Hospital

MIDWEST SURGICAL HOSPITAL LLC

Omaha, NE · CCN 280131 · Rates published

2,758 distinct procedures filed

19 distinct payers

78,640 rate rows

2026-05-22 last MRF observed

Data quality

73,784 of 78,640 rate rows are consumer-grade (93.8%)

4,856 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	4,839
exceeds 10× this hospital's gross charge — excluded from medians	17

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/14677e342f2d86ddd5320d28b4b4eb86/charges/mrf
Found on page	https://mwsurgicalhospital.com/patients/
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-18
Content fingerprint	367e5aae991a4109… · 25,573,913 bytes · first seen 2026-05-16

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	$319,905.89	$639,811.78	$479,858.84	nat. median $386,529 1.2× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$207,606.05	$415,212.10	$311,409.08	nat. median $239,422 1.3× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	19	$158,168.31	$316,336.62	$237,252.46	nat. median $146,562 1.6× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	19	$157,240.07	$314,480.14	$235,860.11	nat. median $181,005 1.3× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	19	$102,613.64	$205,227.28	$153,920.46	nat. median $134,983 1.1× median
7 OTHER	Lung Transplant	18	$95,937.39	$191,874.78	$143,906.08	nat. median $169,933 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	18	$89,030.75	$178,061.50	$133,546.12	nat. median $100,915 1.3× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	$83,948.00	$171,526.04	$127,737.02	nat. median $111,558 1.1× median
209 OTHER	Complex Aortic Arch Procedures	14	$83,851.69	$167,703.38	$125,777.54	nat. median $23,389 outlier · 5.4×
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	$81,647.02	$163,294.04	$122,470.53	nat. median $80,273 1.5× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	18	$80,557.27	$161,114.54	$120,835.90	nat. median $90,581 1.3× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	18	$76,382.03	$152,764.06	$114,573.04	nat. median $94,894 1.2× median
215 OTHER	Other Heart Assist System Implant	19	$73,763.23	$147,526.46	$110,644.85	nat. median $92,359 1.2× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$72,472.73	$144,945.46	$108,709.10	nat. median $90,130 1.2× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	14	$66,744.73	$133,489.46	$100,117.10	nat. median $62,997 1.6× median
850 OTHER	Acute Leukemia With Other Procedures	14	$64,151.12	$128,302.24	$96,226.68	nat. median $407 outlier · 236.3×
231 OTHER	Coronary Bypass With Ptca With Mcc	19	$62,450.20	$124,900.40	$93,675.30	nat. median $74,989 1.2× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	19	$62,253.89	$124,507.78	$93,380.84	nat. median $76,493 1.2× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	19	$58,293.47	$118,440.31	$88,366.89	nat. median $74,209 1.2× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	19	$56,882.21	$113,764.42	$85,323.32	nat. median $72,612 1.2× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	19	$56,637.00	$113,274.00	$84,955.50	nat. median $68,249 1.2× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	19	$56,449.57	$112,899.14	$84,674.35	nat. median $68,309 1.2× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	$53,476.68	$106,953.36	$80,215.02	nat. median $51,811 1.5× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	19	$53,136.64	$106,273.28	$79,704.96	nat. median $46,003 1.7× median
10 OTHER	Pancreas Transplant	18	$52,792.91	$106,317.74	$79,555.32	nat. median $62,879 1.3× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	18	$52,854.39	$105,708.78	$79,281.59	nat. median $61,133 1.3× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	18	$52,823.28	$105,646.56	$79,234.92	nat. median $29,655 outlier · 2.7×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	19	$51,203.85	$102,407.70	$76,805.77	nat. median $54,564 1.4× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	19	$50,952.71	$101,905.42	$76,429.07	nat. median $67,670 1.1× median
955 OTHER	Craniotomy For Multiple Significant Trauma	19	$49,865.19	$99,730.38	$74,797.79	nat. median $62,467 1.2× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	14	$49,534.78	$99,069.56	$74,302.17	nat. median $48,503 1.5× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	14	$49,498.49	$98,996.98	$74,247.74	nat. median $54,322 1.4× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$48,710.99	$97,421.98	$73,066.49	nat. median $60,727 1.2× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	19	$48,710.99	$97,421.98	$73,066.49	nat. median $56,507 1.3× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	19	$48,533.94	$97,067.88	$72,800.91	nat. median $54,881 1.3× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	19	$47,669.41	$95,338.82	$71,504.12	nat. median $66,849 1.1× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	19	$45,347.68	$92,269.20	$68,808.44	nat. median $64,729 1.1× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	19	$45,400.28	$90,800.56	$68,100.42	nat. median $58,866 1.2× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	19	$44,912.82	$89,825.64	$67,369.23	nat. median $56,351 1.2× median
