Hospital

SANTA ROSA MEDICAL CENTER

Milton, FL · CCN 100124 · Rates published

111,297 distinct procedures filed

44 distinct payers

1,544,036 rate rows

2026-05-13 last MRF observed

Data quality

1,474,451 of 1,544,036 rate rows are consumer-grade (95.5%)

69,585 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	29,819
exceeds 10× this hospital's gross charge — excluded from medians	23,842
template filing: same amount across many unrelated codes — excluded	13,414
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,206
placeholder amount (≤ $0.02) — excluded from medians	304

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

Source MRF file	https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-santa-rosa-medical-center-standard-charges-ncal-en.csv
Found on page	https://healthy.kaiserpermanente.org/northern-california/doctors-locations/price-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	9240db8e6e5e3fd3… · 215,532,633 bytes · first seen 2026-05-09

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
J3391 OTHER	"Inj, Atidarsagene Autotemcel"	1	$4,632,500.00	$4,632,500.00	$4,632,500.00	nat. median $4,505,000 1.0× median
J1414 OTHER	Beqvez (fidanacogene Elaparvovec-dz	1	$3,815,000.00	$3,815,000.00	$3,815,000.00	nat. median $3,710,000 1.0× median
J1411 OTHER	"Inj, Hemgenix, Per Tx Dose"	1	$3,815,000.00	$3,815,000.00	$3,815,000.00	nat. median $3,685,267 1.0× median
53010010 OTHER	Etranacogene Dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each Kit	1	$3,815,000.00	$3,815,000.00	$3,815,000.00	nat. median $3,815,000 1.0× median
J1413 OTHER	Inj Delandistrogene Mox Rokl	1	$3,383,360.00	$3,383,360.00	$3,383,360.00	nat. median $3,327,860 1.0× median
J3394 OTHER	"Inj, Lovotibeglogene Autotem"	1	$3,379,000.00	$3,379,000.00	$3,379,000.00	nat. median $3,286,000 1.0× median
J3393 OTHER	"Inj, Betibeglogene Autotemce"	1	$3,052,000.00	$3,052,000.00	$3,052,000.00	nat. median $2,968,000 1.0× median
J3399 OTHER	Inj Onase Abepar-xioi Treat	1	$2,737,307.00	$2,737,307.00	$2,737,307.00	nat. median $2,472,216 1.1× median
J3392 OTHER	Casgevy (exagamglogene Autotemcel)	1	$2,398,000.00	$2,398,000.00	$2,398,000.00	nat. median $2,332,000 1.0× median
Q2057 OTHER	Tecelra (afamitresgene Autoleucel)	1	$792,430.00	$792,430.00	$792,430.00	nat. median $770,620 1.0× median
Q2056 OTHER	Ciltacabtagene Car-pos T	1	$605,288.00	$605,288.00	$605,288.00	nat. median $583,076 1.0× median
Q2055 OTHER	Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc	1	$575,861.00	$575,861.00	$575,861.00	nat. median $558,082 1.0× median
Q2054 OTHER	Lisocabtagene Mara Car Pos T	1	$567,588.00	$567,588.00	$567,588.00	nat. median $562,538 1.0× median
73153090001 OTHER	Lisocabtagene maraleuceL 1.5 X To 70 X 10exp6 cell/mL Susp 1 Each Vial	1	$567,588.00	$567,588.00	$567,588.00	nat. median $567,588 1.0× median
Q2042 OTHER	Tisagenlecleucel Car-pos T	1	$557,936.00	$557,936.00	$557,936.00	nat. median $591,726 0.9× median
Q2041 OTHER	"axicabtagene Ciloleucel Car+, Per Infusion"	1	$548,902.00	$548,902.00	$548,902.00	nat. median $533,230 1.0× median
Q2053 OTHER	Brexucabtagene Car Pos T	1	$503,580.00	$503,580.00	$503,580.00	nat. median $489,720 1.0× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	27	$118,258.97	$1,046,362.43	$324,305.03	nat. median $386,529 0.8× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$284,869.58	$335,846.24	$310,357.91	nat. median $0
Q2058 OTHER	Obecbtge Autol Up To 400 Mil	1	$294,709.00	$294,709.00	$294,709.00	nat. median $281,111 1.0× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	$221,000.00	$256,360.00	$234,260.00	nat. median $267,493 0.9× median
583-4 OTHER	Neonate With Ecmo	11	$221,000.00	$256,360.00	$234,260.00	nat. median $309,400 0.8× median
583-3 OTHER	Neonate With Ecmo	11	$221,000.00	$256,360.00	$234,260.00	nat. median $259,487 0.9× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	29	$12,737.47	$514,307.82	$219,415.74	nat. median $181,005 1.2× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	$204,995.11	$237,794.33	$217,294.82	nat. median $171,094 1.3× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	$12,321.56	$552,285.49	$210,924.50	nat. median $239,422 0.9× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	$197,455.24	$229,048.08	$209,302.55	nat. median $203,379 1.0× median
7 OTHER	Lung Transplant	21	$22,253.99	$485,725.58	$199,202.53	nat. median $169,933 1.2× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	$179,071.67	$207,723.14	$189,815.97	nat. median $210,669 0.9× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	$165,000.00	$191,400.00	$174,900.00	nat. median $169,856 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	$14,909.59	$517,343.97	$167,546.76	nat. median $146,562 1.1× median
583-2 OTHER	Neonate With Ecmo	11	$138,429.14	$160,577.80	$146,734.89	nat. median $191,347 0.8× median
