Hospital

OWATONNA HOSPITAL

Owatonna, MN · CCN 240069 · Rates published

18,831 distinct procedures filed

25 distinct payers

666,107 rate rows

2026-05-18 last MRF observed

Data quality

638,361 of 666,107 rate rows are consumer-grade (95.8%)

27,746 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	12,876
template filing: same amount across many unrelated codes — excluded	10,218
per-diem day rate — not a per-procedure price	3,962
exceeds 10× this hospital's gross charge — excluded from medians	606
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	84

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

Source MRF file	https://www.allinahealth.org/-/media/allina-health/files/customer-service/billing-and-insurance/price-transparency/363261413_owatonna-hospital_standardcharges.csv
Found on page	https://www.allinahealth.org/customer-service/billing-and-insurance
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-19
Content fingerprint	4177a9fa137203c0… · 156,565,725 bytes · first seen 2026-05-18

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	18	$219,843.63	$1,141,613.08	$680,728.35	nat. median $386,529 1.8× median
583-4 OTHER	Neonate With Ecmo	7	$224,978.00	$856,642.96	$545,254.82	nat. median $309,400 1.8× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$206,314.11	$783,147.88	$498,475.07	nat. median $267,493 1.9× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$203,009.98	$770,605.74	$490,491.97	nat. median $86,371 outlier · 5.7×
583-3 OTHER	Neonate With Ecmo	7	$191,909.66	$728,470.02	$463,672.51	nat. median $259,487 1.8× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$122,160.00	$706,537.97	$449,712.72	nat. median $156,696 outlier · 2.9×
7 OTHER	Lung Transplant	17	$65,929.47	$821,657.37	$443,793.42	nat. median $169,933 outlier · 2.6×
161-4 OTHER	Implantable Heart Assist Systems	7	$144,856.62	$549,861.38	$386,522.79	nat. median $202,242 1.9× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	7	$151,691.49	$575,805.85	$366,501.48	nat. median $151,691 outlier · 2.4×
002-4 OTHER	Heart And/or Lung Transplant	7	$150,473.99	$571,184.36	$363,559.89	nat. median $216,800 1.7× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$33,954.37	$561,222.77	$357,219.32	nat. median $49,980 outlier · 7.1×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	$101,800.00	$494,729.38	$314,896.16	nat. median $125,000 outlier · 2.5×
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	$142,669.67	$474,834.09	$308,751.88	nat. median $239,422 1.3× median
583-2 OTHER	Neonate With Ecmo	7	$127,664.60	$484,602.17	$308,450.17	nat. median $191,347 1.6× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$123,178.00	$482,152.51	$306,890.96	nat. median $151,250 outlier · 2.0×
161-3 OTHER	Implantable Heart Assist Systems	7	$126,943.96	$481,866.68	$306,709.03	nat. median $152,491 outlier · 2.0×
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	7	$88,566.00	$471,293.34	$299,979.08	nat. median $87,000 outlier · 3.4×
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	$108,695.40	$489,438.86	$299,067.13	nat. median $146,562 outlier · 2.0×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	$108,057.49	$537,640.29	$297,311.98	nat. median $181,005 1.6× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$119,624.91	$454,084.30	$289,025.49	nat. median $169,856 1.7× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$79,524.27	$366,799.88	$286,772.97	nat. median $203,379 1.4× median
583-1 OTHER	Neonate With Ecmo	7	$104,453.37	$396,494.63	$278,677.50	nat. median $171,226 1.6× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	7	$115,154.66	$437,115.67	$278,224.93	nat. median $172,311 1.6× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$103,867.14	$394,269.37	$250,953.18	nat. median $165,000 1.5× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	$101,800.00	$391,929.24	$249,463.68	nat. median $100,015 outlier · 2.5×
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$85,571.63	$324,821.43	$249,345.38	nat. median $210,669 1.2× median
161-2 OTHER	Implantable Heart Assist Systems	7	$101,924.78	$386,896.35	$246,260.24	nat. median $109,992 outlier · 2.2×
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$101,104.90	$383,784.19	$244,279.34	nat. median $153,523 1.6× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	7	$99,516.53	$377,754.88	$240,441.68	nat. median $110,000 outlier · 2.2×
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	7	$93,656.00	$373,734.45	$237,882.66	nat. median $99,067 outlier · 2.4×
002-3 OTHER	Heart And/or Lung Transplant	7	$98,144.21	$372,545.68	$237,126.01	nat. median $133,471 1.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$98,073.83	$372,278.55	$236,955.98	nat. median $112,711 outlier · 2.1×
161-1 OTHER	Implantable Heart Assist Systems	7	$96,828.89	$367,552.87	$233,948.08	nat. median $101,352 outlier · 2.3×
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$80,422.00	$356,910.08	$227,173.92	nat. median $89,334 outlier · 2.5×
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	7	$81,440.00	$341,504.22	$217,368.06	nat. median $107,050 outlier · 2.0×
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$88,376.09	$335,466.89	$213,525.29	nat. median $124,561 1.7× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	18	$70,517.48	$360,880.56	$212,670.86	nat. median $134,983 1.6× median
006-4 OTHER	Pancreas Transplant	7	$86,530.00	$332,766.12	$211,806.25	nat. median $92,449 outlier · 2.3×
593-1 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$1,942.34	$324,463.47	$206,521.59	nat. median $2,705 outlier · 76.3×
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$84,428.74	$320,483.11	$203,988.09	nat. median $99,157 outlier · 2.1×
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	$50,921.37	$319,684.36	$203,479.68	nat. median $105,647 1.9× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	7	$74,336.89	$282,175.48	$202,415.54	nat. median $106,926 1.9× median
841-3 OTHER	Extensive Third Degree Burns With Skin Graft	7	$69,261.42	$262,909.47	$198,482.53	nat. median $61,016 outlier · 3.3×
524991 OTHER	Hchg Ide Team-hf Heartmate 3 G240119 Pr96570	16	$65,362.64	$324,864.00	$192,839.27	nat. median $152,849 1.3× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	7	$79,752.99	$302,734.44	$192,691.03	nat. median $150,954 1.3× median
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	7	$78,620.65	$298,436.19	$189,955.18	nat. median $88,000 outlier · 2.2×
607-3 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	7	$77,123.76	$292,754.15	$186,338.56	nat. median $77,124 outlier · 2.4×
523374 OTHER	Hchg Heartmate 3 Implant Pr96570	17	$60,907.49	$302,721.10	$179,453.07	nat. median $149,665 1.2× median
178-4 OTHER	External Heart Assist Systems	7	$73,137.70	$277,623.44	$176,707.83	nat. median $67,533 outlier · 2.6×
611-4 OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	7	$72,765.41	$276,210.28	$175,808.35	nat. median $93,000 1.9× median

