Hospital

MANATEE MEMORIAL HOSPITAL

Bradenton, FL · CCN 100035 · Rates published

11,072 distinct procedures filed

16 distinct payers

420,939 rate rows

2026-05-06 last MRF observed

Data quality

398,291 of 420,939 rate rows are consumer-grade (94.6%)

22,648 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	21,246
exceeds 10× this hospital's gross charge — excluded from medians	944
template filing: same amount across many unrelated codes — excluded	387
placeholder amount (≤ $0.02) — excluded from medians	71

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/232798290_manatee-memorial-hospital_standardcharges.csv
Found on page	https://manateememorial.com/patients-visitors/pricing-guide/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	7560dbde5adda1bb… · 137,225,092 bytes · first seen 2026-05-06

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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	7	$3,747,100.00	$4,081,000.00	$3,821,300.00	nat. median $3,746,358 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	7	$3,747,100.00	$4,081,000.00	$3,821,300.00	nat. median $3,605,000 1.1× median
9141 OTHER	Inj Onase Abepar-xioi Treat	9	$2,427,493.34	$4,206,053.00	$2,499,597.10	nat. median $2,588,981 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos T	9	$571,280.07	$989,842.00	$588,248.79	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	9	$556,831.52	$964,807.00	$573,371.07	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	9	$533,595.55	$924,547.00	$549,444.92	nat. median $558,082 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	9	$521,650.83	$903,850.00	$537,145.41	nat. median $562,201 1.0× median
9035 OTHER	Axicabtagene Ciloleucel Car+	9	$494,412.32	$856,655.00	$509,097.84	nat. median $532,192 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	9	$492,932.03	$854,090.00	$507,573.57	nat. median $489,450 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$197,178.00	$760,290.59	$340,836.43	nat. median $239,422 1.4× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$656.23	$1,017,906.19	$314,698.14	nat. median $386,529 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$1.56	$640,302.09	$197,010.06	nat. median $146,562 1.3× median
C1825 OTHER	Barostim Neo Ipg Model 2104	5	$11,538.00	$606,484.35	$184,085.84	nat. median $3,203 outlier · 57.5×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	$112.01	$578,460.32	$178,838.08	nat. median $181,005 1.0× median
5834 OTHER	Neonate With Ecmo	8	$164,184.11	$191,282.46	$171,357.20	nat. median $372,748 outlier · 0.5×
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	9	$154,025.51	$266,876.00	$158,600.52	nat. median $153,199 1.0× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	9	$154,025.51	$266,876.00	$158,600.52	nat. median $152,962 1.0× median
7 OTHER	Lung Transplant	10	$91,482.00	$352,739.98	$158,132.48	nat. median $169,933 0.9× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	9	$138,875.51	$240,626.00	$143,000.52	nat. median $137,903 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	9	$138,875.51	$240,626.00	$143,000.52	nat. median $138,020 1.0× median
215 OTHER	Other Heart Assist System Implant	10	$74,164.00	$285,964.25	$128,197.08	nat. median $92,359 1.4× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$73,328.00	$282,741.52	$126,752.34	nat. median $80,273 1.6× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	13	$3,861.72	$214,376.00	$123,725.51	nat. median $119,935 1.0× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	13	$6,560.48	$214,376.00	$123,725.51	nat. median $120,174 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	14	$713.37	$381,382.83	$117,909.17	nat. median $134,983 0.9× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$67,558.00	$260,492.84	$116,778.31	nat. median $90,130 1.3× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$107,111.40	$124,789.98	$111,791.02	nat. median $243,175 outlier · 0.5×
5833 OTHER	Neonate With Ecmo	8	$106,363.49	$123,918.63	$111,010.43	nat. median $252,069 outlier · 0.4×
14 OTHER	Allogeneic Bone Marrow Transplant	14	$57,438.89	$353,630.68	$109,329.25	nat. median $100,915 1.1× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	13	$2,559.17	$188,126.00	$108,575.51	nat. median $105,693 1.0× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	13	$2,838.34	$188,126.00	$108,575.51	nat. median $105,172 1.0× median
C1823 OTHER	Implant Pulse Generator Remede	5	$11,538.00	$341,318.35	$107,415.08	nat. median $40 outlier · 2685.4×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	$59,284.00	$228,592.18	$102,477.32	nat. median $76,493 1.3× median