0100T OTHER	Plmt Scjncl Rta Prosth&pls&impltj Intra-oc Rta	1	$137,655.43	$412,142.00	$145,073.98	nat. median $10,612 outlier · 13.7×
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	$132,000.00	$153,120.00	$139,920.00	nat. median $165,000 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	29	$8,713.87	$335,633.28	$133,132.54	nat. median $134,983 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	$121,000.00	$140,360.00	$128,260.00	nat. median $151,250 0.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	$120,000.00	$139,200.00	$127,200.00	nat. median $156,696 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	$17,252.66	$229,127.65	$127,023.61	nat. median $111,558 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	11	$119,164.66	$138,231.01	$126,314.54	nat. median $216,800 0.6× median
215 OTHER	Other Heart Assist System Implant	29	$72,602.44	$241,268.07	$122,093.29	nat. median $92,359 1.3× median
14 OTHER	Allogeneic Bone Marrow Transplant	21	$7,709.08	$236,844.69	$121,564.62	nat. median $100,915 1.2× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	$9,750.70	$203,542.80	$120,199.19	nat. median $94,894 1.3× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	$110,647.94	$128,351.61	$117,286.82	nat. median $153,523 0.8× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	29	$6,952.51	$263,490.32	$114,081.68	nat. median $90,581 1.3× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	$100,000.00	$116,000.00	$106,000.00	nat. median $125,000 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	29	$5,503.52	$178,581.00	$105,454.00	nat. median $67,670 1.6× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	$99,000.00	$114,840.00	$104,940.00	nat. median $112,711 0.9× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	$98,924.77	$114,752.73	$104,860.26	nat. median $100,015 1.0× median
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	29	$15,206.79	$196,356.00	$103,879.58	nat. median $53,999 1.9× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	21	$6,010.96	$200,257.27	$102,217.31	nat. median $50,271 outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 111,297 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

J3391	OTHER	"Inj, Atidarsagene Autotemcel"	3	1	—	—	$4,632,500.00	$4,632,500.00	$4,632,500.00	2026-05-09
J1411	OTHER	"Inj, Hemgenix, Per Tx Dose"	3	1	—	—	$3,815,000.00	$3,815,000.00	$3,815,000.00	2026-05-09
53010010	OTHER	Etranacogene Dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each Kit	3	1	—	$4,704,002.80	$3,815,000.00	$3,815,000.00	$3,815,000.00	2026-05-09
J1414	OTHER	Beqvez (fidanacogene Elaparvovec-dz	3	1	—	—	$3,815,000.00	$3,815,000.00	$3,815,000.00	2026-05-09
J1413	OTHER	Inj Delandistrogene Mox Rokl	3	1	—	—	$3,383,360.00	$3,383,360.00	$3,383,360.00	2026-05-09
J3394	OTHER	"Inj, Lovotibeglogene Autotem"	3	1	—	—	$3,379,000.00	$3,379,000.00	$3,379,000.00	2026-05-09
J3393	OTHER	"Inj, Betibeglogene Autotemce"	3	1	—	—	$3,052,000.00	$3,052,000.00	$3,052,000.00	2026-05-09
J3399	OTHER	Inj Onase Abepar-xioi Treat	3	1	—	—	$2,737,307.00	$2,737,307.00	$2,737,307.00	2026-05-09
J3392	OTHER	Casgevy (exagamglogene Autotemcel)	3	1	—	—	$2,398,000.00	$2,398,000.00	$2,398,000.00	2026-05-09
Q2057	OTHER	Tecelra (afamitresgene Autoleucel)	3	1	—	—	$792,430.00	$792,430.00	$792,430.00	2026-05-09
Q2056	OTHER	Ciltacabtagene Car-pos T	3	1	—	—	$605,288.00	$605,288.00	$605,288.00	2026-05-09
Q2055	OTHER	Idecabtagene Vicleucel Auto Bcma Dir Car-pos Tc	3	1	$1,296,255.00	$725,902.80 44% off	$575,861.00	$575,861.00	$575,861.00	2026-05-09
Q2054	OTHER	Lisocabtagene Mara Car Pos T	3	1	—	—	$567,588.00	$567,588.00	$567,588.00	2026-05-09
73153090001	OTHER	Lisocabtagene maraleuceL 1.5 X To 70 X 10exp6 cell/mL Susp 1 Each Vial	3	1	$1,472,908.31	$824,828.65 44% off	$567,588.00	$567,588.00	$567,588.00	2026-05-09
Q2042	OTHER	Tisagenlecleucel Car-pos T	3	1	—	—	$557,936.00	$557,936.00	$557,936.00	2026-05-09
Q2041	OTHER	"axicabtagene Ciloleucel Car+, Per Infusion"	3	1	$658,682.00	$368,861.92 44% off	$548,902.00	$548,902.00	$548,902.00	2026-05-09
Q2053	OTHER	Brexucabtagene Car Pos T	3	1	—	—	$503,580.00	$503,580.00	$503,580.00	2026-05-09
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	33	27	—	—	$118,258.97	$1,046,362.43	$324,305.03	2026-05-13
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$284,869.58	$335,846.24	$310,357.91	2026-05-13
Q2058	OTHER	Obecbtge Autol Up To 400 Mil	3	1	—	—	$294,709.00	$294,709.00	$294,709.00	2026-05-09
583-3	OTHER	Neonate With Ecmo	11	11	—	—	$221,000.00	$256,360.00	$234,260.00	2026-05-13
583-4	OTHER	Neonate With Ecmo	11	11	—	—	$221,000.00	$256,360.00	$234,260.00	2026-05-13
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	11	—	—	$221,000.00	$256,360.00	$234,260.00	2026-05-13
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	35	29	—	—	$12,737.47	$514,307.82	$219,415.74	2026-05-13
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	11	—	—	$204,995.11	$237,794.33	$217,294.82	2026-05-13
