Hospital

SGMC HEALTH

Valdosta, GA · CCN 110122 · Rates published

8,650 distinct procedures filed

22 distinct payers

207,654 rate rows

2026-05-23 last MRF observed

Data quality

72,539 of 207,654 rate rows are consumer-grade (34.9%)

135,115 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	135,110
exceeds 10× this hospital's gross charge — excluded from medians	5

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/e7adf0ceb5e527a31ac6a1163ed219fc/charges/mrf
Found on page	https://www.sgmc.org/price-transparency/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint	256b9da1d8b5a2df… · 43,592,606 bytes · first seen 2026-05-16

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	$227,716.52	$372,366.63	$300,041.58	nat. median $424,868 0.7× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	22	$148,426.60	$242,710.17	$195,568.39	nat. median $263,894 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	$113,520.83	$185,631.55	$149,576.19	nat. median $146,562 1.0× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	22	$112,865.43	$184,559.83	$148,712.63	nat. median $218,232 0.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	22	$74,296.15	$121,490.56	$97,893.35	nat. median $150,232 0.7× median
007 OTHER	Lung Transplant	22	$69,582.35	$113,782.46	$91,682.40	nat. median $141,082 0.6× median
014 OTHER	Allogeneic Bone Marrow Transplant	22	$64,705.88	$105,808.35	$85,257.12	nat. median $105,808 0.8× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	22	$61,117.18	$99,940.04	$80,528.61	nat. median $117,167 0.7× median
209 OTHER	Complex Aortic Arch Procedures	22	$61,049.17	$99,828.83	$80,439.00	nat. median $23,389 outlier · 3.4×
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	22	$59,492.56	$97,283.43	$78,387.99	nat. median $80,273 1.0× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	22	$58,723.14	$96,025.27	$77,374.21	nat. median $90,581 0.9× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	22	$55,775.18	$91,204.70	$73,489.94	nat. median $104,489 0.7× median
215 OTHER	Other Heart Assist System Implant	22	$53,926.18	$88,181.17	$71,053.68	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	$53,015.00	$86,691.19	$69,853.10	nat. median $90,130 0.8× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	22	$48,970.71	$80,077.89	$64,524.30	nat. median $62,997 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	22	$47,139.48	$77,083.42	$62,111.45	nat. median $407 outlier · 152.5×
231 OTHER	Coronary Bypass With Ptca With Mcc	22	$45,938.53	$75,119.62	$60,529.07	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	$45,799.93	$74,892.97	$60,346.45	nat. median $76,493 0.8× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	22	$43,003.66	$70,320.46	$56,662.06	nat. median $82,426 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	$42,007.23	$68,691.06	$55,349.14	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	22	$41,834.10	$68,407.96	$55,121.03	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	22	$41,701.76	$68,191.56	$54,946.66	nat. median $68,309 0.8× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	22	$39,602.73	$64,759.18	$52,180.96	nat. median $51,811 1.0× median
010 OTHER	Pancreas Transplant	22	$39,378.34	$64,392.25	$51,885.29	nat. median $67,882 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	$39,362.64	$64,366.59	$51,864.61	nat. median $46,003 1.1× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	$39,163.36	$64,040.72	$51,602.04	nat. median $67,495 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	22	$39,141.40	$64,004.81	$51,573.11	nat. median $29,655 1.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	22	$37,997.99	$62,135.09	$50,066.54	nat. median $54,603 0.9× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	22	$37,820.67	$61,845.12	$49,832.89	nat. median $67,670 0.7× median
955 OTHER	Craniotomy For Multiple Significant Trauma	22	$37,052.81	$60,589.50	$48,821.15	nat. median $62,467 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	22	$36,819.53	$60,208.03	$48,513.78	nat. median $48,503 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	22	$36,793.90	$60,166.12	$48,480.01	nat. median $54,322 0.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	$36,237.89	$59,256.92	$47,747.40	nat. median $60,727 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	$36,237.89	$59,256.92	$47,747.40	nat. median $56,507 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	$36,112.88	$59,052.51	$47,582.69	nat. median $54,881 0.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	22	$35,502.47	$58,054.36	$46,778.42	nat. median $66,849 0.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	22	$33,900.35	$55,434.54	$44,667.44	nat. median $58,866 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	22	$33,863.22	$55,373.81	$44,618.51	nat. median $64,729 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	22	$33,556.18	$54,871.74	$44,213.96	nat. median $56,351 0.8× median
