Hospital

NORTHERN NEVADA MEDICAL CENTER

Sparks, NV · CCN 290032 · Rates published

10,100 distinct procedures filed

14 distinct payers

405,920 rate rows

2026-05-06 last MRF observed

Data quality

405,637 of 405,920 rate rows are consumer-grade (99.9%)

283 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
per-diem day rate — not a per-procedure price	198
exceeds 10× this hospital's gross charge — excluded from medians	47
placeholder amount (≤ $0.02) — excluded from medians	38

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/880159958_northern-nevada-medical-center_standardcharges.csv
Found on page	https://www.nnmc.com/patients-visitors/pricing-guide
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	594a3857dc2b2880… · 61,720,187 bytes · first seen 2026-05-06

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
773 OTHER	Inj, Beqvez, Per Tx Dose	5	$3,710,000.00	$3,858,400.00	$3,710,000.00	nat. median $3,605,000 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dose	5	$3,710,000.00	$3,858,400.00	$3,710,000.00	nat. median $3,746,358 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	5	$2,403,458.75	$4,494,467.86	$2,427,493.33	nat. median $2,588,981 0.9× median
9194 OTHER	Tisagenlecleucel Car-pos T	5	$565,623.84	$1,057,716.57	$571,280.07	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	5	$551,318.34	$1,030,965.29	$556,831.52	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	5	$528,312.43	$987,944.24	$533,595.56	nat. median $558,082 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	5	$516,485.97	$965,828.76	$521,650.83	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	5	$489,517.15	$915,397.07	$494,412.32	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	5	$488,051.51	$912,656.32	$492,932.03	nat. median $489,450 1.0× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$352,136.10	$658,494.52	$359,178.83	nat. median $386,529 0.9× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	$263,016.15	$491,840.20	$268,276.47	nat. median $239,422 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	5	$1.54	$414,218.35	$221,507.14	nat. median $146,562 1.5× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	5	$200,113.49	$374,212.23	$202,114.62	nat. median $181,005 1.1× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	5	$152,500.50	$285,175.93	$155,550.51	nat. median $152,962 1.0× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	5	$152,500.50	$285,175.93	$155,550.51	nat. median $153,199 1.0× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	5	$137,500.50	$257,125.93	$140,250.51	nat. median $137,903 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	5	$137,500.50	$257,125.93	$140,250.51	nat. median $138,020 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	5	$131,936.19	$246,720.68	$133,255.55	nat. median $134,983 1.0× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	5	$122,500.50	$229,075.93	$124,950.51	nat. median $119,935 1.0× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	5	$122,500.50	$229,075.93	$124,950.51	nat. median $120,174 1.0× median
7 OTHER	Lung Transplant	5	$122,027.44	$228,191.31	$124,283.16	nat. median $169,933 0.7× median
14 OTHER	Allogeneic Bone Marrow Transplant	5	$116,121.84	$228,767.51	$122,335.57	nat. median $100,915 1.2× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	5	$107,500.50	$201,025.93	$109,650.51	nat. median $105,172 1.0× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	5	$107,500.50	$201,025.93	$109,650.51	nat. median $105,693 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	5	$102,894.35	$192,412.44	$104,952.24	nat. median $111,558 0.9× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	5	$101,719.72	$190,215.88	$103,754.12	nat. median $90,581 1.1× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	5	$99,436.75	$185,946.72	$101,425.48	nat. median $94,894 1.1× median
215 OTHER	Other Heart Assist System Implant	5	$98,926.93	$184,993.36	$100,905.47	nat. median $92,359 1.1× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	$27,968.00	$182,908.55	$97,812.06	nat. median $80,273 1.2× median
1585 OTHER	New Technology - Level 48 ($90,001-$100,000)	5	$95,000.50	$177,650.93	$96,900.51	nat. median $95,360 1.0× median
1599 OTHER	New Technology - Level 48 ($90,001-$100,000)	5	$95,000.50	$177,650.93	$96,900.51	nat. median $95,288 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	$64,481.00	$168,515.63	$91,016.46	nat. median $90,130 1.0× median
850 OTHER	Acute Leukemia With Other Procedures	5	$86,014.37	$160,846.86	$86,874.51	nat. median $407 outlier · 213.3×
1598 OTHER	New Technology - Level 47 ($80,001-$90,000)	5	$85,000.50	$158,950.93	$86,700.51	nat. median $85,322 1.0× median
1584 OTHER	New Technology - Level 47 ($80,001-$90,000)	5	$85,000.50	$158,950.93	$86,700.51	nat. median $85,390 1.0× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	5	$79,079.55	$147,878.75	$82,242.73	nat. median $76,493 1.1× median
231 OTHER	Coronary Bypass With Ptca With Mcc	6	$64,481.00	$147,960.82	$79,123.43	nat. median $74,989 1.1× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	5	$75,268.99	$140,753.01	$78,279.75	nat. median $74,209 1.1× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	6	$27,968.00	$145,633.30	$77,878.77	nat. median $62,997 1.2× median
1583 OTHER	New Technology - Level 46 ($70,001-$80,000)	5	$75,000.50	$140,250.93	$76,500.51	nat. median $75,344 1.0× median
1597 OTHER	New Technology - Level 46 ($70,001-$80,000)	5	$75,000.50	$140,250.93	$76,500.51	nat. median $75,284 1.0× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	5	$74,019.66	$138,416.76	$75,500.05	nat. median $61,133 1.2× median
10 OTHER	Pancreas Transplant	5	$48,771.40	$139,214.72	$74,446.37	nat. median $62,879 1.2× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	$64,481.00	$135,102.71	$74,414.86	nat. median $72,612 1.0× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	5	$69,695.55	$130,330.68	$71,089.46	nat. median $68,309 1.0× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	$27,968.00	$124,018.61	$66,320.11	nat. median $51,811 1.3× median
1596 OTHER	New Technology - Level 45 ($60,001-$70,000)	5	$65,000.50	$121,550.93	$66,300.51	nat. median $65,191 1.0× median
1582 OTHER	New Technology - Level 45 ($60,001-$70,000)	5	$65,000.50	$121,550.93	$66,300.51	nat. median $65,571 1.0× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	5	$64,955.00	$121,465.84	$66,254.10	nat. median $54,564 1.2× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	$60,299.41	$112,759.90	$64,487.11	nat. median $60,727 1.1× median

