Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

TIFT REGIONAL MEDICAL CENTER

Tifton, GA · CCN 110095 · Rates published

53,988 distinct procedures filed
26 distinct payers
2,143,028 rate rows
2026-05-06 last MRF observed
Data quality

2,128,281 of 2,143,028 rate rows are consumer-grade (99.3%)

14,747 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11,520
per-diem day rate — not a per-procedure price 1,578
template filing: same amount across many unrelated codes — excluded 1,071
placeholder amount (≤ $0.02) — excluded from medians 316
exceeds 10× this hospital's gross charge — excluded from medians 262
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://s3.amazonaws.com/assets.bbmconnect.com/Southwell/453072990_TiftRegionalMedicalCenter_standardcharges.csv
Found on page https://mysouthwell.com/chargemaster/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 3967488d35f792dd… · 447,458,449 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $371,467.69 $2,860,061.00 $803,486.50 nat. median
$386,529
outlier · 2.1×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $357,534.09 $2,860,061.00 $793,503.15 nat. median
$424,868
1.9× median
7
OTHER 		Lung Transplant 16 $39,055.16 $2,162,847.20 $574,256.90 nat. median
$169,933
outlier · 3.4×
007
OTHER 		Lung Transplant 16 $39,055.16 $2,162,847.20 $570,028.10 nat. median
$141,082
outlier · 4.0×
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $29,600.35 $949,211.27 $247,460.42 nat. median
$134,983
1.8× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $29,600.35 $949,211.27 $243,520.21 nat. median
$150,232
1.6× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $39,920.30 $846,592.03 $238,733.71 nat. median
$239,422
1.0× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $39,920.30 $846,592.03 $235,601.23 nat. median
$263,894
0.9× median
161-4
OTHER 		Implantable Heart Assist Systems 1 $200,837.44 $222,909.68 $211,873.56 nat. median
$202,242
1.0× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $19,243.36 $752,886.92 $190,988.58 nat. median
$111,558
1.7× median
002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $19,243.36 $752,886.92 $186,038.80 nat. median
$117,167
1.6× median
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 14 $62,293.79 $740,885.64 $180,785.27 nat. median
$64,729
outlier · 2.8×
8270618-72026826
OTHER 		Inebilizumab Cdon (Uplizna) 100 Mg/10 Ml Sol 15 $41,329.28 $219,245.50 $178,014.88 nat. median
$162,680
1.1× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $131,355.62 $645,099.41 $175,140.83 nat. median
$181,005
1.0× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $128,713.00 $645,099.41 $171,617.33 nat. median
$218,232
0.8× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $109,321.70 $465,667.50 $165,097.04 nat. median
$146,562
1.1× median
8275471-72026826
OTHER 		Tremelimumab Actl 300 Mg/15 Ml Sol 15 $36,082.50 $191,412.00 $156,665.34 nat. median
$142,028
1.1× median
6
OTHER 		Liver Transplant Without Mcc 16 $37,881.03 $613,006.45 $144,213.54 nat. median
$52,924
outlier · 2.7×
8
OTHER 		Simultaneous Pancreas And Kidney Transplant 16 $4,449.32 $591,940.40 $139,815.49 nat. median
$57,589
outlier · 2.4×
006
OTHER 		Liver Transplant Without Mcc 16 $37,881.03 $613,006.45 $139,531.92 nat. median
$50,611
outlier · 2.8×
630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $136,786.61 $137,185.40 $136,986.01 nat. median
$210,669
0.7× median
008
OTHER 		Simultaneous Pancreas And Kidney Transplant 16 $4,449.32 $591,940.40 $134,672.31 nat. median
$59,265
outlier · 2.3×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $4,016.75 $557,980.25 $130,456.46 nat. median
$66,849
2.0× median
570
OTHER 		Skin Debridement With Mcc 14 $28,358.02 $561,768.89 $128,101.61 nat. median
$33,751
outlier · 3.8×
268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $65,675.26 $540,754.16 $127,694.05 nat. median
$67,670
1.9× median
5
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 16 $27,808.26 $473,562.45 $114,121.61 nat. median
$94,894
1.2× median
8286704-72026826
OTHER 		Loncastuximab Tesirine Lpyl 10 Mg Inj 15 $26,019.62 $132,630.25 $110,746.26 nat. median
$103,916
1.1× median
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 16 $27,808.26 $473,562.45 $110,017.67 nat. median
$104,489
1.1× median
837
OTHER 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 $47,007.82 $468,312.38 $105,331.97 nat. median
$38,617
outlier · 2.7×
163
OTHER 		Major Chest Procedures With Mcc 17 $29,291.37 $460,004.33 $101,644.08 nat. median
$47,944
outlier · 2.1×
8326087-72026826
OTHER 		Pembrolizumab-berahyaluronidase 790 Mg/9600 Units 15 $23,169.05 $118,100.00 $98,613.50 nat. median
$92,531
1.1× median
653
OTHER 		Major Bladder Procedures With Mcc 14 $52,535.42 $432,627.77 $96,210.02 nat. median
$54,646
1.8× median
8203406-72026826
OTHER 		Ravulizumab 100 mg/mL Inj 11 Ml 15 $21,724.76 $115,246.50 $94,325.99 nat. median
$88,436
1.1× median
7447077-72026826
OTHER 		Ipilimumab 5 mg/mL IV Soln 40 Ml 15 $21,426.51 $113,664.25 $93,031.01 nat. median
$87,222
1.1× median
014
