Hospital

OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER

Leitchfield, KY · CCN 180070 · Rates published

3,174 distinct procedures filed

15 distinct payers

40,543 rate rows

2026-05-08 last MRF observed

Data quality

40,132 of 40,543 rate rows are consumer-grade (99.0%)

411 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
placeholder amount (≤ $0.02) — excluded from medians	290
per-diem day rate — not a per-procedure price	50
exceeds 10× this hospital's gross charge — excluded from medians	47
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	19
percent-of-charges filed in the dollar field — excluded from medians	5

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

Source MRF file	https://www.owensborohealth.org/sites/default/files/documents/85-3033915_owensboro-health-twin-lakes-medical-center_standardcharges.csv
Found on page	https://www.owensborohealth.org/patient-visitor/billing/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	2f3fba81eeda3b1c… · 26,189,586 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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	5	$3,297,650.32	$3,297,650.32	$3,297,650.32	nat. median $3,746,358 0.9× median
714 OTHER	Inj Delandistrogene Mox Rokl	5	$2,967,637.05	$2,967,637.05	$2,967,637.05	nat. median $13,041 outlier · 227.6×
748 OTHER	Inj, Lovotibeglogene Autotem	5	$2,906,774.19	$2,906,774.19	$2,906,774.19	nat. median $17,963 outlier · 161.8×
746 OTHER	Inj, Betibeglogene Autotemce	5	$2,635,907.07	$2,635,907.07	$2,635,907.07	nat. median $21,896 outlier · 120.4×
9141 OTHER	Inj Onase Abepar-xioi Treat	5	$2,196,882.07	$2,196,882.07	$2,196,882.07	nat. median $2,588,981 0.8× median
824 OTHER	Inj, Exagamglogene Autotem	5	$2,086,720.24	$2,086,720.24	$2,086,720.24	nat. median $25,250 outlier · 82.6×
9194 OTHER	Tisagenlecleucel Car-pos T	5	$529,488.44	$529,488.44	$529,488.44	nat. median $566,531 0.9× median
9498 OTHER	Ciltacabtagene Car-pos T	5	$506,350.85	$506,350.85	$506,350.85	nat. median $587,650 0.9× median
9413 OTHER	Lisocabtagene Mara Car Pos T	5	$503,370.42	$503,370.42	$503,370.42	nat. median $562,201 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	5	$498,699.23	$498,699.23	$498,699.23	nat. median $558,082 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	5	$477,145.02	$477,145.02	$477,145.02	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	5	$437,839.55	$437,839.55	$437,839.55	nat. median $489,450 0.9× median
MS466 OTHER	Revision Of Hip Or Knee Replacement With Mcc	12	$89,544.00	$89,544.00	$89,544.00	nat. median $69,838 1.3× median
MS928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	12	$73,772.12	$73,772.12	$73,772.12	nat. median $73,772 1.0× median
MS653 OTHER	Major Bladder Procedures With Mcc	12	$73,561.19	$73,561.19	$73,561.19	nat. median $73,561 1.0× median
MS820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	12	$73,369.93	$73,369.93	$73,369.93	nat. median $73,370 1.0× median
MS329 OTHER	Major Small And Large Bowel Procedures With Mcc	12	$68,403.20	$68,403.20	$68,403.20	nat. median $61,669 1.1× median
MS207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	12	$66,181.70	$66,181.70	$66,181.70	nat. median $85,015 0.8× median
MS799 OTHER	Splenic Procedures With Mcc	12	$60,890.85	$60,890.85	$60,890.85	nat. median $60,762 1.0× median
MS483 OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	12	$58,930.39	$58,930.39	$58,930.39	nat. median $37,189 1.6× median
717 OTHER	Instill Adstiladrin, Tx Dose	5	$56,679.94	$56,679.94	$56,679.94	nat. median $20,101 outlier · 2.8×
MS463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	12	$55,242.29	$55,242.29	$55,242.29	nat. median $76,468 0.7× median
MS579 OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	12	$54,672.72	$54,672.72	$54,672.72	nat. median $43,449 1.3× median
MS468 OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	12	$53,088.68	$53,088.68	$53,088.68	nat. median $39,486 1.3× median
5244 OTHER	Transplt Allo Hct/donor	5	$52,921.74	$52,921.74	$52,921.74	nat. median $63,188 0.8× median
MS326 OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	12	$51,296.04	$51,296.04	$51,296.04	nat. median $51,296 1.0× median
1643 OTHER	Y90 Ibritumomab, Rx	5	$50,847.74	$50,847.74	$50,847.74	nat. median $61,939 0.8× median
MS853 OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	12	$50,794.12	$50,794.12	$50,794.12	nat. median $50,794 1.0× median
MS493 OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	12	$50,471.00	$50,471.00	$50,471.00	nat. median $34,026 1.5× median
MS335 OTHER	Peritoneal Adhesiolysis With Mcc	12	$50,282.30	$50,282.30	$50,282.30	nat. median $47,909 1.0× median
MS616 OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	12	$49,910.78	$49,910.78	$49,910.78	nat. median $46,789 1.1× median
9273 OTHER	Sipuleucel-t Auto Cd54+	5	$49,458.78	$49,458.78	$49,458.78	nat. median $56,092 0.9× median
MS856 OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	12	$49,185.35	$49,185.35	$49,185.35	nat. median $49,185 1.0× median
