Hospital

ST LUKE'S NAMPA MEDICAL CENTER

Nampa, ID · CCN 130071 · Rates published

63,126 distinct procedures filed

33 distinct payers

4,692,009 rate rows

2026-07-18 last MRF observed

Data quality

1,685,597 of 4,692,009 rate rows are consumer-grade (35.9%)

3,006,412 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	2,999,969
exceeds 10× this hospital's gross charge — excluded from medians	2,385
placeholder amount (≤ $0.02) — excluded from medians	1,496
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	820
per-diem day rate — not a per-procedure price	625
percent-of-charges filed in the dollar field — excluded from medians	409
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	363
template filing: same amount across many unrelated codes — excluded	296
exceeds 3× this hospital's gross charge for a DRG stay — excluded	49

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

Source MRF file	https://stlukesonline.file.core.windows.net/stlukesonline-files/821162805_St-Lukes-Nampa-Medical-Center-LTD_standardcharges.csv?sv=2022-11-02&ss=f&srt=o&sp=rl&se=2026-07-12T19:20:00Z&st=2024-07-12T19:20:00Z&sip=0.0.0.0-255.255.255.255&spr=https&sig=FGacPqS12iM%2B02qiSmRIfavnfLx8l7R64K%2B5yDAzofo%3D
Found on page	https://www.stlukesonline.org/resources/before-your-visit/price-estimates/price-transparency
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint	17a404d801f176ac… · 387,485,945 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
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	21	$133,529.95	$439,651.00	$286,590.47	nat. median $165,355 1.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	21	$88,037.21	$379,215.90	$233,626.55	nat. median $118,362 2.0× median
215 OTHER	Other Heart Assist System Implant	21	$66,011.08	$428,439.61	$223,837.02	nat. median $75,009 outlier · 3.0×
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	21	$67,874.63	$277,851.75	$172,863.19	nat. median $79,063 outlier · 2.2×
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC	21	$50,224.82	$265,304.89	$157,764.86	nat. median $71,035 outlier · 2.2×
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	$60,131.34	$250,367.62	$155,249.48	nat. median $73,728 outlier · 2.1×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	$52,767.50	$245,095.12	$148,931.31	nat. median $72,503 outlier · 2.1×
RX-186707 OTHER	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution	5	$140,495.31	$147,889.80	$147,889.80	nat. median $147,890 1.0× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With McC	21	$37,325.78	$240,413.32	$138,869.55	nat. median $60,180 outlier · 2.3×
016 OTHER	Autologous Bone Marrow Transplant With Cc/McC	21	$37,606.78	$233,777.88	$135,692.33	nat. median $46,630 outlier · 2.9×
38240 CPT	Transplantation Of Donor Stem Cells Per Donor	22	$66,731.75	$165,570.42	$132,479.20	nat. median $12,855 outlier · 10.3×
231 OTHER	Coronary Bypass With Ptca With McC	21	$52,796.78	$209,347.81	$131,072.30	nat. median $67,297 1.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	21	$40,294.00	$215,946.58	$128,120.29	nat. median $64,908 2.0× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC	21	$48,700.21	$201,206.28	$124,953.24	nat. median $61,105 outlier · 2.0×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	$48,208.63	$198,925.83	$123,567.23	nat. median $65,387 1.9× median
A9513 HCPCS	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution	22	$336.80	$150,725.40	$118,199.23	nat. median $479 outlier · 246.6×
021 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	21	$34,437.94	$198,493.87	$116,465.90	nat. median $49,353 outlier · 2.4×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With McC	21	$41,542.60	$188,664.98	$115,103.79	nat. median $65,442 1.8× median
834 OTHER	Acute Leukemia With McC	21	$34,437.94	$193,829.41	$114,133.68	nat. median $40,019 outlier · 2.9×
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And McC	21	$44,031.06	$181,502.53	$112,766.79	nat. median $20,009 outlier · 5.6×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	$35,759.43	$188,797.92	$112,278.68	nat. median $50,892 outlier · 2.2×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	21	$43,342.59	$179,673.53	$111,508.06	nat. median $724 outlier · 153.9×
850 MS_DRG	Acute Leukemia With Other Procedures	20	$66,504.54	$281,469.60	$109,161.02	nat. median $78,262 1.4× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	$40,236.06	$176,087.70	$108,161.88	nat. median $59,001 1.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With McC	21	$46,505.83	$166,888.83	$106,697.33	nat. median $64,142 1.7× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With McC	21	$36,275.94	$174,740.96	$105,508.45	nat. median $695 outlier · 151.8×
228 OTHER	Other Cardiothoracic Procedures With McC	21	$31,048.54	$171,177.59	$101,113.07	nat. median $49,085 outlier · 2.1×
653 OTHER	Major Bladder Procedures With McC	21	$34,732.64	$167,105.58	$100,919.11	nat. median $52,959 1.9× median
276 OTHER	Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator	21	$38,594.32	$160,204.53	$99,399.43	nat. median $1,907 outlier · 52.1×
267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC	21	$29,312.71	$167,963.91	$98,638.31	nat. median $44,427 outlier · 2.2×
232 OTHER	Coronary Bypass With Ptca Without McC	21	$38,060.36	$157,585.92	$97,823.14	nat. median $52,336 1.9× median
028 OTHER	Spinal Procedures With McC	21	$37,878.43	$155,455.30	$96,666.87	nat. median $44,353 outlier · 2.2×
235 OTHER	Coronary Bypass Without Cardiac Catheterization With McC	21	$36,661.61	$156,048.44	$96,355.02	nat. median $54,692 1.8× median
901 OTHER	Wound Debridements For Injuries With McC	21	$27,604.31	$180,226.18	$95,559.59	nat. median $9 outlier · 10398.2×
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	21	$37,067.22	$150,300.23	$93,683.73	nat. median $48,723 1.9× median
J1303 HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	22	$236.04	$135,380.52	$92,223.62	nat. median $5,631 outlier · 16.4×
163 OTHER	Major Chest Procedures With McC	21	$28,717.70	$155,516.68	$92,117.19	nat. median $47,193 2.0× median
622 OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	21	$23,314.60	$159,293.91	$91,304.26	nat. median $35,346 outlier · 2.6×
823 OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With McC	17	$49,320.96	$132,974.68	$91,147.82	nat. median $39,576 outlier · 2.3×
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	21	$35,545.72	$146,238.03	$90,891.88	nat. median $45,032 outlier · 2.0×
458 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	$26,903.37	$149,777.14	$88,340.26	nat. median $39,981 outlier · 2.2×
33276 CPT	Hc Insertion Phrenic Nerve Stimulator System	22	$46,728.88	$114,301.00	$88,200.70	nat. median $43,332 outlier · 2.0×
405 OTHER	Pancreas, Liver And Shunt Procedures With McC	21	$34,287.79	$142,017.64	$88,152.71	nat. median $41,548 outlier · 2.1×
64568 CPT	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	22	$46,728.88	$113,400.90	$87,992.52	nat. median $27,679 outlier · 3.2×
826 OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.…	21	$29,753.83	$145,682.01	$87,717.92	nat. median $36,959 outlier · 2.4×
PX-36002153 OTHER	Bone Marrow/stem Transplant	9	$65,462.00	$105,584.00	$85,523.00	nat. median $85,523 1.0× median
423 OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With McC	21	$25,342.01	$148,005.57	$85,420.53	nat. median $38,826 outlier · 2.2×
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	21	$33,001.18	$137,665.15	$85,333.16	nat. median $41,433 outlier · 2.1×
853 OTHER	Infectious And Parasitic Diseases With O.r. Procedures With McC	21	$31,160.69	$138,679.54	$84,920.12	nat. median $17,401 outlier · 4.9×
239 OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC	21	$29,937.98	$137,957.04	$83,947.51	nat. median $46,573 1.8× median

