Hospital

FAITH REGIONAL HEALTH SERVICES

Norfolk, NE · CCN 280125 · Rates published

6,826 distinct procedures filed

19 distinct payers

236,691 rate rows

2026-05-14 last MRF observed

Data quality

142,532 of 236,691 rate rows are consumer-grade (60.2%)

94,159 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	93,241
per-diem day rate — not a per-procedure price	794
exceeds 10× this hospital's gross charge — excluded from medians	91
placeholder amount (≤ $0.02) — excluded from medians	30
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	3

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/5eddb342fb7c69ec735fb12beb8c886a/charges/mrf
Found on page	https://www.cdmpricing.com/5eddb342fb7c69ec735fb12beb8c886a/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-13
Content fingerprint	6900bb93f61d07b9… · 39,740,237 bytes · first seen 2026-05-14

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	9	$400,918.93	$534,219.15	$416,955.69	nat. median $149,977 outlier · 2.8×
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$260,180.25	$392,929.70	$270,587.46	nat. median $177,883 1.5× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	9	$198,222.89	$382,201.15	$206,151.80	nat. median $2 outlier · 128044.6×
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	9	$197,059.58	$309,144.35	$204,941.96	nat. median $119,739 1.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	9	$128,599.53	$213,150.00	$133,743.52	nat. median $106,489 1.3× median
007 OTHER	Lung Transplant	9	$120,232.60	$177,862.80	$125,041.90	nat. median $67,163 1.9× median
014 OTHER	Allogeneic Bone Marrow Transplant	9	$111,576.91	$166,183.05	$116,039.99	nat. median $77,841 1.5× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	9	$105,207.00	$177,539.45	$109,415.28	nat. median $67,041 1.6× median
209 OTHER	Complex Aortic Arch Procedures	9	$105,086.30	$115,594.93	$108,238.89	nat. median $5,249 outlier · 20.6×
426 OTHER	Non-hypovolemic Sodium Disorders	9	$30,515.67	$112,555.65	$105,393.02	nat. median $7,659 outlier · 13.8×
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	9	$100,957.62	$156,175.15	$104,995.93	nat. median $106 outlier · 992.1×
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	9	$95,725.02	$150,075.00	$99,554.02	nat. median $55,107 1.8× median
215 OTHER	Other Heart Assist System Implant	9	$92,443.05	$148,114.60	$96,140.77	nat. median $229 outlier · 420.3×
216 OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	9	$90,825.74	$140,726.85	$94,458.77	nat. median $283 outlier · 334.1×
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	9	$83,647.17	$92,011.89	$86,156.59	nat. median $42,832 outlier · 2.0×
850 OTHER	Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal…	9	$80,396.76	$125,324.39	$83,612.63	nat. median $378 outlier · 221.4×
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	$78,019.08	$122,226.30	$81,139.84	nat. median $30,041 outlier · 2.7×
231 OTHER	Coronary Bypass With Ptca With Comorbity	9	$43,898.42	$117,670.40	$80,613.05	nat. median $91,775 0.9× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	9	$73,055.73	$122,559.80	$75,977.96	nat. median $57,468 1.3× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	9	$71,287.07	$111,812.40	$74,138.55	nat. median $37,527 2.0× median
233 OTHER	Coronary Bypass With Cardiac Cath With Comorbity	9	$39,380.00	$113,094.20	$73,818.95	nat. median $84,685 0.9× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	9	$70,744.88	$104,871.25	$73,574.67	nat. median $40 outlier · 1844.9×
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	9	$66,592.97	$100,335.65	$69,256.69	nat. median $2 outlier · 40032.8×
010 OTHER	Pancreas Transplant	9	$66,620.82	$73,282.90	$69,208.32	nat. median $26,356 outlier · 2.6×
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	$67,019.12	$73,721.03	$69,029.69	nat. median $7,514 outlier · 9.2×
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	9	$66,239.24	$115,905.75	$68,888.81	nat. median $43,767 1.6× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	9	$66,200.25	$102,019.10	$68,848.26	nat. median $25,586 outlier · 2.7×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	9	$64,170.72	$100,991.05	$66,737.55	nat. median $93 outlier · 720.3×
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	9	$63,855.98	$99,393.15	$66,410.22	nat. median $8,173 outlier · 8.1×
955 OTHER	Craniotomy For Multiple Significant Trauma	9	$62,493.06	$88,307.90	$64,992.78	nat. median $64,471 1.0× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	9	$17,359.81	$68,286.88	$63,941.35	nat. median $67,107 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	9	$62,033.50	$68,236.85	$63,894.50	nat. median $2,726 outlier · 23.4×
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	9	$61,046.58	$82,602.15	$63,488.45	nat. median $275 outlier · 231.0×
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	9	$61,046.58	$92,296.85	$63,488.45	nat. median $48,306 1.3× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Comorbity	9	$60,824.69	$90,162.45	$63,257.68	nat. median $33,877 1.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	9	$24,683.37	$100,166.00	$61,533.46	nat. median $32,441 1.9× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	9	$56,897.46	$90,568.45	$59,173.35	nat. median $26,720 outlier · 2.2×