MS981 OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	12	$48,255.75	$48,255.75	$48,255.75	nat. median $48,256 1.0× median
J2350 OTHER	Ocrelizumab 30 Mg/ml Intravenous Solution	10	$18,824.55	$82,233.58	$48,052.15	nat. median $65 outlier · 740.7×
MS166 OTHER	Other Respiratory System O.r. Procedures With Mcc	12	$47,089.84	$47,089.84	$47,089.84	nat. median $47,090 1.0× median
MS826 OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.…	12	$46,489.25	$46,489.25	$46,489.25	nat. median $46,489 1.0× median
MS239 OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	12	$45,464.78	$45,464.78	$45,464.78	nat. median $45,465 1.0× median
MS356 OTHER	Other Digestive System O.r. Procedures With Mcc	12	$45,180.50	$45,180.50	$45,180.50	nat. median $45,180 1.0× median
MS327 OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	12	$45,160.94	$45,160.94	$45,160.94	nat. median $32,793 1.4× median
MS511 OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	12	$45,101.61	$45,101.61	$45,101.61	nat. median $27,898 1.6× median
MS790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	12	$45,072.28	$45,072.28	$45,072.28	nat. median $45,072 1.0× median
MS029 OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	12	$44,838.89	$44,838.89	$44,838.89	nat. median $44,839 1.0× median
MS474 OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	12	$44,153.01	$44,153.01	$44,153.01	nat. median $44,153 1.0× median
MS673 OTHER	Other Kidney And Urinary Tract Procedures With Mcc	12	$43,213.98	$43,213.98	$43,213.98	nat. median $43,214 1.0× median
MS397 OTHER	Appendix Procedures With Mcc	12	$41,584.36	$41,584.36	$41,584.36	nat. median $41,584 1.0× median
1142 OTHER	Supprelin La Implant	5	$40,285.38	$40,285.38	$40,285.38	nat. median $45,345 0.9× median
1580 OTHER	Implt/rpl Crtd Sns Dev Total	5	$40,267.35	$40,267.35	$40,267.35	nat. median $45,289 0.9× median
MS907 OTHER	Other O.r. Procedures For Injuries With Mcc	12	$39,487.68	$39,487.68	$39,487.68	nat. median $51,510 0.8× median
MS956 OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	12	$38,702.93	$38,702.93	$38,702.93	nat. median $50,486 0.8× median

Other procedures at this hospital

Browse this hospital's 3,174 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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	5	5	—	—	$3,297,650.32	$3,297,650.32	$3,297,650.32	2026-05-08
714	OTHER	Inj Delandistrogene Mox Rokl	5	5	—	—	$2,967,637.05	$2,967,637.05	$2,967,637.05	2026-05-08
748	OTHER	Inj, Lovotibeglogene Autotem	5	5	—	—	$2,906,774.19	$2,906,774.19	$2,906,774.19	2026-05-08
746	OTHER	Inj, Betibeglogene Autotemce	5	5	—	—	$2,635,907.07	$2,635,907.07	$2,635,907.07	2026-05-08
9141	OTHER	Inj Onase Abepar-xioi Treat	5	5	—	—	$2,196,882.07	$2,196,882.07	$2,196,882.07	2026-05-08
824	OTHER	Inj, Exagamglogene Autotem	5	5	—	—	$2,086,720.24	$2,086,720.24	$2,086,720.24	2026-05-08
9194	OTHER	Tisagenlecleucel Car-pos T	5	5	—	—	$529,488.44	$529,488.44	$529,488.44	2026-05-08
9498	OTHER	Ciltacabtagene Car-pos T	5	5	—	—	$506,350.85	$506,350.85	$506,350.85	2026-05-08
9413	OTHER	Lisocabtagene Mara Car Pos T	5	5	—	—	$503,370.42	$503,370.42	$503,370.42	2026-05-08
9422	OTHER	Idecabtagene Vicleucel Car	5	5	—	—	$498,699.23	$498,699.23	$498,699.23	2026-05-08
9035	OTHER	Axicabtagene Ciloleucel Car+	5	5	—	—	$477,145.02	$477,145.02	$477,145.02	2026-05-08
9391	OTHER	Brexucabtagene Car Pos T	5	5	—	—	$437,839.55	$437,839.55	$437,839.55	2026-05-08
MS466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	12	12	—	—	$89,544.00	$89,544.00	$89,544.00	2026-05-08
MS928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	12	12	—	—	$73,772.12	$73,772.12	$73,772.12	2026-05-08
MS653	OTHER	Major Bladder Procedures With Mcc	12	12	—	—	$73,561.19	$73,561.19	$73,561.19	2026-05-08
MS820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	12	12	—	—	$73,369.93	$73,369.93	$73,369.93	2026-05-08
MS329	OTHER	Major Small And Large Bowel Procedures With Mcc	12	12	—	—	$68,403.20	$68,403.20	$68,403.20	2026-05-08
MS207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	12	12	—	—	$66,181.70	$66,181.70	$66,181.70	2026-05-08
MS799	OTHER	Splenic Procedures With Mcc	12	12	—	—	$60,890.85	$60,890.85	$60,890.85	2026-05-08
MS483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	12	12	—	—	$58,930.39	$58,930.39	$58,930.39	2026-05-08
717	OTHER	Instill Adstiladrin, Tx Dose	5	5	—	—	$56,679.94	$56,679.94	$56,679.94	2026-05-08
MS463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	12	12	—	—	$55,242.29	$55,242.29	$55,242.29	2026-05-08
MS579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	12	12	—	—	$54,672.72	$54,672.72	$54,672.72	2026-05-08
MS468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	12	12	—	—	$53,088.68	$53,088.68	$53,088.68	2026-05-08
5244	OTHER	Transplt Allo Hct/donor	5	5	—	—	$52,921.74	$52,921.74	$52,921.74	2026-05-08
MS326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	12	12	—	—	$51,296.04	$51,296.04	$51,296.04	2026-05-08
