Price Transparencybeta 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

FAMILY HEALTH WEST HOSPITAL

Fruita, CO · CCN 061302 · Rates published

2,665 distinct procedures filed
8 distinct payers
28,932 rate rows
2026-05-18 last MRF observed
Data quality

26,683 of 28,932 rate rows are consumer-grade (92.2%)

2,249 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,231
per-diem day rate — not a per-procedure price 9
placeholder amount (≤ $0.02) — excluded from medians 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.fhw.org/wp-content/uploads/2026/03/84-0447998_Family_Health_West_standardcharges.csv
Found on page https://fhw.org/patient-resources/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 5dcbf375d3882bd5… · 4,681,118 bytes · first seen 2026-05-18

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
583-4
OTHER 		Neonate With Ecmo 1 $287,982.13 $287,982.13 $287,982.13 —
588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $236,223.95 $236,223.95 $236,223.95 —
583-3
OTHER 		Neonate With Ecmo 1 $228,087.63 $228,087.63 $228,087.63 —
161-4
OTHER 		Implantable Heart Assist Systems 1 $225,858.15 $225,858.15 $225,858.15 —
2-4
OTHER 		Heart And/or Lung Transplant 1 $217,959.74 $217,959.74 $217,959.74 —
161-3
OTHER 		Implantable Heart Assist Systems 1 $173,030.84 $173,030.84 $173,030.84 —
630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $171,460.35 $171,460.35 $171,460.35 —
583-2
OTHER 		Neonate With Ecmo 1 $168,192.40 $168,192.40 $168,192.40 —
841-4
OTHER 		Extensive Third Degree Burns With Skin Graft 1 $159,275.94 $159,275.94 $159,275.94 —
593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $154,062.40 $154,062.40 $154,062.40 —
588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $152,183.94 $152,183.94 $152,183.94 —
588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $149,018.16 $149,018.16 $149,018.16 —
591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $148,772.95 $148,772.95 $148,772.95 —
11-4
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $148,581.75 $148,581.75 $148,581.75 —
609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $147,824.24 $147,824.24 $147,824.24 —
583-1
OTHER 		Neonate With Ecmo 1 $145,348.82 $145,348.82 $145,348.82 —
7-4
OTHER 		Allogeneic Bone Marrow Transplant 1 $142,890.92 $142,890.92 $142,890.92 —
631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $141,917.40 $141,917.40 $141,917.40 —
4-4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $141,534.26 $141,534.26 $141,534.26 —
1-4
OTHER 		Liver Transplant And/or Intestinal Transplant 1 $139,333.25 $139,333.25 $139,333.25 —
161-2
OTHER 		Implantable Heart Assist Systems 1 $138,928.95 $138,928.95 $138,928.95 —
9-4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 1 $138,565.52 $138,565.52 $138,565.52 —
2-3
OTHER 		Heart And/or Lung Transplant 1 $134,783.07 $134,783.07 $134,783.07 —
161-1
OTHER 		Implantable Heart Assist Systems 1 $131,981.44 $131,981.44 $131,981.44 —
603-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $123,840.02 $123,840.02 $123,840.02 —
6-4
OTHER 		Pancreas Transplant 1 $123,047.48 $123,047.48 $123,047.48 —
602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $110,432.50 $110,432.50 $110,432.50 —
589-1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $107,009.10 $107,009.10 $107,009.10 —
910-4
OTHER 		Craniotomy For Multiple Significant Trauma 1 $103,611.25 $103,611.25 $103,611.25 —
2-2
OTHER 		Heart And/or Lung Transplant 1 $100,023.65 $100,023.65 $100,023.65 —
593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $99,072.74 $99,072.74 $99,072.74 —
588-1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $98,089.00 $98,089.00 $98,089.00 —
911-4
OTHER 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 $97,886.12 $97,886.12 $97,886.12 —
589-2
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $97,281.86 $97,281.86 $97,281.86 —
4-3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $96,855.67 $96,855.67 $96,855.67 —
160-4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 1 $95,570.53 $95,570.53 $95,570.53 —
912-4
OTHER 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 $95,105.66 $95,105.66 $95,105.66 —
5-4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $93,273.91 $93,273.91 $93,273.91 —
162-4
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $90,073.10 $90,073.10 $90,073.10 —
589-3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $88,438.39 $88,438.39 $88,438.39 —
