Hospital

SHRINERS HOSPITAL FOR CHILDREN

Honolulu, HI · CCN 123301 · Rates published

34,023 distinct procedures filed

22 distinct payers

788,456 rate rows

2026-05-24 last MRF observed

Data quality

93,193 of 788,456 rate rows are consumer-grade (11.8%)

695,263 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	691,160
exceeds 10× this hospital's gross charge — excluded from medians	2,218
per-diem day rate — not a per-procedure price	1,883
placeholder amount (≤ $0.02) — excluded from medians	2

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/b30d36f52101153d5f1bc9b69f73ddb9/charges/mrf
Found on page	https://www.cdmpricing.com/b30d36f52101153d5f1bc9b69f73ddb9
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-19
Content fingerprint	228c7ab039774603… · 138,140,208 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
5834 OTHER	Screw Extern Fixat 6mm Lg 190mm Schanz 50mm Thread Self-tap Blunt Trocar Spade P…	8	$269,381.65	$269,381.65	$269,381.65	nat. median $372,748 0.7× median
5914 OTHER	Plate Bone Lcp 73mm 3-hole 110deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre…	8	$227,057.39	$227,057.39	$227,057.39	nat. median $149,152 1.5× median
5884 OTHER	Screw Bone Lcp Tomofix 5x46mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…	8	$226,136.92	$226,136.92	$226,136.92	nat. median $243,175 0.9× median
1614 OTHER	Implantable Heart Assist Systems	8	$208,239.28	$208,239.28	$208,239.28	nat. median $194,298 1.1× median
5934 OTHER	Screw Interference Cannul 8x20mm Ti Round Head Without Sheath F/graft Fixat Strl Acl…	8	$195,720.88	$195,720.88	$195,720.88	nat. median $129,842 1.5× median
0024 OTHER	Heart And/or Lung Transplant	8	$189,198.86	$189,198.86	$189,198.86	nat. median $235,636 0.8× median
0074 OTHER	Allogeneic Bone Marrow Transplant	8	$185,055.01	$185,055.01	$185,055.01	nat. median $147,645 1.3× median
6094 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	$179,095.69	$179,095.69	$179,095.69	nat. median $170,784 1.0× median
5913 OTHER	Plate Bone Lcp 73mm 3-hole 100deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre…	8	$178,984.54	$178,984.54	$178,984.54	nat. median $115,252 1.6× median
1613 OTHER	Implantable Heart Assist Systems	8	$166,349.21	$166,349.21	$166,349.21	nat. median $79 outlier · 2113.2×
5833 OTHER	Plate Bone Dcp 10x73mm 6-hole 3.3mm Sm Dynamic Compress Lck Cortic Ss Pelvic F/3…	8	$164,119.24	$164,119.24	$164,119.24	nat. median $252,069 0.7× median
6024 OTHER	Screw Bone Lcp 5/4.4x55mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec…	8	$158,420.43	$158,420.43	$158,420.43	nat. median $99,381 1.6× median
5912 OTHER	Screw Bone 4x46mm Cannul 15mm Short Thread Ss Prox Humeral Revers Cut Flute Ns P…	8	$157,163.03	$157,163.03	$157,163.03	nat. median $83,887 1.9× median
5832 OTHER	Plate Bone Lc-dcp 16x103mm 6-hole 4.8mm Broad Dynamic Compress Lck Ss Limit-cont…	8	$155,887.11	$155,887.11	$155,887.11	nat. median $152,272 1.0× median
5891 OTHER	Screw Bone Lcp 4.5/8x40mm Compress Lck Full Thread Self-drilling/tapping Cortic…	8	$148,333.46	$148,333.46	$148,333.46	nat. median $77,714 1.9× median
6304 OTHER	Screw Bone Lcp 4/5x24mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…	8	$146,721.77	$146,721.77	$146,721.77	nat. median $164,743 0.9× median
0014 OTHER	Liver Transplant And/or Intestinal Transplant	8	$146,687.04	$146,687.04	$146,687.04	nat. median $147,828 1.0× median
8414 OTHER	Screw Spinal Expedium 7x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	8	$146,317.69	$146,317.69	$146,317.69	nat. median $161,322 0.9× median
5883 OTHER	Screw Bone Lcp Tomofix 5x38mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…	8	$145,054.51	$145,054.51	$145,054.51	nat. median $163,694 0.9× median
5933 OTHER	Screw Interference Cannul 7x25mm Ti Alloy Round Head W/2mm Nitinol Gw Disp Sheat…	8	$143,505.34	$143,505.34	$143,505.34	nat. median $87,090 1.6× median
5892 OTHER	Screw Bone Lcp 4.5/8x44mm Compress Lck Full Thread Self-drilling/tapping Cortic…	8	$141,269.58	$141,269.58	$141,269.58	nat. median $92,089 1.5× median
5893 OTHER	Screw Bone Lcp 4.5/8x48mm Compress Lck Full Thread Self-drilling/tapping Cortic…	8	$134,542.62	$134,542.62	$134,542.62	nat. median $90,227 1.5× median
0023 OTHER	Heart And/or Lung Transplant	8	$132,918.20	$132,918.20	$132,918.20	nat. median $133,752 1.0× median
0064 OTHER	Pancreas Transplant	8	$132,384.44	$132,384.44	$132,384.44	nat. median $102,085 1.3× median
6034 OTHER	Nail IM Fassier-duval 4.8mm Std 404mm Short Thread Tibial Humeral Ss F/osteogene…	8	$131,454.71	$131,454.71	$131,454.71	nat. median $92,525 1.4× median
0094 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$130,323.51	$130,323.51	$130,323.51	nat. median $165,362 0.8× median
0044 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$128,102.81	$128,102.81	$128,102.81	nat. median $138,863 0.9× median
6314 OTHER	Screw Bone Lcp 7.3/8.2x90mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	8	$127,478.74	$127,478.74	$127,478.74	nat. median $163,675 0.8× median
5932 OTHER	Guidepin Ortho 2.4mm Breakaway Femur Tibial F/osteotomy Disp	8	$123,737.81	$123,737.81	$123,737.81	nat. median $67,086 1.8× median
6074 OTHER	Screw Bone Expert 4/3.3x36mm Cannul Compress Lck Fully/dual Lead Thread Self-tap…	8	$123,329.10	$123,329.10	$123,329.10	nat. median $85,400 1.4× median
0073 OTHER	Allogeneic Bone Marrow Transplant	8	$120,842.09	$120,842.09	$120,842.09	nat. median $87,821 1.4× median
1612 OTHER	Implantable Heart Assist Systems	8	$118,687.38	$118,687.38	$118,687.38	nat. median $84,765 1.4× median
6084 OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	$115,143.28	$115,143.28	$115,143.28	nat. median $54,437 outlier · 2.1×
6023 OTHER	Screw Bone Lcp 7.3/8.2x85mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	8	$113,714.53	$113,714.53	$113,714.53	nat. median $75,452 1.5× median
6033 OTHER	Nail IM Fassier-duval 4.8mm Std 409mm Long Thread Femur Ss F/osteogenesis Imperf…	8	$102,223.12	$102,223.12	$102,223.12	nat. median $51,654 2.0× median
