Hospital

MEMORIAL HOSPITAL

Marysville, OH · CCN 360092 · Rates published

10,731 distinct procedures filed

37 distinct payers

754,080 rate rows

2026-05-24 last MRF observed

Data quality

412,392 of 754,080 rate rows are consumer-grade (54.7%)

341,688 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	339,747
template filing: same amount across many unrelated codes — excluded	931
per-diem day rate — not a per-procedure price	853
placeholder amount (≤ $0.02) — excluded from medians	141
exceeds 10× this hospital's gross charge — excluded from medians	16

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

Source MRF file	https://apim.services.craneware.com/api-pricing-transparency/api/public/3db6d9983f7ff0556c8777f0755ff297/charges/mrf
Found on page	https://www.cdmpricing.com/3db6d9983f7ff0556c8777f0755ff297/
Discovered via	Discovered by HANK
Last fetch	success · 2026-05-18
Content fingerprint	55da4e64a54549c9… · 137,153,128 bytes · first seen 2026-05-18

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	$127,991.54	$522,825.85	$307,544.62	nat. median $424,868 0.7× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	37	$94,140.54	$339,908.15	$217,024.35	nat. median $263,894 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	18	$91,570.12	$259,382.31	$152,577.83	nat. median $146,562 1.0× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	$74,066.72	$257,870.33	$151,688.43	nat. median $218,232 0.7× median
69866103008 OTHER	Maci	37	$104,658.00	$104,658.00	$104,658.00	nat. median $104,658 1.0× median
69866103005 OTHER	Maci	37	$104,658.00	$104,658.00	$104,658.00	nat. median $104,658 1.0× median
007 OTHER	Lung Transplant	37	$42,613.47	$158,018.52	$100,315.99	nat. median $141,082 0.7× median
004 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	18	$51,067.80	$168,893.03	$99,348.84	nat. median $150,232 0.7× median
014 OTHER	Allogeneic Bone Marrow Transplant	37	$39,815.17	$146,768.73	$93,291.95	nat. median $105,808 0.9× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	37	$42,536.00	$138,489.80	$90,512.90	nat. median $117,167 0.8× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	37	$35,955.90	$126,166.08	$81,060.99	nat. median $104,489 0.8× median
209 OTHER	Complex Aortic Arch Procedures	36	$72,832.96	$138,332.93	$72,832.96	nat. median $23,389 outlier · 3.1×
30237890006 OTHER	Provenge	37	$51,683.90	$92,486.99	$72,085.45	nat. median $62,565 1.2× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	36	$71,037.44	$134,741.88	$71,037.44	nat. median $80,273 0.9× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	37	$37,417.41	$132,966.88	$70,149.94	nat. median $90,581 0.8× median
215 OTHER	Other Heart Assist System Implant	37	$35,486.22	$121,900.51	$64,616.75	nat. median $92,359 0.7× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	37	$33,716.21	$119,798.49	$63,565.75	nat. median $90,130 0.7× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	36	$58,900.76	$110,468.53	$58,900.76	nat. median $62,997 0.9× median
850 OTHER	Acute Leukemia With Other Procedures	36	$56,788.48	$106,243.96	$56,788.48	nat. median $407 outlier · 139.5×
231 OTHER	Coronary Bypass With Ptca With Mcc	37	$28,192.20	$103,473.46	$55,403.23	nat. median $74,989 0.7× median
456 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	$29,283.74	$103,153.70	$55,243.35	nat. median $76,493 0.7× median
