Hospital

VALLEY HOSPITAL

Paramus, NJ · CCN 310012 · Rates published

22,232 distinct procedures filed

12 distinct payers

878,583 rate rows

2026-05-23 last MRF observed

Data quality

870,343 of 878,583 rate rows are consumer-grade (99.1%)

8,240 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	4,014
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,076
exceeds 10× this hospital's gross charge — excluded from medians	924
percent-of-charges filed in the dollar field — excluded from medians	476
template filing: same amount across many unrelated codes — excluded	388
placeholder amount (≤ $0.02) — excluded from medians	362

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

Source MRF file	https://www.valleyhealth.com/sites/default/files/Billing%20%26%20Insurance/221487307-2_The-Valley-Hospital_standardcharges.csv
Found on page	https://www.valleyhealth.com/hospital-standard-charges
Discovered via	CMS hospital list
Last fetch	success · 2026-06-08
Content fingerprint	bc443d3e29c0e269… · 57,039,903 bytes · first seen 2026-06-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
9138 OTHER	Inj, Hemgenix, Per Tx Dose	6	$3,685,266.67	$3,795,824.67	$3,710,000.00	nat. median $3,746,358 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	5	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,605,000 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	7	$2,403,458.75	$4,996,733.77	$2,588,981.23	nat. median $2,588,981 1.0× median
7220391 OTHER	Ciltacabtagene Autoleucel 70bc	11	$497,113.91	$1,888,055.50	$1,087,151.71	nat. median $1,087,152 1.0× median
7220389 OTHER	Idecabtagene Vicleucel 460bcma	11	$487,133.64	$1,850,150.12	$1,032,451.19	nat. median $1,032,451 1.0× median
2067 OTHER	Afamitresgene Autoleucel	6	$770,620.00	$1,487,296.60	$770,620.00	nat. median $786,032 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	7	$551,318.34	$1,134,163.68	$587,649.57	nat. median $587,650 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos T	7	$565,623.84	$1,093,405.42	$566,531.30	nat. median $566,531 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	7	$516,485.97	$1,085,048.40	$562,201.24	nat. median $562,201 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	7	$528,312.43	$1,077,097.73	$558,081.73	nat. median $558,082 1.0× median
9035 OTHER	Axicabtagene Ciloleucel Car+	7	$489,517.15	$1,027,131.03	$532,192.24	nat. median $532,192 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	7	$488,051.51	$944,638.89	$489,450.20	nat. median $489,450 1.0× median
5834 OTHER	Neonate W Ecmo	1	$420,600.47	$420,600.47	$420,600.47	nat. median $372,748 1.1× median
5833 OTHER	Neonate W Ecmo	1	$366,288.87	$366,288.87	$366,288.87	nat. median $252,069 1.5× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$8,831.00	$654,231.01	$315,331.17	nat. median $386,529 0.8× median
5884 OTHER	Neonate Bwt <1500g W Major Procedure	1	$313,713.72	$313,713.72	$313,713.72	nat. median $243,175 1.3× median
1614 OTHER	Cardiac Defibrillator & Heart Assist Implant	1	$289,356.32	$289,356.32	$289,356.32	nat. median $194,298 1.5× median
5832 OTHER	Neonate W Ecmo	1	$229,855.09	$229,855.09	$229,855.09	nat. median $152,272 1.5× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$5,564.00	$424,569.61	$217,862.74	nat. median $239,422 0.9× median
6304 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	$213,230.73	$213,230.73	$213,230.73	nat. median $164,743 1.3× median
8414 OTHER	Extensive 3rd Degree Burns W Skin Graft	1	$207,820.52	$207,820.52	$207,820.52	nat. median $161,322 1.3× median
4600762 OTHER	Lvad Implant	7	$66,418.75	$258,196.21	$207,744.08	nat. median $207,744 1.0× median
5934 OTHER	Neonate Birthwt 750-999g Without Major Procedure	1	$206,231.98	$206,231.98	$206,231.98	nat. median $129,842 1.6× median
5914 OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	$204,174.52	$204,174.52	$204,174.52	nat. median $149,152 1.4× median
5883 OTHER	Neonate Bwt <1500g W Major Procedure	1	$201,207.10	$201,207.10	$201,207.10	nat. median $163,694 1.2× median
6314 OTHER	Neonate Birthwt >2499g W Other Major Procedure	1	$200,580.65	$200,580.65	$200,580.65	nat. median $163,675 1.2× median
6094 OTHER	Neonate Bwt 1500-2499g W Major Procedure	1	$198,286.91	$198,286.91	$198,286.91	nat. median $170,784 1.2× median
5882 OTHER	Neonate Bwt <1500g W Major Procedure	1	$195,856.31	$195,856.31	$195,856.31	nat. median $119,369 1.6× median
5831 OTHER	Neonate W Ecmo	1	$186,139.74	$186,139.74	$186,139.74	nat. median $139,037 1.3× median
44 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	1	$183,321.36	$183,321.36	$183,321.36	nat. median $33,835 outlier · 5.4×
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$179,593.74	$346,615.92	$179,593.74	nat. median $153,199 1.2× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$179,593.74	$346,615.92	$179,593.74	nat. median $152,962 1.2× median
1612 OTHER	Cardiac Defibrillator & Heart Assist Implant	1	$175,837.93	$175,837.93	$175,837.93	nat. median $84,765 outlier · 2.1×
1611 OTHER	Cardiac Defibrillator & Heart Assist Implant	1	$167,247.07	$167,247.07	$167,247.07	nat. median $80,527 outlier · 2.1×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	8	$123,229.00	$321,567.48	$166,615.27	nat. median $181,005 0.9× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	7	$161,928.84	$312,522.66	$161,928.84	nat. median $138,020 1.2× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	7	$161,928.84	$312,522.66	$161,928.84	nat. median $137,903 1.2× median
6034 OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	1	$154,703.64	$154,703.64	$154,703.64	nat. median $92,525 1.7× median
6024 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	$148,813.65	$148,813.65	$148,813.65	nat. median $99,381 1.5× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	7	$12,997.77	$278,429.40	$144,263.94	nat. median $119,935 1.2× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	7	$20,389.07	$278,429.40	$144,263.94	nat. median $120,174 1.2× median
5933 OTHER	Neonate Birthwt 750-999g Without Major Procedure	1	$138,910.48	$138,910.48	$138,910.48	nat. median $87,090 1.6× median
5913 OTHER	Neonate Birthwt 500-749g Without Major Procedure	1	$133,673.56	$133,673.56	$133,673.56	nat. median $115,252 1.2× median
1604 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	1	$131,938.43	$131,938.43	$131,938.43	nat. median $44,507 outlier · 3.0×
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	7	$9,981.87	$244,336.14	$126,599.04	nat. median $105,172 1.2× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	7	$9,229.43	$244,336.14	$126,599.04	nat. median $105,693 1.2× median
43 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	1	$121,164.12	$121,164.12	$121,164.12	nat. median $48,509 outlier · 2.5×
6074 OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	$115,681.24	$115,681.24	$115,681.24	nat. median $85,400 1.4× median
6303 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	$115,506.69	$115,506.69	$115,506.69	nat. median $84,422 1.4× median
3034 OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	1	$114,607.66	$114,607.66	$114,607.66	nat. median $71,896 1.6× median

