Hospital

Sharp Memorial Hospital-transplant

San Diego, CA · CCN 059800 · Rates published

1,485 distinct procedures filed

22 distinct payers

17,226 rate rows

2026-04-01 last MRF observed

Data quality

12,838 of 17,226 rate rows are consumer-grade (74.5%)

4,388 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	3,796
template filing: same amount across many unrelated codes — excluded	557
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	17
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	8
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6
per-diem day rate — not a per-procedure price	4

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

Source MRF file	https://downloads.ctfassets.net/pxcfulgsd9e2/7kOO19WgXRFqOFfWyPsSCE/1dd67ee60fbf2a34d729812c39abb1fe/95-3782169_sharp-memorial-hospital_standardcharges.csv
Found on page	https://www.sharp.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-03
Content fingerprint	338a8fbb287d6fb7… · 204,250,299 bytes · first seen 2026-05-17

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
002 - 4 OTHER	Heart And/or Lung Transplant	3	$1,231,576.58	$3,317,378.00	$3,110,041.88	nat. median $950,509 outlier · 3.3×
161 - 4 OTHER	Implantable Heart Assist Systems	4	$2,030,514.08	$2,105,718.30	$2,075,636.61	nat. median $467,324 outlier · 4.4×
002 - 3 OTHER	Heart And/or Lung Transplant	4	$1,200,381.48	$1,875,596.06	$1,719,296.39	nat. median $555,445 outlier · 3.1×
591 - 4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	$725.00	$1,372,717.50	$1,321,240.59	nat. median $157,136 outlier · 8.4×
004 - 4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	$1,086,071.32	$1,221,830.24	$1,149,425.48	nat. median $537,605 outlier · 2.1×
026 - 4 OTHER	Other Nervous System And Related Procedures	3	$803,225.80	$956,221.19	$917,972.34	nat. median $189,369 outlier · 4.8×
591 - 3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	$758,609.42	$994,897.60	$858,099.18	nat. median $369,356 outlier · 2.3×
005 - 4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	$833,757.86	$858,280.15	$846,019.01	nat. median $369,576 outlier · 2.3×
304 - 4 OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	$374,290.23	$847,657.29	$798,118.88	nat. median $209,776 outlier · 3.8×
602 - 3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$785,252.50	$785,252.50	$785,252.50	nat. median $83,091 outlier · 9.5×
313 - 4 OTHER	Knee And Lower Leg Procedures Except Foot	1	$742,656.37	$742,656.37	$742,656.37	nat. median $218,629 outlier · 3.4×
309 - 4 OTHER	Other Significant Hip And Femur Surgery	2	$689,121.30	$787,567.20	$738,344.25	nat. median $121,705 outlier · 6.1×
009 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	$594,571.46	$862,917.88	$698,121.61	nat. median $307,953 outlier · 2.3×
427 - 4 OTHER	Thyroid Disorders	3	$475,278.78	$693,114.89	$693,114.89	nat. median $54,947 outlier · 12.6×
163 - 4 OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	$289,864.46	$956,455.13	$683,182.24	nat. median $240,555 outlier · 2.8×
022 - 4 OTHER	Ventricular Shunt Procedures	4	$540,066.40	$771,523.43	$642,936.19	nat. median $100,802 outlier · 6.4×
165 - 4 OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	$623,785.17	$706,344.97	$637,545.14	nat. median $278,073 outlier · 2.3×
910 - 4 OTHER	Craniotomy For Multiple Significant Trauma	3	$499,620.60	$780,657.19	$634,934.51	nat. median $149,746 outlier · 4.2×
326 - 4 OTHER	Elective Knee Joint Replacement	2	$633,747.09	$633,747.09	$633,747.09	nat. median $27,490 outlier · 23.1×
162 - 4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	$551,825.94	$702,596.17	$627,211.05	nat. median $268,491 outlier · 2.3×
589 - 3 OTHER	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	4	$503,838.82	$606,390.09	$596,759.18	nat. median $133,763 outlier · 4.5×
009 - 2 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$241,450.04	$663,987.60	$587,844.60	nat. median $241,450 outlier · 2.4×
593 - 4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$454,053.77	$1,001,589.19	$587,598.99	nat. median $161,603 outlier · 3.6×
912 - 4 OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	$239,089.22	$768,501.06	$582,779.97	nat. median $190,213 outlier · 3.1×
593 - 3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$323,784.21	$761,845.20	$571,383.90	nat. median $136,257 outlier · 4.2×
911 - 4 OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	$408,014.20	$714,024.85	$561,019.53	nat. median $201,863 outlier · 2.8×
405 - 4 OTHER	Other Procedures For Endocrine Nutritional And Metabolic Disorders	3	$47,059.53	$595,690.30	$558,459.66	nat. median $194,265 outlier · 2.9×
165 - 3 OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	1	$554,973.89	$554,973.89	$554,973.89	nat. median $103,322 outlier · 5.4×
138 - 4 OTHER	Bronchiolitis And Rsv Pneumonia	3	$397,972.26	$591,047.91	$551,644.71	nat. median $20,804 outlier · 26.5×
222 - 4 OTHER	Other Stomach Esophageal And Duodenal Procedures	1	$539,742.10	$539,742.10	$539,742.10	nat. median $35,797 outlier · 15.1×
519 - 4 OTHER	Uterine And Adnexa Procedures For Leiomyoma	4	$302,658.37	$712,137.35	$529,474.12	nat. median $93,684 outlier · 5.7×
162 - 3 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	$505,030.70	$598,554.90	$523,735.54	nat. median $209,581 outlier · 2.5×
404 - 4 OTHER	Thyroid Parathyroid And Thyroglossal Procedures	4	$441,907.72	$555,359.79	$521,641.51	nat. median $222,841 outlier · 2.3×
203 - 4 OTHER	Chest Pain	3	$520,924.00	$533,947.10	$520,924.00	nat. median $20,704 outlier · 25.2×
005 - 3 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$108,726.90	$535,868.27	$509,463.17	nat. median $181,069 outlier · 2.8×
006 - 3 OTHER	Pancreas Transplant	3	$63,398.01	$802,506.40	$481,503.84	nat. median $91,405 outlier · 5.3×
162 - 2 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	$228,702.95	$560,322.23	$468,841.05	nat. median $44,991 outlier · 10.4×
082 - 4 OTHER	Eye Infections And Other Eye Disorders	4	$117,513.68	$587,568.38	$458,303.34	nat. median $100,721 outlier · 4.6×
602 - 2 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	$387,247.25	$476,123.67	$444,382.09	nat. median $62,350 outlier · 7.1×