010 OTHER	Pancreas Transplant	37	$16,722.45	$88,339.43	$52,530.94	nat. median $67,882 0.8× median
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	37	$29,363.64	$96,702.87	$52,017.93	nat. median $82,426 0.6× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	37	$26,788.71	$94,404.15	$50,868.57	nat. median $72,612 0.7× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	37	$27,095.81	$94,004.76	$50,668.88	nat. median $68,249 0.7× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	37	$25,125.70	$93,699.46	$50,516.23	nat. median $68,309 0.7× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	36	$48,095.05	$88,857.10	$48,095.05	nat. median $51,811 0.9× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	37	$24,039.04	$88,303.24	$47,818.12	nat. median $46,003 1.0× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	37	$27,769.42	$87,843.49	$47,588.25	nat. median $67,495 0.7× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	37	$24,442.37	$87,792.81	$47,562.90	nat. median $29,655 1.6× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	37	$21,458.90	$73,304.34	$47,381.62	nat. median $60,768 0.8× median
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	37	$24,196.06	$85,155.04	$46,244.02	nat. median $54,603 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	37	$23,813.23	$84,745.97	$46,039.49	nat. median $67,670 0.7× median
955 OTHER	Craniotomy For Multiple Significant Trauma	37	$21,157.35	$82,974.57	$45,153.79	nat. median $62,467 0.7× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	36	$44,884.70	$82,436.40	$44,884.70	nat. median $48,503 0.9× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	36	$44,855.14	$82,377.27	$44,855.14	nat. median $54,322 0.8× median
017 OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	37	$21,458.90	$67,302.39	$44,380.64	nat. median $51,368 0.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	37	$22,113.05	$81,094.61	$44,213.81	nat. median $60,727 0.7× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	37	$19,790.34	$81,094.61	$44,213.81	nat. median $56,507 0.8× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	37	$21,601.68	$80,806.19	$44,069.60	nat. median $54,881 0.8× median
008 OTHER	Simultaneous Pancreas And Kidney Transplant	37	$18,279.15	$69,381.45	$43,830.30	nat. median $59,265 0.7× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	37	$23,998.39	$79,398.01	$43,365.50	nat. median $66,849 0.6× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	37	$21,698.95	$75,702.00	$41,517.50	nat. median $58,866 0.7× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	37	$23,875.41	$75,616.32	$41,474.66	nat. median $64,729 0.6× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	37	$20,665.44	$74,908.00	$41,120.50	nat. median $56,351 0.7× median
028 OTHER	Spinal Procedures With Mcc	37	$20,934.67	$74,252.79	$40,792.89	nat. median $61,887 0.7× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	37	$21,574.23	$74,232.27	$40,782.64	nat. median $3,947 outlier · 10.3×
457 OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	37	$21,105.59	$73,707.38	$40,520.19	nat. median $52,731 0.8× median
33249 OTHER	Insj/rplcmt Defib W/lead(s)	37	$28,752.54	$51,451.91	$40,102.22	nat. median $30,055 1.3× median
33264 OTHER	Removal And Replacement Of Multiple Lead Defibrillator	37	$28,752.54	$51,451.91	$40,102.22	nat. median $29,348 1.4× median

