Hospital

MERRICK MEDICAL CENTER

Central City, NE · CCN 281328 · Rates published

57,599 distinct procedures filed

11 distinct payers

264,540 rate rows

2026-05-06 last MRF observed

Data quality

264,009 of 264,540 rate rows are consumer-grade (99.8%)

531 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	473
placeholder amount (≤ $0.02) — excluded from medians	54
per-diem day rate — not a per-procedure price	4

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

Source MRF file	https://www.bryanhealth.com/app/files/public/0c8f55af-3354-471c-9d96-e1d3c2e2a445/470376552_bryan-medical-center_standardcharges.csv
Found on page	https://www.bryanhealth.com/patients-visitors/pricing-insurance-financial-assistance-billing/price-estimates/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	0417c71779047805… · 23,324,872 bytes · first seen 2026-05-05

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
0773 OTHER	Inj, Beqvez, Per Tx Dose	2	$3,615,617.60	$3,615,617.60	$3,615,617.60	nat. median $3,635,800 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	2	$3,615,617.60	$3,615,617.60	$3,615,617.60	nat. median $3,746,358 1.0× median
0714 OTHER	Inj Delandistrogene Mox Rokl	2	$3,237,275.39	$3,237,275.39	$3,237,275.39	nat. median $3,316,463 1.0× median
0748 OTHER	Inj, Lovotibeglogene Autotem	2	$3,111,770.08	$3,111,770.08	$3,111,770.08	nat. median $3,248,446 1.0× median
0746 OTHER	Inj, Betibeglogene Autotemce	2	$2,892,494.08	$2,892,494.08	$2,892,494.08	nat. median $2,945,740 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	2	$2,342,314.76	$2,342,314.76	$2,342,314.76	nat. median $2,588,981 0.9× median
0824 OTHER	Inj, Exagamglogene Autotem	2	$2,272,673.92	$2,272,673.92	$2,272,673.92	nat. median $17,829 outlier · 127.5×
9194 OTHER	Tisagenlecleucel Car-pos T	2	$551,234.37	$551,234.37	$551,234.37	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	2	$537,292.80	$537,292.80	$537,292.80	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	2	$514,872.16	$514,872.16	$514,872.16	nat. median $558,082 0.9× median
9413 OTHER	Lisocabtagene Mara Car Pos T	2	$503,346.57	$503,346.57	$503,346.57	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	2	$477,063.83	$477,063.83	$477,063.83	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	2	$475,635.48	$475,635.48	$475,635.48	nat. median $489,450 1.0× median
583 - 4 OTHER	Neonate With Ecmo	4	$472,816.54	$774,455.49	$472,816.54	nat. median $472,817 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
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	$192,644.09	$192,644.09	$192,644.09	nat. median $263,894 0.7× 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
RX-180700 OTHER	Inebilizumab-cdon 10 Mg/ml IV Soln	7	$99,109.00	$471,303.98	$157,101.33	nat. median $157,101 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
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	$145,907.94	$145,907.94	$145,907.94	nat. median $218,232 0.7× 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
RX-195281 OTHER	Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Subq Soln	6	$86,908.72	$416,190.80	$138,730.27	nat. median $138,730 1.0× median
RX-171544 OTHER	Triptorelin Pamoate(pediatric) 22.5 Mg IM Susr	7	$91,614.64	$408,687.54	$136,229.19	nat. median $136,229 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 - 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
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
9 - 3 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$133,013.29	$227,153.07	$133,013.29	nat. median $133,013 1.0× median
RX-176607 OTHER	Tagraxofusp-erzs 1000 Mcg/ml IV Soln	6	$71,386.00	$340,547.89	$126,469.87	nat. median $126,470 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

Other procedures at this hospital

Browse this hospital's 57,599 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