028 OTHER	Spinal Procedures With Mcc	22	$33,272.15	$54,407.29	$43,839.72	nat. median $61,887 0.7× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	22	$33,263.27	$54,392.77	$43,828.02	nat. median $3,947 outlier · 11.1×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	$33,035.72	$54,020.68	$43,528.20	nat. median $52,731 0.8× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	22	$32,933.22	$53,853.07	$43,393.14	nat. median $42,495 1.0× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	22	$32,861.03	$53,735.02	$43,298.03	nat. median $60,768 0.7× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	22	$32,541.45	$53,212.43	$42,876.94	nat. median $56,120 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	22	$32,521.57	$53,179.92	$42,850.75	nat. median $45,972 0.9× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	22	$32,010.53	$52,344.27	$42,177.40	nat. median $88 outlier · 479.6×
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	22	$31,818.05	$52,029.52	$41,923.79	nat. median $59,073 0.7× median
213 OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	22	$31,695.67	$51,829.40	$41,762.54	nat. median $39,925 1.0× median
463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	22	$31,656.95	$51,766.08	$41,711.51	nat. median $48,651 0.9× median

Other procedures at this hospital

Browse this hospital's 8,650 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	22	—	—	$227,716.52	$372,366.63	$300,041.58	2026-05-23
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	22	—	—	$148,426.60	$242,710.17	$195,568.39	2026-05-23
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	24	22	—	—	$113,520.83	$185,631.55	$149,576.19	2026-05-23
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	24	22	—	—	$112,865.43	$184,559.83	$148,712.63	2026-05-23
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	24	22	—	—	$74,296.15	$121,490.56	$97,893.35	2026-05-23
007	OTHER	Lung Transplant	24	22	—	—	$69,582.35	$113,782.46	$91,682.40	2026-05-23
014	OTHER	Allogeneic Bone Marrow Transplant	24	22	—	—	$64,705.88	$105,808.35	$85,257.12	2026-05-23
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	22	—	—	$61,117.18	$99,940.04	$80,528.61	2026-05-23
209	OTHER	Complex Aortic Arch Procedures	24	22	—	—	$61,049.17	$99,828.83	$80,439.00	2026-05-23
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	22	—	—	$59,492.56	$97,283.43	$78,387.99	2026-05-23
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	24	22	—	—	$58,723.14	$96,025.27	$77,374.21	2026-05-23
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	24	22	—	—	$55,775.18	$91,204.70	$73,489.94	2026-05-23
215	OTHER	Other Heart Assist System Implant	24	22	—	—	$53,926.18	$88,181.17	$71,053.68	2026-05-23
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	22	—	—	$53,015.00	$86,691.19	$69,853.10	2026-05-23
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	24	22	—	—	$48,970.71	$80,077.89	$64,524.30	2026-05-23
850	OTHER	Acute Leukemia With Other Procedures	24	22	—	—	$47,139.48	$77,083.42	$62,111.45	2026-05-23
231	OTHER	Coronary Bypass With Ptca With Mcc	24	22	—	—	$45,938.53	$75,119.62	$60,529.07	2026-05-23
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	22	—	—	$45,799.93	$74,892.97	$60,346.45	2026-05-23
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	24	22	—	—	$43,003.66	$70,320.46	$56,662.06	2026-05-23
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	22	—	—	$42,007.23	$68,691.06	$55,349.14	2026-05-23
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	24	22	—	—	$41,834.10	$68,407.96	$55,121.03	2026-05-23
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	24	22	—	—	$41,701.76	$68,191.56	$54,946.66	2026-05-23
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	22	—	—	$39,602.73	$64,759.18	$52,180.96	2026-05-23
010	OTHER	Pancreas Transplant	24	22	—	—	$39,378.34	$64,392.25	$51,885.29	2026-05-23
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	24	22	—	—	$39,362.64	$64,366.59	$51,864.61	2026-05-23
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	24	22	—	—	$39,163.36	$64,040.72	$51,602.04	2026-05-23
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	24	22	—	—	$39,141.40	$64,004.81	$51,573.11	2026-05-23
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	24	22	—	—	$37,997.99	$62,135.09	$50,066.54	2026-05-23
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	24	22	—	—	$37,820.67	$61,845.12	$49,832.89	2026-05-23
955	OTHER	Craniotomy For Multiple Significant Trauma	24	22	—	—	$37,052.81	$60,589.50	$48,821.15	2026-05-23
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	24	22	—	—	$36,819.53	$60,208.03	$48,513.78	2026-05-23