Other procedures at this hospital

Browse this hospital's 22,232 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

773	OTHER	Inj, Beqvez, Per Tx Dose	10	5	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2026-05-23
9138	OTHER	Inj, Hemgenix, Per Tx Dose	22	6	—	—	$3,685,266.67	$3,795,824.67	$3,710,000.00	2026-05-23
9141	OTHER	Inj Onase Abepar-xioi Treat	30	7	—	—	$2,403,458.75	$4,996,733.77	$2,588,981.23	2026-05-23
7220391	OTHER	Ciltacabtagene Autoleucel 70bc	38	11	$2,221,241.76	$1,332,745.06 40% off	$497,113.91	$1,888,055.50	$1,087,151.71	2026-05-23
7220389	OTHER	Idecabtagene Vicleucel 460bcma	38	11	$2,176,647.20	$1,305,988.32 40% off	$487,133.64	$1,850,150.12	$1,032,451.19	2026-05-23
2067	OTHER	Afamitresgene Autoleucel	14	6	—	—	$770,620.00	$1,487,296.60	$770,620.00	2026-05-23
9498	OTHER	Ciltacabtagene Car-pos T	30	7	—	—	$551,318.34	$1,134,163.68	$587,649.57	2026-05-23
9194	OTHER	Tisagenlecleucel Car-pos T	30	7	—	—	$565,623.84	$1,093,405.42	$566,531.30	2026-05-23
9413	OTHER	Lisocabtagene Car Pos T	30	7	—	—	$516,485.97	$1,085,048.40	$562,201.24	2026-05-23
9422	OTHER	Idecabtagene Vicleucel Car	30	7	—	—	$528,312.43	$1,077,097.73	$558,081.73	2026-05-23
9035	OTHER	Axicabtagene Ciloleucel Car+	30	7	—	—	$489,517.15	$1,027,131.03	$532,192.24	2026-05-23
9391	OTHER	Brexucabtagene Car Pos T	30	7	—	—	$488,051.51	$944,638.89	$489,450.20	2026-05-23
5834	OTHER	Neonate W Ecmo	4	1	—	—	$420,600.47	$420,600.47	$420,600.47	2026-05-23
5833	OTHER	Neonate W Ecmo	4	1	—	—	$366,288.87	$366,288.87	$366,288.87	2026-05-23
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	40	8	—	—	$8,831.00	$654,231.01	$315,331.17	2026-05-23
5884	OTHER	Neonate Bwt <1500g W Major Procedure	4	1	—	—	$313,713.72	$313,713.72	$313,713.72	2026-05-23
1614	OTHER	Cardiac Defibrillator & Heart Assist Implant	4	1	—	—	$289,356.32	$289,356.32	$289,356.32	2026-05-23
5832	OTHER	Neonate W Ecmo	4	1	—	—	$229,855.09	$229,855.09	$229,855.09	2026-05-23
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	42	9	—	—	$5,564.00	$424,569.61	$217,862.74	2026-05-23
6304	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	1	—	—	$213,230.73	$213,230.73	$213,230.73	2026-05-23
8414	OTHER	Extensive 3rd Degree Burns W Skin Graft	4	1	—	—	$207,820.52	$207,820.52	$207,820.52	2026-05-23
4600762	OTHER	Lvad Implant	53	7	$296,777.25	$178,066.35 40% off	$66,418.75	$258,196.21	$207,744.08	2026-05-23
5934	OTHER	Neonate Birthwt 750-999g Without Major Procedure	4	1	—	—	$206,231.98	$206,231.98	$206,231.98	2026-05-23
5914	OTHER	Neonate Birthwt 500-749g Without Major Procedure	4	1	—	—	$204,174.52	$204,174.52	$204,174.52	2026-05-23
5883	OTHER	Neonate Bwt <1500g W Major Procedure	4	1	—	—	$201,207.10	$201,207.10	$201,207.10	2026-05-23
6314	OTHER	Neonate Birthwt >2499g W Other Major Procedure	4	1	—	—	$200,580.65	$200,580.65	$200,580.65	2026-05-23
6094	OTHER	Neonate Bwt 1500-2499g W Major Procedure	4	1	—	—	$198,286.91	$198,286.91	$198,286.91	2026-05-23
5882	OTHER	Neonate Bwt <1500g W Major Procedure	4	1	—	—	$195,856.31	$195,856.31	$195,856.31	2026-05-23
5831	OTHER	Neonate W Ecmo	4	1	—	—	$186,139.74	$186,139.74	$186,139.74	2026-05-23
44	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	1	—	—	$183,321.36	$183,321.36	$183,321.36	2026-05-23
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	30	7	—	—	$179,593.74	$346,615.92	$179,593.74	2026-05-23
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	30	7	—	—	$179,593.74	$346,615.92	$179,593.74	2026-05-23
1612	OTHER	Cardiac Defibrillator & Heart Assist Implant	4	1	—	—	$175,837.93	$175,837.93	$175,837.93	2026-05-23
1611	OTHER	Cardiac Defibrillator & Heart Assist Implant	4	1	—	—	$167,247.07	$167,247.07	$167,247.07	2026-05-23
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	36	8	—	—	$123,229.00	$321,567.48	$166,615.27	2026-05-23
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	30	7	—	—	$161,928.84	$312,522.66	$161,928.84	2026-05-23
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	30	7	—	—	$161,928.84	$312,522.66	$161,928.84	2026-05-23
6034	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	1	—	—	$154,703.64	$154,703.64	$154,703.64	2026-05-23
6024	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	1	—	—	$148,813.65	$148,813.65	$148,813.65	2026-05-23
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	34	7	—	—	$12,997.77	$278,429.40	$144,263.94	2026-05-23
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	34	7	—	—	$20,389.07	$278,429.40	$144,263.94	2026-05-23
5933	OTHER	Neonate Birthwt 750-999g Without Major Procedure	4	1	—	—	$138,910.48	$138,910.48	$138,910.48	2026-05-23
5913	OTHER	Neonate Birthwt 500-749g Without Major Procedure	4	1	—	—	$133,673.56	$133,673.56	$133,673.56	2026-05-23