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	23	—	—	$12,321.56	$552,285.49	$210,924.50	2026-05-13
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	11	—	—	$197,455.24	$229,048.08	$209,302.55	2026-05-13
7	OTHER	Lung Transplant	26	21	—	—	$22,253.99	$485,725.58	$199,202.53	2026-05-13
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	11	—	—	$179,071.67	$207,723.14	$189,815.97	2026-05-13
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	11	—	—	$165,000.00	$191,400.00	$174,900.00	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	35	29	—	—	$14,909.59	$517,343.97	$167,546.76	2026-05-13
583-2	OTHER	Neonate With Ecmo	11	11	—	—	$138,429.14	$160,577.80	$146,734.89	2026-05-13
0100T	OTHER	Plmt Scjncl Rta Prosth&pls&impltj Intra-oc Rta	3	1	$873,740.00	$489,294.40 44% off	$137,655.43	$412,142.00	$145,073.98	2026-05-09
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	11	—	—	$132,000.00	$153,120.00	$139,920.00	2026-05-13
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	35	29	—	—	$8,713.87	$335,633.28	$133,132.54	2026-05-13
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	11	—	—	$121,000.00	$140,360.00	$128,260.00	2026-05-13
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	11	—	—	$120,000.00	$139,200.00	$127,200.00	2026-05-13
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	23	—	—	$17,252.66	$229,127.65	$127,023.61	2026-05-13
002-4	OTHER	Heart And/or Lung Transplant	11	11	—	—	$119,164.66	$138,231.01	$126,314.54	2026-05-13
215	OTHER	Other Heart Assist System Implant	35	29	—	—	$72,602.44	$241,268.07	$122,093.29	2026-05-13
14	OTHER	Allogeneic Bone Marrow Transplant	26	21	—	—	$7,709.08	$236,844.69	$121,564.62	2026-05-13
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	26	21	—	—	$9,750.70	$203,542.80	$120,199.19	2026-05-13
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	11	—	—	$110,647.94	$128,351.61	$117,286.82	2026-05-13
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	35	29	—	—	$6,952.51	$263,490.32	$114,081.68	2026-05-13
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$100,000.00	$116,000.00	$106,000.00	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	35	29	—	—	$5,503.52	$178,581.00	$105,454.00	2026-05-13
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	11	—	—	$99,000.00	$114,840.00	$104,940.00	2026-05-13
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$98,924.77	$114,752.73	$104,860.26	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	35	29	—	—	$15,206.79	$196,356.00	$103,879.58	2026-05-13
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	21	—	—	$6,010.96	$200,257.27	$102,217.31	2026-05-13
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	11	—	—	$95,000.00	$110,200.00	$100,700.00	2026-05-13
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	11	—	—	$91,000.00	$105,560.00	$96,460.00	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	35	29	—	—	$46,214.62	$159,608.00	$96,169.50	2026-05-13
161-4	OTHER	Implantable Heart Assist Systems	11	11	—	—	$88,926.10	$103,154.28	$94,261.67	2026-05-13
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$88,854.73	$103,071.49	$94,186.01	2026-05-13
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	26	21	—	—	$9,996.88	$200,257.27	$93,884.63	2026-05-13
72893000704	OTHER	Yttrium-90-ibritumomab 3.2 Mg/2 Ml Kit 1 Each Vial	3	1	$195,328.32	$109,383.86 44% off	$93,567.00	$157,192.00	$93,567.00	2026-05-09
A9543	OTHER	Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci	3	1	$169,668.00	$95,014.08 44% off	$93,567.00	$157,192.00	$93,567.00	2026-05-09
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	11	—	—	$87,176.41	$101,124.64	$92,406.99	2026-05-13
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	11	—	—	$87,000.00	$100,920.00	$92,220.00	2026-05-13
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	11	—	—	$82,276.96	$95,441.27	$87,213.58	2026-05-13
583-1	OTHER	Neonate With Ecmo	11	11	—	—	$81,748.00	$94,827.68	$86,652.88	2026-05-13
863-4	OTHER	Neonatal Aftercare	11	11	—	—	$80,469.81	$93,344.98	$85,298.00	2026-05-13
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	11	—	—	$80,000.00	$92,800.00	$84,800.00	2026-05-13
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	11	—	—	$80,000.00	$92,800.00	$84,800.00	2026-05-13
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	11	11	—	—	$79,102.08	$91,758.41	$83,848.20	2026-05-13
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	11	—	—	$78,865.22	$91,483.66	$83,597.13	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	35	29	—	—	$14,888.14	$204,264.91	$81,560.09	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	29	—	—	$12,891.67	$237,047.03	$80,963.53	2026-05-13
6	OTHER	Liver Transplant Without Mcc	26	21	—	—	$12,425.93	$203,542.80	$80,561.38	2026-05-13