1585 OTHER	New Technology - Level 48 ($90,001-$100,000)	9	$95,950.51	$166,251.00	$98,800.52	nat. median $95,360 1.0× median
1599 OTHER	New Technology - Level 48 ($90,001-$100,000)	9	$95,950.51	$166,251.00	$98,800.52	nat. median $95,288 1.0× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	$54,163.00	$208,842.86	$93,623.75	nat. median $72,612 1.3× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	$430.77	$297,432.72	$91,954.96	nat. median $111,558 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	$52,249.00	$201,466.22	$90,316.82	nat. median $68,309 1.3× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	14	$42.63	$287,437.96	$88,864.96	nat. median $94,894 0.9× median
1584 OTHER	New Technology - Level 47 ($80,001-$90,000)	9	$85,850.51	$148,751.00	$88,400.52	nat. median $85,390 1.0× median
1598 OTHER	New Technology - Level 47 ($80,001-$90,000)	9	$85,850.51	$148,751.00	$88,400.52	nat. median $85,322 1.0× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	14	$308.93	$294,037.25	$87,860.54	nat. median $90,581 1.0× median
5832 OTHER	Neonate With Ecmo	8	$81,667.75	$95,146.89	$85,235.76	nat. median $152,272 0.6× median
1614 OTHER	Implantable Heart Assist Systems	8	$81,291.94	$94,709.06	$84,843.53	nat. median $194,298 outlier · 0.4×
955 OTHER	Craniotomy For Multiple Significant Trauma	10	$47,798.00	$184,302.65	$82,622.43	nat. median $62,467 1.3× median
6304 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$78,134.07	$91,029.99	$81,547.70	nat. median $164,743 outlier · 0.5×
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	10	$46,933.00	$180,966.56	$81,126.87	nat. median $54,322 1.5× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	8	$77,063.67	$89,782.92	$80,430.54	nat. median $161,322 outlier · 0.5×
1597 OTHER	New Technology - Level 46 ($70,001-$80,000)	9	$75,750.51	$131,251.00	$78,000.52	nat. median $75,284 1.0× median
1583 OTHER	New Technology - Level 46 ($70,001-$80,000)	9	$75,750.51	$131,251.00	$78,000.52	nat. median $75,344 1.0× median

Other procedures at this hospital

Browse this hospital's 11,072 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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	7	7	—	—	$3,747,100.00	$4,081,000.00	$3,821,300.00	2026-05-06
773	OTHER	Inj, Beqvez, Per Tx Dose	7	7	—	—	$3,747,100.00	$4,081,000.00	$3,821,300.00	2026-05-06
9141	OTHER	Inj Onase Abepar-xioi Treat	9	9	—	—	$2,427,493.34	$4,206,053.00	$2,499,597.10	2026-05-06
9194	OTHER	Tisagenlecleucel Car-pos T	9	9	—	—	$571,280.07	$989,842.00	$588,248.79	2026-05-06
9498	OTHER	Ciltacabtagene Car-pos T	9	9	—	—	$556,831.52	$964,807.00	$573,371.07	2026-05-06
9422	OTHER	Idecabtagene Vicleucel Car	9	9	—	—	$533,595.55	$924,547.00	$549,444.92	2026-05-06
9413	OTHER	Lisocabtagene Car Pos T	9	9	—	—	$521,650.83	$903,850.00	$537,145.41	2026-05-06
9035	OTHER	Axicabtagene Ciloleucel Car+	9	9	—	—	$494,412.32	$856,655.00	$509,097.84	2026-05-06
9391	OTHER	Brexucabtagene Car Pos T	9	9	—	—	$492,932.03	$854,090.00	$507,573.57	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	10	—	—	$197,178.00	$760,290.59	$340,836.43	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	14	—	—	$656.23	$1,017,906.19	$314,698.14	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	10	—	—	$1.56	$640,302.09	$197,010.06	2026-05-06
C1825	OTHER	Barostim Neo Ipg Model 2104	11	5	$620,444.00	$248,177.60 60% off	$11,538.00	$606,484.35	$184,085.84	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	14	—	—	$112.01	$578,460.32	$178,838.08	2026-05-06
5834	OTHER	Neonate With Ecmo	8	8	—	—	$164,184.11	$191,282.46	$171,357.20	2026-05-06
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	9	9	—	—	$154,025.51	$266,876.00	$158,600.52	2026-05-06
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	9	9	—	—	$154,025.51	$266,876.00	$158,600.52	2026-05-06
7	OTHER	Lung Transplant	20	10	—	—	$91,482.00	$352,739.98	$158,132.48	2026-05-06
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	9	9	—	—	$138,875.51	$240,626.00	$143,000.52	2026-05-06
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	9	9	—	—	$138,875.51	$240,626.00	$143,000.52	2026-05-06
215	OTHER	Other Heart Assist System Implant	20	10	—	—	$74,164.00	$285,964.25	$128,197.08	2026-05-06
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	20	10	—	—	$73,328.00	$282,741.52	$126,752.34	2026-05-06
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	17	13	—	—	$6,560.48	$214,376.00	$123,725.51	2026-05-06
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	17	13	—	—	$3,861.72	$214,376.00	$123,725.51	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	14	—	—	$713.37	$381,382.83	$117,909.17	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	20	10	—	—	$67,558.00	$260,492.84	$116,778.31	2026-05-06
