Hospital

FISHER-TITUS HOSPITAL

Norwalk, OH · CCN 360065 · Rates published

44,252 distinct procedures filed

41 distinct payers

989,140 rate rows

2026-05-27 last MRF observed

Data quality

952,083 of 989,140 rate rows are consumer-grade (96.3%)

37,057 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
template filing: same amount across many unrelated codes — excluded	20,070
placeholder amount (≤ $0.02) — excluded from medians	15,607
percent-of-charges filed in the dollar field — excluded from medians	1,265
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	108
per-diem day rate — not a per-procedure price	7

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

Source MRF file	https://ft-data.org/wp-content/uploads/2026/01/344430716_Fisher_Titus_Medical_Center_standardcharges.csv
Found on page	https://www.fishertitus.org/rights-and-policies/price-transparency
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint	654adffe32f9c947… · 294,889,856 bytes · first seen 2026-05-15

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3391 OTHER	Inj- Atidarsagene Autotemcel	14	$6,881.22	$4,730,250.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1411 OTHER	Inj- Hemgenix- Per Tx Dose	15	$11,138.13	$3,869,530.00	$3,685,266.67	nat. median $3,685,267 1.0× median
J1413 OTHER	Inj Delandistrogene Mox Rokl	15	$11,138.13	$3,482,285.72	$3,316,462.59	nat. median $3,327,860 1.0× median
J3394 OTHER	Inj- Lovotibeglogene Autotem	15	$6,881.22	$3,410,868.01	$3,248,445.72	nat. median $3,286,000 1.0× median
J3393 OTHER	Inj- Betibeglogene Autotemce	15	$6,881.22	$3,093,027.00	$2,945,740.00	nat. median $2,968,000 1.0× median
J3399 OTHER	Inj Onase Abepar-xioi Treat	13	$110,758.00	$2,577,866.14	$2,455,110.61	nat. median $2,472,216 1.0× median
J3392 OTHER	Inj- Exagamglogene Autotem	15	$6,881.22	$2,448,600.00	$2,332,000.00	nat. median $2,332,000 1.0× median
Q2057 OTHER	Afamitresgene Autoleucel	14	$6,881.22	$809,151.00	$770,620.00	nat. median $770,620 1.0× median
Q2042 OTHER	Tisagenlecleucel Car-pos T	16	$6,881.22	$1,089,321.97	$591,726.20	nat. median $591,726 1.0× median
Q2056 OTHER	Ciltacabtagene Car-pos T	16	$6,881.22	$1,074,763.80	$565,868.95	nat. median $583,076 1.0× median
Q2054 OTHER	Lisocabtagene Mara Car Pos T	16	$6,881.22	$1,003,577.39	$562,538.19	nat. median $562,538 1.0× median
Q2055 OTHER	Idecabtagene Vicleucel Car	16	$6,881.22	$1,026,080.22	$557,317.93	nat. median $558,082 1.0× median
Q2041 OTHER	Axicabtagene Ciloleucel Car+	16	$6,881.22	$951,456.00	$533,230.17	nat. median $533,230 1.0× median
Q2053 OTHER	Brexucabtagene Car Pos T	16	$6,881.22	$951,456.00	$489,304.61	nat. median $489,720 1.0× median
Q2058 OTHER	Obecbtge Autol Up To 400 Mil	14	$6,881.22	$292,162.50	$278,250.00	nat. median $281,111 1.0× median
MS-018 OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	14	$233,173.51	$862,981.54	$269,305.20	nat. median $309,559 0.9× median
J3403 OTHER	Revakinagene- Per Implant	14	$6,881.22	$270,375.00	$257,500.00	nat. median $265,000 1.0× median
5884 OTHER	Neonate Bwt <1500g W Major Procedure	7	$237,967.59	$237,967.59	$237,967.59	nat. median $243,175 1.0× median
5834 OTHER	Neonate W Ecmo	7	$230,198.57	$230,198.57	$230,198.57	nat. median $372,748 0.6× median
5833 OTHER	Neonate W Ecmo	7	$230,198.57	$230,198.57	$230,198.57	nat. median $252,069 0.9× median
5831 OTHER	Neonate W Ecmo	7	$218,965.98	$218,965.98	$218,965.98	nat. median $139,037 1.6× median
5832 OTHER	Neonate W Ecmo	7	$218,965.98	$218,965.98	$218,965.98	nat. median $152,272 1.4× median
1614 OTHER	N/a	7	$218,117.63	$218,117.63	$218,117.63	nat. median $194,298 1.1× median
J3402 OTHER	Inj. Remestemcel-l-rknd/ Td	14	$6,881.22	$215,922.00	$205,640.00	nat. median $205,640 1.0× median
0024 OTHER	N/a	7	$191,831.60	$191,831.60	$191,831.60	nat. median $235,636 0.8× median
MS-001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	14	$174,161.07	$420,436.79	$174,768.24	nat. median $224,278 0.8× median
1611 OTHER	N/a	7	$168,807.13	$168,807.13	$168,807.13	nat. median $80,527 outlier · 2.1×
1613 OTHER	N/a	7	$168,807.13	$168,807.13	$168,807.13	nat. median $79 outlier · 2144.4×
1612 OTHER	N/a	7	$168,807.13	$168,807.13	$168,807.13	nat. median $84,765 2.0× median
0074 OTHER	N/a	7	$163,980.08	$163,980.08	$163,980.08	nat. median $147,645 1.1× median
8411 OTHER	N/a	7	$152,638.36	$152,638.36	$152,638.36	nat. median $32,121 outlier · 4.8×
8412 OTHER	N/a	7	$152,638.36	$152,638.36	$152,638.36	nat. median $31,007 outlier · 4.9×
8414 OTHER	N/a	7	$152,638.36	$152,638.36	$152,638.36	nat. median $161,322 0.9× median
8413 OTHER	N/a	7	$152,638.36	$152,638.36	$152,638.36	nat. median $60,098 outlier · 2.5×
6094 OTHER	Neonate Bwt 1500-2499g W Major Procedure	7	$152,626.67	$152,626.67	$152,626.67	nat. median $170,784 0.9× median
6304 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	7	$148,123.11	$148,123.11	$148,123.11	nat. median $164,743 0.9× median
MS-453 OTHER	Combined Anterior/posterior Spinal Fusion W Mcc	1	$135,045.88	$135,045.88	$135,045.88	nat. median $121,295 1.1× median
MS-927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	14	$133,150.25	$317,824.22	$133,150.25	nat. median $175,322 0.8× median
MS-003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	14	$132,368.83	$303,649.40	$132,368.83	nat. median $169,886 0.8× median
6314 OTHER	Neonate Birthwt >2499g W Other Major Procedure	7	$130,745.47	$130,745.47	$130,745.47	nat. median $163,675 0.8× median
5883 OTHER	Neonate Bwt <1500g W Major Procedure	7	$120,209.88	$120,209.88	$120,209.88	nat. median $163,694 0.7× median
MS-222 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…	1	$114,535.56	$114,535.56	$114,535.56	nat. median $103,092 1.1× median
5881 OTHER	Neonate Bwt <1500g W Major Procedure	7	$114,344.15	$114,344.15	$114,344.15	nat. median $14,014 outlier · 8.2×
5882 OTHER	Neonate Bwt <1500g W Major Procedure	7	$114,344.15	$114,344.15	$114,344.15	nat. median $119,369 1.0× median
5934 OTHER	Neonate Birthwt 750-999g Without Major Procedure	7	$110,813.01	$110,813.01	$110,813.01	nat. median $129,842 0.9× median
Q0480 OTHER	Driver Pneumatic Vad- Rep	15	$10,425.18	$114,163.58	$108,727.22	nat. median $109,316 1.0× median
MS-224 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…	1	$107,080.67	$107,080.67	$107,080.67	nat. median $78,400 1.4× median
5914 OTHER	Neonate Birthwt 500-749g Without Major Procedure	7	$102,872.51	$102,872.51	$102,872.51	nat. median $149,152 0.7× median
MS-459 OTHER	Spinal Fusion Except Cervical With Mcc	1	$97,680.44	$97,680.44	$97,680.44	nat. median $72,631 1.3× median
MS-226 OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	1	$95,598.22	$95,598.22	$95,598.22	nat. median $70,890 1.3× median

