Hospital

TEMECULA VALLEY HOSPITAL

Temecula, CA · CCN 050775 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $1,446 across 14 payers · range $164-$3,835

Source: https://uhsfilecdn.eskycity.net/ac/461246570_temecula-valley-hospital_standardcharges.csv · observed 2026-05-08

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,358 distinct procedures filed

19 distinct payers

424,853 rate rows

2026-05-08 last MRF observed

Data quality

424,073 of 424,853 rate rows are consumer-grade (99.8%)

780 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
exceeds 10× this hospital's gross charge — excluded from medians	370
per-diem day rate — not a per-procedure price	182
placeholder amount (≤ $0.02) — excluded from medians	151
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	77

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/461246570_temecula-valley-hospital_standardcharges.csv
Found on page	https://www.swhtemeculavalley.com/patients-visitors/pricing-guide
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-12
Content fingerprint	0258479d523fe593… · 69,678,744 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
773 OTHER	Inj, Beqvez, Per Tx Dose	11	$3,710,000.00	$3,839,850.00	$3,784,200.00	nat. median $3,646,097 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	11	$3,710,000.00	$3,839,850.00	$3,784,200.00	nat. median $3,758,972 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	11	$2,403,458.75	$2,487,579.81	$2,451,527.92	nat. median $2,588,981 0.9× median
9194 OTHER	Tisagenlecleucel Car-pos T	11	$565,623.84	$585,420.67	$576,936.32	nat. median $577,003 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	11	$551,318.34	$570,614.48	$562,344.71	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	11	$528,312.43	$546,803.37	$538,878.68	nat. median $562,826 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	11	$516,485.97	$534,562.98	$526,815.69	nat. median $562,201 0.9× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	$445,425.88	$661,029.96	$503,133.66	nat. median $380,401 1.3× median
9035 OTHER	Axicabtagene Ciloleucel Car+	11	$489,517.15	$506,650.25	$499,307.49	nat. median $533,230 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	11	$488,051.51	$505,133.31	$497,812.54	nat. median $492,768 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$332,695.79	$493,733.96	$375,798.67	nat. median $224,024 1.7× median
583-4 OTHER	Neonate With Ecmo	6	$309,665.45	$331,342.03	$319,884.41	nat. median $256,360 1.2× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$1.54	$415,813.24	$310,312.40	nat. median $2 outlier · 183616.8×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	13	$253,128.63	$375,653.08	$285,923.07	nat. median $202,706 1.4× median
583-3 OTHER	Neonate With Ecmo	6	$269,678.49	$288,555.99	$278,577.88	nat. median $243,309 1.1× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$230,970.69	$247,138.63	$238,592.72	nat. median $237,575 1.0× median
161-4 OTHER	Implantable Heart Assist Systems	6	$213,037.56	$227,950.19	$220,067.80	nat. median $160,594 1.4× median
002-4 OTHER	Heart And/or Lung Transplant	6	$206,386.58	$220,833.64	$213,197.33	nat. median $178,618 1.2× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	13	$166,889.43	$247,670.64	$188,511.03	nat. median $141,414 1.3× median
583-2 OTHER	Neonate With Ecmo	6	$169,230.17	$181,076.28	$174,814.77	nat. median $180,145 1.0× median
