Hospital

HOLMES REGIONAL MEDICAL CENTER

Melbourne, FL · CCN 100019 · Rates published

20,141 distinct procedures filed

16 distinct payers

609,201 rate rows

2026-05-08 last MRF observed

Data quality

587,296 of 609,201 rate rows are consumer-grade (96.4%)

21,905 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	8,099
template filing: same amount across many unrelated codes — excluded	7,318
exceeds 10× this hospital's gross charge — excluded from medians	6,409
placeholder amount (≤ $0.02) — excluded from medians	79

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

Source MRF file	https://www.hf.org/sites/default/files/2025-10/590624371_Holmes-Regional-Medical-Center_standardcharges.csv
Found on page	https://hf.org/healthcare-home/patients-visitors/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	93e99178a4dbebf1… · 166,253,767 bytes · first seen 2026-05-08

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
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$192,144.21	$764,994.70	$478,569.46	nat. median $239,422 2.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	11	$146,376.93	$610,179.09	$378,278.01	nat. median $181,005 outlier · 2.1×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	11	$137,695.55	$402,295.23	$269,995.39	nat. median $134,983 outlier · 2.0×
583-3 OTHER	Neonate With Ecmo	6	$245,310.00	$274,747.20	$257,575.50	nat. median $259,487 1.0× median
583-4 OTHER	Neonate With Ecmo	6	$245,310.00	$274,747.20	$257,575.50	nat. median $309,400 0.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$245,310.00	$274,747.20	$257,575.50	nat. median $267,493 1.0× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$227,544.57	$254,849.92	$238,921.80	nat. median $171,094 1.4× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$219,175.32	$245,476.36	$230,134.09	nat. median $203,379 1.1× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$198,769.55	$222,621.90	$208,708.03	nat. median $210,669 1.0× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	11	$74,786.71	$310,160.23	$192,473.47	nat. median $90,581 outlier · 2.1×
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$183,150.00	$205,128.00	$192,307.50	nat. median $169,856 1.1× median
215 OTHER	Other Heart Assist System Implant	11	$72,754.72	$301,644.55	$187,199.64	nat. median $92,359 outlier · 2.0×
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	$66,343.49	$274,776.47	$170,559.98	nat. median $90,130 1.9× median
583-2 OTHER	Neonate With Ecmo	6	$153,656.35	$172,095.11	$161,339.17	nat. median $191,347 0.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$146,520.00	$164,102.40	$153,846.00	nat. median $165,000 0.9× median
231 OTHER	Coronary Bypass With Ptca With Mcc	11	$58,345.89	$241,260.41	$149,803.15	nat. median $74,989 2.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	$58,313.99	$241,126.59	$149,720.29	nat. median $76,493 2.0× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	11	$55,541.45	$229,507.57	$142,524.51	nat. median $74,209 1.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$134,310.00	$150,427.20	$141,025.50	nat. median $151,250 0.9× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$133,200.00	$149,184.00	$139,860.00	nat. median $156,696 0.9× median
002-4 OTHER	Heart And/or Lung Transplant	6	$132,272.77	$148,145.50	$138,886.41	nat. median $216,800 0.6× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	11	$53,879.05	$222,540.72	$138,209.89	nat. median $68,249 outlier · 2.0×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	$53,343.03	$220,294.36	$136,818.70	nat. median $72,612 1.9× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	11	$51,486.29	$212,513.24	$131,999.77	nat. median $68,309 1.9× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$122,819.21	$137,557.52	$128,960.17	nat. median $153,523 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	11	$61,819.54	$189,833.24	$125,826.39	nat. median $67,670 1.9× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	11	$48,787.83	$201,204.56	$124,996.20	nat. median $29,655 outlier · 4.2×
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	11	$64,338.83	$184,127.65	$124,233.24	nat. median $66,849 1.9× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	11	$48,037.13	$198,058.51	$123,047.82	nat. median $54,564 outlier · 2.3×
955 OTHER	Craniotomy For Multiple Significant Trauma	11	$47,166.16	$194,408.53	$120,787.35	nat. median $62,467 1.9× median
422080372 OTHER	Impella 5.5 Catheter System	16	$79.33	$227,763.20	$116,932.00	nat. median $116,932 1.0× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	$111,000.00	$124,320.00	$116,550.00	nat. median $125,000 0.9× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$109,890.00	$123,076.80	$115,384.50	nat. median $112,711 1.0× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	$109,806.49	$122,983.27	$115,296.81	nat. median $100,015 1.2× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	$44,649.77	$183,862.87	$114,256.32	nat. median $60,727 1.9× median
422090174 OTHER	Valve Cl (30000-40000)	16	$79.33	$222,208.00	$114,080.00	nat. median $114,080 1.0× median
420087302 OTHER	Nurostm Gen Nonrchg(35000-40000)	16	$79.33	$222,208.00	$114,080.00	nat. median $114,080 1.0× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$105,450.00	$118,104.00	$110,722.50	nat. median $95,000 1.2× median
276 OTHER	Non-maligant Breast Disorders	11	$42,859.63	$176,360.76	$109,610.20	nat. median $3,947 outlier · 27.8×
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	11	$42,613.68	$175,330.11	$108,971.90	nat. median $54,881 2.0× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	11	$42,277.39	$173,920.80	$108,099.10	nat. median $56,351 1.9× median
28 OTHER	Spinal Procedures With Mcc	11	$42,079.02	$173,089.44	$107,584.23	nat. median $52,701 outlier · 2.0×
356073352 OTHER	Remede Ipg W/leads	16	$79.33	$208,320.00	$106,950.00	nat. median $106,950 1.0× median
422073352 OTHER	Remede Ipg W/leads	16	$79.33	$208,320.00	$106,950.00	nat. median $106,950 1.0× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$101,010.00	$113,131.20	$106,060.50	nat. median $99,157 1.1× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	11	$41,476.43	$170,564.07	$106,020.25	nat. median $58,866 1.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	$41,194.48	$169,382.52	$105,288.50	nat. median $56,507 1.9× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	11	$41,163.91	$169,254.40	$105,209.15	nat. median $42,432 outlier · 2.5×
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	11	$40,752.21	$167,529.06	$104,140.63	nat. median $56,120 1.9× median
161-4 OTHER	Implantable Heart Assist Systems	6	$98,707.97	$110,552.93	$103,643.37	nat. median $202,242 0.5× median