Other procedures at this hospital

Browse this hospital's 44,252 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

14458355	OTHER	15054-1120-03 - Lanreotide 120 Mg/0.5 Ml Soln [f]	23	16	$43,920.00	$39,528.00	$13,176.00	$42,602.40	$35,136.00	2026-05-27
14632514	OTHER	15054-1120-04 - Lanreotide 120 Mg/0.5 Ml Soln	23	16	$45,897.60	$41,307.84	$13,769.28	$44,520.67	$36,718.08	2026-05-27
14580370	OTHER	47335-0177-95 - Tildrakizumab 100 mg/mL Soln [f]	23	16	$39,399.94	$35,459.95	$11,819.98	$38,217.94	$31,519.95	2026-05-27
15221164	OTHER	50242-0105-01 - Polatuzumab Vedotin 140 Mg Powd	23	16	$44,667.38	$40,200.65	$13,400.21	$43,327.36	$35,733.90	2026-05-27
14593885	OTHER	58468-0200-01 - Alemtuzumab 10 mg/mL Soln	23	16	$56,885.30	$51,196.77	$17,065.59	$55,178.74	$45,508.24	2026-05-27
15131399	OTHER	69097-0870-67 - Lanreotide 120 Mg/0.5 Ml Soln	23	16	$42,684.76	$38,416.28	$12,805.43	$41,404.22	$34,147.81	2026-05-27
MS-850	OTHER	Acute Leukemia With Other Procedures	14	13	—	—	$54,004.10	$56,956.02	$54,004.10	2026-05-27
MS-834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	15	14	—	—	$34,174.60	$120,603.81	$34,237.21	2026-05-27
Q2057	OTHER	Afamitresgene Autoleucel	20	14	—	—	$6,881.22	$809,151.00	$770,620.00	2026-05-27
MS-014	OTHER	Allogeneic Bone Marrow Transplant	15	14	—	—	$74,948.43	$188,841.50	$74,948.43	2026-05-27
MS-239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	15	14	—	—	$30,693.69	$71,494.45	$30,693.69	2026-05-27
MS-268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	15	14	—	—	$41,224.93	$103,160.50	$42,893.33	2026-05-27
MS-338	OTHER	Appendectomy With Complicated Principal Diagnosis With Mcc	1	1	—	—	$32,299.04	$32,299.04	$32,299.04	2026-05-27
MS-016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	15	14	—	—	$36,979.98	$114,274.85	$36,979.98	2026-05-27
MS-017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	15	14	—	—	$33,877.99	$102,269.31	$33,877.99	2026-05-27
15170017	OTHER	Autologous Cultured Chondrocytes, Implant	23	16	$74,720.40	$67,248.36	$22,416.12	$72,478.79	$59,776.32	2026-05-27
Q2041	OTHER	Axicabtagene Ciloleucel Car+	24	16	—	—	$6,881.22	$951,456.00	$533,230.17	2026-05-27
3088990	OTHER	Bi-ventricular Icd Atlas Ii	23	16	$73,456.26	$66,110.63	$22,036.88	$71,252.57	$58,765.01	2026-05-27
3088991	OTHER	Bi-ventricular Icd Atlas/epic	23	16	$66,347.47	$59,712.73	$19,904.24	$64,357.05	$53,077.98	2026-05-27
MS-461	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	15	14	—	—	$34,443.64	$88,595.67	$34,443.64	2026-05-27
Q2053	OTHER	Brexucabtagene Car Pos T	24	16	—	—	$6,881.22	$951,456.00	$489,304.61	2026-05-27
MS-275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	14	13	—	—	$43,694.37	$46,691.43	$44,468.02	2026-05-27
MS-222	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…	1	1	—	—	$114,535.56	$114,535.56	$114,535.56	2026-05-27
MS-223	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…	1	1	—	—	$82,171.62	$82,171.62	$82,171.62	2026-05-27
MS-224	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…	1	1	—	—	$107,080.67	$107,080.67	$107,080.67	2026-05-27
MS-225	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…	1	1	—	—	$77,352.91	$77,352.91	$77,352.91	2026-05-27
MS-276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	14	13	—	—	$37,459.56	$39,332.54	$37,459.56	2026-05-27
MS-226	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	1	1	—	—	$95,598.22	$95,598.22	$95,598.22	2026-05-27
MS-227	OTHER	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	1	1	—	—	$73,751.65	$73,751.65	$73,751.65	2026-05-27
MS-216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	14	—	—	$59,671.54	$147,162.78	$61,009.45	2026-05-27
MS-217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	14	—	—	$39,928.39	$93,506.42	$41,006.20	2026-05-27
MS-218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	14	—	—	$36,783.78	$84,546.95	$41,006.20	2026-05-27
MS-219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	14	—	—	$47,839.99	$120,145.63	$47,884.95	2026-05-27
MS-220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	14	—	—	$32,748.83	$79,137.19	$33,257.47	2026-05-27
MS-221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	15	14	—	—	$28,395.47	$67,218.81	$31,432.70	2026-05-27
MS-471	OTHER	Cervical Spinal Fusion With Mcc	15	14	—	—	$30,032.08	$73,298.34	$30,113.70	2026-05-27
