Hospital

ASPIRE HEALTH PARTNERS

Orlando, FL · CCN 104067 · Rates published

595 distinct procedures filed

13 distinct payers

1,285 rate rows

2026-02-03 last MRF observed

Data quality

607 of 1,285 rate rows are consumer-grade (47.2%)

678 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
professional (physician) fee — not the facility price	623
per-diem day rate — not a per-procedure price	39
placeholder amount (≤ $0.02) — excluded from medians	16

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

Source MRF file	https://pricetransparency.healthcare/aspire-health-partners/charges/export
Found on page	https://pricetransparency.healthcare/aspire-health-partners/charges/
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint	9a9537412ae4c39c… · 287,193 bytes · first seen 2026-05-08

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
2124 CDM	Inpatient Room & Board-psychiatric	6	$359.76	$729.88	$729.88	nat. median $1,397 0.5× median
3126 CDM	Inpatient Room & Board-detoxification	5	$359.76	$674.88	$674.88	nat. median $450 1.5× median
4762 CDM	23 Hr. Observation Stay	2	$269.82	$720.00	$494.91	nat. median $224 outlier · 2.2×
00120 EAPG	Car T-cell Immunotherapy	1	$82.41	$82.41	$82.41	nat. median $13,711 outlier · 0.0×
00246 EAPG	Class IV Therapeutic Radiopharmaceuticals	1	$70.05	$70.05	$70.05	nat. median $22,924 outlier · 0.0×
03060 EAPG	Ventricular Assist Device Procedures	1	$62.99	$62.99	$62.99	nat. median $76,683 outlier · 0.0×
00250 EAPG	Cochlear Device Implantation	1	$49.37	$49.37	$49.37	nat. median $17,672 outlier · 0.0×
00466 EAPG	Class Xiv Combined Chemotherapy And Pharmacotherapy	1	$49.36	$49.36	$49.36	nat. median $22,086 outlier · 0.0×
00097 EAPG	Aicd And Related Cardiac Device Insertion Or Replacement	1	$45.25	$45.25	$45.25	nat. median $23,749 outlier · 0.0×
00224 EAPG	Level Ii Neurostimulator And Related Device Implantation	1	$39.35	$39.35	$39.35	nat. median $21,129 outlier · 0.0×
00082 EAPG	Comprehensive Cardiac Electrophysiologic Procedures With Ablation	1	$36.01	$36.01	$36.01	nat. median $8,136 outlier · 0.0×
00465 EAPG	Class Xiii Combined Chemotherapy And Pharmacotherapy	1	$34.34	$34.34	$34.34	nat. median $17,423 outlier · 0.0×
00057 EAPG	Level Iii Spine Procedures	1	$33.39	$33.39	$33.39	nat. median $14,202 outlier · 0.0×
00104 EAPG	Major Open Coronary Artery Procedures Including Cabg	1	$33.10	$33.10	$33.10	nat. median $5,895 outlier · 0.0×
00122 EAPG	Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures	1	$29.30	$29.30	$29.30	nat. median $10,604 outlier · 0.0×
00121 EAPG	Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures	1	$29.17	$29.17	$29.17	nat. median $14,370 outlier · 0.0×
00182 EAPG	Insertion Of Penile Prosthesis	1	$28.12	$28.12	$28.12	nat. median $11,608 outlier · 0.0×
00265 EAPG	Percutaneous Intracranial And Extracranial Vascular Procedures	1	$28.07	$28.07	$28.07	nat. median $8,187 outlier · 0.0×
00245 EAPG	Class Iii Therapeutic Radiopharmaceuticals	1	$27.56	$27.56	$27.56	nat. median $6,868 outlier · 0.0×
03051 EAPG	Heart And/Or Lung Transplant	1	$26.54	$26.54	$26.54	nat. median $3,794 outlier · 0.0×
03030 EAPG	Spinal Implantation Of Drug Infusion Device	1	$25.43	$25.43	$25.43	nat. median $14,337 outlier · 0.0×
00105 EAPG	Major Open Cardiac And Cardiac Valve Procedures	1	$24.25	$24.25	$24.25	nat. median $3,738 outlier · 0.0×
00337 EAPG	Class Iii Brachytherapy Sources	1	$23.78	$23.78	$23.78	nat. median $14,732 outlier · 0.0×
00055 EAPG	Level Ii Hip And Femur Procedures	1	$23.40	$23.40	$23.40	nat. median $11,258 outlier · 0.0×
00085 EAPG	Level Iii Peripheral Endovascular And Transcatheter Procedures	1	$22.71	$22.71	$22.71	nat. median $7,890 outlier · 0.0×
00029 EAPG	Level Ii Spine Procedures	1	$20.98	$20.98	$20.98	nat. median $8,592 outlier · 0.0×
00058 EAPG	Level Ii Shoulder And Upper Arm Procedures	1	$20.24	$20.24	$20.24	nat. median $6,941 outlier · 0.0×
00047 EAPG	Level Ii Arthroplasty	1	$19.33	$19.33	$19.33	nat. median $7,671 outlier · 0.0×
03011 EAPG	Bone Conduction Hearing Device Implantation	1	$18.15	$18.15	$18.15	nat. median $4,987 outlier · 0.0×
00099 EAPG	Level I Percutaneous Coronary And Intracardiac Interventional Procedures	1	$18.10	$18.10	$18.10	nat. median $5,860 outlier · 0.0×
00106 EAPG	Major Open Abdominal And Thoracic Vascular Procedures	1	$17.59	$17.59	$17.59	nat. median $2,949 outlier · 0.0×
03070 EAPG	Extracorporeal Membrane Oxygenation (Ecmo) Procedures	1	$16.37	$16.37	$16.37	nat. median $2,092 outlier · 0.0×
00086 EAPG	Pacemaker And Other Cardiovascular Device Insertion And Replacement	1	$16.07	$16.07	$16.07	nat. median $6,946 outlier · 0.0×
00052 EAPG	Level Ii Knee And Lower Leg Procedures	1	$15.87	$15.87	$15.87	nat. median $5,365 outlier · 0.0×
00022 EAPG	Level Ii Mastectomy And Reconstructive Breast Procedures	1	$15.80	$15.80	$15.80	nat. median $5,332 outlier · 0.0×
03052 EAPG	Kidney Transplant	1	$15.78	$15.78	$15.78	nat. median $2,168 outlier · 0.0×
00464 EAPG	Class Xii Combined Chemotherapy And Pharmacotherapy	1	$15.27	$15.27	$15.27	nat. median $8,940 outlier · 0.0×
00172 EAPG	Level Iii Kidney And Ureteral Procedures	1	$14.80	$14.80	$14.80	nat. median $5,733 outlier · 0.0×
00079 EAPG	Level Ii Peripheral Endovascular And Transcatheter Procedures	1	$14.19	$14.19	$14.19	nat. median $5,082 outlier · 0.0×
00073 EAPG	Diaphragmatic Procedures And Related Hernia Repair	1	$14.03	$14.03	$14.03	nat. median $5,637 outlier · 0.0×
00096 EAPG	Cardiac Electrophysiologic Procedures Including Pacing And Recording	1	$13.80	$13.80	$13.80	nat. median $1,554 outlier · 0.0×
00087 EAPG	Removal Or Revision Of Pacemakers And Other Cardiovascular Devices	1	$13.80	$13.80	$13.80	nat. median $3,308 outlier · 0.0×
00267 EAPG	Other Craniotomy Procedures Including Cranioplasty	1	$13.42	$13.42	$13.42	nat. median $5,437 outlier · 0.0×
00223 EAPG	Level I Neurostimulator And Related Device Implantation	1	$12.63	$12.63	$12.63	nat. median $7,106 outlier · 0.0×
00167 EAPG	Level Ii Urethral Procedures	1	$12.52	$12.52	$12.52	nat. median $3,969 outlier · 0.0×
00206 EAPG	Level Ii Hysterectomy And Myomectomy Procedures	1	$12.35	$12.35	$12.35	nat. median $5,557 outlier · 0.0×
00036 EAPG	Level Ii Foot Procedures	1	$12.34	$12.34	$12.34	nat. median $4,354 outlier · 0.0×
00268 EAPG	Cranial And Spinal Shunt Procedures	1	$12.20	$12.20	$12.20	nat. median $5,850 outlier · 0.0×
00024 EAPG	Level Ii Forearm And Wrist Procedures	1	$11.92	$11.92	$11.92	nat. median $4,502 outlier · 0.0×
00152 EAPG	Level Ii Hepatobiliary And Pancreas Procedures	1	$11.71	$11.71	$11.71	nat. median $3,791 outlier · 0.0×

