Hospital

SINGING RIVER HEALTH SYSTEM

Pascagoula, MS · CCN 250040 · Rates published

12,640 distinct procedures filed

37 distinct payers

970,737 rate rows

2026-05-23 last MRF observed

Data quality

830,712 of 970,737 rate rows are consumer-grade (85.6%)

140,025 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	119,012
per-diem day rate — not a per-procedure price	12,798
exceeds 10× this hospital's gross charge — excluded from medians	5,439
template filing: same amount across many unrelated codes — excluded	2,690
placeholder amount (≤ $0.02) — excluded from medians	86

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

Source MRF file	https://singingriverhealthsystem.com/wp-content/uploads/851538878_Ocean-Springs-Hospital_standardcharges.csv
Found on page	https://singingriverhealthsystem.com/patients-and-visitors/billing-and-records/chargemaster/
Discovered via	CMS hospital list
Last fetch	success · 2026-05-18
Content fingerprint	d3a2b1a56bf28653… · 72,626,728 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
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	$278,602.29	$502,092.32	$292,532.40	nat. median $424,868 0.7× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	$181,288.90	$369,299.72	$190,353.34	nat. median $263,894 0.7× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$138,448.63	$359,216.36	$145,371.06	nat. median $146,562 1.0× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	15	$137,644.27	$213,348.62	$143,150.04	nat. median $218,232 0.7× median
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	15	$90,307.76	$143,325.00	$93,920.07	nat. median $150,232 0.6× median
007 OTHER	Lung Transplant	17	$84,522.44	$167,166.50	$88,748.56	nat. median $141,082 0.6× median
A9543 OTHER	Y90 Ibritumomab, Rx	34	$56,824.55	$118,960.00	$87,892.27	nat. median $66,156 1.3× median
014 OTHER	Allogeneic Bone Marrow Transplant	17	$78,537.50	$156,189.15	$82,464.38	nat. median $105,808 0.8× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	$74,133.05	$166,862.59	$77,839.70	nat. median $117,167 0.7× median
209 OTHER	Complex Aortic Arch Procedures	13	$74,049.60	$114,776.88	$76,271.09	nat. median $23,389 outlier · 3.3×
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	17	$71,194.82	$146,783.10	$74,754.56	nat. median $90,581 0.8× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$72,139.12	$111,815.64	$74,303.29	nat. median $80,273 0.9× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	$67,576.75	$141,049.80	$70,955.59	nat. median $104,489 0.7× median
215 OTHER	Other Heart Assist System Implant	17	$65,307.43	$139,207.29	$68,572.80	nat. median $92,359 0.7× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	$64,189.14	$132,263.83	$67,398.60	nat. median $90,130 0.7× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	13	$59,225.55	$91,799.60	$61,002.32	nat. median $62,997 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	13	$56,978.07	$88,316.01	$58,687.41	nat. median $407 outlier · 144.1×
231 OTHER	Coronary Bypass With Ptca With Comorbity	17	$55,504.14	$110,593.95	$58,279.35	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	$55,334.02	$114,875.86	$58,100.72	nat. median $76,493 0.8× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	17	$51,902.13	$115,189.31	$54,497.24	nat. median $82,426 0.7× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	$50,679.20	$105,088.23	$53,213.16	nat. median $72,612 0.7× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	17	$50,466.72	$106,292.95	$52,990.06	nat. median $68,249 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	17	$50,304.30	$98,564.51	$52,819.52	nat. median $68,309 0.8× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	17	$47,433.47	$94,301.67	$49,805.14	nat. median $46,003 1.1× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	17	$47,188.89	$108,935.42	$49,548.33	nat. median $67,495 0.7× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	17	$47,161.92	$95,883.88	$49,520.02	nat. median $29,655 1.7× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	$47,728.14	$73,978.62	$49,159.98	nat. median $51,811 0.9× median
010 OTHER	Pancreas Transplant	17	$43,322.40	$73,551.75	$48,876.32	nat. median $67,882 0.7× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	17	$45,540.99	$93,415.85	$47,818.04	nat. median $67,670 0.7× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	16	$3,150.00	$70,925.85	$47,360.16	nat. median $54,564 0.9× median
955 OTHER	Craniotomy For Multiple Significant Trauma	17	$44,598.59	$82,997.25	$46,828.52	nat. median $62,467 0.7× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	$43,598.43	$77,634.63	$45,778.35	nat. median $56,507 0.8× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	$43,598.43	$86,746.31	$45,778.35	nat. median $60,727 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	13	$44,312.28	$68,684.03	$45,641.65	nat. median $48,503 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	17	$43,445.01	$84,740.27	$45,617.26	nat. median $54,881 0.8× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	13	$44,280.83	$68,635.29	$45,609.25	nat. median $54,322 0.8× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	15	$42,695.84	$67,353.00	$44,403.67	nat. median $66,849 0.7× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	17	$40,729.52	$85,121.85	$42,766.00	nat. median $58,866 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	17	$40,683.96	$93,659.79	$42,718.16	nat. median $64,729 0.7× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	17	$40,307.11	$81,067.52	$42,322.47	nat. median $56,351 0.8× median
028 OTHER	Spinal Procedures With Mcc	17	$39,958.55	$82,123.69	$41,956.48	nat. median $61,887 0.7× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	17	$39,947.63	$84,632.61	$41,945.01	nat. median $3,947 outlier · 10.6×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	$39,668.38	$82,794.19	$41,651.80	nat. median $52,731 0.8× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	17	$39,453.97	$84,180.16	$41,426.67	nat. median $60,768 0.7× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	15	$39,542.56	$61,290.97	$41,124.26	nat. median $42,432 1.0× median
235 OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	17	$39,061.72	$80,140.82	$41,014.81	nat. median $56,120 0.7× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	17	$39,037.34	$82,404.43	$40,989.21	nat. median $45,878 0.9× median
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	17	$38,173.91	$77,254.41	$40,082.61	nat. median $59,073 0.7× median
463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	17	$37,976.18	$77,184.90	$39,874.99	nat. median $48,651 0.8× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	13	$38,410.14	$59,535.72	$39,562.44	nat. median $88 outlier · 449.8×