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	35	29	—	—	$10,780.18	$190,668.89	$79,916.49	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	35	29	—	—	$50,632.33	$163,101.28	$77,445.01	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	35	29	—	—	$14,794.51	$146,902.87	$77,241.86	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	29	—	—	$22,102.01	$159,326.09	$76,676.88	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	35	29	—	—	$13,940.32	$159,326.09	$76,676.88	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	35	29	—	—	$12,971.11	$172,776.72	$75,985.33	2026-05-13
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	35	29	—	—	$8,832.07	$128,274.07	$75,685.28	2026-05-13
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	11	—	—	$71,214.11	$82,608.37	$75,486.96	2026-05-13
38240	OTHER	Trnsplj Allogeneic Hematopoietic Cells Per Donor	3	1	$106,060.00	$59,393.60 44% off	$71,467.00	$223,801.00	$75,088.00	2026-05-09
471	OTHER	Cervical Spinal Fusion With Mcc	35	29	—	—	$11,583.04	$126,649.00	$74,785.00	2026-05-13
007-4	OTHER	Allogeneic Bone Marrow Transplant	11	11	—	—	$70,159.56	$81,385.09	$74,369.13	2026-05-13
161-3	OTHER	Implantable Heart Assist Systems	11	11	—	—	$69,631.31	$80,772.32	$73,809.19	2026-05-13
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$67,824.78	$78,676.74	$71,894.27	2026-05-13
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	11	—	—	$66,996.16	$77,715.55	$71,015.93	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	35	29	—	—	$3,360.28	$119,842.68	$70,771.32	2026-05-13
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	11	11	—	—	$66,329.56	$76,942.29	$70,309.33	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	29	—	—	$15,066.02	$186,052.88	$70,157.83	2026-05-13
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	11	—	—	$65,770.67	$76,293.98	$69,716.91	2026-05-13
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	23	23	—	—	$26,621.81	$164,774.49	$68,943.30	2026-05-13
002-3	OTHER	Heart And/or Lung Transplant	11	11	—	—	$64,911.19	$75,296.98	$68,805.86	2026-05-13
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$64,812.32	$75,182.29	$68,701.06	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	35	29	—	—	$15,429.94	$185,250.84	$68,564.05	2026-05-13
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	11	11	—	—	$64,642.15	$74,984.89	$68,520.68	2026-05-13
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	11	11	—	—	$63,560.52	$73,730.20	$67,374.15	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	29	—	—	$15,522.15	$203,622.79	$66,756.78	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	29	—	—	$16,944.03	$129,219.08	$66,443.30	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	29	—	—	$21,988.83	$122,129.09	$66,443.30	2026-05-13
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	11	—	—	$62,000.00	$71,920.00	$65,720.00	2026-05-13
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	27	22	—	—	$12,806.68	$140,606.27	$64,637.12	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	35	29	—	—	$12,475.39	$126,132.05	$64,578.00	2026-05-13
10	OTHER	Pancreas Transplant	26	21	—	—	$24,909.49	$141,416.25	$63,987.43	2026-05-13
J9029	OTHER	"Instill Adstiladrin, Tx Dose"	3	1	—	—	$63,431.00	$106,564.00	$63,431.00	2026-05-09
55566105000	OTHER	Nadofaragene Firadenovec-vncg 3x10exp11 vp/mL Susp 1 Each Vial	3	1	$43,853.00	$24,557.68 44% off	$63,431.00	$106,564.00	$63,431.00	2026-05-09
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	11	—	—	$59,458.71	$68,972.10	$63,026.23	2026-05-13
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	11	—	—	$58,588.00	$67,962.08	$62,103.28	2026-05-13
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	11	—	—	$58,035.32	$67,320.97	$61,517.44	2026-05-13
8	OTHER	Simultaneous Pancreas And Kidney Transplant	26	21	—	—	$11,809.80	$110,453.56	$61,214.88	2026-05-13
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	35	29	—	—	$24,584.15	$128,163.87	$61,094.14	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	35	29	—	—	$10,812.53	$184,637.80	$60,657.41	2026-05-13
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	11	—	—	$56,423.25	$65,450.97	$59,808.65	2026-05-13
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	11	11	—	—	$56,341.07	$65,355.64	$59,721.53	2026-05-13
A9699	OTHER	Radiopharmaceutical Therapeutic Noc	3	1	$154,842.00	$86,711.52 44% off	$59,004.00	$99,127.00	$59,004.00	2026-05-09
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	35	29	—	—	$3,410.24	$144,016.95	$58,341.98	2026-05-13
33276	OTHER	Insertion Phrenic Nerve Stimulator System	3	1	$222,540.00	$124,622.40 44% off	$54,378.00	$170,287.00	$57,134.00	2026-05-09
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	35	29	—	—	$16,016.33	$142,202.05	$56,424.66	2026-05-13
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	11	—	—	$53,002.38	$61,482.76	$56,182.52	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	29	—	—	$17,818.93	$144,491.88	$56,157.93	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	35	29	—	—	$5,788.28	$173,801.69	$56,054.98	2026-05-13