Other procedures at this hospital

Browse this hospital's 63,126 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

003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	137	21	$847,280.43	$847,280.43	$133,529.95	$439,651.00	$286,590.47	2026-05-08
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	137	21	$353,492.45	$353,492.45	$88,037.21	$379,215.90	$233,626.55	2026-05-08
215	OTHER	Other Heart Assist System Implant	137	21	$250,900.35	$250,900.35	$66,011.08	$428,439.61	$223,837.02	2026-05-08
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	137	21	$457,528.62	$457,528.62	$67,874.63	$277,851.75	$172,863.19	2026-05-08
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC	137	21	$204,212.01	$204,212.01	$50,224.82	$265,304.89	$157,764.86	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	137	21	$358,253.17	$358,253.17	$60,131.34	$250,367.62	$155,249.48	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	137	21	$435,196.41	$435,196.41	$52,767.50	$245,095.12	$148,931.31	2026-05-08
RX-186707	OTHER	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution	24	5	$120,207.90	$120,207.90	$140,495.31	$147,889.80	$147,889.80	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With McC	137	21	$142,322.91	$142,322.91	$37,325.78	$240,413.32	$138,869.55	2026-05-08
016	OTHER	Autologous Bone Marrow Transplant With Cc/McC	137	21	$334,672.89	$334,672.89	$37,606.78	$233,777.88	$135,692.33	2026-05-08
38240	CPT	Transplantation Of Donor Stem Cells Per Donor	49	22	$165,599.00	$165,599.00	$66,731.75	$165,570.42	$132,479.20	2026-07-18
231	OTHER	Coronary Bypass With Ptca With McC	137	21	$430,466.14	$430,466.14	$52,796.78	$209,347.81	$131,072.30	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	137	21	$239,647.48	$239,647.48	$40,294.00	$215,946.58	$128,120.29	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC	137	21	$342,408.59	$342,408.59	$48,700.21	$201,206.28	$124,953.24	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	137	21	$327,221.40	$327,221.40	$48,208.63	$198,925.83	$123,567.23	2026-05-08
A9513	HCPCS	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution	90	22	$144,176.90	$144,176.90	$336.80	$150,725.40	$118,199.23	2026-07-18
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	137	21	$311,127.38	$311,127.38	$34,437.94	$198,493.87	$116,465.90	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With McC	137	21	$260,817.39	$260,817.39	$41,542.60	$188,664.98	$115,103.79	2026-05-08
834	OTHER	Acute Leukemia With McC	137	21	$193,080.96	$193,080.96	$34,437.94	$193,829.41	$114,133.68	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And McC	137	21	$225,405.35	$225,405.35	$44,031.06	$181,502.53	$112,766.79	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	137	21	$244,930.86	$244,930.86	$35,759.43	$188,797.92	$112,278.68	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	137	21	$191,174.42	$191,174.42	$43,342.59	$179,673.53	$111,508.06	2026-05-08
850	MS_DRG	Acute Leukemia With Other Procedures	34	20	$201,227.62	$201,227.62	$66,504.54	$281,469.60	$109,161.02	2026-07-18
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	137	21	$207,574.87	$207,574.87	$40,236.06	$176,087.70	$108,161.88	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With McC	137	21	$202,262.82	$202,262.82	$46,505.83	$166,888.83	$106,697.33	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With McC	137	21	$202,857.33	$202,857.33	$36,275.94	$174,740.96	$105,508.45	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With McC	137	21	$152,362.75	$152,362.75	$31,048.54	$171,177.59	$101,113.07	2026-05-08
653	OTHER	Major Bladder Procedures With McC	137	21	$256,780.09	$256,780.09	$34,732.64	$167,105.58	$100,919.11	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator	137	21	$149,462.56	$149,462.56	$38,594.32	$160,204.53	$99,399.43	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC	137	21	$94,161.31	$94,161.31	$29,312.71	$167,963.91	$98,638.31	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without McC	137	21	$327,515.07	$327,515.07	$38,060.36	$157,585.92	$97,823.14	2026-05-08
028	OTHER	Spinal Procedures With McC	137	21	$244,991.94	$244,991.94	$37,878.43	$155,455.30	$96,666.87	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With McC	137	21	$244,174.90	$244,174.90	$36,661.61	$156,048.44	$96,355.02	2026-05-08
901	OTHER	Wound Debridements For Injuries With McC	137	21	$103,496.58	$103,496.58	$27,604.31	$180,226.18	$95,559.59	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	137	21	$286,030.58	$286,030.58	$37,067.22	$150,300.23	$93,683.73	2026-05-08
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	100	22	$115,220.02	$115,220.02	$236.04	$135,380.52	$92,223.62	2026-07-18
163	OTHER	Major Chest Procedures With McC	137	21	$167,361.09	$167,361.09	$28,717.70	$155,516.68	$92,117.19	2026-05-08
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	137	21	$160,268.65	$160,268.65	$23,314.60	$159,293.91	$91,304.26	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With McC	115	17	$104,719.10	$104,719.10	$49,320.96	$132,974.68	$91,147.82	2026-05-08
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	137	21	$165,303.89	$165,303.89	$35,545.72	$146,238.03	$90,891.88	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	137	21	$202,197.60	$202,197.60	$26,903.37	$149,777.14	$88,340.26	2026-05-08