PX-48100147	OTHER	Insj Phrnc Nrv Stim Sys	9	9	$89,960.00	$53,976.00 40% off	$4,100.00	$134,940.00	$43,855.69	2026-05-06
RX-174798	OTHER	Tildrakizumab-asmn 100 Mg/ml Subq Syr	16	8	$46,776.85	$28,066.10 40% off	$34,709.00	$217,623.48	$70,842.60	2026-05-06
RX-177364	OTHER	Polatuzumab Vedotin-piiq 140 Mg IV Solr	16	8	$62,628.21	$37,576.92 40% off	$23,798.72	$187,884.62	$46,416.44	2026-05-06
RX-169458	OTHER	Guselkumab 100 Mg/ml Subq Syrg	16	8	$48,965.89	$29,379.53 40% off	$15,194.40	$146,897.65	$41,222.00	2026-05-06
RX-173341	OTHER	Tenecteplase 50 Mg IV Solr	16	8	$27,901.35	$16,740.81 40% off	$21,204.98	$167,407.75	$40,924.10	2026-05-06
RX-178839	OTHER	Luspatercept-aamt 75 Mg Subq Solr	16	8	$40,669.93	$24,401.96 40% off	$25,189.20	$122,009.81	$39,378.97	2026-05-06
RX-188655	OTHER	Spesolimab-sbzo 60 Mg/ml IV Soln	8	8	$85,948.33	$51,569.00 40% off	$16,330.18	$128,922.49	$36,275.88	2026-05-06
RX-180700	OTHER	Inebilizumab-cdon 10 Mg/ml IV Soln	14	7	$157,101.33	$94,260.79 40% off	$99,109.00	$471,303.98	$157,101.33	2026-05-06
RX-171544	OTHER	Triptorelin Pamoate(pediatric) 22.5 Mg IM Susr	14	7	$75,014.08	$45,008.45 40% off	$91,614.64	$408,687.54	$136,229.19	2026-05-06
RX-127653	OTHER	Alemtuzumab 12 Mg/1.2 Ml IV Soln	14	7	$93,329.92	$55,997.96 40% off	$58,317.38	$279,989.78	$93,329.93	2026-05-06
RX-117842	OTHER	Pegaspargase 750 Units/ml Inj Soln	14	7	$85,902.11	$51,541.27 40% off	$56,848.12	$257,706.36	$85,902.12	2026-05-06
RX-169080	OTHER	Ocrelizumab 30 Mg/ml IV Soln	14	7	$69,376.35	$41,625.80 40% off	$35,648.40	$157,164.74	$69,376.35	2026-05-06
RX-168999	OTHER	Canakinumab (pf) 150 Mg/ml Subq Soln	14	7	$67,967.33	$40,780.40 40% off	$42,481.20	$203,902.01	$67,967.34	2026-05-06
RX-4084600041	OTHER	Alteplase 50 & 100 Mg IV Solr Repackaging Only	14	7	$29,592.12	$17,755.28 40% off	$37,778.80	$116,103.02	$57,630.43	2026-05-06
RX-191286	OTHER	Efgartigimod-hyaluronidas-qvfc 1,008 Mg-11,200 Unit/5.6 Ml Subq Soln	14	7	$55,161.03	$33,096.62 40% off	$34,159.10	$165,483.07	$55,161.03	2026-05-06
RX-179408	OTHER	Teprotumumab-trbw 500 Mg IV Solr	14	7	$55,066.25	$33,039.74 40% off	$35,919.20	$165,198.73	$55,066.25	2026-05-06
RX-108073	OTHER	Pralatrexate 40 Mg/2 Ml (20 Mg/ml) IV Soln	14	7	$47,958.69	$28,775.22 40% off	$31,410.32	$143,876.09	$47,958.70	2026-05-06
PX-48100113	OTHER	Hc Stent Ather Two Vessels T2 With IV Litho	7	7	$70,928.00	$42,556.80 40% off	$4,100.00	$106,392.00	$42,556.80	2026-05-06
PX-48100026	OTHER	Insrt Repl Icd Subq Electrode	7	7	$62,664.00	$37,598.40 40% off	$4,100.00	$93,996.00	$37,598.40	2026-05-06
PX-48100154	OTHER	Insj/Rplc Cardiac Modulj Sys	7	7	$62,664.00	$37,598.40 40% off	$4,100.00	$93,996.00	$37,598.40	2026-05-06
RX-189658	OTHER	Ublituximab-xiiy 25 Mg/ml IV Soln	14	7	$37,352.04	$22,411.22 40% off	$21,225.90	$112,056.14	$37,352.05	2026-05-06
PX-48100116	OTHER	Hc Pta Stent Two Or More Vessels T2 With IV Litho	7	7	$60,401.00	$36,240.60 40% off	$4,100.00	$90,601.50	$36,240.60	2026-05-06
RX-187695	OTHER	Risankizumab-rzaa 60 Mg/ml IV Soln	14	7	$35,746.03	$21,447.62 40% off	$17,929.20	$107,238.07	$35,746.03	2026-05-06
PX-48100022	OTHER	Insrt Repl Icd Single Dual Chamber	7	7	$57,608.00	$34,564.80 40% off	$4,100.00	$86,412.00	$34,564.80	2026-05-06
RX-195281	OTHER	Ocrelizumab-hyaluronidase-ocsq 920 Mg-23,000 Unit/23 Ml Subq Soln	12	6	$138,730.27	$83,238.16 40% off	$86,908.72	$416,190.80	$138,730.27	2026-05-06
RX-176607	OTHER	Tagraxofusp-erzs 1000 Mcg/ml IV Soln	12	6	$113,515.96	$68,109.58 40% off	$71,386.00	$340,547.89	$126,469.87	2026-05-06
SUP-421192	OTHER	Heartmate 3 Lvas Implant Kit	6	6	$179,865.00	$107,919.00 40% off	$34,174.35	$269,797.50	$80,939.25	2026-05-06
RX-194235	OTHER	Tarlatamab-dlle 10 Mg IV Solr	12	6	$50,493.62	$30,296.17 40% off	$31,292.72	$151,480.84	$58,017.17	2026-05-06
SUP-477331	OTHER	Kit Implants Aprevo 5-level	6	6	$90,000.00	$54,000.00 40% off	$17,100.00	$135,000.00	$40,500.00	2026-05-06
PX-32900364	OTHER	Stent Athr Two Vessels T2	6	6	$70,928.00	$42,556.80 40% off	$17,499.90	$106,392.00	$39,010.40	2026-05-06
SUP-431937	OTHER	Cath Impella 5.5 S2 W Smart Assist	6	6	$79,200.00	$47,520.00 40% off	$15,048.00	$118,800.00	$35,640.00	2026-05-06
SUP-477330	OTHER	Kit Implants Aprevo 4-level	6	6	$79,200.00	$47,520.00 40% off	$15,048.00	$118,800.00	$35,640.00	2026-05-06
466	OTHER	Class Xiv Combined Chemotherapy And Pharmacotherapy	6	6	$185,389.90	—	$34,364.93	$41,185.84	$35,074.15	2026-05-06
