Hospital

VIERA HOSPITAL

Melbourne, FL · CCN 100315 · Rates published

5,975 distinct procedures filed

15 distinct payers

154,108 rate rows

2026-05-18 last MRF observed

Data quality

141,902 of 154,108 rate rows are consumer-grade (92.1%)

12,206 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	9,700
exceeds 10× this hospital's gross charge — excluded from medians	1,372
template filing: same amount across many unrelated codes — excluded	1,073
placeholder amount (≤ $0.02) — excluded from medians	61

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

Source MRF file	https://www.hf.org/sites/default/files/2026-03/264019868_Viera-Hospital_standardcharges.csv
Found on page	https://hf.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-19
Content fingerprint	a4d55d27012175ef… · 32,272,231 bytes · first seen 2026-05-18

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
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	$508,596.31	$1,229,457.49	$869,026.90	nat. median $424,868 outlier · 2.0×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$194,622.76	$761,073.08	$477,847.92	nat. median $263,894 1.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$148,284.63	$607,870.08	$378,077.35	nat. median $146,562 outlier · 2.6×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	$147,414.58	$604,302.67	$375,858.62	nat. median $218,232 1.7× median
007 OTHER	Lung Transplant	9	$217,136.01	$375,563.60	$296,349.80	nat. median $141,082 outlier · 2.1×
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	$147,555.79	$394,363.21	$270,959.50	nat. median $150,232 1.8× median
583-3 OTHER	Neonate With Ecmo	6	$221,000.00	$247,520.00	$232,050.00	nat. median $259,487 0.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$221,000.00	$247,520.00	$232,050.00	nat. median $267,493 0.9× median
583-4 OTHER	Neonate With Ecmo	6	$221,000.00	$247,520.00	$232,050.00	nat. median $309,400 0.8× median
011-3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$204,995.11	$229,594.52	$215,244.87	nat. median $171,094 1.3× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	$111,149.24	$307,749.02	$209,449.13	nat. median $117,167 1.8× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$197,455.24	$221,149.87	$207,328.00	nat. median $203,379 1.0× median
014 OTHER	Allogeneic Bone Marrow Transplant	9	$83,481.77	$326,382.13	$204,931.95	nat. median $105,808 1.9× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	10	$75,539.56	$309,596.50	$192,568.03	nat. median $90,581 outlier · 2.1×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	$179,071.67	$200,560.27	$188,025.25	nat. median $210,669 0.9× median
215 OTHER	Other Heart Assist System Implant	10	$69,171.49	$283,485.75	$176,328.62	nat. median $92,359 1.9× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	9	$71,626.09	$280,012.56	$175,819.33	nat. median $104,489 1.7× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$165,000.00	$184,800.00	$173,250.00	nat. median $169,856 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$67,961.89	$278,526.10	$173,243.99	nat. median $90,130 1.9× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	7	$61,563.96	$273,655.62	$167,609.79	nat. median $65,342 outlier · 2.6×
231 OTHER	Coronary Bypass With Ptca With Mcc	10	$58,567.76	$240,007.68	$149,287.72	nat. median $74,989 2.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	$58,383.74	$239,253.20	$148,818.47	nat. median $76,493 1.9× median
583-2 OTHER	Neonate With Ecmo	6	$138,429.14	$155,040.64	$145,350.60	nat. median $191,347 0.8× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	$54,671.63	$224,032.60	$139,352.11	nat. median $82,426 1.7× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$132,000.00	$147,840.00	$138,600.00	nat. median $165,000 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	10	$101,886.65	$174,279.53	$138,083.09	nat. median $64,729 outlier · 2.1×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	$53,348.86	$218,608.88	$135,978.87	nat. median $72,612 1.9× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	$53,119.02	$217,666.49	$135,392.76	nat. median $68,249 2.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	$52,943.35	$216,946.17	$134,944.76	nat. median $68,309 2.0× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	10	$69,401.56	$195,820.69	$132,611.12	nat. median $67,670 2.0× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	10	$71,671.52	$183,202.34	$127,436.93	nat. median $66,849 1.9× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$121,000.00	$135,520.00	$127,050.00	nat. median $151,250 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	10	$49,838.12	$204,213.94	$127,026.03	nat. median $46,003 outlier · 2.8×
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	10	$49,573.56	$203,129.20	$126,351.38	nat. median $67,495 1.9× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	10	$49,544.41	$203,009.62	$126,277.01	nat. median $29,655 outlier · 4.3×
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$120,000.00	$134,400.00	$126,000.00	nat. median $156,696 0.8× median
002-4 OTHER	Heart And/or Lung Transplant	6	$119,164.66	$133,464.42	$125,122.89	nat. median $216,800 0.6× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	10	$48,026.51	$196,785.86	$122,406.18	nat. median $54,603 outlier · 2.2×
010 OTHER	Pancreas Transplant	9	$49,858.96	$194,877.66	$122,368.31	nat. median $67,882 1.8× median
955 OTHER	Craniotomy For Multiple Significant Trauma	10	$46,771.77	$191,641.15	$119,206.46	nat. median $62,467 1.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$45,689.95	$187,205.37	$116,447.66	nat. median $60,727 1.9× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$45,689.95	$187,205.37	$116,447.66	nat. median $56,507 outlier · 2.1×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	6	$110,647.94	$123,925.69	$116,180.34	nat. median $153,523 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	10	$45,524.00	$186,524.91	$116,024.46	nat. median $54,881 outlier · 2.1×
008 OTHER	Simultaneous Pancreas And Kidney Transplant	9	$76,207.31	$152,209.72	$114,208.51	nat. median $59,265 1.9× median
459 OTHER	Spinal Fusion Except Cervical With Mcc	7	$46,085.75	$176,973.88	$111,529.82	nat. median $50,246 outlier · 2.2×
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	10	$42,586.81	$174,481.68	$108,534.24	nat. median $58,866 1.8× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	10	$42,129.91	$172,608.28	$107,369.10	nat. median $56,351 1.9× median
028 OTHER	Spinal Procedures With Mcc	10	$41,752.87	$171,062.31	$106,407.59	nat. median $61,887 1.7× median
276 OTHER	Non-maligant Breast Disorders	10	$41,741.06	$171,013.91	$106,377.49	nat. median $3,947 outlier · 27.0×

