Hospital

WEST JERSEY HOSPITAL

Voorhees, NJ · CCN 310022 · Rates published

5,558 distinct procedures filed

40 distinct payers

438,862 rate rows

2026-05-27 last MRF observed

Data quality

360,268 of 438,862 rate rows are consumer-grade (82.1%)

78,594 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	68,812
exceeds 10× this hospital's gross charge — excluded from medians	3,894
per-diem day rate — not a per-procedure price	3,066
template filing: same amount across many unrelated codes — excluded	2,002
placeholder amount (≤ $0.02) — excluded from medians	820

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

Source MRF file	https://www.virtua.org/-/media/Project/Virtua-Tenant/Virtua/PDFs/Hospital-Charges-June-2026/210634532_Virtua-West-Jersey-Health-System-Inc_standardcharges.csv
Found on page	https://www.virtua.org/Patients-and-Visitors/Hospital-Charges-and-Estimates
Discovered via	CMS hospital list
Last fetch	success · 2026-06-08
Content fingerprint	70e5ca770189336a… · 361,573,164 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	17	$3,853,477.39	$4,415,442.85	$4,054,179.34	nat. median $3,746,358 1.1× median
773 OTHER	Inj, Beqvez, Per Tx Dose	17	$3,782,239.10	$4,333,815.64	$3,979,230.72	nat. median $3,605,000 1.1× median
9141 OTHER	Inj Onase Abepar-xioi Treat	18	$2,506,049.97	$4,568,320.26	$2,649,625.75	nat. median $2,588,981 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos T	21	$555,210.52	$1,735,032.86	$595,694.62	nat. median $566,531 1.1× median
9498 OTHER	Ciltacabtagene Car-pos T	21	$553,039.35	$1,728,247.97	$593,365.14	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	21	$552,477.17	$1,726,491.15	$592,761.96	nat. median $558,082 1.1× median
9413 OTHER	Lisocabtagene Mara Car Pos T	21	$542,130.81	$1,694,158.78	$581,661.18	nat. median $562,201 1.0× median
5834 OTHER	Neonate W Ecmo	5	$555,194.02	$555,194.02	$555,194.02	nat. median $372,748 1.5× median
9035 OTHER	Axicabtagene Ciloleucel Car+	21	$513,519.96	$1,604,749.88	$550,964.13	nat. median $532,192 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	21	$483,172.29	$1,509,913.40	$518,403.60	nat. median $489,450 1.1× median
5833 OTHER	Neonate W Ecmo	5	$483,502.52	$483,502.52	$483,502.52	nat. median $252,069 1.9× median
5884 OTHER	Neonate Bwt <1500g W Major Procedure	5	$414,103.15	$414,103.15	$414,103.15	nat. median $243,175 1.7× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	$304,062.04	$992,055.74	$382,778.84	nat. median $386,529 1.0× median
1614 OTHER	Cardiac Defibrillator & Heart Assist Implant	5	$381,951.30	$381,951.30	$381,951.30	nat. median $194,298 2.0× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	23	$220,850.63	$696,500.34	$327,825.16	nat. median $239,422 1.4× median
5832 OTHER	Neonate W Ecmo	5	$303,409.48	$303,409.48	$303,409.48	nat. median $152,272 2.0× median
6304 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	5	$281,465.27	$281,465.27	$281,465.27	nat. median $164,743 1.7× median
8414 OTHER	Extensive 3rd Degree Burns W Skin Graft	5	$274,323.77	$274,323.77	$274,323.77	nat. median $161,322 1.7× median
5934 OTHER	Neonate Birthwt 750-999g Without Major Procedure	5	$272,226.90	$272,226.90	$272,226.90	nat. median $129,842 outlier · 2.1×
5914 OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	$269,511.04	$269,511.04	$269,511.04	nat. median $149,152 1.8× median
5883 OTHER	Neonate Bwt <1500g W Major Procedure	5	$265,594.04	$265,594.04	$265,594.04	nat. median $163,694 1.6× median
6314 OTHER	Neonate Birthwt >2499g W Other Major Procedure	5	$264,767.13	$264,767.13	$264,767.13	nat. median $163,675 1.6× median
6094 OTHER	Neonate Bwt 1500-2499g W Major Procedure	5	$261,739.38	$261,739.38	$261,739.38	nat. median $170,784 1.5× median
5882 OTHER	Neonate Bwt <1500g W Major Procedure	5	$258,530.98	$258,530.98	$258,530.98	nat. median $119,369 outlier · 2.2×
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	23	$154,691.32	$487,615.01	$248,338.16	nat. median $181,005 1.4× median
5831 OTHER	Neonate W Ecmo	5	$245,705.08	$245,705.08	$245,705.08	nat. median $139,037 1.8× median
44 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$241,984.81	$241,984.81	$241,984.81	nat. median $33,835 outlier · 7.2×
1612 OTHER	Cardiac Defibrillator & Heart Assist Implant	5	$232,106.65	$232,106.65	$232,106.65	nat. median $84,765 outlier · 2.7×
1611 OTHER	Cardiac Defibrillator & Heart Assist Implant	5	$220,766.69	$220,766.69	$220,766.69	nat. median $80,527 outlier · 2.7×
6034 OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	5	$204,209.33	$204,209.33	$204,209.33	nat. median $92,525 outlier · 2.2×
14 OTHER	Allogeneic Bone Marrow Transplant	25	$94,781.32	$315,153.31	$201,214.19	nat. median $100,915 2.0× median
6024 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$196,434.51	$196,434.51	$196,434.51	nat. median $99,381 2.0× median
5933 OTHER	Neonate Birthwt 750-999g Without Major Procedure	5	$183,362.29	$183,362.29	$183,362.29	nat. median $87,090 outlier · 2.1×
