Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

St Rose Dominican Hospital Siena Campus

Henderson, NV · CCN 29001E · Rates published

9,876 distinct procedures filed
14 distinct payers
324,665 rate rows
2026-02-28 last MRF observed
Data quality

303,758 of 324,665 rate rows are consumer-grade (93.6%)

20,907 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,656
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,312
per-diem day rate — not a per-procedure price 725
exceeds 10× this hospital's gross charge — excluded from medians 152
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 22
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southwest/json/941196203_st-rose-dominican-hospital-siena_standardcharges.json
Found on page https://www.dignityhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-09
Content fingerprint 8411c76a66f350aa… · 46,328,671 bytes · first seen 2026-05-09

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
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $304,473.26 $1,081,528.00 $416,351.00 nat. median
$168,055
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $227,567.72 $807,811.00 $311,109.81 nat. median
$186,516
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $191,747.77 $680,322.00 $262,091.94 nat. median
$131,925
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 9 $4,139.00 $690,698.00 $215,646.89 nat. median
$145,435
1.5× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 9 $4,139.00 $98,228.00 $156,155.17 nat. median
$25,622
outlier · 6.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $106,168.25 $375,733.00 $144,980.84 nat. median
$72,715
2.0× median
7
MS_DRG 		Lung Transplant 7 $105,902.35 $374,787.00 $144,617.02 nat. median
$70,649
outlier · 2.0×
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 9 $4,139.00 $54,072.00 $128,928.00 nat. median
$14,330
outlier · 9.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 9 $4,139.00 $455,382.00 $128,120.15 nat. median
$97,418
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $89,391.57 $316,023.00 $122,022.89 nat. median
$65,418
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $88,377.93 $312,415.00 $120,635.73 nat. median
$74,509
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $86,407.85 $305,403.00 $117,939.75 nat. median
$69,922
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 7 $64,648.00 $303,838.00 $110,514.88 nat. median
$73,023
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $64,648.00 $276,774.00 $103,230.91 nat. median
$69,822
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $74,825.09 $264,179.00 $102,089.44 nat. median
$2,633
outlier · 38.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $4,139.00 $300,414.00 $102,036.01 nat. median
$2,736
outlier · 37.3×
230
MS_DRG 		No Active Code Description 3 $64,648.00 $109,568.00 $94,594.67 nat. median
$2,024
outlier · 46.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $64,648.00 $243,015.00 $94,144.81 nat. median
$60,505
1.6× median
369
MS_DRG 		Major Esophageal Disorders With Cc 7 $8,798.89 $29,183.00 $93,629.91 nat. median
$7,519
outlier · 12.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $65,552.43 $259,793.00 $93,488.38 nat. median
$56,428
1.7× median
J7330
HCPCS 		Maci Imp 42112x-46323 8 $29,353.10 $173,430.44 $89,534.43 nat. median
$92,809
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $63,580.74 $224,159.00 $89,069.91 nat. median
$55,935
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $62,945.00 $221,896.00 $88,460.89 nat. median
$55,923
1.6× median
10
MS_DRG 		Pancreas Transplant 7 $64,842.55 $228,650.00 $88,428.88 nat. median
$23,080
outlier · 3.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $64,474.32 $227,339.00 $87,924.92 nat. median
$45,605
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $60,742.86 $240,556.00 $86,604.00 nat. median
$52,327
1.7× median
69
MS_DRG 		Transient Ischemia Without Thrombolytic 7 $7,046.37 $25,786.00 $84,575.00 nat. median
$6,174
outlier · 13.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $4,139.00 $239,192.00 $81,439.28 nat. median
$2,596
outlier · 31.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $55,619.05 $220,062.00 $79,269.81 nat. median
$47,340
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $52,634.52 $185,200.00 $78,584.38 nat. median
$47,458
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $56,652.03 $199,499.00 $77,220.60 nat. median
$48,611
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 7 $16,657.00 $242,880.00 $77,072.57 nat. median
$59,651
1.3× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $49,820.82 $175,185.00 $75,889.03 nat. median
$43,803
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $12,295.00 $202,667.00 $75,688.74 nat. median
$51,518
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $48,536.44 $170,614.00 $74,658.74 nat. median
$45,446
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 $54,415.25 $191,537.00 $74,159.54 nat. median
$37,013
outlier · 2.0×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $48,011.89 $168,747.00 $74,156.26 nat. median
$43,023
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $54,324.19 $191,213.00 $74,034.95 nat. median
$49,569
1.5× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $12,048.00 $177,643.00 $70,686.67 nat. median
$43,533
1.6× median
28
MS_DRG 		Spinal Procedures With Mcc 7 $49,585.53 $195,930.00 $70,633.56 nat. median
$41,895
1.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $51,558.03 $181,368.00 $70,249.62 nat. median
$41,943
1.7× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $43,467.42 $152,573.00 $69,803.09 nat. median
$39,159
1.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $43,278.06 $151,899.00 $69,621.69 nat. median
$38,832
1.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $4,139.00 $203,691.00 $69,495.86 nat. median
$9,905
outlier · 7.0×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 8 $12,295.00 $133,407.00 $69,391.39 nat. median
$33,459
outlier · 2.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $50,446.89 $177,414.00 $68,729.18 nat. median
$2,633
outlier · 26.1×
D021JZZ
OTHER 		Gamma Knife - Ip 4 $46,280.00 $91,773.00 $68,600.00 nat. median
$36,176
1.9× median
D020HZZ
OTHER 		Cyber Knife Radiosurgery Ip 4 $46,280.00 $91,773.00 $68,600.00 nat. median
$36,176
1.9× median
D020JZZ
OTHER 		Gamma Knife - Ip 4 $46,280.00 $91,773.00 $68,600.00 nat. median
$36,176
1.9× median
D021HZZ
OTHER 		Cyber Knife Radiosurgery Ip 4 $46,280.00 $91,773.00 $68,600.00 nat. median
$36,176
1.9× median