Other procedures at this hospital

Browse this hospital's 595 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

00002	EAPG	Superficial Needle Biopsy And Aspiration	1	1	—	—	$1.40	$1.40	$1.40	2026-02-03
00004	EAPG	Level Ii Skin Incision And Drainage, Debridement, Destruction, Other Related Px	1	1	—	—	$2.33	$2.33	$2.33	2026-02-03
00009	EAPG	Level I Skin Excisions, Biopsies, And Repairs	1	1	—	—	$0.87	$0.87	$0.87	2026-02-03
00010	EAPG	Level Ii Skin Excisions, Biopsies, And Repairs	1	1	—	—	$2.53	$2.53	$2.53	2026-02-03
00011	EAPG	Level Iii Skin Excisions, Biopsies, And Repairs	1	1	—	—	$3.80	$3.80	$3.80	2026-02-03
00017	EAPG	Intermediate Wound Repair And Treatment	1	1	—	—	$0.82	$0.82	$0.82	2026-02-03
00018	EAPG	Complex Wound Repair And Treatment	1	1	—	—	$2.10	$2.10	$2.10	2026-02-03
00019	EAPG	Mohs Micrographic Surgery	1	1	—	—	$1.89	$1.89	$1.89	2026-02-03
00020	EAPG	Breast Biopsies, Excisions, And Other Related Procedures	1	1	—	—	$2.79	$2.79	$2.79	2026-02-03
00021	EAPG	Level I Mastectomy And Reconstructive Breast Procedures	1	1	—	—	$7.28	$7.28	$7.28	2026-02-03
00022	EAPG	Level Ii Mastectomy And Reconstructive Breast Procedures	1	1	—	—	$15.80	$15.80	$15.80	2026-02-03
00023	EAPG	Level I Forearm And Wrist Procedures	1	1	—	—	$3.67	$3.67	$3.67	2026-02-03
00024	EAPG	Level Ii Forearm And Wrist Procedures	1	1	—	—	$11.92	$11.92	$11.92	2026-02-03
00025	EAPG	Level I Shoulder And Upper Arm Procedures	1	1	—	—	$10.08	$10.08	$10.08	2026-02-03
00026	EAPG	Level I Knee And Lower Leg Procedures	1	1	—	—	$6.80	$6.80	$6.80	2026-02-03
00027	EAPG	Level I Hip And Femur Procedures	1	1	—	—	$8.17	$8.17	$8.17	2026-02-03
00028	EAPG	Level I Spine Procedures	1	1	—	—	$10.57	$10.57	$10.57	2026-02-03
00029	EAPG	Level Ii Spine Procedures	1	1	—	—	$20.98	$20.98	$20.98	2026-02-03
00033	EAPG	Level I Hand Procedures	1	1	—	—	$2.78	$2.78	$2.78	2026-02-03
00034	EAPG	Level Ii Hand Procedures	1	1	—	—	$4.53	$4.53	$4.53	2026-02-03
00035	EAPG	Level I Foot Procedures	1	1	—	—	$4.59	$4.59	$4.59	2026-02-03
00036	EAPG	Level Ii Foot Procedures	1	1	—	—	$12.34	$12.34	$12.34	2026-02-03
00037	EAPG	Level I Arthroscopy	1	1	—	—	$4.48	$4.48	$4.48	2026-02-03
00038	EAPG	Level Ii Arthroscopy	1	1	—	—	$11.64	$11.64	$11.64	2026-02-03
00041	EAPG	Closed Treatment Fx And Dislocation	1	1	—	—	$1.06	$1.06	$1.06	2026-02-03
00043	EAPG	Open Or Percutaneous Treatment Of Fractures	1	1	—	—	$11.50	$11.50	$11.50	2026-02-03
00044	EAPG	Bone Or Joint Manipulation Under Anesthesia	1	1	—	—	$2.16	$2.16	$2.16	2026-02-03
00046	EAPG	Level I Arthroplasty	1	1	—	—	$7.48	$7.48	$7.48	2026-02-03
00047	EAPG	Level Ii Arthroplasty	1	1	—	—	$19.33	$19.33	$19.33	2026-02-03
00050	EAPG	Level Ii Joint, Tendon, Or Ligament Injection Procedures	1	1	—	—	$0.94	$0.94	$0.94	2026-02-03
00051	EAPG	Musculoskeletal Excisions, Biopsies, And Drainage Procedures	1	1	—	—	$3.80	$3.80	$3.80	2026-02-03
00052	EAPG	Level Ii Knee And Lower Leg Procedures	1	1	—	—	$15.87	$15.87	$15.87	2026-02-03
00053	EAPG	Spine Injections And Other Related Procedures	1	1	—	—	$1.57	$1.57	$1.57	2026-02-03
00054	EAPG	Fixation Device Insertion Or Replacement Procedures	1	1	—	—	$4.96	$4.96	$4.96	2026-02-03
00055	EAPG	Level Ii Hip And Femur Procedures	1	1	—	—	$23.40	$23.40	$23.40	2026-02-03
00056	EAPG	Skin And Connective Tissue Grafting And Flap Procedures	1	1	—	—	$4.04	$4.04	$4.04	2026-02-03
00057	EAPG	Level Iii Spine Procedures	1	1	—	—	$33.39	$33.39	$33.39	2026-02-03
00058	EAPG	Level Ii Shoulder And Upper Arm Procedures	1	1	—	—	$20.24	$20.24	$20.24	2026-02-03
00059	EAPG	Arteriovenous Fistula Creation Or Revision For Hemodialysis	1	1	—	—	$7.51	$7.51	$7.51	2026-02-03
00062	EAPG	Level I Endoscopy Of The Upper Airway	1	1	—	—	$1.22	$1.22	$1.22	2026-02-03
00063	EAPG	Level Ii Endoscopy Of The Upper Airway	1	1	—	—	$4.08	$4.08	$4.08	2026-02-03
00064	EAPG	Level I Lower Airway Endoscopy	1	1	—	—	$3.94	$3.94	$3.94	2026-02-03