OTHER 		Allogeneic Bone Marrow Transplant 13 $38,882.04 $182,942.18 $91,471.09 nat. median
$105,808
0.9× median
20
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $13,038.99 $387,183.73 $87,504.32 nat. median
$74,209
1.2× median
583-4
OTHER 		Neonate With Ecmo 1 $84,808.40 $85,055.65 $84,932.02 nat. median
$309,400
outlier · 0.3×
588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $84,808.40 $85,055.65 $84,932.02 nat. median
$267,493
outlier · 0.3×
583-3
OTHER 		Neonate With Ecmo 1 $84,808.40 $85,055.65 $84,932.02 nat. median
$259,487
outlier · 0.3×
002-4
OTHER 		Heart And/or Lung Transplant 1 $84,424.65 $84,670.78 $84,547.71 nat. median
$216,800
outlier · 0.4×
583-1
OTHER 		Neonate With Ecmo 1 $84,040.90 $84,285.92 $84,163.41 nat. median
$171,226
outlier · 0.5×
583-2
OTHER 		Neonate With Ecmo 1 $84,040.90 $84,285.92 $84,163.41 nat. median
$191,347
outlier · 0.4×
471
OTHER 		Cervical Spinal Fusion With Mcc 14 $47,735.65 $389,336.94 $84,013.68 nat. median
$399
outlier · 210.4×
14
OTHER 		Allogeneic Bone Marrow Transplant 13 $38,882.04 $167,300.48 $83,650.97 nat. median
$100,915
0.8× median
7450333-72026826
OTHER 		Sipuleucel-t IV Susp 250 Ml 26 $41,261.42 $273,971.00 $83,393.04 nat. median
$82,523
1.0× median
020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $13,038.99 $387,183.73 $83,021.52 nat. median
$82,426
1.0× median
326
OTHER 		Stomach, Esophageal And Duodenal Procedures With Mcc 17 $9,763.79 $381,082.36 $80,706.21 nat. median
$45,545
1.8× median
10
OTHER 		Pancreas Transplant 13 $60,211.82 $363,908.35 $80,284.50 nat. median
$62,879
1.3× median
461
OTHER 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 $3,893.16 $373,981.41 $79,892.04 nat. median
$53,999
1.5× median
21
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 $13,780.54 $369,444.80 $79,259.26 nat. median
$55,888
1.4× median

Other procedures at this hospital

Browse this hospital's 53,988 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
690-4 OTHER Acute Leukemia 2 1 — — $38,190.01 $42,857.50 $40,523.76 2026-05-06
690-3 OTHER Acute Leukemia 2 1 — — $37,991.09 $38,101.85 $38,046.47 2026-05-06
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 30 14 — — $30,076.66 $80,407.80 $40,212.96 2026-05-06
245 OTHER Aicd Generator Procedures 36 17 — — $4,263.94 $97,360.51 $35,758.46 2026-05-06
895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 30 14 — — $14,261.68 $245,827.15 $40,635.54 2026-05-06
014 OTHER Allogeneic Bone Marrow Transplant 13 13 — — $38,882.04 $182,942.18 $91,471.09 2026-05-06
14 OTHER Allogeneic Bone Marrow Transplant 13 13 — — $38,882.04 $167,300.48 $83,650.97 2026-05-06
007-4 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $76,749.68 $76,973.44 $76,861.56 2026-05-06
007-3 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $50,178.46 $50,654.79 $50,416.62 2026-05-06
007-2 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $41,094.43 $46,049.81 $43,572.12 2026-05-06
007-1 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $39,055.16 $43,828.38 $41,441.77 2026-05-06
7441775-72026828 OTHER Alteplase 100 Mg IV Inj 32 15 $58,399.62 $29,199.82 50% off $11,229.04 $59,561.25 $48,752.07 2026-05-06
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 14 — — $27,316.74 $195,923.00 $37,111.93 2026-05-06
347 OTHER Anal And Stomal Procedures With Mcc 36 17 — — $4,140.34 $294,993.23 $53,284.89 2026-05-06
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 14 — — $65,675.26 $540,754.16 $127,694.05 2026-05-06
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 14 — — $23,895.69 $209,018.27 $34,454.42 2026-05-06
7703959-72026828 OTHER Atezolizumab 1200 Mg/20 Ml Sol 32 15 $58,063.25 $29,031.63 50% off $11,164.35 $59,218.25 $48,471.26 2026-05-06
8100563-72026828 OTHER Atezolizumab 840 Mg/14 Ml Sol 32 15 $41,873.62 $20,936.82 50% off $8,051.44 $42,706.50 $34,956.15 2026-05-06
8294714-72026826 OTHER Atezolizumab-hyaluronidase Tqjs 1875 Mg-30,000 Uni 16 15 $53,615.50 $26,807.75 50% off $10,518.38 $53,615.50 $44,768.94 2026-05-06
008-3 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $48,880.74 $54,854.83 $51,867.79 2026-05-06
008-4 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $46,049.81 $46,184.06 $46,116.93 2026-05-06
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 13 13 — — $32,663.58 $176,947.00 $45,729.01 2026-05-06
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 13 13 — — $32,348.20 $176,947.00 $45,287.48 2026-05-06
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 13 13 — — $18,898.13 $87,102.88 $43,567.31 2026-05-06
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 13 13 — — $18,898.13 $79,641.10 $39,838.81 2026-05-06
8096376-626883 OTHER Battery Neuro Surescan 37 17 $48,709.00 $24,354.50 50% off $8,834.84 $48,709.00 $38,909.38 2026-05-06
8096376-72066996 OTHER Battery Neuro Surescan 37 17 $48,709.00 $24,354.50 50% off $8,834.84 $48,709.00 $38,909.38 2026-05-06
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 17 — — $3,893.16 $373,981.41 $79,892.04 2026-05-06
8241781-626883 OTHER Boston Scientific Momentum Crtd Generator *g124 37 17 $53,077.00 $26,538.50 50% off $9,627.22 $53,077.00 $42,399.07 2026-05-06
