Hospital

MONROE SURGICAL HOSPITAL

Monroe, LA · CCN 190245 · Rates published

12,212 distinct procedures filed

20 distinct payers

177,614 rate rows

2026-05-06 last MRF observed

Data quality

174,994 of 177,614 rate rows are consumer-grade (98.5%)

2,620 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
per-diem day rate — not a per-procedure price	2,184
template filing: same amount across many unrelated codes — excluded	424
placeholder amount (≤ $0.02) — excluded from medians	8
exceeds 10× this hospital's gross charge — excluded from medians	3
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1

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

Source MRF file	https://monroesurgicalhospital.pg.revenuemasters.com/cdm-files/721479756_monroe-surgical-hospital-llc_standardcharges.csv
Found on page	https://monroesurgicalhospital.pg.revenuemasters.com/disclaimer
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	4eac33fca33b8e9b… · 54,569,334 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	$3,259.00	$255,618.85	$253,016.40	nat. median $386,529 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	$3,259.00	$199,049.22	$197,022.70	nat. median $239,422 0.8× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	$3,259.00	$143,116.77	$141,659.70	nat. median $181,005 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	$3,259.00	$134,242.12	$132,875.40	nat. median $146,562 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	$3,259.00	$97,110.58	$96,121.90	nat. median $134,983 0.7× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	$3,259.00	$95,281.76	$94,311.70	nat. median $111,558 0.8× median
7 OTHER	Lung Transplant	3	$3,259.00	$86,330.03	$85,451.10	nat. median $169,933 0.5× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	$3,259.00	$80,670.30	$79,849.00	nat. median $94,894 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	3	$3,259.00	$79,156.90	$78,351.00	nat. median $100,915 0.8× median
215 OTHER	Other Heart Assist System Implant	3	$3,259.00	$72,864.23	$72,122.40	nat. median $92,359 0.8× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$3,259.00	$68,894.72	$68,193.30	nat. median $90,130 0.8× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	$3,259.00	$65,792.94	$65,123.10	nat. median $74,209 0.9× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	$3,259.00	$59,752.74	$59,144.40	nat. median $76,493 0.8× median
231 OTHER	Coronary Bypass With Ptca With Mcc	3	$3,259.00	$59,356.71	$58,752.40	nat. median $74,989 0.8× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	$3,259.00	$57,483.34	$56,898.10	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	$3,259.00	$54,771.93	$54,214.30	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	$3,259.00	$52,407.06	$51,873.50	nat. median $68,309 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	3	$3,259.00	$51,255.03	$50,733.20	nat. median $64,729 0.8× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	$3,259.00	$50,455.89	$49,942.20	nat. median $61,133 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	3	$3,259.00	$48,943.90	$48,445.60	nat. median $67,670 0.7× median
21 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	$3,259.00	$48,013.22	$47,524.40	nat. median $55,888 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	3	$3,259.00	$47,636.99	$47,152.00	nat. median $62,467 0.8× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	$3,259.00	$46,680.15	$46,204.90	nat. median $58,866 0.8× median
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	3	$3,259.00	$45,368.29	$44,906.40	nat. median $53,999 0.8× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$3,259.00	$44,898.71	$44,441.60	nat. median $60,727 0.7× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	3	$3,259.00	$43,784.87	$43,339.10	nat. median $46,003 0.9× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	3	$3,259.00	$43,028.88	$42,590.80	nat. median $50,271 0.8× median
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	$3,259.00	$42,692.25	$42,257.60	nat. median $52,731 0.8× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	$3,259.00	$42,361.28	$41,930.00	nat. median $56,120 0.7× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	$3,259.00	$41,998.49	$41,570.90	nat. median $56,507 0.7× median
28 OTHER	Spinal Procedures With Mcc	3	$3,259.00	$41,565.68	$41,142.50	nat. median $52,701 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	$3,259.00	$41,516.18	$41,093.50	nat. median $54,881 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	3	$3,259.00	$41,426.36	$41,004.60	nat. median $56,351 0.7× median