591-3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $87,158.36 $87,158.36 $87,158.36 —
602-3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $87,078.81 $87,078.81 $87,078.81 —
6-3
OTHER 		Pancreas Transplant 1 $86,520.53 $86,520.53 $86,520.53 —
303-4
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $86,112.58 $86,112.58 $86,112.58 —
2-1
OTHER 		Heart And/or Lung Transplant 1 $85,746.96 $85,746.96 $85,746.96 —
607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $84,821.60 $84,821.60 $84,821.60 —
7-3
OTHER 		Allogeneic Bone Marrow Transplant 1 $84,209.31 $84,209.31 $84,209.31 —
630-3
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $82,845.36 $82,845.36 $82,845.36 —
440-4
OTHER 		Kidney Transplant 1 $81,865.26 $81,865.26 $81,865.26 —
1-3
OTHER 		Liver Transplant And/or Intestinal Transplant 1 $80,553.12 $80,553.12 $80,553.12 —

Other procedures at this hospital

Browse this hospital's 2,665 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
             
583-4 OTHER Neonate With Ecmo 1 1 — — $287,982.13 $287,982.13 $287,982.13 2026-05-18
588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $236,223.95 $236,223.95 $236,223.95 2026-05-18
583-3 OTHER Neonate With Ecmo 1 1 — — $228,087.63 $228,087.63 $228,087.63 2026-05-18
161-4 OTHER Implantable Heart Assist Systems 1 1 — — $225,858.15 $225,858.15 $225,858.15 2026-05-18
2-4 OTHER Heart And/or Lung Transplant 1 1 — — $217,959.74 $217,959.74 $217,959.74 2026-05-18
161-3 OTHER Implantable Heart Assist Systems 1 1 — — $173,030.84 $173,030.84 $173,030.84 2026-05-18
630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $171,460.35 $171,460.35 $171,460.35 2026-05-18
583-2 OTHER Neonate With Ecmo 1 1 — — $168,192.40 $168,192.40 $168,192.40 2026-05-18
841-4 OTHER Extensive Third Degree Burns With Skin Graft 1 1 — — $159,275.94 $159,275.94 $159,275.94 2026-05-18
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $154,062.40 $154,062.40 $154,062.40 2026-05-18
588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $152,183.94 $152,183.94 $152,183.94 2026-05-18
588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $149,018.16 $149,018.16 $149,018.16 2026-05-18
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $148,772.95 $148,772.95 $148,772.95 2026-05-18
11-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $148,581.75 $148,581.75 $148,581.75 2026-05-18
609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $147,824.24 $147,824.24 $147,824.24 2026-05-18
583-1 OTHER Neonate With Ecmo 1 1 — — $145,348.82 $145,348.82 $145,348.82 2026-05-18
7-4 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $142,890.92 $142,890.92 $142,890.92 2026-05-18
631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $141,917.40 $141,917.40 $141,917.40 2026-05-18
4-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $141,534.26 $141,534.26 $141,534.26 2026-05-18
1-4 OTHER Liver Transplant And/or Intestinal Transplant 1 1 — — $139,333.25 $139,333.25 $139,333.25 2026-05-18
161-2 OTHER Implantable Heart Assist Systems 1 1 — — $138,928.95 $138,928.95 $138,928.95 2026-05-18
9-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $138,565.52 $138,565.52 $138,565.52 2026-05-18
2-3 OTHER Heart And/or Lung Transplant 1 1 — — $134,783.07 $134,783.07 $134,783.07 2026-05-18
161-1 OTHER Implantable Heart Assist Systems 1 1 — — $131,981.44 $131,981.44 $131,981.44 2026-05-18
603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $123,840.02 $123,840.02 $123,840.02 2026-05-18
6-4 OTHER Pancreas Transplant 1 1 — — $123,047.48 $123,047.48 $123,047.48 2026-05-18
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $110,432.50 $110,432.50 $110,432.50 2026-05-18
589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $107,009.10 $107,009.10 $107,009.10 2026-05-18
910-4 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $103,611.25 $103,611.25 $103,611.25 2026-05-18
2-2 OTHER Heart And/or Lung Transplant 1 1 — — $100,023.65 $100,023.65 $100,023.65 2026-05-18
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $99,072.74 $99,072.74 $99,072.74 2026-05-18
588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $98,089.00 $98,089.00 $98,089.00 2026-05-18
911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $97,886.12 $97,886.12 $97,886.12 2026-05-18
589-2 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $97,281.86 $97,281.86 $97,281.86 2026-05-18
4-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $96,855.67 $96,855.67 $96,855.67 2026-05-18