28 OTHER	Spinal Procedures With Mcc	19	$44,510.56	$89,021.12	$66,765.84	nat. median $52,701 1.3× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	18	$44,497.96	$88,995.92	$66,746.94	nat. median $3,947 outlier · 16.9×
457 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	19	$44,175.71	$88,351.42	$66,263.57	nat. median $52,731 1.3× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	19	$44,030.50	$88,061.00	$66,045.75	nat. median $42,432 1.6× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	18	$43,928.28	$87,856.56	$65,892.42	nat. median $50,271 1.3× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	19	$43,475.64	$86,951.28	$65,213.46	nat. median $56,120 1.2× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	19	$43,447.49	$86,894.98	$65,171.24	nat. median $45,878 1.4× median
430 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	14	$42,723.70	$85,447.40	$64,085.55	nat. median $88 outlier · 728.7×
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	19	$42,451.09	$84,902.18	$63,676.64	nat. median $56,822 1.1× median
213 OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	14	$42,277.73	$84,555.46	$63,416.60	nat. median $39,925 1.6× median
463 OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective…	19	$42,222.91	$84,445.82	$63,334.36	nat. median $48,651 1.3× median

Other procedures at this hospital

Browse this hospital's 2,758 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	20	18	—	—	$319,905.89	$639,811.78	$479,858.84	2026-05-22
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	18	—	—	$207,606.05	$415,212.10	$311,409.08	2026-05-22
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	19	—	—	$158,168.31	$316,336.62	$237,252.46	2026-05-22
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	22	19	—	—	$157,240.07	$314,480.14	$235,860.11	2026-05-22
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	22	19	—	—	$102,613.64	$205,227.28	$153,920.46	2026-05-22
7	OTHER	Lung Transplant	20	18	—	—	$95,937.39	$191,874.78	$143,906.08	2026-05-22
14	OTHER	Allogeneic Bone Marrow Transplant	20	18	—	—	$89,030.75	$178,061.50	$133,546.12	2026-05-22
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	18	—	—	$83,948.00	$171,526.04	$127,737.02	2026-05-22
209	OTHER	Complex Aortic Arch Procedures	15	14	—	—	$83,851.69	$167,703.38	$125,777.54	2026-05-22
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	14	—	—	$81,647.02	$163,294.04	$122,470.53	2026-05-22
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	21	18	—	—	$80,557.27	$161,114.54	$120,835.90	2026-05-22
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	20	18	—	—	$76,382.03	$152,764.06	$114,573.04	2026-05-22
215	OTHER	Other Heart Assist System Implant	22	19	—	—	$73,763.23	$147,526.46	$110,644.85	2026-05-22
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	19	—	—	$72,472.73	$144,945.46	$108,709.10	2026-05-22
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	15	14	—	—	$66,744.73	$133,489.46	$100,117.10	2026-05-22
850	OTHER	Acute Leukemia With Other Procedures	15	14	—	—	$64,151.12	$128,302.24	$96,226.68	2026-05-22
231	OTHER	Coronary Bypass With Ptca With Mcc	22	19	—	—	$62,450.20	$124,900.40	$93,675.30	2026-05-22
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	19	—	—	$62,253.89	$124,507.78	$93,380.84	2026-05-22
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	22	19	—	—	$58,293.47	$118,440.31	$88,366.89	2026-05-22
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	19	—	—	$56,882.21	$113,764.42	$85,323.32	2026-05-22
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	22	19	—	—	$56,637.00	$113,274.00	$84,955.50	2026-05-22
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	22	19	—	—	$56,449.57	$112,899.14	$84,674.35	2026-05-22
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	14	—	—	$53,476.68	$106,953.36	$80,215.02	2026-05-22
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	19	—	—	$53,136.64	$106,273.28	$79,704.96	2026-05-22
10	OTHER	Pancreas Transplant	20	18	—	—	$52,792.91	$106,317.74	$79,555.32	2026-05-22
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	20	18	—	—	$52,854.39	$105,708.78	$79,281.59	2026-05-22
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	21	18	—	—	$52,823.28	$105,646.56	$79,234.92	2026-05-22
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	22	19	—	—	$51,203.85	$102,407.70	$76,805.77	2026-05-22
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	22	19	—	—	$50,952.71	$101,905.42	$76,429.07	2026-05-22
955	OTHER	Craniotomy For Multiple Significant Trauma	22	19	—	—	$49,865.19	$99,730.38	$74,797.79	2026-05-22