00067	EAPG	Ventilation Assistance And Management	1	1	—	—	$2.85	$2.85	$2.85	2026-02-03
00068	EAPG	Thoracentesis, Related Biopsy And Pleural Drainage Procedures	1	1	—	—	$2.05	$2.05	$2.05	2026-02-03
00069	EAPG	Level I Thoracic And Chest Procedures	1	1	—	—	$4.85	$4.85	$4.85	2026-02-03
00070	EAPG	Level Ii Thoracic And Chest Procedures	1	1	—	—	$11.26	$11.26	$11.26	2026-02-03
00071	EAPG	Level Ii Lower Airway Endoscopy	1	1	—	—	$8.62	$8.62	$8.62	2026-02-03
00072	EAPG	Tracheostomy And Related Tracheal Procedures	1	1	—	—	$4.97	$4.97	$4.97	2026-02-03
00073	EAPG	Diaphragmatic Procedures And Related Hernia Repair	1	1	—	—	$14.03	$14.03	$14.03	2026-02-03
00074	EAPG	Revision, Replacement Or Removal Of Cardiac Device Component	1	1	—	—	$3.13	$3.13	$3.13	2026-02-03
00075	EAPG	Level I Central Venous Access Procedures	1	1	—	—	$2.50	$2.50	$2.50	2026-02-03
00076	EAPG	Revision, Repair Or Removal Of Central Venous Access Device	1	1	—	—	$1.54	$1.54	$1.54	2026-02-03
00077	EAPG	Level I Peripheral Endovascular And Transcatheter Procedures	1	1	—	—	$8.26	$8.26	$8.26	2026-02-03
00078	EAPG	Level I Peripheral Vascular Repair, Ligation Or Reconstruction	1	1	—	—	$4.51	$4.51	$4.51	2026-02-03
00079	EAPG	Level Ii Peripheral Endovascular And Transcatheter Procedures	1	1	—	—	$14.19	$14.19	$14.19	2026-02-03
00081	EAPG	Echocardiography	1	1	—	—	$0.97	$0.97	$0.97	2026-02-03
00082	EAPG	Comprehensive Cardiac Electrophysiologic Procedures With Ablation	1	1	—	—	$36.01	$36.01	$36.01	2026-02-03
00083	EAPG	Level Ii Central Venous Access Procedures	1	1	—	—	$4.48	$4.48	$4.48	2026-02-03
00084	EAPG	Cardiac Catheterization Procedures	1	1	—	—	$5.17	$5.17	$5.17	2026-02-03
00085	EAPG	Level Iii Peripheral Endovascular And Transcatheter Procedures	1	1	—	—	$22.71	$22.71	$22.71	2026-02-03
00086	EAPG	Pacemaker And Other Cardiovascular Device Insertion And Replacement	1	1	—	—	$16.07	$16.07	$16.07	2026-02-03
00087	EAPG	Removal Or Revision Of Pacemakers And Other Cardiovascular Devices	1	1	—	—	$13.80	$13.80	$13.80	2026-02-03
00090	EAPG	Level I Varicose Vein And Related Procedures	1	1	—	—	$1.36	$1.36	$1.36	2026-02-03
00091	EAPG	Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction	1	1	—	—	$8.05	$8.05	$8.05	2026-02-03
00092	EAPG	Resuscitation	1	1	—	—	$1.54	$1.54	$1.54	2026-02-03
00093	EAPG	Cardioversion	1	1	—	—	$1.38	$1.38	$1.38	2026-02-03
00096	EAPG	Cardiac Electrophysiologic Procedures Including Pacing And Recording	1	1	—	—	$13.80	$13.80	$13.80	2026-02-03
00097	EAPG	Aicd And Related Cardiac Device Insertion Or Replacement	1	1	—	—	$45.25	$45.25	$45.25	2026-02-03
00099	EAPG	Level I Percutaneous Coronary And Intracardiac Interventional Procedures	1	1	—	—	$18.10	$18.10	$18.10	2026-02-03
00103	EAPG	Level Ii Varicose Vein And Related Procedures	1	1	—	—	$5.41	$5.41	$5.41	2026-02-03
00104	EAPG	Major Open Coronary Artery Procedures Including Cabg	1	1	—	—	$33.10	$33.10	$33.10	2026-02-03
00105	EAPG	Major Open Cardiac And Cardiac Valve Procedures	1	1	—	—	$24.25	$24.25	$24.25	2026-02-03
00106	EAPG	Major Open Abdominal And Thoracic Vascular Procedures	1	1	—	—	$17.59	$17.59	$17.59	2026-02-03
00107	EAPG	Cholecystectomy And Related Biliary Procedures	1	1	—	—	$7.79	$7.79	$7.79	2026-02-03
00108	EAPG	Other Intra-abdominal And Intraperitoneal Surgical Procedures	1	1	—	—	$7.82	$7.82	$7.82	2026-02-03
00110	EAPG	Pharmacotherapy By Extended Infusion	1	1	—	—	$1.05	$1.05	$1.05	2026-02-03
00111	EAPG	Pharmacotherapy Except By Extended Infusion	1	1	—	—	$0.57	$0.57	$0.57	2026-02-03
00113	EAPG	Level I Blood Product Exchange Services	1	1	—	—	$0.94	$0.94	$0.94	2026-02-03
00114	EAPG	Level Ii Blood Product Exchange Services	1	1	—	—	$3.33	$3.33	$3.33	2026-02-03
00115	EAPG	Deep Lymph Structure Procedures	1	1	—	—	$6.75	$6.75	$6.75	2026-02-03
00119	EAPG	Car T-cell Immunotherapy Preparation Services	1	1	—	—	$1.82	$1.82	$1.82	2026-02-03