5831 OTHER	Washer Ortho 13mm Round Thread Spike Ss F/6.5/7/7.3mm Lg Cannul Screw Ns	8	$98,720.71	$98,720.71	$98,720.71	nat. median $139,037 0.7× median
6114 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	$97,709.93	$97,709.93	$97,709.93	nat. median $66,070 1.5× median
5882 OTHER	Screw Bone Lcp Tomofix 5x34mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…	8	$95,209.03	$95,209.03	$95,209.03	nat. median $119,369 0.8× median
1604 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	$95,077.03	$95,077.03	$95,077.03	nat. median $44,507 outlier · 2.1×
0022 OTHER	Heart And/or Lung Transplant	8	$95,072.40	$95,072.40	$95,072.40	nat. median $96,800 1.0× median
1611 OTHER	Implantable Heart Assist Systems	8	$94,613.90	$94,613.90	$94,613.90	nat. median $80,527 1.2× median
0063 OTHER	Pancreas Transplant	8	$92,537.93	$92,537.93	$92,537.93	nat. median $74,579 1.2× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	$77,069.79	$103,421.19	$90,245.49	nat. median $90,130 1.0× median
0043 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$89,613.26	$89,613.26	$89,613.26	nat. median $89,613 1.0× median
0084 OTHER	Autologous Bone Marrow Transplant	8	$89,357.38	$89,357.38	$89,357.38	nat. median $67,145 1.3× median
3034 OTHER	Suture Chromic Gut 3-0 27in 1/2 Circ CT-2 Taper Point Natural Brown Undyed 1 Str…	8	$89,198.76	$89,198.76	$89,198.76	nat. median $71,896 1.2× median
6022 OTHER	Screw Bone Lcp 7.3/8.2x80mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	8	$88,830.57	$88,830.57	$88,830.57	nat. median $49,989 1.8× median
0013 OTHER	Liver Transplant And/or Intestinal Transplant	8	$88,608.27	$88,608.27	$88,608.27	nat. median $79,805 1.1× median
1624 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	$87,848.74	$87,848.74	$87,848.74	nat. median $5 outlier · 18113.1×
4404 OTHER	Screw Bone Lcp 3.5/6x20mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	8	$85,050.28	$85,050.28	$85,050.28	nat. median $66,590 1.3× median

Other procedures at this hospital

Browse this hospital's 34,023 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

5834	OTHER	Screw Extern Fixat 6mm Lg 190mm Schanz 50mm Thread Self-tap Blunt Trocar Spade P…	9	8	$267.58	$267.58	$269,381.65	$269,381.65	$269,381.65	2026-05-24
5914	OTHER	Plate Bone Lcp 73mm 3-hole 110deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre…	9	8	$1,704.73	$1,704.73	$227,057.39	$227,057.39	$227,057.39	2026-05-24
5884	OTHER	Screw Bone Lcp Tomofix 5x46mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…	9	8	$589.88	$589.88	$226,136.92	$226,136.92	$226,136.92	2026-05-24
1614	OTHER	Implantable Heart Assist Systems	9	8	—	—	$208,239.28	$208,239.28	$208,239.28	2026-05-24
5934	OTHER	Screw Interference Cannul 8x20mm Ti Round Head Without Sheath F/graft Fixat Strl Acl…	9	8	$237.50	$237.50	$195,720.88	$195,720.88	$195,720.88	2026-05-24
0024	OTHER	Heart And/or Lung Transplant	9	8	—	—	$189,198.86	$189,198.86	$189,198.86	2026-05-24
0074	OTHER	Allogeneic Bone Marrow Transplant	9	8	—	—	$185,055.01	$185,055.01	$185,055.01	2026-05-24
6094	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	8	—	—	$179,095.69	$179,095.69	$179,095.69	2026-05-24
5913	OTHER	Plate Bone Lcp 73mm 3-hole 100deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre…	9	8	$1,704.73	$1,704.73	$178,984.54	$178,984.54	$178,984.54	2026-05-24
1613	OTHER	Implantable Heart Assist Systems	9	8	—	—	$166,349.21	$166,349.21	$166,349.21	2026-05-24
5833	OTHER	Plate Bone Dcp 10x73mm 6-hole 3.3mm Sm Dynamic Compress Lck Cortic Ss Pelvic F/3…	9	8	$1,001.00	$1,001.00	$164,119.24	$164,119.24	$164,119.24	2026-05-24
6024	OTHER	Screw Bone Lcp 5/4.4x55mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec…	9	8	$393.68	$393.68	$158,420.43	$158,420.43	$158,420.43	2026-05-24
5912	OTHER	Screw Bone 4x46mm Cannul 15mm Short Thread Ss Prox Humeral Revers Cut Flute Ns P…	9	8	$465.30	$465.30	$157,163.03	$157,163.03	$157,163.03	2026-05-24
5832	OTHER	Plate Bone Lc-dcp 16x103mm 6-hole 4.8mm Broad Dynamic Compress Lck Ss Limit-cont…	9	8	$690.00	$690.00	$155,887.11	$155,887.11	$155,887.11	2026-05-24
5891	OTHER	Screw Bone Lcp 4.5/8x40mm Compress Lck Full Thread Self-drilling/tapping Cortic …	9	8	$73.88	$73.88	$148,333.46	$148,333.46	$148,333.46	2026-05-24
6304	OTHER	Screw Bone Lcp 4/5x24mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…	9	8	$597.50	$597.50	$146,721.77	$146,721.77	$146,721.77	2026-05-24
0014	OTHER	Liver Transplant And/or Intestinal Transplant	9	8	—	—	$146,687.04	$146,687.04	$146,687.04	2026-05-24
8414	OTHER	Screw Spinal Expedium 7x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	9	8	$2,000.00	$2,000.00	$146,317.69	$146,317.69	$146,317.69	2026-05-24
5883	OTHER	Screw Bone Lcp Tomofix 5x38mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…	9	8	$737.50	$737.50	$145,054.51	$145,054.51	$145,054.51	2026-05-24
5933	OTHER	Screw Interference Cannul 7x25mm Ti Alloy Round Head W/2mm Nitinol Gw Disp Sheat…	9	8	$287.50	$287.50	$143,505.34	$143,505.34	$143,505.34	2026-05-24
5892	OTHER	Screw Bone Lcp 4.5/8x44mm Compress Lck Full Thread Self-drilling/tapping Cortic …	9	8	$69.88	$69.88	$141,269.58	$141,269.58	$141,269.58	2026-05-24
5893	OTHER	Screw Bone Lcp 4.5/8x48mm Compress Lck Full Thread Self-drilling/tapping Cortic …	9	8	$73.88	$73.88	$134,542.62	$134,542.62	$134,542.62	2026-05-24
0023	OTHER	Heart And/or Lung Transplant	9	8	—	—	$132,918.20	$132,918.20	$132,918.20	2026-05-24
0064	OTHER	Pancreas Transplant	9	8	—	—	$132,384.44	$132,384.44	$132,384.44	2026-05-24
6034	OTHER	Nail IM Fassier-duval 4.8mm Std 404mm Short Thread Tibial Humeral Ss F/osteogene…	9	8	$6,500.00	$6,500.00	$131,454.71	$131,454.71	$131,454.71	2026-05-24
0094	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	9	8	—	—	$130,323.51	$130,323.51	$130,323.51	2026-05-24
0044	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	8	—	—	$128,102.81	$128,102.81	$128,102.81	2026-05-24
6314	OTHER	Screw Bone Lcp 7.3/8.2x90mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	9	8	$800.75	$800.75	$127,478.74	$127,478.74	$127,478.74	2026-05-24
