Hospital

HUGH CHATHAM MEMORIAL HOSPITAL

Elkin, NC · CCN 340097 · Rates published

28,336 distinct procedures filed

13 distinct payers

294,865 rate rows

2026-05-06 last MRF observed

Data quality

294,020 of 294,865 rate rows are consumer-grade (99.7%)

845 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	501
percent-of-charges filed in the dollar field — excluded from medians	250
placeholder amount (≤ $0.02) — excluded from medians	62
exceeds 10× this hospital's gross charge — excluded from medians	32

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

Source MRF file	https://hughchatham.org/wp-content/uploads/2024/12/560642846_HughChathamMemorialHospital_standardcharges.csv
Found on page	https://hughchatham.org/patient-visitor-guide/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	a8560b0be211bcb1… · 23,441,014 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$187,442.58	$358,271.60	$274,267.04	nat. median $386,529 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	5	$205,338.46	$296,592.03	$236,468.65	nat. median $239,422 1.0× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	5	$84,708.80	$225,366.60	$173,233.91	nat. median $146,562 1.2× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	5	$149,127.46	$203,600.20	$156,687.29	nat. median $181,005 0.9× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	5	$103,956.53	$134,235.00	$118,391.53	nat. median $134,983 0.9× median
14 OTHER	Allogeneic Bone Marrow Transplant	5	$96,531.06	$162,390.28	$110,499.08	nat. median $100,915 1.1× median
7 OTHER	Lung Transplant	5	$96,292.74	$124,153.60	$107,258.09	nat. median $169,933 0.6× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	5	$81,494.53	$104,687.15	$91,925.96	nat. median $111,558 0.8× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	5	$78,820.30	$143,412.86	$89,994.80	nat. median $94,894 0.9× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	5	$62,199.90	$103,492.05	$80,586.02	nat. median $90,581 0.9× median
215 OTHER	Other Heart Assist System Implant	5	$54,138.16	$100,650.60	$78,425.98	nat. median $92,359 0.8× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	5	$53,351.08	$99,516.30	$77,563.70	nat. median $80,273 1.0× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	$71,610.76	$91,685.45	$74,864.57	nat. median $90,130 0.8× median
850 OTHER	Acute Leukemia With Other Procedures	5	$68,438.95	$87,513.05	$71,678.29	nat. median $407 outlier · 176.0×
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	5	$62,146.58	$79,235.70	$64,988.87	nat. median $62,997 1.0× median
231 OTHER	Coronary Bypass With Ptca With Mcc	5	$52,147.26	$80,502.05	$63,109.24	nat. median $74,989 0.8× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	5	$51,223.05	$80,457.40	$63,075.31	nat. median $76,493 0.8× median
10 OTHER	Pancreas Transplant	5	$59,491.84	$75,743.50	$62,167.32	nat. median $62,879 1.0× median
19 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	5	$59,161.81	$75,309.35	$61,815.78	nat. median $61,133 1.0× median
20 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	5	$54,423.15	$76,580.45	$60,128.09	nat. median $74,209 0.8× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	5	$47,815.26	$74,255.80	$58,360.91	nat. median $68,249 0.9× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	5	$46,780.16	$73,506.25	$57,791.12	nat. median $72,612 0.8× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	5	$51,071.82	$70,909.90	$55,817.38	nat. median $68,309 0.8× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	5	$41,608.65	$67,475.65	$53,206.70	nat. median $51,811 1.0× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	5	$51,317.83	$67,136.50	$52,948.88	nat. median $29,655 1.8× median
955 OTHER	Craniotomy For Multiple Significant Trauma	5	$51,225.04	$64,868.85	$52,464.83	nat. median $62,467 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	5	$49,494.96	$66,086.75	$52,150.88	nat. median $54,564 1.0× median
790 OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	5	$44,844.57	$57,563.43	$50,660.08	nat. median $42,432 1.2× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	5	$39,132.46	$63,694.65	$50,332.42	nat. median $54,322 0.9× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	5	$32,954.07	$63,449.55	$50,146.10	nat. median $46,003 1.1× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	5	$38,141.04	$63,342.20	$50,064.49	nat. median $67,670 0.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	5	$46,025.33	$61,438.40	$48,617.24	nat. median $66,849 0.7× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	$38,853.52	$61,350.05	$48,550.08	nat. median $60,727 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	5	$46,589.35	$58,770.80	$48,450.82	nat. median $48,503 1.0× median
38240 OTHER	Transplt Allo Hct/donor	3	$48,326.78	$48,326.78	$48,326.78	nat. median $18,374 outlier · 2.6×
461 OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	5	$46,230.43	$58,298.65	$48,071.06	nat. median $53,999 0.9× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	5	$34,990.68	$60,080.85	$47,585.25	nat. median $64,729 0.7× median
834 OTHER	Acute Leukemia With Mcc	5	$41,829.45	$63,310.96	$47,169.40	nat. median $47,300 1.0× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	5	$38,720.43	$58,846.80	$46,647.13	nat. median $3,947 outlier · 11.8×
8 OTHER	Simultaneous Pancreas And Kidney Transplant	5	$41,206.94	$63,097.22	$46,448.69	nat. median $57,589 0.8× median
23 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	5	$43,113.50	$54,198.45	$46,428.92	nat. median $56,822 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	5	$22,425.55	$58,502.90	$46,385.70	nat. median $54,881 0.8× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	5	$36,792.71	$58,032.65	$46,028.22	nat. median $56,351 0.8× median
28 OTHER	Spinal Procedures With Mcc	5	$29,838.67	$57,755.25	$45,817.35	nat. median $52,701 0.9× median
16 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	5	$27,837.01	$57,341.05	$45,502.47	nat. median $50,271 0.9× median
17 OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	5	$27,837.01	$57,341.05	$45,502.47	nat. median $46,040 1.0× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	5	$44,855.12	$56,912.60	$45,176.77	nat. median $58,866 0.8× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	5	$38,853.52	$56,518.35	$44,877.07	nat. median $56,507 0.8× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	5	$34,313.16	$55,899.90	$44,406.93	nat. median $56,120 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	5	$43,959.89	$55,311.85	$44,091.93	nat. median $45,878 1.0× median