Other procedures at this hospital

Browse this hospital's 20,141 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

1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	10	$696,620.15	$174,155.04 75% off	$192,144.21	$764,994.70	$478,569.46	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	11	$931,738.71	$232,934.68 75% off	$146,376.93	$610,179.09	$378,278.01	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	18	11	$670,360.09	$167,590.02 75% off	$137,695.55	$402,295.23	$269,995.39	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	6	—	—	$245,310.00	$274,747.20	$257,575.50	2026-05-08
583-4	OTHER	Neonate With Ecmo	10	6	—	—	$245,310.00	$274,747.20	$257,575.50	2026-05-08
583-3	OTHER	Neonate With Ecmo	10	6	—	—	$245,310.00	$274,747.20	$257,575.50	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	6	—	—	$227,544.57	$254,849.92	$238,921.80	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	6	—	—	$219,175.32	$245,476.36	$230,134.09	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	6	—	—	$198,769.55	$222,621.90	$208,708.03	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	18	11	$547,739.28	$136,934.82 75% off	$74,786.71	$310,160.23	$192,473.47	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	6	—	—	$183,150.00	$205,128.00	$192,307.50	2026-05-08
215	OTHER	Other Heart Assist System Implant	18	11	$442,038.27	$110,509.57 75% off	$72,754.72	$301,644.55	$187,199.64	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	11	$512,247.97	$128,061.99 75% off	$66,343.49	$274,776.47	$170,559.98	2026-05-08
583-2	OTHER	Neonate With Ecmo	10	6	—	—	$153,656.35	$172,095.11	$161,339.17	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	6	—	—	$146,520.00	$164,102.40	$153,846.00	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	18	11	$383,761.26	$95,940.32 75% off	$58,345.89	$241,260.41	$149,803.15	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	11	$482,234.32	$120,558.58 75% off	$58,313.99	$241,126.59	$149,720.29	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	18	11	$428,534.96	$107,133.74 75% off	$55,541.45	$229,507.57	$142,524.51	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	6	—	—	$134,310.00	$150,427.20	$141,025.50	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	6	—	—	$133,200.00	$149,184.00	$139,860.00	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	10	6	—	—	$132,272.77	$148,145.50	$138,886.41	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	18	11	$375,650.77	$93,912.69 75% off	$53,879.05	$222,540.72	$138,209.89	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	11	$509,321.34	$127,330.34 75% off	$53,343.03	$220,294.36	$136,818.70	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	18	11	$457,881.65	$114,470.41 75% off	$51,486.29	$212,513.24	$131,999.77	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	6	—	—	$122,819.21	$137,557.52	$128,960.17	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	11	$276,128.70	$69,032.17 75% off	$61,819.54	$189,833.24	$125,826.39	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	18	11	$344,176.83	$86,044.21 75% off	$48,787.83	$201,204.56	$124,996.20	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	18	11	$350,744.78	$87,686.19 75% off	$64,338.83	$184,127.65	$124,233.24	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	18	11	$289,028.30	$72,257.07 75% off	$48,037.13	$198,058.51	$123,047.82	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	18	11	$374,195.23	$93,548.81 75% off	$47,166.16	$194,408.53	$120,787.35	2026-05-08
422080372	OTHER	Impella 5.5 Catheter System	30	16	$203,360.00	$50,840.00 75% off	$79.33	$227,763.20	$116,932.00	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$111,000.00	$124,320.00	$116,550.00	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	6	—	—	$109,890.00	$123,076.80	$115,384.50	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$109,806.49	$122,983.27	$115,296.81	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	11	$509,053.79	$127,263.45 75% off	$44,649.77	$183,862.87	$114,256.32	2026-05-08
420087302	OTHER	Nurostm Gen Nonrchg(35000-40000)	30	16	$198,400.00	$49,600.00 75% off	$79.33	$222,208.00	$114,080.00	2026-05-08
422090174	OTHER	Valve Cl (30000-40000)	30	16	$198,400.00	$49,600.00 75% off	$79.33	$222,208.00	$114,080.00	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	6	—	—	$105,450.00	$118,104.00	$110,722.50	2026-05-08
276	OTHER	Non-maligant Breast Disorders	18	11	$254,925.76	$63,731.44 75% off	$42,859.63	$176,360.76	$109,610.20	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	18	11	$318,110.44	$79,527.61 75% off	$42,613.68	$175,330.11	$108,971.90	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	18	11	$357,334.25	$89,333.56 75% off	$42,277.39	$173,920.80	$108,099.10	2026-05-08
28	OTHER	Spinal Procedures With Mcc	18	11	$326,515.42	$81,628.85 75% off	$42,079.02	$173,089.44	$107,584.23	2026-05-08
356073352	OTHER	Remede Ipg W/leads	30	16	$186,000.00	$46,500.00 75% off	$79.33	$208,320.00	$106,950.00	2026-05-08