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	$3,259.00	$40,532.46	$40,119.80	nat. median $56,822 0.7× median
576 OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	3	$3,259.00	$39,949.73	$39,543.00	nat. median $43,664 0.9× median
8 OTHER	Simultaneous Pancreas And Kidney Transplant	3	$3,259.00	$39,540.26	$39,137.70	nat. median $57,589 0.7× median
653 OTHER	Major Bladder Procedures With Mcc	3	$3,259.00	$39,296.98	$38,896.90	nat. median $54,646 0.7× median
405 OTHER	Pancreas, Liver And Shunt Procedures With Mcc	3	$3,259.00	$39,192.32	$38,793.30	nat. median $49,246 0.8× median
220 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	$3,259.00	$38,437.03	$38,045.70	nat. median $50,021 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	3	$3,259.00	$37,606.07	$37,223.20	nat. median $45,878 0.8× median
466 OTHER	Revision Of Hip Or Knee Replacement With Mcc	3	$3,259.00	$37,093.35	$36,715.70	nat. median $45,566 0.8× median
463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	3	$3,259.00	$37,068.60	$36,691.20	nat. median $48,651 0.8× median
799 OTHER	Splenic Procedures With Mcc	3	$3,259.00	$36,828.85	$36,453.90	nat. median $43,209 0.8× median
234 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	3	$3,259.00	$36,677.51	$36,304.10	nat. median $50,947 0.7× median
11 OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	$3,259.00	$36,528.29	$36,156.40	nat. median $49,519 0.7× median
267 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	$3,259.00	$36,495.76	$36,124.20	nat. median $45,097 0.8× median
826 OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.…	3	$3,259.00	$36,363.52	$35,993.30	nat. median $43,366 0.8× median
326 OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	3	$3,259.00	$36,200.15	$35,831.60	nat. median $45,545 0.8× median
270 OTHER	Other Major Cardiovascular Procedures With Mcc	3	$3,259.00	$36,156.31	$35,788.20	nat. median $101 outlier · 352.8×
471 OTHER	Cervical Spinal Fusion With Mcc	3	$3,259.00	$35,621.66	$35,259.00	nat. median $399 outlier · 88.3×

Other procedures at this hospital

Browse this hospital's 12,212 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	3	—	—	$3,259.00	$255,618.85	$253,016.40	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	3	—	—	$3,259.00	$199,049.22	$197,022.70	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	3	—	—	$3,259.00	$143,116.77	$141,659.70	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	3	3	—	—	$3,259.00	$134,242.12	$132,875.40	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	3	—	—	$3,259.00	$97,110.58	$96,121.90	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	3	—	—	$3,259.00	$95,281.76	$94,311.70	2026-05-06
7	OTHER	Lung Transplant	3	3	—	—	$3,259.00	$86,330.03	$85,451.10	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	3	—	—	$3,259.00	$80,670.30	$79,849.00	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$3,259.00	$79,156.90	$78,351.00	2026-05-06
215	OTHER	Other Heart Assist System Implant	3	3	—	—	$3,259.00	$72,864.23	$72,122.40	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$3,259.00	$68,894.72	$68,193.30	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	3	—	—	$3,259.00	$65,792.94	$65,123.10	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$3,259.00	$59,752.74	$59,144.40	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	3	3	—	—	$3,259.00	$59,356.71	$58,752.40	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$3,259.00	$57,483.34	$56,898.10	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	3	—	—	$3,259.00	$54,771.93	$54,214.30	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	3	—	—	$3,259.00	$52,407.06	$51,873.50	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$51,255.03	$50,733.20	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	3	—	—	$3,259.00	$50,455.89	$49,942.20	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	3	3	—	—	$3,259.00	$48,943.90	$48,445.60	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	3	—	—	$3,259.00	$48,013.22	$47,524.40	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$3,259.00	$47,636.99	$47,152.00	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	3	3	—	—	$3,259.00	$46,680.15	$46,204.90	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	3	3	—	—	$3,259.00	$45,368.29	$44,906.40	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$3,259.00	$44,898.71	$44,441.60	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	3	3	—	—	$3,259.00	$43,784.87	$43,339.10	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	3	3	—	—	$3,259.00	$43,028.88	$42,590.80	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$3,259.00	$42,692.25	$42,257.60	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	3	—	—	$3,259.00	$42,361.28	$41,930.00	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	3	—	—	$3,259.00	$41,998.49	$41,570.90	2026-05-06