Other procedures at this hospital

Browse this hospital's 5,975 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	10	—	—	$508,596.31	$1,229,457.49	$869,026.90	2026-05-18
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	12	9	—	—	$194,622.76	$761,073.08	$477,847.92	2026-05-18
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	10	—	—	$148,284.63	$607,870.08	$378,077.35	2026-05-18
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	10	—	—	$147,414.58	$604,302.67	$375,858.62	2026-05-18
007	OTHER	Lung Transplant	12	9	—	—	$217,136.01	$375,563.60	$296,349.80	2026-05-18
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	14	10	—	—	$147,555.79	$394,363.21	$270,959.50	2026-05-18
583-3	OTHER	Neonate With Ecmo	10	6	—	—	$221,000.00	$247,520.00	$232,050.00	2026-05-18
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	6	—	—	$221,000.00	$247,520.00	$232,050.00	2026-05-18
583-4	OTHER	Neonate With Ecmo	10	6	—	—	$221,000.00	$247,520.00	$232,050.00	2026-05-18
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	6	—	—	$204,995.11	$229,594.52	$215,244.87	2026-05-18
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	12	9	—	—	$111,149.24	$307,749.02	$209,449.13	2026-05-18
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	6	—	—	$197,455.24	$221,149.87	$207,328.00	2026-05-18
014	OTHER	Allogeneic Bone Marrow Transplant	12	9	—	—	$83,481.77	$326,382.13	$204,931.95	2026-05-18
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	14	10	—	—	$75,539.56	$309,596.50	$192,568.03	2026-05-18
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	6	—	—	$179,071.67	$200,560.27	$188,025.25	2026-05-18
215	OTHER	Other Heart Assist System Implant	14	10	—	—	$69,171.49	$283,485.75	$176,328.62	2026-05-18
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	12	9	—	—	$71,626.09	$280,012.56	$175,819.33	2026-05-18
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	6	—	—	$165,000.00	$184,800.00	$173,250.00	2026-05-18
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	10	—	—	$67,961.89	$278,526.10	$173,243.99	2026-05-18
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	10	7	—	—	$61,563.96	$273,655.62	$167,609.79	2026-05-18
231	OTHER	Coronary Bypass With Ptca With Mcc	14	10	—	—	$58,567.76	$240,007.68	$149,287.72	2026-05-18
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	10	—	—	$58,383.74	$239,253.20	$148,818.47	2026-05-18
583-2	OTHER	Neonate With Ecmo	10	6	—	—	$138,429.14	$155,040.64	$145,350.60	2026-05-18
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	14	10	—	—	$54,671.63	$224,032.60	$139,352.11	2026-05-18
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	6	—	—	$132,000.00	$147,840.00	$138,600.00	2026-05-18
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	14	10	—	—	$101,886.65	$174,279.53	$138,083.09	2026-05-18
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	10	—	—	$53,348.86	$218,608.88	$135,978.87	2026-05-18
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	14	10	—	—	$53,119.02	$217,666.49	$135,392.76	2026-05-18
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	14	10	—	—	$52,943.35	$216,946.17	$134,944.76	2026-05-18
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	14	10	—	—	$69,401.56	$195,820.69	$132,611.12	2026-05-18
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	14	10	—	—	$71,671.52	$183,202.34	$127,436.93	2026-05-18
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	6	—	—	$121,000.00	$135,520.00	$127,050.00	2026-05-18
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	14	10	—	—	$49,838.12	$204,213.94	$127,026.03	2026-05-18
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	14	10	—	—	$49,573.56	$203,129.20	$126,351.38	2026-05-18
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	14	10	—	—	$49,544.41	$203,009.62	$126,277.01	2026-05-18
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	6	—	—	$120,000.00	$134,400.00	$126,000.00	2026-05-18
002-4	OTHER	Heart And/or Lung Transplant	10	6	—	—	$119,164.66	$133,464.42	$125,122.89	2026-05-18
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	14	10	—	—	$48,026.51	$196,785.86	$122,406.18	2026-05-18
010	OTHER	Pancreas Transplant	12	9	—	—	$49,858.96	$194,877.66	$122,368.31	2026-05-18
955	OTHER	Craniotomy For Multiple Significant Trauma	14	10	—	—	$46,771.77	$191,641.15	$119,206.46	2026-05-18
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	10	—	—	$45,689.95	$187,205.37	$116,447.66	2026-05-18
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	10	—	—	$45,689.95	$187,205.37	$116,447.66	2026-05-18
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	10	6	—	—	$110,647.94	$123,925.69	$116,180.34	2026-05-18