MS-837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	15	14	—	—	$29,961.54	$92,631.10	$29,961.54	2026-05-27
MS-018	OTHER	Chimeric Antigen Receptor (car) T-cell Immunotherapy	15	14	—	—	$233,173.51	$862,981.54	$269,305.20	2026-05-27
Q2056	OTHER	Ciltacabtagene Car-pos T	24	16	—	—	$6,881.22	$1,074,763.80	$565,868.95	2026-05-27
MS-429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	14	13	—	—	$51,568.88	$58,996.84	$56,187.47	2026-05-27
MS-430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	14	13	—	—	$33,823.42	$37,764.24	$35,965.94	2026-05-27
MS-454	OTHER	Combined Anterior/posterior Spinal Fusion W Cc	1	1	—	—	$88,097.15	$88,097.15	$88,097.15	2026-05-27
MS-453	OTHER	Combined Anterior/posterior Spinal Fusion W Mcc	1	1	—	—	$135,045.88	$135,045.88	$135,045.88	2026-05-27
MS-455	OTHER	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	1	1	—	—	$68,377.75	$68,377.75	$68,377.75	2026-05-27
MS-233	OTHER	Coronary Bypass With Cardiac Catheterization With Mcc	15	14	—	—	$47,678.52	$113,222.44	$47,678.52	2026-05-27
MS-234	OTHER	Coronary Bypass With Cardiac Catheterization Without Mcc	15	14	—	—	$32,894.13	$74,905.34	$34,067.58	2026-05-27
MS-231	OTHER	Coronary Bypass With Ptca With Mcc	15	14	—	—	$52,393.06	$122,688.83	$52,572.23	2026-05-27
MS-232	OTHER	Coronary Bypass With Ptca Without Mcc	15	14	—	—	$37,769.33	$84,938.49	$37,808.80	2026-05-27
MS-235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	15	14	—	—	$36,381.27	$87,659.30	$36,598.94	2026-05-27
MS-955	OTHER	Craniotomy For Multiple Significant Trauma	15	14	—	—	$41,977.83	$119,987.62	$41,977.83	2026-05-27
MS-023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	15	14	—	—	$35,273.92	$87,381.49	$35,736.44	2026-05-27
3089097	OTHER	Defibrillator Atlas Ii	23	16	$51,893.00	$46,703.70	$15,567.90	$50,336.21	$41,514.40	2026-05-27
Q0480	OTHER	Driver Pneumatic Vad- Rep	20	15	—	—	$10,425.18	$114,163.58	$108,727.22	2026-05-27
3089113	OTHER	Dual Chamber Icd	23	16	$49,760.38	$44,784.34	$14,928.11	$48,267.57	$39,808.30	2026-05-27
MS-003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	15	14	—	—	$132,368.83	$303,649.40	$132,368.83	2026-05-27
L7181	OTHER	Electronic Elbo Simultaneous	20	15	—	—	$10,425.18	$50,789.30	$48,370.76	2026-05-27
L7180	OTHER	Electronic Elbow Sequential	20	15	—	—	$10,425.18	$49,329.40	$46,980.38	2026-05-27
MS-317	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	14	13	—	—	$38,249.74	$43,784.67	$41,699.69	2026-05-27
MS-266	OTHER	Endovascular Cardiac Valve Replacement W Mcc	15	14	—	—	$37,040.37	$98,642.75	$38,219.15	2026-05-27
MS-267	OTHER	Endovascular Cardiac Valve Replacement Without Mcc	15	14	—	—	$29,088.57	$77,487.19	$29,690.25	2026-05-27
0620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	21	16	—	—	$5,196.62	$35,880.85	$32,831.17	2026-05-27
L8701	OTHER	Ewh S/d Uprt Micro Sensor	20	15	—	—	$2,763.54	$35,998.66	$34,284.44	2026-05-27
L8702	OTHER	Ewhf S/d Uprt Micro Sensor	20	15	—	—	$2,763.54	$70,825.29	$67,452.66	2026-05-27
MS-927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	14	—	—	$133,150.25	$317,824.22	$133,150.25	2026-05-27
MS-790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	15	14	—	—	$36,755.95	$99,739.58	$37,066.04	2026-05-27
MS-928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	15	14	—	—	$41,294.80	$98,577.73	$44,731.82	2026-05-27
8514	OTHER	Gender Related Procedures	7	7	—	—	$70,290.73	$70,290.73	$70,290.73	2026-05-27
2870328	OTHER	Generator Pulse Implant 7427	23	16	$37,145.85	$33,431.27	$11,143.76	$36,031.47	$29,716.68	2026-05-27
MS-001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	14	—	—	$174,161.07	$420,436.79	$174,768.24	2026-05-27
MS-002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	14	—	—	$68,133.42	$289,523.94	$70,669.63	2026-05-27
MS-969	OTHER	HIV With Extensive O.r. Procedures With Mcc	15	14	—	—	$38,174.87	$99,705.35	$38,174.87	2026-05-27
Q2055	OTHER	Idecabtagene Vicleucel Car	24	16	—	—	$6,881.22	$1,026,080.22	$557,317.93	2026-05-27
15147404	OTHER	Impella Cp Pump Set	23	16	$37,835.44	$34,051.89	$11,350.63	$36,700.38	$30,268.35	2026-05-27
69930	OTHER	Implant Cochlear Device	27	16	—	—	$895.24	$73,299.93	$29,836.37	2026-05-27
3088581	OTHER	Implant Neuroreceiver	23	16	$76,184.00	$68,565.60	$22,855.20	$73,898.48	$60,947.20	2026-05-27
