Hospital

GRAND ISLAND REGIONAL MEDICAL CENTER

Grand Island, NE · CCN 280139 · Rates published

45,817 distinct procedures filed

10 distinct payers

200,963 rate rows

2026-05-23 last MRF observed

Data quality

200,919 of 200,963 rate rows are consumer-grade (100.0%)

44 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
exceeds 10× this hospital's gross charge — excluded from medians	32
placeholder amount (≤ $0.02) — excluded from medians	12

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

Source MRF file	https://www.bryanhealth.com/app/files/public/e01c3132-8364-4d8d-b232-e46446138095/352621082_grand-island-regional-medical-center_standardcharges.csv
Found on page	https://www.bryanhealth.com/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	success · 2026-05-18
Content fingerprint	647ecc819f4f7325… · 17,996,536 bytes · first seen 2026-05-15

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
9138 OTHER	Inj, Hemgenix, Per Tx Dose	2	$3,557,519.00	$3,557,519.00	$3,557,519.00	nat. median $3,746,358 0.9× median
0773 OTHER	Inj, Beqvez, Per Tx Dose	2	$3,557,519.00	$3,557,519.00	$3,557,519.00	nat. median $3,635,800 1.0× median
0714 OTHER	Inj Delandistrogene Mox Rokl	2	$3,185,256.29	$3,185,256.29	$3,185,256.29	nat. median $3,316,463 1.0× median
0748 OTHER	Inj, Lovotibeglogene Autotem	2	$3,061,767.70	$3,061,767.70	$3,061,767.70	nat. median $3,248,446 0.9× median
0746 OTHER	Inj, Betibeglogene Autotemce	2	$2,846,015.20	$2,846,015.20	$2,846,015.20	nat. median $2,945,740 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	2	$2,304,676.60	$2,304,676.60	$2,304,676.60	nat. median $2,588,981 0.9× median
0824 OTHER	Inj, Exagamglogene Autotem	2	$2,236,154.80	$2,236,154.80	$2,236,154.80	nat. median $17,829 outlier · 125.4×
9194 OTHER	Tisagenlecleucel Car-pos T	2	$542,376.70	$542,376.70	$542,376.70	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	2	$528,659.16	$528,659.16	$528,659.16	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	2	$506,598.79	$506,598.79	$506,598.79	nat. median $558,082 0.9× median
9413 OTHER	Lisocabtagene Mara Car Pos T	2	$495,258.40	$495,258.40	$495,258.40	nat. median $562,201 0.9× median
583 - 4 OTHER	Neonate With Ecmo	4	$472,816.54	$774,455.49	$472,816.54	nat. median $472,817 1.0× median
9035 OTHER	Axicabtagene Ciloleucel Car+	2	$469,398.00	$469,398.00	$469,398.00	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	2	$467,992.59	$467,992.59	$467,992.59	nat. median $489,450 1.0× median
588 - 4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$289,591.51	$688,447.48	$289,591.51	nat. median $289,592 1.0× median
11 - 4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$270,719.54	$1,355,897.38	$270,719.54	nat. median $270,720 1.0× median
2 - 4 OTHER	Heart And/or Lung Transplant	4	$270,540.72	$854,611.48	$270,540.72	nat. median $270,541 1.0× median
583 - 3 OTHER	Neonate With Ecmo	4	$269,284.70	$767,167.94	$269,284.70	nat. median $269,285 1.0× median
583 - 2 OTHER	Neonate With Ecmo	4	$206,760.87	$481,415.24	$206,760.87	nat. median $206,761 1.0× median
161 - 4 OTHER	Implantable Heart Assist Systems	4	$201,889.94	$612,198.29	$201,889.94	nat. median $201,890 1.0× median
609 - 4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	$201,765.88	$496,146.98	$201,765.88	nat. median $201,766 1.0× median
11 - 3 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$201,473.27	$1,250,109.90	$201,473.27	nat. median $201,473 1.0× median
9 - 4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$197,917.39	$318,344.42	$197,917.39	nat. median $197,917 1.0× median
631 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	$194,062.06	$340,625.56	$194,062.06	nat. median $194,062 1.0× median
588 - 3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$192,867.64	$421,415.15	$192,867.64	nat. median $192,868 1.0× median
591 - 4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$189,899.56	$412,862.74	$189,899.56	nat. median $189,900 1.0× median
583 - 1 OTHER	Neonate With Ecmo	4	$185,593.33	$361,417.39	$185,593.33	nat. median $185,593 1.0× median
841 - 4 OTHER	Extensive Third Degree Burns With Skin Graft	4	$179,586.16	$435,265.46	$179,586.16	nat. median $179,586 1.0× median
630 - 4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	$175,994.35	$291,377.93	$175,994.35	nat. median $175,994 1.0× median
593 - 4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$166,958.36	$430,573.09	$166,958.36	nat. median $166,958 1.0× median
588 - 2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$165,266.84	$410,206.78	$165,266.84	nat. median $165,267 1.0× median
11 - 2 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$160,168.32	$892,954.68	$160,168.32	nat. median $160,168 1.0× median
7 - 4 OTHER	Allogeneic Bone Marrow Transplant	4	$159,283.63	$400,144.02	$159,283.63	nat. median $159,284 1.0× median
161 - 3 OTHER	Implantable Heart Assist Systems	4	$158,084.08	$416,858.39	$158,084.08	nat. median $158,084 1.0× median
4 - 4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	$152,101.72	$320,168.06	$152,101.72	nat. median $152,102 1.0× median
1 - 4 OTHER	Liver Transplant And/or Intestinal Transplant	4	$150,589.02	$584,528.06	$150,589.02	nat. median $150,589 1.0× median
2 - 3 OTHER	Heart And/or Lung Transplant	4	$147,367.69	$430,325.27	$147,367.69	nat. median $147,368 1.0× median
591 - 3 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$143,217.17	$245,309.97	$143,217.17	nat. median $143,217 1.0× median
588 - 1 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$141,657.41	$272,832.91	$141,657.41	nat. median $141,657 1.0× median
589 - 1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$324,350.74	$134,989.72	nat. median $134,990 1.0× median
589 - 2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$236,219.83	$134,989.72	nat. median $134,990 1.0× median
589 - 3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	4	$134,989.72	$218,079.29	$134,989.72	nat. median $134,990 1.0× median
9 - 3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$133,013.29	$227,153.07	$133,013.29	nat. median $133,013 1.0× median
602 - 4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	$125,775.77	$285,455.77	$125,775.77	nat. median $125,776 1.0× median
591 - 2 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$122,839.35	$179,911.44	$122,839.35	nat. median $122,839 1.0× median
593 - 3 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$122,135.19	$333,471.28	$122,135.19	nat. median $122,135 1.0× median
510 - 4 OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	$119,686.90	$119,686.90	$119,686.90	nat. median $119,687 1.0× median
SUP-421192 OTHER	Heartmate 3 Lvas Implant Kit	6	$34,174.35	$143,892.00	$119,610.23	nat. median $98,926 1.2× median
161 - 2 OTHER	Implantable Heart Assist Systems	4	$116,318.82	$368,279.42	$116,318.82	nat. median $116,319 1.0× median
161 - 1 OTHER	Implantable Heart Assist Systems	4	$116,318.82	$350,288.51	$116,318.82	nat. median $116,319 1.0× median