1643	OTHER	Y90 Ibritumomab, Rx	5	5	—	—	$50,847.74	$50,847.74	$50,847.74	2026-05-08
MS853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	12	12	—	—	$50,794.12	$50,794.12	$50,794.12	2026-05-08
MS493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	12	12	—	—	$50,471.00	$50,471.00	$50,471.00	2026-05-08
MS335	OTHER	Peritoneal Adhesiolysis With Mcc	12	12	—	—	$50,282.30	$50,282.30	$50,282.30	2026-05-08
MS616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	12	12	—	—	$49,910.78	$49,910.78	$49,910.78	2026-05-08
9273	OTHER	Sipuleucel-t Auto Cd54+	5	5	—	—	$49,458.78	$49,458.78	$49,458.78	2026-05-08
MS856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	12	12	—	—	$49,185.35	$49,185.35	$49,185.35	2026-05-08
MS981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	12	12	—	—	$48,255.75	$48,255.75	$48,255.75	2026-05-08
J2350	OTHER	Ocrelizumab 30 Mg/ml Intravenous Solution	10	10	$99,076.60	$64,399.79 35% off	$18,824.55	$82,233.58	$48,052.15	2026-05-08
MS166	OTHER	Other Respiratory System O.r. Procedures With Mcc	12	12	—	—	$47,089.84	$47,089.84	$47,089.84	2026-05-08
MS826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	12	12	—	—	$46,489.25	$46,489.25	$46,489.25	2026-05-08
MS239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	12	12	—	—	$45,464.78	$45,464.78	$45,464.78	2026-05-08
MS356	OTHER	Other Digestive System O.r. Procedures With Mcc	12	12	—	—	$45,180.50	$45,180.50	$45,180.50	2026-05-08
MS327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	12	12	—	—	$45,160.94	$45,160.94	$45,160.94	2026-05-08
MS511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	12	12	—	—	$45,101.61	$45,101.61	$45,101.61	2026-05-08
MS790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	12	12	—	—	$45,072.28	$45,072.28	$45,072.28	2026-05-08
MS029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	12	12	—	—	$44,838.89	$44,838.89	$44,838.89	2026-05-08
MS474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	12	12	—	—	$44,153.01	$44,153.01	$44,153.01	2026-05-08
MS673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	12	12	—	—	$43,213.98	$43,213.98	$43,213.98	2026-05-08
MS397	OTHER	Appendix Procedures With Mcc	12	12	—	—	$41,584.36	$41,584.36	$41,584.36	2026-05-08
1142	OTHER	Supprelin La Implant	5	5	—	—	$40,285.38	$40,285.38	$40,285.38	2026-05-08
1580	OTHER	Implt/rpl Crtd Sns Dev Total	5	5	—	—	$40,267.35	$40,267.35	$40,267.35	2026-05-08
MS907	OTHER	Other O.r. Procedures For Injuries With Mcc	12	12	—	—	$39,487.68	$39,487.68	$39,487.68	2026-05-08
MS956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	12	12	—	—	$38,702.93	$38,702.93	$38,702.93	2026-05-08
MS521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	12	12	—	—	$38,486.07	$38,486.07	$38,486.07	2026-05-08
MS518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	12	12	—	—	$38,438.60	$38,438.60	$38,438.60	2026-05-08
MS904	OTHER	Skin Grafts For Injuries With Cc/mcc	12	12	—	—	$37,778.29	$37,778.29	$37,778.29	2026-05-08
MS492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	12	12	—	—	$37,762.86	$37,762.86	$37,762.86	2026-05-08
MS330	OTHER	Major Small And Large Bowel Procedures With Cc	12	12	—	—	$37,361.49	$37,361.49	$37,361.49	2026-05-08
MS939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	12	12	—	—	$37,319.57	$37,319.57	$37,319.57	2026-05-08
MS574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	12	12	—	—	$37,299.14	$37,299.14	$37,299.14	2026-05-08
MS041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	12	12	—	—	$36,770.54	$36,770.54	$36,770.54	2026-05-08
MS264	OTHER	Other Circulatory System O.r. Procedures	12	12	—	—	$36,632.49	$36,632.49	$36,632.49	2026-05-08
MS622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	12	12	—	—	$36,606.82	$36,606.82	$36,606.82	2026-05-08
MS467	OTHER	Revision Of Hip Or Knee Replacement With Cc	12	12	—	—	$36,271.53	$36,271.53	$36,271.53	2026-05-08
MS094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	12	12	—	—	$36,197.47	$36,197.47	$36,197.47	2026-05-08
MS288	OTHER	Acute And Subacute Endocarditis With Mcc	12	12	—	—	$35,978.35	$35,978.35	$35,978.35	2026-05-08
MS500	OTHER	Soft Tissue Procedures With Mcc	12	12	—	—	$35,725.97	$35,725.97	$35,725.97	2026-05-08
MS477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	12	12	—	—	$35,530.99	$35,530.99	$35,530.99	2026-05-08
MS480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	12	12	—	—	$35,517.14	$35,517.14	$35,517.14	2026-05-08
MS987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	12	12	—	—	$35,261.53	$35,261.53	$35,261.53	2026-05-08
MS069	OTHER	Transient Ischemia Without Thrombolytic	12	12	—	—	$35,096.68	$35,096.68	$35,096.68	2026-05-08
MS420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	12	12	—	—	$35,042.45	$35,042.45	$35,042.45	2026-05-08
MS628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	12	12	—	—	$34,986.81	$34,986.81	$34,986.81	2026-05-08
MS522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	12	12	—	—	$33,674.42	$33,674.42	$33,674.42	2026-05-08