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	15	14	—	—	$49,534.78	$99,069.56	$74,302.17	2026-05-22
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	15	14	—	—	$49,498.49	$98,996.98	$74,247.74	2026-05-22
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	19	—	—	$48,710.99	$97,421.98	$73,066.49	2026-05-22
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	19	—	—	$48,710.99	$97,421.98	$73,066.49	2026-05-22
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	22	19	—	—	$48,533.94	$97,067.88	$72,800.91	2026-05-22
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	22	19	—	—	$47,669.41	$95,338.82	$71,504.12	2026-05-22
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	22	19	—	—	$45,347.68	$92,269.20	$68,808.44	2026-05-22
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	22	19	—	—	$45,400.28	$90,800.56	$68,100.42	2026-05-22
232	OTHER	Coronary Bypass With Ptca Without Mcc	22	19	—	—	$44,912.82	$89,825.64	$67,369.23	2026-05-22
28	OTHER	Spinal Procedures With Mcc	22	19	—	—	$44,510.56	$89,021.12	$66,765.84	2026-05-22
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	21	18	—	—	$44,497.96	$88,995.92	$66,746.94	2026-05-22
457	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	22	19	—	—	$44,175.71	$88,351.42	$66,263.57	2026-05-22
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	22	19	—	—	$44,030.50	$88,061.00	$66,045.75	2026-05-22
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	20	18	—	—	$43,928.28	$87,856.56	$65,892.42	2026-05-22
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	22	19	—	—	$43,475.64	$86,951.28	$65,213.46	2026-05-22
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	22	19	—	—	$43,447.49	$86,894.98	$65,171.24	2026-05-22
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	15	14	—	—	$42,723.70	$85,447.40	$64,085.55	2026-05-22
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	22	19	—	—	$42,451.09	$84,902.18	$63,676.64	2026-05-22
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	15	14	—	—	$42,277.73	$84,555.46	$63,416.60	2026-05-22
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	22	19	—	—	$42,222.91	$84,445.82	$63,334.36	2026-05-22
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	22	19	—	—	$39,217.42	$86,433.31	$62,825.36	2026-05-22
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	14	—	—	$41,648.78	$83,297.56	$62,473.17	2026-05-22
8	OTHER	Simultaneous Pancreas And Kidney Transplant	20	18	—	—	$41,519.88	$83,039.76	$62,279.82	2026-05-22
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	22	19	—	—	$40,915.37	$81,830.74	$61,373.06	2026-05-22
834	OTHER	Acute Leukemia With Mcc	22	19	—	—	$40,670.16	$81,340.32	$61,005.24	2026-05-22
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	21	18	—	—	$39,166.77	$82,470.80	$60,818.79	2026-05-22
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	22	19	—	—	$40,526.44	$81,052.88	$60,789.66	2026-05-22
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	22	19	—	—	$40,468.66	$80,937.32	$60,702.99	2026-05-22
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	22	19	—	—	$40,404.94	$80,809.88	$60,607.41	2026-05-22
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	20	18	—	—	$40,243.44	$80,486.88	$60,365.16	2026-05-22
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	19	—	—	$39,506.33	$79,012.66	$59,259.50	2026-05-22
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	15	14	—	—	$39,482.62	$78,965.24	$59,223.93	2026-05-22
270	OTHER	Other Major Cardiovascular Procedures With Mcc	22	19	—	—	$39,087.78	$78,175.56	$58,631.67	2026-05-22
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	22	19	—	—	$38,562.53	$77,125.06	$57,843.79	2026-05-22
653	OTHER	Major Bladder Procedures With Mcc	22	19	—	—	$38,495.86	$76,991.72	$57,743.79	2026-05-22
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	19	—	—	$37,338.70	$74,677.40	$56,008.05	2026-05-22
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	22	19	—	—	$36,947.55	$73,895.10	$55,421.32	2026-05-22
228	OTHER	Other Cardiothoracic Procedures With Mcc	22	19	—	—	$36,651.23	$73,302.46	$54,976.85	2026-05-22
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	22	19	—	—	$36,586.03	$73,172.06	$54,879.04	2026-05-22
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	22	19	—	—	$36,460.84	$72,921.68	$54,691.26	2026-05-22
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	22	19	—	—	$36,308.96	$72,617.92	$54,463.44	2026-05-22
471	OTHER	Cervical Spinal Fusion With Mcc	22	19	—	—	$35,771.87	$71,543.74	$53,657.81	2026-05-22
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	22	19	—	—	$35,591.12	$71,182.24	$53,386.68	2026-05-22
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	22	19	—	—	$35,268.85	$70,537.70	$52,903.28	2026-05-22
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	20	18	—	—	$34,828.81	$69,657.62	$52,243.21	2026-05-22
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	22	19	—	—	$34,757.69	$69,515.38	$52,136.54	2026-05-22