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	9	$56,831.53	$99,652.70	$59,104.79	nat. median $37,443 1.6× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	9	$56,286.55	$86,254.70	$58,538.01	nat. median $37,530 1.6× median
028 OTHER	Spinal Procedures With Mcc	9	$55,782.42	$87,378.45	$58,013.71	nat. median $21,130 outlier · 2.7×
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	9	$55,766.64	$90,047.90	$57,997.31	nat. median $20,464 outlier · 2.8×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	$55,362.78	$88,091.85	$57,577.29	nat. median $31,532 1.8× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	9	$55,180.79	$87,001.45	$57,388.02	nat. median $80 outlier · 720.5×
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	9	$55,052.68	$89,566.50	$57,254.79	nat. median $26,535 outlier · 2.2×
235 OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	9	$54,485.42	$85,268.70	$56,664.84	nat. median $30,335 1.9× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	9	$54,450.14	$87,677.15	$56,628.15	nat. median $25 outlier · 2272.4×
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	9	$53,201.41	$82,197.60	$55,329.46	nat. median $30,501 1.8× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	9	$53,543.06	$58,897.37	$55,149.35	nat. median $26,702 outlier · 2.1×
213 OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	9	$52,984.16	$58,282.58	$54,573.68	nat. median $33,081 1.6× median
463 OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	9	$11,451.75	$82,123.65	$54,502.90	nat. median $26,781 outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 6,826 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

018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	9	—	—	$400,918.93	$534,219.15	$416,955.69	2026-05-14
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	9	—	—	$260,180.25	$392,929.70	$270,587.46	2026-05-14
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	9	—	—	$198,222.89	$382,201.15	$206,151.80	2026-05-14
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	9	—	—	$197,059.58	$309,144.35	$204,941.96	2026-05-14
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	9	—	—	$128,599.53	$213,150.00	$133,743.52	2026-05-14
007	OTHER	Lung Transplant	10	9	—	—	$120,232.60	$177,862.80	$125,041.90	2026-05-14
014	OTHER	Allogeneic Bone Marrow Transplant	10	9	—	—	$111,576.91	$166,183.05	$116,039.99	2026-05-14
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	9	—	—	$105,207.00	$177,539.45	$109,415.28	2026-05-14
209	OTHER	Complex Aortic Arch Procedures	9	9	—	—	$105,086.30	$115,594.93	$108,238.89	2026-05-14
426	OTHER	Non-hypovolemic Sodium Disorders	10	9	—	—	$30,515.67	$112,555.65	$105,393.02	2026-05-14
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	10	9	—	—	$100,957.62	$156,175.15	$104,995.93	2026-05-14
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	10	9	—	—	$95,725.02	$150,075.00	$99,554.02	2026-05-14
215	OTHER	Other Heart Assist System Implant	10	9	—	—	$92,443.05	$148,114.60	$96,140.77	2026-05-14
216	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity	10	9	—	—	$90,825.74	$140,726.85	$94,458.77	2026-05-14
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	9	9	—	—	$83,647.17	$92,011.89	$86,156.59	2026-05-14
850	OTHER	Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal…	10	9	—	—	$80,396.76	$125,324.39	$83,612.63	2026-05-14
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	9	—	—	$78,019.08	$122,226.30	$81,139.84	2026-05-14
231	OTHER	Coronary Bypass With Ptca With Comorbity	11	9	—	—	$43,898.42	$117,670.40	$80,613.05	2026-05-14
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	10	9	—	—	$73,055.73	$122,559.80	$75,977.96	2026-05-14
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	9	—	—	$71,287.07	$111,812.40	$74,138.55	2026-05-14
233	OTHER	Coronary Bypass With Cardiac Cath With Comorbity	12	9	—	—	$39,380.00	$113,094.20	$73,818.95	2026-05-14
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Comorbity	10	9	—	—	$70,744.88	$104,871.25	$73,574.67	2026-05-14
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	10	9	—	—	$66,592.97	$100,335.65	$69,256.69	2026-05-14
010	OTHER	Pancreas Transplant	10	9	—	—	$66,620.82	$73,282.90	$69,208.32	2026-05-14
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	9	—	—	$67,019.12	$73,721.03	$69,029.69	2026-05-14
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	10	9	—	—	$66,239.24	$115,905.75	$68,888.81	2026-05-14
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	10	9	—	—	$66,200.25	$102,019.10	$68,848.26	2026-05-14
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	10	9	—	—	$64,170.72	$100,991.05	$66,737.55	2026-05-14
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity	10	9	—	—	$63,855.98	$99,393.15	$66,410.22	2026-05-14
955	OTHER	Craniotomy For Multiple Significant Trauma	10	9	—	—	$62,493.06	$88,307.90	$64,992.78	2026-05-14