8113321-626883 OTHER Bs Crt-d Generator G125 35 17 $44,333.00 $22,166.50 50% off $8,041.09 $44,333.00 $34,634.86 2026-05-06
7888945-626883 OTHER Bs Dynagen Crtd G151 36 17 $43,689.00 $21,844.50 50% off $7,924.37 $43,689.00 $34,515.82 2026-05-06
7888937-626883 OTHER Bs Dynagon Df4 X4 Crtd G158 35 17 $47,924.00 $23,962.00 50% off $8,692.42 $47,924.00 $37,440.26 2026-05-06
7888925-626883 OTHER Bs Emblem Sicd Device A209 36 17 $46,965.00 $23,482.50 50% off $8,518.60 $46,965.00 $37,104.10 2026-05-06
8245824-626883 OTHER Bs Momentum Icd Ggenerator D121 35 17 $44,597.00 $22,298.50 50% off $8,088.96 $44,597.00 $34,841.04 2026-05-06
8094153-626883 OTHER Bs Resonate X4 Crtd G447 35 17 $44,333.00 $22,166.50 50% off $8,041.09 $44,333.00 $34,634.86 2026-05-06
842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $46,049.81 $46,184.06 $46,116.93 2026-05-06
7443000-72026828 OTHER Cabazitaxel (Jevtana) 60 mg/6mL IV Soln 32 15 $57,472.75 $28,736.38 50% off $11,050.81 $58,616.00 $47,978.32 2026-05-06
8088171-72026826 OTHER Canakinumab 150 mg/mL Sol 32 15 $77,256.75 $38,628.38 50% off $14,853.99 $78,798.00 $64,493.97 2026-05-06
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 14 — — $37,908.13 $149,021.59 $51,135.79 2026-05-06
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $51,581.09 $303,808.65 $69,888.93 2026-05-06
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $34,810.02 $162,028.05 $47,442.87 2026-05-06
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 14 — — $32,223.10 $94,855.30 $47,435.26 2026-05-06
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $44,736.21 $302,432.06 $64,338.93 2026-05-06
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 17 — — $9,393.01 $111,085.61 $39,158.33 2026-05-06
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $25,322.43 $129,859.38 $37,220.64 2026-05-06
162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $42,212.32 $42,335.39 $42,273.85 2026-05-06
162-3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $37,607.34 $37,716.99 $37,662.16 2026-05-06
163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $68,902.69 $72,210.83 $70,556.76 2026-05-06
163-3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $42,948.31 $43,421.52 $43,184.91 2026-05-06
277 OTHER Cellulitis Age >17 W Cc 30 14 — — $27,374.00 $232,912.00 $41,443.52 2026-05-06
278 OTHER Cellulitis Age >17 Without Cc 30 14 — — $14,430.94 $81,423.40 $40,711.70 2026-05-06
8090801-72026828 OTHER Cemiplimab 350 Mg/7 Ml Sol 32 15 $60,390.50 $30,195.26 50% off $11,611.84 $61,591.75 $50,414.06 2026-05-06
471 OTHER Cervical Spinal Fusion With Mcc 30 14 — — $47,735.65 $389,336.94 $84,013.68 2026-05-06
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 14 — — $47,007.82 $468,312.38 $105,331.97 2026-05-06
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 14 — — $371,467.69 $2,860,061.00 $803,486.50 2026-05-06
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 14 — — $357,534.09 $2,860,061.00 $793,503.15 2026-05-06
011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $48,695.35 $54,646.78 $51,671.07 2026-05-06
432 OTHER Cirrhosis And Alcoholic Hepatitis With Mcc 30 14 — — $18,593.52 $239,740.52 $39,730.14 2026-05-06
8325653-72066996 OTHER Cochlear Nucleus Nexus Sys Straight Ci1022 23 20 $51,907.00 $25,953.50 50% off $10,183.20 $51,907.00 $34,467.45 2026-05-06
8325653-626883 OTHER Cochlear Nucleus Nexus Sys Straight Ci1022 23 20 $51,907.00 $25,953.50 50% off $10,183.20 $51,907.00 $34,467.45 2026-05-06
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 30 14 — — $33,072.52 $89,596.60 $44,389.25 2026-05-06
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 30 14 — — $46,981.90 $273,655.62 $63,933.44 2026-05-06
165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $50,562.85 $50,710.26 $50,636.56 2026-05-06
165-3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $37,386.66 $41,955.97 $39,671.32 2026-05-06
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 17 — — $8,033.50 $215,419.13 $55,626.47 2026-05-06
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 17 — — $4,572.92 $151,346.44 $40,022.86 2026-05-06
231 OTHER Coronary Bypass With Ptca With Mcc 36 17 — — $10,196.36 $312,560.30 $68,078.35 2026-05-06
232 OTHER Coronary Bypass With Ptca Without Mcc 36 17 — — $4,758.30 $194,247.61 $44,045.16 2026-05-06
166-4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $44,493.22 $49,931.07 $47,212.15 2026-05-06
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 30 14 — — $31,891.97 $120,412.94 $42,741.38 2026-05-06
8325819-72026828 OTHER Corticotropin 80 units/mL 1mL 18 15 $50,227.00 $25,113.50 50% off $9,853.62 $50,227.00 $41,939.54 2026-05-06
910-4 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $58,582.74 $59,807.05 $59,194.90 2026-05-06
955 OTHER Craniotomy For Multiple Significant Trauma 30 14 — — $36,348.41 $203,377.17 $48,939.07 2026-05-06
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 17 — — $7,106.56 $286,913.55 $57,531.97 2026-05-06
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 17 — — $7,106.56 $286,913.55 $52,598.21 2026-05-06