00120	EAPG	Car T-cell Immunotherapy	1	1	—	—	$82.41	$82.41	$82.41	2026-02-03
00121	EAPG	Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures	1	1	—	—	$29.17	$29.17	$29.17	2026-02-03
00122	EAPG	Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures	1	1	—	—	$29.30	$29.30	$29.30	2026-02-03
00123	EAPG	Peripheral Vascular Bypass Procedures	1	1	—	—	$10.99	$10.99	$10.99	2026-02-03
00124	EAPG	Bone Marrow Biopsies	1	1	—	—	$4.05	$4.05	$4.05	2026-02-03
00125	EAPG	Level I Esophageal And Gastric Surgical Procedures	1	1	—	—	$7.58	$7.58	$7.58	2026-02-03
00126	EAPG	Level Ii Esophageal And Gastric Surgical Procedures	1	1	—	—	$7.94	$7.94	$7.94	2026-02-03
00127	EAPG	Level I Small And Large Intestine Surgical Procedures	1	1	—	—	$4.27	$4.27	$4.27	2026-02-03
00128	EAPG	Level Ii Small And Large Intestine Surgical Procedures	1	1	—	—	$8.47	$8.47	$8.47	2026-02-03
00129	EAPG	Esophagogastric Restrictive Procedures And Gastric Fundoplication	1	1	—	—	$10.74	$10.74	$10.74	2026-02-03
00130	EAPG	Minor Gastrointestinal Procedures Including Tube Insertion Or Placement	1	1	—	—	$0.62	$0.62	$0.62	2026-02-03
00134	EAPG	Level I Upper Gi Endoscopy	1	1	—	—	$2.11	$2.11	$2.11	2026-02-03
00135	EAPG	Level Ii Upper Gi Endoscopy	1	1	—	—	$4.55	$4.55	$4.55	2026-02-03
00136	EAPG	Level I Lower Gi Endoscopy	1	1	—	—	$2.07	$2.07	$2.07	2026-02-03
00137	EAPG	Level Ii Lower Gi Endoscopy	1	1	—	—	$4.36	$4.36	$4.36	2026-02-03
00138	EAPG	Level I Ercp And Related Endoscopic Procedures	1	1	—	—	$5.61	$5.61	$5.61	2026-02-03
00141	EAPG	Level I Anal And Rectal Procedures	1	1	—	—	$3.08	$3.08	$3.08	2026-02-03
00142	EAPG	Level Ii Anal And Rectal Procedures	1	1	—	—	$4.82	$4.82	$4.82	2026-02-03
00150	EAPG	Abdominal Paracentesis And Related Peritoneal Drainage Procedures	1	1	—	—	$1.55	$1.55	$1.55	2026-02-03
00151	EAPG	Level I Hepatobiliary And Pancreas Procedures	1	1	—	—	$4.99	$4.99	$4.99	2026-02-03
00152	EAPG	Level Ii Hepatobiliary And Pancreas Procedures	1	1	—	—	$11.71	$11.71	$11.71	2026-02-03
00153	EAPG	Level Ii Ercp And Related Endoscopic Procedures	1	1	—	—	$9.29	$9.29	$9.29	2026-02-03
00154	EAPG	Level Iii Upper Gi Endoscopy	1	1	—	—	$8.52	$8.52	$8.52	2026-02-03
00155	EAPG	Level Iii Blood Product Exchange Services	1	1	—	—	$9.04	$9.04	$9.04	2026-02-03
00161	EAPG	Urinary Studies And Procedures	1	1	—	—	$0.85	$0.85	$0.85	2026-02-03
00166	EAPG	Level I Urethral Procedures	1	1	—	—	$6.32	$6.32	$6.32	2026-02-03
00167	EAPG	Level Ii Urethral Procedures	1	1	—	—	$12.52	$12.52	$12.52	2026-02-03
00168	EAPG	Dialysis Procedures	1	1	—	—	$1.93	$1.93	$1.93	2026-02-03
00170	EAPG	Level I Kidney And Ureteral Procedures	1	1	—	—	$3.14	$3.14	$3.14	2026-02-03
00171	EAPG	Level Ii Kidney And Ureteral Procedures	1	1	—	—	$6.05	$6.05	$6.05	2026-02-03
00172	EAPG	Level Iii Kidney And Ureteral Procedures	1	1	—	—	$14.80	$14.80	$14.80	2026-02-03
00173	EAPG	Level I Bladder And Ureteral Procedures	1	1	—	—	$3.32	$3.32	$3.32	2026-02-03
00174	EAPG	Level Ii Bladder And Ureteral Procedures	1	1	—	—	$8.84	$8.84	$8.84	2026-02-03
00175	EAPG	Level Iii Bladder And Ureteral Procedures	1	1	—	—	$10.31	$10.31	$10.31	2026-02-03
00176	EAPG	Level I Prostate Procedures	1	1	—	—	$3.56	$3.56	$3.56	2026-02-03
00178	EAPG	Antepartum Procedures	1	1	—	—	$0.87	$0.87	$0.87	2026-02-03
00179	EAPG	Ectopic Pregnancy Procedures	1	1	—	—	$8.02	$8.02	$8.02	2026-02-03
00180	EAPG	Testicular And Epididymal Procedures	1	1	—	—	$4.81	$4.81	$4.81	2026-02-03
00182	EAPG	Insertion Of Penile Prosthesis	1	1	—	—	$28.12	$28.12	$28.12	2026-02-03
00183	EAPG	Level I Penile Procedures	1	1	—	—	$4.29	$4.29	$4.29	2026-02-03
00184	EAPG	Level Ii Prostate Procedures	1	1	—	—	$9.87	$9.87	$9.87	2026-02-03
00187	EAPG	Level Ii Penile Procedures	1	1	—	—	$6.60	$6.60	$6.60	2026-02-03
00188	EAPG	Level I Perineal And Vaginal Gynecological Procedures	1	1	—	—	$5.37	$5.37	$5.37	2026-02-03
00189	EAPG	Level Ii Perineal And Vaginal Gynecological Procedures	1	1	—	—	$11.69	$11.69	$11.69	2026-02-03