33276	CPT	Hc Insertion Phrenic Nerve Stimulator System	60	22	$126,001.00	$126,001.00	$46,728.88	$114,301.00	$88,200.70	2026-07-18
405	OTHER	Pancreas, Liver And Shunt Procedures With McC	137	21	$150,375.35	$150,375.35	$34,287.79	$142,017.64	$88,152.71	2026-05-08
64568	CPT	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	62	22	$126,001.00	$126,001.00	$46,728.88	$113,400.90	$87,992.52	2026-07-18
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	137	21	$232,693.07	$232,693.07	$29,753.83	$145,682.01	$87,717.92	2026-05-08
PX-36002153	OTHER	Bone Marrow/stem Transplant	92	9	$145,785.00	$145,785.00	$65,462.00	$105,584.00	$85,523.00	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With McC	137	21	$139,726.29	$139,726.29	$25,342.01	$148,005.57	$85,420.53	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	137	21	$296,294.36	$296,294.36	$33,001.18	$137,665.15	$85,333.16	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With McC	137	21	$117,290.83	$117,290.83	$31,160.69	$138,679.54	$84,920.12	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC	137	21	$140,534.44	$140,534.44	$29,937.98	$137,957.04	$83,947.51	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC	137	21	$273,790.86	$273,790.86	$33,147.60	$134,090.23	$83,618.91	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With McC	137	21	$162,143.42	$162,143.42	$31,741.99	$133,798.72	$82,770.35	2026-05-08
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC	137	21	$175,124.69	$175,124.69	$32,114.75	$133,017.07	$82,565.91	2026-05-08
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	35	20	$214,188.60	$214,188.60	$53,375.67	$175,981.52	$82,434.53	2026-07-18
329	OTHER	Major Small And Large Bowel Procedures With McC	137	21	$138,966.75	$138,966.75	$28,609.91	$135,509.21	$82,059.56	2026-05-08
014	OTHER	Allogeneic Bone Marrow Transplant	137	21	$1,453,908.04	$1,453,908.04	$81,630.99	$81,630.99	$81,630.99	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With McC	137	21	$169,013.92	$169,013.92	$31,644.80	$131,022.96	$81,333.88	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With McC	137	21	$167,522.67	$167,522.67	$31,495.66	$130,452.85	$80,974.26	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	137	21	$216,242.56	$216,242.56	$28,614.27	$131,529.68	$80,071.98	2026-05-08
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	137	21	$95,597.91	$95,597.91	$21,996.22	$136,462.91	$79,229.57	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With McC	137	21	$114,739.40	$114,739.40	$28,109.60	$130,073.12	$79,091.36	2026-05-08
799	OTHER	Splenic Procedures With McC	115	17	$137,390.14	$137,390.14	$29,624.86	$127,813.82	$78,719.34	2026-05-08
471	OTHER	Cervical Spinal Fusion With McC	137	21	$163,427.81	$163,427.81	$30,263.49	$126,895.44	$78,579.46	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	137	21	$37,456.29	$37,456.29	$31,197.45	$124,960.67	$78,079.06	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With McC	137	21	$145,762.73	$145,762.73	$27,942.00	$127,818.92	$77,880.46	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With McC	137	21	$166,799.93	$166,799.93	$22,335.16	$130,388.13	$76,361.65	2026-05-08
277	OTHER	Cardiac Defibrillator Implant Without McC	137	21	$117,985.99	$117,985.99	$28,983.74	$123,371.57	$76,177.65	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC	137	21	$123,365.81	$123,365.81	$29,619.26	$122,288.10	$75,953.68	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With McC	137	21	$125,461.92	$125,461.92	$22,575.66	$127,709.10	$75,142.38	2026-05-08
J2351	HCPCS	Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln	96	22	$93,377.95	$93,377.95	$49.40	$106,015.74	$74,707.56	2026-07-18
245	OTHER	Aicd Generator Procedures	137	21	$56,403.58	$56,403.58	$30,447.29	$118,666.29	$74,556.79	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With McC	137	21	$136,289.91	$136,289.91	$23,989.36	$122,642.93	$73,316.15	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC	137	21	$127,502.21	$127,502.21	$25,923.31	$120,015.92	$72,969.62	2026-05-08
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With McC	137	21	$208,518.13	$208,518.13	$27,864.74	$113,919.55	$70,892.15	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	137	21	$112,277.48	$112,277.48	$23,815.53	$116,949.63	$70,382.58	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With McC	137	21	$40,294.02	$40,294.02	$27,369.42	$112,523.93	$69,946.68	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With McC	137	21	$143,383.11	$143,383.11	$26,577.52	$110,377.62	$68,477.57	2026-05-08
420	OTHER	Hepatobiliary Diagnostic Procedures With McC	137	21	$119,900.53	$119,900.53	$21,990.61	$114,287.94	$68,139.27	2026-05-08
229	OTHER	Other Cardiothoracic Procedures Without McC	137	21	$69,422.26	$69,422.26	$19,803.36	$115,579.77	$67,691.57	2026-05-08
PX-36003897	OTHER	Implant Cochlear Device	105	12	$20,094.00	$20,094.00	$51,672.00	$102,604.71	$67,507.50	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With McC	137	21	$91,144.48	$91,144.48	$19,869.12	$117,701.03	$67,499.58	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With McC	137	21	$157,555.09	$157,555.09	$26,538.26	$106,799.58	$66,668.92	2026-05-08
332	OTHER	Rectal Resection With McC	137	21	$107,318.82	$107,318.82	$21,611.79	$111,088.71	$66,350.25	2026-05-08
031	OTHER	Ventricular Shunt Procedures With McC	137	21	$112,149.60	$112,149.60	$25,639.24	$106,195.93	$65,917.59	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without McC	137	21	$228,418.40	$228,418.40	$25,620.51	$106,016.76	$65,818.63	2026-05-08