089 - 4 OTHER	Major Cranial Or Facial Bone Procedures	3	$348,614.19	$438,114.77	$438,114.77	nat. median $197,150 outlier · 2.2×
027 - 4 OTHER	Other Open Craniotomy	2	$324,662.38	$542,120.45	$433,391.41	nat. median $173,289 outlier · 2.5×
178 - 4 OTHER	External Heart Assist Systems	2	$360,274.73	$503,828.15	$432,051.44	nat. median $249,459 1.7× median
260 - 4 OTHER	Major Pancreas Liver And Shunt Procedures	3	$420,162.82	$470,331.52	$426,433.91	nat. median $176,330 outlier · 2.4×
183 - 4 OTHER	Percutaneous Structural Cardiac Procedures	3	$376,878.60	$418,754.00	$418,754.00	nat. median $265,375 1.6× median
029 - 4 OTHER	Other Percutaneous Intracranial Procedures	3	$184,751.81	$454,307.72	$417,963.10	nat. median $37,579 outlier · 11.1×
223 - 4 OTHER	Other Small And Large Bowel Procedures	4	$725.00	$457,061.03	$415,510.02	nat. median $105,466 outlier · 3.9×
381 - 4 OTHER	Major Skin Disorders	2	$402,863.64	$427,819.80	$415,341.72	nat. median $163,971 outlier · 2.5×
444 - 4 OTHER	Renal Dialysis Access Device Procedures	2	$381,919.71	$432,467.90	$407,193.81	nat. median $29,163 outlier · 14.0×
911 - 3 OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	$208,949.71	$478,876.33	$399,063.61	nat. median $47,825 outlier · 8.3×
047 - 4 OTHER	Transient Ischemia	2	$384,398.44	$411,855.47	$398,126.95	nat. median $101,341 outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 1,485 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

002 - 4	OTHER	Heart And/or Lung Transplant	3	3	$4,146,722.50	$3,110,041.88 25% off	$1,231,576.58	$3,317,378.00	$3,110,041.88	2026-04-01
161 - 4	OTHER	Implantable Heart Assist Systems	4	4	$3,008,169.00	$2,256,126.75 25% off	$2,030,514.08	$2,105,718.30	$2,075,636.61	2026-04-01
002 - 3	OTHER	Heart And/or Lung Transplant	4	4	$2,500,794.75	$1,875,596.06 25% off	$1,200,381.48	$1,875,596.06	$1,719,296.39	2026-04-01
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	$1,715,896.88	$1,286,922.66 25% off	$725.00	$1,372,717.50	$1,321,240.59	2026-04-01
004 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	$1,810,118.88	$1,357,589.16 25% off	$1,086,071.32	$1,221,830.24	$1,149,425.48	2026-04-01
026 - 4	OTHER	Other Nervous System And Related Procedures	3	3	$1,912,442.38	$1,434,331.78 25% off	$803,225.80	$956,221.19	$917,972.34	2026-04-01
591 - 3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	$1,243,622.00	$932,716.50 25% off	$758,609.42	$994,897.60	$858,099.18	2026-04-01
005 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	$1,226,114.50	$919,585.88 25% off	$833,757.86	$858,280.15	$846,019.01	2026-04-01
304 - 4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	$1,100,853.63	$825,640.22 25% off	$374,290.23	$847,657.29	$798,118.88	2026-04-01
602 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	$801,278.06	$600,958.55 25% off	$785,252.50	$785,252.50	$785,252.50	2026-04-01
313 - 4	OTHER	Knee And Lower Leg Procedures Except Foot	1	1	$757,812.63	$568,359.47 25% off	$742,656.37	$742,656.37	$742,656.37	2026-04-01
309 - 4	OTHER	Other Significant Hip And Femur Surgery	2	2	$984,459.00	$738,344.25 25% off	$689,121.30	$787,567.20	$738,344.25	2026-04-01
009 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	5	5	$1,052,338.88	$789,254.16 25% off	$594,571.46	$862,917.88	$698,121.61	2026-04-01
427 - 4	OTHER	Thyroid Disorders	3	3	$990,164.13	$742,623.09 25% off	$475,278.78	$693,114.89	$693,114.89	2026-04-01
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	$975,974.63	$731,980.97 25% off	$289,864.46	$956,455.13	$683,182.24	2026-04-01
022 - 4	OTHER	Ventricular Shunt Procedures	4	4	$857,248.25	$642,936.19 25% off	$540,066.40	$771,523.43	$642,936.19	2026-04-01
165 - 4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	$917,331.13	$687,998.34 25% off	$623,785.17	$706,344.97	$637,545.14	2026-04-01
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	3	3	$1,040,876.25	$780,657.19 25% off	$499,620.60	$780,657.19	$634,934.51	2026-04-01
326 - 4	OTHER	Elective Knee Joint Replacement	2	2	$844,996.13	$633,747.09 25% off	$633,747.09	$633,747.09	$633,747.09	2026-04-01
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	$1,151,797.00	$863,847.75 25% off	$551,825.94	$702,596.17	$627,211.05	2026-04-01
589 - 3	OTHER	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	4	4	$891,750.13	$668,812.59 25% off	$503,838.82	$606,390.09	$596,759.18	2026-04-01
009 - 2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	$862,321.56	$646,741.17 25% off	$241,450.04	$663,987.60	$587,844.60	2026-04-01
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	$1,335,452.25	$1,001,589.19 25% off	$454,053.77	$1,001,589.19	$587,598.99	2026-04-01
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	4	$853,890.06	$640,417.55 25% off	$239,089.22	$768,501.06	$582,779.97	2026-04-01
593 - 3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	5	5	$952,306.50	$714,229.88 25% off	$323,784.21	$761,845.20	$571,383.90	2026-04-01
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	2	$1,020,035.50	$765,026.63 25% off	$408,014.20	$714,024.85	$561,019.53	2026-04-01
405 - 4	OTHER	Other Procedures For Endocrine Nutritional And Metabolic Disorders	3	3	$744,612.88	$558,459.66 25% off	$47,059.53	$595,690.30	$558,459.66	2026-04-01
165 - 3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	$739,965.19	$554,973.89 25% off	$554,973.89	$554,973.89	$554,973.89	2026-04-01
138 - 4	OTHER	Bronchiolitis And Rsv Pneumonia	3	3	$788,063.88	$591,047.91 25% off	$397,972.26	$591,047.91	$551,644.71	2026-04-01
222 - 4	OTHER	Other Stomach Esophageal And Duodenal Procedures	1	1	$793,738.38	$595,303.78 25% off	$539,742.10	$539,742.10	$539,742.10	2026-04-01
519 - 4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	4	4	$890,171.69	$667,628.77 25% off	$302,658.37	$712,137.35	$529,474.12	2026-04-01
162 - 3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	$748,193.63	$561,145.22 25% off	$505,030.70	$598,554.90	$523,735.54	2026-04-01
404 - 4	OTHER	Thyroid Parathyroid And Thyroglossal Procedures	4	4	$793,371.13	$595,028.34 25% off	$441,907.72	$555,359.79	$521,641.51	2026-04-01