30237890006	OTHER	Sipuleucel-t In Lr 50 Million Cell/250 Ml Susp 250 Ml Bag	3	1	$180,340.20	$100,990.51 44% off	$55,946.00	$93,989.00	$55,946.00	2026-05-09
Q2043	OTHER	Sipuleucel-t Auto Cd54+	3	1	—	—	$55,946.00	$93,989.00	$55,946.00	2026-05-09
276	OTHER	Non-maligant Breast Disorders	35	29	—	—	$20,835.50	$145,545.92	$55,234.85	2026-05-13
161-1	OTHER	Implantable Heart Assist Systems	11	11	—	—	$51,234.90	$59,432.48	$54,308.99	2026-05-13
161-2	OTHER	Implantable Heart Assist Systems	11	11	—	—	$51,234.90	$59,432.48	$54,308.99	2026-05-13
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	11	11	—	—	$51,048.39	$59,216.13	$54,111.29	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	35	29	—	—	$24,043.90	$101,106.27	$53,184.62	2026-05-13
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	11	—	—	$50,021.00	$58,024.36	$53,022.26	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	35	29	—	—	$8,576.97	$167,479.83	$53,017.20	2026-05-13
588-1	OTHER	Female Reproductive System Reconstructive Procedures	11	11	—	—	$50,000.00	$58,000.00	$53,000.00	2026-05-13
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	11	—	—	$50,000.00	$58,000.00	$53,000.00	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	35	29	—	—	$13,164.31	$119,880.45	$52,908.36	2026-05-13
277	OTHER	Cellulitis Age >17 W Cc	35	29	—	—	$11,381.46	$111,910.87	$52,310.42	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	35	29	—	—	$15,194.04	$132,366.68	$52,238.75	2026-05-13
002-2	OTHER	Heart And/or Lung Transplant	11	11	—	—	$49,153.16	$57,017.67	$52,102.35	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	35	29	—	—	$10,224.43	$102,107.01	$51,993.86	2026-05-13
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	35	29	—	—	$11,179.23	$88,045.32	$51,993.86	2026-05-13
459	OTHER	Spinal Fusion Except Cervical With Mcc	23	23	—	—	$18,020.97	$124,114.09	$51,930.58	2026-05-13
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	2	2	—	—	$47,565.06	$56,076.70	$51,820.88	2026-05-13
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	11	—	—	$48,704.91	$56,497.70	$51,627.20	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	35	29	—	—	$12,097.07	$148,325.22	$51,611.41	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	35	29	—	—	$8,426.35	$158,746.97	$50,321.60	2026-05-13
71258001522	OTHER	Iobenguane I-131 337.5 mCi/22.5 Ml Soln 1 Each Vial	3	1	$285,472.50	$159,864.60 44% off	$47,673.91	$142,736.25	$50,243.16	2026-05-09
229	OTHER	Other Cardiothoracic Procedures Without Mcc	35	29	—	—	$17,481.39	$84,850.33	$50,107.10	2026-05-13
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$46,718.58	$54,193.55	$49,521.69	2026-05-13
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	11	—	—	$46,671.82	$54,139.31	$49,472.13	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	35	29	—	—	$7,821.39	$155,919.21	$49,448.74	2026-05-13
278	OTHER	Cellulitis Age >17 Without Cc	35	29	—	—	$14,646.13	$134,874.59	$49,367.71	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	35	29	—	—	$8,637.96	$132,555.69	$49,366.60	2026-05-13
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	35	29	—	—	$9,644.97	$138,850.90	$49,340.03	2026-05-13
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	11	—	—	$46,198.91	$53,590.74	$48,970.84	2026-05-13
652	OTHER	Kidney Transplant	26	21	—	—	$14,823.64	$82,123.92	$48,497.07	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	27	22	—	—	$5,966.50	$82,123.92	$48,497.07	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	27	22	—	—	$3,228.99	$92,653.60	$48,497.06	2026-05-13
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	11	—	—	$45,404.40	$52,669.10	$48,128.66	2026-05-13
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	23	23	—	—	$30,735.81	$114,701.86	$47,992.41	2026-05-13
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$44,882.27	$52,063.43	$47,575.21	2026-05-13
007-3	OTHER	Allogeneic Bone Marrow Transplant	11	11	—	—	$44,622.06	$51,761.59	$47,299.38	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	35	29	—	—	$5,901.89	$80,013.45	$47,250.76	2026-05-13
28	OTHER	Spinal Procedures With Mcc	35	29	—	—	$8,979.27	$145,587.12	$47,168.14	2026-05-13
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	11	11	—	—	$44,285.71	$51,371.42	$46,942.85	2026-05-13
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	35	29	—	—	$11,417.54	$79,170.32	$46,752.86	2026-05-13
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	35	29	—	—	$15,689.46	$94,789.25	$46,727.71	2026-05-13
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	11	—	—	$44,052.16	$51,100.51	$46,695.29	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	35	29	—	—	$8,001.16	$142,109.97	$46,072.92	2026-05-13
002-1	OTHER	Heart And/or Lung Transplant	11	11	—	—	$43,443.38	$50,394.32	$46,049.98	2026-05-13
006-4	OTHER	Pancreas Transplant	11	11	—	—	$43,326.23	$50,258.43	$45,925.80	2026-05-13
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	35	29	—	—	$9,516.83	$104,857.23	$45,821.52	2026-05-13
