Hospital

PALMETTO GENERAL HOSPITAL

Hialeah, FL · CCN 100187 · Rates published

8,792 distinct procedures filed

103 distinct payers

530,146 rate rows

2026-05-08 last MRF observed

Data quality

502,970 of 530,146 rate rows are consumer-grade (94.9%)

27,176 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	13,624
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	11,944
template filing: same amount across many unrelated codes — excluded	740
exceeds 10× this hospital's gross charge — excluded from medians	435
placeholder amount (≤ $0.02) — excluded from medians	433

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

Source MRF file	https://palmettogeneral.org/pricetransparency/995002378_PalmettoGeneralHospital_standardcharges.csv
Found on page	https://palmettogeneral.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	ff00cb43ccd57810… · 153,897,449 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
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	56	$104,449.68	$2,002,042.70	$439,069.35	nat. median $386,529 1.1× median
7 OTHER	Lung Transplant	51	$88,109.31	$1,513,993.04	$292,138.05	nat. median $169,933 1.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	50	$119,507.82	$592,614.42	$242,924.03	nat. median $239,422 1.0× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	$130,533.69	$232,050.00	$221,000.00	nat. median $267,493 0.8× median
583-3 OTHER	Neonate With Ecmo	11	$132,383.93	$232,050.00	$221,000.00	nat. median $259,487 0.9× median
583-4 OTHER	Neonate With Ecmo	11	$164,790.46	$232,050.00	$221,000.00	nat. median $309,400 0.7× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	$74,964.98	$221,861.29	$211,296.47	nat. median $210,669 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	59	$130,679.45	$516,682.58	$209,316.28	nat. median $146,562 1.4× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	59	$130,968.54	$466,780.25	$189,293.64	nat. median $181,005 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	$77,835.95	$196,325.46	$186,976.63	nat. median $203,379 0.9× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	$87,303.67	$173,250.00	$165,000.00	nat. median $169,856 1.0× median
02HA0QZ OTHER	Lvad	3	$113,147.00	$154,996.00	$154,996.00	nat. median $25,848 outlier · 6.0×
02HA3QZ OTHER	Lvad	3	$113,147.00	$154,996.00	$154,996.00	nat. median $25,848 outlier · 6.0×
02HA4QZ OTHER	Lvad	3	$113,147.00	$154,996.00	$154,996.00	nat. median $25,848 outlier · 6.0×
583-2 OTHER	Neonate With Ecmo	11	$89,824.39	$152,588.90	$145,322.76	nat. median $191,347 0.8× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	$79,568.36	$138,600.00	$132,000.00	nat. median $165,000 0.8× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	$131,545.36	$138,122.63	$131,545.36	nat. median $171,094 0.8× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	59	$88,312.33	$664,447.89	$127,747.98	nat. median $134,983 0.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	$73,989.44	$127,050.00	$121,000.00	nat. median $151,250 0.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	$89,121.38	$126,000.00	$120,000.00	nat. median $156,696 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	56	$27,217.43	$285,357.20	$116,500.10	nat. median $100,915 1.2× median
002-4 OTHER	Heart And/or Lung Transplant	11	$111,047.26	$116,599.62	$111,047.26	nat. median $216,800 0.5× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	$38,413.04	$114,211.19	$108,772.56	nat. median $153,523 0.7× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	$57,256.66	$105,000.00	$100,000.00	nat. median $125,000 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	50	$68,758.39	$527,020.84	$99,455.86	nat. median $111,558 0.9× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	$51,239.31	$103,950.00	$99,000.00	nat. median $112,711 0.9× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	59	$43,022.87	$237,269.14	$97,205.44	nat. median $90,581 1.1× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	$47,732.92	$101,956.74	$97,101.66	nat. median $100,015 1.0× median
215 OTHER	Other Heart Assist System Implant	59	$65,420.96	$234,590.02	$96,486.28	nat. median $92,359 1.0× median
161-4 OTHER	Implantable Heart Assist Systems	11	$95,167.09	$101,064.28	$95,167.09	nat. median $202,242 outlier · 0.5×
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	51	$65,751.21	$331,493.71	$95,068.76	nat. median $94,894 1.0× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	$37,429.18	$99,750.00	$95,000.00	nat. median $95,000 1.0× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	$83,869.21	$96,725.42	$92,119.45	nat. median $108,000 0.9× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	$52,965.57	$95,550.00	$91,000.00	nat. median $99,157 0.9× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	11	$90,217.23	$94,728.09	$90,217.23	nat. median $151,691 0.6× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	$39,036.17	$94,367.84	$89,874.13	nat. median $99,067 0.9× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	11	$48,269.31	$91,350.00	$87,000.00	nat. median $87,000 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	64	$59,712.89	$212,666.05	$86,344.70	nat. median $90,130 1.0× median
863-4 OTHER	Neonatal Aftercare	11	$45,504.97	$84,914.84	$80,871.28	nat. median $108,047 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	59	$41,733.21	$518,619.95	$80,449.88	nat. median $64,729 1.2× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	$69,313.05	$84,000.00	$80,000.00	nat. median $107,050 0.7× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	60	$15,021.00	$273,655.62	$79,443.56	nat. median $65,342 1.2× median
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	$38,471.23	$82,633.98	$78,699.03	nat. median $93,000 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	64	$52,592.46	$218,792.21	$76,057.23	nat. median $74,989 1.0× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	11	$75,611.37	$86,966.80	$75,611.37	nat. median $172,311 outlier · 0.4×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	62	$30,038.00	$227,851.88	$75,346.10	nat. median $76,493 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	$75,232.49	$78,994.11	$75,232.49	nat. median $150,954 outlier · 0.5×
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	59	$26,400.00	$271,028.61	$72,449.79	nat. median $74,209 1.0× median
10 OTHER	Pancreas Transplant	51	$48,276.32	$254,735.84	$71,679.89	nat. median $62,879 1.1× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	56	$11,458.23	$172,656.59	$71,280.52	nat. median $61,133 1.2× median