Other procedures at this hospital

Browse this hospital's 18,831 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	22	18	—	—	$219,843.63	$1,141,613.08	$680,728.35	2026-05-18
583-4	OTHER	Neonate With Ecmo	11	7	—	—	$224,978.00	$856,642.96	$545,254.82	2026-05-18
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	7	—	—	$206,314.11	$783,147.88	$498,475.07	2026-05-18
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	7	—	—	$203,009.98	$770,605.74	$490,491.97	2026-05-18
583-3	OTHER	Neonate With Ecmo	11	7	—	—	$191,909.66	$728,470.02	$463,672.51	2026-05-18
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	7	—	—	$122,160.00	$706,537.97	$449,712.72	2026-05-18
7	OTHER	Lung Transplant	21	17	—	—	$65,929.47	$821,657.37	$443,793.42	2026-05-18
161-4	OTHER	Implantable Heart Assist Systems	11	7	—	—	$144,856.62	$549,861.38	$386,522.79	2026-05-18
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	11	7	—	—	$151,691.49	$575,805.85	$366,501.48	2026-05-18
002-4	OTHER	Heart And/or Lung Transplant	11	7	—	—	$150,473.99	$571,184.36	$363,559.89	2026-05-18
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	7	—	—	$33,954.37	$561,222.77	$357,219.32	2026-05-18
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$101,800.00	$494,729.38	$314,896.16	2026-05-18
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	17	—	—	$142,669.67	$474,834.09	$308,751.88	2026-05-18
583-2	OTHER	Neonate With Ecmo	11	7	—	—	$127,664.60	$484,602.17	$308,450.17	2026-05-18
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	7	—	—	$123,178.00	$482,152.51	$306,890.96	2026-05-18
161-3	OTHER	Implantable Heart Assist Systems	11	7	—	—	$126,943.96	$481,866.68	$306,709.03	2026-05-18
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	7	—	—	$88,566.00	$471,293.34	$299,979.08	2026-05-18
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	18	—	—	$108,695.40	$489,438.86	$299,067.13	2026-05-18
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	22	18	—	—	$108,057.49	$537,640.29	$297,311.98	2026-05-18
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	7	—	—	$119,624.91	$454,084.30	$289,025.49	2026-05-18
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	7	—	—	$79,524.27	$366,799.88	$286,772.97	2026-05-18
583-1	OTHER	Neonate With Ecmo	11	7	—	—	$104,453.37	$396,494.63	$278,677.50	2026-05-18
007-4	OTHER	Allogeneic Bone Marrow Transplant	11	7	—	—	$115,154.66	$437,115.67	$278,224.93	2026-05-18
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	7	—	—	$103,867.14	$394,269.37	$250,953.18	2026-05-18
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$101,800.00	$391,929.24	$249,463.68	2026-05-18
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	7	—	—	$85,571.63	$324,821.43	$249,345.38	2026-05-18
161-2	OTHER	Implantable Heart Assist Systems	11	7	—	—	$101,924.78	$386,896.35	$246,260.24	2026-05-18
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	7	—	—	$101,104.90	$383,784.19	$244,279.34	2026-05-18
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	7	—	—	$99,516.53	$377,754.88	$240,441.68	2026-05-18
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$93,656.00	$373,734.45	$237,882.66	2026-05-18
002-3	OTHER	Heart And/or Lung Transplant	11	7	—	—	$98,144.21	$372,545.68	$237,126.01	2026-05-18
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	7	—	—	$98,073.83	$372,278.55	$236,955.98	2026-05-18
161-1	OTHER	Implantable Heart Assist Systems	11	7	—	—	$96,828.89	$367,552.87	$233,948.08	2026-05-18
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	7	—	—	$80,422.00	$356,910.08	$227,173.92	2026-05-18
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	7	—	—	$81,440.00	$341,504.22	$217,368.06	2026-05-18
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	11	7	—	—	$88,376.09	$335,466.89	$213,525.29	2026-05-18
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	22	18	—	—	$70,517.48	$360,880.56	$212,670.86	2026-05-18
006-4	OTHER	Pancreas Transplant	11	7	—	—	$86,530.00	$332,766.12	$211,806.25	2026-05-18
593-1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	7	—	—	$1,942.34	$324,463.47	$206,521.59	2026-05-18
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	7	—	—	$84,428.74	$320,483.11	$203,988.09	2026-05-18
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	7	—	—	$50,921.37	$319,684.36	$203,479.68	2026-05-18
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	11	7	—	—	$74,336.89	$282,175.48	$202,415.54	2026-05-18
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	11	7	—	—	$69,261.42	$262,909.47	$198,482.53	2026-05-18
524991	OTHER	Hchg Ide Team-hf Heartmate 3 G240119 Pr96570	26	16	$324,864.00	$181,923.84 44% off	$65,362.64	$324,864.00	$192,839.27	2026-05-18