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	24	22	—	—	$36,793.90	$60,166.12	$48,480.01	2026-05-23
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	22	—	—	$36,237.89	$59,256.92	$47,747.40	2026-05-23
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	22	—	—	$36,237.89	$59,256.92	$47,747.40	2026-05-23
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	24	22	—	—	$36,112.88	$59,052.51	$47,582.69	2026-05-23
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	24	22	—	—	$35,502.47	$58,054.36	$46,778.42	2026-05-23
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	24	22	—	—	$33,900.35	$55,434.54	$44,667.44	2026-05-23
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	24	22	—	—	$33,863.22	$55,373.81	$44,618.51	2026-05-23
232	OTHER	Coronary Bypass With Ptca Without Mcc	24	22	—	—	$33,556.18	$54,871.74	$44,213.96	2026-05-23
028	OTHER	Spinal Procedures With Mcc	24	22	—	—	$33,272.15	$54,407.29	$43,839.72	2026-05-23
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	24	22	—	—	$33,263.27	$54,392.77	$43,828.02	2026-05-23
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	22	—	—	$33,035.72	$54,020.68	$43,528.20	2026-05-23
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	24	22	—	—	$32,933.22	$53,853.07	$43,393.14	2026-05-23
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	24	22	—	—	$32,861.03	$53,735.02	$43,298.03	2026-05-23
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	24	22	—	—	$32,541.45	$53,212.43	$42,876.94	2026-05-23
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	24	22	—	—	$32,521.57	$53,179.92	$42,850.75	2026-05-23
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	24	22	—	—	$32,010.53	$52,344.27	$42,177.40	2026-05-23
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	24	22	—	—	$31,818.05	$52,029.52	$41,923.79	2026-05-23
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	24	22	—	—	$31,695.67	$51,829.40	$41,762.54	2026-05-23
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	24	22	—	—	$31,656.95	$51,766.08	$41,711.51	2026-05-23
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	22	—	—	$31,251.59	$51,103.22	$41,177.40	2026-05-23
008	OTHER	Simultaneous Pancreas And Kidney Transplant	24	22	—	—	$31,160.57	$50,954.40	$41,057.49	2026-05-23
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	24	22	—	—	$30,959.72	$50,625.95	$40,792.83	2026-05-23
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	24	22	—	—	$30,733.75	$50,256.45	$40,495.10	2026-05-23
834	OTHER	Acute Leukemia With Mcc	24	22	—	—	$30,560.63	$49,973.35	$40,266.99	2026-05-23
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	24	22	—	—	$30,459.14	$49,807.39	$40,133.26	2026-05-23
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	24	22	—	—	$30,418.35	$49,740.69	$40,079.52	2026-05-23
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	24	22	—	—	$30,373.35	$49,667.11	$40,020.23	2026-05-23
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	24	22	—	—	$30,259.33	$49,480.66	$39,870.00	2026-05-23
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	22	—	—	$29,738.90	$48,629.65	$39,184.28	2026-05-23
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	24	22	—	—	$29,722.16	$48,602.28	$39,162.22	2026-05-23
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	24	22	—	—	$29,534.90	$48,296.07	$38,915.49	2026-05-23
270	OTHER	Other Major Cardiovascular Procedures With Mcc	24	22	—	—	$29,443.37	$48,146.40	$38,794.89	2026-05-23
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	24	22	—	—	$29,072.52	$47,539.97	$38,306.25	2026-05-23
653	OTHER	Major Bladder Procedures With Mcc	24	22	—	—	$29,025.43	$47,462.96	$38,244.19	2026-05-23
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	22	—	—	$28,208.43	$46,126.99	$37,167.71	2026-05-23
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	24	22	—	—	$27,932.24	$45,675.36	$36,803.80	2026-05-23
228	OTHER	Other Cardiothoracic Procedures With Mcc	24	22	—	—	$27,723.02	$45,333.24	$36,528.13	2026-05-23
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	24	22	—	—	$27,676.99	$45,257.97	$36,467.48	2026-05-23
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	24	22	—	—	$27,588.60	$45,113.43	$36,351.01	2026-05-23
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	24	22	—	—	$27,481.39	$44,938.11	$36,209.75	2026-05-23
471	OTHER	Cervical Spinal Fusion With Mcc	24	22	—	—	$27,102.16	$44,318.00	$35,710.08	2026-05-23
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	24	22	—	—	$26,974.53	$44,109.30	$35,541.92	2026-05-23
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	24	22	—	—	$26,747.00	$43,737.23	$35,242.11	2026-05-23
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	24	22	—	—	$26,436.30	$43,229.17	$34,832.74	2026-05-23
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	24	22	—	—	$26,386.08	$43,147.05	$34,766.57	2026-05-23
