Hospital

TREASURE VALLEY HOSPITAL

Boise, ID · CCN 130063 · Rates published

9,000 distinct procedures filed

35 distinct payers

298,327 rate rows

2026-05-08 last MRF observed

Data quality

280,045 of 298,327 rate rows are consumer-grade (93.9%)

18,282 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	17,001
per-diem day rate — not a per-procedure price	788
template filing: same amount across many unrelated codes — excluded	474
exceeds 10× this hospital's gross charge — excluded from medians	19

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

Source MRF file	https://cdn.sanity.io/files/rlbzokv7/production/063a7fda12ee958c90577c83cec3c34abe54407c.csv
Found on page	https://treasurevalleyhospital.com/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	4c40d2f91a04066d… · 13,374,087 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$1,800.00	$585,737.40	$246,686.68	nat. median $386,529 0.6× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$1,800.00	$454,527.20	$236,337.60	nat. median $239,422 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	$1,800.00	$330,065.80	$176,489.24	nat. median $146,562 1.2× median
0100T OTHER	0100t Subconjunctival Retinal Prosthesis; Vitrectomy	5	$3,388.99	$336,579.30	$152,500.50	nat. median $10,612 outlier · 14.4×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	9	$1,800.00	$298,048.10	$142,753.76	nat. median $181,005 0.8× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	$1,800.00	$250,021.30	$128,563.05	nat. median $111,558 1.2× median
14 OTHER	Allogeneic Bone Marrow Transplant	9	$1,800.00	$200,425.20	$108,042.70	nat. median $100,915 1.1× median
3600408T OTHER	0408t Insert Permanent Cardiac Contractility Mod System: Pulse Generator, Transv…	28	$12,951.00	$114,612.98	$99,663.46	nat. median $99,663 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	9	$1,800.00	$186,142.70	$98,917.15	nat. median $134,983 0.7× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	9	$1,800.00	$160,402.90	$96,894.70	nat. median $94,894 1.0× median
48033264 OTHER	33264 Removal Of Icd, Replacement; Multiple Lead System	30	$12,647.30	$114,612.98	$95,178.61	nat. median $95,179 1.0× median
48033231 OTHER	33231 Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing…	30	$12,647.30	$114,612.98	$95,178.61	nat. median $95,179 1.0× median
7 OTHER	Lung Transplant	9	$1,800.00	$181,591.20	$90,949.10	nat. median $169,933 0.5× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	9	$1,800.00	$161,972.40	$88,750.20	nat. median $74,209 1.2× median
36033249 OTHER	33249 Insj/rplcmt Defib W/lead(s)	34	$12,951.00	$114,612.98	$87,205.53	nat. median $87,206 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	9	$1,800.00	$163,698.80	$74,953.84	nat. median $90,130 0.8× median
48093653 OTHER	Compre Ep Eval Abltj 3d Mapg Tx Svt	29	$11,741.00	$83,901.76	$72,958.06	nat. median $72,958 1.0× median
48093656 OTHER	Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	29	$11,741.00	$83,901.76	$72,958.06	nat. median $72,958 1.0× median
212 OTHER	Concomitant Aortic And Mitral Valve�procedures	6	$1,800.00	$113,092.35	$72,117.09	nat. median $90,581 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	9	$1,800.00	$133,250.50	$71,423.04	nat. median $74,989 1.0× median
215 OTHER	Other Heart Assist System Implant	9	$1,800.00	$174,999.20	$71,205.80	nat. median $92,359 0.8× median
3604048T OTHER	0408t Insert Permanent Cardiac Contractiblity Mod System; Pulse Generator, Trans…	28	$12,951.00	$81,771.44	$71,105.60	nat. median $71,106 1.0× median
48033230 OTHER	33230 Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing…	30	$12,647.30	$81,532.88	$67,707.74	nat. median $67,708 1.0× median
48033263 OTHER	33263 Removal Of Icd, Replacement; Dual Lead System	30	$12,647.30	$81,532.88	$67,707.74	nat. median $67,708 1.0× median
48033262 OTHER	33262 Removal Of Icd, Replacement; Single Lead System	30	$12,647.30	$81,532.88	$67,707.74	nat. median $67,708 1.0× median
453 OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	9	$1,800.00	$144,237.00	$66,259.95	nat. median $65,342 1.0× median
36069930 OTHER	69930 Implant Cochlear Device	34	$1,182.78	$79,178.88	$65,752.90	nat. median $65,753 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	$1,800.00	$134,820.00	$63,205.15	nat. median $76,493 0.8× median
36033240 OTHER	33240 Insrt Pulse Gen W/singl Lead	34	$12,951.00	$81,532.88	$62,035.89	nat. median $62,036 1.0× median
21 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	9	$1,800.00	$118,183.40	$57,895.63	nat. median $55,888 1.0× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	9	$1,800.00	$122,264.00	$57,459.23	nat. median $68,249 0.8× median
36033229 OTHER	33229 Remove And Replace Pacemaker	30	$5,817.62	$66,717.57	$55,404.59	nat. median $55,405 1.0× median
48033221 OTHER	33221 Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads	30	$5,817.62	$66,717.57	$55,404.59	nat. median $55,405 1.0× median
48093654 OTHER	93654 Ep Evaluation, Catheter Ablation	29	$11,741.00	$62,926.16	$54,718.40	nat. median $54,718 1.0× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	9	$1,800.00	$126,344.80	$54,622.63	nat. median $72,612 0.8× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	7	$1,800.00	$104,528.70	$53,521.86	nat. median $61,133 0.9× median