Other procedures at this hospital

Browse this hospital's 45,817 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

0773	OTHER	Inj, Beqvez, Per Tx Dose	2	2	—	—	$3,557,519.00	$3,557,519.00	$3,557,519.00	2026-05-23
9138	OTHER	Inj, Hemgenix, Per Tx Dose	2	2	—	—	$3,557,519.00	$3,557,519.00	$3,557,519.00	2026-05-23
0714	OTHER	Inj Delandistrogene Mox Rokl	2	2	—	—	$3,185,256.29	$3,185,256.29	$3,185,256.29	2026-05-23
0748	OTHER	Inj, Lovotibeglogene Autotem	2	2	—	—	$3,061,767.70	$3,061,767.70	$3,061,767.70	2026-05-23
0746	OTHER	Inj, Betibeglogene Autotemce	2	2	—	—	$2,846,015.20	$2,846,015.20	$2,846,015.20	2026-05-23
9141	OTHER	Inj Onase Abepar-xioi Treat	2	2	—	—	$2,304,676.60	$2,304,676.60	$2,304,676.60	2026-05-23
0824	OTHER	Inj, Exagamglogene Autotem	2	2	—	—	$2,236,154.80	$2,236,154.80	$2,236,154.80	2026-05-23
9194	OTHER	Tisagenlecleucel Car-pos T	2	2	—	—	$542,376.70	$542,376.70	$542,376.70	2026-05-23
9498	OTHER	Ciltacabtagene Car-pos T	2	2	—	—	$528,659.16	$528,659.16	$528,659.16	2026-05-23
9422	OTHER	Idecabtagene Vicleucel Car	2	2	—	—	$506,598.79	$506,598.79	$506,598.79	2026-05-23
9413	OTHER	Lisocabtagene Mara Car Pos T	2	2	—	—	$495,258.40	$495,258.40	$495,258.40	2026-05-23
583 - 4	OTHER	Neonate With Ecmo	4	4	—	—	$472,816.54	$774,455.49	$472,816.54	2026-05-23
9035	OTHER	Axicabtagene Ciloleucel Car+	2	2	—	—	$469,398.00	$469,398.00	$469,398.00	2026-05-23
9391	OTHER	Brexucabtagene Car Pos T	2	2	—	—	$467,992.59	$467,992.59	$467,992.59	2026-05-23
588 - 4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$289,591.51	$688,447.48	$289,591.51	2026-05-23
11 - 4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$270,719.54	$1,355,897.38	$270,719.54	2026-05-23
2 - 4	OTHER	Heart And/or Lung Transplant	4	4	—	—	$270,540.72	$854,611.48	$270,540.72	2026-05-23
583 - 3	OTHER	Neonate With Ecmo	4	4	—	—	$269,284.70	$767,167.94	$269,284.70	2026-05-23
583 - 2	OTHER	Neonate With Ecmo	4	4	—	—	$206,760.87	$481,415.24	$206,760.87	2026-05-23
161 - 4	OTHER	Implantable Heart Assist Systems	4	4	—	—	$201,889.94	$612,198.29	$201,889.94	2026-05-23
609 - 4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$201,765.88	$496,146.98	$201,765.88	2026-05-23
11 - 3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$201,473.27	$1,250,109.90	$201,473.27	2026-05-23
9 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$197,917.39	$318,344.42	$197,917.39	2026-05-23
631 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$194,062.06	$340,625.56	$194,062.06	2026-05-23
588 - 3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$192,867.64	$421,415.15	$192,867.64	2026-05-23
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$189,899.56	$412,862.74	$189,899.56	2026-05-23
583 - 1	OTHER	Neonate With Ecmo	4	4	—	—	$185,593.33	$361,417.39	$185,593.33	2026-05-23
841 - 4	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$179,586.16	$435,265.46	$179,586.16	2026-05-23
630 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$175,994.35	$291,377.93	$175,994.35	2026-05-23
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$166,958.36	$430,573.09	$166,958.36	2026-05-23
588 - 2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$165,266.84	$410,206.78	$165,266.84	2026-05-23
11 - 2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$160,168.32	$892,954.68	$160,168.32	2026-05-23
7 - 4	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$159,283.63	$400,144.02	$159,283.63	2026-05-23
161 - 3	OTHER	Implantable Heart Assist Systems	4	4	—	—	$158,084.08	$416,858.39	$158,084.08	2026-05-23
4 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$152,101.72	$320,168.06	$152,101.72	2026-05-23
1 - 4	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$150,589.02	$584,528.06	$150,589.02	2026-05-23
2 - 3	OTHER	Heart And/or Lung Transplant	4	4	—	—	$147,367.69	$430,325.27	$147,367.69	2026-05-23
591 - 3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$143,217.17	$245,309.97	$143,217.17	2026-05-23
588 - 1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$141,657.41	$272,832.91	$141,657.41	2026-05-23
589 - 1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$324,350.74	$134,989.72	2026-05-23
589 - 2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$236,219.83	$134,989.72	2026-05-23
589 - 3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$134,989.72	$218,079.29	$134,989.72	2026-05-23
9 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$133,013.29	$227,153.07	$133,013.29	2026-05-23
602 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$125,775.77	$285,455.77	$125,775.77	2026-05-23
