Hospital

CROSSGATES RIVER OAKS HOSPITAL

Brandon, MS · CCN 250096 · Rates published

16,340 distinct procedures filed

65 distinct payers

578,910 rate rows

2026-05-08 last MRF observed

Data quality

555,739 of 578,910 rate rows are consumer-grade (96.0%)

23,171 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	8,052
per-diem day rate — not a per-procedure price	7,657
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6,934
exceeds 10× this hospital's gross charge — excluded from medians	296
template filing: same amount across many unrelated codes — excluded	232

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

Source MRF file	https://www.merithealthrankin.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/640885458_merit-health-rankin_standardcharges.csv
Found on page	https://www.merithealthrankin.com/pricing-information
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	e59b3edf53224ab7… · 283,648,606 bytes · first seen 2026-05-08

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	29	$72,059.88	$1,005,171.12	$502,419.25	nat. median $386,529 1.3× median
7 OTHER	Lung Transplant	30	$37,892.07	$1,189,565.96	$342,996.44	nat. median $169,933 outlier · 2.0×
583-4 OTHER	Neonate With Ecmo	9	$327,626.86	$353,837.00	$330,903.12	nat. median $309,400 1.1× median
681 OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	$303,064.48	$357,297.07	$330,180.78	nat. median $0
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$268,742.83	$290,242.25	$271,430.25	nat. median $267,493 1.0× median
583-3 OTHER	Neonate With Ecmo	9	$259,486.85	$280,245.80	$262,081.72	nat. median $259,487 1.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	$16,471.27	$484,139.20	$249,384.94	nat. median $239,422 1.0× median
002-4 OTHER	Heart And/or Lung Transplant	7	$232,467.30	$251,064.68	$234,791.97	nat. median $216,800 1.1× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$195,063.44	$210,668.52	$197,014.08	nat. median $210,669 0.9× median
583-2 OTHER	Neonate With Ecmo	9	$191,346.89	$206,654.65	$193,260.36	nat. median $191,347 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	33	$10,400.78	$368,241.96	$189,998.30	nat. median $146,562 1.3× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	33	$6,930.00	$366,065.86	$185,179.66	nat. median $181,005 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$175,271.74	$189,293.48	$177,024.46	nat. median $151,250 1.2× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$173,134.48	$186,985.23	$174,865.82	nat. median $165,000 1.1× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	$169,531.65	$183,094.18	$171,226.97	nat. median $153,523 1.1× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$169,253.66	$182,793.95	$170,946.19	nat. median $156,696 1.1× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	$168,174.20	$181,628.13	$169,855.94	nat. median $169,856 1.0× median
583-1 OTHER	Neonate With Ecmo	9	$165,358.21	$178,586.86	$167,011.79	nat. median $171,226 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	$161,453.90	$174,370.21	$163,068.44	nat. median $203,379 0.8× median
161-4 OTHER	Implantable Heart Assist Systems	8	$160,593.79	$173,441.29	$162,199.72	nat. median $202,242 0.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	8	$152,401.34	$164,593.45	$153,925.35	nat. median $172,311 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	7	$148,606.97	$160,495.53	$150,093.04	nat. median $124,561 1.2× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	33	$3,570.00	$522,066.20	$147,389.71	nat. median $134,983 1.1× median
002-3 OTHER	Heart And/or Lung Transplant	7	$143,753.72	$155,254.02	$145,191.26	nat. median $133,471 1.1× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	$140,888.59	$152,159.68	$142,297.48	nat. median $107,050 1.3× median
006-4 OTHER	Pancreas Transplant	7	$131,237.06	$141,736.03	$132,549.43	nat. median $92,449 1.4× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$125,634.73	$135,685.50	$126,891.07	nat. median $125,000 1.0× median
161-3 OTHER	Implantable Heart Assist Systems	8	$123,031.66	$132,874.19	$124,261.97	nat. median $152,491 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	8	$113,251.39	$122,311.50	$114,383.91	nat. median $151,691 0.8× median
593-3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$112,711.39	$121,728.30	$113,838.51	nat. median $112,711 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	$13,542.06	$414,087.80	$112,975.41	nat. median $111,558 1.0× median
002-2 OTHER	Heart And/or Lung Transplant	7	$106,680.83	$115,215.30	$107,747.64	nat. median $106,681 1.0× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$105,647.44	$114,099.23	$106,703.91	nat. median $105,647 1.0× median
14 OTHER	Allogeneic Bone Marrow Transplant	28	$5,391.94	$264,712.77	$106,409.05	nat. median $100,915 1.1× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	$100,636.02	$108,686.90	$101,642.38	nat. median $110,000 0.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	33	$21,469.12	$407,487.10	$100,918.98	nat. median $64,729 1.6× median
591-3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	$99,157.23	$107,089.81	$100,148.80	nat. median $99,157 1.0× median
602-3 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	$99,066.83	$106,992.18	$100,057.50	nat. median $99,067 1.0× median
161-2 OTHER	Implantable Heart Assist Systems	8	$98,783.50	$106,686.18	$99,771.33	nat. median $109,992 0.9× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	$98,525.65	$106,407.70	$99,510.90	nat. median $150,954 0.7× median
607-4 OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	$96,498.59	$104,218.48	$97,463.58	nat. median $100,015 1.0× median
212 OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	33	$5,895.58	$186,297.80	$95,797.80	nat. median $90,581 1.1× median
630-3 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	$94,250.41	$101,790.44	$95,192.92	nat. median $95,000 1.0× median
161-1 OTHER	Implantable Heart Assist Systems	8	$93,844.33	$101,351.88	$94,782.78	nat. median $101,352 0.9× median
006-3 OTHER	Pancreas Transplant	7	$92,278.98	$99,661.30	$93,201.77	nat. median $85,000 1.1× median
002-1 OTHER	Heart And/or Lung Transplant	7	$91,454.08	$98,770.40	$92,368.62	nat. median $57,500 1.6× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	30	$7,158.49	$260,459.35	$91,753.23	nat. median $94,894 1.0× median
007-3 OTHER	Allogeneic Bone Marrow Transplant	8	$89,814.04	$96,999.17	$90,712.18	nat. median $104,111 0.9× median
593-2 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	$89,333.98	$96,480.70	$90,227.32	nat. median $89,334 1.0× median
215 OTHER	Other Heart Assist System Implant	33	$79,065.61	$184,320.73	$88,607.43	nat. median $92,359 1.0× median

