Hospital

LAKEWOOD RANCH MEDICAL CENTER

Bradenton, FL · CCN 100299 · Rates published

11,014 distinct procedures filed

16 distinct payers

322,399 rate rows

2026-05-13 last MRF observed

Data quality

300,023 of 322,399 rate rows are consumer-grade (93.1%)

22,376 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	19,167
exceeds 10× this hospital's gross charge — excluded from medians	2,814
template filing: same amount across many unrelated codes — excluded	395

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/731666433_lakewood-ranch-medical-center_standardcharges.csv
Found on page	https://www.lakewoodranchmedicalcenter.com/patients-visitors/pricing-guide
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	0302685fbe5e0dc6… · 127,100,955 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
9138 OTHER	Inj, Hemgenix, Per Tx Dose	7	$3,747,100.00	$4,081,000.00	$3,821,300.00	nat. median $3,746,358 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	7	$3,747,100.00	$4,081,000.00	$3,821,300.00	nat. median $3,605,000 1.1× median
9141 OTHER	Inj Onase Abepar-xioi Treat	9	$2,427,493.00	$4,206,053.00	$2,499,597.00	nat. median $2,588,981 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos T	9	$571,280.00	$989,842.00	$588,249.00	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	9	$556,831.52	$964,807.00	$573,371.00	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	9	$533,595.55	$924,547.00	$549,445.00	nat. median $558,082 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	9	$521,650.83	$903,850.00	$537,145.00	nat. median $562,201 1.0× median
9035 OTHER	Axicabtagene Ciloleucel Car+	9	$494,412.00	$856,655.00	$509,098.00	nat. median $532,192 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	9	$492,932.00	$854,090.00	$507,574.00	nat. median $489,450 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$197,178.00	$541,902.00	$303,880.00	nat. median $239,422 1.3× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	$656.00	$725,519.00	$281,525.00	nat. median $386,529 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$1.56	$456,379.00	$176,238.50	nat. median $146,562 1.2× median
5834 OTHER	Neonate With Ecmo	8	$164,184.00	$191,282.00	$171,357.10	nat. median $372,748 outlier · 0.5×
C1825 OTHER	Barostim Neo Ipg Model 2104	5	$11,538.00	$353,653.00	$166,899.44	nat. median $3,203 outlier · 52.1×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	$112.00	$412,301.00	$159,986.00	nat. median $181,005 0.9× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	9	$154,025.51	$266,876.00	$158,601.00	nat. median $153,199 1.0× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	9	$154,025.51	$266,876.00	$158,601.00	nat. median $152,962 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	9	$138,875.51	$240,626.00	$143,001.00	nat. median $138,020 1.0× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	9	$138,875.51	$240,626.00	$143,001.00	nat. median $137,903 1.0× median
7 OTHER	Lung Transplant	10	$91,482.00	$251,418.00	$140,986.00	nat. median $169,933 0.8× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	13	$3,862.00	$214,376.00	$123,725.51	nat. median $119,935 1.0× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	13	$6,560.00	$214,376.00	$123,725.51	nat. median $120,174 1.0× median
215 OTHER	Other Heart Assist System Implant	10	$74,164.00	$203,823.00	$114,297.00	nat. median $92,359 1.2× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$73,328.00	$201,526.00	$113,009.00	nat. median $80,273 1.4× median
5884 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	$107,111.00	$124,790.00	$111,790.99	nat. median $243,175 outlier · 0.5×
5833 OTHER	Neonate With Ecmo	8	$106,363.00	$123,919.00	$111,010.38	nat. median $252,069 outlier · 0.4×
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	13	$2,838.00	$188,126.00	$108,575.51	nat. median $105,172 1.0× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	13	$2,559.00	$188,126.00	$108,575.51	nat. median $105,693 1.0× median
C1823 OTHER	Implant Pulse Generator Remede	5	$11,538.00	$228,884.00	$108,017.36	nat. median $40 outlier · 2700.4×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	14	$713.00	$271,833.00	$105,480.00	nat. median $134,983 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$67,558.00	$185,668.00	$104,116.00	nat. median $90,130 1.2× median
1599 OTHER	New Technology - Level 48 ($90,001-$100,000)	9	$95,950.51	$166,251.00	$98,801.00	nat. median $95,288 1.0× median
1585 OTHER	New Technology - Level 48 ($90,001-$100,000)	9	$95,950.51	$166,251.00	$98,801.00	nat. median $95,360 1.0× median
14 OTHER	Allogeneic Bone Marrow Transplant	14	$57,439.00	$252,052.00	$97,804.00	nat. median $100,915 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	$59,284.00	$162,930.00	$91,366.00	nat. median $76,493 1.2× median
