Price Transparency 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

NEW LONDON HOSPITAL

New London, NH · CCN 301304 · Rates published

57,770 distinct procedures filed
15 distinct payers
1,717,380 rate rows
2026-05-23 last MRF observed
Data quality

1,664,416 of 1,717,380 rate rows are consumer-grade (96.9%)

52,964 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
template filing: same amount across many unrelated codes — excluded 43,479
per-diem day rate — not a per-procedure price 6,988
placeholder amount (≤ $0.02) — excluded from medians 1,739
percent-of-charges filed in the dollar field — excluded from medians 416
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 342
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.newlondonhospital.org/02-0222171_New London Hospital_standardcharges.zip
Found on page https://www.newlondonhospital.org/patients-visitors/charges-services
Discovered viaCMS hospital list
Last fetch success · 2026-05-18
Content fingerprint 562b4d66d04df4ba… · 10,267,847 bytes · first seen 2026-05-18

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
J3391
OTHER 		Inj Atidarsagene Autotemcel 4 $4,250,000.00 $4,250,000.00 $4,250,000.00 nat. median
$4,505,000
0.9× median
J1411
OTHER 		Inj Hemgenix Per Tx Dose 2 $24,545.45 $3,570,000.00 $3,500,000.00 nat. median
$3,685,267
0.9× median
J1414
OTHER 		Inj Beqvez Per Tx Dose 2 $24,545.45 $3,570,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 2 $82,181.81 $3,264,000.00 $3,200,000.00 nat. median
$3,327,860
1.0× median
J3394
OTHER 		Inj Lovotibeglogene Autotem 2 $71,090.90 $3,162,000.00 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
OTHER 		Inj Betibeglogene Autotemce 2 $37,818.18 $2,856,000.00 $2,800,000.00 nat. median
$2,968,000
0.9× median
J3392
OTHER 		Inj Exagamglogene Autotem 2 $44,000.00 $4,197,600.00 $2,200,000.00 nat. median
$2,332,000
0.9× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 2 $55,340.90 $2,391,705.69 $2,146,250.00 nat. median
$2,472,216
0.9× median
Q2057
OTHER 		Afamitresgene Autoleucel 10 $98,868.00 $1,387,116.00 $770,620.00 nat. median
$770,620
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 12 $20,169.29 $1,244,372.44 $591,726.20 nat. median
$591,726
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 12 $5,863.79 $1,212,900.34 $575,351.45 nat. median
$583,076
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 12 $58,289.92 $1,136,269.13 $562,538.18 nat. median
$562,538
1.0× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 12 $57,764.63 $1,162,287.34 $557,317.93 nat. median
$558,082
1.0× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 12 $34,971.70 $1,076,937.73 $533,230.17 nat. median
$533,230
1.0× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 4 $486,675.00 $525,000.00 $525,000.00 nat. median
$281,111
1.9× median
Q2053
OTHER 		Brexucabtagene Car Pos T 12 $33,506.05 $1,073,713.32 $489,399.16 nat. median
$489,720
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $317,466.13 $811,049.42 $317,466.13 nat. median
$309,559
1.0× median
J3403
OTHER 		Revakinagene Per Implant 3 $257,500.00 $260,000.00 $257,500.00 nat. median
$265,000
1.0× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $206,022.75 $526,338.44 $206,022.75 nat. median
$224,278
0.9× median
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 10 $199,820.00 $358,900.00 $205,640.00 nat. median
$205,640
1.0× median
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $156,962.04 $401,000.18 $156,962.04 nat. median
$175,322
0.9× median
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 5 $156,040.88 $398,646.82 $156,040.88 nat. median
$169,886
0.9× median
Q0480
OTHER 		Driver Pneumatic Vad Rep 9 $8,569.30 $137,957.20 $104,560.42 nat. median
$109,316
1.0× median
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 5 $101,831.06 $260,153.81 $101,831.06 nat. median
$107,587
0.9× median
00003-2328-22
OTHER 		Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 15 $65,471.06 $154,835.71 $96,161.13 nat. median
$234
outlier · 411.6×
MS-007
OTHER 		Lung Transplant 5 $95,205.73 $243,227.68 $95,205.73 nat. median
$95,292
1.0× median
K1007
OTHER 		Bil Hkaf Pc S/d Micro Sensor 10 $4,503.38 $121,181.71 $93,216.70 nat. median
$96,013
1.0× median
72187-0401-01
OTHER 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 15 $61,020.21 $144,309.68 $89,623.91 nat. median
$75,603
1.2× median
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 5 $88,351.76 $225,717.43 $88,351.76 nat. median
$91,600
1.0× median
MS-002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $83,307.77 $212,831.26 $83,307.77 nat. median
$91,287
0.9× median
MS-209
OTHER 		Complex Aortic Arch Procedures 5 $83,212.20 $212,587.10 $83,212.20 nat. median
$81,783
1.0× median
MS-426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $81,024.34 $206,997.64 $81,024.34 nat. median
$84,247
1.0× median
MS-212
OTHER 		Concomitant Aortic And Mitral Valve Procedures 5 $79,942.90 $204,234.85 $79,942.90 nat. median
$87,208
0.9× median
MS-005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 5 $75,799.50 $193,649.44 $75,799.50 nat. median
$85,046
0.9× median
MS-215
OTHER 		Other Heart Assist System Implant 5 $73,200.68 $187,010.08 $73,200.68 nat. median
$80,736
0.9× median
MS-216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $71,920.02 $183,738.30 $71,920.02 nat. median