5913 OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	$176,449.54	$176,449.54	$176,449.54	nat. median $115,252 1.5× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	23	$1.62	$484,836.03	$176,176.92	nat. median $146,562 1.2× median
1604 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	5	$174,159.16	$174,159.16	$174,159.16	nat. median $44,507 outlier · 3.9×
5881 OTHER	Neonate Bwt <1500g W Major Procedure	5	$171,951.94	$171,951.94	$171,951.94	nat. median $14,014 outlier · 12.3×
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	23	$96,621.50	$318,213.75	$162,127.39	nat. median $134,983 1.2× median
43 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	5	$159,937.04	$159,937.04	$159,937.04	nat. median $48,509 outlier · 3.3×
215 OTHER	Other Heart Assist System Implant	24	$78,548.90	$339,832.23	$153,415.81	nat. median $92,359 1.7× median
6074 OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$152,699.62	$152,699.62	$152,699.62	nat. median $85,400 1.8× median
6303 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	5	$152,469.22	$152,469.22	$152,469.22	nat. median $84,422 1.8× median
7 OTHER	Lung Transplant	23	$94,278.05	$297,510.12	$151,591.02	nat. median $169,933 0.9× median
3034 OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	5	$151,282.50	$151,282.50	$151,282.50	nat. median $71,896 outlier · 2.1×
8424 OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	5	$149,735.79	$149,735.79	$149,735.79	nat. median $91,349 1.6× median
1624 OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	5	$148,937.73	$148,937.73	$148,937.73	nat. median $5 outlier · 30708.8×
6023 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	5	$148,392.29	$148,392.29	$148,392.29	nat. median $75,452 2.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	$89,377.33	$353,983.44	$146,346.41	nat. median $111,558 1.3× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	24	$77,176.83	$258,996.77	$142,581.38	nat. median $90,130 1.6× median
5932 OTHER	Neonate Birthwt 750-999g Without Major Procedure	5	$142,568.76	$142,568.76	$142,568.76	nat. median $67,086 outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 5,558 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

9138	OTHER	Inj, Hemgenix, Per Tx Dose	34	17	—	—	$3,853,477.39	$4,415,442.85	$4,054,179.34	2026-05-27
773	OTHER	Inj, Beqvez, Per Tx Dose	34	17	—	—	$3,782,239.10	$4,333,815.64	$3,979,230.72	2026-05-27
9141	OTHER	Inj Onase Abepar-xioi Treat	36	18	—	—	$2,506,049.97	$4,568,320.26	$2,649,625.75	2026-05-27
9194	OTHER	Tisagenlecleucel Car-pos T	48	21	—	—	$555,210.52	$1,735,032.86	$595,694.62	2026-05-27
9498	OTHER	Ciltacabtagene Car-pos T	48	21	—	—	$553,039.35	$1,728,247.97	$593,365.14	2026-05-27
9422	OTHER	Idecabtagene Vicleucel Car	48	21	—	—	$552,477.17	$1,726,491.15	$592,761.96	2026-05-27
9413	OTHER	Lisocabtagene Mara Car Pos T	48	21	—	—	$542,130.81	$1,694,158.78	$581,661.18	2026-05-27
5834	OTHER	Neonate W Ecmo	12	5	—	—	$555,194.02	$555,194.02	$555,194.02	2026-05-27
9035	OTHER	Axicabtagene Ciloleucel Car+	48	21	—	—	$513,519.96	$1,604,749.88	$550,964.13	2026-05-27
9391	OTHER	Brexucabtagene Car Pos T	48	21	—	—	$483,172.29	$1,509,913.40	$518,403.60	2026-05-27
5833	OTHER	Neonate W Ecmo	12	5	—	—	$483,502.52	$483,502.52	$483,502.52	2026-05-27
5884	OTHER	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$414,103.15	$414,103.15	$414,103.15	2026-05-27
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	62	23	—	—	$304,062.04	$992,055.74	$382,778.84	2026-05-27
1614	OTHER	Cardiac Defibrillator & Heart Assist Implant	12	5	—	—	$381,951.30	$381,951.30	$381,951.30	2026-05-27
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	72	23	—	—	$220,850.63	$696,500.34	$327,825.16	2026-05-27
5832	OTHER	Neonate W Ecmo	12	5	—	—	$303,409.48	$303,409.48	$303,409.48	2026-05-27
6304	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	12	5	—	—	$281,465.27	$281,465.27	$281,465.27	2026-05-27
8414	OTHER	Extensive 3rd Degree Burns W Skin Graft	12	5	—	—	$274,323.77	$274,323.77	$274,323.77	2026-05-27
5934	OTHER	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$272,226.90	$272,226.90	$272,226.90	2026-05-27
5914	OTHER	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$269,511.04	$269,511.04	$269,511.04	2026-05-27
5883	OTHER	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$265,594.04	$265,594.04	$265,594.04	2026-05-27
6314	OTHER	Neonate Birthwt >2499g W Other Major Procedure	12	5	—	—	$264,767.13	$264,767.13	$264,767.13	2026-05-27
6094	OTHER	Neonate Bwt 1500-2499g W Major Procedure	12	5	—	—	$261,739.38	$261,739.38	$261,739.38	2026-05-27
5882	OTHER	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$258,530.98	$258,530.98	$258,530.98	2026-05-27
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	72	23	—	—	$154,691.32	$487,615.01	$248,338.16	2026-05-27
5831	OTHER	Neonate W Ecmo	12	5	—	—	$245,705.08	$245,705.08	$245,705.08	2026-05-27