MS515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	12	12	—	—	$32,777.67	$32,777.67	$32,777.67	2026-05-08
MS469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	12	12	—	—	$32,174.46	$32,174.46	$32,174.46	2026-05-08
MS793	OTHER	Full Term Neonate With Major Problems	12	12	—	—	$32,163.19	$32,163.19	$32,163.19	2026-05-08
MS840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	12	12	—	—	$32,049.51	$32,049.51	$32,049.51	2026-05-08
MS464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	12	12	—	—	$32,035.08	$32,035.08	$32,035.08	2026-05-08
MS374	OTHER	Digestive Malignancy With Mcc	12	12	—	—	$31,897.24	$31,897.24	$31,897.24	2026-05-08
1579	OTHER	Evasc Ven Artlz Tibl/prnl Vn	5	5	—	—	$31,319.15	$31,319.15	$31,319.15	2026-05-08
MS791	OTHER	Prematurity With Major Problems	12	12	—	—	$31,230.04	$31,230.04	$31,230.04	2026-05-08
MS498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	12	12	—	—	$31,128.62	$31,128.62	$31,128.62	2026-05-08
MS510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	12	12	—	—	$31,066.22	$31,066.22	$31,066.22	2026-05-08
MS570	OTHER	Skin Debridement With Mcc	12	12	—	—	$30,249.58	$30,249.58	$30,249.58	2026-05-08
MS353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	12	12	—	—	$29,847.43	$29,847.43	$29,847.43	2026-05-08
MS406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	12	12	—	—	$29,828.92	$29,828.92	$29,828.92	2026-05-08
MS240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	12	12	—	—	$29,317.75	$29,317.75	$29,317.75	2026-05-08
MS205	OTHER	Other Respiratory System Diagnoses With Mcc	12	12	—	—	$28,984.60	$28,984.60	$28,984.60	2026-05-08
MS605	OTHER	Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc	12	12	—	—	$28,980.76	$28,980.76	$28,980.76	2026-05-08
5232	OTHER	Insj/rplc Cardiac Modulj Sys	5	5	—	—	$28,689.34	$28,689.34	$28,689.34	2026-05-08
5166	OTHER	Implant Cochlear Device	5	5	—	—	$28,462.27	$28,462.27	$28,462.27	2026-05-08
MS381	OTHER	Complicated Peptic Ulcer With Cc	12	12	—	—	$28,395.62	$28,395.62	$28,395.62	2026-05-08
MS208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	12	12	—	—	$28,270.72	$28,270.72	$28,270.72	2026-05-08
MS299	OTHER	Peripheral Vascular Disorders With Mcc	12	12	—	—	$28,190.67	$28,190.67	$28,190.67	2026-05-08
MS470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	12	12	—	—	$27,775.40	$27,775.40	$27,775.40	2026-05-08
MS255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	12	12	—	—	$27,743.10	$27,743.10	$27,743.10	2026-05-08
5465	OTHER	Implt/rpl Crtd Sns Dev Gen	5	5	—	—	$27,268.38	$27,268.38	$27,268.38	2026-05-08
MS577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	12	12	—	—	$27,262.78	$27,262.78	$27,262.78	2026-05-08
MS256	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	12	12	—	—	$27,237.40	$27,237.40	$27,237.40	2026-05-08
MS415	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Cc	12	12	—	—	$26,896.38	$26,896.38	$26,896.38	2026-05-08
MS478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	12	12	—	—	$26,821.08	$26,821.08	$26,821.08	2026-05-08
MS337	OTHER	Peritoneal Adhesiolysis Without Cc/mcc	12	12	—	—	$26,627.14	$26,627.14	$26,627.14	2026-05-08
MS344	OTHER	Minor Small And Large Bowel Procedures With Mcc	12	12	—	—	$26,564.42	$26,564.42	$26,564.42	2026-05-08
MS095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	12	12	—	—	$26,527.40	$26,527.40	$26,527.40	2026-05-08
MS749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	12	12	—	—	$26,408.09	$26,408.09	$26,408.09	2026-05-08
MS659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	12	12	—	—	$26,133.47	$26,133.47	$26,133.47	2026-05-08
MS328	OTHER	Stomach, Esophageal And Duodenal Procedures Without Cc/mcc	12	12	—	—	$26,120.88	$26,120.88	$26,120.88	2026-05-08
MS963	OTHER	Other Multiple Significant Trauma With Mcc	12	12	—	—	$25,921.42	$25,921.42	$25,921.42	2026-05-08
MS350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	12	12	—	—	$25,629.51	$25,629.51	$25,629.51	2026-05-08
MS481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	12	12	—	—	$25,511.98	$25,511.98	$25,511.98	2026-05-08
MS334	OTHER	Rectal Resection Without Cc/mcc	12	12	—	—	$25,506.75	$25,506.75	$25,506.75	2026-05-08
5200	OTHER	Tcat Impl Wrls P-art Prs Snr	5	5	—	—	$25,438.24	$25,438.24	$25,438.24	2026-05-08
MS551	OTHER	Medical Back Problems With Mcc	12	12	—	—	$25,434.54	$25,434.54	$25,434.54	2026-05-08
843	OTHER	Pegaspargase Injection	5	5	—	—	$25,434.42	$25,434.42	$25,434.42	2026-05-08
MS497	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	12	12	—	—	$25,426.41	$25,426.41	$25,426.41	2026-05-08
MS982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	12	12	—	—	$25,285.98	$25,285.98	$25,285.98	2026-05-08
MS314	OTHER	Other Circulatory System Diagnoses With Mcc	12	12	—	—	$25,221.01	$25,221.01	$25,221.01	2026-05-08
MS940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	12	12	—	—	$24,692.90	$24,692.90	$24,692.90	2026-05-08
1592	OTHER	Non-blind Interatrial Shunt	5	5	—	—	$24,608.00	$24,608.00	$24,608.00	2026-05-08
