Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL

Brighton, CO · CCN 060004 · Rates published

25,167 distinct procedures filed
11 distinct payers
804,785 rate rows
2026-05-22 last MRF observed
Data quality

795,354 of 804,785 rate rows are consumer-grade (98.8%)

9,431 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 — reasonRows
template filing: same amount across many unrelated codes — excluded 3,936
placeholder amount (≤ $0.02) — excluded from medians 3,335
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,729
per-diem day rate — not a per-procedure price 431
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/840482695_platte-valley-medical-center_standardcharges.ashx
Found on page https://intermountainhealthcare.org/locations/intermountain-health-platte-valley-hospital/about/hospital-pricing
Discovered viaDiscovered by HANK
Last fetch success · 2026-05-19
Content fingerprint 21aa824af974f9dd… · 3,179,043 bytes · first seen 2026-05-16

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
J3399
OTHER 		Inj Onase Abepar-xioi Treat 3 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,472,216
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $302,027.59 $1,030,514.34 $956,153.56 nat. median
$309,559
outlier · 3.1×
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $196,003.76 $668,762.35 $599,263.08 nat. median
$224,278
outlier · 2.7×
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $149,328.90 $529,577.80 $509,508.33 nat. median
$175,322
outlier · 2.9×
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 10 $148,452.53 $526,469.86 $506,518.17 nat. median
$169,886
outlier · 3.0×
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 10 $96,878.97 $343,570.13 $330,549.81 nat. median
$107,587
outlier · 3.1×
MS-007
OTHER 		Lung Transplant 9 $90,575.83 $309,043.57 $286,743.33 nat. median
$95,292
outlier · 3.0×
MS-209
OTHER 		Complex Aortic Arch Procedures 10 $79,165.55 $280,751.52 $270,111.84 nat. median
$81,783
outlier · 3.3×
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 9 $84,055.17 $286,795.17 $266,100.34 nat. median
$91,600
outlier · 2.9×
MS-426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $77,084.08 $273,369.84 $263,009.92 nat. median
$84,247
outlier · 3.1×
MS-212
OTHER 		Concomitant Aortic And Mitral Valve?procedures 10 $76,055.24 $269,721.18 $259,499.52 nat. median
$87,208
outlier · 3.0×
J3403
OTHER 		Revakinagene Per Implant 3 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
MS-002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $79,256.47 $270,422.08 $242,319.21 nat. median
$91,287
outlier · 2.7×
MS-215
OTHER 		Other Heart Assist System Implant 10 $69,640.89 $246,973.43 $237,613.85 nat. median
$80,736
outlier · 2.9×
MS-216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $68,422.51 $242,652.57 $233,456.74 nat. median
$76,284
outlier · 3.1×
MS-005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 9 $72,113.33 $246,049.77 $228,295.09 nat. median
$85,046
outlier · 2.7×
MS-429
OTHER 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $63,014.62 $223,474.12 $215,005.09 nat. median
$69,654
outlier · 3.1×
MS-453
OTHER 		Combined Anterior/posterior Spinal Fusion W Mcc 2 $211,468.45 $211,468.45 $211,468.45 nat. median
$121,295
1.7× median
MS-850
OTHER 		Acute Leukemia With Other Procedures 10 $60,565.97 $214,790.24 $206,650.31 nat. median
$70,217
outlier · 2.9×
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 3 $205,640.00 $205,640.00 $205,640.00 nat. median
$205,640
1.0× median
MS-231
OTHER 		Coronary Bypass With Ptca With Mcc 10 $58,960.10 $209,095.24 $201,171.13 nat. median
$64,520
outlier · 3.1×
MS-456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 $58,774.76 $208,437.93 $200,538.74 nat. median
$65,528
outlier · 3.1×
MS-020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $55,035.68 $195,177.72 $187,781.04 nat. median
$64,597
outlier · 2.9×
MS-219
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $53,703.29 $190,452.55 $183,234.95 nat. median
$59,911
outlier · 3.1×
MS-233
OTHER 		Coronary Bypass With Cardiac Catheterization With Mcc 10 $53,471.78 $189,631.54 $182,445.05 nat. median
$60,330
outlier · 3.0×
MS-957
OTHER 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $53,294.83 $189,004.00 $181,841.29 nat. median
$59,203
outlier · 3.1×
MS-427
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $50,488.07 $179,050.15 $172,264.67 nat. median
$54,639
outlier · 3.2×
MS-928
OTHER 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $50,167.04 $177,911.65 $171,169.31 nat. median
$52,593
outlier · 3.3×
MS-275
OTHER 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $49,871.19 $176,862.44 $170,159.87 nat. median
$56,931
outlier · 3.0×
MS-870
OTHER 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $48,342.26 $171,440.29 $164,943.20 nat. median
$55,680
outlier · 3.0×
MS-268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $48,105.16 $170,599.43 $164,134.21 nat. median
$52,594
outlier · 3.1×
MS-955
OTHER 		Craniotomy For Multiple Significant Trauma 10 $47,078.42 $166,958.20 $160,630.97 nat. median
$52,297
outlier · 3.1×