591 - 2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$122,839.35	$179,911.44	$122,839.35	2026-05-23
593 - 3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$122,135.19	$333,471.28	$122,135.19	2026-05-23
510 - 4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$119,686.90	$119,686.90	$119,686.90	2026-05-23
161 - 1	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$350,288.51	$116,318.82	2026-05-23
161 - 2	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$368,279.42	$116,318.82	2026-05-23
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$115,895.30	$241,973.65	$115,895.30	2026-05-23
2 - 2	OTHER	Heart And/or Lung Transplant	4	4	—	—	$111,592.49	$267,443.82	$111,592.49	2026-05-23
5 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$105,960.07	$302,336.13	$105,960.07	2026-05-23
4 - 3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$104,885.44	$212,124.40	$104,885.44	2026-05-23
7 - 3	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$101,306.46	$334,528.05	$101,306.46	2026-05-23
842 - 4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$100,542.41	$210,043.58	$100,542.41	2026-05-23
2 - 1	OTHER	Heart And/or Lung Transplant	4	4	—	—	$98,630.15	$219,865.52	$98,630.15	2026-05-23
6 - 4	OTHER	Pancreas Transplant	4	4	—	—	$98,364.05	$293,603.70	$98,364.05	2026-05-23
593 - 2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$98,236.57	$226,168.77	$98,236.57	2026-05-23
607 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$97,225.25	$310,392.88	$97,225.25	2026-05-23
630 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$97,012.21	$175,943.85	$97,012.21	2026-05-23
480 - 4	OTHER	Major Male Pelvic Procedures	1	1	—	—	$94,158.27	$94,158.27	$94,158.27	2026-05-23
851 - 4	OTHER	Gender Related Procedures	4	4	—	—	$92,776.13	$209,159.82	$92,776.13	2026-05-23
603 - 4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$91,993.26	$324,016.41	$91,993.26	2026-05-23
602 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$87,327.67	$241,033.77	$87,327.67	2026-05-23
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$80,862.76	$179,754.79	$80,862.76	2026-05-23
613 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$80,120.10	$149,711.49	$80,120.10	2026-05-23
863 - 4	OTHER	Neonatal Aftercare	4	4	—	—	$79,087.39	$160,251.20	$79,087.39	2026-05-23
11 - 1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$78,883.75	$83,216.43	$78,883.75	2026-05-23
1 - 3	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$78,182.16	$430,867.68	$78,182.16	2026-05-23
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$77,886.12	$201,750.70	$77,886.12	2026-05-23
303 - 4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$77,509.66	$185,646.55	$77,509.66	2026-05-23
5 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$76,897.91	$214,090.66	$76,897.91	2026-05-23
440 - 4	OTHER	Kidney Transplant	4	4	—	—	$76,265.62	$392,531.50	$76,265.62	2026-05-23
6 - 3	OTHER	Pancreas Transplant	4	4	—	—	$75,805.30	$232,441.62	$75,805.30	2026-05-23
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$221,893.07	—	$75,762.80	$75,762.80	$75,762.80	2026-05-23
593 - 1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$74,761.47	$205,608.40	$74,761.47	2026-05-23
510 - 3	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$72,821.69	$72,821.69	$72,821.69	2026-05-23
7 - 2	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$71,340.78	$290,959.42	$71,340.78	2026-05-23
8 - 4	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$70,844.54	$247,624.59	$70,844.54	2026-05-23
609 - 3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$69,990.65	$154,036.79	$69,990.65	2026-05-23
602 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$69,780.17	$176,324.95	$69,780.17	2026-05-23
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$68,153.67	$125,153.14	$68,153.67	2026-05-23
851 - 3	OTHER	Gender Related Procedures	4	4	—	—	$67,937.60	$92,776.13	$92,776.13	2026-05-23
4 - 2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$67,025.99	$153,538.80	$67,025.99	2026-05-23
299 - 4	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$66,778.72	$66,778.72	$66,778.72	2026-05-23
9 - 2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$66,759.05	$96,790.86	$66,759.05	2026-05-23
607 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$66,658.94	$233,575.55	$66,658.94	2026-05-23
6 - 2	OTHER	Pancreas Transplant	4	4	—	—	$65,352.44	$190,935.11	$65,352.44	2026-05-23
120	OTHER	Car T-cell Immunotherapy	4	4	—	—	$65,239.56	$68,759.98	$65,239.56	2026-05-23