Other procedures at this hospital

Browse this hospital's 10,731 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

737	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc	58	37	—	—	$6,856.98	$26,617.12	$16,737.05	2026-05-24
415	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Complication	58	37	—	—	$6,863.93	$26,690.73	$16,777.33	2026-05-24
935	OTHER	Non-extensive Burns	58	37	—	—	$7,090.78	$26,609.90	$16,850.34	2026-05-24
838	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…	58	37	—	—	$6,782.64	$26,940.51	$16,861.58	2026-05-24
511	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc	58	37	—	—	$6,926.46	$26,843.97	$16,885.22	2026-05-24
516	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc	58	37	—	—	$7,089.74	$26,828.31	$16,959.03	2026-05-24
486	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Cc	58	37	—	—	$6,976.83	$26,985.17	$16,981.00	2026-05-24
314	OTHER	Other Circulatory System Diagnoses With Comorbity	58	37	—	—	$7,272.82	$26,913.98	$17,093.40	2026-05-24
412	OTHER	Cholecystectomy With C.d.e. With Cc	58	37	—	—	$7,106.07	$27,122.72	$17,114.40	2026-05-24
711	OTHER	Testes Procedures With Complication/comorbity	58	37	—	—	$7,374.95	$26,897.08	$17,115.04	2026-05-24
481	OTHER	Hip & Femur Procedures Except Major Joint With Complication	58	37	—	—	$7,208.20	$27,026.19	$17,117.19	2026-05-24
835	OTHER	Acute Leukemia With Cc	58	37	—	—	$7,766.13	$26,921.20	$17,127.10	2026-05-24
867	OTHER	Other Infectious And Parasitic Diseases Diagnoses With Mcc	58	37	—	—	$7,268.65	$27,010.52	$17,139.58	2026-05-24
584	OTHER	Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc	58	37	—	—	$6,804.18	$27,583.66	$17,193.92	2026-05-24
336	OTHER	Peritoneal Adhesiolysis With Complication	58	37	—	—	$7,313.81	$27,197.52	$17,255.67	2026-05-24
655	OTHER	Major Bladder Procedures Without Cc/mcc	58	37	—	—	$7,322.50	$27,292.85	$17,307.67	2026-05-24
146	OTHER	Ear, Nose, Mouth And Throat Malignancy With Mcc	58	37	—	—	$7,333.61	$27,302.51	$17,317.76	2026-05-24
522	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	58	37	—	—	$7,337.78	$27,306.15	$17,319.58	2026-05-24
595	OTHER	Major Skin Disorders With Mcc	58	37	—	—	$7,555.95	$27,342.34	$17,337.67	2026-05-24
814	OTHER	Reticuloendothelial And Immunity Disorders With Mcc	58	37	—	—	$7,393.02	$27,414.74	$17,373.87	2026-05-24
734	OTHER	Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc	58	37	—	—	$7,551.09	$27,454.56	$17,393.78	2026-05-24
243	OTHER	Permanent Cardiac Pacemaker Implant With Cc	58	37	—	—	$7,912.38	$27,465.40	$17,399.20	2026-05-24
032	OTHER	Ventricular Shunt Procedures With Cc	58	37	—	—	$7,482.30	$27,466.63	$17,399.81	2026-05-24
409	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	58	37	—	—	$6,799.66	$28,025.30	$17,412.48	2026-05-24
374	OTHER	Digestive Malignancy With Comorbity	58	37	—	—	$7,291.93	$27,559.53	$17,425.73	2026-05-24
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Complication	58	37	—	—	$7,419.42	$27,593.31	$17,463.15	2026-05-24
141	OTHER	Major Head And Neck Procedures With Cc	58	37	—	—	$7,197.09	$28,071.16	$17,634.12	2026-05-24
135	OTHER	Sinus And Mastoid Procedures With Cc/mcc	58	37	—	—	$9,213.40	$27,937.22	$17,635.11	2026-05-24
629	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	58	37	—	—	$7,860.97	$28,043.42	$17,688.21	2026-05-24
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	58	37	—	—	$7,251.28	$28,153.22	$17,702.25	2026-05-24
250	OTHER	Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc	58	37	—	—	$8,166.68	$28,088.06	$17,710.53	2026-05-24
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	58	37	—	—	$7,824.84	$28,200.30	$17,766.65	2026-05-24
030	OTHER	Spinal Procedures Without Cc/mcc	58	37	—	—	$8,056.21	$28,241.30	$17,787.15	2026-05-24
041	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…	58	37	—	—	$7,749.45	$28,283.53	$17,808.26	2026-05-24
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	58	37	—	—	$7,269.34	$28,427.13	$17,848.24	2026-05-24