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	35	29	—	—	$21,436.70	$77,560.00	$45,797.00	2026-05-13
67979000201	OTHER	Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit	3	1	$144,528.07	$80,935.72 44% off	$45,560.00	$76,541.00	$45,560.00	2026-05-09
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	35	29	—	—	$14,934.65	$99,964.99	$45,262.00	2026-05-13
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$42,030.02	$48,754.82	$44,551.82	2026-05-13
0620T	OTHER	Endovascular Venous Arterialization Tibl/prnl Vn	3	1	$101,610.00	$56,901.60 44% off	$42,294.00	$132,446.00	$44,437.00	2026-05-09
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	2	2	—	—	$40,617.00	$47,885.30	$44,251.15	2026-05-13
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	35	29	—	—	$15,861.86	$86,026.00	$44,155.14	2026-05-13
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	35	29	—	—	$7,435.50	$138,104.58	$43,949.83	2026-05-13
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$40,258.41	$47,462.55	$43,860.48	2026-05-13
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	35	29	—	—	$10,577.15	$132,158.30	$43,013.22	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Mcc	35	29	—	—	$4,158.71	$127,850.03	$42,413.07	2026-05-13
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	35	29	—	—	$10,627.81	$71,775.68	$42,386.06	2026-05-13
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	35	29	—	—	$6,632.66	$133,025.77	$42,382.14	2026-05-13
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	35	29	—	—	$11,871.16	$110,171.09	$42,181.25	2026-05-13
250	OTHER	Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc	35	29	—	—	$15,053.05	$72,606.00	$42,000.03	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	35	29	—	—	$7,234.16	$125,913.97	$41,791.06	2026-05-13
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	11	11	—	—	$39,210.14	$45,483.76	$41,562.75	2026-05-13
33231	OTHER	Insj Implntbl Defib Pulse Gen W/exist Multileads	3	1	$108,350.00	$60,676.00 44% off	$38,743.00	$121,324.00	$40,706.00	2026-05-09
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	3	1	—	—	$38,743.00	$121,324.00	$40,706.00	2026-05-09
33264	OTHER	Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld	3	1	$100,870.00	$56,487.20 44% off	$38,743.00	$121,324.00	$40,706.00	2026-05-09
0571T	OTHER	Insj/rplcmt Icds W/substernal Electrode	3	1	$47,040.00	$26,342.40 44% off	$38,743.00	$121,324.00	$40,706.00	2026-05-09
33270	OTHER	Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd	3	1	$143,270.00	$80,231.20 44% off	$38,743.00	$121,324.00	$40,706.00	2026-05-09
33249	OTHER	Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr	3	1	$62,180.00	$34,820.80 44% off	$38,743.00	$121,324.00	$40,706.00	2026-05-09
69930	OTHER	Cochlear Device Implantation W/wo Mastoidectomy	3	1	$70,640.00	$39,558.40 44% off	$38,436.00	$120,364.00	$40,384.00	2026-05-09
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	35	29	—	—	$7,371.63	$113,687.01	$40,068.37	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	35	29	—	—	$14,661.10	$101,498.81	$40,011.93	2026-05-13
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	35	29	—	—	$17,677.20	$75,339.03	$39,947.95	2026-05-13
112973829-3932545	OTHER	Medt-vlv Aor Evolut R Prcn 29[flsa]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
112973824-3932545	OTHER	Medt- Vlv Aor Evolut Pro 26x[FLSA]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
112973825-3932545	OTHER	Medt- Vlv Aor Evolut Pro 29x[FLSA]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
112973826-3932545	OTHER	Medt-vlv Aor Evolut R 34[flsa]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
112973823-3932545	OTHER	Medt- Vlv Aor Evolut Pro 23x[FLSA]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
112973828-3932545	OTHER	Medt-vlv Aor Evolut R Prcn 26[flsa]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
112973827-3932545	OTHER	Medt-vlv Aor Evolut R Prcn 23[flsa]	14	13	$174,960.00	$43,740.00 75% off	$16,971.12	$139,968.00	$39,890.88	2026-05-13
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	35	29	—	—	$9,308.88	$119,667.22	$39,784.15	2026-05-13
17156006730	OTHER	flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial	2	1	$10,029.00	$5,616.24 44% off	$38,099.55	$40,152.82	$39,126.18	2026-05-09
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	11	11	—	—	$36,736.42	$42,614.25	$38,940.61	2026-05-13
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	35	29	—	—	$15,670.74	$119,257.72	$38,875.09	2026-05-13
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	35	29	—	—	$20,791.66	$65,659.02	$38,773.97	2026-05-13
64568	OTHER	Open Implantation Cranial Nerve Nea & Pulse Gen	3	1	$63,390.00	$35,498.40 44% off	$36,824.00	$115,316.00	$38,690.00	2026-05-09
64582	OTHER	Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor	3	1	$118,490.00	$66,354.40 44% off	$36,824.00	$115,316.00	$38,690.00	2026-05-09