28	OTHER	Spinal Procedures With Mcc	3	3	—	—	$3,259.00	$41,565.68	$41,142.50	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	3	—	—	$3,259.00	$41,516.18	$41,093.50	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	3	3	—	—	$3,259.00	$41,426.36	$41,004.60	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	3	—	—	$3,259.00	$40,532.46	$40,119.80	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	3	3	—	—	$3,259.00	$39,949.73	$39,543.00	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	3	3	—	—	$3,259.00	$39,540.26	$39,137.70	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	3	3	—	—	$3,259.00	$39,296.98	$38,896.90	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	3	3	—	—	$3,259.00	$39,192.32	$38,793.30	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$3,259.00	$38,437.03	$38,045.70	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$37,606.07	$37,223.20	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	3	3	—	—	$3,259.00	$37,093.35	$36,715.70	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	3	3	—	—	$3,259.00	$37,068.60	$36,691.20	2026-05-06
799	OTHER	Splenic Procedures With Mcc	3	3	—	—	$3,259.00	$36,828.85	$36,453.90	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	3	3	—	—	$3,259.00	$36,677.51	$36,304.10	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	3	—	—	$3,259.00	$36,528.29	$36,156.40	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	3	3	—	—	$3,259.00	$36,495.76	$36,124.20	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	3	3	—	—	$3,259.00	$36,363.52	$35,993.30	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	3	3	—	—	$3,259.00	$36,200.15	$35,831.60	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	3	3	—	—	$3,259.00	$36,156.31	$35,788.20	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	3	3	—	—	$3,259.00	$35,621.66	$35,259.00	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	3	3	—	—	$3,259.00	$34,852.94	$34,498.10	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$34,659.87	$34,307.00	2026-05-06
245	OTHER	Aicd Generator Procedures	3	3	—	—	$3,259.00	$34,483.07	$34,132.00	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	3	3	—	—	$3,259.00	$34,254.65	$33,905.90	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	3	—	—	$3,259.00	$34,038.24	$33,691.70	2026-05-06
6	OTHER	Liver Transplant Without Mcc	3	3	—	—	$3,259.00	$34,011.37	$33,665.10	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	3	—	—	$3,259.00	$33,461.88	$33,121.20	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	3	3	—	—	$3,259.00	$32,885.51	$32,550.70	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	3	3	—	—	$3,259.00	$32,841.66	$32,507.30	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	3	3	—	—	$3,259.00	$32,695.98	$32,363.10	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	3	3	—	—	$3,259.00	$32,392.59	$32,062.80	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	3	3	—	—	$3,259.00	$32,110.42	$31,783.50	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$31,206.61	$30,888.90	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	3	3	—	—	$3,259.00	$31,106.90	$30,790.20	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	3	3	—	—	$3,259.00	$30,905.35	$30,590.70	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	3	3	—	—	$3,259.00	$30,823.31	$30,509.50	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	3	3	—	—	$3,259.00	$30,596.30	$30,284.80	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	3	3	—	—	$3,259.00	$30,456.28	$30,146.20	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	3	3	—	—	$3,259.00	$30,241.99	$29,934.10	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	3	3	—	—	$3,259.00	$30,163.49	$29,856.40	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$29,861.52	$29,557.50	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	3	3	—	—	$3,259.00	$29,493.78	$29,193.50	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	3	3	—	—	$3,259.00	$29,393.35	$29,094.10	2026-05-06
10	OTHER	Pancreas Transplant	3	3	—	—	$3,259.00	$29,326.17	$29,027.60	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	3	3	—	—	$3,259.00	$29,143.71	$28,847.00	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	3	3	—	—	$3,259.00	$28,973.28	$28,678.30	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	3	3	—	—	$3,259.00	$28,842.44	$28,548.80	2026-05-06