360C9607 OTHER	C9607 Perc Coronary Revasc Of Chronic Total Occlusion W Drug-eluting Stents	29	$6,933.90	$61,377.85	$53,372.04	nat. median $53,372 1.0× median
48092933 OTHER	92933 Perc Coronary Atherectomy & Stents W Angio Single Major Coronary Artery Or…	29	$6,980.86	$61,377.85	$53,372.04	nat. median $53,372 1.0× median
48036836 OTHER	36836 Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Single Acces…	26	$10,245.04	$61,377.85	$53,372.04	nat. median $53,372 1.0× median
228 OTHER	Other Cardiothoracic Procedures With Mcc	9	$1,800.00	$97,465.95	$52,906.35	nat. median $48,497 1.1× median
36033274 OTHER	33274 Leadless Pacemaker Insertion; Imaging Guided	29	$12,213.00	$61,377.85	$52,171.17	nat. median $52,171 1.0× median
48036906 OTHER	36906 Percutaneous Thrombectomy And/or Infusion For Thrombolysis, Dialysis Circu…	29	$11,068.54	$61,377.85	$52,171.17	nat. median $52,171 1.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	8	$1,800.00	$116,456.90	$51,888.21	nat. median $68,309 0.8× median
834 OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	9	$1,800.00	$94,954.75	$51,002.10	nat. median $47,300 1.1× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	9	$1,800.00	$105,470.40	$50,040.44	nat. median $50,271 1.0× median
36038240 OTHER	38240 Transplt Allo Hct/donor	8	$2,787.47	$74,964.34	$50,028.25	nat. median $50,028 1.0× median
653 OTHER	Major Bladder Procedures With Mcc	9	$1,800.00	$85,380.80	$49,531.31	nat. median $54,646 0.9× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	9	$1,800.00	$100,761.90	$48,949.45	nat. median $54,564 0.9× median
36022802 OTHER	22802 Post Fusion 7-12 Vert Seg	26	$9,500.05	$56,120.00	$48,800.00	nat. median $48,800 1.0× median
36022630 OTHER	22630 Lumbar Spine Fusion	29	$6,939.88	$56,120.00	$48,800.00	nat. median $48,800 1.0× median

Other procedures at this hospital

Browse this hospital's 9,000 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	7	—	—	$1,800.00	$585,737.40	$246,686.68	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	9	—	—	$1,800.00	$454,527.20	$236,337.60	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	8	—	—	$1,800.00	$330,065.80	$176,489.24	2026-05-08
0100T	OTHER	0100t Subconjunctival Retinal Prosthesis; Vitrectomy	5	5	—	$4,983.81	$3,388.99	$336,579.30	$152,500.50	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	11	9	—	—	$1,800.00	$298,048.10	$142,753.76	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	11	9	—	—	$1,800.00	$250,021.30	$128,563.05	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	11	9	—	—	$1,800.00	$200,425.20	$108,042.70	2026-05-08
3600408T	OTHER	0408t Insert Permanent Cardiac Contractility Mod System: Pulse Generator, Transv…	33	28	$124,579.33	—	$12,951.00	$114,612.98	$99,663.46	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	11	9	—	—	$1,800.00	$186,142.70	$98,917.15	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	11	9	—	—	$1,800.00	$160,402.90	$96,894.70	2026-05-08
48033231	OTHER	33231 Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing…	35	30	$124,579.33	$18,598.97 85% off	$12,647.30	$114,612.98	$95,178.61	2026-05-08
48033264	OTHER	33264 Removal Of Icd, Replacement; Multiple Lead System	35	30	$124,579.33	$18,598.97 85% off	$12,647.30	$114,612.98	$95,178.61	2026-05-08
7	OTHER	Lung Transplant	11	9	—	—	$1,800.00	$181,591.20	$90,949.10	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	11	9	—	—	$1,800.00	$161,972.40	$88,750.20	2026-05-08
36033249	OTHER	33249 Insj/rplcmt Defib W/lead(s)	39	34	$124,579.33	$54,228.54 56% off	$12,951.00	$114,612.98	$87,205.53	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	9	—	—	$1,800.00	$163,698.80	$74,953.84	2026-05-08
48093656	OTHER	Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	33	29	$91,197.57	$29,489.29 68% off	$11,741.00	$83,901.76	$72,958.06	2026-05-08
48093653	OTHER	Compre Ep Eval Abltj 3d Mapg Tx Svt	33	29	$91,197.57	$29,489.29 68% off	$11,741.00	$83,901.76	$72,958.06	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve�procedures	7	6	—	—	$1,800.00	$113,092.35	$72,117.09	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	11	9	—	—	$1,800.00	$133,250.50	$71,423.04	2026-05-08
215	OTHER	Other Heart Assist System Implant	11	9	—	—	$1,800.00	$174,999.20	$71,205.80	2026-05-08
3604048T	OTHER	0408t Insert Permanent Cardiac Contractiblity Mod System; Pulse Generator, Trans…	33	28	$88,882.00	—	$12,951.00	$81,771.44	$71,105.60	2026-05-08
48033262	OTHER	33262 Removal Of Icd, Replacement; Single Lead System	35	30	$88,622.70	$18,598.97 79% off	$12,647.30	$81,532.88	$67,707.74	2026-05-08
48033263	OTHER	33263 Removal Of Icd, Replacement; Dual Lead System	35	30	$88,622.70	$18,598.97 79% off	$12,647.30	$81,532.88	$67,707.74	2026-05-08
48033230	OTHER	33230 Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing…	35	30	$88,622.70	$18,598.97 79% off	$12,647.30	$81,532.88	$67,707.74	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	11	9	—	—	$1,800.00	$144,237.00	$66,259.95	2026-05-08