$76,284
0.9× median
L8702
OTHER 		Ewhf S/d Uprt Micro Sensor 8 $10,433.72 $87,688.45 $67,452.66 nat. median
$68,802
1.0× median
A9543
OTHER 		Y90 Ibritumomab Rx 7 $66,156.06 $172,252.21 $67,148.40 nat. median
$66,156
1.0× median
MS-429
OTHER 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $66,235.70 $169,216.24 $66,235.70 nat. median
$69,654
1.0× median
50242-0150-01
OTHER 		Ocrelizumab 30 Mg/ml Intravenous Solution 15 $45,033.07 $106,500.92 $66,142.68 nat. median
$65
outlier · 1022.9×
MS-850
OTHER 		Acute Leukemia With Other Procedures 5 $63,661.87 $162,640.74 $63,661.87 nat. median
$70,217
0.9× median
J9029
OTHER 		Instill Adstiladrin Tx Dose 12 $4,803.47 $168,383.14 $63,402.04 nat. median
$66,509
1.0× median
00008-0100-01
OTHER 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 15 $42,691.27 $100,962.67 $62,703.13 nat. median
$3,028
outlier · 20.7×
09100-6622-00
OTHER 		Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 15 $42,493.01 $100,493.80 $62,411.94 nat. median
$56,774
1.1× median
82705-0010-01
OTHER 		Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 15 $42,493.01 $100,493.80 $62,411.94 nat. median
$61
outlier · 1021.9×
25682-0028-01
OTHER 		Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 15 $42,446.02 $100,382.67 $62,342.92 nat. median
$321
outlier · 194.3×
MS-231
OTHER 		Coronary Bypass With Ptca With Mcc 5 $61,973.93 $158,328.44 $61,973.93 nat. median
$64,520
1.0× median
MS-456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 5 $61,779.11 $157,830.73 $61,779.11 nat. median
$65,528
0.9× median
50242-0105-01
OTHER 		Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 15 $41,119.12 $97,244.62 $60,394.03 nat. median
$149
outlier · 405.1×
MS-020
OTHER 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $57,848.90 $147,789.99 $57,848.90 nat. median
$64,597
0.9× median

Other procedures at this hospital

Browse this hospital's 57,770 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
110900 OTHER Defibrillator Icd 71x40x14mm Sr Fortify 32 15 $43,672.00 $19,958.10 54% off $17,543.04 $41,488.40 $25,766.48 2026-05-23
50242-0145-01 OTHER Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 32 15 $43,779.01 $20,007.01 54% off $17,586.03 $41,590.06 $25,829.62 2026-05-23
111756 OTHER Defibrillator 15x51x69mm Dr Crt D Protecta Xt 32 15 $44,244.68 $20,219.82 54% off $17,773.09 $42,032.45 $26,104.36 2026-05-23
50242-0918-01 OTHER Atezolizumab 840 Mg/14 Ml (60 Mg/ml) Intravenous Solution 32 15 $44,619.12 $20,390.94 54% off $17,923.50 $42,388.16 $26,325.28 2026-05-23
111375 OTHER Defibrillator Icd 9.9x61.7x74.5mm Dr Teligen 32 15 $44,660.80 $20,409.99 54% off $17,940.24 $42,427.76 $26,349.88 2026-05-23
145539 OTHER Generator Neurostimulator Spine Permanent MRI Cnd 32 15 $44,842.08 $20,492.83 54% off $18,013.06 $42,599.98 $26,456.83 2026-05-23
102822 OTHER Generator Neurostimulator 54x54x9mm Spine Permanent MRI 32 15 $45,217.00 $20,664.17 54% off $18,163.67 $42,956.15 $26,678.03 2026-05-23
112280 OTHER Defibrillator Icd 9.9x61.7x74.5mm Dr Energen 32 15 $45,629.00 $20,852.45 54% off $18,329.17 $43,347.55 $26,921.11 2026-05-23
107711 OTHER Set - Synthes Lg Ext Fix 32 15 $46,218.16 $21,121.70 54% off $18,565.83 $43,907.25 $27,268.71 2026-05-23
109398 OTHER Icd System Secura Dr Medtronic 32 15 $46,288.20 $21,153.71 54% off $18,593.97 $43,973.79 $27,310.03 2026-05-23
109183 OTHER Icd System Current Dr St. Jude 32 15 $46,350.00 $21,181.95 54% off $18,618.79 $44,032.50 $27,346.50 2026-05-23
110606 OTHER Defibrillator Icd 14x50x74mm Dr Current 32 15 $46,350.00 $21,181.95 54% off $18,618.79 $44,032.50 $27,346.50 2026-05-23
80776 OTHER Aid Hearing Electrode Mid Scala Advantage 32 15 $46,679.60 $21,332.58 54% off $18,751.20 $44,345.62 $27,540.97 2026-05-23
50242-0085-27 OTHER Alteplase 100 Mg Intravenous Solution 32 15 $46,707.93 $21,345.52 54% off $18,762.58 $44,372.53 $27,557.68 2026-05-23
90000-4292-00 OTHER Alteplase 1 Mg/ml IV Bolus (from Vial) 32 15 $46,707.93 $21,345.52 54% off $18,762.58 $44,372.53 $27,557.68 2026-05-23
81689 OTHER Generator Neurostimulator 2.2x1.9in Permanent MRI Intellis 32 15 $46,737.28 $21,358.94 54% off $18,774.37 $44,400.42 $27,575.00 2026-05-23
107810 OTHER Defibrillator Icd 15x51x62mm Dr Entrust 32 15 $47,153.40 $21,549.10 54% off $18,941.52 $44,795.73 $27,820.51 2026-05-23
50242-0260-01 OTHER Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 32 15 $47,364.19 $21,645.43 54% off $19,026.20 $44,995.98 $27,944.88 2026-05-23
133329 OTHER Aid Hearing Electrode Cochlear Ultra 3d Mid Scala 32 15 $48,177.22 $22,016.99 54% off $19,352.79 $45,768.36 $28,424.56 2026-05-23
116050 OTHER Aid Hearing Electrode Cochlear Ultra 3d Slimj 32 15 $48,177.22 $22,016.99 54% off $19,352.79 $45,768.36 $28,424.56 2026-05-23
110993 OTHER Defibrillator Icd 14x40x71mm Dr Fortify 32 15 $48,410.00 $22,123.37 54% off $19,446.30 $45,989.50 $28,561.90 2026-05-23
109323 OTHER Defibrillator Icd 14x50x81mm Dr Crt MRI Promote 32 15 $48,410.00 $22,123.37 54% off $19,446.30 $45,989.50 $28,561.90 2026-05-23
50242-0070-01 OTHER Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 32 15 $48,882.90 $22,339.49 54% off $19,636.26 $46,438.76 $28,840.91 2026-05-23
149350 OTHER Kit Generator Neurostimulator Spine Perm Ld 16 Electrode 32 15 $49,337.00 $22,547.01 54% off $19,818.67 $46,870.15 $29,108.83 2026-05-23