MS-317
OTHER 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $46,766.48 $165,851.95 $159,566.64 nat. median
$51,694
outlier · 3.1×
MS-447
OTHER 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $46,732.21 $165,730.41 $159,449.70 nat. median
$52,354
outlier · 3.0×
MS-010
OTHER 		Pancreas Transplant 9 $50,188.02 $171,240.90 $158,884.35 nat. median
$55,393
outlier · 2.9×
MS-459
OTHER 		Spinal Fusion Except Cervical With Mcc 2 $158,273.21 $158,273.21 $158,273.21 nat. median
$72,631
outlier · 2.2×
MS-019
OTHER 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $49,900.56 $170,260.09 $157,974.32 nat. median
$62,262
outlier · 2.5×
MS-217
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $45,988.73 $163,093.74 $156,912.96 nat. median
$50,394
outlier · 3.1×
MS-218
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $45,988.73 $163,093.74 $156,912.96 nat. median
$49,044
outlier · 3.2×
MS-573
OTHER 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $45,821.57 $162,500.93 $156,342.61 nat. median
$50,887
outlier · 3.1×
MS-207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $45,005.35 $159,606.30 $153,557.68 nat. median
$51,791
outlier · 3.0×
MS-266
OTHER 		Endovascular Cardiac Valve Replacement W Mcc 10 $42,863.04 $152,008.83 $146,248.14 nat. median
$47,270
outlier · 3.1×
MS-969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 10 $42,813.38 $151,832.73 $146,078.70 nat. median
$51,774
outlier · 2.8×
MS-454
OTHER 		Combined Anterior/posterior Spinal Fusion W Cc 2 $145,959.38 $145,959.38 $145,959.38 nat. median
$85,830
1.7× median
MS-232
OTHER 		Coronary Bypass With Ptca Without Mcc 10 $42,402.82 $150,376.73 $144,677.89 nat. median
$47,275
outlier · 3.1×
MS-028
OTHER 		Spinal Procedures With Mcc 10 $42,023.04 $149,029.87 $143,382.07 nat. median
$44,814
outlier · 3.2×
MS-276
OTHER 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $42,011.15 $148,987.71 $143,341.50 nat. median
$46,668
outlier · 3.1×
210658
OTHER 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 8 $45,190.45 $154,313.56 $143,083.72 nat. median
$198,864
0.7× median
MS-457
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 10 $41,706.90 $147,908.73 $142,303.42 nat. median
$48,038
outlier · 3.0×
K1007
OTHER 		Bil Hkaf Pc S/d Micro Sensor 1 $142,064.43 $142,064.43 $142,064.43 nat. median
$96,013
1.5× median

Other procedures at this hospital

Browse this hospital's 25,167 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J3399 OTHER Inj Onase Abepar-xioi Treat 8 3 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2026-05-22
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 26 9 — — $302,027.59 $1,030,514.34 $956,153.56 2026-05-22
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 27 10 — — $196,003.76 $668,762.35 $599,263.08 2026-05-22
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 10 — — $149,328.90 $529,577.80 $509,508.33 2026-05-22
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 39 10 — — $148,452.53 $526,469.86 $506,518.17 2026-05-22
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 39 10 — — $96,878.97 $343,570.13 $330,549.81 2026-05-22
MS-007 OTHER Lung Transplant 26 9 — — $90,575.83 $309,043.57 $286,743.33 2026-05-22
MS-209 OTHER Complex Aortic Arch Procedures 39 10 — — $79,165.55 $280,751.52 $270,111.84 2026-05-22
MS-014 OTHER Allogeneic Bone Marrow Transplant 26 9 — — $84,055.17 $286,795.17 $266,100.34 2026-05-22
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 10 — — $77,084.08 $273,369.84 $263,009.92 2026-05-22
MS-212 OTHER Concomitant Aortic And Mitral Valve?procedures 39 10 — — $76,055.24 $269,721.18 $259,499.52 2026-05-22
J3403 OTHER Revakinagene Per Implant 8 3 — — $257,500.00 $257,500.00 $257,500.00 2026-05-22
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 10 — — $79,256.47 $270,422.08 $242,319.21 2026-05-22
MS-215 OTHER Other Heart Assist System Implant 39 10 — — $69,640.89 $246,973.43 $237,613.85 2026-05-22
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 10 — — $68,422.51 $242,652.57 $233,456.74 2026-05-22
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 26 9 — — $72,113.33 $246,049.77 $228,295.09 2026-05-22
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 39 10 — — $63,014.62 $223,474.12 $215,005.09 2026-05-22
MS-453 OTHER Combined Anterior/posterior Spinal Fusion W Mcc 9 2 — — $211,468.45 $211,468.45 $211,468.45 2026-05-22
MS-850 OTHER Acute Leukemia With Other Procedures 39 10 — — $60,565.97 $214,790.24 $206,650.31 2026-05-22
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 8 3 — — $205,640.00 $205,640.00 $205,640.00 2026-05-22
MS-231 OTHER Coronary Bypass With Ptca With Mcc 39 10 — — $58,960.10 $209,095.24 $201,171.13 2026-05-22
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 39 10 — — $58,774.76 $208,437.93 $200,538.74 2026-05-22
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 39 10 — — $55,035.68 $195,177.72 $187,781.04 2026-05-22
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 10 — — $53,703.29 $190,452.55 $183,234.95 2026-05-22
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 39 10 — — $53,471.78 $189,631.54 $182,445.05 2026-05-22