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$107,111.40	$124,789.98	$111,791.02	2026-05-06
5833	OTHER	Neonate With Ecmo	8	8	—	—	$106,363.49	$123,918.63	$111,010.43	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	28	14	—	—	$57,438.89	$353,630.68	$109,329.25	2026-05-06
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	17	13	—	—	$2,838.34	$188,126.00	$108,575.51	2026-05-06
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	17	13	—	—	$2,559.17	$188,126.00	$108,575.51	2026-05-06
C1823	OTHER	Implant Pulse Generator Remede	6	5	$401,551.00	$160,620.40 60% off	$11,538.00	$341,318.35	$107,415.08	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	10	—	—	$59,284.00	$228,592.18	$102,477.32	2026-05-06
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	9	9	—	—	$95,950.51	$166,251.00	$98,800.52	2026-05-06
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	9	9	—	—	$95,950.51	$166,251.00	$98,800.52	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	20	10	—	—	$54,163.00	$208,842.86	$93,623.75	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	14	—	—	$430.77	$297,432.72	$91,954.96	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	20	10	—	—	$52,249.00	$201,466.22	$90,316.82	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	28	14	—	—	$42.63	$287,437.96	$88,864.96	2026-05-06
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	9	9	—	—	$85,850.51	$148,751.00	$88,400.52	2026-05-06
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	9	9	—	—	$85,850.51	$148,751.00	$88,400.52	2026-05-06
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	36	14	—	—	$308.93	$294,037.25	$87,860.54	2026-05-06
5832	OTHER	Neonate With Ecmo	8	8	—	—	$81,667.75	$95,146.89	$85,235.76	2026-05-06
1614	OTHER	Implantable Heart Assist Systems	8	8	—	—	$81,291.94	$94,709.06	$84,843.53	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	20	10	—	—	$47,798.00	$184,302.65	$82,622.43	2026-05-06
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$78,134.07	$91,029.99	$81,547.70	2026-05-06
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	20	10	—	—	$46,933.00	$180,966.56	$81,126.87	2026-05-06
8414	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$77,063.67	$89,782.92	$80,430.54	2026-05-06
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	9	9	—	—	$75,750.51	$131,251.00	$78,000.52	2026-05-06
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	9	9	—	—	$75,750.51	$131,251.00	$78,000.52	2026-05-06
850	OTHER	Acute Leukemia With Other Procedures	28	14	—	—	$170.59	$248,638.39	$76,869.60	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	20	10	—	—	$44,270.00	$170,699.18	$76,524.03	2026-05-06
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$70,426.19	$82,049.92	$73,503.05	2026-05-06
C1721	OTHER	Defib Current Dr 2207 Jude	205	5	$223,088.00	$89,235.20 60% off	$6,056.97	$412,113.15	$73,303.17	2026-05-06
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$69,662.36	$81,160.03	$72,705.86	2026-05-06
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$69,141.04	$80,552.67	$72,161.77	2026-05-06
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$68,043.99	$79,274.55	$71,016.79	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	28	14	—	—	$5,793.32	$228,719.03	$70,711.29	2026-05-06
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	28	14	—	—	$27.46	$225,121.13	$69,598.95	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	20	10	—	—	$40,176.00	$154,912.15	$69,446.74	2026-05-06
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	9	9	—	—	$65,650.51	$113,751.00	$67,600.52	2026-05-06
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	9	9	—	—	$65,650.51	$113,751.00	$67,600.52	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	14	—	—	$851.55	$217,577.15	$67,266.64	2026-05-06
10	OTHER	Pancreas Transplant	28	14	—	—	$796.01	$215,199.24	$66,531.48	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	14	—	—	$600.11	$213,965.75	$66,150.13	2026-05-06
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$63,094.10	$73,507.69	$65,850.64	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	20	10	—	—	$38,088.00	$146,860.73	$65,837.31	2026-05-06
C1882	OTHER	Defib Resonate Hf Rt Df-4	222	5	$162,747.50	$65,099.00 60% off	$9,783.00	$372,923.90	$63,839.68	2026-05-06
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$61,127.33	$71,216.31	$63,797.94	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	36	14	—	—	$1,109.23	$210,972.45	$63,040.15	2026-05-06
C1722	OTHER	Icd Intica Neo 7 Vr-t 429559	214	5	$169,441.00	$67,776.40 60% off	$3.43	$309,717.90	$62,373.82	2026-05-06
5831	OTHER	Neonate With Ecmo	8	8	—	—	$59,361.60	$69,159.15	$61,955.07	2026-05-06