Other procedures at this hospital

Browse this hospital's 28,336 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

18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$187,442.58	$358,271.60	$274,267.04	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	6	5	—	—	$205,338.46	$296,592.03	$236,468.65	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	6	5	—	—	$84,708.80	$225,366.60	$173,233.91	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	6	5	—	—	$149,127.46	$203,600.20	$156,687.29	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	6	5	—	—	$103,956.53	$134,235.00	$118,391.53	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	6	5	—	—	$96,531.06	$162,390.28	$110,499.08	2026-05-06
7	OTHER	Lung Transplant	6	5	—	—	$96,292.74	$124,153.60	$107,258.09	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	6	5	—	—	$81,494.53	$104,687.15	$91,925.96	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	6	5	—	—	$78,820.30	$143,412.86	$89,994.80	2026-05-06
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	6	5	—	—	$62,199.90	$103,492.05	$80,586.02	2026-05-06
215	OTHER	Other Heart Assist System Implant	6	5	—	—	$54,138.16	$100,650.60	$78,425.98	2026-05-06
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	5	—	—	$53,351.08	$99,516.30	$77,563.70	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	5	—	—	$71,610.76	$91,685.45	$74,864.57	2026-05-06
850	OTHER	Acute Leukemia With Other Procedures	6	5	—	—	$68,438.95	$87,513.05	$71,678.29	2026-05-06
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	6	5	—	—	$62,146.58	$79,235.70	$64,988.87	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	6	5	—	—	$52,147.26	$80,502.05	$63,109.24	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	6	5	—	—	$51,223.05	$80,457.40	$63,075.31	2026-05-06
10	OTHER	Pancreas Transplant	6	5	—	—	$59,491.84	$75,743.50	$62,167.32	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	6	5	—	—	$59,161.81	$75,309.35	$61,815.78	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	6	5	—	—	$54,423.15	$76,580.45	$60,128.09	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	6	5	—	—	$47,815.26	$74,255.80	$58,360.91	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	5	—	—	$46,780.16	$73,506.25	$57,791.12	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	6	5	—	—	$51,071.82	$70,909.90	$55,817.38	2026-05-06
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	5	—	—	$41,608.65	$67,475.65	$53,206.70	2026-05-06
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	6	5	—	—	$51,317.83	$67,136.50	$52,948.88	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	6	5	—	—	$51,225.04	$64,868.85	$52,464.83	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	6	5	—	—	$49,494.96	$66,086.75	$52,150.88	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	6	5	—	—	$44,844.57	$57,563.43	$50,660.08	2026-05-06
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	6	5	—	—	$39,132.46	$63,694.65	$50,332.42	2026-05-06
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	6	5	—	—	$32,954.07	$63,449.55	$50,146.10	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	6	5	—	—	$38,141.04	$63,342.20	$50,064.49	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	6	5	—	—	$46,025.33	$61,438.40	$48,617.24	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	5	—	—	$38,853.52	$61,350.05	$48,550.08	2026-05-06
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	6	5	—	—	$46,589.35	$58,770.80	$48,450.82	2026-05-06
38240	OTHER	Transplt Allo Hct/donor	3	3	—	—	$48,326.78	$48,326.78	$48,326.78	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	6	5	—	—	$46,230.43	$58,298.65	$48,071.06	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	6	5	—	—	$34,990.68	$60,080.85	$47,585.25	2026-05-06
834	OTHER	Acute Leukemia With Mcc	6	5	—	—	$41,829.45	$63,310.96	$47,169.40	2026-05-06
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	6	5	—	—	$38,720.43	$58,846.80	$46,647.13	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	6	5	—	—	$41,206.94	$63,097.22	$46,448.69	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	6	5	—	—	$43,113.50	$54,198.45	$46,428.92	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	6	5	—	—	$22,425.55	$58,502.90	$46,385.70	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	6	5	—	—	$36,792.71	$58,032.65	$46,028.22	2026-05-06