250	OTHER	Cochlear Device Implantation	6	6	$78,118.54	—	$15,003.11	$41,197.91	$34,610.01	2026-05-06
RX-116024	OTHER	Glucarpidase 1000 Units IV Solr	5	5	$117,179.45	$70,307.67 40% off	$22,264.10	$175,769.17	$58,589.73	2026-05-06
PX-62400003	OTHER	Fdaide G170258	5	5	$56,243.00	$33,745.80 40% off	$28,121.50	$84,364.50	$36,501.71	2026-05-06
583 - 4	OTHER	Neonate With Ecmo	4	4	—	—	$472,816.54	$774,455.49	$472,816.54	2026-05-06
588 - 4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$289,591.51	$688,447.48	$289,591.51	2026-05-06
11 - 4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$270,719.54	$1,355,897.38	$270,719.54	2026-05-06
2 - 4	OTHER	Heart And/or Lung Transplant	4	4	—	—	$270,540.72	$854,611.48	$270,540.72	2026-05-06
583 - 3	OTHER	Neonate With Ecmo	4	4	—	—	$269,284.70	$767,167.94	$269,284.70	2026-05-06
583 - 2	OTHER	Neonate With Ecmo	4	4	—	—	$206,760.87	$481,415.24	$206,760.87	2026-05-06
161 - 4	OTHER	Implantable Heart Assist Systems	4	4	—	—	$201,889.94	$612,198.29	$201,889.94	2026-05-06
609 - 4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$201,765.88	$496,146.98	$201,765.88	2026-05-06
11 - 3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$201,473.27	$1,250,109.90	$201,473.27	2026-05-06
9 - 4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$197,917.39	$318,344.42	$197,917.39	2026-05-06
631 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$194,062.06	$340,625.56	$194,062.06	2026-05-06
588 - 3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$192,867.64	$421,415.15	$192,867.64	2026-05-06
591 - 4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$189,899.56	$412,862.74	$189,899.56	2026-05-06
583 - 1	OTHER	Neonate With Ecmo	4	4	—	—	$185,593.33	$361,417.39	$185,593.33	2026-05-06
841 - 4	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$179,586.16	$435,265.46	$179,586.16	2026-05-06
630 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$175,994.35	$291,377.93	$175,994.35	2026-05-06
593 - 4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$166,958.36	$430,573.09	$166,958.36	2026-05-06
588 - 2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$165,266.84	$410,206.78	$165,266.84	2026-05-06
11 - 2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$160,168.32	$892,954.68	$160,168.32	2026-05-06
7 - 4	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$159,283.63	$400,144.02	$159,283.63	2026-05-06
161 - 3	OTHER	Implantable Heart Assist Systems	4	4	—	—	$158,084.08	$416,858.39	$158,084.08	2026-05-06
4 - 4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$152,101.72	$320,168.06	$152,101.72	2026-05-06
1 - 4	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$150,589.02	$584,528.06	$150,589.02	2026-05-06
2 - 3	OTHER	Heart And/or Lung Transplant	4	4	—	—	$147,367.69	$430,325.27	$147,367.69	2026-05-06
591 - 3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$143,217.17	$245,309.97	$143,217.17	2026-05-06
588 - 1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$141,657.41	$272,832.91	$141,657.41	2026-05-06
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	2026-05-06
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	2026-05-06
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	2026-05-06
9 - 3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$133,013.29	$227,153.07	$133,013.29	2026-05-06
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	2026-05-06
591 - 2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$122,839.35	$179,911.44	$122,839.35	2026-05-06
593 - 3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$122,135.19	$333,471.28	$122,135.19	2026-05-06
161 - 1	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$350,288.51	$116,318.82	2026-05-06
161 - 2	OTHER	Implantable Heart Assist Systems	4	4	—	—	$116,318.82	$368,279.42	$116,318.82	2026-05-06
160 - 4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$115,895.30	$241,973.65	$115,895.30	2026-05-06
2 - 2	OTHER	Heart And/or Lung Transplant	4	4	—	—	$111,592.49	$267,443.82	$111,592.49	2026-05-06
5 - 4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$105,960.07	$302,336.13	$105,960.07	2026-05-06
4 - 3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$104,885.44	$212,124.40	$104,885.44	2026-05-06
7 - 3	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$101,306.46	$334,528.05	$101,306.46	2026-05-06
842 - 4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$100,542.41	$210,043.58	$100,542.41	2026-05-06
2 - 1	OTHER	Heart And/or Lung Transplant	4	4	—	—	$98,630.15	$219,865.52	$98,630.15	2026-05-06