14 OTHER	Allogeneic Bone Marrow Transplant	13	$154,745.36	$229,648.35	$174,793.61	nat. median $114,398 1.5× median
7 OTHER	Lung Transplant	13	$154,355.60	$229,069.93	$174,353.36	nat. median $149,058 1.2× median
161-3 OTHER	Implantable Heart Assist Systems	6	$161,433.16	$172,733.48	$166,760.45	nat. median $123,032 1.4× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$160,319.16	$171,541.50	$165,609.69	nat. median $62,526 outlier · 2.6×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$156,990.16	$167,979.48	$162,170.84	nat. median $195,063 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	6	$153,007.58	$163,718.11	$158,056.83	nat. median $113,251 1.4× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$151,837.53	$162,466.16	$156,848.17	nat. median $130,075 1.2× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	11	$152,500.50	$157,838.02	$155,550.51	nat. median $155,833 1.0× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	11	$152,500.50	$157,838.02	$155,550.51	nat. median $155,877 1.0× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$150,323.17	$160,845.79	$155,283.84	nat. median $134,440 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$148,138.20	$158,507.88	$153,026.77	nat. median $151,101 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$147,676.79	$158,014.16	$152,550.12	nat. median $186,977 0.8× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$145,988.27	$156,207.45	$150,805.89	nat. median $168,174 0.9× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$144,198.66	$154,292.57	$148,957.22	nat. median $133,956 1.1× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	$130,153.68	$193,153.30	$147,015.92	nat. median $108,158 1.4× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	13	$128,667.85	$190,948.28	$145,337.60	nat. median $79,063 1.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	13	$125,780.06	$186,662.68	$142,075.68	nat. median $105,227 1.4× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	$137,512.65	$147,138.54	$142,050.57	nat. median $98,526 1.4× median
583-1 OTHER	Neonate With Ecmo	6	$137,045.23	$146,638.40	$141,567.72	nat. median $161,998 0.9× median
215 OTHER	Other Heart Assist System Implant	13	$125,135.18	$185,705.65	$141,347.25	nat. median $75,009 1.9× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	11	$137,500.50	$142,313.02	$140,250.51	nat. median $140,530 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	11	$137,500.50	$142,313.02	$140,250.51	nat. median $140,545 1.0× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$123,724.95	$183,612.81	$139,754.32	nat. median $73,002 1.9× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$134,969.36	$144,417.22	$139,423.35	nat. median $100,636 1.4× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	6	$133,615.15	$142,968.21	$138,024.45	nat. median $133,615 1.0× median
002-3 OTHER	Heart And/or Lung Transplant	6	$130,623.46	$139,767.10	$134,934.03	nat. median $125,034 1.1× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	6	$129,535.48	$138,602.96	$133,810.15	nat. median $120,000 1.1× median
161-2 OTHER	Implantable Heart Assist Systems	6	$129,460.41	$138,522.64	$133,732.60	nat. median $98,784 1.4× median
161-1 OTHER	Implantable Heart Assist Systems	6	$123,134.72	$131,754.15	$127,198.17	nat. median $93,844 1.4× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$25,277.00	$169,164.48	$126,243.78	nat. median $73,728 1.7× median