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	7	—	—	$79,752.99	$302,734.44	$192,691.03	2026-05-18
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	7	—	—	$78,620.65	$298,436.19	$189,955.18	2026-05-18
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$77,123.76	$292,754.15	$186,338.56	2026-05-18
523374	OTHER	Hchg Heartmate 3 Implant Pr96570	27	17	$302,721.10	$169,523.82 44% off	$60,907.49	$302,721.10	$179,453.07	2026-05-18
178-4	OTHER	External Heart Assist Systems	11	7	—	—	$73,137.70	$277,623.44	$176,707.83	2026-05-18
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	7	—	—	$72,765.41	$276,210.28	$175,808.35	2026-05-18
007-3	OTHER	Allogeneic Bone Marrow Transplant	11	7	—	—	$72,707.70	$275,991.23	$175,668.92	2026-05-18
002-2	OTHER	Heart And/or Lung Transplant	11	7	—	—	$70,637.26	$268,132.02	$175,605.00	2026-05-18
524900	OTHER	Hchg Ide Innovate G240020 Pr87670	26	16	$294,784.00	$165,079.04 44% off	$59,310.54	$294,784.00	$174,983.78	2026-05-18
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	11	7	—	—	$71,158.74	$270,111.52	$171,926.48	2026-05-18
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	11	7	—	—	$70,490.17	$267,573.70	$170,311.15	2026-05-18
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$69,725.89	$264,672.58	$168,464.58	2026-05-18
006-3	OTHER	Pancreas Transplant	11	7	—	—	$69,307.16	$263,083.11	$167,452.88	2026-05-18
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	21	17	—	—	$57,690.19	$274,819.62	$166,254.90	2026-05-18
523722	OTHER	Hchg Heartmate 3 Implant Pr87670	27	17	$279,229.70	$156,368.63 44% off	$56,181.02	$279,229.70	$165,527.37	2026-05-18
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	7	—	—	$45,269.72	$205,280.85	$163,247.42	2026-05-18
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	7	—	—	$45,252.83	$271,632.94	$163,186.51	2026-05-18
588-1	OTHER	Female Reproductive System Reconstructive Procedures	11	7	—	—	$50,900.00	$255,258.63	$162,472.59	2026-05-18
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	7	—	—	$64,168.34	$243,576.67	$155,037.00	2026-05-18
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	7	—	—	$64,036.74	$243,077.12	$154,719.04	2026-05-18
511582	OTHER	Vutrisiran 25 Mg/0.5 Ml Syrg 0.5 Ml Syringe	36	24	$346,162.90	$193,851.22 44% off	$4,671.69	$346,162.90	$153,990.57	2026-05-18
863-4	OTHER	Neonatal Aftercare	11	7	—	—	$57,659.32	$218,869.05	$153,853.10	2026-05-18
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	22	18	—	—	$55,360.04	$410,917.21	$152,318.95	2026-05-18
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	7	—	—	$57,180.06	$217,049.84	$151,400.66	2026-05-18
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	11	7	—	—	$62,443.44	$237,029.11	$150,869.47	2026-05-18
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$62,358.99	$236,708.55	$150,665.42	2026-05-18
523381	OTHER	Hchg Heartmate 3 Implant Pr79770	27	17	$251,797.70	$141,006.71 44% off	$50,661.70	$251,797.70	$149,265.68	2026-05-18
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	22	18	—	—	$31,163.54	$261,416.44	$146,289.99	2026-05-18
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	16	15	—	—	$64,160.11	$226,829.35	$145,494.73	2026-05-18
591-1	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	7	—	—	$1,847.67	$221,433.58	$140,942.88	2026-05-18
002-1	OTHER	Heart And/or Lung Transplant	11	7	—	—	$50,900.00	$220,431.81	$140,305.25	2026-05-18
215	OTHER	Other Heart Assist System Implant	22	18	—	—	$50,691.09	$240,019.66	$139,472.68	2026-05-18
007-2	OTHER	Allogeneic Bone Marrow Transplant	11	7	—	—	$57,270.85	$217,394.45	$138,577.96	2026-05-18
006-2	OTHER	Pancreas Transplant	11	7	—	—	$56,930.93	$216,104.17	$137,550.70	2026-05-18
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	18	—	—	$49,804.23	$281,696.47	$137,032.57	2026-05-18
519930	OTHER	Hchg Kit Strl Implant Pr72570	27	17	$230,882.80	$129,294.37 44% off	$46,453.62	$230,882.80	$136,867.32	2026-05-18
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	11	7	—	—	$51,191.81	$194,319.05	$136,595.77	2026-05-18
440-4	OTHER	Kidney Transplant	11	7	—	—	$56,439.01	$214,236.88	$136,362.17	2026-05-18
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	7	—	—	$50,713.96	$192,505.18	$135,320.72	2026-05-18
14	OTHER	Allogeneic Bone Marrow Transplant	21	17	—	—	$61,183.13	$203,630.06	$132,406.60	2026-05-18
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	7	—	—	$52,228.44	$198,253.99	$131,975.77	2026-05-18
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	7	—	—	$207.06	$204,080.28	$129,897.47	2026-05-18
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	7	—	—	$51,860.38	$196,856.86	$125,299.75	2026-05-18