7739048-626883 OTHER Cva Medium R01270 36 17 $47,015.00 $23,507.50 50% off $8,527.62 $47,015.00 $37,143.40 2026-05-06
7739048-72066996 OTHER Cva Medium R01270 36 17 $47,015.00 $23,507.50 50% off $8,527.62 $47,015.00 $37,143.40 2026-05-06
745 OTHER D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 30 14 — — $10,052.73 $243,234.30 $39,561.83 2026-05-06
179-4 OTHER Defibrillator Implants 2 1 — — $41,774.19 $46,879.73 $44,326.96 2026-05-06
304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $37,223.59 $37,332.12 $37,277.85 2026-05-06
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $46,049.81 $46,184.06 $46,116.93 2026-05-06
303-2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $42,824.72 $48,058.65 $45,441.68 2026-05-06
303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $42,824.72 $48,058.65 $45,441.68 2026-05-06
303-1 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $42,824.72 $46,423.89 $44,624.31 2026-05-06
8254887-72026826 OTHER Dostarlimab Gxly 500 Mg/10 Ml 32 15 $53,481.25 $26,740.63 50% off $10,282.71 $54,548.25 $44,646.18 2026-05-06
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 14 — — $131,355.62 $645,099.41 $175,140.83 2026-05-06
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 14 — — $128,713.00 $645,099.41 $171,617.33 2026-05-06
8321231-72026826 OTHER Efgartigimod Alfa-hyaluronidase Qvfc 180 Mg-2000 U 16 15 $78,962.25 $39,481.13 50% off $15,490.94 $78,962.25 $65,933.48 2026-05-06
8322136-626883 OTHER Endologix Afx2 22x40/13-40 Bea22-40/il=13-40 19 17 $42,329.00 $21,164.50 50% off $8,304.17 $42,329.00 $34,921.43 2026-05-06
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 14 — — $32,434.19 $187,383.61 $44,469.76 2026-05-06
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 14 — — $25,892.60 $166,713.80 $35,371.49 2026-05-06
911-4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $34,729.43 $38,973.97 $36,851.70 2026-05-06
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 14 — — $109,321.70 $465,667.50 $165,097.04 2026-05-06
950-4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $63,526.43 $71,290.47 $67,408.45 2026-05-06
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 14 — — $26,142.86 $88,334.89 $34,912.47 2026-05-06
841-4 OTHER Extensive Third Degree Burns With Skin Graft 2 1 — — $72,912.20 $73,124.77 $73,018.49 2026-05-06
841-3 OTHER Extensive Third Degree Burns With Skin Graft 2 1 — — $38,931.57 $43,689.69 $41,310.63 2026-05-06
178-4 OTHER External Heart Assist Systems 2 1 — — $46,594.29 $52,288.92 $49,441.60 2026-05-06
178-3 OTHER External Heart Assist Systems 2 1 — — $38,066.42 $42,718.80 $40,392.61 2026-05-06
178-2 OTHER External Heart Assist Systems 2 1 — — $34,296.85 $37,607.34 $35,952.10 2026-05-06
009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $53,341.03 $53,496.54 $53,418.79 2026-05-06
009-3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $42,515.74 $47,711.91 $45,113.82 2026-05-06
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 14 — — $5,125.05 $86,445.56 $43,231.23 2026-05-06
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 14 — — $35,934.11 $102,807.16 $51,417.21 2026-05-06
7727647-72066996 OTHER Generator Bionics Pulse Sys 35 17 $80,732.00 $40,366.00 50% off $14,643.19 $80,732.00 $63,071.64 2026-05-06
7727647-626883 OTHER Generator Bionics Pulse Sys 35 17 $80,732.00 $40,366.00 50% off $14,643.19 $80,732.00 $63,071.64 2026-05-06
7724571-626883 OTHER Generator Bionics Pulse System 35 17 $58,451.00 $29,225.50 50% off $10,601.85 $58,451.00 $45,664.64 2026-05-06
7724571-72066996 OTHER Generator Bionics Pulse System 35 17 $58,451.00 $29,225.50 50% off $10,601.85 $58,451.00 $45,664.64 2026-05-06
8325468-626883 OTHER Generator Implantable Pulse Inspire IV Sleep 18 17 $46,656.00 $23,328.00 50% off $9,153.05 $46,656.00 $38,957.76 2026-05-06
8325465-626883 OTHER Generator Implantable Pulse Inspire V Sleep 18 17 $55,296.00 $27,648.00 50% off $10,848.06 $55,296.00 $46,172.16 2026-05-06
7729851-626883 OTHER Generator Interstim Ipg Thin 35 17 $48,038.00 $24,019.00 50% off $8,713.02 $48,038.00 $37,528.99 2026-05-06
7729851-72066996 OTHER Generator Interstim Ipg Thin 35 17 $48,038.00 $24,019.00 50% off $8,713.02 $48,038.00 $37,528.99 2026-05-06
7729698-72066996 OTHER Generator Nerve Stimulator Duo 35 17 $71,376.00 $35,688.00 50% off $12,946.22 $71,376.00 $55,762.39 2026-05-06
7729698-626883 OTHER Generator Nerve Stimulator Duo 35 17 $71,376.00 $35,688.00 50% off $12,946.22 $71,376.00 $55,762.39 2026-05-06
8184805-626883 OTHER Generator Wavewriter Alpha 32 35 17 $53,258.00 $26,629.00 50% off $9,659.98 $53,258.00 $41,607.80 2026-05-06
8184805-72066996 OTHER Generator Wavewriter Alpha 32 35 17 $53,258.00 $26,629.00 50% off $9,659.98 $53,258.00 $41,607.80 2026-05-06
8314253-72066996 OTHER Generator Wavewriter Alpha Prime Kit Sc-1432 18 17 $46,592.00 $23,296.00 50% off $9,140.50 $46,592.00 $38,904.32 2026-05-06
8314253-626883 OTHER Generator Wavewriter Alpha Prime Kit Sc-1432 18 17 $46,592.00 $23,296.00 50% off $9,140.50 $46,592.00 $38,904.32 2026-05-06