44	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	12	5	—	—	$241,984.81	$241,984.81	$241,984.81	2026-05-27
1612	OTHER	Cardiac Defibrillator & Heart Assist Implant	12	5	—	—	$232,106.65	$232,106.65	$232,106.65	2026-05-27
1611	OTHER	Cardiac Defibrillator & Heart Assist Implant	12	5	—	—	$220,766.69	$220,766.69	$220,766.69	2026-05-27
6034	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	12	5	—	—	$204,209.33	$204,209.33	$204,209.33	2026-05-27
14	OTHER	Allogeneic Bone Marrow Transplant	80	25	—	—	$94,781.32	$315,153.31	$201,214.19	2026-05-27
6024	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$196,434.51	$196,434.51	$196,434.51	2026-05-27
5933	OTHER	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$183,362.29	$183,362.29	$183,362.29	2026-05-27
5913	OTHER	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$176,449.54	$176,449.54	$176,449.54	2026-05-27
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	116	23	—	—	$1.62	$484,836.03	$176,176.92	2026-05-27
1604	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	12	5	—	—	$174,159.16	$174,159.16	$174,159.16	2026-05-27
5881	OTHER	Neonate Bwt <1500g W Major Procedure	12	5	—	—	$171,951.94	$171,951.94	$171,951.94	2026-05-27
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	72	23	—	—	$96,621.50	$318,213.75	$162,127.39	2026-05-27
43	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	12	5	—	—	$159,937.04	$159,937.04	$159,937.04	2026-05-27
215	OTHER	Other Heart Assist System Implant	76	24	—	—	$78,548.90	$339,832.23	$153,415.81	2026-05-27
6074	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$152,699.62	$152,699.62	$152,699.62	2026-05-27
6303	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	12	5	—	—	$152,469.22	$152,469.22	$152,469.22	2026-05-27
7	OTHER	Lung Transplant	72	23	—	—	$94,278.05	$297,510.12	$151,591.02	2026-05-27
3034	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	12	5	—	—	$151,282.50	$151,282.50	$151,282.50	2026-05-27
8424	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	12	5	—	—	$149,735.79	$149,735.79	$149,735.79	2026-05-27
1624	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	12	5	—	—	$148,937.73	$148,937.73	$148,937.73	2026-05-27
6023	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$148,392.29	$148,392.29	$148,392.29	2026-05-27
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	72	23	—	—	$89,377.33	$353,983.44	$146,346.41	2026-05-27
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	24	—	—	$77,176.83	$258,996.77	$142,581.38	2026-05-27
5932	OTHER	Neonate Birthwt 750-999g Without Major Procedure	12	5	—	—	$142,568.76	$142,568.76	$142,568.76	2026-05-27
A9543	OTHER	Hc Yttrium Y-90 Zevalin Per Tx Dose Up To 40mci	108	37	$94,628.00	$9,462.80 90% off	$95.27	$214,674.14	$141,684.93	2026-05-27
4404	OTHER	Kidney Transplant	12	5	—	—	$140,388.74	$140,388.74	$140,388.74	2026-05-27
8514	OTHER	Gender Related Procedures	12	5	—	—	$131,822.16	$131,822.16	$131,822.16	2026-05-27
1634	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	12	5	—	—	$126,013.06	$126,013.06	$126,013.06	2026-05-27
8634	OTHER	Neonatal Aftercare	12	5	—	—	$121,633.77	$121,633.77	$121,633.77	2026-05-27
1784	OTHER	External Heart Assist Systems	12	5	—	—	$121,078.79	$121,078.79	$121,078.79	2026-05-27
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	72	23	—	—	$81,333.19	$397,994.00	$120,728.96	2026-05-27
1654	OTHER	Coronary Bypass W Ami Or Complex Pdx	12	5	—	—	$116,720.31	$116,720.31	$116,720.31	2026-05-27
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	76	24	—	—	$60,600.99	$202,842.88	$116,537.93	2026-05-27
1674	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	12	5	—	—	$116,504.42	$116,504.42	$116,504.42	2026-05-27
6114	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	12	5	—	—	$115,813.39	$115,813.39	$115,813.39	2026-05-27
6022	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$115,120.88	$115,120.88	$115,120.88	2026-05-27
6073	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$114,908.14	$114,908.14	$114,908.14	2026-05-27
6093	OTHER	Neonate Bwt 1500-2499g W Major Procedure	12	5	—	—	$114,162.81	$114,162.81	$114,162.81	2026-05-27
6124	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$111,319.03	$111,319.03	$111,319.03	2026-05-27
112	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	5	—	—	$110,321.00	$110,321.00	$110,321.00	2026-05-27
3044	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	12	5	—	—	$109,882.76	$109,882.76	$109,882.76	2026-05-27
1834	OTHER	Percutaneous Structural Cardiac Procedures	12	5	—	—	$108,244.94	$108,244.94	$108,244.94	2026-05-27
5912	OTHER	Neonate Birthwt 500-749g Without Major Procedure	12	5	—	—	$104,300.74	$104,300.74	$104,300.74	2026-05-27
1794	OTHER	Defibrillator Implants	12	5	—	—	$103,728.10	$103,728.10	$103,728.10	2026-05-27
3033	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	12	5	—	—	$103,430.63	$103,430.63	$103,430.63	2026-05-27