160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $95,570.53 $95,570.53 $95,570.53 2026-05-18
912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $95,105.66 $95,105.66 $95,105.66 2026-05-18
5-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $93,273.91 $93,273.91 $93,273.91 2026-05-18
162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $90,073.10 $90,073.10 $90,073.10 2026-05-18
589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $88,438.39 $88,438.39 $88,438.39 2026-05-18
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $87,158.36 $87,158.36 $87,158.36 2026-05-18
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $87,078.81 $87,078.81 $87,078.81 2026-05-18
6-3 OTHER Pancreas Transplant 1 1 — — $86,520.53 $86,520.53 $86,520.53 2026-05-18
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $86,112.58 $86,112.58 $86,112.58 2026-05-18
2-1 OTHER Heart And/or Lung Transplant 1 1 — — $85,746.96 $85,746.96 $85,746.96 2026-05-18
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $84,821.60 $84,821.60 $84,821.60 2026-05-18
7-3 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $84,209.31 $84,209.31 $84,209.31 2026-05-18
630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $82,845.36 $82,845.36 $82,845.36 2026-05-18
440-4 OTHER Kidney Transplant 1 1 — — $81,865.26 $81,865.26 $81,865.26 2026-05-18
1-3 OTHER Liver Transplant And/or Intestinal Transplant 1 1 — — $80,553.12 $80,553.12 $80,553.12 2026-05-18
842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $80,494.00 $80,494.00 $80,494.00 2026-05-18
593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $78,524.33 $78,524.33 $78,524.33 2026-05-18
163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $76,646.60 $76,646.60 $76,646.60 2026-05-18
178-4 OTHER External Heart Assist Systems 1 1 — — $76,135.03 $76,135.03 $76,135.03 2026-05-18
6-2 OTHER Pancreas Transplant 1 1 — — $75,108.23 $75,108.23 $75,108.23 2026-05-18
609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $73,646.48 $73,646.48 $73,646.48 2026-05-18
11-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $73,135.63 $73,135.63 $73,135.63 2026-05-18
8-4 OTHER Autologous Bone Marrow Transplant 1 1 — — $72,282.52 $72,282.52 $72,282.52 2026-05-18
165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $70,091.72 $70,091.72 $70,091.72 2026-05-18
167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $68,944.51 $68,944.51 $68,944.51 2026-05-18
5-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $68,685.43 $68,685.43 $68,685.43 2026-05-18
1-2 OTHER Liver Transplant And/or Intestinal Transplant 1 1 — — $67,512.68 $67,512.68 $67,512.68 2026-05-18
4-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $66,588.78 $66,588.78 $66,588.78 2026-05-18
602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $66,444.28 $66,444.28 $66,444.28 2026-05-18
304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $66,095.44 $66,095.44 $66,095.44 2026-05-18
607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $65,986.71 $65,986.71 $65,986.71 2026-05-18
7-2 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $65,869.21 $65,869.21 $65,869.21 2026-05-18
303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $65,201.46 $65,201.46 $65,201.46 2026-05-18
183-4 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $64,969.39 $64,969.39 $64,969.39 2026-05-18
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $64,457.82 $64,457.82 $64,457.82 2026-05-18
9-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $63,863.78 $63,863.78 $63,863.78 2026-05-18
863-4 OTHER Neonatal Aftercare 1 1 — — $63,192.38 $63,192.38 $63,192.38 2026-05-18
166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $63,181.43 $63,181.43 $63,181.43 2026-05-18
179-4 OTHER Defibrillator Implants 1 1 — — $62,029.11 $62,029.11 $62,029.11 2026-05-18
680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $61,772.23 $61,772.23 $61,772.23 2026-05-18
162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $61,692.68 $61,692.68 $61,692.68 2026-05-18
612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $61,637.95 $61,637.95 $61,637.95 2026-05-18
613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $60,474.68 $60,474.68 $60,474.68 2026-05-18
603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $60,264.50 $60,264.50 $60,264.50 2026-05-18
1-1 OTHER Liver Transplant And/or Intestinal Transplant 1 1 — — $59,942.67 $59,942.67 $59,942.67 2026-05-18