5932	OTHER	Guidepin Ortho 2.4mm Breakaway Femur Tibial F/osteotomy Disp	9	8	$92.50	$92.50	$123,737.81	$123,737.81	$123,737.81	2026-05-24
6074	OTHER	Screw Bone Expert 4/3.3x36mm Cannul Compress Lck Fully/dual Lead Thread Self-tap…	9	8	$490.28	$490.28	$123,329.10	$123,329.10	$123,329.10	2026-05-24
0073	OTHER	Allogeneic Bone Marrow Transplant	9	8	—	—	$120,842.09	$120,842.09	$120,842.09	2026-05-24
1612	OTHER	Implantable Heart Assist Systems	9	8	—	—	$118,687.38	$118,687.38	$118,687.38	2026-05-24
6084	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	8	—	—	$115,143.28	$115,143.28	$115,143.28	2026-05-24
6023	OTHER	Screw Bone Lcp 7.3/8.2x85mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	9	8	$800.75	$800.75	$113,714.53	$113,714.53	$113,714.53	2026-05-24
6033	OTHER	Nail IM Fassier-duval 4.8mm Std 409mm Long Thread Femur Ss F/osteogenesis Imperf…	9	8	$6,875.00	$6,875.00	$102,223.12	$102,223.12	$102,223.12	2026-05-24
5831	OTHER	Washer Ortho 13mm Round Thread Spike Ss F/6.5/7/7.3mm Lg Cannul Screw Ns	9	8	$85.70	$85.70	$98,720.71	$98,720.71	$98,720.71	2026-05-24
6114	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	8	—	—	$97,709.93	$97,709.93	$97,709.93	2026-05-24
5882	OTHER	Screw Bone Lcp Tomofix 5x34mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…	9	8	$589.88	$589.88	$95,209.03	$95,209.03	$95,209.03	2026-05-24
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	9	8	—	—	$95,077.03	$95,077.03	$95,077.03	2026-05-24
0022	OTHER	Heart And/or Lung Transplant	9	8	—	—	$95,072.40	$95,072.40	$95,072.40	2026-05-24
1611	OTHER	Implantable Heart Assist Systems	9	8	—	—	$94,613.90	$94,613.90	$94,613.90	2026-05-24
0063	OTHER	Pancreas Transplant	9	8	—	—	$92,537.93	$92,537.93	$92,537.93	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	—	—	$77,069.79	$103,421.19	$90,245.49	2026-05-24
0043	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	9	8	—	—	$89,613.26	$89,613.26	$89,613.26	2026-05-24
0084	OTHER	Autologous Bone Marrow Transplant	9	8	—	—	$89,357.38	$89,357.38	$89,357.38	2026-05-24
3034	OTHER	Suture Chromic Gut 3-0 27in 1/2 Circ CT-2 Taper Point Natural Brown Undyed 1 Str…	9	8	$7.60	$7.60	$89,198.76	$89,198.76	$89,198.76	2026-05-24
6022	OTHER	Screw Bone Lcp 7.3/8.2x80mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	9	8	$619.93	$619.93	$88,830.57	$88,830.57	$88,830.57	2026-05-24
0013	OTHER	Liver Transplant And/or Intestinal Transplant	9	8	—	—	$88,608.27	$88,608.27	$88,608.27	2026-05-24
1624	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	9	8	—	—	$87,848.74	$87,848.74	$87,848.74	2026-05-24
4404	OTHER	Screw Bone Lcp 3.5/6x20mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	9	8	$82.55	$82.55	$85,050.28	$85,050.28	$85,050.28	2026-05-24
6303	OTHER	Screw Bone Lcp 4/5x20mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…	9	8	$597.50	$597.50	$84,422.74	$84,422.74	$84,422.74	2026-05-24
0072	OTHER	Allogeneic Bone Marrow Transplant	9	8	—	—	$83,427.01	$83,427.01	$83,427.01	2026-05-24
6093	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	8	—	—	$83,091.24	$83,091.24	$83,091.24	2026-05-24
6124	OTHER	Wire Bone Fixat 1.4mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns	9	8	$7.38	$7.38	$82,961.56	$82,961.56	$82,961.56	2026-05-24
6073	OTHER	Hook Spinal Veptr Ii Std Extend Vert Expand Ti Prox Thoracolum Rib Ns	9	8	$3,747.48	$3,747.48	$82,941.88	$82,941.88	$82,941.88	2026-05-24
0054	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	9	8	—	—	$81,919.52	$81,919.52	$81,919.52	2026-05-24
6214	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	8	—	—	$80,999.05	$80,999.05	$80,999.05	2026-05-24
8634	OTHER	Wedge Bone Graft 22x22x6mm Allograft Evans Frz-dry Cort/canc Pre-shaped F/osteot…	15	12	$2,697.90	$2,697.90	$40,971.20	$77,942.40	$77,942.40	2026-05-24
8424	OTHER	Connector Spinal Expedium Open Dual Side/side Ss F/5.5mm Rod Ns	15	12	$1,725.00	$1,725.00	$39,754.32	$75,508.65	$75,508.65	2026-05-24
8413	OTHER	Screw Spinal Expedium 7x35mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$2,000.00	$2,000.00	$37,433.46	$70,866.93	$70,866.93	2026-05-24
1834	OTHER	Drain Wound Blake Jackson-pratt 19fr 10mmx20cm Round 4-channel Flute Hubless W/1…	12	9	$260.53	$260.53	$36,550.04	$69,100.09	$69,100.09	2026-05-24
3033	OTHER	Suture Ethibond Excel 4-0 Sh Taper Point Braided Green 26in	12	9	$30.73	$30.73	$36,152.33	$68,304.67	$68,304.67	2026-05-24
456	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	3	3	—	—	$10,000.00	$90,755.95	$66,937.87	2026-05-24
1674	OTHER	Expander Tissue Softspan 13.7x10.5cm 4-7cm Lo-pro 200-400ml Silicone Smooth Remo…	15	12	$1,625.00	$1,625.00	$35,434.49	$66,868.97	$66,868.97	2026-05-24
5881	OTHER	Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ti 2.5…	15	12	$71.25	$71.25	$34,905.36	$65,810.72	$65,810.72	2026-05-24
6032	OTHER	Nail IM Fassier-duval 4mm Std 333mm Short Thread Tibial Humeral Ss F/osteogenesi…	15	12	$6,500.00	$6,500.00	$34,789.57	$65,579.15	$65,579.15	2026-05-24
6072	OTHER	Nail IM Expert 9x360mm 120deg Helical Flute Cannul Lck Antegrad Reconstruct Rt L…	15	12	$4,359.18	$4,359.18	$33,892.84	$63,785.68	$63,785.68	2026-05-24
9104	OTHER	Plate Bone Lorenz Long 2/2-hole 1mm L-shaped Ti Silver F/2mm Screw Lt Cmf	15	12	$547.50	$547.50	$33,768.38	$63,536.75	$63,536.75	2026-05-24
6334	OTHER	Screw Bone Lcp 3.5/6x20mm Compress Lck Self-tap Var Ang Lo-pro Cortic Ss T15 Sta…	15	12	$93.73	$93.73	$32,453.08	$60,906.17	$60,906.17	2026-05-24
6313	OTHER	Screw Bone Lcp 7.3/8.2x55mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…	15	12	$687.83	$687.83	$31,786.18	$59,572.36	$59,572.36	2026-05-24
6804	OTHER	Screw Bone Lcp 2.7/5x24mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H…	15	12	$133.00	$133.00	$31,016.22	$58,032.45	$58,032.45	2026-05-24
4403	OTHER	Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	15	12	$82.55	$82.55	$30,892.34	$57,784.68	$57,784.68	2026-05-24
6123	OTHER	Wire Bone Fixat 0.9mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns	12	9	$7.38	$7.38	$30,741.83	$57,483.65	$57,483.65	2026-05-24
