Major Problems	27	27	—	—	$1,950.24	$48,419.81	$29,889.27	2026-05-09
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	28	28	—	—	$4,263.00	$75,940.13	$29,518.46	2026-05-09
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	28	—	—	$4,263.00	$74,563.94	$29,004.28	2026-05-09
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	28	28	—	—	$4,263.00	$74,226.57	$28,734.94	2026-05-09
34	OTHER	Carotid Artery Stent Procedures With Mcc	28	28	—	—	$4,263.00	$73,778.64	$28,710.88	2026-05-09
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	28	28	—	—	$4,263.00	$73,597.56	$28,643.21	2026-05-09
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	27	27	—	—	$3,272.18	$73,668.09	$28,540.04	2026-05-09
907	OTHER	Other O.r. Procedures For Injuries With Mcc	28	28	—	—	$4,263.00	$73,180.13	$28,487.24	2026-05-09
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	28	28	—	—	$4,263.00	$71,725.79	$28,197.32	2026-05-09
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$308,422.95	$28,149.86	2026-05-09
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	28	28	—	—	$4,263.00	$71,235.93	$27,823.12	2026-05-09
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$71,413.19	$27,689.47	2026-05-09
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$54,815.89	$27,686.08	2026-05-09
904	OTHER	Skin Grafts For Injuries With Cc/mcc	28	28	—	—	$4,263.00	$70,012.22	$27,550.76	2026-05-09
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	28	28	—	—	$4,263.00	$70,635.51	$27,536.54	2026-05-09
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	28	28	—	—	$4,263.00	$67,420.69	$27,292.96	2026-05-09
460	OTHER	Spinal Fusion Except Cervical Without Mcc	22	22	—	—	$4,263.00	$45,445.47	$27,061.18	2026-05-09
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	28	28	—	—	$4,263.00	$69,162.11	$26,986.03	2026-05-09
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	28	28	—	—	$4,263.00	$69,108.74	$26,966.10	2026-05-09
332	OTHER	Rectal Resection With Mcc	28	28	—	—	$4,263.00	$69,013.44	$26,930.48	2026-05-09
265	OTHER	Aicd Lead Procedures	28	28	—	—	$4,263.00	$68,965.79	$26,912.69	2026-05-09
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	28	28	—	—	$4,263.00	$82,386.97	$26,884.62	2026-05-09
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	28	28	—	—	$4,263.00	$68,843.80	$26,867.11	2026-05-09
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	28	28	—	—	$4,263.00	$73,261.74	$26,860.06	2026-05-09
279	OTHER	Cellulitis Age 0-17	27	27	—	—	$4,263.00	$48,809.00	$26,684.23	2026-05-09
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	28	28	—	—	$4,263.00	$68,291.03	$26,660.58	2026-05-09
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	28	28	—	—	$4,263.00	$68,132.83	$26,601.47	2026-05-09
335	OTHER	Peritoneal Adhesiolysis With Mcc	28	28	—	—	$4,263.00	$68,064.21	$26,575.83	2026-05-09
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	28	28	—	—	$4,263.00	$51,389.25	$26,538.09	2026-05-09
271	OTHER	Other Major Cardiovascular Procedures With Cc	28	28	—	—	$3,265.03	$67,785.92	$26,471.86	2026-05-09
570	OTHER	Skin Debridement With Mcc	28	28	—	—	$3,113.00	$56,059.72	$26,451.48	2026-05-09
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	28	28	—	—	$4,263.00	$64,303.70	$26,260.33	2026-05-09
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	28	28	—	—	$4,263.00	$67,082.58	$26,209.07	2026-05-09
252	OTHER	Other Vascular Procedures With Mcc	28	28	—	—	$4,263.00	$66,489.79	$25,987.60	2026-05-09
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	28	28	—	—	$4,263.00	$66,472.63	$25,981.17	2026-05-09
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	28	28	—	—	$4,263.00	$64,056.51	$25,867.25	2026-05-09
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	28	28	—	—	$4,107.37	$65,847.44	$25,747.60	2026-05-09
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	28	28	—	—	$4,263.00	$59,319.28	$25,441.37	2026-05-09
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	28	—	—	$4,263.00	$46,400.00	$25,435.58	2026-05-09
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	28	28	—	—	$4,263.00	$46,112.00	$25,284.72	2026-05-09
264	OTHER	Other Circulatory System O.r. Procedures	28	28	—	—	$4,263.00	$49,580.14	$24,935.74	2026-05-09
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	28	28	—	—	$4,263.00	$62,742.44	$24,927.14	2026-05-09
37	OTHER	Extracranial Procedures With Mcc	28	28	—	—	$4,263.00	$54,638.26	$24,810.62	2026-05-09
411	OTHER	Cholecystectomy With C.d.e. With Mcc	28	28	—	—	$4,263.00	$62,963.54	$24,670.10	2026-05-09
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	2	2	—	—	$23,358.45	$25,774.85	$24,566.65	2026-05-09
652	OTHER	Kidney Transplant	24	24	—	—	$4,263.00	$61,556.85	$24,360.42	2026-05-09
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	28	28	—	—	$4,263.00	$62,000.97	$24,310.47	2026-05-09
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	28	28	—	—	$4,263.00	$58,121.58	$24,309.00	2026-05-09
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	28	28	—	—	$4,263.00	$43,781.00	$24,182.99	2026-05-09
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	28	28	—	—	$4,263.00	$61,511.11	$24,127.44	2026-05-09
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	28	28	—	—	$4,263.00	$60,563.79	$24,101.21	2026-05-09
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	28	28	—	—	$4,263.00	$61,728.40	$24,090.49	2026-05-09