Other procedures at this hospital

Browse this hospital's 11,358 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

773	OTHER	Inj, Beqvez, Per Tx Dose	11	11	—	—	$3,710,000.00	$3,839,850.00	$3,784,200.00	2026-05-08
9138	OTHER	Inj, Hemgenix, Per Tx Dose	11	11	—	—	$3,710,000.00	$3,839,850.00	$3,784,200.00	2026-05-08
9141	OTHER	Inj Onase Abepar-xioi Treat	11	11	—	—	$2,403,458.75	$2,487,579.81	$2,451,527.92	2026-05-08
9194	OTHER	Tisagenlecleucel Car-pos T	11	11	—	—	$565,623.84	$585,420.67	$576,936.32	2026-05-08
9498	OTHER	Ciltacabtagene Car-pos T	11	11	—	—	$551,318.34	$570,614.48	$562,344.71	2026-05-08
9422	OTHER	Idecabtagene Vicleucel Car	11	11	—	—	$528,312.43	$546,803.37	$538,878.68	2026-05-08
9413	OTHER	Lisocabtagene Car Pos T	11	11	—	—	$516,485.97	$534,562.98	$526,815.69	2026-05-08
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	13	—	—	$445,425.88	$661,029.96	$503,133.66	2026-05-08
9035	OTHER	Axicabtagene Ciloleucel Car+	11	11	—	—	$489,517.15	$506,650.25	$499,307.49	2026-05-08
9391	OTHER	Brexucabtagene Car Pos T	11	11	—	—	$488,051.51	$505,133.31	$497,812.54	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	13	—	—	$332,695.79	$493,733.96	$375,798.67	2026-05-08
583-4	OTHER	Neonate With Ecmo	6	6	—	—	$309,665.45	$331,342.03	$319,884.41	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	13	—	—	$1.54	$415,813.24	$310,312.40	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	13	—	—	$253,128.63	$375,653.08	$285,923.07	2026-05-08
583-3	OTHER	Neonate With Ecmo	6	6	—	—	$269,678.49	$288,555.99	$278,577.88	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$230,970.69	$247,138.63	$238,592.72	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	6	6	—	—	$213,037.56	$227,950.19	$220,067.80	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	6	6	—	—	$206,386.58	$220,833.64	$213,197.33	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	14	13	—	—	$166,889.43	$247,670.64	$188,511.03	2026-05-08
583-2	OTHER	Neonate With Ecmo	6	6	—	—	$169,230.17	$181,076.28	$174,814.77	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	14	13	—	—	$154,745.36	$229,648.35	$174,793.61	2026-05-08
7	OTHER	Lung Transplant	14	13	—	—	$154,355.60	$229,069.93	$174,353.36	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	6	6	—	—	$161,433.16	$172,733.48	$166,760.45	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$160,319.16	$171,541.50	$165,609.69	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$156,990.16	$167,979.48	$162,170.84	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$153,007.58	$163,718.11	$158,056.83	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$151,837.53	$162,466.16	$156,848.17	2026-05-08
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	11	11	—	—	$152,500.50	$157,838.02	$155,550.51	2026-05-08
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	11	11	—	—	$152,500.50	$157,838.02	$155,550.51	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$150,323.17	$160,845.79	$155,283.84	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$148,138.20	$158,507.88	$153,026.77	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$147,676.79	$158,014.16	$152,550.12	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$145,988.27	$156,207.45	$150,805.89	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$144,198.66	$154,292.57	$148,957.22	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	13	—	—	$130,153.68	$193,153.30	$147,015.92	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	14	13	—	—	$128,667.85	$190,948.28	$145,337.60	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	14	13	—	—	$125,780.06	$186,662.68	$142,075.68	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$137,512.65	$147,138.54	$142,050.57	2026-05-08
583-1	OTHER	Neonate With Ecmo	6	6	—	—	$137,045.23	$146,638.40	$141,567.72	2026-05-08
215	OTHER	Other Heart Assist System Implant	14	13	—	—	$125,135.18	$185,705.65	$141,347.25	2026-05-08
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	11	11	—	—	$137,500.50	$142,313.02	$140,250.51	2026-05-08
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	11	11	—	—	$137,500.50	$142,313.02	$140,250.51	2026-05-08
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	13	—	—	$123,724.95	$183,612.81	$139,754.32	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$134,969.36	$144,417.22	$139,423.35	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$133,615.15	$142,968.21	$138,024.45	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	6	6	—	—	$130,623.46	$139,767.10	$134,934.03	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$129,535.48	$138,602.96	$133,810.15	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	6	6	—	—	$129,460.41	$138,522.64	$133,732.60	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	6	6	—	—	$123,134.72	$131,754.15	$127,198.17	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	14	—	—	$25,277.00	$169,164.48	$126,243.78	2026-05-08