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	14	10	—	—	$45,524.00	$186,524.91	$116,024.46	2026-05-18
008	OTHER	Simultaneous Pancreas And Kidney Transplant	12	9	—	—	$76,207.31	$152,209.72	$114,208.51	2026-05-18
459	OTHER	Spinal Fusion Except Cervical With Mcc	10	7	—	—	$46,085.75	$176,973.88	$111,529.82	2026-05-18
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	14	10	—	—	$42,586.81	$174,481.68	$108,534.24	2026-05-18
232	OTHER	Coronary Bypass With Ptca Without Mcc	14	10	—	—	$42,129.91	$172,608.28	$107,369.10	2026-05-18
028	OTHER	Spinal Procedures With Mcc	14	10	—	—	$41,752.87	$171,062.31	$106,407.59	2026-05-18
276	OTHER	Non-maligant Breast Disorders	14	10	—	—	$41,741.06	$171,013.91	$106,377.49	2026-05-18
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	10	—	—	$41,439.01	$169,775.42	$105,607.21	2026-05-18
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	14	10	—	—	$41,302.91	$169,217.39	$105,260.15	2026-05-18
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$100,000.00	$112,000.00	$105,000.00	2026-05-18
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	6	—	—	$99,000.00	$110,880.00	$103,950.00	2026-05-18
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	14	10	—	—	$40,782.83	$167,084.91	$103,933.87	2026-05-18
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$98,924.77	$110,795.74	$103,871.01	2026-05-18
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	14	10	—	—	$40,756.44	$166,976.72	$103,866.58	2026-05-18
006	OTHER	Liver Transplant Without Mcc	12	9	—	—	$77,748.58	$125,931.65	$101,840.12	2026-05-18
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	10	—	—	$39,822.53	$163,147.37	$101,484.95	2026-05-18
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	12	9	—	—	$41,207.09	$161,038.79	$101,122.94	2026-05-18
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	14	10	—	—	$39,608.65	$162,270.46	$100,939.55	2026-05-18
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	6	—	—	$95,000.00	$106,400.00	$99,750.00	2026-05-18
278	OTHER	Cellulitis Age >17 Without Cc	14	10	—	—	$38,683.06	$158,475.28	$98,579.17	2026-05-18
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	14	10	—	—	$39,709.40	$157,245.33	$98,477.37	2026-05-18
653	OTHER	Major Bladder Procedures With Mcc	14	10	—	—	$48,941.61	$147,946.70	$98,444.15	2026-05-18
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	14	10	—	—	$38,018.54	$155,750.61	$96,884.57	2026-05-18
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	14	10	—	—	$37,964.37	$155,528.53	$96,746.45	2026-05-18
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	14	10	—	—	$37,904.66	$155,283.68	$96,594.17	2026-05-18
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	14	10	—	—	$54,375.95	$136,783.22	$95,579.59	2026-05-18
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	6	—	—	$91,000.00	$101,920.00	$95,550.00	2026-05-18
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	14	10	—	—	$38,488.96	$150,719.78	$94,604.37	2026-05-18
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	10	—	—	$37,062.39	$151,830.15	$94,446.27	2026-05-18
270	OTHER	Other Major Cardiovascular Procedures With Mcc	14	10	—	—	$36,670.08	$150,221.54	$93,445.81	2026-05-18
161-4	OTHER	Implantable Heart Assist Systems	10	6	—	—	$88,926.10	$99,597.23	$93,372.41	2026-05-18
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$88,854.73	$99,517.30	$93,297.47	2026-05-18
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	12	9	—	—	$37,753.29	$147,530.40	$92,641.85	2026-05-18
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	14	10	—	—	$36,177.76	$148,202.94	$92,190.35	2026-05-18
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	10	6	—	—	$87,176.41	$97,637.58	$91,535.23	2026-05-18
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$87,000.00	$97,440.00	$91,350.00	2026-05-18
163	OTHER	Major Chest Procedures With Mcc	14	10	—	—	$52,534.87	$127,601.33	$90,068.10	2026-05-18
471	OTHER	Cervical Spinal Fusion With Mcc	14	10	—	—	$41,175.21	$137,477.92	$89,326.57	2026-05-18
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	10	—	—	$35,030.66	$143,499.53	$89,265.10	2026-05-18
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	10	7	—	—	$32,012.94	$146,158.35	$89,085.65	2026-05-18
228	OTHER	Other Cardiothoracic Procedures With Mcc	14	10	—	—	$34,386.29	$140,857.43	$87,621.86	2026-05-18
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	14	10	—	—	$34,325.19	$140,606.88	$87,466.04	2026-05-18
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	14	10	—	—	$34,207.83	$140,125.72	$87,166.77	2026-05-18