422073352	OTHER	Remede Ipg W/leads	30	16	$186,000.00	$46,500.00 75% off	$79.33	$208,320.00	$106,950.00	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	6	—	—	$101,010.00	$113,131.20	$106,060.50	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	18	11	$455,805.69	$113,951.42 75% off	$41,476.43	$170,564.07	$106,020.25	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	11	$386,024.68	$96,506.17 75% off	$41,194.48	$169,382.52	$105,288.50	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	18	11	$134,410.41	$33,602.60 75% off	$41,163.91	$169,254.40	$105,209.15	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	18	11	$352,546.97	$88,136.74 75% off	$40,752.21	$167,529.06	$104,140.63	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	10	6	—	—	$98,707.97	$110,552.93	$103,643.37	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$98,628.75	$110,464.20	$103,560.19	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	10	6	—	—	$96,765.82	$108,377.72	$101,604.11	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	11	$308,615.85	$77,153.96 75% off	$39,768.49	$163,406.46	$101,587.48	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$96,570.00	$108,158.40	$101,398.50	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	11	$275,079.08	$68,769.77 75% off	$39,535.46	$162,429.90	$100,982.68	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	18	11	$193,695.67	$48,423.92 75% off	$42,899.73	$158,714.44	$100,807.09	2026-05-08
356088645	OTHER	Valve Txcath W Dlvry Sys (30-35k)	30	16	$173,600.00	$43,400.00 75% off	$79.33	$194,432.00	$99,820.00	2026-05-08
422011405	OTHER	Tmr With Cabg 5 Vessels	15	11	$312,681.86	$78,170.47 75% off	$79.33	$297,047.77	$99,745.51	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	18	11	$154,570.11	$38,642.53 75% off	$38,327.52	$157,367.76	$97,847.64	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	18	11	$251,082.62	$62,770.65 75% off	$38,327.52	$157,367.76	$97,847.64	2026-05-08
422011404	OTHER	Tmr With Cabg 4 Vessels	15	11	$305,161.06	$76,290.27 75% off	$79.33	$289,903.01	$97,346.38	2026-05-08
356073383	OTHER	Triclip Kit	20	11	$193,440.00	$48,360.00 75% off	$79.33	$183,768.00	$96,139.68	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	18	11	$220,301.66	$55,075.42 75% off	$37,657.67	$154,560.52	$96,109.10	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	10	6	—	—	$91,327.43	$102,286.72	$95,893.80	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	18	11	$359,145.91	$89,786.48 75% off	$37,469.48	$153,771.87	$95,620.68	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	18	11	$288,397.95	$72,099.49 75% off	$37,434.82	$153,626.67	$95,530.74	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	18	11	$124,293.55	$31,073.39 75% off	$37,430.76	$153,609.59	$95,520.18	2026-05-08
583-1	OTHER	Neonate With Ecmo	10	6	—	—	$90,740.28	$101,629.11	$95,277.29	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	18	11	$321,033.23	$80,258.31 75% off	$36,920.55	$151,471.41	$94,195.98	2026-05-08
863-4	OTHER	Neonatal Aftercare	10	6	—	—	$89,321.49	$100,040.07	$93,787.56	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	11	$377,779.61	$94,444.90 75% off	$36,760.91	$150,802.35	$93,781.63	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	6	—	—	$88,800.00	$99,456.00	$93,240.00	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	6	—	—	$88,800.00	$99,456.00	$93,240.00	2026-05-08
422011403	OTHER	Tmr With Cabg 3 Vessels	15	11	$289,297.31	$72,324.33 75% off	$79.33	$274,832.44	$92,285.84	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	10	6	—	—	$87,803.31	$98,339.71	$92,193.48	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	6	—	—	$87,540.39	$98,045.24	$91,917.41	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	18	11	$245,106.98	$61,276.74 75% off	$35,648.78	$146,141.64	$90,895.21	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	18	11	$363,558.57	$90,889.64 75% off	$35,387.89	$145,048.36	$90,218.12	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	18	11	$260,501.92	$65,125.48 75% off	$35,281.91	$144,604.21	$89,943.06	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	18	11	$237,107.81	$59,276.95 75% off	$34,995.88	$143,405.58	$89,200.73	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	18	11	$193,821.42	$48,455.35 75% off	$46,048.73	$131,228.53	$88,638.63	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	18	11	$288,397.37	$72,099.34 75% off	$34,754.04	$142,392.01	$88,573.02	2026-05-08
422011402	OTHER	Tmr With Cabg 1 To 2 Vessels	15	11	$277,614.86	$69,403.72 75% off	$79.33	$263,734.12	$88,559.14	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	18	11	$244,206.40	$61,051.60 75% off	$34,631.74	$141,879.53	$88,255.63	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	18	11	$310,128.08	$77,532.02 75% off	$34,955.17	$138,292.19	$86,623.68	2026-05-08
245	OTHER	Aicd Generator Procedures	18	11	$183,455.15	$45,863.79 75% off	$33,976.15	$139,132.08	$86,554.12	2026-05-08
