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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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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

173,973 of 193,277 rate rows are consumer-grade (90.0%)

19,304 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17,494
template filing: same amount across many unrelated codes — excluded 915
exceeds 10× this hospital's gross charge — excluded from medians 881
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 viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
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
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $145,659.86 $374,983.44 $167,362.76 —
583-4
CPT 		Neonate With Ecmo 2 $157,174.35 $161,889.58 $159,531.96 —
588-4
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $128,925.59 $132,793.36 $130,859.47 —
583-3
CPT 		Neonate With Ecmo 2 $124,485.08 $128,219.63 $126,352.36 —
161-4
CPT 		Implantable Heart Assist Systems 2 $123,268.17 $126,966.22 $125,117.20 —
002-4
CPT 		Heart And/or Lung Transplant 2 $118,957.47 $122,526.19 $120,741.83 —
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $704.49 $252,772.40 $112,784.63 —
161-3
CPT 		Implantable Heart Assist Systems 2 $94,436.09 $97,269.17 $95,852.63 —
630-4
CPT 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $93,578.97 $96,386.34 $94,982.65 —
583-2
CPT 		Neonate With Ecmo 2 $91,795.81 $94,549.69 $93,172.75 —
841-4
CPT 		Extensive Third Degree Burns With Skin Graft 2 $86,929.16 $89,537.03 $88,233.10 —
593-4
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $84,084.02 $86,606.54 $85,345.28 —
588-3
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $83,058.77 $85,550.53 $84,304.65 —
588-2
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $81,330.69 $83,770.61 $82,550.65 —
591-4
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $81,197.01 $83,632.92 $82,414.96 —
011-4
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $81,092.65 $83,525.43 $82,309.04 —
609-4
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $80,679.07 $83,099.44 $81,889.26 —
583-1
CPT 		Neonate With Ecmo 2 $79,328.17 $81,708.02 $80,518.10 —
007-4
CPT 		Allogeneic Bone Marrow Transplant 2 $77,986.61 $80,326.21 $79,156.41 —
631-4
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $77,455.46 $79,779.13 $78,617.30 —
004-4
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $77,246.10 $79,563.48 $78,404.79 —
001-4
CPT 		Liver Transplant And/or Intestinal Transplant 2 $76,044.98 $78,326.32 $77,185.65 —
161-2
CPT 		Implantable Heart Assist Systems 2 $75,824.01 $78,098.73 $76,961.37 —
009-4
CPT 		Extracorporeal Membrane Oxygenation (ecmo) 2 $75,625.92 $77,894.70 $76,760.31 —
216
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $66,306.42 $224,698.48 $76,185.88 —
002-3
CPT 		Heart And/or Lung Transplant 2 $73,561.56 $75,768.41 $74,664.99 —
161-1
CPT 		Implantable Heart Assist Systems 2 $72,032.54 $74,193.51 $73,113.02 —
603-4
CPT 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $67,589.45 $69,617.13 $68,603.29 —
006-4
CPT 		Pancreas Transplant 2 $67,156.54 $69,171.24 $68,163.89 —
231
CPT 		Coronary Bypass With Ptca With Mcc 14 $55,442.88 $121,728.00 $63,703.71 —
602-4
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $60,271.59 $62,079.74 $61,175.66 —
219
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $52,682.76 $143,466.50 $60,532.35 —
233
CPT 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $1,120.88 $137,028.93 $59,841.84 —
957
CPT 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $49,412.30 $131,259.00 $56,774.58 —
002-2
CPT 		Heart And/or Lung Transplant 2 $54,590.66 $56,228.38 $55,409.52 —
275
CPT 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $48,068.44 $105,537.00 $55,230.50 —
593-3
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $54,071.43 $55,693.57 $54,882.50 —
588-1
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $53,534.81 $55,140.85 $54,337.83 —
004-3
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $52,861.61 $54,447.46 $53,654.54 —
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $90.36 $158,345.81 $53,437.66 —
160-4
CPT 		Major Cardiothoracic Repair Of Heart Anomaly 2 $52,160.07 $53,724.87 $52,942.47 —
207
CPT 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $1,526.32 $130,909.76 $51,708.39 —
005-4
CPT 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $50,906.77 $52,433.97 $51,670.37 —
162-4
CPT 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $49,160.00 $50,634.80 $49,897.40 —
217
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $884.22 $115,261.95 $48,837.28 —
591-3
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $47,569.14 $48,996.21 $48,282.68 —
602-3
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $47,525.65 $48,951.42 $48,238.54 —
454
CPT 		Combined Anterior And Posterior Spinal Fusion With Cc 14 $41,786.44 $99,747.69 $48,012.50 —
006-3
CPT 		Pancreas Transplant 2 $47,220.94 $48,637.57 $47,929.26 —
266
CPT 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $2,728.83 $93,691.50 $47,922.73 —

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.