3088583	OTHER	Implant Spinal Infusion Pump	23	16	$44,186.00	$39,767.40	$13,255.80	$42,860.42	$35,348.80	2026-05-27
0266T	OTHER	Implt/rpl Crtd Sns Dev Total	21	16	—	—	$11,812.40	$61,324.47	$42,211.37	2026-05-27
MS-853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	15	14	—	—	$30,799.08	$72,330.48	$30,799.08	2026-05-27
J1413	OTHER	Inj Delandistrogene Mox Rokl	20	15	—	—	$11,138.13	$3,482,285.72	$3,316,462.59	2026-05-27
J3399	OTHER	Inj Onase Abepar-xioi Treat	14	13	—	—	$110,758.00	$2,577,866.14	$2,455,110.61	2026-05-27
J3391	OTHER	Inj- Atidarsagene Autotemcel	19	14	—	—	$6,881.22	$4,730,250.00	$4,505,000.00	2026-05-27
J3393	OTHER	Inj- Betibeglogene Autotemce	20	15	—	—	$6,881.22	$3,093,027.00	$2,945,740.00	2026-05-27
J3392	OTHER	Inj- Exagamglogene Autotem	20	15	—	—	$6,881.22	$2,448,600.00	$2,332,000.00	2026-05-27
J1411	OTHER	Inj- Hemgenix- Per Tx Dose	20	15	—	—	$11,138.13	$3,869,530.00	$3,685,266.67	2026-05-27
J3394	OTHER	Inj- Lovotibeglogene Autotem	20	15	—	—	$6,881.22	$3,410,868.01	$3,248,445.72	2026-05-27
J3402	OTHER	Inj. Remestemcel-l-rknd/ Td	20	14	—	—	$6,881.22	$215,922.00	$205,640.00	2026-05-27
3089212	OTHER	Insert/remove Aicd	23	16	$47,902.00	$43,111.80	$14,370.60	$46,464.94	$38,321.60	2026-05-27
14564167	OTHER	Insertion/rplcmt Peripheral/gastric Npgr	23	16	$53,611.00	$48,249.90	$16,083.30	$52,002.67	$42,888.80	2026-05-27
0915T	OTHER	Insj Perm Ccm-d Sys Pg&eltrd	20	15	—	—	$13,449.70	$31,578.12	$30,074.40	2026-05-27
33276	OTHER	Insj Phrnc Nrv Stim Sys	23	16	—	—	$454.79	$44,321.94	$42,211.37	2026-05-27
0408T	OTHER	Insj/rplc Cardiac Modulj Sys	22	16	—	—	$3,883.32	$67,001.56	$30,074.40	2026-05-27
0451T	OTHER	Insj/rplcmt Aortic Ventr Sys	6	6	—	—	$42,012.57	$43,272.95	$43,272.95	2026-05-27
33249	OTHER	Insj/rplcmt Defib W/lead(s)	24	16	—	—	$713.56	$70,527.96	$30,074.40	2026-05-27
0452T	OTHER	Insj/rplcmt Dev Vasc Seal	6	6	—	—	$42,012.57	$43,272.95	$43,272.95	2026-05-27
0571T	OTHER	Insj/rplcmt Icds Ss Eltrd	21	16	—	—	$13,449.70	$67,001.56	$30,074.40	2026-05-27
0453T	OTHER	Insj/rplcmt Mech-elec Ntrfce	6	6	—	—	$42,012.57	$43,272.95	$43,272.95	2026-05-27
0454T	OTHER	Insj/rplcmt Subq Electrode	6	6	—	—	$42,012.57	$43,272.95	$43,272.95	2026-05-27
33231	OTHER	Insrt Pulse Gen W/mult Leads	24	16	—	—	$313.61	$67,001.56	$30,074.40	2026-05-27
J9029	OTHER	Instill Adstiladrin- Tx Dose	26	16	—	—	$11,138.13	$68,294.46	$63,342.28	2026-05-27
MS-021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	15	14	—	—	$33,014.25	$111,044.48	$33,014.25	2026-05-27
MS-020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	15	14	—	—	$49,072.98	$155,955.97	$49,072.98	2026-05-27
L2006	OTHER	Kaf Sng/dbl Swg/stn Mcpr Cus	14	13	—	—	$38,762.63	$40,700.76	$38,762.63	2026-05-27
MS-209	OTHER	Kidney And Urinary Tract Signs And Symptoms Age 0-17	13	12	—	—	$70,588.56	$74,117.99	$70,588.56	2026-05-27
Q2054	OTHER	Lisocabtagene Mara Car Pos T	24	16	—	—	$6,881.22	$1,003,577.39	$562,538.19	2026-05-27
MS-005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	15	14	—	—	$64,300.40	$224,295.74	$64,300.40	2026-05-27
MS-007	OTHER	Lung Transplant	15	14	—	—	$80,762.62	$272,922.94	$80,762.62	2026-05-27
MS-820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	15	14	—	—	$35,998.55	$95,596.99	$36,575.24	2026-05-27
MS-653	OTHER	Major Bladder Procedures With Mcc	15	14	—	—	$32,406.83	$82,025.09	$32,406.83	2026-05-27
MS-426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	13	—	—	$64,768.08	$72,169.24	$68,732.61	2026-05-27
MS-427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	13	—	—	$43,915.10	$47,268.98	$45,018.08	2026-05-27
MS-428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	14	13	—	—	$34,031.16	$36,814.09	$35,061.04	2026-05-27
MS-447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	14	13	—	—	$41,454.32	$43,752.59	$41,669.13	2026-05-27
1614	OTHER	N/a	7	7	—	—	$218,117.63	$218,117.63	$218,117.63	2026-05-27
0024	OTHER	N/a	7	7	—	—	$191,831.60	$191,831.60	$191,831.60	2026-05-27
1612	OTHER	N/a	7	7	—	—	$168,807.13	$168,807.13	$168,807.13	2026-05-27
1613	OTHER	N/a	7	7	—	—	$168,807.13	$168,807.13	$168,807.13	2026-05-27
1611	OTHER	N/a	7	7	—	—	$168,807.13	$168,807.13	$168,807.13	2026-05-27
0074	OTHER	N/a	7	7	—	—	$163,980.08	$163,980.08	$163,980.08	2026-05-27