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	22	19	—	—	$34,653.98	$69,307.96	$51,980.97	2026-05-22
6	OTHER	Liver Transplant Without Mcc	20	18	—	—	$34,351.72	$68,703.44	$51,527.58	2026-05-22
277	OTHER	Cardiac Defibrillator Implant Without Mcc	21	18	—	—	$34,214.68	$68,429.36	$51,322.02	2026-05-22
329	OTHER	Major Small And Large Bowel Procedures With Mcc	22	19	—	—	$34,051.69	$68,103.38	$51,077.54	2026-05-22
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	22	19	—	—	$33,965.01	$67,930.02	$50,947.51	2026-05-22
245	OTHER	Aicd Generator Procedures	22	19	—	—	$33,799.08	$67,598.16	$50,698.62	2026-05-22
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	22	19	—	—	$33,697.58	$67,395.16	$50,546.37	2026-05-22
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	22	19	—	—	$33,682.76	$67,365.52	$50,524.14	2026-05-22
799	OTHER	Splenic Procedures With Mcc	22	19	—	—	$33,550.90	$67,101.80	$50,326.35	2026-05-22
163	OTHER	Major Chest Procedures With Mcc	22	19	—	—	$33,201.97	$66,403.94	$49,802.96	2026-05-22
31	OTHER	Ventricular Shunt Procedures With Mcc	22	19	—	—	$33,192.34	$66,384.68	$49,788.51	2026-05-22
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	22	19	—	—	$33,061.96	$66,123.92	$49,592.94	2026-05-22
356	OTHER	Other Digestive System O.r. Procedures With Mcc	22	19	—	—	$32,542.65	$65,085.30	$48,813.97	2026-05-22
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	21	18	—	—	$32,058.15	$64,116.30	$48,087.22	2026-05-22
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	22	19	—	—	$31,802.57	$63,605.14	$47,703.86	2026-05-22
140	OTHER	Major Head And Neck Procedures With Mcc	22	19	—	—	$31,598.10	$63,196.20	$47,397.15	2026-05-22
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	15	14	—	—	$31,416.60	$62,833.20	$47,124.90	2026-05-22
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	22	19	—	—	$31,286.22	$62,572.44	$46,929.33	2026-05-22
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	22	19	—	—	$31,232.88	$62,465.76	$46,849.32	2026-05-22
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	22	19	—	—	$31,217.32	$62,434.64	$46,825.98	2026-05-22
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	22	19	—	—	$31,126.20	$62,252.40	$46,689.30	2026-05-22
901	OTHER	Wound Debridements For Injuries With Mcc	22	19	—	—	$31,089.16	$62,178.32	$46,633.74	2026-05-22
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	22	19	—	—	$31,031.38	$62,062.76	$46,547.07	2026-05-22
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	22	19	—	—	$30,911.36	$61,822.72	$46,367.04	2026-05-22
793	OTHER	Full Term Neonate With Major Problems	22	19	—	—	$30,889.14	$61,778.28	$46,333.71	2026-05-22
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	22	19	—	—	$30,766.17	$61,532.34	$46,149.25	2026-05-22
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	22	19	—	—	$30,562.44	$61,124.88	$45,843.66	2026-05-22
64568	OTHER	Opn Impltj Crnl Nrv Nea&pg	10	9	$106,367.00	$79,775.25 25% off	$4,518.60	$93,304.72	$45,737.61	2026-05-22
791	OTHER	Prematurity With Major Problems	22	19	—	—	$30,069.80	$60,139.60	$45,104.70	2026-05-22
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	15	14	—	—	$29,784.58	$59,569.16	$44,676.87	2026-05-22
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	22	19	—	—	$29,514.92	$59,029.84	$44,272.38	2026-05-22
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	22	19	—	—	$28,980.05	$57,960.10	$43,470.07	2026-05-22
34	OTHER	Carotid Artery Stent Procedures With Mcc	22	19	—	—	$28,674.84	$57,349.68	$43,012.26	2026-05-22
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	22	19	—	—	$28,631.87	$57,263.74	$42,947.81	2026-05-22
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	22	19	—	—	$28,604.45	$57,208.90	$42,906.68	2026-05-22
907	OTHER	Other O.r. Procedures For Injuries With Mcc	22	19	—	—	$28,442.22	$56,884.44	$42,663.33	2026-05-22
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	22	19	—	—	$26,623.99	$57,697.86	$42,160.93	2026-05-22
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	22	19	—	—	$27,876.98	$55,753.96	$41,815.47	2026-05-22
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	22	19	—	—	$27,755.48	$55,510.96	$41,633.22	2026-05-22
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	22	19	—	—	$27,689.55	$55,379.10	$41,534.32	2026-05-22
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	22	19	—	—	$27,686.58	$55,373.16	$41,529.87	2026-05-22
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	22	19	—	—	$27,608.80	$55,217.60	$41,413.20	2026-05-22
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	20	18	—	—	$27,453.23	$54,906.46	$41,179.85	2026-05-22
904	OTHER	Skin Grafts For Injuries With Cc/mcc	22	19	—	—	$27,210.98	$54,421.96	$40,816.47	2026-05-22
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	22	19	—	—	$27,199.87	$54,399.74	$40,799.81	2026-05-22
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	22	19	—	—	$26,480.54	$54,300.26	$40,390.40	2026-05-22