Other procedures at this hospital

Browse this hospital's 16,340 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	29	29	—	—	$72,059.88	$1,005,171.12	$502,419.25	2026-05-08
7	OTHER	Lung Transplant	30	30	—	—	$37,892.07	$1,189,565.96	$342,996.44	2026-05-08
583-4	OTHER	Neonate With Ecmo	9	9	—	—	$327,626.86	$353,837.00	$330,903.12	2026-05-08
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	2	2	—	—	$303,064.48	$357,297.07	$330,180.78	2026-05-08
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$268,742.83	$290,242.25	$271,430.25	2026-05-08
583-3	OTHER	Neonate With Ecmo	9	9	—	—	$259,486.85	$280,245.80	$262,081.72	2026-05-08
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	30	—	—	$16,471.27	$484,139.20	$249,384.94	2026-05-08
002-4	OTHER	Heart And/or Lung Transplant	7	7	—	—	$232,467.30	$251,064.68	$234,791.97	2026-05-08
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$195,063.44	$210,668.52	$197,014.08	2026-05-08
583-2	OTHER	Neonate With Ecmo	9	9	—	—	$191,346.89	$206,654.65	$193,260.36	2026-05-08
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	33	33	—	—	$10,400.78	$368,241.96	$189,998.30	2026-05-08
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	33	33	—	—	$6,930.00	$366,065.86	$185,179.66	2026-05-08
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$175,271.74	$189,293.48	$177,024.46	2026-05-08
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$173,134.48	$186,985.23	$174,865.82	2026-05-08
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	9	9	—	—	$169,531.65	$183,094.18	$171,226.97	2026-05-08
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$169,253.66	$182,793.95	$170,946.19	2026-05-08
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$168,174.20	$181,628.13	$169,855.94	2026-05-08
583-1	OTHER	Neonate With Ecmo	9	9	—	—	$165,358.21	$178,586.86	$167,011.79	2026-05-08
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$161,453.90	$174,370.21	$163,068.44	2026-05-08
161-4	OTHER	Implantable Heart Assist Systems	8	8	—	—	$160,593.79	$173,441.29	$162,199.72	2026-05-08
007-4	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$152,401.34	$164,593.45	$153,925.35	2026-05-08
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$148,606.97	$160,495.53	$150,093.04	2026-05-08
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	33	33	—	—	$3,570.00	$522,066.20	$147,389.71	2026-05-08
002-3	OTHER	Heart And/or Lung Transplant	7	7	—	—	$143,753.72	$155,254.02	$145,191.26	2026-05-08
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$140,888.59	$152,159.68	$142,297.48	2026-05-08
006-4	OTHER	Pancreas Transplant	7	7	—	—	$131,237.06	$141,736.03	$132,549.43	2026-05-08
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$125,634.73	$135,685.50	$126,891.07	2026-05-08
161-3	OTHER	Implantable Heart Assist Systems	8	8	—	—	$123,031.66	$132,874.19	$124,261.97	2026-05-08
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$113,251.39	$122,311.50	$114,383.91	2026-05-08
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$112,711.39	$121,728.30	$113,838.51	2026-05-08
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	30	30	—	—	$13,542.06	$414,087.80	$112,975.41	2026-05-08
002-2	OTHER	Heart And/or Lung Transplant	7	7	—	—	$106,680.83	$115,215.30	$107,747.64	2026-05-08
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$105,647.44	$114,099.23	$106,703.91	2026-05-08
14	OTHER	Allogeneic Bone Marrow Transplant	28	28	—	—	$5,391.94	$264,712.77	$106,409.05	2026-05-08
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$100,636.02	$108,686.90	$101,642.38	2026-05-08
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	33	33	—	—	$21,469.12	$407,487.10	$100,918.98	2026-05-08
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$99,157.23	$107,089.81	$100,148.80	2026-05-08
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$99,066.83	$106,992.18	$100,057.50	2026-05-08
161-2	OTHER	Implantable Heart Assist Systems	8	8	—	—	$98,783.50	$106,686.18	$99,771.33	2026-05-08
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$98,525.65	$106,407.70	$99,510.90	2026-05-08
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$96,498.59	$104,218.48	$97,463.58	2026-05-08
212	OTHER	Hip & Femur Procedures Except Major Joint Age 0-17	33	33	—	—	$5,895.58	$186,297.80	$95,797.80	2026-05-08
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$94,250.41	$101,790.44	$95,192.92	2026-05-08
161-1	OTHER	Implantable Heart Assist Systems	8	8	—	—	$93,844.33	$101,351.88	$94,782.78	2026-05-08
006-3	OTHER	Pancreas Transplant	7	7	—	—	$92,278.98	$99,661.30	$93,201.77	2026-05-08