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	14	10	—	—	$34,065.48	$139,542.07	$86,803.77	2026-05-18
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	10	6	—	—	$82,276.96	$92,150.20	$86,390.81	2026-05-18
583-1	OTHER	Neonate With Ecmo	10	6	—	—	$81,748.00	$91,557.76	$85,835.40	2026-05-18
863-4	OTHER	Neonatal Aftercare	10	6	—	—	$80,469.81	$90,126.19	$84,493.30	2026-05-18
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	14	10	—	—	$33,090.59	$135,544.74	$84,317.66	2026-05-18
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	6	—	—	$80,000.00	$89,600.00	$84,000.00	2026-05-18
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	6	—	—	$80,000.00	$89,600.00	$84,000.00	2026-05-18
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	14	10	—	—	$32,678.14	$133,853.56	$83,265.85	2026-05-18
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	10	—	—	$32,611.48	$133,580.24	$83,095.86	2026-05-18
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	10	6	—	—	$79,102.08	$88,594.33	$83,057.18	2026-05-18
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	14	10	—	—	$32,514.26	$133,181.64	$82,847.95	2026-05-18
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	6	—	—	$78,865.22	$88,329.05	$82,808.48	2026-05-18
277	OTHER	Cellulitis Age >17 W Cc	14	10	—	—	$32,102.51	$131,493.31	$81,797.91	2026-05-18
329	OTHER	Major Small And Large Bowel Procedures With Mcc	14	10	—	—	$31,949.74	$130,866.95	$81,408.35	2026-05-18
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	14	10	—	—	$31,868.49	$130,533.84	$81,201.16	2026-05-18
245	OTHER	Aicd Generator Procedures	14	10	—	—	$31,712.97	$129,896.09	$80,804.53	2026-05-18
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	14	10	—	—	$31,603.94	$129,449.10	$80,526.52	2026-05-18
799	OTHER	Splenectomy With Mcc	14	10	—	—	$31,480.35	$128,942.31	$80,211.33	2026-05-18
031	OTHER	Ventricular Shunt Procedures With Mcc	14	10	—	—	$31,144.27	$127,564.32	$79,354.29	2026-05-18
4813341801	OTHER	Hc Cath Tcat Mitral Valve Repair Initial Prosthesi	31	15	$131,981.00	$32,995.25 75% off	$111.49	$147,818.72	$79,188.60	2026-05-18
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	14	10	—	—	$31,022.05	$127,063.23	$79,042.64	2026-05-18
356	OTHER	Other Digestive System O.r. Procedures With Mcc	14	10	—	—	$31,501.30	$125,067.41	$78,284.35	2026-05-18
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	14	10	—	—	$30,081.19	$123,205.41	$76,643.30	2026-05-18
140	OTHER	Major Head And Neck Procedures With Mcc	14	10	—	—	$29,649.98	$121,437.36	$75,543.67	2026-05-18
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	14	10	—	—	$29,357.65	$120,238.73	$74,798.19	2026-05-18
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	6	—	—	$71,214.11	$79,759.80	$74,774.82	2026-05-18
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	14	10	—	—	$29,307.66	$120,033.74	$74,670.70	2026-05-18
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	14	10	—	—	$29,293.07	$119,973.95	$74,633.51	2026-05-18
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	14	10	—	—	$29,207.68	$119,623.75	$74,415.71	2026-05-18
901	OTHER	Wound Debridements For Injuries With Mcc	14	10	—	—	$29,172.96	$119,481.40	$74,327.18	2026-05-18
509	OTHER	Arthroscopy	10	7	—	—	$12,230.99	$136,252.68	$74,241.84	2026-05-18
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	14	10	—	—	$29,118.78	$119,259.32	$74,189.05	2026-05-18
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	14	10	—	—	$29,006.30	$118,798.09	$73,902.20	2026-05-18
793	OTHER	Full Term Neonate With Major Problems	14	10	—	—	$28,985.47	$118,712.68	$73,849.07	2026-05-18
007-4	OTHER	Allogeneic Bone Marrow Transplant	10	6	—	—	$70,159.56	$78,578.71	$73,667.54	2026-05-18
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	14	10	—	—	$28,870.20	$118,240.06	$73,555.13	2026-05-18
161-3	OTHER	Implantable Heart Assist Systems	10	6	—	—	$69,631.31	$77,987.07	$73,112.88	2026-05-18
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	14	10	—	—	$28,679.25	$117,457.11	$73,068.18	2026-05-18
791	OTHER	Prematurity With Major Problems	14	10	—	—	$28,217.50	$115,563.79	$71,890.65	2026-05-18
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$67,824.78	$75,963.75	$71,216.02	2026-05-18
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	14	10	—	—	$27,697.41	$113,431.31	$70,564.36	2026-05-18
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	6	—	—	$66,996.16	$75,035.70	$70,345.97	2026-05-18
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	10	6	—	—	$66,329.56	$74,289.11	$69,646.04	2026-05-18