36069930	OTHER	69930 Implant Cochlear Device	39	34	$86,064.00	$52,670.73 39% off	$1,182.78	$79,178.88	$65,752.90	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	9	—	—	$1,800.00	$134,820.00	$63,205.15	2026-05-08
36033240	OTHER	33240 Insrt Pulse Gen W/singl Lead	39	34	$88,622.70	$44,712.39 50% off	$12,951.00	$81,532.88	$62,035.89	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	11	9	—	—	$1,800.00	$118,183.40	$57,895.63	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	11	9	—	—	$1,800.00	$122,264.00	$57,459.23	2026-05-08
36033229	OTHER	33229 Remove And Replace Pacemaker	35	30	$72,519.10	$8,555.33 88% off	$5,817.62	$66,717.57	$55,404.59	2026-05-08
48033221	OTHER	33221 Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads	35	30	$72,519.10	$8,555.33 88% off	$5,817.62	$66,717.57	$55,404.59	2026-05-08
48093654	OTHER	93654 Ep Evaluation, Catheter Ablation	33	29	$68,398.00	$29,489.29 57% off	$11,741.00	$62,926.16	$54,718.40	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	9	—	—	$1,800.00	$126,344.80	$54,622.63	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	9	7	—	—	$1,800.00	$104,528.70	$53,521.86	2026-05-08
48036836	OTHER	36836 Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Single Acces…	30	26	$66,715.05	—	$10,245.04	$61,377.85	$53,372.04	2026-05-08
48092933	OTHER	92933 Perc Coronary Atherectomy & Stents W Angio Single Major Coronary Artery Or…	33	29	$66,715.05	$10,265.97 85% off	$6,980.86	$61,377.85	$53,372.04	2026-05-08
360C9607	OTHER	C9607 Perc Coronary Revasc Of Chronic Total Occlusion W Drug-eluting Stents	33	29	$66,715.05	$10,196.91 85% off	$6,933.90	$61,377.85	$53,372.04	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	11	9	—	—	$1,800.00	$97,465.95	$52,906.35	2026-05-08
36033274	OTHER	33274 Leadless Pacemaker Insertion; Imaging Guided	34	29	$66,715.05	$25,507.83 62% off	$12,213.00	$61,377.85	$52,171.17	2026-05-08
48036906	OTHER	36906 Percutaneous Thrombectomy And/or Infusion For Thrombolysis, Dialysis Circu…	34	29	$66,715.05	—	$11,068.54	$61,377.85	$52,171.17	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	10	8	—	—	$1,800.00	$116,456.90	$51,888.21	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$94,954.75	$51,002.10	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	11	9	—	—	$1,800.00	$105,470.40	$50,040.44	2026-05-08
36038240	OTHER	38240 Transplt Allo Hct/donor	10	8	—	$4,099.22	$2,787.47	$74,964.34	$50,028.25	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	11	9	—	—	$1,800.00	$85,380.80	$49,531.31	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	11	9	—	—	$1,800.00	$100,761.90	$48,949.45	2026-05-08
36022802	OTHER	22802 Post Fusion 7-12 Vert Seg	28	26	$61,000.00	$13,970.66 77% off	$9,500.05	$56,120.00	$48,800.00	2026-05-08
36022630	OTHER	22630 Lumbar Spine Fusion	33	29	$61,000.00	$10,205.70 83% off	$6,939.88	$56,120.00	$48,800.00	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	11	9	—	—	$1,800.00	$78,945.85	$48,400.90	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	9	—	—	$1,800.00	$101,860.50	$47,858.45	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	11	9	—	—	$1,800.00	$92,443.55	$47,567.51	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	10	8	—	—	$1,800.00	$98,564.60	$47,554.85	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	11	9	—	—	$1,800.00	$89,775.40	$47,494.78	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	7	6	—	—	$1,800.00	$73,875.90	$47,109.42	2026-05-08
3600238T	OTHER	0238t Transluminal Peripheral Atherectomy, Iliac Artery, Each Vessel	38	33	$66,715.05	$11,187.01 83% off	$7,607.17	$61,377.85	$46,700.54	2026-05-08
36037227	OTHER	37227 Fem/popl Revasc Stnt & Ather	39	34	$66,715.05	$27,198.26 59% off	$11,640.80	$61,377.85	$46,700.54	2026-05-08
36037231	OTHER	37231 Tib/per Revasc Stent & Ather	39	34	$66,715.05	$27,198.26 59% off	$11,746.73	$61,377.85	$46,700.54	2026-05-08
36037230	OTHER	37230 Tib/per Revasc W/stent	39	34	$66,715.05	$18,197.76 73% off	$10,526.64	$61,377.85	$46,700.54	2026-05-08
36037229	OTHER	37229 Tib/per Revasc W/ather	39	34	$66,715.05	$18,197.76 73% off	$10,879.94	$61,377.85	$46,700.54	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$90,717.10	$46,694.71	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	10	8	—	—	$1,800.00	$102,331.40	$46,332.05	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	11	9	—	—	$1,800.00	$109,080.20	$45,896.83	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	11	9	—	—	$1,800.00	$95,268.65	$45,654.45	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	11	9	—	—	$1,800.00	$105,627.40	$45,530.98	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	9	—	—	$1,800.00	$102,017.50	$45,167.32	2026-05-08
36063685	OTHER	63685 Insrt/redo Spine N Generator	39	34	$58,760.00	$32,254.02 45% off	$530.04	$66,940.29	$44,892.64	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$89,147.60	$43,858.12	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	11	9	—	—	$1,800.00	$85,066.90	$43,785.39	2026-05-08