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	28	28	—	—	$4,263.00	$61,391.02	$24,082.58	2026-05-09
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	28	28	—	—	$4,263.00	$60,685.78	$24,031.74	2026-05-09
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	27	27	—	—	$4,263.00	$61,192.79	$23,902.90	2026-05-09
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	28	28	—	—	$4,263.00	$60,857.32	$23,883.17	2026-05-09
362	OTHER	Cardiac Defibrillator Implant Without Mcc	2	2	—	—	$21,954.34	$25,723.33	$23,838.83	2026-05-09
229	OTHER	Other Cardiothoracic Procedures Without Mcc	28	28	—	—	$4,263.00	$60,031.99	$23,785.05	2026-05-09
324	OTHER	Urinary Stones Without Cc	27	27	—	—	$4,263.00	$42,646.00	$23,688.95	2026-05-09
500	OTHER	Soft Tissue Procedures With Mcc	28	28	—	—	$4,263.00	$60,323.62	$23,683.79	2026-05-09
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	28	28	—	—	$4,263.00	$46,628.89	$23,649.60	2026-05-09
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	28	28	—	—	$4,263.00	$59,890.94	$23,522.12	2026-05-09
665	OTHER	Prostatectomy With Mcc	28	28	—	—	$4,263.00	$59,492.57	$23,373.28	2026-05-09
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	28	28	—	—	$4,263.00	$44,462.90	$23,326.98	2026-05-09
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	28	28	—	—	$4,263.00	$59,263.84	$23,287.81	2026-05-09
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	28	28	—	—	$4,263.00	$57,815.22	$22,948.61	2026-05-09
662	OTHER	Minor Bladder Procedures With Mcc	28	28	—	—	$4,263.00	$41,434.00	$22,948.12	2026-05-09
364	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	2	2	—	—	$21,070.44	$24,687.68	$22,879.06	2026-05-09
263	OTHER	Vein Ligation And Stripping	28	28	—	—	$4,263.00	$58,276.49	$22,807.72	2026-05-09
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	28	28	—	—	$4,263.00	$57,565.52	$22,653.29	2026-05-09
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	28	28	—	—	$4,263.00	$57,573.15	$22,546.35	2026-05-09
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	28	28	—	—	$4,263.00	$40,829.00	$22,520.17	2026-05-09
472	OTHER	Cervical Spinal Fusion With Cc	28	28	—	—	$4,263.00	$56,155.02	$22,429.88	2026-05-09
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	28	28	—	—	$4,263.00	$56,116.90	$22,307.82	2026-05-09
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	27	27	—	—	$4,263.00	$40,283.00	$22,222.97	2026-05-09
974	OTHER	HIV With Major Related Condition With Mcc	28	28	—	—	$4,263.00	$75,476.94	$21,995.60	2026-05-09
619	OTHER	O.r. Procedures For Obesity With Mcc	27	27	—	—	$4,263.00	$35,358.00	$21,960.89	2026-05-09
668	OTHER	Transurethral Procedures With Mcc	28	28	—	—	$4,263.00	$55,657.54	$21,940.43	2026-05-09
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	28	28	—	—	$4,263.00	$55,510.77	$21,885.59	2026-05-09
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	28	28	—	—	$4,263.00	$55,314.44	$21,812.22	2026-05-09
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	28	28	—	—	$4,263.00	$55,280.13	$21,799.41	2026-05-09
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	28	28	—	—	$4,263.00	$54,929.41	$21,668.38	2026-05-09
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	28	28	—	—	$4,263.00	$54,708.31	$21,585.78	2026-05-09
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	28	28	—	—	$4,263.00	$51,095.05	$21,445.47	2026-05-09
800	OTHER	Splenectomy With Cc	28	28	—	—	$4,263.00	$53,549.41	$21,152.78	2026-05-09
654	OTHER	Major Bladder Procedures With Cc	28	28	—	—	$4,263.00	$53,356.90	$21,080.86	2026-05-09
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	28	28	—	—	$4,263.00	$52,834.63	$21,069.35	2026-05-09
503	OTHER	Foot Procedures With Mcc	28	28	—	—	$4,263.00	$53,200.60	$21,022.46	2026-05-09
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	28	28	—	—	$4,263.00	$52,379.08	$20,998.42	2026-05-09
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	28	28	—	—	$4,263.00	$52,552.53	$20,780.32	2026-05-09
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	28	28	—	—	$4,263.00	$52,392.42	$20,720.49	2026-05-09
963	OTHER	Other Multiple Significant Trauma With Mcc	28	28	—	—	$4,263.00	$52,108.42	$20,614.39	2026-05-09
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	27	27	—	—	$4,263.00	$39,010.92	$20,434.06	2026-05-09
288	OTHER	Acute And Subacute Endocarditis With Mcc	28	28	—	—	$4,263.00	$51,582.34	$20,417.83	2026-05-09
849	OTHER	Radiotherapy	28	28	—	—	$4,263.00	$51,645.24	$20,375.75	2026-05-09
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	28	28	—	—	$4,263.00	$37,721.69	$20,355.17	2026-05-09
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	28	28	—	—	$4,263.00	$50,701.73	$20,264.57	2026-05-09
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	28	28	—	—	$4,263.00	$41,098.30	$20,197.69	2026-05-09
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	28	28	—	—	$4,263.00	$50,270.95	$19,927.88	2026-05-09
253	OTHER	Other Vascular Procedures With Cc	28	28	—	—	$4,263.00	$49,474.21	$19,630.19	2026-05-09
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	28	28	—	—	$4,263.00	$49,230.23	$19,539.04	2026-05-09
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	28	28	—	—	$4,263.00	$35,087.00	$19,514.74	2026-05-09
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	28	28	—	—	$4,263.00	$49,161.62	$19,513.40	2026-05-09

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