28	OTHER	Spinal Procedures With Mcc	6	5	—	—	$29,838.67	$57,755.25	$45,817.35	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	6	5	—	—	$27,837.01	$57,341.05	$45,502.47	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	6	5	—	—	$27,837.01	$57,341.05	$45,502.47	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	6	5	—	—	$44,855.12	$56,912.60	$45,176.77	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	6	5	—	—	$38,853.52	$56,518.35	$44,877.07	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	6	5	—	—	$34,313.16	$55,899.90	$44,406.93	2026-05-06
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	6	5	—	—	$43,959.89	$55,311.85	$44,091.93	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	6	5	—	—	$42,132.93	$54,524.30	$43,361.21	2026-05-06
228	OTHER	Other Cardiothoracic Procedures With Mcc	6	5	—	—	$37,900.80	$52,904.77	$42,621.07	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	6	5	—	—	$40,876.18	$51,255.35	$42,377.33	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	6	5	—	—	$24,948.12	$52,958.70	$42,171.05	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	6	5	—	—	$39,369.72	$52,509.35	$41,829.45	2026-05-06
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	3	3	—	—	$41,768.56	$41,768.56	$41,768.56	2026-05-06
33276	OTHER	Insj Phrnc Nrv Stim Sys	3	3	—	—	$41,768.56	$41,768.56	$41,768.56	2026-05-06
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	6	5	—	—	$32,740.33	$52,288.95	$41,661.91	2026-05-06
6	OTHER	Liver Transplant Without Mcc	6	5	—	—	$36,932.36	$54,052.13	$41,499.88	2026-05-06
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	6	5	—	—	$31,396.71	$51,969.75	$41,419.27	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	6	5	—	—	$29,335.23	$51,572.65	$41,117.40	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	6	5	—	—	$34,181.41	$51,309.50	$40,917.35	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	6	5	—	—	$33,852.06	$51,261.05	$40,880.51	2026-05-06
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	6	5	—	—	$39,105.40	$48,925.95	$40,494.82	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	6	5	—	—	$36,477.47	$50,541.90	$40,333.82	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	5	—	—	$31,994.24	$50,318.65	$40,164.12	2026-05-06
270	OTHER	Other Major Cardiovascular Procedures With Mcc	6	5	—	—	$38,981.90	$48,763.50	$40,046.24	2026-05-06
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	6	5	—	—	$38,030.79	$47,512.35	$39,790.82	2026-05-06
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	6	5	—	—	$36,244.11	$45,162.05	$39,719.85	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	6	5	—	—	$26,186.21	$48,398.70	$38,704.58	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	6	5	—	—	$31,095.58	$48,250.50	$38,591.93	2026-05-06
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	6	5	—	—	$30,551.82	$47,850.55	$38,287.89	2026-05-06
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	6	5	—	—	$28,153.59	$47,568.40	$38,073.40	2026-05-06
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	6	5	—	—	$28,105.20	$47,531.35	$38,045.24	2026-05-06
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	6	5	—	—	$35,185.40	$43,769.35	$37,875.10	2026-05-06
245	OTHER	Aicd Generator Procedures	6	5	—	—	$26,589.50	$46,424.60	$37,203.89	2026-05-06
471	OTHER	Cervical Spinal Fusion With Mcc	6	5	—	—	$24,370.74	$46,144.35	$36,990.85	2026-05-06
27006134	OTHER	Lima Custom Kit	14	9	$62,398.00	$40,558.70 35% off	$19,187.38	$53,038.30	$36,775.82	2026-05-06
27000429	OTHER	Cmd 22-1095 Glenoid Implant Set	14	9	$61,970.00	$40,280.50 35% off	$19,055.78	$52,674.50	$36,523.57	2026-05-06
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	6	5	—	—	$25,481.80	$45,367.25	$36,400.10	2026-05-06
799	OTHER	Splenic Procedures With Mcc	6	5	—	—	$23,793.37	$45,170.60	$36,250.61	2026-05-06
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	6	5	—	—	$30,225.82	$44,694.65	$35,888.80	2026-05-06
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	6	5	—	—	$26,081.36	$44,455.25	$35,706.81	2026-05-06
27004743	OTHER	Lima Custom Implant Glenoid	14	9	$60,260.00	$39,169.00 35% off	$18,529.95	$51,221.00	$35,515.74	2026-05-06
277	OTHER	Cardiac Defibrillator Implant Without Mcc	6	5	—	—	$31,861.83	$44,193.05	$35,507.50	2026-05-06
329	OTHER	Major Small And Large Bowel Procedures With Mcc	6	5	—	—	$35,074.18	$43,623.05	$35,429.00	2026-05-06
163	OTHER	Major Chest Procedures With Mcc	6	5	—	—	$31,037.78	$43,787.40	$35,199.11	2026-05-06