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	1	—	—	$131,938.43	$131,938.43	$131,938.43	2026-05-23
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	34	7	—	—	$9,981.87	$244,336.14	$126,599.04	2026-05-23
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	34	7	—	—	$9,229.43	$244,336.14	$126,599.04	2026-05-23
43	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	4	1	—	—	$121,164.12	$121,164.12	$121,164.12	2026-05-23
6074	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	1	—	—	$115,681.24	$115,681.24	$115,681.24	2026-05-23
6303	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	1	—	—	$115,506.69	$115,506.69	$115,506.69	2026-05-23
3034	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	1	—	—	$114,607.66	$114,607.66	$114,607.66	2026-05-23
8424	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	4	1	—	—	$113,435.92	$113,435.92	$113,435.92	2026-05-23
1624	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	4	1	—	—	$112,831.33	$112,831.33	$112,831.33	2026-05-23
6023	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	1	—	—	$112,418.12	$112,418.12	$112,418.12	2026-05-23
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	30	7	—	—	$111,878.29	$215,925.10	$111,878.29	2026-05-23
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	30	7	—	—	$111,878.29	$215,925.10	$111,878.29	2026-05-23
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	36	8	—	—	$76,906.00	$209,852.43	$109,286.40	2026-05-23
5932	OTHER	Neonate Birthwt 750-999g Without Major Procedure	4	1	—	—	$108,006.37	$108,006.37	$108,006.37	2026-05-23
4404	OTHER	Kidney Transplant	4	1	—	—	$106,354.84	$106,354.84	$106,354.84	2026-05-23
7	OTHER	Lung Transplant	34	8	—	—	$23,500.00	$196,199.01	$101,657.52	2026-05-23
14	OTHER	Allogeneic Bone Marrow Transplant	38	8	—	—	$23,500.00	$189,493.52	$101,333.43	2026-05-23
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	30	7	—	—	$100,101.69	$193,196.26	$100,101.69	2026-05-23
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	30	7	—	—	$100,101.69	$193,196.26	$100,101.69	2026-05-23
8514	OTHER	Gender Related Procedures	4	1	—	—	$99,865.02	$99,865.02	$99,865.02	2026-05-23
4600803	OTHER	Impella Device Smart Assist	22	6	$123,750.00	$74,250.00 40% off	$27,695.25	$107,662.50	$92,812.50	2026-05-23
8634	OTHER	Neonatal Aftercare	4	1	—	—	$92,146.56	$92,146.56	$92,146.56	2026-05-23
1784	OTHER	External Heart Assist Systems	4	1	—	—	$91,726.13	$91,726.13	$91,726.13	2026-05-23
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	42	9	—	—	$5,564.00	$171,679.81	$88,953.27	2026-05-23
209	OTHER	ICU Other Room & Board	19	8	—	—	$13,629.50	$171,482.86	$88,851.22	2026-05-23
7405126	OTHER	Evoque Tricuspid Valve	22	6	$118,250.00	$70,950.00 40% off	$26,464.35	$102,877.50	$88,687.50	2026-05-23
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	30	7	—	—	$88,325.09	$170,467.42	$88,325.09	2026-05-23
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	30	7	—	—	$88,325.09	$170,467.42	$88,325.09	2026-05-23
1674	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	4	1	—	—	$88,260.70	$88,260.70	$88,260.70	2026-05-23
7223549	OTHER	Provenge	83	12	$250,860.08	$150,516.05 40% off	$54,404.11	$250,860.08	$87,801.03	2026-05-23
6114	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	4	1	—	—	$87,737.20	$87,737.20	$87,737.20	2026-05-23
6022	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	1	—	—	$87,212.57	$87,212.57	$87,212.57	2026-05-23
6073	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	1	—	—	$87,051.40	$87,051.40	$87,051.40	2026-05-23
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	7	—	—	$23,500.00	$166,974.14	$86,515.10	2026-05-23
6093	OTHER	Neonate Bwt 1500-2499g W Major Procedure	4	1	—	—	$86,486.76	$86,486.76	$86,486.76	2026-05-23
6124	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	4	1	—	—	$84,332.38	$84,332.38	$84,332.38	2026-05-23
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	44	8	—	—	$17,843.00	$164,745.53	$84,256.44	2026-05-23
112	OTHER	OB Private Room & Board	7	3	—	—	$13,182.00	$83,576.30	$83,576.30	2026-05-23
3044	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	4	1	—	—	$83,244.30	$83,244.30	$83,244.30	2026-05-23
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	34	8	—	—	$23,500.00	$156,206.84	$82,365.27	2026-05-23
1834	OTHER	Percutaneous Structural Cardiac Procedures	4	1	—	—	$82,003.53	$82,003.53	$82,003.53	2026-05-23
7163186	OTHER	Ventricular Vent Cann 02141	31	7	$123,750.00	$74,250.00 40% off	$27,695.25	$107,662.50	$81,675.00	2026-05-23
7405063	OTHER	Impella 5.5 With Smartassist	53	7	$123,750.00	$74,250.00 40% off	$25,370.22	$107,662.50	$81,675.00	2026-05-23