MS336	OTHER	Peritoneal Adhesiolysis With Cc	12	12	—	—	$24,598.44	$24,598.44	$24,598.44	2026-05-08
MS486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	12	12	—	—	$24,552.58	$24,552.58	$24,552.58	2026-05-08
MS417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	12	12	—	—	$24,544.42	$24,544.42	$24,544.42	2026-05-08
MS083	OTHER	Traumatic Stupor And Coma >1 Hour With Cc	12	12	—	—	$24,396.71	$24,396.71	$24,396.71	2026-05-08
MS623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	12	12	—	—	$24,247.08	$24,247.08	$24,247.08	2026-05-08
MS333	OTHER	Rectal Resection With Cc	12	12	—	—	$24,089.82	$24,089.82	$24,089.82	2026-05-08
MS371	OTHER	Major Gastrointestinal Disorders And Peritoneal Infections With Mcc	12	12	—	—	$24,004.75	$24,004.75	$24,004.75	2026-05-08
MS357	OTHER	Other Digestive System O.r. Procedures With Cc	12	12	—	—	$23,918.06	$23,918.06	$23,918.06	2026-05-08
MS056	OTHER	Degenerative Nervous System Disorders With Mcc	12	12	—	—	$23,893.38	$23,893.38	$23,893.38	2026-05-08
MS867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	12	12	—	—	$23,773.51	$23,773.51	$23,773.51	2026-05-08
MS347	OTHER	Anal And Stomal Procedures With Mcc	12	12	—	—	$23,610.53	$23,610.53	$23,610.53	2026-05-08
MS098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	12	12	—	—	$23,603.33	$23,603.33	$23,603.33	2026-05-08
MS817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	12	12	—	—	$23,466.54	$23,466.54	$23,466.54	2026-05-08
MS475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	12	12	—	—	$23,405.86	$23,405.86	$23,405.86	2026-05-08
MS085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	12	12	—	—	$23,366.78	$23,366.78	$23,366.78	2026-05-08
MS865	OTHER	Viral Illness With Mcc	12	12	—	—	$23,181.44	$23,181.44	$23,181.44	2026-05-08
MS283	OTHER	Acute Myocardial Infarction, Expired With Mcc	12	12	—	—	$23,109.55	$23,109.55	$23,109.55	2026-05-08
MS934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	12	12	—	—	$22,990.87	$22,990.87	$22,990.87	2026-05-08
MS482	OTHER	Hip And Femur Procedures Except Major Joint Without Cc/mcc	12	12	—	—	$22,937.06	$22,937.06	$22,937.06	2026-05-08
MS578	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc	12	12	—	—	$22,906.36	$22,906.36	$22,906.36	2026-05-08
MS857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	12	12	—	—	$22,609.53	$22,609.53	$22,609.53	2026-05-08
MS331	OTHER	Major Small And Large Bowel Procedures Without Cc/mcc	12	12	—	—	$22,579.03	$22,579.03	$22,579.03	2026-05-08
MS494	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	12	12	—	—	$22,480.72	$22,480.72	$22,480.72	2026-05-08
MS418	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Cc	12	12	—	—	$22,459.87	$22,459.87	$22,459.87	2026-05-08
MS629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	12	12	—	—	$22,409.23	$22,409.23	$22,409.23	2026-05-08
MS520	OTHER	Back And Neck Procedures Except Spinal Fusion Without Cc/mcc	12	12	—	—	$22,197.13	$22,197.13	$22,197.13	2026-05-08
MS179	OTHER	Respiratory Infections And Inflammations Without Cc/mcc	12	12	—	—	$22,001.22	$22,001.22	$22,001.22	2026-05-08
5213	OTHER	Compre Ep Eval Tx Svt	5	5	—	—	$21,951.99	$21,951.99	$21,951.99	2026-05-08
MS814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	12	12	—	—	$21,873.38	$21,873.38	$21,873.38	2026-05-08
MS146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	12	12	—	—	$21,777.72	$21,777.72	$21,777.72	2026-05-08
MS438	OTHER	Disorders Of Pancreas Except Malignancy With Mcc	12	12	—	—	$21,724.56	$21,724.56	$21,724.56	2026-05-08
856	OTHER	Porfimer Sodium Injection	5	5	—	—	$21,680.07	$21,680.07	$21,680.07	2026-05-08
MS348	OTHER	Anal And Stomal Procedures With Cc	12	12	—	—	$21,609.59	$21,609.59	$21,609.59	2026-05-08
MS519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	12	12	—	—	$21,492.60	$21,492.60	$21,492.60	2026-05-08
MS517	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…	12	12	—	—	$21,483.92	$21,483.92	$21,483.92	2026-05-08
MS082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	12	12	—	—	$21,472.98	$21,472.98	$21,472.98	2026-05-08
MS835	OTHER	Acute Leukemia With Cc	12	12	—	—	$21,452.72	$21,452.72	$21,452.72	2026-05-08
MS167	OTHER	Other Respiratory System O.r. Procedures With Cc	12	12	—	—	$21,376.58	$21,376.58	$21,376.58	2026-05-08
MS516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	12	12	—	—	$21,373.51	$21,373.51	$21,373.51	2026-05-08
MS549	OTHER	Septic Arthritis With Cc	12	12	—	—	$21,337.86	$21,337.86	$21,337.86	2026-05-08
MS854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	12	12	—	—	$21,213.85	$21,213.85	$21,213.85	2026-05-08
MS935	OTHER	Non-extensive Burns	12	12	—	—	$21,187.36	$21,187.36	$21,187.36	2026-05-08
MS674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	12	12	—	—	$21,091.53	$21,091.53	$21,091.53	2026-05-08
MS354	OTHER	Hernia Procedures Except Inguinal And Femoral With Cc	12	12	—	—	$21,032.84	$21,032.84	$21,032.84	2026-05-08
MS902	OTHER	Wound Debridements For Injuries With Cc	12	12	—	—	$20,910.88	$20,910.88	$20,910.88	2026-05-08