002-1	OTHER	Heart And/or Lung Transplant	7	7	—	—	$91,454.08	$98,770.40	$92,368.62	2026-05-08
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	30	30	—	—	$7,158.49	$260,459.35	$91,753.23	2026-05-08
007-3	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$89,814.04	$96,999.17	$90,712.18	2026-05-08
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	9	9	—	—	$89,333.98	$96,480.70	$90,227.32	2026-05-08
215	OTHER	Other Heart Assist System Implant	33	33	—	—	$79,065.61	$184,320.73	$88,607.43	2026-05-08
440-4	OTHER	Kidney Transplant	7	7	—	—	$87,313.90	$94,299.01	$88,187.03	2026-05-08
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$85,914.11	$92,787.24	$86,773.25	2026-05-08
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	32	—	—	$10,014.81	$167,345.14	$86,622.23	2026-05-08
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$83,785.00	$90,487.80	$84,622.85	2026-05-08
006-2	OTHER	Pancreas Transplant	7	7	—	—	$80,107.54	$86,516.15	$80,908.62	2026-05-08
6	OTHER	Liver Transplant Without Mcc	30	30	—	—	$10,118.79	$337,153.55	$79,393.10	2026-05-08
008-4	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$77,093.53	$83,261.01	$77,864.47	2026-05-08
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	27	27	—	—	$21,734.81	$232,607.28	$77,315.25	2026-05-08
8	OTHER	Simultaneous Pancreas And Kidney Transplant	30	30	—	—	$9,512.30	$325,567.22	$77,127.18	2026-05-08
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$75,590.50	$81,637.74	$76,346.40	2026-05-08
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$75,071.12	$81,076.81	$75,821.84	2026-05-08
231	OTHER	Coronary Bypass With Ptca With Mcc	32	32	—	—	$11,838.06	$143,849.26	$74,645.32	2026-05-08
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	9	—	—	$73,331.35	$79,197.86	$74,064.67	2026-05-08
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	33	33	—	—	$12,648.28	$179,026.48	$74,039.51	2026-05-08
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$72,006.35	$77,766.86	$72,726.42	2026-05-08
863-4	OTHER	Neonatal Aftercare	9	9	—	—	$71,891.87	$77,643.22	$72,610.79	2026-05-08
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	32	32	—	—	$2,730.00	$145,810.44	$72,045.60	2026-05-08
007-2	OTHER	Allogeneic Bone Marrow Transplant	8	8	—	—	$70,253.57	$75,873.85	$70,956.10	2026-05-08
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$70,123.64	$75,733.54	$70,824.88	2026-05-08
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	33	33	—	—	$4,545.57	$297,414.79	$70,607.46	2026-05-08
588-1	OTHER	Female Reproductive System Reconstructive Procedures	8	8	—	—	$69,745.48	$75,325.12	$70,442.94	2026-05-08
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	33	33	—	—	$8,256.00	$212,951.05	$70,024.52	2026-05-08
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$68,867.98	$74,377.42	$69,556.66	2026-05-08
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$68,799.08	$74,303.00	$69,487.07	2026-05-08
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$68,560.56	$74,045.40	$69,246.17	2026-05-08
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$67,954.36	$73,390.70	$68,633.90	2026-05-08
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	33	33	—	—	$8,426.87	$129,781.96	$67,809.56	2026-05-08
570	OTHER	Skin Debridement With Mcc	33	33	—	—	$2,850.20	$308,972.89	$67,756.73	2026-05-08
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	32	32	—	—	$12,404.16	$130,221.34	$67,698.55	2026-05-08
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	32	—	—	$12,245.01	$130,796.18	$67,646.54	2026-05-08
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$66,321.18	$71,626.87	$66,984.39	2026-05-08
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$64,045.67	$69,169.33	$64,686.13	2026-05-08
955	OTHER	Craniotomy For Multiple Significant Trauma	33	33	—	—	$54,118.05	$114,346.12	$64,598.17	2026-05-08
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	7	7	—	—	$63,931.79	$69,046.33	$64,571.11	2026-05-08
006-1	OTHER	Pancreas Transplant	7	7	—	—	$62,968.21	$68,005.67	$63,597.89	2026-05-08
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	33	33	—	—	$10,194.53	$121,280.78	$63,453.50	2026-05-08
007-1	OTHER	Allogeneic Bone Marrow Transplant	9	9	—	—	$62,554.84	$67,559.23	$63,180.39	2026-05-08
10	OTHER	Pancreas Transplant	30	30	—	—	$20,586.96	$200,149.59	$62,920.96	2026-05-08
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$62,002.64	$66,962.85	$62,622.66	2026-05-08
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	33	33	—	—	$4,561.03	$122,015.40	$62,588.04	2026-05-08
