Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

AVERA MARSHALL REGIONAL MEDICAL CTR

Marshall, MN · CCN 241359 · Rates published

3,992 distinct procedures filed
5 distinct payers
36,095 rate rows
2026-05-09 last MRF observed
Data quality

35,597 of 36,095 rate rows are consumer-grade (98.6%)

498 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 223
per-diem day rate — not a per-procedure price 211
exceeds 10× this hospital's gross charge — excluded from medians 53
percent-of-charges filed in the dollar field — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/611b19cb-b403-4845-b370-8ac340480d3f/460380552_avera-marshall-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 7210a28e73f22088… · 11,285,834 bytes · first seen 2026-05-09

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
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $724,391.47 $724,391.47 $724,391.47 —
5834
CPT 		Neonate With Ecmo 1 $229,982.51 $847,299.94 $538,641.22 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $470,100.92 $470,100.92 $470,100.92 —
5891
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $153,029.31 $563,789.51 $358,409.41 —
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $356,052.73 $356,052.73 $356,052.73 —
5884
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $148,778.70 $548,129.43 $348,454.07 —
8414
CPT 		Extensive Third Degree Burns With Skin Graft 1 $146,865.77 $541,081.84 $343,973.80 —
5914
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $139,711.92 $514,725.66 $327,218.79 —
5934
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $137,528.20 $506,680.42 $322,104.31 —
5833
CPT 		Neonate With Ecmo 1 $134,446.43 $495,326.58 $314,886.51 —
927
CPT 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $309,166.61 $309,166.61 $309,166.61 —
5892
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $122,423.69 $451,032.49 $286,728.09 —
6094
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $119,510.27 $440,298.88 $279,904.58 —
1614
CPT 		Implantable Heart Assist Systems 1 $110,517.77 $407,168.81 $258,843.29 —
5933
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $106,918.98 $393,910.16 $250,414.57 —
6024
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $104,257.78 $384,105.77 $244,181.77 —
5893
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $103,933.07 $382,909.47 $243,421.27 —
5883
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $102,749.84 $378,550.25 $240,650.05 —
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $232,357.24 $232,357.24 $232,357.24 —
7
CPT 		Lung Transplant 1 $217,239.61 $217,239.61 $217,239.61 —
6074
CPT 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $90,603.69 $333,801.48 $212,202.58 —
5832
CPT 		Neonate With Ecmo 1 $86,791.62 $319,757.06 $203,274.34 —
1613
CPT 		Implantable Heart Assist Systems 1 $86,301.55 $317,951.57 $202,126.56 —
14
CPT 		Liver Transplant And/or Intestinal Transplant 2 $75,481.21 $278,087.34 $201,600.27 —
5932
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $84,917.63 $312,852.94 $198,885.29 —
5882
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $83,285.68 $306,840.53 $195,063.11 —
6114
CPT 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $82,448.14 $303,754.86 $193,101.50 —
6023
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $82,210.30 $302,878.61 $192,544.46 —
6034
CPT 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $81,392.53 $299,865.78 $190,629.16 —
2
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $190,090.95 $190,090.95 $190,090.95 —
209
CPT 		Complex Aortic Arch Procedures 1 $189,872.87 $189,872.87 $189,872.87 —
6214
CPT 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 $79,870.21 $294,257.28 $187,063.74 —
426
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $184,880.63 $184,880.63 $184,880.63 —
5931
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $77,198.23 $284,413.17 $180,805.70 —
44
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $76,103.07 $280,378.41 $178,240.74 —
6314
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $75,463.24 $278,021.12 $176,742.18 —
5
CPT 		Liver Transplant With Mcc Or Intestinal Transplant 1 $172,958.64 $172,958.64 $172,958.64 —
24
CPT 		Heart And/or Lung Transplant 2 $65,622.12 $628,142.63 $170,496.67 —
5913
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $72,793.65 $268,185.84 $170,489.74 —
215
CPT 		Other Heart Assist System Implant 1 $167,028.68 $167,028.68 $167,028.68 —