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 39 10 — — $53,294.83 $189,004.00 $181,841.29 2026-05-22
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 10 — — $50,488.07 $179,050.15 $172,264.67 2026-05-22
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 39 10 — — $50,167.04 $177,911.65 $171,169.31 2026-05-22
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 10 — — $49,871.19 $176,862.44 $170,159.87 2026-05-22
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 39 10 — — $48,342.26 $171,440.29 $164,943.20 2026-05-22
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 39 10 — — $48,105.16 $170,599.43 $164,134.21 2026-05-22
MS-955 OTHER Craniotomy For Multiple Significant Trauma 39 10 — — $47,078.42 $166,958.20 $160,630.97 2026-05-22
MS-317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 39 10 — — $46,766.48 $165,851.95 $159,566.64 2026-05-22
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 39 10 — — $46,732.21 $165,730.41 $159,449.70 2026-05-22
MS-010 OTHER Pancreas Transplant 26 9 — — $50,188.02 $171,240.90 $158,884.35 2026-05-22
MS-459 OTHER Spinal Fusion Except Cervical With Mcc 9 2 — — $158,273.21 $158,273.21 $158,273.21 2026-05-22
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 9 — — $49,900.56 $170,260.09 $157,974.32 2026-05-22
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 10 — — $45,988.73 $163,093.74 $156,912.96 2026-05-22
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 10 — — $45,988.73 $163,093.74 $156,912.96 2026-05-22
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 39 10 — — $45,821.57 $162,500.93 $156,342.61 2026-05-22
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 39 10 — — $45,005.35 $159,606.30 $153,557.68 2026-05-22
MS-266 OTHER Endovascular Cardiac Valve Replacement W Mcc 39 10 — — $42,863.04 $152,008.83 $146,248.14 2026-05-22
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 39 10 — — $42,813.38 $151,832.73 $146,078.70 2026-05-22
MS-454 OTHER Combined Anterior/posterior Spinal Fusion W Cc 9 2 — — $145,959.38 $145,959.38 $145,959.38 2026-05-22
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 39 10 — — $42,402.82 $150,376.73 $144,677.89 2026-05-22
MS-028 OTHER Spinal Procedures With Mcc 39 10 — — $42,023.04 $149,029.87 $143,382.07 2026-05-22
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 39 10 — — $42,011.15 $148,987.71 $143,341.50 2026-05-22
210658 OTHER Inebilizumab-cdon 10 Mg/ml Intravenous Solution 41 8 $193,618.02 — $45,190.45 $154,313.56 $143,083.72 2026-05-22
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 39 10 — — $41,706.90 $147,908.73 $142,303.42 2026-05-22
K1007 OTHER Bil Hkaf Pc S/d Micro Sensor 4 1 — — $142,064.43 $142,064.43 $142,064.43 2026-05-22
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 39 10 — — $41,045.95 $145,564.75 $140,048.27 2026-05-22
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 39 10 — — $41,019.37 $145,470.50 $139,957.59 2026-05-22
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 39 10 — — $40,336.04 $143,047.15 $137,626.07 2026-05-22
216356 OTHER Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 41 8 $186,212.10 — $43,461.90 $148,411.04 $137,610.74 2026-05-22
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 10 — — $40,078.66 $142,134.36 $136,747.88 2026-05-22
MS-213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 39 10 — — $39,915.00 $141,553.95 $136,189.46 2026-05-22
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 9 — — $41,569.82 $147,422.57 $136,106.15 2026-05-22
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 10 — — $39,863.24 $141,370.40 $136,012.87 2026-05-22
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 10 — — $39,321.19 $139,448.09 $134,163.41 2026-05-22
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 10 — — $38,930.92 $138,064.02 $132,831.80 2026-05-22
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 39 10 — — $38,628.77 $136,992.49 $131,800.87 2026-05-22
MS-016 OTHER Autolous Bone Marrow Transplant With Cc/mcc 26 9 — — $41,473.30 $141,506.36 $131,295.42 2026-05-22
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 39 10 — — $38,397.26 $136,171.48 $131,010.97 2026-05-22
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 39 10 — — $38,261.58 $135,690.28 $130,548.01 2026-05-22
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 39 10 — — $38,207.02 $135,496.81 $130,361.87 2026-05-22
MS-011 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Mcc 39 10 — — $38,146.87 $135,283.50 $130,156.64 2026-05-22
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 10 — — $37,298.48 $132,274.77 $127,261.94 2026-05-22
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 39 10 — — $37,276.10 $132,195.40 $127,185.57 2026-05-22
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 39 10 — — $37,025.71 $131,307.42 $126,331.24 2026-05-22
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 39 10 — — $36,903.31 $130,873.35 $125,913.62 2026-05-22
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 39 10 — — $36,407.42 $129,114.74 $124,221.67 2026-05-22