1598 OTHER	New Technology - Level 47 ($80,001-$90,000)	9	$85,850.51	$148,751.00	$88,401.00	nat. median $85,322 1.0× median
1584 OTHER	New Technology - Level 47 ($80,001-$90,000)	9	$85,850.51	$148,751.00	$88,401.00	nat. median $85,390 1.0× median
5832 OTHER	Neonate With Ecmo	8	$81,668.00	$95,147.00	$85,235.60	nat. median $152,272 0.6× median
1614 OTHER	Implantable Heart Assist Systems	8	$81,292.00	$94,709.00	$84,843.57	nat. median $194,298 outlier · 0.4×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	$54,163.00	$148,854.00	$83,472.00	nat. median $72,612 1.1× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	14	$431.00	$211,997.00	$82,262.00	nat. median $111,558 0.7× median
6304 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	$78,134.00	$91,030.00	$81,547.49	nat. median $164,743 outlier · 0.5×
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	$52,249.00	$143,596.00	$80,524.00	nat. median $68,309 1.2× median
8414 OTHER	Extensive Third Degree Burns With Skin Graft	8	$77,064.00	$89,783.00	$80,430.32	nat. median $161,322 outlier · 0.5×
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	14	$43.00	$204,873.00	$79,497.00	nat. median $94,894 0.8× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	14	$309.00	$209,577.00	$78,976.68	nat. median $90,581 0.9× median
1583 OTHER	New Technology - Level 46 ($70,001-$80,000)	9	$75,750.51	$131,251.00	$78,001.00	nat. median $75,344 1.0× median
1597 OTHER	New Technology - Level 46 ($70,001-$80,000)	9	$75,750.51	$131,251.00	$78,001.00	nat. median $75,284 1.0× median
955 OTHER	Craniotomy For Multiple Significant Trauma	10	$47,798.00	$131,363.00	$73,664.00	nat. median $62,467 1.2× median
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$70,426.00	$82,050.00	$73,502.96	nat. median $170,784 outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 11,014 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

927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	10	—	—	$1.56	$456,379.00	$176,238.50	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	10	—	—	$1.67	$128,489.00	$49,618.00	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	29	16	$6.00	$2.40 60% off	$2.00	$101,898.00	$39,159.00	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	28	10	—	—	$2.00	$80,232.00	$30,983.00	2026-05-13
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	28	10	—	—	$2.00	$61,185.00	$23,627.50	2026-05-13
C1722	OTHER	Icd Intica Neo 7 Vr-t 429559	221	5	$148,649.00	$59,459.60 60% off	$3.00	$207,693.00	$54,180.00	2026-05-13
C1822	OTHER	Charger Senza Omnia Chgr2500	16	5	$123,970.00	$49,588.00 60% off	$3.00	$92,482.00	$27,857.00	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	27	14	—	—	$3.00	$67,358.00	$26,137.00	2026-05-13
C1785	OTHER	Pacer Amvia Edge Dr-t 460163	230	5	$70,206.00	$28,082.40 60% off	$3.00	$64,427.00	$23,411.50	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	28	10	—	—	$5.00	$85,234.00	$32,914.50	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	27	14	—	—	$6.00	$104,437.00	$40,525.00	2026-05-13
799	OTHER	Splenic Procedures With Mcc	28	10	—	—	$7.77	$91,473.00	$35,323.50	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	28	10	—	—	$13.00	$76,585.00	$29,574.50	2026-05-13
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	27	14	—	—	$14.00	$61,467.00	$23,851.00	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	27	14	—	—	$15.00	$83,070.00	$32,234.00	2026-05-13
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	35	14	—	—	$16.00	$67,406.00	$25,401.00	2026-05-13
C9364	OTHER	Permacol Porcine Impl Per Sqcm	36	5	$117,736.00	$47,094.40 60% off	$17.00	$169,545.00	$28,218.00	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	27	14	—	—	$23.00	$80,044.00	$31,059.00	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	36	14	—	—	$23.75	$112,009.00	$41,482.50	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	28	10	—	—	$24.00	$75,752.00	$29,252.50	2026-05-13
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	27	14	—	—	$26.00	$78,558.00	$30,483.00	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	27	14	—	—	$27.00	$160,456.00	$62,262.00	2026-05-13
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	27	14	—	—	$43.00	$204,873.00	$79,497.00	2026-05-13
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	27	14	—	—	$44.00	$105,888.00	$41,088.00	2026-05-13
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	27	14	—	—	$48.00	$72,568.00	$28,159.00	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	37	12	$3,242.00	$1,296.80 60% off	$50.00	$114,366.00	$41,614.00	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	27	14	—	—	$62.00	$136,642.00	$53,021.00	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	36	14	—	—	$88.00	$91,871.00	$34,024.79	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	33	16	$3,901.00	$1,560.40 60% off	$92.00	$68,964.00	$25,988.00	2026-05-13