332	OTHER	Rectal Resection With Mcc	3	3	—	—	$3,259.00	$28,714.44	$28,422.10	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	3	3	—	—	$3,259.00	$28,379.94	$28,091.00	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	3	3	—	—	$3,259.00	$28,283.76	$27,995.80	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	3	—	—	$3,259.00	$27,925.91	$27,641.60	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$27,806.40	$27,523.30	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	3	3	—	—	$3,259.00	$27,647.98	$27,366.50	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	3	3	—	—	$3,259.00	$27,597.07	$27,316.10	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	3	3	—	—	$3,259.00	$27,338.23	$27,059.90	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	3	3	—	—	$3,259.00	$26,958.46	$26,684.00	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	3	3	—	—	$3,259.00	$26,903.30	$26,629.40	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	3	3	—	—	$3,259.00	$26,791.56	$26,518.80	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	3	3	—	—	$3,259.00	$26,622.54	$26,351.50	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	3	3	—	—	$3,259.00	$26,362.29	$26,093.90	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	3	3	—	—	$3,259.00	$26,268.24	$26,000.80	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	3	3	—	—	$3,259.00	$26,051.83	$25,786.60	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	3	3	—	—	$3,259.00	$25,950.70	$25,686.50	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$25,924.54	$25,660.60	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$25,776.03	$25,513.60	2026-05-06
69162088	OTHER	Pacemaker Battery Crt D314trg	13	12	$51,000.00	$38,250.00 25% off	$1,949.22	$53,550.00	$25,500.00	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	4	4	—	—	$1,050.00	$48,025.24	$25,397.65	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	3	3	—	—	$3,259.00	$25,642.36	$25,381.30	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	3	3	—	—	$3,259.00	$25,608.42	$25,347.70	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	3	3	—	—	$3,259.00	$25,491.73	$25,232.20	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	3	3	—	—	$3,259.00	$25,119.04	$24,863.30	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	3	3	—	—	$3,259.00	$25,078.73	$24,823.40	2026-05-06
6100136	OTHER	Neurosurgery Tier 6 Or Time	12	11	$50,000.00	$37,500.00 25% off	$2,000.00	$45,000.00	$24,750.00	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	3	3	—	—	$3,259.00	$24,997.40	$24,742.90	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	4	4	—	—	$1,050.00	$46,434.04	$24,610.15	2026-05-06
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	3	3	—	—	$3,259.00	$24,742.10	$24,490.20	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	3	3	—	—	$3,259.00	$24,709.57	$24,458.00	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	3	3	—	—	$3,259.00	$24,652.28	$24,401.30	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	3	3	—	—	$3,259.00	$24,637.43	$24,386.60	2026-05-06
69161295	OTHER	Icd Generator D274drg	12	11	$40,560.00	$30,420.00 25% off	$5,207.90	$42,588.00	$24,336.00	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	3	3	—	—	$3,259.00	$24,564.59	$24,314.50	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	3	3	—	—	$3,259.00	$24,169.27	$23,923.20	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	4	4	—	—	$1,050.00	$42,581.22	$23,843.85	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	3	3	—	—	$3,259.00	$24,064.60	$23,819.60	2026-05-06
265	OTHER	Aicd Lead Procedures	3	3	—	—	$3,259.00	$23,918.21	$23,674.70	2026-05-06
7796599	OTHER	Kit Generator Proclaim / 3664	12	11	$43,000.00	$32,250.00 25% off	$5,521.20	$45,150.00	$23,650.00	2026-05-06
411	OTHER	Cholecystectomy With C.d.e. With Mcc	3	3	—	—	$3,259.00	$23,890.63	$23,647.40	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	3	3	—	—	$3,259.00	$23,853.86	$23,611.00	2026-05-06
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	3	3	—	—	$3,259.00	$23,758.38	$23,516.50	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	3	3	—	—	$3,259.00	$23,643.82	$23,403.10	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	3	3	—	—	$3,259.00	$23,467.72	$23,228.80	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	3	3	—	—	$3,259.00	$23,406.20	$23,167.90	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	3	3	—	—	$3,259.00	$23,375.08	$23,137.10	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	3	3	—	—	$3,259.00	$23,343.96	$23,106.30	2026-05-06
69162205	OTHER	Icd-dr Generator Evera Xt Ddbb1d4	12	11	$38,413.28	$28,809.96 25% off	$4,932.27	$40,333.94	$23,047.97	2026-05-06