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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
             
28 CPT 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
23 CPT 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
29 CPT 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
37 CPT 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
207 CPT 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
61 CPT 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
CDM-33263 CPT 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
CDM-37242 CPT 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
CDM-22633 CPT 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
CDM-22856 CPT 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
4 CPT 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
233 CPT 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
870 CPT 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
217 CPT 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
266 CPT 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
276 CPT 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
235 CPT 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
220 CPT 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
234 CPT 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
466 CPT 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
270 CPT 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 CPT 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 CPT 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
471 CPT 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 CPT 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
239 CPT 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
329 CPT 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
823 CPT 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
25 CPT 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
356 CPT 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
269 CPT 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 CPT 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
166 CPT 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
616 CPT 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
956 CPT 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
24 CPT 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
673 CPT 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
460 CPT 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
335 CPT 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
271 CPT 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
252 CPT 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
579 CPT 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
264 CPT 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
840 CPT 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
464 CPT 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
521 CPT 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
324 CPT 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 CPT 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 CPT 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
406 CPT 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
321 CPT 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
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
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
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
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
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
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
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
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
3 CPT 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
216 CPT 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
231 CPT 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
219 CPT 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
957 CPT 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
275 CPT 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
454 CPT 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
457 CPT 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
790 CPT 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
326 CPT 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
981 CPT 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 CPT 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
455 CPT 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
856 CPT 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