203 - 4	OTHER	Chest Pain	3	3	$651,155.00	$488,366.25 25% off	$520,924.00	$533,947.10	$520,924.00	2026-04-01
005 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	5	$776,620.69	$582,465.52 25% off	$108,726.90	$535,868.27	$509,463.17	2026-04-01
006 - 3	OTHER	Pancreas Transplant	3	3	$1,003,133.00	$752,349.75 25% off	$63,398.01	$802,506.40	$481,503.84	2026-04-01
162 - 2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	$571,757.38	$428,818.03 25% off	$228,702.95	$560,322.23	$468,841.05	2026-04-01
082 - 4	OTHER	Eye Infections And Other Eye Disorders	4	4	$783,424.50	$587,568.38 25% off	$117,513.68	$587,568.38	$458,303.34	2026-04-01
602 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	$634,831.56	$476,123.67 25% off	$387,247.25	$476,123.67	$444,382.09	2026-04-01
089 - 4	OTHER	Major Cranial Or Facial Bone Procedures	3	3	$625,878.25	$469,408.69 25% off	$348,614.19	$438,114.77	$438,114.77	2026-04-01
027 - 4	OTHER	Other Open Craniotomy	2	2	$677,650.56	$508,237.92 25% off	$324,662.38	$542,120.45	$433,391.41	2026-04-01
178 - 4	OTHER	External Heart Assist Systems	2	2	$751,982.31	$563,986.73 25% off	$360,274.73	$503,828.15	$432,051.44	2026-04-01
260 - 4	OTHER	Major Pancreas Liver And Shunt Procedures	3	3	$627,108.69	$470,331.52 25% off	$420,162.82	$470,331.52	$426,433.91	2026-04-01
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	3	3	$598,220.00	$448,665.00 25% off	$376,878.60	$418,754.00	$418,754.00	2026-04-01
029 - 4	OTHER	Other Percutaneous Intracranial Procedures	3	3	$605,743.63	$454,307.72 25% off	$184,751.81	$454,307.72	$417,963.10	2026-04-01
223 - 4	OTHER	Other Small And Large Bowel Procedures	4	4	$593,585.75	$445,189.31 25% off	$725.00	$457,061.03	$415,510.02	2026-04-01
381 - 4	OTHER	Major Skin Disorders	2	2	$713,033.00	$534,774.75 25% off	$402,863.64	$427,819.80	$415,341.72	2026-04-01
444 - 4	OTHER	Renal Dialysis Access Device Procedures	2	2	$561,646.63	$421,234.97 25% off	$381,919.71	$432,467.90	$407,193.81	2026-04-01
911 - 3	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	$532,084.81	$399,063.61 25% off	$208,949.71	$478,876.33	$399,063.61	2026-04-01
047 - 4	OTHER	Transient Ischemia	2	2	$549,140.63	$411,855.47 25% off	$384,398.44	$411,855.47	$398,126.95	2026-04-01
440 - 4	OTHER	Kidney Transplant	1	1	$697,313.19	$522,984.89 25% off	$393,981.95	$393,981.95	$393,981.95	2026-04-01
092 - 4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	1	1	$616,793.25	$462,594.94 25% off	$391,663.71	$391,663.71	$391,663.71	2026-04-01
863 - 4	OTHER	Neonatal Aftercare	4	4	$796,224.13	$597,168.09 25% off	$725.00	$636,979.30	$390,149.83	2026-04-01
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	1	1	$565,117.00	$423,837.75 25% off	$384,279.56	$384,279.56	$384,279.56	2026-04-01
440 - 2	OTHER	Kidney Transplant	1	1	$468,129.84	$351,097.38 25% off	$383,866.47	$383,866.47	$383,866.47	2026-04-01
303 - 2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	$625,288.19	$468,966.14 25% off	$348,285.52	$418,943.09	$383,614.31	2026-04-01
539 - 4	OTHER	Cesarean Section With Sterilization	1	1	$500,096.28	$375,072.21 25% off	$375,072.21	$375,072.21	$375,072.21	2026-04-01
681 - 4	OTHER	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	2	2	$523,637.06	$392,727.80 25% off	$356,073.20	$392,727.80	$374,400.50	2026-04-01
169 - 4	OTHER	Major Abdominal Vascular Procedures	2	2	$507,204.34	$380,403.26 25% off	$355,043.04	$390,547.34	$372,795.19	2026-04-01
447 - 4	OTHER	Other Kidney Urinary Tract And Related Procedures	2	2	$515,021.13	$386,265.84 25% off	$355,364.58	$386,265.84	$370,815.21	2026-04-01
049 - 4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	2	2	$580,289.19	$435,216.89 25% off	$290,144.59	$435,216.89	$362,680.74	2026-04-01
690 - 4	OTHER	Acute Leukemia	2	2	$517,963.56	$388,472.67 25% off	$362,574.49	$362,574.49	$362,574.49	2026-04-01
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	2	$502,886.59	$377,164.95 25% off	$319,332.99	$402,309.28	$360,821.14	2026-04-01
651 - 4	OTHER	Other Procedures Of Blood And Blood-forming Organs	4	4	$795,017.75	$596,263.31 25% off	$236,120.27	$651,914.55	$357,757.99	2026-04-01
163 - 1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	$473,186.75	$354,890.06 25% off	$140,536.46	$463,723.02	$354,890.06	2026-04-01
171 - 4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	1	1	$393,949.22	$295,461.91 25% off	$354,554.30	$354,554.30	$354,554.30	2026-04-01
695 - 4	OTHER	Chemotherapy For Acute Leukemia	2	2	$558,899.31	$419,174.48 25% off	$315,778.11	$391,229.52	$353,503.82	2026-04-01
130 - 2	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	$588,276.31	$441,207.23 25% off	$235,310.53	$470,621.05	$352,965.79	2026-04-01
815 - 4	OTHER	Other Injury Poisoning And Toxic Effect Diagnoses	1	1	$440,768.66	$330,576.49 25% off	$352,614.93	$352,614.93	$352,614.93	2026-04-01
440 - 3	OTHER	Kidney Transplant	3	3	$525,064.44	$393,798.33 25% off	$78,759.67	$362,294.46	$351,793.17	2026-04-01
711 - 4	OTHER	Post-operative Post-trauma Other Device Infections With O.r. Procedure	2	2	$465,726.50	$349,294.88 25% off	$349,294.88	$349,294.88	$349,294.88	2026-04-01
021 - 4	OTHER	Open Craniotomy Except Trauma	3	3	$694,896.88	$521,172.66 25% off	$206,384.37	$521,172.66	$347,448.44	2026-04-01
231 - 4	OTHER	Major Large Bowel Procedures	1	1	$510,186.03	$382,639.52 25% off	$346,926.50	$346,926.50	$346,926.50	2026-04-01
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	$528,034.44	$396,025.83 25% off	$156,826.23	$369,624.11	$345,862.56	2026-04-01
930 - 4	OTHER	Multiple Significant Trauma Without O.r. Procedure	1	1	$661,456.25	$496,092.19 25% off	$330,728.13	$330,728.13	$330,728.13	2026-04-01
950 - 4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	$586,631.88	$439,973.91 25% off	$326,753.95	$326,753.95	$326,753.95	2026-04-01
179 - 4	OTHER	Defibrillator Implants	3	3	$470,675.84	$353,006.88 25% off	$725.00	$385,954.19	$320,059.57	2026-04-01
511 - 4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	1	1	$457,014.97	$342,761.23 25% off	$319,910.48	$319,910.48	$319,910.48	2026-04-01