00190	EAPG	Artificial Fertilization	1	1	—	—	$1.05	$1.05	$1.05	2026-02-03
00192	EAPG	Level Ii Fetal Procedures	1	1	—	—	$2.10	$2.10	$2.10	2026-02-03
00194	EAPG	Abortion And Miscarriage Treatment And Procedures	1	1	—	—	$3.92	$3.92	$3.92	2026-02-03
00195	EAPG	Vaginal Delivery Procedures	1	1	—	—	$4.93	$4.93	$4.93	2026-02-03
00202	EAPG	Cesarean Delivery Procedures	1	1	—	—	$5.45	$5.45	$5.45	2026-02-03
00203	EAPG	Global Antepartum And Postpartum Visits	1	1	—	—	$0.66	$0.66	$0.66	2026-02-03
00204	EAPG	Level I Hysterectomy And Myomectomy Procedures	1	1	—	—	$8.80	$8.80	$8.80	2026-02-03
00205	EAPG	Obstetrical Procedures	1	1	—	—	$4.06	$4.06	$4.06	2026-02-03
00206	EAPG	Level Ii Hysterectomy And Myomectomy Procedures	1	1	—	—	$12.35	$12.35	$12.35	2026-02-03
00207	EAPG	Level I Other Uterine And Adnexa Gynecological Procedures	1	1	—	—	$5.08	$5.08	$5.08	2026-02-03
00208	EAPG	Level Ii Other Uterine And Adnexa Gynecological Procedures	1	1	—	—	$9.27	$9.27	$9.27	2026-02-03
00209	EAPG	Other Gynecological Procedures	1	1	—	—	$1.11	$1.11	$1.11	2026-02-03
00210	EAPG	Extended EEG Studies	1	1	—	—	$1.05	$1.05	$1.05	2026-02-03
00211	EAPG	Electroencephalogram	1	1	—	—	$0.76	$0.76	$0.76	2026-02-03
00212	EAPG	Electroconvulsive Therapy	1	1	—	—	$1.00	$1.00	$1.00	2026-02-03
00214	EAPG	Level I Nervous System Injections Including Cranial Tap	1	1	—	—	$0.85	$0.85	$0.85	2026-02-03
00217	EAPG	Level I Peripheral Nerve Procedures	1	1	—	—	$2.85	$2.85	$2.85	2026-02-03
00218	EAPG	Level Ii Peripheral Nerve Procedures	1	1	—	—	$10.78	$10.78	$10.78	2026-02-03
00220	EAPG	Level Ii Nervous System Injections Including Cranial Tap	1	1	—	—	$3.11	$3.11	$3.11	2026-02-03
00222	EAPG	Sleep Studies Attended	1	1	—	—	$1.55	$1.55	$1.55	2026-02-03
00223	EAPG	Level I Neurostimulator And Related Device Implantation	1	1	—	—	$12.63	$12.63	$12.63	2026-02-03
00224	EAPG	Level Ii Neurostimulator And Related Device Implantation	1	1	—	—	$39.35	$39.35	$39.35	2026-02-03
00225	EAPG	Other Intracranial Neurosurgery Procedures	1	1	—	—	$7.89	$7.89	$7.89	2026-02-03
00227	EAPG	Level I Craniofacial Bone Procedures	1	1	—	—	$5.69	$5.69	$5.69	2026-02-03
00228	EAPG	Level Ii Craniofacial Bone Procedures	1	1	—	—	$11.08	$11.08	$11.08	2026-02-03
00230	EAPG	Minor Ophthalmological Procedures And Diagnostic Services	1	1	—	—	$0.58	$0.58	$0.58	2026-02-03
00233	EAPG	Cataract And Other Intraocular Lens Procedures	1	1	—	—	$3.61	$3.61	$3.61	2026-02-03
00234	EAPG	Level I Anterior Chamber Eye Procedures	1	1	—	—	$2.05	$2.05	$2.05	2026-02-03
00235	EAPG	Level Ii Anterior Chamber Eye Procedures	1	1	—	—	$7.07	$7.07	$7.07	2026-02-03
00237	EAPG	Level I Intravitreal, Retinal And Other Posterior Chamber Eye Procedures	1	1	—	—	$2.13	$2.13	$2.13	2026-02-03
00238	EAPG	Level Ii Intravitreal, Retinal And Other Posterior Chamber Eye Procedures	1	1	—	—	$6.69	$6.69	$6.69	2026-02-03
00239	EAPG	Extraocular Muscle Procedures	1	1	—	—	$4.38	$4.38	$4.38	2026-02-03
00241	EAPG	Ocular Reconstructive Procedures W Or Without Ocular Device	1	1	—	—	$6.18	$6.18	$6.18	2026-02-03
00244	EAPG	Class Ii Therapeutic Radiopharmaceuticals	1	1	—	—	$1.57	$1.57	$1.57	2026-02-03
00245	EAPG	Class Iii Therapeutic Radiopharmaceuticals	1	1	—	—	$27.56	$27.56	$27.56	2026-02-03
00246	EAPG	Class IV Therapeutic Radiopharmaceuticals	1	1	—	—	$70.05	$70.05	$70.05	2026-02-03
00247	EAPG	Level I Corneal And Other Anterior Surface Eye Procedures	1	1	—	—	$1.20	$1.20	$1.20	2026-02-03
00248	EAPG	Level Ii Corneal And Other Anterior Surface Eye Procedures	1	1	—	—	$6.87	$6.87	$6.87	2026-02-03
00250	EAPG	Cochlear Device Implantation	1	1	—	—	$49.37	$49.37	$49.37	2026-02-03
00252	EAPG	Level I Ear, Nose, Mouth And Throat Procedures	1	1	—	—	$2.87	$2.87	$2.87	2026-02-03
00253	EAPG	Level Ii Ear, Nose, Mouth And Throat Procedures	1	1	—	—	$5.58	$5.58	$5.58	2026-02-03