5831
CPT 		Neonate With Ecmo 1 $71,011.32 $261,619.42 $166,315.37 —
216
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $164,106.47 $164,106.47 $164,106.47 —
1612
CPT 		Implantable Heart Assist Systems 1 $69,292.51 $255,286.96 $162,289.73 —
1611
CPT 		Implantable Heart Assist Systems 1 $65,827.91 $242,522.72 $154,175.32 —
429
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $151,136.04 $151,136.04 $151,136.04 —
6073
CPT 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $63,402.15 $233,585.77 $148,493.96 —
850
CPT 		Acute Leukemia With Other Procedures 1 $145,263.11 $145,263.11 $145,263.11 —
6113
CPT 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $60,917.09 $224,430.30 $142,673.70 —
456
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $140,967.04 $140,967.04 $140,967.04 —
43
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $58,761.53 $216,488.80 $137,625.16 —

Other procedures at this hospital

Browse this hospital's 3,992 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
4844 CPT Other Male Reproductive System And Related Procedures 2 1 — — $21,798.85 $80,311.18 $51,055.01 2026-05-09
7594 CPT Eating Disorders 2 1 — — $21,859.96 $80,536.31 $51,198.13 2026-05-09
662 CPT Minor Bladder Procedures With Mcc 1 1 — — $51,356.66 $51,356.66 $51,356.66 2026-05-09
10 CPT Pancreas Transplant 1 1 — — $51,497.57 $51,497.57 $51,497.57 2026-05-09
4804 CPT Major Male Pelvic Procedures 2 1 — — $21,994.16 $81,030.73 $51,512.44 2026-05-09
5184 CPT Other Female Reproductive System And Related Procedures 2 1 — — $22,039.09 $81,196.27 $51,617.68 2026-05-09
6223 CPT Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $22,067.25 $81,300.00 $51,683.62 2026-05-09
3624 CPT Mastectomy Procedures 2 1 — — $22,072.64 $81,319.87 $51,696.25 2026-05-09
53 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $16,426.08 $190,693.25 $51,759.84 2026-05-09
7524 CPT Disorders Of Personality And Impulse Control 2 1 — — $22,187.67 $81,743.65 $51,965.66 2026-05-09
26 CPT Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $52,156.83 $52,156.83 $52,156.83 2026-05-09
3254 CPT Non-elective Or Complex Knee Joint Replacement 2 1 — — $22,320.67 $82,233.65 $52,277.16 2026-05-09
665 CPT Prostatectomy With Mcc 1 1 — — $52,358.13 $52,358.13 $52,358.13 2026-05-09
258 CPT Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $52,708.73 $52,708.73 $52,708.73 2026-05-09
5114 CPT Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 1 — — $22,512.98 $82,942.16 $52,727.57 2026-05-09
229 CPT Other Cardiothoracic Procedures Without Mcc 1 1 — — $52,832.86 $52,832.86 $52,832.86 2026-05-09
324 CPT Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $52,858.03 $52,858.03 $52,858.03 2026-05-09
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $53,009.00 $53,009.00 $53,009.00 2026-05-09
2324 CPT Gastric Fundoplication 2 1 — — $22,654.37 $83,463.06 $53,058.71 2026-05-09
500 CPT Soft Tissue Procedures With Mcc 1 1 — — $53,089.52 $53,089.52 $53,089.52 2026-05-09
2304 CPT Major Small Bowel Procedures 2 1 — — $22,772.39 $83,897.88 $53,335.14 2026-05-09
656 CPT Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $53,408.25 $53,408.25 $53,408.25 2026-05-09
6212 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $22,818.52 $84,067.83 $53,443.18 2026-05-09
515 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $53,460.25 $53,460.25 $53,460.25 2026-05-09
8154 CPT Other Injury, Poisoning And Toxic Effect Diagnoses 2 1 — — $22,826.91 $84,098.73 $53,462.82 2026-05-09
907 CPT Other O.r. Procedures For Injuries With Mcc 2 2 — — $42,580.33 $64,404.26 $53,492.29 2026-05-09
1653 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $22,920.97 $84,445.26 $53,683.11 2026-05-09
325 CPT Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $53,854.46 $53,854.46 $53,854.46 2026-05-09
1804 CPT Other Circulatory System Procedures 2 1 — — $22,999.45 $84,734.41 $53,866.93 2026-05-09
929 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 1 1 — — $54,028.92 $54,028.92 $54,028.92 2026-05-09
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $54,134.60 $54,134.60 $54,134.60 2026-05-09
652 CPT Kidney Transplant 1 1 — — $54,174.86 $54,174.86 $54,174.86 2026-05-09
840 CPT Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $54,265.45 $54,265.45 $54,265.45 2026-05-09
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $54,325.84 $54,325.84 $54,325.84 2026-05-09
73 CPT Allogeneic Bone Marrow Transplant 3 2 — — $26,912.13 $200,362.99 $54,384.50 2026-05-09