245 - 4	OTHER	Inflammatory Bowel Disease	3	3	$462,184.47	$346,638.35 25% off	$261,134.22	$369,747.58	$314,285.44	2026-04-01
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	$448,271.16	$336,203.37 25% off	$313,789.81	$313,789.81	$313,789.81	2026-04-01
603 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	$405,786.88	$304,340.16 25% off	$229,269.58	$324,629.50	$304,340.16	2026-04-01
021 - 3	OTHER	Open Craniotomy Except Trauma	4	4	$483,302.00	$362,476.50 25% off	$265,816.10	$386,641.60	$299,647.24	2026-04-01
229 - 4	OTHER	Other Digestive System And Abdominal Procedures	4	4	$487,191.66	$365,393.74 25% off	$233,413.52	$331,290.33	$297,186.91	2026-04-01
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	$520,093.69	$390,070.27 25% off	$293,852.93	$293,852.93	$293,852.93	2026-04-01
850 - 2	OTHER	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	6	$409,956.38	$307,467.28 25% off	$196,779.06	$368,960.74	$286,969.46	2026-04-01
912 - 3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	$418,361.06	$313,770.80 25% off	$236,374.00	$409,993.84	$284,485.52	2026-04-01
006 - 2	OTHER	Pancreas Transplant	2	2	$516,675.72	$387,506.79 25% off	$206,670.29	$361,673.00	$284,171.65	2026-04-01
170 - 4	OTHER	Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock	1	1	$375,470.59	$281,602.95 25% off	$281,602.95	$281,602.95	$281,602.95	2026-04-01
020 - 3	OTHER	Open Craniotomy For Trauma	5	5	$421,319.09	$315,989.32 25% off	$63,197.86	$324,415.70	$275,964.01	2026-04-01
230 - 4	OTHER	Major Small Bowel Procedures	3	3	$573,911.75	$430,433.81 25% off	$725.00	$470,607.63	$275,477.64	2026-04-01
691 - 4	OTHER	Lymphoma Myeloma And Non-acute Leukemia	2	2	$378,656.72	$283,992.54 25% off	$240,447.02	$310,498.51	$275,472.77	2026-04-01
166 - 1	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	$441,691.09	$331,268.32 25% off	$131,182.25	$309,183.77	$274,952.71	2026-04-01
120 - 4	OTHER	Major Respiratory And Chest Procedures	1	1	$410,302.53	$307,726.90 25% off	$274,902.70	$274,902.70	$274,902.70	2026-04-01
850 - 3	OTHER	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	4	4	$448,473.13	$336,354.84 25% off	$179,389.25	$358,778.50	$273,568.60	2026-04-01
607 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	$678,814.75	$509,111.06 25% off	$266,570.55	$325,220.15	$271,525.90	2026-04-01
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	5	5	$480,527.63	$360,395.72 25% off	$725.00	$326,758.79	$271,498.11	2026-04-01
340 - 4	OTHER	Fracture Of Femur	3	3	$409,472.13	$307,104.09 25% off	$139,220.52	$327,577.70	$268,613.71	2026-04-01
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	1	1	$408,561.56	$306,421.17 25% off	$267,607.82	$267,607.82	$267,607.82	2026-04-01
226 - 4	OTHER	Anal And Perineal Procedures	5	5	$392,487.34	$294,365.51 25% off	$133,445.70	$294,365.51	$266,891.39	2026-04-01
440 - 1	OTHER	Kidney Transplant	1	1	$417,955.88	$313,466.91 25% off	$265,401.98	$265,401.98	$265,401.98	2026-04-01
696 - 4	OTHER	Other Chemotherapy	4	4	$373,626.19	$280,219.64 25% off	$211,098.80	$306,373.47	$265,274.59	2026-04-01
261 - 3	OTHER	Major Biliary Tract Procedures	2	2	$400,277.44	$300,208.08 25% off	$220,152.59	$308,213.63	$264,183.11	2026-04-01
264 - 4	OTHER	Other Hepatobiliary Pancreas And Abdominal Procedures	3	3	$388,881.22	$291,660.91 25% off	$233,328.73	$311,104.98	$260,550.42	2026-04-01
724 - 4	OTHER	Other Infectious And Parasitic Diseases	3	3	$382,457.19	$286,842.89 25% off	$213,028.65	$267,720.03	$260,070.89	2026-04-01
680 - 4	OTHER	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	2	2	$583,616.13	$437,712.09 25% off	$163,412.52	$356,005.84	$259,709.18	2026-04-01
890 - 4	OTHER	HIV With Multiple Major HIV Related Conditions	1	1	$381,946.47	$286,459.85 25% off	$257,813.87	$257,813.87	$257,813.87	2026-04-01
2780000011	CDM	Hc Vad (hm3)	21	13	$377,717.00	$283,287.75 25% off	$725.00	$339,945.30	$256,847.56	2026-04-01
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	1	1	$642,035.00	$481,526.25 25% off	$256,814.00	$256,814.00	$256,814.00	2026-04-01
050 - 4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	1	1	$534,439.13	$400,829.34 25% off	$256,530.78	$256,530.78	$256,530.78	2026-04-01
041 - 4	OTHER	Nervous System Malignancy	3	3	$381,804.50	$286,353.38 25% off	$113,395.94	$343,624.05	$255,809.02	2026-04-01
160 - 2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	2	$472,388.56	$354,291.42 25% off	$188,955.43	$321,224.22	$255,089.82	2026-04-01
607 - 2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	6	$407,593.56	$305,695.17 25% off	$121,055.29	$366,834.21	$254,745.97	2026-04-01
132 - 3	OTHER	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	3	3	$743,997.31	$557,997.98 25% off	$220,967.20	$420,358.48	$252,959.09	2026-04-01
484 - 4	OTHER	Other Male Reproductive System And Related Procedures	5	5	$385,259.53	$288,944.65 25% off	$57,788.93	$288,944.65	$252,730.25	2026-04-01
441 - 4	OTHER	Major Bladder Procedures	3	3	$360,962.22	$270,721.66 25% off	$151,604.13	$252,673.55	$252,673.55	2026-04-01
518 - 3	OTHER	Other Female Reproductive System And Related Procedures	1	1	$358,462.06	$268,846.55 25% off	$250,923.44	$250,923.44	$250,923.44	2026-04-01
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	5	5	$735,939.06	$551,954.30 25% off	$110,390.86	$588,751.25	$250,219.28	2026-04-01
179 - 3	OTHER	Defibrillator Implants	2	2	$325,093.69	$243,820.27 25% off	$227,565.58	$266,576.82	$247,071.20	2026-04-01
009 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	3	3	$616,433.25	$462,324.94 25% off	$209,587.31	$419,174.61	$246,573.30	2026-04-01
312 - 4	OTHER	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	2	2	$512,387.84	$384,290.88 25% off	$204,955.14	$281,813.31	$243,384.23	2026-04-01
793 - 4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	3	3	$357,248.13	$267,936.09 25% off	$142,899.25	$267,936.09	$242,928.73	2026-04-01
023 - 4	OTHER	Spinal Procedures	1	1	$573,085.38	$429,814.03 25% off	$240,695.86	$240,695.86	$240,695.86	2026-04-01
316 - 4	OTHER	Hand And Wrist Procedures	5	5	$600,073.75	$450,055.31 25% off	$168,020.65	$366,044.99	$240,029.50	2026-04-01