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	10	9	—	—	$17,359.81	$68,286.88	$63,941.35	2026-05-14
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	9	9	—	—	$62,033.50	$68,236.85	$63,894.50	2026-05-14
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	9	—	—	$61,046.58	$92,296.85	$63,488.45	2026-05-14
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	9	—	—	$61,046.58	$82,602.15	$63,488.45	2026-05-14
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Comorbity	10	9	—	—	$60,824.69	$90,162.45	$63,257.68	2026-05-14
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	11	9	—	—	$24,683.37	$100,166.00	$61,533.46	2026-05-14
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	10	9	—	—	$56,897.46	$90,568.45	$59,173.35	2026-05-14
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	10	9	—	—	$56,831.53	$99,652.70	$59,104.79	2026-05-14
232	OTHER	Coronary Bypass With Ptca Without Mcc	10	9	—	—	$56,286.55	$86,254.70	$58,538.01	2026-05-14
028	OTHER	Spinal Procedures With Mcc	10	9	—	—	$55,782.42	$87,378.45	$58,013.71	2026-05-14
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	10	9	—	—	$55,766.64	$90,047.90	$57,997.31	2026-05-14
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	9	—	—	$55,362.78	$88,091.85	$57,577.29	2026-05-14
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome; Neonate	10	9	—	—	$55,180.79	$87,001.45	$57,388.02	2026-05-14
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	10	9	—	—	$55,052.68	$89,566.50	$57,254.79	2026-05-14
235	OTHER	Coronary Bypass Without Cardiac Cath With Comorbity	10	9	—	—	$54,485.42	$85,268.70	$56,664.84	2026-05-14
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	10	9	—	—	$54,450.14	$87,677.15	$56,628.15	2026-05-14
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	10	9	—	—	$53,201.41	$82,197.60	$55,329.46	2026-05-14
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	9	9	—	—	$53,543.06	$58,897.37	$55,149.35	2026-05-14
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	9	9	—	—	$52,984.16	$58,282.58	$54,573.68	2026-05-14
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	11	9	—	—	$11,451.75	$82,123.65	$54,502.90	2026-05-14
008	OTHER	Simultaneous Pancreas And Kidney Transplant	10	9	—	—	$52,034.38	$76,294.65	$54,115.76	2026-05-14
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	9	—	—	$52,195.93	$57,415.52	$53,761.81	2026-05-14
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	10	9	—	—	$51,677.86	$64,675.80	$53,744.97	2026-05-14
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	10	9	—	—	$51,276.78	$98,868.25	$53,327.85	2026-05-14
834	OTHER	Acute Leukemia With Mcc	10	9	—	—	$50,969.48	$81,185.50	$53,008.25	2026-05-14
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	10	9	—	—	$50,789.38	$79,825.40	$52,820.96	2026-05-14
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	10	9	—	—	$50,637.10	$74,766.35	$52,662.58	2026-05-14
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	10	9	—	—	$50,434.70	$89,566.50	$52,452.09	2026-05-14
234	OTHER	Coronary Bypass With Cardiac Cath Without Comorbity	11	9	—	—	$42,624.34	$75,369.55	$52,238.47	2026-05-14
220	OTHER	Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication	10	9	—	—	$49,510.92	$76,046.70	$51,491.36	2026-05-14
64568	OTHER	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	24	18	$7,827.00	$4,899.70 37% off	$5,289.38	$53,883.48	$51,434.23	2026-05-14
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	10	9	—	—	$49,148.85	$89,050.30	$51,114.81	2026-05-14
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	9	9	—	—	$49,481.22	$54,429.34	$50,965.66	2026-05-14
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	10	9	—	—	$48,986.37	$73,325.05	$50,945.82	2026-05-14
653	OTHER	Major Bladder Procedures With Mcc	10	9	—	—	$48,244.55	$78,497.20	$50,174.33	2026-05-14
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	11	9	—	—	$29,607.02	$75,205.70	$49,777.96	2026-05-14
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	9	—	—	$46,794.36	$67,404.70	$48,666.14	2026-05-14
228	OTHER	Other Cardiothoracic Procedures With Comorbity	11	9	—	—	$45,932.79	$73,061.15	$48,229.43	2026-05-14
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	12	9	—	—	$23,722.48	$73,645.50	$47,693.27	2026-05-14
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	10	9	—	—	$45,851.08	$72,489.85	$47,685.12	2026-05-14
239	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity	10	9	—	—	$45,694.18	$69,698.60	$47,521.95	2026-05-14
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	10	9	—	—	$45,503.86	$82,404.95	$47,324.01	2026-05-14
471	OTHER	Cervical Spinal Fusion With Mcc	10	9	—	—	$44,830.74	$71,325.50	$46,623.97	2026-05-14
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	10	9	—	—	$44,604.22	$68,970.70	$46,388.39	2026-05-14
L8614	HCPCS	Cochlear Device; Includes All Internal And External Components	2	2	$12,201.75	$7,638.30 37% off	$11,347.63	$80,788.08	$46,067.85	2026-05-14
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	10	9	—	—	$44,200.33	$70,762.90	$45,968.35	2026-05-14