5912	OTHER	Neonate Birthwt 500-749g Without Major Procedure	4	1	—	—	$79,015.51	$79,015.51	$79,015.51	2026-05-23
1794	OTHER	Defibrillator Implants	4	1	—	—	$78,581.70	$78,581.70	$78,581.70	2026-05-23
3033	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	1	—	—	$78,356.34	$78,356.34	$78,356.34	2026-05-23
215	OTHER	Other Heart Assist System Implant	52	9	—	—	$5,564.00	$153,236.21	$78,161.26	2026-05-23
6804	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	4	1	—	—	$76,794.43	$76,794.43	$76,794.43	2026-05-23
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	30	7	—	—	$76,548.49	$147,738.58	$76,548.49	2026-05-23
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	30	7	—	—	$76,548.49	$147,738.58	$76,548.49	2026-05-23
1623	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	4	1	—	—	$76,421.23	$76,421.23	$76,421.23	2026-05-23
5244	OTHER	Level 4 Blood Product Exchange And Related Services	30	7	—	—	$69,649.56	$146,063.51	$75,680.58	2026-05-23
6033	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	1	—	—	$74,701.86	$74,701.86	$74,701.86	2026-05-23
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	54	9	—	—	$5,564.00	$151,278.00	$74,644.35	2026-05-23
5891	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	4	1	—	—	$74,642.51	$74,642.51	$74,642.51	2026-05-23
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	68	8	—	—	$1.54	$343,130.38	$74,069.50	2026-05-23
8504	OTHER	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	4	1	—	—	$73,289.07	$73,289.07	$73,289.07	2026-05-23
6134	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	4	1	—	—	$71,481.20	$71,481.20	$71,481.20	2026-05-23
850	OTHER	Acute Leukemia With Other Procedures	34	7	—	—	$23,500.00	$133,233.72	$71,247.98	2026-05-23
7405098	OTHER	Triclip G4 System	53	7	$107,250.00	$64,350.00 40% off	$22,771.65	$93,307.50	$71,225.00	2026-05-23
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	34	7	—	—	$23,500.00	$136,497.86	$70,724.28	2026-05-23
1783	OTHER	External Heart Assist Systems	4	1	—	—	$70,285.28	$70,285.28	$70,285.28	2026-05-23
7162700	OTHER	Impella Ventri Restore Kit	31	7	$106,223.34	$63,734.00 40% off	$23,772.78	$92,414.31	$70,107.40	2026-05-23
9124	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	4	1	—	—	$70,007.79	$70,007.79	$70,007.79	2026-05-23
7401627	OTHER	Barostim Neo CVRx	53	7	$99,000.00	$59,400.00 40% off	$22,156.20	$86,130.00	$69,300.00	2026-05-23
4600569	OTHER	Barostim Neo CVRx	53	7	$99,000.00	$59,400.00 40% off	$22,156.20	$86,130.00	$69,300.00	2026-05-23
7229548	OTHER	Glucarpidase Inj, Per 10 Units	67	12	$237,806.50	$142,683.90 40% off	$430.60	$226,482.00	$68,737.29	2026-05-23
6214	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	4	1	—	—	$68,528.29	$68,528.29	$68,528.29	2026-05-23
8413	OTHER	Extensive 3rd Degree Burns W Skin Graft	4	1	—	—	$68,315.06	$68,315.06	$68,315.06	2026-05-23
7401528	OTHER	Respicardia Generator/lead	53	7	$97,496.00	$58,497.60 40% off	$21,819.60	$84,821.52	$68,247.20	2026-05-23
1204	OTHER	Major Respiratory & Chest Procedures	4	1	—	—	$66,993.08	$66,993.08	$66,993.08	2026-05-23
4403	OTHER	Kidney Transplant	4	1	—	—	$66,458.77	$66,458.77	$66,458.77	2026-05-23
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	38	8	—	—	$23,500.00	$127,313.77	$65,965.68	2026-05-23
6814	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	4	1	—	—	$65,808.08	$65,808.08	$65,808.08	2026-05-23
2204	OTHER	Major Stomach, Esophageal & Duodenal Procedures	4	1	—	—	$65,787.48	$65,787.48	$65,787.48	2026-05-23
6313	OTHER	Neonate Birthwt >2499g W Other Major Procedure	4	1	—	—	$65,780.19	$65,780.19	$65,780.19	2026-05-23
231	OTHER	Coronary Bypass With Ptca With Mcc	52	9	—	—	$5,564.00	$135,417.00	$65,540.44	2026-05-23
7425074	OTHER	Valve Tavr Sapien	53	7	$93,500.00	$56,100.00 40% off	$20,925.30	$81,345.00	$65,450.00	2026-05-23
7405061	OTHER	Valve Tavr Sapien 3 Ultra	53	7	$93,487.23	$56,092.34 40% off	$20,922.44	$81,345.00	$65,450.00	2026-05-23
7220496	OTHER	Zynlonta 10mg	51	7	$111,065.60	$66,639.36 40% off	$24,856.48	$111,065.60	$65,375.04	2026-05-23
6904	OTHER	Acute Leukemia	4	1	—	—	$65,306.43	$65,306.43	$65,306.43	2026-05-23
2604	OTHER	Major Pancreas, Liver & Shunt Procedures	4	1	—	—	$65,294.31	$65,294.31	$65,294.31	2026-05-23
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	30	7	—	—	$64,771.89	$125,009.75	$64,771.89	2026-05-23
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	30	7	—	—	$64,771.89	$125,009.75	$64,771.89	2026-05-23
6334	OTHER	Neonate Birthwt >2499g W Major Anomaly	4	1	—	—	$64,487.36	$64,487.36	$64,487.36	2026-05-23
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	4	1	—	—	$64,206.23	$64,206.23	$64,206.23	2026-05-23