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	$789,452.69	$592,089.52 25% off	$234,467.45	$234,467.45	$234,467.45	2026-04-01
181 - 4	OTHER	Lower Extremity Arterial Procedures	3	3	$583,284.81	$437,463.61 25% off	$198,316.84	$382,051.55	$233,313.93	2026-04-01
023 - 3	OTHER	Spinal Procedures	2	2	$761,351.94	$571,013.95 25% off	$725.00	$464,424.68	$232,574.84	2026-04-01
692 - 3	OTHER	Radiotherapy	2	2	$396,067.00	$297,050.25 25% off	$223,777.85	$237,640.20	$230,709.03	2026-04-01
020 - 1	OTHER	Open Craniotomy For Trauma	1	1	$286,720.13	$215,040.09 25% off	$229,376.10	$229,376.10	$229,376.10	2026-04-01
385 - 4	OTHER	Other Skin Subcutaneous Tissue And Breast Disorders	1	1	$323,144.28	$242,358.21 25% off	$226,201.00	$226,201.00	$226,201.00	2026-04-01
317 - 3	OTHER	Tendon Muscle And Other Soft Tissue Procedures	4	4	$315,411.88	$236,558.91 25% off	$107,240.04	$283,870.69	$223,942.43	2026-04-01
792 - 4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	2	2	$446,427.38	$334,820.53 25% off	$132,588.93	$312,499.16	$222,544.04	2026-04-01
443 - 4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	5	5	$312,989.19	$234,741.89 25% off	$92,957.79	$281,690.27	$219,092.43	2026-04-01
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	2	2	$337,992.09	$253,494.07 25% off	$202,795.26	$229,834.62	$216,314.94	2026-04-01
248 - 4	OTHER	Major Gastrointestinal And Peritoneal Infections	4	4	$365,662.41	$274,246.80 25% off	$153,578.21	$274,246.80	$215,740.82	2026-04-01
950 - 3	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	$391,497.38	$293,623.03 25% off	$156,598.95	$274,048.16	$215,323.55	2026-04-01
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	$380,672.31	$285,504.23 25% off	$24,058.49	$304,537.85	$215,079.86	2026-04-01
512 - 4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	3	3	$423,050.53	$317,287.90 25% off	$725.00	$268,637.09	$211,525.27	2026-04-01
500 - 4	OTHER	Malignancy Male Reproductive System	2	2	$289,322.56	$216,991.92 25% off	$202,525.79	$216,991.92	$209,758.86	2026-04-01
320 - 4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	5	5	$369,998.06	$277,498.55 25% off	$125,799.34	$332,998.26	$209,048.91	2026-04-01
2780000010	CDM	Hc Vad (hm Ii)	19	12	$306,250.00	$229,687.50 25% off	$104,125.00	$300,125.00	$208,250.00	2026-04-01
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	1	1	$274,607.19	$205,955.39 25% off	$205,955.39	$205,955.39	$205,955.39	2026-04-01
325 - 4	OTHER	Non-elective Or Complex Knee Joint Replacement	5	5	$343,220.38	$257,415.28 25% off	$164,745.78	$257,415.28	$205,932.23	2026-04-01
051 - 4	OTHER	Viral Meningitis	5	5	$429,030.19	$321,772.64 25% off	$64,354.53	$205,934.49	$205,548.36	2026-04-01
662 - 4	OTHER	Sickle Cell Anemia Crisis	3	3	$323,006.59	$242,254.95 25% off	$95,932.96	$258,405.28	$205,109.19	2026-04-01
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	2	$454,330.72	$340,748.04 25% off	$68,149.61	$340,748.04	$204,448.83	2026-04-01
608 - 2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	$290,181.13	$217,635.84 25% off	$203,126.79	$203,126.79	$203,126.79	2026-04-01
313 - 3	OTHER	Knee And Lower Leg Procedures Except Foot	3	3	$322,375.56	$241,781.67 25% off	$48,356.33	$241,781.67	$203,096.60	2026-04-01
542 - 4	OTHER	Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c	2	2	$415,956.53	$311,967.40 25% off	$123,539.09	$280,770.66	$202,154.88	2026-04-01
612 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	5	5	$367,409.19	$275,556.89 25% off	$109,120.53	$257,186.43	$202,075.05	2026-04-01
315 - 4	OTHER	Shoulder Upper Arm And Forearm Procedures Except Joint Replacement	3	3	$287,590.94	$215,693.20 25% off	$195,561.84	$281,839.12	$201,313.66	2026-04-01
045 - 4	OTHER	Cva And Precerebral Occlusion With Infarction	4	4	$306,002.41	$229,501.80 25% off	$90,882.71	$229,501.80	$201,196.59	2026-04-01
441 - 3	OTHER	Major Bladder Procedures	1	1	$334,888.19	$251,166.14 25% off	$200,932.91	$200,932.91	$200,932.91	2026-04-01
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	1	1	$500,279.16	$375,209.37 25% off	$200,111.66	$200,111.66	$200,111.66	2026-04-01
024 - 4	OTHER	Open Extracranial Vascular Procedures	2	2	$306,601.88	$229,951.41 25% off	$153,300.94	$245,281.50	$199,291.22	2026-04-01
133 - 4	OTHER	Respiratory Failure	2	2	$251,037.30	$188,277.97 25% off	$150,622.38	$246,016.55	$198,319.46	2026-04-01
281 - 4	OTHER	Malignancy Of Hepatobiliary System And Pancreas	3	3	$286,406.13	$214,804.59 25% off	$174,707.74	$214,804.59	$197,620.23	2026-04-01
304 - 2	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	$279,831.19	$209,873.39 25% off	$187,486.90	$209,873.39	$195,881.83	2026-04-01
166 - 2	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	$498,666.09	$373,999.57 25% off	$74,799.91	$316,652.97	$195,726.44	2026-04-01
346 - 3	OTHER	Connective Tissue Disorders	1	1	$199,623.84	$149,717.88 25% off	$195,631.37	$195,631.37	$195,631.37	2026-04-01
222 - 3	OTHER	Other Stomach Esophageal And Duodenal Procedures	2	2	$259,986.69	$194,990.02 25% off	$181,990.68	$207,989.35	$194,990.02	2026-04-01
636 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	4	4	$307,842.22	$230,881.66 25% off	$153,921.11	$215,489.55	$194,710.20	2026-04-01
178 - 2	OTHER	External Heart Assist Systems	3	3	$257,431.75	$193,073.81 25% off	$141,587.46	$231,688.58	$193,073.81	2026-04-01
053 - 4	OTHER	Seizure	2	2	$247,466.55	$185,599.91 25% off	$185,599.91	$197,973.24	$191,786.58	2026-04-01
634 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	2	2	$269,339.00	$202,004.25 25% off	$166,990.18	$215,471.20	$191,230.69	2026-04-01
750 - 4	OTHER	Schizophrenia	4	4	$376,394.16	$282,295.62 25% off	$127,974.01	$263,475.91	$191,020.04	2026-04-01
091 - 4	OTHER	Other Major Head And Neck Procedures	1	1	$345,811.94	$259,358.95 25% off	$190,196.57	$190,196.57	$190,196.57	2026-04-01
092 - 3	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	2	$284,139.97	$213,104.98 25% off	$186,395.82	$193,215.18	$189,805.50	2026-04-01
142 - 4	OTHER	Interstitial And Alveolar Lung Diseases	1	1	$252,932.08	$189,699.06 25% off	$189,699.06	$189,699.06	$189,699.06	2026-04-01
220 - 3	OTHER	Major Stomach Esophageal And Duodenal Procedures	2	2	$433,267.78	$324,950.84 25% off	$75,821.86	$303,287.45	$189,554.66	2026-04-01