Other procedures at this hospital

Browse this hospital's 10,100 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

1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	7	5	—	—	$263,016.15	$491,840.20	$268,276.47	2026-05-06
10	OTHER	Pancreas Transplant	7	5	—	—	$48,771.40	$139,214.72	$74,446.37	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	7	5	—	—	$50,383.19	$94,216.57	$51,390.85	2026-05-06
113	OTHER	Orbital Procedures With Cc/mcc	7	5	—	—	$21,070.57	$39,401.97	$21,491.99	2026-05-06
1142	OTHER	Supprelin La Implant	6	5	—	—	$45,261.80	$84,639.56	$45,714.42	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	7	5	—	—	$38,317.52	$71,653.76	$39,083.87	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	7	5	—	—	$24,743.87	$46,271.04	$25,238.75	2026-05-06
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	7	5	—	—	$22,513.19	$42,099.66	$22,963.45	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	7	5	—	—	$116,121.84	$228,767.51	$122,335.57	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	7	5	—	—	$38,279.71	$73,845.09	$39,489.35	2026-05-06
141	OTHER	Major Head And Neck Procedures With Cc	7	5	—	—	$20,061.21	$37,514.46	$20,462.43	2026-05-06
143	OTHER	Med/surg Room	12	9	$6,712.00	$2,684.80 60% off	$1,369.25	$57,653.72	$30,830.86	2026-05-06
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	7	5	—	—	$21,388.65	$40,056.75	$21,420.72	2026-05-06
1577	OTHER	New Technology - Level 40 ($20,001-$25,000)	7	5	—	—	$22,500.50	$42,075.93	$22,950.51	2026-05-06
1578	OTHER	New Technology - Level 41 ($25,001-$30,000)	7	5	—	—	$27,500.50	$51,425.93	$28,050.51	2026-05-06
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	7	5	—	—	$35,000.50	$65,450.93	$35,700.51	2026-05-06
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	7	5	—	—	$45,000.50	$84,150.93	$45,900.51	2026-05-06
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	7	5	—	—	$55,000.50	$102,850.93	$56,100.51	2026-05-06
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	7	5	—	—	$65,000.50	$121,550.93	$66,300.51	2026-05-06
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	7	5	—	—	$75,000.50	$140,250.93	$76,500.51	2026-05-06
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	7	5	—	—	$85,000.50	$158,950.93	$86,700.51	2026-05-06
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	7	5	—	—	$95,000.50	$177,650.93	$96,900.51	2026-05-06
1591	OTHER	New Technology - Level 40 ($20,001-$25,000)	7	5	—	—	$22,500.50	$42,075.93	$22,950.51	2026-05-06
1592	OTHER	New Technology - Level 41 ($25,001-$30,000)	7	5	—	—	$27,500.50	$51,425.93	$28,050.51	2026-05-06
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	7	5	—	—	$35,000.50	$65,450.93	$35,700.51	2026-05-06
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	7	5	—	—	$45,000.50	$84,150.93	$45,900.51	2026-05-06
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	7	5	—	—	$55,000.50	$102,850.93	$56,100.51	2026-05-06
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	7	5	—	—	$65,000.50	$121,550.93	$66,300.51	2026-05-06
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	7	5	—	—	$75,000.50	$140,250.93	$76,500.51	2026-05-06
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	7	5	—	—	$85,000.50	$158,950.93	$86,700.51	2026-05-06
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	7	5	—	—	$95,000.50	$177,650.93	$96,900.51	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	7	5	—	—	$56,359.07	$105,391.46	$57,486.25	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	7	5	—	—	$43,037.53	$80,480.18	$43,898.28	2026-05-06
164	OTHER	Major Chest Procedures With Cc	7	5	—	—	$23,502.01	$43,948.76	$23,972.05	2026-05-06
1643	OTHER	Y90 Ibritumomab, Rx	6	5	—	—	$56,824.55	$106,261.91	$57,392.79	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	7	5	—	—	$35,951.44	$67,229.20	$36,670.47	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	7	5	—	—	$56,359.07	$105,391.46	$57,486.25	2026-05-06
173	OTHER	Newborn Iii Intermediate Care	13	10	$8,049.00	$3,219.60 60% off	$1,642.00	$53,580.12	$28,652.47	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	7	5	—	—	$352,136.10	$658,494.52	$359,178.83	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	7	5	—	—	$74,019.66	$138,416.76	$75,500.05	2026-05-06
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	7	5	—	—	$107,500.50	$201,025.93	$109,650.51	2026-05-06
