Hospital

WELLINGTON REGIONAL MEDICAL CENTER

Wellington, FL · CCN 100275 · Rates published

11,191 distinct procedures filed

18 distinct payers

309,361 rate rows

2026-05-07 last MRF observed

Data quality

306,494 of 309,361 rate rows are consumer-grade (99.1%)

2,867 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
template filing: same amount across many unrelated codes — excluded	1,942
exceeds 10× this hospital's gross charge — excluded from medians	881
per-diem day rate — not a per-procedure price	44

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/232306491_wellington-regional-medical-center_standardcharges.csv
Found on page	https://wellingtonregional.com/patients-visitors/pricing-guide/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	bca739be1c2aba6a… · 78,252,257 bytes · first seen 2026-05-07

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
773 OTHER	Inj, Beqvez, Per Tx Dose	9	$3,710,000.00	$4,081,000.00	$3,747,100.00	nat. median $3,605,000 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	9	$3,710,000.00	$4,081,000.00	$3,747,100.00	nat. median $3,746,358 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	11	$2,403,458.75	$4,206,052.81	$2,463,545.21	nat. median $2,588,981 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos T	11	$565,623.84	$989,841.71	$579,764.43	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	11	$551,318.34	$964,807.09	$565,101.29	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	11	$528,312.43	$924,546.75	$541,520.24	nat. median $558,082 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	11	$516,485.97	$903,850.44	$529,398.12	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	11	$489,517.15	$856,655.01	$501,755.08	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	11	$488,051.51	$854,090.14	$500,252.80	nat. median $489,450 1.0× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	$656.23	$774,243.78	$306,841.58	nat. median $386,529 0.8× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	$197,178.10	$578,295.20	$265,796.16	nat. median $239,422 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	$1.54	$487,029.08	$188,375.35	nat. median $146,562 1.3× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	$112.01	$439,990.75	$174,373.32	nat. median $181,005 1.0× median
5834 OTHER	Neonate With Ecmo	8	$159,402.05	$191,282.46	$168,966.17	nat. median $372,748 outlier · 0.5×
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	11	$152,500.50	$266,875.88	$156,313.02	nat. median $152,962 1.0× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	11	$152,500.50	$266,875.88	$156,313.02	nat. median $153,199 1.0× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	11	$137,500.50	$240,625.88	$140,938.02	nat. median $137,903 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	11	$137,500.50	$240,625.88	$140,938.02	nat. median $138,020 1.0× median
7 OTHER	Lung Transplant	13	$91,481.60	$268,302.46	$123,317.24	nat. median $169,933 0.7× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	14	$6,369.40	$214,375.88	$122,500.50	nat. median $120,174 1.0× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	14	$3,749.24	$214,375.88	$122,500.50	nat. median $119,935 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	$713.37	$290,088.90	$114,965.52	nat. median $134,983 0.9× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$103,991.65	$124,789.98	$110,231.14	nat. median $243,175 outlier · 0.5×
5833 OTHER	Neonate With Ecmo	8	$103,265.52	$123,918.63	$109,461.45	nat. median $252,069 outlier · 0.4×
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	14	$2,484.64	$188,125.88	$107,500.50	nat. median $105,693 1.0× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	14	$2,755.67	$188,125.88	$107,500.50	nat. median $105,172 1.0× median
14 OTHER	Allogeneic Bone Marrow Transplant	16	$55,765.91	$268,979.95	$106,599.80	nat. median $100,915 1.1× median
215 OTHER	Other Heart Assist System Implant	13	$74,163.60	$217,511.24	$99,972.56	nat. median $92,359 1.1× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$73,327.80	$215,059.96	$98,845.90	nat. median $80,273 1.2× median
1585 OTHER	New Technology - Level 48 ($90,001-$100,000)	11	$95,000.50	$166,250.88	$97,375.51	nat. median $95,360 1.0× median
1599 OTHER	New Technology - Level 48 ($90,001-$100,000)	11	$95,000.50	$166,250.88	$97,375.51	nat. median $95,288 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	13	$67,557.70	$198,137.08	$91,067.80	nat. median $90,130 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	16	$430.77	$226,234.44	$89,659.27	nat. median $111,558 0.8× median
1584 OTHER	New Technology - Level 47 ($80,001-$90,000)	11	$85,000.50	$148,750.88	$87,125.51	nat. median $85,390 1.0× median
1598 OTHER	New Technology - Level 47 ($80,001-$90,000)	11	$85,000.50	$148,750.88	$87,125.51	nat. median $85,322 1.0× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	16	$42.63	$218,632.18	$86,646.41	nat. median $94,894 0.9× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	16	$308.93	$223,651.77	$85,226.66	nat. median $90,581 0.9× median
5832 OTHER	Neonate With Ecmo	8	$79,289.07	$95,146.89	$84,046.42	nat. median $152,272 0.6× median
1614 OTHER	Implantable Heart Assist Systems	8	$78,924.22	$94,709.06	$83,659.66	nat. median $194,298 outlier · 0.4×
6304 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$75,858.32	$91,029.99	$80,409.82	nat. median $164,743 outlier · 0.5×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	$866.00	$173,872.68	$79,508.90	nat. median $76,493 1.0× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	8	$74,819.10	$89,782.92	$79,308.25	nat. median $161,322 outlier · 0.5×
1583 OTHER	New Technology - Level 46 ($70,001-$80,000)	11	$75,000.50	$131,250.88	$76,875.51	nat. median $75,344 1.0× median
1597 OTHER	New Technology - Level 46 ($70,001-$80,000)	11	$75,000.50	$131,250.88	$76,875.51	nat. median $75,284 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	16	$170.59	$189,120.31	$74,950.52	nat. median $407 outlier · 184.1×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	13	$54,162.50	$158,850.88	$73,011.07	nat. median $72,612 1.0× median
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$68,374.94	$82,049.92	$72,477.43	nat. median $170,784 outlier · 0.4×
5883 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$67,633.36	$81,160.03	$71,691.36	nat. median $163,694 outlier · 0.4×
6314 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	$67,127.23	$80,552.67	$71,154.87	nat. median $163,675 outlier · 0.4×
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	13	$52,249.40	$153,240.03	$70,432.21	nat. median $68,309 1.0× median

