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

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
10	OTHER	Pancreas Transplant	3	3	—	—	$3,259.00	$29,326.17	$29,027.60	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
113	OTHER	Orbital Procedures With Cc/mcc	3	3	—	—	$3,259.00	$15,878.76	$15,717.10	2026-05-06
116	OTHER	Intraocular Procedures With Cc/mcc	3	3	—	—	$3,259.00	$13,341.33	$13,205.50	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
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
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	3	3	—	—	$3,259.00	$17,331.35	$17,154.90	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	3	3	—	—	$3,259.00	$79,156.90	$78,351.00	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
141	OTHER	Major Head And Neck Procedures With Cc	3	3	—	—	$3,259.00	$15,788.95	$15,628.20	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
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
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
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	3	3	—	—	$3,259.00	$43,028.88	$42,590.80	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	3	3	—	—	$3,259.00	$34,254.65	$33,905.90	2026-05-06
164	OTHER	Major Chest Procedures With Cc	3	3	—	—	$3,259.00	$18,264.85	$18,078.90	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
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$25,924.54	$25,660.60	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
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	3	3	—	—	$3,259.00	$30,905.35	$30,590.70	2026-05-06
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
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	3	—	—	$3,259.00	$50,455.89	$49,942.20	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
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
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	4	4	—	—	$1,050.00	$46,434.04	$24,610.15	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
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
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
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
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
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
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
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
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
228	OTHER	Other Cardiothoracic Procedures With Mcc	3	3	—	—	$3,259.00	$34,852.94	$34,498.10	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	3	3	—	—	$3,259.00	$23,343.96	$23,106.30	2026-05-06
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
231	OTHER	Coronary Bypass With Ptca With Mcc	3	3	—	—	$3,259.00	$59,356.71	$58,752.40	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
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
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
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	3	—	—	$3,259.00	$42,361.28	$41,930.00	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
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
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
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
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	3	3	—	—	$3,259.00	$24,564.59	$24,314.50	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
244	OTHER	Permanent Cardiac Pacemaker Implant Without Cc/mcc	3	3	—	—	$3,259.00	$13,444.58	$13,307.70	2026-05-06
245	OTHER	Aicd Generator Procedures	3	3	—	—	$3,259.00	$34,483.07	$34,132.00	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
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	3	3	—	—	$3,259.00	$17,112.12	$16,937.90	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	3	3	—	—	$3,259.00	$23,643.82	$23,403.10	2026-05-06
253	OTHER	Other Vascular Procedures With Cc	3	3	—	—	$3,259.00	$18,910.53	$18,718.00	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
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
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	3	3	—	—	$3,259.00	$20,164.39	$19,959.10	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
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	3	3	—	—	$3,259.00	$21,382.19	$21,164.50	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
261	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Cc	3	3	—	—	$3,259.00	$13,513.18	$13,375.60	2026-05-06
263	OTHER	Vein Ligation And Stripping	3	3	—	—	$3,259.00	$19,702.59	$19,502.00	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
265	OTHER	Aicd Lead Procedures	3	3	—	—	$3,259.00	$23,918.21	$23,674.70	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
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
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
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
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$17,647.47	$17,467.80	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
271	OTHER	Other Major Cardiovascular Procedures With Cc	3	3	—	—	$3,259.00	$24,637.43	$24,386.60	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
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	3	3	—	—	$3,259.00	$28,379.94	$28,091.00	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
28	OTHER	Spinal Procedures With Mcc	3	3	—	—	$3,259.00	$41,565.68	$41,142.50	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
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
30	OTHER	Spinal Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$16,556.97	$16,388.40	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	3	3	—	—	$3,259.00	$29,143.71	$28,847.00	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
32	OTHER	Ventricular Shunt Procedures With Cc	3	3	—	—	$3,259.00	$14,529.42	$14,381.50	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
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	3	3	—	—	$3,259.00	$36,200.15	$35,831.60	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
329	OTHER	Major Small And Large Bowel Procedures With Mcc	3	3	—	—	$3,259.00	$32,695.98	$32,363.10	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
332	OTHER	Rectal Resection With Mcc	3	3	—	—	$3,259.00	$28,714.44	$28,422.10	2026-05-06
333	OTHER	Rectal Resection With Cc	3	3	—	—	$3,259.00	$15,792.48	$15,631.70	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	3	3	—	—	$3,259.00	$26,051.83	$25,786.60	2026-05-06
336	OTHER	Peritoneal Adhesiolysis With Cc	3	3	—	—	$3,259.00	$15,042.14	$14,889.00	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
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	3	3	—	—	$3,259.00	$18,617.04	$18,427.50	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
35	OTHER	Carotid Artery Stent Procedures With Cc	3	3	—	—	$3,259.00	$16,151.03	$15,986.60	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
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	3	3	—	—	$3,259.00	$20,281.08	$20,074.60	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
356	OTHER	Other Digestive System O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$29,861.52	$29,557.50	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
36	OTHER	Carotid Artery Stent Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$13,300.31	$13,164.90	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	3	3	—	—	$3,259.00	$23,853.86	$23,611.00	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
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
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	3	3	—	—	$3,259.00	$39,192.32	$38,793.30	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
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$15,740.15	$15,579.90	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
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
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
411	OTHER	Cholecystectomy With C.d.e. With Mcc	3	3	—	—	$3,259.00	$23,890.63	$23,647.40	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
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
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
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	3	3	—	—	$3,259.00	$16,815.09	$16,643.90	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
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	3	3	—	—	$3,259.00	$23,063.21	$22,828.40	2026-05-06
421	OTHER	Hepatobiliary Diagnostic Procedures With Cc	3	3	—	—	$3,259.00	$12,811.64	$12,681.20	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
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
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
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
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
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
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
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
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