236 CPT 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 CPT 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
791 CPT 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
907 CPT 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
467 CPT 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 CPT 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 CPT 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
987 CPT 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
469 CPT 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
274 CPT 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
515 CPT 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
480 CPT 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
817 CPT 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
240 CPT 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
963 CPT 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
468 CPT 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
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
CDM-33249 CPT 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-27132 CPT 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
CDM-27487 CPT 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
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
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
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
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
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
CDM-33264 CPT 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
CDM-64582 CPT 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
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
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
6647 CPT 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
583-4 CPT Neonate With Ecmo 2 2 — — $157,174.35 $161,889.58 $159,531.96 2026-05-08
588-4 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $128,925.59 $132,793.36 $130,859.47 2026-05-08
583-3 CPT Neonate With Ecmo 2 2 — — $124,485.08 $128,219.63 $126,352.36 2026-05-08
161-4 CPT Implantable Heart Assist Systems 2 2 — — $123,268.17 $126,966.22 $125,117.20 2026-05-08
002-4 CPT Heart And/or Lung Transplant 2 2 — — $118,957.47 $122,526.19 $120,741.83 2026-05-08
161-3 CPT Implantable Heart Assist Systems 2 2 — — $94,436.09 $97,269.17 $95,852.63 2026-05-08
630-4 CPT 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 CPT Neonate With Ecmo 2 2 — — $91,795.81 $94,549.69 $93,172.75 2026-05-08
841-4 CPT Extensive Third Degree Burns With Skin Graft 2 2 — — $86,929.16 $89,537.03 $88,233.10 2026-05-08
593-4 CPT 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 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $83,058.77 $85,550.53 $84,304.65 2026-05-08
588-2 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $81,330.69 $83,770.61 $82,550.65 2026-05-08
591-4 CPT 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 CPT 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 CPT 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 CPT Neonate With Ecmo 2 2 — — $79,328.17 $81,708.02 $80,518.10 2026-05-08
007-4 CPT Allogeneic Bone Marrow Transplant 2 2 — — $77,986.61 $80,326.21 $79,156.41 2026-05-08
631-4 CPT 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 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $77,246.10 $79,563.48 $78,404.79 2026-05-08
001-4 CPT Liver Transplant And/or Intestinal Transplant 2 2 — — $76,044.98 $78,326.32 $77,185.65 2026-05-08
161-2 CPT Implantable Heart Assist Systems 2 2 — — $75,824.01 $78,098.73 $76,961.37 2026-05-08
009-4 CPT Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $75,625.92 $77,894.70 $76,760.31 2026-05-08
002-3 CPT Heart And/or Lung Transplant 2 2 — — $73,561.56 $75,768.41 $74,664.99 2026-05-08
161-1 CPT Implantable Heart Assist Systems 2 2 — — $72,032.54 $74,193.51 $73,113.02 2026-05-08
603-4 CPT 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 CPT Pancreas Transplant 2 2 — — $67,156.54 $69,171.24 $68,163.89 2026-05-08
602-4 CPT 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
002-2 CPT Heart And/or Lung Transplant 2 2 — — $54,590.66 $56,228.38 $55,409.52 2026-05-08
593-3 CPT 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 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $53,534.81 $55,140.85 $54,337.83 2026-05-08
004-3 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $52,861.61 $54,447.46 $53,654.54 2026-05-08
160-4 CPT Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $52,160.07 $53,724.87 $52,942.47 2026-05-08
005-4 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $50,906.77 $52,433.97 $51,670.37 2026-05-08