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	3	3	—	—	$3,259.00	$23,063.21	$22,828.40	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	3	3	—	—	$3,259.00	$22,991.07	$22,757.00	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	3	3	—	—	$3,259.00	$22,852.46	$22,619.80	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	3	3	—	—	$3,259.00	$22,662.22	$22,431.50	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	3	3	—	—	$3,259.00	$22,604.23	$22,374.10	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$22,436.63	$22,208.20	2026-05-06
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	3	3	—	—	$3,259.00	$22,380.76	$22,152.90	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	3	3	—	—	$3,259.00	$22,288.82	$22,061.90	2026-05-06
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$22,133.95	$21,908.60	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$22,049.08	$21,824.60	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	3	3	—	—	$3,259.00	$21,902.69	$21,679.70	2026-05-06
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	3	3	—	—	$3,259.00	$21,841.16	$21,618.80	2026-05-06
652	OTHER	Kidney Transplant	3	3	—	—	$3,259.00	$21,817.83	$21,595.70	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	3	3	—	—	$3,259.00	$21,718.11	$21,497.00	2026-05-06
665	OTHER	Prostatectomy With Mcc	3	3	—	—	$3,259.00	$21,642.44	$21,422.10	2026-05-06
662	OTHER	Minor Bladder Procedures With Mcc	3	3	—	—	$3,259.00	$21,489.69	$21,270.90	2026-05-06
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	3	3	—	—	$3,259.00	$21,382.19	$21,164.50	2026-05-06
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	3	3	—	—	$3,259.00	$21,351.78	$21,134.40	2026-05-06
834	OTHER	Acute Leukemia With Mcc	4	4	—	—	$1,050.00	$39,108.16	$20,984.50	2026-05-06
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	3	3	—	—	$3,259.00	$21,125.48	$20,910.40	2026-05-06
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	3	3	—	—	$3,259.00	$21,114.16	$20,899.20	2026-05-06
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	3	3	—	—	$3,259.00	$20,975.55	$20,762.00	2026-05-06
71100336	OTHER	Generator 16 Alpha Wave / Sc-1216	11	10	$34,600.00	$25,950.00 25% off	$4,442.64	$36,330.00	$20,760.00	2026-05-06
71000611	OTHER	Generator Wavewriter 16 / Sc-1240a	11	10	$34,600.00	$25,950.00 25% off	$4,442.64	$36,330.00	$20,760.00	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	3	3	—	—	$3,259.00	$20,783.19	$20,571.60	2026-05-06
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	3	3	—	—	$3,259.00	$20,718.84	$20,507.90	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	4	4	—	—	$1,050.00	$38,062.92	$20,467.20	2026-05-06
570	OTHER	Skin Debridement With Mcc	3	3	—	—	$3,259.00	$20,629.73	$20,419.70	2026-05-06
619	OTHER	O.r. Procedures For Obesity With Mcc	3	3	—	—	$3,259.00	$20,450.10	$20,241.90	2026-05-06
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	3	3	—	—	$3,259.00	$20,424.64	$20,216.70	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	3	3	—	—	$3,259.00	$20,347.56	$20,140.40	2026-05-06
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	3	3	—	—	$3,259.00	$20,281.08	$20,074.60	2026-05-06
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	3	3	—	—	$3,259.00	$20,164.39	$19,959.10	2026-05-06
71100236	OTHER	Kit Ipg Dual 8 With Leads / 71019	12	11	$36,222.00	$27,166.50 25% off	$4,650.90	$38,033.10	$19,922.10	2026-05-06
71100226	OTHER	Kit Ipg Dual 8 Nalu Bundle / 71004	12	11	$36,222.00	$27,166.50 25% off	$4,650.90	$38,033.10	$19,922.10	2026-05-06
654	OTHER	Major Bladder Procedures With Cc	3	3	—	—	$3,259.00	$20,102.16	$19,897.50	2026-05-06
69161443	OTHER	Icd Battery D224vrc	12	11	$33,000.00	$24,750.00 25% off	$4,237.20	$34,650.00	$19,800.00	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	3	3	—	—	$3,259.00	$20,001.74	$19,798.10	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	3	3	—	—	$3,259.00	$19,963.55	$19,760.30	2026-05-06
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	3	3	—	—	$3,259.00	$19,725.93	$19,525.10	2026-05-06
263	OTHER	Vein Ligation And Stripping	3	3	—	—	$3,259.00	$19,702.59	$19,502.00	2026-05-06
71100219	OTHER	Generator 16 Wavewriter / Sc-1416	12	11	$34,600.00	$25,950.00 25% off	$4,442.64	$36,330.00	$19,030.00	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	3	3	—	—	$3,259.00	$19,194.82	$18,999.40	2026-05-06
253	OTHER	Other Vascular Procedures With Cc	3	3	—	—	$3,259.00	$18,910.53	$18,718.00	2026-05-06
800	OTHER	Splenic Procedures With Cc	3	3	—	—	$3,259.00	$18,800.91	$18,609.50	2026-05-06
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	3	3	—	—	$3,259.00	$18,617.04	$18,427.50	2026-05-06
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	3	3	—	—	$3,259.00	$18,519.45	$18,330.90	2026-05-06