834	MS_DRG	Acute Leukemia With Mcc	35	20	$184,782.21	$184,782.21	$42,694.22	$204,929.33	$65,498.51	2026-07-18
034	OTHER	Carotid Artery Stent Procedures With McC	137	21	$123,768.34	$123,768.34	$24,228.61	$106,288.42	$65,258.51	2026-05-08
PX-36003952	OTHER	Hc Insrt Pulse Gen W/Mult Leads	92	9	$25,225.00	$25,225.00	$49,718.00	$80,191.00	$64,954.50	2026-05-08
PX-36003955	OTHER	Hc Remv&Replc Cvd Gen Mult Lead	105	12	$25,225.00	$25,225.00	$49,718.00	$98,724.53	$64,954.50	2026-05-08
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	17	$332,096.48	$332,096.48	$58,694.98	$177,739.61	$64,564.48	2026-07-18
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	137	21	$108,846.43	$108,846.43	$25,568.17	$103,314.41	$64,441.29	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC	137	21	$100,318.99	$100,318.99	$24,583.75	$103,562.06	$64,072.90	2026-05-08
570	OTHER	Skin Debridement With McC	137	21	$86,893.55	$86,893.55	$18,040.56	$118,767.44	$63,374.00	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	137	21	$101,598.94	$101,598.94	$24,080.95	$102,096.79	$63,088.87	2026-05-08
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC	137	21	$141,471.09	$141,471.09	$24,533.28	$100,973.71	$62,753.50	2026-05-08
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	137	21	$133,460.15	$133,460.15	$23,686.56	$101,254.04	$62,470.30	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With McC	137	21	$120,091.40	$120,091.40	$24,363.19	$100,530.91	$62,447.05	2026-05-08
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With McC	137	21	$117,762.71	$117,762.71	$23,502.13	$99,331.35	$61,416.74	2026-05-08
791	OTHER	Prematurity With Major Problems	71	13	$145,126.89	$145,126.89	$25,295.28	$116,086.50	$60,993.25	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With McC	137	21	$78,738.27	$78,738.27	$26,103.37	$95,397.31	$60,750.34	2026-05-08
PX-36001918	OTHER	Hc Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen Add-on	3	2	$10,270.00	$10,270.00	$60,733.00	$60,733.00	$60,733.00	2026-05-08
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	137	21	$136,449.50	$136,449.50	$21,814.91	$99,609.63	$60,712.27	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With McC	137	21	$123,161.57	$123,161.57	$24,820.51	$95,951.94	$60,386.22	2026-05-08
J9029	HCPCS	Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml	58	22	$72,000.00	$72,000.00	$46,800.00	$161,923.29	$60,300.00	2026-07-18
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	21	15	$32,449.16	$32,449.16	$55,335.56	$79,144.97	$60,268.16	2026-07-18
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	137	21	$138,904.25	$138,904.25	$25,606.18	$94,696.63	$60,151.40	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	82	17	$126,279.25	$126,279.25	$5.40	$146,106.47	$59,754.24	2026-05-08
PX-36003449	OTHER	Inc For Vagus N Elect Impl	105	12	$15,268.00	$15,268.00	$45,506.00	$90,359.53	$59,451.00	2026-05-08
PX-36003329	OTHER	Implant Neurostim Arrays	105	12	$15,268.00	$15,268.00	$45,506.00	$90,359.53	$59,451.00	2026-05-08
PX-36004796	OTHER	Hc Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor	105	12	$15,268.00	$15,268.00	$45,506.00	$90,359.53	$59,451.00	2026-05-08
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	33	19	$58,306.73	$58,306.73	$37,543.90	$125,230.07	$59,335.32	2026-07-18
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	35	20	$132,373.52	$132,373.52	$38,552.78	$146,621.22	$59,265.41	2026-07-18
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	137	21	$115,716.01	$115,716.01	$24,803.07	$93,289.69	$59,046.38	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With McC	137	21	$86,677.11	$86,677.11	$21,830.49	$95,791.94	$58,811.21	2026-05-08
656	OTHER	Kidney And Ureter Procedures For Neoplasm With McC	137	21	$105,007.85	$105,007.85	$20,299.03	$97,005.74	$58,652.39	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost…	137	21	$160,680.61	$160,680.61	$22,330.17	$94,205.48	$58,267.82	2026-05-08
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With McC	137	21	$103,194.69	$103,194.69	$22,733.29	$93,454.79	$58,094.04	2026-05-08
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC	137	21	$95,126.30	$95,126.30	$22,333.91	$93,821.11	$58,077.51	2026-05-08
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	137	21	$74,109.91	$74,109.91	$19,213.67	$96,112.73	$57,663.20	2026-05-08
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	137	21	$127,551.99	$127,551.99	$21,935.16	$92,384.22	$57,159.69	2026-05-08
265	OTHER	Aicd Lead Procedures	137	21	$79,853.11	$79,853.11	$22,225.50	$91,169.18	$56,697.34	2026-05-08
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	29	20	$224,924.37	$224,924.37	$36,593.62	$154,024.70	$56,589.68	2026-07-18
799	MS_DRG	Splenic Procedures With Mcc	35	20	$156,580.05	$156,580.05	$35,475.07	$129,058.21	$56,344.38	2026-07-18
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	35	20	$103,814.64	$103,814.64	$36,698.80	$123,604.14	$56,333.72	2026-07-18
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC	137	21	$87,501.93	$87,501.93	$19,267.25	$92,763.22	$56,015.24	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC	137	21	$121,652.98	$121,652.98	$22,125.81	$89,311.79	$55,718.80	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	137	21	$147,900.49	$147,900.49	$21,340.77	$89,936.08	$55,638.43	2026-05-08