178 - 4	OTHER	External Heart Assist Systems	4	4	—	—	$64,808.28	$250,348.36	$64,808.28	2026-05-23
612 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$63,698.56	$162,612.58	$63,698.56	2026-05-23
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	4	4	—	—	$63,531.72	$158,062.83	$63,531.72	2026-05-23
7 - 1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$62,975.58	$135,358.51	$62,975.58	2026-05-23
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	4	4	—	—	$62,468.21	$142,877.52	$62,468.21	2026-05-23
165 - 4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$61,229.30	$127,883.92	$61,229.30	2026-05-23
0717	OTHER	Instill Adstiladrin, Tx Dose	2	2	—	—	$60,796.22	$60,796.22	$60,796.22	2026-05-23
1 - 2	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$60,419.91	$174,933.84	$60,419.91	2026-05-23
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$59,992.96	$192,866.30	$59,992.96	2026-05-23
841 - 3	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$58,404.11	$143,080.92	$58,404.11	2026-05-23
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$58,328.82	$173,704.05	$58,328.82	2026-05-23
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$58,156.84	$117,652.84	$58,156.84	2026-05-23
631 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$57,037.72	$111,707.30	$57,037.72	2026-05-23
162 - 3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$56,973.55	$134,937.67	$56,973.55	2026-05-23
5244	OTHER	Transplt Allo Hct/donor	2	2	—	—	$56,711.58	$56,711.58	$56,711.58	2026-05-23
680 - 4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$56,528.64	$141,785.67	$56,528.64	2026-05-23
608 - 4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$55,454.00	$153,330.72	$55,454.00	2026-05-23
625 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	4	4	—	—	$55,372.72	$143,487.74	$55,372.72	2026-05-23
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	4	4	—	—	$55,315.40	$187,311.21	$55,315.40	2026-05-23
304 - 4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$54,663.43	$129,590.66	$54,663.43	2026-05-23
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$54,585.57	$124,468.11	$54,585.57	2026-05-23
1643	OTHER	Y90 Ibritumomab, Rx	2	2	—	—	$54,489.06	$54,489.06	$54,489.06	2026-05-23
179 - 4	OTHER	Defibrillator Implants	4	4	—	—	$53,873.71	$144,892.87	$53,873.71	2026-05-23
303 - 3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$53,791.57	$121,891.63	$53,791.57	2026-05-23
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$53,717.13	$74,079.53	$53,717.13	2026-05-23
91 - 4	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$53,559.70	$165,644.96	$53,559.70	2026-05-23
614 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$53,458.74	$206,541.26	$53,458.74	2026-05-23
9273	OTHER	Sipuleucel-t Auto Cd54+	2	2	—	—	$53,253.95	$53,253.95	$53,253.95	2026-05-23
1 - 1	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$53,080.57	$155,916.54	$53,080.57	2026-05-23
850 - 4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	4	4	—	—	$52,736.62	$155,900.18	$52,736.62	2026-05-23
21 - 4	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$52,662.18	$166,977.62	$52,662.18	2026-05-23
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	4	4	—	—	$52,343.27	$58,451.73	$52,343.27	2026-05-23
178 - 3	OTHER	External Heart Assist Systems	4	4	—	—	$52,293.42	$136,983.42	$52,293.42	2026-05-23
299 - 3	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$52,218.12	$52,218.12	$52,218.12	2026-05-23
603 - 3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$52,092.35	$163,049.78	$52,092.35	2026-05-23
440 - 3	OTHER	Kidney Transplant	4	4	—	—	$51,851.93	$245,284.26	$51,851.93	2026-05-23
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	4	—	—	$51,431.83	$130,841.49	$51,431.83	2026-05-23
5 - 2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$51,274.40	$123,834.51	$51,274.40	2026-05-23
300 - 4	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$50,944.99	$50,944.99	$50,944.99	2026-05-23
690 - 4	OTHER	Acute Leukemia	4	4	—	—	$50,529.17	$161,378.11	$50,529.17	2026-05-23
8 - 3	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$49,863.51	$195,604.09	$49,863.51	2026-05-23
607 - 2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$49,787.36	$110,145.52	$49,787.36	2026-05-23
480 - 3	OTHER	Major Male Pelvic Procedures	1	1	—	—	$49,376.22	$49,376.22	$49,376.22	2026-05-23
260 - 4	OTHER	Major Pancreas, Liver And Shunt Procedures	4	4	—	—	$49,135.40	$157,436.24	$49,135.40	2026-05-23
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$48,995.93	$94,237.77	$48,995.93	2026-05-23