70000141	OTHER	Kit Pulse Generator Spectra / Sc-1132	12	11	$33,200.00	$24,900.00 25% off	$4,262.88	$34,860.00	$18,260.00	2026-05-06
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$18,361.74	$18,174.80	2026-05-06
69162221	OTHER	Spine Stim IPG(Internal Pulse Gen) 97714	12	11	$33,000.00	$24,750.00 25% off	$4,237.20	$34,650.00	$18,150.00	2026-05-06
70000122	OTHER	Nerve Stimulator Proclaim Elite 7 / 3662	12	11	$33,000.00	$24,750.00 25% off	$4,237.20	$34,650.00	$18,150.00	2026-05-06
164	OTHER	Major Chest Procedures With Cc	3	3	—	—	$3,259.00	$18,264.85	$18,078.90	2026-05-06
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	3	3	—	—	$3,259.00	$18,223.84	$18,038.30	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	3	3	—	—	$3,259.00	$18,165.85	$17,980.90	2026-05-06
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	3	3	—	—	$3,259.00	$18,143.92	$17,959.20	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	3	3	—	—	$3,259.00	$18,126.24	$17,941.70	2026-05-06
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	3	3	—	—	$3,259.00	$18,113.51	$17,929.10	2026-05-06
2105887	OTHER	Spacer 20x50mm Elsa / 1122.0150	12	11	$32,375.00	$24,281.25 25% off	$4,156.95	$33,993.75	$17,806.25	2026-05-06
347	OTHER	Anal And Stomal Procedures With Mcc	3	3	—	—	$3,259.00	$17,950.15	$17,767.40	2026-05-06
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	3	3	—	—	$3,259.00	$17,928.23	$17,745.70	2026-05-06
503	OTHER	Foot Procedures With Mcc	3	3	—	—	$3,259.00	$17,915.50	$17,733.10	2026-05-06
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	3	3	—	—	$3,259.00	$17,865.29	$17,683.40	2026-05-06
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	3	3	—	—	$3,259.00	$17,737.99	$17,557.40	2026-05-06
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$17,647.47	$17,467.80	2026-05-06
69161293	OTHER	Generator Fortify Vr Cd1231-40	12	11	$29,000.00	$21,750.00 25% off	$3,723.60	$30,450.00	$17,400.00	2026-05-06
69162818	OTHER	Spine Stim Generator/ 97715	12	11	$31,600.00	$23,700.00 25% off	$4,057.44	$33,180.00	$17,380.00	2026-05-06
6100185	OTHER	Pain Management Tier 5 Or Time	12	11	$35,000.00	$26,250.00 25% off	$2,000.00	$31,500.00	$17,325.00	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	4	4	—	—	$1,050.00	$29,872.13	$17,309.50	2026-05-06
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	3	3	—	—	$3,259.00	$17,477.74	$17,299.80	2026-05-06
330	OTHER	Major Small And Large Bowel Procedures With Cc	3	3	—	—	$3,259.00	$17,364.59	$17,187.80	2026-05-06
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	3	3	—	—	$3,259.00	$17,331.35	$17,154.90	2026-05-06
71001059	OTHER	Kit 1c Pns Perm Freedom / Stq4-rcv-a0	12	11	$31,000.00	$23,250.00 25% off	$3,980.40	$32,550.00	$17,050.00	2026-05-06
71001167	OTHER	Kit 2c Pns Perm Freedom / Stq4-rcv-b0	12	11	$31,000.00	$23,250.00 25% off	$3,980.40	$32,550.00	$17,050.00	2026-05-06
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	3	3	—	—	$3,259.00	$17,218.20	$17,042.90	2026-05-06
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	3	3	—	—	$3,259.00	$17,112.12	$16,937.90	2026-05-06
791	OTHER	Prematurity With Major Problems	4	4	—	—	$1,050.00	$29,080.77	$16,917.85	2026-05-06
709	OTHER	Penis Procedures With Cc/mcc	3	3	—	—	$3,259.00	$17,057.66	$16,884.00	2026-05-06
69161067	OTHER	Ventralight St Mesh 6x8in / 5954680	13	12	$33,406.12	$25,054.59 25% off	$4,289.35	$35,076.43	$16,703.06	2026-05-06
69161167	OTHER	Ventralight St Mesh 6x10in / 5954610	13	12	$33,406.12	$25,054.59 25% off	$4,289.35	$35,076.43	$16,703.06	2026-05-06
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	3	3	—	—	$3,259.00	$16,815.09	$16,643.90	2026-05-06
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	3	3	—	—	$3,259.00	$16,801.66	$16,630.60	2026-05-06
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	3	3	—	—	$3,259.00	$16,764.18	$16,593.50	2026-05-06
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	3	3	—	—	$3,259.00	$16,750.74	$16,580.20	2026-05-06
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	3	3	—	—	$3,259.00	$16,672.95	$16,503.20	2026-05-06
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	3	3	—	—	$3,259.00	$16,668.70	$16,499.00	2026-05-06
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	3	3	—	—	$3,259.00	$16,618.49	$16,449.30	2026-05-06
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	3	3	—	—	$3,259.00	$16,611.42	$16,442.30	2026-05-06
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	3	3	—	—	$3,259.00	$16,576.77	$16,408.00	2026-05-06
30	OTHER	Spinal Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$16,556.97	$16,388.40	2026-05-06