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	24	22	—	—	$26,312.85	$43,027.31	$34,670.08	2026-05-23
006	OTHER	Liver Transplant Without Mcc	24	22	—	—	$26,099.46	$42,678.36	$34,388.91	2026-05-23
277	OTHER	Cardiac Defibrillator Implant Without Mcc	24	22	—	—	$26,002.69	$42,520.11	$34,261.40	2026-05-23
329	OTHER	Major Small And Large Bowel Procedures With Mcc	24	22	—	—	$25,887.62	$42,331.95	$34,109.79	2026-05-23
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	24	22	—	—	$25,826.42	$42,231.88	$34,029.15	2026-05-23
245	OTHER	Aicd Generator Procedures	24	22	—	—	$25,709.25	$42,040.28	$33,874.76	2026-05-23
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	24	22	—	—	$25,637.61	$41,923.13	$33,780.37	2026-05-23
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	24	22	—	—	$25,627.12	$41,905.98	$33,766.55	2026-05-23
799	OTHER	Splenic Procedures With Mcc	24	22	—	—	$25,534.01	$41,753.72	$33,643.86	2026-05-23
163	OTHER	Major Chest Procedures With Mcc	24	22	—	—	$25,287.67	$41,350.91	$33,319.29	2026-05-23
031	OTHER	Ventricular Shunt Procedures With Mcc	24	22	—	—	$25,280.86	$41,339.78	$33,310.32	2026-05-23
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	24	22	—	—	$25,188.81	$41,189.25	$33,189.03	2026-05-23
356	OTHER	Other Digestive System O.r. Procedures With Mcc	24	22	—	—	$24,822.14	$40,589.67	$32,705.90	2026-05-23
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	24	22	—	—	$24,480.05	$40,030.28	$32,255.17	2026-05-23
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	24	22	—	—	$24,299.61	$39,735.21	$32,017.41	2026-05-23
140	OTHER	Major Head And Neck Procedures With Mcc	24	22	—	—	$24,155.26	$39,499.16	$31,827.21	2026-05-23
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	24	22	—	—	$24,027.10	$39,289.60	$31,658.35	2026-05-23
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	24	22	—	—	$23,935.04	$39,139.06	$31,537.05	2026-05-23
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	24	22	—	—	$23,897.38	$39,077.48	$31,487.43	2026-05-23
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	24	22	—	—	$23,886.39	$39,059.50	$31,472.94	2026-05-23
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	24	22	—	—	$23,822.06	$38,954.32	$31,388.19	2026-05-23
901	OTHER	Wound Debridements For Injuries With Mcc	24	22	—	—	$23,795.90	$38,911.54	$31,353.72	2026-05-23
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	24	22	—	—	$23,755.10	$38,844.82	$31,299.96	2026-05-23
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	22	—	—	$23,670.37	$38,706.26	$31,188.31	2026-05-23
793	OTHER	Full Term Neonate With Major Problems	24	22	—	—	$23,654.67	$38,680.59	$31,167.63	2026-05-23
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	24	22	—	—	$23,567.85	$38,538.63	$31,053.24	2026-05-23
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	24	22	—	—	$23,424.01	$38,303.41	$30,863.71	2026-05-23
791	OTHER	Prematurity With Major Problems	24	22	—	—	$23,076.18	$37,734.63	$30,405.40	2026-05-23
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	24	22	—	—	$22,874.81	$37,405.36	$30,140.08	2026-05-23
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	24	22	—	—	$22,684.42	$37,094.02	$29,889.22	2026-05-23
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	24	22	—	—	$22,306.75	$36,476.45	$29,391.60	2026-05-23
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	24	22	—	—	$22,214.19	$36,325.09	$29,269.64	2026-05-23
034	OTHER	Carotid Artery Stent Procedures With Mcc	24	22	—	—	$22,091.27	$36,124.09	$29,107.68	2026-05-23
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	24	22	—	—	$22,060.92	$36,074.47	$29,067.69	2026-05-23
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	24	22	—	—	$22,041.57	$36,042.81	$29,042.19	2026-05-23
907	OTHER	Other O.r. Procedures For Injuries With Mcc	24	22	—	—	$21,927.01	$35,855.50	$28,891.26	2026-05-23
33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	24	22	$71,361.00	$53,520.75 25% off	$21,760.62	$35,583.40	$28,672.01	2026-05-23
33270	OTHER	Ins/rep Subq Defibrillator	24	22	$93,166.00	$69,874.50 25% off	$21,760.62	$35,583.40	$28,672.01	2026-05-23
33231	OTHER	Insrt Pulse Gen W/mult Leads	24	22	$86,127.00	$64,595.25 25% off	$21,760.62	$35,583.40	$28,672.01	2026-05-23
33249	OTHER	Insj/rplcmt Defib W/lead(s)	24	22	$49,353.00	$37,014.75 25% off	$21,760.62	$35,583.40	$28,672.01	2026-05-23
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	24	22	—	—	$21,527.94	$35,202.92	$28,365.43	2026-05-23
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	24	22	—	—	$21,442.14	$35,062.62	$28,252.38	2026-05-23
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	24	22	—	—	$21,395.58	$34,986.48	$28,191.03	2026-05-23
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	24	22	—	—	$21,393.50	$34,983.08	$28,188.29	2026-05-23
63685	OTHER	Ins/rplc Spi Npg/rcvr Pocket	24	22	$68,288.00	$51,216.00 25% off	$21,392.38	$34,981.26	$28,186.82	2026-05-23