9 - 1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$48,886.42	$91,951.20	$48,886.42	2026-05-23
169 - 4	OTHER	Major Abdominal Vascular Procedures	4	4	—	—	$48,666.53	$103,133.86	$48,666.53	2026-05-23
23 - 4	OTHER	Spinal Procedures	4	4	—	—	$48,016.27	$149,444.96	$48,016.27	2026-05-23
740 - 4	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$47,886.22	$123,053.62	$47,886.22	2026-05-23
608 - 3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$47,868.25	$149,910.22	$47,868.25	2026-05-23
120 - 4	OTHER	Major Respiratory And Chest Procedures	4	4	—	—	$47,370.29	$123,228.97	$47,370.29	2026-05-23
681 - 4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$47,293.29	$131,288.05	$47,293.29	2026-05-23
312 - 4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	4	4	—	—	$47,204.31	$134,474.75	$47,204.31	2026-05-23
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$46,813.30	$112,997.88	$46,813.30	2026-05-23
220 - 4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$46,658.43	$145,930.95	$46,658.43	2026-05-23
695 - 4	OTHER	Chemotherapy For Acute Leukemia	4	4	—	—	$46,506.14	$118,697.92	$46,506.14	2026-05-23
4 - 1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$46,371.81	$119,584.02	$46,371.81	2026-05-23
20 - 4	OTHER	Open Craniotomy For Trauma	4	4	—	—	$46,006.47	$130,404.29	$46,006.47	2026-05-23
89 - 4	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$45,979.09	$134,890.91	$45,979.09	2026-05-23
361 - 4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	4	4	—	—	$45,927.75	$123,086.35	$45,927.75	2026-05-23
428 - 4	OTHER	Genetic Disorders	3	3	—	—	$45,872.14	$45,872.14	$45,872.14	2026-05-23
261 - 4	OTHER	Major Biliary Tract Procedures	4	4	—	—	$45,687.33	$128,632.08	$45,687.33	2026-05-23
950 - 4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$45,680.48	$240,750.87	$45,680.48	2026-05-23
609 - 2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$45,669.36	$102,923.44	$45,669.36	2026-05-23
165 - 3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$45,500.81	$96,624.86	$45,500.81	2026-05-23
6 - 1	OTHER	Pancreas Transplant	4	4	—	—	$45,393.00	$158,609.92	$45,393.00	2026-05-23
623 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	4	4	—	—	$44,623.82	$94,672.63	$44,623.82	2026-05-23
27 - 4	OTHER	Other Open Craniotomy	4	4	—	—	$44,321.79	$113,187.26	$44,321.79	2026-05-23
630 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$44,213.13	$93,421.80	$44,213.13	2026-05-23
440 - 2	OTHER	Kidney Transplant	4	4	—	—	$44,188.32	$217,670.14	$44,188.32	2026-05-23
612 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$44,111.31	$158,392.49	$44,111.31	2026-05-23
92 - 4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	4	4	—	—	$43,829.82	$99,224.72	$43,829.82	2026-05-23
401 - 4	OTHER	Adrenal Procedures	4	4	—	—	$43,471.32	$121,608.73	$43,471.32	2026-05-23
1142	OTHER	Supprelin La Implant	2	2	—	—	$43,401.54	$43,401.54	$43,401.54	2026-05-23
520 - 4	OTHER	Other GYN Procedures For Malignancy	3	3	—	—	$43,311.33	$43,311.33	$43,311.33	2026-05-23
613 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$43,295.07	$107,414.73	$43,295.07	2026-05-23
1580	OTHER	Implt/rpl Crtd Sns Dev Total	2	2	—	—	$43,150.98	$43,150.98	$43,150.98	2026-05-23
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$43,124.81	$143,576.58	$43,124.81	2026-05-23
162 - 2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$43,072.62	$118,115.76	$43,072.62	2026-05-23
3060	OTHER	Ventricular Assist Device Procedures	4	4	—	—	$42,925.84	$52,563.06	$42,925.84	2026-05-23
441 - 4	OTHER	Major Bladder Procedures	4	4	—	—	$42,874.12	$125,118.07	$42,874.12	2026-05-23
178 - 2	OTHER	External Heart Assist Systems	4	4	—	—	$42,578.08	$130,656.79	$42,578.08	2026-05-23
603 - 2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$42,503.64	$123,359.89	$42,503.64	2026-05-23
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$42,384.71	$97,010.63	$42,384.71	2026-05-23
511 - 4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	4	4	—	—	$41,488.04	$114,753.72	$41,488.04	2026-05-23
440 - 1	OTHER	Kidney Transplant	4	4	—	—	$41,352.86	$116,098.07	$41,352.86	2026-05-23
622 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$41,307.51	$225,214.86	$41,307.51	2026-05-23
321 - 4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	4	4	—	—	$41,178.32	$112,696.28	$41,178.32	2026-05-23
22 - 4	OTHER	Ventricular Shunt Procedures	4	4	—	—	$41,151.79	$108,836.24	$41,151.79	2026-05-23
792 - 4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$41,028.59	$116,472.15	$41,028.59	2026-05-23