6903 CPT Acute Leukemia 2 1 — — $23,224.71 $85,564.32 $54,394.51 2026-05-09
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $54,565.72 $54,565.72 $54,565.72 2026-05-09
6344 CPT Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 1 — — $23,412.23 $86,255.17 $54,833.70 2026-05-09
37 CPT Extracranial Procedures With Mcc 1 1 — — $55,224.98 $55,224.98 $55,224.98 2026-05-09
6032 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $23,666.25 $87,191.02 $55,428.64 2026-05-09
7114 CPT Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 1 — — $23,798.65 $87,678.81 $55,738.73 2026-05-09
2004 CPT Cardiac Structural And Valvular Disorders 2 1 — — $23,908.88 $88,084.94 $55,996.91 2026-05-09
264 CPT Other Nervous System And Related Procedures 3 2 — — $22,884.42 $84,310.63 $56,038.57 2026-05-09
8423 CPT Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $23,927.45 $88,153.36 $56,040.40 2026-05-09
3644 CPT Other Skin, Subcutaneous Tissue And Related Procedures 2 1 — — $23,946.63 $88,223.99 $56,085.31 2026-05-09
1623 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $24,032.90 $88,541.83 $56,287.37 2026-05-09
3134 CPT Knee And Lower Leg Procedures Except Foot 2 1 — — $24,047.27 $88,594.80 $56,321.04 2026-05-09
1704 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 1 — — $24,072.44 $88,687.50 $56,379.97 2026-05-09
6302 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $24,192.26 $89,128.94 $56,660.60 2026-05-09
6914 CPT Lymphoma, Myeloma And Non-acute Leukemia 2 1 — — $24,333.05 $89,647.64 $56,990.35 2026-05-09
6133 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $24,340.83 $89,676.33 $57,008.58 2026-05-09
9524 CPT Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $24,362.40 $89,755.79 $57,059.10 2026-05-09
2644 CPT Other Hepatobiliary, Pancreas And Abdominal Procedures 2 1 — — $24,366.60 $89,771.24 $57,068.92 2026-05-09
29 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $57,229.59 $57,229.59 $57,229.59 2026-05-09
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $57,511.41 $57,511.41 $57,511.41 2026-05-09
3033 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $24,572.09 $90,528.31 $57,550.20 2026-05-09
359 CPT Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $57,682.52 $57,682.52 $57,682.52 2026-05-09
6143 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $24,679.33 $90,923.40 $57,801.36 2026-05-09
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $57,950.92 $57,950.92 $57,950.92 2026-05-09
8633 CPT Neonatal Aftercare 2 1 — — $24,833.89 $91,492.85 $58,163.37 2026-05-09
4014 CPT Adrenal Procedures 2 1 — — $24,976.48 $92,018.17 $58,497.32 2026-05-09
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $58,501.14 $58,501.14 $58,501.14 2026-05-09
252 CPT Other Vascular Procedures With Mcc 1 1 — — $58,516.23 $58,516.23 $58,516.23 2026-05-09
1793 CPT Defibrillator Implants 2 1 — — $25,119.66 $92,545.69 $58,832.68 2026-05-09
9514 CPT Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $25,186.76 $92,792.90 $58,989.83 2026-05-09
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $59,153.68 $59,153.68 $59,153.68 2026-05-09
4444 CPT Renal Dialysis Access Device Procedures 2 1 — — $25,283.82 $93,150.46 $59,217.14 2026-05-09
7504 CPT Schizophrenia 2 1 — — $25,352.71 $93,404.29 $59,378.50 2026-05-09
3054 CPT Amputation Of Lower Limb Except Toes 2 1 — — $25,464.15 $93,814.83 $59,639.49 2026-05-09
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $59,705.58 $59,705.58 $59,705.58 2026-05-09
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $59,812.94 $59,812.94 $59,812.94 2026-05-09
335 CPT Peritoneal Adhesiolysis With Mcc 1 1 — — $59,901.85 $59,901.85 $59,901.85 2026-05-09
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $59,962.24 $59,962.24 $59,962.24 2026-05-09
22 CPT Heart And/or Lung Transplant 3 2 — — $51,584.80 $222,364.36 $60,356.33 2026-05-09
6234 CPT Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 1 — — $25,799.04 $95,048.65 $60,423.84 2026-05-09
279 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $60,497.36 $60,497.36 $60,497.36 2026-05-09
4054 CPT Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 1 — — $25,857.76 $95,264.96 $60,561.36 2026-05-09
97 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 1 1 — — $60,587.95 $60,587.95 $60,587.95 2026-05-09
265 CPT Aicd Lead Procedures 1 1 — — $60,695.31 $60,695.31 $60,695.31 2026-05-09