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 26 9 — — $39,199.49 $133,748.17 $124,097.05 2026-05-22
MS-653 OTHER Major Bladder Procedures With Mcc 39 10 — — $36,344.47 $128,891.51 $124,006.89 2026-05-22
MS-017 OTHER Autolous Bone Marrow Transplant Without Cc/mcc 26 9 — — $37,994.40 $129,636.41 $120,281.99 2026-05-22
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 10 — — $35,251.99 $125,017.12 $120,279.33 2026-05-22
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 39 10 — — $34,882.69 $123,707.47 $119,019.31 2026-05-22
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 39 10 — — $34,602.93 $122,715.31 $118,064.75 2026-05-22
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 10 — — $34,541.38 $122,497.03 $117,854.75 2026-05-22
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 39 10 — — $34,423.18 $122,077.85 $117,451.45 2026-05-22
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 39 10 — — $34,279.80 $121,569.36 $116,962.24 2026-05-22
2782649771 OTHER Hc Valve Implant Lvl 71 41 8 $156,179.00 — $36,452.18 $124,474.66 $115,416.28 2026-05-22
2722109771 OTHER Hc Percutaneous Ventricular Assist Device Lvl 71 41 8 $156,179.00 — $36,452.18 $124,474.66 $115,416.28 2026-05-22
MS-471 OTHER Cervical Spinal Fusion With Mcc 39 10 — — $33,772.72 $119,771.07 $115,232.10 2026-05-22
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 39 10 — — $33,602.06 $119,165.86 $114,649.82 2026-05-22
MS-267 OTHER Endovascular Cardiac Valve Replacement Without Mcc 39 10 — — $33,297.82 $118,086.88 $113,611.73 2026-05-22
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 10 — — $32,815.22 $116,375.41 $111,965.12 2026-05-22
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 39 10 — — $32,717.30 $116,028.15 $111,631.02 2026-05-22
2721649601 OTHER Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2 41 8 $149,908.00 — $34,988.53 $119,476.68 $110,782.01 2026-05-22
MS-277 OTHER Cardiac Defibrillator Implant Without Mcc 39 10 — — $32,302.55 $114,557.27 $110,215.88 2026-05-22
Q0480 OTHER Driver Pneumatic Vad Rep 12 4 — — $110,139.19 $156,059.89 $110,139.19 2026-05-22
278TRIG470 OTHER Hc Ntap Triclip G4 Vlv Rpr Systm 41 8 $148,741.85 — $34,716.35 $118,547.25 $109,920.23 2026-05-22
2782649770 OTHER Hc Valve Implant Lvl 70 41 8 $148,741.85 — $34,716.35 $118,547.25 $109,920.23 2026-05-22
MS-455 OTHER Combined Anterior/posterior Spinal Fusion Without Cc/mcc 9 2 — — $109,908.04 $109,908.04 $109,908.04 2026-05-22
2721649701 OTHER Hc Pump Blood Vad With Valves 41 8 $148,701.90 — $34,707.02 $118,515.41 $109,890.70 2026-05-22
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 39 10 — — $32,148.68 $114,011.59 $109,690.88 2026-05-22
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 39 10 — — $32,066.84 $113,721.38 $109,411.67 2026-05-22
MS-245 OTHER Aicd Generator Procedures 39 10 — — $31,910.17 $113,165.77 $108,877.11 2026-05-22
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 39 10 — — $31,814.35 $112,825.95 $108,550.18 2026-05-22
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 39 10 — — $31,800.37 $112,776.35 $108,502.45 2026-05-22
MS-799 OTHER Splenic Procedures With Mcc 39 10 — — $31,675.87 $112,334.84 $108,077.67 2026-05-22
MS-163 OTHER Major Chest Procedures With Mcc 39 10 — — $31,346.45 $111,166.57 $106,953.68 2026-05-22
MS-031 OTHER Ventricular Shunt Procedures With Mcc 39 10 — — $31,337.35 $111,134.32 $106,922.65 2026-05-22
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 39 10 — — $31,214.26 $110,697.77 $106,502.65 2026-05-22
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 39 10 — — $30,723.96 $108,959.01 $104,829.78 2026-05-22
MS-650 OTHER Kidney Transplant With Hemodialysis With Mcc 26 9 — — $32,882.36 $112,194.21 $104,098.40 2026-05-22
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 10 — — $30,266.55 $107,336.83 $103,269.07 2026-05-22
MS-006 OTHER Liver Transplant Without Mcc 26 9 — — $32,431.94 $110,657.37 $102,672.46 2026-05-22
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 39 10 — — $30,025.25 $106,481.09 $102,445.77 2026-05-22
J7330 OTHER Cultured Chondrocytes Implnt 26 4 — — $50.00 $203,694.25 $101,872.12 2026-05-22
MS-140 OTHER Major Head And Neck Procedures With Mcc 39 10 — — $29,832.21 $105,796.50 $101,787.12 2026-05-22
7613724101 OTHER Hc Vasc Embolize/occlude Venous 41 8 $137,683.70 — $32,135.38 $109,733.91 $101,748.25 2026-05-22
MS-448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 39 10 — — $29,660.85 $105,188.80 $101,202.45 2026-05-22
MS-269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 39 10 — — $29,537.75 $104,752.25 $100,782.44 2026-05-22
MS-012 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Cc 39 10 — — $29,487.40 $104,573.66 $100,610.62 2026-05-22
MS-958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 39 10 — — $29,472.71 $104,521.58 $100,560.51 2026-05-22
MS-673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 39 10 — — $29,386.68 $104,216.49 $100,266.98 2026-05-22
MS-901 OTHER Wound Debridements For Injuries With Mcc 39 10 — — $29,351.71 $104,092.47 $100,147.66 2026-05-22