00254	EAPG	Level Iii Ear, Nose, Mouth And Throat Procedures	1	1	—	—	$7.28	$7.28	$7.28	2026-02-03
00255	EAPG	Level IV Ear, Nose, Mouth And Throat Procedures	1	1	—	—	$9.29	$9.29	$9.29	2026-02-03
00256	EAPG	Tonsil And Adenoid Procedures	1	1	—	—	$4.41	$4.41	$4.41	2026-02-03
00258	EAPG	Level I Eyelid, Lacrimal And Conjunctival Procedures	1	1	—	—	$2.93	$2.93	$2.93	2026-02-03
00259	EAPG	Level Ii Eyelid, Lacrimal And Conjunctival Procedures	1	1	—	—	$3.65	$3.65	$3.65	2026-02-03
00261	EAPG	Esrd Monthly Case Management	1	1	—	—	$1.21	$1.21	$1.21	2026-02-03
00262	EAPG	Cleft Lip And Palate Repair	1	1	—	—	$6.26	$6.26	$6.26	2026-02-03
00263	EAPG	Thyroid And Parathyroid Procedures	1	1	—	—	$9.29	$9.29	$9.29	2026-02-03
00264	EAPG	Major Craniotomy And Craniectomy Surgical Procedures	1	1	—	—	$8.59	$8.59	$8.59	2026-02-03
00265	EAPG	Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$28.07	$28.07	$28.07	2026-02-03
00266	EAPG	Open Intracranial And Extracranial Vascular Procedures	1	1	—	—	$10.04	$10.04	$10.04	2026-02-03
00267	EAPG	Other Craniotomy Procedures Including Cranioplasty	1	1	—	—	$13.42	$13.42	$13.42	2026-02-03
00268	EAPG	Cranial And Spinal Shunt Procedures	1	1	—	—	$12.20	$12.20	$12.20	2026-02-03
00270	EAPG	Occupational Therapy	1	1	—	—	$0.85	$0.85	$0.85	2026-02-03
00272	EAPG	Speech Therapy And Evaluation	1	1	—	—	$0.61	$0.61	$0.61	2026-02-03
00276	EAPG	Procedures For Revision Or Removal Of Neurostimulator Devices	1	1	—	—	$6.66	$6.66	$6.66	2026-02-03
00277	EAPG	Level I Vascular Radiological Procedures	1	1	—	—	$2.58	$2.58	$2.58	2026-02-03
00278	EAPG	Injection(S) For Radiological Imaging	1	1	—	—	$0.76	$0.76	$0.76	2026-02-03
00279	EAPG	Level Ii Vascular Radiological Procedures	1	1	—	—	$3.56	$3.56	$3.56	2026-02-03
00280	EAPG	Level Iii Vascular Radiological Procedures	1	1	—	—	$10.00	$10.00	$10.00	2026-02-03
00282	EAPG	Magnetic Resonance Angiography	1	1	—	—	$0.97	$0.97	$0.97	2026-02-03
00284	EAPG	Myelography And Discography Imaging Procedures	1	1	—	—	$1.20	$1.20	$1.20	2026-02-03
00290	EAPG	PET Scans	1	1	—	—	$2.94	$2.94	$2.94	2026-02-03
00295	EAPG	Magnetic Resonance Imaging With Contrast	1	1	—	—	$0.83	$0.83	$0.83	2026-02-03
00297	EAPG	Magnetocephalography	1	1	—	—	$8.66	$8.66	$8.66	2026-02-03
00300	EAPG	Level Ii Computed Tomography	1	1	—	—	$0.67	$0.67	$0.67	2026-02-03
00302	EAPG	Computed Tomographic Angiography	1	1	—	—	$0.83	$0.83	$0.83	2026-02-03
00310	EAPG	Developmental And Neuropsychological Testing	1	1	—	—	$1.28	$1.28	$1.28	2026-02-03
00312	EAPG	Behavioral And Substance Abuse Partial Hospitalization Program	1	1	—	—	$1.24	$1.24	$1.24	2026-02-03
00321	EAPG	Crisis Intervention	1	1	—	—	$0.56	$0.56	$0.56	2026-02-03
00327	EAPG	Intensive Outpatient Psychiatric Treatment	1	1	—	—	$0.68	$0.68	$0.68	2026-02-03
00329	EAPG	Day Rehabilitation, Full Day	1	1	—	—	$0.66	$0.66	$0.66	2026-02-03
00331	EAPG	Level I Diagnostic Nuclear Medicine	1	1	—	—	$0.77	$0.77	$0.77	2026-02-03
00332	EAPG	Level Ii Diagnostic Nuclear Medicine	1	1	—	—	$1.82	$1.82	$1.82	2026-02-03
00333	EAPG	Behavioral Health Residential Treatment	1	1	—	—	$1.10	$1.10	$1.10	2026-02-03
00336	EAPG	Class Ii Brachytherapy Sources	1	1	—	—	$5.54	$5.54	$5.54	2026-02-03
00337	EAPG	Class Iii Brachytherapy Sources	1	1	—	—	$23.78	$23.78	$23.78	2026-02-03
00346	EAPG	Radiosurgery	1	1	—	—	$10.47	$10.47	$10.47	2026-02-03
00347	EAPG	Level Ii Radiation Therapy	1	1	—	—	$0.96	$0.96	$0.96	2026-02-03
00348	EAPG	Level Iii Radiation Therapy	1	1	—	—	$2.84	$2.84	$2.84	2026-02-03
00350	EAPG	Adjunctive Dental Services	1	1	—	—	$0.57	$0.57	$0.57	2026-02-03
00352	EAPG	Level I Periodontics	1	1	—	—	$2.15	$2.15	$2.15	2026-02-03
00354	EAPG	Level Ii Prosthodontics, Fixed	1	1	—	—	$0.81	$0.81	$0.81	2026-02-03
00355	EAPG	Level Iii Prosthodontics, Fixed	1	1	—	—	$1.00	$1.00	$1.00	2026-02-03
00358	EAPG	Level Iii Prosthodontics, Removable	1	1	—	—	$0.64	$0.64	$0.64	2026-02-03