156080097	OTHER	Icd Bi-v D C1882 (25001-30000)	30	16	$148,800.00	$37,200.00 75% off	$79.33	$166,656.00	$85,560.00	2026-05-08
422073351	OTHER	Nurostm Gen Nonrchg(25000-30000)	30	16	$148,800.00	$37,200.00 75% off	$79.33	$166,656.00	$85,560.00	2026-05-08
487080097	OTHER	Icd Bi-v D C1882 (25001-30000)	30	16	$148,800.00	$37,200.00 75% off	$79.33	$166,656.00	$85,560.00	2026-05-08
356080097	OTHER	Icd Bi-v D C1882 (25001-30000)	30	16	$148,800.00	$37,200.00 75% off	$79.33	$166,656.00	$85,560.00	2026-05-08
356073351	OTHER	Nurostm Gen Nonrchg(25000-30000)	30	16	$148,800.00	$37,200.00 75% off	$79.33	$166,656.00	$85,560.00	2026-05-08
356073311	OTHER	Mitraclip Kit Cds And Cath	30	16	$148,800.00	$37,200.00 75% off	$79.33	$166,656.00	$85,560.00	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	18	11	$217,150.43	$54,287.61 75% off	$33,220.01	$135,963.26	$84,591.63	2026-05-08
799	OTHER	Splenectomy With Mcc	18	11	$187,709.44	$46,927.36 75% off	$33,079.37	$135,373.91	$84,226.64	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	18	11	$288,758.41	$72,189.60 75% off	$33,073.26	$135,348.29	$84,210.77	2026-05-08
420073349	OTHER	Nurostm Gen Nonrchg(29000-29500)	30	16	$146,320.00	$36,580.00 75% off	$79.33	$163,878.40	$84,134.00	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	18	11	$388,588.35	$97,147.09 75% off	$32,739.02	$133,947.51	$83,343.26	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	6	—	—	$79,047.66	$88,533.38	$83,000.04	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	18	11	$202,136.95	$50,534.24 75% off	$32,567.81	$133,230.04	$82,898.93	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	18	11	$183,673.10	$45,918.27 75% off	$32,380.30	$132,444.24	$82,412.27	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	10	6	—	—	$77,877.11	$87,222.36	$81,770.97	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	11	$346,585.48	$86,646.37 75% off	$31,977.44	$130,755.91	$81,366.68	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	18	11	$269,798.95	$67,449.74 75% off	$31,972.69	$130,735.98	$81,354.34	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	10	6	—	—	$77,290.75	$86,565.64	$81,155.29	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	18	11	$360,771.17	$90,192.79 75% off	$31,427.16	$128,449.76	$79,938.46	2026-05-08
420080064	OTHER	Impella Cath System 5.0	30	16	$138,880.00	$34,720.00 75% off	$79.33	$155,545.60	$79,856.00	2026-05-08
420072763	OTHER	Carotid Sinus Baroreceptor System	30	16	$138,880.00	$34,720.00 75% off	$79.33	$155,545.60	$79,856.00	2026-05-08
422080064	OTHER	Impella Cath System 5.0	30	16	$138,880.00	$34,720.00 75% off	$79.33	$155,545.60	$79,856.00	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	18	11	$291,820.39	$72,955.10 75% off	$31,244.40	$127,683.89	$79,464.15	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	18	11	$234,548.50	$58,637.13 75% off	$31,160.15	$127,330.85	$79,245.50	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$75,285.51	$84,319.77	$79,049.79	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	18	11	$229,333.50	$57,333.38 75% off	$30,876.17	$126,140.77	$78,508.47	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	6	—	—	$74,365.74	$83,289.63	$78,084.03	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	18	11	$329,449.29	$82,362.32 75% off	$30,620.05	$125,067.41	$77,843.73	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	10	6	—	—	$73,625.81	$82,460.91	$77,307.10	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	6	—	—	$73,005.44	$81,766.09	$76,655.71	2026-05-08
422011305	OTHER	Valve And Cabg 5 Vessels	15	11	$240,059.29	$60,014.82 75% off	$79.33	$228,056.33	$76,578.91	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	11	$227,163.41	$56,790.85 75% off	$30,111.89	$122,937.78	$76,524.84	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	10	6	—	—	$72,051.42	$80,697.59	$75,653.99	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	18	11	$189,737.21	$47,434.30 75% off	$29,756.57	$121,448.74	$75,602.65	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$71,941.68	$80,574.68	$75,538.76	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	18	11	$210,817.62	$52,704.40 75% off	$29,713.77	$121,269.38	$75,491.57	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	10	6	—	—	$71,752.79	$80,363.12	$75,340.43	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	18	11	$202,063.38	$50,515.85 75% off	$29,508.60	$120,409.55	$74,959.07	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	18	11	$159,597.83	$39,899.46 75% off	$29,246.36	$119,310.57	$74,278.46	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	18	11	$210,726.51	$52,681.63 75% off	$29,239.57	$119,282.10	$74,260.84	2026-05-08