332 CPT Rectal Resection With Mcc 1 1 — — $60,737.24 $60,737.24 $60,737.24 2026-05-09
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $60,821.12 $60,821.12 $60,821.12 2026-05-09
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $60,868.09 $60,868.09 $60,868.09 2026-05-09
3214 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 2 1 — — $25,996.15 $95,774.82 $60,885.49 2026-05-09
4044 CPT Thyroid, Parathyroid And Thyroglossal Procedures 2 1 — — $26,102.19 $96,165.50 $61,133.85 2026-05-09
224 CPT Ventricular Shunt Procedures 2 1 — — $26,112.37 $96,203.02 $61,157.70 2026-05-09
6504 CPT Splenectomy 2 1 — — $26,126.15 $96,253.78 $61,189.97 2026-05-09
213 CPT Open Craniotomy Except Trauma 3 2 — — $16,666.96 $95,733.25 $61,404.30 2026-05-09
904 CPT Skin Grafts For Injuries With Cc/mcc 1 1 — — $61,616.25 $61,616.25 $61,616.25 2026-05-09
4401 CPT Kidney Transplant 2 1 — — $26,466.44 $97,507.47 $61,986.96 2026-05-09
651 CPT Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $62,164.80 $62,164.80 $62,164.80 2026-05-09
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 1 — — $62,517.07 $62,517.07 $62,517.07 2026-05-09
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $62,693.21 $62,693.21 $62,693.21 2026-05-09
166 CPT Other Respiratory System O.r. Procedures With Mcc 1 1 — — $62,699.92 $62,699.92 $62,699.92 2026-05-09
1214 CPT Other Respiratory And Chest Procedures 2 1 — — $26,794.75 $98,717.02 $62,755.89 2026-05-09
1834 CPT Percutaneous Structural Cardiac Procedures 2 1 — — $26,812.12 $98,781.03 $62,796.57 2026-05-09
143 CPT Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $62,849.22 $62,849.22 $62,849.22 2026-05-09
13 CPT Liver Transplant And/or Intestinal Transplant 3 2 — — $48,342.20 $231,601.50 $62,863.56 2026-05-09
3044 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $26,933.14 $99,226.88 $63,080.01 2026-05-09
924 CPT Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $27,016.41 $99,533.68 $63,275.04 2026-05-09
5104 CPT Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 1 — — $27,067.34 $99,721.30 $63,394.32 2026-05-09
1764 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 1 — — $27,094.30 $99,820.62 $63,457.46 2026-05-09
1303 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $27,282.41 $100,513.68 $63,898.04 2026-05-09
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $64,025.14 $64,025.14 $64,025.14 2026-05-09
6954 CPT Chemotherapy For Acute Leukemia 2 1 — — $27,418.41 $101,014.72 $64,216.57 2026-05-09
3094 CPT Other Significant Hip And Femur Surgery 2 1 — — $27,434.59 $101,074.31 $64,254.45 2026-05-09
1664 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $27,562.79 $101,546.65 $64,554.72 2026-05-09
7924 CPT Extensive O.r. Procedures For Other Complications Of Treatment 2 1 — — $27,601.14 $101,687.91 $64,644.53 2026-05-09
40 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $64,771.63 $64,771.63 $64,771.63 2026-05-09
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $64,833.70 $64,833.70 $64,833.70 2026-05-09
34 CPT Carotid Artery Stent Procedures With Mcc 1 1 — — $64,930.99 $64,930.99 $64,930.99 2026-05-09
6614 CPT Coagulation And Platelet Disorders 2 1 — — $28,005.53 $103,177.77 $65,591.65 2026-05-09
6082 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $28,043.87 $103,319.03 $65,681.45 2026-05-09
802 CPT Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $66,833.28 $66,833.28 $66,833.28 2026-05-09
6122 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $28,566.29 $105,243.71 $66,905.00 2026-05-09
2604 CPT Major Pancreas, Liver And Shunt Procedures 2 1 — — $28,583.06 $105,305.51 $66,944.29 2026-05-09
7104 CPT Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 1 — — $28,616.61 $105,429.12 $67,022.86 2026-05-09
6514 CPT Other Procedures Of Blood And Blood-forming Organs 2 1 — — $28,731.64 $105,852.90 $67,292.27 2026-05-09
1824 CPT Other Peripheral Vascular And Related Procedures 2 1 — — $28,762.19 $105,965.46 $67,363.82 2026-05-09
233 CPT Spinal Procedures 3 2 — — $18,394.17 $128,248.23 $67,767.66 2026-05-09
3174 CPT Tendon, Muscle And Other Soft Tissue Procedures 2 1 — — $29,051.56 $107,031.54 $68,041.55 2026-05-09
791 CPT Prematurity With Major Problems 1 1 — — $68,089.73 $68,089.73 $68,089.73 2026-05-09
1814 CPT Lower Extremity Arterial Procedures 2 1 — — $29,080.91 $107,139.70 $68,110.30 2026-05-09
3614 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $29,694.39 $109,399.87 $69,547.13 2026-05-09