81591 OTHER Generator Neurostimulator 9x54x54mm Brain Permanent MRI 32 15 $49,440.00 $22,594.08 54% off $19,860.05 $46,968.00 $29,169.60 2026-05-23
110555 OTHER Defibrillator Icd 14x50x75mm Sr Crt D Promote Plus 32 15 $49,440.00 $22,594.08 54% off $19,860.05 $46,968.00 $29,169.60 2026-05-23
154998 OTHER Pacemaker Dr Aveir 32 15 $49,440.00 $22,594.08 54% off $19,860.05 $46,968.00 $29,169.60 2026-05-23
107811 OTHER Defibrillator Icd 15x51x64mm Dr Virtuoso 32 15 $49,625.40 $22,678.81 54% off $19,934.52 $47,144.13 $29,278.99 2026-05-23
00003-6120-01 OTHER Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 32 15 $50,984.64 $23,299.98 54% off $20,480.53 $48,435.41 $30,080.94 2026-05-23
00003-3734-13 OTHER Nivolumab 240 Mg/24 Ml Intravenous Solution 32 15 $50,984.70 $23,300.01 54% off $20,480.55 $48,435.46 $30,080.97 2026-05-23
151926 OTHER System Kit Stent Limflo Extension Nit Ptfe Covered 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
149911 OTHER Kit Introducer Ventricular Assist Device 7fr Low Profile 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
149296 OTHER Kit Catheter Flex Smart Assist Impella Rp 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
154699 OTHER Valve Coronary Aortic 27mm Tissue Trnscath Navitor 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
143578 OTHER Pump Heart Right Sided Percutaneous With Smartassist 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
154700 OTHER Valve Coronary Aortic 29mm Tissue Trnscath Navitor 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
154698 OTHER Valve Coronary Aortic 25mm Tissue Trnscath Navitor 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
154697 OTHER Valve Coronary Aortic 23mm Tissue Trnscath Navitor 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
154701 OTHER Valve Coronary Aortic 35mm Tissue Trnscath Navitor 32 15 $51,500.00 $23,535.50 54% off $20,687.55 $48,925.00 $30,385.00 2026-05-23
109397 OTHER Defibrillator Icd 15x51x64mm Dr Secura 32 15 $52,097.40 $23,808.51 54% off $20,927.53 $49,492.53 $30,737.47 2026-05-23
154178 OTHER Generator Neurostimulator Sensight Directional Lead V1 MRI 32 15 $52,530.00 $24,006.21 54% off $21,101.30 $49,903.50 $30,992.70 2026-05-23
153980 OTHER Implantable Pulse Generator Permanent Lead 16 Electrode MRI 32 15 $52,530.00 $24,006.21 54% off $21,101.30 $49,903.50 $30,992.70 2026-05-23
111319 OTHER Defibrillator Icd 14x40x79mm Sr Crt D Unify 32 15 $52,890.50 $24,170.96 54% off $21,246.11 $50,245.98 $31,205.40 2026-05-23
87189 OTHER System Hearing Aid 28mm Electrode Cochlear Dual Processors 32 15 $53,354.00 $24,382.78 54% off $21,432.30 $50,686.30 $31,478.86 2026-05-23
87897 OTHER Kit Lead Neurostimulator Spine 8 Electrode Extension Neuropa 32 15 $53,457.00 $24,429.85 54% off $21,473.68 $50,784.15 $31,539.63 2026-05-23
91158 OTHER Set Orthopedic 4.5mm Plate Condylar Va Lcp 32 15 $54,135.26 $24,739.81 54% off $21,746.13 $51,428.50 $31,939.81 2026-05-23
144295 OTHER Nail IM 10.7x80x305mm Femoral Antegrade Precice 32 15 $54,472.58 $24,893.97 54% off $21,881.64 $51,748.95 $32,138.82 2026-05-23
144296 OTHER Nail IM 12.5x80x365mm Femoral Antegrade Precice 32 15 $54,472.58 $24,893.97 54% off $21,881.64 $51,748.95 $32,138.82 2026-05-23
107805 OTHER Defibrillator 68gm Dr Concerto 32 15 $54,878.40 $25,079.43 54% off $22,044.65 $52,134.48 $32,378.26 2026-05-23
118785 OTHER Processor Hearing Device Cochlear Standard Volume Naida Ci 32 15 $56,191.03 $25,679.30 54% off $22,571.94 $53,381.48 $33,152.71 2026-05-23
138034 OTHER Kit Processor Hearing Device M90 Ped Cochlear Single Sky Ci 32 15 $56,191.03 $25,679.30 54% off $22,571.94 $53,381.48 $33,152.71 2026-05-23
138033 OTHER Kit Processor Hearing Device M90 Cochlear Single Naida Ci 32 15 $56,191.03 $25,679.30 54% off $22,571.94 $53,381.48 $33,152.71 2026-05-23
118826 OTHER Processor Hearing Device Cochlear Dual Naida Ci 3d Q90 32 15 $56,191.03 $25,679.30 54% off $22,571.94 $53,381.48 $33,152.71 2026-05-23
57894-0503-01 OTHER Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 32 15 $57,131.34 $26,109.02 54% off $22,949.66 $54,274.77 $33,707.49 2026-05-23
107804 OTHER Cardioverter Defibrillater Concerto 32 15 $57,268.00 $26,171.48 54% off $23,004.56 $54,404.60 $33,788.12 2026-05-23
109327 OTHER Defibrillator Icd Dr Crt D MRI Promote 32 15 $59,740.00 $27,301.18 54% off $23,997.56 $56,753.00 $35,246.60 2026-05-23
64764-0300-20 OTHER Vedolizumab 300 Mg Intravenous Solution 32 15 $60,078.92 $27,456.07 54% off $24,133.70 $57,074.97 $35,446.57 2026-05-23
111013 OTHER Defibrillator 15x51x69mm Dr Crt D Consulta 32 15 $60,131.40 $27,480.05 54% off $24,154.78 $57,124.83 $35,477.53 2026-05-23
73150-0150-06 OTHER Ublituximab-xiiy 25 Mg/ml Intravenous Solution 32 15 $60,341.23 $27,575.94 54% off $24,239.07 $57,324.17 $35,601.32 2026-05-23
154073 OTHER Generator Neurostimulator Vagus Nerve 2 Electrode MRI Cnd 32 15 $60,770.00 $27,771.89 54% off $24,411.31 $57,731.50 $35,854.30 2026-05-23
153320 OTHER Valve Coronary Aortic 26mm Trnscath Biopros Evolut Fx+ 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
153319 OTHER Valve Coronary Aortic 23mm Trnscath Biopros Evolut Fx+ 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
144132 OTHER Valve Coronary Aortic 29mm Tissue Trnscath Biopros 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