7220404	OTHER	Pembrolizum-berahya-pmph 790mg	22	6	$96,700.88	$58,020.53 40% off	$21,641.66	$82,195.75	$63,822.58	2026-05-23
7425075	OTHER	Gen, Neuro, Carot Sinus Baro	31	7	$96,250.00	$57,750.00 40% off	$21,540.75	$83,737.50	$63,525.00	2026-05-23
1653	OTHER	Coronary Bypass W Ami Or Complex Pdx	4	1	—	—	$63,463.46	$63,463.46	$63,463.46	2026-05-23
7220346	OTHER	Adstiladrin	83	12	$60,000.00	$36,000.00 40% off	$13,428.00	$175,470.18	$63,402.04	2026-05-23
3614	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	4	1	—	—	$63,362.91	$63,362.91	$63,362.91	2026-05-23
6072	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	1	—	—	$63,332.57	$63,332.57	$63,332.57	2026-05-23
4414	OTHER	Major Bladder Procedures	4	1	—	—	$63,178.69	$63,178.69	$63,178.69	2026-05-23
6084	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	1	—	—	$63,177.50	$63,177.50	$63,177.50	2026-05-23
1633	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	1	—	—	$62,886.70	$62,886.70	$62,886.70	2026-05-23
1304	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	1	—	—	$62,484.41	$62,484.41	$62,484.41	2026-05-23
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	36	8	—	—	$23,500.00	$119,214.43	$62,346.72	2026-05-23
1603	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	1	—	—	$62,319.61	$62,319.61	$62,319.61	2026-05-23
6083	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	1	—	—	$61,768.28	$61,768.28	$61,768.28	2026-05-23
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	52	9	—	—	$5,564.00	$135,417.00	$60,013.90	2026-05-23
6144	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	4	1	—	—	$59,863.50	$59,863.50	$59,863.50	2026-05-23
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	51	9	—	—	$5,564.00	$151,278.00	$59,844.50	2026-05-23
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	38	8	—	—	$23,500.00	$115,443.53	$59,815.30	2026-05-23
4600796	OTHER	Tambe Device	22	6	$79,750.00	$47,850.00 40% off	$17,848.05	$69,382.50	$59,812.50	2026-05-23
4600807	OTHER	Amds Hybrid Prosthesis Stent	22	6	$79,475.00	$47,685.00 40% off	$17,786.51	$69,143.25	$59,606.25	2026-05-23
7403007	OTHER	Ccl Sapien 3 Ur 29mm-061320	53	7	$85,000.00	$51,000.00 40% off	$19,023.00	$73,950.00	$59,500.00	2026-05-23
7403006	OTHER	Ccl Sapien 3 Ur 26mm-061325	53	7	$85,000.00	$51,000.00 40% off	$19,023.00	$73,950.00	$59,500.00	2026-05-23
7403005	OTHER	Ccl Sapien 3 Ur 23mm-061324	53	7	$85,000.00	$51,000.00 40% off	$19,023.00	$73,950.00	$59,500.00	2026-05-23
7403004	OTHER	Ccl Sapien 3 Ur 20mm-061323	53	7	$85,000.00	$51,000.00 40% off	$19,023.00	$73,950.00	$59,500.00	2026-05-23
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	32	7	—	—	$23,500.00	$114,653.06	$59,498.87	2026-05-23
2614	OTHER	Major Biliary Tract Procedures	4	1	—	—	$59,404.32	$59,404.32	$59,404.32	2026-05-23
7268048	OTHER	Y90 Ibritumomab Rx <= 40 Mci	81	12	$89,737.00	$53,842.20 40% off	$20,083.14	$109,671.38	$59,226.42	2026-05-23
7401638	OTHER	Implt/rpl Crtd Sns Dev Total	15	6	$78,750.00	$47,250.00 40% off	$5,000.00	$66,937.50	$59,062.50	2026-05-23
7405062	OTHER	Valve Transcath Heart Sys	31	7	$89,375.00	$53,625.00 40% off	$20,002.13	$77,756.25	$58,987.50	2026-05-23
1814	OTHER	Lower Extremity Arterial Procedures	4	1	—	—	$58,869.95	$58,869.95	$58,869.95	2026-05-23
7404	OTHER	Mental Illness Diagnosis W O.r. Procedure	4	1	—	—	$58,752.37	$58,752.37	$58,752.37	2026-05-23
4402	OTHER	Kidney Transplant	4	1	—	—	$58,431.30	$58,431.30	$58,431.30	2026-05-23
1764	OTHER	Cardiac Pacemaker & Defibrillator Device Replacement	4	1	—	—	$58,256.82	$58,256.82	$58,256.82	2026-05-23
7405059	OTHER	Mitraclip G4 System	53	7	$82,535.87	$49,521.52 40% off	$18,471.53	$72,374.91	$58,232.68	2026-05-23
10	OTHER	Pancreas Transplant	34	8	—	—	$23,500.00	$115,316.96	$58,018.24	2026-05-23
7403009	OTHER	Cln Trial - Sapien X4 23mm	31	7	$82,500.00	$49,500.00 40% off	$18,463.50	$71,775.00	$57,750.00	2026-05-23
7405060	OTHER	Valve Aortic Tavê	53	7	$82,500.00	$49,500.00 40% off	$18,463.50	$71,775.00	$57,750.00	2026-05-23
5104	OTHER	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	4	1	—	—	$57,145.68	$57,145.68	$57,145.68	2026-05-23
1781	OTHER	External Heart Assist Systems	4	1	—	—	$57,030.62	$57,030.62	$57,030.62	2026-05-23
7401695	OTHER	Evolut Fx Tavr System 29mm	53	7	$81,250.00	$48,750.00 40% off	$18,183.75	$70,687.50	$56,875.00	2026-05-23
7401693	OTHER	Evolut Fx Tavr System 23mm	53	7	$81,250.00	$48,750.00 40% off	$18,183.75	$70,687.50	$56,875.00	2026-05-23
7401694	OTHER	Evolut Fx Tavr System 26mm	53	7	$81,250.00	$48,750.00 40% off	$18,183.75	$70,687.50	$56,875.00	2026-05-23
7401696	OTHER	Evolut Fx Tavr System 34mm	53	7	$81,250.00	$48,750.00 40% off	$18,183.75	$70,687.50	$56,875.00	2026-05-23