179 - 3	OTHER	Defibrillator Implants	4	4	—	—	$41,026.88	$89,793.23	$41,026.88	2026-05-23
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	2	$32,274.24	—	$40,857.27	$40,857.27	$40,857.27	2026-05-23
842 - 3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$40,611.91	$93,555.07	$40,611.91	2026-05-23
651 - 4	OTHER	Other Procedures Of Blood And Blood-forming Organs	4	4	—	—	$40,605.06	$105,923.09	$40,605.06	2026-05-23
863 - 3	OTHER	Neonatal Aftercare	4	4	—	—	$40,457.90	$109,259.42	$40,457.90	2026-05-23
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$40,297.90	$92,182.66	$40,297.90	2026-05-23
160 - 2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$40,244.86	$48,095.00	$40,244.86	2026-05-23
30 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	4	—	—	$40,172.13	$113,949.44	$40,172.13	2026-05-23
170 - 4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	4	4	—	—	$40,141.33	$108,964.83	$40,141.33	2026-05-23
181 - 4	OTHER	Lower Extremity Arterial Procedures	4	4	—	—	$40,052.35	$112,371.29	$40,052.35	2026-05-23
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$40,046.36	$85,795.25	$40,046.36	2026-05-23
121 - 4	OTHER	Other Respiratory And Chest Procedures	4	4	—	—	$39,706.68	$136,211.88	$39,706.68	2026-05-23
512 - 4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	4	4	—	—	$39,690.43	$98,046.37	$39,690.43	2026-05-23
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	2	2	$75,816.67	—	$39,644.65	$39,644.65	$39,644.65	2026-05-23
230 - 4	OTHER	Major Small Bowel Procedures	4	4	—	—	$39,468.83	$99,956.51	$39,468.83	2026-05-23
8 - 2	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$39,137.71	$121,087.36	$39,137.71	2026-05-23
303 - 2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$39,122.31	$88,451.22	$39,122.31	2026-05-23
405 - 4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	4	4	—	—	$39,025.63	$142,323.41	$39,025.63	2026-05-23
264 - 4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	4	4	—	—	$38,949.48	$122,279.74	$38,949.48	2026-05-23
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	4	4	—	—	$38,809.16	$110,475.18	$38,809.16	2026-05-23
176 - 4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	4	4	—	—	$38,650.87	$122,015.54	$38,650.87	2026-05-23
404 - 4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	4	4	—	—	$38,559.33	$106,414.07	$38,559.33	2026-05-23
634 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	4	4	—	—	$38,536.22	$85,776.54	$38,536.22	2026-05-23
403 - 4	OTHER	Procedures For Obesity	4	4	—	—	$38,451.52	$94,207.37	$38,451.52	2026-05-23
299 - 2	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$38,405.32	$38,405.32	$38,405.32	2026-05-23
178 - 1	OTHER	External Heart Assist Systems	4	4	—	—	$38,319.76	$119,446.08	$38,319.76	2026-05-23
841 - 2	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$46,764.68	$38,267.57	2026-05-23
841 - 1	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$41,081.00	$38,267.57	2026-05-23
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$38,080.19	$78,313.65	$38,080.19	2026-05-23
711 - 4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	4	4	—	—	$37,837.20	$95,925.80	$37,837.20	2026-05-23
29 - 4	OTHER	Other Percutaneous Intracranial Procedures	4	4	—	—	$37,583.09	$83,978.62	$37,583.09	2026-05-23
484 - 4	OTHER	Other Male Reproductive System And Related Procedures	4	4	—	—	$37,579.66	$88,289.89	$37,579.66	2026-05-23
910 - 3	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$37,541.16	$80,027.40	$37,541.16	2026-05-23
485 - 4	OTHER	Prostatectomy Procedures	3	3	—	—	$37,492.39	$37,492.39	$37,492.39	2026-05-23
26 - 4	OTHER	Other Nervous System And Related Procedures	4	4	—	—	$37,349.51	$100,938.47	$37,349.51	2026-05-23
21 - 3	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$37,060.31	$83,527.39	$37,060.31	2026-05-23
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	4	4	—	—	$36,947.37	$108,431.76	$36,947.37	2026-05-23
754 - 4	OTHER	Depression Except Major Depressive Disorder	1	1	—	—	$36,818.82	$36,818.82	$36,818.82	2026-05-23
165 - 2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$36,687.27	$80,347.71	$36,687.27	2026-05-23
609 - 1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$36,684.71	$93,363.35	$36,684.71	2026-05-23
447 - 4	OTHER	Other Kidney, Urinary Tract And Related Procedures	4	4	—	—	$36,595.72	$101,803.53	$36,595.72	2026-05-23
442 - 4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	4	4	—	—	$36,481.07	$119,041.61	$36,481.07	2026-05-23
448 - 4	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	3	3	—	—	$36,288.56	$36,288.56	$36,288.56	2026-05-23