169-4 OTHER Major Abdominal Vascular Procedures 1 1 — — $59,135.53 $59,135.53 $59,135.53 2026-05-18
6-1 OTHER Pancreas Transplant 1 1 — — $59,038.47 $59,038.47 $59,038.47 2026-05-18
312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $58,710.80 $58,710.80 $58,710.80 2026-05-18
7-1 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $58,651.69 $58,651.69 $58,651.69 2026-05-18
841-3 OTHER Extensive Third Degree Burns With Skin Graft 1 1 — — $58,452.46 $58,452.46 $58,452.46 2026-05-18
91-4 OTHER Other Major Head And Neck Procedures 1 1 — — $58,402.83 $58,402.83 $58,402.83 2026-05-18
178-3 OTHER External Heart Assist Systems 1 1 — — $56,324.42 $56,324.42 $56,324.42 2026-05-18
850-4 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $56,095.27 $56,095.27 $56,095.27 2026-05-18
23-4 OTHER Spinal Procedures 1 1 — — $55,952.23 $55,952.23 $55,952.23 2026-05-18
21-4 OTHER Open Craniotomy Except Trauma 1 1 — — $55,185.23 $55,185.23 $55,185.23 2026-05-18
441-4 OTHER Major Bladder Procedures 1 1 — — $55,175.75 $55,175.75 $55,175.75 2026-05-18
631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $54,499.97 $54,499.97 $54,499.97 2026-05-18
260-4 OTHER Major Pancreas, Liver And Shunt Procedures 1 1 — — $54,483.19 $54,483.19 $54,483.19 2026-05-18
440-3 OTHER Kidney Transplant 1 1 — — $53,962.12 $53,962.12 $53,962.12 2026-05-18
740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 1 1 — — $53,785.52 $53,785.52 $53,785.52 2026-05-18
608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $53,705.97 $53,705.97 $53,705.97 2026-05-18
681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $52,674.06 $52,674.06 $52,674.06 2026-05-18
630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $52,562.40 $52,562.40 $52,562.40 2026-05-18
178-2 OTHER External Heart Assist Systems 1 1 — — $52,477.02 $52,477.02 $52,477.02 2026-05-18
220-4 OTHER Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $52,271.22 $52,271.22 $52,271.22 2026-05-18
89-4 OTHER Major Cranial Or Facial Bone Procedures 1 1 — — $51,918.01 $51,918.01 $51,918.01 2026-05-18
165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $51,767.67 $51,767.67 $51,767.67 2026-05-18
950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $51,406.43 $51,406.43 $51,406.43 2026-05-18
160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $51,302.07 $51,302.07 $51,302.07 2026-05-18
608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $51,148.09 $51,148.09 $51,148.09 2026-05-18
607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $51,095.55 $51,095.55 $51,095.55 2026-05-18
163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $51,025.49 $51,025.49 $51,025.49 2026-05-18
20-4 OTHER Open Craniotomy For Trauma 1 1 — — $50,912.37 $50,912.37 $50,912.37 2026-05-18
120-4 OTHER Major Respiratory And Chest Procedures 1 1 — — $50,677.38 $50,677.38 $50,677.38 2026-05-18
621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $50,568.65 $50,568.65 $50,568.65 2026-05-18
690-4 OTHER Acute Leukemia 1 1 — — $50,419.77 $50,419.77 $50,419.77 2026-05-18
759-4 OTHER Eating Disorders 1 1 — — $50,330.01 $50,330.01 $50,330.01 2026-05-18
5-2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $50,276.73 $50,276.73 $50,276.73 2026-05-18
361-4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $49,719.91 $49,719.91 $49,719.91 2026-05-18
181-4 OTHER Lower Extremity Arterial Procedures 1 1 — — $48,893.80 $48,893.80 $48,893.80 2026-05-18
162-2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $48,893.80 $48,893.80 $48,893.80 2026-05-18
27-4 OTHER Other Open Craniotomy 1 1 — — $48,642.76 $48,642.76 $48,642.76 2026-05-18
614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $48,598.24 $48,598.24 $48,598.24 2026-05-18
130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $48,092.50 $48,092.50 $48,092.50 2026-05-18
176-4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $48,033.39 $48,033.39 $48,033.39 2026-05-18
261-4 OTHER Major Biliary Tract Procedures 1 1 — — $47,889.62 $47,889.62 $47,889.62 2026-05-18
695-4 OTHER Chemotherapy For Acute Leukemia 1 1 — — $47,452.48 $47,452.48 $47,452.48 2026-05-18
303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $47,372.21 $47,372.21 $47,372.21 2026-05-18
230-4 OTHER Major Small Bowel Procedures 1 1 — — $46,849.69 $46,849.69 $46,849.69 2026-05-18
510-4 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $46,832.17 $46,832.17 $46,832.17 2026-05-18