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	3	3	—	—	$3,259.00	$16,535.04	$16,366.70	2026-05-06
412	OTHER	Cholecystectomy With C.d.e. With Cc	3	3	—	—	$3,259.00	$16,235.19	$16,069.90	2026-05-06
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	3	3	—	—	$3,259.00	$16,197.00	$16,032.10	2026-05-06
35	OTHER	Carotid Artery Stent Procedures With Cc	3	3	—	—	$3,259.00	$16,151.03	$15,986.60	2026-05-06
488	OTHER	Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc	3	3	—	—	$3,259.00	$16,047.78	$15,884.40	2026-05-06
357	OTHER	Other Digestive System O.r. Procedures With Cc	3	3	—	—	$3,259.00	$15,885.13	$15,723.40	2026-05-06
113	OTHER	Orbital Procedures With Cc/mcc	3	3	—	—	$3,259.00	$15,878.76	$15,717.10	2026-05-06
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	3	3	—	—	$3,259.00	$15,868.15	$15,706.60	2026-05-06
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	3	3	—	—	$3,259.00	$15,793.19	$15,632.40	2026-05-06
333	OTHER	Rectal Resection With Cc	3	3	—	—	$3,259.00	$15,792.48	$15,631.70	2026-05-06
141	OTHER	Major Head And Neck Procedures With Cc	3	3	—	—	$3,259.00	$15,788.95	$15,628.20	2026-05-06
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$15,740.15	$15,579.90	2026-05-06
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	3	3	—	—	$3,259.00	$15,708.33	$15,548.40	2026-05-06
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	3	3	—	—	$3,259.00	$15,581.74	$15,423.10	2026-05-06
7236651	OTHER	Kit Repair Fibulink Synd / Fgs-1000	13	12	$30,809.28	$23,106.96 25% off	$2,000.00	$27,728.35	$15,404.64	2026-05-06
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	3	3	—	—	$3,259.00	$15,453.73	$15,296.40	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	4	4	—	—	$1,050.00	$27,497.35	$15,238.20	2026-05-06
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	3	3	—	—	$3,259.00	$15,366.75	$15,210.30	2026-05-06
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	3	3	—	—	$3,259.00	$15,292.49	$15,136.80	2026-05-06
655	OTHER	Major Bladder Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$15,266.33	$15,110.90	2026-05-06
1438622	OTHER	Prosthesis 22cm Scrotal / Es2922	12	11	$27,457.50	$20,593.13 25% off	$3,525.54	$28,830.38	$15,101.62	2026-05-06
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	3	3	—	—	$3,259.00	$15,104.38	$14,950.60	2026-05-06
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	3	3	—	—	$3,259.00	$15,073.26	$14,919.80	2026-05-06
336	OTHER	Peritoneal Adhesiolysis With Cc	3	3	—	—	$3,259.00	$15,042.14	$14,889.00	2026-05-06
6100135	OTHER	Neurosurgery Tier 5 Or Time	12	11	$30,000.00	$22,500.00 25% off	$2,000.00	$27,000.00	$14,850.00	2026-05-06
481	OTHER	Hip And Femur Procedures Except Major Joint With Cc	3	3	—	—	$3,259.00	$14,938.89	$14,786.80	2026-05-06
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	3	3	—	—	$3,259.00	$14,914.85	$14,763.00	2026-05-06
496	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	3	3	—	—	$3,259.00	$14,849.08	$14,697.90	2026-05-06
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	3	3	—	—	$3,259.00	$14,752.19	$14,602.00	2026-05-06
908	OTHER	Other O.r. Procedures For Injuries With Cc	3	3	—	—	$3,259.00	$14,543.57	$14,395.50	2026-05-06
854	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Cc	3	3	—	—	$3,259.00	$14,537.20	$14,389.20	2026-05-06
32	OTHER	Ventricular Shunt Procedures With Cc	3	3	—	—	$3,259.00	$14,529.42	$14,381.50	2026-05-06
803	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc	3	3	—	—	$3,259.00	$14,520.94	$14,373.10	2026-05-06
575	OTHER	Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc	3	3	—	—	$3,259.00	$14,494.77	$14,347.20	2026-05-06
711	OTHER	Testes Procedures With Cc/mcc	3	3	—	—	$3,259.00	$14,450.92	$14,303.80	2026-05-06
69162407	OTHER	Spine Stim Ipg Internal Pulse Gen 97712	12	11	$26,000.00	$19,500.00 25% off	$3,338.40	$27,300.00	$14,300.00	2026-05-06
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	3	3	—	—	$3,259.00	$14,383.03	$14,236.60	2026-05-06
737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	3	3	—	—	$3,259.00	$14,310.19	$14,164.50	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	4	4	—	—	$1,050.00	$25,271.79	$14,136.75	2026-05-06
415	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Cc	3	3	—	—	$3,259.00	$14,144.00	$14,000.00	2026-05-06
519	OTHER	Back And Neck Procedures Except Spinal Fusion With Cc	3	3	—	—	$3,259.00	$14,139.05	$13,995.10	2026-05-06
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	3	3	—	—	$3,259.00	$14,110.76	$13,967.10	2026-05-06
259	OTHER	Cardiac Pacemaker Device Replacement Without Mcc	3	3	—	—	$3,259.00	$14,102.28	$13,958.70	2026-05-06
465	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	3	3	—	—	$3,259.00	$14,092.37	$13,948.90	2026-05-06
