Hospital

SILVER CROSS HOSPITAL AND MEDICAL CENTERS

New Lenox, IL · CCN 140213 · Rates published

11,185 distinct procedures filed

17 distinct payers

193,277 rate rows

2026-05-08 last MRF observed

Data quality

173,759 of 193,277 rate rows are consumer-grade (89.9%)

19,518 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	17,494
template filing: same amount across many unrelated codes — excluded	913
exceeds 10× this hospital's gross charge — excluded from medians	881
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	216
placeholder amount (≤ $0.02) — excluded from medians	14

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

Source MRF file	https://www.silvercross.org/app/files/public/f403a6b3-a6ed-4c8e-929d-e799a1e85382/Price Transparency/Price Transparency_36-2174832_Silver-Cross-Hospital_standardcharges.csv
Found on page	https://www.silvercross.org/patient-family/before/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-07-31
Content fingerprint	0c35c6ba7c3c8b3c… · 11,232,528 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
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	14	$145,659.86	$374,983.44	$167,362.76	nat. median $206,020 0.8× median
583-4 OTHER	Neonate With Ecmo	2	$157,174.35	$161,889.58	$159,531.96	nat. median $265,200 0.6× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$128,925.59	$132,793.36	$130,859.47	nat. median $240,448 0.5× median
583-3 OTHER	Neonate With Ecmo	2	$124,485.08	$128,219.63	$126,352.36	nat. median $243,684 0.5× median
161-4 OTHER	Implantable Heart Assist Systems	2	$123,268.17	$126,966.22	$125,117.20	nat. median $162,664 0.8× median
002-4 OTHER	Heart And/or Lung Transplant	2	$118,957.47	$122,526.19	$120,741.83	nat. median $178,618 0.7× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	14	$704.49	$252,772.40	$112,784.63	nat. median $141,447 0.8× median
161-3 OTHER	Implantable Heart Assist Systems	2	$94,436.09	$97,269.17	$95,852.63	nat. median $123,032 0.8× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	$93,578.97	$96,386.34	$94,982.65	nat. median $195,063 outlier · 0.5×
583-2 OTHER	Neonate With Ecmo	2	$91,795.81	$94,549.69	$93,172.75	nat. median $180,907 0.5× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	2	$86,929.16	$89,537.03	$88,233.10	nat. median $113,251 0.8× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$84,084.02	$86,606.54	$85,345.28	nat. median $131,648 0.6× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$83,058.77	$85,550.53	$84,304.65	nat. median $151,800 0.6× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$81,330.69	$83,770.61	$82,550.65	nat. median $133,956 0.6× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$81,197.01	$83,632.92	$82,414.96	nat. median $134,440 0.6× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$81,092.65	$83,525.43	$82,309.04	nat. median $67,330 1.2× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	$80,679.07	$83,099.44	$81,889.26	nat. median $168,174 outlier · 0.5×
583-1 OTHER	Neonate With Ecmo	2	$79,328.17	$81,708.02	$80,518.10	nat. median $161,998 outlier · 0.5×
007-4 OTHER	Allogeneic Bone Marrow Transplant	2	$77,986.61	$80,326.21	$79,156.41	nat. median $133,615 0.6× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	$77,455.46	$79,779.13	$78,617.30	nat. median $191,184 outlier · 0.4×
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$77,246.10	$79,563.48	$78,404.79	nat. median $100,636 0.8× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	2	$76,044.98	$78,326.32	$77,185.65	nat. median $120,000 0.6× median
161-2 OTHER	Implantable Heart Assist Systems	2	$75,824.01	$78,098.73	$76,961.37	nat. median $98,784 0.8× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	$75,625.92	$77,894.70	$76,760.31	nat. median $98,526 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$66,306.42	$224,698.48	$76,185.88	nat. median $74,644 1.0× median
002-3 OTHER	Heart And/or Lung Transplant	2	$73,561.56	$75,768.41	$74,664.99	nat. median $125,034 0.6× median
161-1 OTHER	Implantable Heart Assist Systems	2	$72,032.54	$74,193.51	$73,113.02	nat. median $93,844 0.8× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	$67,589.45	$69,617.13	$68,603.29	nat. median $96,000 0.7× median
006-4 OTHER	Pancreas Transplant	2	$67,156.54	$69,171.24	$68,163.89	nat. median $85,000 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	14	$55,442.88	$121,728.00	$63,703.71	nat. median $67,378 0.9× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	$60,271.59	$62,079.74	$61,175.66	nat. median $109,000 0.6× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	14	$52,682.76	$143,466.50	$60,532.35	nat. median $65,837 0.9× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	14	$1,120.88	$137,028.93	$59,841.84	nat. median $61,143 1.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	14	$49,412.30	$131,259.00	$56,774.58	nat. median $65,173 0.9× median
002-2 OTHER	Heart And/or Lung Transplant	2	$54,590.66	$56,228.38	$55,409.52	nat. median $94,014 0.6× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	14	$48,068.44	$105,537.00	$55,230.50	nat. median $20,809 outlier · 2.7×
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	$54,071.43	$55,693.57	$54,882.50	nat. median $104,317 0.5× median
588-1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	$53,534.81	$55,140.85	$54,337.83	nat. median $102,622 0.5× median
004-3 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	$52,861.61	$54,447.46	$53,654.54	nat. median $69,525 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	14	$90.36	$158,345.81	$53,437.66	nat. median $4,272 outlier · 12.5×
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	$52,160.07	$53,724.87	$52,942.47	nat. median $76,237 0.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	17	$1,526.32	$130,909.76	$51,708.39	nat. median $64,908 0.8× median
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	$50,906.77	$52,433.97	$51,670.37	nat. median $74,505 0.7× median
162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	$49,160.00	$50,634.80	$49,897.40	nat. median $64,745 0.8× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	14	$884.22	$115,261.95	$48,837.28	nat. median $59,346 0.8× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	$47,569.14	$48,996.21	$48,282.68	nat. median $96,005 0.5× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	$47,525.65	$48,951.42	$48,238.54	nat. median $93,297 0.5× median
454 OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	14	$41,786.44	$99,747.69	$48,012.50	nat. median $22,807 outlier · 2.1×
006-3 OTHER	Pancreas Transplant	2	$47,220.94	$48,637.57	$47,929.26	nat. median $76,342 0.6× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	14	$2,728.83	$93,691.50	$47,922.73	nat. median $60,180 0.8× median