33270	OTHER	33270 Insertion Of Subcutaneous Icd System; With Evaluation	35	30	—	$20,995.37	$12,951.00	$74,309.11	$43,630.06	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	11	9	—	—	$1,800.00	$88,833.70	$43,421.72	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	11	9	—	—	$1,800.00	$94,640.85	$43,203.52	2026-05-08
0266T	OTHER	0266t Carotid Sinus Baroreflex Activation Device; Total System	11	8	—	$2,309.31	$1,570.33	$64,986.12	$43,194.18	2026-05-08
360C9757	OTHER	C9757 Spine/lumbar Disk Surgery	33	28	$53,600.00	—	$6,377.84	$49,312.00	$42,880.00	2026-05-08
36022810	OTHER	22810 Ant Fusion 4-7 Vert Seg	28	26	$53,000.00	$13,562.53 74% off	$9,222.52	$48,760.00	$42,400.00	2026-05-08
36022808	OTHER	22808 Ant Fusion 2-3 Vert Seg	28	26	$53,000.00	$12,075.43 77% off	$8,211.30	$48,760.00	$42,400.00	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	11	9	—	—	$1,800.00	$83,340.45	$42,330.72	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	11	9	—	—	$1,800.00	$111,277.50	$41,821.84	2026-05-08
33289	OTHER	33289 Wireless Pulmonary Artery Pressure Sensor Implantation	34	29	—	—	$12,951.00	$70,417.75	$41,684.38	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	11	9	—	—	$1,800.00	$86,793.35	$41,634.37	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With Mcc	7	6	—	—	$1,800.00	$65,207.10	$41,581.47	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	11	9	—	—	$1,800.00	$95,582.55	$41,530.66	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	11	9	—	—	$1,800.00	$75,336.00	$41,457.93	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	11	9	—	—	$1,800.00	$80,672.30	$41,457.93	2026-05-08
245	OTHER	Aicd Generator Procedures	11	9	—	—	$1,800.00	$84,909.95	$41,360.80	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	11	9	—	—	$1,800.00	$75,806.85	$41,359.17	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	11	9	—	—	$1,800.00	$79,416.70	$40,803.32	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	11	9	—	—	$1,800.00	$76,120.75	$40,512.39	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	11	9	—	—	$1,800.00	$84,125.20	$40,439.66	2026-05-08
28	OTHER	Spinal Procedures With Mcc	11	9	—	—	$1,800.00	$91,344.90	$40,348.80	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	10	9	—	—	$1,800.00	$88,833.70	$40,174.71	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	9	—	—	$1,800.00	$84,596.05	$40,148.73	2026-05-08
0424T	OTHER	0424t Insert Neurostimulator System For Sleep Apnea; Complete System	26	24	—	—	$12,951.00	$66,940.29	$39,945.64	2026-05-08
0427T	OTHER	0427t Insert Neurostimulator System For Sleep Apnea; Pulse Generator	27	25	—	—	$12,213.00	$64,986.12	$38,599.56	2026-05-08
0431T	OTHER	0431t Removal/replacement Neurostimulator System For Sleep Apnea; Pulse Generato…	27	25	—	—	$12,213.00	$64,986.12	$38,599.56	2026-05-08
6	OTHER	Liver Transplant Without Mcc	11	9	—	—	$1,800.00	$73,609.55	$38,475.86	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	11	9	—	—	$1,800.00	$78,631.95	$37,530.33	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	11	9	—	—	$1,800.00	$89,932.35	$37,239.40	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	11	9	—	—	$1,800.00	$70,470.55	$37,021.20	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	11	9	—	—	$1,800.00	$78,631.95	$36,803.00	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	11	9	—	—	$1,800.00	$72,197.00	$36,221.13	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	11	9	—	—	$1,800.00	$64,035.60	$36,045.20	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	11	9	—	—	$1,800.00	$83,811.30	$36,002.93	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$77,533.30	$35,712.00	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	9	—	—	$1,800.00	$71,412.25	$35,348.34	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	11	9	—	—	$1,800.00	$66,703.75	$35,207.12	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	11	9	—	—	$1,800.00	$63,878.65	$34,693.74	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	11	9	—	—	$1,800.00	$84,282.15	$34,621.00	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	11	9	—	—	$1,800.00	$66,860.70	$34,402.80	2026-05-08
0268T	OTHER	0268t Carotid Sinus Baroreflex Activation Device; Pulse Generator Only	35	30	—	$5,601.26	$3,808.85	$64,986.12	$34,397.49	2026-05-08
270	OTHER	Miscellaneous Supplies Wound	11	9	—	—	$1,800.00	$81,300.10	$33,859.35	2026-05-08
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	11	9	—	—	$1,800.00	$55,089.45	$33,608.40	2026-05-08
332	OTHER	Rectal Resection With Mcc	11	9	—	—	$1,800.00	$65,134.25	$33,530.00	2026-05-08
36064582	OTHER	64582 Open Implantation Nerve Stim	30	26	—	—	$24,380.83	$42,598.05	$33,489.44	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without Mcc	11	9	—	—	$1,800.00	$62,466.10	$33,385.80	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	10	8	—	—	$1,800.00	$60,268.80	$33,344.13	2026-05-08
799	OTHER	Splenic Procedures With Mcc	11	9	—	—	$1,800.00	$80,672.30	$33,174.38	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$57,914.55	$33,165.30	2026-05-08
0409T	OTHER	0409t Insert Permanent Cardiac Contractility Modulation System; Pulse Generator	33	28	—	—	$12,951.00	$53,065.24	$33,008.12	2026-05-08