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	24	22	—	—	$21,338.58	$34,893.27	$28,115.92	2026-05-23
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	24	22	—	—	$21,228.73	$34,713.65	$27,971.19	2026-05-23
904	OTHER	Skin Grafts For Injuries With Cc/mcc	24	22	—	—	$21,057.70	$34,433.97	$27,745.83	2026-05-23
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	24	22	—	—	$21,049.84	$34,421.13	$27,735.49	2026-05-23
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	24	22	—	—	$20,824.40	$34,052.49	$27,438.44	2026-05-23
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	24	22	—	—	$20,809.77	$34,028.55	$27,419.16	2026-05-23
332	OTHER	Rectal Resection With Mcc	24	22	—	—	$20,783.61	$33,985.77	$27,384.69	2026-05-23
265	OTHER	Aicd Lead Procedures	24	22	—	—	$20,770.54	$33,964.41	$27,367.47	2026-05-23
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	24	22	—	—	$20,737.05	$33,909.64	$27,323.35	2026-05-23
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	24	22	—	—	$20,708.82	$33,863.48	$27,286.15	2026-05-23
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	24	22	—	—	$20,585.37	$33,661.62	$27,123.49	2026-05-23
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	24	22	—	—	$20,541.97	$33,590.64	$27,066.31	2026-05-23
335	OTHER	Peritoneal Adhesiolysis With Mcc	24	22	—	—	$20,523.13	$33,559.84	$27,041.49	2026-05-23
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	24	22	—	—	$20,495.41	$33,514.51	$27,004.96	2026-05-23
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	24	22	—	—	$20,479.70	$33,488.82	$26,984.26	2026-05-23
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	24	22	—	—	$20,461.92	$33,459.75	$26,960.83	2026-05-23
271	OTHER	Other Major Cardiovascular Procedures With Cc	24	22	—	—	$20,446.77	$33,434.97	$26,940.87	2026-05-23
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	24	22	—	—	$20,291.41	$33,180.91	$26,736.16	2026-05-23
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	24	22	—	—	$20,253.76	$33,119.36	$26,686.56	2026-05-23
252	OTHER	Other Vascular Procedures With Mcc	24	22	—	—	$20,091.10	$32,853.37	$26,472.24	2026-05-23
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	24	22	—	—	$20,086.37	$32,845.64	$26,466.01	2026-05-23
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	24	22	—	—	$20,002.68	$32,708.79	$26,355.74	2026-05-23
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	24	22	—	—	$19,914.82	$32,565.12	$26,239.97	2026-05-23
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	24	22	—	—	$19,831.12	$32,428.25	$26,129.69	2026-05-23
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	24	22	—	—	$19,777.77	$32,341.01	$26,059.39	2026-05-23
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	24	22	—	—	$19,689.90	$32,197.32	$25,943.61	2026-05-23
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	24	22	—	—	$19,666.37	$32,158.84	$25,912.60	2026-05-23
264	OTHER	Other Circulatory System O.r. Procedures	24	22	—	—	$19,318.52	$31,590.04	$25,454.28	2026-05-23
411	OTHER	Cholecystectomy With C.d.e. With Mcc	24	22	—	—	$19,123.43	$31,271.02	$25,197.22	2026-05-23
037	OTHER	Extracranial Procedures With Mcc	24	22	—	—	$19,064.85	$31,175.22	$25,120.03	2026-05-23
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	24	22	—	—	$19,062.74	$31,171.78	$25,117.26	2026-05-23
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	24	22	—	—	$18,859.28	$30,839.08	$24,849.18	2026-05-23
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	24	22	—	—	$18,784.48	$30,716.76	$24,750.62	2026-05-23
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	24	22	—	—	$18,765.64	$30,685.95	$24,725.79	2026-05-23
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	24	22	—	—	$18,742.12	$30,647.50	$24,694.81	2026-05-23
652	OTHER	Kidney Transplant	24	22	—	—	$18,737.41	$30,639.79	$24,688.60	2026-05-23
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	24	22	—	—	$18,724.84	$30,619.24	$24,672.04	2026-05-23
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	24	22	—	—	$18,691.91	$30,565.39	$24,628.65	2026-05-23
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	24	22	—	—	$18,637.50	$30,476.42	$24,556.96	2026-05-23
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	24	22	—	—	$18,545.44	$30,325.88	$24,435.66	2026-05-23
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	24	22	—	—	$18,514.58	$30,275.41	$24,394.99	2026-05-23
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	24	22	—	—	$18,498.38	$30,248.92	$24,373.65	2026-05-23
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	24	22	—	—	$18,464.90	$30,194.18	$24,329.54	2026-05-23
500	OTHER	Soft Tissue Procedures With Mcc	24	22	—	—	$18,398.99	$30,086.39	$24,242.69	2026-05-23
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	24	22	—	—	$18,373.88	$30,045.34	$24,209.61	2026-05-23