Other procedures at this hospital

Browse this hospital's 8,792 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	56	56	—	—	$104,449.68	$2,002,042.70	$439,069.35	2026-05-08
7	OTHER	Lung Transplant	51	51	—	—	$88,109.31	$1,513,993.04	$292,138.05	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	50	50	—	—	$119,507.82	$592,614.42	$242,924.03	2026-05-08
583-3	OTHER	Neonate With Ecmo	11	11	—	—	$132,383.93	$232,050.00	$221,000.00	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	11	—	—	$130,533.69	$232,050.00	$221,000.00	2026-05-08
583-4	OTHER	Neonate With Ecmo	11	11	—	—	$164,790.46	$232,050.00	$221,000.00	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	11	—	—	$74,964.98	$221,861.29	$211,296.47	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	59	59	—	—	$130,679.45	$516,682.58	$209,316.28	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	59	59	—	—	$130,968.54	$466,780.25	$189,293.64	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	11	—	—	$77,835.95	$196,325.46	$186,976.63	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	11	—	—	$87,303.67	$173,250.00	$165,000.00	2026-05-08
02HA4QZ	OTHER	Lvad	3	3	—	—	$113,147.00	$154,996.00	$154,996.00	2026-05-08
02HA3QZ	OTHER	Lvad	3	3	—	—	$113,147.00	$154,996.00	$154,996.00	2026-05-08
02HA0QZ	OTHER	Lvad	3	3	—	—	$113,147.00	$154,996.00	$154,996.00	2026-05-08
583-2	OTHER	Neonate With Ecmo	11	11	—	—	$89,824.39	$152,588.90	$145,322.76	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	11	—	—	$79,568.36	$138,600.00	$132,000.00	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$131,545.36	$138,122.63	$131,545.36	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	59	59	—	—	$88,312.33	$664,447.89	$127,747.98	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	11	—	—	$73,989.44	$127,050.00	$121,000.00	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	11	—	—	$89,121.38	$126,000.00	$120,000.00	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	56	56	—	—	$27,217.43	$285,357.20	$116,500.10	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	11	11	—	—	$111,047.26	$116,599.62	$111,047.26	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	11	—	—	$38,413.04	$114,211.19	$108,772.56	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$57,256.66	$105,000.00	$100,000.00	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	50	50	—	—	$68,758.39	$527,020.84	$99,455.86	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	11	—	—	$51,239.31	$103,950.00	$99,000.00	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	59	59	—	—	$43,022.87	$237,269.14	$97,205.44	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$47,732.92	$101,956.74	$97,101.66	2026-05-08
215	OTHER	Other Heart Assist System Implant	59	59	—	—	$65,420.96	$234,590.02	$96,486.28	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	11	11	—	—	$95,167.09	$101,064.28	$95,167.09	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	51	51	—	—	$65,751.21	$331,493.71	$95,068.76	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	11	—	—	$37,429.18	$99,750.00	$95,000.00	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	11	—	—	$83,869.21	$96,725.42	$92,119.45	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	11	—	—	$52,965.57	$95,550.00	$91,000.00	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	11	11	—	—	$90,217.23	$94,728.09	$90,217.23	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$39,036.17	$94,367.84	$89,874.13	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	11	—	—	$48,269.31	$91,350.00	$87,000.00	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	64	64	—	—	$59,712.89	$212,666.05	$86,344.70	2026-05-08
863-4	OTHER	Neonatal Aftercare	11	11	—	—	$45,504.97	$84,914.84	$80,871.28	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	59	59	—	—	$41,733.21	$518,619.95	$80,449.88	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	11	—	—	$69,313.05	$84,000.00	$80,000.00	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	60	60	—	—	$15,021.00	$273,655.62	$79,443.56	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	11	—	—	$38,471.23	$82,633.98	$78,699.03	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	64	64	—	—	$52,592.46	$218,792.21	$76,057.23	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	11	11	—	—	$75,611.37	$86,966.80	$75,611.37	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	62	62	—	—	$30,038.00	$227,851.88	$75,346.10	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	11	—	—	$75,232.49	$78,994.11	$75,232.49	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	59	59	—	—	$26,400.00	$271,028.61	$72,449.79	2026-05-08
10	OTHER	Pancreas Transplant	51	51	—	—	$48,276.32	$254,735.84	$71,679.89	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	56	56	—	—	$11,458.23	$172,656.59	$71,280.52	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	11	—	—	$34,913.51	$74,665.80	$71,110.29	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	64	64	—	—	$48,615.49	$170,241.19	$70,323.68	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	11	—	—	$33,416.04	$73,197.55	$69,711.95	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	64	64	—	—	$47,662.00	$211,702.44	$69,621.87	2026-05-08
583-1	OTHER	Neonate With Ecmo	11	11	—	—	$69,493.60	$72,968.28	$69,493.60	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$31,579.18	$72,826.99	$69,359.04	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	11	—	—	$47,915.45	$71,557.62	$68,150.11	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	11	11	—	—	$67,242.62	$74,311.85	$67,242.62	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	59	59	—	—	$45,922.46	$162,570.28	$67,233.52	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$30,620.26	$70,578.40	$67,217.52	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	11	—	—	$66,782.14	$70,121.25	$66,782.14	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	10	10	—	—	$1,200.00	$69,952.39	$66,621.32	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	10	10	—	—	$1,200.00	$69,247.90	$65,950.38	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	64	64	—	—	$40,398.47	$146,528.77	$65,917.09	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	11	11	—	—	$64,392.40	$70,459.92	$64,392.40	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	11	—	—	$44,386.29	$66,963.93	$63,775.17	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	59	59	—	—	$43,067.24	$153,919.26	$63,762.41	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	64	64	—	—	$38,286.28	$147,608.44	$63,548.21	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	59	59	—	—	$42,638.87	$148,720.37	$62,899.37	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	11	11	—	—	$60,274.73	$65,470.05	$62,352.43	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	11	—	—	$31,736.40	$65,100.00	$62,000.00	2026-05-08