Other procedures at this hospital

Browse this hospital's 11,185 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

3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	26	14	$257,532.65	$90,136.43 65% off	$145,659.86	$374,983.44	$167,362.76	2026-05-08
583-4	OTHER	Neonate With Ecmo	2	2	—	—	$157,174.35	$161,889.58	$159,531.96	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$128,925.59	$132,793.36	$130,859.47	2026-05-08
583-3	OTHER	Neonate With Ecmo	2	2	—	—	$124,485.08	$128,219.63	$126,352.36	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	2	2	—	—	$123,268.17	$126,966.22	$125,117.20	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	2	2	—	—	$118,957.47	$122,526.19	$120,741.83	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	14	$204,940.00	$71,729.00 65% off	$704.49	$252,772.40	$112,784.63	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	2	2	—	—	$94,436.09	$97,269.17	$95,852.63	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$93,578.97	$96,386.34	$94,982.65	2026-05-08
583-2	OTHER	Neonate With Ecmo	2	2	—	—	$91,795.81	$94,549.69	$93,172.75	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	2	2	—	—	$86,929.16	$89,537.03	$88,233.10	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$84,084.02	$86,606.54	$85,345.28	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$83,058.77	$85,550.53	$84,304.65	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$81,330.69	$83,770.61	$82,550.65	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$81,197.01	$83,632.92	$82,414.96	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$81,092.65	$83,525.43	$82,309.04	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$80,679.07	$83,099.44	$81,889.26	2026-05-08
583-1	OTHER	Neonate With Ecmo	2	2	—	—	$79,328.17	$81,708.02	$80,518.10	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	2	2	—	—	$77,986.61	$80,326.21	$79,156.41	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$77,455.46	$79,779.13	$78,617.30	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$77,246.10	$79,563.48	$78,404.79	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$76,044.98	$78,326.32	$77,185.65	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	2	2	—	—	$75,824.01	$78,098.73	$76,961.37	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$75,625.92	$77,894.70	$76,760.31	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	14	$211,150.53	$73,902.68 65% off	$66,306.42	$224,698.48	$76,185.88	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	2	2	—	—	$73,561.56	$75,768.41	$74,664.99	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	2	2	—	—	$72,032.54	$74,193.51	$73,113.02	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$67,589.45	$69,617.13	$68,603.29	2026-05-08
006-4	OTHER	Pancreas Transplant	2	2	—	—	$67,156.54	$69,171.24	$68,163.89	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	26	14	$200,523.57	$70,183.25 65% off	$55,442.88	$121,728.00	$63,703.71	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$60,271.59	$62,079.74	$61,175.66	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	14	$154,481.82	$54,068.64 65% off	$52,682.76	$143,466.50	$60,532.35	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	28	14	$172,159.98	$60,255.99 65% off	$1,120.88	$137,028.93	$59,841.84	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	26	14	$137,046.70	$47,966.34 65% off	$49,412.30	$131,259.00	$56,774.58	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	2	2	—	—	$54,590.66	$56,228.38	$55,409.52	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	26	14	$150,720.26	$52,752.09 65% off	$48,068.44	$105,537.00	$55,230.50	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$54,071.43	$55,693.57	$54,882.50	2026-05-08
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	2	2	—	—	$53,534.81	$55,140.85	$54,337.83	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$52,861.61	$54,447.46	$53,654.54	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	28	14	$110,099.74	$38,534.91 65% off	$90.36	$158,345.81	$53,437.66	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$52,160.07	$53,724.87	$52,942.47	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	42	17	$106,087.28	$37,130.55 65% off	$1,526.32	$130,909.76	$51,708.39	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$50,906.77	$52,433.97	$51,670.37	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$49,160.00	$50,634.80	$49,897.40	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	14	$146,218.76	$51,176.57 65% off	$884.22	$115,261.95	$48,837.28	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$47,569.14	$48,996.21	$48,282.68	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$47,525.65	$48,951.42	$48,238.54	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	26	14	$87,133.75	$30,496.81 65% off	$41,786.44	$99,747.69	$48,012.50	2026-05-08