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	30	30	—	—	$9,002.90	$169,870.24	$62,560.79	2026-05-08
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	9	9	—	—	$61,230.01	$66,128.41	$61,842.31	2026-05-08
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$61,099.22	$65,987.16	$61,710.21	2026-05-08
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	9	9	—	—	$59,798.47	$64,582.34	$60,396.45	2026-05-08
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	32	32	—	—	$3,150.00	$117,484.34	$60,307.43	2026-05-08
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$58,189.70	$62,844.87	$58,771.59	2026-05-08
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$58,129.27	$62,779.61	$58,710.56	2026-05-08
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	32	—	—	$11,170.57	$111,640.34	$58,226.98	2026-05-08
440-3	OTHER	Kidney Transplant	7	7	—	—	$57,554.17	$62,158.51	$58,129.71	2026-05-08
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	9	—	—	$57,529.82	$62,132.20	$58,105.12	2026-05-08
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	8	8	—	—	$57,365.77	$61,955.03	$57,939.42	2026-05-08
459	OTHER	Spinal Fusion Except Cervical With Mcc	27	27	—	—	$14,960.98	$150,427.80	$57,875.20	2026-05-08
105825854-3303940	OTHER	Alph-spcr Spnl Lif Peek 10d 6x18x50[msmh]	30	28	$113,375.00	$39,681.25 65% off	$5,166.45	$102,037.50	$57,821.25	2026-05-08
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	8	8	—	—	$57,233.90	$61,812.61	$57,806.24	2026-05-08
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	33	33	—	—	$6,499.50	$111,225.26	$57,729.81	2026-05-08
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	32	32	—	—	$18,243.18	$111,640.34	$57,659.19	2026-05-08
105817323-3303940	OTHER	Medt-impl Nrstm Rs2 Intellis[msmh]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
106493213-3303940	OTHER	Implantable Pulse Generator Eterna[msmhp]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
106381293-3303940	OTHER	Axon-nrstm Axnc Rchrg R20 5x1.5tx3t[msmh]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
105815152-3303940	OTHER	Bost-kit Ipg Wvwrtr Alph 16 Su Strl[msmh]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
105822587-3303940	OTHER	Kit Ipg Spctr Wvwrtr Spnl - M365sc11600[msmh]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
105818159-3303940	OTHER	Wavewriter Pulse Generator Kit[msmhp]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
105821850-3303940	OTHER	Kit Ipg Prcsn Mntg MRI - M365sc12000[msmh]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
105823783-3303940	OTHER	Wavewriter Alpha 16 Pulse Generator Kit[msmhp]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
105825228-3303940	OTHER	Bundle Charging System/remote Control[msmhp]	30	28	$111,642.00	$39,074.70 65% off	$5,166.45	$100,477.80	$56,937.42	2026-05-08
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	9	9	—	—	$55,288.17	$59,711.22	$55,841.05	2026-05-08
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	33	33	—	—	$49,272.34	$116,389.27	$55,364.73	2026-05-08
613	OTHER	Neonate, Birth Weight <750 Grams, Died	2	2	—	—	$50,621.83	$59,680.48	$55,151.15	2026-05-08
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	32	32	—	—	$3,955.41	$111,832.70	$55,106.73	2026-05-08
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$54,499.12	$58,859.05	$55,044.11	2026-05-08
178-4	OTHER	External Heart Assist Systems	8	8	—	—	$54,135.54	$58,466.38	$54,676.90	2026-05-08
759-4	OTHER	Eating Disorders	8	8	—	—	$53,679.19	$57,973.52	$54,215.98	2026-05-08
163	OTHER	Major Chest Procedures With Mcc	33	33	—	—	$9,422.10	$253,002.38	$54,124.79	2026-05-08
232	OTHER	Coronary Bypass With Ptca Without Mcc	32	32	—	—	$12,024.34	$102,736.24	$53,688.15	2026-05-08
454	OTHER	Combined Anterior And Posterior Spinal Fusion With Cc	27	27	—	—	$25,780.47	$103,668.84	$53,375.15	2026-05-08
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	9	9	—	—	$52,763.51	$56,984.59	$53,291.14	2026-05-08
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$52,506.25	$56,706.75	$53,031.31	2026-05-08
28	OTHER	Spinal Procedures With Mcc	33	33	—	—	$7,251.10	$101,793.22	$52,946.99	2026-05-08
276	OTHER	Non-maligant Breast Disorders	33	33	—	—	$17,521.27	$101,763.68	$52,932.01	2026-05-08
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	9	9	—	—	$52,288.74	$56,471.84	$52,811.63	2026-05-08
105812033-3303940	OTHER	Kit Acces Chrgr Nrstm Axonics No Charge X - 1401[m	30	28	$103,372.20	$36,180.27 65% off	$5,166.45	$93,034.98	$52,719.82	2026-05-08
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	33	33	—	—	$14,755.25	$101,008.22	$52,548.93	2026-05-08