4414	OTHER	Screw Spinal Expedium 6x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$1,976.25	$1,976.25	$29,853.77	$55,707.54	$55,707.54	2026-05-24
9114	OTHER	Plate Bone Lorenz 8-hole 0.6mm Curve Ti Silver F/1.5mm Screw Orbital Ns	15	12	$745.00	$745.00	$29,523.22	$55,046.43	$55,046.43	2026-05-24
1204	OTHER	Suture Nylon Ethilon 4-0 18in 3/8 Circ Fs-2 Revers Cut Pliabilized Black 1 Stran…	12	9	$4.78	$4.78	$29,362.85	$54,725.71	$54,725.71	2026-05-24
1603	OTHER	Guidewire Ortho 1.25mm 150mm Thread Single-end Trocar Point Cobalt Ss F/3.5/4mm …	12	9	$81.88	$81.88	$29,307.28	$54,614.56	$54,614.56	2026-05-24
9124	OTHER	Plate Bone Lorenz Reg 49mm 8-hole Ti Silver F/2mm Screw Cranfac	15	12	$1,207.50	$1,207.50	$28,651.37	$53,302.74	$53,302.74	2026-05-24
8504	OTHER	Screw Spinal Expedium 6x80mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T…	15	12	$1,750.00	$1,750.00	$27,873.31	$51,746.63	$51,746.63	2026-05-24
7404	OTHER	Hook Spinal Cd Horizon Solera Lg Narrow Blade Ti Medial F/5.5mm Rod Ns	15	12	$1,450.00	$1,450.00	$27,863.47	$51,726.95	$51,726.95	2026-05-24
2204	OTHER	Guidewire Ortho 1.25mm 150mm Non-threaded Cobalt Ss Ns	12	9	$76.43	$76.43	$27,796.32	$51,592.64	$51,592.64	2026-05-24
3032	OTHER	Suture Ethibond Excel 3-0 18in 1/2 Circ Sh Ctrl Release Taper Point Green 8 Stra…	12	9	$28.28	$28.28	$27,275.88	$50,551.75	$50,551.75	2026-05-24
6814	OTHER	Screw Bone Lcp 3.5/6x50mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	15	12	$82.55	$82.55	$27,205.25	$50,410.50	$50,410.50	2026-05-24
6302	OTHER	Screw Bone Lcp 4/5x18mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…	15	12	$597.50	$597.50	$27,002.63	$50,005.26	$50,005.26	2026-05-24
6954	OTHER	Screw Bone Pro-pak 4.5x36mm Cannul Compress Headless 14mm Long/dual Lead Thread	15	12	$962.15	$962.15	$26,750.22	$49,500.45	$49,500.45	2026-05-24
6344	OTHER	Endcap Spinal Veptr Ii Sm Hook Extend Ti Thoracolum Rib Ns	15	12	$3,507.75	$3,507.75	$26,655.86	$49,311.72	$49,311.72	2026-05-24
4402	OTHER	Screw Bone Lcp 3.5/6x16mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	15	12	$82.55	$82.55	$26,139.47	$48,278.95	$48,278.95	2026-05-24
3124	OTHER	Dressing Biological E-z Derm Adherent 3x4in Patch Porcine Xenograft Strl 10/ca	15	12	$653.60	$653.60	$25,805.44	$47,610.88	$47,610.88	2026-05-24
6071	OTHER	Screw Bone Expert 4/3.3x58mm Cannul Compress Lck Fully/dual Lead Thread Self-tap…	15	12	$490.28	$490.28	$25,438.99	$46,877.98	$46,877.98	2026-05-24
7924	OTHER	Kit Catheter Intrathecal Ascenda Indura 4-layer Sutureless Pump Conn 2-attached …	12	9	$500.00	$500.00	$25,130.43	$46,260.86	$46,260.86	2026-05-24
2644	OTHER	Kit Instrument Maxillofacial Splint Planning Pt Specific Proplan Trumatch F/orth…	12	9	$12,140.00	$12,140.00	$24,332.11	$44,664.22	$44,664.22	2026-05-24
3214	OTHER	Drain Wound Hemovac 15frx3/16in Round 4-channel Full Flute F/closed Suction W/tr…	12	9	$32.70	$32.70	$24,141.65	$44,283.29	$44,283.29	2026-05-24
4401	OTHER	Screw Bone Lcp 3.5/6x14mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	15	12	$82.55	$82.55	$23,730.62	$43,461.24	$43,461.24	2026-05-24
3031	OTHER	Suture Deknatel Tevdek 4-0 30in 1/2 Circ T-3 Dbl-arm Taper Needle Point Green 7-…	12	9	$8.73	$8.73	$23,581.26	$43,162.52	$43,162.52	2026-05-24
6122	OTHER	Wire Bone Fixat 0.7mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns	12	9	$7.38	$7.38	$23,122.19	$42,244.37	$42,244.37	2026-05-24
2324	OTHER	Allograft Human Tissue Readigraft Cryoskin 1.5:1 Meshed 154sqcm Skin Cryopreserv…	15	12	$763.00	$763.00	$23,052.13	$42,104.27	$42,104.27	2026-05-24
7104	OTHER	Screw Spinal Expedium 4.35x25mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle S…	15	12	$1,750.00	$1,750.00	$22,661.95	$41,323.90	$41,323.90	2026-05-24
0062	OTHER	Pancreas Transplant	21	18	—	—	$41,052.82	$78,105.65	$41,052.82	2026-05-24
6144	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	21	18	—	—	$40,981.04	$77,962.08	$40,981.04	2026-05-24
0021	OTHER	Heart And/or Lung Transplant	21	18	—	—	$40,927.78	$77,855.56	$40,927.78	2026-05-24
4474	OTHER	Screw Bone Eight-plate 4.5x32mm Cannul Solid Cortic Ti Blue F/guided Growth Syst…	15	12	$329.00	$329.00	$22,280.44	$40,560.89	$40,560.89	2026-05-24
6021	OTHER	Screw Bone Lcp 4.5/6.5x64mm Cannul Compress Lck Full Thread Self-drilling/tappin…	15	12	$508.00	$508.00	$22,011.25	$40,022.50	$40,022.50	2026-05-24
7114	OTHER	Screw Spinal Expedium 4.35x35mm Lck Polyaxial Thread Dual Lead Pedicle Ti Taper …	15	12	$1,750.00	$1,750.00	$21,822.53	$39,645.05	$39,645.05	2026-05-24
0071	OTHER	Allogeneic Bone Marrow Transplant	21	18	—	—	$39,516.39	$75,032.78	$39,516.39	2026-05-24
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	21	18	—	—	$39,236.20	$74,472.40	$39,236.20	2026-05-24
4424	OTHER	Screw Spinal Expedium 6x45mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pedic…	15	12	$1,750.00	$1,750.00	$21,508.17	$39,016.35	$39,016.35	2026-05-24
8633	OTHER	Screw Bone Pediloc 3.5x65mm Cannul Lck Full Thread Self-tap Cortic Ss T15 Hexalo…	15	12	$813.45	$813.45	$21,377.92	$38,755.84	$38,755.84	2026-05-24
6504	OTHER	Rod Extern Fixat Ilizarov 80mm Thread Slot Ss Foot Ankle F/small Bone System Ns	12	9	$719.00	$719.00	$21,317.72	$38,635.43	$38,635.43	2026-05-24
0012	OTHER	Liver Transplant And/or Intestinal Transplant	21	18	—	—	$38,559.45	$73,118.90	$38,559.45	2026-05-24
1784	OTHER	External Heart Assist Devices	21	18	—	—	$38,551.35	$73,102.69	$38,551.35	2026-05-24
0011	OTHER	Liver Transplant And/or Intestinal Transplant	21	18	—	—	$38,310.52	$72,621.04	$38,310.52	2026-05-24
4444	OTHER	Screw Spinal Expedium 6x30mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$1,750.00	$1,750.00	$21,003.94	$38,007.89	$38,007.89	2026-05-24
9514	OTHER	Hook Spinal Expedium Isola 8mm Close Wide Blade Ti Pedicle F/5.5mm Rod Ns	15	12	$1,450.00	$1,450.00	$20,922.32	$37,844.64	$37,844.64	2026-05-24
1673	OTHER	Expander Tissue Softspan 3.6x4.1cm 3.6-4cm Lo-pro 30-60ml Silicone Smooth Lg Rem…	15	12	$1,750.00	$1,750.00	$20,787.43	$37,574.86	$37,574.86	2026-05-24