006-3	OTHER	Pancreas Transplant	2	2	—	—	$47,220.94	$48,637.57	$47,929.26	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	14	$145,513.87	$50,929.85 65% off	$2,728.83	$93,691.50	$47,922.73	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$46,998.37	$48,408.32	$47,703.35	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	14	$136,049.07	$47,617.18 65% off	$41,506.33	$91,129.50	$47,690.65	2026-05-08
276	OTHER	Cardiac Defibrillator Implant With Mcc	28	14	$94,031.48	$32,911.02 65% off	$2,191.52	$93,153.00	$47,647.29	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	2	2	—	—	$46,798.67	$48,202.63	$47,500.65	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$46,293.93	$47,682.75	$46,988.34	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	2	2	—	—	$45,959.59	$47,338.38	$46,648.99	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$45,215.21	$46,571.66	$45,893.43	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	26	14	$163,226.32	$57,129.21 65% off	$2,402.00	$94,986.58	$45,361.62	2026-05-08
440-4	OTHER	Kidney Transplant	2	2	—	—	$44,680.20	$46,020.60	$45,350.40	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	14	$127,418.54	$44,596.49 65% off	$2,183.79	$119,279.96	$45,118.46	2026-05-08
28	OTHER	Spinal Procedures With Mcc	43	17	$103,727.28	$36,304.55 65% off	$327.78	$96,457.22	$45,107.12	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$43,963.84	$45,282.75	$44,623.29	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	2	2	—	—	$43,931.63	$45,249.58	$44,590.60	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	2	2	—	—	$42,856.77	$44,142.47	$43,499.62	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	2	—	—	$41,832.16	$43,087.13	$42,459.65	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	43	17	$117,256.68	$41,039.84 65% off	$204.12	$121,176.02	$42,432.62	2026-05-08
178-4	OTHER	External Heart Assist Systems	2	2	—	—	$41,552.90	$42,799.48	$42,176.19	2026-05-08
006-2	OTHER	Pancreas Transplant	2	2	—	—	$40,992.44	$42,222.21	$41,607.32	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	2	2	—	—	$40,194.59	$41,400.43	$40,797.51	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$39,915.97	$41,113.45	$40,514.71	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	14	$108,725.87	$38,054.05 65% off	$840.31	$92,598.62	$40,238.79	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant	2	2	—	—	$39,450.21	$40,633.72	$40,041.96	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	28	14	$111,628.67	$39,070.03 65% off	$661.81	$88,825.46	$39,880.49	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	26	14	$74,807.26	$26,182.54 65% off	$34,699.63	$118,215.44	$39,869.77	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	28	14	$103,705.59	$36,296.96 65% off	$14,102.13	$77,799.00	$39,793.79	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$38,254.56	$39,402.20	$38,828.38	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	28	14	$124,377.96	$43,532.29 65% off	$136.34	$75,853.50	$38,798.68	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	28	14	$117,324.35	$41,063.52 65% off	$3,274.62	$189,839.98	$38,659.04	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	28	14	$85,726.65	$30,004.33 65% off	$111.54	$132,663.32	$38,356.74	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	2	—	—	$37,628.39	$38,757.25	$38,192.82	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$37,486.99	$38,611.60	$38,049.29	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	28	14	$111,063.76	$38,872.32 65% off	$36.88	$89,341.14	$37,740.65	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	28	14	$135,277.64	$47,347.17 65% off	$3,502.55	$73,203.00	$37,442.96	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$36,846.97	$37,952.38	$37,399.68	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	26	14	$91,470.61	$32,014.71 65% off	$32,386.32	$131,686.19	$37,211.79	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	26	14	$84,198.33	$29,469.42 65% off	$32,203.22	$111,919.91	$37,001.40	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$36,342.56	$37,432.84	$36,887.70	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	28	14	$75,542.42	$26,439.85 65% off	$1,390.68	$110,312.94	$36,879.81	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$36,263.64	