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	35	14	—	—	$96.00	$74,870.00	$39,362.00	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	27	14	—	—	$99.00	$119,014.00	$46,181.00	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	27	14	—	—	$100.00	$133,829.00	$51,930.00	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	27	14	—	—	$101.00	$84,509.00	$32,792.00	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	27	14	—	—	$102.00	$75,598.00	$29,334.00	2026-05-13
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	35	14	—	—	$108.00	$90,024.00	$33,924.62	2026-05-13
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	27	14	—	—	$110.00	$96,215.00	$37,335.00	2026-05-13
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	27	14	—	—	$112.00	$412,301.00	$159,986.00	2026-05-13
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	27	14	—	—	$114.00	$66,159.00	$25,672.00	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	27	14	—	—	$121.00	$107,244.00	$41,614.00	2026-05-13
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	27	14	—	—	$122.00	$116,119.00	$45,058.00	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	27	14	—	—	$125.00	$103,795.00	$40,276.00	2026-05-13
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	27	14	—	—	$128.00	$80,600.00	$31,275.00	2026-05-13
834	OTHER	Acute Leukemia With Mcc	28	10	—	—	$129.00	$106,334.00	$41,062.50	2026-05-13
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	35	14	—	—	$131.00	$86,277.00	$32,512.00	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	27	14	—	—	$136.00	$82,064.00	$31,843.00	2026-05-13
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	28	15	—	—	$137.00	$74,355.00	$28,713.50	2026-05-13
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	27	14	—	—	$138.00	$68,949.00	$26,754.00	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Cc	35	14	—	—	$150.00	$66,263.00	$24,970.61	2026-05-13
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	27	14	—	—	$154.00	$81,942.00	$31,796.00	2026-05-13
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	27	14	—	—	$157.00	$75,907.00	$29,454.00	2026-05-13
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	35	14	—	—	$167.00	$66,658.00	$25,119.00	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	27	14	—	—	$171.00	$177,219.00	$68,766.00	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	27	14	—	—	$181.00	$88,635.00	$34,393.00	2026-05-13
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	27	14	—	—	$204.00	$62,677.00	$24,321.00	2026-05-13
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	27	14	—	—	$218.00	$62,704.00	$24,331.00	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	27	14	—	—	$229.00	$66,804.00	$25,922.00	2026-05-13
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	27	14	—	—	$251.00	$116,119.00	$45,058.00	2026-05-13
329	OTHER	Major Small And Large Bowel Procedures With Mcc	27	14	—	—	$308.00	$88,339.00	$34,278.00	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	35	14	—	—	$309.00	$209,577.00	$78,976.68	2026-05-13
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	27	14	—	—	$431.00	$211,997.00	$82,262.00	2026-05-13
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	35	14	—	—	$431.00	$78,249.00	$29,487.00	2026-05-13
C1767	OTHER	Ipg Eterna Generator	85	5	$108,495.00	$43,398.00 60% off	$484.00	$353,653.00	$38,547.00	2026-05-13
332	OTHER	Rectal Resection With Mcc	27	14	—	—	$584.00	$66,731.00	$25,894.00	2026-05-13
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	27	14	—	—	$600.00	$152,505.00	$59,177.00	2026-05-13
44	OTHER	Bone Or Joint Manipulation Under Anesthesia	16	8	—	—	$650.00	$66,461.00	$28,912.50	2026-05-13
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	27	14	—	—	$656.00	$725,519.00	$281,525.00	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	35	14	—	—	$678.00	$102,350.00	$38,569.00	2026-05-13
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	27	14	—	—	$713.00	$271,833.00	$105,480.00	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	27	14	—	—	$724.00	$89,493.00	$34,726.00	2026-05-13
C9600	OTHER	Des W/wo Ptca 1st Ves	90	7	$57,516.00	$23,006.40 60% off	$780.00	$42,283.00	$26,275.00	2026-05-13
10	OTHER	Pancreas Transplant	27	14	—	—	$796.00	$153,385.00	$59,518.00	2026-05-13
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	27	14	—	—	$852.00	$155,079.00	$60,176.00	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	27	14	—	—	$874.00	$124,237.00	$48,208.00	2026-05-13
252	OTHER	Other Vascular Procedures With Mcc	27	14	—	—	$913.00	$65,994.00	$25,608.00	2026-05-13