Other procedures at this hospital

Browse this hospital's 11,191 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

7594	OTHER	Eating Disorders	8	8	—	—	$20,363.81	$24,436.57	$21,585.64	2026-05-07
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	24	13	—	—	$16,058.70	$47,097.87	$21,647.13	2026-05-07
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	32	16	—	—	$2,802.92	$55,098.41	$21,836.12	2026-05-07
6302	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$20,728.31	$24,873.97	$21,972.00	2026-05-07
5464	OTHER	Level 4 Neurostimulator And Related Procedures	12	11	—	—	$21,444.39	$37,527.68	$21,980.50	2026-05-07
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	32	16	—	—	$17,065.70	$55,500.80	$21,995.60	2026-05-07
619	OTHER	O.r. Procedures For Obesity With Mcc	33	17	—	—	$158.93	$55,975.04	$22,173.00	2026-05-07
288	OTHER	Acute And Subacute Endocarditis With Mcc	32	16	—	—	$69.97	$56,077.69	$22,224.22	2026-05-07
411	OTHER	Cholecystectomy With C.d.e. With Mcc	32	16	—	—	$2,774.37	$56,178.29	$22,264.10	2026-05-07
3614	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	8	8	—	—	$21,039.60	$25,247.52	$22,301.98	2026-05-07
330	OTHER	Major Small And Large Bowel Procedures With Cc	24	13	—	—	$16,545.90	$48,526.76	$22,303.88	2026-05-07
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	40	16	—	—	$2,759.75	$58,793.81	$22,404.48	2026-05-07
164	OTHER	Major Chest Procedures With Cc	28	14	$7,737.00	$5,802.75 25% off	$4,407.48	$51,674.01	$22,412.22	2026-05-07
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	36	13	—	—	$12,988.50	$110,953.58	$22,505.37	2026-05-07
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	24	13	—	—	$16,780.40	$49,214.52	$22,619.99	2026-05-07
472	OTHER	Cervical Spinal Fusion With Cc	40	16	—	—	$69.50	$59,479.52	$22,665.78	2026-05-07
800	OTHER	Splenic Procedures With Cc	44	16	—	—	$173.05	$59,820.31	$22,795.64	2026-05-07
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	40	16	—	—	$89.16	$59,838.79	$22,802.68	2026-05-07
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	32	16	—	—	$2.34	$57,656.45	$22,849.90	2026-05-07
6904	OTHER	Acute Leukemia	8	8	—	—	$21,570.90	$25,885.07	$22,865.15	2026-05-07
654	OTHER	Major Bladder Procedures With Cc	32	16	—	—	$99.26	$57,937.71	$22,961.37	2026-05-07
7404	OTHER	Mental Illness Diagnosis With O.r. Procedure	8	8	—	—	$21,686.28	$26,023.54	$22,987.47	2026-05-07
5231	OTHER	Level 1 Icd And Similar Procedures	12	11	—	—	$22,446.19	$39,280.83	$23,007.35	2026-05-07
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	8	8	—	—	$21,715.04	$26,058.05	$23,017.94	2026-05-07
1577	OTHER	New Technology - Level 40 ($20,001-$25,000)	12	11	—	—	$22,500.50	$39,375.88	$23,063.01	2026-05-07
1591	OTHER	New Technology - Level 40 ($20,001-$25,000)	12	11	—	—	$22,500.50	$39,375.88	$23,063.01	2026-05-07
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	40	16	—	—	$4,890.41	$60,534.76	$23,067.89	2026-05-07
6814	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$21,775.43	$26,130.52	$23,081.96	2026-05-07
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	32	16	—	—	$145.47	$58,444.80	$23,162.33	2026-05-07
1834	OTHER	Percutaneous Structural Cardiac Procedures	8	8	—	—	$21,868.53	$26,242.24	$23,180.65	2026-05-07
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	32	16	—	—	$42.04	$58,758.91	$23,286.82	2026-05-07
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$22,025.26	$26,430.31	$23,346.78	2026-05-07
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	8	8	—	—	$23,186.52	$27,823.83	$23,650.25	2026-05-07
5911	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$22,351.66	$26,821.99	$23,692.76	2026-05-07
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	24	13	—	—	$17,674.30	$51,836.20	$23,824.97	2026-05-07
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	32	16	—	—	$67.24	$60,214.49	$23,863.68	2026-05-07
C1820	OTHER	Neurostim Rechargeable R20	46	6	$54,412.00	$40,809.00 25% off	$238.00	$96,423.39	$24,093.47	2026-05-07
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	24	13	—	—	$17,876.60	$52,429.51	$24,097.67	2026-05-07
974	OTHER	HIV With Major Related Condition With Mcc	32	16	—	—	$8,617.50	$61,306.69	$24,296.53	2026-05-07
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	36	18	$7,394.00	$5,545.50 25% off	$1,009.03	$62,998.36	$24,366.79	2026-05-07
570	OTHER	Skin Debridement With Mcc	32	16	—	—	$185.10	$61,799.41	$24,491.81	2026-05-07
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	8	—	—	$23,187.78	$27,825.33	$24,579.04	2026-05-07