5244	OTHER	Level 4 Blood Product Exchange And Related Services	9	9	—	—	$59,733.75	$103,499.00	$61,508.02	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	20	10	—	—	$35,553.00	$137,087.29	$61,455.90	2026-05-06
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$58,360.07	$67,992.32	$60,909.79	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	20	10	—	—	$35,050.00	$135,149.34	$60,587.12	2026-05-06
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	28	14	—	—	$62.28	$191,708.98	$59,269.18	2026-05-06
1643	OTHER	Y90 Ibritumomab, Rx	9	9	—	—	$57,392.79	$99,443.00	$59,097.53	2026-05-06
6	OTHER	Liver Transplant Without Mcc	20	10	—	—	$33,944.00	$130,884.76	$58,675.32	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	28	14	—	—	$99.61	$187,762.89	$58,049.19	2026-05-06
9273	OTHER	Sipuleucel-t Auto Cd54+	9	9	—	—	$56,091.86	$97,189.00	$57,757.96	2026-05-06
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	9	9	—	—	$55,550.50	$96,251.00	$57,200.52	2026-05-06
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	9	9	—	—	$55,550.50	$96,251.00	$57,200.52	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	20	10	—	—	$32,264.00	$124,406.92	$55,771.32	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	28	14	—	—	$3,617.54	$179,965.19	$55,638.44	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	29	10	—	—	$1.67	$180,270.19	$55,466.07	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	36	14	—	—	$1,111.68	$153,986.35	$54,295.93	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	14	—	—	$1,521.98	$174,556.20	$53,966.18	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	14	—	—	$873.86	$174,305.18	$53,888.58	2026-05-06
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$50,504.83	$58,840.58	$52,711.35	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	20	10	—	—	$30,288.00	$116,787.36	$52,355.49	2026-05-06
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	28	14	—	—	$99.45	$166,977.12	$51,623.02	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	14	—	—	$4,589.26	$166,215.98	$51,387.71	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	20	10	—	—	$29,604.00	$114,150.34	$51,173.32	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	28	14	—	—	$7,450.93	$164,879.92	$50,974.65	2026-05-06
28	OTHER	Spinal Procedures With Mcc	28	14	—	—	$3,216.22	$164,091.78	$50,730.98	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	20	10	—	—	$29,334.00	$113,108.48	$50,706.26	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	28	14	—	—	$121.96	$162,914.98	$50,367.16	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	28	14	—	—	$251.40	$162,914.98	$50,367.16	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	14	—	—	$3,007.84	$161,697.68	$49,990.82	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	20	10	—	—	$28,785.00	$110,989.69	$49,756.41	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	20	10	—	—	$28,769.00	$110,927.61	$49,728.58	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	14	—	—	$3,158.61	$160,577.56	$49,644.51	2026-05-06
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$47,428.41	$55,256.40	$49,500.53	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	36	14	—	—	$1,116.91	$165,635.67	$49,493.18	2026-05-06
791	OTHER	Prematurity With Major Problems	20	10	—	—	$28,419.00	$109,580.76	$49,124.79	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	14	—	—	$2,182.03	$158,820.44	$49,101.29	2026-05-06
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$46,852.30	$54,585.21	$48,899.25	2026-05-06
C2616	OTHER	Brach Y-90 Nonstrand Per Srce	12	5	$168,028.00	$67,211.20 60% off	$11,538.00	$176,980.20	$48,382.79	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	20	10	—	—	$27,886.00	$107,524.05	$48,202.77	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	37	14	—	—	$23.75	$157,149.70	$46,957.51	2026-05-06
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	9	9	—	—	$45,450.50	$78,751.00	$46,800.52	2026-05-06
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	9	9	—	—	$45,450.50	$78,751.00	$46,800.52	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	20	10	—	—	$27,028.00	$104,214.95	$46,719.31	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	28	14	—	—	$121.41	$150,464.03	$46,517.79	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	20	10	—	—	$26,757.00	$103,170.40	$46,251.04	2026-05-06
1612	OTHER	Implantable Heart Assist Systems	8	8	—	—	$44,152.80	$51,440.16	$46,081.81	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	36	14	—	—	$3,567.03	$110,512.81	$46,000.57	2026-05-06
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	28	14	—	—	$44.34	$148,561.16	$45,929.50	2026-05-06