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	11	11	—	—	$122,500.50	$126,788.02	$124,950.51	2026-05-08
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	11	11	—	—	$122,500.50	$126,788.02	$124,950.51	2026-05-08
850	OTHER	Acute Leukemia With Other Procedures	14	13	—	—	$108,801.75	$161,466.18	$122,897.72	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$113,900.42	$121,873.45	$117,659.13	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$109,563.52	$117,232.96	$113,179.11	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	13	—	—	$7,696.00	$148,448.14	$112,979.13	2026-05-08
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	14	13	—	—	$98,510.83	$146,194.04	$111,273.54	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	17	14	—	—	$25,277.00	$148,530.52	$110,845.11	2026-05-08
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	11	11	—	—	$107,500.50	$111,263.02	$109,650.51	2026-05-08
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	11	11	—	—	$107,500.50	$111,263.02	$109,650.51	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	14	13	—	—	$95,209.65	$141,294.96	$107,544.67	2026-05-08
006-4	OTHER	Pancreas Transplant	6	6	—	—	$103,208.80	$110,433.42	$106,614.70	2026-05-08
10	OTHER	Pancreas Transplant	14	13	—	—	$94,169.10	$139,750.74	$106,369.32	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	14	13	—	—	$93,629.34	$138,949.71	$105,759.62	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$102,271.96	$109,431.00	$105,646.93	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	17	14	—	—	$25,277.00	$137,005.86	$102,244.50	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$98,416.50	$105,305.65	$101,664.24	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	14	—	—	$25,277.00	$135,622.90	$101,212.43	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$97,139.35	$103,939.10	$100,344.95	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	14	13	—	—	$88,159.67	$130,832.50	$99,581.32	2026-05-08
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$95,908.24	$102,621.82	$99,073.21	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	6	6	—	—	$94,013.54	$100,594.48	$97,115.99	2026-05-08
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	11	11	—	—	$95,000.50	$98,325.52	$96,900.51	2026-05-08
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	11	11	—	—	$95,000.50	$98,325.52	$96,900.51	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$92,671.33	$99,158.32	$95,729.49	2026-05-08
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	13	—	—	$83,889.99	$124,496.13	$94,758.48	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	14	13	—	—	$82,163.22	$121,933.53	$92,807.99	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$89,206.21	$95,450.65	$92,150.02	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	14	13	—	—	$80,649.05	$119,686.44	$91,097.65	2026-05-08
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	14	13	—	—	$79,189.21	$117,519.98	$89,448.68	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$86,144.46	$92,174.57	$88,987.23	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	16	14	—	—	$25,277.00	$116,869.69	$88,081.55	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$85,169.58	$91,131.45	$87,980.18	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	6	—	—	$85,041.47	$90,994.37	$87,847.84	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	13	—	—	$1.66	$117,067.76	$87,365.13	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$84,379.87	$90,286.46	$87,164.41	2026-05-08
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	11	11	—	—	$85,000.50	$87,975.52	$86,700.51	2026-05-08
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	11	11	—	—	$85,000.50	$87,975.52	$86,700.51	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	14	13	—	—	$76,384.10	$113,357.08	$86,280.15	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$83,517.10	$89,363.29	$86,273.16	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$83,071.70	$88,886.72	$85,813.07	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$82,767.42	$88,561.14	$85,498.75	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	14	—	—	$25,277.00	$113,194.07	$84,474.28	2026-05-08
006-3	OTHER	Pancreas Transplant	6	6	—	—	$81,709.47	$87,429.14	$84,405.89	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	14	13	—	—	$74,696.31	$110,852.33	$84,373.69	2026-05-08
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	14	13	—	—	$73,067.57	$108,435.22	$82,533.95	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	14	13	—	—	$72,734.50	$107,940.93	$82,157.72	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$79,519.50	$85,085.87	$82,143.64	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	15	13	—	—	$7,696.00	$107,564.08	$81,863.58	2026-05-08