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	7	5	—	—	$107,500.50	$201,025.93	$109,650.51	2026-05-06
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	7	5	—	—	$122,500.50	$229,075.93	$124,950.51	2026-05-06
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	7	5	—	—	$122,500.50	$229,075.93	$124,950.51	2026-05-06
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	7	5	—	—	$137,500.50	$257,125.93	$140,250.51	2026-05-06
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	7	5	—	—	$137,500.50	$257,125.93	$140,250.51	2026-05-06
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	7	5	—	—	$152,500.50	$285,175.93	$155,550.51	2026-05-06
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	7	5	—	—	$152,500.50	$285,175.93	$155,550.51	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	7	5	—	—	$102,894.35	$192,412.44	$104,952.24	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	9	5	—	—	$75,268.99	$140,753.01	$78,279.75	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	7	5	—	—	$60,386.25	$112,922.29	$61,593.98	2026-05-06
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	7	5	—	—	$25,059.47	$46,861.21	$25,560.66	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	9	5	—	—	$51,610.11	$127,193.00	$53,674.52	2026-05-06
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	7	5	—	—	$101,719.72	$190,215.88	$103,754.12	2026-05-06
215	OTHER	Other Heart Assist System Implant	7	5	—	—	$98,926.93	$184,993.36	$100,905.47	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	6	—	—	$64,481.00	$168,515.63	$91,016.46	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	6	—	—	$60,299.41	$112,759.90	$64,487.11	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	6	—	—	$55,550.46	$103,879.36	$61,126.74	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	6	—	—	$64,481.00	$135,102.71	$74,414.86	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	9	5	—	—	$32,964.44	$73,687.00	$34,283.02	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	6	—	—	$49,456.93	$92,639.00	$58,809.65	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	11	6	—	—	$42,882.53	$92,639.00	$47,099.62	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	12	6	—	—	$46,530.62	$117,418.00	$57,766.56	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	12	6	—	—	$29,004.49	$89,452.00	$43,227.05	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	9	5	—	—	$53,270.29	$99,615.44	$55,401.10	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	11	6	—	—	$64,481.00	$147,960.82	$79,123.43	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	11	6	—	—	$57,038.83	$106,662.60	$60,271.22	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	21	11	$3,047.00	$1,218.80 60% off	$621.59	$136,480.36	$64,481.00	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	12	6	—	—	$49,676.36	$92,894.79	$54,901.06	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	12	6	—	—	$54,942.60	$102,742.66	$58,361.27	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	12	6	—	—	$38,395.95	$89,452.00	$49,041.22	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	7	5	—	—	$47,031.10	$87,948.15	$47,971.72	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	9	5	—	—	$35,497.65	$73,687.00	$36,917.56	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	7	5	—	—	$27,192.11	$50,849.25	$27,735.96	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	11	6	—	—	$15,054.00	$64,481.00	$32,305.60	2026-05-06
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	11	6	—	—	$15,054.00	$64,481.00	$21,455.79	2026-05-06
245	OTHER	Aicd Generator Procedures	7	5	—	—	$45,629.57	$85,327.29	$45,912.14	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	9	5	—	—	$41,759.25	$78,089.80	$43,429.62	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	9	5	—	—	$32,030.71	$64,481.00	$33,311.94	2026-05-06
253	OTHER	Other Vascular Procedures With Cc	9	5	—	—	$23,838.15	$64,481.00	$24,791.68	2026-05-06
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	9	5	—	—	$26,488.00	$53,405.51	$28,559.10	2026-05-06
263	OTHER	Vein Ligation And Stripping	7	5	—	—	$25,043.60	$46,831.53	$25,544.47	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	7	5	—	—	$32,634.83	$61,027.14	$33,091.11	2026-05-06