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	9	—	—	$52,002.27	$56,162.45	$52,522.29	2026-05-08
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	28	28	—	—	$4,544.13	$100,428.18	$52,511.64	2026-05-08
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	33	33	—	—	$12,686.94	$99,301.04	$52,190.90	2026-05-08
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	32	32	—	—	$13,118.35	$99,367.04	$51,970.72	2026-05-08
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	32	32	—	—	$1,680.00	$100,667.82	$51,861.16	2026-05-08
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	33	33	—	—	$12,439.26	$205,689.78	$51,827.19	2026-05-08
653	OTHER	Major Bladder Procedures With Mcc	33	33	—	—	$5,800.57	$237,945.27	$51,288.47	2026-05-08
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	32	32	—	—	$7,590.18	$157,802.45	$50,993.99	2026-05-08
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	33	33	—	—	$5,885.55	$96,430.28	$50,719.91	2026-05-08
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$49,838.33	$53,825.39	$50,336.71	2026-05-08
440-2	OTHER	Kidney Transplant	7	7	—	—	$49,361.83	$53,310.78	$49,855.45	2026-05-08
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$49,315.72	$53,260.97	$49,808.87	2026-05-08
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	33	33	—	—	$6,981.97	$203,194.64	$49,768.47	2026-05-08
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	8	8	—	—	$49,022.12	$52,943.89	$49,512.34	2026-05-08
105816220-3303940	OTHER	Abbo-gntr Nrstm Prclm 5 Elite Ipg[msmh]	30	28	$96,998.00	$33,949.30 65% off	$5,166.45	$87,298.20	$49,468.98	2026-05-08
106493174-3303940	OTHER	Implantable Pulse Generator[msmhp]	30	28	$96,998.00	$33,949.30 65% off	$5,166.45	$87,298.20	$49,468.98	2026-05-08
105824010-3303940	OTHER	Waivewriter Alpha Prime Implatable Pulse Generatio	30	28	$96,998.00	$33,949.30 65% off	$5,166.45	$87,298.20	$49,468.98	2026-05-08
105815879-3303940	OTHER	Nrstm Nrv Non Rchrg F-15 Axnc - 4101[msmh]	30	28	$96,998.00	$33,949.30 65% off	$5,166.45	$87,298.20	$49,468.98	2026-05-08
105817324-3303940	OTHER	Abbo-gntr Pls Prclm Xr7 Impl 10n[msmh]	30	28	$96,998.00	$33,949.30 65% off	$5,166.45	$87,298.20	$49,468.98	2026-05-08
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$48,838.14	$52,745.19	$49,326.52	2026-05-08
278	OTHER	Cellulitis Age >17 Without Cc	33	33	—	—	$7,937.02	$94,115.24	$49,053.62	2026-05-08
008-3	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$48,544.38	$52,427.93	$49,029.82	2026-05-08
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	33	33	—	—	$6,881.64	$92,453.22	$48,682.03	2026-05-08
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	33	33	—	—	$8,313.02	$123,829.67	$48,536.09	2026-05-08
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	9	9	—	—	$47,763.59	$51,584.68	$48,241.23	2026-05-08
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	28	28	—	—	$7,974.54	$91,789.78	$48,108.24	2026-05-08
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	32	32	—	—	$4,994.60	$92,790.14	$47,912.30	2026-05-08
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	32	32	—	—	$12,404.85	$92,317.76	$47,908.62	2026-05-08
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	8	—	—	$47,347.52	$51,135.33	$47,821.00	2026-05-08
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	8	—	—	$46,996.52	$50,756.25	$47,466.49	2026-05-08
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	33	33	—	—	$6,783.24	$209,595.30	$47,420.77	2026-05-08
270	OTHER	Other Major Cardiovascular Procedures With Mcc	33	33	—	—	$3,526.50	$89,080.54	$46,953.84	2026-05-08
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$46,360.73	$50,069.59	$46,824.34	2026-05-08
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	32	—	—	$14,030.78	$90,061.78	$46,770.21	2026-05-08
183-4	OTHER	Percutaneous Structural Cardiac Procedures	8	8	—	—	$46,195.76	$49,891.42	$46,657.72	2026-05-08
863-3	OTHER	Neonatal Aftercare	9	9	—	—	$46,127.72	$49,817.94	$46,589.00	2026-05-08
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	33	33	—	—	$10,231.26	$87,849.22	$45,876.23	2026-05-08
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$45,409.63	$49,042.40	$45,863.72	2026-05-08
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$45,408.49	$49,041.17	$45,862.58	2026-05-08
471	OTHER	Cervical Spinal Fusion With Mcc	33	33	—	—	$9,585.36	$214,135.31	$45,809.69	2026-05-08
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	8	8	—	—	$44,924.65	$48,518.62	$45,373.90	2026-05-08
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	9	9	—	—	$44,863.20	$48,452.26	$45,311.83	2026-05-08