6 - 4	OTHER	Pancreas Transplant	4	4	—	—	$98,364.05	$293,603.70	$98,364.05	2026-05-06
593 - 2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$98,236.57	$226,168.77	$98,236.57	2026-05-06
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	2026-05-06
630 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$97,012.21	$175,943.85	$97,012.21	2026-05-06
851 - 3	OTHER	Gender Related Procedures	4	4	—	—	$67,937.60	$92,776.13	$92,776.13	2026-05-06
851 - 4	OTHER	Gender Related Procedures	4	4	—	—	$92,776.13	$209,159.82	$92,776.13	2026-05-06
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	2026-05-06
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	2026-05-06
611 - 4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$80,862.76	$179,754.79	$80,862.76	2026-05-06
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	2026-05-06
863 - 4	OTHER	Neonatal Aftercare	4	4	—	—	$79,087.39	$160,251.20	$79,087.39	2026-05-06
11 - 1	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$78,883.75	$83,216.43	$78,883.75	2026-05-06
1 - 3	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$78,182.16	$430,867.68	$78,182.16	2026-05-06
162 - 4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$77,886.12	$201,750.70	$77,886.12	2026-05-06
303 - 4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$77,509.66	$185,646.55	$77,509.66	2026-05-06
5 - 3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$76,897.91	$214,090.66	$76,897.91	2026-05-06
440 - 4	OTHER	Kidney Transplant	4	4	—	—	$76,265.62	$392,531.50	$76,265.62	2026-05-06
6 - 3	OTHER	Pancreas Transplant	4	4	—	—	$75,805.30	$232,441.62	$75,805.30	2026-05-06
593 - 1	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$74,761.47	$205,608.40	$74,761.47	2026-05-06
7 - 2	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$71,340.78	$290,959.42	$71,340.78	2026-05-06
8 - 4	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$70,844.54	$247,624.59	$70,844.54	2026-05-06
609 - 3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$69,990.65	$154,036.79	$69,990.65	2026-05-06
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	2026-05-06
163 - 4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$68,153.67	$125,153.14	$68,153.67	2026-05-06
4 - 2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$67,025.99	$153,538.80	$67,025.99	2026-05-06
9 - 2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$66,759.05	$96,790.86	$66,759.05	2026-05-06
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	2026-05-06
6 - 2	OTHER	Pancreas Transplant	4	4	—	—	$65,352.44	$190,935.11	$65,352.44	2026-05-06
120	OTHER	Car T-cell Immunotherapy	4	4	—	—	$65,239.56	$68,759.98	$65,239.56	2026-05-06
178 - 4	OTHER	External Heart Assist Systems	4	4	—	—	$64,808.28	$250,348.36	$64,808.28	2026-05-06
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	2026-05-06
633 - 4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	4	4	—	—	$63,531.72	$158,062.83	$63,531.72	2026-05-06
7 - 1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$62,975.58	$135,358.51	$62,975.58	2026-05-06
621 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	4	4	—	—	$62,468.21	$142,877.52	$62,468.21	2026-05-06
165 - 4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$61,229.30	$127,883.92	$61,229.30	2026-05-06
1 - 2	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$60,419.91	$174,933.84	$60,419.91	2026-05-06
167 - 4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$59,992.96	$192,866.30	$59,992.96	2026-05-06
841 - 3	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$58,404.11	$143,080.92	$58,404.11	2026-05-06
183 - 4	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$58,328.82	$173,704.05	$58,328.82	2026-05-06
910 - 4	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$58,156.84	$117,652.84	$58,156.84	2026-05-06
631 - 3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$57,037.72	$111,707.30	$57,037.72	2026-05-06
162 - 3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$56,973.55	$134,937.67	$56,973.55	2026-05-06
680 - 4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$56,528.64	$141,785.67	$56,528.64	2026-05-06
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	2026-05-06
625 - 4	OTHER	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	4	4	—	—	$55,372.72	$143,487.74	$55,372.72	2026-05-06
911 - 4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	4	4	—	—	$55,315.40	$187,311.21	$55,315.40	2026-05-06