3032	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	1	—	—	$56,859.72	$56,859.72	$56,859.72	2026-05-23
1643	OTHER	Y90 Ibritumomab, Rx	30	7	—	—	$56,824.55	$109,671.38	$56,824.55	2026-05-23
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	7	—	—	$23,500.00	$109,363.73	$56,665.14	2026-05-23
6302	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	1	—	—	$56,354.49	$56,354.49	$56,354.49	2026-05-23
7257247	OTHER	Tavr Supplies 129826-27	53	7	$80,438.00	$48,262.80 40% off	$18,002.02	$69,981.06	$56,306.60	2026-05-23
7401620	OTHER	S3ucm223a - Tavr Valve	53	7	$80,438.00	$48,262.80 40% off	$18,002.02	$69,981.06	$56,306.60	2026-05-23
7401621	OTHER	S3ucm226a - Tavr Valve	53	7	$80,438.00	$48,262.80 40% off	$18,002.02	$69,981.06	$56,306.60	2026-05-23
6954	OTHER	Chemotherapy For Acute Leukemia	4	1	—	—	$56,171.53	$56,171.53	$56,171.53	2026-05-23
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	38	7	—	—	$19,721.00	$108,027.47	$55,972.78	2026-05-23
7924	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	1	—	—	$55,886.76	$55,886.76	$55,886.76	2026-05-23
9273	OTHER	Sipuleucel-t Auto Cd54+	30	7	—	—	$54,404.11	$104,999.93	$55,536.50	2026-05-23
2304	OTHER	Major Small Bowel Procedures	4	1	—	—	$55,354.84	$55,354.84	$55,354.84	2026-05-23
3214	OTHER	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	4	1	—	—	$55,002.24	$55,002.24	$55,002.24	2026-05-23
1793	OTHER	Defibrillator Implants	4	1	—	—	$54,845.91	$54,845.91	$54,845.91	2026-05-23
1833	OTHER	Percutaneous Structural Cardiac Procedures	4	1	—	—	$54,774.43	$54,774.43	$54,774.43	2026-05-23
5892	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	4	1	—	—	$54,361.22	$54,361.22	$54,361.22	2026-05-23
3043	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	4	1	—	—	$54,161.30	$54,161.30	$54,161.30	2026-05-23
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	58	8	—	—	$82.08	$104,715.63	$53,807.45	2026-05-23
2324	OTHER	Gastric Fundoplication	4	1	—	—	$53,410.06	$53,410.06	$53,410.06	2026-05-23
1673	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	4	1	—	—	$53,394.29	$53,394.29	$53,394.29	2026-05-23
6123	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	4	1	—	—	$53,038.05	$53,038.05	$53,038.05	2026-05-23
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	30	7	—	—	$52,995.29	$102,280.91	$52,995.29	2026-05-23
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	30	7	—	—	$52,995.29	$102,280.91	$52,995.29	2026-05-23
1663	OTHER	Coronary Bypass Without Ami Or Complex Pdx	4	1	—	—	$52,930.20	$52,930.20	$52,930.20	2026-05-23
955	OTHER	Craniotomy For Multiple Significant Trauma	38	8	—	—	$23,500.00	$101,977.97	$52,838.33	2026-05-23
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	44	9	—	—	$19,721.00	$104,202.03	$52,780.23	2026-05-23
6113	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	4	1	—	—	$52,639.40	$52,639.40	$52,639.40	2026-05-23
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	38	7	—	—	$19,721.00	$101,302.27	$52,488.22	2026-05-23
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	34	7	—	—	$23,500.00	$101,228.03	$52,449.76	2026-05-23
4401	OTHER	Kidney Transplant	4	1	—	—	$52,392.26	$52,392.26	$52,392.26	2026-05-23
3254	OTHER	Non-elective Or Complex Knee Joint Replacement	4	1	—	—	$51,882.13	$51,882.13	$51,882.13	2026-05-23
1621	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	4	1	—	—	$51,848.22	$51,848.22	$51,848.22	2026-05-23
2644	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	4	1	—	—	$51,544.03	$51,544.03	$51,544.03	2026-05-23
6133	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	4	1	—	—	$51,285.96	$51,285.96	$51,285.96	2026-05-23
7400455	OTHER	Impella Device 139082	53	7	$68,750.00	$41,250.00 40% off	$15,386.25	$67,335.90	$51,082.41	2026-05-23
4054	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	4	1	—	—	$50,996.35	$50,996.35	$50,996.35	2026-05-23
7160301	OTHER	Abiomed Ventricle Blood Pump	53	7	$68,750.00	$41,250.00 40% off	$15,386.25	$66,990.00	$50,875.00	2026-05-23
4044	OTHER	Thyroid, Parathyroid & Thyroglossal Procedures	4	1	—	—	$50,808.56	$50,808.56	$50,808.56	2026-05-23
7104	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	4	1	—	—	$50,735.89	$50,735.89	$50,735.89	2026-05-23
5124	OTHER	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	4	1	—	—	$50,712.84	$50,712.84	$50,712.84	2026-05-23
6514	OTHER	Other Procedures Of Blood & Blood-forming Organs	4	1	—	—	$50,573.46	$50,573.46	$50,573.46	2026-05-23
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	48	9	—	—	$5,564.00	$103,079.00	$50,527.49	2026-05-23
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	38	8	—	—	$23,500.00	$97,487.43	$50,511.62	2026-05-23