120	OTHER	Car T-cell Immunotherapy	10	9	$3,747.50	$2,810.62 25% off	$2,283.75	$29,532.07	$24,610.06	2026-05-07
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	24	13	—	—	$18,363.10	$53,856.35	$24,753.47	2026-05-07
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	33	17	—	—	$866.00	$63,355.58	$24,867.11	2026-05-07
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	32	16	—	—	$2,108.04	$62,793.06	$24,885.60	2026-05-07
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	24	13	—	—	$18,507.30	$54,279.27	$24,947.85	2026-05-07
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	44	16	—	—	$97.42	$65,470.17	$24,948.63	2026-05-07
652	OTHER	Kidney Transplant	32	16	—	—	$91.57	$63,055.84	$24,989.74	2026-05-07
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	24	13	—	—	$18,573.10	$54,472.25	$25,036.55	2026-05-07
6334	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	8	8	—	—	$23,677.01	$28,412.42	$25,097.63	2026-05-07
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	24	13	—	—	$18,639.60	$54,667.28	$25,126.19	2026-05-07
5213	OTHER	Level 3 Electrophysiologic Procedures	12	11	—	—	$24,532.30	$42,931.53	$25,145.61	2026-05-07
849	OTHER	Radiotherapy	24	13	—	—	$18,697.70	$54,837.68	$25,204.50	2026-05-07
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	36	13	—	—	$2.36	$65,293.61	$25,254.57	2026-05-07
229	OTHER	Other Cardiothoracic Procedures Without Mcc	32	16	—	—	$21.02	$63,772.34	$25,273.70	2026-05-07
6804	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$23,897.37	$28,676.84	$25,331.21	2026-05-07
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	8	—	—	$23,917.86	$28,701.43	$25,352.92	2026-05-07
8413	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$23,943.74	$28,732.48	$25,380.37	2026-05-07
662	OTHER	Minor Bladder Procedures With Mcc	32	16	—	—	$84.01	$64,045.39	$25,381.92	2026-05-07
6073	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$24,132.10	$28,958.52	$25,580.03	2026-05-07
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$24,454.54	$29,345.45	$25,921.81	2026-05-07
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	32	16	—	—	$14.31	$65,595.40	$25,996.20	2026-05-07
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	32	16	—	—	$1,116.72	$65,786.33	$26,071.87	2026-05-07
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	32	16	—	—	$18,550.00	$54,404.50	$26,087.60	2026-05-07
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	8	—	—	$24,673.46	$29,608.15	$26,153.86	2026-05-07
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	32	16	—	—	$1,741.82	$66,092.23	$26,193.10	2026-05-07
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$24,901.00	$29,881.20	$26,395.06	2026-05-07
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	32	16	—	—	$203.55	$66,886.74	$26,507.97	2026-05-07
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	32	16	—	—	$218.29	$66,915.48	$26,519.36	2026-05-07
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$25,027.53	$30,033.04	$26,529.18	2026-05-07
1784	OTHER	External Heart Assist Systems	8	8	—	—	$25,093.67	$30,112.41	$26,599.29	2026-05-07
271	OTHER	Other Major Cardiovascular Procedures With Cc	40	16	—	—	$149.57	$70,713.53	$26,946.71	2026-05-07
37	OTHER	Extracranial Procedures With Mcc	32	16	—	—	$1,393.51	$68,178.08	$27,019.74	2026-05-07
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	24	13	—	—	$20,069.70	$58,861.56	$27,053.97	2026-05-07
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$25,529.71	$30,635.65	$27,061.49	2026-05-07
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	40	16	—	—	$166.81	$71,134.40	$27,107.08	2026-05-07
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	32	16	—	—	$6,459.70	$68,913.05	$27,311.03	2026-05-07
264	OTHER	Other Circulatory System O.r. Procedures	40	16	—	—	$2,585.96	$71,754.40	$27,343.35	2026-05-07
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$25,803.26	$30,963.91	$27,351.46	2026-05-07
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	40	16	—	—	$16.34	$71,933.01	$27,411.41	2026-05-07
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	24	13	—	—	$20,385.40	$59,787.47	$27,479.53	2026-05-07
668	OTHER	Transurethral Procedures With Mcc	24	13	—	—	$20,414.10	$59,871.64	$27,518.22	2026-05-07
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	32	16	—	—	$4,101.16	$69,637.76	$27,598.24	2026-05-07
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$26,185.37	$31,422.45	$27,756.50	2026-05-07