162-4 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $49,160.00 $50,634.80 $49,897.40 2026-05-08
591-3 CPT 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 CPT 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
006-3 CPT Pancreas Transplant 2 2 — — $47,220.94 $48,637.57 $47,929.26 2026-05-08
303-4 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $46,998.37 $48,408.32 $47,703.35 2026-05-08
002-1 CPT Heart And/or Lung Transplant 2 2 — — $46,798.67 $48,202.63 $47,500.65 2026-05-08
607-4 CPT 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 CPT Allogeneic Bone Marrow Transplant 2 2 — — $45,959.59 $47,338.38 $46,648.99 2026-05-08
630-3 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $45,215.21 $46,571.66 $45,893.43 2026-05-08
440-4 CPT Kidney Transplant 2 2 — — $44,680.20 $46,020.60 $45,350.40 2026-05-08
001-3 CPT Liver Transplant And/or Intestinal Transplant 2 2 — — $43,963.84 $45,282.75 $44,623.29 2026-05-08
842-4 CPT 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 CPT 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 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $41,832.16 $43,087.13 $42,459.65 2026-05-08
178-4 CPT External Heart Assist Systems 2 2 — — $41,552.90 $42,799.48 $42,176.19 2026-05-08
006-2 CPT Pancreas Transplant 2 2 — — $40,992.44 $42,222.21 $41,607.32 2026-05-08
609-3 CPT 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 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $39,915.97 $41,113.45 $40,514.71 2026-05-08
008-4 CPT Autologous Bone Marrow Transplant 2 2 — — $39,450.21 $40,633.72 $40,041.96 2026-05-08
165-4 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $38,254.56 $39,402.20 $38,828.38 2026-05-08
167-4 CPT Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $37,628.39 $38,757.25 $38,192.82 2026-05-08
005-3 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $37,486.99 $38,611.60 $38,049.29 2026-05-08
001-2 CPT Liver Transplant And/or Intestinal Transplant 2 2 — — $36,846.97 $37,952.38 $37,399.68 2026-05-08
004-2 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $36,342.56 $37,432.84 $36,887.70 2026-05-08
602-2 CPT 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 CPT 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 CPT 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 CPT Allogeneic Bone Marrow Transplant 2 2 — — $35,949.92 $37,028.41 $36,489.17 2026-05-08
303-3 CPT 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 CPT Percutaneous Structural Cardiac Procedures 2 2 — — $35,459.03 $36,522.80 $35,990.92 2026-05-08
611-4 CPT 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 CPT Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $34,855.41 $35,901.07 $35,378.24 2026-05-08
863-4 CPT Neonatal Aftercare 2 2 — — $34,488.86 $35,523.52 $35,006.19 2026-05-08
166-4 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $34,483.06 $35,517.55 $35,000.31 2026-05-08
910-4 CPT Craniotomy For Multiple Significant Trauma 2 2 — — $34,065.61 $35,087.58 $34,576.60 2026-05-08
179-4 CPT Defibrillator Implants 2 2 — — $33,854.31 $34,869.94 $34,362.12 2026-05-08
680-4 CPT 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 CPT 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 CPT 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
613-4 CPT 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 CPT 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 CPT Liver Transplant And/or Intestinal Transplant 2 2 — — $32,715.36 $33,696.82 $33,206.09 2026-05-08
169-4 CPT Major Abdominal Vascular Procedures 2 2 — — $32,275.04 $33,243.29 $32,759.17 2026-05-08
006-1 CPT Pancreas Transplant 2 2 — — $32,221.90 $33,188.55 $32,705.23 2026-05-08
911-4 CPT 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 CPT 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 CPT Allogeneic Bone Marrow Transplant 2 2 — — $32,010.60 $32,970.91 $32,490.76 2026-05-08
841-3 CPT Extensive Third Degree Burns With Skin Graft 2 2 — — $31,902.05 $32,859.11 $32,380.58 2026-05-08
091-4 CPT Other Major Head And Neck Procedures 2 2 — — $31,874.99 $32,831.24 $32,353.11 2026-05-08
912-4 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $31,268.79 $32,206.86 $31,737.83 2026-05-08
178-3 CPT External Heart Assist Systems 2 2 — — $30,740.87 $31,663.09 $31,201.98 2026-05-08
850-4 CPT 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 CPT Spinal Procedures 2 2 — — $30,537.30 $31,453.42 $30,995.36 2026-05-08
021-4 CPT Open Craniotomy Except Trauma 2 2 — — $30,118.89 $31,022.45 $30,570.67 2026-05-08
441-4 CPT Major Bladder Procedures 2 2 — — $30,113.41 $31,016.81 $30,565.11 2026-05-08