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	10	9	—	—	$43,648.86	$65,213.75	$45,394.82	2026-05-14
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	10	9	—	—	$43,559.73	$68,735.80	$45,302.12	2026-05-14
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	10	9	—	—	$43,429.77	$63,637.60	$45,166.96	2026-05-14
006	OTHER	Liver Transplant Without Mcc	10	9	—	—	$43,050.95	$70,135.05	$44,772.99	2026-05-14
277	OTHER	Cardiac Defibrillator Implant Without Mcc	10	9	—	—	$42,879.21	$69,344.80	$44,594.38	2026-05-14
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	10	9	—	—	$42,674.95	$65,493.60	$44,381.95	2026-05-14
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	10	9	—	—	$42,566.32	$65,277.55	$44,268.97	2026-05-14
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	10	9	—	—	$42,231.16	$64,211.80	$43,920.40	2026-05-14
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	10	9	—	—	$42,212.59	$64,032.00	$43,901.10	2026-05-14
799	OTHER	Splenic Procedures With Mcc	10	9	—	—	$42,047.35	$71,841.70	$43,729.24	2026-05-14
245	OTHER	Aicd Generator Procedures	11	9	—	—	$35,098.01	$65,705.30	$43,629.11	2026-05-14
031	OTHER	Ventricular Shunt Procedures With Mcc	10	9	—	—	$41,597.97	$59,690.70	$43,261.89	2026-05-14
319	OTHER	Other Endovascular Cardiac Valve Procedures With Comorbity	10	9	—	—	$41,434.58	$63,247.55	$43,091.96	2026-05-14
163	OTHER	Major Chest Procedures With Comorbity	11	9	—	—	$32,433.99	$68,347.20	$42,858.35	2026-05-14
793	OTHER	Full Term Neonate With Major Problems	25	18	—	—	$7,009.45	$61,034.85	$42,563.93	2026-05-14
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	10	9	—	—	$40,783.76	$62,041.15	$42,415.11	2026-05-14
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	11	9	—	—	$40,176.56	$60,030.00	$42,185.39	2026-05-14
791	OTHER	Prematurity With Major Problems	25	18	—	—	$24,093.00	$59,416.65	$41,754.82	2026-05-14
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	10	9	—	—	$39,856.26	$62,390.60	$41,450.51	2026-05-14
140	OTHER	Major Head And Neck Procedures With Mcc	10	9	—	—	$39,600.00	$54,782.45	$41,184.00	2026-05-14
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	10	9	—	—	$39,209.15	$60,299.70	$40,777.51	2026-05-14
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	10	9	—	—	$39,142.29	$58,071.05	$40,707.98	2026-05-14
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	10	9	—	—	$39,122.80	$58,649.60	$40,687.71	2026-05-14
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	10	9	—	—	$39,008.60	$53,621.00	$40,568.94	2026-05-14
901	OTHER	Wound Debridements For Injuries With Comorbity	10	9	—	—	$38,962.18	$62,753.10	$40,520.67	2026-05-14
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	10	9	—	—	$38,889.77	$58,597.40	$40,445.36	2026-05-14
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	10	9	—	—	$38,739.36	$65,699.50	$40,288.93	2026-05-14
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity	10	9	—	—	$38,557.39	$56,708.05	$40,099.68	2026-05-14
273	OTHER	Percutaneous Intracardiac Procedures With Comorbity	10	9	—	—	$38,302.08	$56,506.50	$39,834.16	2026-05-14
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	10	9	—	—	$36,989.29	$49,159.35	$38,468.86	2026-05-14
69930	OTHER	Insertion Of Cochlear Device	24	18	$16,617.00	$10,402.24 37% off	$11,181.78	$40,138.22	$38,313.75	2026-05-14
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	10	9	—	—	$36,318.96	$54,937.60	$37,771.72	2026-05-14
034	OTHER	Carotid Artery Stent Procedure With Comorbity	10	9	—	—	$35,936.46	$56,570.30	$37,373.92	2026-05-14
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	10	9	—	—	$35,882.62	$54,106.75	$37,317.93	2026-05-14
040	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	10	9	—	—	$35,848.26	$55,832.25	$37,282.19	2026-05-14
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	10	9	—	—	$35,644.93	$53,932.75	$37,070.73	2026-05-14
33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	24	18	$78,496.00	$49,138.50 37% off	$34,737.14	$38,210.85	$36,474.00	2026-05-14
33249	OTHER	Insertion Of Implantable Defibrillator System	51	18	$74,758.00	$46,798.51 37% off	$34,737.14	$51,680.21	$36,474.00	2026-05-14
166	OTHER	Other Resp System O.r. Procedures With Comorbity	11	9	—	—	$34,701.65	$152,212.18	$36,436.73	2026-05-14
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	10	9	—	—	$34,697.94	$52,951.10	$36,085.86	2026-05-14
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	11	9	—	—	$4,618.79	$56,233.90	$35,984.66	2026-05-14
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	10	9	—	—	$34,600.46	$58,210.25	$35,984.48	2026-05-14
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	23	18	$3,622.50	$2,267.69 37% off	$31,253.95	$35,856.78	$35,856.78	2026-05-14
64582	OTHER	Opn Mpltj Hpglsl Nstm Ary Pg	25	18	$79,993.00	$50,075.62 37% off	$6,413.19	$37,564.24	$35,856.78	2026-05-14
61886	OTHER	Implant Neurostim Arrays	24	18	$79,993.00	$50,075.62 37% off	$34,149.31	$37,564.24	$35,856.78	2026-05-14
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	11	9	—	—	$18,272.66	$48,221.20	$35,827.80	2026-05-14
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	10	9	—	—	$34,405.50	$50,146.80	$35,781.72	2026-05-14