8412	OTHER	N/a	7	7	—	—	$152,638.36	$152,638.36	$152,638.36	2026-05-27
8413	OTHER	N/a	7	7	—	—	$152,638.36	$152,638.36	$152,638.36	2026-05-27
8411	OTHER	N/a	7	7	—	—	$152,638.36	$152,638.36	$152,638.36	2026-05-27
8414	OTHER	N/a	7	7	—	—	$152,638.36	$152,638.36	$152,638.36	2026-05-27
1604	OTHER	N/a	7	7	—	—	$94,629.95	$94,629.95	$94,629.95	2026-05-27
0023	OTHER	N/a	7	7	—	—	$85,029.77	$85,029.77	$85,029.77	2026-05-27
0022	OTHER	N/a	7	7	—	—	$85,029.77	$85,029.77	$85,029.77	2026-05-27
0021	OTHER	N/a	7	7	—	—	$85,029.77	$85,029.77	$85,029.77	2026-05-27
0094	OTHER	N/a	7	7	—	—	$84,893.35	$84,893.35	$84,893.35	2026-05-27
0073	OTHER	N/a	7	7	—	—	$80,031.22	$80,031.22	$80,031.22	2026-05-27
3034	OTHER	N/a	7	7	—	—	$70,430.39	$70,430.39	$70,430.39	2026-05-27
0014	OTHER	N/a	7	7	—	—	$67,663.16	$67,663.16	$67,663.16	2026-05-27
0084	OTHER	N/a	7	7	—	—	$64,225.57	$64,225.57	$64,225.57	2026-05-27
0072	OTHER	N/a	7	7	—	—	$64,065.77	$64,065.77	$64,065.77	2026-05-27
0071	OTHER	N/a	7	7	—	—	$64,065.77	$64,065.77	$64,065.77	2026-05-27
8424	OTHER	N/a	7	7	—	—	$63,731.89	$63,731.89	$63,731.89	2026-05-27
1784	OTHER	N/a	7	7	—	—	$58,312.42	$58,312.42	$58,312.42	2026-05-27
6904	OTHER	N/a	7	7	—	—	$58,084.41	$58,084.41	$58,084.41	2026-05-27
3033	OTHER	N/a	7	7	—	—	$52,825.39	$52,825.39	$52,825.39	2026-05-27
6954	OTHER	N/a	7	7	—	—	$50,845.46	$50,845.46	$50,845.46	2026-05-27
1634	OTHER	N/a	7	7	—	—	$50,429.08	$50,429.08	$50,429.08	2026-05-27
1624	OTHER	N/a	7	7	—	—	$49,860.04	$49,860.04	$49,860.04	2026-05-27
0083	OTHER	N/a	7	7	—	—	$48,242.58	$48,242.58	$48,242.58	2026-05-27
0114	OTHER	N/a	7	7	—	—	$47,784.62	$47,784.62	$47,784.62	2026-05-27
0113	OTHER	N/a	7	7	—	—	$47,784.62	$47,784.62	$47,784.62	2026-05-27
0111	OTHER	N/a	7	7	—	—	$47,784.62	$47,784.62	$47,784.62	2026-05-27
0112	OTHER	N/a	7	7	—	—	$47,784.62	$47,784.62	$47,784.62	2026-05-27
7924	OTHER	N/a	7	7	—	—	$46,931.07	$46,931.07	$46,931.07	2026-05-27
9504	OTHER	N/a	7	7	—	—	$45,607.87	$45,607.87	$45,607.87	2026-05-27
2004	OTHER	N/a	7	7	—	—	$42,022.17	$42,022.17	$42,022.17	2026-05-27
3044	OTHER	N/a	7	7	—	—	$41,724.66	$41,724.66	$41,724.66	2026-05-27
9104	OTHER	N/a	7	7	—	—	$41,469.38	$41,469.38	$41,469.38	2026-05-27
1794	OTHER	N/a	7	7	—	—	$40,049.39	$40,049.39	$40,049.39	2026-05-27
1204	OTHER	N/a	7	7	—	—	$39,490.10	$39,490.10	$39,490.10	2026-05-27
6604	OTHER	N/a	7	7	—	—	$39,375.12	$39,375.12	$39,375.12	2026-05-27
1603	OTHER	N/a	7	7	—	—	$38,794.40	$38,794.40	$38,794.40	2026-05-27
2204	OTHER	N/a	7	7	—	—	$37,032.08	$37,032.08	$37,032.08	2026-05-27
6903	OTHER	N/a	7	7	—	—	$36,802.77	$36,802.77	$36,802.77	2026-05-27
3032	OTHER	N/a	7	7	—	—	$36,352.61	$36,352.61	$36,352.61	2026-05-27
1623	OTHER	N/a	7	7	—	—	$36,142.80	$36,142.80	$36,142.80	2026-05-27
1654	OTHER	N/a	7	7	—	—	$36,079.79	$36,079.79	$36,079.79	2026-05-27
9114	OTHER	N/a	7	7	—	—	$35,631.58	$35,631.58	$35,631.58	2026-05-27
0093	OTHER	N/a	7	7	—	—	$34,811.80	$34,811.80	$34,811.80	2026-05-27
0092	OTHER	N/a	7	7	—	—	$34,811.80	$34,811.80	$34,811.80	2026-05-27
0091	OTHER	N/a	7	7	—	—	$34,811.80	$34,811.80	$34,811.80	2026-05-27
1782	OTHER	N/a	7	7	—	—	$34,591.59	$34,591.59	$34,591.59	2026-05-27
1781	OTHER	N/a	7	7	—	—	$34,591.59	$34,591.59	$34,591.59	2026-05-27
1783	OTHER	N/a	7	7	—	—	$34,591.59	$34,591.59	$34,591.59	2026-05-27
6804	OTHER	N/a	7	7	—	—	$34,126.49	$34,126.49	$34,126.49	2026-05-27
2304	OTHER	N/a	7	7	—	—	$33,601.63	$33,601.63	$33,601.63	2026-05-27
8423	OTHER	N/a	7	7	—	—	$33,489.90	$33,489.90	$33,489.90	2026-05-27
0894	OTHER	N/a	7	7	—	—	$33,272.94	$33,272.94	$33,272.94	2026-05-27
1664	OTHER	N/a	7	7	—	—	$33,249.56	$33,249.56	$33,249.56	2026-05-27
2604	OTHER	N/a	7	7	—	—	$33,118.99	$33,118.99	$33,118.99	2026-05-27
1694	OTHER	N/a	7	7	—	—	$32,725.99	$32,725.99	$32,725.99	2026-05-27
9124	OTHER	N/a	7	7	—	—	$32,143.97	$32,143.97	$32,143.97	2026-05-27
1814	OTHER	N/a	7	7	—	—	$31,749.02	$31,749.02	$31,749.02	2026-05-27
3043	OTHER	N/a	7	7	—	—	$30,254.33	$30,254.33	$30,254.33	2026-05-27
9514	OTHER	N/a	7	7	—	—	$30,010.73	$30,010.73	$30,010.73	2026-05-27
1633	OTHER	N/a	7	7	—	—	$29,889.91	$29,889.91	$29,889.91	2026-05-27
7104	OTHER	N/a	7	7	—	—	$29,887.31	$29,887.31	$29,887.31	2026-05-27
1324	OTHER	N/a	7	7	—	—	$29,637.22	$29,637.22	$29,637.22	2026-05-27
1764	OTHER	N/a	7	7	—	—	$29,499.51	$29,499.51	$29,499.51	2026-05-27