252	OTHER	Other Vascular Procedures With Mcc	32	16	—	—	$912.97	$70,426.11	$27,910.67	2026-05-07
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$26,363.31	$31,635.97	$27,945.10	2026-05-07
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	32	16	—	—	$114.12	$70,602.67	$27,980.64	2026-05-07
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	44	18	$3,644.00	$2,733.00 25% off	$92.08	$73,595.94	$28,045.10	2026-05-07
44	OTHER	Bone Or Joint Manipulation Under Anesthesia	16	8	—	—	$650.38	$66,460.56	$28,082.13	2026-05-07
1578	OTHER	New Technology - Level 41 ($25,001-$30,000)	12	11	—	—	$27,500.50	$48,125.88	$28,188.01	2026-05-07
1592	OTHER	New Technology - Level 41 ($25,001-$30,000)	12	11	—	—	$27,500.50	$48,125.88	$28,188.01	2026-05-07
332	OTHER	Rectal Resection With Mcc	32	16	—	—	$583.92	$71,212.41	$28,222.28	2026-05-07
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	32	16	—	—	$228.82	$71,290.43	$28,253.21	2026-05-07
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	32	16	—	—	$3.16	$71,881.69	$28,487.53	2026-05-07
C1767	OTHER	Neurostimulator Non-rechargble	31	6	$75,878.00	$56,908.50 25% off	$238.00	$74,345.04	$28,675.35	2026-05-07
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	32	16	—	—	$6,461.78	$72,906.14	$28,893.53	2026-05-07
265	OTHER	Aicd Lead Procedures	32	16	—	—	$8,906.89	$73,234.62	$29,023.71	2026-05-07
5200	OTHER	Implantation Wireless Pa Pressure Monitor	12	11	—	—	$28,428.33	$49,749.58	$29,139.04	2026-05-07
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	32	16	—	—	$138.30	$73,579.52	$29,160.40	2026-05-07
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	32	16	—	—	$14,379.86	$73,591.84	$29,165.28	2026-05-07
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	24	13	—	—	$21,646.80	$63,486.97	$29,179.90	2026-05-07
500	OTHER	Soft Tissue Procedures With Mcc	24	13	—	—	$22,180.90	$65,053.41	$29,899.86	2026-05-07
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$28,254.11	$33,904.93	$29,949.35	2026-05-07
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	24	13	—	—	$22,218.00	$65,162.22	$29,949.88	2026-05-07
6134	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	8	8	—	—	$28,386.75	$34,064.10	$30,089.96	2026-05-07
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	32	16	—	—	$47.62	$77,441.21	$30,690.83	2026-05-07
8634	OTHER	Neonatal Aftercare	8	8	—	—	$29,033.79	$34,840.55	$30,775.82	2026-05-07
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	24	13	—	—	$22,880.90	$67,106.41	$30,843.46	2026-05-07
4404	OTHER	Kidney Transplant	8	8	—	—	$29,377.08	$35,252.50	$31,139.71	2026-05-07
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	24	13	—	—	$23,113.30	$67,788.01	$31,156.74	2026-05-07
5465	OTHER	Level 5 Neurostimulator And Related Procedures	12	11	—	—	$30,473.59	$53,328.78	$31,235.43	2026-05-07
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	36	13	—	—	$23.98	$80,838.93	$31,267.25	2026-05-07
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	32	16	—	—	$1,934.33	$79,046.66	$31,327.08	2026-05-07
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	32	16	—	—	$136.50	$79,348.45	$31,446.69	2026-05-07
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	36	13	—	—	$13.03	$81,727.88	$31,611.09	2026-05-07
34	OTHER	Carotid Artery Stent Procedures With Mcc	32	16	—	—	$1,397.64	$79,835.01	$31,639.52	2026-05-07
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	32	16	—	—	$11,067.63	$80,278.46	$31,815.26	2026-05-07
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	40	16	—	—	$431.35	$83,503.72	$31,820.65	2026-05-07
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	16	—	—	$101.56	$80,674.69	$31,972.29	2026-05-07
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	32	16	—	—	$156.51	$81,005.22	$32,103.28	2026-05-07
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	24	13	—	—	$23,976.40	$70,319.36	$32,320.20	2026-05-07
665	OTHER	Prostatectomy With Mcc	24	13	—	—	$24,035.20	$70,491.81	$32,399.46	2026-05-07
5166	OTHER	Cochlear Implant Procedure	12	11	—	—	$31,807.82	$55,663.68	$32,603.01	2026-05-07
793	OTHER	Full Term Neonate With Major Problems	36	13	—	—	$2.02	$85,620.37	$32,627.23	2026-05-07
5232	OTHER	Level 2 Icd And Similar Procedures	12	11	—	—	$32,061.58	$56,107.76	$32,863.12	2026-05-07
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	24	13	—	—	$24,518.90	$71,910.43	$33,051.49	2026-05-07
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	24	13	—	—	$24,644.20	$72,277.92	$33,220.39	2026-05-07