0414T	OTHER	0414t Removal/replacement Permanent Cardiac Contractility Modulation System; Pul…	33	28	—	—	$12,951.00	$53,065.24	$33,008.12	2026-05-08
36037244	OTHER	37244 Vasc Embolize/occlude Bleed	33	29	$41,228.17	$21,453.28 48% off	$10,042.94	$37,929.92	$32,982.54	2026-05-08
48092943	OTHER	92943 Perc Coronary Revasc Of Chronic Total Occlusion	33	29	$41,228.17	$10,265.97 75% off	$6,980.86	$37,929.92	$32,982.54	2026-05-08
48092937	OTHER	92937 Perc Coronary Revasc Of Or Through Coronary Artery Bypass Graft; Single Ve…	33	29	$41,228.17	$10,265.97 75% off	$6,980.86	$37,929.92	$32,982.54	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	11	9	—	—	$1,800.00	$78,631.95	$32,936.02	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$59,484.05	$32,886.60	2026-05-08
0515T	OTHER	0515t Insert Wireless Cardiac Stimulator For Pacing; Complete System	32	28	—	—	$12,951.00	$52,791.50	$32,871.25	2026-05-08
36062362	OTHER	62362 Implant Spine Infusion Pump	39	34	$42,890.00	$24,631.67 43% off	$530.04	$39,458.80	$32,767.96	2026-05-08
36022551	OTHER	22551 Neck Spine Fuse&remov Bel C2	35	30	$42,840.00	$27,750.00 35% off	$8,697.75	$39,412.80	$32,729.76	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	11	9	—	—	$1,800.00	$87,892.00	$32,676.22	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	11	9	—	—	$1,800.00	$89,304.55	$32,433.84	2026-05-08
480C9765	OTHER	Used To Identify Procedures Performed On The Side Of The Body	31	27	$40,530.00	—	$10,042.94	$37,287.60	$32,424.00	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	11	9	—	—	$1,800.00	$70,470.55	$32,366.27	2026-05-08
36036903	OTHER	36903 Intro Cath Dialysis Circuit	34	29	$41,228.17	—	$6,795.74	$37,929.92	$32,240.43	2026-05-08
36036905	OTHER	36905 Thrmbc/nfs Dialysis Circuit	34	29	$41,228.17	—	$5,988.06	$37,929.92	$32,240.43	2026-05-08
10	OTHER	Pancreas Transplant	11	9	—	—	$1,800.00	$56,658.95	$32,230.29	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	11	9	—	—	$1,800.00	$62,466.10	$32,148.07	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	11	9	—	—	$1,800.00	$62,309.15	$32,075.34	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without Mcc	7	6	—	—	$1,800.00	$50,215.20	$32,021.39	2026-05-08
36022610	OTHER	22610 Thorax Spine Fusion	28	26	$40,000.00	$8,297.72 79% off	$5,642.45	$36,800.00	$32,000.00	2026-05-08
36022556	OTHER	22556 Thorax Spine Fusion	28	26	$40,000.00	$6,100.22 85% off	$4,148.15	$36,800.00	$32,000.00	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	11	9	—	—	$1,800.00	$77,847.20	$31,560.73	2026-05-08
48037241	OTHER	37241 Vascular Embolization Or Occlusion, Inclusive Of All Radiological Supervis…	35	30	$41,228.17	$21,453.28 48% off	$5,990.05	$37,929.92	$31,498.32	2026-05-08
36037243	OTHER	37243 Vasc Embolize/occlude Organ	35	30	$41,228.17	$21,453.28 48% off	$4,756.04	$37,929.92	$31,498.32	2026-05-08
48037238	OTHER	37238 Transcatheter Stent Placement, Open Or Percutaneous, Initial Vein	35	30	$41,228.17	$17,290.08 58% off	$6,569.23	$37,929.92	$31,498.32	2026-05-08
48037242	OTHER	37242 Vascular Embolization, Radiological Supervision; Arterial, Not Hemorrhage …	35	30	$41,228.17	$21,453.28 48% off	$10,042.94	$37,929.92	$31,498.32	2026-05-08
48037236	OTHER	37236 Transcatheter Stent Placement, Any Intravascular Stent(s), Open Or Percuta…	35	30	$41,228.17	$18,197.76 56% off	$6,486.84	$37,929.92	$31,498.32	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	11	9	—	—	$1,800.00	$75,179.05	$31,420.74	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	11	9	—	—	$1,800.00	$76,120.75	$31,420.74	2026-05-08
0520T	OTHER	0520t Removal/replacement Wireless Cardiac Stimulator; Pulse Generator	32	28	—	—	$9,775.93	$52,791.50	$31,283.72	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	11	9	—	—	$1,800.00	$60,111.85	$31,272.80	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	11	9	—	—	$1,800.00	$68,430.20	$30,911.61	2026-05-08
48033228	OTHER	33228 Removal Of Pacemaker Generator; Dual Lead System	35	30	$40,115.29	$8,555.33 79% off	$5,817.62	$36,906.07	$30,648.08	2026-05-08
411	OTHER	Cholecystectomy With C.d.e. With Mcc	11	9	—	—	$1,800.00	$58,856.25	$30,257.01	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/mcc	11	9	—	—	$1,800.00	$58,385.40	$30,163.12	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	11	9	—	—	$1,800.00	$58,385.40	$30,163.12	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	9	7	—	—	$1,800.00	$70,784.45	$30,113.79	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	10	8	—	—	$1,800.00	$65,919.00	$30,035.21	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	11	9	—	—	$1,800.00	$52,578.25	$30,006.70	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	11	9	—	—	$1,800.00	$58,071.50	$29,893.35	2026-05-08
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	7	6	—	—	$1,800.00	$46,834.20	$29,865.38	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$71,255.30	$29,651.12	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	11	9	—	—	$1,800.00	$61,995.25	$29,557.84	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$67,331.55	$29,311.48	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	9	7	—	—	$1,800.00	$67,645.45	$29,205.86	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	11	9	—	—	$1,800.00	$56,658.95	$29,166.01	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	11	9	—	—	$1,800.00	$61,681.35	$29,093.28	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	11	9	—	—	$1,800.00	$56,188.10	$28,875.08	2026-05-08