6804	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	12	5	—	—	$101,368.91	$101,368.91	$101,368.91	2026-05-27
1623	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	12	5	—	—	$100,876.28	$100,876.28	$100,876.28	2026-05-27
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	72	23	—	—	$62,101.43	$274,936.01	$98,633.86	2026-05-27
6033	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	12	5	—	—	$98,606.71	$98,606.71	$98,606.71	2026-05-27
5891	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	12	5	—	—	$98,528.36	$98,528.36	$98,528.36	2026-05-27
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	72	23	—	—	$66,312.15	$240,649.77	$98,432.10	2026-05-27
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	60	23	—	—	$86,930.92	$253,194.44	$97,797.29	2026-05-27
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	76	24	—	—	$54,296.73	$176,789.98	$97,577.96	2026-05-27
8504	OTHER	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	12	5	—	—	$96,741.81	$96,741.81	$96,741.81	2026-05-27
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	76	24	—	—	$51,913.34	$167,799.76	$95,164.03	2026-05-27
209	OTHER	Complex Aortic Arch Procedures	88	33	$14,422.00	$1,442.20 90% off	$10,907.50	$260,031.32	$94,854.62	2026-05-27
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	76	24	—	—	$48,393.39	$189,654.24	$94,518.35	2026-05-27
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	80	25	—	—	$45,257.80	$234,192.33	$94,456.43	2026-05-27
6134	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	12	5	—	—	$94,355.42	$94,355.42	$94,355.42	2026-05-27
1783	OTHER	External Heart Assist Systems	12	5	—	—	$92,776.80	$92,776.80	$92,776.80	2026-05-27
9124	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	12	5	—	—	$92,410.52	$92,410.52	$92,410.52	2026-05-27
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	68	25	—	—	$38,754.28	$249,815.05	$92,026.55	2026-05-27
6214	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	12	5	—	—	$90,457.57	$90,457.57	$90,457.57	2026-05-27
8413	OTHER	Extensive 3rd Degree Burns W Skin Graft	12	5	—	—	$90,176.10	$90,176.10	$90,176.10	2026-05-27
214	OTHER	Craniotomy Except For Trauma	12	5	—	—	$90,155.29	$90,155.29	$90,155.29	2026-05-27
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	80	25	—	—	$41,819.76	$208,486.48	$89,302.62	2026-05-27
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	72	23	—	—	$60,141.00	$200,387.64	$89,271.80	2026-05-27
1204	OTHER	Major Respiratory & Chest Procedures	12	5	—	—	$88,431.08	$88,431.08	$88,431.08	2026-05-27
4403	OTHER	Kidney Transplant	12	5	—	—	$87,725.80	$87,725.80	$87,725.80	2026-05-27
6814	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	12	5	—	—	$86,866.89	$86,866.89	$86,866.89	2026-05-27
2204	OTHER	Major Stomach, Esophageal & Duodenal Procedures	12	5	—	—	$86,839.69	$86,839.69	$86,839.69	2026-05-27
6313	OTHER	Neonate Birthwt >2499g W Other Major Procedure	12	5	—	—	$86,830.07	$86,830.07	$86,830.07	2026-05-27
6904	OTHER	Acute Leukemia	12	5	—	—	$86,204.71	$86,204.71	$86,204.71	2026-05-27
2604	OTHER	Major Pancreas, Liver & Shunt Procedures	12	5	—	—	$86,188.71	$86,188.71	$86,188.71	2026-05-27
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	80	25	—	—	$40,860.91	$129,549.81	$85,205.36	2026-05-27
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	76	24	—	—	$46,347.09	$153,218.68	$85,159.60	2026-05-27
6334	OTHER	Neonate Birthwt >2499g W Major Anomaly	12	5	—	—	$85,123.53	$85,123.53	$85,123.53	2026-05-27
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	84	26	—	—	$43,150.08	$135,741.96	$85,064.24	2026-05-27
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	12	5	—	—	$84,752.44	$84,752.44	$84,752.44	2026-05-27
1653	OTHER	Coronary Bypass W Ami Or Complex Pdx	12	5	—	—	$83,771.98	$83,771.98	$83,771.98	2026-05-27
3614	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	12	5	—	—	$83,639.25	$83,639.25	$83,639.25	2026-05-27
6072	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	12	5	—	—	$83,599.20	$83,599.20	$83,599.20	2026-05-27
4414	OTHER	Major Bladder Procedures	12	5	—	—	$83,396.08	$83,396.08	$83,396.08	2026-05-27
6084	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	12	5	—	—	$83,394.51	$83,394.51	$83,394.51	2026-05-27
1633	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	12	5	—	—	$83,010.65	$83,010.65	$83,010.65	2026-05-27
1304	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	12	5	—	—	$82,479.63	$82,479.63	$82,479.63	2026-05-27
1782	OTHER	External Heart Assist Systems	12	5	—	—	$82,345.24	$82,345.24	$82,345.24	2026-05-27
1603	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	12	5	—	—	$82,262.09	$82,262.09	$82,262.09	2026-05-27
6083	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	12	5	—	—	$81,534.33	$81,534.33	$81,534.33	2026-05-27
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	72	23	—	—	$52,332.98	$166,019.65	$80,993.06	2026-05-27
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	60	23	—	—	$71,086.81	$206,981.14	$79,972.66	2026-05-27