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	35	20	$153,077.98	$153,077.98	$35,895.00	$140,589.67	$55,452.08	2026-07-18
271	OTHER	Other Major Cardiovascular Procedures With Cc	137	21	$142,794.73	$142,794.73	$21,460.39	$89,159.59	$55,309.99	2026-05-08
PX-36004607	OTHER	Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr	92	9	$17,431.00	$17,431.00	$42,323.00	$68,263.00	$55,293.00	2026-05-08
904	OTHER	Skin Grafts For Injuries With Cc/McC	137	21	$70,335.74	$70,335.74	$24,056.65	$86,477.47	$55,267.06	2026-05-08
500	OTHER	Soft Tissue Procedures With McC	137	21	$122,924.72	$122,924.72	$19,742.64	$90,627.51	$55,185.07	2026-05-08
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	100	22	$68,351.24	$68,351.24	$3,957.25	$70,320.02	$55,165.42	2026-07-18
242	OTHER	Permanent Cardiac Pacemaker Implant With McC	137	21	$89,333.43	$89,333.43	$21,133.91	$89,131.21	$55,132.56	2026-05-08
665	OTHER	Prostatectomy With McC	137	21	$174,632.11	$174,632.11	$21,393.10	$88,413.77	$54,903.43	2026-05-08
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With McC	137	21	$94,707.07	$94,707.07	$21,426.75	$88,376.20	$54,901.47	2026-05-08
662	OTHER	Minor Bladder Procedures With McC	137	21	$84,627.32	$84,627.32	$19,436.72	$90,185.34	$54,811.03	2026-05-08
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	137	21	$32,035.68	$32,035.68	$21,588.12	$87,859.42	$54,723.77	2026-05-08
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	137	21	$148,242.27	$148,242.27	$20,913.98	$88,437.28	$54,675.63	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC	137	21	$89,289.23	$89,289.23	$21,823.63	$87,108.73	$54,466.18	2026-05-08
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With McC	137	21	$69,161.08	$69,161.08	$16,101.53	$92,636.06	$54,368.79	2026-05-08
PX-27041743	OTHER	Hc Therasphere Y90 Gls Mcsph	12	5	$23,849.00	$23,849.00	$51,489.35	$54,199.32	$54,199.32	2026-05-08
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With McC	137	21	$42,396.39	$42,396.39	$21,222.39	$86,983.22	$54,102.81	2026-05-08
619	OTHER	O.r. Procedures For Obesity With McC	137	21	$88,669.34	$88,669.34	$16,987.51	$90,994.54	$53,991.03	2026-05-08
037	OTHER	Extracranial Procedures With McC	137	21	$118,924.10	$118,924.10	$20,690.92	$87,080.35	$53,885.64	2026-05-08
252	OTHER	Other Vascular Procedures With McC	137	21	$111,091.79	$111,091.79	$20,888.32	$86,517.98	$53,703.15	2026-05-08
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	35	20	$129,488.46	$129,488.46	$35,623.81	$137,521.94	$53,462.46	2026-07-18
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With McC	137	21	$150,546.79	$150,546.79	$18,160.09	$88,584.28	$53,372.18	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With McC	137	21	$90,569.19	$90,569.19	$20,307.75	$86,218.73	$53,263.24	2026-05-08
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With McC	137	21	$111,874.34	$111,874.34	$20,572.54	$85,790.50	$53,181.52	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC…	137	21	$174,904.24	$174,904.24	$20,365.69	$85,898.85	$53,132.27	2026-05-08
955	MS_DRG	Craniotomy For Multiple Significant Trauma	17	12	$392,903.82	$392,903.82	$52,018.22	$164,902.28	$53,058.58	2026-07-18
264	OTHER	Other Circulatory System O.r. Procedures	118	17	$99,084.09	$99,084.09	$21,776.28	$84,253.00	$53,014.64	2026-05-08
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With McC	137	21	$85,939.92	$85,939.92	$20,057.90	$84,975.32	$52,516.61	2026-05-08
901	MS_DRG	Wound Debridements For Injuries With Mcc	35	20	$152,484.11	$152,484.11	$32,978.81	$190,547.09	$52,501.43	2026-07-18
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	23	16	$330,086.30	$330,086.30	$47,437.34	$178,248.70	$51,646.90	2026-07-18
274	OTHER	Percutaneous And Other Intracardiac Procedures Without McC	137	21	$62,313.32	$62,313.32	$19,445.44	$83,602.92	$51,524.18	2026-05-08
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC	137	21	$32,970.04	$32,970.04	$19,775.66	$82,945.09	$51,360.38	2026-05-08
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	137	21	$157,004.75	$157,004.75	$19,965.07	$82,565.88	$51,265.47	2026-05-08
288	OTHER	Acute And Subacute Endocarditis With McC	137	21	$64,053.49	$64,053.49	$17,018.66	$85,356.15	$51,187.40	2026-05-08
974	OTHER	HIV With Major Related Condition With McC	137	21	$53,976.29	$53,976.29	$18,605.57	$83,503.66	$51,054.61	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	137	21	$98,412.21	$98,412.21	$18,144.51	$81,760.99	$49,952.75	2026-05-08
PX-36004264	OTHER	Hc Ins/Rep Subq Defibrillator	53	9	$25,225.00	$25,225.00	$49,718.00	$98,724.53	$49,718.00	2026-05-08
PX-36001926	OTHER	Eltrd/insert Pace-defib	53	9	$25,225.00	$25,225.00	$49,718.00	$98,724.53	$49,718.00	2026-05-08
J9226	HCPCS	Hc Histerlin, Implant, 50 Mg	63	22	$60,217.94	$60,217.94	$39,141.66	$112,603.54	$49,679.80	2026-07-18
93653	CPT	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	60	22	$62,005.00	$62,005.00	$27,729.64	$90,516.76	$49,604.00	2026-07-18
93656	CPT	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	60	22	$62,005.00	$62,005.00	$27,729.64	$90,516.76	$49,604.00	2026-07-18
93654	CPT	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	60	22	$62,005.00	$62,005.00	$27,729.64	$71,960.82	$49,604.00	2026-07-18
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	23	16	$281,480.42	$281,480.42	$45,510.49	$184,747.75	$49,543.66	2026-07-18