Other procedures at this hospital

Browse this hospital's 9,876 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 7 — — $304,473.26 $1,081,528.00 $416,351.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 7 — — $227,567.72 $807,811.00 $311,109.81 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 7 — — $191,747.77 $680,322.00 $262,091.94 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 26 9 — — $4,139.00 $690,698.00 $215,646.89 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 9 — — $4,139.00 $98,228.00 $156,155.17 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 22 7 — — $106,168.25 $375,733.00 $144,980.84 2026-02-28
7 MS_DRG Lung Transplant 22 7 — — $105,902.35 $374,787.00 $144,617.02 2026-02-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 26 9 — — $4,139.00 $54,072.00 $128,928.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 9 — — $4,139.00 $455,382.00 $128,120.15 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 7 — — $89,391.57 $316,023.00 $122,022.89 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 7 — — $88,377.93 $312,415.00 $120,635.73 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 7 — — $86,407.85 $305,403.00 $117,939.75 2026-02-28
215 MS_DRG Other Heart Assist System Implant 28 7 — — $64,648.00 $303,838.00 $110,514.88 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $64,648.00 $276,774.00 $103,230.91 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 22 7 — — $74,825.09 $264,179.00 $102,089.44 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 8 — — $4,139.00 $300,414.00 $102,036.01 2026-02-28
230 MS_DRG No Active Code Description 14 3 — — $64,648.00 $109,568.00 $94,594.67 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 7 — — $64,648.00 $243,015.00 $94,144.81 2026-02-28
369 MS_DRG Major Esophageal Disorders With Cc 22 7 — — $8,798.89 $29,183.00 $93,629.91 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 7 — — $65,552.43 $259,793.00 $93,488.38 2026-02-28
J7330 HCPCS Maci Imp 42112x-46323 46 8 $206,054.00 $46,774.26 77% off $29,353.10 $173,430.44 $89,534.43 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 7 — — $63,580.74 $224,159.00 $89,069.91 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $62,945.00 $221,896.00 $88,460.89 2026-02-28
10 MS_DRG Pancreas Transplant 22 7 — — $64,842.55 $228,650.00 $88,428.88 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 7 — — $64,474.32 $227,339.00 $87,924.92 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 7 — — $60,742.86 $240,556.00 $86,604.00 2026-02-28
69 MS_DRG Transient Ischemia Without Thrombolytic 22 7 — — $7,046.37 $25,786.00 $84,575.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 8 — — $4,139.00 $239,192.00 $81,439.28 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 7 — — $55,619.05 $220,062.00 $79,269.81 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $52,634.52 $185,200.00 $78,584.38 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 7 — — $56,652.03 $199,499.00 $77,220.60 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 7 — — $16,657.00 $242,880.00 $77,072.57 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 7 — — $49,820.82 $175,185.00 $75,889.03 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 8 — — $12,295.00 $202,667.00 $75,688.74 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 7 — — $48,536.44 $170,614.00 $74,658.74 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 7 — — $54,415.25 $191,537.00 $74,159.54 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 7 — — $48,011.89 $168,747.00 $74,156.26 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 7 — — $54,324.19 $191,213.00 $74,034.95 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 8 — — $12,048.00 $177,643.00 $70,686.67 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 22 7 — — $49,585.53 $195,930.00 $70,633.56 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 7 — — $51,558.03 $181,368.00 $70,249.62 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 7 — — $43,467.42 $152,573.00 $69,803.09 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $43,278.06 $151,899.00 $69,621.69 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 8 — — $4,139.00 $203,691.00 $69,495.86 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 8 — — $12,295.00 $133,407.00 $69,391.39 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 7 — — $50,446.89 $177,414.00 $68,729.18 2026-02-28
D92DJZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG25HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT23HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D726JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB26HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D928JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D92CJZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG24HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D92BJZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D920JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D021HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D928HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD23JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D723HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D722JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D727JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB28JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG24JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DU21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D929JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D724JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD25JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D720HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DM21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD25HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D723JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT23JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D728JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D921HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D027HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB20JZZ OTHER Gamma Knife - Ip 18 