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 — reason	Rows
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 via	CMS 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.

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

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
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
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	36	17	—	—	$3,089.81	$76,620.90	$38,310.45	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
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
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	36	17	—	—	$4,016.75	$557,980.25	$130,456.46	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
228	OTHER	Other Cardiothoracic Procedures With Mcc	36	17	—	—	$4,263.93	$99,958.54	$36,593.34	2026-05-06
245	OTHER	Aicd Generator Procedures	36	17	—	—	$4,263.94	$97,360.51	$35,758.46	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
197	OTHER	Interstitial Lung Disease With Cc	36	17	—	—	$4,572.92	$296,166.91	$51,556.69	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
232	OTHER	Coronary Bypass With Ptca Without Mcc	36	17	—	—	$4,758.30	$194,247.61	$44,045.16	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
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	36	17	—	—	$5,932.43	$157,405.59	$40,074.77	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	36	17	—	—	$9,207.63	$236,647.50	$42,147.07	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
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
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
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
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
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
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
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	36	17	—	—	$9,763.79	$381,082.36	$80,706.21	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
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
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
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
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
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
231	OTHER	Coronary Bypass With Ptca With Mcc	36	17	—	—	$10,196.36	$312,560.30	$68,078.35	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	30	14	—	—	$14,261.68	$245,827.15	$40,635.54	2026-05-06
278	OTHER	Cellulitis Age >17 Without Cc	30	14	—	—	$14,430.94	$81,423.40	$40,711.70	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
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
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
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
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
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
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
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
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
432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	30	14	—	—	$18,593.52	$239,740.52	$39,730.14	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
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
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
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
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
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
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
799	OTHER	Splenectomy With Mcc	30	14	—	—	$25,356.05	$101,529.57	$34,882.60	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
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
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
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
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
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
849	OTHER	Radiotherapy	30	14	—	—	$26,118.26	$266,108.00	$47,853.13	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
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
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
277	OTHER	Cellulitis Age >17 W Cc	30	14	—	—	$27,374.00	$232,912.00	$41,443.52	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
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
270	OTHER	Other Major Cardiovascular Procedures With Mcc	30	14	—	—	$28,071.10	$97,783.91	$38,800.98	2026-05-06
570	OTHER	Skin Debridement With Mcc	30	14	—	—	$28,358.02	$561,768.89	$128,101.61	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	36	17	—	—	$29,291.37	$460,004.33	$101,644.08	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
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
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
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
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	30	14	—	—	$31,891.97	$120,412.94	$42,741.38	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
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	13	13	—	—	$32,348.20	$176,947.00	$45,287.48	2026-05-06
027-4	OTHER	Other Open Craniotomy	2	1	—	—	$32,381.17	$36,338.72	$34,359.94	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
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	13	13	—	—	$32,663.58	$176,947.00	$45,729.01	2026-05-06
276	OTHER	Non-maligant Breast Disorders	30	14	—	—	$32,732.04	$89,252.72	$44,641.80	2026-05-06
28	OTHER	Spinal Procedures With Mcc	15	14	—	—	$32,740.54	$87,308.12	$43,670.79	2026-05-06
169-4	OTHER	Major Abdominal Vascular Procedures	2	1	—	—	$32,751.95	$36,754.81	$34,753.38	2026-05-06
028	OTHER	Spinal Procedures With Mcc	15	14	—	—	$32,885.35	$87,694.26	$43,862.88	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
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
178-2	OTHER	External Heart Assist Systems	2	1	—	—	$34,296.85	$37,607.34	$35,952.10	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
440-4	OTHER	Kidney Transplant	2	1	—	—	$34,537.36	$34,638.05	$34,587.71	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
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
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
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
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
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
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	2	1	—	—	$35,285.59	$39,598.11	$37,441.85	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
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$35,304.85	$35,407.78	$35,356.32	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
459	OTHER	Spinal Fusion Except Cervical With Mcc	30	14	—	—	$35,697.08	$176,973.88	$47,822.08	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
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
955	OTHER	Craniotomy For Multiple Significant Trauma	30	14	—	—	$36,348.41	$203,377.17	$48,939.07	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