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	6	5	—	—	$28,894.30	$43,629.70	$35,079.24	2026-05-06
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	6	5	—	—	$28,864.72	$42,860.20	$34,494.28	2026-05-06
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	6	5	—	—	$16,443.43	$42,604.65	$34,300.00	2026-05-06
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	6	5	—	—	$33,204.11	$42,486.85	$34,210.46	2026-05-06
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	6	5	—	—	$33,160.40	$41,105.55	$34,175.35	2026-05-06
901	OTHER	Wound Debridements For Injuries With Mcc	6	5	—	—	$22,518.97	$42,089.75	$33,908.57	2026-05-06
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	6	5	—	—	$23,503.67	$41,731.60	$33,636.32	2026-05-06
356	OTHER	Other Digestive System O.r. Procedures With Mcc	6	5	—	—	$32,718.43	$40,524.15	$33,107.46	2026-05-06
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	6	5	—	—	$29,680.71	$41,021.00	$33,096.13	2026-05-06
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	6	5	—	—	$25,886.44	$40,464.30	$32,672.92	2026-05-06
140	OTHER	Major Head And Neck Procedures With Mcc	6	5	—	—	$23,699.94	$40,177.40	$32,454.82	2026-05-06
31	OTHER	Ventricular Shunt Procedures With Mcc	6	5	—	—	$17,805.87	$39,810.70	$32,176.07	2026-05-06
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	6	5	—	—	$30,560.55	$39,801.20	$32,168.84	2026-05-06
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	6	5	—	—	$29,517.00	$36,312.80	$32,140.58	2026-05-06
793	OTHER	Full Term Neonate With Major Problems	6	5	—	—	$8,015.36	$39,619.75	$32,030.91	2026-05-06
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	6	5	—	—	$21,785.66	$39,526.65	$31,960.13	2026-05-06
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	6	5	—	—	$27,531.18	$39,064.95	$31,609.15	2026-05-06
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	6	5	—	—	$24,576.42	$39,043.10	$31,592.55	2026-05-06
27000611	OTHER	Tandem Bipolar Shell 28x55	14	9	$53,549.00	$34,806.85 35% off	$16,466.32	$45,516.65	$31,560.44	2026-05-06
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	6	5	—	—	$25,065.07	$38,985.15	$31,548.50	2026-05-06
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	6	5	—	—	$29,225.67	$38,793.25	$31,402.61	2026-05-06
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	6	5	—	—	$21,540.33	$38,640.30	$31,286.35	2026-05-06
791	OTHER	Prematurity With Major Problems	6	5	—	—	$17,870.40	$38,569.05	$31,232.17	2026-05-06
907	OTHER	Other O.r. Procedures For Injuries With Mcc	6	5	—	—	$28,040.67	$37,845.15	$30,681.88	2026-05-06
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	6	5	—	—	$18,357.71	$37,818.55	$30,661.65	2026-05-06
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	6	5	—	—	$29,367.51	$36,116.15	$30,421.43	2026-05-06
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	6	5	—	—	$19,166.97	$37,484.15	$30,407.45	2026-05-06
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	6	5	—	—	$22,247.43	$37,407.20	$30,348.95	2026-05-06
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	4	3	—	—	$30,291.18	$37,331.20	$30,291.18	2026-05-06
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	6	5	—	—	$24,913.17	$37,165.90	$30,165.52	2026-05-06
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	6	5	—	—	$23,442.51	$37,147.85	$30,151.79	2026-05-06
34	OTHER	Carotid Artery Stent Procedures With Mcc	6	5	—	—	$23,777.24	$36,942.65	$29,995.81	2026-05-06
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	6	5	—	—	$26,990.09	$39,689.00	$29,989.42	2026-05-06
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	6	5	—	—	$17,412.67	$36,717.50	$29,824.64	2026-05-06
904	OTHER	Skin Grafts For Injuries With Cc/mcc	6	5	—	—	$24,263.20	$36,680.45	$29,796.48	2026-05-06
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	6	5	—	—	$22,625.85	$36,577.85	$29,718.49	2026-05-06
69930	OTHER	Implant Cochlear Device	3	3	—	—	$29,656.65	$29,656.65	$29,656.65	2026-05-06
264	OTHER	Other Circulatory System O.r. Procedures	6	5	—	—	$27,153.30	$33,203.45	$29,283.40	2026-05-06
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	6	5	—	—	$18,621.19	$35,834.95	$29,153.74	2026-05-06
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	3	3	—	—	$29,094.71	$29,094.71	$29,094.71	2026-05-06
33270	OTHER	Ins/rep Subq Defibrillator	3	3	—	—	$29,094.71	$29,094.71	$29,094.71	2026-05-06