304 - 4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$54,663.43	$129,590.66	$54,663.43	2026-05-06
166 - 4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$54,585.57	$124,468.11	$54,585.57	2026-05-06
179 - 4	OTHER	Defibrillator Implants	4	4	—	—	$53,873.71	$144,892.87	$53,873.71	2026-05-06
303 - 3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$53,791.57	$121,891.63	$53,791.57	2026-05-06
160 - 3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$53,717.13	$74,079.53	$53,717.13	2026-05-06
91 - 4	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$53,559.70	$165,644.96	$53,559.70	2026-05-06
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	2026-05-06
1 - 1	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$53,080.57	$155,916.54	$53,080.57	2026-05-06
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	2026-05-06
21 - 4	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$52,662.18	$166,977.62	$52,662.18	2026-05-06
246	OTHER	Class IV Therapeutic Radiopharmaceuticals	4	4	—	—	$52,343.27	$58,451.73	$52,343.27	2026-05-06
178 - 3	OTHER	External Heart Assist Systems	4	4	—	—	$52,293.42	$136,983.42	$52,293.42	2026-05-06
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	2026-05-06
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	2026-05-06
440 - 3	OTHER	Kidney Transplant	4	4	—	—	$51,851.93	$245,284.26	$51,851.93	2026-05-06
912 - 4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	4	—	—	$51,431.83	$130,841.49	$51,431.83	2026-05-06
5 - 2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$51,274.40	$123,834.51	$51,274.40	2026-05-06
690 - 4	OTHER	Acute Leukemia	4	4	—	—	$50,529.17	$161,378.11	$50,529.17	2026-05-06
8 - 3	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$49,863.51	$195,604.09	$49,863.51	2026-05-06
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	2026-05-06
260 - 4	OTHER	Major Pancreas, Liver And Shunt Procedures	4	4	—	—	$49,135.40	$157,436.24	$49,135.40	2026-05-06
163 - 3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$48,995.93	$94,237.77	$48,995.93	2026-05-06
9 - 1	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$48,886.42	$91,951.20	$48,886.42	2026-05-06
169 - 4	OTHER	Major Abdominal Vascular Procedures	4	4	—	—	$48,666.53	$103,133.86	$48,666.53	2026-05-06
23 - 4	OTHER	Spinal Procedures	4	4	—	—	$48,016.27	$149,444.96	$48,016.27	2026-05-06
740 - 4	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$47,886.22	$123,053.62	$47,886.22	2026-05-06
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	2026-05-06
120 - 4	OTHER	Major Respiratory And Chest Procedures	4	4	—	—	$47,370.29	$123,228.97	$47,370.29	2026-05-06
681 - 4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$47,293.29	$131,288.05	$47,293.29	2026-05-06
312 - 4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	4	4	—	—	$47,204.31	$134,474.75	$47,204.31	2026-05-06
130 - 4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$46,813.30	$112,997.88	$46,813.30	2026-05-06
220 - 4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$46,658.43	$145,930.95	$46,658.43	2026-05-06
695 - 4	OTHER	Chemotherapy For Acute Leukemia	4	4	—	—	$46,506.14	$118,697.92	$46,506.14	2026-05-06
4 - 1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$46,371.81	$119,584.02	$46,371.81	2026-05-06
20 - 4	OTHER	Open Craniotomy For Trauma	4	4	—	—	$46,006.47	$130,404.29	$46,006.47	2026-05-06
89 - 4	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$45,979.09	$134,890.91	$45,979.09	2026-05-06
361 - 4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	4	4	—	—	$45,927.75	$123,086.35	$45,927.75	2026-05-06
261 - 4	OTHER	Major Biliary Tract Procedures	4	4	—	—	$45,687.33	$128,632.08	$45,687.33	2026-05-06
950 - 4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$45,680.48	$240,750.87	$45,680.48	2026-05-06
609 - 2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$45,669.36	$102,923.44	$45,669.36	2026-05-06
165 - 3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$45,500.81	$96,624.86	$45,500.81	2026-05-06
6 - 1	OTHER	Pancreas Transplant	4	4	—	—	$45,393.00	$158,609.92	$45,393.00	2026-05-06
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	2026-05-06
27 - 4	OTHER	Other Open Craniotomy	4	4	—	—	$44,321.79	$113,187.26	$44,321.79	2026-05-06
630 - 2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$44,213.13	$93,421.80	$44,213.13	2026-05-06
440 - 2	OTHER	Kidney Transplant	4	4	—	—	$44,188.32	$217,670.14	$44,188.32	2026-05-06