00359	EAPG	Level I Maxillofacial Prosthetics	1	1	—	—	$3.78	$3.78	$3.78	2026-02-03
00360	EAPG	Level Ii Maxillofacial Prosthetics	1	1	—	—	$6.25	$6.25	$6.25	2026-02-03
00361	EAPG	Level I Dental Restorations	1	1	—	—	$4.52	$4.52	$4.52	2026-02-03
00362	EAPG	Level Ii Dental Restorations	1	1	—	—	$5.14	$5.14	$5.14	2026-02-03
00363	EAPG	Level Iii Dental Restorations	1	1	—	—	$5.76	$5.76	$5.76	2026-02-03
00366	EAPG	Level Iii Endodontics	1	1	—	—	$0.63	$0.63	$0.63	2026-02-03
00367	EAPG	Level I Oral Surgery Procedures	1	1	—	—	$2.89	$2.89	$2.89	2026-02-03
00368	EAPG	Level Ii Oral Surgery Procedures	1	1	—	—	$4.13	$4.13	$4.13	2026-02-03
00369	EAPG	Level Iii Oral Surgery Procedures	1	1	—	—	$6.59	$6.59	$6.59	2026-02-03
00371	EAPG	Level I Orthodontics	1	1	—	—	$2.84	$2.84	$2.84	2026-02-03
00378	EAPG	Level Ii Periodontics	1	1	—	—	$2.26	$2.26	$2.26	2026-02-03
00379	EAPG	Level Ii Orthodontics	1	1	—	—	$3.13	$3.13	$3.13	2026-02-03
00381	EAPG	Level I Dental Implants	1	1	—	—	$2.73	$2.73	$2.73	2026-02-03
00382	EAPG	Level Ii Dental Implants	1	1	—	—	$3.00	$3.00	$3.00	2026-02-03
00387	EAPG	Level Iii Complex Laboratory, Molecular Pathology And Genetic Tests	1	1	—	—	$0.58	$0.58	$0.58	2026-02-03
00423	EAPG	Vascular Access By Needle Or Catheter	1	1	—	—	$1.48	$1.48	$1.48	2026-02-03
00434	EAPG	Class V Chemotherapy Drugs	1	1	—	—	$0.70	$0.70	$0.70	2026-02-03
00439	EAPG	Class V Pharmacotherapy	1	1	—	—	$0.93	$0.93	$0.93	2026-02-03
00440	EAPG	Class Vi Pharmacotherapy	1	1	—	—	$1.04	$1.04	$1.04	2026-02-03
00441	EAPG	Class Vi Chemotherapy Drugs	1	1	—	—	$1.17	$1.17	$1.17	2026-02-03
00443	EAPG	Class Vii Chemotherapy Drugs	1	1	—	—	$2.43	$2.43	$2.43	2026-02-03
00444	EAPG	Class Vii Pharmacotherapy	1	1	—	—	$1.76	$1.76	$1.76	2026-02-03
00450	EAPG	Observation	1	1	—	—	$1.85	$1.85	$1.85	2026-02-03
00460	EAPG	Class Viii Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$2.55	$2.55	$2.55	2026-02-03
00461	EAPG	Class Ix Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$3.67	$3.67	$3.67	2026-02-03
00462	EAPG	Class X Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$8.75	$8.75	$8.75	2026-02-03
00463	EAPG	Class Xi Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$9.21	$9.21	$9.21	2026-02-03
00464	EAPG	Class Xii Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$15.27	$15.27	$15.27	2026-02-03
00465	EAPG	Class Xiii Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$34.34	$34.34	$34.34	2026-02-03
00466	EAPG	Class Xiv Combined Chemotherapy And Pharmacotherapy	1	1	—	—	$49.36	$49.36	$49.36	2026-02-03
00478	EAPG	Level Iii Radiation Treatment Preparation And Planning	1	1	—	—	$2.17	$2.17	$2.17	2026-02-03
00483	EAPG	Radiation Therapy Management	1	1	—	—	$0.64	$0.64	$0.64	2026-02-03
00485	EAPG	Corneal Tissue Processing	1	1	—	—	$5.45	$5.45	$5.45	2026-02-03
00526	EAPG	Transient Ischemia	1	1	—	—	$0.58	$0.58	$0.58	2026-02-03
00538	EAPG	Head Trauma With Loc/Coma More Then 1 Hr	1	1	—	—	$1.10	$1.10	$1.10	2026-02-03
00539	EAPG	Intracranial Hemorrhage	1	1	—	—	$0.58	$0.58	$0.58	2026-02-03
00570	EAPG	Cystic Fibrosis - Pulmonary Disease	1	1	—	—	$0.60	$0.60	$0.60	2026-02-03
00572	EAPG	Bronchiolitis And Rsv Pneumonia	1	1	—	—	$0.81	$0.81	$0.81	2026-02-03
00579	EAPG	Status Asthmaticus	1	1	—	—	$0.64	$0.64	$0.64	2026-02-03
00580	EAPG	Major Chest And Respiratory Trauma	1	1	—	—	$0.85	$0.85	$0.85	2026-02-03
00581	EAPG	Pulmonary Infection Diagnoses Including Pneumonia	1	1	—	—	$0.67	$0.67	$0.67	2026-02-03
00583	EAPG	Malfunction, Reaction, Or Complication Of Pulmonary Device Or Procedure	1	1	—	—	$0.70	$0.70	$0.70	2026-02-03
00587	EAPG	Respiratory Failure	1	1	—	—	$0.99	$0.99	$0.99	2026-02-03
00591	EAPG	Acute Myocardial Infarction	1	1	—	—	$0.98	$0.98	$0.98	2026-02-03
00597	EAPG	Phlebitis	1	1	—	—	$0.56	$0.56	$0.56	2026-02-03
00604	EAPG	Chest Pain	1	1	—	—	$0.87	$0.87	$0.87	2026-02-03
00605	EAPG	Syncope And Collapse	1	1	—	—	$0.67	$0.67	$0.67	2026-02-03