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
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	3	3	—	—	$3,259.00	$37,093.35	$36,715.70	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
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
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
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
471	OTHER	Cervical Spinal Fusion With Mcc	3	3	—	—	$3,259.00	$35,621.66	$35,259.00	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	3	3	—	—	$3,259.00	$21,718.11	$21,497.00	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	3	—	—	$3,259.00	$80,670.30	$79,849.00	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	3	3	—	—	$3,259.00	$22,662.22	$22,431.50	2026-05-06
501	OTHER	Soft Tissue Procedures With Cc	3	3	—	—	$3,259.00	$12,431.16	$12,304.60	2026-05-06
503	OTHER	Foot Procedures With Mcc	3	3	—	—	$3,259.00	$17,915.50	$17,733.10	2026-05-06
504	OTHER	Foot Procedures With Cc	3	3	—	—	$3,259.00	$12,551.39	$12,423.60	2026-05-06
505	OTHER	Foot Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$12,494.81	$12,367.60	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
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
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
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
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
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
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
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
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
570	OTHER	Skin Debridement With Mcc	3	3	—	—	$3,259.00	$20,629.73	$20,419.70	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
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
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
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
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
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
582	OTHER	Mastectomy For Malignancy With Cc/mcc	3	3	—	—	$3,259.00	$13,682.91	$13,543.60	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
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
6	OTHER	Liver Transplant Without Mcc	3	3	—	—	$3,259.00	$34,011.37	$33,665.10	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
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
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
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
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
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
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
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	3	3	—	—	$3,259.00	$16,618.49	$16,449.30	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
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
619	OTHER	O.r. Procedures For Obesity With Mcc	3	3	—	—	$3,259.00	$20,450.10	$20,241.90	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
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
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	3	3	—	—	$3,259.00	$20,347.56	$20,140.40	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
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
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	3	3	—	—	$3,259.00	$32,841.66	$32,507.30	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
652	OTHER	Kidney Transplant	3	3	—	—	$3,259.00	$21,817.83	$21,595.70	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	3	3	—	—	$3,259.00	$39,296.98	$38,896.90	2026-05-06
654	OTHER	Major Bladder Procedures With Cc	3	3	—	—	$3,259.00	$20,102.16	$19,897.50	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
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	3	3	—	—	$3,259.00	$23,375.08	$23,137.10	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
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
662	OTHER	Minor Bladder Procedures With Mcc	3	3	—	—	$3,259.00	$21,489.69	$21,270.90	2026-05-06
665	OTHER	Prostatectomy With Mcc	3	3	—	—	$3,259.00	$21,642.44	$21,422.10	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	3	3	—	—	$3,259.00	$19,963.55	$19,760.30	2026-05-06
671	OTHER	Urethral Procedures With Cc/mcc	3	3	—	—	$3,259.00	$12,952.37	$12,820.50	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
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	3	3	—	—	$3,259.00	$16,764.18	$16,593.50	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
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
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
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
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
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
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
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
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
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
7	OTHER	Lung Transplant	3	3	—	—	$3,259.00	$86,330.03	$85,451.10	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
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
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	3	3	—	—	$3,259.00	$14,110.76	$13,967.10	2026-05-06
709	OTHER	Penis Procedures With Cc/mcc	3	3	—	—	$3,259.00	$17,057.66	$16,884.00	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
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
711	OTHER	Testes Procedures With Cc/mcc	3	3	—	—	$3,259.00	$14,450.92	$14,303.80	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	4	4	—	—	$1,050.00	$42,581.22	$23,843.85	2026-05-06
791	OTHER	Prematurity With Major Problems	4	4	—	—	$1,050.00	$29,080.77	$16,917.85	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
799	OTHER	Splenic Procedures With Mcc	3	3	—	—	$3,259.00	$36,828.85	$36,453.90	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	3	3	—	—	$3,259.00	$39,540.26	$39,137.70	2026-05-06
800	OTHER	Splenic Procedures With Cc	3	3	—	—	$3,259.00	$18,800.91	$18,609.50	2026-05-06
801	OTHER	Splenic Procedures Without Cc/mcc	3	3	—	—	$3,259.00	$12,701.31	$12,572.00	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
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
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
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
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
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
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
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
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
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
834	OTHER	Acute Leukemia With Mcc	4	4	—	—	$1,050.00	$39,108.16	$20,984.50	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
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	4	4	—	—	$1,050.00	$21,972.70	$12,504.00	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
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
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
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
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	4	4	—	—	$1,050.00	$48,025.24	$25,397.65	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
901	OTHER	Wound Debridements For Injuries With Mcc	3	3	—	—	$3,259.00	$31,106.90	$30,790.20	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
904	OTHER	Skin Grafts For Injuries With Cc/mcc	3	3	—	—	$3,259.00	$25,119.04	$24,863.30	2026-05-06
906	OTHER	Hand Procedures For Injuries	3	3	—	—	$3,259.00	$12,643.32	$12,514.60	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
908	OTHER	Other O.r. Procedures For Injuries With Cc	3	3	—	—	$3,259.00	$14,543.57	$14,395.50	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
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
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
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
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
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
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
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
955	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$3,259.00	$47,636.99	$47,152.00	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
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
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
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
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	3	—	—	$3,259.00	$51,255.03	$50,733.20	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
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	3	3	—	—	$3,259.00	$21,841.16	$21,618.80	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
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
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

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