C1820	OTHER	Stimulator Evoke G4 Clsd Lp 24	79	5	$72,000.00	$28,800.00 60% off	$1,040.00	$146,792.00	$24,034.00	2026-05-13
120	OTHER	Car T-cell Immunotherapy	11	10	$4,843.00	$1,937.20 60% off	$1,065.00	$29,532.00	$25,841.00	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	35	14	—	—	$1,109.00	$150,372.00	$56,665.96	2026-05-13
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	35	14	—	—	$1,112.00	$109,755.00	$53,645.00	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	35	14	—	—	$1,117.00	$118,058.00	$44,488.77	2026-05-13
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	27	14	—	—	$1,117.00	$61,646.00	$23,921.00	2026-05-13
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	35	14	—	—	$1,154.00	$103,806.00	$39,118.00	2026-05-13
37	OTHER	Extracranial Procedures With Mcc	27	14	—	—	$1,394.00	$63,887.00	$24,790.00	2026-05-13
34	OTHER	Carotid Artery Stent Procedures With Mcc	27	14	—	—	$1,398.00	$74,811.00	$29,029.00	2026-05-13
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	27	14	—	—	$1,407.00	$96,900.00	$37,600.00	2026-05-13
92937	OTHER	Revasc Perc Bypass Grft 1st	65	7	$64,814.00	$25,925.60 60% off	$1,484.00	$42,283.00	$26,275.00	2026-05-13
92928	OTHER	Stent W/wo Ptca 1st Ves Lc	74	7	$73,954.00	$29,581.60 60% off	$1,484.00	$42,283.00	$26,275.00	2026-05-13
92943	OTHER	Revasc Perc Chronic Occul 1 Lc	65	7	$64,814.00	$25,925.60 60% off	$1,484.00	$42,283.00	$26,275.00	2026-05-13
92941	OTHER	Revasc Perc Bypass Ami 1st Lc	78	7	$64,814.00	$25,925.60 60% off	$1,484.00	$42,283.00	$26,275.00	2026-05-13
92933	OTHER	Stent W/athrec W/wo Ptca 1 Lc	65	7	$71,295.00	$28,518.00 60% off	$1,484.00	$42,283.00	$26,275.00	2026-05-13
92929	OTHER	Stent W/wo Ptca Ea Add Ves	52	7	$27,143.00	$10,857.20 60% off	$1,484.00	$42,283.00	$24,116.00	2026-05-13
92934	OTHER	Stent W/athrec W/wo Ptca Ad Lc	52	7	$27,143.00	$10,857.20 60% off	$1,484.00	$42,283.00	$24,116.00	2026-05-13
92944	OTHER	Revasc Perc Chronic Occu Ad Lc	52	7	$27,143.00	$10,857.20 60% off	$1,484.00	$42,283.00	$24,116.00	2026-05-13
92938	OTHER	Revasc Perc Bypass Grft Add Lc	52	7	$27,143.00	$10,857.20 60% off	$1,484.00	$42,283.00	$24,116.00	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	27	14	—	—	$1,522.00	$124,416.00	$48,277.00	2026-05-13
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	27	14	—	—	$1,742.00	$61,933.00	$24,032.00	2026-05-13
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	27	14	—	—	$1,934.00	$74,072.00	$28,742.00	2026-05-13
37218	OTHER	Place Stent Ante Carotid -59	26	7	$91,938.00	$36,775.20 60% off	$1,983.00	$53,364.00	$24,116.00	2026-05-13
1142	OTHER	Supprelin La Implant	17	13	—	—	$2,009.00	$79,208.00	$45,714.00	2026-05-13
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	35	14	—	—	$2,116.00	$106,334.00	$40,071.00	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	27	14	—	—	$2,182.00	$113,200.00	$43,925.00	2026-05-13
0515T	OTHER	Insert Wrls Card Stim Lv Sys	8	6	$134,627.00	$53,850.80 60% off	$2,472.00	$76,737.00	$29,853.00	2026-05-13
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	17	13	—	—	$2,559.00	$188,126.00	$108,575.51	2026-05-13
264	OTHER	Other Circulatory System O.r. Procedures	35	14	—	—	$2,586.00	$67,239.00	$25,338.00	2026-05-13
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	17	13	—	—	$2,838.00	$188,126.00	$108,575.51	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	27	14	—	—	$3,008.00	$115,251.00	$44,721.00	2026-05-13
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	27	14	—	—	$3,038.00	$91,456.00	$35,488.00	2026-05-13
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	35	14	—	—	$3,076.00	$103,904.00	$39,155.00	2026-05-13
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	27	14	—	—	$3,096.00	$86,038.00	$33,386.00	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	27	14	—	—	$3,159.00	$114,453.00	$44,411.00	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	27	14	—	—	$3,213.00	$95,869.00	$37,200.00	2026-05-13
28	OTHER	Spinal Procedures With Mcc	27	14	—	—	$3,216.00	$116,957.00	$45,383.00	2026-05-13
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	35	14	—	—	$3,567.00	$110,513.00	$41,013.00	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	27	14	—	—	$3,618.00	$128,271.00	$49,773.00	2026-05-13
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	17	13	—	—	$3,862.00	$214,376.00	$123,725.51	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	27	14	—	—	$3,922.00	$90,509.00	$35,120.00	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	27	14	—	—	$4,224.00	$65,255.00	$25,321.00	2026-05-13
93590	OTHER	Perq Transcath Cls Mitral	8	6	$116,871.00	$46,748.40 60% off	$4,396.00	$66,616.00	$23,509.50	2026-05-13