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	32	16	—	—	$26.17	$83,834.26	$33,224.46	2026-05-07
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	40	16	—	—	$4,786.90	$72,479.11	$33,312.86	2026-05-07
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$31,435.39	$37,722.47	$33,321.51	2026-05-07
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	16	—	—	$20,956.93	$84,248.96	$33,388.82	2026-05-07
C1722	OTHER	Defib Atlas Ii Vr V168	47	6	$97,829.00	$73,371.75 25% off	$238.00	$99,246.42	$33,837.93	2026-05-07
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	32	16	—	—	$22.70	$85,419.17	$33,852.58	2026-05-07
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	32	16	—	—	$128.00	$86,012.49	$34,087.72	2026-05-07
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$32,266.12	$38,719.34	$34,202.09	2026-05-07
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	40	16	—	—	$96.29	$74,907.81	$34,429.14	2026-05-07
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	32	16	—	—	$153.98	$87,445.48	$34,655.64	2026-05-07
356	OTHER	Other Digestive System O.r. Procedures With Mcc	32	16	—	—	$136.27	$87,574.82	$34,706.89	2026-05-07
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	33	17	—	—	$15.13	$88,648.54	$34,794.61	2026-05-07
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$33,072.04	$39,686.45	$35,056.36	2026-05-07
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	40	16	—	—	$131.24	$92,070.89	$35,085.32	2026-05-07
901	OTHER	Wound Debridements For Injuries With Mcc	36	13	—	—	$5.09	$90,958.16	$35,181.22	2026-05-07
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	24	13	—	—	$26,194.00	$76,823.26	$35,309.52	2026-05-07
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	32	16	—	—	$101.36	$90,184.18	$35,741.01	2026-05-07
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	40	16	—	—	$3,567.03	$110,512.81	$35,872.85	2026-05-07
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	12	11	—	—	$35,000.50	$61,250.88	$35,875.51	2026-05-07
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	12	11	—	—	$35,000.50	$61,250.88	$35,875.51	2026-05-07
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	24	13	—	—	$26,756.80	$78,473.87	$36,068.18	2026-05-07
791	OTHER	Prematurity With Major Problems	24	13	—	—	$3,882.00	$83,349.75	$36,150.71	2026-05-07
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	36	13	—	—	$24,228.42	$92,623.15	$36,348.64	2026-05-07
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	32	16	—	—	$3,096.37	$91,816.32	$36,387.85	2026-05-07
904	OTHER	Skin Grafts For Injuries With Cc/mcc	24	13	—	—	$27,027.70	$79,268.38	$36,433.35	2026-05-07
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	40	16	—	—	$108.27	$96,070.13	$36,609.31	2026-05-07
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$34,796.05	$41,755.26	$36,883.81	2026-05-07
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$34,860.75	$41,832.90	$36,952.40	2026-05-07
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	44	16	—	—	$87.14	$98,041.01	$37,360.35	2026-05-07
329	OTHER	Major Small And Large Bowel Procedures With Mcc	32	16	—	—	$307.56	$94,271.71	$37,360.95	2026-05-07
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	16	—	—	$4,310.01	$94,286.08	$37,366.65	2026-05-07
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	32	16	—	—	$180.61	$94,587.87	$37,486.25	2026-05-07
907	OTHER	Other O.r. Procedures For Injuries With Mcc	24	13	—	—	$27,885.90	$81,785.36	$37,590.21	2026-05-07
799	OTHER	Splenic Procedures With Mcc	36	13	—	—	$7.69	$97,616.04	$37,756.38	2026-05-07
277	OTHER	Cardiac Defibrillator Implant Without Mcc	32	16	—	—	$724.44	$95,503.51	$37,849.12	2026-05-07
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	32	16	—	—	$3,921.63	$96,587.49	$38,278.71	2026-05-07
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$36,222.41	$43,466.89	$38,395.75	2026-05-07
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	32	16	—	—	$2,949.43	$97,597.57	$38,679.03	2026-05-07
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	24	13	—	—	$28,768.60	$84,374.19	$38,780.08	2026-05-07
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	24	13	—	—	$28,784.70	$84,421.41	$38,801.79	2026-05-07
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$37,183.27	$44,619.92	$39,414.26	2026-05-07
31	OTHER	Ventricular Shunt Procedures With Mcc	24	13	—	—	$29,334.20	$86,033.02	$39,542.51	2026-05-07
245	OTHER	Aicd Generator Procedures	32	16	—	—	$8,769.30	$100,326.00	$39,760.33	2026-05-07