MS502	OTHER	Soft Tissue Procedures Without Cc/mcc	12	12	—	—	$20,889.31	$20,889.31	$20,889.31	2026-05-08
MS941	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	12	12	—	—	$20,855.15	$20,855.15	$20,855.15	2026-05-08
MS346	OTHER	Minor Small And Large Bowel Procedures Without Cc/mcc	12	12	—	—	$20,735.40	$20,735.40	$20,735.40	2026-05-08
MS064	OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Mcc	12	12	—	—	$20,683.38	$20,683.38	$20,683.38	2026-05-08
MS100	OTHER	Seizures With Mcc	12	12	—	—	$20,630.04	$20,630.04	$20,630.04	2026-05-08
MS908	OTHER	Other O.r. Procedures For Injuries With Cc	12	12	—	—	$20,520.88	$20,520.88	$20,520.88	2026-05-08
MS843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	12	12	—	—	$20,516.76	$20,516.76	$20,516.76	2026-05-08
MS792	OTHER	Prematurity Without Major Problems	12	12	—	—	$20,400.70	$20,400.70	$20,400.70	2026-05-08
MS783	OTHER	Cesarean Section With Sterilization With Mcc	11	11	—	—	$20,316.57	$20,316.57	$20,316.57	2026-05-08
MS539	OTHER	Osteomyelitis With Mcc	12	12	—	—	$20,258.61	$20,258.61	$20,258.61	2026-05-08
MS432	OTHER	Cirrhosis And Alcoholic Hepatitis With Mcc	12	12	—	—	$20,243.19	$20,243.19	$20,243.19	2026-05-08
MS052	OTHER	Spinal Disorders And Injuries With Cc/mcc	12	12	—	—	$20,205.11	$20,205.11	$20,205.11	2026-05-08
MS380	OTHER	Complicated Peptic Ulcer With Mcc	12	12	—	—	$20,181.47	$20,181.47	$20,181.47	2026-05-08
MS808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	12	12	—	—	$20,150.30	$20,150.30	$20,150.30	2026-05-08
5231	OTHER	Insj/rplc Car Modulj Pls Gn	5	5	—	—	$20,085.30	$20,085.30	$20,085.30	2026-05-08
MS442	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc	12	12	—	—	$20,061.87	$20,061.87	$20,061.87	2026-05-08
MS803	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc	12	12	—	—	$20,057.76	$20,057.76	$20,057.76	2026-05-08
MS871	OTHER	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	12	12	—	—	$20,052.88	$20,052.88	$20,052.88	2026-05-08
MS906	OTHER	Hand Procedures For Injuries	12	12	—	—	$19,957.49	$19,957.49	$19,957.49	2026-05-08
MS592	OTHER	Skin Ulcers With Mcc	12	12	—	—	$19,904.80	$19,904.80	$19,904.80	2026-05-08
63685	OTHER	Hc Insrt/redo Spine Neuro Genertr	10	10	$83,699.43	$54,404.63 35% off	$15,902.89	$69,470.53	$19,875.42	2026-05-08
MS548	OTHER	Septic Arthritis With Mcc	12	12	—	—	$19,859.55	$19,859.55	$19,859.55	2026-05-08
MS582	OTHER	Mastectomy For Malignancy With Cc/mcc	12	12	—	—	$19,815.33	$19,815.33	$19,815.33	2026-05-08
MS693	OTHER	Urinary Stones With Mcc	12	12	—	—	$19,758.88	$19,758.88	$19,758.88	2026-05-08
J9022	OTHER	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	20	10	$44,647.19	$29,020.67 35% off	$6,704.28	$44,827.24	$19,641.15	2026-05-08
MS196	OTHER	Interstitial Lung Disease With Mcc	12	12	—	—	$19,410.09	$19,410.09	$19,410.09	2026-05-08
MS698	OTHER	Other Kidney And Urinary Tract Diagnoses With Mcc	12	12	—	—	$19,361.01	$19,361.01	$19,361.01	2026-05-08
MS147	OTHER	Ear, Nose, Mouth And Throat Malignancy With Cc	12	12	—	—	$19,313.87	$19,313.87	$19,313.87	2026-05-08
MS070	OTHER	Other Cerebrovascular Disorders With Mcc	12	12	—	—	$19,304.16	$19,304.16	$19,304.16	2026-05-08
MS617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	12	12	—	—	$19,236.27	$19,236.27	$19,236.27	2026-05-08
MS504	OTHER	Foot Procedures With Cc	12	12	—	—	$19,224.96	$19,224.96	$19,224.96	2026-05-08
5464	OTHER	Insj/rplcmt Pg Only Isdss	5	5	—	—	$19,188.87	$19,188.87	$19,188.87	2026-05-08
MS398	OTHER	Appendix Procedures With Cc	12	12	—	—	$19,183.49	$19,183.49	$19,183.49	2026-05-08
MS559	OTHER	Aftercare, Musculoskeletal System And Connective Tissue With Mcc	12	12	—	—	$19,180.73	$19,180.73	$19,180.73	2026-05-08
MS385	OTHER	Inflammatory Bowel Disease With Mcc	12	12	—	—	$19,064.63	$19,064.63	$19,064.63	2026-05-08
MS177	OTHER	Respiratory Infections And Inflammations With Mcc	12	12	—	—	$19,042.79	$19,042.79	$19,042.79	2026-05-08
MS199	OTHER	Pneumothorax With Mcc	12	12	—	—	$18,899.28	$18,899.28	$18,899.28	2026-05-08
MS435	OTHER	Malignancy Of Hepatobiliary System Or Pancreas With Mcc	12	12	—	—	$18,890.69	$18,890.69	$18,890.69	2026-05-08
MS742	OTHER	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	12	12	—	—	$18,871.15	$18,871.15	$18,871.15	2026-05-08
MS919	OTHER	Complications Of Treatment With Mcc	12	12	—	—	$18,830.01	$18,830.01	$18,830.01	2026-05-08
MS377	OTHER	Gastrointestinal Hemorrhage With Mcc	12	12	—	—	$18,801.21	$18,801.21	$18,801.21	2026-05-08
MS513	OTHER	Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc	12	12	—	—	$18,762.33	$18,762.33	$18,762.33	2026-05-08
MS465	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	12	12	—	—	$18,756.99	$18,756.99	$18,756.99	2026-05-08
MS862	OTHER	Postoperative And Post-traumatic Infections With Mcc	12	12	—	—	$18,756.99	$18,756.99	$18,756.99	2026-05-08
MS080	OTHER	Nontraumatic Stupor And Coma With Mcc	12	12	—	—	$18,616.08	$18,616.08	$18,616.08	2026-05-08
MS057	OTHER	Degenerative Nervous System Disorders Without Mcc	12	12	—	—	$18,609.71	$18,609.71	$18,609.71	2026-05-08