265	OTHER	Aicd Lead Procedures	7	5	—	—	$33,308.05	$62,286.06	$33,974.21	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	10	5	—	—	$55,937.96	$108,500.00	$60,730.49	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	12	6	—	—	$43,929.24	$90,430.00	$57,371.10	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	11	6	—	—	$62,257.45	$116,421.43	$64,481.00	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	11	6	—	—	$38,849.75	$89,452.00	$42,134.94	2026-05-06
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	9	5	—	—	$23,042.61	$43,089.69	$23,964.32	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	11	6	—	—	$32,161.43	$89,452.00	$35,018.22	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	12	6	—	—	$20,324.00	$68,276.85	$36,876.80	2026-05-06
275	OTHER	Pacer Leadless Micra Mc2avr1	1,737	11	$90,688.00	$36,275.20 60% off	$1,404.00	$373,561.20	$24,200.00	2026-05-06
277	OTHER	Cardiac Defibrillator Implant Without Mcc	10	6	—	—	$15,054.00	$127,496.00	$43,870.60	2026-05-06
28	OTHER	Spinal Procedures With Mcc	9	5	—	—	$56,766.18	$106,152.75	$59,036.82	2026-05-06
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	12	6	—	—	$1,728.00	$38,645.92	$20,666.27	2026-05-06
288	OTHER	Acute And Subacute Endocarditis With Mcc	7	5	—	—	$25,504.86	$47,694.09	$26,014.96	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	11	6	—	—	$20,122.00	$93,563.00	$31,969.40	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	6	5	—	—	$200,113.49	$374,212.23	$202,114.62	2026-05-06
30	OTHER	Spinal Procedures Without Cc/mcc	11	6	—	—	$20,122.00	$93,563.00	$21,610.42	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	9	5	—	—	$26,488.00	$73,171.10	$39,128.93	2026-05-06
314	OTHER	Other Circulatory System Diagnoses With Mcc	7	5	—	—	$20,107.90	$37,601.77	$20,510.06	2026-05-06
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	6	5	—	—	$57,764.33	$108,019.31	$58,341.98	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	7	5	—	—	$41,016.94	$76,701.67	$41,837.27	2026-05-06
32	OTHER	Ventricular Shunt Procedures With Cc	9	5	—	—	$19,940.76	$37,289.22	$20,738.39	2026-05-06
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	10	6	—	—	$17,816.00	$49,707.32	$26,847.26	2026-05-06
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	8	5	—	—	$39,771.34	$74,372.40	$40,964.48	2026-05-06
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	8	5	—	—	$29,833.64	$55,788.91	$30,254.08	2026-05-06
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	7	5	—	—	$26,724.31	$49,974.47	$26,792.05	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	7	5	—	—	$47,424.20	$88,683.25	$48,372.68	2026-05-06
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	7	5	—	—	$22,671.92	$42,396.49	$23,125.36	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	7	5	—	—	$42,875.99	$80,178.11	$43,733.51	2026-05-06
330	OTHER	Major Small And Large Bowel Procedures With Cc	7	5	—	—	$22,070.60	$41,272.02	$22,512.01	2026-05-06
332	OTHER	Rectal Resection With Mcc	7	5	—	—	$32,388.33	$60,566.17	$33,036.09	2026-05-06
333	OTHER	Rectal Resection With Cc	7	5	—	—	$19,844.58	$37,109.37	$20,241.48	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	7	5	—	—	$33,832.81	$63,267.35	$34,509.47	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	7	5	—	—	$36,310.00	$67,899.70	$37,036.20	2026-05-06
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	7	5	—	—	$25,159.38	$47,048.04	$25,662.57	2026-05-06
347	OTHER	Anal And Stomal Procedures With Mcc	7	5	—	—	$22,099.55	$41,326.15	$22,541.54	2026-05-06
35	OTHER	Carotid Artery Stent Procedures With Cc	7	5	—	—	$21,240.51	$39,719.76	$21,665.32	2026-05-06
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	7	5	—	—	$27,386.33	$51,212.44	$27,934.06	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	7	5	—	—	$39,830.16	$74,482.41	$40,626.77	2026-05-06
357	OTHER	Other Digestive System O.r. Procedures With Cc	7	5	—	—	$21,027.62	$39,321.65	$21,448.17	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	9	5	—	—	$26,488.00	$57,985.47	$31,008.27	2026-05-06
397	OTHER	Appendix Procedures With Mcc	9	6	—	—	$15,820.00	$43,264.30	$23,135.99	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	6	5	—	—	$131,936.19	$246,720.68	$133,255.55	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	7	5	—	—	$35,221.27	$65,863.77	$35,925.69	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	7	5	—	—	$50,689.45	$94,789.28	$51,703.24	2026-05-06
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	7	5	—	—	$26,222.90	$49,036.83	$26,747.36	2026-05-06