36037187	OTHER	37187 Venous Mech Thrombectomy	38	33	$41,228.17	$5,192.72 87% off	$3,531.05	$37,929.92	$28,859.72	2026-05-08
36037226	OTHER	37226 Fem/popl Revasc W/stent	39	34	$41,228.17	$18,197.76 56% off	$6,892.06	$37,929.92	$28,859.72	2026-05-08
36037225	OTHER	37225 Fem/popl Revas W/ather	39	34	$41,228.17	$18,197.76 56% off	$10,042.94	$37,929.92	$28,859.72	2026-05-08
36037228	OTHER	37228 Tib/per Revasc W/tla	39	34	$41,228.17	$6,079.06 85% off	$4,133.76	$37,929.92	$28,859.72	2026-05-08
36037221	OTHER	37221 Iliac Revasc W/stent	39	34	$41,228.17	$18,197.76 56% off	$6,640.09	$37,929.92	$28,859.72	2026-05-08
36037184	OTHER	37184 Prim Art Mech Thrombectomy	39	34	$41,228.17	$5,192.72 87% off	$3,531.05	$37,929.92	$28,859.72	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	11	9	—	—	$1,800.00	$50,380.95	$28,520.30	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	11	9	—	—	$1,800.00	$51,165.70	$28,448.16	2026-05-08
36061886	OTHER	61886 Implant Neurostim Arrays	13	10	—	$36,167.91	$741.00	$66,940.29	$28,428.24	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	10	9	—	—	$1,800.00	$62,309.15	$28,184.10	2026-05-08
36033214	OTHER	33214 Upgrade Of Pacemaker System	39	34	$40,115.29	$18,756.66 53% off	$7,513.10	$36,906.07	$28,080.70	2026-05-08
36033213	OTHER	33213 Insert Pulse Gen Dual Leads	39	34	$40,115.29	$14,638.27 64% off	$741.00	$36,906.07	$28,080.70	2026-05-08
36033224	OTHER	33224 Insert Pacing Lead & Connect	39	34	$40,115.29	$34,792.23	$7,572.83	$36,906.07	$28,080.70	2026-05-08
36033208	OTHER	33208 Insrt Heart Pm Atrial & Vent	39	34	$40,115.29	$18,756.66 53% off	$7,489.45	$36,906.07	$28,080.70	2026-05-08
36033207	OTHER	33207 Insert Heart Pm Ventricular	39	34	$40,115.29	$16,294.62 59% off	$7,275.82	$36,906.07	$28,080.70	2026-05-08
36033206	OTHER	33206 Insert Heart Pm Atrial	39	34	$40,115.29	$16,294.62 59% off	$7,082.52	$36,906.07	$28,080.70	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$65,448.15	$27,929.55	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	11	9	—	—	$1,800.00	$67,645.45	$27,844.63	2026-05-08
0426T	OTHER	0426t Insert Neurostimulator System For Sleep Apnea; Stimulation Lead	26	24	—	—	$11,446.00	$44,085.33	$27,765.67	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	6	5	—	—	$1,800.00	$43,470.00	$27,720.09	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	11	9	—	—	$1,800.00	$53,363.00	$27,439.36	2026-05-08
791	OTHER	Prematurity With Major Problems	10	9	—	—	$1,800.00	$60,739.65	$27,436.86	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	11	9	—	—	$1,800.00	$53,049.10	$27,274.95	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	11	9	—	—	$1,800.00	$54,304.70	$27,202.22	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	11	9	—	—	$1,800.00	$60,111.85	$27,129.48	2026-05-08
36061514	OTHER	61514 Crnec Trephine Bone Flap/brain Absc Supratentor	26	24	$33,600.00	$12,386.63 63% off	$3,587.00	$30,912.00	$26,880.00	2026-05-08
27855873	OTHER	55873 Cryosurgical Ablation Prostate W/us & Montoring	39	34	$38,221.00	$16,436.92 57% off	$1,990.00	$35,163.32	$26,754.70	2026-05-08
63685	OTHER	63685 Insrt/redo Spine Generator	16	13	—	$32,254.02	$530.04	$66,940.29	$26,614.04	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without Mcc	11	9	—	—	$1,800.00	$61,681.35	$26,474.88	2026-05-08
265	OTHER	Aicd Lead Procedures	11	9	—	—	$1,800.00	$52,735.20	$26,430.56	2026-05-08
652	OTHER	Kidney Transplant	11	9	—	—	$1,800.00	$49,910.10	$26,329.42	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	11	9	—	—	$1,800.00	$58,699.30	$26,329.42	2026-05-08
36092943	OTHER	Prq Trluml Coronry Chronic Occlus Revasc One Vsl	33	29	$32,793.00	$10,265.97 69% off	$6,980.86	$30,169.56	$26,234.40	2026-05-08
48092924	OTHER	92924 Perc Coronary Atherectomy W Angioplasty Single Major Coronary Artery Or Br…	33	29	$32,793.00	$21,453.28 35% off	$10,042.94	$30,169.56	$26,234.40	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	11	9	—	—	$1,800.00	$50,851.80	$26,183.95	2026-05-08
0620T	OTHER	0620t Endovascular Venous Arterialization, Tibial Vein	32	27	—	—	$11,446.00	$39,594.95	$25,520.47	2026-05-08
36063276	OTHER	63276 Laminectomy Bx/exc Ispi Neo Xdrl Thoracic	26	24	$31,700.00	$11,639.24 63% off	$3,587.00	$29,164.00	$25,360.00	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	9	7	—	—	$1,800.00	$62,466.10	$25,296.92	2026-05-08
48092928	OTHER	92928 Perc Coronary Stents W Angioplasty Single Major Coronary Artery Or Branch	35	30	$32,793.00	$10,265.97 69% off	$6,488.03	$30,169.56	$25,225.10	2026-05-08
37231	OTHER	zzTIB/PER Revasc Stent & Ather	39	34	—	$27,198.26	$11,746.73	$38,448.93	$25,097.83	2026-05-08
36027279	OTHER	27279 Arthrodesis Sacroiliac Joint	35	30	$31,371.00	$15,656.76 50% off	$10,646.60	$36,890.40	$25,096.80	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	11	9	—	—	$1,800.00	$56,031.15	$25,092.95	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	11	9	—	—	$1,800.00	$61,995.25	$25,020.22	2026-05-08