6	OTHER	Liver Transplant Without Mcc	51	51	—	—	$42,147.16	$429,104.52	$61,600.25	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	11	—	—	$42,283.40	$64,416.78	$61,349.31	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	59	59	—	—	$14,981.30	$151,512.57	$61,218.69	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	64	64	—	—	$30,660.64	$378,527.91	$60,743.72	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	59	59	—	—	$39,326.13	$145,466.44	$60,370.85	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	60	60	—	—	$15,021.00	$176,973.88	$59,963.61	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	51	51	—	—	$40,840.90	$414,358.28	$59,443.03	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	59	59	—	—	$29,400.63	$390,586.18	$59,338.92	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	64	64	—	—	$36,733.12	$146,528.77	$59,005.31	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	11	—	—	$25,939.53	$58,951.78	$56,144.55	2026-05-08
276	OTHER	Non-maligant Breast Disorders	62	62	—	—	$20,321.70	$134,914.03	$56,136.83	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	59	59	—	—	$34,246.27	$261,786.99	$55,632.59	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	11	11	—	—	$47,764.37	$58,299.81	$55,523.63	2026-05-08
3400001856	OTHER	Y90 Ibritumomab Rx =< 40 Mci	91	86	$73,949.96	$73,949.96	$2,000.00	$122,172.78	$55,462.47	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	60	60	—	—	$15,021.00	$111,426.00	$55,454.33	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	59	59	—	—	$37,573.15	$180,118.75	$55,431.15	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	11	11	—	—	$32,585.44	$58,169.70	$55,399.71	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	64	64	—	—	$36,928.37	$128,157.88	$55,190.24	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	53	53	—	—	$37,845.94	$225,991.75	$54,751.72	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	56	56	—	—	$13,228.69	$225,991.75	$54,751.72	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	59	59	—	—	$22,379.36	$134,125.60	$54,413.11	2026-05-08
28	OTHER	Spinal Procedures With Mcc	59	59	—	—	$28,285.04	$132,411.51	$54,160.00	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	56	56	—	—	$3,587.53	$111,250.17	$53,955.59	2026-05-08
232-4	OTHER	Gastric Fundoplication	11	11	—	—	$53,508.13	$58,442.20	$53,508.13	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	59	59	—	—	$31,334.63	$126,809.69	$52,885.08	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	64	64	—	—	$33,516.94	$115,873.96	$52,765.88	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	64	64	—	—	$33,374.80	$126,972.50	$52,532.81	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	62	62	—	—	$30,038.00	$125,004.13	$52,160.61	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	59	59	—	—	$35,845.06	$200,839.49	$51,860.88	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	11	11	—	—	$49,350.03	$54,273.28	$51,688.84	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	59	59	—	—	$34,769.60	$258,611.36	$51,297.97	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	59	59	—	—	$30,974.49	$302,839.44	$50,720.44	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$50,021.00	$52,522.05	$50,021.00	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	10	10	—	—	$50,000.00	$52,500.00	$50,000.00	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	59	59	—	—	$34,173.22	$118,237.09	$49,445.43	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	64	64	—	—	$31,479.16	$108,536.27	$49,424.49	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	11	11	—	—	$49,247.34	$51,709.71	$49,247.34	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	59	59	—	—	$30,236.63	$157,601.39	$49,158.80	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	59	59	—	—	$21,548.00	$120,384.59	$49,034.61	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	11	—	—	$48,983.85	$55,043.53	$48,983.85	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$48,895.78	$51,340.57	$48,895.78	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	11	—	—	$26,040.38	$51,292.25	$48,849.76	2026-05-08
570	OTHER	Skin Debridement With Mcc	59	59	—	—	$22,379.36	$393,238.22	$48,587.40	2026-05-08
006-4	OTHER	Pancreas Transplant	11	11	—	—	$48,372.76	$61,417.63	$48,372.76	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	11	—	—	$19,835.43	$50,388.10	$47,988.67	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	59	59	—	—	$21,383.20	$117,633.78	$47,957.90	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	59	59	—	—	$8,911.31	$117,509.63	$47,909.32	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	64	64	—	—	$29,115.97	$126,972.50	$47,565.67	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$34,986.17	$49,657.41	$47,292.77	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	64	64	—	—	$30,660.64	$111,796.74	$46,861.35	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	11	—	—	$26,850.74	$49,009.65	$46,675.86	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	59	59	—	—	$22,984.84	$110,960.39	$46,525.75	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	59	59	—	—	$24,881.80	$266,757.65	$46,389.44	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	11	11	—	—	$45,244.36	$48,513.54	$46,203.37	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	59	59	—	—	$23,826.39	$327,818.67	$46,093.21	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	59	59	—	—	$23,464.40	$137,146.10	$46,021.53	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	59	59	—	—	$4,170.54	$108,971.87	$45,727.90	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	59	59	—	—	$30,817.10	$108,928.31	$45,710.41	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	11	11	—	—	$45,376.96	$50,531.96	$45,376.96	2026-05-08