910-4	OTHER	Craniotomy For Multiple Significant Trauma	8	8	—	—	$44,380.87	$47,931.34	$44,824.68	2026-05-08
105817409-3303940	OTHER	Abbo-stnt Cor Xnc Skypnt Rx 3.50x18[msmh]	30	28	$87,480.00	$30,618.00 65% off	$5,166.45	$78,732.00	$44,614.80	2026-05-08
179-4	OTHER	Defibrillator Implants	8	8	—	—	$44,105.36	$47,633.79	$44,546.42	2026-05-08
440-1	OTHER	Kidney Transplant	7	7	—	—	$44,076.85	$47,603.00	$44,517.62	2026-05-08
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$43,922.74	$47,436.55	$44,361.96	2026-05-08
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$43,866.14	$47,375.44	$44,304.81	2026-05-08
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	32	32	—	—	$18,372.77	$84,980.18	$44,205.92	2026-05-08
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$43,588.48	$47,075.55	$44,024.36	2026-05-08
318	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	2	2	—	—	$40,334.19	$47,551.89	$43,943.04	2026-05-08
228	OTHER	Other Cardiothoracic Procedures With Mcc	32	32	—	—	$10,726.99	$92,211.88	$43,815.56	2026-05-08
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	33	33	—	—	$16,468.02	$83,215.70	$43,526.66	2026-05-08
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	9	9	—	—	$42,956.73	$46,393.27	$43,386.30	2026-05-08
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	32	32	—	—	$23,551.90	$82,922.18	$43,167.40	2026-05-08
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	9	9	—	—	$42,414.30	$45,807.44	$42,838.44	2026-05-08
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	33	33	—	—	$6,595.53	$82,566.16	$42,778.23	2026-05-08
169-4	OTHER	Major Abdominal Vascular Procedures	8	8	—	—	$42,047.59	$45,411.39	$42,468.06	2026-05-08
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	33	33	—	—	$2,847.62	$91,692.59	$42,366.41	2026-05-08
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	8	8	—	—	$41,928.25	$45,282.51	$42,347.53	2026-05-08
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	8	8	—	—	$41,745.67	$45,085.33	$42,163.13	2026-05-08
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$41,673.69	$45,007.59	$42,090.43	2026-05-08
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	8	8	—	—	$41,561.96	$44,886.92	$41,977.58	2026-05-08
091-4	OTHER	Other Major Head And Neck Procedures	8	8	—	—	$41,527.08	$44,849.25	$41,942.35	2026-05-08
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	33	33	—	—	$5,834.99	$78,929.50	$41,752.37	2026-05-08
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	30	30	—	—	$2,547.66	$175,826.74	$41,637.77	2026-05-08
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	33	33	—	—	$7,947.09	$82,475.02	$41,627.77	2026-05-08
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	8	8	—	—	$40,736.95	$43,995.91	$41,144.32	2026-05-08
277	OTHER	Cellulitis Age >17 W Cc	33	33	—	—	$9,190.96	$128,101.60	$41,100.06	2026-05-08
008-2	OTHER	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	8	8	—	—	$40,616.59	$43,865.91	$41,022.75	2026-05-08
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	33	33	—	—	$4,199.87	$93,736.66	$40,800.17	2026-05-08
356	OTHER	Other Digestive System O.r. Procedures With Mcc	33	33	—	—	$6,653.51	$181,686.75	$40,796.15	2026-05-08
329	OTHER	Major Small And Large Bowel Procedures With Mcc	33	33	—	—	$5,540.49	$89,137.39	$40,513.93	2026-05-08
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	9	9	—	—	$40,075.72	$43,281.78	$40,476.48	2026-05-08
178-3	OTHER	External Heart Assist Systems	8	8	—	—	$40,049.05	$43,252.97	$40,449.54	2026-05-08
245	OTHER	Aicd Generator Procedures	32	32	—	—	$12,658.45	$96,678.27	$40,407.23	2026-05-08
799	OTHER	Splenectomy With Mcc	33	33	—	—	$8,473.90	$76,100.40	$40,302.72	2026-05-08
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	8	—	—	$39,885.91	$43,076.78	$40,284.77	2026-05-08
455	OTHER	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	27	27	—	—	$34,098.86	$124,234.60	$40,200.76	2026-05-08
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$39,797.14	$42,980.91	$40,195.11	2026-05-08
023-4	OTHER	Spinal Procedures	8	8	—	—	$39,784.23	$42,966.97	$40,182.07	2026-05-08
105811548-3303940	OTHER	Cap Prfrm Stm W Lat/aug - Cap1196[msmh]	30	28	$78,732.00	$27,556.20 65% off	$5,166.45	$70,858.80	$40,153.32	2026-05-08
106490364-3303940	OTHER	Zimm-cmpnt Dfem Zm Kn Seg Xtn Lt C[msmh]	30	28	$78,732.00	$27,556.20 65% off	$5,166.45	$70,858.80	$40,153.32	2026-05-08
106436890-3303940	OTHER	Zimm- Cmpnt Fem Nxgn Rot Hng Lt E[msmh]	30	28	$78,732.00	$27,556.20 65% off	$5,166.45	$70,858.80	$40,153.32	2026-05-08
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	33	33	—	—	$6,003.33	$76,444.28	$40,092.98	2026-05-08