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DV20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD24HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D925JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DV21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD24JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D020JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D721HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB27HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DV20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF23HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D720JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW23HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D727HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DU22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DU20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB25HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW23JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D926JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D026JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D92BHZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D924JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D725HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DU22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D021JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D026HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D921JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D927HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB20HZZ OTHER Cyber Knife Radiosurgery Ip 18 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D920HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D724HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DM21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DU21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D820JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DV21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D820HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG25JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D722HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D924HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DM20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D929HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D92DHZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D721JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D92CHZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D020HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D927JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DF23JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D728HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DT21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG22HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D925HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB27JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DU20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD27JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D027JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB28HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D926HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D725JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD21HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW26HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB26JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
D726HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG20HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DG22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW26JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DW21JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB22JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD23HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DD27HZZ OTHER Cyber Knife Radiosurgery Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DM20JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
DB25JZZ OTHER Gamma Knife - Ip 26 4 — — $46,280.00 $91,773.00 $68,600.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 7 — — $50,219.67 $176,605.00 $68,418.20 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 7 — — $50,046.43 $175,988.00 $68,181.07 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 7 — — $40,752.82 $142,911.00 $67,202.70 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 7 — — $49,234.22 $173,098.00 $67,069.72 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 7 — — $49,234.22 $173,098.00 $67,069.72 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 7 — — $48,870.83 $171,804.00 $66,572.34 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 7 — — $46,568.78 $183,864.00 $66,315.44 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 22 7 — — $48,500.18 $170,485.00 $66,065.16 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 8 — — $4,139.00 $192,277.00 $65,655.91 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 7 — — $47,513.13 $166,972.00 $64,714.44 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 7 — — $45,136.14 $178,134.00 $64,264.80 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 7 — — $37,604.72 $131,707.00 $64,187.14 2026-02-28
45086600 CDM Vascular Imp 28764x-31640 32 8 $140,741.00 $31,948.21 77% off $42,222.30 $101,333.52 $63,245.49 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 22 7 — — $45,517.26 $159,868.00 $61,983.13 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 22 7 — — $45,136.14 $158,512.00 $61,461.65 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 7 — — $44,441.58 $156,040.00 $60,511.19 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 7 — — $33,733.06 $117,927.00 $60,478.40 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 22 7 — — $44,341.66 $155,684.00 $60,374.40 2026-02-28
C1825 HCPCS Nrstm Crsn Br28764x-31640 64 8 $140,741.00 $31,948.21 77% off $38,384.10 $101,333.52 $60,370.83 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 7 — — $44,118.47 $154,890.00 $60,069.03 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 7 — — $44,077.38 $154,744.00 $60,012.83 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 7 — — $44,072.54 $154,726.00 $60,006.10 2026-02-28
315 MS_DRG Other Circulatory System Diagnoses With Cc 22 7 — — $8,353.31 $27,597.00 $58,474.05 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 7 — — $41,959.04 $147,204.00 $57,113.92 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 9 — — $4,139.00 $185,466.00 $56,829.88 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 22 7 — — $41,523.93 $145,656.00 $56,518.58 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 7 — — $41,184.71 $144,448.00 $56,054.28 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 7 — — $40,945.40 $143,596.00 $55,726.76 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 7 — — $40,913.97 $143,485.00 $55,683.87 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 7 — — $40,897.86 $143,427.00 $55,661.73 2026-02-28