356080419	OTHER	Cardiac Ipg (25000-26000)	30	16	$128,960.00	$32,240.00 75% off	$79.33	$144,435.20	$74,152.00	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	10	6	—	—	$70,552.18	$79,018.44	$74,079.79	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	18	11	$44,304.09	$11,076.02 75% off	$29,109.81	$118,738.31	$73,924.06	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	18	11	$210,210.01	$52,552.50 75% off	$29,043.23	$118,459.29	$73,751.26	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	18	11	$281,693.92	$70,423.48 75% off	$28,713.06	$117,075.60	$72,894.33	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	18	11	$292,247.85	$73,061.96 75% off	$28,697.42	$117,010.12	$72,853.77	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	10	6	—	—	$68,820.00	$77,078.40	$72,261.00	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	18	11	$50,929.01	$12,732.25 75% off	$28,409.38	$115,802.95	$72,106.16	2026-05-08
791	OTHER	Prematurity With Major Problems	18	11	$89,684.75	$22,421.19 75% off	$28,358.42	$115,589.41	$71,973.91	2026-05-08
422011203	OTHER	Cabg 3 Vessels Redo	15	11	$224,679.18	$56,169.80 75% off	$79.33	$213,445.22	$71,672.66	2026-05-08
356071293	OTHER	Pump Impella Rp Smart Assist	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
420070159	OTHER	Nurostim Gen Rechg (20000-25000)	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
420072189	OTHER	Joint/joint Dev Cl (20k-25k)	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
156080096	OTHER	Icd Bi-v D C1882 (19501-25000)	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
422080063	OTHER	Impella 2.5 Catheter System	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
487080096	OTHER	Icd Bi-v D C1882 (19501-25000)	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
356080063	OTHER	Impella 2.5 Catheter System	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
356080096	OTHER	Icd Bi-v D C1882 (19501-25000)	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
487080063	OTHER	Impella 2.5 Catheter System	30	16	$124,000.00	$31,000.00 75% off	$79.33	$138,880.00	$71,300.00	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	18	11	$206,241.76	$51,560.44 75% off	$27,840.74	$113,419.92	$70,630.33	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	18	11	$127,886.16	$31,971.54 75% off	$27,821.71	$113,340.20	$70,580.96	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	18	11	$225,293.85	$56,323.46 75% off	$27,582.58	$112,338.02	$69,960.30	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	18	11	$136,199.80	$34,049.95 75% off	$27,527.56	$112,107.41	$69,817.49	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	18	11	$59,401.34	$14,850.33 75% off	$27,473.20	$111,879.64	$69,676.42	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	18	11	$179,727.71	$44,931.93 75% off	$27,342.09	$111,330.15	$69,336.12	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$65,999.17	$73,919.07	$69,299.13	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	18	11	$201,063.94	$50,265.98 75% off	$27,195.33	$110,715.18	$68,955.26	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	18	11	$210,824.82	$52,706.20 75% off	$27,034.33	$110,040.42	$68,537.38	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	18	11	$286,265.57	$71,566.39 75% off	$27,007.84	$109,929.38	$68,468.61	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	10	6	—	—	$65,032.68	$72,836.60	$68,284.31	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	18	11	$214,273.44	$53,568.36 75% off	$26,934.46	$109,621.89	$68,278.18	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	18	11	$356,698.15	$89,174.54 75% off	$26,744.92	$108,827.55	$67,786.24	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	6	—	—	$64,419.21	$72,149.52	$67,640.17	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	11	$194,225.97	$48,556.49 75% off	$26,604.29	$108,238.20	$67,421.24	2026-05-08
220086945	OTHER	Mesh Cl (22000-23500)	30	16	$116,560.00	$29,140.00 75% off	$79.33	$130,547.20	$67,022.00	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	18	11	$236,170.37	$59,042.59 75% off	$26,403.18	$107,395.46	$66,899.32	2026-05-08
570	OTHER	Skin Debridement With Mcc	18	11	$122,212.58	$30,553.15 75% off	$48,069.88	$85,703.41	$66,886.65	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	18	11	$305,514.89	$76,378.72 75% off	$26,198.71	$106,538.48	$66,368.60	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	10	6	—	—	$62,629.81	$70,145.39	$65,761.30	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	10	6	—	—	$62,538.59	$70,043.22	$65,665.52	2026-05-08
420072765	OTHER	Graft Cl (22500-23000)	30	16	$114,080.00	$28,520.00 75% off	$79.33	$127,769.60	$65,596.00	2026-05-08
356099239	OTHER	Cardiac Ipg (22500-23000)	30	16	$114,080.00	$28,520.00 75% off	$79.33	$127,769.60	$65,596.00	2026-05-08
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	18	11	$170,567.25	$42,641.81 75% off	$25,564.84	$103,882.14	$64,723.49	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With Mcc	18	11	$212,157.52	$53,039.38 75% off	$25,392.97	$103,161.82	$64,277.39	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	18	11	$283,013.85	$70,753.46 75% off	$25,129.37	$102,057.15	$63,593.26	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	18	11	$217,895.45	$54,473.86 75% off	$25,125.29	$102,040.06	$63,582.68	2026-05-08