1303	OTHER	Wire Bone Fixat 1.6x150mm Kirschner Temp Trocar Point Ss Ns F/hand Surg	12	9	$22.98	$22.98	$20,716.81	$37,433.61	$37,433.61	2026-05-24
2244	OTHER	Suture Silk Sofsilk 2-0 18in 3/8 Circ C-15 Revers Cut Black Ss-685g Wax Coat Bra…	12	9	$30.15	$30.15	$20,712.75	$37,425.50	$37,425.50	2026-05-24
1704	OTHER	Guidewire Ortho 2.8mm 450mm Thread Trocar Tip Cobalt Ss F/6.5/7.3mm Cannul Screw…	12	9	$215.63	$215.63	$20,173.21	$36,346.41	$36,346.41	2026-05-24
5124	OTHER	Tray Needle Epidural Tuohy Contin Anesth Perifix 18ga 2in Ped Wing W/25ga Ndl 20…	12	9	$71.80	$71.80	$20,132.10	$36,264.21	$36,264.21	2026-05-24
0042	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	21	18	—	—	$36,088.07	$68,176.15	$36,088.07	2026-05-24
1654	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	21	18	—	—	$36,057.39	$68,114.79	$36,057.39	2026-05-24
0093	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	21	18	—	—	$36,034.82	$68,069.63	$36,034.82	2026-05-24
6083	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	21	18	—	—	$35,711.78	$67,423.56	$35,711.78	2026-05-24
1693	OTHER	Suture Polysorb 4-0 30in 1/2 Circ Cv-22 Taper Point Undyed Gl-884 Coat Braid Lac…	12	9	$31.85	$31.85	$19,734.97	$35,469.94	$35,469.94	2026-05-24
6312	OTHER	Screw Bone Lcp 7.3/8.2x100mm Cannul Compress Lck 16mm Thread Self-drilling/tappi…	15	12	$797.50	$797.50	$19,649.29	$35,298.58	$35,298.58	2026-05-24
9103	OTHER	Plate Bone Lorenz Long 2/2-hole 1mm L-shaped Ti Silver F/2mm Screw Lt Maxillofac…	15	12	$547.50	$547.50	$19,583.29	$35,166.59	$35,166.59	2026-05-24
9524	OTHER	Hook Spinal Expedium Isola 8mm Open Wide Blade Ti Pedicle F/5.5mm Rod Ns	15	12	$1,450.00	$1,450.00	$19,556.67	$35,113.33	$35,113.33	2026-05-24
6924	OTHER	Nail IM Fassier-duval 4mm Std 333mm Short Thread Femur Ss F/osteogenesis Imperfe…	15	12	$6,187.50	$6,187.50	$19,367.36	$34,734.72	$34,734.72	2026-05-24
8412	OTHER	Screw Spinal Expedium 6x55mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$2,000.00	$2,000.00	$19,309.47	$34,618.94	$34,618.94	2026-05-24
1744	OTHER	Rod Extern Fixat 4x100mm Connecting Carbon Fiber Dist Radial F/small Fixator Sys…	12	9	$115.50	$115.50	$19,257.37	$34,514.73	$34,514.73	2026-05-24
4434	OTHER	Screw Spinal Expedium 5x30mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$1,750.00	$1,750.00	$19,245.21	$34,490.42	$34,490.42	2026-05-24
6134	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	21	18	—	—	$34,482.75	$64,965.50	$34,482.75	2026-05-24
7934	OTHER	Screw Bone Lcp 2.7/5x28mm Compress Lck Full Thread Self-tap Cortic Ss T8 Stardri…	15	12	$105.63	$105.63	$19,211.63	$34,423.27	$34,423.27	2026-05-24
3044	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	21	18	—	—	$33,973.89	$63,947.78	$33,973.89	2026-05-24
4234	OTHER	Suture Monocryl 4-0 27in 1/2 Circ V-20 Sh Single-arm Taper Point Ethalloy Undyed…	12	9	$13.75	$13.75	$18,916.97	$33,833.93	$33,833.93	2026-05-24
1794	OTHER	Defibrillator Implants	21	18	—	—	$33,717.43	$63,434.86	$33,717.43	2026-05-24
0053	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	21	18	—	—	$33,531.02	$63,062.04	$33,531.02	2026-05-24
3224	OTHER	Allograft Human Tissue Frz-dry Rt Patellar Ligament	15	12	$1,312.50	$1,312.50	$18,661.08	$33,322.17	$33,322.17	2026-05-24
1623	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	21	18	—	—	$32,965.43	$61,930.85	$32,965.43	2026-05-24
3204	OTHER	Allograft Human Tissue 1:1 Meshed 103sqcm Cryopreserv Skin	15	12	$437.50	$437.50	$18,442.84	$32,885.68	$32,885.68	2026-05-24
8423	OTHER	Hook Spinal Expedium 10mm Lt Offst Ss Pedicle F/5.5mm Rod Ns	15	12	$1,375.00	$1,375.00	$18,380.90	$32,761.79	$32,761.79	2026-05-24
0041	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	21	18	—	—	$32,615.76	$61,231.52	$32,615.76	2026-05-24
1664	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	21	18	—	—	$32,481.46	$60,962.91	$32,481.46	2026-05-24
3624	OTHER	Expander Tissue Softspan 10.8cm 5-6.4cm Lo-pro 320-380ml Silicone Smooth Remote …	15	12	$1,662.50	$1,662.50	$18,099.54	$32,199.09	$32,199.09	2026-05-24
0914	OTHER	Other Major Head And Neck Procedures	21	18	—	—	$32,175.21	$60,350.42	$32,175.21	2026-05-24
7524	OTHER	Plate Bone Lcp 17.5x170mm 9-hole 5.2mm Broad Curve Pre-contoured Compress Lck Ss…	15	12	$1,643.88	$1,643.88	$18,018.49	$32,036.99	$32,036.99	2026-05-24
0083	OTHER	Autologous Bone Marrow Transplant	21	18	—	—	$31,561.56	$59,123.12	$31,561.56	2026-05-24
1302	OTHER	Guidewire Ortho 3.2mm 400mm Thread Ti F/femoral Tibial Nail Ns	12	9	$248.98	$248.98	$17,754.51	$31,509.02	$31,509.02	2026-05-24
6113	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	21	18	—	—	$31,382.10	$58,764.20	$31,382.10	2026-05-24
6803	OTHER	Screw Bone Lcp 2.7/5x22mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H…	15	12	$137.00	$137.00	$17,624.26	$31,248.51	$31,248.51	2026-05-24
1694	OTHER	Major Abdominal Vascular Procedures	21	18	—	—	$31,103.06	$58,206.13	$31,103.06	2026-05-24
1314	OTHER	Clip Inter Ligaclip Endo Nonabsorbable Open Sgl Med 3.2mm Extra Ligat Silver Ti …	12	9	$1.25	$1.25	$17,535.68	$31,071.36	$31,071.36	2026-05-24
1301	OTHER	Guidewire Ortho 1.1mm 150mm Non-threaded Single-end Spade Point Ss F/3mm Cannul …	12	9	$76.43	$76.43	$17,491.10	$30,982.21	$30,982.21	2026-05-24
6404	OTHER	Kit Central Venous Catheter Dual Lumen With Blue Flextip Arrowg+ard 7frx16cm Ak-…	12	9	$21.35	$21.35	$17,208.60	$30,417.19	$30,417.19	2026-05-24
8411	OTHER	Screw Spinal Expedium 5x50mm Polyaxial 1-innie Pedicle Ss Thoracolum Extend Tab …	15	12	$2,000.00	$2,000.00	$17,206.86	$30,413.72	$30,413.72	2026-05-24
2604	OTHER	Major Pancreas, Liver And Shunt Procedures	21	18	—	—	$30,393.90	$56,787.79	$30,393.90	2026-05-24
1783	OTHER	External Heart Assist Devices	21	18	—	—	$30,063.92	$56,127.83	$30,063.92	2026-05-24
6224	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	21	18	—	—	$30,037.87	$56,075.73	$30,037.87	2026-05-24
6133	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	21	18	—	—	$29,989.81	$55,979.63	$29,989.81	2026-05-24
0894	OTHER	Major Cranial Or Facial Bone Procedures	21	18	—	—	$29,758.83	$55,517.66	$29,758.83	2026-05-24