33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	3	3	—	—	$29,094.71	$29,094.71	$29,094.71	2026-05-06
33249	OTHER	Insj/rplcmt Defib W/lead(s)	3	3	—	—	$29,094.71	$29,094.71	$29,094.71	2026-05-06
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	3	3	—	—	$29,094.71	$29,094.71	$29,094.71	2026-05-06
33231	OTHER	Insrt Pulse Gen W/mult Leads	3	3	—	—	$29,094.71	$29,094.71	$29,094.71	2026-05-06
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	6	5	—	—	$15,609.97	$35,549.00	$28,936.37	2026-05-06
37	OTHER	Extracranial Procedures With Mcc	6	5	—	—	$25,895.26	$47,207.64	$28,721.90	2026-05-06
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	6	5	—	—	$28,262.57	$34,662.65	$28,652.71	2026-05-06
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	6	5	—	—	$27,208.19	$33,275.65	$28,616.18	2026-05-06
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	6	5	—	—	$27,801.10	$34,055.60	$28,477.76	2026-05-06
335	OTHER	Peritoneal Adhesiolysis With Mcc	6	5	—	—	$16,994.59	$34,422.30	$28,079.85	2026-05-06
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	6	5	—	—	$19,812.23	$34,053.70	$27,799.65	2026-05-06
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	6	5	—	—	$21,619.64	$34,048.00	$27,795.32	2026-05-06
265	OTHER	Aicd Lead Procedures	6	5	—	—	$20,782.82	$33,888.40	$27,674.00	2026-05-06
332	OTHER	Rectal Resection With Mcc	6	5	—	—	$26,962.64	$32,952.65	$27,586.35	2026-05-06
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	6	5	—	—	$19,050.02	$33,736.40	$27,558.45	2026-05-06
63685	OTHER	Ins/rplc Spi Npg/rcvr Pocket	3	3	—	—	$27,461.40	$27,461.40	$27,461.40	2026-05-06
61886	OTHER	Implant Neurostim Arrays	3	3	—	—	$27,461.40	$27,461.40	$27,461.40	2026-05-06
64582	OTHER	Opn Mpltj Hpglsl Nstm Ary Pg	3	3	—	—	$27,461.40	$27,461.40	$27,461.40	2026-05-06
33287	OTHER	Rmv&rplcmt Phrnc Nrv Stim Pg	3	3	—	—	$27,461.40	$27,461.40	$27,461.40	2026-05-06
64568	OTHER	Opn Impltj Crnl Nrv Nea&pg	3	3	—	—	$27,461.40	$27,461.40	$27,461.40	2026-05-06
0268T	OTHER	Implt/rpl Crtd Sns Dev Gen	3	3	—	—	$27,461.40	$27,461.40	$27,461.40	2026-05-06
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	6	5	—	—	$24,050.80	$33,538.80	$27,408.23	2026-05-06
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	6	5	—	—	$16,054.25	$33,530.25	$27,401.72	2026-05-06
252	OTHER	Other Vascular Procedures With Mcc	6	5	—	—	$26,686.05	$32,588.80	$27,367.73	2026-05-06
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	6	5	—	—	$18,576.15	$33,445.70	$27,337.46	2026-05-06
665	OTHER	Prostatectomy With Mcc	6	5	—	—	$26,709.16	$32,619.20	$27,316.78	2026-05-06
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	6	5	—	—	$17,163.97	$33,286.10	$27,216.13	2026-05-06
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	6	5	—	—	$19,758.46	$33,262.35	$27,198.07	2026-05-06
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	6	5	—	—	$16,364.12	$32,916.55	$26,935.20	2026-05-06
271	OTHER	Other Major Cardiovascular Procedures With Cc	6	5	—	—	$25,617.58	$32,721.80	$26,787.16	2026-05-06
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	6	5	—	—	$15,042.00	$32,670.50	$26,748.15	2026-05-06
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	6	5	—	—	$23,332.95	$32,539.40	$26,648.50	2026-05-06
652	OTHER	Kidney Transplant	6	5	—	—	$24,093.43	$90,521.53	$26,635.86	2026-05-06
27000730	OTHER	Custom Implant For Whitaker 2459140	14	9	$45,132.00	$29,335.80 35% off	$13,878.09	$38,362.20	$26,599.67	2026-05-06
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	6	5	—	—	$17,699.00	$32,358.90	$26,511.28	2026-05-06
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	6	5	—	—	$18,418.87	$32,224.00	$26,408.73	2026-05-06
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	6	5	—	—	$15,746.41	$31,888.65	$26,153.80	2026-05-06
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	6	5	—	—	$17,355.53	$31,368.05	$25,758.04	2026-05-06
33289	OTHER	Tcat Impl Wrls P-art Prs Snr	3	3	—	—	$25,703.60	$25,703.60	$25,703.60	2026-05-06
974	OTHER	HIV With Major Related Condition With Mcc	6	5	—	—	$23,478.12	$28,368.90	$25,550.02	2026-05-06
C9760	OTHER	Non-blind Interatrial Shunt	3	3	—	—	$25,525.41	$25,525.41	$25,525.41	2026-05-06
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	3	3	—	—	$25,525.41	$25,525.41	$25,525.41	2026-05-06
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	6	5	—	—	$23,118.53	$31,052.65	$25,518.28	2026-05-06