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	22	19	—	—	$26,880.58	$53,761.16	$40,320.87	2026-05-22
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	22	19	—	—	$26,859.83	$53,719.66	$40,289.75	2026-05-22
69930	OTHER	Insertion Of Cochlear Device	63	19	$80,845.00	$60,633.75 25% off	$10,977.72	$69,503.39	$40,240.56	2026-05-22
332	OTHER	Rectal Resection With Mcc	22	19	—	—	$26,822.79	$53,645.58	$40,234.18	2026-05-22
265	OTHER	Aicd Lead Procedures	22	19	—	—	$26,804.27	$53,608.54	$40,206.40	2026-05-22
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	22	19	—	—	$26,756.86	$53,513.72	$40,135.29	2026-05-22
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	21	18	—	—	$26,716.86	$53,433.72	$40,075.29	2026-05-22
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	22	19	—	—	$26,542.02	$53,084.04	$39,813.03	2026-05-22
335	OTHER	Peritoneal Adhesiolysis With Mcc	22	19	—	—	$26,453.86	$52,907.72	$39,680.79	2026-05-22
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	22	19	—	—	$26,414.60	$52,829.20	$39,621.90	2026-05-22
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	22	19	—	—	$26,392.37	$52,784.74	$39,588.56	2026-05-22
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	22	19	—	—	$26,367.19	$52,734.38	$39,550.79	2026-05-22
271	OTHER	Other Major Cardiovascular Procedures With Cc	22	19	—	—	$26,345.71	$52,691.42	$39,518.57	2026-05-22
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	22	19	—	—	$23,538.74	$55,488.06	$39,513.40	2026-05-22
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	22	19	—	—	$26,125.68	$52,251.36	$39,188.52	2026-05-22
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	22	19	—	—	$26,072.35	$52,144.70	$39,108.53	2026-05-22
252	OTHER	Other Vascular Procedures With Mcc	22	19	—	—	$25,841.95	$51,683.90	$38,762.93	2026-05-22
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	22	19	—	—	$25,835.28	$51,670.56	$38,752.92	2026-05-22
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	22	19	—	—	$25,716.75	$51,433.50	$38,575.12	2026-05-22
33249	OTHER	Insj/rplcmt Defib W/lead(s)	21	19	$84,888.00	$63,666.00 25% off	$10,977.72	$66,165.99	$38,571.86	2026-05-22
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	22	19	—	—	$25,592.29	$51,184.58	$38,388.43	2026-05-22
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	15	14	—	—	$25,473.76	$50,947.52	$38,210.64	2026-05-22
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	22	19	—	—	$25,398.20	$50,796.40	$38,097.30	2026-05-22
29	OTHER	Spinal Procedures With Complication Or Spinal Neurostimulators	22	19	—	—	$25,273.74	$50,547.48	$37,910.61	2026-05-22
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	22	19	—	—	$25,240.40	$50,480.80	$37,860.60	2026-05-22
264	OTHER	Other Circulatory System O.r. Procedures	22	19	—	—	$24,747.76	$49,495.52	$37,121.64	2026-05-22
411	OTHER	Cholecystectomy With C.d.e. With Mcc	22	19	—	—	$24,471.43	$48,942.86	$36,707.14	2026-05-22
37	OTHER	Extracranial Procedures With Mcc	22	19	—	—	$24,388.46	$48,776.92	$36,582.69	2026-05-22
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	22	19	—	—	$24,385.50	$48,771.00	$36,578.25	2026-05-22
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	22	19	—	—	$24,097.32	$48,194.64	$36,145.98	2026-05-22
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	22	19	—	—	$23,991.39	$47,982.78	$35,987.08	2026-05-22
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	22	19	—	—	$23,964.71	$47,929.42	$35,947.07	2026-05-22
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	15	14	—	—	$23,931.38	$47,862.76	$35,897.07	2026-05-22
652	OTHER	Kidney Transplant	20	18	—	—	$23,924.71	$47,849.42	$35,887.07	2026-05-22
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	22	19	—	—	$23,906.93	$47,813.86	$35,860.39	2026-05-22
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	22	19	—	—	$23,860.27	$47,720.54	$35,790.40	2026-05-22
61886	OTHER	Implant Neurostim Arrays	21	19	$64,372.00	$48,279.00 25% off	$6,059.29	$65,046.32	$35,552.81	2026-05-22
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	22	19	—	—	$23,652.84	$47,305.68	$35,479.26	2026-05-22
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	22	19	—	—	$23,609.13	$47,218.26	$35,413.69	2026-05-22
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	21	18	—	—	$23,219.60	$47,566.42	$35,393.01	2026-05-22
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	22	19	—	—	$23,586.16	$47,172.32	$35,379.24	2026-05-22
500	OTHER	Soft Tissue Procedures With Mcc	22	19	—	—	$23,445.41	$46,890.82	$35,168.11	2026-05-22
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	22	19	—	—	$23,409.84	$46,819.68	$35,114.76	2026-05-22
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	21	18	—	—	$23,343.17	$46,686.34	$35,014.75	2026-05-22
229	OTHER	Other Cardiothoracic Procedures Without Mcc	22	19	—	—	$23,332.06	$46,664.12	$34,998.09	2026-05-22
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	22	19	—	—	$23,277.24	$46,554.48	$34,915.86	2026-05-22