Other procedures at this hospital

Browse this hospital's 12,640 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

001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	43	17	—	—	$181,288.90	$369,299.72	$190,353.34	2026-05-23
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	43	17	—	—	$74,133.05	$166,862.59	$77,839.70	2026-05-23
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	37	15	—	—	$137,644.27	$213,348.62	$143,150.04	2026-05-23
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	37	15	—	—	$90,307.76	$143,325.00	$93,920.07	2026-05-23
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	43	17	—	—	$67,576.75	$141,049.80	$70,955.59	2026-05-23
006	OTHER	Liver Transplant Without Mcc	60	30	—	—	$29,560.49	$65,917.27	$32,090.06	2026-05-23
007	OTHER	Lung Transplant	43	17	—	—	$84,522.44	$167,166.50	$88,748.56	2026-05-23
008	OTHER	Simultaneous Pancreas And Kidney Transplant	43	17	—	—	$37,366.96	$71,706.45	$39,235.31	2026-05-23
010	OTHER	Pancreas Transplant	43	17	—	—	$43,322.40	$73,551.75	$48,876.32	2026-05-23
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	43	17	—	—	$36,400.83	$70,270.06	$38,220.87	2026-05-23
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	94	34	—	—	$24,723.65	$54,578.78	$28,730.56	2026-05-23
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	94	34	—	—	$17,054.48	$36,600.72	$19,741.53	2026-05-23
014	OTHER	Allogeneic Bone Marrow Transplant	43	17	—	—	$78,537.50	$156,189.15	$82,464.38	2026-05-23
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	43	17	—	—	$39,453.97	$84,180.16	$41,426.67	2026-05-23
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	43	17	—	—	$36,260.88	$84,180.16	$38,073.92	2026-05-23
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	43	17	—	—	$278,602.29	$502,092.32	$292,532.40	2026-05-23
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	43	17	—	—	$47,188.89	$108,935.42	$49,548.33	2026-05-23
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	43	17	—	—	$51,902.13	$115,189.31	$54,497.24	2026-05-23
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	43	17	—	—	$35,371.78	$83,695.00	$37,140.37	2026-05-23
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	94	34	—	—	$21,652.96	$47,380.47	$25,131.40	2026-05-23
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	43	17	—	—	$38,173.91	$77,254.41	$40,082.61	2026-05-23
0238T	OTHER	Trluml Perip Athrc Iliac Art	88	30	$9,761.00	$2,928.30 70% off	$1,770.00	$31,065.32	$16,448.16	2026-05-23
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	94	34	—	—	$23,467.35	$51,633.77	$27,258.05	2026-05-23
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	60	30	—	—	$27,113.58	$60,181.25	$31,492.99	2026-05-23
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	94	34	—	—	$18,609.01	$40,244.85	$21,563.59	2026-05-23
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	94	34	—	—	$15,584.83	$33,155.56	$18,018.94	2026-05-23
028	OTHER	Spinal Procedures With Mcc	43	17	—	—	$39,958.55	$82,123.69	$41,956.48	2026-05-23
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	94	34	—	—	$21,371.01	$46,719.51	$24,800.92	2026-05-23
030	OTHER	Spinal Procedures Without Cc/mcc	94	34	—	—	$14,922.67	$31,603.33	$17,242.83	2026-05-23
031	OTHER	Ventricular Shunt Procedures With Mcc	94	34	—	—	$25,373.02	$56,101.02	$29,491.67	2026-05-23
034	OTHER	Carotid Artery Stent Procedures With Mcc	94	34	—	—	$24,121.96	$53,168.28	$28,025.31	2026-05-23
035	OTHER	Carotid Artery Stent Procedures With Cc	94	34	—	—	$14,809.31	$31,337.59	$17,109.96	2026-05-23
037	OTHER	Extracranial Procedures With Comorbity	94	34	—	—	$21,065.22	$46,002.68	$24,442.51	2026-05-23
040	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity	94	34	—	—	$23,826.04	$52,474.61	$27,678.47	2026-05-23
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	94	34	—	—	$14,409.34	$30,399.98	$16,641.15	2026-05-23
056	OTHER	Degenerative Nervous System Disorders With Comorbity	94	34	—	—	$15,358.68	$32,625.43	$17,753.88	2026-05-23
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	94	34	—	—	$17,735.24	$38,196.56	$20,539.44	2026-05-23
080	OTHER	Nontraumatic Stupor And Coma With Mcc	94	34	—	—	$13,007.32	$30,100.16	$16,491.24	2026-05-23
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	94	34	—	—	$14,686.06	$31,048.67	$16,965.50	2026-05-23
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	94	34	—	—	$14,654.09	$30,973.72	$16,928.03	2026-05-23
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	94	34	—	—	$22,501.73	$49,370.16	$26,126.24	2026-05-23
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	94	34	—	—	$15,348.74	$32,491.88	$17,687.10	2026-05-23
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	94	34	—	—	$15,348.74	$29,704.95	$16,293.64	2026-05-23