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	7	5	—	—	$19,942.63	$37,292.71	$20,341.48	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	7	5	—	—	$32,692.72	$61,135.39	$33,346.58	2026-05-06
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	7	5	—	—	$21,085.51	$39,429.91	$21,507.22	2026-05-06
411	OTHER	Cholecystectomy With C.d.e. With Mcc	7	5	—	—	$25,550.62	$47,779.65	$26,061.63	2026-05-06
412	OTHER	Cholecystectomy With C.d.e. With Cc	7	5	—	—	$19,903.41	$37,219.38	$20,301.48	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	7	5	—	—	$32,716.07	$61,179.04	$33,370.39	2026-05-06
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	11	6	—	—	$15,820.00	$41,495.52	$22,633.92	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	7	5	—	—	$37,978.57	$71,019.93	$38,738.15	2026-05-06
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	6	—	—	$27,968.00	$182,908.55	$97,812.06	2026-05-06
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	6	—	—	$27,968.00	$124,018.61	$66,320.11	2026-05-06
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	9	6	—	—	$40,771.00	$96,105.82	$52,421.36	2026-05-06
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	9	6	—	—	$27,968.00	$145,633.30	$77,878.77	2026-05-06
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	8	6	—	—	$33,246.00	$117,069.22	$62,603.86	2026-05-06
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	8	6	—	—	$20,890.00	$71,301.05	$38,128.91	2026-05-06
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	8	6	—	—	$20,890.00	$53,883.94	$29,103.09	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	5	—	—	$79,079.55	$147,878.75	$82,242.73	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	5	—	—	$53,590.56	$100,214.34	$55,734.18	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	9	5	—	—	$40,318.50	$93,563.00	$41,931.24	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	9	5	—	—	$50,458.00	$107,151.51	$57,300.27	2026-05-06
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	9	5	—	—	$26,740.19	$52,096.00	$27,809.80	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	7	5	—	—	$50,430.81	$94,305.62	$51,439.43	2026-05-06
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	7	5	—	—	$27,531.99	$51,484.83	$28,082.63	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	9	5	—	—	$47,569.86	$88,955.64	$49,472.65	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	9	5	—	—	$31,982.15	$59,806.63	$33,261.44	2026-05-06
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	9	5	—	—	$24,494.57	$52,096.00	$25,474.35	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	10	6	—	—	$18,884.00	$57,074.02	$31,436.49	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	12	6	—	—	$15,756.00	$50,587.34	$27,863.62	2026-05-06
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	12	6	—	—	$15,269.00	$44,378.00	$22,768.30	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	7	5	—	—	$41,875.03	$78,306.31	$42,712.53	2026-05-06
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	7	5	—	—	$20,143.38	$37,668.12	$20,546.25	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	7	5	—	—	$32,111.01	$60,047.59	$32,753.23	2026-05-06
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	7	5	—	—	$21,836.23	$40,833.76	$22,272.96	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	10	5	—	—	$23,791.00	$56,211.46	$30,360.19	2026-05-06
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	10	5	—	—	$19,803.50	$37,032.55	$20,471.87	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	9	5	—	—	$23,791.00	$62,006.69	$33,158.66	2026-05-06
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	9	5	—	—	$22,418.88	$41,923.31	$23,315.64	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	9	5	—	—	$23,791.00	$61,472.39	$32,872.93	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	9	5	—	—	$23,575.77	$44,086.70	$24,047.29	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	7	5	—	—	$99,436.75	$185,946.72	$101,425.48	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	7	5	—	—	$29,587.13	$55,327.94	$30,178.88	2026-05-06
503	OTHER	Foot Procedures With Mcc	9	5	—	—	$23,791.00	$46,211.67	$25,206.37	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	7	5	—	—	$28,874.70	$53,995.68	$29,452.19	2026-05-06