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	10	9	—	—	$34,087.97	$50,200.45	$35,451.49	2026-05-14
495	OTHER	Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity	10	9	—	—	$33,661.82	$51,927.40	$35,008.29	2026-05-14
332	OTHER	Rectal Resection With Mcc	10	9	—	—	$33,615.39	$52,600.20	$34,960.01	2026-05-14
265	OTHER	Aicd Lead Procedures	10	9	—	—	$33,592.19	$51,244.45	$34,935.88	2026-05-14
097	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity	10	9	—	—	$33,532.78	$52,735.05	$34,874.09	2026-05-14
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	10	9	—	—	$33,263.52	$52,436.35	$34,594.07	2026-05-14
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	10	9	—	—	$33,186.48	$56,364.40	$34,513.93	2026-05-14
335	OTHER	Peritoneal Adhesiolysis With Mcc	10	9	—	—	$33,153.04	$51,837.50	$34,479.16	2026-05-14
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	10	9	—	—	$33,103.85	$53,971.90	$34,428.01	2026-05-14
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	10	9	—	—	$33,075.98	$51,115.40	$34,399.02	2026-05-14
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	10	9	—	—	$33,044.42	$55,471.20	$34,366.19	2026-05-14
271	OTHER	Other Major Cardiovascular Procedures With Complication	10	9	—	—	$33,017.50	$50,114.90	$34,338.20	2026-05-14
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	10	9	—	—	$32,741.76	$50,551.35	$34,051.43	2026-05-14
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	10	9	—	—	$32,674.91	$52,529.15	$33,981.91	2026-05-14
252	OTHER	Other Vascular Procedures With Comorbity	10	9	—	—	$32,386.17	$48,630.10	$33,681.62	2026-05-14
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	10	9	—	—	$32,377.81	$57,386.65	$33,672.92	2026-05-14
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Complication	10	9	—	—	$32,229.26	$49,384.10	$33,518.43	2026-05-14
477	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity	10	9	—	—	$32,073.29	$48,850.50	$33,356.22	2026-05-14
33289	OTHER	Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review …	49	18	$71,071.00	$44,490.45 37% off	$31,743.03	$34,917.33	$33,330.18	2026-05-14
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	10	9	—	—	$31,830.03	$48,962.15	$33,103.23	2026-05-14
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	10	9	—	—	$31,674.06	$49,708.90	$32,941.02	2026-05-14
037	OTHER	Extracranial Procedures With Mcc	10	9	—	—	$30,564.61	$48,946.20	$31,787.19	2026-05-14
22633	OTHER	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	15	14	$1,859.71	$1,164.18 37% off	$31,529.85	$31,529.85	$31,529.85	2026-05-14
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	50	18	$8,651.33	$5,415.73 37% off	$12,589.41	$33,031.27	$31,529.85	2026-05-14
C1767	HCPCS	Generator; Neurostimulator (implantable); Non-rechargeable	1	1	$45,562.50	$28,522.13 37% off	$31,497.36	$31,497.36	$31,497.36	2026-05-14
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	10	9	—	—	$30,199.73	$48,070.40	$31,407.72	2026-05-14
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	10	9	—	—	$30,066.97	$48,461.90	$31,269.65	2026-05-14
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	10	9	—	—	$29,642.68	$50,098.95	$30,828.39	2026-05-14
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	10	9	—	—	$29,499.69	$50,412.15	$30,679.67	2026-05-14
93656	OTHER	Compre Ep Eval Abltj Atr Fib	24	18	$60,062.00	$37,598.81 37% off	$28,926.00	$31,818.60	$30,372.30	2026-05-14
93654	OTHER	Compre Ep Eval Tx Vt	24	18	$60,062.00	$37,598.81 37% off	$28,926.00	$31,818.60	$30,372.30	2026-05-14
93653	OTHER	Compre Ep Eval Tx Svt	24	18	$60,062.00	$37,598.81 37% off	$28,926.00	$32,509.90	$30,372.30	2026-05-14
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	11	9	—	—	$28,160.92	$48,282.10	$29,568.97	2026-05-14
792	OTHER	Prematurity Without Major Problems	25	18	—	—	$3,111.58	$35,851.25	$29,295.09	2026-05-14
C1722	HCPCS	Cardioverter-defibrillator; Single Chamber (implantable)	1	1	$30,000.00	$18,780.00 37% off	$28,200.00	$28,200.00	$28,200.00	2026-05-14
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	24	18	$56,426.00	$35,322.68 37% off	$24,616.32	$27,077.95	$25,847.13	2026-05-14
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	24	18	$54,955.00	$34,401.83 37% off	$24,616.32	$27,077.95	$25,847.13	2026-05-14
485	OTHER	Knee Procedures With Pdx Of Infection With Comorbity	24	17	—	—	$25,081.50	$47,763.00	$25,081.50	2026-05-14
264	OTHER	Other Circulatory System O.r. Procedures	24	17	—	—	$24,878.50	$47,357.00	$24,878.50	2026-05-14
37221	OTHER	Insertion Of Stent In Groin Artery; Initial Vessel	1	1	$26,443.00	$16,553.32 37% off	$24,856.42	$24,856.42	$24,856.42	2026-05-14
904	OTHER	Skin Grafts For Injuries With Complication/comorbity	24	17	—	—	$24,807.45	$47,214.90	$24,807.45	2026-05-14
500	OTHER	Soft Tissue Procedures With Mcc	24	17	—	—	$24,710.30	$47,020.60	$24,710.30	2026-05-14
274	OTHER	Percutaneous Intracardiac Procedures Without Comorbity	24	17	—	—	$24,695.80	$46,991.60	$24,695.80	2026-05-14
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	24	17	—	—	$24,512.38	$46,624.75	$24,512.38	2026-05-14