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	137	21	$162,019.78	$162,019.78	$19,056.66	$79,850.70	$49,453.68	2026-05-08
353	OTHER	Hernia Procedures Except Inguinal And Femoral With McC	137	21	$97,167.23	$97,167.23	$18,274.11	$80,472.05	$49,373.08	2026-05-08
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	29	16	$114,687.01	$114,687.01	$33,108.77	$100,119.57	$48,701.13	2026-07-18
344	OTHER	Minor Small And Large Bowel Procedures With McC	137	21	$61,066.33	$61,066.33	$16,788.13	$80,552.97	$48,670.55	2026-05-08
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	19	13	$218,546.09	$218,546.09	$46,101.69	$168,817.50	$48,406.77	2026-07-18
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without McC	137	21	$121,028.55	$121,028.55	$19,907.13	$76,580.97	$48,244.05	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	137	21	$93,226.18	$93,226.18	$18,371.30	$77,427.12	$47,899.21	2026-05-08
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	35	20	$130,517.64	$130,517.64	$30,294.74	$99,632.34	$47,206.85	2026-07-18
480	OTHER	Hip And Femur Procedures Except Major Joint With McC	137	21	$110,429.25	$110,429.25	$18,323.95	$76,072.77	$47,198.36	2026-05-08
472	OTHER	Cervical Spinal Fusion With Cc	137	21	$148,882.46	$148,882.46	$18,051.05	$76,240.45	$47,145.75	2026-05-08
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC	137	21	$41,418.50	$41,418.50	$15,911.49	$77,729.44	$46,820.46	2026-05-08
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With McC	137	21	$165,818.83	$165,818.83	$17,863.52	$75,358.20	$46,610.86	2026-05-08
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	29	16	$97,645.63	$97,645.63	$30,487.04	$85,272.32	$46,565.76	2026-07-18
545	OTHER	Connective Tissue Disorders With McC	137	21	$59,970.27	$59,970.27	$15,743.89	$77,350.85	$46,547.37	2026-05-08
PX-36001923	OTHER	Insert Pulse Generator	92	9	$19,362.00	$19,362.00	$35,368.00	$57,046.00	$46,207.00	2026-05-08
PX-36003951	OTHER	Hc Insrt Pulse Gen W/Dual Leads	92	9	$19,362.00	$19,362.00	$35,368.00	$57,046.00	$46,207.00	2026-05-08
PX-36003953	OTHER	Hc Remv&Replc Cvd Gen Sing Lead	105	12	$19,362.00	$19,362.00	$35,368.00	$70,230.23	$46,207.00	2026-05-08
PX-36003954	OTHER	Hc Remv&Replc Cvd Gen Dual Lead	105	12	$19,362.00	$19,362.00	$35,368.00	$70,230.23	$46,207.00	2026-05-08
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	137	21	$122,760.51	$122,760.51	$17,497.78	$74,486.26	$45,992.02	2026-05-08
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A…	137	21	$122,984.72	$122,984.72	$17,737.04	$74,158.64	$45,947.84	2026-05-08
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With McC	137	21	$41,184.24	$41,184.24	$13,360.10	$80,157.04	$45,913.62	2026-05-08
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/McC	137	21	$71,346.70	$71,346.70	$16,128.32	$75,645.75	$45,887.04	2026-05-08
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	35	20	$103,208.89	$103,208.89	$29,046.23	$96,566.11	$45,754.04	2026-07-18
835	OTHER	Acute Leukemia With Cc	137	21	$72,201.50	$72,201.50	$13,307.76	$90,101.53	$45,559.50	2026-05-08
668	OTHER	Transurethral Procedures With McC	137	21	$79,629.18	$79,629.18	$18,170.06	$72,695.95	$45,433.00	2026-05-08
800	OTHER	Splenic Procedures With Cc	137	21	$65,365.01	$65,365.01	$18,154.48	$72,688.21	$45,421.35	2026-05-08
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	29	16	$107,470.21	$107,470.21	$29,721.56	$123,646.92	$45,295.44	2026-07-18
C1831	HCPCS	Hc Aprevo Kit Implant Level 1 Patient Specific	186	17	$54,600.00	$54,600.00	$18,720.00	$70,200.00	$44,928.00	2026-07-18
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With McC	137	21	$72,268.33	$72,268.33	$16,302.15	$73,406.00	$44,854.07	2026-05-08
263	OTHER	Vein Ligation And Stripping	137	21	$122,445.74	$122,445.74	$16,710.87	$72,881.68	$44,796.28	2026-05-08
PX-36002114	OTHER	Hc Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Uni Ea Vsl Add-on	55	7	$17,549.00	$17,549.00	$44,764.00	$44,764.00	$44,764.00	2026-05-08
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/McC	137	21	$132,690.16	$132,690.16	$16,344.52	$72,998.51	$44,671.51	2026-05-08
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	137	21	$83,418.20	$83,418.20	$16,843.58	$72,303.83	$44,573.71	2026-05-08
RX-107664	OTHER	Pegloticase 8 Mg/ml Intravenous Solution	122	11	$63,041.92	$63,041.92	$31,218.62	$52,928.72	$44,571.57	2026-05-08
PX-36000615	OTHER	Cerv Artific Diskectomy	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36004448	OTHER	Hc Insj Stablj Dev W/Dcmprn Singl Level	105	12	$20,031.00	$20,031.00	$33,941.00	$54,744.00	$44,342.50	2026-05-08
PX-36000904	OTHER	Reconstruct Wrist Joint	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36000699	OTHER	Treat Humerus Fracture	92	9	$20,031.00	$20,031.00	$33,941.00	$54,744.00	$44,342.50	2026-05-08
PX-36004315	OTHER	Hc Arthrodesis Sacroiliac Joint	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36004423	OTHER	Hc Lumbar Spine Fusion Combined	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36000908	OTHER	Wrist Replacement	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36004574	OTHER	Hc Revise Reconst Elbow Joint	92	9	$20,031.00	$20,031.00	$33,941.00	$54,744.00	$44,342.50	2026-05-08
PX-36000491	OTHER	Reconstruction Of Jaw Joint	92	9	$20,031.00	$20,031.00	$33,941.00	$54,744.00	$44,342.50	2026-05-08