834	OTHER	Acute Leukemia With Mcc	29	10	—	—	$129.35	$149,187.35	$45,902.41	2026-05-06
1142	OTHER	Supprelin La Implant	17	13	—	—	$2,008.98	$79,208.00	$45,714.41	2026-05-06
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$43,758.12	$50,980.33	$45,669.88	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	28	14	—	—	$6.44	$146,526.04	$45,300.32	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	20	10	—	—	$26,194.00	$101,000.32	$45,278.20	2026-05-06
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	8	6	$195,957.00	$78,382.80 60% off	$11,538.00	$166,563.45	$45,070.11	2026-05-06
0266T	OTHER	Implnt/rep Cartd Baroreflx Sys	8	6	$195,957.00	$78,382.80 60% off	$11,538.00	$166,563.45	$45,070.11	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	28	14	—	—	$125.35	$145,624.54	$45,021.60	2026-05-06
C1735	OTHER	Cath Renal Symplicity Spyral	6	5	$168,000.00	$67,200.00 60% off	$11,538.00	$142,800.00	$44,940.00	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	38	12	$3,242.00	$1,296.80 60% off	$49.77	$160,456.10	$44,779.74	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	36	14	—	—	$2,115.92	$149,187.35	$44,578.30	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	36	14	—	—	$96.29	$98,482.06	$44,149.27	2026-05-06
1611	OTHER	Implantable Heart Assist Systems	8	8	—	—	$42,067.18	$49,010.31	$43,905.07	2026-05-06
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$41,842.07	$48,748.04	$43,670.12	2026-05-06
112	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	8	—	—	$41,766.91	$48,660.47	$43,591.68	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	36	14	—	—	$3,075.81	$145,778.39	$43,559.68	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	36	14	—	—	$1,154.47	$145,640.74	$43,518.55	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	16	$7.00	$2.80 60% off	$1.81	$142,963.23	$43,141.44	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	36	14	—	—	$677.56	$143,597.52	$42,908.02	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	20	10	—	—	$24,644.00	$95,024.51	$42,599.26	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	28	14	—	—	$15,400.68	$137,508.35	$42,512.39	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	20	10	—	—	$24,519.00	$94,541.38	$42,382.67	2026-05-06
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$40,607.65	$47,309.88	$42,381.77	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	28	14	—	—	$1,406.57	$135,950.97	$42,030.90	2026-05-06
8514	OTHER	Gender Related Procedures	8	8	—	—	$40,064.49	$46,677.08	$41,814.88	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	28	14	—	—	$109.75	$134,990.09	$41,733.83	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	28	14	—	—	$3,212.55	$134,504.25	$41,583.63	2026-05-06
665	OTHER	Prostatectomy With Mcc	20	10	—	—	$24,035.00	$92,676.30	$41,546.56	2026-05-06
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$39,742.37	$46,301.79	$41,478.69	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	20	10	—	—	$23,976.00	$92,449.57	$41,444.92	2026-05-06
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$39,466.91	$45,980.86	$41,191.19	2026-05-06
C1772	OTHER	Pump Synchro W/fltr 10ml	15	5	$138,983.00	$55,593.20 60% off	$5,157.76	$141,584.50	$41,070.75	2026-05-06
245	OTHER	Aicd Generator Procedures	28	14	—	—	$8,769.30	$131,899.62	$40,778.38	2026-05-06
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$38,298.76	$44,619.92	$39,972.01	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	20	10	—	—	$23,113.00	$89,121.58	$39,952.99	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	28	14	—	—	$3,037.91	$128,312.51	$39,669.39	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	20	10	—	—	$22,881.00	$88,225.48	$39,551.27	2026-05-06
799	OTHER	Splenic Procedures With Mcc	29	10	—	—	$7.77	$128,336.81	$39,487.05	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	28	14	—	—	$3,921.63	$126,984.56	$39,258.83	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	36	14	—	—	$4,786.90	$95,289.03	$39,137.53	2026-05-06
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$37,309.08	$43,466.89	$38,939.09	2026-05-06
277	OTHER	Cardiac Defibrillator Implant Without Mcc	28	14	—	—	$724.44	$125,559.43	$38,818.24	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	37	14	—	—	$88.01	$128,895.52	$38,514.95	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	28	14	—	—	$180.61	$124,355.63	$38,446.07	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	20	10	—	—	$22,218.00	$85,669.43	$38,405.40	2026-05-06
C2624	OTHER	Cardiomems Pa System	11	5	$111,804.00	$44,721.60 60% off	$11,538.00	$126,461.30	$38,384.72	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	20	10	—	—	$22,181.00	$85,526.38	$38,341.27	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	14	—	—	$4,439.31	$123,958.87	$38,323.40	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	28	14	—	—	$307.56	$123,939.97	$38,317.56	2026-05-06