631-3 CPT 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 CPT Major Pancreas, Liver And Shunt Procedures 2 2 — — $29,735.90 $30,627.98 $30,181.94 2026-05-08
440-3 CPT Kidney Transplant 2 2 — — $29,451.17 $30,334.70 $29,892.93 2026-05-08
120 CPT Car T-cell Immunotherapy 2 2 — — $29,449.12 $30,332.59 $29,890.85 2026-05-08
740-4 CPT Mental Illness Diagnosis With O.r. Procedure 2 2 — — $29,354.86 $30,235.50 $29,795.18 2026-05-08
608-4 CPT 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
681-4 CPT 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 CPT 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 CPT External Heart Assist Systems 2 2 — — $28,640.75 $29,499.98 $29,070.36 2026-05-08
220-4 CPT Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $28,528.34 $29,384.19 $28,956.26 2026-05-08
089-4 CPT Major Cranial Or Facial Bone Procedures 2 2 — — $28,335.72 $29,185.79 $28,760.76 2026-05-08
165-3 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $28,253.59 $29,101.19 $28,677.39 2026-05-08
950-4 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $28,056.46 $28,898.15 $28,477.31 2026-05-08
160-3 CPT Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $27,999.77 $28,839.76 $28,419.76 2026-05-08
608-3 CPT 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 CPT 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 CPT 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 CPT Open Craniotomy For Trauma 2 2 — — $27,786.86 $28,620.47 $28,203.67 2026-05-08
120-4 CPT Major Respiratory And Chest Procedures 2 2 — — $27,658.66 $28,488.42 $28,073.54 2026-05-08
621-4 CPT 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 CPT Acute Leukemia 2 2 — — $27,518.23 $28,343.77 $27,931.00 2026-05-08
759-4 CPT Eating Disorders 2 2 — — $27,468.94 $28,293.01 $27,880.97 2026-05-08
005-2 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $27,439.63 $28,262.82 $27,851.22 2026-05-08
361-4 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $27,136.21 $27,950.30 $27,543.25 2026-05-08
181-4 CPT Lower Extremity Arterial Procedures 2 2 — — $26,685.27 $27,485.83 $27,085.55 2026-05-08
162-2 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $26,685.27 $27,485.83 $27,085.55 2026-05-08
027-4 CPT Other Open Craniotomy 2 2 — — $26,548.05 $27,344.49 $26,946.27 2026-05-08
614-4 CPT 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 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $26,247.85 $27,035.29 $26,641.57 2026-05-08
176-4 CPT 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 CPT Major Biliary Tract Procedures 2 2 — — $26,137.05 $26,921.16 $26,529.10 2026-05-08
695-4 CPT Chemotherapy For Acute Leukemia 2 2 — — $25,898.69 $26,675.65 $26,287.17 2026-05-08
303-2 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $25,854.56 $26,630.20 $26,242.38 2026-05-08
230-4 CPT Major Small Bowel Procedures 2 2 — — $25,569.50 $26,336.59 $25,953.04 2026-05-08
510-4 CPT 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 CPT External Heart Assist Systems 2 2 — — $25,545.34 $26,311.71 $25,928.53 2026-05-08
009-2 CPT Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $25,422.30 $26,184.97 $25,803.64 2026-05-08
591-2 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $25,312.79 $26,072.17 $25,692.48 2026-05-08
440-2 CPT Kidney Transplant 2 2 — — $25,259.32 $26,017.10 $25,638.21 2026-05-08
092-4 CPT 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 CPT 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 CPT 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 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $25,084.74 $25,837.28 $25,461.01 2026-05-08
401-4 CPT Adrenal Procedures 2 2 — — $25,041.90 $25,793.15 $25,417.53 2026-05-08
183-3 CPT Percutaneous Structural Cardiac Procedures 2 2 — — $24,908.55 $25,655.80 $25,282.17 2026-05-08
651-4 CPT Other Procedures Of Blood And Blood-forming Organs 2 2 — — $24,883.42 $25,629.93 $25,256.67 2026-05-08
008-3 CPT Autologous Bone Marrow Transplant 2 2 — — $24,841.23 $25,586.46 $25,213.85 2026-05-08
179-3 CPT Defibrillator Implants 2 2 — — $24,685.01 $25,425.56 $25,055.28 2026-05-08
404-4 CPT Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $24,608.99 $25,347.26 $24,978.12 2026-05-08
304-3 CPT 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 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $24,269.17 $24,997.25 $24,633.21 2026-05-08
321-4 CPT 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 CPT 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 CPT Class IV Therapeutic Radiopharmaceuticals 2 2 — — $23,627.71 $24,336.54 $23,982.12 2026-05-08
030-4 CPT Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $23,499.67 $24,204.66 $23,852.17 2026-05-08