7401677	OTHER	Insj Perq Vad R Hrt Venous	25	6	$89,672.00	$53,803.20 40% off	$3,000.00	$76,221.20	$50,485.34	2026-05-23
1754	OTHER	Percutaneous Coronary Intervention Without Ami	4	1	—	—	$50,149.39	$50,149.39	$50,149.39	2026-05-23
1632	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	1	—	—	$50,148.19	$50,148.19	$50,148.19	2026-05-23
7425073	OTHER	Generator, Ccm, Implant	53	7	$71,500.00	$42,900.00 40% off	$16,001.70	$62,205.00	$50,050.00	2026-05-23
51	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	4	1	—	—	$49,903.43	$49,903.43	$49,903.43	2026-05-23
7425142	OTHER	1st Opn Implt Bat Modulj Sys	12	6	$78,750.00	$47,250.00 40% off	$3,000.00	$96,807.51	$49,730.62	2026-05-23
4034	OTHER	Procedures For Obesity	4	1	—	—	$49,678.08	$49,678.08	$49,678.08	2026-05-23
7403011	OTHER	Cln Trial - Sapien X4 29mm	31	7	$75,000.00	$45,000.00 40% off	$16,785.00	$65,250.00	$49,500.00	2026-05-23
7403010	OTHER	Cln Trial - Sapien X4 26mm	31	7	$75,000.00	$45,000.00 40% off	$16,785.00	$65,250.00	$49,500.00	2026-05-23
2314	OTHER	Major Large Bowel Procedures	4	1	—	—	$49,255.19	$49,255.19	$49,255.19	2026-05-23
6092	OTHER	Neonate Bwt 1500-2499g W Major Procedure	4	1	—	—	$49,141.26	$49,141.26	$49,141.26	2026-05-23
8633	OTHER	Neonatal Aftercare	4	1	—	—	$49,074.62	$49,074.62	$49,074.62	2026-05-23
224	OTHER	Ventricular Shunt Procedures	8	2	—	—	$48,064.10	$50,004.00	$49,034.05	2026-05-23
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	38	8	—	—	$23,500.00	$92,739.34	$48,914.39	2026-05-23
6504	OTHER	Splenectomy	4	1	—	—	$48,778.98	$48,778.98	$48,778.98	2026-05-23
4474	OTHER	Other Kidney, Urinary Tract & Related Procedures	4	1	—	—	$48,606.95	$48,606.95	$48,606.95	2026-05-23
5144	OTHER	Female Reproductive System Reconstructive Procedures	4	1	—	—	$48,581.45	$48,581.45	$48,581.45	2026-05-23
4424	OTHER	Kidney & Urinary Tract Procedures For Malignancy	4	1	—	—	$48,405.78	$48,405.78	$48,405.78	2026-05-23
7257297	OTHER	Mitraclip Kit - 1	53	7	$68,850.00	$41,310.00 40% off	$15,408.63	$59,899.50	$48,195.00	2026-05-23
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	42	8	—	—	$19,721.00	$92,846.90	$48,107.20	2026-05-23
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	38	7	—	—	$19,721.00	$91,001.60	$47,909.63	2026-05-23
1303	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	4	1	—	—	$47,797.55	$47,797.55	$47,797.55	2026-05-23
3031	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	4	1	—	—	$47,773.30	$47,773.30	$47,773.30	2026-05-23
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	52	9	—	—	$5,564.00	$103,079.00	$47,697.68	2026-05-23
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	42	8	—	—	$14,065.32	$99,255.47	$47,629.63	2026-05-23
3094	OTHER	Other Significant Hip & Femur Surgery	4	1	—	—	$47,499.46	$47,499.46	$47,499.46	2026-05-23
232	OTHER	Coronary Bypass With Ptca Without Mcc	52	9	—	—	$5,564.00	$91,850.02	$47,418.71	2026-05-23
6224	OTHER	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	4	1	—	—	$47,230.45	$47,230.45	$47,230.45	2026-05-23
28	OTHER	Spinal Procedures With Mcc	38	8	—	—	$23,500.00	$91,027.36	$47,164.43	2026-05-23
3134	OTHER	Knee & Lower Leg Procedures Except Foot	4	1	—	—	$47,125.00	$47,125.00	$47,125.00	2026-05-23
2294	OTHER	Other Digestive System & Abdominal Procedures	4	1	—	—	$46,956.61	$46,956.61	$46,956.61	2026-05-23
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	38	8	—	—	$23,500.00	$90,342.57	$46,809.62	2026-05-23
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	34	8	—	—	$23,500.00	$89,836.55	$46,683.66	2026-05-23
4804	OTHER	Major Male Pelvic Procedures	4	1	—	—	$46,673.10	$46,673.10	$46,673.10	2026-05-23
6143	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	4	1	—	—	$46,421.05	$46,421.05	$46,421.05	2026-05-23
7401727	OTHER	Insj Perq Vad R Hrt Venous	25	6	$82,362.00	$49,417.20 40% off	$3,000.00	$70,007.70	$46,369.81	2026-05-23
7114	OTHER	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	4	1	—	—	$46,267.17	$46,267.17	$46,267.17	2026-05-23
4600581	OTHER	Kit Ipg Senza Ii	53	7	$63,800.00	$38,280.00 40% off	$14,278.44	$57,420.00	$46,200.00	2026-05-23
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	48	9	—	—	$5,564.00	$135,417.00	$46,067.81	2026-05-23
7220402	OTHER	Amivantamab/hyaluron-lpuj 14ml	22	6	$69,792.84	$41,875.70 40% off	$15,619.64	$59,323.91	$46,063.27	2026-05-23
2244	OTHER	Peritoneal Adhesiolysis	4	1	—	—	$46,015.12	$46,015.12	$46,015.12	2026-05-23
226	OTHER	Cardiac Defibrillator Implant Without Cardiac Cath W Mcc	4	1	—	—	$45,919.00	$45,919.00	$45,919.00	2026-05-23
5893	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	4	1	—	—	$45,650.40	$45,650.40	$45,650.40	2026-05-23