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	33	33	—	—	$9,767.09	$76,409.54	$40,075.37	2026-05-08
31	OTHER	Ventricular Shunt Procedures With Mcc	33	33	—	—	$5,506.77	$75,259.86	$39,872.02	2026-05-08
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	33	33	—	—	$7,420.74	$76,648.22	$39,715.38	2026-05-08
021-4	OTHER	Open Craniotomy Except Trauma	8	8	—	—	$39,238.88	$42,377.99	$39,631.27	2026-05-08
441-4	OTHER	Major Bladder Procedures	8	8	—	—	$39,231.65	$42,370.18	$39,623.96	2026-05-08
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	8	8	—	—	$38,739.65	$41,838.83	$39,127.05	2026-05-08
625-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	9	9	—	—	$38,391.46	$41,462.78	$38,775.38	2026-05-08
612-2	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	9	9	—	—	$38,190.37	$41,245.60	$38,572.27	2026-05-08
631-2	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	9	9	—	—	$38,026.26	$41,068.36	$38,406.52	2026-05-08
609-1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	9	9	—	—	$37,807.29	$40,831.87	$38,185.36	2026-05-08
323	OTHER	Urinary Stones W Cc, &/or Esw Lithotripsy	33	33	—	—	$7,640.74	$72,600.96	$38,144.10	2026-05-08
752-4	OTHER	Disorders Of Personality And Impulse Control	8	8	—	—	$37,618.18	$40,627.64	$37,994.36	2026-05-08
140	OTHER	Major Head And Neck Procedures With Mcc	33	33	—	—	$3,092.61	$101,541.23	$37,956.93	2026-05-08
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	33	33	—	—	$6,068.59	$72,001.78	$37,840.27	2026-05-08
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	8	—	—	$37,453.32	$40,449.59	$37,827.85	2026-05-08
40478647-3303940	OTHER	Lithotripsy	28	27	$58,097.00	$8,714.55 85% off	$5,166.45	$58,097.00	$37,763.05	2026-05-08
178-2	OTHER	External Heart Assist Systems	8	8	—	—	$37,313.14	$40,298.19	$37,686.27	2026-05-08
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	8	8	—	—	$37,167.12	$40,140.49	$37,538.79	2026-05-08
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	32	32	—	—	$6,690.24	$93,563.01	$37,518.22	2026-05-08
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	33	33	—	—	$8,336.78	$70,629.78	$37,499.54	2026-05-08
901	OTHER	Wound Debridements For Injuries With Mcc	33	33	—	—	$5,647.35	$70,329.34	$37,345.59	2026-05-08
213	OTHER	Splenic Procedures Age 0-17	2	2	—	—	$34,244.02	$40,371.89	$37,307.96	2026-05-08
089-4	OTHER	Major Cranial Or Facial Bone Procedures	8	8	—	—	$36,915.32	$39,868.54	$37,284.47	2026-05-08
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	33	33	—	—	$3,817.43	$114,960.05	$37,226.47	2026-05-08
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	8	—	—	$36,808.56	$39,753.24	$37,176.65	2026-05-08
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	33	33	—	—	$20,206.34	$70,316.94	$37,132.00	2026-05-08
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	33	33	—	—	$5,137.74	$96,082.86	$37,036.24	2026-05-08
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	33	33	—	—	$33,390.12	$89,079.02	$36,957.59	2026-05-08
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	8	8	—	—	$36,551.68	$39,475.82	$36,917.20	2026-05-08
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	8	8	—	—	$36,478.35	$39,396.62	$36,843.13	2026-05-08
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	32	32	—	—	$12,116.97	$70,193.88	$36,744.44	2026-05-08
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	8	—	—	$36,281.36	$39,183.87	$36,644.17	2026-05-08
020-4	OTHER	Open Craniotomy For Trauma	8	8	—	—	$36,200.68	$39,096.74	$36,562.69	2026-05-08
120-4	OTHER	Major Respiratory And Chest Procedures	8	8	—	—	$36,033.82	$38,916.53	$36,394.16	2026-05-08
793	OTHER	Full Term Neonate With Major Problems	32	32	—	—	$945.00	$69,860.42	$36,387.83	2026-05-08
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	33	33	—	—	$12,478.65	$69,094.54	$36,366.05	2026-05-08
690-4	OTHER	Acute Leukemia	8	8	—	—	$35,850.55	$38,718.59	$36,209.05	2026-05-08
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	8	—	—	$35,748.38	$38,608.25	$36,105.86	2026-05-08
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	33	33	—	—	$30,051.11	$316,200.50	$35,870.59	2026-05-08
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	8	8	—	—	$35,352.94	$38,181.17	$35,706.47	2026-05-08
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	33	33	—	—	$5,155.74	$126,582.00	$35,454.55	2026-05-08
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	33	33	—	—	$23,077.66	$196,682.01	$35,451.29	2026-05-08
791	OTHER	Prematurity With Major Problems	32	32	—	—	$1,365.00	$67,939.62	$35,423.10	2026-05-08