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	24	22	—	—	$18,326.80	$29,968.35	$24,147.58	2026-05-23
229	OTHER	Other Cardiothoracic Procedures Without Mcc	24	22	—	—	$18,318.95	$29,955.52	$24,137.24	2026-05-23
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	24	22	—	—	$18,280.26	$29,892.25	$24,086.26	2026-05-23
665	OTHER	Prostatectomy With Mcc	24	22	—	—	$18,170.93	$29,713.48	$23,942.21	2026-05-23
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	24	22	—	—	$18,136.93	$29,657.88	$23,897.40	2026-05-23
93654	OTHER	Compre Ep Eval Tx Vt	24	22	$58,823.00	$44,117.25 25% off	$18,120.32	$29,630.71	$23,875.51	2026-05-23
93653	OTHER	Compre Ep Eval Tx Svt	24	22	$56,615.00	$42,461.25 25% off	$18,120.32	$29,630.70	$23,875.51	2026-05-23
93656	OTHER	Compre Ep Eval Abltj Atr Fib	24	22	$41,413.00	$31,059.75 25% off	$18,120.32	$29,630.70	$23,875.51	2026-05-23
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	24	22	—	—	$18,108.16	$29,610.83	$23,859.49	2026-05-23
662	OTHER	Minor Bladder Procedures With Mcc	24	22	—	—	$17,858.66	$29,202.84	$23,530.75	2026-05-23
263	OTHER	Vein Ligation And Stripping	24	22	—	—	$17,837.23	$29,167.80	$23,502.51	2026-05-23
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	24	22	—	—	$17,710.64	$28,960.80	$23,335.72	2026-05-23
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	24	22	—	—	$17,644.23	$28,852.20	$23,248.22	2026-05-23
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	24	22	—	—	$17,642.12	$28,848.74	$23,245.43	2026-05-23
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	24	22	—	—	$17,624.86	$28,820.52	$23,222.69	2026-05-23
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	24	22	—	—	$17,413.54	$28,474.98	$22,944.26	2026-05-23
472	OTHER	Cervical Spinal Fusion With Cc	24	22	—	—	$17,255.07	$28,215.84	$22,735.46	2026-05-23
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	24	22	—	—	$17,244.61	$28,198.73	$22,721.67	2026-05-23
570	OTHER	Skin Debridement With Mcc	24	22	—	—	$17,228.91	$28,173.07	$22,700.99	2026-05-23
668	OTHER	Transurethral Procedures With Mcc	24	22	—	—	$17,118.54	$27,992.58	$22,555.56	2026-05-23
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	24	22	—	—	$17,078.26	$27,926.72	$22,502.49	2026-05-23
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	24	22	—	—	$17,024.38	$27,838.62	$22,431.50	2026-05-23
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	24	22	—	—	$17,014.97	$27,823.22	$22,419.10	2026-05-23
619	OTHER	O.r. Procedures For Obesity With Mcc	24	22	—	—	$16,948.02	$27,713.75	$22,330.88	2026-05-23
974	OTHER	HIV With Major Related Condition With Mcc	24	22	—	—	$16,940.70	$27,701.78	$22,321.24	2026-05-23
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	24	22	—	—	$16,918.73	$27,665.85	$22,292.29	2026-05-23
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	24	22	—	—	$16,858.05	$27,566.62	$22,212.33	2026-05-23
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	24	22	—	—	$16,755.01	$27,398.14	$22,076.58	2026-05-23
800	OTHER	Splenic Procedures With Cc	24	22	—	—	$16,540.04	$27,046.60	$21,793.32	2026-05-23
654	OTHER	Major Bladder Procedures With Cc	24	22	—	—	$16,487.21	$26,960.22	$21,723.72	2026-05-23
503	OTHER	Foot Procedures With Mcc	24	22	—	—	$16,444.32	$26,890.08	$21,667.20	2026-05-23
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	24	22	—	—	$16,343.89	$26,725.86	$21,534.88	2026-05-23
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	24	22	—	—	$16,266.49	$26,599.29	$21,432.89	2026-05-23
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	24	22	—	—	$16,222.55	$26,527.44	$21,374.99	2026-05-23
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	24	22	—	—	$16,218.87	$26,521.43	$21,370.15	2026-05-23
963	OTHER	Other Multiple Significant Trauma With Mcc	24	22	—	—	$16,144.61	$26,400.00	$21,272.31	2026-05-23
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	24	22	—	—	$16,076.62	$26,288.81	$21,182.72	2026-05-23
849	OTHER	Radiotherapy	24	22	—	—	$16,017.52	$26,192.17	$21,104.85	2026-05-23
288	OTHER	Acute And Subacute Endocarditis With Mcc	24	22	—	—	$16,000.23	$26,163.89	$21,082.06	2026-05-23
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	24	22	—	—	$15,954.21	$26,088.65	$21,021.43	2026-05-23
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	24	22	—	—	$15,758.59	$25,768.77	$20,763.68	2026-05-23
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	24	22	—	—	$15,709.93	$25,689.20	$20,699.56	2026-05-23
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	24	22	—	—	$15,640.38	$25,575.46	$20,607.92	2026-05-23
253	OTHER	Other Vascular Procedures With Cc	24	22	—	—	$15,421.75	$25,217.96	$20,319.85	2026-05-23
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	24	22	$64,495.00	$48,371.25 25% off	$15,420.57	$25,216.02	$20,318.29	2026-05-23
33230	OTHER	Insrt Pulse Gen W/dual Leads	24	22	$60,463.00	$45,347.25 25% off	$15,420.57	$25,216.02	$20,318.29	2026-05-23