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	76	24	—	—	$42,126.94	$137,274.17	$79,213.90	2026-05-27
6144	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	12	5	—	—	$79,020.02	$79,020.02	$79,020.02	2026-05-27
955	OTHER	Craniotomy For Multiple Significant Trauma	72	23	—	—	$51,218.68	$160,787.45	$78,880.40	2026-05-27
1622	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	12	5	—	—	$78,815.33	$78,815.33	$78,815.33	2026-05-27
2614	OTHER	Major Biliary Tract Procedures	12	5	—	—	$78,413.90	$78,413.90	$78,413.90	2026-05-27
1814	OTHER	Lower Extremity Arterial Procedures	12	5	—	—	$77,708.53	$77,708.53	$77,708.53	2026-05-27
7404	OTHER	Mental Illness Diagnosis W O.r. Procedure	12	5	—	—	$77,553.32	$77,553.32	$77,553.32	2026-05-27
4402	OTHER	Kidney Transplant	12	5	—	—	$77,129.50	$77,129.50	$77,129.50	2026-05-27
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	72	23	—	—	$41,893.75	$155,734.57	$77,058.86	2026-05-27
1764	OTHER	Cardiac Pacemaker & Defibrillator Device Replacement	12	5	—	—	$76,899.19	$76,899.19	$76,899.19	2026-05-27
850	OTHER	Acute Leukemia With Other Procedures	60	23	—	—	$68,329.29	$198,938.16	$76,870.45	2026-05-27
4014	OTHER	Pituitary & Adrenal Procedures	12	5	—	—	$76,643.26	$76,643.26	$76,643.26	2026-05-27
228	OTHER	Other Cardiothoracic Procedures With Mcc	76	24	—	—	$39,091.38	$173,427.55	$76,350.36	2026-05-27
231	OTHER	Coronary Bypass With Ptca With Mcc	84	26	—	—	$24,840.81	$221,495.79	$75,528.90	2026-05-27
5104	OTHER	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	12	5	—	—	$75,432.49	$75,432.49	$75,432.49	2026-05-27
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	72	23	—	—	$46,644.18	$147,826.94	$75,415.04	2026-05-27
1781	OTHER	External Heart Assist Systems	12	5	—	—	$75,280.61	$75,280.61	$75,280.61	2026-05-27
3032	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	12	5	—	—	$75,055.01	$75,055.01	$75,055.01	2026-05-27
270	OTHER	Other Major Cardiovascular Procedures With Mcc	76	24	—	—	$41,681.93	$133,487.15	$74,539.32	2026-05-27
6302	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	12	5	—	—	$74,388.12	$74,388.12	$74,388.12	2026-05-27
6954	OTHER	Chemotherapy For Acute Leukemia	12	5	—	—	$74,146.61	$74,146.61	$74,146.61	2026-05-27
7924	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	12	5	—	—	$73,770.71	$73,770.71	$73,770.71	2026-05-27
1643	OTHER	Y90 Ibritumomab, Rx	48	21	—	—	$68,695.73	$214,674.14	$73,704.79	2026-05-27
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	76	24	—	—	$37,621.66	$154,226.09	$73,479.80	2026-05-27
2304	OTHER	Major Small Bowel Procedures	12	5	—	—	$73,068.58	$73,068.58	$73,068.58	2026-05-27
3214	OTHER	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	12	5	—	—	$72,603.14	$72,603.14	$72,603.14	2026-05-27
1793	OTHER	Defibrillator Implants	12	5	—	—	$72,396.78	$72,396.78	$72,396.78	2026-05-27
1833	OTHER	Percutaneous Structural Cardiac Procedures	12	5	—	—	$72,302.43	$72,302.43	$72,302.43	2026-05-27
924	OTHER	Facial Bone Procedures Except Major Cranial/facial Bone Procedures	12	5	—	—	$72,097.65	$72,097.65	$72,097.65	2026-05-27
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	74	23	—	—	$39,406.43	$667,595.18	$71,834.64	2026-05-27
5892	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	12	5	—	—	$71,756.99	$71,756.99	$71,756.99	2026-05-27
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	72	23	—	—	$47,141.06	$147,648.92	$71,750.93	2026-05-27
3043	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	12	5	—	—	$71,493.10	$71,493.10	$71,493.10	2026-05-27
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	74	23	—	—	$39,022.07	$133,365.84	$71,133.99	2026-05-27
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	74	24	—	—	$38,888.95	$124,193.66	$70,891.32	2026-05-27
2324	OTHER	Gastric Fundoplication	12	5	—	—	$70,501.45	$70,501.45	$70,501.45	2026-05-27
1673	OTHER	Other Cardiothoracic & Thoracic Vascular Procedures	12	5	—	—	$70,480.64	$70,480.64	$70,480.64	2026-05-27
28	OTHER	Spinal Procedures With Mcc	72	23	—	—	$47,406.60	$141,744.23	$70,429.79	2026-05-27
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	72	23	—	—	$46,828.35	$172,457.06	$70,076.10	2026-05-27
6123	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$70,010.40	$70,010.40	$70,010.40	2026-05-27
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	72	23	—	—	$47,091.43	$172,594.19	$69,901.34	2026-05-27
1663	OTHER	Coronary Bypass Without Ami Or Complex Pdx	12	5	—	—	$69,868.05	$69,868.05	$69,868.05	2026-05-27
1652	OTHER	Coronary Bypass W Ami Or Complex Pdx	12	5	—	—	$69,680.93	$69,680.93	$69,680.93	2026-05-27
6113	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	12	5	—	—	$69,484.19	$69,484.19	$69,484.19	2026-05-27
4401	OTHER	Kidney Transplant	12	5	—	—	$69,157.95	$69,157.95	$69,157.95	2026-05-27
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	84	26	—	—	$56,757.53	$201,421.42	$68,511.37	2026-05-27