519931	OTHER	Hchg Hospital Implant Set Pr65970	27	17	$209,967.70	$117,581.91 44% off	$42,245.50	$209,967.70	$124,468.85	2026-05-18
519932	OTHER	Hchg Kit Pump Implant Pr65970	27	17	$209,967.70	$117,581.91 44% off	$42,245.50	$209,967.70	$124,468.85	2026-05-18
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$50,959.57	$193,437.49	$123,123.32	2026-05-18
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	7	—	—	$48,641.41	$184,637.96	$120,887.50	2026-05-18
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	11	7	—	—	$43,488.52	$165,078.09	$118,406.85	2026-05-18
231	OTHER	Coronary Bypass With Ptca With Mcc	22	18	—	—	$42,916.62	$444,348.15	$118,081.82	2026-05-18
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	18	—	—	$42,781.71	$192,639.54	$117,710.62	2026-05-18
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	11	7	—	—	$41,132.34	$156,134.30	$117,459.86	2026-05-18
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	11	7	—	—	$48,601.29	$184,485.69	$117,425.48	2026-05-18
6	OTHER	Liver Transplant Without Mcc	21	17	—	—	$23,606.97	$209,568.18	$116,587.57	2026-05-18
8	OTHER	Simultaneous Pancreas And Kidney Transplant	21	17	—	—	$28,533.02	$203,067.60	$115,800.31	2026-05-18
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$47,893.32	$181,798.28	$115,714.94	2026-05-18
007-1	OTHER	Allogeneic Bone Marrow Transplant	11	7	—	—	$45,169.08	$171,457.35	$115,352.06	2026-05-18
690-4	OTHER	Acute Leukemia	11	7	—	—	$47,389.43	$179,885.57	$114,497.49	2026-05-18
006-1	OTHER	Pancreas Transplant	11	7	—	—	$47,293.01	$179,519.59	$114,264.55	2026-05-18
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	11	7	—	—	$43,028.26	$163,331.01	$113,666.79	2026-05-18
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	21	17	—	—	$52,490.76	$174,700.05	$113,595.40	2026-05-18
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	11	7	—	—	$41,149.94	$156,201.09	$113,502.36	2026-05-18
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	22	18	—	—	$32,759.06	$191,359.61	$112,059.34	2026-05-18
522889	OTHER	Hchg Ide Vad Heartassist5 G100297 Pr59970	26	16	$187,889.20	$105,217.95 44% off	$37,803.31	$187,889.20	$111,531.03	2026-05-18
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	11	7	—	—	$46,093.81	$174,967.55	$111,367.17	2026-05-18
602-1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$46,007.96	$174,641.64	$111,159.73	2026-05-18
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	11	7	—	—	$45,939.69	$174,382.52	$110,994.79	2026-05-18
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	11	7	—	—	$42,410.36	$160,985.53	$110,473.19	2026-05-18
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	22	18	—	—	$35,015.39	$185,458.08	$110,236.74	2026-05-18
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	22	18	—	—	$40,060.06	$293,902.61	$110,222.21	2026-05-18
178-3	OTHER	External Heart Assist Systems	11	7	—	—	$42,103.53	$159,820.81	$109,810.05	2026-05-18
440-3	OTHER	Kidney Transplant	11	7	—	—	$45,128.97	$171,305.08	$109,036.00	2026-05-18
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	11	7	—	—	$44,987.51	$170,768.14	$108,694.23	2026-05-18
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	11	7	—	—	$4,373.63	$169,512.59	$107,895.07	2026-05-18
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	18	—	—	$39,090.23	$403,645.46	$107,553.79	2026-05-18
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	11	7	—	—	$40,143.57	$152,381.01	$107,115.60	2026-05-18
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	22	18	—	—	$38,921.71	$175,258.57	$107,090.14	2026-05-18
590029	OTHER	Hchg New Tech Evoque Ttvr	27	17	$180,600.00	$101,136.00 44% off	$36,336.72	$180,600.00	$107,059.68	2026-05-18
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	22	18	—	—	$38,792.91	$174,678.59	$106,735.75	2026-05-18
023-4	OTHER	Spinal Procedures	11	7	—	—	$44,123.30	$167,487.68	$106,606.22	2026-05-18
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	7	—	—	$43,442.07	$164,901.78	$104,960.29	2026-05-18
120-4	OTHER	Major Respiratory And Chest Procedures	11	7	—	—	$43,412.51	$164,789.58	$104,888.87	2026-05-18
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	11	7	—	—	$43,318.21	$164,431.62	$104,661.03	2026-05-18
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	7	—	—	$43,268.94	$164,244.62	$104,542.00	2026-05-18
183-4	OTHER	Percutaneous Structural Cardiac Procedures	11	7	—	—	$36,353.85	$137,995.61	$103,814.12	2026-05-18
519929	OTHER	Hchg Pump Pr54570	27	17	$173,594.00	$97,212.64 44% off	$34,927.11	$173,594.00	$102,906.52	2026-05-18