61799 CPT Srs Cran Les Complex Addl 22 5 — — $286.69 $96,332.00 $54,104.67 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 8 — — $4,139.00 $157,847.00 $54,072.52 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 22 7 — — $39,672.30 $139,065.00 $53,984.61 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 8 — — $4,139.00 $156,883.00 $53,748.30 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 7 — — $16,657.00 $164,595.00 $53,661.65 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 7 — — $39,078.45 $136,952.00 $53,172.04 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 22 7 — — $38,911.66 $136,358.00 $52,943.74 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 7 — — $38,904.41 $136,332.00 $52,933.79 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 7 — — $38,507.98 $134,921.00 $52,391.29 2026-02-28
C1605 HCPCS Pace Dl Ldles23772x-26149 32 8 $116,316.00 $26,403.74 77% off $34,894.80 $83,747.52 $52,269.50 2026-02-28
C1824 HCPCS Gener Ccm 23772x-26149 32 8 $116,316.00 $26,403.74 77% off $34,894.80 $83,747.52 $52,269.50 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 7 — — $38,304.93 $134,199.00 $52,113.53 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 7 — — $36,635.40 $144,133.00 $52,096.87 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 22 7 — — $37,738.48 $132,183.00 $51,338.38 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 7 — — $37,723.17 $132,128.00 $51,317.36 2026-02-28
61798 CPT Srs Cranial Lesion Complex 22 5 — — $1,308.68 $96,332.00 $51,151.53 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 7 — — $37,599.08 $131,687.00 $51,147.64 2026-02-28
63620 CPT Srs Spinal Lesion 22 5 — — $1,056.67 $96,332.00 $51,115.52 2026-02-28
61796 CPT Srs Cranial Lesion Simple 22 5 — — $958.35 $96,332.00 $51,101.48 2026-02-28
63621 CPT Srs Spinal Lesion Addl 22 5 — — $238.35 $96,332.00 $50,998.62 2026-02-28
61797 CPT Srs Cran Les Simple Addl 22 5 — — $208.05 $96,332.00 $50,994.29 2026-02-28
61800 CPT Apply Srs Headframe Add-on 22 5 — — $145.56 $96,332.00 $50,784.79 2026-02-28
C9293 HCPCS Glucarpidase 1000unit Inj 36 8 $147,346.00 $33,447.55 77% off $622.41 $106,089.12 $50,739.81 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 8 — — $4,139.00 $147,695.00 $50,657.11 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 7 — — $36,952.06 $129,384.00 $50,262.20 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 7 — — $36,735.31 $128,612.00 $49,965.51 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 22 7 — — $36,298.59 $127,058.00 $49,367.93 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 7 — — $35,994.82 $125,977.00 $48,952.26 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 7 — — $34,365.58 $135,055.00 $48,847.97 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 7 — — $35,463.83 $124,087.00 $48,225.61 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 8 — — $4,139.00 $112,194.00 $48,137.54 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 26 7 — — $16,657.00 $156,541.00 $48,012.57 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 7 — — $33,714.53 $132,451.00 $47,916.07 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 7 — — $34,970.70 $122,332.00 $47,550.80 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 22 7 — — $34,676.60 $121,285.00 $47,148.31 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 7 — — $34,357.52 $120,149.00 $46,711.61 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 22 7 — — $34,203.62 $119,602.00 $46,501.11 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 7 — — $34,124.66 $119,321.00 $46,393.07 2026-02-28
D026DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DG25DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D723DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DM20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D926DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DG24DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DT21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DF22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D92DDZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DU22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DD20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DU20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D92BDZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D021DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D726DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DG22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D020DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D721DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D724DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DD21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D027DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DT22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DU21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DW21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DW22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DF21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D92CDZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DV21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D722DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DT20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DF23DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D727DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D725DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D929DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB26DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D928DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DD23DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DF20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D728DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D927DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB27DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D925DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DT23DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DG20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DD24DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DG21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DM21DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DW23DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D920DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DD27DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB25DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D720DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB28DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DD22DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D820DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
DB20DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D921DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
D924DZZ OTHER Cyber Knife Radiosurgery Ip 12 4 — — $46,280.00 $46,280.00 $46,280.00 2026-02-28
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