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $69,995.37 $69,995.37 $69,995.37 2026-05-09
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $70,267.12 $70,267.12 $70,267.12 2026-05-09
901 CPT Wound Debridements For Injuries With Mcc 1 1 — — $70,397.97 $70,397.97 $70,397.97 2026-05-09
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $70,481.84 $70,481.84 $70,481.84 2026-05-09
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $70,688.17 $70,688.17 $70,688.17 2026-05-09
12 CPT Liver Transplant And/or Intestinal Transplant 3 2 — — $39,178.14 $144,339.84 $70,723.40 2026-05-09
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $70,844.18 $70,844.18 $70,844.18 2026-05-09
51 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $30,303.08 $111,642.38 $70,972.73 2026-05-09
64 CPT Pancreas Transplant 3 2 — — $33,734.53 $261,537.75 $70,989.16 2026-05-09
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $71,139.42 $71,139.42 $71,139.42 2026-05-09
4414 CPT Major Bladder Procedures 2 1 — — $30,399.53 $111,997.74 $71,198.64 2026-05-09
140 CPT Major Head And Neck Procedures With Mcc 1 1 — — $71,550.41 $71,550.41 $71,550.41 2026-05-09
6804 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $30,584.06 $112,677.56 $71,630.81 2026-05-09
9124 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $30,723.65 $113,191.84 $71,957.74 2026-05-09
1781 CPT External Heart Assist Systems 2 1 — — $30,821.30 $113,551.61 $72,186.46 2026-05-09
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $72,592.14 $72,592.14 $72,592.14 2026-05-09
94 CPT Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $59,037.94 $269,040.02 $73,025.50 2026-05-09
6021 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $31,277.81 $115,233.50 $73,255.65 2026-05-09
356 CPT Other Digestive System O.r. Procedures With Mcc 1 1 — — $73,689.22 $73,689.22 $73,689.22 2026-05-09
214 CPT Open Craniotomy Except Trauma 2 1 — — $31,812.21 $117,202.32 $74,507.27 2026-05-09
1204 CPT Major Respiratory And Chest Procedures 2 1 — — $31,818.20 $117,224.39 $74,521.29 2026-05-09
6213 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $31,939.22 $117,670.25 $74,804.74 2026-05-09
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $74,865.15 $74,865.15 $74,865.15 2026-05-09
6814 CPT Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 1 — — $31,986.55 $117,844.62 $74,915.58 2026-05-09
31 CPT Ventricular Shunt Procedures With Mcc 1 1 — — $75,160.39 $75,160.39 $75,160.39 2026-05-09
163 CPT Major Chest Procedures With Mcc 1 1 — — $75,182.20 $75,182.20 $75,182.20 2026-05-09
1782 CPT External Heart Assist Systems 2 1 — — $32,108.17 $118,292.68 $75,200.42 2026-05-09
6144 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 1 — — $32,170.47 $118,522.23 $75,346.35 2026-05-09
3124 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $32,304.67 $119,016.64 $75,660.65 2026-05-09
7404 CPT Mental Illness Diagnosis With O.r. Procedure 2 1 — — $32,316.05 $119,058.58 $75,687.32 2026-05-09
799 CPT Splenic Procedures With Mcc 1 1 — — $75,972.30 $75,972.30 $75,972.30 2026-05-09
4474 CPT Other Kidney, Urinary Tract And Related Procedures 2 1 — — $32,546.71 $119,908.35 $76,227.53 2026-05-09
25 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $76,270.89 $76,270.89 $76,270.89 2026-05-09
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $76,304.44 $76,304.44 $76,304.44 2026-05-09
245 CPT Aicd Generator Procedures 1 1 — — $76,534.26 $76,534.26 $76,534.26 2026-05-09
1783 CPT External Heart Assist Systems 2 1 — — $32,679.11 $120,396.14 $76,537.62 2026-05-09
329 CPT Major Small And Large Bowel Procedures With Mcc 1 1 — — $77,106.29 $77,106.29 $77,106.29 2026-05-09
2614 CPT Major Biliary Tract Procedures 2 1 — — $32,927.14 $121,309.92 $77,118.53 2026-05-09
6224 CPT Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $32,997.23 $121,568.16 $77,282.70 2026-05-09
4402 CPT Kidney Transplant 2 1 — — $33,029.58 $121,687.35 $77,358.46 2026-05-09
277 CPT Cardiac Defibrillator Implant Without Mcc 1 1 — — $77,475.34 $77,475.34 $77,475.34 2026-05-09
6 CPT Liver Transplant Without Mcc 1 1 — — $77,785.68 $77,785.68 $77,785.68 2026-05-09
8504 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 1 — — $33,333.92 $122,808.61 $78,071.26 2026-05-09
1794 CPT Defibrillator Implants 2 1 — — $33,386.05 $123,000.63 $78,193.34 2026-05-09
74 CPT Allogeneic Bone Marrow Transplant 3 2 — — $17,291.67 $288,423.65 $78,286.79 2026-05-09
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $78,470.10 $78,470.10 $78,470.10 2026-05-09