$37,351.55	$36,807.60	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	2	—	—	$36,073.60	$37,155.81	$36,614.71	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$36,014.01	$37,094.43	$36,554.22	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	2	2	—	—	$35,949.92	$37,028.41	$36,489.17	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	26	14	$72,869.19	$25,504.22 65% off	$31,465.37	$70,218.21	$36,153.61	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$35,585.62	$36,653.19	$36,119.40	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	2	2	—	—	$35,459.03	$36,522.80	$35,990.92	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$35,179.77	$36,235.16	$35,707.46	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$34,855.41	$35,901.07	$35,378.24	2026-05-08
863-4	OTHER	Neonatal Aftercare	2	2	—	—	$34,488.86	$35,523.52	$35,006.19	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	—	—	$34,483.06	$35,517.55	$35,000.31	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	26	14	$60,955.45	$21,334.41 65% off	$30,254.74	$114,986.03	$34,762.61	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	28	14	$71,737.29	$25,108.05 65% off	$307.07	$95,382.01	$34,654.81	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	2	2	—	—	$34,065.61	$35,087.58	$34,576.60	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	28	14	$106,829.00	$37,390.15 65% off	$110.45	$113,546.80	$34,540.48	2026-05-08
179-4	OTHER	Defibrillator Implants	2	2	—	—	$33,854.31	$34,869.94	$34,362.12	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	2	—	—	$33,713.88	$34,725.29	$34,219.58	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$33,670.39	$34,680.50	$34,175.44	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$33,640.76	$34,649.98	$34,145.37	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	14	$106,528.76	$37,285.07 65% off	$3,082.91	$122,724.63	$33,881.43	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	2	—	—	$33,005.57	$33,995.74	$33,500.65	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	2	2	—	—	$32,891.23	$33,877.96	$33,384.60	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	2	2	—	—	$32,715.36	$33,696.82	$33,206.09	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	28	14	$117,879.88	$41,257.96 65% off	$136.06	$82,698.39	$32,828.00	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	2	2	—	—	$32,275.04	$33,243.29	$32,759.17	2026-05-08
006-1	OTHER	Pancreas Transplant	2	2	—	—	$32,221.90	$33,188.55	$32,705.23	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	2	2	—	—	$32,183.24	$33,148.74	$32,665.99	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	2	2	—	—	$32,042.81	$33,004.09	$32,523.45	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	2	2	—	—	$32,010.60	$32,970.91	$32,490.76	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	2	2	—	—	$31,902.05	$32,859.11	$32,380.58	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	2	2	—	—	$31,874.99	$32,831.24	$32,353.11	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	28	14	$83,068.09	$29,073.83 65% off	$23.67	$62,379.00	$31,906.54	2026-05-08
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	28	14	$105,620.45	$36,967.16 65% off	$163.08	$62,100.00	$31,763.83	2026-05-08
CDM-33249	OTHER	Insj/rplcmt Defib W/lead(s)	16	11	$56,036.58	$19,612.80 65% off	$2,583.00	$60,946.21	$31,742.82	2026-05-08
CDM-33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	15	11	$58,410.86	$20,443.80 65% off	$2,583.00	$60,946.21	$31,742.82	2026-05-08
48084	CPT	Insert Subq Defib W/eltrd	15	11	$45,267.00	$15,843.45 65% off	$2,583.00	$60,946.21	$31,742.82	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	2	2	—	—	$31,268.79	$32,206.86	$31,737.83	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	26	14	$77,294.58	$27,053.10 65% off	$27,609.40	$68,055.50	$31,723.12	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	26	14	$25,619.62	$8,966.87 65% off	$1,489.00	$63,139.50	$31,507.84	2026-05-08
178-3	OTHER	External Heart Assist Systems	2	2	—	—	$30,740.87	$31,663.09	$31,201.98	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	28	14	$71,938.26	$25,178.39 65% off	$1,881.49	$99,300.48	$31,133.16	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	2	2	—	—	$30,615.89	$31,534.37	$31,075.13	2026-05-08
023-4	OTHER	Spinal Procedures	2	2	—	—	$30,537.30	$31,453.42	$30,995.36	2026-05-08
791	OTHER	Prematurity With Major Problems	26	14	$59,275.60	$20,746.46 65% off	$1,489.00	$61,465.50	$30,979.21	2026-05-08