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	94	34	—	—	$22,584.28	$49,563.67	$26,223.00	2026-05-23
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	94	34	—	—	$13,966.35	$29,361.53	$16,121.93	2026-05-23
113	OTHER	Orbital Procedures With Complication/comorbity	94	34	—	—	$16,017.35	$34,169.48	$18,525.90	2026-05-23
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	94	34	—	—	$15,318.37	$36,142.82	$19,512.58	2026-05-23
140	OTHER	Major Head And Neck Procedures With Mcc	94	34	—	—	$23,737.33	$51,487.95	$27,185.14	2026-05-23
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	94	34	—	—	$21,156.72	$45,321.28	$24,101.81	2026-05-23
163	OTHER	Major Chest Procedures With Comorbity	60	30	—	—	$28,843.68	$64,236.94	$31,063.86	2026-05-23
164	OTHER	Major Chest Procedures With Cc	94	34	—	—	$16,267.92	$34,756.85	$18,819.59	2026-05-23
166	OTHER	Other Resp System O.r. Procedures With Comorbity	94	34	—	—	$25,031.19	$55,299.70	$29,091.01	2026-05-23
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	94	34	—	—	$19,317.67	$41,906.10	$22,394.22	2026-05-23
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	37	15	—	—	$42,695.84	$67,353.00	$44,403.67	2026-05-23
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	94	34	—	—	$17,159.71	$36,847.39	$19,864.86	2026-05-23
209	OTHER	Complex Aortic Arch Procedures	33	13	—	—	$74,049.60	$114,776.88	$76,271.09	2026-05-23
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	43	17	—	—	$71,194.82	$146,783.10	$74,754.56	2026-05-23
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	33	13	—	—	$38,023.69	$58,936.72	$39,164.40	2026-05-23
215	OTHER	Other Heart Assist System Implant	43	17	—	—	$65,307.43	$139,207.29	$68,572.80	2026-05-23
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	43	17	—	—	$64,189.14	$132,263.83	$67,398.60	2026-05-23
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	43	17	—	—	$43,598.43	$86,746.31	$45,778.35	2026-05-23
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	43	17	—	—	$43,598.43	$77,634.63	$45,778.35	2026-05-23
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	43	17	—	—	$50,679.20	$105,088.23	$53,213.16	2026-05-23
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	43	17	—	—	$35,622.13	$71,473.41	$37,403.24	2026-05-23
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	60	30	—	—	$28,465.80	$63,351.12	$34,756.08	2026-05-23
228	OTHER	Other Cardiothoracic Procedures With Mcc	43	17	—	—	$33,148.05	$68,667.40	$34,805.45	2026-05-23
229	OTHER	Other Cardiothoracic Procedures Without Mcc	94	34	—	—	$19,925.77	$43,331.59	$23,106.96	2026-05-23
231	OTHER	Coronary Bypass With Ptca With Comorbity	43	17	—	—	$55,504.14	$110,593.95	$58,279.35	2026-05-23
232	OTHER	Coronary Bypass With Ptca Without Mcc	43	17	—	—	$40,307.11	$81,067.52	$42,322.47	2026-05-23
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	43	17	—	—	$50,466.72	$106,292.95	$52,990.06	2026-05-23
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	94	34	—	—	$29,791.17	$56,700.00	$29,791.17	2026-05-23
235	OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	43	17	—	—	$39,061.72	$80,140.82	$41,014.81	2026-05-23
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	94	34	—	—	$26,116.17	$49,350.00	$26,116.17	2026-05-23
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	60	30	—	—	$29,385.49	$65,507.07	$33,972.55	2026-05-23
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	94	34	—	—	$17,772.45	$38,283.78	$20,583.06	2026-05-23
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	94	34	—	—	$21,527.39	$47,086.10	$24,984.22	2026-05-23
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	94	34	—	—	$14,682.00	$31,039.13	$16,960.73	2026-05-23
245	OTHER	Aicd Generator Procedures	60	30	—	—	$27,784.46	$61,753.92	$31,596.81	2026-05-23
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	94	34	—	—	$15,107.54	$32,036.70	$17,459.51	2026-05-23
252	OTHER	Other Vascular Procedures With Mcc	94	34	—	—	$20,938.48	$45,705.59	$24,293.96	2026-05-23
253	OTHER	Other Vascular Procedures With Complication	94	34	—	—	$16,271.99	$34,766.39	$18,824.36	2026-05-23
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	94	34	—	—	$17,413.17	$37,441.57	$20,161.95	2026-05-23
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	94	34	—	—	$18,149.24	$36,912.80	$19,897.56	2026-05-23
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	94	34	—	—	$20,714.08	$45,179.55	$24,030.94	2026-05-23
263	OTHER	Vein Ligation & Stripping	94	34	—	—	$17,865.47	$38,501.83	$20,692.08	2026-05-23
264	OTHER	Other Circulatory System O.r. Procedures	94	34	—	—	$20,428.06	$44,509.05	$23,695.69	2026-05-23
265	OTHER	Aicd Lead Procedures	94	34	—	—	$21,986.65	$48,162.71	$25,522.52	2026-05-23