178-1 OTHER External Heart Assist Systems 1 1 — — $46,805.17 $46,805.17 $46,805.17 2026-05-18
9-2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $46,580.40 $46,580.40 $46,580.40 2026-05-18
591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $46,378.98 $46,378.98 $46,378.98 2026-05-18
440-2 OTHER Kidney Transplant 1 1 — — $46,281.19 $46,281.19 $46,281.19 2026-05-18
92-4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $46,202.37 $46,202.37 $46,202.37 2026-05-18
792-4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $45,978.33 $45,978.33 $45,978.33 2026-05-18
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $45,961.54 $45,961.54 $45,961.54 2026-05-18
401-4 OTHER Adrenal Procedures 1 1 — — $45,882.73 $45,882.73 $45,882.73 2026-05-18
183-3 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $45,638.25 $45,638.25 $45,638.25 2026-05-18
651-4 OTHER Other Procedures Of Blood And Blood-forming Organs 1 1 — — $45,593.01 $45,593.01 $45,593.01 2026-05-18
8-3 OTHER Autologous Bone Marrow Transplant 1 1 — — $45,514.92 $45,514.92 $45,514.92 2026-05-18
179-3 OTHER Defibrillator Implants 1 1 — — $45,228.85 $45,228.85 $45,228.85 2026-05-18
404-4 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $45,090.19 $45,090.19 $45,090.19 2026-05-18
304-3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $44,667.64 $44,667.64 $44,667.64 2026-05-18
4-1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $44,466.95 $44,466.95 $44,466.95 2026-05-18
930-4 OTHER Multiple Significant Trauma Without O.r. Procedure 1 1 — — $43,963.41 $43,963.41 $43,963.41 2026-05-18
321-4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $43,373.74 $43,373.74 $43,373.74 2026-05-18
612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $43,348.93 $43,348.93 $43,348.93 2026-05-18
30-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $43,057.75 $43,057.75 $43,057.75 2026-05-18
165-2 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $43,055.56 $43,055.56 $43,055.56 2026-05-18
166-3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $43,038.78 $43,038.78 $43,038.78 2026-05-18
167-3 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $42,941.71 $42,941.71 $42,941.71 2026-05-18
264-4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $42,538.15 $42,538.15 $42,538.15 2026-05-18
26-4 OTHER Other Nervous System And Related Procedures 1 1 — — $42,425.76 $42,425.76 $42,425.76 2026-05-18
710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $42,400.95 $42,400.95 $42,400.95 2026-05-18
511-4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $42,276.89 $42,276.89 $42,276.89 2026-05-18
325-4 OTHER Non-elective Or Complex Knee Joint Replacement 1 1 — — $42,258.64 $42,258.64 $42,258.64 2026-05-18
22-4 OTHER Ventricular Shunt Procedures 1 1 — — $42,171.07 $42,171.07 $42,171.07 2026-05-18
405-4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $42,076.93 $42,076.93 $42,076.93 2026-05-18
611-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $41,983.51 $41,983.51 $41,983.51 2026-05-18
5-1 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $41,749.98 $41,749.98 $41,749.98 2026-05-18
162-1 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $41,724.44 $41,724.44 $41,724.44 2026-05-18
170-4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $41,698.17 $41,698.17 $41,698.17 2026-05-18
182-4 OTHER Other Peripheral Vascular And Related Procedures 1 1 — — $41,540.54 $41,540.54 $41,540.54 2026-05-18
121-4 OTHER Other Respiratory And Chest Procedures 1 1 — — $41,435.45 $41,435.45 $41,435.45 2026-05-18
650-4 OTHER Splenectomy 1 1 — — $41,376.34 $41,376.34 $41,376.34 2026-05-18
440-1 OTHER Kidney Transplant 1 1 — — $41,325.98 $41,325.98 $41,325.98 2026-05-18
231-4 OTHER Major Large Bowel Procedures 1 1 — — $41,221.62 $41,221.62 $41,221.62 2026-05-18
447-4 OTHER Other Kidney, Urinary Tract And Related Procedures 1 1 — — $40,748.00 $40,748.00 $40,748.00 2026-05-18
863-3 OTHER Neonatal Aftercare 1 1 — — $40,546.58 $40,546.58 $40,546.58 2026-05-18
163-2 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $40,382.38 $40,382.38 $40,382.38 2026-05-18
711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $39,997.78 $39,997.78 $39,997.78 2026-05-18
622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $39,913.13 $39,913.13 $39,913.13 2026-05-18
303-1 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $39,440.96 $39,440.96 $39,440.96 2026-05-18
29-4 OTHER Other Percutaneous Intracranial Procedures 1 1 — — $39,435.85 $39,435.85 $39,435.85 2026-05-18