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	24	17	—	—	$24,510.92	$46,621.85	$24,510.92	2026-05-14
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	24	17	—	—	$24,405.80	$46,411.60	$24,405.80	2026-05-14
279	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	24	17	—	—	$24,404.35	$46,408.70	$24,404.35	2026-05-14
229	OTHER	Other Cardiothoracic Procedures Without Mcc	24	17	—	—	$24,252.10	$46,104.20	$24,252.10	2026-05-14
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	24	17	—	—	$24,120.88	$45,841.75	$24,120.88	2026-05-14
53445	OTHER	Insertion Of Inflatable Urethra Or Bladder Neck Sphincter	24	18	$9,473.00	$5,930.10 37% off	$22,937.00	$25,230.70	$24,083.85	2026-05-14
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	24	17	—	—	$24,065.05	$45,730.10	$24,065.05	2026-05-14
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	24	17	—	—	$23,947.60	$45,495.20	$23,947.60	2026-05-14
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	24	17	—	—	$23,857.70	$45,315.40	$23,857.70	2026-05-14
665	OTHER	Prostatectomy With Comorbity	24	17	—	—	$23,595.97	$44,791.95	$23,595.97	2026-05-14
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	24	17	—	—	$23,493.75	$44,587.50	$23,493.75	2026-05-14
783	OTHER	Cesarean Section With Sterilization With Mcc	25	18	—	—	$21,012.00	$25,691.10	$23,351.55	2026-05-14
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	24	17	—	—	$23,182.00	$43,964.00	$23,182.00	2026-05-14
652	OTHER	Kidney Transplant	24	17	—	—	$22,981.90	$43,563.80	$22,981.90	2026-05-14
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	24	17	—	—	$22,960.15	$43,520.30	$22,960.15	2026-05-14
662	OTHER	Minor Bladder Procedures With Mcc	24	17	—	—	$22,926.08	$43,452.15	$22,926.08	2026-05-14
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	24	17	—	—	$22,907.95	$43,415.90	$22,907.95	2026-05-14
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	23	17	—	—	$22,854.90	$43,309.79	$22,854.90	2026-05-14
324	OTHER	Non-elective Or Complex Hip Joint Replacement	24	17	—	—	$22,722.35	$43,044.70	$22,722.35	2026-05-14
472	OTHER	Cervical Spinal Fusion With Cc	24	17	—	—	$22,626.65	$42,853.30	$22,626.65	2026-05-14
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	24	17	—	—	$22,609.97	$42,819.95	$22,609.97	2026-05-14
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	24	17	—	—	$22,579.53	$42,759.05	$22,579.53	2026-05-14
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	24	17	—	—	$22,401.17	$42,402.35	$22,401.17	2026-05-14
570	OTHER	Skin Debridement With Mcc	24	17	—	—	$22,385.95	$42,371.90	$22,385.95	2026-05-14
33274	OTHER	Tcat Insj/rpl Perm Ldls Pm	24	18	$50,062.00	$31,338.81 37% off	$21,316.36	$23,448.00	$22,382.18	2026-05-14
33229	OTHER	Remv&replc Pm Gen Mult Leads	24	18	$46,692.00	$29,229.19 37% off	$21,316.36	$23,448.00	$22,382.18	2026-05-14
33221	OTHER	Insert Pulse Gen Mult Leads	24	18	$50,062.00	$31,338.81 37% off	$21,316.36	$23,448.00	$22,382.18	2026-05-14
625	OTHER	Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity	24	17	—	—	$22,378.70	$42,357.40	$22,378.70	2026-05-14
974	OTHER	HIV With Major Related Condition With Mcc	24	17	—	—	$22,344.62	$42,289.25	$22,344.62	2026-05-14
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	24	17	—	—	$22,133.65	$41,867.30	$22,133.65	2026-05-14
411	OTHER	Cholecystectomy With C.d.e. With Mcc	24	17	—	—	$22,083.62	$41,767.25	$22,083.62	2026-05-14
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	24	17	—	—	$22,041.58	$41,683.15	$22,041.58	2026-05-14
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	24	17	—	—	$21,835.67	$41,271.35	$21,835.67	2026-05-14
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	23	17	—	—	$21,729.98	$41,059.96	$21,729.98	2026-05-14
263	OTHER	Vein Ligation & Stripping	24	17	—	—	$21,682.70	$62,632.69	$21,682.70	2026-05-14
668	OTHER	Transurethral Procedures With Comorbity	24	17	—	—	$21,630.50	$40,861.00	$21,630.50	2026-05-14
800	OTHER	Splenic Procedures With Cc	24	17	—	—	$21,628.33	$40,856.65	$21,628.33	2026-05-14
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	24	17	—	—	$21,566.70	$40,733.40	$21,566.70	2026-05-14
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	24	17	—	—	$21,520.30	$40,640.60	$21,520.30	2026-05-14
36906	OTHER	Thrmbc/nfs Dialysis Circuit	24	18	$44,514.00	$27,865.76 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
93580	OTHER	Transcath Closure Of Asd	24	18	$47,137.00	$29,507.76 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
37184	OTHER	Prim Art M-thrmbc 1st Vsl	24	18	$43,964.00	$27,521.46 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
92933	OTHER	Prq Trlml C Athrc St Angiop1	24	18	$43,964.00	$27,521.46 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