140	OTHER	Major Head And Neck Procedures With Mcc	24	13	—	—	$29,604.40	$86,825.48	$39,906.74	2026-05-07
228	OTHER	Other Cardiothoracic Procedures With Mcc	32	16	—	—	$3,212.55	$102,307.15	$40,545.48	2026-05-07
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$38,317.38	$45,980.86	$40,616.43	2026-05-07
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	32	16	—	—	$109.75	$102,676.69	$40,691.93	2026-05-07
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	24	13	—	—	$30,288.30	$88,831.26	$40,828.64	2026-05-07
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$38,584.83	$46,301.79	$40,899.92	2026-05-07
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	16	—	—	$1,406.57	$103,407.56	$40,981.58	2026-05-07
8514	OTHER	Gender Related Procedures	8	8	—	—	$38,897.56	$46,677.08	$41,231.42	2026-05-07
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	32	16	—	—	$15,400.68	$104,592.14	$41,451.05	2026-05-07
C1721	OTHER	Defib Intrinsic 7288 Medtrnc	61	6	$123,919.00	$92,939.25 25% off	$238.00	$127,114.47	$41,555.25	2026-05-07
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	40	16	—	—	$677.56	$109,223.71	$41,621.72	2026-05-07
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$39,424.90	$47,309.88	$41,790.40	2026-05-07
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	40	16	—	—	$1,154.47	$110,777.83	$42,213.95	2026-05-07
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	40	16	—	—	$3,075.81	$110,882.53	$42,253.85	2026-05-07
112	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	8	—	—	$40,550.39	$48,660.47	$42,983.42	2026-05-07
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$40,623.37	$48,748.04	$43,060.76	2026-05-07
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	16	—	—	$941.91	$108,741.25	$43,095.39	2026-05-07
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	40	16	—	—	$2,115.92	$113,475.47	$43,241.94	2026-05-07
1611	OTHER	Implantable Heart Assist Systems	8	8	—	—	$40,841.92	$49,010.31	$43,292.44	2026-05-07
163	OTHER	Major Chest Procedures With Mcc	24	13	—	—	$32,264.40	$94,626.88	$43,492.43	2026-05-07
834	OTHER	Acute Leukemia With Mcc	36	13	—	—	$128.07	$113,475.47	$43,890.57	2026-05-07
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	32	16	—	—	$125.35	$110,765.51	$43,897.62	2026-05-07
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	32	16	—	—	$6.44	$111,451.21	$44,169.38	2026-05-07
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	32	16	—	—	$44.34	$112,999.17	$44,782.85	2026-05-07
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$42,483.61	$50,980.33	$45,032.62	2026-05-07
1142	OTHER	Supprelin La Implant	20	14	—	—	$1,950.47	$79,208.14	$45,261.80	2026-05-07
653	OTHER	Major Bladder Procedures With Mcc	32	16	—	—	$121.41	$114,446.54	$45,356.46	2026-05-07
1612	OTHER	Implantable Heart Assist Systems	8	8	—	—	$42,866.80	$51,440.16	$45,438.81	2026-05-07
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	44	16	—	—	$23.52	$119,531.82	$45,549.82	2026-05-07
6	OTHER	Liver Transplant Without Mcc	24	13	—	—	$33,944.40	$99,554.08	$45,757.07	2026-05-07
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	12	11	—	—	$45,000.50	$78,750.88	$46,125.51	2026-05-07
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	12	11	—	—	$45,000.50	$78,750.88	$46,125.51	2026-05-07
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	39	15	$271.00	$203.25 25% off	$22.22	$122,046.74	$46,508.18	2026-05-07
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	24	13	—	—	$35,050.40	$102,797.82	$47,247.95	2026-05-07
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	32	16	—	—	$2,182.03	$120,802.63	$47,875.45	2026-05-07
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	24	13	—	—	$35,553.00	$104,271.87	$47,925.46	2026-05-07
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	40	16	—	—	$1,116.91	$125,986.45	$48,009.48	2026-05-07
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$45,487.67	$54,585.21	$48,216.93	2026-05-07
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	16	—	—	$3,158.61	$122,139.13	$48,405.12	2026-05-07
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	32	16	—	—	$3,007.84	$122,991.12	$48,742.78	2026-05-07
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$46,047.00	$55,256.40	$48,809.82	2026-05-07
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	32	16	—	—	$251.40	$123,917.03	$49,109.72	2026-05-07
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	32	16	—	—	$121.96	$123,917.03	$49,109.72	2026-05-07