63685	OTHER	Insj/rplcmt Spinal Npg/rcvr Pocket Crtj&connj	3	1	$41,540.00	$23,262.40 44% off	$36,824.00	$115,316.00	$38,690.00	2026-05-09
61886	OTHER	Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds	3	1	$41,540.00	$23,262.40 44% off	$36,824.00	$115,316.00	$38,690.00	2026-05-09
33287	OTHER	Rmvl&rplcmt Phrenic Nrv Stimulator Pls Generator	3	1	$97,990.00	$54,874.40 44% off	$36,824.00	$115,316.00	$38,690.00	2026-05-09
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	35	29	—	—	$8,405.32	$120,849.69	$38,623.70	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	35	29	—	—	$8,321.69	$118,760.98	$37,978.97	2026-05-13
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	35	29	—	—	$7,692.75	$64,258.55	$37,946.94	2026-05-13
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	35	29	—	—	$19,786.74	$63,207.75	$37,326.40	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	35	29	—	—	$4,932.59	$116,413.00	$37,254.21	2026-05-13
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	23	23	—	—	$35,052.69	$87,145.57	$37,191.83	2026-05-13
329	OTHER	Major Small And Large Bowel Procedures With Mcc	35	29	—	—	$6,874.24	$111,377.79	$37,120.98	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	35	29	—	—	$9,834.80	$113,347.77	$37,013.61	2026-05-13
245	OTHER	Aicd Generator Procedures	35	29	—	—	$15,335.98	$110,551.51	$36,855.53	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	35	29	—	—	$7,386.37	$110,219.55	$36,842.05	2026-05-13
011-1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	11	—	—	$34,745.58	$40,304.87	$36,830.31	2026-05-13
483-4	OTHER	Penis, Testes And Scrotal Procedures	11	11	—	—	$34,710.96	$40,264.71	$36,793.62	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Cc	35	29	—	—	$3,680.00	$86,172.71	$36,655.00	2026-05-13
799	OTHER	Splenectomy With Mcc	35	29	—	—	$10,459.75	$109,739.78	$36,594.74	2026-05-13
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	11	11	—	—	$34,436.53	$39,946.37	$36,502.72	2026-05-13
113002340-3932545	OTHER	Dev Impella Cp 14frx04.7x75mm - 0048-0003[flsa]	21	15	$145,800.00	$21,870.00 85% off	$14,142.60	$116,640.00	$36,450.00	2026-05-13
114297570-3932545	OTHER	Bndl Impl W Impll Pmp C9+ Comp - 4000021[flsa]	21	15	$145,800.00	$21,870.00 85% off	$14,142.60	$116,640.00	$36,450.00	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	2	2	—	—	$33,382.83	$39,356.60	$36,369.71	2026-05-13
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	11	—	—	$34,306.45	$39,795.48	$36,364.84	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	35	29	—	—	$11,481.36	$108,598.50	$36,228.07	2026-05-13
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	35	29	—	—	$6,657.12	$84,503.19	$36,213.39	2026-05-13
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	11	—	—	$34,148.97	$39,612.81	$36,197.91	2026-05-13
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	35	29	—	—	$8,295.43	$102,157.89	$36,148.09	2026-05-13
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	35	29	—	—	$11,230.13	$91,181.25	$36,104.92	2026-05-13
33289	OTHER	Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr	3	1	$84,190.00	$47,146.40 44% off	$34,352.00	$107,576.00	$36,093.00	2026-05-09
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	11	—	—	$33,871.27	$39,290.67	$35,903.55	2026-05-13
232-4	OTHER	Gastric Fundoplication	11	11	—	—	$33,765.46	$39,167.93	$35,791.39	2026-05-13
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	35	29	—	—	$5,508.89	$111,094.29	$35,612.47	2026-05-13
440-4	OTHER	Kidney Transplant	11	11	—	—	$33,592.77	$38,967.61	$35,608.34	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	35	29	—	—	$8,139.04	$106,441.93	$35,535.23	2026-05-13
31	OTHER	Ventricular Shunt Procedures With Mcc	35	29	—	—	$6,788.52	$108,567.00	$35,507.80	2026-05-13
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	35	29	—	—	$8,898.93	$60,076.65	$35,477.38	2026-05-13
279	OTHER	Cellulitis Age 0-17	35	29	—	—	$17,929.03	$87,386.68	$35,424.24	2026-05-13
006-3	OTHER	Pancreas Transplant	11	11	—	—	$33,389.74	$38,732.10	$35,393.12	2026-05-13
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	11	—	—	$33,354.00	$38,690.64	$35,355.24	2026-05-13
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$33,333.50	$38,666.86	$35,333.51	2026-05-13
655	OTHER	Major Bladder Procedures Without Cc/mcc	35	29	—	—	$10,812.84	$59,386.17	$35,069.63	2026-05-13
654	OTHER	Major Bladder Procedures With Cc	35	29	—	—	$10,129.16	$67,829.84	$35,069.63	2026-05-13
C9760	OTHER	Nrnd Nbld Pd Nyha Cls Ii Iii IV Hf;	3	1	—	—	$33,231.00	$104,065.00	$34,915.00	2026-05-09
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	35	29	—	—	$6,208.94	$59,084.42	$34,891.43	2026-05-13
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	35	29	—	—	$6,926.25	$59,084.43	$34,891.43	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	35	29	—	—	$9,224.95	$108,140.53	$34,700.72	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	35	29	—	—	$3,658.76	$103,352.48	$34,542.67	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	35	29	—	—	$11,872.57	$77,364.73	$34,318.55	2026-05-13