MS-236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 39 10 — — $29,297.16 $103,899.00 $99,961.52 2026-05-22
MS-458 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 39 10 — — $29,183.85 $103,497.17 $99,574.93 2026-05-22
MS-423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 10 — — $29,046.76 $103,011.01 $99,107.19 2026-05-22
MS-273 OTHER Percutaneous Intracardiac Procedures W Mcc 39 10 — — $28,854.42 $102,328.90 $98,450.93 2026-05-22
MS-402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 10 — — $28,120.04 $99,724.48 $95,945.21 2026-05-22
MS-793 OTHER Full Term Neonate With Major Problems 30 9 — — $29,162.87 $103,422.76 $95,483.84 2026-05-22
MS-802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 39 10 — — $27,865.45 $98,821.62 $95,076.56 2026-05-22
275C188267 OTHER Hc Icd Biv/crt-d Lvl 67 41 8 $128,488.70 — $29,989.26 $102,405.49 $94,953.15 2026-05-22
MS-024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 39 10 — — $27,360.47 $97,030.77 $93,353.58 2026-05-22
MS-791 OTHER Prematurity With Major Problems 30 9 — — $28,389.31 $100,679.44 $92,951.10 2026-05-22
MS-933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 39 10 — — $27,236.67 $96,591.74 $92,931.19 2026-05-22
MS-034 OTHER Carotid Artery Stent Procedures With Mcc 39 10 — — $27,072.31 $96,008.84 $92,370.38 2026-05-22
MS-876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 39 10 — — $27,031.75 $95,864.98 $92,231.97 2026-05-22
MS-040 OTHER Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 39 10 — — $27,005.87 $95,773.20 $92,143.68 2026-05-22
MS-907 OTHER Other O.r. Procedures For Injuries With Mcc 39 10 — — $26,852.69 $95,230.00 $91,621.06 2026-05-22
183256 OTHER Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 41 8 $123,080.03 — $28,726.88 $98,094.78 $90,956.14 2026-05-22
278C182366 OTHER Hc Neurostim Generator/lead Lvl 66 41 8 $122,370.15 — $28,561.19 $97,529.01 $90,431.54 2026-05-22
278C188966 OTHER Hc Implantable-insertable Device Noc Lvl 66 41 8 $122,370.15 — $28,561.19 $97,529.01 $90,431.54 2026-05-22
2782649766 OTHER Hc Valve Implant Lvl 66 41 8 $122,370.15 — $28,561.19 $97,529.01 $90,431.54 2026-05-22
MS-956 OTHER Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 39 10 — — $26,319.04 $93,337.45 $89,800.23 2026-05-22
MS-143 OTHER Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 39 10 — — $26,204.34 $92,930.67 $89,408.86 2026-05-22
MS-166 OTHER Other Respiratory System O.r. Procedures With Mcc 39 10 — — $26,142.09 $92,709.91 $89,196.47 2026-05-22
MS-518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 39 10 — — $26,139.29 $92,699.99 $89,186.93 2026-05-22
MS-628 OTHER Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 39 10 — — $26,065.85 $92,439.55 $88,936.36 2026-05-22
MS-904 OTHER Skin Grafts For Injuries With Cc/mcc 39 10 — — $25,690.26 $91,107.57 $87,654.86 2026-05-22
MS-492 OTHER Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 39 10 — — $25,679.77 $91,070.37 $87,619.06 2026-05-22
MS-460 OTHER Spinal Fusion Except Cervical Without Mcc 9 2 — — $87,292.13 $87,292.13 $87,292.13 2026-05-22
MS-939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 39 10 — — $25,378.32 $90,001.31 $86,590.52 2026-05-22
MS-495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 39 10 — — $25,358.74 $89,931.86 $86,523.70 2026-05-22
MS-332 OTHER Rectal Resection With Mcc 39 10 — — $25,323.77 $89,807.84 $86,404.38 2026-05-22
MS-265 OTHER Aicd Lead Procedures 39 10 — — $25,306.28 $89,745.83 $86,344.72 2026-05-22
MS-097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 39 10 — — $25,261.52 $89,587.09 $86,192.00 2026-05-22
2782649765 OTHER Hc Valve Implant Lvl 65 41 8 $116,543.00 — $27,201.14 $92,884.77 $86,125.28 2026-05-22
192637 OTHER Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution 82 8 $216,004.80 — $25,207.76 $258,233.74 $86,077.91 2026-05-22
MS-279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 10 — — $25,223.75 $89,453.15 $86,063.13 2026-05-22
MS-739 OTHER Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 39 10 — — $25,058.69 $88,867.77 $85,499.94 2026-05-22
MS-736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 39 10 — — $25,000.64 $88,661.90 $85,301.87 2026-05-22
MS-335 OTHER Peritoneal Adhesiolysis With Mcc 39 10 — — $24,975.46 $88,572.60 $85,215.96 2026-05-22
MS-408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 39 10 — — $24,938.39 $88,441.14 $85,089.48 2026-05-22
MS-414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 10 — — $24,917.41 $88,366.73 $85,017.89 2026-05-22
MS-622 OTHER Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 39 10 — — $24,893.63 $88,282.40 $84,936.75 2026-05-22
MS-271 OTHER Other Major Cardiovascular Procedures With Cc 39 10 — — $24,873.35 $88,210.47 $84,867.54 2026-05-22
MS-467 OTHER Revision Of Hip Or Knee Replacement With Cc 39 10 — — $24,665.62 $87,473.79 $84,158.78 2026-05-22
7613724201 OTHER Hc Vasc Embolize/occlude Artery 41 8 $113,869.65 — $26,577.18 $90,754.11 $84,149.67 2026-05-22
MS-094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 39 10 — — $24,615.26 $87,295.20 $83,986.96 2026-05-22
MS-252 OTHER Other Vascular Procedures With Mcc 39 10 — — $24,397.74 $86,523.79 $83,244.79 2026-05-22