650 CPT Kidney Transplant With Hemodialysis With Mcc 1 1 — — $78,865.99 $78,865.99 $78,865.99 2026-05-09
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $79,862.42 $79,862.42 $79,862.42 2026-05-09
1654 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $34,124.74 $125,722.11 $79,923.42 2026-05-09
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $80,592.13 $80,592.13 $80,592.13 2026-05-09
17 CPT Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $81,162.48 $81,162.48 $81,162.48 2026-05-09
9504 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $34,749.00 $128,022.01 $81,385.51 2026-05-09
9114 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 1 — — $34,807.71 $128,238.32 $81,523.02 2026-05-09
1634 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 1 — — $35,004.21 $128,962.28 $81,983.24 2026-05-09
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $82,217.63 $82,217.63 $82,217.63 2026-05-09
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $82,561.52 $82,561.52 $82,561.52 2026-05-09
228 CPT Other Cardiothoracic Procedures With Mcc 1 1 — — $82,992.64 $82,992.64 $82,992.64 2026-05-09
6904 CPT Acute Leukemia 2 1 — — $35,495.48 $130,772.19 $83,133.83 2026-05-09
2224 CPT Other Stomach, Esophageal And Duodenal Procedures 2 1 — — $35,617.69 $131,222.45 $83,420.07 2026-05-09
326 CPT Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $83,663.64 $83,663.64 $83,663.64 2026-05-09
6123 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $35,729.13 $131,632.99 $83,681.06 2026-05-09
9104 CPT Craniotomy For Multiple Significant Trauma 2 1 — — $35,732.72 $131,646.24 $83,689.48 2026-05-09
54 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $25,613.75 $308,654.85 $83,778.14 2026-05-09
1674 CPT Other Cardiothoracic And Thoracic Vascular Procedures 2 1 — — $35,860.93 $132,118.58 $83,989.76 2026-05-09
6072 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $36,820.69 $135,654.51 $86,237.60 2026-05-09
653 CPT Major Bladder Procedures With Mcc 1 1 — — $87,169.61 $87,169.61 $87,169.61 2026-05-09
466 CPT Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $87,320.59 $87,320.59 $87,320.59 2026-05-09
6134 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 1 — — $37,326.93 $137,519.60 $87,423.27 2026-05-09
21 CPT Heart And/or Lung Transplant 3 2 — — $51,741.87 $190,627.04 $88,803.50 2026-05-09
220 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $89,457.72 $89,457.72 $89,457.72 2026-05-09
6083 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $38,379.54 $141,397.65 $89,888.60 2026-05-09
4403 CPT Kidney Transplant 2 1 — — $38,511.35 $141,883.23 $90,197.29 2026-05-09
5894 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $38,605.40 $142,229.76 $90,417.58 2026-05-09
2204 CPT Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $38,714.44 $142,631.47 $90,672.96 2026-05-09
1304 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $38,734.81 $142,706.52 $90,720.66 2026-05-09
11 CPT Liver Transplant And/or Intestinal Transplant 3 2 — — $34,784.94 $128,154.45 $91,492.53 2026-05-09
234 CPT Spinal Procedures 3 2 — — $37,396.42 $137,775.63 $91,636.79 2026-05-09
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $91,767.64 $91,767.64 $91,767.64 2026-05-09
8634 CPT Neonatal Aftercare 2 1 — — $39,199.11 $144,417.10 $91,808.11 2026-05-09
834 CPT Acute Leukemia With Mcc 1 1 — — $92,093.07 $92,093.07 $92,093.07 2026-05-09
6033 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $39,607.70 $145,922.41 $92,765.05 2026-05-09
8424 CPT Burns With Skin Graft Except Extensive Third Degree Burns 2 1 — — $39,979.14 $147,290.87 $93,635.01 2026-05-09
8 CPT Simultaneous Pancreas And Kidney Transplant 1 1 — — $94,017.17 $94,017.17 $94,017.17 2026-05-09
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $94,309.05 $94,309.05 $94,309.05 2026-05-09
1624 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $40,333.81 $148,597.53 $94,465.67 2026-05-09
23 CPT Heart And/or Lung Transplant 3 2 — — $81,330.82 $299,638.44 $96,125.78 2026-05-09
430 CPT Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $96,743.10 $96,743.10 $96,743.10 2026-05-09
6084 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 1 — — $41,677.59 $153,548.28 $97,612.93 2026-05-09
820 CPT Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $98,382.02 $98,382.02 $98,382.02 2026-05-09
1694 CPT Major Abdominal Vascular Procedures 2 1 — — $42,031.66 $154,852.74 $98,442.20 2026-05-09