165-2 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $23,498.70 $24,203.66 $23,851.18 2026-05-08
166-3 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $23,489.68 $24,194.37 $23,842.03 2026-05-08
167-3 CPT Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $23,436.86 $24,139.96 $23,788.41 2026-05-08
264-4 CPT Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $23,216.22 $23,912.70 $23,564.46 2026-05-08
026-4 CPT Other Nervous System And Related Procedures 2 2 — — $23,155.02 $23,849.67 $23,502.35 2026-05-08
710-4 CPT Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $23,141.81 $23,836.07 $23,488.94 2026-05-08
511-4 CPT 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 CPT Non-elective Or Complex Knee Joint Replacement 2 2 — — $23,063.86 $23,755.78 $23,409.82 2026-05-08
022-4 CPT Ventricular Shunt Procedures 2 2 — — $23,016.19 $23,706.68 $23,361.43 2026-05-08
405-4 CPT Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $22,964.66 $23,653.60 $23,309.13 2026-05-08
611-3 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $22,913.76 $23,601.18 $23,257.47 2026-05-08
005-1 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $22,786.21 $23,469.80 $23,128.00 2026-05-08
162-1 CPT 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 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $22,758.19 $23,440.93 $23,099.56 2026-05-08
182-4 CPT Other Peripheral Vascular And Related Procedures 2 2 — — $22,671.86 $23,352.02 $23,011.94 2026-05-08
121-4 CPT Other Respiratory And Chest Procedures 2 2 — — $22,614.53 $23,292.97 $22,953.75 2026-05-08
650-4 CPT Splenectomy 2 2 — — $22,582.32 $23,259.79 $22,921.06 2026-05-08
440-1 CPT Kidney Transplant 2 2 — — $22,554.62 $23,231.26 $22,892.94 2026-05-08
231-4 CPT Major Large Bowel Procedures 2 2 — — $22,497.93 $23,172.87 $22,835.40 2026-05-08
447-4 CPT Other Kidney, Urinary Tract And Related Procedures 2 2 — — $22,239.60 $22,906.79 $22,573.19 2026-05-08
863-3 CPT Neonatal Aftercare 2 2 — — $22,129.12 $22,792.99 $22,461.06 2026-05-08
163-2 CPT 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 CPT 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
622-4 CPT 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
303-1 CPT 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 CPT Other Percutaneous Intracranial Procedures 2 2 — — $21,523.24 $22,168.94 $21,846.09 2026-05-08
613-3 CPT 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
183-2 CPT Percutaneous Structural Cardiac Procedures 2 2 — — $21,392.47 $22,034.24 $21,713.36 2026-05-08
309-4 CPT Other Significant Hip And Femur Surgery 2 2 — — $21,352.53 $21,993.11 $21,672.82 2026-05-08
175-4 CPT Percutaneous Cardiac Intervention Without Ami 2 2 — — $21,292.30 $21,931.07 $21,611.68 2026-05-08
442-4 CPT Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $21,236.57 $21,873.67 $21,555.12 2026-05-08
011-2 CPT 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 CPT Gastric Fundoplication 2 2 — — $21,005.63 $21,635.79 $21,320.71 2026-05-08
222-4 CPT Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $20,955.70 $21,584.37 $21,270.03 2026-05-08
229-4 CPT Other Digestive System And Abdominal Procedures 2 2 — — $20,945.71 $21,574.09 $21,259.90 2026-05-08
589-2 CPT 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 CPT Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $20,863.58 $21,489.48 $21,176.53 2026-05-08
951-4 CPT 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 CPT Percutaneous Structural Cardiac Procedures 2 2 — — $20,796.26 $21,420.15 $21,108.21 2026-05-08
008-2 CPT Autologous Bone Marrow Transplant 2 2 — — $20,784.02 $21,407.54 $21,095.78 2026-05-08
608-2 CPT 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 CPT 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
305-4 CPT Amputation Of Lower Limb Except Toes 2 2 — — $20,366.57 $20,977.57 $20,672.07 2026-05-08
614-3 CPT 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 CPT Other Major Head And Neck Procedures 2 2 — — $20,344.99 $20,955.34 $20,650.17 2026-05-08
910-3 CPT Craniotomy For Multiple Significant Trauma 2 2 — — $20,297.96 $20,906.90 $20,602.43 2026-05-08
313-4 CPT Knee And Lower Leg Procedures Except Foot 2 2 — — $20,279.93 $20,888.32 $20,584.12 2026-05-08
130-3 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $20,263.50 $20,871.40 $20,567.45 2026-05-08
223-4 CPT Other Small And Large Bowel Procedures 2 2 — — $20,141.10 $20,745.33 $20,443.22 2026-05-08
024-4 CPT Open Extracranial Vascular Procedures 2 2 — — $20,139.81 $20,744.01 $20,441.91 2026-05-08
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