35013	CPT	Porfimer Sodium Inj 75 Mg	27	15	$42,896.75	$15,013.86 65% off	$20,805.45	$44,384.96	$30,771.83	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	2	2	—	—	$30,118.89	$31,022.45	$30,570.67	2026-05-08
441-4	OTHER	Major Bladder Procedures	2	2	—	—	$30,113.41	$31,016.81	$30,565.11	2026-05-08
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	28	14	$62,637.62	$21,923.17 65% off	$142.05	$84,618.33	$30,365.15	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	2	2	—	—	$29,744.92	$30,637.27	$30,191.10	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	2	2	—	—	$29,735.90	$30,627.98	$30,181.94	2026-05-08
CDM-64582	OTHER	Opn Mpltj Hpglsl Nstm Ary Pg	15	11	$62,562.84	$21,896.99 65% off	$2,583.00	$57,524.84	$29,960.85	2026-05-08
440-3	OTHER	Kidney Transplant	2	2	—	—	$29,451.17	$30,334.70	$29,892.93	2026-05-08
120	OTHER	Car T-cell Immunotherapy	2	2	—	—	$29,449.12	$30,332.59	$29,890.85	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	2	2	—	—	$29,354.86	$30,235.50	$29,795.18	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	28	14	$56,829.12	$19,890.19 65% off	$108.42	$83,937.34	$29,755.19	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$29,311.37	$30,190.71	$29,751.04	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	26	14	$60,955.76	$21,334.51 65% off	$25,411.55	$74,181.48	$29,197.80	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	2	2	—	—	$28,748.34	$29,610.79	$29,179.57	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	2	2	—	—	$28,687.46	$29,548.08	$29,117.77	2026-05-08
178-2	OTHER	External Heart Assist Systems	2	2	—	—	$28,640.75	$29,499.98	$29,070.36	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	14	$98,763.29	$34,567.15 65% off	$3,599.04	$83,765.14	$29,069.28	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$28,528.34	$29,384.19	$28,956.26	2026-05-08
14747	CPT	Tcat Impl Wrls P-art Pres Sens	27	15	$61,640.00	$21,574.00 65% off	$3,886.00	$53,842.67	$28,864.33	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	2	2	—	—	$28,335.72	$29,185.79	$28,760.76	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$28,253.59	$29,101.19	$28,677.39	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$28,056.46	$28,898.15	$28,477.31	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	2	2	—	—	$27,999.77	$28,839.76	$28,419.76	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	28	14	$52,579.60	$18,402.86 65% off	$122.29	$87,902.07	$28,372.62	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$27,915.38	$28,752.84	$28,334.11	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$27,886.71	$28,723.31	$28,305.01	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	2	—	—	$27,848.70	$28,684.16	$28,266.43	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	2	2	—	—	$27,786.86	$28,620.47	$28,203.67	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	2	2	—	—	$27,658.66	$28,488.42	$28,073.54	2026-05-08
460	OTHER	Spinal Fusion Except Cervical Without Mcc	28	14	$75,875.27	$26,556.34 65% off	$828.10	$54,868.50	$28,064.96	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	2	2	—	—	$27,599.07	$28,427.05	$28,013.06	2026-05-08
690-4	OTHER	Acute Leukemia	2	2	—	—	$27,518.23	$28,343.77	$27,931.00	2026-05-08
759-4	OTHER	Eating Disorders	2	2	—	—	$27,468.94	$28,293.01	$27,880.97	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$27,439.63	$28,262.82	$27,851.22	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	2	2	—	—	$27,136.21	$27,950.30	$27,543.25	2026-05-08
335	OTHER	Peritoneal Adhesiolysis With Mcc	28	14	$83,902.11	$29,365.74 65% off	$167.99	$77,240.50	$27,428.92	2026-05-08
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	26	14	$80,322.60	$28,112.91 65% off	$23,818.33	$52,294.50	$27,367.19	2026-05-08
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	26	14	$70,337.31	$24,618.06 65% off	$23,653.00	$51,931.50	$27,177.22	2026-05-08
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	26	14	$62,288.20	$21,800.87 65% off	$23,605.17	$65,211.74	$27,122.28	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$26,685.27	$27,485.83	$27,085.55	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	2	2	—	—	$26,685.27	$27,485.83	$27,085.55	2026-05-08
027-4	OTHER	Other Open Craniotomy	2	2	—	—	$26,548.05	$27,344.49	$26,946.27	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	2	—	—	$26,523.89	$27,319.61	$26,921.75	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	—	—	$26,247.85	$27,035.29	$26,641.57	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	2	2	—	—	$26,215.32	$27,001.78	$26,608.55	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	2	2	—	—	$26,137.05	$26,921.16	$26,529.10	2026-05-08