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	11	7	—	—	$38,351.81	$145,579.67	$102,334.63	2026-05-18
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	7	—	—	$42,304.10	$160,582.15	$102,210.84	2026-05-18
169-4	OTHER	Major Abdominal Vascular Procedures	11	7	—	—	$40,074.60	$152,119.21	$101,624.56	2026-05-18
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	11	7	—	—	$38,073.83	$144,524.47	$101,592.88	2026-05-18
021-4	OTHER	Open Craniotomy Except Trauma	11	7	—	—	$40,997.93	$155,624.07	$101,500.77	2026-05-18
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	18	—	—	$36,516.22	$164,426.97	$100,471.60	2026-05-18
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	7	—	—	$41,569.38	$157,793.23	$100,435.68	2026-05-18
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	18	—	—	$36,322.25	$163,553.57	$99,937.91	2026-05-18
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	22	18	—	—	$36,300.87	$163,457.29	$99,879.08	2026-05-18
179-4	OTHER	Defibrillator Implants	11	7	—	—	$37,345.44	$141,759.59	$99,649.32	2026-05-18
570	OTHER	Skin Debridement With Mcc	22	18	—	—	$14,973.14	$186,940.25	$99,032.70	2026-05-18
524756	OTHER	Hchg Ide Altavalve Pivotal G190128 Pr49670	26	16	$166,784.00	$93,399.04 44% off	$33,556.94	$166,784.00	$99,002.99	2026-05-18
182-4	OTHER	Other Peripheral Vascular And Related Procedures	11	7	—	—	$40,513.74	$153,786.16	$97,885.17	2026-05-18
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	11	7	—	—	$35,460.08	$134,602.96	$97,561.55	2026-05-18
459	OTHER	Spinal Fusion Except Cervical With Mcc	16	15	—	—	$48,171.04	$146,691.20	$97,431.12	2026-05-18
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	22	18	—	—	$35,187.97	$158,446.10	$96,817.04	2026-05-18
910-4	OTHER	Craniotomy For Multiple Significant Trauma	11	7	—	—	$33,877.34	$128,595.02	$96,742.06	2026-05-18
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	11	7	—	—	$39,868.40	$151,336.50	$96,427.53	2026-05-18
181-4	OTHER	Lower Extremity Arterial Procedures	11	7	—	—	$39,749.47	$150,885.04	$96,038.60	2026-05-18
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	11	7	—	—	$37,070.27	$140,715.08	$96,020.80	2026-05-18
440-2	OTHER	Kidney Transplant	11	7	—	—	$39,677.68	$150,612.55	$95,865.17	2026-05-18
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	11	7	—	—	$35,604.35	$135,150.59	$95,003.55	2026-05-18
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	7	—	—	$29,940.54	$118,292.64	$94,634.11	2026-05-18
955	OTHER	Craniotomy For Multiple Significant Trauma	22	18	—	—	$34,268.03	$154,303.74	$94,285.88	2026-05-18
091-4	OTHER	Other Major Head And Neck Procedures	11	7	—	—	$32,883.64	$124,823.03	$93,904.38	2026-05-18
089-4	OTHER	Major Cranial Or Facial Bone Procedures	11	7	—	—	$36,985.12	$140,391.84	$93,722.00	2026-05-18
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	11	7	—	—	$34,906.93	$132,503.25	$93,142.61	2026-05-18
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	18	—	—	$33,474.85	$196,496.28	$92,103.51	2026-05-18
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	18	—	—	$33,474.85	$150,732.18	$92,103.51	2026-05-18
480-4	OTHER	Major Male Pelvic Procedures	11	7	—	—	$25,473.10	$116,249.70	$91,858.71	2026-05-18
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	18	—	—	$33,353.18	$150,184.29	$91,768.74	2026-05-18
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	7	—	—	$37,948.56	$144,048.97	$91,687.43	2026-05-18
178-2	OTHER	External Heart Assist Systems	11	7	—	—	$37,666.35	$142,977.74	$91,005.60	2026-05-18
589-4	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	11	7	—	—	$939.30	$141,388.27	$89,993.89	2026-05-18
401-4	OTHER	Adrenal Procedures	11	7	—	—	$33,504.35	$127,179.19	$89,400.08	2026-05-18
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	22	18	—	—	$24,458.69	$154,011.42	$89,235.05	2026-05-18
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	7	3	—	—	$31,200.26	$118,433.08	$89,097.23	2026-05-18
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	7	—	—	$35,876.00	$136,181.75	$89,075.00	2026-05-18
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	11	7	—	—	$34,754.92	$131,926.23	$88,892.75	2026-05-18
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	7	—	—	$31,802.67	$120,719.78	$88,456.26	2026-05-18
863-3	OTHER	Neonatal Aftercare	11	7	—	—	$6,850.02	$138,660.79	$88,257.85	2026-05-18
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	7	—	—	$36,513.60	$138,602.02	$88,220.44	2026-05-18
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	7	—	—	$32,398.75	$122,982.44	$88,137.07	2026-05-18
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	11	7	—	—	$36,384.11	$138,110.48	$87,907.58	2026-05-18