37242	OTHER	Vasc Embolize/occlude Artery	24	18	$43,964.00	$27,521.46 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9766	HCPCS	Revasc Intra Lithotrip-ather	24	18	$47,137.00	$29,507.76 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9775	HCPCS	Revasc Lith-sten-ath Tib/per	24	18	$47,137.00	$29,507.76 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9774	HCPCS	Revasc Lithotr-ather Tib/per	24	18	$47,137.00	$29,507.76 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9773	HCPCS	Revasc Lithotr-stent Tib/per	24	18	$55,634.00	$34,826.88 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9767	HCPCS	Revasc Lithotrip-stent-ather	24	18	$43,964.00	$27,521.46 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9765	HCPCS	Revasc Intra Lithotrip-stent	24	18	$43,964.00	$27,521.46 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9607	HCPCS	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary…	49	18	$41,870.00	$26,210.62 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
C9602	HCPCS	Percutaneous Transluminal Coronary Atherectomy; With Drug Eluting Intracoronary …	74	18	$26,700.00	$16,714.20 37% off	$20,287.09	$22,315.80	$21,301.44	2026-05-14
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	24	17	—	—	$21,118.65	$39,837.30	$21,118.65	2026-05-14
344	OTHER	Minor Small & Large Bowel Procedures With Comorbity	24	17	—	—	$21,067.90	$39,735.80	$21,067.90	2026-05-14
654	OTHER	Major Bladder Procedures With Cc	24	17	—	—	$21,046.88	$39,693.75	$21,046.88	2026-05-14
963	OTHER	Other Multiple Significant Trauma With Mcc	24	17	—	—	$21,023.67	$39,647.35	$21,023.67	2026-05-14
62362	OTHER	Insertion Of Programmable Spinal Canal Drug Infusion Pump	24	18	$2,941.00	$1,841.07 37% off	$19,946.47	$21,941.12	$20,943.79	2026-05-14
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	24	17	—	—	$20,924.35	$39,448.70	$20,924.35	2026-05-14
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	24	17	—	—	$20,837.35	$39,274.70	$20,837.35	2026-05-14
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	24	17	—	—	$20,802.55	$39,205.10	$20,802.55	2026-05-14
849	OTHER	Radiotherapy	24	17	—	—	$20,712.65	$39,025.30	$20,712.65	2026-05-14
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	24	17	—	—	$20,671.33	$38,942.65	$20,671.33	2026-05-14
503	OTHER	Foot Procedures With Comorbity	24	17	—	—	$20,643.78	$38,887.55	$20,643.78	2026-05-14
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	24	17	—	—	$20,554.60	$38,709.20	$20,554.60	2026-05-14
Q4100	HCPCS	Skin Substitute; Not Otherwise Specified	2	2	$20,891.88	$13,078.32 37% off	$19,638.34	$21,372.38	$20,505.36	2026-05-14
135	OTHER	Sinus & Mastoid Procedures With Complication/comorbity	24	17	—	—	$8,664.09	$38,455.45	$20,427.72	2026-05-14
577	OTHER	Skin Graft Exc For Skin Ulcer Or Cellulitis With Complication	24	17	—	—	$20,405.97	$38,411.95	$20,405.97	2026-05-14
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	50	18	$10,807.00	$6,765.18 37% off	$7,712.83	$21,344.58	$20,374.37	2026-05-14
27279	OTHER	Fusion Of Pelvic Joint Using Imaging Guidance	25	18	$4,331.00	$2,711.21 37% off	$19,404.16	$21,344.58	$20,374.37	2026-05-14
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	24	17	—	—	$20,371.17	$78,760.37	$20,371.17	2026-05-14
786	OTHER	Cesarean Section Without Sterilization With Comorbity	25	18	—	—	$15,314.33	$25,367.75	$20,341.04	2026-05-14
37238	OTHER	Insertion Of Stent In Vein With Review By Radiologist; Initial Vein	49	18	$25,395.00	$15,897.27 37% off	$12,775.62	$22,315.80	$20,287.09	2026-05-14
498	OTHER	Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb…	24	17	—	—	$20,129.75	$37,859.50	$20,129.75	2026-05-14
C9758	HCPCS	Blind Interatrial Shunt Ide	24	18	$45,940.00	$28,758.44 37% off	$19,050.05	$20,955.06	$20,002.56	2026-05-14
288	OTHER	Acute And Subacute Endocarditis With Mcc	24	17	—	—	$19,999.25	$37,598.50	$19,999.25	2026-05-14
659	OTHER	Kidney & Ureter Procedures For Non-neoplasm With Comorbity	24	17	—	—	$19,969.53	$37,539.05	$19,969.53	2026-05-14
619	OTHER	O.r. Procedures For Obesity With Mcc	24	17	—	—	$19,966.62	$37,533.25	$19,966.62	2026-05-14
C2616	HCPCS	Brachytx, Non-str,yttrium-90	24	18	$66,862.00	$41,855.61 37% off	$18,939.49	$20,833.44	$19,886.47	2026-05-14
253	OTHER	Other Vascular Procedures With Complication	24	17	—	—	$19,695.47	$36,990.95	$19,695.47	2026-05-14
164	OTHER	Major Chest Procedures With Cc	24	17	—	—	$19,690.40	$36,980.80	$19,690.40	2026-05-14
347	OTHER	Anal & Stomal Procedures With Comorbity	24	17	—	—	$19,680.97	$36,961.95	$19,680.97	2026-05-14
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	24	17	—	—	$19,559.90	$36,719.80	$19,559.90	2026-05-14
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	24	17	—	—	$19,449.70	$36,499.40	$19,449.70	2026-05-14
113	OTHER	Orbital Procedures With Complication/comorbity	24	17	—	—	$11,230.66	$36,355.85	$19,377.92	2026-05-14
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	24	17	—	—	$19,306.15	$36,212.30	$19,306.15	2026-05-14
545	OTHER	Connective Tissue Disorders With Comorbity	24	17	—	—	$19,275.70	$36,151.40	$19,275.70	2026-05-14
982	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication	24	17	—	—	$19,223.50	$36,047.00	$19,223.50	2026-05-14
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	24	17	—	—	$19,210.45	$36,020.90	$19,210.45	2026-05-14
789	OTHER	Neonates; Died Or Transferred To Another Acute Care Facility	25	18	—	—	$11,700.00	$26,381.30	$19,040.65	2026-05-14