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	2026-05-06
92 - 4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	4	4	—	—	$43,829.82	$99,224.72	$43,829.82	2026-05-06
401 - 4	OTHER	Adrenal Procedures	4	4	—	—	$43,471.32	$121,608.73	$43,471.32	2026-05-06
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	2026-05-06
611 - 3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$43,124.81	$143,576.58	$43,124.81	2026-05-06
162 - 2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$43,072.62	$118,115.76	$43,072.62	2026-05-06
3060	OTHER	Ventricular Assist Device Procedures	4	4	—	—	$42,925.84	$52,563.06	$42,925.84	2026-05-06
441 - 4	OTHER	Major Bladder Procedures	4	4	—	—	$42,874.12	$125,118.07	$42,874.12	2026-05-06
178 - 2	OTHER	External Heart Assist Systems	4	4	—	—	$42,578.08	$130,656.79	$42,578.08	2026-05-06
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	2026-05-06
183 - 3	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$42,384.71	$97,010.63	$42,384.71	2026-05-06
511 - 4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	4	4	—	—	$41,488.04	$114,753.72	$41,488.04	2026-05-06
440 - 1	OTHER	Kidney Transplant	4	4	—	—	$41,352.86	$116,098.07	$41,352.86	2026-05-06
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	2026-05-06
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	2026-05-06
22 - 4	OTHER	Ventricular Shunt Procedures	4	4	—	—	$41,151.79	$108,836.24	$41,151.79	2026-05-06
792 - 4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$41,028.59	$116,472.15	$41,028.59	2026-05-06
179 - 3	OTHER	Defibrillator Implants	4	4	—	—	$41,026.88	$89,793.23	$41,026.88	2026-05-06
SUP-408769	OTHER	Kit Symmetry Includes 3 Items 8103 Gen,304-20 Lead,402 Tunlr	4	4	$71,199.00	$42,719.40 40% off	$28,479.60	$106,798.50	$40,903.82	2026-05-06
842 - 3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$40,611.91	$93,555.07	$40,611.91	2026-05-06
651 - 4	OTHER	Other Procedures Of Blood And Blood-forming Organs	4	4	—	—	$40,605.06	$105,923.09	$40,605.06	2026-05-06
863 - 3	OTHER	Neonatal Aftercare	4	4	—	—	$40,457.90	$109,259.42	$40,457.90	2026-05-06
304 - 3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$40,297.90	$92,182.66	$40,297.90	2026-05-06
160 - 2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$40,244.86	$48,095.00	$40,244.86	2026-05-06
30 - 4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	4	—	—	$40,172.13	$113,949.44	$40,172.13	2026-05-06
170 - 4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	4	4	—	—	$40,141.33	$108,964.83	$40,141.33	2026-05-06
181 - 4	OTHER	Lower Extremity Arterial Procedures	4	4	—	—	$40,052.35	$112,371.29	$40,052.35	2026-05-06
166 - 3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$40,046.36	$85,795.25	$40,046.36	2026-05-06
121 - 4	OTHER	Other Respiratory And Chest Procedures	4	4	—	—	$39,706.68	$136,211.88	$39,706.68	2026-05-06
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	2026-05-06
230 - 4	OTHER	Major Small Bowel Procedures	4	4	—	—	$39,468.83	$99,956.51	$39,468.83	2026-05-06
SUP-477329	OTHER	Kit Implants Aprevo 3-level	4	4	$68,400.00	$41,040.00 40% off	$27,360.00	$102,600.00	$39,295.80	2026-05-06
8 - 2	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$39,137.71	$121,087.36	$39,137.71	2026-05-06
303 - 2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$39,122.31	$88,451.22	$39,122.31	2026-05-06
405 - 4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	4	4	—	—	$39,025.63	$142,323.41	$39,025.63	2026-05-06
264 - 4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	4	4	—	—	$38,949.48	$122,279.74	$38,949.48	2026-05-06
710 - 4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	4	4	—	—	$38,809.16	$110,475.18	$38,809.16	2026-05-06
176 - 4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	4	4	—	—	$38,650.87	$122,015.54	$38,650.87	2026-05-06
404 - 4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	4	4	—	—	$38,559.33	$106,414.07	$38,559.33	2026-05-06
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	2026-05-06
403 - 4	OTHER	Procedures For Obesity	4	4	—	—	$38,451.52	$94,207.37	$38,451.52	2026-05-06
178 - 1	OTHER	External Heart Assist Systems	4	4	—	—	$38,319.76	$119,446.08	$38,319.76	2026-05-06
841 - 1	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$41,081.00	$38,267.57	2026-05-06
841 - 2	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$38,267.57	$46,764.68	$38,267.57	2026-05-06
SUP-485668	OTHER	Sentiva Generator Vns 1000	4	4	$66,443.69	$39,866.21 40% off	$26,577.48	$99,665.53	$38,171.90	2026-05-06