8634	OTHER	Neonatal Aftercare	7	7	—	—	$58,331.90	$58,331.90	$58,331.90	2026-05-27
8633	OTHER	Neonatal Aftercare	7	7	—	—	$44,070.31	$44,070.31	$44,070.31	2026-05-27
6033	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	7	7	—	—	$44,146.96	$44,146.96	$44,146.96	2026-05-27
6034	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	7	7	—	—	$44,146.96	$44,146.96	$44,146.96	2026-05-27
6114	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	7	7	—	—	$58,802.85	$58,802.85	$58,802.85	2026-05-27
6113	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	7	7	—	—	$31,783.45	$31,783.45	$31,783.45	2026-05-27
5914	OTHER	Neonate Birthwt 500-749g Without Major Procedure	7	7	—	—	$102,872.51	$102,872.51	$102,872.51	2026-05-27
5913	OTHER	Neonate Birthwt 500-749g Without Major Procedure	7	7	—	—	$56,985.32	$56,985.32	$56,985.32	2026-05-27
5911	OTHER	Neonate Birthwt 500-749g Without Major Procedure	7	7	—	—	$42,990.70	$42,990.70	$42,990.70	2026-05-27
5912	OTHER	Neonate Birthwt 500-749g Without Major Procedure	7	7	—	—	$42,990.70	$42,990.70	$42,990.70	2026-05-27
5934	OTHER	Neonate Birthwt 750-999g Without Major Procedure	7	7	—	—	$110,813.01	$110,813.01	$110,813.01	2026-05-27
5933	OTHER	Neonate Birthwt 750-999g Without Major Procedure	7	7	—	—	$69,337.79	$69,337.79	$69,337.79	2026-05-27
5931	OTHER	Neonate Birthwt 750-999g Without Major Procedure	7	7	—	—	$43,865.04	$43,865.04	$43,865.04	2026-05-27
5932	OTHER	Neonate Birthwt 750-999g Without Major Procedure	7	7	—	—	$43,865.04	$43,865.04	$43,865.04	2026-05-27
6334	OTHER	Neonate Birthwt >2499g W Major Anomaly	7	7	—	—	$63,791.65	$63,791.65	$63,791.65	2026-05-27
6304	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	7	7	—	—	$148,123.11	$148,123.11	$148,123.11	2026-05-27
6303	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	7	7	—	—	$65,427.30	$65,427.30	$65,427.30	2026-05-27
6302	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	7	7	—	—	$42,870.53	$42,870.53	$42,870.53	2026-05-27
6301	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	7	7	—	—	$42,870.53	$42,870.53	$42,870.53	2026-05-27
6314	OTHER	Neonate Birthwt >2499g W Other Major Procedure	7	7	—	—	$130,745.47	$130,745.47	$130,745.47	2026-05-27
6313	OTHER	Neonate Birthwt >2499g W Other Major Procedure	7	7	—	—	$49,620.35	$49,620.35	$49,620.35	2026-05-27
6024	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	7	7	—	—	$75,845.31	$75,845.31	$75,845.31	2026-05-27
6023	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	7	7	—	—	$61,317.39	$61,317.39	$61,317.39	2026-05-27
6022	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	7	7	—	—	$44,862.80	$44,862.80	$44,862.80	2026-05-27
6083	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	7	7	—	—	$37,145.75	$37,145.75	$37,145.75	2026-05-27
6084	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	7	7	—	—	$37,145.75	$37,145.75	$37,145.75	2026-05-27
6074	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	7	7	—	—	$75,009.95	$75,009.95	$75,009.95	2026-05-27
6073	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	7	7	—	—	$52,711.71	$52,711.71	$52,711.71	2026-05-27
6072	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	7	7	—	—	$36,835.90	$36,835.90	$36,835.90	2026-05-27
6124	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	7	7	—	—	$54,968.36	$54,968.36	$54,968.36	2026-05-27
6123	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	7	7	—	—	$34,241.47	$34,241.47	$34,241.47	2026-05-27
6094	OTHER	Neonate Bwt 1500-2499g W Major Procedure	7	7	—	—	$152,626.67	$152,626.67	$152,626.67	2026-05-27
6093	OTHER	Neonate Bwt 1500-2499g W Major Procedure	7	7	—	—	$62,031.28	$62,031.28	$62,031.28	2026-05-27
6091	OTHER	Neonate Bwt 1500-2499g W Major Procedure	7	7	—	—	$59,004.22	$59,004.22	$59,004.22	2026-05-27
6092	OTHER	Neonate Bwt 1500-2499g W Major Procedure	7	7	—	—	$59,004.22	$59,004.22	$59,004.22	2026-05-27
6214	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	7	7	—	—	$57,740.78	$57,740.78	$57,740.78	2026-05-27
6213	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	7	7	—	—	$30,282.26	$30,282.26	$30,282.26	2026-05-27
6224	OTHER	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	7	7	—	—	$36,596.21	$36,596.21	$36,596.21	2026-05-27
5884	OTHER	Neonate Bwt <1500g W Major Procedure	7	7	—	—	$237,967.59	$237,967.59	$237,967.59	2026-05-27