153321 OTHER Valve Coronary Aortic 29mm Trnscath Biopros Evolut Fx+ 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
153322 OTHER Valve Coronary Aortic 34mm Trnscath Biopros Evolut Fx+ 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
90843 OTHER Bundle Clip Aneurysm Cath Mitraclip 1 Sgc0301/2 Cds0601-ntr 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
144128 OTHER Valve Coronary Aortic 23mm Tissue Trnscath Biopros 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
144129 OTHER Valve Coronary Aortic 26mm Tissue Trnscath Biopros 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
90844 OTHER Bundle Clip Aneurysm Cath Mitraclip 1 Sgc0301/3 Cds0601-ntr 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
144133 OTHER Valve Coronary Aortic 34mm Tissue Trnscath Biopros 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
90842 OTHER Bundle Clip Aneurysm Cath Mitraclip 1 Sgc0301/1 Cds0601-ntr 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
89141 OTHER Valve Coronary Aortic 29mm Trnscath Sapien 3 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
88294 OTHER Valve Coronary Aortic 26mm Trnscath Sapien 3 32 15 $61,800.00 $28,242.60 54% off $24,825.06 $58,710.00 $36,462.00 2026-05-23
107706 OTHER Set - Synthes Small Frag Locking 32 15 $61,843.26 $28,262.37 54% off $24,842.44 $58,751.10 $36,487.53 2026-05-23
50242-0917-01 OTHER Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 32 15 $62,944.75 $28,765.75 54% off $25,284.91 $59,797.51 $37,137.40 2026-05-23
00024-5823-15 OTHER Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 32 15 $65,583.49 $29,971.65 54% off $26,344.89 $62,304.32 $38,694.26 2026-05-23
00024-5824-11 OTHER Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 32 15 $65,583.49 $29,971.65 54% off $26,344.89 $62,304.32 $38,694.26 2026-05-23
123662 OTHER Stent Graft Thor 32 15 $65,631.60 $29,993.64 54% off $26,364.21 $62,350.02 $38,722.64 2026-05-23
146263 OTHER Stent Graft 8x40mmx15cm Aortic Gore Tag 32 15 $65,920.00 $30,125.44 54% off $26,480.06 $62,624.00 $38,892.80 2026-05-23
150872 OTHER Stent Graft 24frx8x34mmx15cm Aortic Gore Tag 32 15 $65,920.00 $30,125.44 54% off $26,480.06 $62,624.00 $38,892.80 2026-05-23
146265 OTHER Stent Graft 12x40mmx15cm Aortic Gore Tag 32 15 $65,920.00 $30,125.44 54% off $26,480.06 $62,624.00 $38,892.80 2026-05-23
145821 OTHER Stent Graft 8x31mmx15cm Aortic Tag 32 15 $65,920.00 $30,125.44 54% off $26,480.06 $62,624.00 $38,892.80 2026-05-23
55513-0077-01 OTHER Tarlatamab-dlle 10 Mg Intravenous Solution 32 15 $66,656.25 $30,461.91 54% off $26,775.82 $63,323.44 $39,327.19 2026-05-23
00074-5015-01 OTHER Risankizumab-rzaa 60 Mg/ml Intravenous Solution 32 15 $66,689.35 $30,477.03 54% off $26,789.11 $63,354.88 $39,346.72 2026-05-23
88480 OTHER Valve Coronary Aortic 26mm Trnscath Sapien Xt 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
92756 OTHER Valve Coronary Aortic 26mm Trnscath Sapien 3 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
123576 OTHER Kit Implant Valve Coronary Aortic 26mm Tissue Trnscath 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
88558 OTHER Valve Coronary Aortic 20mm Trnscath Sapien 3 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
123574 OTHER Kit Implant Valve Coronary Aortic 20mm Tissue Trnscath 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
123575 OTHER Kit Implant Valve Coronary Aortic 23mm Tissue Trnscath 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
86724 OTHER Valve Coronary Aortic 29mm Trnscath Sapien 3 32 15 $66,950.00 $30,596.15 54% off $26,893.82 $63,602.50 $39,500.50 2026-05-23
89998 OTHER Generator Neurostimulator 14ccx25gmx7mm Vagus Nerve 32 15 $69,926.70 $31,956.50 54% off $28,089.56 $66,430.36 $41,256.75 2026-05-23
145648 OTHER Valve Coronary Aortic 23mm Tissue Tavr Biopros 32 15 $70,040.00 $32,008.28 54% off $28,135.07 $66,538.00 $41,323.60 2026-05-23
145650 OTHER Valve Coronary Aortic 29mm Tissue Tavr Biopros 32 15 $70,040.00 $32,008.28 54% off $28,135.07 $66,538.00 $41,323.60 2026-05-23
145647 OTHER Valve Coronary Aortic 20mm Tissue Tavr Biopros 32 15 $70,040.00 $32,008.28 54% off $28,135.07 $66,538.00 $41,323.60 2026-05-23
145649 OTHER Valve Coronary Aortic 26mm Tissue Tavr Biopros 32 15 $70,040.00 $32,008.28 54% off $28,135.07 $66,538.00 $41,323.60 2026-05-23
61755-0008-01 OTHER Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 32 15 $71,012.26 $32,452.60 54% off $28,525.62 $67,461.65 $41,897.24 2026-05-23
50242-0245-01 OTHER Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 32 15 $71,049.09 $32,469.43 54% off $28,540.42 $67,496.64 $41,918.96 2026-05-23
132189 OTHER 31mmX20mmX160mm 20Fr 32 15 $72,100.00 $32,949.70 54% off $28,962.57 $68,495.00 $42,539.00 2026-05-23
132190 OTHER 37mmX20mmX160mm 22Fr 32 15 $72,100.00 $32,949.70 54% off $28,962.57 $68,495.00 $42,539.00 2026-05-23
97731 OTHER Kit Programmer Neurostimulator Spine MRI Ti 32 15 $72,615.00 $33,185.06 54% off $29,169.45 $68,984.25 $42,842.85 2026-05-23
128463 OTHER Kit Generator Lead Neurostimulator Vagus Nerve Ti Symmetry 32 15 $73,467.84 $33,574.80 54% off $29,512.03 $69,794.45 $43,346.02 2026-05-23
107712 OTHER Set - Synthes Cann & Titanium Fem Nails 32 15 $73,767.69 $33,711.84 54% off $29,632.48 $70,079.31 $43,522.94 2026-05-23