5166	OTHER	Cochlear Implant Procedure	7	5	—	—	$31,807.82	$70,768.74	$32,443.98	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	9	5	—	—	$33,464.92	$62,579.40	$34,803.52	2026-05-06
5200	OTHER	Implantation Wireless Pa Pressure Monitor	7	5	—	—	$28,428.33	$61,335.66	$28,996.90	2026-05-06
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	7	5	—	—	$27,215.46	$50,892.91	$27,759.77	2026-05-06
5213	OTHER	Level 3 Electrophysiologic Procedures	7	5	—	—	$24,532.30	$50,121.09	$25,022.95	2026-05-06
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	8	5	—	—	$19,683.98	$54,436.00	$20,274.50	2026-05-06
5231	OTHER	Level 1 Icd And Similar Procedures	7	5	—	—	$22,446.19	$49,743.37	$22,895.11	2026-05-06
5232	OTHER	Level 2 Icd And Similar Procedures	7	5	—	—	$32,061.58	$69,427.78	$32,702.81	2026-05-06
5244	OTHER	Level 4 Blood Product Exchange And Related Services	7	5	—	—	$59,142.33	$115,320.66	$60,325.18	2026-05-06
5378	OTHER	Level 8 Urology And Related Services	7	5	—	—	$20,128.56	$42,569.02	$20,531.13	2026-05-06
545	OTHER	Connective Tissue Disorders With Mcc	7	5	—	—	$23,594.45	$44,121.62	$24,066.34	2026-05-06
5464	OTHER	Level 4 Neurostimulator And Related Procedures	7	5	—	—	$21,444.39	$46,164.51	$21,873.28	2026-05-06
5465	OTHER	Level 5 Neurostimulator And Related Procedures	7	5	—	—	$30,473.59	$65,530.25	$31,083.06	2026-05-06
56	OTHER	Degenerative Nervous System Disorders With Mcc	7	5	—	—	$23,381.56	$43,723.51	$23,849.19	2026-05-06
570	OTHER	Skin Debridement With Mcc	7	5	—	—	$28,107.17	$52,560.41	$28,669.31	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	7	5	—	—	$57,501.02	$107,526.91	$58,651.04	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	7	5	—	—	$32,352.85	$60,499.82	$32,999.90	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	7	5	—	—	$50,377.59	$94,206.09	$51,385.14	2026-05-06
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	7	5	—	—	$24,863.39	$46,494.54	$25,360.66	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	7	5	—	—	$30,434.03	$56,911.63	$31,042.71	2026-05-06
6	OTHER	Liver Transplant Without Mcc	7	5	—	—	$45,278.48	$84,670.76	$46,184.05	2026-05-06
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	7	5	—	—	$25,242.48	$47,203.44	$25,747.33	2026-05-06
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	7	5	—	—	$21,279.73	$39,793.09	$21,705.32	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	7	5	—	—	$36,088.70	$67,485.87	$36,810.48	2026-05-06
619	OTHER	O.r. Procedures For Obesity With Mcc	13	7	—	—	$21,014.00	$47,606.79	$26,368.53	2026-05-06
620	OTHER	O.r. Procedures For Obesity With Cc	13	7	—	—	$14,911.68	$33,438.00	$21,014.00	2026-05-06
621	OTHER	O.r. Procedures For Obesity Without Cc/mcc	13	7	—	—	$13,649.28	$33,438.00	$21,014.00	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	7	5	—	—	$34,940.21	$65,338.20	$35,639.02	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	7	5	—	—	$26,771.00	$50,061.77	$27,306.42	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	7	5	—	—	$36,842.22	$68,894.96	$37,579.07	2026-05-06
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	7	5	—	—	$21,000.54	$39,271.02	$21,420.55	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	7	5	—	—	$43,019.79	$80,447.00	$43,880.18	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	7	5	—	—	$32,423.81	$60,632.52	$33,072.29	2026-05-06
652	OTHER	Kidney Transplant	7	5	—	—	$28,678.61	$53,629.01	$29,252.19	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	7	5	—	—	$52,051.77	$97,336.81	$53,092.80	2026-05-06
654	OTHER	Major Bladder Procedures With Cc	7	5	—	—	$26,350.82	$49,276.04	$26,877.84	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	7	5	—	—	$30,420.96	$56,887.19	$31,029.38	2026-05-06
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	7	5	—	—	$24,130.41	$45,123.87	$24,613.02	2026-05-06
662	OTHER	Minor Bladder Procedures With Mcc	7	5	—	—	$29,128.67	$54,470.62	$29,711.25	2026-05-06
665	OTHER	Prostatectomy With Mcc	7	5	—	—	$31,298.76	$59,953.30	$32,060.59	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	7	5	—	—	$27,230.40	$50,920.84	$27,775.01	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	7	5	—	—	$37,468.14	$73,153.64	$39,119.59	2026-05-06
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	7	5	—	—	$21,554.25	$40,306.44	$21,985.33	2026-05-06
7	OTHER	Lung Transplant	7	5	—	—	$122,027.44	$228,191.31	$124,283.16	2026-05-06
709	OTHER	Penis Procedures With Cc/mcc	13	5	—	—	$3,710.00	$39,236.10	$20,981.87	2026-05-06