MS058	OTHER	Multiple Sclerosis And Cerebellar Ataxia With Mcc	12	12	—	—	$18,588.04	$18,588.04	$18,588.04	2026-05-08
MS476	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc…	12	12	—	—	$18,546.98	$18,546.98	$18,546.98	2026-05-08
MS441	OTHER	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc	12	12	—	—	$18,541.15	$18,541.15	$18,541.15	2026-05-08
MS584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	12	12	—	—	$18,446.22	$18,446.22	$18,446.22	2026-05-08
MS505	OTHER	Foot Procedures Without Cc/mcc	12	12	—	—	$18,439.17	$18,439.17	$18,439.17	2026-05-08
MS487	OTHER	Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc	12	12	—	—	$18,401.24	$18,401.24	$18,401.24	2026-05-08
MS186	OTHER	Pleural Effusion With Mcc	12	12	—	—	$18,373.37	$18,373.37	$18,373.37	2026-05-08
MS866	OTHER	Viral Illness Without Mcc	12	12	—	—	$18,251.90	$18,251.90	$18,251.90	2026-05-08
MS660	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Cc	12	12	—	—	$18,219.06	$18,219.06	$18,219.06	2026-05-08
MS542	OTHER	Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…	12	12	—	—	$18,168.67	$18,168.67	$18,168.67	2026-05-08
MS180	OTHER	Respiratory Neoplasms With Mcc	12	12	—	—	$18,163.53	$18,163.53	$18,163.53	2026-05-08
MS506	OTHER	Major Thumb Or Joint Procedures	12	12	—	—	$18,152.15	$18,152.15	$18,152.15	2026-05-08
MS091	OTHER	Other Disorders Of Nervous System With Mcc	12	12	—	—	$18,062.74	$18,062.74	$18,062.74	2026-05-08
5378	OTHER	Insert Tandem Cuff	5	5	—	—	$18,011.44	$18,011.44	$18,011.44	2026-05-08
MS564	OTHER	Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc	12	12	—	—	$18,010.42	$18,010.42	$18,010.42	2026-05-08
MS922	OTHER	Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc	12	12	—	—	$17,992.80	$17,992.80	$17,992.80	2026-05-08
MS501	OTHER	Soft Tissue Procedures With Cc	12	12	—	—	$17,979.42	$17,979.42	$17,979.42	2026-05-08
MS580	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	12	12	—	—	$17,925.63	$17,925.63	$17,925.63	2026-05-08
MS149	OTHER	Dysequilibrium	12	12	—	—	$17,799.90	$17,799.90	$17,799.90	2026-05-08
J2506	OTHER	Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Sq Injector	20	10	$41,075.15	$26,698.84 35% off	$5,853.21	$42,615.46	$17,713.65	2026-05-08
MS157	OTHER	Dental And Oral Diseases With Mcc	12	12	—	—	$17,657.51	$17,657.51	$17,657.51	2026-05-08
MS983	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc	12	12	—	—	$17,628.70	$17,628.70	$17,628.70	2026-05-08
MS571	OTHER	Skin Debridement With Cc	12	12	—	—	$17,578.01	$17,578.01	$17,578.01	2026-05-08
MS368	OTHER	Major Esophageal Disorders With Mcc	12	12	—	—	$17,573.68	$17,573.68	$17,573.68	2026-05-08
MS289	OTHER	Acute And Subacute Endocarditis With Cc	12	12	—	—	$17,555.68	$17,555.68	$17,555.68	2026-05-08
MS071	OTHER	Other Cerebrovascular Disorders With Cc	12	12	—	—	$17,516.96	$17,516.96	$17,516.96	2026-05-08
MS884	OTHER	Organic Disturbances And Intellectual Disability	7	7	—	—	$17,458.83	$17,458.83	$17,458.83	2026-05-08
MS560	OTHER	Aftercare, Musculoskeletal System And Connective Tissue With Cc	12	12	—	—	$17,406.04	$17,406.04	$17,406.04	2026-05-08
MS769	OTHER	Postpartum And Post Abortion Diagnoses With O.r. Procedures	12	12	—	—	$17,379.81	$17,379.81	$17,379.81	2026-05-08
MS858	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc	12	12	—	—	$17,315.64	$17,315.64	$17,315.64	2026-05-08
MS416	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc	12	12	—	—	$17,305.96	$17,305.96	$17,305.96	2026-05-08
MS444	OTHER	Disorders Of The Biliary Tract With Mcc	12	12	—	—	$17,185.42	$17,185.42	$17,185.42	2026-05-08
MS915	OTHER	Allergic Reactions With Mcc	12	12	—	—	$17,167.42	$17,167.42	$17,167.42	2026-05-08
MS355	OTHER	Hernia Procedures Except Inguinal And Femoral Without Cc/mcc	12	12	—	—	$17,122.67	$17,122.67	$17,122.67	2026-05-08
5224	OTHER	Insj/rplcmt Compl Iims	5	5	—	—	$17,065.26	$17,065.26	$17,065.26	2026-05-08
MS512	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…	12	12	—	—	$17,026.00	$17,026.00	$17,026.00	2026-05-08
MS643	OTHER	Endocrine Disorders With Mcc	12	12	—	—	$16,930.35	$16,930.35	$16,930.35	2026-05-08
MS200	OTHER	Pneumothorax With Cc	12	12	—	—	$16,925.74	$16,925.74	$16,925.74	2026-05-08
MS988	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	12	12	—	—	$16,904.63	$16,904.63	$16,904.63	2026-05-08
MS538	OTHER	Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc	12	12	—	—	$16,887.76	$16,887.76	$16,887.76	2026-05-08
MS059	OTHER	Multiple Sclerosis And Cerebellar Ataxia With Cc	12	12	—	—	$16,688.92	$16,688.92	$16,688.92	2026-05-08
MS073	OTHER	Cranial And Peripheral Nerve Disorders With Mcc	12	12	—	—	$16,500.42	$16,500.42	$16,500.42	2026-05-08
MS280	OTHER	Acute Myocardial Infarction, Discharged Alive With Mcc	12	12	—	—	$16,498.37	$16,498.37	$16,498.37	2026-05-08
5116	OTHER	App Mltpln Uni Xtrnl Fix 1st	5	5	—	—	$16,455.78	$16,455.78	$16,455.78	2026-05-08
MS393	OTHER	Other Digestive System Diagnoses With Mcc	12	12	—	—	$16,449.00	$16,449.00	$16,449.00	2026-05-08
MS307	OTHER	Cardiac Congenital And Valvular Disorders Without Mcc	12	12	—	—	$16,262.50	$16,262.50	$16,262.50	2026-05-08