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	43	17	—	—	$40,729.52	$85,121.85	$42,766.00	2026-05-23
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	60	30	—	—	$29,812.21	$66,507.37	$32,908.65	2026-05-23
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	43	17	—	—	$45,540.99	$93,415.85	$47,818.04	2026-05-23
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	94	34	—	—	$25,617.19	$56,673.40	$29,777.87	2026-05-23
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	43	17	—	—	$35,259.43	$68,915.43	$37,022.40	2026-05-23
271	OTHER	Other Major Cardiovascular Procedures With Complication	94	34	—	—	$21,533.78	$47,101.09	$24,991.71	2026-05-23
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	94	34	—	—	$15,623.20	$33,245.51	$18,063.92	2026-05-23
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	94	34	—	—	$24,096.38	$53,108.32	$27,995.33	2026-05-23
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	94	34	—	—	$20,281.56	$44,165.62	$23,523.97	2026-05-23
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	43	17	—	—	$47,161.92	$95,883.88	$49,520.02	2026-05-23
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	43	17	—	—	$39,947.63	$84,632.61	$41,945.01	2026-05-23
277	OTHER	Cardiac Defibrillator Implant Without Mcc	60	30	—	—	$29,243.65	$65,174.55	$31,967.75	2026-05-23
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	60	30	—	—	$30,209.51	$60,786.33	$38,234.06	2026-05-23
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	94	34	—	—	$20,459.21	$43,617.78	$23,250.06	2026-05-23
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	94	34	—	—	$13,972.75	$29,376.52	$16,129.42	2026-05-23
288	OTHER	Acute And Subacute Endocarditis With Mcc	94	34	—	—	$16,515.57	$35,337.40	$19,109.87	2026-05-23
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	33	13	—	—	$44,312.28	$68,684.03	$45,641.65	2026-05-23
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	60	22	—	—	$14,567.64	$26,252.94	$16,937.38	2026-05-23
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	60	30	—	—	$26,799.07	$59,443.97	$30,938.89	2026-05-23
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Comorbity	94	34	—	—	$14,483.56	$30,335.93	$16,609.13	2026-05-23
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	94	34	—	—	$18,153.24	$39,176.41	$21,029.37	2026-05-23
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	94	34	—	—	$25,509.06	$56,419.92	$29,651.12	2026-05-23
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	94	34	—	—	$18,699.12	$40,456.08	$21,669.21	2026-05-23
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	94	34	—	—	$18,489.05	$36,036.52	$19,459.42	2026-05-23
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	43	17	—	—	$33,404.83	$69,216.61	$35,075.07	2026-05-23
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	94	34	—	—	$15,959.80	$34,034.57	$18,458.45	2026-05-23
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	60	30	—	—	$27,699.58	$61,554.95	$31,822.28	2026-05-23
330	OTHER	Major Small & Large Bowel Procedures With Complication	94	34	—	—	$15,231.37	$32,326.98	$17,604.65	2026-05-23
332	OTHER	Rectal Resection With Mcc	94	34	—	—	$22,530.22	$49,436.93	$26,159.63	2026-05-23
33221	OTHER	Insert Pulse Gen Mult Leads	88	30	$48,899.00	$14,669.70 70% off	$1,831.00	$32,641.41	$17,523.28	2026-05-23
33229	OTHER	Removal And Replacement Of Multiple Lead Permanent Pacemaker	88	30	$31,798.00	$9,539.40 70% off	$1,770.00	$32,641.41	$17,523.28	2026-05-23
33230	OTHER	Insrt Pulse Gen W/dual Leads	57	20	$93,234.00	$27,970.20 70% off	$1,770.00	$37,694.61	$20,831.23	2026-05-23
33231	OTHER	Insrt Pulse Gen W/mult Leads	57	20	$76,907.00	$23,072.10 70% off	$1,770.00	$53,192.48	$29,395.84	2026-05-23
33240	OTHER	Insrt Pulse Gen W/singl Lead	57	20	$94,333.00	$28,299.90 70% off	$1,770.00	$37,694.61	$20,831.23	2026-05-23
33249	OTHER	Insertion Of Implantable Defibrillator System	57	20	$97,029.00	$29,108.70 70% off	$1,770.00	$53,192.48	$29,395.84	2026-05-23
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	57	20	$76,250.00	$22,875.00 70% off	$1,770.00	$37,694.61	$20,831.23	2026-05-23
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	57	20	$91,503.00	$27,450.90 70% off	$1,770.00	$37,694.61	$20,831.23	2026-05-23
33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	57	20	$106,751.00	$32,025.30 70% off	$1,770.00	$53,192.48	$29,395.84	2026-05-23
33270	OTHER	Ins/rep Subq Defibrillator	55	20	$52,996.00	$15,898.80 70% off	$1,147.00	$53,192.48	$29,395.84	2026-05-23
33274	OTHER	Tcat Insj/rpl Perm Ldls Pm	88	30	$47,132.00	$14,139.60 70% off	$1,770.00	$32,641.41	$17,523.28	2026-05-23