93591	OTHER	Perq Transcath Cls Aortic	8	6	$116,871.00	$46,748.40 60% off	$4,396.00	$66,616.00	$23,509.50	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	27	14	—	—	$4,439.00	$88,352.00	$34,284.00	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	27	14	—	—	$4,589.00	$118,471.00	$45,971.00	2026-05-13
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	35	14	—	—	$4,787.00	$67,918.00	$38,086.00	2026-05-13
C1772	OTHER	Pump Synchro W/fltr 10ml	15	5	$138,983.00	$55,593.20 60% off	$5,157.76	$94,945.00	$41,071.00	2026-05-13
C1721	OTHER	Defib Current Dr 2207 Jude	210	5	$186,507.50	$74,603.00 60% off	$5,506.00	$276,358.00	$59,723.50	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Mcc	27	14	—	—	$5,793.00	$163,021.00	$63,257.00	2026-05-13
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	27	14	—	—	$6,460.00	$64,576.00	$25,058.00	2026-05-13
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	17	13	—	—	$6,560.00	$214,376.00	$123,725.51	2026-05-13
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	27	14	—	—	$6,656.00	$68,318.00	$26,510.00	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	27	14	—	—	$7,451.00	$117,519.00	$45,601.00	2026-05-13
C2621	OTHER	Defib Insync3 8042 Medtrnc	82	5	$81,578.00	$32,631.20 60% off	$7,669.00	$152,590.00	$27,361.50	2026-05-13
245	OTHER	Aicd Generator Procedures	27	14	—	—	$8,769.00	$94,012.00	$36,480.00	2026-05-13
265	OTHER	Aicd Lead Procedures	27	14	—	—	$8,907.00	$68,626.00	$26,629.00	2026-05-13
C9760	OTHER	Shunt Interatrial Nonblind	8	6	$79,222.00	$31,688.80 60% off	$9,016.00	$45,157.00	$24,123.00	2026-05-13
C1882	OTHER	Defib Resonate Hf Rt Df-4	224	5	$158,696.50	$63,478.60 60% off	$9,783.00	$250,078.00	$59,954.50	2026-05-13
92997	OTHER	Pta Pulm 1st Ves	13	7	$114,598.00	$45,839.20 60% off	$9,885.00	$65,321.00	$29,681.00	2026-05-13
C9608	OTHER	Des Revasc Perc Chrnc Occ Adlc	52	7	$50,405.00	$20,162.00 60% off	$10,182.00	$42,283.00	$26,275.00	2026-05-13
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	27	14	—	—	$11,400.00	$75,226.00	$29,190.00	2026-05-13
C1825	OTHER	Barostim Neo Ipg Model 2104	6	5	$620,444.00	$248,177.60 60% off	$11,538.00	$353,653.00	$166,899.44	2026-05-13
C1823	OTHER	Implant Pulse Generator Remede	6	5	$401,551.00	$160,620.40 60% off	$11,538.00	$228,884.00	$108,017.36	2026-05-13
C1735	OTHER	Cath Renal Symplicity Spyral	6	5	$168,000.00	$67,200.00 60% off	$11,538.00	$95,760.00	$45,192.00	2026-05-13
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	8	6	$195,957.00	$78,382.80 60% off	$11,538.00	$111,695.00	$45,168.00	2026-05-13
0266T	OTHER	Implnt/rep Cartd Baroreflx Sys	8	6	$195,957.00	$78,382.80 60% off	$11,538.00	$111,695.00	$45,168.00	2026-05-13
C2616	OTHER	Brach Y-90 Nonstrand Per Srce	9	5	$162,135.00	$64,854.00 60% off	$11,538.00	$118,681.00	$42,059.00	2026-05-13
C2624	OTHER	Cardiomems Pa System	11	5	$111,804.00	$44,721.60 60% off	$11,538.00	$84,803.00	$38,534.00	2026-05-13
746	OTHER	Vagina, Cervix And Vulva Procedures With Cc/mcc	27	10	—	—	$11,722.00	$4,452,000.00	$23,913.00	2026-05-13
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	28	10	—	—	$12,989.00	$110,954.00	$27,223.00	2026-05-13
5881	OTHER	Ancillary Outpatient Services When Patient Dies	17	13	—	—	$13,647.93	$61,043.00	$23,647.00	2026-05-13
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	27	14	—	—	$14,380.00	$68,961.00	$26,759.00	2026-05-13
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	19	10	—	—	$15,252.00	$41,918.00	$23,506.00	2026-05-13
906	OTHER	Hand Procedures For Injuries	19	10	—	—	$15,278.00	$41,987.00	$23,545.00	2026-05-13
935	OTHER	Non-extensive Burns	19	10	—	—	$15,375.00	$42,254.00	$23,695.00	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	27	14	—	—	$15,401.00	$98,010.00	$38,031.00	2026-05-13
30	OTHER	Spinal Procedures Without Cc/mcc	19	10	—	—	$15,578.00	$42,812.00	$24,008.00	2026-05-13
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	19	10	—	—	$16,059.00	$44,134.00	$24,749.00	2026-05-13
330	OTHER	Major Small And Large Bowel Procedures With Cc	19	10	—	—	$16,546.00	$45,473.00	$25,500.00	2026-05-13
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	19	10	—	—	$16,780.00	$46,117.00	$25,861.00	2026-05-13
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	19	10	—	—	$17,674.00	$48,574.00	$27,239.00	2026-05-13
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	19	10	—	—	$17,877.00	$49,130.00	$27,550.00	2026-05-13
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	19	10	—	—	$18,363.00	$50,467.00	$28,300.00	2026-05-13
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	19	10	—	—	$18,507.00	$50,863.00	$28,522.00	2026-05-13
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	27	14	—	—	$18,550.00	$50,981.00	$28,174.61	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	19	10	—	—	$18,573.00	$51,044.00	$28,624.00	2026-05-13