MS065	OTHER	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	12	12	—	—	$16,189.03	$16,189.03	$16,189.03	2026-05-08
MS175	OTHER	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	12	12	—	—	$16,142.17	$16,142.17	$16,142.17	2026-05-08
MS917	OTHER	Poisoning And Toxic Effects Of Drugs With Mcc	12	12	—	—	$16,131.19	$16,131.19	$16,131.19	2026-05-08
MS598	OTHER	Malignant Breast Disorders With Cc	12	12	—	—	$16,096.65	$16,096.65	$16,096.65	2026-05-08
5194	OTHER	Trluml Perip Athrc Iliac Art	5	5	—	—	$16,068.03	$16,068.03	$16,068.03	2026-05-08
MS296	OTHER	Cardiac Arrest, Unexplained With Mcc	12	12	—	—	$16,064.34	$16,064.34	$16,064.34	2026-05-08
MS607	OTHER	Minor Skin Disorders Without Mcc	12	12	—	—	$16,055.64	$16,055.64	$16,055.64	2026-05-08
MS155	OTHER	Other Ear, Nose, Mouth And Throat Diagnoses With Cc	12	12	—	—	$16,001.67	$16,001.67	$16,001.67	2026-05-08
MS292	OTHER	Heart Failure And Shock With Cc	12	12	—	—	$15,989.03	$15,989.03	$15,989.03	2026-05-08
MS841	OTHER	Lymphoma And Non-acute Leukemia With Cc	12	12	—	—	$15,942.84	$15,942.84	$15,942.84	2026-05-08
5471	OTHER	Insert Spine Infusion Device	5	5	—	—	$15,815.16	$15,815.16	$15,815.16	2026-05-08
MS964	OTHER	Other Multiple Significant Trauma With Cc	12	12	—	—	$15,762.98	$15,762.98	$15,762.98	2026-05-08
MS675	OTHER	Other Kidney And Urinary Tract Procedures Without Cc/mcc	12	12	—	—	$15,757.50	$15,757.50	$15,757.50	2026-05-08
MS855	OTHER	Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc	12	12	—	—	$15,750.08	$15,750.08	$15,750.08	2026-05-08
MS183	OTHER	Major Chest Trauma With Mcc	12	12	—	—	$15,735.21	$15,735.21	$15,735.21	2026-05-08
MS054	OTHER	Nervous System Neoplasms With Mcc	12	12	—	—	$15,704.35	$15,704.35	$15,704.35	2026-05-08
MS813	OTHER	Coagulation Disorders	12	12	—	—	$15,687.90	$15,687.90	$15,687.90	2026-05-08
MS351	OTHER	Inguinal And Femoral Hernia Procedures With Cc	12	12	—	—	$15,679.67	$15,679.67	$15,679.67	2026-05-08
MS624	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	12	12	—	—	$15,679.31	$15,679.31	$15,679.31	2026-05-08
1590	OTHER	Blind Interatrial Shunt Ide	5	5	—	—	$15,659.80	$15,659.80	$15,659.80	2026-05-08
1576	OTHER	Histotripsy Mal Hepatcel Tis	5	5	—	—	$15,659.80	$15,659.80	$15,659.80	2026-05-08
2616	OTHER	Brachytx, Non-str,yttrium-90	5	5	—	—	$15,646.02	$15,646.02	$15,646.02	2026-05-08
5094	OTHER	Tiss Xpndr Plmt Brst Rcnstj	5	5	—	—	$15,568.39	$15,568.39	$15,568.39	2026-05-08
MS640	OTHER	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…	12	12	—	—	$15,528.18	$15,528.18	$15,528.18	2026-05-08
MS727	OTHER	Inflammation Of The Male Reproductive System With Mcc	12	12	—	—	$15,484.16	$15,484.16	$15,484.16	2026-05-08
MS345	OTHER	Minor Small And Large Bowel Procedures With Cc	12	12	—	—	$15,476.03	$15,476.03	$15,476.03	2026-05-08
MS637	OTHER	Diabetes With Mcc	12	12	—	—	$15,416.36	$15,416.36	$15,416.36	2026-05-08
MS562	OTHER	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…	12	12	—	—	$15,404.82	$15,404.82	$15,404.82	2026-05-08
MS557	OTHER	Tendonitis, Myositis And Bursitis With Mcc	12	12	—	—	$15,292.95	$15,292.95	$15,292.95	2026-05-08
MS682	OTHER	Renal Failure With Mcc	12	12	—	—	$15,232.27	$15,232.27	$15,232.27	2026-05-08
MS388	OTHER	Gastrointestinal Obstruction With Mcc	12	12	—	—	$15,189.08	$15,189.08	$15,189.08	2026-05-08
MS383	OTHER	Uncomplicated Peptic Ulcer With Mcc	12	12	—	—	$15,169.77	$15,169.77	$15,169.77	2026-05-08
MS399	OTHER	Appendix Procedures Without Cc/mcc	12	12	—	—	$15,150.40	$15,150.40	$15,150.40	2026-05-08
MS604	OTHER	Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc	12	12	—	—	$15,140.74	$15,140.74	$15,140.74	2026-05-08
MS913	OTHER	Traumatic Injury With Mcc	12	12	—	—	$15,122.19	$15,122.19	$15,122.19	2026-05-08
MS349	OTHER	Anal And Stomal Procedures Without Cc/mcc	12	12	—	—	$15,083.83	$15,083.83	$15,083.83	2026-05-08
MS193	OTHER	Simple Pneumonia And Pleurisy With Mcc	12	12	—	—	$14,871.80	$14,871.80	$14,871.80	2026-05-08
MS581	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	12	12	—	—	$14,842.47	$14,842.47	$14,842.47	2026-05-08
MS358	OTHER	Other Digestive System O.r. Procedures Without Cc/mcc	12	12	—	—	$14,842.38	$14,842.38	$14,842.38	2026-05-08
MS844	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	12	12	—	—	$14,785.04	$14,785.04	$14,785.04	2026-05-08
MS594	OTHER	Skin Ulcers Without Cc/mcc	12	12	—	—	$14,745.77	$14,745.77	$14,745.77	2026-05-08
5496	OTHER	Insj Ocular Telescope Prosth	5	5	—	—	$14,689.76	$14,689.76	$14,689.76	2026-05-08
MS602	OTHER	Cellulitis With Mcc	12	12	—	—	$14,618.25	$14,618.25	$14,618.25	2026-05-08
MS786	OTHER	Cesarean Section Without Sterilization With Mcc	11	11	—	—	$14,535.99	$14,535.99	$14,535.99	2026-05-08
MS789	OTHER	Neonates, Died Or Transferred To Another Acute Care Facility	12	12	—	—	$14,511.44	$14,511.44	$14,511.44	2026-05-08
MS811	OTHER	Red Blood Cell Disorders With Mcc	12	12	—	—	$14,443.40	$14,443.40	$14,443.40	2026-05-08

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