28	OTHER	Spinal Procedures With Mcc	15	13	—	—	$7,696.00	$106,561.48	$81,100.53	2026-05-08
440-4	OTHER	Kidney Transplant	6	6	—	—	$78,303.41	$83,784.65	$80,887.42	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	14	13	—	—	$71,290.01	$105,797.26	$80,526.10	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	14	13	—	—	$71,290.01	$105,797.26	$80,526.10	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	14	13	—	—	$70,757.34	$105,006.74	$79,924.40	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	17	14	—	—	$25,277.00	$107,073.29	$79,906.48	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	6	6	—	—	$77,288.50	$82,698.69	$79,839.02	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$76,591.87	$81,953.30	$79,119.40	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	14	—	—	$25,277.00	$104,279.33	$77,821.40	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	17	14	—	—	$25,277.00	$103,138.26	$76,969.85	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	13	—	—	$7,696.00	$100,600.20	$76,563.60	2026-05-08
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	11	11	—	—	$75,000.50	$77,625.52	$76,500.51	2026-05-08
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	11	11	—	—	$75,000.50	$77,625.52	$76,500.51	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	25	13	—	—	$23.52	$102,053.27	$76,160.15	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$73,704.27	$78,863.57	$76,136.51	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	13	—	—	$67,382.94	$99,998.99	$76,112.82	2026-05-08
851-4	OTHER	Gender Related Procedures	6	6	—	—	$73,525.11	$78,671.87	$75,951.45	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	14	13	—	—	$65,841.60	$97,711.59	$74,371.80	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	14	13	—	—	$65,282.94	$96,882.51	$73,740.76	2026-05-08
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	13	—	—	$65,008.93	$96,475.86	$73,431.24	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$70,285.20	$75,205.16	$72,604.61	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	14	13	—	—	$64,264.83	$95,371.60	$72,590.75	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	14	13	—	—	$64,118.38	$95,154.25	$72,425.32	2026-05-08
834	OTHER	Acute Leukemia With Mcc	25	13	—	—	$128.07	$96,882.51	$72,301.32	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	14	13	—	—	$63,791.21	$94,668.73	$72,055.77	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	14	13	—	—	$63,730.97	$94,579.34	$71,987.74	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	14	13	—	—	$63,723.89	$94,568.82	$71,979.73	2026-05-08
863-4	OTHER	Neonatal Aftercare	6	6	—	—	$67,843.00	$72,592.01	$70,081.82	2026-05-08
178-4	OTHER	External Heart Assist Systems	6	6	—	—	$67,532.72	$72,260.02	$69,761.30	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	17	14	—	—	$25,277.00	$93,252.47	$69,592.29	2026-05-08
006-2	OTHER	Pancreas Transplant	6	6	—	—	$67,118.35	$71,816.64	$69,333.26	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	14	—	—	$25,277.00	$92,840.56	$69,284.90	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	15	13	—	—	$7,696.00	$89,298.15	$67,961.96	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$65,623.01	$70,216.62	$67,788.57	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	14	13	—	—	$59,988.07	$89,024.71	$67,759.91	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$65,102.54	$69,659.72	$67,250.92	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	14	13	—	—	$59,490.83	$88,286.78	$67,198.24	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	6	6	—	—	$64,981.43	$69,530.13	$67,125.82	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant	6	6	—	—	$64,857.32	$69,397.33	$66,997.61	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	14	13	—	—	$59,140.04	$87,766.20	$66,802.01	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$64,596.08	$69,117.81	$66,727.76	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	14	13	—	—	$59,070.35	$87,662.79	$66,723.29	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$64,209.74	$68,704.42	$66,328.65	2026-05-08
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	11	11	—	—	$65,000.50	$67,275.52	$66,300.51	2026-05-08
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	11	11	—	—	$65,000.50	$67,275.52	$66,300.51	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$64,091.63	$68,578.04	$66,206.65	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$63,675.26	$68,132.52	$65,776.54	2026-05-08
245	OTHER	Aicd Generator Procedures	14	13	—	—	$57,717.99	$85,655.83	$65,195.73	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	17	14	—	—	$25,277.00	$87,347.28	$65,185.38	2026-05-08