PX-36004764	OTHER	Hc Xtrnl Fixj W/Stereotactic Adjustment 1st & Subq	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36000771	OTHER	Replace Elbow Joint	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36000769	OTHER	Reconstruct Elbow Joint	92	9	$20,031.00	$20,031.00	$33,941.00	$54,744.00	$44,342.50	2026-05-08
PX-36001599	OTHER	Fusion Of Foot Bones	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
PX-36000605	OTHER	Lumbar Spine Fusion	105	12	$20,031.00	$20,031.00	$33,941.00	$67,396.53	$44,342.50	2026-05-08
C1826	HCPCS	Hc Stimulator Spinal Cord Inceptiv	31	17	$54,011.00	$54,011.00	$40,508.25	$48,609.90	$44,289.02	2026-07-18
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	137	21	$233,683.76	$233,683.76	$44,253.49	$44,253.49	$44,253.49	2026-05-08
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With McC	137	21	$62,746.87	$62,746.87	$15,794.98	$72,664.99	$44,229.99	2026-05-08
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	137	21	$61,898.47	$61,898.47	$14,036.11	$73,787.48	$43,911.79	2026-05-08
164	OTHER	Major Chest Procedures With Cc	137	21	$170,661.39	$170,661.39	$15,682.21	$71,900.31	$43,791.26	2026-05-08
035	OTHER	Carotid Artery Stent Procedures With Cc	137	21	$99,429.28	$99,429.28	$14,173.18	$73,261.50	$43,717.34	2026-05-08
258	OTHER	Cardiac Pacemaker Device Replacement With McC	137	21	$63,567.02	$63,567.02	$17,479.72	$69,873.75	$43,676.74	2026-05-08
963	OTHER	Other Multiple Significant Trauma With McC	137	21	$46,748.35	$46,748.35	$16,926.45	$70,250.12	$43,588.29	2026-05-08
PX-36003452	OTHER	Implant Neuroelectrodes	92	9	$10,464.00	$10,464.00	$33,349.00	$53,788.00	$43,568.50	2026-05-08
PX-36003328	OTHER	Insrt/redo Neurostim 1 Array	105	12	$10,464.00	$10,464.00	$33,349.00	$66,219.98	$43,568.50	2026-05-08
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC	137	21	$126,381.14	$126,381.14	$16,944.59	$70,183.32	$43,563.96	2026-05-08
PX-48000136	OTHER	Hc Ep & Ablate Ventric Tachy	108	13	$58,406.00	$58,406.00	$28,061.00	$72,270.71	$43,382.00	2026-05-08
539	OTHER	Osteomyelitis With McC	137	21	$61,694.55	$61,694.55	$12,600.60	$109,507.88	$43,360.93	2026-05-08
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	137	21	$78,506.05	$78,506.05	$16,721.46	$69,749.93	$43,235.69	2026-05-08
849	OTHER	Radiotherapy	137	21	$65,971.95	$65,971.95	$16,642.33	$69,430.05	$43,036.19	2026-05-08
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC	137	21	$97,204.02	$97,204.02	$16,510.87	$69,283.00	$42,896.93	2026-05-08
503	OTHER	Foot Procedures With McC	137	21	$93,054.25	$93,054.25	$16,489.69	$69,184.97	$42,837.33	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	137	21	$498,048.47	$498,048.47	$42,543.84	$42,543.84	$42,543.84	2026-05-08
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	35	20	$117,450.07	$117,450.07	$31,382.48	$137,854.99	$42,479.88	2026-07-18
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	137	21	$126,774.96	$126,774.96	$16,590.62	$68,338.83	$42,464.72	2026-05-08
548	OTHER	Septic Arthritis With McC	137	21	$50,443.04	$50,443.04	$12,552.00	$79,515.46	$42,144.33	2026-05-08
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	137	21	$91,946.38	$91,946.38	$14,382.53	$69,276.19	$41,829.36	2026-05-08
135	OTHER	Sinus And Mastoid Procedures With Cc/McC	137	21	$91,779.34	$91,779.34	$15,022.40	$68,416.22	$41,719.31	2026-05-08
253	OTHER	Other Vascular Procedures With Cc	137	21	$126,086.07	$126,086.07	$15,906.51	$67,493.06	$41,699.79	2026-05-08
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	137	21	$132,793.01	$132,793.01	$15,731.43	$67,355.97	$41,543.70	2026-05-08
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	35	20	$105,026.20	$105,026.20	$27,208.02	$87,602.53	$41,507.00	2026-07-18
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	137	21	$68,944.93	$68,944.93	$14,935.80	$67,946.79	$41,441.29	2026-05-08
441	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC	137	21	$42,596.38	$42,596.38	$11,778.17	$87,792.42	$41,164.53	2026-05-08
320	OTHER	Other Endovascular Cardiac Valve Procedures Without McC	137	21	$37,823.23	$37,823.23	$14,422.40	$67,848.53	$41,135.46	2026-05-08
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	137	21	$134,162.93	$134,162.93	$13,703.40	$67,874.54	$40,788.97	2026-05-08
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	137	21	$47,629.03	$47,629.03	$14,269.75	$66,759.00	$40,514.38	2026-05-08
347	OTHER	Anal And Stomal Procedures With McC	137	21	$48,367.36	$48,367.36	$14,746.39	$65,759.13	$40,252.76	2026-05-08
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	137	21	$143,917.71	$143,917.71	$15,876.60	$64,084.91	$39,980.75	2026-05-08
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	137	21	$100,613.97	$100,613.97	$15,254.18	$64,131.34	$39,692.76	2026-05-08
C1736	HCPCS	Hc Ultrasound Paradise Rdn Price Per Procedure	32	18	$48,128.00	$48,128.00	$36,096.00	$43,315.20	$39,464.96	2026-07-18
113	OTHER	Orbital Procedures With Cc/McC	137	21	$50,633.70	$50,633.70	$14,059.79	$64,680.82	$39,370.31	2026-05-08
272	OTHER	Other Major Cardiovascular Procedures Without Cc/McC	137	21	$121,745.71	$121,745.71	$15,590.00	$62,931.78	$39,260.89	2026-05-08
473	OTHER	Cervical Spinal Fusion Without Cc/McC	137	21	$141,452.87	$141,452.87	$14,750.13	$63,476.10	$39,113.11	2026-05-08
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/McC	137	21	$131,542.81	$131,542.81	$15,375.67	$62,761.52	$39,068.60	2026-05-08