0061	OTHER	Pancreas Transplant	21	18	—	—	$28,770.63	$53,541.26	$28,770.63	2026-05-24
0234	OTHER	Spinal Procedures	21	18	—	—	$28,672.22	$53,344.43	$28,672.22	2026-05-24
0924	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	21	18	—	—	$28,542.53	$53,085.07	$28,542.53	2026-05-24
3164	OTHER	Guide Spring Wire Component Straight Soft Tip On One End J Tip On Other Marked A…	12	9	$30.00	$30.00	$16,158.45	$28,316.90	$28,316.90	2026-05-24
4413	OTHER	Screw Spinal Expedium 6x35mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$2,000.00	$2,000.00	$16,115.61	$28,231.22	$28,231.22	2026-05-24
0214	OTHER	Open Craniotomy Except Trauma	21	18	—	—	$28,227.61	$52,455.22	$28,227.61	2026-05-24
3084	OTHER	Rod Extern Fixat 4x140mm Connecting Carbon Fiber Dist Radial F/small Fixator Sys…	12	9	$158.40	$158.40	$16,045.57	$28,091.13	$28,091.13	2026-05-24
9123	OTHER	Plate Bone Lorenz Reg 32mm 8-hole Strt Ti Silver F/1.5mm Screw Midface Ns	15	12	$945.00	$945.00	$15,974.35	$27,948.71	$27,948.71	2026-05-24
6333	OTHER	Screw Bone Lcp 3.5/6x18mm Compress Lck Self-tap Var Ang Lo-pro Cortic Ss T15 Sta…	15	12	$93.73	$93.73	$15,945.99	$27,891.98	$27,891.98	2026-05-24
6301	OTHER	Screw Bone Lcp 4/5x42mm Cannul Compress Lck 1/3 Short Thread Self-drilling/tappi…	15	12	$521.33	$521.33	$15,908.36	$27,816.72	$27,816.72	2026-05-24
6092	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	21	18	—	—	$27,228.99	$50,457.97	$27,228.99	2026-05-24
1653	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	21	18	—	—	$27,150.26	$50,300.51	$27,150.26	2026-05-24
1633	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	21	18	—	—	$27,002.05	$50,004.10	$27,002.05	2026-05-24
1833	OTHER	Percutaneous Structural Cardiac Procedures	21	18	—	—	$26,676.71	$49,353.41	$26,676.71	2026-05-24
9304	OTHER	Screw Spinal Expedium 5x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$2,000.00	$2,000.00	$15,338.13	$26,676.26	$26,676.26	2026-05-24
6514	OTHER	Other Procedures Of Blood And Blood-forming Organs	21	18	—	—	$26,508.24	$49,016.48	$26,508.24	2026-05-24
0052	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	21	18	—	—	$26,467.72	$48,935.43	$26,467.72	2026-05-24
1672	OTHER	Suture Pds Plus 6-0 Tf Taper Point Monofilament Violet 27in	12	9	$8.35	$8.35	$15,195.14	$26,390.28	$26,390.28	2026-05-24
6503	OTHER	Rod Extern Fixat Ilizarov 200mm Thread Ss Tibial Foot Ankle F/large Bone System …	12	9	$136.63	$136.63	$15,122.20	$26,244.40	$26,244.40	2026-05-24
9113	OTHER	Plate Bone Lorenz 6-hole Curve Ti Silver F/2mm Screw Orbital	15	12	$595.00	$595.00	$15,103.09	$26,206.19	$26,206.19	2026-05-24
0204	OTHER	Open Craniotomy For Trauma	21	18	—	—	$26,191.58	$48,383.15	$26,191.58	2026-05-24
0274	OTHER	Other Open Craniotomy	21	18	—	—	$26,188.68	$48,377.36	$26,188.68	2026-05-24
1622	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	21	18	—	—	$26,159.15	$48,318.31	$26,159.15	2026-05-24
6143	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	21	18	—	—	$26,031.22	$48,062.43	$26,031.22	2026-05-24
1304	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	21	18	—	—	$25,873.17	$47,746.35	$25,873.17	2026-05-24
1782	OTHER	External Heart Assist Devices	21	18	—	—	$25,767.81	$47,535.62	$25,767.81	2026-05-24
6604	OTHER	Rod Extern Fixat Ilizarov 40mm Thread Slot Ss Sm Bone Ns	12	9	$629.20	$629.20	$14,873.26	$25,746.53	$25,746.53	2026-05-24
2304	OTHER	Major Small Bowel Procedures	21	18	—	—	$25,634.08	$47,268.16	$25,634.08	2026-05-24
0092	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	21	18	—	—	$25,456.35	$46,912.71	$25,456.35	2026-05-24
6082	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	21	18	—	—	$25,415.26	$46,830.51	$25,415.26	2026-05-24
1814	OTHER	Lower Extremity Vascular Procedures	21	18	—	—	$25,364.89	$46,729.78	$25,364.89	2026-05-24
1764	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	21	18	—	—	$25,227.10	$46,454.21	$25,227.10	2026-05-24
9102	OTHER	Plate Bone Lorenz Med 15mm 2/2-hole L-shaped Ti Silver F/1.5mm Screw Rt Midface	15	12	$740.00	$740.00	$14,590.75	$25,181.51	$25,181.51	2026-05-24
6904	OTHER	Acute Leukemia	21	18	—	—	$25,143.17	$46,286.33	$25,143.17	2026-05-24
458	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication…	17	15	—	—	$10,000.00	$46,271.69	$25,135.85	2026-05-24
1743	OTHER	Clamp Extern Fixat 9mm Sm 4mm Combo Carbon Fiber Dist Radial F/fixator System Mr…	12	9	$1,036.80	$1,036.80	$14,560.66	$25,121.31	$25,121.31	2026-05-24
6813	OTHER	Screw Bone Lcp 3.5/6x44mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…	15	12	$82.55	$82.55	$14,529.97	$25,059.94	$25,059.94	2026-05-24
6964	OTHER	Screw Bone Lcp 5/4.4x22mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec…	15	12	$393.68	$393.68	$14,491.76	$24,983.53	$24,983.53	2026-05-24
0051	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	21	18	—	—	$24,913.92	$45,827.83	$24,913.92	2026-05-24
4034	OTHER	Procedures For Obesity	21	18	—	—	$24,818.97	$45,637.95	$24,818.97	2026-05-24
1793	OTHER	Defibrillator Implants	21	18	—	—	$24,733.88	$45,467.75	$24,733.88	2026-05-24
2614	OTHER	Major Biliary Tract Procedures	21	18	—	—	$24,724.03	$45,448.07	$24,724.03	2026-05-24
0082	OTHER	Autologous Bone Marrow Transplant	21	18	—	—	$24,612.88	$45,225.76	$24,612.88	2026-05-24
9504	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	21	18	—	—	$24,438.05	$44,876.10	$24,438.05	2026-05-24
5114	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	21	18	—	—	$24,296.79	$44,593.59	$24,296.79	2026-05-24
8503	OTHER	Screw Spinal Expedium 6x75mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T…	15	12	$1,750.00	$1,750.00	$14,110.84	$24,221.68	$24,221.68	2026-05-24
0304	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	21	18	—	—	$24,118.49	$44,236.98	$24,118.49	2026-05-24
3043	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	21	18	—	—	$24,095.92	$44,191.83	$24,095.92	2026-05-24
7923	OTHER	Screw Bone Pro-pak 3/2x34mm Cannul Compress Headless 14mm Long Thread Self-drill…	15	12	$889.83	$889.83	$13,903.01	$23,806.02	$23,806.02	2026-05-24
6213	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	21	18	—	—	$23,583.58	$43,167.15	$23,583.58	2026-05-24