MS-616 OTHER Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 39 10 — — $24,391.45 $86,501.47 $83,223.31 2026-05-22
C1826 OTHER Gen Neuro Clo Loop Rechg 8 3 — — $22.60 $166,250.00 $83,136.30 2026-05-22
MS-574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 39 10 — — $24,279.54 $86,104.61 $82,841.49 2026-05-22
MS-477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 39 10 — — $24,162.04 $85,687.90 $82,440.57 2026-05-22
MS-359 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 39 10 — — $24,050.13 $85,291.03 $82,058.75 2026-05-22
MS-651 OTHER Kidney Transplant With Hemodialysis Without Mcc 26 9 — — $25,918.97 $88,435.21 $82,053.83 2026-05-22
2782669764 OTHER Hc Vascular Stent Graft Implant Lvl 64 41 8 $110,993.30 — $25,905.84 $88,461.66 $82,024.05 2026-05-22
2782649764 OTHER Hc Valve Implant Lvl 64 41 8 $110,993.30 — $25,905.84 $88,461.66 $82,024.05 2026-05-22
MS-987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 10 — — $23,978.79 $85,038.03 $81,815.34 2026-05-22
MS-029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 39 10 — — $23,861.29 $84,621.33 $81,414.42 2026-05-22
MS-420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 39 10 — — $23,829.82 $84,509.71 $81,307.03 2026-05-22
MS-264 OTHER Other Circulatory System O.r. Procedures 39 10 — — $23,364.71 $82,860.24 $79,720.08 2026-05-22
MS-411 OTHER Cholecystectomy With C.d.e. With Mcc 39 10 — — $23,103.82 $81,935.05 $78,829.95 2026-05-22
MS-037 OTHER Extracranial Procedures With Mcc 39 10 — — $23,025.49 $81,657.25 $78,562.67 2026-05-22
MS-274 OTHER Percutaneous Intracardiac Procedures Without Mcc 39 10 — — $23,022.69 $81,647.33 $78,553.13 2026-05-22
2782649763 OTHER Hc Valve Implant Lvl 63 41 8 $105,707.85 — $24,672.21 $84,249.16 $78,118.10 2026-05-22
278C188963 OTHER Hc Implantable-insertable Device Noc Lvl 63 41 8 $105,707.85 — $24,672.21 $84,249.16 $78,118.10 2026-05-22
MS-260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 39 10 — — $22,750.62 $80,682.45 $77,624.82 2026-05-22
MS-579 OTHER Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 39 10 — — $22,650.60 $80,327.75 $77,283.56 2026-05-22
MS-840 OTHER Lymphoma And Non-acute Leukemia With Mcc 39 10 — — $22,625.42 $80,238.46 $77,197.65 2026-05-22
MS-451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 39 10 — — $22,593.95 $80,126.84 $77,090.27 2026-05-22
MS-485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 39 10 — — $22,570.87 $80,044.99 $77,011.51 2026-05-22
MS-929 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 39 10 — — $22,526.80 $79,888.72 $76,861.17 2026-05-22
MS-325 OTHER Coronary Intravascular Lithotripsy Without Intraluminal Device 39 10 — — $22,454.06 $79,630.76 $76,612.99 2026-05-22
MS-242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 39 10 — — $22,330.97 $79,194.21 $76,192.98 2026-05-22
MS-515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 39 10 — — $22,289.70 $79,047.87 $76,052.18 2026-05-22
MS-656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 39 10 — — $22,268.02 $78,970.98 $75,978.20 2026-05-22
MS-022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 39 10 — — $22,223.26 $78,812.23 $75,825.47 2026-05-22
MS-500 OTHER Soft Tissue Procedures With Mcc 39 10 — — $22,135.13 $78,499.70 $75,524.79 2026-05-22
MS-829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 39 10 — — $22,101.56 $78,380.64 $75,410.24 2026-05-22
168829 OTHER Pegloticase 8 Mg/ml Intravenous Solution 41 8 $101,794.88 — $23,758.92 $81,130.52 $75,226.42 2026-05-22
MS-324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 39 10 — — $22,038.61 $78,157.40 $75,195.46 2026-05-22
MS-229 OTHER Other Cardiothoracic Procedures Without Mcc 39 10 — — $22,028.12 $78,120.20 $75,159.67 2026-05-22
MS-258 OTHER Cardiac Pacemaker Device Replacement With Mcc 39 10 — — $21,976.36 $77,936.65 $74,983.07 2026-05-22
MS-665 OTHER Prostatectomy With Mcc 39 10 — — $21,830.19 $77,418.24 $74,484.32 2026-05-22
278C187462 OTHER Hc Stent Coated/covered Implant Lvl 62 41 8 $100,674.10 — $23,497.33 $80,237.26 $74,398.16 2026-05-22
2782669762 OTHER Hc Vascular Stent Graft Implant Lvl 62 41 8 $100,674.10 — $23,497.33 $80,237.26 $74,398.16 2026-05-22
278C188962 OTHER Hc Implantable-insertable Device Noc Lvl 62 41 8 $100,674.10 — $23,497.33 $80,237.26 $74,398.16 2026-05-22
MS-464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 10 — — $21,784.72 $77,257.02 $74,329.20 2026-05-22
4819365601 OTHER Hc Tx Atrial Fib Ablate Pulm Vein Isol 41 8 $100,525.85 — $23,462.73 $80,119.10 $74,288.60 2026-05-22
MS-026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 39 10 — — $21,746.26 $77,120.60 $74,197.95 2026-05-22
4810620T01 OTHER Hc Endovasc Venous Arterialization Tib/per Vein 41 8 $100,101.45 — $23,363.68 $79,780.86 $73,974.97 2026-05-22
MS-662 OTHER Minor Bladder Procedures With Mcc 39 10 — — $21,412.63 $75,937.45 $73,059.64 2026-05-22
MS-263 OTHER Vein Ligation And Stripping 39 10 — — $21,383.96 $75,835.75 $72,961.79 2026-05-22
MS-469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 39 10 — — $21,214.70 $75,235.49 $72,384.28 2026-05-22