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	11	9	—	—	$1,800.00	$47,398.90	$25,020.22	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	10	8	—	—	$1,800.00	$51,165.70	$24,984.90	2026-05-08
288	OTHER	Acute And Subacute Endocarditis With Mcc	11	9	—	—	$1,800.00	$42,062.60	$24,874.75	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	11	9	—	—	$1,800.00	$49,125.35	$24,802.02	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	11	9	—	—	$1,800.00	$54,304.70	$24,760.60	2026-05-08
665	OTHER	Prostatectomy With Mcc	11	9	—	—	$1,800.00	$47,555.85	$24,511.09	2026-05-08
37230	OTHER	zzTIB/PER Revasc W/stent	39	34	—	$18,197.76	$10,526.64	$38,448.93	$24,487.78	2026-05-08
0308T	OTHER	0308t Insert Ocular Telescope Prosthesis, Removal Lens	35	30	—	$4,551.69	$3,095.15	$45,833.24	$24,464.19	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	11	9	—	—	$1,800.00	$56,188.10	$24,451.26	2026-05-08
36027442	OTHER	27442 Revision Of Knee Joint	39	34	$34,798.00	$4,809.18 86% off	$852.61	$32,014.16	$24,358.60	2026-05-08
36027441	OTHER	27441 Revision Of Knee Joint	39	34	$34,798.00	$4,809.18 86% off	$852.61	$32,014.16	$24,358.60	2026-05-08
36027440	OTHER	27440 Revision Of Knee Joint	39	34	$34,798.00	$4,809.18 86% off	$852.61	$32,014.16	$24,358.60	2026-05-08
36027356	OTHER	27356 Remove Femur Lesion/graft	39	34	$34,798.00	$3,909.89 89% off	$747.62	$32,014.16	$24,358.60	2026-05-08
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	11	9	—	—	$1,800.00	$58,856.25	$24,351.49	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	11	9	—	—	$1,800.00	$51,322.65	$24,312.08	2026-05-08
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	11	9	—	—	$1,800.00	$56,972.85	$24,256.42	2026-05-08
4808255225	OTHER	33285 Insertion, Subcutaneous Cardiac Rhythm Monitor, Including Programming	35	30	$31,702.89	$9,457.56 70% off	$6,431.14	$29,166.66	$24,221.01	2026-05-08
36033227	OTHER	33227 Removal Of Pacemaker Generator, Single Lead System	35	30	$31,702.89	$8,739.06 72% off	$5,942.56	$29,166.66	$24,221.01	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	11	9	—	—	$1,800.00	$52,107.40	$24,220.16	2026-05-08
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	11	9	—	—	$1,800.00	$59,954.90	$24,213.56	2026-05-08
36033225	OTHER	33225 L Ventric Pacing Lead Add-on	31	28	$30,153.00	$34,792.23	$11,741.00	$27,740.76	$24,122.40	2026-05-08
22867	OTHER	22867 Insj Stablj Dev W/dcmprn	33	28	—	—	$11,241.00	$36,890.40	$24,065.70	2026-05-08
22856	OTHER	22856 Cerv Artific Disk	35	30	—	$27,750.00	$11,241.00	$36,890.40	$24,065.70	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	11	9	—	—	$1,800.00	$51,479.60	$24,001.96	2026-05-08
36022612	OTHER	22612 Lumbar Spine Fusion	35	30	$30,000.00	$6,264.96 79% off	$4,260.17	$27,600.00	$24,000.00	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	11	9	—	—	$1,800.00	$56,972.85	$23,978.54	2026-05-08
36063200	OTHER	63200 Laminectomy Release Tethered Spinal Cord Lumbar	26	24	$29,925.00	$10,001.64 67% off	$6,801.11	$27,531.00	$23,940.00	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With Mcc	11	9	—	—	$1,800.00	$61,053.55	$23,937.03	2026-05-08
619	OTHER	O.r. Procedures For Obesity With Mcc	11	9	—	—	$1,800.00	$48,026.70	$23,929.22	2026-05-08
27279	OTHER	27279 Arthro Sacroiliac Joint	35	30	—	$15,656.76	$10,646.60	$36,890.40	$23,768.50	2026-05-08
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	11	9	—	—	$1,800.00	$46,143.30	$23,711.02	2026-05-08
662	OTHER	Minor Bladder Procedures With Mcc	11	9	—	—	$1,800.00	$45,829.40	$23,638.29	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	11	9	—	—	$1,800.00	$56,815.90	$23,603.59	2026-05-08
36022869	OTHER	22869 Insj Stablj Dev Without Dcomprn	33	28	—	—	$10,304.51	$36,890.40	$23,597.46	2026-05-08
22869	OTHER	22869 Insj Stablj Dev Without Dcmpn	33	28	—	—	$10,304.51	$36,890.40	$23,597.46	2026-05-08
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	11	9	—	—	$1,800.00	$45,044.65	$23,420.09	2026-05-08
36022856	OTHER	22856 Cerv Artific Diskectomy	35	30	$29,254.00	$27,750.00	$11,241.00	$36,890.40	$23,403.20	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	11	9	—	—	$1,800.00	$50,224.00	$23,347.36	2026-05-08
36024363	OTHER	24363 Replace Elbow Joint	39	34	$29,182.00	$16,368.94 44% off	$1,182.78	$36,890.40	$23,345.60	2026-05-08
36022857	OTHER	22857 Lumbar Artif Diskectomy	27	25	—	—	$11,446.00	$35,022.07	$23,234.03	2026-05-08
22819	OTHER	22819 Kyphectomy, Spine Resection; 3 Or More Segments	28	26	—	$17,768.79	$11,446.00	$35,022.07	$23,234.03	2026-05-08
20805	OTHER	20805 Replantation, Forearm (includes Radius And Ulna To Radial Carpal Joint), C…	28	26	—	$20,538.94	$11,446.00	$35,022.07	$23,234.03	2026-05-08
20838	OTHER	20838 Replantation, Foot, Complete Amputation	28	26	—	$17,932.03	$11,446.00	$35,022.07	$23,234.03	2026-05-08
20808	OTHER	20808 Replantation, Hand (includes Hand Through Metacarpophalangeal Joints), Com…	28	26	—	$26,607.27	$11,446.00	$35,022.07	$23,234.03	2026-05-08