C1767	OTHER	Ipg Eterna Generator	85	5	$108,346.00	$43,338.40 60% off	$556.51	$527,377.40	$37,973.25	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	29	10	—	—	$24,470.70	$121,772.60	$37,827.62	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	36	14	—	—	$108.27	$126,304.38	$37,740.70	2026-05-06
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$35,906.57	$41,832.90	$37,475.31	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	20	10	—	—	$21,647.00	$83,466.97	$37,418.04	2026-05-06
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$35,839.93	$41,755.26	$37,405.75	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	14	—	—	$3,096.37	$120,711.85	$37,319.54	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	29	10	—	—	$5.14	$119,583.63	$36,793.85	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	28	14	—	—	$101.36	$118,566.06	$36,656.15	2026-05-06
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	9	9	—	—	$35,350.50	$61,251.00	$36,400.52	2026-05-06
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	9	9	—	—	$35,350.50	$61,251.00	$36,400.52	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	36	14	—	—	$131.24	$121,046.54	$36,169.61	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	14	—	—	$15.13	$116,547.14	$36,031.97	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	28	14	—	—	$136.27	$115,135.51	$35,595.55	2026-05-06
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$34,064.20	$39,686.45	$35,552.45	2026-05-06
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	28	14	—	—	$153.98	$114,965.47	$35,542.98	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	20	10	—	—	$20,414.00	$78,713.85	$35,287.23	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	20	10	—	—	$20,385.00	$78,603.19	$35,237.62	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	28	14	—	—	$128.00	$113,081.49	$34,960.53	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	28	14	—	—	$22.70	$112,301.45	$34,719.37	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	20	10	—	—	$20,070.00	$77,385.90	$34,691.91	2026-05-06
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$33,234.10	$38,719.34	$34,686.08	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	29	10	—	—	$2.04	$112,565.97	$34,634.63	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	28	14	—	—	$21,585.63	$110,762.97	$34,243.72	2026-05-06
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	28	14	—	—	$26.17	$110,217.75	$34,075.16	2026-05-06
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$32,378.45	$37,722.47	$33,793.04	2026-05-06
5232	OTHER	Level 2 Icd And Similar Procedures	9	9	—	—	$32,382.20	$56,108.00	$33,344.04	2026-05-06
5166	OTHER	Cochlear Implant Procedure	9	9	—	—	$32,125.90	$55,664.00	$33,080.13	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	29	10	—	—	$13.16	$107,448.47	$33,060.07	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	28	14	—	—	$156.51	$106,498.39	$32,925.28	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	36	14	—	—	$431.35	$109,783.19	$32,804.04	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	28	14	—	—	$101.56	$106,063.83	$32,790.93	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	29	10	—	—	$24.21	$106,279.76	$32,700.47	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	28	14	—	—	$11,399.66	$105,542.91	$32,629.88	2026-05-06
C9364	OTHER	Permacol Porcine Impl Per Sqcm	36	5	$117,736.00	$47,094.40 60% off	$17.00	$252,829.95	$32,522.79	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	28	14	—	—	$1,397.64	$104,959.90	$32,449.64	2026-05-06
849	OTHER	Radiotherapy	20	10	—	—	$18,698.00	$72,095.66	$32,320.31	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	28	14	—	—	$136.50	$104,320.21	$32,251.87	2026-05-06
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	20	10	—	—	$18,640.00	$71,871.63	$32,219.88	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	28	14	—	—	$1,934.33	$103,923.45	$32,129.21	2026-05-06
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	20	10	—	—	$18,573.00	$71,615.22	$32,104.93	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	20	10	—	—	$18,507.00	$71,361.50	$31,991.19	2026-05-06
92997	OTHER	Pta Pulm 1st Ves	13	7	$114,598.00	$45,839.20 60% off	$9,704.00	$97,408.30	$31,744.00	2026-05-06
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	20	10	—	—	$18,363.00	$70,805.49	$31,741.93	2026-05-06
5465	OTHER	Level 5 Neurostimulator And Related Procedures	9	9	—	—	$30,778.33	$53,329.00	$31,692.53	2026-05-06