MS-510 OTHER Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 39 10 — — $21,125.87 $74,920.48 $72,081.21 2026-05-22
MS-625 OTHER Thyroid- Parathyroid And Thyroglossal Procedures With Mcc 39 10 — — $21,123.08 $74,910.56 $72,071.67 2026-05-22
MS-498 OTHER Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 39 10 — — $21,099.99 $74,828.71 $71,992.92 2026-05-22
MS-652 OTHER Kidney Transplant 26 9 — — $22,587.65 $77,068.79 $71,507.59 2026-05-22
MS-173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 39 10 — — $20,817.43 $73,826.63 $71,028.81 2026-05-22
278C182361 OTHER Hc Neurostim Generator/lead Lvl 61 41 8 $95,880.05 — $22,378.40 $76,416.40 $70,855.36 2026-05-22
2782649761 OTHER Hc Valve Implant Lvl 61 41 8 $95,880.05 — $22,378.40 $76,416.40 $70,855.36 2026-05-22
2722109761 OTHER Hc Percutaneous Ventricular Assist Device Lvl 61 41 8 $95,880.05 — $22,378.40 $76,416.40 $70,855.36 2026-05-22
MS-472 OTHER Cervical Spinal Fusion With Cc 39 10 — — $20,605.51 $73,075.06 $70,305.73 2026-05-22
MS-959 OTHER Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 39 10 — — $20,591.52 $73,025.46 $70,258.00 2026-05-22
MS-570 OTHER Skin Debridement With Mcc 39 10 — — $20,570.54 $72,951.04 $70,186.41 2026-05-22
MS-668 OTHER Transurethral Procedures With Mcc 39 10 — — $20,422.96 $72,427.68 $69,682.88 2026-05-22
MS-480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 39 10 — — $20,369.10 $72,236.69 $69,499.13 2026-05-22
MS-353 OTHER Hernia Procedures Except Inguinal And Femoral With Mcc 39 10 — — $20,297.06 $71,981.21 $69,253.33 2026-05-22
MS-406 OTHER Pancreas- Liver And Shunt Procedures With Cc 39 10 — — $20,284.48 $71,936.56 $69,210.37 2026-05-22
MS-619 OTHER O.r. Procedures For Obesity With Mcc 39 10 — — $20,194.95 $71,619.07 $68,904.91 2026-05-22
MS-974 OTHER HIV With Major Related Condition With Mcc 39 10 — — $20,185.16 $71,584.34 $68,871.50 2026-05-22
MS-013 OTHER Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 39 10 — — $20,155.78 $71,480.17 $68,771.28 2026-05-22
MS-521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 39 10 — — $20,074.65 $71,192.44 $68,494.45 2026-05-22
4816368501 OTHER Hc Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj 41 8 $92,309.20 — $21,544.97 $73,570.43 $68,216.50 2026-05-22
MS-240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 39 10 — — $19,936.87 $70,703.80 $68,024.33 2026-05-22
2721649501 OTHER Hc Set Pump Impella Cp W/smart Assist 41 8 $91,989.00 — $21,470.23 $73,315.23 $67,979.87 2026-05-22
199175 OTHER Ocrelizumab 30 Mg/ml Intravenous Solution 41 8 $91,522.02 — $21,361.24 $72,943.05 $67,634.77 2026-05-22
2722109760 OTHER Hc Percutaneous Ventricular Assist Device Lvl 60 41 8 $91,314.30 — $21,312.76 $72,777.50 $67,481.27 2026-05-22
L8702 OTHER Ewhf S/d Uprt Micro Sensor 12 4 — — $67,452.66 $102,799.44 $67,452.66 2026-05-22
MS-800 OTHER Splenic Procedures With Cc 39 10 — — $19,649.40 $69,684.36 $67,043.52 2026-05-22
MS-654 OTHER Major Bladder Procedures With Cc 39 10 — — $19,578.76 $69,433.84 $66,802.50 2026-05-22
MS-503 OTHER Foot Procedures With Mcc 39 10 — — $19,521.41 $69,230.44 $66,606.81 2026-05-22
MS-483 OTHER Major Joint/limb Reattachment Procedure Of Upper Extremities 39 10 — — $19,387.12 $68,754.21 $66,148.62 2026-05-22
MS-061 OTHER Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 39 10 — — $19,283.61 $68,387.11 $65,795.43 2026-05-22
MS-208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 39 10 — — $19,224.86 $68,178.75 $65,594.98 2026-05-22
MS-468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 39 10 — — $19,219.96 $68,161.39 $65,578.27 2026-05-22
MS-963 OTHER Other Multiple Significant Trauma With Mcc 39 10 — — $19,120.65 $67,809.18 $65,239.40 2026-05-22
MS-321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 39 10 — — $19,029.72 $67,486.72 $64,929.17 2026-05-22
MS-849 OTHER Radiotherapy 39 10 — — $18,950.69 $67,206.44 $64,659.51 2026-05-22
MS-288 OTHER Acute And Subacute Endocarditis With Mcc 39 10 — — $18,927.61 $67,124.58 $64,580.76 2026-05-22
MS-255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 39 10 — — $18,866.06 $66,906.31 $64,370.75 2026-05-22
278C182359 OTHER Hc Neurostim Generator/lead Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
2782649759 OTHER Hc Valve Implant Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
278C262459 OTHER Hc Wireless Pressure Sensor Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
278LIMFW59 OTHER Hc Ntap Limflow System 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
278C188959 OTHER Hc Implantable-insertable Device Noc Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
275C172159 OTHER Hc Icd Dual Chamber Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
272C176959 OTHER Hc Guidewire Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
275C188259 OTHER Hc Icd Biv/crt-d Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
2722109759 OTHER Hc Percutaneous Ventricular Assist Device Lvl 59 41 8 $86,966.00 — $20,297.86 $69,311.90 $64,267.87 2026-05-22
MS-462 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 39 10 — — $18,604.48 $65,978.64 $63,478.24 2026-05-22