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	42	19	$46,115.00	$34,586.25 25% off	$4,518.60	$65,046.32	$34,782.46	2026-05-22
61885	OTHER	Insrt/redo Neurostim 1 Array	21	19	$48,421.00	$36,315.75 25% off	$4,518.60	$65,046.32	$34,782.46	2026-05-22
665	OTHER	Prostatectomy With Mcc	22	19	—	—	$23,122.41	$46,244.82	$34,683.61	2026-05-22
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	22	19	—	—	$23,074.26	$46,148.52	$34,611.39	2026-05-22
26	OTHER	Craniotomy & Endovascular Intracranial Procedures With Complication	22	19	—	—	$23,033.51	$46,067.02	$34,550.26	2026-05-22
662	OTHER	Minor Bladder Procedures With Mcc	22	19	—	—	$22,680.13	$45,360.26	$34,020.19	2026-05-22
263	OTHER	Vein Ligation And Stripping	22	19	—	—	$22,649.77	$45,299.54	$33,974.65	2026-05-22
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	22	19	—	—	$22,470.49	$44,940.98	$33,705.74	2026-05-22
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	22	19	—	—	$22,376.40	$44,752.80	$33,564.60	2026-05-22
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	22	19	—	—	$22,373.44	$44,746.88	$33,560.16	2026-05-22
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	22	19	—	—	$22,348.99	$44,697.98	$33,523.49	2026-05-22
22633	OTHER	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	22	19	$35,957.00	$26,967.75 25% off	$9,696.14	$57,197.01	$33,446.57	2026-05-22
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	63	19	$35,340.00	$26,505.00 25% off	$9,696.14	$57,197.01	$33,446.57	2026-05-22
22558	OTHER	Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc	21	19	$19,547.00	$14,660.25 25% off	$9,696.14	$57,197.01	$33,446.57	2026-05-22
22630	OTHER	Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…	22	19	$35,957.00	$26,967.75 25% off	$9,696.14	$57,197.01	$33,446.57	2026-05-22
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	21	18	—	—	$22,049.70	$44,099.40	$33,074.55	2026-05-22
472	OTHER	Cervical Spinal Fusion With Complication	22	19	—	—	$21,825.23	$43,650.46	$32,737.85	2026-05-22
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	22	19	—	—	$21,810.41	$43,620.82	$32,715.62	2026-05-22
570	OTHER	Skin Debridement With Mcc	22	19	—	—	$21,788.19	$43,576.38	$32,682.28	2026-05-22
668	OTHER	Transurethral Procedures With Mcc	22	19	—	—	$21,631.88	$43,263.76	$32,447.82	2026-05-22
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	22	19	—	—	$21,574.84	$43,149.68	$32,362.26	2026-05-22
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	22	19	—	—	$21,498.54	$42,997.08	$32,247.81	2026-05-22
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	22	19	—	—	$21,485.20	$42,970.40	$32,227.80	2026-05-22
619	OTHER	O.r. Procedures For Obesity With Mcc	22	19	—	—	$21,390.37	$42,780.74	$32,085.56	2026-05-22
974	OTHER	HIV With Major Related Condition With Mcc	22	19	—	—	$21,380.01	$42,760.02	$32,070.01	2026-05-22
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	22	19	—	—	$21,348.89	$42,697.78	$32,023.33	2026-05-22
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	22	19	—	—	$21,262.95	$42,525.90	$31,894.42	2026-05-22
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	22	19	—	—	$21,117.01	$42,234.02	$31,675.51	2026-05-22
800	OTHER	Splenic Procedures With Cc	22	19	—	—	$20,812.54	$41,625.08	$31,218.81	2026-05-22
654	OTHER	Major Bladder Procedures With Cc	22	19	—	—	$20,737.72	$41,475.44	$31,106.58	2026-05-22
503	OTHER	Foot Procedures With Mcc	22	19	—	—	$20,676.97	$41,353.94	$31,015.46	2026-05-22
33240	OTHER	Insrt Pulse Gen W/singl Lead	21	19	$78,548.00	$58,911.00 25% off	$10,977.72	$50,947.00	$30,962.36	2026-05-22
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	22	19	—	—	$20,534.73	$41,069.46	$30,802.10	2026-05-22
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	22	19	—	—	$20,425.09	$40,850.18	$30,637.63	2026-05-22
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	22	19	—	—	$20,362.86	$40,725.72	$30,544.29	2026-05-22
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	22	19	—	—	$20,357.68	$40,715.36	$30,536.52	2026-05-22
963	OTHER	Other Multiple Significant Trauma With Mcc	22	19	—	—	$20,252.48	$40,504.96	$30,378.72	2026-05-22
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	21	18	—	—	$20,156.18	$40,312.36	$30,234.27	2026-05-22
849	OTHER	Radiotherapy	22	19	—	—	$20,072.46	$40,144.92	$30,108.69	2026-05-22
288	OTHER	Acute And Subacute Endocarditis With Mcc	22	19	—	—	$20,048.01	$40,096.02	$30,072.01	2026-05-22
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	22	19	—	—	$19,982.82	$39,965.64	$29,974.23	2026-05-22
462	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity	22	19	—	—	$19,705.75	$39,411.50	$29,558.62	2026-05-22
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	22	19	—	—	$19,636.86	$39,273.72	$29,455.29	2026-05-22
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	22	19	—	—	$19,538.33	$39,318.42	$29,428.38	2026-05-22