3254	OTHER	Non-elective Or Complex Knee Joint Replacement	12	5	—	—	$68,484.59	$68,484.59	$68,484.59	2026-05-27
1621	OTHER	Cardiac Valve Procedures W Ami Or Complex Pdx	12	5	—	—	$68,439.82	$68,439.82	$68,439.82	2026-05-27
2644	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	12	5	—	—	$68,038.30	$68,038.30	$68,038.30	2026-05-27
6133	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	12	5	—	—	$67,697.63	$67,697.63	$67,697.63	2026-05-27
4054	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	12	5	—	—	$67,315.35	$67,315.35	$67,315.35	2026-05-27
4044	OTHER	Thyroid, Parathyroid & Thyroglossal Procedures	12	5	—	—	$67,067.46	$67,067.46	$67,067.46	2026-05-27
7104	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	12	5	—	—	$66,971.54	$66,971.54	$66,971.54	2026-05-27
5124	OTHER	Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig	12	5	—	—	$66,941.11	$66,941.11	$66,941.11	2026-05-27
6514	OTHER	Other Procedures Of Blood & Blood-forming Organs	12	5	—	—	$66,757.14	$66,757.14	$66,757.14	2026-05-27
5244	OTHER	Transplt Allo Hct/donor	48	21	—	—	$62,050.05	$193,906.41	$66,574.53	2026-05-27
1754	OTHER	Percutaneous Coronary Intervention Without Ami	12	5	—	—	$66,197.36	$66,197.36	$66,197.36	2026-05-27
1632	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	12	5	—	—	$66,195.78	$66,195.78	$66,195.78	2026-05-27
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	80	25	—	—	$31,212.60	$110,250.61	$65,893.75	2026-05-27
51	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	12	5	—	—	$65,872.70	$65,872.70	$65,872.70	2026-05-27
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	80	25	—	—	$30,935.39	$370,027.51	$65,798.81	2026-05-27
8	OTHER	Simultaneous Pancreas And Kidney Transplant	72	23	—	—	$44,203.81	$164,816.00	$65,709.92	2026-05-27
4034	OTHER	Procedures For Obesity	12	5	—	—	$65,575.23	$65,575.23	$65,575.23	2026-05-27
2314	OTHER	Major Large Bowel Procedures	12	5	—	—	$65,017.02	$65,017.02	$65,017.02	2026-05-27
6092	OTHER	Neonate Bwt 1500-2499g W Major Procedure	12	5	—	—	$64,866.62	$64,866.62	$64,866.62	2026-05-27
8633	OTHER	Neonatal Aftercare	12	5	—	—	$64,778.66	$64,778.66	$64,778.66	2026-05-27
6504	OTHER	Splenectomy	12	5	—	—	$64,388.42	$64,388.42	$64,388.42	2026-05-27
10	OTHER	Pancreas Transplant	72	23	—	—	$29,467.84	$206,724.00	$64,312.65	2026-05-27
4474	OTHER	Other Kidney, Urinary Tract & Related Procedures	12	5	—	—	$64,161.34	$64,161.34	$64,161.34	2026-05-27
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	72	23	—	—	$43,211.52	$141,857.63	$64,142.11	2026-05-27
5144	OTHER	Female Reproductive System Reconstructive Procedures	12	5	—	—	$64,127.68	$64,127.68	$64,127.68	2026-05-27
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	60	23	—	—	$56,980.21	$165,835.79	$64,102.74	2026-05-27
4424	OTHER	Kidney & Urinary Tract Procedures For Malignancy	12	5	—	—	$63,895.79	$63,895.79	$63,895.79	2026-05-27
224	OTHER	Ventricular Shunt Procedures	12	5	—	—	$63,444.78	$63,444.78	$63,444.78	2026-05-27
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	62	23	—	—	$54,264.27	$152,249.32	$63,358.42	2026-05-27
275	OTHER	Selox 53cm Actv Ster	60	23	$5,322.50	$532.25 90% off	$56,285.51	$163,809.53	$63,321.20	2026-05-27
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	72	23	—	—	$39,344.22	$115,538.37	$63,304.87	2026-05-27
1303	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	12	5	—	—	$63,092.92	$63,092.92	$63,092.92	2026-05-27
3031	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	12	5	—	—	$63,060.92	$63,060.92	$63,060.92	2026-05-27
3094	OTHER	Other Significant Hip & Femur Surgery	12	5	—	—	$62,699.45	$62,699.45	$62,699.45	2026-05-27
6224	OTHER	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$62,344.36	$62,344.36	$62,344.36	2026-05-27
294	OTHER	Other Percutaneous Intracranial Procedures	12	5	—	—	$62,250.01	$62,250.01	$62,250.01	2026-05-27
3134	OTHER	Knee & Lower Leg Procedures Except Foot	12	5	—	—	$62,205.15	$62,205.15	$62,205.15	2026-05-27
2294	OTHER	Other Digestive System & Abdominal Procedures	12	5	—	—	$61,982.88	$61,982.88	$61,982.88	2026-05-27
9273	OTHER	Sipuleucel-t Auto Cd54+	48	21	—	—	$57,720.04	$180,375.12	$61,928.79	2026-05-27
356	OTHER	Other Digestive System O.r. Procedures With Mcc	74	24	—	—	$34,723.16	$104,847.16	$61,634.74	2026-05-27
4804	OTHER	Major Male Pelvic Procedures	12	5	—	—	$61,608.65	$61,608.65	$61,608.65	2026-05-27
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	76	24	—	—	$33,116.36	$103,544.38	$61,474.82	2026-05-27
6143	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	12	5	—	—	$61,275.94	$61,275.94	$61,275.94	2026-05-27
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	76	24	—	—	$33,387.31	$109,467.53	$61,120.55	2026-05-27
7114	OTHER	Post-op, Post-trauma, Other Device Infections W O.r. Procedure	12	5	—	—	$61,072.82	$61,072.82	$61,072.82	2026-05-27
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	72	23	—	—	$41,123.50	$134,845.31	$61,042.69	2026-05-27