50242-0933-01 OTHER Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 32 15 $74,389.19 $33,995.86 54% off $29,882.14 $70,669.73 $43,889.62 2026-05-23
150086 OTHER Valve Coronary Mitral Tissue Trnscath Pascal Precision 32 15 $75,190.00 $34,361.83 54% off $30,203.82 $71,430.50 $44,362.10 2026-05-23
107714 OTHER Set - Synthes Titanium Tibial Nail 32 15 $78,053.40 $35,670.40 54% off $31,354.05 $74,150.73 $46,051.51 2026-05-23
57894-0650-01 OTHER Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 32 15 $79,074.49 $36,137.04 54% off $31,764.22 $75,120.77 $46,653.94 2026-05-23
57894-0650-02 OTHER Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 32 15 $79,074.49 $36,137.04 54% off $31,764.22 $75,120.77 $46,653.94 2026-05-23
59572-0775-01 OTHER Luspatercept-aamt 75 Mg Subcutaneous Solution 32 15 $79,203.35 $36,195.93 54% off $31,815.99 $75,243.18 $46,729.98 2026-05-23
153723 OTHER System Transcatheter Edge To Edge Repair Tricuspid Valve 32 15 $80,340.00 $36,715.38 54% off $32,272.58 $76,323.00 $47,400.60 2026-05-23
136270 OTHER Generator Neurostimulator Permanent MRI Cnd Ss Sentiva 32 15 $82,653.38 $37,772.59 54% off $33,201.86 $78,520.71 $48,765.49 2026-05-23
148010 OTHER Generator Neurostimulator Permanent MRI Ti 32 15 $82,653.38 $37,772.59 54% off $33,201.86 $78,520.71 $48,765.49 2026-05-23
91175 OTHER Set Orthopedic 4.5mm Instrument/screw Condylar Plate Va Lcp 32 15 $86,004.24 $39,303.94 54% off $34,547.90 $81,704.03 $50,742.50 2026-05-23
151806 OTHER Valve Tricuspid 52mm Transcatheter Replacement Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
154170 OTHER Valve Tricuspid 56mm Transcatheter Replacement System Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
154167 OTHER Valve Tricuspid 44mm Transcatheter Replacement System Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
151804 OTHER Valve Tricuspid 44mm Transcatheter Replacement Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
151805 OTHER Valve Tricuspid 48mm Transcatheter Replacement Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
154169 OTHER Valve Tricuspid 52mm Transcatheter Replacement System Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
154168 OTHER Valve Tricuspid 48mm Transcatheter Replacement System Evoque 32 15 $88,580.00 $40,481.06 54% off $35,582.59 $84,151.00 $52,262.20 2026-05-23
138360 OTHER Kit Cath For Heart Pump Impella 5.5 Smartassist 32 15 $92,700.00 $42,363.90 54% off $37,237.59 $88,065.00 $54,693.00 2026-05-23
146531 OTHER Kit Ventricular Assist Device Pump Percutaneous 32 15 $92,700.00 $42,363.90 54% off $37,237.59 $88,065.00 $54,693.00 2026-05-23
80446-0401-01 OTHER Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 32 15 $93,274.34 $42,626.37 54% off $37,468.30 $88,610.62 $55,031.86 2026-05-23
50242-0105-01 OTHER Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 32 15 $102,362.76 $46,779.78 54% off $41,119.12 $97,244.62 $60,394.03 2026-05-23
25682-0028-01 OTHER Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 32 15 $105,665.97 $48,289.35 54% off $42,446.02 $100,382.67 $62,342.92 2026-05-23
82705-0010-01 OTHER Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 32 15 $105,782.95 $48,342.81 54% off $42,493.01 $100,493.80 $62,411.94 2026-05-23
09100-6622-00 OTHER Epcoritamab-bysp 48 Mg/0.8 Ml Subcutaneous Solution 32 15 $105,782.95 $48,342.81 54% off $42,493.01 $100,493.80 $62,411.94 2026-05-23
00008-0100-01 OTHER Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 32 15 $106,276.50 $48,568.36 54% off $42,691.27 $100,962.67 $62,703.13 2026-05-23
50242-0150-01 OTHER Ocrelizumab 30 Mg/ml Intravenous Solution 32 15 $112,106.23 $51,232.55 54% off $45,033.07 $106,500.92 $66,142.68 2026-05-23
72187-0401-01 OTHER Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 32 15 $151,904.93 $69,420.55 54% off $61,020.21 $144,309.68 $89,623.91 2026-05-23
00003-2328-22 OTHER Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 32 15 $162,984.96 $74,484.13 54% off $65,471.06 $154,835.71 $96,161.13 2026-05-23
J3391 OTHER Inj Atidarsagene Autotemcel 5 4 — — $4,250,000.00 $4,250,000.00 $4,250,000.00 2026-05-23
J1414 OTHER Inj Beqvez Per Tx Dose 5 2 — — $24,545.45 $3,570,000.00 $3,500,000.00 2026-05-23
J1411 OTHER Inj Hemgenix Per Tx Dose 5 2 — — $24,545.45 $3,570,000.00 $3,500,000.00 2026-05-23
J1413 OTHER Inj Delandistrogene Mox Rokl 5 2 — — $82,181.81 $3,264,000.00 $3,200,000.00 2026-05-23
J3394 OTHER Inj Lovotibeglogene Autotem 5 2 — — $71,090.90 $3,162,000.00 $3,100,000.00 2026-05-23
J3393 OTHER Inj Betibeglogene Autotemce 5 2 — — $37,818.18 $2,856,000.00 $2,800,000.00 2026-05-23
J3392 OTHER Inj Exagamglogene Autotem 7 2 — — $44,000.00 $4,197,600.00 $2,200,000.00 2026-05-23
J3399 OTHER Inj Onase Abepar-xioi Treat 5 2 — — $55,340.90 $2,391,705.69 $2,146,250.00 2026-05-23
Q2057 OTHER Afamitresgene Autoleucel 16 10 — — $98,868.00 $1,387,116.00 $770,620.00 2026-05-23
Q2042 OTHER Tisagenlecleucel Car-pos T 24 12 — — $20,169.29 $1,244,372.44 $591,726.20 2026-05-23
Q2056 OTHER Ciltacabtagene Car-pos T 24 12 — — $5,863.79 $1,212,900.34 $575,351.45 2026-05-23
Q2054 OTHER Lisocabtagene Mara Car Pos T 24 12 — — $58,289.92 $1,136,269.13 $562,538.18 2026-05-23
Q2055 OTHER Idecabtagene Vicleucel Car 24 12 — — $57,764.63 $1,162,287.34 $557,317.93 2026-05-23
Q2041 OTHER Axicabtagene Ciloleucel Car+ 24 12 — — $34,971.70 $1,076,937.73 $533,230.17 2026-05-23