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	14	10	—	—	$27,196.08	$111,375.70	$69,285.89	2026-05-18
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	6	—	—	$65,770.67	$73,663.15	$69,059.20	2026-05-18
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	14	10	—	—	$27,073.18	$110,871.77	$68,972.48	2026-05-18
034	OTHER	Carotid Artery Stent Procedures With Mcc	14	10	—	—	$26,910.00	$110,202.70	$68,556.35	2026-05-18
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	14	10	—	—	$26,869.72	$110,037.57	$68,453.65	2026-05-18
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	14	10	—	—	$26,844.03	$109,932.23	$68,388.13	2026-05-18
002-3	OTHER	Heart And/or Lung Transplant	10	6	—	—	$64,911.19	$72,700.53	$68,156.75	2026-05-18
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$64,812.32	$72,589.80	$68,052.94	2026-05-18
907	OTHER	Other O.r. Procedures For Injuries With Mcc	14	10	—	—	$26,691.96	$109,308.71	$68,000.34	2026-05-18
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	10	6	—	—	$64,642.15	$72,399.21	$67,874.26	2026-05-18
570	OTHER	Skin Debridement With Mcc	14	10	—	—	$49,266.36	$83,736.06	$66,972.80	2026-05-18
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	10	6	—	—	$63,560.52	$71,187.78	$66,738.55	2026-05-18
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	14	10	—	—	$26,162.16	$107,136.37	$66,649.26	2026-05-18
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	14	10	—	—	$26,048.28	$106,669.45	$66,358.87	2026-05-18
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	14	10	—	—	$25,986.49	$106,416.06	$66,201.27	2026-05-18
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	14	10	—	—	$25,983.71	$106,404.67	$66,194.19	2026-05-18
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	14	10	—	—	$25,910.79	$106,105.72	$66,008.26	2026-05-18
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	14	10	—	—	$25,764.98	$105,507.83	$65,636.40	2026-05-18
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	10	6	—	—	$62,000.00	$69,440.00	$65,100.00	2026-05-18
904	OTHER	Skin Grafts For Injuries With Cc/mcc	14	10	—	—	$25,537.92	$104,576.83	$65,057.38	2026-05-18
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	14	10	—	—	$25,527.50	$104,534.12	$65,030.81	2026-05-18
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	14	10	—	—	$25,228.23	$103,307.02	$64,267.62	2026-05-18
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	14	10	—	—	$25,208.79	$103,227.30	$64,218.04	2026-05-18
332	OTHER	Rectal Resection With Mcc	14	10	—	—	$25,174.06	$103,084.95	$64,129.50	2026-05-18
265	OTHER	Aicd Lead Procedures	14	10	—	—	$25,156.71	$103,013.77	$64,085.24	2026-05-18
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	14	10	—	—	$25,112.27	$102,831.56	$63,971.92	2026-05-18
279	OTHER	Cellulitis Age 0-17	14	10	—	—	$25,074.78	$102,677.81	$63,876.29	2026-05-18
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	14	10	—	—	$24,910.90	$102,005.90	$63,458.40	2026-05-18
335	OTHER	Peritoneal Adhesiolysis With Mcc	14	10	—	—	$24,828.28	$101,667.09	$63,247.68	2026-05-18
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	14	10	—	—	$24,791.47	$101,516.20	$63,153.83	2026-05-18
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	14	10	—	—	$24,770.64	$101,430.78	$63,100.71	2026-05-18
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	14	10	—	—	$24,747.03	$101,333.98	$63,040.50	2026-05-18
271	OTHER	Other Major Cardiovascular Procedures With Cc	14	10	—	—	$24,726.89	$101,251.42	$62,989.15	2026-05-18
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	14	10	—	—	$24,520.66	$100,405.83	$62,463.25	2026-05-18
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$59,458.71	$66,593.76	$62,431.65	2026-05-18
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	14	10	—	—	$24,470.67	$100,200.84	$62,335.75	2026-05-18
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	14	10	—	—	$33,559.24	$90,463.76	$62,011.50	2026-05-18
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	14	10	—	—	$24,248.47	$99,289.77	$61,769.12	2026-05-18
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	10	6	—	—	$58,588.00	$65,618.56	$61,517.40	2026-05-18
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	14	10	—	—	$24,137.37	$98,834.23	$61,485.80	2026-05-18
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	14	10	—	—	$24,020.72	$98,355.92	$61,188.32	2026-05-18
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	6	—	—	$58,035.32	$64,999.56	$60,937.09	2026-05-18
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	10	—	—	$23,838.79	$97,609.98	$60,724.39	2026-05-18
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	14	10	—	—	$23,722.13	$97,131.66	$60,426.89	2026-05-18