271	OTHER	Other Major Cardiovascular Procedures With Cc	28	14	$91,128.62	$31,895.02 65% off	$124.46	$51,843.00	$26,517.43	2026-05-08
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	26	14	$57,207.46	$20,022.61 65% off	$23,069.55	$72,966.49	$26,506.84	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	2	2	—	—	$25,898.69	$26,675.65	$26,287.17	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$25,854.56	$26,630.20	$26,242.38	2026-05-08
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	26	14	$60,545.53	$21,190.93 65% off	$22,749.13	$64,189.17	$26,138.68	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	2	2	—	—	$25,569.50	$26,336.59	$25,953.04	2026-05-08
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	2	2	—	—	$25,560.16	$26,326.97	$25,943.57	2026-05-08
178-1	OTHER	External Heart Assist Systems	2	2	—	—	$25,545.34	$26,311.71	$25,928.53	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$25,422.30	$26,184.97	$25,803.64	2026-05-08
252	OTHER	Other Vascular Procedures With Mcc	28	14	$74,239.66	$25,983.88 65% off	$918.60	$81,408.78	$25,731.78	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	2	2	—	—	$25,312.79	$26,072.17	$25,692.48	2026-05-08
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	43	17	$72,620.72	$25,417.25 65% off	$333.12	$51,423.00	$25,661.08	2026-05-08
14663	CPT	Ir Revasc Tib/per W/ath Bilat	27	15	$32,842.00	$11,494.70 65% off	$2,583.00	$48,726.21	$25,654.60	2026-05-08
14661	CPT	Ir Revasc Fem/pop W/stnt/ath	27	15	$32,842.00	$11,494.70 65% off	$2,583.00	$48,726.21	$25,654.60	2026-05-08
14664	CPT	Ir Revasc Tib/per W/stent Bil	27	15	$51,533.00	$18,036.55 65% off	$2,583.00	$48,726.21	$25,654.60	2026-05-08
14730	CPT	Ir Revasc Fem/pop W/ath Bilat	27	15	$26,420.00	$9,247.00 65% off	$2,583.00	$48,726.21	$25,654.60	2026-05-08
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	28	14	$80,080.95	$28,028.33 65% off	$205.15	$79,382.13	$25,642.78	2026-05-08
440-2	OTHER	Kidney Transplant	2	2	—	—	$25,259.32	$26,017.10	$25,638.21	2026-05-08
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	2	2	—	—	$25,216.16	$25,972.64	$25,594.40	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$25,189.10	$25,944.77	$25,566.93	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	2	2	—	—	$25,093.76	$25,846.57	$25,470.17	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	2	2	—	—	$25,084.74	$25,837.28	$25,461.01	2026-05-08
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	26	14	$57,538.91	$20,138.62 65% off	$22,141.08	$48,612.00	$25,440.04	2026-05-08
401-4	OTHER	Adrenal Procedures	2	2	—	—	$25,041.90	$25,793.15	$25,417.53	2026-05-08
183-3	OTHER	Percutaneous Structural Cardiac Procedures	2	2	—	—	$24,908.55	$25,655.80	$25,282.17	2026-05-08
37	OTHER	Extracranial Procedures With Mcc	43	17	$73,516.97	$25,730.94 65% off	$484.08	$79,081.23	$25,267.35	2026-05-08
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	2	2	—	—	$24,883.42	$25,629.93	$25,256.67	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant	2	2	—	—	$24,841.23	$25,586.46	$25,213.85	2026-05-08
264	OTHER	Other Circulatory System O.r. Procedures	28	14	$56,427.74	$19,749.71 65% off	$2,456.95	$48,990.00	$25,058.14	2026-05-08
179-3	OTHER	Defibrillator Implants	2	2	—	—	$24,685.01	$25,425.56	$25,055.28	2026-05-08
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	2	2	—	—	$24,608.99	$25,347.26	$24,978.12	2026-05-08
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	26	14	$74,515.55	$26,080.44 65% off	$21,599.30	$116,117.91	$24,817.53	2026-05-08
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	2	2	—	—	$24,378.69	$25,110.05	$24,744.37	2026-05-08
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	2	2	—	—	$24,269.17	$24,997.25	$24,633.21	2026-05-08
CDM-27132	OTHER	Total Hip Arthroplasty	16	10	$58,173.25	$20,360.64 65% off	$2,583.00	$24,560.80	$24,560.80	2026-05-08
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	2	2	—	—	$23,672.64	$24,382.82	$24,027.73	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$23,658.79	$24,368.55	$24,013.67	2026-05-08
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	2	2	—	—	$23,627.71	$24,336.54	$23,982.12	2026-05-08
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	28	14	$53,491.90	$18,722.17 65% off	$101.68	$69,857.01	$23,977.85	2026-05-08
49015	CPT	Tx Atrial Fib Pulm Vein Isol	27	15	$18,890.00	$6,611.50 65% off	$3,886.00	$43,998.10	$23,942.05	2026-05-08
49023	CPT	Ep & Ablate Supravent Arrhyth	27	15	$18,890.00	$6,611.50 65% off	$3,886.00	$43,998.10	$23,942.05	2026-05-08