4819365401 OTHER Hc Ep & Ablate Ventricular Tachycardia 41 8 $85,800.00 — $20,025.72 $68,382.60 $63,406.20 2026-05-22
J9029 OTHER Instill Adstiladrin Tx Dose 35 7 — — $50.00 $141,521.89 $63,342.28 2026-05-22
MS-577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 39 10 — — $18,539.43 $65,747.96 $63,256.30 2026-05-22
MS-970 OTHER HIV With Extensive O.r. Procedures Without Mcc 39 10 — — $18,446.41 $65,418.07 $62,938.91 2026-05-22
4819365301 OTHER Hc Ep & Ablate Supravent Arryth 41 8 $84,012.05 — $19,608.41 $66,957.60 $62,084.90 2026-05-22
MS-253 OTHER Other Vascular Procedures With Cc 39 10 — — $18,154.05 $64,381.26 $61,941.40 2026-05-22
MS-846 OTHER Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 39 10 — — $18,132.37 $64,304.37 $61,867.42 2026-05-22
MS-344 OTHER Minor Small And Large Bowel Procedures With Mcc 39 10 — — $18,064.53 $64,063.77 $61,635.94 2026-05-22
MS-095 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 39 10 — — $18,039.35 $63,974.48 $61,550.03 2026-05-22
MS-096 OTHER Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 39 10 — — $18,039.35 $63,974.48 $61,550.03 2026-05-22
MS-749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 39 10 — — $17,958.22 $63,686.75 $61,273.21 2026-05-22
2782649758 OTHER Hc Valve Implant Lvl 58 41 8 $82,824.70 — $19,331.28 $66,011.29 $61,207.45 2026-05-22
2722109758 OTHER Hc Percutaneous Ventricular Assist Device Lvl 58 41 8 $82,824.70 — $19,331.28 $66,011.29 $61,207.45 2026-05-22
MS-272 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 39 10 — — $17,856.10 $63,324.61 $60,924.79 2026-05-22
MS-659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc 39 10 — — $17,771.47 $63,024.48 $60,636.04 2026-05-22
MS-493 OTHER Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc 39 10 — — $17,737.90 $62,905.42 $60,521.49 2026-05-22
MS-164 OTHER Major Chest Procedures With Cc 39 10 — — $17,653.27 $62,605.30 $60,232.74 2026-05-22
MS-027 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 39 10 — — $17,645.58 $62,578.01 $60,206.49 2026-05-22
MS-350 OTHER Inguinal And Femoral Hernia Procedures With Mcc 39 10 — — $17,428.76 $61,809.09 $59,466.70 2026-05-22
MS-545 OTHER Connective Tissue Disorders With Mcc 39 10 — — $17,357.42 $61,556.09 $59,223.29 2026-05-22
MS-478 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Cc 39 10 — — $17,200.05 $60,998.00 $58,686.35 2026-05-22
MS-982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 39 10 — — $17,195.15 $60,980.63 $58,669.64 2026-05-22
MS-327 OTHER Stomach- Esophageal And Duodenal Procedures With Cc 39 10 — — $17,095.14 $60,625.94 $58,328.39 2026-05-22
2722109757 OTHER Hc Percutaneous Ventricular Assist Device Lvl 57 41 8 $78,880.65 — $18,410.74 $62,867.88 $58,292.80 2026-05-22
MS-473 OTHER Cervical Spinal Fusion Without Cc/mcc 39 10 — — $17,074.85 $60,554.01 $58,259.18 2026-05-22
MS-318 OTHER Percutaneous Coronary Atherectomy Without Intraluminal Device 39 10 — — $16,941.26 $60,080.25 $57,803.38 2026-05-22
MS-360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 39 10 — — $16,886.01 $59,884.30 $57,614.86 2026-05-22
MS-320 OTHER Other Endovascular Cardiac Valve Procedures Without Mcc 39 10 — — $16,823.06 $59,661.06 $57,400.08 2026-05-22
MS-330 OTHER Major Small And Large Bowel Procedures With Cc 39 10 — — $16,766.41 $59,460.15 $57,206.78 2026-05-22
MS-397 OTHER Appendix Procedures With Mcc 39 10 — — $16,750.32 $59,403.10 $57,151.89 2026-05-22
MS-035 OTHER Carotid Artery Stent Procedures With Cc 39 10 — — $16,719.55 $59,293.96 $57,046.89 2026-05-22
MS-417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 39 10 — — $16,690.87 $59,192.27 $56,949.05 2026-05-22
MS-113 OTHER Orbital Procedures With Cc/mcc 39 10 — — $16,443.98 $58,316.68 $56,106.65 2026-05-22
MS-792 OTHER Prematurity Without Major Problems 30 9 — — $17,130.11 $60,749.96 $56,086.68 2026-05-22
MS-333 OTHER Rectal Resection With Cc 39 10 — — $16,381.73 $58,095.93 $55,894.26 2026-05-22
MS-674 OTHER Other Kidney And Urinary Tract Procedures With Cc 39 10 — — $16,356.55 $58,006.63 $55,808.35 2026-05-22
MS-940 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 39 10 — — $16,344.66 $57,964.47 $55,767.78 2026-05-22
MS-709 OTHER Penis Procedures With Cc/mcc 39 10 — — $16,276.12 $57,721.39 $55,533.91 2026-05-22
278C182656 OTHER Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56 41 8 $75,124.40 — $17,534.03 $59,874.15 $55,516.93 2026-05-22
275C172256 OTHER Hc Icd Single Chamber Lvl 56 41 8 $75,124.40 — $17,534.03 $59,874.15 $55,516.93 2026-05-22
275C188256 OTHER Hc Icd Biv/crt-d Lvl 56 41 8 $75,124.40 — $17,534.03 $59,874.15 $55,516.93 2026-05-22
2721489756 OTHER Hc Cardiovascular Non Implant Supply Lvl 56 41 8 $75,124.40 — $17,534.03 $59,874.15 $55,516.93 2026-05-22
MS-357 OTHER Other Digestive System O.r. Procedures With Cc 39 10 — — $16,264.93 $57,681.70 $55,495.73 2026-05-22
MS-056 OTHER Degenerative Nervous System Disorders With Mcc 39 10 — — $16,248.14 $57,622.17 $55,438.46 2026-05-22
Q2043 OTHER Sipuleucel-t Auto Cd54+ 35 7 — — $50.00 $122,893.02 $55,272.32 2026-05-22
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