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	14	10	—	—	$23,690.90	$97,003.54	$60,347.22	2026-05-18
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	10	6	—	—	$56,423.25	$63,194.04	$59,244.41	2026-05-18
264	OTHER	Other Circulatory System O.r. Procedures	14	10	—	—	$23,229.13	$95,110.22	$59,169.68	2026-05-18
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	10	6	—	—	$56,341.07	$63,102.00	$59,158.12	2026-05-18
411	OTHER	Cholecystectomy With C.d.e. With Mcc	14	10	—	—	$22,970.12	$94,048.25	$58,509.18	2026-05-18
037	OTHER	Extracranial Procedures With Mcc	14	10	—	—	$22,892.37	$93,729.38	$58,310.88	2026-05-18
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	14	10	—	—	$22,889.59	$93,717.99	$58,303.79	2026-05-18
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	14	10	—	—	$22,619.47	$92,610.47	$57,614.97	2026-05-18
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	14	10	—	—	$22,520.19	$92,203.33	$57,361.76	2026-05-18
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	14	10	—	—	$22,495.18	$92,100.84	$57,298.01	2026-05-18
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	14	10	—	—	$22,441.02	$91,878.76	$57,159.89	2026-05-18
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	14	10	—	—	$22,397.29	$91,699.40	$57,048.35	2026-05-18
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	14	10	—	—	$22,202.86	$90,902.21	$56,552.54	2026-05-18
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	14	10	—	—	$22,161.89	$90,734.23	$56,448.06	2026-05-18
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	14	10	—	—	$22,140.37	$90,645.97	$56,393.17	2026-05-18
500	OTHER	Soft Tissue Procedures With Mcc	14	10	—	—	$22,008.44	$90,105.02	$56,056.73	2026-05-18
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	14	10	—	—	$21,975.11	$89,968.36	$55,971.74	2026-05-18
229	OTHER	Other Cardiothoracic Procedures Without Mcc	14	10	—	—	$21,902.20	$89,669.41	$55,785.81	2026-05-18
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	14	10	—	—	$21,850.81	$89,458.73	$55,654.77	2026-05-18
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	6	—	—	$53,002.38	$59,362.67	$55,652.50	2026-05-18
665	OTHER	Prostatectomy With Mcc	14	10	—	—	$21,705.69	$88,863.69	$55,284.69	2026-05-18
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	14	10	—	—	$21,660.56	$88,678.62	$55,169.59	2026-05-18
652	OTHER	Kidney Transplant	12	9	—	—	$22,457.68	$87,706.76	$55,082.22	2026-05-18
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	14	10	—	—	$21,622.36	$88,522.03	$55,072.19	2026-05-18
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	10	6	—	—	$51,928.36	$58,159.76	$54,524.78	2026-05-18
662	OTHER	Minor Bladder Procedures With Mcc	14	10	—	—	$21,291.15	$87,163.97	$54,227.56	2026-05-18
263	OTHER	Vein Ligation And Stripping	14	10	—	—	$21,262.68	$87,047.24	$54,154.96	2026-05-18
161-1	OTHER	Implantable Heart Assist Systems	10	6	—	—	$51,234.90	$57,383.09	$53,796.65	2026-05-18
161-2	OTHER	Implantable Heart Assist Systems	10	6	—	—	$51,234.90	$57,383.09	$53,796.65	2026-05-18
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	10	6	—	—	$51,048.39	$57,174.20	$53,600.81	2026-05-18
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	14	10	—	—	$21,006.45	$85,996.66	$53,501.56	2026-05-18
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	14	10	—	—	$21,003.68	$85,985.27	$53,494.47	2026-05-18
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	14	10	—	—	$20,980.77	$85,891.31	$53,436.04	2026-05-18
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	14	10	—	—	$20,700.24	$84,741.08	$52,720.66	2026-05-18
460	OTHER	Spinal Fusion Except Cervical Without Mcc	10	7	—	—	$25,432.37	$79,728.89	$52,580.63	2026-05-18
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	6	—	—	$50,021.00	$56,023.52	$52,522.05	2026-05-18
588-1	OTHER	Female Reproductive System Reconstructive Procedures	10	6	—	—	$50,000.00	$56,000.00	$52,500.00	2026-05-18
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	6	—	—	$50,000.00	$56,000.00	$52,500.00	2026-05-18
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	14	10	—	—	$20,475.96	$83,821.47	$52,148.71	2026-05-18
668	OTHER	Transurethral Procedures With Mcc	14	10	—	—	$20,308.61	$83,135.32	$51,721.96	2026-05-18
002-2	OTHER	Heart And/or Lung Transplant	10	6	—	—	$49,153.16	$55,051.54	$51,610.82	2026-05-18
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	14	10	—	—	$20,255.14	$82,916.09	$51,585.61	2026-05-18
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	14	10	—	—	$20,183.62	$82,622.84	$51,403.23	2026-05-18