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	11	7	—	—	$35,803.52	$135,906.59	$86,504.80	2026-05-18
440-1	OTHER	Kidney Transplant	11	7	—	—	$35,576.91	$135,046.41	$85,957.29	2026-05-18
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	22	18	—	—	$31,199.68	$140,487.44	$85,843.56	2026-05-18
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	11	7	—	—	$280.40	$134,568.23	$85,652.93	2026-05-18
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	11	7	—	—	$35,408.71	$134,407.95	$85,550.91	2026-05-18
232	OTHER	Coronary Bypass With Ptca Without Mcc	22	18	—	—	$30,864.70	$138,979.04	$84,921.87	2026-05-18
178-1	OTHER	External Heart Assist Systems	11	7	—	—	$35,137.76	$133,379.47	$84,896.27	2026-05-18
020-4	OTHER	Open Craniotomy For Trauma	11	7	—	—	$30,150.96	$114,450.05	$84,372.47	2026-05-18
695-4	OTHER	Chemotherapy For Acute Leukemia	11	7	—	—	$34,836.56	$132,236.11	$84,168.53	2026-05-18
28	OTHER	Spinal Procedures With Mcc	22	18	—	—	$30,588.26	$137,734.27	$84,161.26	2026-05-18
276	OTHER	Non-maligant Breast Disorders	22	18	—	—	$30,579.60	$180,980.39	$84,137.45	2026-05-18
022-4	OTHER	Ventricular Shunt Procedures	11	7	—	—	$34,738.03	$131,862.12	$83,930.48	2026-05-18
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	11	7	—	—	$31,729.48	$120,441.96	$83,702.77	2026-05-18
653	OTHER	Major Bladder Procedures With Mcc	22	18	—	—	$26,454.87	$140,900.59	$83,677.73	2026-05-18
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	11	7	—	—	$34,628.95	$131,448.06	$83,666.93	2026-05-18
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	11	7	—	—	$34,608.54	$131,370.59	$83,617.62	2026-05-18
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	18	—	—	$30,358.14	$136,698.10	$83,528.12	2026-05-18
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	11	7	—	—	$25,333.76	$103,861.00	$83,088.80	2026-05-18
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	22	18	—	—	$29,877.04	$134,531.79	$82,204.41	2026-05-18
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	11	7	—	—	$34,020.20	$129,137.31	$82,196.13	2026-05-18
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	22	18	—	—	$29,857.70	$134,444.68	$82,151.19	2026-05-18
524271	OTHER	Hchg Ide Apollo G160020 Pr41170	26	16	$138,144.00	$77,360.64 44% off	$27,794.57	$138,144.00	$82,002.27	2026-05-18
524925	OTHER	Hchg Ide Impella G210059 Pr41170	26	16	$138,144.00	$77,360.64 44% off	$27,794.57	$138,144.00	$82,002.27	2026-05-18
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	11	7	—	—	$31,735.81	$120,466.00	$81,932.70	2026-05-18
524521	OTHER	Hchg Transcatheter Heart Valve Pr41170	27	17	$138,144.00	$77,360.64 44% off	$27,794.57	$138,144.00	$81,891.76	2026-05-18
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$33,619.76	$127,617.29	$81,228.64	2026-05-18
027-4	OTHER	Other Open Craniotomy	11	7	—	—	$33,440.31	$126,936.09	$80,795.05	2026-05-18
317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	11	7	—	—	$33,391.75	$126,751.76	$80,677.73	2026-05-18
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	22	18	—	—	$29,172.96	$188,871.27	$80,267.18	2026-05-18
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	11	7	—	—	$30,210.78	$114,677.12	$80,114.89	2026-05-18
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	22	18	—	—	$29,016.15	$130,655.34	$79,835.74	2026-05-18
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	11	7	—	—	$24,103.59	$99,244.44	$79,395.55	2026-05-18
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	7	—	—	$29,675.92	$112,646.86	$79,184.65	2026-05-18
10	OTHER	Pancreas Transplant	21	17	—	—	$36,531.49	$121,584.33	$79,057.91	2026-05-18
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	11	7	—	—	$32,697.85	$124,117.78	$79,001.20	2026-05-18
752-4	OTHER	Disorders Of Personality And Impulse Control	11	7	—	—	$32,636.62	$123,885.37	$78,853.27	2026-05-18
691-4	OTHER	Lymphoma, Myeloma And Non-acute Leukemia	11	7	—	—	$29,782.41	$123,465.96	$78,586.31	2026-05-18
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	7	—	—	$32,324.15	$122,699.28	$78,098.32	2026-05-18
278	OTHER	Cellulitis Age >17 Without Cc	22	18	—	—	$28,337.52	$127,599.57	$77,968.54	2026-05-18
261-4	OTHER	Major Biliary Tract Procedures	11	7	—	—	$29,060.14	$110,309.40	$77,541.54	2026-05-18
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	16	15	—	—	$33,633.73	$121,148.63	$77,391.18	2026-05-18
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	22	18	—	—	$28,117.59	$126,609.25	$77,363.42	2026-05-18
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	22	18	—	—	$27,949.08	$125,850.47	$76,899.77	2026-05-18
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	11	7	—	—	$21,680.57	$96,096.84	$76,877.47	2026-05-18