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	2	2	—	—	$23,499.67	$24,204.66	$23,852.17	2026-05-08
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	2	2	—	—	$23,498.70	$24,203.66	$23,851.18	2026-05-08
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	2	2	—	—	$23,489.68	$24,194.37	$23,842.03	2026-05-08
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	2	2	—	—	$23,436.86	$24,139.96	$23,788.41	2026-05-08
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	2	2	—	—	$23,216.22	$23,912.70	$23,564.46	2026-05-08
026-4	OTHER	Other Nervous System And Related Procedures	2	2	—	—	$23,155.02	$23,849.67	$23,502.35	2026-05-08
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	2	2	—	—	$23,141.81	$23,836.07	$23,488.94	2026-05-08
18522	CPT	Tavr Aortic Valve	13	8	$52,325.00	$18,313.75 65% off	$23,440.40	$23,440.40	$23,440.40	2026-05-08
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	2	2	—	—	$23,073.85	$23,766.06	$23,419.96	2026-05-08
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	2	2	—	—	$23,063.86	$23,755.78	$23,409.82	2026-05-08
022-4	OTHER	Ventricular Shunt Procedures	2	2	—	—	$23,016.19	$23,706.68	$23,361.43	2026-05-08
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	2	2	—	—	$22,964.66	$23,653.60	$23,309.13	2026-05-08
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	2	2	—	—	$22,913.76	$23,601.18	$23,257.47	2026-05-08
CDM-27487	OTHER	Revise/replace Knee Joint	16	10	$54,897.91	$19,214.27 65% off	$2,583.00	$23,250.66	$23,250.66	2026-05-08
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	26	14	$62,022.70	$21,707.95 65% off	$20,146.83	$60,462.58	$23,148.65	2026-05-08
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	2	2	—	—	$22,786.21	$23,469.80	$23,128.00	2026-05-08
CDM-33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	29	17	$49,891.47	$17,462.02 65% off	$2,583.00	$43,666.51	$23,124.76	2026-05-08
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	2	2	—	—	$22,772.36	$23,455.53	$23,113.94	2026-05-08
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	2	2	—	—	$22,758.19	$23,440.93	$23,099.56	2026-05-08
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	28	14	$47,773.79	$16,720.83 65% off	$4,640.97	$45,202.56	$23,028.01	2026-05-08
182-4	OTHER	Other Peripheral Vascular And Related Procedures	2	2	—	—	$22,671.86	$23,352.02	$23,011.94	2026-05-08
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	28	14	$52,357.03	$18,324.96 65% off	$94.04	$44,913.00	$22,972.77	2026-05-08
121-4	OTHER	Other Respiratory And Chest Procedures	2	2	—	—	$22,614.53	$23,292.97	$22,953.75	2026-05-08
650-4	OTHER	Splenectomy	2	2	—	—	$22,582.32	$23,259.79	$22,921.06	2026-05-08
49013	CPT	Ep & Ablate Ventric Tachy	14	10	$18,890.00	$6,611.50 65% off	$1,069.00	$43,998.10	$22,915.68	2026-05-08
440-1	OTHER	Kidney Transplant	2	2	—	—	$22,554.62	$23,231.26	$22,892.94	2026-05-08
231-4	OTHER	Major Large Bowel Procedures	2	2	—	—	$22,497.93	$23,172.87	$22,835.40	2026-05-08
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	28	14	$91,887.33	$32,160.56 65% off	$15.14	$44,529.00	$22,776.35	2026-05-08
472	OTHER	Cervical Spinal Fusion With Cc	28	14	$67,641.72	$23,674.60 65% off	$73.81	$44,331.00	$22,675.08	2026-05-08
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	28	14	$60,021.70	$21,007.60 65% off	$2,054.38	$69,477.75	$22,657.43	2026-05-08
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	2	2	—	—	$22,239.60	$22,906.79	$22,573.19	2026-05-08
863-3	OTHER	Neonatal Aftercare	2	2	—	—	$22,129.12	$22,792.99	$22,461.06	2026-05-08
CDM-37242	OTHER	Vasc Embolize/occlude Artery	29	17	$52,780.54	$18,473.19 65% off	$2,583.00	$32,484.14	$22,403.72	2026-05-08
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	2	2	—	—	$22,039.58	$22,700.76	$22,370.17	2026-05-08
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	2	2	—	—	$21,829.89	$22,484.78	$22,157.33	2026-05-08
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	28	14	$64,037.48	$22,413.12 65% off	$2.36	$65,811.10	$22,153.35	2026-05-08
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	26	14	$34,558.70	$12,095.54 65% off	$19,244.32	$42,252.00	$22,111.67	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	2	2	—	—	$21,783.83	$22,437.34	$22,110.58	2026-05-08
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	28	14	$85,477.94	$29,917.28 65% off	$121.02	$43,120.50	$22,055.92	2026-05-08
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	26	14	$69,207.87	$24,222.76 65% off	$19,192.40	$61,214.31	$22,052.01	2026-05-08