00610	EAPG	Contusions To External Organs Other Than Head Trauma	1	1	—	—	$0.56	$0.56	$0.56	2026-02-03
00617	EAPG	Gastrointestinal Hemorrhage And Related Postprocedural Hemorrhage Diagnoses	1	1	—	—	$0.65	$0.65	$0.65	2026-02-03
00618	EAPG	Intestinal Obstruction Diagnoses	1	1	—	—	$0.64	$0.64	$0.64	2026-02-03
00621	EAPG	Peptic Ulcer And Gastritis	1	1	—	—	$0.63	$0.63	$0.63	2026-02-03
00629	EAPG	Malfunction, Reaction And Complication Of Gi Device Or Procedure	1	1	—	—	$0.71	$0.71	$0.71	2026-02-03
00638	EAPG	Cholecystitis	1	1	—	—	$0.62	$0.62	$0.62	2026-02-03
00647	EAPG	Fractures, Dislocations, Other Injuries - Upper Extremity Including Shoulder	1	1	—	—	$0.59	$0.59	$0.59	2026-02-03
00648	EAPG	Fractures, Dislocations And Sprains Of The Skull, Cranium And Face	1	1	—	—	$0.69	$0.69	$0.69	2026-02-03
00650	EAPG	Fractures, Dislocations, Other Injuries - Lower Extremity Including Femur	1	1	—	—	$0.59	$0.59	$0.59	2026-02-03
00651	EAPG	Fractures, Dislocations, Sprains And Other Injuries Of The Pelvis And Hip	1	1	—	—	$0.73	$0.73	$0.73	2026-02-03
00656	EAPG	Fractures, Dislocations, Other Injuries Of The Neck, Upper Back And Chest	1	1	—	—	$0.68	$0.68	$0.68	2026-02-03
00729	EAPG	Acute Kidney Injury	1	1	—	—	$0.69	$0.69	$0.69	2026-02-03
00762	EAPG	Preterm Labor Diagnoses	1	1	—	—	$0.85	$0.85	$0.85	2026-02-03
00763	EAPG	Abortion Related Diagnoses	1	1	—	—	$0.76	$0.76	$0.76	2026-02-03
00765	EAPG	Other Antepartum Complication Diagnoses	1	1	—	—	$0.57	$0.57	$0.57	2026-02-03
00767	EAPG	Complications Of Treatment Affecting Pregnancy	1	1	—	—	$0.83	$0.83	$0.83	2026-02-03
00783	EAPG	Sickle Cell Anemia Crisis	1	1	—	—	$0.67	$0.67	$0.67	2026-02-03
00805	EAPG	Septicemia And Disseminated Infections	1	1	—	—	$1.44	$1.44	$1.44	2026-02-03
00807	EAPG	Fever And Other Inflammatory Conditions	1	1	—	—	$0.76	$0.76	$0.76	2026-02-03
00808	EAPG	Viral Illness	1	1	—	—	$0.61	$0.61	$0.61	2026-02-03
00832	EAPG	Intentional Self-harm And Attempted Suicide	1	1	—	—	$1.06	$1.06	$1.06	2026-02-03
00841	EAPG	Cocaine Abuse And Dependence	1	1	—	—	$0.61	$0.61	$0.61	2026-02-03
00842	EAPG	Alcohol Abuse And Dependence	1	1	—	—	$0.60	$0.60	$0.60	2026-02-03
00850	EAPG	Allergic Reactions	1	1	—	—	$0.57	$0.57	$0.57	2026-02-03
00851	EAPG	Poisoning Or Toxic Effects Of Medicinal Agents	1	1	—	—	$0.61	$0.61	$0.61	2026-02-03
00883	EAPG	Alteration In Consciousness	1	1	—	—	$0.85	$0.85	$0.85	2026-02-03
02044	EAPG	Level IV Complex Laboratory, Molecular Pathology And Genetic Tests	1	1	—	—	$1.11	$1.11	$1.11	2026-02-03
02045	EAPG	Advanced Molecular Pathology And Genetic Tests	1	1	—	—	$3.79	$3.79	$3.79	2026-02-03
02062	EAPG	Class Ii Blood Products	1	1	—	—	$0.59	$0.59	$0.59	2026-02-03
03011	EAPG	Bone Conduction Hearing Device Implantation	1	1	—	—	$18.15	$18.15	$18.15	2026-02-03
03030	EAPG	Spinal Implantation Of Drug Infusion Device	1	1	—	—	$25.43	$25.43	$25.43	2026-02-03
03033	EAPG	Inguinal, Femoral And Umbilical Hernia Repair	1	1	—	—	$8.12	$8.12	$8.12	2026-02-03
03035	EAPG	Abdominal Hernia Repair	1	1	—	—	$8.26	$8.26	$8.26	2026-02-03
03050	EAPG	Other Transplant Procedures	1	1	—	—	$11.65	$11.65	$11.65	2026-02-03
03051	EAPG	Heart And/Or Lung Transplant	1	1	—	—	$26.54	$26.54	$26.54	2026-02-03
03052	EAPG	Kidney Transplant	1	1	—	—	$15.78	$15.78	$15.78	2026-02-03
03060	EAPG	Ventricular Assist Device Procedures	1	1	—	—	$62.99	$62.99	$62.99	2026-02-03
03070	EAPG	Extracorporeal Membrane Oxygenation (Ecmo) Procedures	1	1	—	—	$16.37	$16.37	$16.37	2026-02-03
04011	EAPG	Level Ii Opioid Treatment Program Services	1	1	—	—	$0.79	$0.79	$0.79	2026-02-03
2124	CDM	Inpatient Room & Board-psychiatric	7	6	$1,200.00	—	$359.76	$729.88	$729.88	2026-02-03
3126	CDM	Inpatient Room & Board-detoxification	6	5	$1,200.00	—	$359.76	$674.88	$674.88	2026-02-03
4762	CDM	23 Hr. Observation Stay	2	2	$900.00	—	$269.82	$720.00	$494.91	2026-02-03

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