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	14	10	—	—	$20,171.14	$82,571.59	$51,371.36	2026-05-18
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	10	6	—	—	$48,704.91	$54,549.50	$51,140.16	2026-05-18
974	OTHER	HIV With Major Related Condition With Mcc	14	10	—	—	$20,072.53	$82,167.31	$51,119.92	2026-05-18
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	14	10	—	—	$20,043.36	$82,047.73	$51,045.54	2026-05-18
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	14	10	—	—	$19,962.82	$81,717.46	$50,840.14	2026-05-18
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	14	10	—	—	$19,826.03	$81,156.59	$50,491.31	2026-05-18
4309002	OTHER	Alteplase Per 1 Mg	35	15	$99,562.68	$24,890.67 75% off	$65.26	$111,510.20	$49,980.47	2026-05-18
9002	OTHER	Alteplase Per 1 Mg	35	15	$99,562.68	$24,890.67 75% off	$65.26	$111,510.20	$49,980.47	2026-05-18
800	OTHER	Splenectomy With Cc	14	10	—	—	$19,540.65	$79,986.43	$49,763.54	2026-05-18
654	OTHER	Major Bladder Procedures With Cc	14	10	—	—	$19,470.50	$79,698.87	$49,584.68	2026-05-18
503	OTHER	Foot Procedures With Mcc	14	10	—	—	$19,413.56	$79,465.41	$49,439.49	2026-05-18
619	OTHER	O.r. Procedures For Obesity With Mcc	14	10	—	—	$20,082.26	$78,416.01	$49,249.14	2026-05-18
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	14	10	—	—	$19,280.25	$78,918.76	$49,099.50	2026-05-18
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$46,718.58	$52,324.81	$49,054.51	2026-05-18
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	6	—	—	$46,671.82	$52,272.44	$49,005.41	2026-05-18
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	14	10	—	—	$19,177.48	$78,497.39	$48,837.43	2026-05-18
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	14	10	—	—	$19,119.15	$78,258.24	$48,688.69	2026-05-18
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	14	10	—	—	$19,114.29	$78,238.31	$48,676.30	2026-05-18
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	6	—	—	$46,198.91	$51,742.78	$48,508.86	2026-05-18
963	OTHER	Other Multiple Significant Trauma With Mcc	14	10	—	—	$19,015.70	$77,834.02	$48,424.86	2026-05-18
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	14	10	—	—	$21,532.51	$75,089.42	$48,310.96	2026-05-18
321	OTHER	Kidney & Urinary Tract Infections Age >17 Without Cc	14	10	—	—	$18,925.42	$77,463.90	$48,194.66	2026-05-18
849	OTHER	Radiotherapy	14	10	—	—	$18,846.96	$77,142.17	$47,994.57	2026-05-18
288	OTHER	Acute And Subacute Endocarditis With Mcc	14	10	—	—	$18,824.06	$77,048.22	$47,936.14	2026-05-18
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	14	10	—	—	$18,762.94	$76,797.68	$47,780.31	2026-05-18
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	10	6	—	—	$45,404.40	$50,852.93	$47,674.62	2026-05-18
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$44,882.27	$50,268.14	$47,126.38	2026-05-18
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	14	10	—	—	$18,503.24	$75,732.86	$47,118.05	2026-05-18
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	14	10	—	—	$18,438.68	$75,468.08	$46,953.38	2026-05-18
28530	OTHER	Tenecteplase Per 1 Mg	35	15	$93,472.60	$23,368.15 75% off	$111.49	$104,689.31	$46,923.25	2026-05-18
754-4	OTHER	Depression Except Major Depressive Disorder	10	6	—	—	$44,649.00	$50,006.88	$46,881.45	2026-05-18
007-3	OTHER	Allogeneic Bone Marrow Transplant	10	6	—	—	$44,622.06	$49,976.71	$46,853.16	2026-05-18
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	10	6	—	—	$44,285.71	$49,600.00	$46,500.00	2026-05-18
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	10	6	—	—	$44,052.16	$49,338.42	$46,254.77	2026-05-18
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	14	10	—	—	$18,034.56	$73,811.07	$45,922.82	2026-05-18
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	14	10	—	—	$17,967.19	$73,534.90	$45,751.04	2026-05-18
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	14	10	—	—	$17,942.19	$73,432.40	$45,687.29	2026-05-18
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	14	10	—	—	$17,942.19	$73,432.40	$45,687.29	2026-05-18
002-1	OTHER	Heart And/or Lung Transplant	10	6	—	—	$43,443.38	$48,656.59	$45,615.55	2026-05-18
006-4	OTHER	Pancreas Transplant	10	6	—	—	$43,326.23	$48,525.38	$45,492.54	2026-05-18
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	14	10	—	—	$17,861.65	$73,102.14	$45,481.89	2026-05-18
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	14	10	—	—	$17,760.27	$72,686.46	$45,223.36	2026-05-18
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	14	10	—	—	$17,676.25	$72,341.96	$45,009.11	2026-05-18
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	14	10	—	—	$17,642.91	$72,205.30	$44,924.11	2026-05-18