613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $39,435.12 $39,435.12 $39,435.12 2026-05-18
183-2 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $39,195.75 $39,195.75 $39,195.75 2026-05-18
309-4 OTHER Other Significant Hip And Femur Surgery 1 1 — — $39,123.51 $39,123.51 $39,123.51 2026-05-18
175-4 OTHER Percutaneous Cardiac Intervention Without Ami 1 1 — — $39,012.58 $39,012.58 $39,012.58 2026-05-18
442-4 OTHER Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $38,910.41 $38,910.41 $38,910.41 2026-05-18
11-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $38,739.64 $38,739.64 $38,739.64 2026-05-18
232-4 OTHER Gastric Fundoplication 1 1 — — $38,487.14 $38,487.14 $38,487.14 2026-05-18
222-4 OTHER Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $38,395.92 $38,395.92 $38,395.92 2026-05-18
229-4 OTHER Other Digestive System And Abdominal Procedures 1 1 — — $38,377.67 $38,377.67 $38,377.67 2026-05-18
9-1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $38,227.34 $38,227.34 $38,227.34 2026-05-18
951-4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $38,207.63 $38,207.63 $38,207.63 2026-05-18
183-1 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $38,104.00 $38,104.00 $38,104.00 2026-05-18
8-2 OTHER Autologous Bone Marrow Transplant 1 1 — — $38,081.38 $38,081.38 $38,081.38 2026-05-18
608-2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $37,758.82 $37,758.82 $37,758.82 2026-05-18
512-4 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $37,541.34 $37,541.34 $37,541.34 2026-05-18
305-4 OTHER Amputation Of Lower Limb Except Toes 1 1 — — $37,316.57 $37,316.57 $37,316.57 2026-05-18
614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $37,281.54 $37,281.54 $37,281.54 2026-05-18
91-3 OTHER Other Major Head And Neck Procedures 1 1 — — $37,277.16 $37,277.16 $37,277.16 2026-05-18
910-3 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $37,190.32 $37,190.32 $37,190.32 2026-05-18
313-4 OTHER Knee And Lower Leg Procedures Except Foot 1 1 — — $37,157.48 $37,157.48 $37,157.48 2026-05-18
130-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $37,127.56 $37,127.56 $37,127.56 2026-05-18
223-4 OTHER Other Small And Large Bowel Procedures 1 1 — — $36,903.52 $36,903.52 $36,903.52 2026-05-18
24-4 OTHER Open Extracranial Vascular Procedures 1 1 — — $36,901.33 $36,901.33 $36,901.33 2026-05-18
179-2 OTHER Defibrillator Implants 1 1 — — $36,850.97 $36,850.97 $36,850.97 2026-05-18
623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $36,630.58 $36,630.58 $36,630.58 2026-05-18
362-4 OTHER Mastectomy Procedures 1 1 — — $36,516.00 $36,516.00 $36,516.00 2026-05-18
163-1 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $36,493.38 $36,493.38 $36,493.38 2026-05-18
169-3 OTHER Major Abdominal Vascular Procedures 1 1 — — $36,350.34 $36,350.34 $36,350.34 2026-05-18
403-4 OTHER Procedures For Obesity 1 1 — — $36,325.53 $36,325.53 $36,325.53 2026-05-18
166-2 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $36,242.33 $36,242.33 $36,242.33 2026-05-18
793-4 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $36,203.66 $36,203.66 $36,203.66 2026-05-18
227-4 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $36,122.65 $36,122.65 $36,122.65 2026-05-18
89-3 OTHER Major Cranial Or Facial Bone Procedures 1 1 — — $36,056.24 $36,056.24 $36,056.24 2026-05-18
514-4 OTHER Female Reproductive System Reconstructive Procedures 1 1 — — $36,037.27 $36,037.27 $36,037.27 2026-05-18
224-4 OTHER Peritoneal Adhesiolysis 1 1 — — $35,839.50 $35,839.50 $35,839.50 2026-05-18
21-3 OTHER Open Craniotomy Except Trauma 1 1 — — $35,370.98 $35,370.98 $35,370.98 2026-05-18
315-4 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 1 1 — — $35,370.98 $35,370.98 $35,370.98 2026-05-18
165-1 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $35,357.11 $35,357.11 $35,357.11 2026-05-18
484-4 OTHER Other Male Reproductive System And Related Procedures 1 1 — — $35,339.60 $35,339.60 $35,339.60 2026-05-18
174-4 OTHER Percutaneous Cardiac Intervention With Ami 1 1 — — $35,306.76 $35,306.76 $35,306.76 2026-05-18
752-4 OTHER Disorders Of Personality And Impulse Control 1 1 — — $35,271.00 $35,271.00 $35,271.00 2026-05-18
634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $35,225.75 $35,225.75 $35,225.75 2026-05-18
180-4 OTHER Other Circulatory System Procedures 1 1 — — $35,186.34 $35,186.34 $35,186.34 2026-05-18