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	19	10	—	—	$18,640.00	$51,227.00	$28,726.00	2026-05-13
849	OTHER	Radiotherapy	19	10	—	—	$18,698.00	$51,387.00	$28,816.00	2026-05-13
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	19	10	—	—	$20,070.00	$55,157.00	$30,930.00	2026-05-13
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	19	10	—	—	$20,385.00	$56,025.00	$31,417.00	2026-05-13
668	OTHER	Transurethral Procedures With Mcc	19	10	—	—	$20,414.00	$56,104.00	$31,461.00	2026-05-13
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	27	14	—	—	$21,586.00	$78,947.00	$30,634.00	2026-05-13
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	19	10	—	—	$21,647.00	$59,492.00	$33,361.00	2026-05-13
500	OTHER	Soft Tissue Procedures With Mcc	19	10	—	—	$22,181.00	$60,959.00	$34,184.00	2026-05-13
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	19	10	—	—	$22,218.00	$61,061.00	$34,241.00	2026-05-13
6814	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$22,429.00	$26,131.00	$23,408.74	2026-05-13
1834	OTHER	Percutaneous Structural Cardiac Procedures	8	8	—	—	$22,525.00	$26,242.00	$23,508.51	2026-05-13
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	8	—	—	$22,686.00	$26,430.00	$23,677.14	2026-05-13
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	19	10	—	—	$22,881.00	$62,883.00	$35,263.00	2026-05-13
5911	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$23,022.00	$26,822.00	$24,027.90	2026-05-13
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	19	10	—	—	$23,113.00	$63,522.00	$35,621.00	2026-05-13
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	8	8	—	—	$23,187.00	$27,824.00	$24,925.72	2026-05-13
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	8	—	—	$23,883.00	$27,825.00	$24,926.90	2026-05-13
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	19	10	—	—	$23,976.00	$65,894.00	$36,951.00	2026-05-13
665	OTHER	Prostatectomy With Mcc	19	10	—	—	$24,035.00	$66,056.00	$37,042.00	2026-05-13
6334	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	8	8	—	—	$24,387.00	$28,412.00	$25,452.58	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	28	10	—	—	$24,470.70	$86,794.00	$34,812.50	2026-05-13
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	19	10	—	—	$24,519.00	$67,385.00	$37,787.00	2026-05-13
6804	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$24,614.00	$28,677.00	$25,689.58	2026-05-13
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	8	—	—	$24,635.00	$28,701.00	$25,711.64	2026-05-13
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	19	10	—	—	$24,644.00	$67,729.00	$37,980.00	2026-05-13
8413	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$24,662.00	$28,732.00	$25,739.62	2026-05-13
5213	OTHER	Level 3 Electrophysiologic Procedures	9	9	—	—	$24,777.62	$42,932.00	$25,514.00	2026-05-13
6073	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$24,856.00	$28,959.00	$25,941.83	2026-05-13
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$25,188.00	$29,345.00	$26,288.45	2026-05-13
8504	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	8	—	—	$25,414.00	$29,608.00	$26,524.17	2026-05-13
6124	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$25,648.00	$29,881.00	$26,768.54	2026-05-13
6033	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$25,778.00	$30,033.00	$26,904.36	2026-05-13
1784	OTHER	External Heart Assist Systems	8	8	—	—	$25,846.00	$30,112.00	$26,975.58	2026-05-13
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	19	10	—	—	$26,194.00	$71,989.00	$40,369.00	2026-05-13
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$26,296.00	$30,636.00	$27,444.54	2026-05-13
6022	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$26,577.00	$30,964.00	$27,738.26	2026-05-13
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	19	10	—	—	$26,757.00	$73,535.00	$41,236.00	2026-05-13
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$26,971.00	$31,422.00	$28,149.10	2026-05-13
904	OTHER	Skin Grafts For Injuries With Cc/mcc	19	10	—	—	$27,028.00	$74,280.00	$41,654.00	2026-05-13
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$27,154.00	$31,636.00	$28,340.68	2026-05-13
1592	OTHER	New Technology - Level 41 ($25,001-$30,000)	9	9	—	—	$27,775.51	$48,126.00	$28,601.00	2026-05-13
1578	OTHER	New Technology - Level 41 ($25,001-$30,000)	9	9	—	—	$27,775.51	$48,126.00	$28,601.00	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Mcc	19	10	—	—	$27,886.00	$76,638.00	$42,976.00	2026-05-13
791	OTHER	Prematurity With Major Problems	19	10	—	—	$28,419.00	$78,104.00	$43,798.00	2026-05-13
5200	OTHER	Implantation Wireless Pa Pressure Monitor	9	9	—	—	$28,712.61	$49,750.00	$29,565.00	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	19	10	—	—	$28,769.00	$79,064.00	$44,337.00	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	19	10	—	—	$28,785.00	$79,109.00	$44,361.00	2026-05-13