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	13	5	—	—	$226.79	$39,431.66	$21,086.45	2026-05-06
717	OTHER	Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc	13	5	—	—	$17,325.38	$118,561.82	$32,398.46	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	15	5	—	—	$23.98	$68,753.53	$36,766.59	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	15	5	—	—	$13.03	$69,509.58	$22,065.00	2026-05-06
746	OTHER	Vagina, Cervix And Vulva Procedures With Cc/mcc	12	5	—	—	$15,636.26	$3,086,720.00	$23,111.03	2026-05-06
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	13	5	—	—	$197.16	$45,198.95	$24,170.56	2026-05-06
773	OTHER	Inj, Beqvez, Per Tx Dose	5	5	—	—	$3,710,000.00	$3,858,400.00	$3,710,000.00	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	13	5	—	—	$0.12	$103,800.78	$55,508.44	2026-05-06
791	OTHER	Prematurity With Major Problems	13	5	—	—	$0.09	$70,888.98	$37,908.54	2026-05-06
792	OTHER	Prematurity Without Major Problems	13	5	—	—	$0.58	$42,773.65	$22,873.61	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	13	5	—	—	$2.02	$72,820.14	$38,941.25	2026-05-06
799	OTHER	Splenic Procedures With Mcc	13	5	—	—	$7.69	$83,022.47	$44,397.04	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	7	5	—	—	$50,805.24	$95,005.79	$51,821.34	2026-05-06
800	OTHER	Splenic Procedures With Cc	13	5	—	—	$1,666.78	$50,877.19	$27,207.05	2026-05-06
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	13	5	—	—	$71.29	$39,990.40	$21,385.24	2026-05-06
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	7	5	—	—	$21,664.43	$40,512.48	$22,097.72	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	13	5	—	—	$23.52	$101,661.84	$54,364.62	2026-05-06
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	7	5	—	—	$20,844.61	$38,979.42	$21,261.50	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	7	5	—	—	$43,693.94	$81,707.67	$44,567.82	2026-05-06
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	13	5	—	—	$20,536.48	$4,360,840.00	$38,403.22	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	13	5	—	—	$87.14	$83,383.91	$44,590.32	2026-05-06
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	13	5	—	—	$3,989.64	$41,205.67	$22,035.12	2026-05-06
834	OTHER	Acute Leukemia With Mcc	13	5	—	—	$128.07	$96,510.91	$51,610.11	2026-05-06
835	OTHER	Acute Leukemia With Cc	7	5	—	—	$19,943.56	$37,294.46	$20,342.43	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	7	5	—	—	$46,753.78	$87,429.57	$47,688.85	2026-05-06
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	13	5	—	—	$133.69	$55,682.39	$29,776.68	2026-05-06
843	OTHER	Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…	13	5	—	—	$17,678.33	$50,621.90	$27,070.53	2026-05-06
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	7	5	—	—	$23,845.62	$44,591.31	$24,322.53	2026-05-06
849	OTHER	Radiotherapy	7	5	—	—	$24,940.89	$46,639.46	$25,439.71	2026-05-06
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	7	5	—	—	$21,158.34	$39,566.10	$21,581.51	2026-05-06
850	OTHER	Acute Leukemia With Other Procedures	6	5	—	—	$86,014.37	$160,846.86	$86,874.51	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	7	5	—	—	$46,698.69	$87,326.55	$47,632.66	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	13	5	—	—	$24,228.42	$78,776.01	$42,126.21	2026-05-06
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	7	5	—	—	$20,345.06	$38,045.27	$20,751.97	2026-05-06
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	7	5	—	—	$20,021.99	$37,441.13	$20,422.43	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	7	5	—	—	$64,955.00	$121,465.84	$66,254.10	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	6	5	—	—	$36,691.89	$68,613.84	$37,058.81	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	13	5	—	—	$5.09	$77,359.94	$41,368.95	2026-05-06
9035	OTHER	Axicabtagene Ciloleucel Car+	6	5	—	—	$489,517.15	$915,397.07	$494,412.32	2026-05-06
906	OTHER	Hand Procedures For Injuries	7	5	—	—	$19,064.37	$38,108.13	$20,378.68	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	7	5	—	—	$37,197.04	$69,558.47	$37,685.97	2026-05-06
9138	OTHER	Inj, Hemgenix, Per Tx Dose	5	5	—	—	$3,710,000.00	$3,858,400.00	$3,710,000.00	2026-05-06
9141	OTHER	Inj Onase Abepar-xioi Treat	6	5	—	—	$2,403,458.75	$4,494,467.86	$2,427,493.33	2026-05-06