8274758-72066996 OTHER Generator Wavewriter Sc1216 36 17 $47,071.00 $23,535.50 50% off $8,537.83 $47,071.00 $37,187.84 2026-05-06
8274758-626883 OTHER Generator Wavewriter Sc1216 36 17 $47,071.00 $23,535.50 50% off $8,537.83 $47,071.00 $37,187.84 2026-05-06
8183371-626883 OTHER Gore Excluder Aaa Stent 26x14.5x12 Cxt261412 35 17 $44,422.00 $22,211.00 50% off $8,057.18 $44,422.00 $34,704.15 2026-05-06
8307463-72026826 OTHER Guselkumab 200 Mg/20 Ml Inj 19 17 $71,492.25 $35,746.13 50% off $74.45 $71,492.25 $35,746.13 2026-05-06
7730622-72066996 OTHER Head Mal Mod Dist 13x165 36 17 $45,729.00 $22,864.50 50% off $8,294.17 $45,729.00 $36,126.55 2026-05-06
7730622-626883 OTHER Head Mal Mod Dist 13x165 36 17 $45,729.00 $22,864.50 50% off $8,294.17 $45,729.00 $36,126.55 2026-05-06
002-4 OTHER Heart And/or Lung Transplant 2 1 — — $84,424.65 $84,670.78 $84,547.71 2026-05-06
002-3 OTHER Heart And/or Lung Transplant 2 1 — — $53,724.78 $53,881.41 $53,803.10 2026-05-06
002-2 OTHER Heart And/or Lung Transplant 2 1 — — $52,957.28 $53,111.67 $53,034.47 2026-05-06
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 17 17 — — $39,920.30 $846,592.03 $238,733.71 2026-05-06
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 17 17 — — $39,920.30 $846,592.03 $235,601.23 2026-05-06
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 16 — — $19,243.36 $752,886.92 $190,988.58 2026-05-06
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 16 — — $19,243.36 $752,886.92 $186,038.80 2026-05-06
8293211-72026826 OTHER Hemin 350 Mg Powder Inj 16 15 $52,488.75 $26,244.38 50% off $10,297.33 $52,488.75 $43,828.10 2026-05-06
8276926-626883 OTHER Hfx Iq Kit/generator/remote/chgr 19 18 $65,416.00 $32,708.00 50% off $7,793.70 $65,416.00 $45,791.20 2026-05-06
8276926-72066996 OTHER Hfx Iq Kit/generator/remote/chgr 19 18 $65,416.00 $32,708.00 50% off $7,793.70 $65,416.00 $45,791.20 2026-05-06
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 30 14 — — $57,028.37 $152,995.02 $76,500.20 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 30 14 — — $62,293.79 $740,885.64 $180,785.27 2026-05-06
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 30 14 — — $26,134.77 $290,321.10 $54,303.75 2026-05-06
8092024-626883 OTHER Impella Cp 0048-0003 35 15 $71,809.00 $35,904.50 50% off $14,087.61 $77,669.00 $60,678.61 2026-05-06
161-4 OTHER Implantable Heart Assist Systems 2 1 — — $200,837.44 $222,909.68 $211,873.56 2026-05-06
161-3 OTHER Implantable Heart Assist Systems 2 1 — — $76,749.68 $76,973.44 $76,861.56 2026-05-06
161-2 OTHER Implantable Heart Assist Systems 2 1 — — $67,867.73 $68,065.59 $67,966.66 2026-05-06
161-1 OTHER Implantable Heart Assist Systems 2 1 — — $45,277.71 $45,409.72 $45,343.71 2026-05-06
8312128-72066996 OTHER Inceptiv Perc Implant Sys Lead/gen/acs Kit 18 17 $63,631.00 $31,815.50 50% off $12,483.23 $63,631.00 $53,131.88 2026-05-06
8312128-626883 OTHER Inceptiv Perc Implant Sys Lead/gen/acs Kit 18 17 $63,631.00 $31,815.50 50% off $12,483.23 $63,631.00 $53,131.88 2026-05-06
8270618-72026826 OTHER Inebilizumab Cdon (Uplizna) 100 Mg/10 Ml Sol 33 15 $219,245.50 $109,622.75 50% off $41,329.28 $219,245.50 $178,014.88 2026-05-06
710-4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 1 — — $39,734.91 $44,591.22 $42,163.07 2026-05-06
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 14 — — $27,401.09 $84,615.14 $36,554.37 2026-05-06
7748984-626883 OTHER Insert Ventricular Assist Device 33990 44 20 $96,563.00 $48,281.50 50% off $332.36 $96,563.00 $41,052.47 2026-05-06
197 OTHER Interstitial Lung Disease With Cc 36 17 — — $4,572.92 $296,166.91 $51,556.69 2026-05-06
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 17 — — $13,780.54 $369,444.80 $79,259.26 2026-05-06
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 17 — — $13,780.54 $369,444.80 $74,653.36 2026-05-06
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 17 — — $13,038.99 $387,183.73 $87,504.32 2026-05-06
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 17 — — $13,038.99 $387,183.73 $83,021.52 2026-05-06
22 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 17 — — $9,022.23 $357,603.65 $73,222.93 2026-05-06
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 17 — — $9,022.23 $357,603.65 $68,636.64 2026-05-06
8113583-72066996 OTHER Ipg Kit Senza Omnia 35 17 $66,572.00 $33,286.00 50% off $12,074.98 $66,572.00 $52,009.75 2026-05-06
8113583-626883 OTHER Ipg Kit Senza Omnia 35 17 $66,572.00 $33,286.00 50% off $12,074.98 $66,572.00 $52,009.75 2026-05-06
8114613-626883 OTHER Ipg Senza Omnia - Device Only 65 25 $79,889.00 $39,944.50 50% off $14,490.17 $79,889.00 $37,228.27 2026-05-06
8114613-72066996 OTHER Ipg Senza Omnia - Device Only 65 25 $79,889.00 $39,944.50 50% off $14,490.17 $79,889.00 $37,228.27 2026-05-06
7447077-72026826 OTHER Ipilimumab 5 mg/mL IV Soln 40 Ml 32 15 $111,441.00 $55,720.50 50% off $21,426.51 $113,664.25 $93,031.01 2026-05-06
440-3 OTHER Kidney Transplant 2 1 — — $41,712.39 $46,810.38 $44,261.38 2026-05-06
440-4 OTHER Kidney Transplant 2 1 — — $34,537.36 $34,638.05 $34,587.71 2026-05-06