1831	OTHER	Percutaneous Structural Cardiac Procedures	12	5	—	—	$60,978.47	$60,978.47	$60,978.47	2026-05-27
653	OTHER	Major Bladder Procedures With Mcc	72	23	—	—	$41,052.61	$144,755.91	$60,937.47	2026-05-27
2244	OTHER	Peritoneal Adhesiolysis	12	5	—	—	$60,740.11	$60,740.11	$60,740.11	2026-05-27
5893	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	12	5	—	—	$60,258.67	$60,258.67	$60,258.67	2026-05-27
3104	OTHER	Intervertebral Disc Excision & Decompression	12	5	—	—	$60,012.36	$60,012.36	$60,012.36	2026-05-27
1651	OTHER	Coronary Bypass W Ami Or Complex Pdx	12	5	—	—	$60,009.21	$60,009.21	$60,009.21	2026-05-27
6254	OTHER	Neonate Bwt 2000-2499g W Other Significant Condition	12	5	—	—	$59,929.20	$59,929.20	$59,929.20	2026-05-27
893	OTHER	Major Cranial/facial Bone Procedures	12	5	—	—	$59,902.01	$59,902.01	$59,902.01	2026-05-27
6234	OTHER	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	12	5	—	—	$59,666.89	$59,666.89	$59,666.89	2026-05-27
1792	OTHER	Defibrillator Implants	12	5	—	—	$59,591.69	$59,591.69	$59,591.69	2026-05-27
1744	OTHER	Percutaneous Coronary Intervention W Ami	12	5	—	—	$59,486.15	$59,486.15	$59,486.15	2026-05-27
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	80	25	—	—	$27,843.91	$246,544.75	$59,458.35	2026-05-27
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	60	23	—	—	$52,789.19	$153,611.64	$59,387.84	2026-05-27
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	60	23	—	—	$52,750.59	$153,499.07	$59,344.42	2026-05-27
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	116	23	—	—	$1.73	$164,781.31	$59,272.69	2026-05-27
1631	OTHER	Cardiac Valve Procedures Without Ami Or Complex Pdx	12	5	—	—	$59,251.03	$59,251.03	$59,251.03	2026-05-27
6091	OTHER	Neonate Bwt 1500-2499g W Major Procedure	12	5	—	—	$58,841.55	$58,841.55	$58,841.55	2026-05-27
4844	OTHER	Other Male Reproductive System & Related Procedures	12	5	—	—	$58,726.39	$58,726.39	$58,726.39	2026-05-27
1693	OTHER	Major Abdominal Vascular Procedures	12	5	—	—	$58,660.81	$58,660.81	$58,660.81	2026-05-27
6082	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	12	5	—	—	$58,632.05	$58,632.05	$58,632.05	2026-05-27
3154	OTHER	Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement	12	5	—	—	$58,457.69	$58,457.69	$58,457.69	2026-05-27
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	80	25	—	—	$18,566.27	$150,507.93	$58,190.73	2026-05-27
3054	OTHER	Amputation Of Lower Limb Except Toes	12	5	—	—	$58,179.46	$58,179.46	$58,179.46	2026-05-27
7934	OTHER	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	12	5	—	—	$58,176.23	$58,176.23	$58,176.23	2026-05-27
2224	OTHER	Other Stomach, Esophageal & Duodenal Procedures	12	5	—	—	$57,873.95	$57,873.95	$57,873.95	2026-05-27
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	72	23	—	—	$37,964.27	$141,725.77	$57,813.75	2026-05-27
3204	OTHER	Other Musculoskeletal System & Connective Tissue Procedures	12	5	—	—	$57,793.94	$57,793.94	$57,793.94	2026-05-27
984	OTHER	Other Ear, Nose, Mouth & Throat Procedures	12	5	—	—	$57,739.56	$57,739.56	$57,739.56	2026-05-27
1714	OTHER	Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	12	5	—	—	$57,622.83	$57,622.83	$57,622.83	2026-05-27
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	72	23	—	—	$38,727.51	$128,713.82	$57,486.15	2026-05-27
3224	OTHER	Shoulder & Elbow Joint Replacement	12	5	—	—	$57,467.71	$57,467.71	$57,467.71	2026-05-27
2274	OTHER	Hernia Procedures Except Inguinal, Femoral & Umbilical	12	5	—	—	$57,342.93	$57,342.93	$57,342.93	2026-05-27
2234	OTHER	Other Small & Large Bowel Procedures	12	5	—	—	$57,142.96	$57,142.96	$57,142.96	2026-05-27
7524	OTHER	Disorders Of Personality & Impulse Control	12	5	—	—	$56,586.41	$56,586.41	$56,586.41	2026-05-27
7594	OTHER	Eating Disorders	12	5	—	—	$56,268.13	$56,268.13	$56,268.13	2026-05-27
3634	OTHER	Breast Procedures Except Mastectomy	12	5	—	—	$55,633.15	$55,633.15	$55,633.15	2026-05-27
3624	OTHER	Mastectomy Procedures	12	5	—	—	$55,562.76	$55,562.76	$55,562.76	2026-05-27
6344	OTHER	Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$55,214.06	$55,214.06	$55,214.06	2026-05-27
111	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	5	—	—	$55,135.71	$55,135.71	$55,135.71	2026-05-27
1804	OTHER	Other Circulatory System Procedures	12	5	—	—	$55,090.94	$55,090.94	$55,090.94	2026-05-27
3234	OTHER	Non-elective Or Complex Hip Joint Replacement	12	5	—	—	$55,052.56	$55,052.56	$55,052.56	2026-05-27
245	OTHER	Aicd Generator Procedures	72	23	—	—	$36,058.97	$132,179.10	$54,916.02	2026-05-27
264	OTHER	Other Circulatory System O.r. Procedures	80	25	—	—	$26,435.63	$83,298.60	$54,867.11	2026-05-27
6122	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	12	5	—	—	$54,860.63	$54,860.63	$54,860.63	2026-05-27
3244	OTHER	Elective Hip Joint Replacement	12	5	—	—	$54,619.12	$54,619.12	$54,619.12	2026-05-27
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	68	25	—	—	$45,073.49	$131,106.90	$54,546.81	2026-05-27