28	OTHER	Spinal Procedures With Mcc	32	16	—	—	$3,216.22	$124,812.13	$49,464.46	2026-05-07
232	OTHER	Coronary Bypass With Ptca Without Mcc	32	16	—	—	$7,233.91	$125,411.61	$49,702.04	2026-05-07
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	32	16	—	—	$4,455.59	$126,427.85	$50,104.79	2026-05-07
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	32	16	—	—	$99.45	$127,006.79	$50,334.23	2026-05-07
8	OTHER	Simultaneous Pancreas And Kidney Transplant	24	13	—	—	$38,087.70	$111,705.78	$51,342.24	2026-05-07
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	40	16	—	—	$1,111.68	$117,125.70	$51,710.41	2026-05-07
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$49,033.82	$58,840.58	$51,975.85	2026-05-07
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	16	—	—	$873.86	$132,580.69	$52,543.22	2026-05-07
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	16	—	—	$1,521.98	$132,771.62	$52,618.90	2026-05-07
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	36	13	—	—	$1.66	$137,117.82	$53,035.07	2026-05-07
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	14	—	—	$866.00	$117,829.88	$53,881.52	2026-05-07
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	32	16	—	—	$3,617.54	$136,885.83	$54,249.40	2026-05-07
C1882	OTHER	Defib Promote Rf 3207 Jude	59	6	$133,074.00	$99,805.50 25% off	$238.00	$145,468.89	$54,258.27	2026-05-07
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	12	11	—	—	$55,000.50	$96,250.88	$56,375.51	2026-05-07
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	12	11	—	—	$55,000.50	$96,250.88	$56,375.51	2026-05-07
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	32	16	—	—	$99.61	$142,816.95	$56,599.97	2026-05-07
9273	OTHER	Sipuleucel-t Auto Cd54+	12	11	—	—	$55,536.50	$97,188.87	$56,924.91	2026-05-07
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	32	16	—	—	$62.28	$145,818.43	$57,789.50	2026-05-07
1643	OTHER	Y90 Ibritumomab, Rx	12	11	—	—	$56,824.55	$99,442.96	$58,245.17	2026-05-07
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	24	13	—	—	$44,270.10	$129,837.88	$59,676.11	2026-05-07
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$56,660.27	$67,992.32	$60,059.88	2026-05-07
5244	OTHER	Level 4 Blood Product Exchange And Related Services	12	11	—	—	$59,142.33	$103,499.08	$60,620.89	2026-05-07
5831	OTHER	Neonate With Ecmo	8	8	—	—	$57,632.63	$69,159.15	$61,090.58	2026-05-07
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	40	16	—	—	$1,109.23	$160,470.69	$61,150.34	2026-05-07
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$59,346.92	$71,216.31	$62,907.74	2026-05-07
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	24	13	—	—	$46,932.90	$137,647.49	$63,265.57	2026-05-07
955	OTHER	Craniotomy For Multiple Significant Trauma	24	13	—	—	$47,798.10	$140,185.00	$64,431.86	2026-05-07
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	32	16	—	—	$600.11	$162,747.47	$64,498.67	2026-05-07
10	OTHER	Pancreas Transplant	32	16	—	—	$796.01	$163,685.69	$64,870.49	2026-05-07
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$61,256.41	$73,507.69	$64,931.79	2026-05-07
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	32	16	—	—	$851.55	$165,494.38	$65,587.30	2026-05-07
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	12	11	—	—	$65,000.50	$113,750.88	$66,625.51	2026-05-07
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	12	11	—	—	$65,000.50	$113,750.88	$66,625.51	2026-05-07
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	32	16	—	—	$27.46	$171,232.52	$67,861.38	2026-05-07
231	OTHER	Coronary Bypass With Ptca With Mcc	32	16	—	—	$5,624.58	$173,969.17	$68,945.95	2026-05-07
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$66,062.13	$79,274.55	$70,025.86	2026-05-07
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	24	13	—	—	$52,249.40	$153,240.03	$70,432.21	2026-05-07
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$67,127.23	$80,552.67	$71,154.87	2026-05-07
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$67,633.36	$81,160.03	$71,691.36	2026-05-07
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$68,374.94	$82,049.92	$72,477.43	2026-05-07
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	13	—	—	$54,162.50	$158,850.88	$73,011.07	2026-05-07
850	OTHER	Acute Leukemia With Other Procedures	32	16	—	—	$170.59	$189,120.31	$74,950.52	2026-05-07
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	12	11	—	—	$75,000.50	$131,250.88	$76,875.51	2026-05-07