9194	OTHER	Tisagenlecleucel Car-pos T	6	5	—	—	$565,623.84	$1,057,716.57	$571,280.07	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	13	5	—	—	$1.54	$414,218.35	$221,507.14	2026-05-06
9273	OTHER	Sipuleucel-t Auto Cd54+	6	5	—	—	$55,536.50	$103,853.25	$56,091.87	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	13	5	—	—	$1.66	$116,618.73	$62,362.96	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	13	5	—	—	$2.36	$55,532.23	$29,696.38	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	7	5	—	—	$30,720.22	$75,551.00	$40,401.61	2026-05-06
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	7	5	—	—	$20,036.00	$37,467.32	$20,436.72	2026-05-06
935	OTHER	Non-extensive Burns	7	5	—	—	$20,508.47	$38,350.83	$20,680.43	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	7	5	—	—	$29,636.62	$55,420.48	$30,229.35	2026-05-06
9391	OTHER	Brexucabtagene Car Pos T	6	5	—	—	$488,051.51	$912,656.32	$492,932.03	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	7	5	—	—	$34,069.04	$63,709.11	$34,750.42	2026-05-06
9413	OTHER	Lisocabtagene Car Pos T	6	5	—	—	$516,485.97	$965,828.76	$521,650.83	2026-05-06
9422	OTHER	Idecabtagene Vicleucel Car	6	5	—	—	$528,312.43	$987,944.24	$533,595.56	2026-05-06
9498	OTHER	Ciltacabtagene Car-pos T	6	5	—	—	$551,318.34	$1,030,965.29	$556,831.52	2026-05-06
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	7	5	—	—	$22,383.40	$41,856.96	$22,831.07	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	7	5	—	—	$61,705.91	$119,227.37	$63,757.95	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	7	5	—	—	$35,690.93	$66,742.05	$36,404.75	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	7	5	—	—	$69,695.55	$130,330.68	$71,089.46	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	7	5	—	—	$38,374.48	$71,760.27	$39,141.97	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	7	5	—	—	$24,686.91	$46,164.53	$25,180.65	2026-05-06
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	7	5	—	—	$22,084.72	$41,856.96	$22,383.40	2026-05-06
963	OTHER	Other Multiple Significant Trauma With Mcc	13	5	—	—	$53.08	$47,435.67	$25,366.67	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	7	5	—	—	$59,051.95	$110,427.15	$60,232.99	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	7	5	—	—	$33,470.52	$62,589.88	$34,139.93	2026-05-06
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	7	5	—	—	$24,774.68	$46,328.66	$25,270.18	2026-05-06
974	OTHER	HIV With Major Related Condition With Mcc	7	5	—	—	$27,883.08	$52,141.35	$28,440.74	2026-05-06
98	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	7	5	—	—	$20,255.43	$37,877.65	$20,660.54	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	7	5	—	—	$44,388.64	$83,006.75	$45,276.41	2026-05-06
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	7	5	—	—	$22,860.54	$42,749.20	$23,317.75	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	7	5	—	—	$32,705.80	$61,159.84	$33,359.91	2026-05-06
C1721	OTHER	Defib Epic Ii Dr V255 Stjude	271	8	$153,465.00	$61,386.00 60% off	$1,404.00	$237,219.12	$56,482.09	2026-05-06
C1722	OTHER	Defib Vr-t Lumax Biotrnk	193	8	$99,208.00	$39,683.20 60% off	$1,404.00	$200,093.04	$35,729.42	2026-05-06
C1767	OTHER	Generator Aspire Sr 106	207	8	$106,938.00	$42,775.20 60% off	$262.96	$130,536.72	$35,507.78	2026-05-06
C1772	OTHER	Pump Synchromed2 8667-20	42	8	$82,255.00	$32,902.00 60% off	$1,404.00	$101,360.88	$24,926.68	2026-05-06
C1785	OTHER	Pacer Zephyr Dr 5820 Jude	371	8	$65,820.00	$26,328.00 60% off	$1,404.00	$96,096.24	$20,883.09	2026-05-06
C1816	OTHER	Implant Pain A/b Q4sp-s-1	28	8	$102,314.00	$40,925.60 60% off	$1,404.00	$73,790.64	$27,136.14	2026-05-06
C1820	OTHER	Neurostim Interstim X	201	8	$119,294.00	$47,717.60 60% off	$1,375.57	$222,632.64	$35,157.97	2026-05-06
C1882	OTHER	Aicd Generator Alpha 16 Ipg	351	8	$160,749.00	$64,299.60 60% off	$1,404.00	$373,561.20	$52,367.97	2026-05-06
C2624	OTHER	Implantable Sensor Cardiomems	11	8	$131,476.00	$52,590.40 60% off	$1,404.00	$94,662.72	$34,841.14	2026-05-06
C9364	OTHER	Permacol Porcine Impl Per Sqcm	63	8	$79,033.00	$31,613.20 60% off	$1,404.00	$110,160.72	$21,232.12	2026-05-06
C9602	OTHER	Des W/athrec W/wo Ptca 1st	48	9	$104,063.50	$41,625.40 60% off	$1,404.00	$79,714.80	$21,618.60	2026-05-06
C9767	OTHER	Revasc Litho Stent/athrec	19	10	$121,324.00	$48,529.60 60% off	$1,404.00	$87,353.28	$25,720.69	2026-05-06

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