5883	OTHER	Neonate Bwt <1500g W Major Procedure	7	7	—	—	$120,209.88	$120,209.88	$120,209.88	2026-05-27
5882	OTHER	Neonate Bwt <1500g W Major Procedure	7	7	—	—	$114,344.15	$114,344.15	$114,344.15	2026-05-27
5881	OTHER	Neonate Bwt <1500g W Major Procedure	7	7	—	—	$114,344.15	$114,344.15	$114,344.15	2026-05-27
5894	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	7	7	—	—	$51,989.38	$51,989.38	$51,989.38	2026-05-27
5893	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	7	7	—	—	$51,989.38	$51,989.38	$51,989.38	2026-05-27
5891	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	7	7	—	—	$49,452.75	$49,452.75	$49,452.75	2026-05-27
5892	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	7	7	—	—	$49,452.75	$49,452.75	$49,452.75	2026-05-27
5833	OTHER	Neonate W Ecmo	7	7	—	—	$230,198.57	$230,198.57	$230,198.57	2026-05-27
5834	OTHER	Neonate W Ecmo	7	7	—	—	$230,198.57	$230,198.57	$230,198.57	2026-05-27
5831	OTHER	Neonate W Ecmo	7	7	—	—	$218,965.98	$218,965.98	$218,965.98	2026-05-27
5832	OTHER	Neonate W Ecmo	7	7	—	—	$218,965.98	$218,965.98	$218,965.98	2026-05-27
6344	OTHER	Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond	7	7	—	—	$37,035.33	$37,035.33	$37,035.33	2026-05-27
0504	OTHER	Non-bacterial Infections Of Nervous System Exc Viral Meningitis	7	7	—	—	$31,889.33	$31,889.33	$31,889.33	2026-05-27
Q2058	OTHER	Obecbtge Autol Up To 400 Mil	19	14	—	—	$6,881.22	$292,162.50	$278,250.00	2026-05-27
0214	OTHER	Open Craniotomy Except Trauma	7	7	—	—	$39,715.50	$39,715.50	$39,715.50	2026-05-27
0204	OTHER	Open Craniotomy For Trauma	7	7	—	—	$33,508.74	$33,508.74	$33,508.74	2026-05-27
1674	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	7	7	—	—	$39,786.96	$39,786.96	$39,786.96	2026-05-27
MS-228	OTHER	Other Cardiothoracic Procedures With Mcc	15	14	—	—	$30,811.12	$112,839.23	$30,853.96	2026-05-27
2294	OTHER	Other Digestive System And Abdominal Procedures	7	7	—	—	$30,235.49	$30,235.49	$30,235.49	2026-05-27
MS-215	OTHER	Other Heart Assist System Implant	15	14	—	—	$62,095.83	$157,653.64	$62,095.83	2026-05-27
2644	OTHER	Other Hepatobiliary, Pancreas & Abdominal Procedures	7	7	—	—	$30,486.88	$30,486.88	$30,486.88	2026-05-27
4474	OTHER	Other Kidney, Urinary Tract & Related Procedures	7	7	—	—	$30,188.07	$30,188.07	$30,188.07	2026-05-27
MS-270	OTHER	Other Major Cardiovascular Procedures With Mcc	15	14	—	—	$31,736.70	$82,983.62	$32,905.12	2026-05-27
0914	OTHER	Other Major Head And Neck Procedures	7	7	—	—	$43,072.55	$43,072.55	$43,072.55	2026-05-27
0264	OTHER	Other Nervous System And Related Procedures	7	7	—	—	$35,388.63	$35,388.63	$35,388.63	2026-05-27
6814	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	7	7	—	—	$51,137.12	$51,137.12	$51,137.12	2026-05-27
MS-957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	15	14	—	—	$46,150.21	$112,841.13	$47,520.74	2026-05-27
0274	OTHER	Other Open Craniotomy	7	7	—	—	$32,781.21	$32,781.21	$32,781.21	2026-05-27
0294	OTHER	Other Percutaneous Intracranial Procedures	7	7	—	—	$31,899.07	$31,899.07	$31,899.07	2026-05-27
1824	OTHER	Other Peripheral Vascular Procedures	7	7	—	—	$31,174.14	$31,174.14	$31,174.14	2026-05-27
4054	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	7	7	—	—	$31,315.10	$31,315.10	$31,315.10	2026-05-27
MS-010	OTHER	Pancreas Transplant	15	14	—	—	$44,750.53	$100,985.89	$44,750.53	2026-05-27
MS-405	OTHER	Pancreas- Liver And Shunt Procedures With Mcc	15	14	—	—	$33,564.97	$83,677.52	$34,116.22	2026-05-27
MS-246	OTHER	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	1	1	—	—	$40,844.06	$40,844.06	$40,844.06	2026-05-27
MS-248	OTHER	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	1	1	—	—	$44,336.13	$44,336.13	$44,336.13	2026-05-27
0304	OTHER	Percutaneous Intra And Extracranial Vascular Procedures	10	7	—	—	$69.00	$32,818.23	$32,818.23	2026-05-27
1834	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$58,530.03	$58,530.03	$58,530.03	2026-05-27
1833	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$41,164.07	$41,164.07	$41,164.07	2026-05-27
1832	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$36,960.62	$36,960.62	$36,960.62	2026-05-27
1831	OTHER	Percutaneous Structural Cardiac Procedures	7	7	—	—	$35,921.94	$35,921.94	$35,921.94	2026-05-27