265	OTHER	Aicd Lead Procedures	18	11	$200,310.14	$50,077.54 75% off	$25,011.16	$101,561.75	$63,286.46	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	18	11	$247,219.36	$61,804.84 75% off	$24,902.45	$101,106.22	$63,004.33	2026-05-08
420080335	OTHER	Urinary Sphincter (20000-22000)	30	16	$109,120.00	$27,280.00 75% off	$79.33	$122,214.40	$62,744.00	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	18	11	$197,664.46	$49,416.11 75% off	$24,694.57	$100,235.00	$62,464.79	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	18	11	$200,232.75	$50,058.19 75% off	$24,580.43	$99,756.69	$62,168.56	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	18	11	$228,958.08	$57,239.52 75% off	$24,572.97	$99,725.37	$62,149.17	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	18	11	$112,347.93	$28,086.98 75% off	$24,563.45	$99,685.51	$62,124.48	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	18	11	$151,319.69	$37,829.92 75% off	$24,521.33	$99,508.99	$62,015.16	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	6	—	—	$58,832.64	$65,892.56	$61,774.27	2026-05-08
356075016	OTHER	Leadless Dual Pm (20000-25000)	20	11	$124,000.00	$31,000.00 75% off	$79.33	$117,800.00	$61,628.00	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	18	11	$196,204.85	$49,051.21 75% off	$24,316.15	$98,649.17	$61,482.66	2026-05-08
420073659	OTHER	Nurostm Gen Nonrchg(20000-21500)	30	16	$106,640.00	$26,660.00 75% off	$79.33	$119,436.80	$61,318.00	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	18	11	$187,191.99	$46,798.00 75% off	$24,176.88	$98,065.51	$61,121.19	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	18	11	$154,874.58	$38,718.64 75% off	$24,140.20	$97,911.77	$61,025.99	2026-05-08
665	OTHER	Prostatectomy With Mcc	18	11	$121,380.97	$30,345.24 75% off	$24,103.51	$97,758.03	$60,930.77	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	18	11	$204,197.34	$51,049.33 75% off	$24,081.78	$97,666.92	$60,874.35	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	18	11	$201,692.56	$50,423.14 75% off	$24,046.45	$97,518.87	$60,782.66	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	18	11	$168,475.72	$42,118.93 75% off	$23,917.36	$96,977.92	$60,447.64	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	18	11	$143,848.29	$35,962.07 75% off	$23,820.90	$96,573.63	$60,197.26	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	10	6	—	—	$56,870.74	$63,695.23	$59,714.28	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	10	6	—	—	$56,870.74	$63,695.23	$59,714.28	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	18	11	$185,855.83	$46,463.96 75% off	$23,581.07	$95,568.61	$59,574.84	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	6	—	—	$56,663.71	$63,463.36	$59,496.90	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	18	11	$206,025.31	$51,506.33 75% off	$23,337.86	$94,549.34	$58,943.60	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	18	11	$250,993.96	$62,748.49 75% off	$23,208.79	$94,008.39	$58,608.59	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	6	—	—	$55,523.31	$62,186.11	$58,299.48	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	10	6	—	—	$55,500.00	$62,160.00	$58,275.00	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	6	—	—	$55,500.00	$62,160.00	$58,275.00	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	18	11	$210,039.11	$52,509.78 75% off	$22,983.23	$93,063.16	$58,023.19	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	18	11	$108,695.95	$27,173.99 75% off	$22,920.05	$92,798.38	$57,859.21	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	18	11	$110,864.90	$27,716.22 75% off	$22,910.54	$92,758.52	$57,834.53	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	10	6	—	—	$54,560.01	$61,107.21	$57,288.01	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	18	11	$121,719.49	$30,429.87 75% off	$22,647.61	$91,656.69	$57,152.15	2026-05-08
420073381	OTHER	Coatd/covrd De Stent(19001-20000)	30	16	$99,200.00	$24,800.00 75% off	$79.33	$111,104.00	$57,040.00	2026-05-08
420073372	OTHER	Urinary Sphincter (19000-20000)	30	16	$99,200.00	$24,800.00 75% off	$79.33	$111,104.00	$57,040.00	2026-05-08
279	OTHER	Cellulitis Age 0-17	18	11	$143,437.88	$35,859.47 75% off	$22,546.39	$91,232.47	$56,889.43	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	10	6	—	—	$54,062.45	$60,549.94	$56,765.57	2026-05-08
324	OTHER	Urinary Stones Without Cc	18	11	$125,100.37	$31,275.09 75% off	$22,483.21	$90,967.69	$56,725.45	2026-05-08
504077923	OTHER	Neurostim Ipg Reprgm With Extention	30	16	$98,580.00	$24,645.00 75% off	$79.33	$110,409.60	$56,683.50	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	18	11	$114,669.91	$28,667.48 75% off	$22,441.77	$90,794.02	$56,617.89	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	18	11	$177,731.58	$44,432.89 75% off	$22,339.86	$90,366.95	$56,353.40	2026-05-08