609-2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $34,981.27 $34,981.27 $34,981.27 2026-05-18
480-4 OTHER Major Male Pelvic Procedures 1 1 — — $34,842.62 $34,842.62 $34,842.62 2026-05-18
518-4 OTHER Other Female Reproductive System And Related Procedures 1 1 — — $34,577.71 $34,577.71 $34,577.71 2026-05-18
320-4 OTHER Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $34,527.35 $34,527.35 $34,527.35 2026-05-18
50-4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 — — $34,512.76 $34,512.76 $34,512.76 2026-05-18
23-3 OTHER Spinal Procedures 1 1 — — $34,381.40 $34,381.40 $34,381.40 2026-05-18
310-4 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 1 1 — — $34,160.27 $34,160.27 $34,160.27 2026-05-18
519-4 OTHER Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $33,789.54 $33,789.54 $33,789.54 2026-05-18
625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $33,745.76 $33,745.76 $33,745.76 2026-05-18
612-2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $33,569.15 $33,569.15 $33,569.15 2026-05-18
631-2 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $33,424.65 $33,424.65 $33,424.65 2026-05-18
171-4 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $33,299.86 $33,299.86 $33,299.86 2026-05-18
160-2 OTHER Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $33,249.51 $33,249.51 $33,249.51 2026-05-18
609-1 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $33,231.99 $33,231.99 $33,231.99 2026-05-18
842-3 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $33,195.50 $33,195.50 $33,195.50 2026-05-18
324-4 OTHER Elective Hip Joint Replacement 1 1 — — $33,175.07 $33,175.07 $33,175.07 2026-05-18
323-4 OTHER Non-elective Or Complex Hip Joint Replacement 1 1 — — $33,143.69 $33,143.69 $33,143.69 2026-05-18
910-2 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $33,034.22 $33,034.22 $33,034.22 2026-05-18
322-4 OTHER Shoulder And Elbow Joint Replacement 1 1 — — $32,873.67 $32,873.67 $32,873.67 2026-05-18
952-4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $32,849.59 $32,849.59 $32,849.59 2026-05-18
73-4 OTHER Orbit And Eye Procedures 1 1 — — $32,843.75 $32,843.75 $32,843.75 2026-05-18
444-4 OTHER Renal Dialysis Access Device Procedures 1 1 — — $32,767.12 $32,767.12 $32,767.12 2026-05-18
317-4 OTHER Tendon, Muscle And Other Soft Tissue Procedures 1 1 — — $32,745.23 $32,745.23 $32,745.23 2026-05-18
49-4 OTHER Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $32,636.49 $32,636.49 $32,636.49 2026-05-18
30-3 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $32,613.14 $32,613.14 $32,613.14 2026-05-18
20-3 OTHER Open Craniotomy For Trauma 1 1 — — $32,566.43 $32,566.43 $32,566.43 2026-05-18
166-1 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $32,548.92 $32,548.92 $32,548.92 2026-05-18
179-1 OTHER Defibrillator Implants 1 1 — — $32,517.54 $32,517.54 $32,517.54 2026-05-18
912-3 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $32,267.22 $32,267.22 $32,267.22 2026-05-18
680-3 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $32,243.87 $32,243.87 $32,243.87 2026-05-18
483-4 OTHER Penis, Testes And Scrotal Procedures 1 1 — — $31,794.33 $31,794.33 $31,794.33 2026-05-18
304-2 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $31,667.34 $31,667.34 $31,667.34 2026-05-18
443-4 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $31,619.91 $31,619.91 $31,619.91 2026-05-18
692-4 OTHER Radiotherapy 1 1 — — $31,463.73 $31,463.73 $31,463.73 2026-05-18
181-3 OTHER Lower Extremity Arterial Procedures 1 1 — — $31,360.84 $31,360.84 $31,360.84 2026-05-18
98-4 OTHER Other Ear, Nose, Mouth And Throat Procedures 1 1 — — $31,360.11 $31,360.11 $31,360.11 2026-05-18
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 10 4 — — $59.32 $38,215.05 $31,175.48 2026-05-18
548-4 OTHER Postpartum And Post Abortion Diagnosis With O.r. Procedure 1 1 — — $30,812.04 $30,812.04 $30,812.04 2026-05-18
325-3 OTHER Non-elective Or Complex Knee Joint Replacement 1 1 — — $30,357.39 $30,357.39 $30,357.39 2026-05-18
130-2 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $30,331.12 $30,331.12 $30,331.12 2026-05-18
130-1 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $30,323.82 $30,323.82 $30,323.82 2026-05-18
177-4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $30,255.95 $30,255.95 $30,255.95 2026-05-18
445-4 OTHER Other Bladder Procedures 1 1 — — $30,255.22 $30,255.22 $30,255.22 2026-05-18