6	OTHER	Liver Transplant Without Mcc	14	13	—	—	$57,273.90	$84,996.78	$64,694.10	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$62,271.99	$66,631.03	$64,326.97	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$62,089.83	$66,436.12	$64,138.79	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$61,532.33	$65,839.59	$63,562.90	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$61,493.29	$65,797.82	$63,522.57	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	13	—	—	$56,148.31	$83,326.36	$63,422.69	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$61,288.11	$65,578.28	$63,310.62	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	14	13	—	—	$55,567.21	$82,463.98	$62,766.30	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	25	13	—	—	$87.14	$83,704.96	$62,467.20	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	14	13	—	—	$55,269.57	$82,022.28	$62,430.10	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	6	6	—	—	$60,375.29	$64,601.56	$62,367.67	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$60,331.25	$64,554.44	$62,322.18	2026-05-08
799	OTHER	Splenic Procedures With Mcc	25	13	—	—	$7.69	$83,342.13	$62,196.43	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without Mcc	14	13	—	—	$54,943.59	$81,538.50	$62,061.89	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	14	13	—	—	$54,439.26	$80,790.06	$61,492.22	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	14	13	—	—	$54,416.82	$80,756.75	$61,466.87	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	14	13	—	—	$54,234.93	$80,486.82	$61,261.41	2026-05-08
5244	OTHER	Level 4 Blood Product Exchange And Related Services	11	11	—	—	$59,142.33	$61,212.31	$60,325.18	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$58,175.31	$62,247.58	$60,095.10	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	14	—	—	$25,277.00	$80,499.09	$60,074.73	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$58,078.22	$62,143.70	$59,994.81	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	14	13	—	—	$52,968.79	$78,607.82	$59,831.24	2026-05-08
179-4	OTHER	Defibrillator Implants	6	6	—	—	$57,855.02	$61,904.87	$59,764.24	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	6	6	—	—	$57,768.95	$61,812.77	$59,675.32	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	14	13	—	—	$52,822.34	$78,390.47	$59,665.81	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$57,689.87	$61,728.17	$59,593.64	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$57,307.53	$61,319.06	$59,198.68	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	25	13	—	—	$24,228.42	$79,079.32	$59,015.19	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	14	13	—	—	$51,883.36	$76,997.00	$58,605.18	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$56,539.84	$60,497.63	$58,405.65	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$56,264.59	$60,203.11	$58,121.32	2026-05-08
1643	OTHER	Y90 Ibritumomab, Rx	11	11	—	—	$56,824.55	$58,813.41	$57,961.04	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	25	13	—	—	$5.09	$77,657.80	$57,954.34	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	6	6	—	—	$55,890.26	$59,802.57	$57,734.63	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	14	13	—	—	$51,105.02	$75,841.90	$57,726.00	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	13	—	—	$7,696.00	$75,685.90	$57,602.12	2026-05-08
006-1	OTHER	Pancreas Transplant	6	6	—	—	$55,755.13	$59,657.99	$57,595.06	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	14	13	—	—	$50,382.18	$74,769.19	$56,909.52	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	14	13	—	—	$50,307.77	$74,658.76	$56,825.47	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	6	—	—	$54,999.46	$58,849.42	$56,814.43	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	6	6	—	—	$54,955.42	$58,802.29	$56,768.94	2026-05-08
9273	OTHER	Sipuleucel-t Auto Cd54+	11	11	—	—	$55,536.50	$57,480.28	$56,647.23	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$54,809.28	$58,645.93	$56,617.99	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	14	13	—	—	$49,951.08	$74,129.42	$56,422.57	2026-05-08
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	11	11	—	—	$55,000.50	$56,925.52	$56,100.51	2026-05-08
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	11	11	—	—	$55,000.50	$56,925.52	$56,100.51	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	14	13	—	—	$49,495.18	$73,452.84	$55,907.59	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	14	13	—	—	$49,483.37	$73,435.31	$55,894.25	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	6	—	—	$53,958.52	$57,735.62	$55,739.15	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	16	14	—	—	$25,277.00	$72,928.75	$54,964.44	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	14	13	—	—	$48,540.85	$72,036.57	$54,829.62	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	14	13	—	—	$48,468.80	$71,929.65	$54,748.24	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	25	13	—	—	$2.02	$73,100.52	$54,553.34	2026-05-08