Q2058 OTHER Obecbtge Autol Up To 400 Mil 7 4 — — $486,675.00 $525,000.00 $525,000.00 2026-05-23
Q2053 OTHER Brexucabtagene Car Pos T 24 12 — — $33,506.05 $1,073,713.32 $489,399.16 2026-05-23
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 5 — — $317,466.13 $811,049.42 $317,466.13 2026-05-23
J3403 OTHER Revakinagene Per Implant 3 3 — — $257,500.00 $260,000.00 $257,500.00 2026-05-23
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $206,022.75 $526,338.44 $206,022.75 2026-05-23
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 11 10 — — $199,820.00 $358,900.00 $205,640.00 2026-05-23
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $156,962.04 $401,000.18 $156,962.04 2026-05-23
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 5 5 — — $156,040.88 $398,646.82 $156,040.88 2026-05-23
Q0480 OTHER Driver Pneumatic Vad Rep 14 9 — — $8,569.30 $137,957.20 $104,560.42 2026-05-23
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 5 5 — — $101,831.06 $260,153.81 $101,831.06 2026-05-23
MS-007 OTHER Lung Transplant 5 5 — — $95,205.73 $243,227.68 $95,205.73 2026-05-23
K1007 OTHER Bil Hkaf Pc S/d Micro Sensor 16 10 — — $4,503.38 $121,181.71 $93,216.70 2026-05-23
MS-014 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $88,351.76 $225,717.43 $88,351.76 2026-05-23
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 5 — — $83,307.77 $212,831.26 $83,307.77 2026-05-23
MS-209 OTHER Complex Aortic Arch Procedures 5 5 — — $83,212.20 $212,587.10 $83,212.20 2026-05-23
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $81,024.34 $206,997.64 $81,024.34 2026-05-23
MS-212 OTHER Concomitant Aortic And Mitral Valve Procedures 5 5 — — $79,942.90 $204,234.85 $79,942.90 2026-05-23
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 5 5 — — $75,799.50 $193,649.44 $75,799.50 2026-05-23
MS-215 OTHER Other Heart Assist System Implant 5 5 — — $73,200.68 $187,010.08 $73,200.68 2026-05-23
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $71,920.02 $183,738.30 $71,920.02 2026-05-23
L8702 OTHER Ewhf S/d Uprt Micro Sensor 13 8 — — $10,433.72 $87,688.45 $67,452.66 2026-05-23
A9543 OTHER Y90 Ibritumomab Rx 12 7 — — $66,156.06 $172,252.21 $67,148.40 2026-05-23
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $66,235.70 $169,216.24 $66,235.70 2026-05-23
MS-850 OTHER Acute Leukemia With Other Procedures 5 5 — — $63,661.87 $162,640.74 $63,661.87 2026-05-23
J9029 OTHER Instill Adstiladrin Tx Dose 26 12 — — $4,803.47 $168,383.14 $63,402.04 2026-05-23
MS-231 OTHER Coronary Bypass With Ptca With Mcc 5 5 — — $61,973.93 $158,328.44 $61,973.93 2026-05-23
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 5 5 — — $61,779.11 $157,830.73 $61,779.11 2026-05-23
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $57,848.90 $147,789.99 $57,848.90 2026-05-23
J7330 OTHER Cultured Chondrocytes Implnt 12 7 — — $31,905.53 $161,114.11 $57,671.99 2026-05-23
Q2043 OTHER Sipuleucel-t Auto Cd54+ 26 12 — — $1,854.02 $147,493.84 $57,017.10 2026-05-23
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $56,448.40 $144,212.06 $56,448.40 2026-05-23
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 5 5 — — $56,205.06 $143,590.39 $56,205.06 2026-05-23
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $56,019.07 $143,115.21 $56,019.07 2026-05-23
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $53,068.84 $135,578.08 $53,068.84 2026-05-23
MS-010 OTHER Pancreas Transplant 5 5 — — $52,753.45 $134,772.35 $52,753.45 2026-05-23
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $52,731.40 $134,716.00 $52,731.40 2026-05-23
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 5 — — $52,451.30 $134,000.42 $52,451.30 2026-05-23
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $52,420.42 $133,921.53 $52,420.42 2026-05-23
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $50,813.34 $129,815.84 $50,813.34 2026-05-23
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $50,564.12 $129,179.14 $50,564.12 2026-05-23
MS-955 OTHER Craniotomy For Multiple Significant Trauma 5 5 — — $49,484.89 $126,421.97 $49,484.89 2026-05-23
MS-317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $49,157.01 $125,584.31 $49,157.01 2026-05-23
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $49,120.99 $125,492.27 $49,120.99 2026-05-23
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $48,339.50 $123,495.77 $48,339.50 2026-05-23
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $48,339.50 $123,495.77 $48,339.50 2026-05-23
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $48,163.80 $123,046.89 $48,163.80 2026-05-23
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 — — $47,305.86 $120,855.06 $47,305.86 2026-05-23
L7181 OTHER Electronic Elbo Simultaneous 16 11 — — $10,095.77 $61,374.65 $47,211.27 2026-05-23
J9226 OTHER Supprelin La Implant 26 12 — — $7,784.54 $99,575.95 $46,945.67 2026-05-23
L7180 OTHER Electronic Elbow Sequential 17 11 — — $7,249.13 $58,731.33 $45,177.95 2026-05-23
MS-266 OTHER Endovascular Cardiac Valve Replacement W Mcc 5 5 — — $45,054.04 $115,102.20 $45,054.04 2026-05-23
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 5 5 — — $45,001.84 $114,968.85 $45,001.84 2026-05-23
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 5 5 — — $44,570.30 $113,866.36 $44,570.30 2026-05-23
MS-028 OTHER Spinal Procedures With Mcc 5 5 — — $44,171.10 $112,846.51 $44,171.10 2026-05-23