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	2	2	—	—	$21,525.82	$22,171.60	$21,848.71	2026-05-08
029-4	OTHER	Other Percutaneous Intracranial Procedures	2	2	—	—	$21,523.24	$22,168.94	$21,846.09	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	2	2	—	—	$21,522.60	$22,168.28	$21,845.44	2026-05-08
11805	CPT	Nm Sm 153 </= 150 Mci	27	15	$25,113.00	$8,789.55 65% off	$15,730.53	$33,558.46	$21,801.83	2026-05-08
183-2	OTHER	Percutaneous Structural Cardiac Procedures	2	2	—	—	$21,392.47	$22,034.24	$21,713.36	2026-05-08
309-4	OTHER	Other Significant Hip And Femur Surgery	2	2	—	—	$21,352.53	$21,993.11	$21,672.82	2026-05-08
6647	OTHER	Cochlear Device Kit	13	8	$47,901.48	$16,765.52 65% off	$21,670.99	$21,670.99	$21,670.99	2026-05-08
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	2	2	—	—	$21,292.30	$21,931.07	$21,611.68	2026-05-08
CDM-22633	OTHER	Arthrd Cmbn 1ntrspc Lumbar	29	17	$57,886.13	$20,260.14 65% off	$2,583.00	$34,523.66	$21,577.29	2026-05-08
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	2	2	—	—	$21,236.57	$21,873.67	$21,555.12	2026-05-08
963	OTHER	Other Multiple Significant Trauma With Mcc	26	14	$46,473.45	$16,265.71 65% off	$18,680.68	$65,972.01	$21,464.05	2026-05-08
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	2	—	—	$21,143.49	$21,777.79	$21,460.64	2026-05-08
232-4	OTHER	Gastric Fundoplication	2	2	—	—	$21,005.63	$21,635.79	$21,320.71	2026-05-08
18525	CPT	Tavr W/pros Vlv Open Axil Appr	16	10	$49,968.00	$17,488.80 65% off	$2,583.00	$21,278.70	$21,278.70	2026-05-08
18526	CPT	Tavr W/pros Vlv Open Iliac App	16	10	$49,968.00	$17,488.80 65% off	$2,583.00	$21,278.70	$21,278.70	2026-05-08
18527	CPT	Tavr W/pros Vlv Open Ta Apprch	16	10	$49,968.00	$17,488.80 65% off	$2,583.00	$21,278.70	$21,278.70	2026-05-08
18524	CPT	Tavr W/pros Vlv Open Fa Apprch	16	10	$49,968.00	$17,488.80 65% off	$2,583.00	$21,278.70	$21,278.70	2026-05-08
18528	CPT	Tavr W/pros Vlv Open Transapic	16	10	$49,968.00	$17,488.80 65% off	$2,583.00	$21,278.70	$21,278.70	2026-05-08
18523	CPT	Tavr W/pros Vlv Percut Fa App	16	10	$49,968.00	$17,488.80 65% off	$2,583.00	$21,278.70	$21,278.70	2026-05-08
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	2	2	—	—	$20,955.70	$21,584.37	$21,270.03	2026-05-08
229-4	OTHER	Other Digestive System And Abdominal Procedures	2	2	—	—	$20,945.71	$21,574.09	$21,259.90	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	2	2	—	—	$20,910.93	$21,538.25	$21,224.59	2026-05-08
009-1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	2	—	—	$20,863.58	$21,489.48	$21,176.53	2026-05-08
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	2	2	—	—	$20,852.95	$21,478.54	$21,165.75	2026-05-08
183-1	OTHER	Percutaneous Structural Cardiac Procedures	2	2	—	—	$20,796.26	$21,420.15	$21,108.21	2026-05-08
008-2	OTHER	Autologous Bone Marrow Transplant	2	2	—	—	$20,784.02	$21,407.54	$21,095.78	2026-05-08
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	41	17	$54,339.69	$19,018.89 65% off	$105.66	$42,042.00	$20,979.77	2026-05-08
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	26	14	$64,738.33	$22,658.42 65% off	$18,238.65	$40,044.00	$20,956.16	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	2	2	—	—	$20,607.83	$21,226.06	$20,916.94	2026-05-08
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	2	2	—	—	$20,488.97	$21,103.64	$20,796.31	2026-05-08
78204	CPT	Tcat Ins 1chmbr Ldls Pm Ra	25	15	$47,000.98	$16,450.34 65% off	$3,886.00	$36,096.74	$20,743.39	2026-05-08
78205	CPT	Tcat Ins 2chmbr Ldls Pm Rv	25	15	$47,000.00	$16,450.00 65% off	$3,886.00	$36,096.74	$20,743.00	2026-05-08
305-4	OTHER	Amputation Of Lower Limb Except Toes	2	2	—	—	$20,366.57	$20,977.57	$20,672.07	2026-05-08
CDM-22856	OTHER	Tot Disc Arthrp 1ntrspc Crv	29	17	$48,449.27	$16,957.25 65% off	$2,583.00	$34,523.66	$20,671.21	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	2	2	—	—	$20,347.57	$20,958.00	$20,652.78	2026-05-08
091-3	OTHER	Other Major Head And Neck Procedures	2	2	—	—	$20,344.99	$20,955.34	$20,650.17	2026-05-08
910-3	OTHER	Craniotomy For Multiple Significant Trauma	2	2	—	—	$20,297.96	$20,906.90	$20,602.43	2026-05-08
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	2	2	—	—	$20,279.93	$20,888.32	$20,584.12	2026-05-08
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	2	2	—	—	$20,263.50	$20,871.40	$20,567.45	2026-05-08
223-4	OTHER	Other Small And Large Bowel Procedures	2	2	—	—	$20,141.10	$20,745.33	$20,443.22	2026-05-08
024-4	OTHER	Open Extracranial Vascular Procedures	2	2	—	—	$20,139.81	$20,744.01	$20,441.91	2026-05-08

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