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	57	20	$85,064.00	$25,519.20 70% off	$1,831.00	$48,607.64	$26,862.12	2026-05-23
335	OTHER	Peritoneal Adhesiolysis With Comorbity	94	34	—	—	$22,224.42	$48,720.10	$25,801.22	2026-05-23
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	94	34	—	—	$17,372.48	$37,346.17	$20,114.25	2026-05-23
347	OTHER	Anal & Stomal Procedures With Comorbity	94	34	—	—	$16,124.66	$34,739.13	$18,810.73	2026-05-23
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	94	34	—	—	$15,393.57	$32,707.20	$17,794.76	2026-05-23
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	94	34	—	—	$18,441.58	$39,852.36	$21,367.35	2026-05-23
356	OTHER	Other Digestive System O.r. Procedures With Mcc	60	30	—	—	$26,315.38	$58,310.12	$30,475.38	2026-05-23
357	OTHER	Other Digestive System O.r. Procedures With Cc	94	34	—	—	$14,212.26	$29,937.99	$16,410.16	2026-05-23
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	60	22	—	—	$19,624.38	$36,366.44	$23,462.22	2026-05-23
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	60	22	—	—	$14,528.33	$26,174.32	$16,886.66	2026-05-23
36906	OTHER	Thrmbc/nfs Dialysis Circuit	88	30	$46,965.00	$14,089.50 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
37182	OTHER	Insert Hepatic Shunt (tips)	86	30	$14,496.00	$4,348.80 70% off	$1,770.00	$31,065.32	$16,562.67	2026-05-23
37184	OTHER	Prim Art M-thrmbc 1st Vsl	66	28	$11,993.00	$3,597.90 70% off	$1,024.00	$31,065.32	$16,840.68	2026-05-23
37242	OTHER	Vasc Embolize/occlude Artery	88	30	$16,975.00	$5,092.50 70% off	$1,770.00	$31,065.32	$16,677.17	2026-05-23
37271	OTHER	Revsc Evsc Fpvt Athrc Sf 1st	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37273	OTHER	Revsc Evsc Fpvt Athrc Cplx 1	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37277	OTHER	Rvsc Evsc Fpvt St Athr Cpx 1	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37284	OTHER	Revsc Evasc Tpvt St Sf 1st	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37286	OTHER	Revsc Evasc Tpvt St Cplx 1st	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37288	OTHER	Revsc Evsc Tpvt Athrc Sf 1st	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37290	OTHER	Revsc Evsc Tpvt Athrc Cplx 1	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37292	OTHER	Rvsc Evsc Tpvt St Athrc Sf 1	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
37294	OTHER	Rvsc Evsc Tpvt St Athr Cpx 1	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
397	OTHER	Appendix Procedures With Mcc	94	34	—	—	$14,501.77	$30,616.66	$16,749.49	2026-05-23
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	61	23	—	—	$22,519.42	$42,156.51	$27,197.75	2026-05-23
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	43	17	—	—	$36,506.10	$75,024.87	$38,331.40	2026-05-23
406	OTHER	Pancreas; Liver & Shunt Procedures With Complication	94	34	—	—	$18,227.06	$39,349.49	$21,115.91	2026-05-23
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	94	34	—	—	$23,080.17	$50,726.14	$26,804.24	2026-05-23
411	OTHER	Cholecystectomy With C.d.e. With Mcc	94	34	—	—	$18,951.24	$39,255.45	$21,068.89	2026-05-23
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	94	34	—	—	$21,934.92	$48,041.43	$25,461.88	2026-05-23
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	94	34	—	—	$14,915.69	$31,586.98	$17,234.65	2026-05-23
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	94	34	—	—	$3,756.08	$43,620.50	$23,251.42	2026-05-23
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	94	34	—	—	$24,177.18	$53,297.75	$28,090.04	2026-05-23
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	13	—	—	$72,139.12	$111,815.64	$74,303.29	2026-05-23
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	13	—	—	$47,728.14	$73,978.62	$49,159.98	2026-05-23
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	13	—	—	$37,478.67	$58,091.94	$38,603.03	2026-05-23
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	33	13	—	—	$59,225.55	$91,799.60	$61,002.32	2026-05-23
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	33	13	—	—	$38,410.14	$59,535.72	$39,562.44	2026-05-23
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	33	13	—	—	$44,280.83	$68,635.29	$45,609.25	2026-05-23
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	61	23	—	—	$23,615.45	$44,348.57	$28,611.98	2026-05-23
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	61	23	—	—	$29,032.40	$55,182.46	$35,601.59	2026-05-23
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	61	23	—	—	$18,588.54	$34,294.76	$22,125.65	2026-05-23
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	43	17	—	—	$55,334.02	$114,875.86	$58,100.72	2026-05-23
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	43	17	—	—	$39,668.38	$82,794.19	$41,651.80	2026-05-23