680 - 3	OTHER	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	5	5	$344,365.03	$258,273.77 25% off	$102,276.41	$258,273.77	$189,400.77	2026-04-01
021 - 2	OTHER	Open Craniotomy Except Trauma	3	3	$315,647.44	$236,735.58 25% off	$126,258.98	$252,517.95	$189,388.46	2026-04-01
J1930	HCPCS	Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe	16	11	$270,266.66	$202,699.99 25% off	$108,106.66	$243,520.00	$189,186.66	2026-04-01
243 - 4	OTHER	Other Esophageal Disorders	4	4	$260,798.22	$195,598.66 25% off	$77,457.07	$208,638.58	$189,078.71	2026-04-01
120 - 3	OTHER	Major Respiratory And Chest Procedures	3	3	$284,774.34	$213,580.76 25% off	$170,864.61	$193,646.55	$188,919.30	2026-04-01
030 - 3	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	3	3	$296,946.13	$222,709.59 25% off	$167,774.56	$207,862.29	$188,560.79	2026-04-01
192 - 4	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	3	3	$286,506.19	$214,879.64 25% off	$114,602.48	$200,554.33	$187,661.55	2026-04-01
020 - 2	OTHER	Open Craniotomy For Trauma	3	3	$331,848.78	$248,886.59 25% off	$112,828.59	$202,427.76	$187,494.56	2026-04-01
231 - 3	OTHER	Major Large Bowel Procedures	5	5	$274,120.38	$205,590.28 25% off	$93,200.93	$191,884.26	$186,401.86	2026-04-01
021 - 1	OTHER	Open Craniotomy Except Trauma	3	3	$276,503.56	$207,377.67 25% off	$41,475.53	$185,257.39	$185,257.39	2026-04-01
224 - 4	OTHER	Peritoneal Adhesiolysis	2	2	$258,909.17	$194,181.88 25% off	$176,058.24	$194,181.88	$185,120.06	2026-04-01
445 - 4	OTHER	Other Bladder Procedures	3	3	$278,786.75	$209,090.06 25% off	$78,060.29	$195,150.72	$184,947.13	2026-04-01
442 - 4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	4	4	$334,583.78	$250,937.84 25% off	$46,841.73	$250,937.84	$184,021.08	2026-04-01
026 - 3	OTHER	Other Nervous System And Related Procedures	5	5	$275,739.59	$206,804.70 25% off	$41,360.94	$220,591.68	$182,925.65	2026-04-01
144 - 4	OTHER	Respiratory Signs Symptoms And Miscellaneous Diagnoses	5	5	$242,867.14	$182,150.36 25% off	$15,349.20	$199,151.06	$182,150.36	2026-04-01
930 - 3	OTHER	Multiple Significant Trauma Without O.r. Procedure	7	7	$259,491.44	$194,618.58 25% off	$79,144.89	$207,593.15	$181,644.01	2026-04-01
165 - 2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	$533,694.63	$400,270.97 25% off	$158,507.30	$320,216.77	$181,456.17	2026-04-01
861 - 4	OTHER	Signs Symptoms And Other Factors Influencing Health Status	4	4	$261,922.23	$196,441.68 25% off	$175,487.90	$196,441.68	$180,726.34	2026-04-01
200 - 4	OTHER	Cardiac Structural And Valvular Disorders	4	4	$241,598.84	$181,199.13 25% off	$136,503.35	$217,438.96	$179,991.14	2026-04-01
952 - 4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	$457,942.78	$343,457.09 25% off	$128,223.98	$183,177.11	$179,834.13	2026-04-01
309 - 3	OTHER	Other Significant Hip And Femur Surgery	2	2	$277,278.28	$207,958.71 25% off	$174,685.32	$183,946.41	$179,315.86	2026-04-01
177 - 4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	1	1	$425,245.78	$318,934.34 25% off	$178,603.23	$178,603.23	$178,603.23	2026-04-01
325 - 3	OTHER	Non-elective Or Complex Knee Joint Replacement	1	1	$524,486.13	$393,364.59 25% off	$178,325.28	$178,325.28	$178,325.28	2026-04-01
650 - 4	OTHER	Splenectomy	2	2	$273,077.75	$204,808.31 25% off	$166,577.43	$188,423.65	$177,500.54	2026-04-01
304 - 1	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	$253,357.59	$190,018.20 25% off	$177,350.32	$177,350.32	$177,350.32	2026-04-01
055 - 4	OTHER	Head Trauma With Coma > 1 Hour Or Hemorrhage	3	3	$319,854.69	$239,891.02 25% off	$108,750.59	$214,302.64	$175,920.08	2026-04-01
024 - 3	OTHER	Open Extracranial Vascular Procedures	3	3	$250,564.31	$187,923.23 25% off	$85,191.87	$225,507.88	$175,395.02	2026-04-01
775 - 4	OTHER	Alcohol Abuse And Dependence	2	2	$237,667.23	$178,250.43 25% off	$160,425.38	$190,133.79	$175,279.59	2026-04-01
447 - 3	OTHER	Other Kidney Urinary Tract And Related Procedures	3	3	$247,624.63	$185,718.47 25% off	$97,836.49	$198,099.70	$173,337.24	2026-04-01
622 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	4	4	$284,037.44	$213,028.08 25% off	$131,452.53	$195,985.83	$173,319.65	2026-04-01
227 - 4	OTHER	Hernia Procedures Except Inguinal Femoral And Umbilical	3	3	$260,927.34	$195,695.51 25% off	$725.00	$180,039.87	$173,099.20	2026-04-01
C9293	HCPCS	Glucarpidase 1000 Unit Intravenous Solution	16	9	$250,120.00	$187,590.00 25% off	$15,807.58	$200,096.00	$171,957.50	2026-04-01
621 - 3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	1	1	$214,655.41	$160,991.55 25% off	$171,724.33	$171,724.33	$171,724.33	2026-04-01
180 - 4	OTHER	Other Circulatory System Procedures	2	2	$418,068.53	$313,551.40 25% off	$167,227.41	$175,588.78	$171,408.10	2026-04-01
043 - 3	OTHER	Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies	3	3	$269,318.16	$201,988.62 25% off	$91,568.17	$178,665.66	$171,017.03	2026-04-01
136 - 4	OTHER	Respiratory Malignancy	1	1	$341,807.72	$256,355.79 25% off	$170,903.86	$170,903.86	$170,903.86	2026-04-01
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	$489,520.72	$367,140.54 25% off	$68,532.90	$391,616.58	$170,597.97	2026-04-01
167 - 2	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	$352,652.22	$264,489.16 25% off	$104,737.71	$239,803.51	$169,273.07	2026-04-01
196 - 4	OTHER	Cardiac Arrest And Shock	3	3	$211,209.69	$158,407.27 25% off	$71,811.29	$173,191.94	$168,967.75	2026-04-01
131 - 4	OTHER	Cystic Fibrosis - Pulmonary Disease	2	2	$233,893.16	$175,419.87 25% off	$148,522.15	$187,114.53	$167,818.34	2026-04-01
420 - 4	OTHER	Diabetes	2	2	$196,911.33	$147,683.50 25% off	$157,529.06	$177,220.20	$167,374.63	2026-04-01
343 - 4	OTHER	Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…	2	2	$343,852.41	$257,889.30 25% off	$102,124.16	$232,100.37	$167,112.27	2026-04-01
197 - 4	OTHER	Peripheral And Other Vascular Disorders	2	2	$289,717.63	$217,288.22 25% off	$139,064.46	$194,110.81	$166,587.64	2026-04-01
325 - 2	OTHER	Non-elective Or Complex Knee Joint Replacement	5	5	$236,563.77	$177,422.82 25% off	$725.00	$193,982.29	$165,594.64	2026-04-01