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	11	7	—	—	$26,788.42	$101,686.18	$76,768.55	2026-05-18
163	OTHER	Major Chest Procedures With Mcc	13	10	—	—	$22,816.84	$150,262.36	$76,766.99	2026-05-18
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	11	7	—	—	$31,735.11	$120,463.33	$76,675.13	2026-05-18
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	22	18	—	—	$27,850.32	$125,405.74	$76,628.03	2026-05-18
441-4	OTHER	Major Bladder Procedures	11	7	—	—	$26,829.24	$101,841.12	$76,615.09	2026-05-18
403-4	OTHER	Procedures For Obesity	11	7	—	—	$31,690.77	$120,295.03	$76,568.01	2026-05-18
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	22	18	—	—	$27,810.61	$125,226.93	$76,518.77	2026-05-18
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	11	7	—	—	$28,663.92	$108,805.42	$76,484.32	2026-05-18
523329	OTHER	Hchg Ide Expand Heart G140111 Pr41170	26	16	$128,810.20	$72,133.71 44% off	$25,916.61	$128,810.20	$76,461.74	2026-05-18
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	22	18	—	—	$27,766.82	$125,029.79	$76,398.30	2026-05-18
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	11	7	—	—	$31,434.61	$119,322.65	$75,949.09	2026-05-18
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	11	7	—	—	$31,293.86	$118,788.37	$75,609.02	2026-05-18
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	11	7	—	—	$31,108.06	$118,083.13	$75,451.86	2026-05-18
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	11	7	—	—	$30,053.14	$114,078.73	$75,103.49	2026-05-18
759-4	OTHER	Eating Disorders	11	7	—	—	$31,049.65	$117,861.40	$75,019.00	2026-05-18
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	11	7	—	—	$30,932.83	$117,417.95	$74,736.74	2026-05-18
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	18	—	—	$27,149.28	$126,408.69	$74,699.20	2026-05-18
525080	OTHER	Hchg Generator Neurostim Implant Non Rechargeable	27	17	$125,824.00	$70,461.44 44% off	$25,315.79	$125,824.00	$74,588.47	2026-05-18
523953	OTHER	Hchg Cardiac Asst Dev Cath Based Pr37470	27	17	$125,824.00	$70,461.44 44% off	$25,315.79	$125,824.00	$74,588.47	2026-05-18
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	7	—	—	$30,818.12	$116,982.52	$74,459.59	2026-05-18
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	22	18	—	—	$26,950.74	$121,355.08	$74,152.91	2026-05-18
471	OTHER	Cervical Spinal Fusion With Mcc	22	18	—	—	$24,582.91	$123,575.34	$74,079.12	2026-05-18
270	OTHER	Other Major Cardiovascular Procedures With Mcc	22	18	—	—	$26,861.64	$192,002.95	$73,907.77	2026-05-18
179-3	OTHER	Defibrillator Implants	11	7	—	—	$27,563.96	$104,630.04	$73,549.26	2026-05-18
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	7	—	—	$30,421.20	$115,475.86	$73,500.60	2026-05-18
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	11	7	—	—	$24,637.74	$93,522.44	$73,482.56	2026-05-18
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	7	—	—	$30,364.90	$115,262.15	$73,364.57	2026-05-18
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	11	7	—	—	$27,561.14	$104,619.36	$73,301.60	2026-05-18
029-4	OTHER	Other Percutaneous Intracranial Procedures	11	7	—	—	$28,688.56	$108,898.91	$73,245.01	2026-05-18
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	22	18	—	—	$25,390.85	$120,657.02	$73,023.93	2026-05-18
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	22	18	—	—	$26,500.69	$119,328.59	$72,914.64	2026-05-18
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$30,041.88	$114,035.98	$72,785.25	2026-05-18
611-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	7	—	—	$2,217.91	$114,198.94	$72,687.83	2026-05-18
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	11	7	—	—	$27,232.49	$103,371.82	$72,664.80	2026-05-18
230-4	OTHER	Major Small Bowel Procedures	11	7	—	—	$27,230.38	$103,363.81	$72,659.16	2026-05-18
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	7	—	—	$22,293.54	$90,530.21	$72,424.17	2026-05-18
121-4	OTHER	Other Respiratory And Chest Procedures	11	7	—	—	$27,090.33	$102,832.20	$72,285.47	2026-05-18
232-4	OTHER	Gastric Fundoplication	11	7	—	—	$29,901.13	$113,501.71	$72,244.04	2026-05-18
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	11	7	—	—	$29,180.48	$110,766.21	$71,934.71	2026-05-18
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	11	7	—	—	$29,663.26	$112,598.78	$71,669.33	2026-05-18
650-4	OTHER	Splenectomy	11	7	—	—	$27,770.16	$105,412.76	$71,664.14	2026-05-18
625-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	11	7	—	—	$29,552.06	$112,176.70	$71,400.68	2026-05-18
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	11	7	—	—	$24,601.85	$93,386.20	$71,252.26	2026-05-18