650 OTHER Kidney Transplant With Hemodialysis With Mcc 36 17 — — $9,207.63 $236,647.50 $42,147.07 2026-05-06
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 14 — — $26,057.05 $233,889.68 $39,834.79 2026-05-06
7692728-72357878 OTHER Leuprolide 45 Mg/6 Months IM Inj ER 32 15 $58,100.38 $29,050.19 50% off $11,171.51 $59,256.00 $48,502.25 2026-05-06
001-4 OTHER Liver Transplant And/or Intestinal Transplant 2 1 — — $46,049.81 $46,184.06 $46,116.93 2026-05-06
001-3 OTHER Liver Transplant And/or Intestinal Transplant 2 1 — — $35,304.85 $35,407.78 $35,356.32 2026-05-06
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 16 16 — — $27,808.26 $473,562.45 $114,121.61 2026-05-06
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 16 16 — — $27,808.26 $473,562.45 $110,017.67 2026-05-06
6 OTHER Liver Transplant Without Mcc 16 16 — — $37,881.03 $613,006.45 $144,213.54 2026-05-06
006 OTHER Liver Transplant Without Mcc 16 16 — — $37,881.03 $613,006.45 $139,531.92 2026-05-06
8286704-72026826 OTHER Loncastuximab Tesirine Lpyl 10 Mg Inj 16 15 $132,630.25 $66,315.13 50% off $26,019.62 $132,630.25 $110,746.26 2026-05-06
7 OTHER Lung Transplant 16 16 — — $39,055.16 $2,162,847.20 $574,256.90 2026-05-06
007 OTHER Lung Transplant 16 16 — — $39,055.16 $2,162,847.20 $570,028.10 2026-05-06
8164917-72026826 OTHER Luspatercept-aamt 75 Mg 32 15 $49,677.00 $24,838.50 50% off $9,551.30 $50,668.00 $41,470.38 2026-05-06
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 14 — — $31,577.14 $159,643.33 $42,716.11 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 14 — — $25,635.07 $170,430.30 $34,372.14 2026-05-06
169-4 OTHER Major Abdominal Vascular Procedures 2 1 — — $32,751.95 $36,754.81 $34,753.38 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 30 14 — — $52,535.42 $432,627.77 $96,210.02 2026-05-06
160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $68,408.32 $76,769.02 $72,588.67 2026-05-06
160-3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $38,374.84 $38,486.72 $38,430.78 2026-05-06
163 OTHER Major Chest Procedures With Mcc 36 17 — — $29,291.37 $460,004.33 $101,644.08 2026-05-06
089-4 OTHER Major Cranial Or Facial Bone Procedures 2 1 — — $38,374.84 $38,486.72 $38,430.78 2026-05-06
680-4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $36,830.50 $36,839.85 $36,835.18 2026-05-06
260-4 OTHER Major Pancreas, Liver And Shunt Procedures 2 1 — — $35,285.59 $39,598.11 $37,441.85 2026-05-06
7888392-626883 OTHER Medt Amplia MRI Quad Device Dtmb1qq 35 17 $45,842.00 $22,921.00 50% off $8,314.77 $45,842.00 $35,813.64 2026-05-06
7888860-626883 OTHER Mt Evera Xt Dr Ddbb1d1 35 17 $45,443.00 $22,721.50 50% off $8,242.38 $45,443.00 $35,501.83 2026-05-06
7888849-626883 OTHER Mt Viva Biv Crtd Dtbb1d1 35 17 $53,618.00 $26,809.00 50% off $9,725.31 $53,618.00 $41,889.18 2026-05-06
7888394-626883 OTHER Mt Viva S Crtd Dtbb1qq 35 17 $55,555.00 $27,777.50 50% off $10,076.48 $55,555.00 $43,401.74 2026-05-06
912-4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $46,779.67 $52,496.97 $49,638.32 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 14 — — $26,099.30 $149,954.58 $35,022.92 2026-05-06
7448571-72026828 OTHER Natalizumab (Tysabri) 300 Mg/15 Ml IV Conc 33 15 $41,829.00 $20,914.50 50% off $7,886.01 $41,829.00 $34,508.92 2026-05-06
863-4 OTHER Neonatal Aftercare 2 1 — — $42,083.17 $47,226.47 $44,654.82 2026-05-06
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $38,374.84 $38,486.72 $38,430.78 2026-05-06
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $35,304.85 $35,407.78 $35,356.32 2026-05-06
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $38,374.84 $38,486.72 $38,430.78 2026-05-06
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $35,688.60 $35,792.65 $35,740.62 2026-05-06
609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $63,318.49 $63,503.09 $63,410.79 2026-05-06
609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $42,330.35 $47,503.86 $44,917.10 2026-05-06
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $46,049.81 $46,184.06 $46,116.93 2026-05-06
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $34,921.10 $35,022.92 $34,972.01 2026-05-06
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $46,433.56 $46,568.93 $46,501.24 2026-05-06
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $37,991.09 $38,101.85 $38,046.47 2026-05-06
588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $84,808.40 $85,055.65 $84,932.02 2026-05-06
588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $50,654.79 $50,802.47 $50,728.63 2026-05-06
588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $49,887.29 $50,032.74 $49,960.01 2026-05-06
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $64,576.96 $68,951.53 $66,764.24 2026-05-06
630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $136,786.61 $137,185.40 $136,986.01 2026-05-06
630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $36,456.10 $36,562.38 $36,509.24 2026-05-06
631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $64,947.74 $72,885.49 $68,916.62 2026-05-06
634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 1 — — $63,032.06 $70,735.68 $66,883.87 2026-05-06