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 5 — — $44,158.60 $112,814.58 $44,158.60 2026-05-23
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 5 5 — — $43,838.80 $111,997.57 $43,838.80 2026-05-23
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 5 5 — — $43,694.71 $111,629.45 $43,694.71 2026-05-23
MS-016 OTHER Autolous Bone Marrow Transplant With Cc/mcc 5 5 — — $43,593.26 $111,370.26 $43,593.26 2026-05-23
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $43,144.07 $110,222.70 $43,144.07 2026-05-23
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $43,116.13 $110,151.32 $43,116.13 2026-05-23
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $42,397.87 $108,316.35 $42,397.87 2026-05-23
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $42,127.33 $107,625.18 $42,127.33 2026-05-23
MS-213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 5 5 — — $41,955.30 $107,185.68 $41,955.30 2026-05-23
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $41,900.90 $107,046.70 $41,900.90 2026-05-23
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $41,331.15 $105,591.11 $41,331.15 2026-05-23
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 5 5 — — $41,203.23 $105,264.31 $41,203.23 2026-05-23
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $40,920.92 $104,543.09 $40,920.92 2026-05-23
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 5 5 — — $40,603.33 $103,731.72 $40,603.33 2026-05-23
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 5 5 — — $40,359.99 $103,110.04 $40,359.99 2026-05-23
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 5 5 — — $40,217.37 $102,745.67 $40,217.37 2026-05-23
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 5 5 — — $40,160.02 $102,599.18 $40,160.02 2026-05-23
MS-011 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Mcc 5 5 — — $40,096.80 $102,437.65 $40,096.80 2026-05-23
MS-017 OTHER Autolous Bone Marrow Transplant Without Cc/mcc 5 5 — — $39,936.53 $102,028.21 $39,936.53 2026-05-23
L2006 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 17 11 — — $13,752.76 $51,770.42 $39,823.40 2026-05-23
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $39,205.04 $100,159.42 $39,205.04 2026-05-23
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $39,181.51 $100,099.32 $39,181.51 2026-05-23
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $38,918.32 $99,426.93 $38,918.32 2026-05-23
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 5 5 — — $38,789.67 $99,098.25 $38,789.67 2026-05-23
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $38,268.44 $97,766.63 $38,268.44 2026-05-23
MS-653 OTHER Major Bladder Procedures With Mcc 5 5 — — $38,202.27 $97,597.59 $38,202.27 2026-05-23
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $37,053.94 $94,663.88 $37,053.94 2026-05-23
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 5 5 — — $36,665.77 $93,672.20 $36,665.77 2026-05-23
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 5 5 — — $36,371.70 $92,920.93 $36,371.70 2026-05-23
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 — — $36,307.01 $92,755.65 $36,307.01 2026-05-23
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $36,182.76 $92,438.24 $36,182.76 2026-05-23
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $36,032.05 $92,053.21 $36,032.05 2026-05-23
MS-471 OTHER Cervical Spinal Fusion With Mcc 5 5 — — $35,499.06 $90,691.53 $35,499.06 2026-05-23
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 5 — — $35,319.68 $90,233.26 $35,319.68 2026-05-23
MS-267 OTHER Endovascular Cardiac Valve Replacement Without Mcc 5 5 — — $34,999.88 $89,416.25 $34,999.88 2026-05-23
MS-650 OTHER Kidney Transplant With Hemodialysis With Mcc 5 5 — — $34,563.19 $88,300.61 $34,563.19 2026-05-23
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $34,492.61 $88,120.31 $34,492.61 2026-05-23
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 5 — — $34,389.69 $87,857.36 $34,389.69 2026-05-23
L8701 OTHER Ewh S/d Uprt Micro Sensor 13 8 — — $5,998.21 $44,569.77 $34,284.44 2026-05-23
MS-006 OTHER Liver Transplant Without Mcc 5 5 — — $34,089.74 $87,091.07 $34,089.74 2026-05-23
MS-277 OTHER Cardiac Defibrillator Implant Without Mcc 5 5 — — $33,953.73 $86,743.60 $33,953.73 2026-05-23
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 5 5 — — $33,792.00 $86,330.41 $33,792.00 2026-05-23
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 — — $33,705.98 $86,110.66 $33,705.98 2026-05-23
MS-245 OTHER Aicd Generator Procedures 5 5 — — $33,541.30 $85,689.95 $33,541.30 2026-05-23
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 5 — — $33,440.59 $85,432.64 $33,440.59 2026-05-23
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 5 5 — — $33,425.88 $85,395.07 $33,425.88 2026-05-23
MS-799 OTHER Splenic Procedures With Mcc 5 5 — — $33,295.02 $85,060.76 $33,295.02 2026-05-23
MS-163 OTHER Major Chest Procedures With Mcc 5 5 — — $32,948.76 $84,176.14 $32,948.76 2026-05-23
MS-031 OTHER Ventricular Shunt Procedures With Mcc 5 5 — — $32,939.20 $84,151.72 $32,939.20 2026-05-23
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $32,809.81 $83,821.16 $32,809.81 2026-05-23
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 5 5 — — $32,294.46 $82,504.56 $32,294.46 2026-05-23
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $31,813.66 $81,276.23 $31,813.66 2026-05-23