PX-36002940	OTHER	Insert Tandem Cuff	92	9	$16,193.00	$16,193.00	$29,887.00	$48,204.00	$39,045.50	2026-05-08
PX-36003020	OTHER	Remv/repl Penis Contain Pros	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
PX-36003018	OTHER	Remove/replace Penis Prosth	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
PX-36003014	OTHER	Insert Self-contd Prosthesis	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
PX-36004638	OTHER	Hc Remov/Replc Penis Pros Comp	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
PX-36003015	OTHER	Insert Multi-comp Penis Pros	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
PX-36002941	OTHER	Insert Uro/ves Nck Sphincter	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
PX-36002943	OTHER	Remove/replace Ur Sphincter	105	12	$16,193.00	$16,193.00	$29,887.00	$59,345.25	$39,045.50	2026-05-08
592	OTHER	Skin Ulcers With McC	137	21	$50,959.02	$50,959.02	$12,811.81	$94,182.21	$38,757.40	2026-05-08
056	OTHER	Degenerative Nervous System Disorders With McC	137	21	$36,700.28	$36,700.28	$15,601.84	$61,758.02	$38,679.93	2026-05-08
141	OTHER	Major Head And Neck Procedures With Cc	137	21	$99,912.64	$99,912.64	$13,386.27	$63,961.48	$38,673.88	2026-05-08
333	OTHER	Rectal Resection With Cc	137	21	$156,331.08	$156,331.08	$13,241.72	$64,039.51	$38,640.61	2026-05-08
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC	137	21	$84,639.50	$84,639.50	$14,408.69	$62,848.83	$38,628.76	2026-05-08
350	OTHER	Inguinal And Femoral Hernia Procedures With McC	137	21	$80,035.03	$80,035.03	$15,069.75	$61,912.80	$38,491.28	2026-05-08
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	137	21	$104,884.59	$104,884.59	$14,959.47	$61,956.65	$38,458.06	2026-05-08
792	OTHER	Prematurity Without Major Problems	71	13	$12,576.17	$12,576.17	$15,262.90	$70,941.75	$38,420.88	2026-05-08
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	137	21	$46,099.54	$46,099.54	$14,226.14	$62,556.94	$38,391.54	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With McC	137	21	$1,601,728.23	$1,601,728.23	$38,368.77	$38,368.77	$38,368.77	2026-05-08
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	137	21	$102,345.72	$102,345.72	$13,909.01	$62,779.47	$38,344.24	2026-05-08
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC	137	21	$117,187.83	$117,187.83	$13,134.55	$63,415.27	$38,274.91	2026-05-08
PX-36003455	OTHER	Insrt/redo Pn/gastr Stimul	105	12	$10,464.00	$10,464.00	$38,203.00	$66,219.98	$38,203.00	2026-05-08
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	137	21	$103,424.27	$103,424.27	$13,155.11	$63,166.73	$38,160.92	2026-05-08
S2102	HCPCS	Hc Process Auto Islet Transcon	44	21	$47,580.00	$47,580.00	$30,927.00	$42,822.00	$38,064.00	2026-07-18
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	137	21	$74,889.84	$74,889.84	$14,570.69	$61,492.31	$38,031.50	2026-05-08
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	137	21	$86,693.02	$86,693.02	$12,190.56	$63,747.62	$37,969.09	2026-05-08
330	OTHER	Major Small And Large Bowel Procedures With Cc	137	21	$129,688.12	$129,688.12	$14,727.07	$61,193.06	$37,960.07	2026-05-08
PX-36003947	OTHER	Hc Insert Pulse Gen Mult Leads	92	9	$19,566.00	$19,566.00	$28,942.00	$46,680.00	$37,811.00	2026-05-08
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	33	19	$45,023.28	$45,023.28	$25,754.42	$79,756.89	$37,789.65	2026-07-18
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	100	22	$46,713.73	$46,713.73	$62.29	$46,091.25	$37,393.38	2026-07-18
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With McC	137	21	$84,395.62	$84,395.62	$14,806.82	$59,792.29	$37,299.56	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	41	13	$175,798.12	$175,798.12	$37,039.18	$174,129.75	$37,039.18	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	125	18	$93,896.89	$93,896.89	$24,483.44	$69,439.62	$36,971.79	2026-05-08
412	OTHER	Cholecystectomy With C.d.e. With Cc	137	21	$90,779.27	$90,779.27	$13,280.97	$60,487.70	$36,884.33	2026-05-08
030	OTHER	Spinal Procedures Without Cc/McC	137	21	$121,037.21	$121,037.21	$13,865.39	$59,823.24	$36,844.32	2026-05-08
397	OTHER	Appendix Procedures With McC	137	21	$97,992.19	$97,992.19	$15,437.98	$57,955.54	$36,696.76	2026-05-08
082	OTHER	Traumatic Stupor And Coma >1 Hour With McC	137	21	$94,045.36	$94,045.36	$14,456.05	$58,773.31	$36,614.68	2026-05-08
829	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	35	20	$85,516.49	$85,516.49	$25,191.75	$101,616.76	$36,543.03	2026-07-18
PX-48000135	OTHER	Hc Ep & Ablate Supravent Arrhyt	56	10	$58,406.00	$58,406.00	$28,061.00	$93,925.16	$36,396.00	2026-05-08
PX-48000138	OTHER	Hc Tx Atrial Fib Pulm Vein Isol	56	10	$58,406.00	$58,406.00	$28,061.00	$93,925.16	$36,396.00	2026-05-08
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	137	21	$63,916.31	$63,916.31	$13,441.09	$59,325.92	$36,383.50	2026-05-08
085	OTHER	Traumatic Stupor And Coma <1 Hour With McC	137	21	$52,513.75	$52,513.75	$14,118.35	$58,631.42	$36,374.89	2026-05-08
374	OTHER	Digestive Malignancy With McC	137	21	$41,133.70	$41,133.70	$13,155.11	$59,340.37	$36,247.74	2026-05-08
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	137	21	$111,625.34	$111,625.34	$17,832.36	$54,572.01	$36,202.18	2026-05-08
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	137	21	$75,451.53	$75,451.53	$14,013.06	$58,373.45	$36,193.25	2026-05-08

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