253	OTHER	Other Vascular Procedures With Cc	22	19	—	—	$19,228.67	$38,457.34	$28,843.01	2026-05-22
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	22	19	—	—	$19,205.71	$38,411.42	$28,808.56	2026-05-22
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	22	19	—	—	$19,133.85	$38,267.70	$28,700.78	2026-05-22
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	22	19	—	—	$19,107.17	$38,214.34	$28,660.76	2026-05-22
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	22	19	—	—	$19,107.17	$38,214.34	$28,660.76	2026-05-22
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	22	19	—	—	$19,021.24	$38,042.48	$28,531.86	2026-05-22
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	22	19	—	—	$16,902.50	$39,845.48	$28,373.99	2026-05-22
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	22	19	—	—	$18,913.08	$37,826.16	$28,369.62	2026-05-22
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	22	19	—	—	$18,823.44	$37,646.88	$28,235.16	2026-05-22
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	22	19	—	—	$18,787.88	$37,575.76	$28,181.82	2026-05-22
164	OTHER	Major Chest Procedures With Cc	22	19	—	—	$18,698.24	$37,396.48	$28,047.36	2026-05-22
27	OTHER	Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity	22	19	—	—	$18,690.10	$37,380.20	$28,035.15	2026-05-22
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	22	19	—	—	$18,460.44	$36,920.88	$27,690.66	2026-05-22
545	OTHER	Connective Tissue Disorders With Mcc	22	19	—	—	$18,384.88	$36,769.76	$27,577.32	2026-05-22
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	22	19	—	—	$18,218.20	$36,436.40	$27,327.30	2026-05-22
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	22	19	—	—	$18,213.00	$36,426.00	$27,319.50	2026-05-22
792	OTHER	Prematurity Without Major Problems	22	19	—	—	$18,144.11	$36,288.22	$27,216.17	2026-05-22
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	22	19	—	—	$18,107.07	$36,214.14	$27,160.60	2026-05-22
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	22	19	—	—	$18,085.59	$37,437.17	$27,128.38	2026-05-22
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	15	14	—	—	$17,944.09	$35,888.18	$26,916.13	2026-05-22
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	15	14	—	—	$17,885.56	$35,771.12	$26,828.34	2026-05-22
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	22	19	—	—	$17,818.89	$35,637.78	$26,728.33	2026-05-22
330	OTHER	Major Small And Large Bowel Procedures With Cc	22	19	—	—	$17,758.89	$35,517.78	$26,638.33	2026-05-22
397	OTHER	Appendix Procedures With Mcc	21	18	—	—	$17,741.85	$35,483.70	$26,612.78	2026-05-22
35	OTHER	Carotid Artery Stent Procedures With Cc	22	19	—	—	$17,709.25	$35,418.50	$26,563.88	2026-05-22
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	22	19	—	—	$17,678.88	$35,357.76	$26,518.32	2026-05-22
113	OTHER	Orbital Procedures With Cc/mcc	22	19	—	—	$17,417.37	$34,834.74	$26,126.06	2026-05-22
333	OTHER	Rectal Resection With Cc	22	19	—	—	$17,351.43	$34,702.86	$26,027.15	2026-05-22
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	22	19	—	—	$17,324.77	$34,649.54	$25,987.15	2026-05-22
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	22	19	—	—	$17,312.17	$34,624.34	$25,968.26	2026-05-22
783	OTHER	Cesarean Section With Sterilization With Mcc	22	19	—	—	$15,558.18	$36,375.64	$25,966.91	2026-05-22
709	OTHER	Penis Procedures With Cc/mcc	22	19	—	—	$17,239.57	$34,479.14	$25,859.35	2026-05-22
357	OTHER	Other Digestive System O.r. Procedures With Cc	22	19	—	—	$17,227.71	$34,455.42	$25,841.56	2026-05-22
56	OTHER	Degenerative Nervous System Disorders With Mcc	22	19	—	—	$17,209.94	$34,419.88	$25,814.91	2026-05-22
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	22	19	—	—	$17,121.78	$34,243.56	$25,682.67	2026-05-22
347	OTHER	Anal And Stomal Procedures With Mcc	22	19	—	—	$17,006.21	$34,012.42	$25,509.31	2026-05-22
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	22	19	—	—	$17,001.03	$34,002.06	$25,501.54	2026-05-22
L8614	OTHER	Cochlear Device; Includes All Internal And External Components	1	1	$52,006.50	$39,004.88 25% off	$25,483.19	$25,483.19	$25,483.19	2026-05-22
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	22	19	—	—	$16,932.13	$33,864.26	$25,398.19	2026-05-22
63655	OTHER	Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine	42	19	$31,382.00	$23,536.50 25% off	$9,696.14	$40,894.37	$25,295.26	2026-05-22
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	22	19	—	—	$16,858.80	$33,717.60	$25,288.20	2026-05-22
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	22	19	—	—	$16,830.64	$33,661.28	$25,245.96	2026-05-22
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	22	19	—	—	$16,783.97	$33,567.94	$25,175.96	2026-05-22
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	22	19	—	—	$16,583.95	$33,167.90	$24,875.92	2026-05-22
54410	OTHER	Remove/replace Penis Prosth	21	19	$35,137.00	$26,352.75 25% off	$6,059.29	$43,689.52	$24,874.40	2026-05-22