623-3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $30,206.32 $30,206.32 $30,206.32 2026-05-18
263-4 OTHER Cholecystectomy 1 1 — — $30,185.89 $30,185.89 $30,185.89 2026-05-18
603-2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $29,734.16 $29,734.16 $29,734.16 2026-05-18
621-3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $29,683.07 $29,683.07 $29,683.07 2026-05-18
170-3 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $29,656.07 $29,656.07 $29,656.07 2026-05-18
691-4 OTHER Lymphoma, Myeloma And Non-acute Leukemia 1 1 — — $29,629.07 $29,629.07 $29,629.07 2026-05-18
363-4 OTHER Breast Procedures Except Mastectomy 1 1 — — $29,510.84 $29,510.84 $29,510.84 2026-05-18
27-3 OTHER Other Open Craniotomy 1 1 — — $29,502.09 $29,502.09 $29,502.09 2026-05-18
220-3 OTHER Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $29,266.37 $29,266.37 $29,266.37 2026-05-18
316-4 OTHER Hand And Wrist Procedures 1 1 — — $29,221.12 $29,221.12 $29,221.12 2026-05-18
308-4 OTHER Hip And Femur Fracture Repair 1 1 — — $29,176.60 $29,176.60 $29,176.60 2026-05-18
636-4 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 — — $29,162.01 $29,162.01 $29,162.01 2026-05-18
120-3 OTHER Major Respiratory And Chest Procedures 1 1 — — $29,052.54 $29,052.54 $29,052.54 2026-05-18
43-4 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 1 1 — — $29,037.22 $29,037.22 $29,037.22 2026-05-18
176-3 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $29,000.73 $29,000.73 $29,000.73 2026-05-18
690-3 OTHER Acute Leukemia 1 1 — — $28,958.40 $28,958.40 $28,958.40 2026-05-18
312-3 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $28,949.64 $28,949.64 $28,949.64 2026-05-18
910-1 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $28,877.39 $28,877.39 $28,877.39 2026-05-18
260-3 OTHER Major Pancreas, Liver And Shunt Procedures 1 1 — — $28,857.69 $28,857.69 $28,857.69 2026-05-18
8-1 OTHER Autologous Bone Marrow Transplant 1 1 — — $28,616.86 $28,616.86 $28,616.86 2026-05-18
167-2 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $28,443.91 $28,443.91 $28,443.91 2026-05-18
27640 CPT Partial Removal Of Tibia 16 8 — — $12,265.27 $44,443.51 $28,354.39 2026-05-18
513-4 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 1 1 — — $28,223.51 $28,223.51 $28,223.51 2026-05-18
950-3 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $28,176.08 $28,176.08 $28,176.08 2026-05-18
364-4 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 1 1 — — $28,067.34 $28,067.34 $28,067.34 2026-05-18
441-3 OTHER Major Bladder Procedures 1 1 — — $28,005.31 $28,005.31 $28,005.31 2026-05-18
326-4 OTHER Elective Knee Joint Replacement 1 1 — — $27,963.71 $27,963.71 $27,963.71 2026-05-18
169-2 OTHER Major Abdominal Vascular Procedures 1 1 — — $27,817.75 $27,817.75 $27,817.75 2026-05-18
911-3 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $27,750.61 $27,750.61 $27,750.61 2026-05-18
321-3 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $27,743.32 $27,743.32 $27,743.32 2026-05-18
169-1 OTHER Major Abdominal Vascular Procedures 1 1 — — $27,447.76 $27,447.76 $27,447.76 2026-05-18
24685 CPT Optx Ulnar Fx Prox End W/fix 16 8 — — $8,660.05 $46,163.01 $27,411.53 2026-05-18
167-1 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $27,364.56 $27,364.56 $27,364.56 2026-05-18
401-3 OTHER Adrenal Procedures 1 1 — — $27,327.34 $27,327.34 $27,327.34 2026-05-18
233-4 OTHER Appendectomy With Complex Principal Diagnosis 1 1 — — $27,190.87 $27,190.87 $27,190.87 2026-05-18
794-4 OTHER Non-extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $26,995.29 $26,995.29 $26,995.29 2026-05-18
160-1 OTHER Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $26,994.56 $26,994.56 $26,994.56 2026-05-18
314-4 OTHER Foot And Toe Procedures 1 1 — — $26,976.32 $26,976.32 $26,976.32 2026-05-18
175-3 OTHER Percutaneous Cardiac Intervention Without Ami 1 1 — — $26,659.59 $26,659.59 $26,659.59 2026-05-18
304-1 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $26,656.67 $26,656.67 $26,656.67 2026-05-18
850-3 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $26,403.44 $26,403.44 $26,403.44 2026-05-18
40-4 OTHER Spinal Disorders And Injuries 1 1 — — $26,345.06 $26,345.06 $26,345.06 2026-05-18
11-1 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $26,108.61 $26,108.61 $26,108.61 2026-05-18
228-4 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 1 1 — — $25,741.53 $25,741.53 $25,741.53 2026-05-18
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