3814	OTHER	Prosthesis Testicular Torosa Med 2.7x4cm 16ml Saline-filled Slf-seal Inject Port…	15	12	$6,365.00	$6,365.00	$13,791.28	$23,582.56	$23,582.56	2026-05-24
8154	OTHER	Screw Spinal Click X 7x60mm Monoaxial Pedicle Ti Post Ns	15	12	$1,500.00	$1,500.00	$13,754.23	$23,508.46	$23,508.46	2026-05-24
1621	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	21	18	—	—	$23,463.74	$42,927.48	$23,463.74	2026-05-24
6614	OTHER	Nut Extern Fixat Ilizarov 6x10mm 5mm 4-hole Hex Head Ss Ankle Foot Sm Bone Ns Re…	12	9	$24.90	$24.90	$13,670.28	$23,340.57	$23,340.57	2026-05-24
0224	OTHER	Ventricular Shunt Procedures	21	18	—	—	$23,251.28	$42,502.56	$23,251.28	2026-05-24
1832	OTHER	Percutaneous Structural Cardiac Procedures	21	18	—	—	$23,213.65	$42,427.30	$23,213.65	2026-05-24
7103	OTHER	Screw Spinal Expedium 6x45mm Lck Dual Lead Monoaxial Thread 1-innie Ss Taper Pos…	15	12	$1,625.00	$1,625.00	$13,590.98	$23,181.95	$23,181.95	2026-05-24
4054	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	21	18	—	—	$23,129.13	$42,258.26	$23,129.13	2026-05-24
2314	OTHER	Major Large Bowel Procedures	21	18	—	—	$23,114.08	$42,228.16	$23,114.08	2026-05-24
4423	OTHER	Screw Spinal Expedium 6x40mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pedic…	15	12	$1,750.00	$1,750.00	$13,548.72	$23,097.43	$23,097.43	2026-05-24
7244	OTHER	Plate Bone Pediplates 20mm H-shaped Cortic Ss Cntr Hole Femur F/4.5mm Screw Ped …	15	12	$1,695.00	$1,695.00	$13,523.82	$23,047.64	$23,047.64	2026-05-24
1313	OTHER	Tube Endobronch Shiley Broncho-cath 35fr 4.8x11.7mm Std 420mm Lt Curve Dist Tip …	12	9	$203.78	$203.78	$13,501.25	$23,002.49	$23,002.49	2026-05-24
1602	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	21	18	—	—	$22,876.72	$41,753.45	$22,876.72	2026-05-24
1824	OTHER	Other Peripheral Vascular And Related Procedures	21	18	—	—	$22,785.26	$41,570.51	$22,785.26	2026-05-24
2243	OTHER	Implant Biological Tissue Biomend 15x20mm Membrane Collagen Resorb Bioabsorbable	15	12	$228.00	$228.00	$13,321.20	$22,642.41	$22,642.41	2026-05-24
1652	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	21	18	—	—	$22,620.26	$41,240.53	$22,620.26	2026-05-24
3123	OTHER	Dressing Biological E-z Derm Roll 3x12in Porcine Xenograft Strl 4/ca	15	12	$222.95	$222.95	$13,285.31	$22,570.62	$22,570.62	2026-05-24
1663	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	21	18	—	—	$22,550.22	$41,100.44	$22,550.22	2026-05-24
4044	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	21	18	—	—	$22,312.28	$40,624.57	$22,312.28	2026-05-24
1781	OTHER	External Heart Assist Devices	21	18	—	—	$22,269.44	$40,538.89	$22,269.44	2026-05-24
1632	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	21	18	—	—	$22,161.19	$40,322.38	$22,161.19	2026-05-24
1214	OTHER	Other Respiratory And Chest Procedures	21	18	—	—	$22,062.78	$40,125.55	$22,062.78	2026-05-24
4412	OTHER	Screw Bone Lcp 4.5/8x30mm Compress Lck Full Thread Self-drilling/tapping Cortic …	15	12	$94.18	$94.18	$13,009.17	$22,018.34	$22,018.34	2026-05-24
9503	OTHER	Connector Extern Fixat Long 50mm Extend Ilizarov Taylor Spatial Frame	12	9	$371.25	$371.25	$12,943.75	$21,887.50	$21,887.50	2026-05-24
7724	OTHER	Plate Bone Lcp 140mm 9-hole 130deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scr…	15	12	$2,791.60	$2,791.60	$12,940.86	$21,881.72	$21,881.72	2026-05-24
1831	OTHER	Percutaneous Structural Cardiac Procedures	21	18	—	—	$21,825.42	$39,650.84	$21,825.42	2026-05-24
7594	OTHER	Plate Bone Lcp 79mm 3-hole 130deg Pre-contoured Compress Lck Ss Hip F/5mm Screw …	15	12	$2,493.40	$2,493.40	$12,910.17	$21,820.35	$21,820.35	2026-05-24
4014	OTHER	Adrenal Procedures	21	18	—	—	$21,817.31	$39,634.63	$21,817.31	2026-05-24
7514	OTHER	Screw Bone Lcp 7.3/8.2x125mm Cannul Compress Lck 16mm Thread Self-drilling/tappi…	15	12	$812.50	$812.50	$12,884.70	$21,769.41	$21,769.41	2026-05-24
2233	OTHER	Allograft Human Tissue =5mm Saline Costal Cartilage Structur	15	12	$1,000.00	$1,000.00	$12,859.81	$21,719.62	$21,719.62	2026-05-24
6234	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	21	18	—	—	$21,694.01	$39,388.01	$21,694.01	2026-05-24
8904	OTHER	Post Fixat 4.5x42.5mm Self-tap Lo-pro Reconstruct Ti Bicortical F/collateral Lig…	15	12	$357.50	$357.50	$12,765.45	$21,530.90	$21,530.90	2026-05-24
0294	OTHER	Other Percutaneous Intracranial Procedures	21	18	—	—	$21,406.29	$38,812.58	$21,406.29	2026-05-24
0264	OTHER	Other Nervous System And Related Procedures	21	18	—	—	$21,322.35	$38,644.69	$21,322.35	2026-05-24
1754	OTHER	Percutaneous Cardiac Intervention Without Ami	21	18	—	—	$21,304.40	$38,608.80	$21,304.40	2026-05-24
1792	OTHER	Defibrillator Implants	21	18	—	—	$21,299.19	$38,598.38	$21,299.19	2026-05-24
7504	OTHER	Screw Bone Lcp 4/5x42mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…	15	12	$542.75	$542.75	$12,592.93	$21,185.86	$21,185.86	2026-05-24
3054	OTHER	Amputation Of Lower Limb Except Toes	21	18	—	—	$21,183.40	$38,366.81	$21,183.40	2026-05-24
7113	OTHER	Screw Spinal Expedium 5x40mm Lck Polyaxial Thread Dual Lead Pedicle Ti Taper Blu…	15	12	$1,750.00	$1,750.00	$12,580.77	$21,161.55	$21,161.55	2026-05-24
6513	OTHER	Hinge Extern Fixat Ilizarov Taylor Spatial Frame 90mm Thread Female Connecting S…	12	9	$334.95	$334.95	$12,528.67	$21,057.35	$21,057.35	2026-05-24
3094	OTHER	Other Significant Hip And Femur Surgery	21	18	—	—	$20,983.68	$37,967.36	$20,983.68	2026-05-24
6031	OTHER	Nail IM Fassier-duval 4mm Std 338mm Long Thread Femur Ss F/osteogenesis Imperfec…	15	12	$6,875.00	$6,875.00	$12,459.78	$20,919.56	$20,919.56	2026-05-24
3614	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	21	18	—	—	$20,815.22	$37,630.44	$20,815.22	2026-05-24
7534	OTHER	Wire Extern Fixat Truelok 1.8x400mm Bayonet Ss Without Stopper	15	12	$206.25	$206.25	$12,343.42	$20,686.84	$20,686.84	2026-05-24
2643	OTHER	Suture Silk Perma-hand 3-0 24in Ties Black 13 Strands/pk Sa74h Uni-direct Wax Co…	12	9	$5.93	$5.93	$12,316.21	$20,632.42	$20,632.42	2026-05-24