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	24	22	$64,495.00	$48,371.25 25% off	$15,420.57	$25,216.02	$20,318.29	2026-05-23
33240	OTHER	Insrt Pulse Gen W/singl Lead	24	22	$60,463.00	$45,347.25 25% off	$15,420.57	$25,216.02	$20,318.29	2026-05-23
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	24	22	—	—	$15,405.52	$25,191.41	$20,298.47	2026-05-23
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	24	22	—	—	$15,354.79	$25,108.46	$20,231.62	2026-05-23
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	24	22	—	—	$15,335.96	$25,077.68	$20,206.82	2026-05-23
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	24	22	—	—	$15,335.96	$25,077.68	$20,206.82	2026-05-23
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	24	22	—	—	$15,275.28	$24,978.45	$20,126.87	2026-05-23
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	24	22	—	—	$15,198.92	$24,853.58	$20,026.25	2026-05-23
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	24	22	—	—	$15,135.62	$24,750.08	$19,942.85	2026-05-23
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	24	22	—	—	$15,110.53	$24,709.04	$19,909.78	2026-05-23
164	OTHER	Major Chest Procedures With Cc	24	22	—	—	$15,047.23	$24,605.53	$19,826.38	2026-05-23
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	24	22	—	—	$15,041.47	$24,596.12	$19,818.79	2026-05-23
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	24	22	—	—	$14,879.34	$24,330.99	$19,605.17	2026-05-23
545	OTHER	Connective Tissue Disorders With Mcc	24	22	—	—	$14,825.98	$24,243.74	$19,534.86	2026-05-23
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	24	22	—	—	$14,708.29	$24,051.29	$19,379.79	2026-05-23
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	24	22	—	—	$14,704.64	$24,045.32	$19,374.98	2026-05-23
783	OTHER	Cesarean Section With Sterilization With Mcc	24	22	—	—	$14,686.84	$24,016.21	$19,351.53	2026-05-23
792	OTHER	Prematurity Without Major Problems	24	22	—	—	$14,655.97	$23,965.73	$19,310.85	2026-05-23
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	24	22	—	—	$14,629.82	$23,922.98	$19,276.40	2026-05-23
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	24	22	—	—	$14,614.66	$23,898.19	$19,256.42	2026-05-23
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	24	22	—	—	$14,514.76	$23,734.83	$19,124.79	2026-05-23
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	24	22	—	—	$14,473.44	$23,667.25	$19,070.35	2026-05-23
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	24	22	—	—	$14,426.36	$23,590.27	$19,008.31	2026-05-23
330	OTHER	Major Small And Large Bowel Procedures With Cc	24	22	—	—	$14,383.99	$23,520.99	$18,952.49	2026-05-23
397	OTHER	Appendix Procedures With Mcc	24	22	—	—	$14,371.95	$23,501.31	$18,936.63	2026-05-23
035	OTHER	Carotid Artery Stent Procedures With Cc	24	22	—	—	$14,348.95	$23,463.69	$18,906.32	2026-05-23
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	24	22	—	—	$14,327.50	$23,428.61	$18,878.06	2026-05-23
113	OTHER	Orbital Procedures With Cc/mcc	24	22	—	—	$14,142.88	$23,126.71	$18,634.79	2026-05-23
333	OTHER	Rectal Resection With Cc	24	22	—	—	$14,096.30	$23,050.56	$18,573.43	2026-05-23
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	24	22	—	—	$14,077.49	$23,019.80	$18,548.65	2026-05-23
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	24	22	—	—	$14,068.59	$23,005.24	$18,536.92	2026-05-23
709	OTHER	Penis Procedures With Cc/mcc	24	22	—	—	$14,017.33	$22,921.42	$18,469.38	2026-05-23
357	OTHER	Other Digestive System O.r. Procedures With Cc	24	22	—	—	$14,008.96	$22,907.73	$18,458.35	2026-05-23
056	OTHER	Degenerative Nervous System Disorders With Mcc	24	22	—	—	$13,996.41	$22,887.22	$18,441.81	2026-05-23
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	24	22	—	—	$13,934.17	$22,785.44	$18,359.81	2026-05-23
347	OTHER	Anal And Stomal Procedures With Mcc	24	22	—	—	$13,852.56	$22,651.99	$18,252.28	2026-05-23
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	24	22	—	—	$13,848.92	$22,646.03	$18,247.47	2026-05-23
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	24	22	—	—	$13,800.27	$22,566.48	$18,183.38	2026-05-23
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	24	22	—	—	$13,779.35	$22,532.26	$18,155.81	2026-05-23
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	24	22	—	—	$13,748.48	$22,481.78	$18,115.13	2026-05-23
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	24	22	—	—	$13,728.60	$22,449.28	$18,088.94	2026-05-23
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	24	22	—	—	$13,695.64	$22,395.39	$18,045.51	2026-05-23
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	24	22	—	—	$13,554.43	$22,164.48	$17,859.46	2026-05-23
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	24	22	—	—	$13,547.61	$22,153.33	$17,850.47	2026-05-23