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	24	17	—	—	$19,039.35	$35,678.70	$19,039.35	2026-05-14
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	24	17	—	—	$18,919.00	$35,438.00	$18,919.00	2026-05-14
272	OTHER	Other Major Cardiovascular Procedures Without Complication/comorbity	24	17	—	—	$18,886.38	$35,372.75	$18,886.38	2026-05-14
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	24	17	—	—	$18,838.53	$35,277.05	$18,838.53	2026-05-14
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	23	17	—	—	$18,758.61	$35,117.22	$18,758.61	2026-05-14
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	24	17	—	—	$18,631.90	$34,863.80	$18,631.90	2026-05-14
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	24	17	—	—	$18,612.33	$34,824.65	$18,612.33	2026-05-14
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	24	17	—	—	$18,600.00	$34,800.00	$18,600.00	2026-05-14
056	OTHER	Degenerative Nervous System Disorders With Comorbity	24	17	—	—	$18,556.50	$34,713.00	$18,556.50	2026-05-14
095	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Complication	24	17	—	—	$18,485.45	$34,570.90	$18,485.45	2026-05-14
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	24	17	—	—	$18,481.83	$34,563.65	$18,481.83	2026-05-14
674	OTHER	Other Kidney & Urinary Tract Procedures With Complication	24	17	—	—	$18,470.95	$98,007.27	$18,470.95	2026-05-14
330	OTHER	Major Small & Large Bowel Procedures With Complication	24	17	—	—	$18,397.72	$34,395.45	$18,397.72	2026-05-14
250	OTHER	Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity	24	17	—	—	$18,243.30	$34,086.60	$18,243.30	2026-05-14
030	OTHER	Spinal Procedures Without Cc/mcc	24	17	—	—	$18,012.75	$33,625.50	$18,012.75	2026-05-14
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Comorbity	24	17	—	—	$18,004.05	$33,608.10	$18,004.05	2026-05-14
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	24	17	—	—	$17,999.70	$33,599.40	$17,999.70	2026-05-14
035	OTHER	Carotid Artery Stent Procedures With Cc	24	17	—	—	$17,871.38	$33,342.75	$17,871.38	2026-05-14
082	OTHER	Traumatic Stupor & Coma; Coma >1 Hr With Comorbity	24	17	—	—	$17,717.67	$33,035.35	$17,717.67	2026-05-14
243	OTHER	Permanent Cardiac Pacemaker Implant With Complication	24	17	—	—	$11,749.62	$33,025.20	$17,712.60	2026-05-14
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	23	17	—	—	$17,695.47	$32,990.94	$17,695.47	2026-05-14
085	OTHER	Traumatic Stupor & Coma; Coma <1 Hr With Comorbity	24	17	—	—	$17,677.80	$32,955.60	$17,677.80	2026-05-14
629	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Complication	24	17	—	—	$17,605.30	$32,810.60	$17,605.30	2026-05-14
817	OTHER	Other Antepartum Diagnoses With O.r. Procedure With Comorbity	24	17	—	—	$14,084.22	$32,697.50	$17,548.75	2026-05-14
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	24	17	—	—	$17,529.90	$32,659.80	$17,529.90	2026-05-14
397	OTHER	Appendix Procedures With Mcc	24	17	—	—	$17,487.85	$32,575.70	$17,487.85	2026-05-14
835	OTHER	Acute Leukemia Without Major O.r. Procedure With Complication	24	17	—	—	$17,407.38	$32,414.75	$17,407.38	2026-05-14
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	24	17	—	—	$17,388.53	$32,377.05	$17,388.53	2026-05-14
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	24	17	—	—	$17,382.72	$32,365.45	$17,382.72	2026-05-14
041	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Complication Or Periph Neurosti…	24	17	—	—	$17,372.58	$32,345.15	$17,372.58	2026-05-14
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	24	17	—	—	$17,338.50	$32,277.00	$17,338.50	2026-05-14
080	OTHER	Nontraumatic Stupor & Coma With Comorbity	24	17	—	—	$16,804.45	$32,026.15	$17,213.08	2026-05-14
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	24	17	—	—	$17,204.38	$32,008.75	$17,204.38	2026-05-14
357	OTHER	Other Digestive System O.r. Procedures With Cc	24	17	—	—	$17,126.80	$31,853.60	$17,126.80	2026-05-14
808	OTHER	Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity	24	17	—	—	$17,078.22	$31,756.45	$17,078.22	2026-05-14
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	24	17	—	—	$17,002.83	$31,605.65	$17,002.83	2026-05-14
595	OTHER	Major Skin Disorders With Mcc	24	17	—	—	$16,968.75	$31,537.50	$16,968.75	2026-05-14
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	24	17	—	—	$16,958.60	$31,517.20	$16,958.60	2026-05-14
940	OTHER	O.r. Proc With Diagnoses Of Other Contact With Health Services With Complication	24	17	—	—	$16,907.85	$31,415.70	$16,907.85	2026-05-14
286	OTHER	Circulatory Disorders Except Ami; With Card Cath With Comorbity	24	17	—	—	$16,828.10	$31,256.20	$16,828.10	2026-05-14
098	OTHER	Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication	24	17	—	—	$16,820.12	$31,240.25	$16,820.12	2026-05-14
032	OTHER	Ventricular Shunt Procedures With Cc	24	17	—	—	$16,815.05	$31,230.10	$16,815.05	2026-05-14
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	24	17	—	—	$16,794.75	$31,189.50	$16,794.75	2026-05-14
475	OTHER	Amputation For Musculoskeletal Sys & Conn Tissue Dis With Complication	24	17	—	—	$16,749.08	$31,098.15	$16,749.08	2026-05-14

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