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
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
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
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	30	14	—	—	$37,250.39	$205,349.01	$49,808.14	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
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
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
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	30	14	—	—	$37,908.13	$149,021.59	$51,135.79	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
690-3	OTHER	Acute Leukemia	2	1	—	—	$37,991.09	$38,101.85	$38,046.47	2026-05-06
178-3	OTHER	External Heart Assist Systems	2	1	—	—	$38,066.42	$42,718.80	$40,392.61	2026-05-06
690-4	OTHER	Acute Leukemia	2	1	—	—	$38,190.01	$42,857.50	$40,523.76	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
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$38,374.84	$38,486.72	$38,430.78	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
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
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
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	2	1	—	—	$38,931.57	$43,689.69	$41,310.63	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
183-3	OTHER	Percutaneous Structural Cardiac Procedures	2	1	—	—	$39,055.16	$43,828.38	$41,441.77	2026-05-06
007-1	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$39,055.16	$43,828.38	$41,441.77	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
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
183-4	OTHER	Percutaneous Structural Cardiac Procedures	2	1	—	—	$39,858.51	$44,131.07	$41,994.79	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
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
091-4	OTHER	Other Major Head And Neck Procedures	2	1	—	—	$40,909.04	$45,908.84	$43,408.94	2026-05-06
007-2	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$41,094.43	$46,049.81	$43,572.12	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
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
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	2	1	—	—	$41,465.21	$46,532.98	$43,999.10	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
440-3	OTHER	Kidney Transplant	2	1	—	—	$41,712.39	$46,810.38	$44,261.38	2026-05-06
179-4	OTHER	Defibrillator Implants	2	1	—	—	$41,774.19	$46,879.73	$44,326.96	2026-05-06
863-4	OTHER	Neonatal Aftercare	2	1	—	—	$42,083.17	$47,226.47	$44,654.82	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
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
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
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$42,515.74	$47,711.91	$45,113.82	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
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	1	—	—	$42,948.31	$48,197.35	$45,572.83	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
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
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
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
161-1	OTHER	Implantable Heart Assist Systems	2	1	—	—	$45,277.71	$45,409.72	$45,343.71	2026-05-06
021-4	OTHER	Open Craniotomy Except Trauma	2	1	—	—	$45,500.19	$45,632.84	$45,566.51	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
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
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	2	1	—	—	$46,049.81	$46,184.06	$46,116.93	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
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
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
178-4	OTHER	External Heart Assist Systems	2	1	—	—	$46,594.29	$52,288.92	$49,441.60	2026-05-06
010	OTHER	Pancreas Transplant	13	13	—	—	$46,712.81	$363,908.35	$76,606.24	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
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	30	14	—	—	$46,981.90	$273,655.62	$63,933.44	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
471	OTHER	Cervical Spinal Fusion With Mcc	30	14	—	—	$47,735.65	$389,336.94	$84,013.68	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
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
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
007-3	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$50,178.46	$50,654.79	$50,416.62	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
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
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
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
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
653	OTHER	Major Bladder Procedures With Mcc	30	14	—	—	$52,535.42	$432,627.77	$96,210.02	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
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$53,341.03	$53,496.54	$53,418.79	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
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
215	OTHER	Other Heart Assist System Implant	30	14	—	—	$57,170.18	$335,128.60	$76,866.35	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
10	OTHER	Pancreas Transplant	13	13	—	—	$60,211.82	$363,908.35	$80,284.50	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
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
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
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
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
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
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
161-2	OTHER	Implantable Heart Assist Systems	2	1	—	—	$67,867.73	$68,065.59	$67,966.66	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
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
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	2	1	—	—	$72,912.20	$73,124.77	$73,018.49	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	2	1	—	—	$76,749.68	$76,973.44	$76,861.56	2026-05-06
007-4	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$76,749.68	$76,973.44	$76,861.56	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
002-4	OTHER	Heart And/or Lung Transplant	2	1	—	—	$84,424.65	$84,670.78	$84,547.71	2026-05-06
583-4	OTHER	Neonate With Ecmo	2	1	—	—	$84,808.40	$85,055.65	$84,932.02	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
583-3	OTHER	Neonate With Ecmo	2	1	—	—	$84,808.40	$85,055.65	$84,932.02	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
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
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
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
161-4	OTHER	Implantable Heart Assist Systems	2	1	—	—	$200,837.44	$222,909.68	$211,873.56	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
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

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