167 - 3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$38,080.19	$78,313.65	$38,080.19	2026-05-06
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	2026-05-06
29 - 4	OTHER	Other Percutaneous Intracranial Procedures	4	4	—	—	$37,583.09	$83,978.62	$37,583.09	2026-05-06
484 - 4	OTHER	Other Male Reproductive System And Related Procedures	4	4	—	—	$37,579.66	$88,289.89	$37,579.66	2026-05-06
910 - 3	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$37,541.16	$80,027.40	$37,541.16	2026-05-06
26 - 4	OTHER	Other Nervous System And Related Procedures	4	4	—	—	$37,349.51	$100,938.47	$37,349.51	2026-05-06
21 - 3	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$37,060.31	$83,527.39	$37,060.31	2026-05-06
175 - 4	OTHER	Percutaneous Cardiac Intervention Without Ami	4	4	—	—	$36,947.37	$108,431.76	$36,947.37	2026-05-06
165 - 2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$36,687.27	$80,347.71	$36,687.27	2026-05-06
609 - 1	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$36,684.71	$93,363.35	$36,684.71	2026-05-06
447 - 4	OTHER	Other Kidney, Urinary Tract And Related Procedures	4	4	—	—	$36,595.72	$101,803.53	$36,595.72	2026-05-06
442 - 4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	4	4	—	—	$36,481.07	$119,041.61	$36,481.07	2026-05-06
163 - 2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$36,161.08	$76,050.46	$36,161.08	2026-05-06
650 - 4	OTHER	Splenic Procedures	4	4	—	—	$36,143.97	$96,907.76	$36,143.97	2026-05-06
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	2026-05-06
162 - 1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$35,890.71	$100,454.51	$35,890.71	2026-05-06
951 - 4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$35,817.98	$214,415.64	$35,817.98	2026-05-06
91 - 3	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$35,787.18	$72,248.88	$35,787.18	2026-05-06
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	2026-05-06
130 - 3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$35,315.75	$82,150.31	$35,315.75	2026-05-06
43 - 4	OTHER	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	4	4	—	—	$35,267.83	$83,557.78	$35,267.83	2026-05-06
514 - 4	OTHER	Female Reproductive System Reconstructive Procedures	4	4	—	—	$35,089.01	$101,749.76	$35,089.01	2026-05-06
231 - 4	OTHER	Major Large Bowel Procedures	4	4	—	—	$34,840.89	$87,387.43	$34,840.89	2026-05-06
182 - 4	OTHER	Other Peripheral Vascular And Related Procedures	4	4	—	—	$34,651.80	$143,688.80	$34,651.80	2026-05-06
222 - 4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$34,605.60	$113,465.48	$34,605.60	2026-05-06
229 - 4	OTHER	Other Digestive System And Abdominal Procedures	4	4	—	—	$34,356.62	$116,907.01	$34,356.62	2026-05-06
518 - 4	OTHER	Other Female Reproductive System And Related Procedures	4	4	—	—	$34,301.00	$90,623.22	$34,301.00	2026-05-06
89 - 3	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$34,285.60	$69,078.55	$34,285.60	2026-05-06
299 - 4	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$66,778.72	$66,778.72	$66,778.72	2026-05-06
299 - 3	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$52,218.12	$52,218.12	$52,218.12	2026-05-06
300 - 4	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$50,944.99	$50,944.99	$50,944.99	2026-05-06
428 - 4	OTHER	Genetic Disorders	3	3	—	—	$45,872.14	$45,872.14	$45,872.14	2026-05-06
520 - 4	OTHER	Other GYN Procedures For Malignancy	3	3	—	—	$43,311.33	$43,311.33	$43,311.33	2026-05-06
299 - 2	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$38,405.32	$38,405.32	$38,405.32	2026-05-06
485 - 4	OTHER	Prostatectomy Procedures	3	3	—	—	$37,492.39	$37,492.39	$37,492.39	2026-05-06
448 - 4	OTHER	Other Kidney, Urinary Tract And Related Percutaneous Procedures	3	3	—	—	$36,288.56	$36,288.56	$36,288.56	2026-05-06
300 - 3	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	3	3	—	—	$35,620.34	$35,620.34	$35,620.34	2026-05-06
0773	OTHER	Inj, Beqvez, Per Tx Dose	2	2	—	—	$3,615,617.60	$3,615,617.60	$3,615,617.60	2026-05-06
9138	OTHER	Inj, Hemgenix, Per Tx Dose	2	2	—	—	$3,615,617.60	$3,615,617.60	$3,615,617.60	2026-05-06
0714	OTHER	Inj Delandistrogene Mox Rokl	2	2	—	—	$3,237,275.39	$3,237,275.39	$3,237,275.39	2026-05-06
0748	OTHER	Inj, Lovotibeglogene Autotem	2	2	—	—	$3,111,770.08	$3,111,770.08	$3,111,770.08	2026-05-06
0746	OTHER	Inj, Betibeglogene Autotemce	2	2	—	—	$2,892,494.08	$2,892,494.08	$2,892,494.08	2026-05-06