54405	OTHER	Insert Multi-comp Penis Pros	21	19	$35,137.00	$26,352.75 25% off	$6,059.29	$43,689.52	$24,874.40	2026-05-22
54416	OTHER	Remv/repl Penis Contain Pros	21	19	$35,137.00	$26,352.75 25% off	$6,059.29	$43,689.52	$24,874.40	2026-05-22
54401	OTHER	Insert Self-contd Prosthesis	21	19	$35,137.00	$26,352.75 25% off	$6,059.29	$43,689.52	$24,874.40	2026-05-22
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	22	19	—	—	$16,574.31	$33,148.62	$24,861.47	2026-05-22
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	22	19	—	—	$16,443.19	$32,886.38	$24,664.78	2026-05-22
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	22	19	—	—	$16,392.81	$32,785.62	$24,589.22	2026-05-22
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	22	19	—	—	$16,376.52	$32,753.04	$24,564.78	2026-05-22
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	22	19	—	—	$16,356.52	$32,713.04	$24,534.78	2026-05-22
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	22	19	—	—	$16,288.37	$32,576.74	$24,432.56	2026-05-22
30	OTHER	Spinal Procedures Without Complication/comorbity	22	19	—	—	$16,262.44	$32,524.88	$24,393.66	2026-05-22
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	22	19	—	—	$16,237.24	$32,474.48	$24,355.86	2026-05-22
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	22	19	—	—	$16,208.35	$32,416.70	$24,312.53	2026-05-22
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	22	19	—	—	$16,168.35	$32,336.70	$24,252.53	2026-05-22
141	OTHER	Major Head And Neck Procedures With Cc	22	19	—	—	$16,157.98	$32,315.96	$24,236.97	2026-05-22
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	22	19	—	—	$16,140.94	$32,281.88	$24,211.41	2026-05-22
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	22	19	—	—	$16,129.83	$32,259.66	$24,194.74	2026-05-22
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	22	19	—	—	$16,075.74	$32,151.48	$24,113.61	2026-05-22
53444	OTHER	Insert Tandem Cuff	21	19	$20,849.00	$15,636.75 25% off	$4,518.60	$43,689.52	$24,104.06	2026-05-22
24363	OTHER	Replace Elbow Joint	21	19	$26,340.00	$19,755.00 25% off	$10,977.72	$36,960.31	$23,969.01	2026-05-22
25446	OTHER	Arthrp W/prostc Dst Rds&crps	21	19	$26,340.00	$19,755.00 25% off	$10,977.72	$36,960.31	$23,969.01	2026-05-22
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	22	19	—	—	$15,864.62	$31,729.24	$23,796.93	2026-05-22
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	22	19	—	—	$15,858.69	$31,717.38	$23,788.03	2026-05-22
374	OTHER	Digestive Malignancy With Mcc	22	19	—	—	$15,843.87	$31,687.74	$23,765.81	2026-05-22
32	OTHER	Ventricular Shunt Procedures With Cc	22	19	—	—	$15,786.83	$31,573.66	$23,680.24	2026-05-22
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	22	19	—	—	$15,786.09	$31,572.18	$23,679.13	2026-05-22
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	22	19	—	—	$15,779.42	$31,558.84	$23,669.13	2026-05-22
53447	OTHER	Remove/replace Ur Sphincter	21	19	$35,137.00	$26,352.75 25% off	$3,588.88	$43,689.52	$23,639.20	2026-05-22
53445	OTHER	Insert Uro/ves Nck Sphincter	21	19	$35,137.00	$26,352.75 25% off	$3,588.88	$43,689.52	$23,639.20	2026-05-22
814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	22	19	—	—	$15,754.98	$31,509.96	$23,632.47	2026-05-22
595	OTHER	Major Skin Disorders With Mcc	22	19	—	—	$15,710.52	$31,421.04	$23,565.78	2026-05-22
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	22	19	—	—	$15,688.30	$31,376.60	$23,532.45	2026-05-22
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	22	19	—	—	$15,686.08	$31,372.16	$23,529.12	2026-05-22
655	OTHER	Major Bladder Procedures Without Cc/mcc	22	19	—	—	$15,680.15	$31,360.30	$23,520.22	2026-05-22
336	OTHER	Peritoneal Adhesiolysis With Cc	22	19	—	—	$15,621.62	$31,243.24	$23,432.43	2026-05-22
412	OTHER	Cholecystectomy With C.d.e. With Cc	22	19	—	—	$15,575.69	$31,151.38	$23,363.53	2026-05-22
22600	OTHER	Fusion Of Spine In Neck By Posterior Approach	21	19	$28,856.00	$21,642.00 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22
27280	OTHER	Arthr Si Jt Opn B1grf Instrm	21	19	$41,577.00	$31,182.75 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22
22808	OTHER	Arthrd Ant Dfrm 2-3 Vrt Sgm	21	19	$30,295.00	$22,721.25 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22
27703	OTHER	Reconstruction Ankle Joint	42	19	$36,223.50	$27,167.62 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22
22856	OTHER	Insertion Of Artificial Upper Spine Disc; Anterior Approach	21	19	$40,727.00	$30,545.25 25% off	$9,696.14	$37,098.97	$23,328.22	2026-05-22
22610	OTHER	Arthrd Pst Tq 1ntrspc Thrc	21	19	$46,688.00	$35,016.00 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22
22556	OTHER	Arthrd Ant Ntrbd Min Dsc Thc	21	19	$38,348.00	$28,761.00 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22
22612	OTHER	Arthrd Pst Tq 1ntrspc Lumbar	21	19	$30,299.00	$22,724.25 25% off	$9,696.14	$36,960.31	$23,328.22	2026-05-22

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