583-4 OTHER Neonate With Ecmo 2 1 — — $84,808.40 $85,055.65 $84,932.02 2026-05-06
583-3 OTHER Neonate With Ecmo 2 1 — — $84,808.40 $85,055.65 $84,932.02 2026-05-06
583-1 OTHER Neonate With Ecmo 2 1 — — $84,040.90 $84,285.92 $84,163.41 2026-05-06
583-2 OTHER Neonate With Ecmo 2 1 — — $84,040.90 $84,285.92 $84,163.41 2026-05-06
276 OTHER Non-maligant Breast Disorders 30 14 — — $32,732.04 $89,252.72 $44,641.80 2026-05-06
7878595-72026826 OTHER Ocrelizumab (Ocrevus) 300 Mg/10 Ml Sol 33 15 $79,755.00 $39,877.50 50% off $15,034.38 $79,755.00 $65,797.88 2026-05-06
021-4 OTHER Open Craniotomy Except Trauma 2 1 — — $45,500.19 $45,632.84 $45,566.51 2026-05-06
681-4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $34,667.63 $38,904.62 $36,786.12 2026-05-06
167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $42,948.31 $48,197.35 $45,572.83 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 36 17 — — $4,263.93 $99,958.54 $36,593.34 2026-05-06
356 OTHER Other Digestive System O.r. Procedures With Mcc 30 14 — — $41,521.96 $330,339.55 $67,476.72 2026-05-06
215 OTHER Other Heart Assist System Implant 30 14 — — $57,170.18 $335,128.60 $76,866.35 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 30 14 — — $28,071.10 $97,783.91 $38,800.98 2026-05-06
091-4 OTHER Other Major Head And Neck Procedures 2 1 — — $40,909.04 $45,908.84 $43,408.94 2026-05-06
091-3 OTHER Other Major Head And Neck Procedures 2 1 — — $34,537.36 $34,638.05 $34,587.71 2026-05-06
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 14 — — $39,928.44 $179,465.74 $54,392.31 2026-05-06
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 14 — — $25,685.03 $230,149.08 $39,837.62 2026-05-06
027-4 OTHER Other Open Craniotomy 2 1 — — $32,381.17 $36,338.72 $34,359.94 2026-05-06
182-4 OTHER Other Peripheral Vascular And Related Procedures 2 1 — — $34,537.36 $34,638.05 $34,587.71 2026-05-06
7733484-72066996 OTHER Pain Pump Synchronizer Ii 36 17 $57,697.00 $28,848.50 50% off $10,465.11 $57,697.00 $45,582.45 2026-05-06
7733484-626883 OTHER Pain Pump Synchronizer Ii 36 17 $57,697.00 $28,848.50 50% off $10,465.11 $57,697.00 $45,582.45 2026-05-06
10 OTHER Pancreas Transplant 13 13 — — $60,211.82 $363,908.35 $80,284.50 2026-05-06
010 OTHER Pancreas Transplant 13 13 — — $46,712.81 $363,908.35 $76,606.24 2026-05-06
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 36 17 — — $5,932.43 $157,405.59 $40,074.77 2026-05-06
7707197-72026828 OTHER Pegfilgrastim 6 Mg/0.6 Ml Onpro Kit 32 15 $41,352.25 $20,676.13 50% off $7,951.19 $42,174.75 $34,520.90 2026-05-06
8194615-72026828 OTHER Pembrolizumab (Keytruda) 25 mg/mL 8 Ml 32 15 $66,809.88 $33,404.94 50% off $12,846.17 $68,138.75 $55,772.96 2026-05-06
8326086-72026826 OTHER Pembrolizumab-berahyaluronidase 395 Mg/4800 Units 16 15 $59,050.00 $29,525.00 50% off $11,584.53 $59,050.00 $49,306.75 2026-05-06
8326087-72026826 OTHER Pembrolizumab-berahyaluronidase 790 Mg/9600 Units 16 15 $118,100.00 $59,050.00 50% off $23,169.05 $118,100.00 $98,613.50 2026-05-06
030-4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $41,465.21 $46,532.98 $43,999.10 2026-05-06
183-4 OTHER Percutaneous Structural Cardiac Procedures 2 1 — — $39,858.51 $44,131.07 $41,994.79 2026-05-06
183-3 OTHER Percutaneous Structural Cardiac Procedures 2 1 — — $39,055.16 $43,828.38 $41,441.77 2026-05-06
8185209-72026826 OTHER Phesgo--pertuzumab/trastuzumab/hyaluronidase-zzxf 32 15 $61,146.12 $30,573.07 50% off $11,756.43 $62,366.00 $51,044.82 2026-05-06
8242630-72026826 OTHER Polatuzumab Vedotin (Polivy) 140 Mg 32 15 $77,319.25 $38,659.63 50% off $14,866.01 $78,861.75 $64,546.15 2026-05-06
711-4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 1 — — $51,908.75 $58,252.91 $55,080.83 2026-05-06
7728949-626883 OTHER Pulse Generator Kit Percision 38 17 $72,039.00 $36,019.50 50% off $13,066.29 $72,039.00 $56,912.26 2026-05-06
7728949-72066996 OTHER Pulse Generator Kit Percision 38 17 $72,039.00 $36,019.50 50% off $13,066.29 $72,039.00 $56,912.26 2026-05-06
7908952-72066996 OTHER Pulse Generator Montage 35 17 $50,301.00 $25,150.50 50% off $9,123.43 $50,301.00 $39,296.72 2026-05-06
7908952-626883 OTHER Pulse Generator Montage 35 17 $50,301.00 $25,150.50 50% off $9,123.43 $50,301.00 $39,296.72 2026-05-06
7917140-72066996 OTHER Pulse Generator Precs Spectra 35 17 $53,258.00 $26,629.00 50% off $9,659.98 $53,258.00 $41,607.80 2026-05-06
7917140-626883 OTHER Pulse Generator Precs Spectra 35 17 $53,258.00 $26,629.00 50% off $9,659.98 $53,258.00 $41,607.80 2026-05-06
7728662-72066996 OTHER Pulse Generatr Nerve Stimulatr 35 17 $80,182.00 $40,091.00 50% off $14,543.34 $80,182.00 $62,641.54 2026-05-06
7728662-626883 OTHER Pulse Generatr Nerve Stimulatr 35 17 $80,182.00 $40,091.00 50% off $14,543.34 $80,182.00 $62,641.54 2026-05-06
849 OTHER Radiotherapy 30 14 — — $26,118.26 $266,108.00 $47,853.13 2026-05-06
8203406-72026826 OTHER Ravulizumab 100 mg/mL Inj 11 Ml 32 15 $112,992.25 $56,496.12 50% off $21,724.76 $115,246.50 $94,325.99 2026-05-06
130-3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $45,172.97 $50,693.90 $47,933.43 2026-05-06