500	OTHER	Soft Tissue Procedures With Mcc	18	11	$153,771.61	$38,442.90 75% off	$22,303.86	$90,216.06	$56,259.96	2026-05-08
356014931	OTHER	Tavr	15	11	$176,299.83	$44,074.96 75% off	$79.33	$167,484.84	$56,239.65	2026-05-08
356080095	OTHER	Icd Bi-v D C1882 (18501-19500)	30	16	$96,720.00	$24,180.00 75% off	$79.33	$108,326.40	$55,614.00	2026-05-08
156080095	OTHER	Icd Bi-v D C1882 (18501-19500)	30	16	$96,720.00	$24,180.00 75% off	$79.33	$108,326.40	$55,614.00	2026-05-08
487080095	OTHER	Icd Bi-v D C1882 (18501-19500)	30	16	$96,720.00	$24,180.00 75% off	$79.33	$108,326.40	$55,614.00	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	18	11	$158,028.33	$39,507.08 75% off	$21,979.81	$88,857.99	$55,418.90	2026-05-08
662	OTHER	Minor Bladder Procedures With Mcc	18	11	$116,912.39	$29,228.10 75% off	$21,970.29	$88,818.13	$55,394.21	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	18	11	$176,848.20	$44,212.05 75% off	$21,879.92	$88,439.47	$55,159.69	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	18	11	$155,145.97	$38,786.49 75% off	$21,785.50	$88,043.72	$54,914.61	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	18	11	$61,820.46	$15,455.12 75% off	$21,727.07	$87,798.87	$54,762.97	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	10	6	—	—	$51,997.64	$58,237.36	$54,597.52	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$51,857.62	$58,080.53	$54,450.50	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	6	—	—	$51,805.72	$58,022.41	$54,396.01	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	18	11	$147,792.34	$36,948.08 75% off	$21,555.87	$87,081.40	$54,318.64	2026-05-08
420072569	OTHER	Endovascular Stent Graft (18k-19k	30	16	$94,240.00	$23,560.00 75% off	$79.33	$105,548.80	$54,188.00	2026-05-08
487080226	OTHER	Coatd/covrd De Stnt(18001-19000)	30	16	$94,240.00	$23,560.00 75% off	$79.33	$105,548.80	$54,188.00	2026-05-08
420071529	OTHER	Mesh Cl (18500-19000)	30	16	$94,240.00	$23,560.00 75% off	$79.33	$105,548.80	$54,188.00	2026-05-08
420080083	OTHER	Nurostm Gen Nonrchg(18001-19000)	30	16	$94,240.00	$23,560.00 75% off	$79.33	$105,548.80	$54,188.00	2026-05-08
420080226	OTHER	Coatd/covrd De Stnt(18001-19000)	30	16	$94,240.00	$23,560.00 75% off	$79.33	$105,548.80	$54,188.00	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	6	—	—	$51,280.79	$57,434.48	$53,844.83	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc	18	11	$214,923.86	$53,730.96 75% off	$21,064.00	$85,020.10	$53,042.05	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	10	6	—	—	$50,398.88	$56,446.75	$52,918.82	2026-05-08
156080094	OTHER	Icd Bi-v D C1882 (17500-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
422088631	OTHER	Graft Cl 62 (18000-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
220079983	OTHER	Nurostm Gen Nonrchg (17001-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
487080094	OTHER	Icd Bi-v D C1882 (17500-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
420079983	OTHER	Nurostm Gen Nonrchg (17001-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
422080094	OTHER	Icd Bi-v D C1882 (17500-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
420079773	OTHER	Nurostim Gen Rechg (17501-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
356080094	OTHER	Icd Bi-v D C1882 (17500-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
420088631	OTHER	Graft Cl 62 (18000-18500)	30	16	$91,760.00	$22,940.00 75% off	$79.33	$102,771.20	$52,762.00	2026-05-08
420077411	OTHER	Generator Pulse Vns Therapy	30	16	$91,755.04	$22,938.76 75% off	$79.33	$102,765.64	$52,759.14	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	18	11	$197,842.77	$49,460.69 75% off	$20,808.56	$83,949.59	$52,379.07	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$49,819.32	$55,797.64	$52,310.29	2026-05-08
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	18	11	$166,935.23	$41,733.81 75% off	$20,702.58	$83,505.44	$52,104.01	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	10	6	—	—	$49,530.49	$55,474.15	$52,007.01	2026-05-08
668	OTHER	Transurethral Procedures With Mcc	18	11	$78,074.85	$19,518.71 75% off	$20,589.12	$83,029.98	$51,809.55	2026-05-08
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	18	11	$167,889.88	$41,972.47 75% off	$20,578.25	$82,984.42	$51,781.33	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	18	11	$143,035.39	$35,758.85 75% off	$20,561.27	$82,913.25	$51,737.26	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	10	6	—	—	$49,157.14	$55,056.00	$51,615.00	2026-05-08
472	OTHER	Cervical Spinal Fusion With Cc	18	11	$177,534.73	$44,383.68 75% off	$20,459.36	$82,486.18	$51,472.77	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	10	6	—	—	$48,897.90	$54,765.65	$51,342.80	2026-05-08
420080336	OTHER	Urinary Sphincter (16000-18000)	30	16	$89,280.00	$22,320.00 75% off	$79.33	$99,993.60	$51,336.00	2026-05-08
420071877	OTHER	Penile Implant (17000-18000)	30	16	$89,280.00	$22,320.00 75% off	$79.33	$99,993.60	$51,336.00	2026-05-08