164	OTHER	Major Chest Procedures With Cc	14	10	—	—	$17,558.91	$71,860.80	$44,709.86	2026-05-18
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	14	10	—	—	$17,551.27	$71,829.49	$44,690.38	2026-05-18
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	14	10	—	—	$17,336.01	$70,946.88	$44,141.44	2026-05-18
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$42,030.02	$47,073.62	$44,131.52	2026-05-18
4810414T01	OTHER	Hc Rmvl Rpl Cardiac Modulj Sys Pls Generator Onl	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$44,027.51	2026-05-18
4810408T01	OTHER	Hc Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$44,027.51	2026-05-18
4810409T01	OTHER	Hc Insj/rplc Cardiac Modulj Sys Pls Generator Only	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$44,027.51	2026-05-18
545	OTHER	Connective Tissue Disorders With Mcc	14	10	—	—	$17,265.19	$70,656.48	$43,960.83	2026-05-18
347	OTHER	Anal And Stomal Procedures With Mcc	14	10	—	—	$21,839.79	$65,358.03	$43,598.91	2026-05-18
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	14	10	—	—	$17,108.95	$70,015.88	$43,562.42	2026-05-18
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	14	10	—	—	$17,104.10	$69,995.95	$43,550.03	2026-05-18
792	OTHER	Prematurity Without Major Problems	14	10	—	—	$17,039.51	$69,731.17	$43,385.34	2026-05-18
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	14	10	—	—	$17,004.80	$69,588.82	$43,296.81	2026-05-18
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	14	10	—	—	$16,734.68	$68,481.30	$42,607.99	2026-05-18
330	OTHER	Major Small And Large Bowel Procedures With Cc	14	10	—	—	$16,678.44	$68,250.68	$42,464.56	2026-05-18
397	OTHER	Coagulation Disorders	14	10	—	—	$16,662.46	$68,185.20	$42,423.83	2026-05-18
035	OTHER	Carotid Artery Stent Procedures With Cc	14	10	—	—	$16,631.92	$68,059.93	$42,345.93	2026-05-18
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	14	10	—	—	$16,603.45	$67,943.19	$42,273.32	2026-05-18
333	OTHER	Rectal Resection With Cc	14	10	—	—	$16,296.53	$66,684.78	$41,490.65	2026-05-18
326	OTHER	ALPRAZolam 1 Mg Tablet 100 Each Bottle	26	10	$13.87	$3.47 75% off	$2.77	$141,996.26	$41,477.79	2026-05-18
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	14	10	—	—	$16,271.53	$66,582.28	$41,426.90	2026-05-18
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	14	10	—	—	$16,259.73	$66,533.88	$41,396.81	2026-05-18
709	OTHER	Penis Procedures With Cc/mcc	14	10	—	—	$16,191.69	$66,254.86	$41,223.28	2026-05-18
357	OTHER	Other Digestive System O.r. Procedures With Cc	14	10	—	—	$16,180.58	$66,209.31	$41,194.94	2026-05-18
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	10	6	—	—	$39,210.14	$43,915.36	$41,170.65	2026-05-18
056	OTHER	Degenerative Nervous System Disorders With Mcc	14	10	—	—	$16,163.92	$66,140.98	$41,152.45	2026-05-18
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	14	10	—	—	$16,081.28	$65,802.18	$40,941.73	2026-05-18
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	14	10	—	—	$15,968.10	$65,338.10	$40,653.10	2026-05-18
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	14	10	—	—	$15,903.53	$65,073.32	$40,488.43	2026-05-18
783	OTHER	Cesarean Section With Sterilization With Mcc	14	10	—	—	$14,209.00	$66,675.61	$40,442.31	2026-05-18
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	14	10	—	—	$15,875.75	$64,959.43	$40,417.59	2026-05-18
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	14	10	—	—	$15,834.78	$64,791.45	$40,313.11	2026-05-18
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	14	10	—	—	$15,808.41	$64,683.26	$40,245.83	2026-05-18
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	14	10	—	—	$15,764.65	$64,503.90	$40,134.28	2026-05-18
4810415T01	OTHER	Hc Repos Cardiac Modulj Transvenous Electrode	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$39,680.09	2026-05-18
4810410T01	OTHER	Hc Insj/rplc Car Modulj Sys Atrial Electrode Only	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$39,680.09	2026-05-18
4810411T01	OTHER	Hc Insj/rplc Car Modulj Sys Ventr Electrode Only	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$39,680.09	2026-05-18
4810412T01	OTHER	Hc Removal Cardiac Modulj Sys Pls Generator Only	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$39,680.09	2026-05-18
4810416T01	OTHER	Hc Reloc Skin Pocket Cardiac Modulj Pulse Generato	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$39,680.09	2026-05-18
4810413T01	OTHER	Hc Removal Cardiac Modulj Sys Transvenous Electrod	35	15	$79,044.00	$19,761.00 75% off	$111.49	$88,529.28	$39,680.09	2026-05-18

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