902	OTHER	Wound Debridements For Injuries With Cc	3	3	—	—	$3,259.00	$14,015.29	$13,872.60	2026-05-06
511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	3	3	—	—	$3,259.00	$13,995.49	$13,853.00	2026-05-06
617	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	3	3	—	—	$3,259.00	$13,747.97	$13,608.00	2026-05-06
582	OTHER	Mastectomy For Malignancy With Cc/mcc	3	3	—	—	$3,259.00	$13,682.91	$13,543.60	2026-05-06
165	OTHER	Major Chest Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$13,627.04	$13,488.30	2026-05-06
470	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	3	3	—	—	$3,259.00	$13,520.96	$13,383.30	2026-05-06
261	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Cc	3	3	—	—	$3,259.00	$13,513.18	$13,375.60	2026-05-06
244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	3	3	—	—	$3,259.00	$13,444.58	$13,307.70	2026-05-06
167	OTHER	Other Respiratory System O.r. Procedures With Cc	3	3	—	—	$3,259.00	$13,444.58	$13,307.70	2026-05-06
744	OTHER	D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc	3	3	—	—	$3,259.00	$13,424.78	$13,288.10	2026-05-06
494	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	3	3	—	—	$3,259.00	$13,357.59	$13,221.60	2026-05-06
941	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	3	3	—	—	$3,259.00	$13,347.69	$13,211.80	2026-05-06
116	OTHER	Intraocular Procedures With Cc/mcc	3	3	—	—	$3,259.00	$13,341.33	$13,205.50	2026-05-06
623	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	3	3	—	—	$3,259.00	$13,327.89	$13,192.20	2026-05-06
36	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$13,300.31	$13,164.90	2026-05-06
657	OTHER	Kidney And Ureter Procedures For Neoplasm With Cc	3	3	—	—	$3,259.00	$13,281.22	$13,146.00	2026-05-06
507	OTHER	Major Shoulder Or Elbow Joint Procedures With Cc/mcc	3	3	—	—	$3,259.00	$13,117.15	$12,983.60	2026-05-06
42	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$13,081.08	$12,947.90	2026-05-06
585	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$13,020.26	$12,887.70	2026-05-06
671	OTHER	Urethral Procedures With Cc/mcc	3	3	—	—	$3,259.00	$12,952.37	$12,820.50	2026-05-06
254	OTHER	Other Vascular Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$12,931.15	$12,799.50	2026-05-06
421	OTHER	Hepatobiliary Diagnostic Procedures With Cc	3	3	—	—	$3,259.00	$12,811.64	$12,681.20	2026-05-06
144	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc	3	3	—	—	$3,259.00	$12,795.37	$12,665.10	2026-05-06
740	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc	3	3	—	—	$3,259.00	$12,746.57	$12,616.80	2026-05-06
742	OTHER	Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc	3	3	—	—	$3,259.00	$12,744.45	$12,614.70	2026-05-06
801	OTHER	Splenic Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$12,701.31	$12,572.00	2026-05-06
906	OTHER	Hand Procedures For Injuries	3	3	—	—	$3,259.00	$12,643.32	$12,514.60	2026-05-06
7264851	OTHER	Spacer 10x26mm Sable / 1172.2113s	12	11	$22,750.00	$17,062.50 25% off	$2,921.10	$23,887.50	$12,512.50	2026-05-06
7264857	OTHER	Spacer 10x22 10-16mm / 1172.2024s	12	11	$22,750.00	$17,062.50 25% off	$2,921.10	$23,887.50	$12,512.50	2026-05-06
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	4	4	—	—	$1,050.00	$21,972.70	$12,504.00	2026-05-06
504	OTHER	Foot Procedures With Cc	3	3	—	—	$3,259.00	$12,551.39	$12,423.60	2026-05-06
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	3	3	—	—	$3,259.00	$12,519.56	$12,392.10	2026-05-06
479	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc	3	3	—	—	$3,259.00	$12,506.12	$12,378.80	2026-05-06
6100165	OTHER	General Surgery Tier 5 Or Time	12	11	$25,000.00	$18,750.00 25% off	$2,000.00	$22,500.00	$12,375.00	2026-05-06
6100145	OTHER	Gynecology Tier 5 Or Time	12	11	$25,000.00	$18,750.00 25% off	$2,000.00	$22,500.00	$12,375.00	2026-05-06
6100125	OTHER	Urology Tier 5 Or Time	12	11	$25,000.00	$18,750.00 25% off	$2,000.00	$22,500.00	$12,375.00	2026-05-06
6100105	OTHER	Ortho Tier 5 Or Time	12	11	$25,000.00	$18,750.00 25% off	$2,000.00	$22,500.00	$12,375.00	2026-05-06
505	OTHER	Foot Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$12,494.81	$12,367.60	2026-05-06
69169718	OTHER	Neuorstimulator / 1101	12	11	$22,420.00	$16,815.00 25% off	$2,878.73	$23,541.00	$12,331.00	2026-05-06
501	OTHER	Soft Tissue Procedures With Cc	3	3	—	—	$3,259.00	$12,431.16	$12,304.60	2026-05-06
354	OTHER	Hernia Procedures Except Inguinal And Femoral With Cc	3	3	—	—	$3,259.00	$12,390.14	$12,264.00	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	4	4	—	—	$1,050.00	$21,449.38	$12,245.00	2026-05-06

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