265	OTHER	Aicd Lead Procedures	35	29	—	—	$11,972.52	$87,672.60	$34,318.55	2026-05-13
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	35	29	—	—	$23,527.19	$73,497.47	$34,291.72	2026-05-13
252	OTHER	Other Vascular Procedures With Mcc	35	29	—	—	$8,814.74	$84,525.00	$34,263.21	2026-05-13
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	35	29	—	—	$8,942.08	$69,828.90	$34,234.21	2026-05-13
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	35	29	—	—	$8,347.47	$104,021.26	$34,076.01	2026-05-13
800	OTHER	Splenectomy With Cc	35	29	—	—	$11,846.97	$68,074.57	$34,053.92	2026-05-13
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	35	29	—	—	$6,453.15	$101,808.97	$34,046.78	2026-05-13
332	OTHER	Rectal Resection With Mcc	35	29	—	—	$8,545.19	$87,733.18	$34,035.21	2026-05-13
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	35	29	—	—	$26,680.65	$90,558.52	$33,899.07	2026-05-13
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	35	29	—	—	$8,565.07	$69,547.82	$33,862.00	2026-05-13
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	35	29	—	—	$9,913.36	$82,666.48	$33,814.95	2026-05-13
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	35	29	—	—	$26,899.96	$307,949.53	$33,798.17	2026-05-13
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	35	29	—	—	$13,421.67	$72,121.15	$33,713.71	2026-05-13
Q0480	OTHER	Driver For Use With Pneumatic Vad Repl Only	3	1	$191,402.00	$107,185.12 44% off	$31,964.13	$95,701.00	$33,686.75	2026-05-09
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	35	29	—	—	$22,646.41	$100,631.35	$33,668.44	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	35	29	—	—	$4,501.79	$102,332.35	$33,544.05	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	35	29	—	—	$7,125.36	$101,687.81	$33,341.04	2026-05-13
007-2	OTHER	Allogeneic Bone Marrow Transplant	11	11	—	—	$31,423.35	$36,451.09	$33,308.75	2026-05-13
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	35	29	—	—	$7,589.43	$66,603.75	$33,287.69	2026-05-13
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	11	11	—	—	$31,204.86	$36,197.64	$33,077.15	2026-05-13
983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	35	29	—	—	$11,816.23	$64,258.55	$32,984.22	2026-05-13
324	OTHER	Urinary Stones Without Cc	35	29	—	—	$24,390.63	$76,351.88	$32,856.46	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	35	29	—	—	$1,607.05	$101,033.58	$32,507.00	2026-05-13
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	35	29	—	—	$12,995.76	$55,037.42	$32,501.54	2026-05-13
253	OTHER	Other Vascular Procedures With Cc	35	29	—	—	$12,620.35	$62,893.98	$32,449.13	2026-05-13
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	11	—	—	$30,576.20	$35,468.39	$32,410.77	2026-05-13
333	OTHER	Rectal Resection With Cc	35	29	—	—	$11,472.20	$56,753.85	$32,233.19	2026-05-13
791	OTHER	Prematurity With Major Problems	35	29	—	—	$2,200.05	$98,353.63	$32,188.80	2026-05-13
51905029-3940300	OTHER	30237-8900-06 - Sipuleucel-t - Susp	16	10	$152,962.56	$22,944.38 85% off	$1,207.00	$122,370.05	$32,122.14	2026-05-13
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	11	11	—	—	$30,019.36	$34,822.46	$31,820.52	2026-05-13
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	11	—	—	$29,601.20	$34,337.39	$31,377.27	2026-05-13
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	35	29	—	—	$24,922.00	$86,242.98	$31,312.99	2026-05-13
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	11	—	—	$29,522.73	$34,246.37	$31,294.09	2026-05-13
288	OTHER	Acute And Subacute Endocarditis With Mcc	35	29	—	—	$8,590.00	$65,573.93	$31,274.10	2026-05-13
165	OTHER	Major Chest Procedures Without Cc/mcc	35	29	—	—	$13,072.43	$52,852.40	$31,211.20	2026-05-13
164	OTHER	Major Chest Procedures With Cc	35	29	—	—	$10,640.25	$61,159.04	$31,211.20	2026-05-13
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	35	29	—	—	$5,193.96	$58,076.22	$31,172.90	2026-05-13
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	11	—	—	$29,405.22	$34,110.06	$31,169.53	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	35	29	—	—	$7,294.31	$96,538.73	$31,119.55	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	35	29	—	—	$5,721.81	$86,398.05	$31,117.68	2026-05-13
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	11	11	—	—	$29,263.53	$33,945.69	$31,019.34	2026-05-13
34	OTHER	Carotid Artery Stent Procedures With Mcc	35	29	—	—	$12,057.50	$93,790.93	$30,853.74	2026-05-13
095-4	OTHER	Cleft Lip And Palate Repair	11	11	—	—	$29,105.24	$33,762.08	$30,851.55	2026-05-13
330	OTHER	Major Small And Large Bowel Procedures With Cc	35	29	—	—	$8,936.09	$78,608.06	$30,818.13	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	33	27	—	—	$3,898.24	$93,650.39	$30,809.47	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Mcc	35	29	—	—	$9,133.01	$93,030.08	$30,614.08	2026-05-13

See an error in this hospital's data? Submit a correction