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 5 — — $31,560.03 $80,628.26 $31,560.03 2026-05-23
MS-140 OTHER Major Head And Neck Procedures With Mcc 5 5 — — $31,357.12 $80,109.88 $31,357.12 2026-05-23
MS-448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $31,177.00 $79,649.73 $31,177.00 2026-05-23
MS-269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $31,047.62 $79,319.17 $31,047.62 2026-05-23
MS-012 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Cc 5 5 — — $30,994.68 $79,183.94 $30,994.68 2026-05-23
MS-958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $30,979.24 $79,144.50 $30,979.24 2026-05-23
MS-673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 5 5 — — $30,888.82 $78,913.48 $30,888.82 2026-05-23
MS-901 OTHER Wound Debridements For Injuries With Mcc 5 5 — — $30,852.06 $78,819.58 $30,852.06 2026-05-23
MS-236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $30,794.72 $78,673.08 $30,794.72 2026-05-23
MS-458 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 5 5 — — $30,675.62 $78,368.81 $30,675.62 2026-05-23
MS-793 OTHER Full Term Neonate With Major Problems 5 5 — — $30,653.56 $78,312.47 $30,653.56 2026-05-23
MS-423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 5 — — $30,531.53 $78,000.69 $30,531.53 2026-05-23
MS-273 OTHER Percutaneous Intracardiac Procedures W Mcc 5 5 — — $30,329.36 $77,484.19 $30,329.36 2026-05-23
MS-791 OTHER Prematurity With Major Problems 5 5 — — $29,840.47 $76,235.20 $29,840.47 2026-05-23
MS-402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $29,557.43 $75,512.11 $29,557.43 2026-05-23
MS-802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 5 — — $29,289.83 $74,828.45 $29,289.83 2026-05-23
L6700 OTHER Ue Add Ext Power Myoel 14 9 — — $17,358.94 $40,504.18 $28,931.56 2026-05-23
MS-024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $28,759.04 $73,472.41 $28,759.04 2026-05-23
MS-933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 5 — — $28,628.91 $73,139.97 $28,628.91 2026-05-23
L5856 OTHER Elec Knee-shin Swing/stance 16 11 — — $14,272.14 $40,050.97 $28,607.84 2026-05-23
MS-034 OTHER Carotid Artery Stent Procedures With Mcc 5 5 — — $28,456.15 $72,698.60 $28,456.15 2026-05-23
J9266 OTHER Pegaspargase Injection 26 12 — — $27,070.52 $71,893.91 $28,424.05 2026-05-23
MS-876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $28,413.51 $72,589.66 $28,413.51 2026-05-23
MS-040 OTHER Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 — — $28,386.31 $72,520.17 $28,386.31 2026-05-23
MS-907 OTHER Other O.r. Procedures For Injuries With Mcc 5 5 — — $28,225.31 $72,108.85 $28,225.31 2026-05-23
L6880 OTHER Elec Hand Ind Art Digits 13 9 — — $14,044.70 $39,412.74 $28,151.96 2026-05-23
MS-956 OTHER Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 5 5 — — $27,664.37 $70,675.80 $27,664.37 2026-05-23
MS-143 OTHER Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc 5 5 — — $27,543.80 $70,367.78 $27,543.80 2026-05-23
MS-166 OTHER Other Respiratory System O.r. Procedures With Mcc 5 5 — — $27,478.37 $70,200.62 $27,478.37 2026-05-23
MS-518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 5 — — $27,475.43 $70,193.11 $27,475.43 2026-05-23
MS-628 OTHER Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 5 5 — — $27,398.24 $69,995.90 $27,398.24 2026-05-23
MS-651 OTHER Kidney Transplant With Hemodialysis Without Mcc 5 5 — — $27,243.86 $69,601.48 $27,243.86 2026-05-23
MS-904 OTHER Skin Grafts For Injuries With Cc/mcc 5 5 — — $27,003.46 $68,987.32 $27,003.46 2026-05-23
MS-492 OTHER Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 5 5 — — $26,992.43 $68,959.15 $26,992.43 2026-05-23
MS-939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 5 — — $26,675.57 $68,149.65 $26,675.57 2026-05-23
MS-495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 5 — — $26,654.99 $68,097.06 $26,654.99 2026-05-23
MS-332 OTHER Rectal Resection With Mcc 5 5 — — $26,618.23 $68,003.15 $26,618.23 2026-05-23
MS-265 OTHER Aicd Lead Procedures 5 5 — — $26,599.85 $67,956.20 $26,599.85 2026-05-23
MS-097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 5 — — $26,552.80 $67,836.00 $26,552.80 2026-05-23
MS-279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $26,513.10 $67,734.58 $26,513.10 2026-05-23
MS-739 OTHER Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 5 5 — — $26,339.60 $67,291.33 $26,339.60 2026-05-23
MS-736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 5 — — $26,278.58 $67,135.44 $26,278.58 2026-05-23
MS-335 OTHER Peritoneal Adhesiolysis With Mcc 5 5 — — $26,252.11 $67,067.82 $26,252.11 2026-05-23
MS-408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 — — $26,213.15 $66,968.28 $26,213.15 2026-05-23
MS-414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 5 — — $26,191.10 $66,911.93 $26,191.10 2026-05-23
MS-622 OTHER Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 5 5 — — $26,166.10 $66,848.08 $26,166.10 2026-05-23
MS-271 OTHER Other Major Cardiovascular Procedures With Cc 5 5 — — $26,144.78 $66,793.61 $26,144.78 2026-05-23
MS-467 OTHER Revision Of Hip Or Knee Replacement With Cc 5 5 — — $25,926.43 $66,235.79 $25,926.43 2026-05-23
MS-094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 5 — — $25,873.50 $66,100.56 $25,873.50 2026-05-23
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