8444	OTHER	Screw Spinal Expedium 4.35x25mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pe…	15	12	$1,750.00	$1,750.00	$12,259.48	$20,518.96	$20,518.96	2026-05-24
9513	OTHER	Hook Spinal Expedium Isola 6.5mm Close Wide Blade Ti Pedicle F/5.5mm Rod Ns	15	12	$1,450.00	$1,450.00	$12,125.75	$20,251.50	$20,251.50	2026-05-24
2234	OTHER	Other Small And Large Bowel Procedures	21	18	—	—	$20,231.10	$36,462.19	$20,231.10	2026-05-24
8604	OTHER	Screw Spinal Expedium 5x25mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pedic…	15	12	$1,750.00	$1,750.00	$12,113.59	$20,227.19	$20,227.19	2026-05-24
0091	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	21	18	—	—	$20,224.73	$36,449.46	$20,224.73	2026-05-24
1631	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	21	18	—	—	$20,166.83	$36,333.67	$20,166.83	2026-05-24
1601	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	21	18	—	—	$20,165.10	$36,330.20	$20,165.10	2026-05-24
7214	OTHER	Half Pin Extern Fixat Ilizarov 6x150mm 55mm Thread Ss Hap Strl	15	12	$607.50	$607.50	$12,076.54	$20,153.08	$20,153.08	2026-05-24
2274	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	21	18	—	—	$20,121.10	$36,242.21	$20,121.10	2026-05-24
6132	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	21	18	—	—	$20,065.53	$36,131.06	$20,065.53	2026-05-24
9112	OTHER	Plate Bone Lorenz 6-hole 1mm Curve Ti Gold F/2mm Screw Orbital	15	12	$1,220.00	$1,220.00	$12,028.50	$20,056.99	$20,056.99	2026-05-24
6624	OTHER	Screw Bone Lcp 1.5x7mm Compress Lck Full Thread Std Cortic Ss Cruciform Recess H…	15	12	$93.75	$93.75	$12,015.75	$20,031.51	$20,031.51	2026-05-24
4443	OTHER	Screw Spinal Expedium 7x50mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…	15	12	$1,750.00	$1,750.00	$12,005.92	$20,011.83	$20,011.83	2026-05-24
0081	OTHER	Autologous Bone Marrow Transplant	21	18	—	—	$19,997.79	$35,995.59	$19,997.79	2026-05-24
6802	OTHER	Screw Bone Lcp 2.7/5x14mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H…	15	12	$133.00	$133.00	$11,989.12	$19,978.25	$19,978.25	2026-05-24
0244	OTHER	Open Extracranial Vascular Procedures	21	18	—	—	$19,938.74	$35,877.49	$19,938.74	2026-05-24
7754	OTHER	Screw Bone Lcp 2/3.5x16mm Compress Lck Full Thread Self-tap Cortic Ss Cruciform …	15	12	$147.08	$147.08	$11,893.60	$19,787.21	$19,787.21	2026-05-24
0504	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	21	18	—	—	$19,763.33	$35,526.67	$19,763.33	2026-05-24
0494	OTHER	Bacterial And Tuberculous Infections Of Nervous System	21	18	—	—	$19,670.71	$35,341.42	$19,670.71	2026-05-24
1651	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	21	18	—	—	$19,657.40	$35,314.79	$19,657.40	2026-05-24
1791	OTHER	Defibrillator Implants	21	18	—	—	$19,644.08	$35,288.16	$19,644.08	2026-05-24
7744	OTHER	Screw Bone Lcp 1.5/3x9mm Compress Lck Full Thread Self-tap Cortic Ss Cruciform R…	15	12	$149.98	$149.98	$11,779.56	$19,559.12	$19,559.12	2026-05-24
4844	OTHER	Other Male Reproductive System And Related Procedures	21	18	—	—	$19,549.14	$35,098.28	$19,549.14	2026-05-24
8502	OTHER	Screw Spinal Expedium 6x70mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T…	15	12	$1,750.00	$1,750.00	$11,769.72	$19,539.44	$19,539.44	2026-05-24
6343	OTHER	Endcap Spinal Veptr Ii Xlong Hook Ti Thoracolum Rib Ns	15	12	$3,507.75	$3,507.75	$11,751.77	$19,503.55	$19,503.55	2026-05-24
2424	OTHER	Expander Breast Natrelle 13x12cm 5.6cm 400ml Saline-filled Biocell Texture Magna…	15	12	$3,987.50	$3,987.50	$11,745.41	$19,490.81	$19,490.81	2026-05-24
5184	OTHER	Other Female Reproductive System And Related Procedures	21	18	—	—	$19,469.83	$34,939.65	$19,469.83	2026-05-24
6112	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	21	18	—	—	$19,401.51	$34,803.03	$19,401.51	2026-05-24
0213	OTHER	Open Craniotomy Except Trauma	21	18	—	—	$19,376.62	$34,753.25	$19,376.62	2026-05-24
9101	OTHER	Plate Bone Lorenz Med 2/2-hole 1mm L-shaped Ti Silver F/2mm Screw Rt Mandibular …	15	12	$617.50	$617.50	$11,685.20	$19,370.40	$19,370.40	2026-05-24
3203	OTHER	Expander Tissue Softspan 17x8cm 8-10.2cm Lo-pro 1000-1200ml Silicone Smooth Lg R…	15	12	$1,625.00	$1,625.00	$11,650.47	$19,300.93	$19,300.93	2026-05-24
1662	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	21	18	—	—	$19,281.10	$34,562.20	$19,281.10	2026-05-24
8434	OTHER	Screw Spinal Expedium 4.35x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap Un…	15	12	$2,000.00	$2,000.00	$11,590.25	$19,180.51	$19,180.51	2026-05-24
3134	OTHER	Knee And Lower Leg Procedures Except Foot	21	18	—	—	$19,125.96	$34,251.91	$19,125.96	2026-05-24
3212	OTHER	Chips Bone Graft 1.7-10mm Allograft Void Filler 15ml Frz-dry Morseliz Cancell Ea	15	12	$542.30	$542.30	$11,561.31	$19,122.62	$19,122.62	2026-05-24
6254	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	21	18	—	—	$19,081.38	$34,162.75	$19,081.38	2026-05-24
5144	OTHER	Female Reproductive System Reconstructive Procedures	21	18	—	—	$19,048.38	$34,096.76	$19,048.38	2026-05-24
4473	OTHER	Plate Bone Eight-plate 16mm 8-hole Ss Blue F/guided Growth System	15	12	$587.50	$587.50	$11,502.84	$19,005.68	$19,005.68	2026-05-24
5194	OTHER	Uterine And Adnexa Procedures For Leiomyoma	21	18	—	—	$18,909.44	$33,818.88	$18,909.44	2026-05-24
1914	OTHER	Suture Silk Perma-hand 3-0 30in 1/2 Circ Rb-1 Taper Point Ethalloy Black 1 Stran…	12	9	$5.10	$5.10	$11,443.79	$18,887.58	$18,887.58	2026-05-24
2202	OTHER	Suture Orthocord 2-0 Mo-6 Violet/blue	12	9	$182.30	$182.30	$11,425.84	$18,851.69	$18,851.69	2026-05-24
3222	OTHER	Allograft Bone Frozen Aseptic Achilles Tendon Ea	15	12	$3,625.00	$3,625.00	$11,391.11	$18,782.22	$18,782.22	2026-05-24
4433	OTHER	Catheter Urethral Cysto-care Folysil Foley 14frx16in 10ml Bln Male Strt Tip 2-wa…	12	9	$14.60	$14.60	$11,377.80	$18,755.59	$18,755.59	2026-05-24
1804	OTHER	Other Circulatory System Procedures	21	18	—	—	$18,716.67	$33,433.33	$18,716.67	2026-05-24
0734	OTHER	Orbit And Eye Procedures	21	18	—	—	$18,691.19	$33,382.38	$18,691.19	2026-05-24
0893	OTHER	Major Cranial Or Facial Bone Procedures	21	18	—	—	$18,645.46	$33,290.91	$18,645.46	2026-05-24

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