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	60	30	—	—	$27,782.13	$61,748.47	$29,019.40	2026-05-23
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	43	17	—	—	$36,843.12	$92,922.52	$38,685.28	2026-05-23
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	94	34	—	—	$17,988.13	$38,789.38	$20,835.85	2026-05-23
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	43	17	—	—	$37,976.18	$77,184.90	$39,874.99	2026-05-23
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	94	34	—	—	$18,889.81	$40,903.08	$21,892.71	2026-05-23
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	43	17	—	—	$34,804.27	$70,682.98	$36,544.48	2026-05-23
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	94	34	—	—	$21,708.77	$47,511.30	$25,196.81	2026-05-23
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	94	34	—	—	$16,960.88	$36,381.31	$19,631.82	2026-05-23
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	94	34	—	—	$20,798.96	$45,378.51	$24,130.42	2026-05-23
471	OTHER	Cervical Spinal Fusion With Mcc	60	30	—	—	$30,037.77	$67,036.13	$33,357.62	2026-05-23
472	OTHER	Cervical Spinal Fusion With Cc	94	34	—	—	$18,622.38	$40,276.19	$21,579.26	2026-05-23
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	60	30	—	—	$26,455.49	$58,638.56	$29,814.82	2026-05-23
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	94	34	—	—	$21,026.85	$45,912.73	$24,397.53	2026-05-23
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	94	34	—	—	$15,298.81	$32,485.06	$17,683.69	2026-05-23
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	94	34	—	—	$18,584.60	$40,187.61	$21,534.97	2026-05-23
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	94	34	—	—	$16,307.44	$33,854.68	$18,368.51	2026-05-23
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	94	34	—	—	$20,590.83	$44,890.63	$23,886.48	2026-05-23
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	94	34	—	—	$21,568.08	$47,181.50	$25,031.92	2026-05-23
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	94	34	—	—	$15,403.45	$32,730.37	$17,806.35	2026-05-23
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	94	34	—	—	$22,260.47	$48,804.59	$25,843.46	2026-05-23
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	94	34	—	—	$17,525.85	$35,582.71	$19,232.52	2026-05-23
500	OTHER	Soft Tissue Procedures With Mcc	94	34	—	—	$20,293.19	$44,192.88	$23,537.60	2026-05-23
503	OTHER	Foot Procedures With Mcc	94	34	—	—	$17,032.39	$36,548.93	$19,715.63	2026-05-23
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	94	34	—	—	$17,544.27	$37,076.34	$19,979.33	2026-05-23
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	94	34	—	—	$19,820.54	$43,084.92	$22,983.62	2026-05-23
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	94	34	—	—	$22,670.90	$49,766.73	$26,324.53	2026-05-23
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	94	34	—	—	$18,847.94	$40,804.96	$21,843.65	2026-05-23
545	OTHER	Connective Tissue Disorders With Comorbity	94	34	—	—	$15,935.39	$33,977.33	$18,429.83	2026-05-23
570	OTHER	Skin Debridement With Mcc	94	34	—	—	$18,429.38	$39,823.74	$21,353.03	2026-05-23
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	43	17	—	—	$43,445.01	$84,740.27	$45,617.26	2026-05-23
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	94	34	—	—	$21,240.78	$46,414.24	$24,648.28	2026-05-23
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	43	17	—	—	$32,851.44	$77,449.29	$34,494.01	2026-05-23
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	94	34	—	—	$16,841.71	$36,101.93	$19,492.13	2026-05-23
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	94	34	—	—	$20,871.04	$45,547.50	$24,214.92	2026-05-23
595	OTHER	Major Skin Disorders With Mcc	94	34	—	—	$14,085.52	$29,640.90	$16,261.61	2026-05-23
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	94	34	—	—	$14,535.49	$30,695.71	$16,789.02	2026-05-23
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	94	34	—	—	$23,775.50	$53,935.54	$28,408.94	2026-05-23
61624	OTHER	Tcat Perm Occls/embolj Cns	86	30	$7,145.00	$2,143.50 70% off	$1,770.00	$31,065.32	$16,562.67	2026-05-23
61885	OTHER	Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr…	61	20	$10,853.00	$3,255.90 70% off	$1,805.00	$52,292.35	$28,347.96	2026-05-23
619	OTHER	O.r. Procedures For Obesity With Mcc	94	34	—	—	$16,882.07	$35,276.08	$19,079.21	2026-05-23
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	94	34	—	—	$23,681.29	$52,135.28	$27,508.81	2026-05-23
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	94	34	—	—	$18,423.56	$39,810.11	$21,346.22	2026-05-23
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	94	34	—	—	$24,779.46	$54,709.61	$28,795.97	2026-05-23
629	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Complication	94	34	—	—	$14,595.95	$30,837.44	$16,859.88	2026-05-23