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	6	5	—	—	$15,687.26	$30,964.30	$25,451.12	2026-05-06
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	6	5	—	—	$18,504.91	$30,951.00	$25,441.01	2026-05-06
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	6	5	—	—	$17,938.29	$30,583.35	$25,161.52	2026-05-06
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	6	5	—	—	$21,302.39	$30,441.80	$25,053.92	2026-05-06
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	6	5	—	—	$23,636.76	$30,353.45	$24,986.75	2026-05-06
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	6	5	—	—	$17,076.59	$30,295.50	$24,942.70	2026-05-06
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	6	5	—	—	$12,166.55	$30,213.80	$24,880.60	2026-05-06
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	6	5	—	—	$23,846.47	$30,153.00	$24,834.37	2026-05-06
500	OTHER	Soft Tissue Procedures With Mcc	6	5	—	—	$16,828.57	$30,102.65	$24,796.10	2026-05-06
27008724	OTHER	Flat Cut Talar Dome Sz2 Lt	14	9	$42,000.00	$27,300.00 35% off	$12,915.00	$35,700.00	$24,753.75	2026-05-06
229	OTHER	Other Cardiothoracic Procedures Without Mcc	6	5	—	—	$24,345.46	$29,509.85	$24,542.94	2026-05-06
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	6	5	—	—	$20,803.65	$29,649.50	$24,451.63	2026-05-06
662	OTHER	Minor Bladder Procedures With Mcc	6	5	—	—	$13,059.84	$29,636.20	$24,441.51	2026-05-06
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	6	5	—	—	$24,198.85	$29,317.00	$24,306.31	2026-05-06
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	6	5	—	—	$20,338.53	$29,377.80	$24,245.07	2026-05-06
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	6	5	—	—	$18,305.28	$29,296.10	$24,182.97	2026-05-06
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	6	5	—	—	$16,859.49	$29,151.70	$24,073.20	2026-05-06
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	6	5	—	—	$20,633.60	$29,056.70	$24,000.98	2026-05-06
570	OTHER	Skin Debridement With Mcc	6	5	—	—	$17,114.90	$28,596.90	$23,651.45	2026-05-06
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	6	5	—	—	$18,982.80	$28,011.70	$23,206.59	2026-05-06
480	OTHER	Hip And Femur Procedures Except Major Joint With Mcc	6	5	—	—	$19,030.53	$27,939.50	$23,151.69	2026-05-06
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	6	5	—	—	$14,264.32	$27,863.50	$23,093.91	2026-05-06
668	OTHER	Transurethral Procedures With Mcc	6	5	—	—	$13,658.72	$27,704.85	$22,973.32	2026-05-06
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	6	5	—	—	$17,055.76	$27,689.65	$22,961.76	2026-05-06
800	OTHER	Splenic Procedures With Cc	6	5	—	—	$11,439.96	$27,681.10	$22,955.26	2026-05-06
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	6	5	—	—	$21,614.26	$27,665.90	$22,943.72	2026-05-06
472	OTHER	Cervical Spinal Fusion With Cc	6	5	—	—	$19,826.35	$27,523.40	$22,835.38	2026-05-06
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	6	5	—	—	$14,260.96	$27,237.45	$22,618.00	2026-05-06
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	6	5	—	—	$22,447.73	$27,206.10	$22,594.17	2026-05-06
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	6	5	—	—	$19,507.08	$27,189.95	$22,581.89	2026-05-06
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	6	5	—	—	$18,520.37	$27,151.95	$22,553.01	2026-05-06
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	6	5	—	—	$20,839.95	$27,044.60	$22,471.40	2026-05-06
654	OTHER	Major Bladder Procedures With Cc	6	5	—	—	$14,030.42	$26,809.95	$22,293.02	2026-05-06
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	6	5	—	—	$19,211.33	$26,679.80	$22,194.09	2026-05-06
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	6	5	—	—	$21,543.02	$26,652.25	$22,173.14	2026-05-06
27000479	OTHER	Flat Cut Talar Dome Sz 1 Rt	14	9	$37,177.00	$24,165.05 35% off	$11,431.93	$31,600.45	$21,911.19	2026-05-06
56	OTHER	Degenerative Nervous System Disorders With Mcc	6	5	—	—	$19,996.49	$24,728.32	$21,892.72	2026-05-06
411	OTHER	Cholecystectomy With C.d.e. With Mcc	6	5	—	—	$21,434.13	$25,995.80	$21,674.11	2026-05-06
288	OTHER	Acute And Subacute Endocarditis With Mcc	6	5	—	—	$14,041.17	$25,949.25	$21,638.72	2026-05-06
619	OTHER	O.r. Procedures For Obesity With Mcc	6	5	—	—	$13,949.76	$25,901.75	$21,602.62	2026-05-06
263	OTHER	Vein Ligation And Stripping	6	5	—	—	$21,281.96	$25,479.95	$21,547.25	2026-05-06
963	OTHER	Other Multiple Significant Trauma With Mcc	6	5	—	—	$14,687.78	$25,808.65	$21,531.84	2026-05-06