690 - 3	OTHER	Acute Leukemia	2	2	$239,398.39	$179,548.79 25% off	$162,790.91	$167,578.87	$165,184.89	2026-04-01
121 - 4	OTHER	Other Respiratory And Chest Procedures	3	3	$555,769.63	$416,827.22 25% off	$83,365.44	$383,481.04	$165,063.58	2026-04-01
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	$588,534.69	$441,401.02 25% off	$82,394.86	$247,184.57	$164,789.72	2026-04-01
175 - 3	OTHER	Percutaneous Cardiac Intervention Without Ami	3	3	$234,704.52	$176,028.39 25% off	$70,411.35	$164,293.16	$164,293.16	2026-04-01
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	3	$269,291.63	$201,968.72 25% off	$23,240.00	$215,433.30	$164,267.89	2026-04-01
404 - 3	OTHER	Thyroid Parathyroid And Thyroglossal Procedures	1	1	$263,960.13	$197,970.09 25% off	$161,015.68	$161,015.68	$161,015.68	2026-04-01
794 - 2	OTHER	Non-extensive O.r. Procedures For Other Complications Of Treatment	1	1	$214,453.83	$160,840.37 25% off	$160,840.37	$160,840.37	$160,840.37	2026-04-01
740 - 2	OTHER	Mental Illness Diagnosis With O.r. Procedure	2	2	$279,005.22	$209,253.91 25% off	$111,602.09	$209,253.91	$160,428.00	2026-04-01
284 - 4	OTHER	Disorders Of Gallbladder And Biliary Tract	3	3	$232,050.78	$174,038.09 25% off	$68,919.08	$160,115.04	$160,115.04	2026-04-01
254 - 4	OTHER	Other Digestive System Diagnoses	2	2	$243,861.05	$182,895.79 25% off	$148,755.24	$170,702.73	$159,728.98	2026-04-01
091 - 2	OTHER	Other Major Head And Neck Procedures	2	2	$211,697.19	$158,772.89 25% off	$148,188.03	$169,357.75	$158,772.89	2026-04-01
325 - 1	OTHER	Non-elective Or Complex Knee Joint Replacement	1	1	$197,981.30	$148,485.97 25% off	$158,385.04	$158,385.04	$158,385.04	2026-04-01
057 - 4	OTHER	Concussion Closed Skull Fracture Nos And Uncomplicated Intracranial Injury Coma …	6	6	$219,083.64	$164,312.73 25% off	$139,118.11	$197,175.28	$156,644.80	2026-04-01
233 - 3	OTHER	Appendectomy With Complex Principal Diagnosis	1	1	$172,118.81	$129,089.11 25% off	$154,906.93	$154,906.93	$154,906.93	2026-04-01
441 - 2	OTHER	Major Bladder Procedures	5	5	$249,682.52	$187,261.89 25% off	$74,155.71	$199,746.01	$154,803.16	2026-04-01
513 - 4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	6	6	$247,005.02	$185,253.76 25% off	$69,161.40	$197,604.01	$152,525.59	2026-04-01
501 - 4	OTHER	Male Reproductive System Diagnoses Except Malignancy	1	1	$155,392.13	$116,544.09 25% off	$152,284.28	$152,284.28	$152,284.28	2026-04-01
817 - 4	OTHER	Intentional Self-harm And Attempted Suicide	3	3	$237,464.45	$178,098.34 25% off	$147,227.96	$178,098.34	$150,789.93	2026-04-01
951 - 3	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	$249,935.61	$187,451.71 25% off	$137,464.59	$163,957.76	$150,711.17	2026-04-01
863 - 2	OTHER	Neonatal Aftercare	2	2	$188,327.64	$141,245.73 25% off	$150,662.11	$150,662.11	$150,662.11	2026-04-01
249 - 4	OTHER	Other Gastroenteritis Nausea And Vomiting	3	3	$213,613.66	$160,210.24 25% off	$130,304.33	$175,163.20	$149,529.56	2026-04-01
264 - 3	OTHER	Other Hepatobiliary Pancreas And Abdominal Procedures	2	2	$180,576.83	$135,432.62 25% off	$135,432.62	$162,519.15	$148,975.89	2026-04-01
231 - 2	OTHER	Major Large Bowel Procedures	4	4	$198,214.44	$148,660.83 25% off	$79,285.78	$162,535.84	$148,660.83	2026-04-01
174 - 4	OTHER	Percutaneous Cardiac Intervention With Ami	1	1	$353,866.22	$265,399.66 25% off	$148,623.81	$148,623.81	$148,623.81	2026-04-01
363 - 4	OTHER	Breast Procedures Except Mastectomy	2	2	$500,330.72	$375,248.04 25% off	$148,598.22	$148,598.22	$148,598.22	2026-04-01
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	3	3	$221,783.31	$166,337.48 25% off	$145,489.85	$153,030.49	$148,594.82	2026-04-01
241 - 4	OTHER	Peptic Ulcer And Gastritis	2	2	$269,510.50	$202,132.88 25% off	$80,044.62	$215,608.40	$147,826.51	2026-04-01
361 - 3	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	1	1	$350,453.47	$262,840.10 25% off	$147,190.46	$147,190.46	$147,190.46	2026-04-01
310 - 4	OTHER	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	3	3	$215,749.16	$161,811.87 25% off	$146,709.43	$194,174.24	$146,709.43	2026-04-01
690 - 2	OTHER	Acute Leukemia	2	2	$206,456.70	$154,842.53 25% off	$138,325.99	$154,842.53	$146,584.26	2026-04-01
135 - 4	OTHER	Major Chest And Respiratory Trauma	2	2	$254,741.27	$191,055.95 25% off	$140,107.70	$152,844.76	$146,476.23	2026-04-01
230 - 3	OTHER	Major Small Bowel Procedures	2	2	$302,158.03	$226,618.52 25% off	$120,863.21	$170,719.29	$145,791.25	2026-04-01
030 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	$476,416.41	$357,312.30 25% off	$145,307.00	$145,307.00	$145,307.00	2026-04-01
052 - 4	OTHER	Alteration In Consciousness	2	2	$221,064.73	$165,798.55 25% off	$134,849.49	$154,745.31	$144,797.40	2026-04-01
182 - 3	OTHER	Other Peripheral Vascular And Related Procedures	5	5	$212,612.45	$159,459.34 25% off	$131,819.72	$170,089.96	$144,576.47	2026-04-01
029 - 1	OTHER	Other Percutaneous Intracranial Procedures	4	4	$267,186.19	$200,389.64 25% off	$79,354.30	$187,030.33	$144,280.54	2026-04-01
324 - 3	OTHER	Elective Hip Joint Replacement	1	1	$287,043.19	$215,282.39 25% off	$143,521.59	$143,521.59	$143,521.59	2026-04-01
049 - 3	OTHER	Bacterial And Tuberculous Infections Of Nervous System	3	3	$341,574.19	$256,180.64 25% off	$47,820.39	$163,955.61	$143,461.16	2026-04-01
207 - 4	OTHER	Other Circulatory System Diagnoses	4	4	$214,832.38	$161,124.28 25% off	$60,153.07	$150,382.66	$143,400.61	2026-04-01
752 - 3	OTHER	Disorders Of Personality And Impulse Control	2	2	$226,257.06	$169,692.80 25% off	$127,835.24	$158,379.94	$143,107.59	2026-04-01
137 - 4	OTHER	Major Respiratory Infections And Inflammations	4	4	$176,555.05	$132,416.29 25% off	$141,244.04	$173,023.95	$143,009.59	2026-04-01
469 - 4	OTHER	Acute Kidney Injury	2	2	$255,654.34	$191,740.76 25% off	$122,714.08	$162,340.51	$142,527.30	2026-04-01
022 - 2	OTHER	Ventricular Shunt Procedures	2	2	$207,269.89	$155,452.42 25% off	$139,907.18	$145,088.92	$142,498.05	2026-04-01
192 - 3	OTHER	Cardiac Catheterization For Other Non-coronary Conditions	2	2	$160,098.69	$120,074.02 25% off	$128,078.95	$156,896.71	$142,487.83	2026-04-01