63685	OTHER	Ins/rplc Spi Npg/rcvr Pocket	57	20	$23,339.00	$7,001.70 70% off	$1,805.00	$52,292.35	$28,623.18	2026-05-23
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	38	16	$27,481.00	$8,244.30 70% off	$1,770.00	$52,292.35	$28,623.18	2026-05-23
64590	OTHER	Ins/rpl Prph Sac/gstr Npg/r	90	30	$34,777.00	$10,433.10 70% off	$1,805.00	$32,876.00	$17,501.36	2026-05-23
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	60	30	—	—	$27,587.38	$61,291.93	$32,515.88	2026-05-23
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	94	34	—	—	$21,546.58	$47,131.08	$25,006.71	2026-05-23
652	OTHER	Kidney Transplant	94	34	—	—	$18,907.24	$40,943.96	$21,913.15	2026-05-23
653	OTHER	Major Bladder Procedures With Mcc	43	17	—	—	$34,746.50	$73,776.54	$36,483.82	2026-05-23
654	OTHER	Major Bladder Procedures With Cc	94	34	—	—	$17,355.62	$37,306.65	$20,094.49	2026-05-23
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	94	34	—	—	$19,681.60	$42,759.21	$22,820.77	2026-05-23
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	94	34	—	—	$16,491.74	$35,281.53	$19,081.93	2026-05-23
662	OTHER	Minor Bladder Procedures With Mcc	94	34	—	—	$18,862.48	$40,839.03	$21,860.68	2026-05-23
665	OTHER	Prostatectomy With Mcc	94	34	—	—	$19,399.65	$42,098.25	$22,490.29	2026-05-23
668	OTHER	Transurethral Procedures With Mcc	94	34	—	—	$17,823.61	$38,403.70	$20,643.01	2026-05-23
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	94	34	—	—	$23,420.43	$50,396.34	$26,639.33	2026-05-23
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	94	34	—	—	$15,290.08	$32,464.62	$17,673.47	2026-05-23
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	94	34	—	—	$14,274.47	$30,083.81	$16,483.07	2026-05-23
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	94	34	—	—	$14,077.39	$29,621.82	$16,252.08	2026-05-23
736	OTHER	Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity	94	34	—	—	$24,039.40	$52,974.76	$27,928.54	2026-05-23
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	94	34	—	—	$22,464.53	$49,282.94	$26,082.63	2026-05-23
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	94	34	—	—	$16,074.91	$34,304.40	$18,593.37	2026-05-23
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	37	15	—	—	$39,542.56	$61,290.97	$41,124.26	2026-05-23
791	OTHER	Prematurity With Major Problems	37	15	—	—	$27,444.91	$42,539.61	$28,542.71	2026-05-23
792	OTHER	Prematurity Without Major Problems	37	15	—	—	$17,110.71	$26,521.60	$17,795.14	2026-05-23
793	OTHER	Full Term Neonate With Major Problems	37	15	—	—	$28,154.91	$43,640.11	$29,281.11	2026-05-23
799	OTHER	Splenic Procedures With Mcc	60	30	—	—	$30,244.73	$67,521.29	$31,375.29	2026-05-23
800	OTHER	Splenic Procedures With Cc	94	34	—	—	$17,821.87	$38,399.62	$20,640.97	2026-05-23
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	94	34	—	—	$22,338.32	$46,203.01	$24,542.67	2026-05-23
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	94	34	—	—	$14,173.31	$29,846.68	$16,364.50	2026-05-23
817	OTHER	Other Antepartum Diagnoses With O.r. Procedure With Comorbity	94	34	—	—	$15,887.12	$30,731.14	$16,806.74	2026-05-23
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	43	17	—	—	$39,037.34	$82,404.43	$40,989.21	2026-05-23
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	94	34	—	—	$14,417.48	$30,419.06	$16,650.69	2026-05-23
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	60	30	—	—	$27,612.96	$61,351.89	$31,744.92	2026-05-23
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	94	34	—	—	$14,422.13	$30,429.96	$16,656.15	2026-05-23
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	60	30	—	—	$26,955.46	$59,810.57	$32,359.85	2026-05-23
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	94	34	—	—	$14,912.20	$31,578.80	$17,230.56	2026-05-23
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	94	34	—	—	$19,775.78	$42,979.99	$22,931.16	2026-05-23
834	OTHER	Acute Leukemia With Mcc	43	17	—	—	$36,630.65	$76,303.17	$38,462.18	2026-05-23
835	OTHER	Acute Leukemia With Cc	94	34	—	—	$14,437.25	$30,465.39	$16,673.86	2026-05-23
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	60	30	—	—	$29,093.66	$64,822.94	$33,196.28	2026-05-23
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	94	34	—	—	$19,609.51	$42,590.23	$22,736.28	2026-05-23
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	94	34	—	—	$15,649.36	$33,306.83	$18,094.58	2026-05-23
849	OTHER	Radiotherapy	94	34	—	—	$17,087.62	$36,678.40	$19,780.37	2026-05-23
850	OTHER	Acute Leukemia With Other Procedures	33	13	—	—	$56,978.07	$88,316.01	$58,687.41	2026-05-23
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	43	17	—	—	$33,091.55	$68,130.46	$34,746.13	2026-05-23