245	OTHER	Aicd Generator Procedures	61	61	—	—	$12,998.00	$106,434.50	$44,709.81	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	59	59	—	—	$29,794.02	$135,243.30	$43,962.64	2026-05-08
4818350703	OTHER	Mitraclip G4 System	56	51	$120,000.00	$120,000.00	$2,000.00	$120,000.00	$43,836.00	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	59	59	—	—	$23,424.59	$104,968.21	$43,737.18	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	11	—	—	$43,560.21	$45,738.22	$43,560.21	2026-05-08
799	OTHER	Splenectomy With Mcc	59	59	—	—	$30,077.39	$103,559.54	$43,556.26	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	59	59	—	—	$30,091.61	$103,539.94	$43,548.40	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	62	62	—	—	$15,021.00	$272,535.86	$43,494.99	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	59	59	—	—	$29,474.66	$163,038.40	$43,491.81	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$20,873.87	$45,371.27	$43,210.73	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	59	59	—	—	$27,566.62	$322,003.03	$42,708.17	2026-05-08
4818332256	OTHER	Mitraclp 1 2 Sgc030 Cds060-xtr	44	44	$120,000.00	$120,000.00	$2,000.00	$120,000.00	$42,660.00	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	53	53	—	—	$29,204.90	$165,653.25	$42,267.30	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	60	60	—	—	$15,021.00	$146,158.35	$42,252.42	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	59	59	—	—	$27,219.45	$113,447.59	$42,132.69	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	11	—	—	$41,876.47	$47,177.38	$41,876.47	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	59	59	—	—	$17,892.94	$119,301.21	$41,807.05	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	11	11	—	—	$39,063.64	$43,817.42	$41,730.88	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	11	11	—	—	$23,042.54	$43,516.77	$41,444.54	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	59	59	—	—	$28,626.04	$98,262.65	$41,430.97	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	59	59	—	—	$28,388.33	$97,406.69	$41,087.54	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	64	64	—	—	$26,209.62	$89,561.54	$40,783.91	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	62	62	—	—	$27,455.03	$101,635.29	$40,767.67	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	59	59	—	—	$18,905.76	$96,496.29	$40,722.24	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	59	59	—	—	$18,284.55	$97,676.77	$40,146.37	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	62	62	—	—	$15,728.42	$98,074.00	$40,036.07	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	59	59	—	—	$25,562.26	$231,237.69	$39,282.06	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	59	59	—	—	$15,363.65	$92,769.73	$39,227.00	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	10	10	—	—	$1,200.00	$41,180.11	$39,219.15	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	59	59	—	—	$26,609.34	$129,234.29	$38,963.12	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	11	11	—	—	$17,851.10	$40,817.40	$38,873.71	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	59	59	—	—	$16,548.67	$96,675.35	$38,801.12	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	59	59	—	—	$26,195.69	$99,359.77	$38,657.74	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	59	59	—	—	$20,857.35	$91,271.27	$38,625.77	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	59	59	—	—	$25,677.99	$122,287.28	$38,617.03	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	64	64	—	—	$22,727.46	$146,312.79	$38,364.49	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	11	11	—	—	$29,737.45	$39,904.46	$38,004.25	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	11	—	—	$20,833.39	$39,890.58	$37,991.03	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	11	—	—	$37,904.72	$41,674.00	$37,904.72	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	59	59	—	—	$26,158.80	$119,080.20	$37,866.36	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	59	59	—	—	$25,112.33	$90,593.65	$37,549.14	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	11	11	—	—	$37,476.23	$39,350.04	$37,476.23	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	57	57	—	—	$4,731.76	$77,286.68	$37,467.77	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	11	—	—	$16,363.02	$39,171.28	$37,305.98	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	11	11	—	—	$36,953.93	$44,763.28	$36,953.93	2026-05-08
791	OTHER	Prematurity With Major Problems	57	57	—	—	$5,879.13	$75,346.21	$36,821.33	2026-05-08
4818287541	OTHER	Kit Impella Cp9 W/smart Assist	56	51	$100,000.00	$100,000.00	$2,000.00	$100,000.00	$36,530.00	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	59	59	—	—	$21,412.83	$85,937.35	$36,485.61	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	59	59	—	—	$19,537.16	$96,061.72	$36,414.83	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	57	57	—	—	$1,736.53	$85,586.69	$36,344.90	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	59	59	—	—	$16,796.79	$86,764.99	$36,342.24	2026-05-08