504079773	OTHER	Nurostim Gen Rechg (17501-18000)	30	16	$89,280.00	$22,320.00 75% off	$79.33	$99,993.60	$51,336.00	2026-05-08
487088164	OTHER	Embolization Device (17000-18000)	30	16	$89,280.00	$22,320.00 75% off	$79.33	$99,993.60	$51,336.00	2026-05-08
420086947	OTHER	Mesh Cl (17501-18000)	30	16	$89,280.00	$22,320.00 75% off	$79.33	$99,993.60	$51,336.00	2026-05-08
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	18	11	$225,886.11	$56,471.53 75% off	$20,254.88	$81,629.20	$50,942.04	2026-05-08
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	18	11	$117,675.49	$29,418.87 75% off	$20,220.90	$81,486.85	$50,853.88	2026-05-08
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	18	11	$153,195.25	$38,298.81 75% off	$20,193.73	$81,372.97	$50,783.35	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	10	6	—	—	$48,222.15	$54,008.81	$50,633.26	2026-05-08
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	18	11	$118,239.35	$29,559.84 75% off	$20,116.96	$81,051.24	$50,584.10	2026-05-08
006-4	OTHER	Pancreas Transplant	10	6	—	—	$48,092.12	$53,863.17	$50,496.73	2026-05-08
654	OTHER	Major Bladder Procedures With Cc	18	11	$58,559.85	$14,639.96 75% off	$19,949.16	$80,348.01	$50,148.58	2026-05-08
220080072	OTHER	Mesh Cl (16501-17500)	30	16	$86,800.00	$21,700.00 75% off	$79.33	$97,216.00	$49,910.00	2026-05-08
420079772	OTHER	Nurostim Gen Rechg (17001-17500)	30	16	$86,800.00	$21,700.00 75% off	$79.33	$97,216.00	$49,910.00	2026-05-08
504079772	OTHER	Nurostim Gen Rechg (17001-17500)	30	16	$86,800.00	$21,700.00 75% off	$79.33	$97,216.00	$49,910.00	2026-05-08
420087056	OTHER	Graft Cl 60 (17000-17500)	30	16	$86,800.00	$21,700.00 75% off	$79.33	$97,216.00	$49,910.00	2026-05-08
420080072	OTHER	Mesh Cl (16501-17500)	30	16	$86,800.00	$21,700.00 75% off	$79.33	$97,216.00	$49,910.00	2026-05-08
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	18	11	$110,802.50	$27,700.62 75% off	$19,856.09	$79,957.96	$49,907.03	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$46,653.32	$52,251.72	$48,985.99	2026-05-08
288	OTHER	Acute And Subacute Endocarditis With Mcc	18	11	$396,010.66	$99,002.66 75% off	$19,333.64	$77,768.54	$48,551.09	2026-05-08
356080088	OTHER	Icd Dual C1721 (16001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
487080088	OTHER	Icd Dual C1721 (16001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
220071875	OTHER	Penile Implant (16000-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
356080093	OTHER	Icd Single Rr C1722 (15001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
420071875	OTHER	Penile Implant (16000-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
487080093	OTHER	Icd Single Rr C1722 (15001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
156080093	OTHER	Icd Single Rr C1722 (15001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
420080225	OTHER	Coatd/covrd De Stnt(16001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
420079982	OTHER	Nurostm Gen Nonrchg (15501-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
156080088	OTHER	Icd Dual C1721 (16001-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
487088162	OTHER	Embolization Device (16000-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
420072186	OTHER	Joint/joint Dev Cl (16500-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
420088630	OTHER	Graft Cl 59 (16500-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
356080297	OTHER	Watchman Laa Occluder	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
420079771	OTHER	Nurostim Gen Rechg (16501-17000)	30	16	$84,320.00	$21,080.00 75% off	$79.33	$94,438.40	$48,484.00	2026-05-08
963	OTHER	Other Multiple Significant Trauma With Mcc	18	11	$160,128.12	$40,032.03 75% off	$19,233.09	$77,347.17	$48,290.13	2026-05-08
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	18	11	$128,977.56	$32,244.39 75% off	$19,142.73	$76,968.50	$48,055.61	2026-05-08
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	18	11	$123,624.85	$30,906.21 75% off	$19,082.28	$76,715.11	$47,898.69	2026-05-08
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	18	11	$148,493.51	$37,123.38 75% off	$19,009.57	$76,410.47	$47,710.02	2026-05-08
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	18	11	$206,903.79	$51,725.95 75% off	$18,866.90	$75,812.58	$47,339.74	2026-05-08
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	18	11	$94,992.30	$23,748.08 75% off	$18,802.37	$75,542.10	$47,172.24	2026-05-08
220079685	OTHER	Nurostim Gen Rechg (16001-16500)	30	16	$81,840.00	$20,460.00 75% off	$79.33	$91,660.80	$47,058.00	2026-05-08
420079685	OTHER	Nurostim Gen Rechg (16001-16500)	30	16	$81,840.00	$20,460.00 75% off	$79.33	$91,660.80	$47,058.00	2026-05-08
420080205	OTHER	Graft Cl 58 (16000-16500)	30	16	$81,840.00	$20,460.00 75% off	$79.33	$91,660.80	$47,058.00	2026-05-08
420078099	OTHER	Stent Cl (16000-16500)	30	16	$81,840.00	$20,460.00 75% off	$79.33	$91,660.80	$47,058.00	2026-05-08

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