4404	OTHER	Kidney Transplant	8	8	—	—	$30,258.39	$35,252.50	$31,580.36	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	28	14	—	—	$47.62	$101,812.75	$31,476.65	2026-05-06
8634	OTHER	Neonatal Aftercare	8	8	—	—	$29,904.80	$34,840.55	$31,211.33	2026-05-06
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	20	10	—	—	$17,877.00	$68,929.62	$30,900.98	2026-05-06
0483T	OTHER	Tmvi Percutaneous Approach Ip	8	6	$133,660.00	$53,464.00 60% off	$2,169.00	$113,611.00	$30,741.80	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	20	10	—	—	$17,674.00	$68,149.58	$30,551.29	2026-05-06
6134	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	8	8	—	—	$29,238.35	$34,064.10	$30,515.75	2026-05-06
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$29,101.73	$33,904.93	$30,373.16	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	28	14	—	—	$14,379.86	$96,751.94	$29,912.04	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	28	14	—	—	$138.30	$96,735.74	$29,907.03	2026-05-06
265	OTHER	Aicd Lead Procedures	28	14	—	—	$8,906.89	$96,282.30	$29,766.85	2026-05-06
92933	OTHER	Stent W/athrec W/wo Ptca 1 Lc	65	7	$73,954.00	$29,581.60 60% off	$1,484.00	$62,860.90	$29,762.00	2026-05-06
92941	OTHER	Revasc Perc Bypass Ami 1st Lc	78	7	$67,230.00	$26,892.00 60% off	$1,484.00	$57,145.50	$29,762.00	2026-05-06
92920	OTHER	Ptca Single Ves/branch	78	7	$47,684.00	$19,073.60 60% off	$1,484.00	$43,336.00	$29,762.00	2026-05-06
92937	OTHER	Revasc Perc Bypass Grft 1st	65	7	$67,230.00	$26,892.00 60% off	$1,484.00	$57,145.50	$29,762.00	2026-05-06
C9600	OTHER	Des W/wo Ptca 1st Ves	90	7	$55,449.00	$22,179.60 60% off	$780.00	$48,888.60	$29,762.00	2026-05-06
92924	OTHER	Athrec W/wo Ptca 1st Ves	65	7	$47,684.00	$19,073.60 60% off	$1,484.00	$43,336.00	$29,762.00	2026-05-06
92943	OTHER	Revasc Perc Chronic Occul 1 Lc	78	7	$67,230.00	$26,892.00 60% off	$1,484.00	$57,145.50	$29,762.00	2026-05-06
C9608	OTHER	Des Revasc Perc Chrnc Occ Adlc	52	7	$50,405.00	$20,162.00 60% off	$10,181.81	$43,336.00	$29,762.00	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	28	14	—	—	$6,655.63	$95,850.44	$29,633.33	2026-05-06
5200	OTHER	Implantation Wireless Pa Pressure Monitor	9	9	—	—	$28,712.61	$49,750.00	$29,565.46	2026-05-06
0515T	OTHER	Insert Wrls Card Stim Lv Sys	8	6	$134,627.00	$53,850.80 60% off	$2,472.00	$114,432.95	$29,555.83	2026-05-06
92928	OTHER	Stent W/wo Ptca 1st Ves	80	7	$73,954.00	$29,581.60 60% off	$1,484.00	$62,860.90	$29,465.00	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	28	14	—	—	$3.16	$94,503.59	$29,216.94	2026-05-06
92921	OTHER	Ptca Each Ad Ves/brch	52	7	$20,362.00	$8,144.80 60% off	$1,484.00	$43,336.00	$29,168.00	2026-05-06
92925	OTHER	Athrec W/wo Ptca Ea Add Ves	52	7	$16,144.00	$6,457.60 60% off	$1,484.00	$43,336.00	$29,168.00	2026-05-06
92929	OTHER	Stent W/wo Ptca Ea Add Ves	52	7	$28,156.00	$11,262.40 60% off	$1,484.00	$43,336.00	$29,168.00	2026-05-06
92934	OTHER	Stent W/athrec W/wo Ptca Ad Lc	52	7	$27,143.00	$10,857.20 60% off	$1,484.00	$43,336.00	$29,168.00	2026-05-06
92938	OTHER	Revasc Perc Bypass Grft Add Lc	52	7	$27,649.50	$11,059.80 60% off	$1,484.00	$43,336.00	$29,168.00	2026-05-06
92944	OTHER	Revasc Perc Chronic Occu Ad Lc	52	7	$27,649.50	$11,059.80 60% off	$1,484.00	$43,336.00	$29,168.00	2026-05-06
37218	OTHER	Place Stent Ante Carotid -59	26	7	$105,981.00	$42,392.40 60% off	$1,983.00	$103,450.95	$29,168.00	2026-05-06
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	20	10	—	—	$16,780.00	$64,702.83	$29,006.12	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	28	14	—	—	$228.82	$93,726.25	$28,976.61	2026-05-06
332	OTHER	Rectal Resection With Mcc	28	14	—	—	$583.92	$93,623.68	$28,944.90	2026-05-06
44	OTHER	Bone Or Joint Manipulation Under Anesthesia	16	8	—	—	$650.38	$66,460.56	$28,912.88	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	34	16	$3,901.00	$1,560.40 60% off	$92.08	$96,757.34	$28,911.82	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	28	14	—	—	$114.12	$92,822.05	$28,697.07	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	28	14	—	—	$912.97	$92,589.93	$28,625.31	2026-05-06
330	OTHER	Major Small And Large Bowel Procedures With Cc	20	10	—	—	$16,546.00	$63,798.63	$28,600.77	2026-05-06
1592	OTHER	New Technology - Level 41 ($25,001-$30,000)	9	9	—	—	$27,775.51	$48,126.00	$28,600.52	2026-05-06
1578	OTHER	New Technology - Level 41 ($25,001-$30,000)	9	9	—	—	$27,775.51	$48,126.00	$28,600.52	2026-05-06
C2621	OTHER	Defib Insync3 8042 Medtrnc	79	5	$81,610.00	$32,644.00 60% off	$7,669.00	$227,546.70	$28,552.30	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	28	14	—	—	$18,550.00	$71,526.15	$28,435.49	2026-05-06