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	60	30	—	—	$27,185.67	$60,350.24	$31,506.22	2026-05-23
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	38	16	—	—	$3,150.00	$70,925.85	$47,360.16	2026-05-23
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	94	34	—	—	$23,134.24	$50,852.88	$26,867.60	2026-05-23
901	OTHER	Wound Debridements For Injuries With Mcc	60	30	—	—	$26,600.83	$58,979.26	$29,178.10	2026-05-23
904	OTHER	Skin Grafts For Injuries With Cc/mcc	94	34	—	—	$20,791.06	$44,375.49	$23,628.91	2026-05-23
907	OTHER	Other O.r. Procedures For Injuries With Mcc	94	34	—	—	$23,064.48	$50,689.35	$26,785.84	2026-05-23
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	43	17	—	—	$138,448.63	$359,216.36	$145,371.06	2026-05-23
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	43	17	—	—	$47,433.47	$94,301.67	$49,805.14	2026-05-23
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	94	34	—	—	$20,134.47	$43,820.83	$23,351.58	2026-05-23
92930	OTHER	Prq Tcat Plmt Ntrac St 2+les	86	30	$49,292.00	$14,787.60 70% off	$1,831.00	$31,065.32	$16,562.67	2026-05-23
92933	OTHER	Prq Trlml C Athrc St Angiop1	88	30	$20,874.00	$6,262.20 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	94	34	—	—	$21,891.06	$41,320.10	$22,101.22	2026-05-23
93580	OTHER	Transcath Closure Of Asd	88	30	$47,132.00	$14,139.60 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
93581	OTHER	Transcath Closure Of Vsd	88	30	$47,132.00	$14,139.60 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
93653	OTHER	Compre Ep Eval Tx Svt	57	20	$31,731.00	$9,519.30 70% off	$1,831.00	$44,293.98	$24,478.25	2026-05-23
93654	OTHER	Compre Ep Eval Tx Vt	57	20	$31,731.00	$9,519.30 70% off	$1,831.00	$44,293.98	$24,478.25	2026-05-23
93656	OTHER	Compre Ep Eval Abltj Atr Fib	57	20	$31,731.00	$9,519.30 70% off	$1,831.00	$44,293.98	$24,478.25	2026-05-23
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	94	34	—	—	$20,569.17	$43,818.11	$23,350.22	2026-05-23
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	94	34	—	—	$14,143.25	$29,526.42	$16,204.38	2026-05-23
955	OTHER	Craniotomy For Multiple Significant Trauma	43	17	—	—	$44,598.59	$82,997.25	$46,828.52	2026-05-23
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	94	34	—	—	$23,987.08	$52,852.11	$27,867.22	2026-05-23
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	43	17	—	—	$50,304.30	$98,564.51	$52,819.52	2026-05-23
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	94	34	—	—	$24,955.61	$55,122.53	$29,002.43	2026-05-23
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	94	34	—	—	$17,164.18	$34,511.55	$18,696.94	2026-05-23
963	OTHER	Other Multiple Significant Trauma With Mcc	94	34	—	—	$17,337.02	$37,263.04	$20,072.69	2026-05-23
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	43	17	—	—	$40,683.96	$93,659.79	$42,718.16	2026-05-23
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	94	34	—	—	$15,696.34	$32,767.16	$17,824.74	2026-05-23
974	OTHER	HIV With Major Related Condition With Mcc	94	34	—	—	$18,396.24	$39,746.06	$21,314.19	2026-05-23
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	60	30	—	—	$28,999.48	$64,602.17	$32,452.42	2026-05-23
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	94	34	—	—	$15,893.52	$33,879.21	$18,380.77	2026-05-23
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	94	34	—	—	$21,071.61	$46,017.67	$24,450.00	2026-05-23
A9543	OTHER	Y90 Ibritumomab, Rx	92	34	$118,960.00	$35,688.00 70% off	$56,824.55	$118,960.00	$87,892.27	2026-05-23
C2616	OTHER	Brachytx, Non-str,yttrium-90	82	30	$39,421.00	$11,826.30 70% off	$17,683.93	$33,599.47	$25,641.70	2026-05-23
C9602	OTHER	Perc D-e Cor Stent Ather S	88	30	$25,397.00	$7,619.10 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
C9607	OTHER	Perc D-e Cor Revasc Chro Sin	88	30	$25,397.00	$7,619.10 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
C9765	OTHER	Revasc Intra Lithotrip-stent	88	30	$47,853.00	$14,355.90 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
C9766	OTHER	Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery (i…	204	30	$47,853.00	$14,355.90 70% off	$1,831.00	$31,065.32	$16,448.16	2026-05-23
C9767	OTHER	Revasc Lithotrip-stent-ather	88	30	$47,853.00	$14,355.90 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
C9773	OTHER	Revasc Lithotr-stent Tib/per	88	30	$47,853.00	$14,355.90 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
C9774	OTHER	Revasc Lithotr-ather Tib/per	88	30	$47,853.00	$14,355.90 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23
C9775	OTHER	Revasc Lith-sten-ath Tib/per	88	30	$47,853.00	$14,355.90 70% off	$1,831.00	$31,065.32	$16,677.17	2026-05-23

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