849	OTHER	Radiotherapy	6	5	—	—	$21,202.53	$25,375.45	$21,462.84	2026-05-06
61	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	6	5	—	—	$15,823.71	$25,682.30	$21,435.78	2026-05-06
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	6	5	—	—	$12,760.06	$25,597.75	$21,371.53	2026-05-06
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	6	5	—	—	$21,073.98	$25,206.35	$21,326.65	2026-05-06
468	OTHER	Revision Of Hip Or Knee Replacement Without Cc/mcc	6	5	—	—	$20,857.33	$24,921.35	$21,316.12	2026-05-06
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	6	5	—	—	$16,524.76	$25,496.10	$21,294.25	2026-05-06
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	6	5	—	—	$17,916.10	$25,296.60	$21,142.59	2026-05-06
13	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	6	5	—	—	$16,581.89	$25,175.00	$21,050.14	2026-05-06
503	OTHER	Foot Procedures With Mcc	6	5	—	—	$15,089.05	$25,142.70	$21,025.60	2026-05-06
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	6	5	—	—	$13,192.92	$25,117.05	$21,006.09	2026-05-06
93653	OTHER	Compre Ep Eval Tx Svt	3	3	—	—	$21,003.96	$21,003.96	$21,003.96	2026-05-06
93654	OTHER	Compre Ep Eval Tx Vt	3	3	—	—	$21,003.96	$21,003.96	$21,003.96	2026-05-06
93656	OTHER	Compre Ep Eval Abltj Atr Fib	3	3	—	—	$21,003.96	$21,003.96	$21,003.96	2026-05-06
0515T	OTHER	Insj Wcs Lv Compl Sys	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
33240	OTHER	Insrt Pulse Gen W/singl Lead	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
0409T	OTHER	Insj/rplc Car Modulj Pls Gn	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
0614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
0414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
33230	OTHER	Insrt Pulse Gen W/dual Leads	3	3	—	—	$20,845.67	$20,845.67	$20,845.67	2026-05-06
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	6	5	—	—	$10,714.04	$24,856.75	$20,808.22	2026-05-06
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	6	5	—	—	$13,200.31	$24,591.70	$20,606.74	2026-05-06
659	OTHER	Kidney And Ureter Procedures For Non-neoplasm With Mcc	6	5	—	—	$12,825.93	$24,550.85	$20,575.68	2026-05-06
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	6	5	—	—	$7,687.36	$24,261.10	$20,355.41	2026-05-06
253	OTHER	Other Vascular Procedures With Cc	6	5	—	—	$18,441.72	$24,253.50	$20,349.63	2026-05-06
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	6	5	—	—	$17,662.71	$24,207.90	$20,314.96	2026-05-06
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	6	5	—	—	$8,828.66	$24,083.45	$20,220.36	2026-05-06
545	OTHER	Connective Tissue Disorders With Mcc	6	5	—	—	$19,521.87	$24,005.55	$20,161.14	2026-05-06
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	6	5	—	—	$11,450.04	$23,986.55	$20,146.69	2026-05-06
164	OTHER	Major Chest Procedures With Cc	6	5	—	—	$16,009.22	$23,911.50	$20,089.65	2026-05-06
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	6	5	—	—	$19,982.76	$23,770.90	$20,078.31	2026-05-06
397	OTHER	Appendix Procedures With Mcc	6	5	—	—	$11,071.62	$23,539.10	$19,806.56	2026-05-06
27	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	6	5	—	—	$16,333.87	$23,444.10	$19,734.34	2026-05-06
792	OTHER	Prematurity Without Major Problems	6	5	—	—	$6,333.65	$23,272.15	$19,603.63	2026-05-06
982	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc	6	5	—	—	$13,231.91	$23,258.85	$19,593.51	2026-05-06
327	OTHER	Stomach, Esophageal And Duodenal Procedures With Cc	6	5	—	—	$14,502.27	$23,066.95	$19,447.63	2026-05-06
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	6	5	—	—	$13,141.17	$22,977.65	$19,379.74	2026-05-06
0817T	OTHER	Opn Insj/rplcmt Ins Ptn Subf	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
64590	OTHER	Ins/rpl Prph Sac/gstr Npg/r	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
64580	OTHER	Opn Impltj Nea Neuromuscular	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
0816T	OTHER	Opn Insj/rplcmt Ins Ptn Subq	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
63655	OTHER	Implant Neuroelectrodes	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
61885	OTHER	Insrt/redo Neurostim 1 Array	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
61891	OTHER	Rev/rplcmt Sk-mnt Crnl Nstm	3	3	—	—	$19,345.91	$19,345.91	$19,345.91	2026-05-06
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	6	5	—	—	$11,956.84	$22,905.45	$19,324.85	2026-05-06