105825969-3303940	OTHER	Vbr Small 12mm Dia X 16-25mm Ti Angled Six Degree[	30	28	$69,285.00	$24,249.75 65% off	$5,166.45	$62,356.50	$35,335.35	2026-05-08
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	8	—	—	$34,765.74	$37,547.00	$35,113.40	2026-05-08
181-4	OTHER	Lower Extremity Arterial Procedures	8	8	—	—	$34,765.74	$37,547.00	$35,113.40	2026-05-08
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	9	9	—	—	$34,670.70	$37,444.36	$35,017.41	2026-05-08
027-4	OTHER	Other Open Craniotomy	8	8	—	—	$34,586.68	$37,353.61	$34,932.54	2026-05-08
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	33	33	—	—	$13,033.74	$65,384.92	$34,812.03	2026-05-08
623-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$34,365.28	$37,114.50	$34,708.93	2026-05-08
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	8	8	—	—	$34,195.45	$36,931.08	$34,537.40	2026-05-08
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	8	8	—	—	$34,153.81	$36,886.12	$34,495.35	2026-05-08
34	OTHER	Carotid Artery Stent Procedures With Mcc	33	33	—	—	$9,920.41	$64,669.40	$34,445.39	2026-05-08
261-4	OTHER	Major Biliary Tract Procedures	8	8	—	—	$34,051.10	$36,775.19	$34,391.62	2026-05-08
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	33	33	—	—	$6,597.17	$114,914.66	$34,360.85	2026-05-08
106381277-3303940	OTHER	Psn Rev Fem Cmt Cocr Std Sz 5 L[msmhp]	31	31	$45,665.00	$15,982.75 65% off	$1,676.00	$49,318.20	$34,248.75	2026-05-08
907	OTHER	Other O.r. Procedures For Injuries With Mcc	33	33	—	—	$7,461.26	$64,124.08	$34,165.96	2026-05-08
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	9	9	—	—	$33,827.11	$36,533.28	$34,165.38	2026-05-08
621-3	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	9	9	—	—	$33,769.98	$36,471.58	$34,107.68	2026-05-08
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	33	33	—	—	$28,643.30	$85,961.40	$34,090.35	2026-05-08
695-4	OTHER	Chemotherapy For Acute Leukemia	8	8	—	—	$33,740.77	$36,440.03	$34,078.17	2026-05-08
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	8	—	—	$33,683.31	$36,377.97	$34,020.14	2026-05-08
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	32	32	—	—	$5,856.00	$65,077.54	$33,996.15	2026-05-08
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	32	32	—	—	$1,680.00	$59,008.95	$33,740.63	2026-05-08
105826078-3303940	OTHER	Life-spcr Spne Prolft 18x45x8-13 7[msmh]	30	28	$66,135.00	$23,147.25 65% off	$5,166.45	$59,521.50	$33,728.85	2026-05-08
105825789-3303940	OTHER	Ulri-cg Spnl Ucrv Sm 0d 16-25x14[msmh]	30	28	$66,135.00	$23,147.25 65% off	$5,166.45	$59,521.50	$33,728.85	2026-05-08
105825860-3303940	OTHER	Life-spcr Lp Prolft 50x18x8-16[msmh]	30	28	$66,135.00	$23,147.25 65% off	$5,166.45	$59,521.50	$33,728.85	2026-05-08
105823471-3303940	OTHER	Life-spcr Spne Prolft 18x50x10-16 7[msmh]	30	28	$66,135.00	$23,147.25 65% off	$5,166.45	$59,521.50	$33,728.85	2026-05-08
105825782-3303940	OTHER	Ulri-cg Spnl Add Sm Vbr 0d 14x16-25[msmh]	30	28	$66,135.00	$23,147.25 65% off	$5,166.45	$59,521.50	$33,728.85	2026-05-08
105825655-3303940	OTHER	Life-spcr Spne Prolft 18x50x8-13 7[msmh]	30	28	$66,135.00	$23,147.25 65% off	$5,166.45	$59,521.50	$33,728.85	2026-05-08
230-4	OTHER	Major Small Bowel Procedures	8	8	—	—	$33,312.38	$35,977.37	$33,645.51	2026-05-08
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	8	8	—	—	$33,299.86	$35,963.84	$33,632.85	2026-05-08
178-1	OTHER	External Heart Assist Systems	8	8	—	—	$33,280.15	$35,942.56	$33,612.95	2026-05-08
636-4	OTHER	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	9	9	—	—	$33,177.01	$35,831.17	$33,508.78	2026-05-08
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	33	33	—	—	$8,860.52	$75,103.63	$33,486.97	2026-05-08
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	8	8	—	—	$33,119.98	$35,769.58	$33,451.18	2026-05-08
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	33	33	—	—	$22,624.64	$62,352.64	$33,258.26	2026-05-08
548-4	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	8	8	—	—	$32,863.05	$35,492.09	$33,191.68	2026-05-08
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	8	8	—	—	$32,851.49	$35,479.61	$33,180.01	2026-05-08
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	8	8	—	—	$32,692.46	$35,307.86	$33,019.39	2026-05-08
105818688-3303940	OTHER	Glidewire Angled[msmhp]	30	28	$64,718.00	$22,651.30 65% off	$5,166.45	$58,246.20	$33,006.18	2026-05-08
401-4	OTHER	Adrenal Procedures	8	8	—	—	$32,624.37	$35,234.32	$32,950.61	2026-05-08
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	33	33	—	—	$4,582.25	$62,170.30	$32,854.90	2026-05-08

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