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	9	7	—	—	$1,800.00	$101,171.90	$23,156.32	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	11	9	—	—	$1,800.00	$55,874.20	$23,141.59	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	11	9	—	—	$1,800.00	$43,632.10	$23,056.42	2026-05-08
20802	OTHER	20802 Replantation, Arm (includes Surgical Neck Of Humerus Through Elbow Joint),…	28	26	—	$16,041.90	$10,908.49	$35,022.07	$22,965.28	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	11	9	—	—	$1,800.00	$51,636.55	$22,954.11	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	11	9	—	—	$1,800.00	$51,479.60	$22,899.76	2026-05-08
570	OTHER	Skin Debridement With Mcc	11	9	—	—	$1,800.00	$44,416.85	$22,838.22	2026-05-08
22812	OTHER	22812 Anterior Spinal Arthrodesis; 8 Or More Vertebral Segments	28	26	—	$15,052.18	$10,235.49	$35,022.07	$22,628.78	2026-05-08
36027130	OTHER	27130 Total Hip Arthroplasty	35	30	$28,200.00	$33,000.00	$9,064.48	$27,179.53	$22,560.00	2026-05-08
36027447	OTHER	27447 Total Knee Arthroplasty	35	30	$28,200.00	$30,000.00	$8,878.71	$27,179.53	$22,560.00	2026-05-08
22818	OTHER	22818 Kyphectomy, Spine Resection; Single Or 2 Segments	28	26	—	$14,587.95	$9,919.81	$35,022.07	$22,470.94	2026-05-08
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	11	9	—	—	$1,800.00	$50,224.00	$22,395.36	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	11	9	—	—	$1,800.00	$45,829.40	$22,378.28	2026-05-08
22862	OTHER	22862 Revision Total Disc Arthroplasty, Lumbar	28	26	—	$14,289.51	$9,716.87	$35,022.07	$22,369.47	2026-05-08
36020962	OTHER	20962 Other Bone Graft Microvasc	31	29	$27,900.00	$13,132.58 53% off	$747.62	$25,668.00	$22,320.00	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	11	9	—	—	$1,800.00	$48,340.60	$22,295.25	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	9	7	—	—	$1,800.00	$46,457.20	$22,267.13	2026-05-08
36061519	OTHER	61519 Remove Brain Lining Lesion	26	24	$27,825.00	$19,158.97 31% off	$3,587.00	$25,599.00	$22,260.00	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	11	9	—	—	$1,800.00	$46,614.15	$22,256.36	2026-05-08
36033212	OTHER	33212 Insert Pulse Gen Sngl Lead	39	34	$31,702.89	$13,506.32 57% off	$741.00	$29,166.66	$22,192.02	2026-05-08
36033233	OTHER	33233 Removal Of Pm Generator	39	34	$31,702.89	$3,212.03 90% off	$648.00	$29,166.66	$22,192.02	2026-05-08
36033211	OTHER	33211 Insert Card Electrodes Dual	39	34	$31,702.89	$9,312.14 71% off	$6,332.25	$29,166.66	$22,192.02	2026-05-08
36033216	OTHER	33216 Insert 1 Electrode Pm-defib	39	34	$31,702.89	$9,312.14 71% off	$5,534.10	$29,166.66	$22,192.02	2026-05-08
36033210	OTHER	33210 Insert Electrd/pm Cath Sngl	39	34	$31,702.89	$9,312.14 71% off	$5,654.43	$29,166.66	$22,192.02	2026-05-08
36033217	OTHER	33217 Insert 2 Electrode Pm-defib	39	34	$31,702.89	$9,312.14 71% off	$5,325.31	$29,166.66	$22,192.02	2026-05-08
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	11	9	—	—	$1,800.00	$45,201.60	$22,110.89	2026-05-08
253	OTHER	Other Vascular Procedures With Cc	11	9	—	—	$1,800.00	$41,591.75	$22,038.16	2026-05-08
974	OTHER	HIV With Major Related Condition With Mcc	11	9	—	—	$1,800.00	$42,062.60	$21,892.69	2026-05-08
800	OTHER	Splenic Procedures With Cc	11	9	—	—	$1,800.00	$46,300.25	$21,890.96	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	11	9	—	—	$1,800.00	$50,851.80	$21,868.07	2026-05-08
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	11	9	—	—	$1,800.00	$39,237.50	$21,831.50	2026-05-08
545	OTHER	Connective Tissue Disorders With Mcc	11	9	—	—	$1,800.00	$39,080.55	$21,819.96	2026-05-08
36023472	OTHER	23472 Reconstruct Shoulder Joint	35	30	$27,259.00	$33,000.00	$11,446.00	$27,179.53	$21,807.20	2026-05-08
503	OTHER	Foot Procedures With Mcc	11	9	—	—	$1,800.00	$41,120.90	$21,790.08	2026-05-08
22586	OTHER	22586 Pre-sacral Interbody Arthrodesis, L5-s1, With Bone Grafting	28	26	—	$12,473.35	$8,481.88	$35,022.07	$21,751.97	2026-05-08
654	OTHER	Major Bladder Procedures With Cc	11	9	—	—	$1,800.00	$45,515.50	$21,747.23	2026-05-08
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	11	9	—	—	$1,800.00	$39,708.35	$21,747.23	2026-05-08
500	OTHER	Soft Tissue Procedures With Mcc	11	9	—	—	$1,800.00	$49,439.25	$21,712.73	2026-05-08
36027486	OTHER	27486 Revise/replace Knee Joint	28	26	$27,030.00	$9,443.01 65% off	$6,421.25	$27,179.53	$21,624.00	2026-05-08
36061516	OTHER	61516 Crnec Trephine Bone Flap Fenest Cyst Supratenator	26	24	$26,950.00	$12,093.27 55% off	$3,587.00	$24,794.00	$21,560.00	2026-05-08
36027446	OTHER	27446 Revision Of Knee Joint	39	34	$28,200.00	$5,074.53 82% off	$3,450.68	$27,179.53	$21,544.80	2026-05-08
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	10	8	—	—	$1,800.00	$47,085.00	$21,529.94	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	11	9	—	—	$1,800.00	$47,869.75	$21,529.03	2026-05-08
36023470	OTHER	23470 Reconstruct Shoulder Joint	35	30	$26,725.00	$16,368.94 39% off	$9,125.87	$27,179.53	$21,380.00	2026-05-08
36023473	OTHER	23473 Revis Reconst Shoulder Joint	33	29	$26,725.00	$15,211.25 43% off	$9,637.00	$27,179.53	$21,380.00	2026-05-08

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