9141	OTHER	Inj Onase Abepar-xioi Treat	2	2	—	—	$2,342,314.76	$2,342,314.76	$2,342,314.76	2026-05-06
0824	OTHER	Inj, Exagamglogene Autotem	2	2	—	—	$2,272,673.92	$2,272,673.92	$2,272,673.92	2026-05-06
9194	OTHER	Tisagenlecleucel Car-pos T	2	2	—	—	$551,234.37	$551,234.37	$551,234.37	2026-05-06
9498	OTHER	Ciltacabtagene Car-pos T	2	2	—	—	$537,292.80	$537,292.80	$537,292.80	2026-05-06
9422	OTHER	Idecabtagene Vicleucel Car	2	2	—	—	$514,872.16	$514,872.16	$514,872.16	2026-05-06
9413	OTHER	Lisocabtagene Mara Car Pos T	2	2	—	—	$503,346.57	$503,346.57	$503,346.57	2026-05-06
9035	OTHER	Axicabtagene Ciloleucel Car+	2	2	—	—	$477,063.83	$477,063.83	$477,063.83	2026-05-06
9391	OTHER	Brexucabtagene Car Pos T	2	2	—	—	$475,635.48	$475,635.48	$475,635.48	2026-05-06
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	2	$759,540.13	—	$192,644.09	$192,644.09	$192,644.09	2026-05-06
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	2	$504,792.82	—	$145,907.94	$145,907.94	$145,907.94	2026-05-06
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	2	$320,417.42	—	$95,218.38	$95,218.38	$95,218.38	2026-05-06
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	2	$238,294.98	—	$75,762.80	$75,762.80	$75,762.80	2026-05-06
215	OTHER	Other Heart Assist System Implant	2	2	$265,522.50	—	$68,447.19	$68,447.19	$68,447.19	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	2	$255,115.35	—	$67,249.69	$67,249.69	$67,249.69	2026-05-06
0717	OTHER	Instill Adstiladrin, Tx Dose	2	2	—	—	$61,789.09	$61,789.09	$61,789.09	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	$171,384.22	—	$57,767.31	$57,767.31	$57,767.31	2026-05-06
5244	OTHER	Transplt Allo Hct/donor	2	2	—	—	$57,637.75	$57,637.75	$57,637.75	2026-05-06
1643	OTHER	Y90 Ibritumomab, Rx	2	2	—	—	$55,378.93	$55,378.93	$55,378.93	2026-05-06
9273	OTHER	Sipuleucel-t Auto Cd54+	2	2	—	—	$54,123.65	$54,123.65	$54,123.65	2026-05-06
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	2	$101,942.37	—	$54,092.32	$54,092.32	$54,092.32	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	2	$202,026.13	—	$52,782.77	$52,782.77	$52,782.77	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	2	2	$180,594.70	—	$52,381.31	$52,381.31	$52,381.31	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	2	2	$47,617.35	—	$49,307.14	$49,307.14	$49,307.14	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	2	2	$167,556.14	—	$49,016.36	$49,016.36	$49,016.36	2026-05-06
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	2	$188,896.37	—	$45,931.18	$45,931.18	$45,931.18	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	2	2	$138,908.06	—	$43,922.77	$46,271.46	$45,097.11	2026-05-06
1142	OTHER	Supprelin La Implant	2	2	—	—	$44,110.34	$44,110.34	$44,110.34	2026-05-06
1580	OTHER	Implt/rpl Crtd Sns Dev Total	2	2	—	—	$43,855.69	$43,855.69	$43,855.69	2026-05-06
028	OTHER	Spinal Procedures With Mcc	2	2	$64,982.52	—	$41,302.73	$41,302.73	$41,302.73	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	2	$153,331.71	—	$40,992.01	$40,992.01	$40,992.01	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	2	$156,775.09	—	$40,857.27	$40,857.27	$40,857.27	2026-05-06
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	2	2	$74,883.95	—	$40,558.54	$40,558.54	$40,558.54	2026-05-06
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	2	2	$236,352.91	—	$39,644.65	$39,644.65	$39,644.65	2026-05-06
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	2	2	$153,889.09	—	$39,391.68	$39,391.68	$39,391.68	2026-05-06
834	OTHER	Acute Leukemia With Mcc	2	2	$56,122.36	—	$37,739.10	$37,739.10	$37,739.10	2026-05-06
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	2	2	$114,382.10	—	$37,493.00	$37,493.00	$37,493.00	2026-05-06
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	2	2	$151,769.82	—	$36,391.06	$36,391.06	$36,391.06	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	2	2	$72,800.25	—	$34,284.78	$34,284.78	$34,284.78	2026-05-06
510 - 4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$119,686.90	$119,686.90	$119,686.90	2026-05-06
480 - 4	OTHER	Major Male Pelvic Procedures	1	1	—	—	$94,158.27	$94,158.27	$94,158.27	2026-05-06
510 - 3	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$72,821.69	$72,821.69	$72,821.69	2026-05-06
480 - 3	OTHER	Major Male Pelvic Procedures	1	1	—	—	$49,376.22	$49,376.22	$49,376.22	2026-05-06
754 - 4	OTHER	Depression Except Major Depressive Disorder	1	1	—	—	$36,818.82	$36,818.82	$36,818.82	2026-05-06

See an error in this hospital's data? Submit a correction