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	8	—	—	$29,102.00	$33,905.00	$30,373.22	2026-05-13
6134	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	8	8	—	—	$29,238.00	$34,064.00	$30,515.85	2026-05-13
31	OTHER	Ventricular Shunt Procedures With Mcc	19	10	—	—	$29,334.00	$80,619.00	$45,208.00	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	19	10	—	—	$29,604.00	$81,361.00	$45,625.00	2026-05-13
8634	OTHER	Neonatal Aftercare	8	8	—	—	$29,905.00	$34,841.00	$31,211.25	2026-05-13
4404	OTHER	Kidney Transplant	8	8	—	—	$30,258.00	$35,252.00	$31,580.12	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	19	10	—	—	$30,288.00	$83,241.00	$46,679.00	2026-05-13
5465	OTHER	Level 5 Neurostimulator And Related Procedures	9	9	—	—	$30,778.00	$53,329.00	$31,693.00	2026-05-13
5166	OTHER	Cochlear Implant Procedure	9	9	—	—	$32,125.90	$55,664.00	$33,080.00	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	19	10	—	—	$32,264.00	$88,672.00	$49,724.00	2026-05-13
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$32,378.00	$37,722.00	$33,793.11	2026-05-13
5232	OTHER	Level 2 Icd And Similar Procedures	9	9	—	—	$32,382.00	$56,108.00	$33,344.00	2026-05-13
6023	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$33,234.00	$38,719.00	$34,686.21	2026-05-13
6	OTHER	Liver Transplant Without Mcc	19	10	—	—	$33,944.00	$93,289.00	$52,313.00	2026-05-13
3034	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$34,064.00	$39,686.00	$35,552.40	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	19	10	—	—	$35,050.00	$96,329.00	$54,018.00	2026-05-13
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	9	9	—	—	$35,350.51	$61,251.00	$36,401.00	2026-05-13
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	9	9	—	—	$35,350.51	$61,251.00	$36,401.00	2026-05-13
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	19	10	—	—	$35,553.00	$97,710.00	$54,792.00	2026-05-13
5932	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$35,840.00	$41,755.00	$37,405.87	2026-05-13
6074	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$35,907.00	$41,833.00	$37,475.31	2026-05-13
6303	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$37,309.00	$43,467.00	$38,939.10	2026-05-13
8	OTHER	Simultaneous Pancreas And Kidney Transplant	19	10	—	—	$38,088.00	$104,676.00	$58,699.00	2026-05-13
5912	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$38,299.00	$44,620.00	$39,971.96	2026-05-13
8424	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$39,467.00	$45,981.00	$41,191.39	2026-05-13
5893	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$39,742.00	$46,302.00	$41,478.81	2026-05-13
8514	OTHER	Gender Related Procedures	8	8	—	—	$40,064.00	$46,677.00	$41,814.68	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	10	—	—	$40,176.00	$110,415.00	$61,917.00	2026-05-13
5892	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$40,608.00	$47,310.00	$42,381.94	2026-05-13
112	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	8	—	—	$41,767.00	$48,660.00	$43,591.71	2026-05-13
5891	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	8	—	—	$41,842.00	$48,748.00	$43,670.12	2026-05-13
1611	OTHER	Implantable Heart Assist Systems	8	8	—	—	$42,067.00	$49,010.00	$43,905.14	2026-05-13
5933	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$43,758.00	$50,980.00	$45,669.65	2026-05-13
1612	OTHER	Implantable Heart Assist Systems	8	8	—	—	$44,153.00	$51,440.00	$46,081.57	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	19	10	—	—	$44,270.00	$121,667.00	$68,227.00	2026-05-13
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	9	9	—	—	$45,450.51	$78,751.00	$46,801.00	2026-05-13
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	9	9	—	—	$45,450.51	$78,751.00	$46,801.00	2026-05-13
6024	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	8	—	—	$46,852.00	$54,585.00	$48,899.35	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	19	10	—	—	$46,933.00	$128,985.00	$72,330.00	2026-05-13
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$47,428.00	$55,256.00	$49,500.38	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	19	10	—	—	$47,798.00	$131,363.00	$73,664.00	2026-05-13
5913	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$50,505.00	$58,841.00	$52,711.26	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	10	—	—	$52,249.00	$143,596.00	$80,524.00	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	10	—	—	$54,163.00	$148,854.00	$83,472.00	2026-05-13
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	9	9	—	—	$55,550.51	$96,251.00	$57,201.00	2026-05-13
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	9	9	—	—	$55,550.51	$96,251.00	$57,201.00	2026-05-13