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $98,445.77 $98,445.77 $98,445.77 2026-05-09
6334 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 2 1 — — $42,451.63 $156,399.98 $99,425.80 2026-05-09
16 CPT Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $99,470.72 $99,470.72 $99,470.72 2026-05-09
790 CPT Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $99,702.21 $99,702.21 $99,702.21 2026-05-09
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $100,031.00 $100,031.00 $100,031.00 2026-05-09
3034 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $42,745.79 $157,483.72 $100,114.76 2026-05-09
276 CPT Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $100,760.72 $100,760.72 $100,760.72 2026-05-09
28 CPT Spinal Procedures With Mcc 1 1 — — $100,789.23 $100,789.23 $100,789.23 2026-05-09
6303 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $43,113.03 $158,836.73 $100,974.88 2026-05-09
969 CPT HIV With Extensive O.r. Procedures With Mcc 1 1 — — $102,684.81 $102,684.81 $102,684.81 2026-05-09
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $102,803.91 $102,803.91 $102,803.91 2026-05-09
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $107,942.09 $107,942.09 $107,942.09 2026-05-09
6093 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $46,466.80 $171,192.64 $108,829.72 2026-05-09
8413 CPT Extensive Third Degree Burns With Skin Graft 2 1 — — $47,086.86 $173,477.09 $110,281.98 2026-05-09
218 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $110,300.66 $110,300.66 $110,300.66 2026-05-09
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $110,300.66 $110,300.66 $110,300.66 2026-05-09
6022 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $47,402.59 $174,640.29 $111,021.44 2026-05-09
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $111,171.28 $111,171.28 $111,171.28 2026-05-09
4404 CPT Kidney Transplant 2 1 — — $47,573.93 $175,271.54 $111,422.74 2026-05-09
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $112,083.84 $112,083.84 $112,083.84 2026-05-09
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $112,166.04 $112,166.04 $112,166.04 2026-05-09
955 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $112,914.20 $112,914.20 $112,914.20 2026-05-09
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $115,376.77 $115,376.77 $115,376.77 2026-05-09
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $115,945.45 $115,945.45 $115,945.45 2026-05-09
1784 CPT External Heart Assist Systems 2 1 — — $49,721.71 $183,184.36 $116,453.04 2026-05-09
1604 CPT Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $50,537.08 $186,188.36 $118,362.72 2026-05-09
5911 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $50,879.17 $187,448.67 $119,163.92 2026-05-09
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $119,612.46 $119,612.46 $119,612.46 2026-05-09
928 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 1 — — $120,322.04 $120,322.04 $120,322.04 2026-05-09
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $121,092.02 $121,092.02 $121,092.02 2026-05-09
6124 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $51,720.90 $190,549.78 $121,135.34 2026-05-09
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $127,823.82 $127,823.82 $127,823.82 2026-05-09
5881 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $54,821.84 $201,974.25 $128,398.04 2026-05-09
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $128,803.48 $128,803.48 $128,803.48 2026-05-09
5912 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $55,966.72 $206,192.21 $131,079.46 2026-05-09
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $131,999.12 $131,999.12 $131,999.12 2026-05-09
6304 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 1 — — $58,175.01 $214,327.95 $136,251.48 2026-05-09
43 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $58,761.53 $216,488.80 $137,625.16 2026-05-09
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $140,967.04 $140,967.04 $140,967.04 2026-05-09
6113 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $60,917.09 $224,430.30 $142,673.70 2026-05-09
850 CPT Acute Leukemia With Other Procedures 1 1 — — $145,263.11 $145,263.11 $145,263.11 2026-05-09
6073 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $63,402.15 $233,585.77 $148,493.96 2026-05-09
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $151,136.04 $151,136.04 $151,136.04 2026-05-09