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$27,154.21	$31,635.97	$28,340.56	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	28	14	—	—	$4,224.19	$91,553.47	$28,304.88	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	36	14	—	—	$16.34	$94,571.07	$28,258.54	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	36	14	—	—	$2,585.96	$94,336.24	$28,188.38	2026-05-06
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$26,970.93	$31,422.45	$28,149.28	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	28	14	—	—	$6,459.70	$90,600.69	$28,010.31	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	36	14	—	—	$166.81	$93,521.12	$27,944.81	2026-05-06
59525	OTHER	Cesarean Delivery With Removal Of Uterus	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
59350	OTHER	Repair Of Tear Of Uterus	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
59620	OTHER	Cesarean Delivery Following Vaginal Delivery Attempt After Previous Cesarean Del…	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
61105	OTHER	Twist Drill Subdur/ventr Punc	13	7	$118,007.00	$47,202.80 60% off	$2,169.00	$100,305.95	$27,913.00	2026-05-06
48554	OTHER	Transplantation Of Donor Pancreas	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
48552	OTHER	Preparation Of Donor Pancreas And Vein Grafts For Transplantation	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
48556	OTHER	Removal Of Transplanted Donor Pancreas	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
48551	OTHER	Preparation Of Donor Pancreas For Transplantation	5	1	—	—	$18,788.00	$27,913.00	$27,913.00	2026-05-06
43771	OTHER	Adjustment Of Stomach Reduction Device Using An Endoscope	9	3	—	—	$1,983.00	$60,812.00	$27,913.00	2026-05-06
43775	OTHER	Partial Removal Of Stomach For Weight Loss Using An Endoscope	7	2	—	—	$18,788.00	$60,812.00	$27,913.00	2026-05-06
33991	OTHER	Insert Vad Art&vein Access Ip	13	7	$232,925.00	$93,170.00 60% off	$2,169.00	$197,986.25	$27,913.00	2026-05-06
33361	OTHER	Tavr Aortic Valve Replace Ip	13	7	$133,660.00	$53,464.00 60% off	$2,169.00	$113,611.00	$27,913.00	2026-05-06
33362	OTHER	Tavr Op Fem Art Approach	13	7	$133,660.00	$53,464.00 60% off	$2,169.00	$113,611.00	$27,913.00	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	36	14	—	—	$149.57	$92,967.80	$27,779.48	2026-05-06
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	20	10	—	—	$16,059.00	$61,920.05	$27,758.61	2026-05-06
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$26,577.36	$30,963.91	$27,738.51	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	28	14	—	—	$1,393.51	$89,634.41	$27,711.57	2026-05-06
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	20	10	—	—	$15,953.00	$61,512.49	$27,575.90	2026-05-06
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$26,295.60	$30,635.65	$27,444.44	2026-05-06
37238	OTHER	Place Stent Vein Initial	13	7	$78,334.00	$31,333.60 60% off	$1,983.00	$66,583.90	$27,416.90	2026-05-06
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	29	10	—	—	$12,989.00	$110,954.00	$27,223.90	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	28	14	—	—	$218.29	$87,974.47	$27,198.39	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	28	14	—	—	$203.55	$87,936.68	$27,186.70	2026-05-06
1784	OTHER	External Heart Assist Systems	8	8	—	—	$25,846.48	$30,112.41	$26,975.70	2026-05-06
30	OTHER	Spinal Procedures Without Cc/mcc	20	10	—	—	$15,578.00	$60,065.77	$26,927.34	2026-05-06
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$25,778.36	$30,033.04	$26,904.60	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	28	14	—	—	$1,741.82	$86,892.13	$26,863.76	2026-05-06
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$25,648.03	$29,881.20	$26,768.58	2026-05-06
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	28	14	—	—	$1,116.72	$86,489.96	$26,739.43	2026-05-06
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	28	14	—	—	$14.31	$86,238.94	$26,661.82	2026-05-06
935	OTHER	Non-extensive Burns	20	10	—	—	$15,375.00	$59,283.03	$26,576.44	2026-05-06
33365	OTHER	Tavr Transaortic Approach Ip	13	7	$102,815.00	$41,126.00 60% off	$2,169.00	$87,392.75	$26,526.27	2026-05-06
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	8	—	—	$25,413.66	$29,608.15	$26,523.97	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	29	10	—	—	$2.39	$85,842.18	$26,412.18	2026-05-06
906	OTHER	Hand Procedures For Injuries	20	10	—	—	$15,278.00	$58,907.86	$26,408.25	2026-05-06
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	20	10	—	—	$15,252.00	$58,810.69	$26,364.69	2026-05-06
33995	OTHER	Insert Rt Vad Venous Access Ip	13	7	$102,146.00	$40,858.40 60% off	$2,169.00	$86,824.10	$26,353.67	2026-05-06

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