D020DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D721DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D920JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB22JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB25JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD23JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D726DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D928DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB21DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D720DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB28JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD21DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD24DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D021JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D927JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB25DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB26HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92BDZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92DJZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD20HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD22HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD25HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D728DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D820DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D929HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB26JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D721HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92CJZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB20JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D925JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D720HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D926JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB22HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD25DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D723DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D929JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D724JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D726JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92CDZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D027HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB20DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D924HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D924JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D820HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D927DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD22JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DF20HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DF21DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D027DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D921JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D021DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D722JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB26DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D720JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D820JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB21HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D021HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D928HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D027JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB20HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB28HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD21HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D020HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D727HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D925DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D929DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D723JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD20DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D020JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D725DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92DDZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D724DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D920DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD20JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD22DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD25JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DF20JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D727JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D721JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D722HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D724HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D926DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD21JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D723HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB21JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D725JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92BHZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB22DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D726HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D921DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D926HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D725HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB28DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD23HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD24JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D728HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D927HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D026JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD24HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D921HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92DHZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB27HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD23DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD27DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D925HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D722DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D928JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DB27DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D727DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92BJZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D026DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D026HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D924DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
D92CHZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD27HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DD27JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DF20DZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DF21HZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08
DF21JZZ	OTHER	Stereotactic Radiosurgery	2	2	—	—	$35,294.00	$37,058.00	$36,176.00	2026-05-08

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