9273	OTHER	Sipuleucel-t Auto Cd54+	9	9	—	—	$56,091.86	$97,189.00	$57,758.00	2026-05-13
1643	OTHER	Y90 Ibritumomab, Rx	9	9	—	—	$57,392.79	$99,443.00	$59,098.00	2026-05-13
14	OTHER	Allogeneic Bone Marrow Transplant	27	14	—	—	$57,439.00	$252,052.00	$97,804.00	2026-05-13
6034	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	8	—	—	$58,360.00	$67,992.00	$60,909.54	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	10	—	—	$59,284.00	$162,930.00	$91,366.00	2026-05-13
5831	OTHER	Neonate With Ecmo	8	8	—	—	$59,362.00	$69,159.00	$61,955.12	2026-05-13
5244	OTHER	Level 4 Blood Product Exchange And Related Services	9	9	—	—	$59,733.75	$103,499.00	$61,508.00	2026-05-13
5882	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$61,127.00	$71,216.00	$63,797.84	2026-05-13
5934	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	8	—	—	$63,094.00	$73,508.00	$65,850.46	2026-05-13
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	9	9	—	—	$65,650.51	$113,751.00	$67,601.00	2026-05-13
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	9	9	—	—	$65,650.51	$113,751.00	$67,601.00	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	10	—	—	$67,558.00	$185,668.00	$104,116.00	2026-05-13
5914	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	8	—	—	$68,044.00	$79,275.00	$71,016.55	2026-05-13
6314	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	8	—	—	$69,141.00	$80,553.00	$72,161.71	2026-05-13
5883	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$69,662.00	$81,160.00	$72,706.01	2026-05-13
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	8	—	—	$70,426.00	$82,050.00	$73,502.96	2026-05-13
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	19	10	—	—	$73,328.00	$201,526.00	$113,009.00	2026-05-13
215	OTHER	Other Heart Assist System Implant	19	10	—	—	$74,164.00	$203,823.00	$114,297.00	2026-05-13
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	9	9	—	—	$75,750.51	$131,251.00	$78,001.00	2026-05-13
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	9	9	—	—	$75,750.51	$131,251.00	$78,001.00	2026-05-13
8414	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$77,064.00	$89,783.00	$80,430.32	2026-05-13
6304	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	8	—	—	$78,134.00	$91,030.00	$81,547.49	2026-05-13
1614	OTHER	Implantable Heart Assist Systems	8	8	—	—	$81,292.00	$94,709.00	$84,843.57	2026-05-13
5832	OTHER	Neonate With Ecmo	8	8	—	—	$81,668.00	$95,147.00	$85,235.60	2026-05-13
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	9	9	—	—	$85,850.51	$148,751.00	$88,401.00	2026-05-13
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	9	9	—	—	$85,850.51	$148,751.00	$88,401.00	2026-05-13
7	OTHER	Lung Transplant	19	10	—	—	$91,482.00	$251,418.00	$140,986.00	2026-05-13
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	9	9	—	—	$95,950.51	$166,251.00	$98,801.00	2026-05-13
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	9	9	—	—	$95,950.51	$166,251.00	$98,801.00	2026-05-13
5833	OTHER	Neonate With Ecmo	8	8	—	—	$106,363.00	$123,919.00	$111,010.38	2026-05-13
5884	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	8	8	—	—	$107,111.00	$124,790.00	$111,790.99	2026-05-13
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	9	9	—	—	$138,875.51	$240,626.00	$143,001.00	2026-05-13
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	9	9	—	—	$138,875.51	$240,626.00	$143,001.00	2026-05-13
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	9	9	—	—	$154,025.51	$266,876.00	$158,601.00	2026-05-13
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	9	9	—	—	$154,025.51	$266,876.00	$158,601.00	2026-05-13
5834	OTHER	Neonate With Ecmo	8	8	—	—	$164,184.00	$191,282.00	$171,357.10	2026-05-13
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	10	—	—	$197,178.00	$541,902.00	$303,880.00	2026-05-13
9391	OTHER	Brexucabtagene Car Pos T	9	9	—	—	$492,932.00	$854,090.00	$507,574.00	2026-05-13
9035	OTHER	Axicabtagene Ciloleucel Car+	9	9	—	—	$494,412.00	$856,655.00	$509,098.00	2026-05-13
9413	OTHER	Lisocabtagene Car Pos T	9	9	—	—	$521,650.83	$903,850.00	$537,145.00	2026-05-13
9422	OTHER	Idecabtagene Vicleucel Car	9	9	—	—	$533,595.55	$924,547.00	$549,445.00	2026-05-13
9498	OTHER	Ciltacabtagene Car-pos T	9	9	—	—	$556,831.52	$964,807.00	$573,371.00	2026-05-13
9194	OTHER	Tisagenlecleucel Car-pos T	9	9	—	—	$571,280.00	$989,842.00	$588,249.00	2026-05-13
9141	OTHER	Inj Onase Abepar-xioi Treat	9	9	—	—	$2,427,493.00	$4,206,053.00	$2,499,597.00	2026-05-13
773	OTHER	Inj, Beqvez, Per Tx Dose	7	7	—	—	$3,747,100.00	$4,081,000.00	$3,821,300.00	2026-05-13
9138	OTHER	Inj, Hemgenix, Per Tx Dose	7	7	—	—	$3,747,100.00	$4,081,000.00	$3,821,300.00	2026-05-13

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