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	14	13	—	—	$48,230.22	$71,575.59	$54,478.76	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	6	—	—	$52,627.32	$56,311.23	$54,364.03	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	14	13	—	—	$48,040.06	$71,293.39	$54,263.96	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	17	14	—	—	$25,277.00	$72,076.89	$53,789.42	2026-05-08
178-3	OTHER	External Heart Assist Systems	6	6	—	—	$51,747.53	$55,369.86	$53,455.20	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	6	—	—	$51,543.35	$55,151.38	$53,244.27	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	6	—	—	$51,481.29	$55,084.98	$53,180.18	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	14	13	—	—	$47,051.48	$69,826.29	$53,147.31	2026-05-08
791	OTHER	Prematurity With Major Problems	25	13	—	—	$0.09	$71,161.93	$53,106.60	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	6	6	—	—	$51,367.19	$54,962.89	$53,062.31	2026-05-08
90288	CPT	Botulinum Human Antitoxin For Infusion Into Vein	2	2	—	—	$499.80	$105,348.91	$52,924.36	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	14	13	—	—	$46,602.66	$69,160.23	$52,640.34	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	14	13	—	—	$46,412.51	$68,878.03	$52,425.54	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	14	13	—	—	$46,184.55	$68,539.74	$52,168.06	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	6	—	—	$50,453.37	$53,985.10	$52,118.32	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	25	13	—	—	$13.03	$69,777.22	$52,073.22	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$50,296.23	$53,816.96	$51,956.00	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	6	6	—	—	$50,285.22	$53,805.18	$51,944.63	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	14	13	—	—	$45,929.44	$68,161.13	$51,879.89	2026-05-08
023-4	OTHER	Spinal Procedures	6	6	—	—	$50,012.97	$53,513.88	$51,663.40	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	14	13	—	—	$45,649.51	$67,745.72	$51,563.71	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	14	13	—	—	$45,603.45	$67,677.36	$51,511.67	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	25	13	—	—	$23.98	$69,018.25	$51,506.83	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	14	13	—	—	$45,475.89	$67,488.06	$51,367.58	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	14	13	—	—	$45,146.37	$66,999.03	$50,995.37	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	6	6	—	—	$49,323.35	$52,775.99	$50,951.03	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	13	—	—	$44,901.88	$66,636.20	$50,719.21	2026-05-08
440-3	OTHER	Kidney Transplant	6	6	—	—	$48,930.00	$52,355.10	$50,544.69	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	14	13	—	—	$44,552.27	$66,117.37	$50,324.31	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	6	—	—	$48,450.57	$51,842.11	$50,049.43	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	6	6	—	—	$48,435.55	$51,826.04	$50,033.93	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$48,430.55	$51,820.69	$50,028.76	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	14	13	—	—	$44,196.76	$65,589.78	$49,922.74	2026-05-08
690-4	OTHER	Acute Leukemia	6	6	—	—	$48,081.23	$51,446.92	$49,667.92	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	6	6	—	—	$48,072.23	$51,437.28	$49,658.61	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	6	6	—	—	$47,581.79	$50,912.51	$49,151.99	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	6	—	—	$47,478.69	$50,802.20	$49,045.49	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	6	6	—	—	$47,417.64	$50,736.87	$48,982.42	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$47,271.51	$50,580.51	$48,831.47	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$47,240.48	$50,547.31	$48,799.42	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	6	6	—	—	$47,233.47	$50,539.81	$48,792.18	2026-05-08
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	14	13	—	—	$43,094.80	$63,954.41	$48,678.01	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$46,725.01	$49,995.77	$48,266.94	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	6	—	—	$46,650.95	$49,916.51	$48,190.43	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	—	—	$46,627.93	$49,891.88	$48,166.65	2026-05-08
441-4	OTHER	Major Bladder Procedures	6	6	—	—	$46,514.83	$49,770.86	$48,049.82	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$46,513.82	$49,769.79	$48,048.78	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	6	—	—	$46,299.63	$49,540.61	$47,827.52	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	14	13	—	—	$42,337.71	$62,830.87	$47,822.83	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	14	13	—	—	$42,330.62	$62,820.35	$47,814.83	2026-05-08