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$36,161.08	$76,050.46	$36,161.08	2026-05-23
650 - 4	OTHER	Splenic Procedures	4	4	—	—	$36,143.97	$96,907.76	$36,143.97	2026-05-23
614 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$36,105.46	$160,162.35	$36,105.46	2026-05-23
162 - 1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$35,890.71	$100,454.51	$35,890.71	2026-05-23
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$35,817.98	$214,415.64	$35,817.98	2026-05-23
91 - 3	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$35,787.18	$72,248.88	$35,787.18	2026-05-23
300 - 3	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$35,620.34	$35,620.34	$35,620.34	2026-05-23
607 - 1	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$35,591.25	$51,742.28	$35,591.25	2026-05-23
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$35,315.75	$82,150.31	$35,315.75	2026-05-23
43 - 4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	4	4	—	—	$35,267.83	$83,557.78	$35,267.83	2026-05-23
SUP-454269	OTHER	Valve Sapien 3 Femoral Kit 29m	4	4	$58,500.00	$35,100.00 40% off	$35,100.00	$46,800.00	$43,290.00	2026-05-23
514 - 4	OTHER	Female Reproductive System Reconstructive Procedures	4	4	—	—	$35,089.01	$101,749.76	$35,089.01	2026-05-23
231 - 4	OTHER	Major Large Bowel Procedures	4	4	—	—	$34,840.89	$87,387.43	$34,840.89	2026-05-23
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	4	4	—	—	$34,651.80	$143,688.80	$34,651.80	2026-05-23
250	OTHER	Cochlear Device Implantation	4	4	—	—	$34,610.01	$41,197.91	$34,610.01	2026-05-23
222 - 4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$34,605.60	$113,465.48	$34,605.60	2026-05-23
466	OTHER	Class Xiv Combined Chemotherapy And Pharmacotherapy	6	6	$134,955.16	—	$34,364.93	$41,185.84	$35,074.15	2026-05-23
229 - 4	OTHER	Other Digestive System And Abdominal Procedures	4	4	—	—	$34,356.62	$116,907.01	$34,356.62	2026-05-23
518 - 4	OTHER	Other Female Reproductive System And Related Procedures	4	4	—	—	$34,301.00	$90,623.22	$34,301.00	2026-05-23
89 - 3	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$34,285.60	$69,078.55	$34,285.60	2026-05-23
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	2	2	$32,222.28	—	$34,284.78	$34,284.78	$34,284.78	2026-05-23
SUP-421192	OTHER	Heartmate 3 Lvas Implant Kit	6	6	$179,865.00	$107,919.00 40% off	$34,174.35	$143,892.00	$119,610.23	2026-05-23
SUP-407115	OTHER	Kit Mitraclip 1 Ntr And 1 Xtr	4	4	$54,000.00	$32,400.00 40% off	$32,400.00	$43,200.00	$39,960.00	2026-05-23
SUP-400823	OTHER	Kit Mitraclip 1 Clip Ntr	4	4	$54,000.00	$32,400.00 40% off	$32,400.00	$43,200.00	$39,960.00	2026-05-23
SUP-407117	OTHER	Kit Mitraclip 1 Ntr And 2 Xtr	4	4	$54,000.00	$32,400.00 40% off	$32,400.00	$43,200.00	$39,960.00	2026-05-23
SUP-407116	OTHER	Kit Mitraclip 2 Ntr And 1 Xtr	4	4	$54,000.00	$32,400.00 40% off	$32,400.00	$43,200.00	$39,960.00	2026-05-23
SUP-407113	OTHER	Kit Mitraclip 3 Clip Ntr	4	4	$54,000.00	$32,400.00 40% off	$32,400.00	$43,200.00	$39,960.00	2026-05-23
SUP-407114	OTHER	Kit Mitraclip 3 Clip Xtr	4	4	$54,000.00	$32,400.00 40% off	$32,400.00	$43,200.00	$39,960.00	2026-05-23
PX-48100154	OTHER	Insj/Rplc Cardiac Modulj Sys	6	6	$62,664.00	$37,598.40 40% off	$30,743.85	$53,264.40	$46,371.36	2026-05-23
PX-48100025	OTHER	Replace Icd Gen Only To Mult	6	6	$56,642.00	$33,985.20 40% off	$30,743.85	$48,145.70	$41,915.08	2026-05-23
PX-48100022	OTHER	Insrt Repl Icd Single Dual Chamber	6	6	$54,259.00	$32,555.40 40% off	$30,743.85	$46,120.15	$40,151.66	2026-05-23
SUP-408965	OTHER	Stent Graft Navion Thoracic 31mmx31mmx229mm	4	4	$50,000.00	$30,000.00 40% off	$30,000.00	$40,000.00	$37,000.00	2026-05-23
SUP-405098	OTHER	Kit Pain Stimulator (3 Items)	4	4	$50,000.00	$30,000.00 40% off	$30,000.00	$40,000.00	$37,000.00	2026-05-23
SUP-418967	OTHER	Catheter Impella 2.5	4	4	$50,000.00	$30,000.00 40% off	$30,000.00	$40,000.00	$37,000.00	2026-05-23
SUP-412753	OTHER	Monitor Cardiomems Hf System	4	4	$50,000.00	$30,000.00 40% off	$30,000.00	$40,000.00	$37,000.00	2026-05-23
SUP-412730	OTHER	Catheter Impella 4.0cp	4	4	$50,000.00	$30,000.00 40% off	$30,000.00	$40,000.00	$37,000.00	2026-05-23
SUP-480467	OTHER	Icd Aurora Ev Dvea3e4	4	4	$50,000.00	$30,000.00 40% off	$30,000.00	$40,000.00	$37,000.00	2026-05-23
SUP-408972	OTHER	Stent Graft Navion Thoracic 37mmx37mmx175mm	4	4	$49,987.50	$29,992.50 40% off	$29,992.50	$39,990.00	$36,990.75	2026-05-23
602 - 1	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$29,047.31	$51,981.12	$51,981.12	2026-05-23