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	24	22	—	—	$13,455.05	$22,001.97	$17,728.51	2026-05-23
64590	OTHER	Ins/rpl Prph Sac/gstr Npg/r	24	22	$50,044.00	$37,533.00 25% off	$13,449.31	$21,992.58	$17,720.94	2026-05-23
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	24	22	—	—	$13,419.46	$21,943.78	$17,681.62	2026-05-23
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	24	22	—	—	$13,407.97	$21,924.98	$17,666.47	2026-05-23
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	24	22	—	—	$13,393.84	$21,901.88	$17,647.86	2026-05-23
33229	OTHER	Remv&replc Pm Gen Mult Leads	24	22	$39,589.00	$29,691.75 25% off	$13,353.34	$21,835.66	$17,594.50	2026-05-23
33274	OTHER	Tcat Insj/rpl Perm Ldls Pm	24	22	$42,372.00	$31,779.00 25% off	$13,353.34	$21,835.66	$17,594.50	2026-05-23
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	24	22	—	—	$13,345.72	$21,823.19	$17,584.46	2026-05-23
030	OTHER	Spinal Procedures Without Cc/mcc	24	22	—	—	$13,327.41	$21,793.25	$17,560.33	2026-05-23
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	24	22	—	—	$13,309.64	$21,764.18	$17,536.91	2026-05-23
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	24	22	—	—	$13,289.22	$21,730.80	$17,510.01	2026-05-23
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	24	22	—	—	$13,260.99	$21,684.64	$17,472.81	2026-05-23
141	OTHER	Major Head And Neck Procedures With Cc	24	22	—	—	$13,253.66	$21,672.65	$17,463.15	2026-05-23
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	24	22	—	—	$13,241.63	$21,652.98	$17,447.31	2026-05-23
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	24	22	—	—	$13,233.80	$21,640.18	$17,436.99	2026-05-23
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	24	22	—	—	$13,195.61	$21,577.72	$17,386.67	2026-05-23
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	24	22	—	—	$13,046.53	$21,333.95	$17,190.24	2026-05-23
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	24	22	—	—	$13,042.35	$21,327.11	$17,184.73	2026-05-23
374	OTHER	Digestive Malignancy With Mcc	24	22	—	—	$13,031.89	$21,310.00	$17,170.94	2026-05-23
032	OTHER	Ventricular Shunt Procedures With Cc	24	22	—	—	$12,991.60	$21,244.13	$17,117.87	2026-05-23
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	24	22	—	—	$12,991.08	$21,243.27	$17,117.17	2026-05-23
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	24	22	—	—	$12,986.38	$21,235.59	$17,110.99	2026-05-23
814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	24	22	—	—	$12,969.11	$21,207.36	$17,088.24	2026-05-23
595	OTHER	Major Skin Disorders With Mcc	24	22	—	—	$12,937.73	$21,156.04	$17,046.88	2026-05-23
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	24	22	—	—	$12,922.04	$21,130.38	$17,026.21	2026-05-23
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	24	22	—	—	$12,920.47	$21,127.81	$17,024.14	2026-05-23
655	OTHER	Major Bladder Procedures Without Cc/mcc	24	22	—	—	$12,916.28	$21,120.96	$17,018.62	2026-05-23
336	OTHER	Peritoneal Adhesiolysis With Cc	24	22	—	—	$12,874.95	$21,053.38	$16,964.17	2026-05-23
412	OTHER	Cholecystectomy With C.d.e. With Cc	24	22	—	—	$12,842.53	$21,000.36	$16,921.44	2026-05-23
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	24	22	—	—	$12,800.70	$20,931.96	$16,866.33	2026-05-23
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	24	22	—	—	$12,793.89	$20,920.82	$16,857.35	2026-05-23
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	24	22	—	—	$12,782.92	$20,902.88	$16,842.90	2026-05-23
838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	24	22	—	—	$12,763.57	$20,871.24	$16,817.40	2026-05-23
835	OTHER	Acute Leukemia With Cc	24	22	—	—	$12,755.19	$20,857.54	$16,806.37	2026-05-23
314	OTHER	Other Circulatory System Diagnoses With Mcc	24	22	—	—	$12,752.05	$20,852.40	$16,802.22	2026-05-23
711	OTHER	Testes Procedures With Cc/mcc	24	22	—	—	$12,744.72	$20,840.43	$16,792.58	2026-05-23
511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	24	22	—	—	$12,721.72	$20,802.81	$16,762.26	2026-05-23
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	24	22	—	—	$12,714.92	$20,791.69	$16,753.31	2026-05-23
37184	OTHER	Prim Art M-thrmbc 1st Vsl	24	22	$12,215.00	$9,161.25 25% off	$12,708.58	$20,781.32	$16,744.95	2026-05-23
37273	OTHER	Revsc Evsc Fpvt Athrc Cplx 1	24	22	$29,159.00	$21,869.25 25% off	$12,708.58	$20,781.32	$16,744.95	2026-05-23
37275	OTHER	Rvsc Evsc Fpvt St Athrc Sf 1	24	22	$38,517.00	$28,887.75 25% off	$12,708.58	$20,781.32	$16,744.95	2026-05-23
37288	OTHER	Revsc Evsc Tpvt Athrc Sf 1st	24	22	$35,534.00	$26,650.50 25% off	$12,708.58	$20,781.32	$16,744.95	2026-05-23
37294	OTHER	Rvsc Evsc Tpvt St Athr Cpx 1	24	22	$30,899.00	$23,174.25 25% off	$12,708.58	$20,781.32	$16,744.95	2026-05-23
36906	OTHER	Thrmbc/nfs Dialysis Circuit	24	22	$41,403.00	$31,052.25 25% off	$12,708.58	$20,781.32	$16,744.95	2026-05-23

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