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	12	11	—	—	$75,000.50	$131,250.88	$76,875.51	2026-05-07
8414	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$74,819.10	$89,782.92	$79,308.25	2026-05-07
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	14	—	—	$866.00	$173,872.68	$79,508.90	2026-05-07
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$75,858.32	$91,029.99	$80,409.82	2026-05-07
1614	OTHER	Implantable Heart Assist Systems	8	8	—	—	$78,924.22	$94,709.06	$83,659.66	2026-05-07
5832	OTHER	Neonate With Ecmo	8	8	—	—	$79,289.07	$95,146.89	$84,046.42	2026-05-07
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	40	16	—	—	$308.93	$223,651.77	$85,226.66	2026-05-07
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	32	16	—	—	$42.63	$218,632.18	$86,646.41	2026-05-07
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	12	11	—	—	$85,000.50	$148,750.88	$87,125.51	2026-05-07
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	12	11	—	—	$85,000.50	$148,750.88	$87,125.51	2026-05-07
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	32	16	—	—	$430.77	$226,234.44	$89,659.27	2026-05-07
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	13	—	—	$67,557.70	$198,137.08	$91,067.80	2026-05-07
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	12	11	—	—	$95,000.50	$166,250.88	$97,375.51	2026-05-07
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	12	11	—	—	$95,000.50	$166,250.88	$97,375.51	2026-05-07
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	13	—	—	$73,327.80	$215,059.96	$98,845.90	2026-05-07
215	OTHER	Other Heart Assist System Implant	24	13	—	—	$74,163.60	$217,511.24	$99,972.56	2026-05-07
14	OTHER	Allogeneic Bone Marrow Transplant	32	16	—	—	$55,765.91	$268,979.95	$106,599.80	2026-05-07
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	20	14	—	—	$2,484.64	$188,125.88	$107,500.50	2026-05-07
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	20	14	—	—	$2,755.67	$188,125.88	$107,500.50	2026-05-07
5833	OTHER	Neonate With Ecmo	8	8	—	—	$103,265.52	$123,918.63	$109,461.45	2026-05-07
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$103,991.65	$124,789.98	$110,231.14	2026-05-07
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	32	16	—	—	$713.37	$290,088.90	$114,965.52	2026-05-07
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	20	14	—	—	$3,749.24	$214,375.88	$122,500.50	2026-05-07
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	20	14	—	—	$6,369.40	$214,375.88	$122,500.50	2026-05-07
7	OTHER	Lung Transplant	24	13	—	—	$91,481.60	$268,302.46	$123,317.24	2026-05-07
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	12	11	—	—	$137,500.50	$240,625.88	$140,938.02	2026-05-07
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	12	11	—	—	$137,500.50	$240,625.88	$140,938.02	2026-05-07
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	12	11	—	—	$152,500.50	$266,875.88	$156,313.02	2026-05-07
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	12	11	—	—	$152,500.50	$266,875.88	$156,313.02	2026-05-07
5834	OTHER	Neonate With Ecmo	8	8	—	—	$159,402.05	$191,282.46	$168,966.17	2026-05-07
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	32	16	—	—	$112.01	$439,990.75	$174,373.32	2026-05-07
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	36	13	—	—	$1.54	$487,029.08	$188,375.35	2026-05-07
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	13	—	—	$197,178.10	$578,295.20	$265,796.16	2026-05-07
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	32	16	—	—	$656.23	$774,243.78	$306,841.58	2026-05-07
9391	OTHER	Brexucabtagene Car Pos T	12	11	—	—	$488,051.51	$854,090.14	$500,252.80	2026-05-07
9035	OTHER	Axicabtagene Ciloleucel Car+	12	11	—	—	$489,517.15	$856,655.01	$501,755.08	2026-05-07
9413	OTHER	Lisocabtagene Car Pos T	12	11	—	—	$516,485.97	$903,850.44	$529,398.12	2026-05-07
9422	OTHER	Idecabtagene Vicleucel Car	12	11	—	—	$528,312.43	$924,546.75	$541,520.24	2026-05-07
9498	OTHER	Ciltacabtagene Car-pos T	12	11	—	—	$551,318.34	$964,807.09	$565,101.29	2026-05-07
9194	OTHER	Tisagenlecleucel Car-pos T	12	11	—	—	$565,623.84	$989,841.71	$579,764.43	2026-05-07
9141	OTHER	Inj Onase Abepar-xioi Treat	12	11	—	—	$2,403,458.75	$4,206,052.81	$2,463,545.21	2026-05-07
9138	OTHER	Inj, Hemgenix, Per Tx Dose	9	9	—	—	$3,710,000.00	$4,081,000.00	$3,747,100.00	2026-05-07
773	OTHER	Inj, Beqvez, Per Tx Dose	9	9	—	—	$3,710,000.00	$4,081,000.00	$3,747,100.00	2026-05-07

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