8504	OTHER	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	7	7	—	—	$72,632.47	$72,632.47	$72,632.47	2026-05-27
0459T	OTHER	Relocaj Rplcmt Aortic Ventr	6	6	—	—	$42,012.57	$43,272.95	$43,272.95	2026-05-27
1304	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	7	7	—	—	$34,633.82	$34,633.82	$34,633.82	2026-05-27
MS-207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	15	14	—	—	$39,985.89	$95,306.95	$40,129.36	2026-05-27
J3403	OTHER	Revakinagene- Per Implant	22	14	—	—	$6,881.22	$270,375.00	$257,500.00	2026-05-27
MS-466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	15	14	—	—	$31,499.27	$75,562.00	$32,462.96	2026-05-27
MS-870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	15	14	—	—	$43,011.17	$101,579.65	$43,104.75	2026-05-27
MS-019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	15	14	—	—	$44,494.22	$196,088.26	$44,494.22	2026-05-27
MS-008	OTHER	Simultaneous Pancreas/kidney Transplant	15	14	—	—	$33,641.64	$147,620.67	$34,952.53	2026-05-27
3089342	OTHER	Single Chamber Icd	23	16	$47,390.75	$42,651.68	$14,217.22	$45,969.03	$37,912.60	2026-05-27
MS-450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	14	13	—	—	$31,842.42	$34,899.39	$33,237.52	2026-05-27
Q2043	OTHER	Sipuleucel-t Auto Cd54+	27	16	—	—	$11,138.13	$140,480.04	$55,272.32	2026-05-27
MS-576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	15	14	—	—	$30,565.84	$91,167.65	$30,565.84	2026-05-27
MS-573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	15	14	—	—	$38,075.38	$82,013.59	$40,857.15	2026-05-27
3124	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	7	7	—	—	$38,032.44	$38,032.44	$38,032.44	2026-05-27
3214	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	7	7	—	—	$31,530.11	$31,530.11	$31,530.11	2026-05-27
MS-459	OTHER	Spinal Fusion Except Cervical With Mcc	1	1	—	—	$97,680.44	$97,680.44	$97,680.44	2026-05-27
MS-456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	15	14	—	—	$52,364.00	$126,687.56	$52,406.96	2026-05-27
MS-457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…	15	14	—	—	$35,485.99	$90,732.25	$37,188.28	2026-05-27
MS-460	OTHER	Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$45,988.90	$45,988.90	$45,988.90	2026-05-27
0234	OTHER	Spinal Procedures	7	7	—	—	$34,661.75	$34,661.75	$34,661.75	2026-05-27
MS-028	OTHER	Spinal Procedures With Mcc	15	14	—	—	$37,470.16	$85,565.10	$37,470.16	2026-05-27
MS-213	OTHER	Splenectomy Age 0-17	13	12	—	—	$35,590.51	$37,370.04	$35,590.51	2026-05-27
MS-326	OTHER	Stomach- Esophageal And Duodenal Procedures With Mcc	15	14	—	—	$31,103.42	$79,078.55	$31,103.42	2026-05-27
J9226	OTHER	Supprelin La Implant	27	16	—	—	$11,138.13	$106,349.82	$45,020.65	2026-05-27
MS-212	OTHER	Testes Procedures Age 0-17	14	13	—	—	$67,355.62	$71,206.00	$67,815.23	2026-05-27
Q2042	OTHER	Tisagenlecleucel Car-pos T	24	16	—	—	$6,881.22	$1,089,321.97	$591,726.20	2026-05-27
MS-011	OTHER	Tracheostomy For Facemouth & Neck Diagnoses W Mcc	15	14	—	—	$33,362.17	$77,479.12	$34,013.95	2026-05-27
0044	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	7	7	—	—	$77,093.81	$77,093.81	$77,093.81	2026-05-27
0043	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	7	7	—	—	$58,417.00	$58,417.00	$58,417.00	2026-05-27
0042	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	7	7	—	—	$30,501.82	$30,501.82	$30,501.82	2026-05-27
0041	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure	7	7	—	—	$30,501.82	$30,501.82	$30,501.82	2026-05-27
0054	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	7	7	—	—	$54,425.31	$54,425.31	$54,425.31	2026-05-27
0053	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	7	7	—	—	$39,388.76	$39,388.76	$39,388.76	2026-05-27
MS-004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…	15	14	—	—	$86,382.87	$205,866.50	$86,382.87	2026-05-27
38240	OTHER	Transplt Allo Hct/donor	24	16	—	—	$225.04	$88,217.81	$55,476.69	2026-05-27
MS-278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	14	13	—	—	$30,934.78	$36,448.70	$34,713.05	2026-05-27
0224	OTHER	Ventricular Shunt Procedures	7	7	—	—	$48,489.42	$48,489.42	$48,489.42	2026-05-27
MS-463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	15	14	—	—	$33,393.71	$82,030.60	$35,544.36	2026-05-27
A9543	OTHER	Y90 Ibritumomab- Rx	24	16	—	—	$11,505.16	$131,471.92	$56,824.55	2026-05-27

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