493	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc	6	5	—	—	$14,942.52	$22,809.50	$19,251.91	2026-05-06
95	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	6	5	—	—	$16,083.83	$22,773.40	$19,224.48	2026-05-06
96	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	6	5	—	—	$16,083.83	$22,773.40	$19,224.48	2026-05-06
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Mcc	6	5	—	—	$14,383.97	$22,576.75	$19,074.98	2026-05-06
473	OTHER	Cervical Spinal Fusion Without Cc/mcc	6	5	—	—	$16,153.06	$22,490.30	$19,009.26	2026-05-06
347	OTHER	Anal And Stomal Procedures With Mcc	6	5	—	—	$12,438.10	$22,484.60	$19,004.92	2026-05-06
330	OTHER	Major Small And Large Bowel Procedures With Cc	6	5	—	—	$15,734.31	$22,455.15	$18,982.54	2026-05-06
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	6	5	—	—	$16,238.42	$22,419.05	$18,955.10	2026-05-06
27004610	OTHER	Generator, Neurostimulator (implant)	14	9	$32,152.00	$20,898.80 35% off	$9,886.74	$27,329.20	$18,949.58	2026-05-06
835	OTHER	Acute Leukemia With Cc	6	5	—	—	$17,337.41	$21,493.28	$18,814.23	2026-05-06
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	6	5	—	—	$11,438.61	$22,216.70	$18,801.27	2026-05-06
35	OTHER	Carotid Artery Stent Procedures With Cc	6	5	—	—	$18,340.53	$21,610.60	$18,784.67	2026-05-06
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	6	5	—	—	$18,629.40	$21,990.60	$18,727.12	2026-05-06
82	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	6	5	—	—	$16,276.74	$22,041.90	$18,668.39	2026-05-06
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	6	5	—	—	$11,244.36	$21,969.70	$18,613.52	2026-05-06
674	OTHER	Other Kidney And Urinary Tract Procedures With Cc	6	5	—	—	$16,303.62	$21,929.80	$18,583.18	2026-05-06
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	6	5	—	—	$12,338.62	$21,793.95	$18,479.90	2026-05-06
808	OTHER	Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…	6	5	—	—	$13,176.12	$21,757.85	$18,452.47	2026-05-06
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	6	5	—	—	$12,409.20	$21,691.35	$18,401.91	2026-05-06
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	6	5	—	—	$14,695.17	$21,650.50	$18,370.85	2026-05-06
85	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	6	5	—	—	$10,376.62	$21,527.00	$18,276.97	2026-05-06
286	OTHER	Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	6	5	—	—	$17,896.38	$21,026.35	$18,249.04	2026-05-06
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	6	5	—	—	$9,467.88	$21,453.85	$18,221.37	2026-05-06
41	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	6	5	—	—	$11,718.23	$21,452.90	$18,220.65	2026-05-06
113	OTHER	Orbital Procedures With Cc/mcc	6	5	—	—	$15,552.16	$21,437.70	$18,209.09	2026-05-06
709	OTHER	Penis Procedures With Cc/mcc	6	5	—	—	$18,140.49	$21,347.45	$18,208.10	2026-05-06
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	6	5	—	—	$16,218.93	$21,401.60	$18,181.65	2026-05-06
357	OTHER	Other Digestive System O.r. Procedures With Cc	6	5	—	—	$13,914.81	$21,394.00	$18,175.87	2026-05-06
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	6	5	—	—	$14,597.71	$21,366.45	$18,154.92	2026-05-06
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	6	5	—	—	$14,196.44	$21,207.80	$18,034.32	2026-05-06
30	OTHER	Spinal Procedures Without Cc/mcc	6	5	—	—	$9,712.54	$21,141.30	$17,983.76	2026-05-06
53445	OTHER	Insert Uro/ves Nck Sphincter	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
53444	OTHER	Insert Tandem Cuff	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
54411	OTHER	Remov/replc Penis Pros Comp	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
54405	OTHER	Insert Multi-comp Penis Pros	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
54410	OTHER	Remove/replace Penis Prosth	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
54416	OTHER	Remv/repl Penis Contain Pros	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
53447	OTHER	Remove/replace Ur Sphincter	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
54401	OTHER	Insert Self-contd Prosthesis	3	3	—	—	$17,839.16	$17,839.16	$17,839.16	2026-05-06
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	6	5	—	—	$15,448.65	$20,894.30	$17,795.99	2026-05-06
52	OTHER	Spinal Disorders And Injuries With Cc/mcc	6	5	—	—	$16,446.24	$21,806.50	$17,782.50	2026-05-06

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