7257317	OTHER	Cln Trl Tavr Supplies	31	7	$65,035.00	$39,021.00 40% off	$14,554.83	$56,580.45	$45,524.50	2026-05-23
3104	OTHER	Intervertebral Disc Excision & Decompression	4	1	—	—	$45,463.79	$45,463.79	$45,463.79	2026-05-23
1651	OTHER	Coronary Bypass W Ami Or Complex Pdx	4	1	—	—	$45,461.41	$45,461.41	$45,461.41	2026-05-23
6254	OTHER	Neonate Bwt 2000-2499g W Other Significant Condition	4	1	—	—	$45,400.80	$45,400.80	$45,400.80	2026-05-23
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	34	7	—	—	$23,500.00	$87,373.11	$45,271.04	2026-05-23
1142	OTHER	Supprelin La Implant	34	7	—	—	$6,458.28	$84,639.56	$45,261.80	2026-05-23
6234	OTHER	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	4	1	—	—	$45,202.07	$45,202.07	$45,202.07	2026-05-23
1792	OTHER	Defibrillator Implants	4	1	—	—	$45,145.11	$45,145.11	$45,145.11	2026-05-23
6610215	OTHER	Ipg Generator Neuro Rechg	31	7	$68,200.00	$40,920.00 40% off	$15,263.16	$59,334.00	$45,012.00	2026-05-23
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	42	8	—	—	$23,500.00	$177,417.99	$44,982.17	2026-05-23
1631	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	4	1	—	—	$44,887.03	$44,887.03	$44,887.03	2026-05-23
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	20	6	—	—	$24,323.00	$86,461.07	$44,798.48	2026-05-23
6091	OTHER	Neonate Bwt 1500-2499g W Major Procedure	4	1	—	—	$44,576.82	$44,576.82	$44,576.82	2026-05-23
4844	OTHER	Other Male Reproductive System & Related Procedures	4	1	—	—	$44,489.58	$44,489.58	$44,489.58	2026-05-23
1693	OTHER	Major Abdominal Vascular Procedures	4	1	—	—	$44,439.90	$44,439.90	$44,439.90	2026-05-23
6082	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	4	1	—	—	$44,418.11	$44,418.11	$44,418.11	2026-05-23
7220887	OTHER	Botulism Immuneglobulin (babyb	55	7	$78,837.50	$47,302.50 40% off	$17,643.83	$78,837.50	$44,385.51	2026-05-23
7401500	OTHER	Insj/rplc Nstim Apnea Compl	24	7	$78,750.00	$47,250.00 40% off	$599.11	$96,807.51	$44,336.25	2026-05-23
3154	OTHER	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	4	1	—	—	$44,286.02	$44,286.02	$44,286.02	2026-05-23
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	7	—	—	$23,500.00	$85,174.81	$44,132.03	2026-05-23
3054	OTHER	Amputation Of Lower Limb Except Toes	4	1	—	—	$44,075.24	$44,075.24	$44,075.24	2026-05-23
7934	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	4	1	—	—	$44,072.79	$44,072.79	$44,072.79	2026-05-23
8	OTHER	Simultaneous Pancreas And Kidney Transplant	34	8	—	—	$23,500.00	$84,911.19	$43,995.44	2026-05-23
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	34	8	—	—	$23,500.00	$87,298.44	$43,922.19	2026-05-23
2224	OTHER	Other Stomach, Esophageal & Duodenal Procedures	4	1	—	—	$43,843.79	$43,843.79	$43,843.79	2026-05-23
3204	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	4	1	—	—	$43,783.18	$43,783.18	$43,783.18	2026-05-23
984	OTHER	Other Ear, Nose, Mouth & Throat Procedures	4	1	—	—	$43,741.98	$43,741.98	$43,741.98	2026-05-23
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	38	7	—	—	$19,721.00	$84,329.42	$43,694.00	2026-05-23
3224	OTHER	Shoulder & Elbow Joint Replacement	4	1	—	—	$43,536.03	$43,536.03	$43,536.03	2026-05-23
2274	OTHER	Hernia Procedures Except Inguinal, Femoral & Umbilical	4	1	—	—	$43,441.51	$43,441.51	$43,441.51	2026-05-23
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	42	8	—	—	$7,781.46	$88,762.21	$43,354.89	2026-05-23
2234	OTHER	Other Small & Large Bowel Procedures	4	1	—	—	$43,290.01	$43,290.01	$43,290.01	2026-05-23
459	OTHER	Spinal Fusion Except Cervical W Mcc	4	1	—	—	$43,000.00	$43,000.00	$43,000.00	2026-05-23
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	38	8	—	—	$23,500.00	$82,879.54	$42,942.77	2026-05-23
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	52	9	—	—	$5,564.00	$82,761.37	$42,881.54	2026-05-23
7524	OTHER	Disorders Of Personality & Impulse Control	4	1	—	—	$42,868.39	$42,868.39	$42,868.39	2026-05-23
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	40	8	—	—	$23,500.00	$82,631.08	$42,814.03	2026-05-23
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	40	8	—	—	$23,500.00	$104,975.95	$42,752.81	2026-05-23
7594	OTHER	Eating Disorders	4	1	—	—	$42,627.27	$42,627.27	$42,627.27	2026-05-23
7401514	OTHER	Optimizer Smart	53	7	$60,258.00	$36,154.80 40% off	$13,485.74	$52,424.46	$42,180.60	2026-05-23
3634	OTHER	Breast Procedures Except Mastectomy	4	1	—	—	$42,146.22	$42,146.22	$42,146.22	2026-05-23
3624	OTHER	Mastectomy Procedures	4	1	—	—	$42,092.90	$42,092.90	$42,092.90	2026-05-23
653	OTHER	Major Bladder Procedures With Mcc	38	8	—	—	$23,500.00	$80,626.12	$42,014.85	2026-05-23

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