6	OTHER	Liver Transplant Without Mcc	72	23	—	—	$36,646.57	$397,994.00	$54,397.25	2026-05-27
232	OTHER	Coronary Bypass With Ptca Without Mcc	84	26	—	—	$33,728.89	$162,462.07	$54,358.21	2026-05-27
329	OTHER	Major Small And Large Bowel Procedures With Mcc	72	23	—	—	$36,327.57	$131,667.48	$53,923.74	2026-05-27
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	80	25	—	—	$25,150.20	$168,554.76	$53,706.15	2026-05-27
8423	OTHER	Burns With Skin Graft Except Extensive 3rd Degree Burns	12	5	—	—	$53,438.69	$53,438.69	$53,438.69	2026-05-27
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	60	23	$10.54	$1.05 90% off	$47,434.05	$137,992.02	$53,363.30	2026-05-27
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	72	23	—	—	$35,935.32	$112,806.23	$53,341.49	2026-05-27
1602	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	12	5	—	—	$53,257.96	$53,257.96	$53,257.96	2026-05-27
1302	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	12	5	—	—	$53,153.99	$53,153.99	$53,153.99	2026-05-27
4444	OTHER	Renal Dialysis Access Device Procedure Only	12	5	—	—	$53,099.61	$53,099.61	$53,099.61	2026-05-27
1661	OTHER	Coronary Bypass Without Ami Or Complex Pdx	12	5	—	—	$53,005.26	$53,005.26	$53,005.26	2026-05-27
3174	OTHER	Tendon, Muscle & Other Soft Tissue Procedures	12	5	—	—	$52,864.48	$52,864.48	$52,864.48	2026-05-27
1791	OTHER	Defibrillator Implants	12	5	—	—	$52,728.52	$52,728.52	$52,728.52	2026-05-27
163	OTHER	Major Chest Procedures With Mcc	72	23	—	—	$35,424.14	$129,731.78	$52,582.71	2026-05-27
31	OTHER	Ventricular Shunt Procedures With Mcc	72	23	—	—	$35,413.90	$110,311.44	$52,567.51	2026-05-27
4434	OTHER	Kidney & Urinary Tract Procedures For Nonmalignancy	12	5	—	—	$51,524.13	$51,524.13	$51,524.13	2026-05-27
3042	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	12	5	—	—	$51,412.21	$51,412.21	$51,412.21	2026-05-27
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	60	23	—	—	$45,547.66	$132,489.90	$51,241.12	2026-05-27
1142	OTHER	Supprelin La Implant	56	23	—	—	$8,524.95	$148,687.03	$50,801.40	2026-05-27
1774	OTHER	Cardiac Pacemaker & Defibrillator Revision Except Device Replacement	12	5	—	—	$50,801.27	$50,801.27	$50,801.27	2026-05-27
6803	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	12	5	—	—	$50,682.88	$50,682.88	$50,682.88	2026-05-27
6312	OTHER	Neonate Birthwt >2499g W Other Major Procedure	12	5	—	—	$50,662.07	$50,662.07	$50,662.07	2026-05-27
1580	OTHER	Implt/rpl Crtd Sns Dev Total	48	21	—	—	$47,212.94	$147,540.44	$50,655.55	2026-05-27
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	80	25	—	—	$15,472.94	$135,338.47	$50,642.11	2026-05-27
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	72	23	—	—	$32,988.76	$135,056.29	$50,502.40	2026-05-27
1813	OTHER	Lower Extremity Arterial Procedures	12	5	—	—	$50,457.37	$50,457.37	$50,457.37	2026-05-27
6233	OTHER	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	12	5	—	—	$50,420.56	$50,420.56	$50,420.56	2026-05-27
4454	OTHER	Other Bladder Procedures	12	5	—	—	$50,179.06	$50,179.06	$50,179.06	2026-05-27
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	76	24	—	—	$25,744.07	$95,453.45	$50,112.27	2026-05-27
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	60	23	—	—	$44,404.79	$129,156.45	$49,955.39	2026-05-27
274	OTHER	Splint Orthopedic Large 20in 19-22in Knee Contact Closure Alternate Strap Foam P…	84	26	$106.45	$10.65 90% off	$26,050.46	$79,928.51	$49,892.46	2026-05-27
6914	OTHER	Lymphoma, Myeloma & Non-acute Leukemia	12	5	—	—	$49,804.82	$49,804.82	$49,804.82	2026-05-27
5134	OTHER	Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma	12	5	—	—	$49,468.88	$49,468.88	$49,468.88	2026-05-27
6032	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	12	5	—	—	$49,454.54	$49,454.54	$49,454.54	2026-05-27
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	72	23	—	—	$33,314.06	$110,229.69	$49,450.56	2026-05-27
3084	OTHER	Hip & Femur Fracture Repair	12	5	—	—	$49,440.11	$49,440.11	$49,440.11	2026-05-27
4834	OTHER	Testes & Scrotal Procedures	12	5	—	—	$49,414.49	$49,414.49	$49,414.49	2026-05-27
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	118	23	—	—	$0.12	$381,615.00	$49,381.69	2026-05-27
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	72	23	—	—	$28,208.56	$96,525.04	$49,306.74	2026-05-27
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	80	25	—	—	$10,271.55	$123,151.21	$49,285.82	2026-05-27
6924	OTHER	Radiotherapy	12	5	—	—	$49,185.84	$49,185.84	$49,185.84	2026-05-27
5484	OTHER	Postpartum And Post Abortion Diagnosis With O.r. Procedure	12	5	—	—	$49,037.02	$49,037.02	$49,037.02	2026-05-27
3164	OTHER	Hand & Wrist Procedures	12	5	—	—	$48,905.86	$48,905.86	$48,905.86	2026-05-27
1703	OTHER	Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock	12	5	—	—	$48,899.47	$48,899.47	$48,899.47	2026-05-27
3253	OTHER	Non-elective Or Complex Knee Joint Replacement	12	5	—	—	$48,875.52	$48,875.52	$48,875.52	2026-05-27

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