792 - 3	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	3	3	$295,802.63	$221,851.97 25% off	$141,719.04	$162,691.44	$141,985.26	2026-04-01
952 - 3	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	5	5	$205,406.34	$154,054.76 25% off	$69,838.16	$184,865.71	$141,730.38	2026-04-01
695 - 3	OTHER	Chemotherapy For Acute Leukemia	2	2	$235,215.69	$176,411.77 25% off	$94,086.28	$188,172.55	$141,129.41	2026-04-01
183 - 2	OTHER	Percutaneous Structural Cardiac Procedures	4	4	$228,038.23	$171,028.68 25% off	$127,017.30	$171,028.68	$141,041.65	2026-04-01
261 - 2	OTHER	Major Biliary Tract Procedures	2	2	$243,066.56	$182,299.92 25% off	$135,388.08	$145,839.94	$140,614.01	2026-04-01
252 - 4	OTHER	Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure	3	3	$206,737.20	$155,052.90 25% off	$61,400.95	$155,052.90	$140,581.30	2026-04-01
950 - 2	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	$203,395.41	$152,546.55 25% off	$97,446.74	$142,376.78	$140,342.83	2026-04-01
169 - 3	OTHER	Major Abdominal Vascular Procedures	2	2	$330,192.25	$247,644.19 25% off	$49,528.84	$231,134.57	$140,331.71	2026-04-01
322 - 2	OTHER	Shoulder And Elbow Joint Replacement	1	1	$212,078.36	$159,058.77 25% off	$139,123.40	$139,123.40	$139,123.40	2026-04-01
613 - 2	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	$235,457.25	$176,592.94 25% off	$94,182.90	$162,465.50	$138,919.78	2026-04-01
227 - 3	OTHER	Hernia Procedures Except Inguinal Femoral And Umbilical	2	2	$184,587.97	$138,440.98 25% off	$129,211.58	$147,670.38	$138,440.98	2026-04-01
027 - 2	OTHER	Other Open Craniotomy	4	4	$218,755.59	$164,066.70 25% off	$66,720.46	$153,128.92	$138,187.91	2026-04-01
681 - 3	OTHER	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	3	3	$199,905.98	$149,929.49 25% off	$59,372.08	$149,929.49	$137,935.13	2026-04-01
J3357	HCPCS	Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe	11	7	$243,876.80	$182,907.60 25% off	$725.00	$187,785.13	$137,790.39	2026-04-01
029 - 3	OTHER	Other Percutaneous Intracranial Procedures	1	1	$218,132.88	$163,599.66 25% off	$137,423.71	$137,423.71	$137,423.71	2026-04-01
220 - 2	OTHER	Major Stomach Esophageal And Duodenal Procedures	4	4	$251,855.42	$188,891.57 25% off	$37,778.31	$246,818.31	$137,261.21	2026-04-01
030 - 2	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	3	3	$195,830.31	$146,872.73 25% off	$131,206.31	$137,081.22	$137,081.22	2026-04-01
750 - 3	OTHER	Schizophrenia	4	4	$206,946.02	$155,209.51 25% off	$70,361.65	$155,209.51	$136,522.29	2026-04-01
446 - 4	OTHER	Urethral And Transurethral Procedures	2	2	$248,207.22	$186,155.41 25% off	$99,282.89	$173,745.05	$136,513.97	2026-04-01
169 - 1	OTHER	Major Abdominal Vascular Procedures	3	3	$244,890.95	$183,668.21 25% off	$117,327.26	$146,934.57	$136,404.26	2026-04-01
174 - 3	OTHER	Percutaneous Cardiac Intervention With Ami	2	2	$245,748.48	$184,311.36 25% off	$122,874.24	$149,906.58	$136,390.41	2026-04-01
349 - 4	OTHER	Malfunction Reaction Complication Of Orthopedic Device Or Procedure	1	1	$222,644.73	$166,983.55 25% off	$135,813.29	$135,813.29	$135,813.29	2026-04-01
8120000002	CDM	Hc Cadaver Donor - Kidney	18	12	$196,714.00	$147,535.50 25% off	$725.00	$177,042.60	$135,732.66	2026-04-01
444 - 3	OTHER	Renal Dialysis Access Device Procedures	4	4	$276,605.53	$207,454.15 25% off	$116,174.32	$193,623.87	$135,536.71	2026-04-01
110 - 3	OTHER	Ear Nose Mouth Throat And Cranial Or Facial Malignancies	1	1	$198,765.98	$149,074.49 25% off	$134,167.04	$134,167.04	$134,167.04	2026-04-01
421 - 4	OTHER	Malnutrition Failure To Thrive And Other Nutritional Disorders	2	2	$185,007.31	$138,755.48 25% off	$101,754.02	$166,506.58	$134,130.30	2026-04-01
305 - 4	OTHER	Amputation Of Lower Limb Except Toes	2	2	$451,414.41	$338,560.80 25% off	$134,070.08	$134,070.08	$134,070.08	2026-04-01
482 - 4	OTHER	Transurethral Prostatectomy	3	3	$318,589.94	$238,942.45 25% off	$97,169.93	$152,636.44	$133,807.77	2026-04-01
8110000001	CDM	Hc Living Donor - Kidney	19	13	$196,714.00	$147,535.50 25% off	$29,507.10	$157,371.20	$133,765.52	2026-04-01
316 - 3	OTHER	Hand And Wrist Procedures	2	2	$162,038.34	$121,528.76 25% off	$108,565.69	$158,797.58	$133,681.64	2026-04-01
517 - 3	OTHER	Dilation And Curettage For Non-obstetric Diagnoses	1	1	$189,852.80	$142,389.60 25% off	$132,896.96	$132,896.96	$132,896.96	2026-04-01
115 - 4	OTHER	Other Ear Nose Mouth Throat And Cranial Or Facial Diagnoses	4	4	$278,932.44	$209,199.33 25% off	$17,628.53	$189,674.06	$132,771.84	2026-04-01
639 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Significant Condition	2	2	$212,079.88	$159,059.91 25% off	$116,643.93	$148,455.91	$132,549.92	2026-04-01
181 - 2	OTHER	Lower Extremity Arterial Procedures	3	3	$217,004.09	$162,753.07 25% off	$64,450.22	$162,753.07	$132,372.50	2026-04-01
120 - 2	OTHER	Major Respiratory And Chest Procedures	4	4	$211,856.98	$158,892.74 25% off	$101,500.68	$148,299.89	$131,880.98	2026-04-01
260 - 3	OTHER	Major Pancreas Liver And Shunt Procedures	2	2	$241,956.75	$181,467.56 25% off	$115,921.48	$147,593.62	$131,757.55	2026-04-01
910 - 3	OTHER	Craniotomy For Multiple Significant Trauma	3	3	$329,305.66	$246,979.24 25% off	$49,395.85	$322,719.54	$131,722.26	2026-04-01
227 - 2	OTHER	Hernia Procedures Except Inguinal Femoral And Umbilical	2	2	$172,010.08	$129,007.56 25% off	$120,407.05	$141,048.26	$130,727.65	2026-04-01
405 - 2	OTHER	Other Procedures For Endocrine Nutritional And Metabolic Disorders	2	2	$214,288.69	$160,716.52 25% off	$130,716.10	$130,716.10	$130,716.10	2026-04-01
614 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	1	1	$230,738.67	$173,054.00 25% off	$130,367.35	$130,367.35	$130,367.35	2026-04-01
513 - 3	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	4	4	$178,956.28	$134,217.21 25% off	$125,269.40	$175,377.16	$129,743.30	2026-04-01
710 - 3	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	2	2	$233,707.16	$175,280.37 25% off	$116,853.58	$142,561.37	$129,707.48	2026-04-01
176 - 3	OTHER	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	2	2	$207,168.16	$155,376.12 25% off	$117,050.01	$140,874.35	$128,962.18	2026-04-01

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