130-4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $36,456.10 $36,562.38 $36,509.24 2026-05-06
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 36 17 — — $4,016.75 $557,980.25 $130,456.46 2026-05-06
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 36 17 — — $3,089.81 $76,620.90 $38,310.45 2026-05-06
8231321-72026826 OTHER Risankizumab Rzaa 60 mg/mL 10 Ml Inj 32 15 $43,964.50 $21,982.25 50% off $8,452.98 $44,841.50 $36,701.59 2026-05-06
8287201-72026826 OTHER Ropeginterferon Alfa-2b 500 mcg/mL Sol 16 15 $41,315.75 $20,657.88 50% off $8,105.39 $41,315.75 $34,498.65 2026-05-06
8112560-626883 OTHER S-icd Generator Emblem A219 35 17 $47,676.00 $23,838.00 50% off $8,647.30 $47,676.00 $37,245.91 2026-05-06
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 30 14 — — $37,250.39 $205,349.01 $49,808.14 2026-05-06
8 OTHER Simultaneous Pancreas And Kidney Transplant 16 16 — — $4,449.32 $591,940.40 $139,815.49 2026-05-06
008 OTHER Simultaneous Pancreas And Kidney Transplant 16 16 — — $4,449.32 $591,940.40 $134,672.31 2026-05-06
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $16,368.90 $112,757.16 $56,389.32 2026-05-06
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $16,368.90 $102,300.02 $51,163.74 2026-05-06
7450333-72026826 OTHER Sipuleucel-t IV Susp 250 Ml 50 26 $168,526.50 $84,263.25 50% off $41,261.42 $273,971.00 $83,393.04 2026-05-06
570 OTHER Skin Debridement With Mcc 30 14 — — $28,358.02 $561,768.89 $128,101.61 2026-05-06
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 14 — — $12,730.44 $78,414.02 $39,207.01 2026-05-06
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 14 — — $33,285.65 $94,537.18 $47,283.87 2026-05-06
312-4 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $39,116.95 $42,741.95 $40,929.45 2026-05-06
459 OTHER Spinal Fusion Except Cervical With Mcc 30 14 — — $35,697.08 $176,973.88 $47,822.08 2026-05-06
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 14 — — $50,188.84 $325,502.69 $71,548.04 2026-05-06
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 14 — — $31,155.47 $86,706.46 $43,370.08 2026-05-06
028 OTHER Spinal Procedures With Mcc 15 14 — — $32,885.35 $87,694.26 $43,862.88 2026-05-06
28 OTHER Spinal Procedures With Mcc 15 14 — — $32,740.54 $87,308.12 $43,670.79 2026-05-06
799 OTHER Splenectomy With Mcc 30 14 — — $25,356.05 $101,529.57 $34,882.60 2026-05-06
7888597-626883 OTHER St Jude Fortify Dr Icd System 35 17 $55,414.00 $27,707.00 50% off $10,050.97 $55,414.00 $43,291.89 2026-05-06
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 36 17 — — $9,763.79 $381,082.36 $80,706.21 2026-05-06
8117452-626883 OTHER System Crt-d Claria MRI Quad Clariamriqdcrtmmqm 35 17 $54,548.00 $27,274.00 50% off $9,893.83 $54,548.00 $42,615.04 2026-05-06
8324751-72026828 OTHER Tenecteplase 25 Mg IV Inj 17 15 $56,158.75 $28,079.38 50% off $11,017.32 $56,158.75 $46,330.97 2026-05-06
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 17 — — $17,364.72 $225,144.85 $41,602.68 2026-05-06
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 17 — — $17,364.72 $225,144.85 $40,278.35 2026-05-06
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 17 — — $29,600.35 $949,211.27 $247,460.42 2026-05-06
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 17 — — $29,600.35 $949,211.27 $243,520.21 2026-05-06
004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $42,212.32 $42,335.39 $42,273.85 2026-05-06
004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $34,921.10 $35,022.92 $34,972.01 2026-05-06
8275471-72026826 OTHER Tremelimumab Actl 300 Mg/15 Ml Sol 32 15 $187,668.00 $93,834.00 50% off $36,082.50 $191,412.00 $156,665.34 2026-05-06
7732644-72066996 OTHER Vagal Nerve Stimulator 37 17 $68,157.00 $34,078.50 50% off $12,362.39 $68,157.00 $53,247.68 2026-05-06
7732644-626883 OTHER Vagal Nerve Stimulator 37 17 $68,157.00 $34,078.50 50% off $12,362.39 $68,157.00 $53,247.68 2026-05-06
7725341-626883 OTHER Vagal Nerve Stimulator Demi 35 17 $67,756.00 $33,878.00 50% off $12,289.60 $67,756.00 $52,934.18 2026-05-06
7725341-72066996 OTHER Vagal Nerve Stimulator Demi 35 17 $67,756.00 $33,878.00 50% off $12,289.60 $67,756.00 $52,934.18 2026-05-06
8211058-72066996 OTHER Vanta Pulse Generator 35 17 $47,334.00 $23,667.00 50% off $8,585.30 $47,334.00 $36,978.89 2026-05-06
8211058-626883 OTHER Vanta Pulse Generator 35 17 $47,332.00 $23,666.00 50% off $8,585.11 $47,332.00 $36,978.04 2026-05-06
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 17 — — $3,337.00 $126,655.08 $41,598.86 2026-05-06
7738545-72066996 OTHER Xenmatrix 19 X 28cmm 36 17 $48,500.50 $24,250.25 50% off $9,141.87 $50,402.00 $38,910.17 2026-05-06
7738545-626883 OTHER Xenmatrix 19 X 28cmm 36 17 $48,500.50 $24,250.25 50% off $9,141.87 $50,402.00 $38,910.17 2026-05-06
7724414-72066996 OTHER Xenmatrix 19 X 35cm 38 17 $66,659.00 $33,329.50 50% off $12,090.48 $66,659.00 $52,661.98 2026-05-06
7724414-626883 OTHER Xenmatrix 19 X 35cm 38 17 $66,659.00 $33,329.50 50% off $12,090.48 $66,659.00 $52,661.98 2026-05-06
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