265	OTHER	Aicd Lead Procedures	14	13	—	—	$42,132.20	$62,525.88	$47,590.69	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$46,004.37	$49,224.67	$47,522.51	2026-05-08
178-2	OTHER	External Heart Assist Systems	6	6	—	—	$45,929.30	$49,144.35	$47,444.97	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$45,882.26	$49,094.01	$47,396.37	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	14	13	—	—	$41,943.22	$62,245.43	$47,377.24	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	14	13	—	—	$41,697.55	$61,880.85	$47,099.74	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	6	—	—	$45,476.89	$48,660.27	$46,977.63	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	14	13	—	—	$41,581.81	$61,709.08	$46,969.00	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	24	16	$3,445.00	—	$1,023.16	$62,834.37	$46,891.93	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	14	13	—	—	$41,383.38	$61,414.61	$46,744.87	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	13	—	—	$41,370.39	$61,395.33	$46,730.19	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	14	13	—	—	$41,353.85	$61,370.79	$46,711.51	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	14	13	—	—	$41,280.63	$61,262.11	$46,628.79	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	14	13	—	—	$41,013.70	$60,865.98	$46,327.29	2026-05-08
332	OTHER	Rectal Resection With Mcc	14	13	—	—	$40,968.82	$60,799.37	$46,276.59	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	14	13	—	—	$40,923.93	$60,732.77	$46,225.89	2026-05-08
1142	OTHER	Supprelin La Implant	11	11	—	—	$45,261.80	$46,845.96	$46,167.03	2026-05-08
027-4	OTHER	Other Open Craniotomy	6	6	—	—	$44,581.09	$47,701.76	$46,052.26	2026-05-08
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	11	11	—	—	$45,000.50	$46,575.52	$45,900.51	2026-05-08
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	11	11	—	—	$45,000.50	$46,575.52	$45,900.51	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	14	13	—	—	$40,618.03	$60,278.79	$45,880.35	2026-05-08
C1882	HCPCS	Defib Resonate Hf Implantable	369	10	$100,759.00	—	$0.30	$242,271.90	$45,857.22	2026-05-08
665	OTHER	Prostatectomy With Mcc	14	13	—	—	$40,554.25	$60,184.14	$45,808.31	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	14	13	—	—	$40,516.45	$60,128.05	$45,765.62	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	15	13	—	—	$7,696.00	$60,036.91	$45,692.17	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	6	—	—	$44,074.63	$47,159.86	$45,529.09	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	16	14	—	—	$25,277.00	$60,373.44	$45,501.85	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$43,960.53	$47,037.77	$45,411.22	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	6	6	—	—	$43,736.33	$46,797.87	$45,179.62	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$43,531.14	$46,578.32	$44,967.68	2026-05-08
C1825	HCPCS	Generator Cvrx Barostim Neo2	11	10	$151,402.00	—	$3,925.00	$136,261.80	$44,966.39	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	16	14	—	—	$6,229.00	$59,454.98	$44,809.62	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	15	13	—	—	$7,696.00	$58,836.24	$44,778.38	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	6	6	—	—	$43,342.97	$46,376.98	$44,773.29	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	6	6	—	—	$43,255.90	$46,283.81	$44,683.34	2026-05-08
440-2	OTHER	Kidney Transplant	6	6	—	—	$43,019.68	$46,031.06	$44,439.33	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	6	—	—	$42,891.57	$45,893.98	$44,306.99	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	14	13	—	—	$39,223.15	$58,208.74	$44,304.76	2026-05-08
401-4	OTHER	Adrenal Procedures	6	6	—	—	$42,748.44	$45,740.83	$44,159.14	2026-05-08
C1767	HCPCS	Implant Generator Inspire 3028	71	10	$107,450.00	—	$3,925.00	$154,687.50	$44,110.80	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	14	13	—	—	$38,998.74	$57,875.70	$44,051.28	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	14	13	—	—	$38,496.77	$57,130.76	$43,484.28	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	14	13	—	—	$38,480.24	$57,106.22	$43,465.60	2026-05-08
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	6	6	—	—	$42,072.83	$45,017.93	$43,461.24	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$42,036.80	$44,979.38	$43,424.01	2026-05-08
178-1	OTHER	External Heart Assist Systems	6	6	—	—	$41,988.76	$44,927.97	$43,374.38	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$41,862.64	$44,793.03	$43,244.11	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	16	13	—	—	$7,696.00	$57,293.77	$43,180.78	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	14	13	—	—	$38,023.15	$56,427.89	$42,949.29	2026-05-08

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