SUP-403015	OTHER	Icd Gallant Crt-d Cdhfa500t	4	4	$48,375.00	$29,025.00 40% off	$29,025.00	$38,700.00	$35,797.50	2026-05-23
SUP-426036	OTHER	Icd Gallant Hf Crt-d Cdhfa500q	4	4	$48,375.00	$29,025.00 40% off	$29,025.00	$38,700.00	$35,797.50	2026-05-23
SUP-408969	OTHER	Stent Graft Navion Thoracic 34mmx34mmx229mm	4	4	$48,363.75	$29,018.25 40% off	$29,018.25	$38,691.00	$35,789.18	2026-05-23
SUP-408977	OTHER	Stent Graft Navion Thoracic 40mmx40mmx223mm	4	4	$48,363.75	$29,018.25 40% off	$29,018.25	$38,691.00	$35,789.18	2026-05-23
SUP-408973	OTHER	Stent Graft Navion Thoracic 37mmx37mmx229mm	4	4	$48,363.75	$29,018.25 40% off	$29,018.25	$38,691.00	$35,789.18	2026-05-23
SUP-408981	OTHER	Stent Graft Navion Thoracic 43mmx43mmx223mm	4	4	$48,363.75	$29,018.25 40% off	$29,018.25	$38,691.00	$35,789.18	2026-05-23
SUP-408985	OTHER	Stent Graft Navion Thoracic 46mmx46mmx223mm	4	4	$48,363.75	$29,018.25 40% off	$29,018.25	$38,691.00	$35,789.18	2026-05-23
PX-48000075	OTHER	Hc Implant Pressure Sensor W Angio	6	6	$55,323.00	$33,193.80 40% off	$27,259.93	$47,024.55	$40,939.02	2026-05-23
PX-48100024	OTHER	Replace Icd Gen Only To Dual	6	6	$55,686.00	$33,411.60 40% off	$21,523.65	$47,333.10	$41,207.64	2026-05-23
PX-48100129	OTHER	Hc Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg	6	6	$46,977.00	$28,186.20 40% off	$21,523.65	$39,930.45	$34,762.98	2026-05-23
RX-9002	OTHER	Alteplase 100 Mg IV Solr	10	5	$29,592.12	$17,755.28 40% off	$18,889.40	$47,347.40	$35,510.55	2026-05-23
SUP-431937	OTHER	Cath Impella 5.5 S2 W Smart Assist	6	6	$79,200.00	$47,520.00 40% off	$15,048.00	$63,360.00	$52,668.00	2026-05-23
SUP-477512	OTHER	Guide Triclip G5 Steerable System	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-05-23
SUP-477517	OTHER	Guide Triclip G5 Steerable	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-05-23
SUP-477459	OTHER	Guide Triclip G4 Steerable System	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-05-23
SUP-477464	OTHER	Guide Triclip 24fr Steerable	6	6	$64,800.00	$38,880.00 40% off	$12,312.00	$51,840.00	$43,092.00	2026-05-23
SUP-454170	OTHER	Valve Sapien 3 Resilia 20mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-05-23
SUP-454173	OTHER	Valve Sapien 3 Resilia 29mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-05-23
SUP-454172	OTHER	Valve Sapien 3 Resilia 26mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-05-23
SUP-454171	OTHER	Valve Sapien 3 Resilia 23mm	6	6	$61,200.00	$36,720.00 40% off	$11,628.00	$48,960.00	$40,698.00	2026-05-23
SUP-477518	OTHER	Guide Mitraclip G5 Steerable System	6	6	$59,400.00	$35,640.00 40% off	$11,286.00	$47,520.00	$39,501.00	2026-05-23
SUP-477523	OTHER	Guide Mitraclip G5 Steerable	6	6	$59,400.00	$35,640.00 40% off	$11,286.00	$47,520.00	$39,501.00	2026-05-23
SUP-407110	OTHER	Valve Sapien 3 Ultra 20mm	6	6	$58,500.00	$35,100.00 40% off	$11,115.00	$46,800.00	$38,902.50	2026-05-23
SUP-407111	OTHER	Valve Sapien 3 Ultra 23mm	6	6	$58,500.00	$35,100.00 40% off	$11,115.00	$46,800.00	$38,902.50	2026-05-23
SUP-407112	OTHER	Valve Sapien 3 Ultra 26mm	6	6	$58,500.00	$35,100.00 40% off	$11,115.00	$46,800.00	$38,902.50	2026-05-23
SUP-477185	OTHER	Valve Evolut Fx+ 34mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-05-23
SUP-477182	OTHER	Valve Evolut Fx+ 23mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-05-23
SUP-477183	OTHER	Valve Evolut Fx+ 26mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-05-23
SUP-477184	OTHER	Valve Evolut Fx+ 29mm	6	6	$56,700.00	$34,020.00 40% off	$10,773.00	$45,360.00	$37,705.50	2026-05-23
SUP-452534	OTHER	Valve Evolut Fx 34mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-405478	OTHER	Guide Mitraclip G4 Steerable System	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-452531	OTHER	Valve Evolut Fx 23mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-400888	OTHER	Kit Mitraclip 2 Clip Xtr	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-452532	OTHER	Valve Evolut Fx 26mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-400825	OTHER	Kit Mitraclip 1 Clip Xtr	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-400824	OTHER	Kit Mitraclip 2 Clip Ntr	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
SUP-452533	OTHER	Valve Evolut Fx 29mm	6	6	$54,000.00	$32,400.00 40% off	$10,260.00	$43,200.00	$35,910.00	2026-05-23
RX-122149	OTHER	Immun Glob G(igg)-pro-iga 0-50 10 % IV Soln	10	5	$6,498.52	$3,899.11 40% off	$10,147.40	$51,738.18	$38,803.63	2026-05-23
RX-173341	OTHER	Tenecteplase 50 Mg IV Solr	14	7	$27,901.35	$16,740.81 40% off	$539.20	$89,284.12	$34,444.20	2026-05-23

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