1611 CPT Implantable Heart Assist Systems 2 1 — — $65,827.91 $242,522.72 $154,175.32 2026-05-09
1612 CPT Implantable Heart Assist Systems 2 1 — — $69,292.51 $255,286.96 $162,289.73 2026-05-09
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $164,106.47 $164,106.47 $164,106.47 2026-05-09
5831 CPT Neonate With Ecmo 2 1 — — $71,011.32 $261,619.42 $166,315.37 2026-05-09
215 CPT Other Heart Assist System Implant 1 1 — — $167,028.68 $167,028.68 $167,028.68 2026-05-09
5913 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $72,793.65 $268,185.84 $170,489.74 2026-05-09
24 CPT Heart And/or Lung Transplant 3 2 — — $65,622.12 $628,142.63 $170,496.67 2026-05-09
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $172,958.64 $172,958.64 $172,958.64 2026-05-09
6314 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 1 — — $75,463.24 $278,021.12 $176,742.18 2026-05-09
44 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $76,103.07 $280,378.41 $178,240.74 2026-05-09
5931 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $77,198.23 $284,413.17 $180,805.70 2026-05-09
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $184,880.63 $184,880.63 $184,880.63 2026-05-09
6214 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 1 — — $79,870.21 $294,257.28 $187,063.74 2026-05-09
209 CPT Complex Aortic Arch Procedures 1 1 — — $189,872.87 $189,872.87 $189,872.87 2026-05-09
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $190,090.95 $190,090.95 $190,090.95 2026-05-09
6034 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 1 — — $81,392.53 $299,865.78 $190,629.16 2026-05-09
6023 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $82,210.30 $302,878.61 $192,544.46 2026-05-09
6114 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $82,448.14 $303,754.86 $193,101.50 2026-05-09
5882 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $83,285.68 $306,840.53 $195,063.11 2026-05-09
5932 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $84,917.63 $312,852.94 $198,885.29 2026-05-09
14 CPT Liver Transplant And/or Intestinal Transplant 3 2 — — $75,481.21 $278,087.34 $201,600.27 2026-05-09
1613 CPT Implantable Heart Assist Systems 2 1 — — $86,301.55 $317,951.57 $202,126.56 2026-05-09
5832 CPT Neonate With Ecmo 2 1 — — $86,791.62 $319,757.06 $203,274.34 2026-05-09
6074 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $90,603.69 $333,801.48 $212,202.58 2026-05-09
7 CPT Lung Transplant 1 1 — — $217,239.61 $217,239.61 $217,239.61 2026-05-09
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $232,357.24 $232,357.24 $232,357.24 2026-05-09
5883 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $102,749.84 $378,550.25 $240,650.05 2026-05-09
5893 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $103,933.07 $382,909.47 $243,421.27 2026-05-09
6024 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 1 — — $104,257.78 $384,105.77 $244,181.77 2026-05-09
5933 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $106,918.98 $393,910.16 $250,414.57 2026-05-09
1614 CPT Implantable Heart Assist Systems 2 1 — — $110,517.77 $407,168.81 $258,843.29 2026-05-09
6094 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 1 — — $119,510.27 $440,298.88 $279,904.58 2026-05-09
5892 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $122,423.69 $451,032.49 $286,728.09 2026-05-09
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $309,166.61 $309,166.61 $309,166.61 2026-05-09
5833 CPT Neonate With Ecmo 2 1 — — $134,446.43 $495,326.58 $314,886.51 2026-05-09
5934 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $137,528.20 $506,680.42 $322,104.31 2026-05-09
5914 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $139,711.92 $514,725.66 $327,218.79 2026-05-09
8414 CPT Extensive Third Degree Burns With Skin Graft 2 1 — — $146,865.77 $541,081.84 $343,973.80 2026-05-09
5884 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $148,778.70 $548,129.43 $348,454.07 2026-05-09
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $356,052.73 $356,052.73 $356,052.73 2026-05-09
5891 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 1 — — $153,029.31 $563,789.51 $358,409.41 2026-05-09
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $470,100.92 $470,100.92 $470,100.92 2026-05-09
5834 CPT Neonate With Ecmo 2 1 — — $229,982.51 $847,299.94 $538,641.22 2026-05-09
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $724,391.47 $724,391.47 $724,391.47 2026-05-09
See an error in this hospital's data? Submit a correction