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	7	—	—	$23,956.51	$90,936.54	$71,237.28	2026-05-18
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	11	7	—	—	$27,262.05	$103,484.02	$71,022.25	2026-05-18
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	18	—	—	$25,659.66	$115,541.54	$70,600.60	2026-05-18
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	11	7	—	—	$26,430.21	$100,326.45	$70,524.06	2026-05-18
444-4	OTHER	Renal Dialysis Access Device Procedures	11	7	—	—	$29,101.66	$110,467.02	$70,312.46	2026-05-18
231-4	OTHER	Major Large Bowel Procedures	11	7	—	—	$26,732.82	$101,475.14	$69,853.40	2026-05-18
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	11	7	—	—	$26,162.78	$99,311.32	$69,810.48	2026-05-18
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	11	7	—	—	$27,798.31	$105,519.62	$69,554.56	2026-05-18
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	11	7	—	—	$24,535.70	$93,135.09	$69,315.88	2026-05-18
228	OTHER	Other Cardiothoracic Procedures With Mcc	22	18	—	—	$25,187.21	$113,414.20	$69,300.71	2026-05-18
180-4	OTHER	Other Circulatory System Procedures	11	7	—	—	$28,593.55	$108,538.28	$69,084.81	2026-05-18
690-3	OTHER	Acute Leukemia	11	7	—	—	$28,582.29	$108,495.54	$69,057.61	2026-05-18
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	22	18	—	—	$24,952.01	$112,355.11	$68,653.56	2026-05-18
024-4	OTHER	Open Extracranial Vascular Procedures	11	7	—	—	$28,397.20	$107,792.96	$68,610.42	2026-05-18
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	22	18	—	—	$25,142.41	$113,212.47	$68,602.89	2026-05-18
518-4	OTHER	Other Female Reproductive System And Related Procedures	11	7	—	—	$28,345.83	$107,597.95	$68,486.29	2026-05-18
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	22	18	—	—	$16,379.68	$112,825.05	$68,368.12	2026-05-18
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	11	7	—	—	$24,121.89	$91,564.31	$68,352.15	2026-05-18
042-4	OTHER	Degenerative Nervous System Disorders Except Multiple Sclerosis	11	7	—	—	$28,250.12	$107,234.64	$68,255.05	2026-05-18
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	11	7	—	—	$25,502.66	$96,805.56	$68,049.07	2026-05-18
525043	OTHER	Hchg Ide Artist G240185 Pr34170	26	16	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$68,040.81	2026-05-18
525023	OTHER	Hchg Ide Jena-vad Registry G150035 Pr34170	26	16	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$68,040.81	2026-05-18
524059	OTHER	Hchg Investigational Device Align-ar-pma G150035 P	26	16	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$68,040.81	2026-05-18
525057	OTHER	Hchg Ide Journey G190117 Pr34170	26	16	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$68,040.81	2026-05-18
525021	OTHER	Hchg Triclip G5 Transcath Tricuspid Repair Sys Pr3	27	17	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$67,949.11	2026-05-18
524726	OTHER	Hchg Generator Neurostim Implant Non Rechargeable	27	17	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$67,949.11	2026-05-18
524628	OTHER	Hchg Gen Neuro Carotid Imp Nonrechg W Lead Pr34170	27	17	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$67,949.11	2026-05-18
524665	OTHER	Hchg Triclip G4 Transcath Tricuspid Repair Sys Pr3	27	17	$114,624.00	$64,189.44 44% off	$23,062.35	$114,624.00	$67,949.11	2026-05-18
183-3	OTHER	Percutaneous Structural Cardiac Procedures	11	7	—	—	$23,612.37	$89,630.23	$67,734.62	2026-05-18
622-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	11	7	—	—	$16,568.76	$106,155.40	$67,568.11	2026-05-18
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	11	7	—	—	$25,263.38	$95,897.29	$67,410.61	2026-05-18
626-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	11	7	—	—	$27,777.19	$105,439.47	$67,112.42	2026-05-18
026-4	OTHER	Other Nervous System And Related Procedures	11	7	—	—	$26,556.88	$100,807.30	$67,043.56	2026-05-18
523931	OTHER	Hchg Ide Encircle G170152 Pr34170	26	16	$112,833.00	$63,186.48 44% off	$22,702.00	$112,833.00	$66,977.67	2026-05-18
793-4	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	11	7	—	—	$25,863.69	$98,175.98	$66,862.89	2026-05-18
043-4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	11	7	—	—	$27,668.11	$105,025.41	$66,848.87	2026-05-18
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	22	18	—	—	$24,237.23	$109,136.58	$66,686.90	2026-05-18
305-4	OTHER	Amputation Of Lower Limb Except Toes	11	7	—	—	$27,335.24	$103,761.85	$66,044.61	2026-05-18
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	7	—	—	$23,811.54	$90,386.23	$65,877.29	2026-05-18
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	22	18	—	—	$23,934.83	$107,774.89	$65,854.86	2026-05-18

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