808	OTHER	Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity	58	37	—	—	$7,608.41	$28,394.56	$17,863.78	2026-05-24
286	OTHER	Circulatory Disorders Except Ami; With Card Cath With Comorbity	58	37	—	—	$7,488.55	$28,453.66	$17,893.33	2026-05-24
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	58	37	—	—	$7,472.57	$28,535.72	$17,934.36	2026-05-24
C1820	OTHER	Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B…	2	2	$17,713.87	$11,514.02 35% off	$15,455.15	$20,416.50	$17,935.83	2026-05-24
792	OTHER	Prematurity Without Major Problems	58	37	—	—	$4,749.00	$31,306.23	$18,027.62	2026-05-24
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	58	37	—	—	$7,668.86	$28,749.29	$18,041.15	2026-05-24
821	OTHER	Lymphoma & Leukemia With Major O.r. Procedure With Complication	58	37	—	—	$7,754.32	$28,764.99	$18,048.99	2026-05-24
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	58	37	—	—	$7,757.09	$29,090.81	$18,211.90	2026-05-24
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	58	37	—	—	$7,895.71	$29,166.82	$18,249.91	2026-05-24
475	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc	58	37	—	—	$7,450.69	$29,212.68	$18,272.84	2026-05-24
817	OTHER	Other Antepartum Diagnoses With O.r. Procedures With Mcc	58	37	—	—	$7,833.87	$29,283.86	$18,308.43	2026-05-24
082	OTHER	Traumatic Stupor And Coma >1 Hour With Mcc	58	37	—	—	$7,914.81	$29,332.14	$18,332.57	2026-05-24
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	58	37	—	—	$7,484.73	$29,444.37	$18,388.69	2026-05-24
347	OTHER	Anal And Stomal Procedures With Mcc	58	37	—	—	$8,855.57	$29,452.81	$18,392.90	2026-05-24
827	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	58	37	—	—	$8,049.95	$29,641.03	$18,487.01	2026-05-24
056	OTHER	Degenerative Nervous System Disorders With Mcc	58	37	—	—	$8,316.76	$29,784.63	$18,558.81	2026-05-24
357	OTHER	Other Digestive System O.r. Procedures With Complication	58	37	—	—	$7,631.68	$29,813.60	$18,573.30	2026-05-24
709	OTHER	Penis Procedures With Cc/mcc	58	37	—	—	$7,364.88	$29,832.91	$18,582.96	2026-05-24
333	OTHER	Rectal Resection With Complication	58	37	—	—	$7,224.18	$30,015.12	$18,619.65	2026-05-24
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	58	37	—	—	$7,526.77	$29,951.14	$18,642.07	2026-05-24
674	OTHER	Other Kidney & Urinary Tract Procedures With Complication	58	37	—	—	$8,275.76	$29,971.66	$18,652.33	2026-05-24
113	OTHER	Orbital Procedures With Cc/mcc	58	37	—	—	$8,710.36	$30,122.50	$18,727.75	2026-05-24
783	OTHER	Cesarean Section With Sterilization With Mcc	58	37	—	—	$6,155.23	$31,377.44	$18,766.33	2026-05-24
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Comorbity	58	37	—	—	$8,052.04	$59,799.87	$18,940.74	2026-05-24
035	OTHER	Carotid Artery Stent Procedures With Cc	58	37	—	—	$7,988.46	$30,597.93	$18,965.47	2026-05-24
397	OTHER	Appendix Procedures With Mcc	58	37	—	—	$7,804.69	$30,651.02	$18,992.01	2026-05-24
330	OTHER	Major Small & Large Bowel Procedures With Complication	58	37	—	—	$8,240.68	$59,477.78	$19,005.89	2026-05-24
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Mcc	58	37	—	—	$7,733.12	$30,776.53	$19,054.76	2026-05-24
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	54	36	—	—	$18,167.72	$30,885.12	$19,109.06	2026-05-24
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	54	36	—	—	$18,223.79	$30,980.44	$19,156.72	2026-05-24
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	58	37	—	—	$8,548.12	$31,210.91	$19,271.96	2026-05-24
327	OTHER	Stomach; Esophageal & Duodenal Proc With Complication	58	37	—	—	$8,675.97	$31,245.92	$19,289.46	2026-05-24
982	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication	58	37	—	—	$8,636.36	$31,418.48	$19,375.74	2026-05-24
478	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Cc	58	37	—	—	$8,280.97	$31,426.91	$19,379.96	2026-05-24
545	OTHER	Connective Tissue Disorders With Mcc	58	37	—	—	$8,661.38	$31,698.40	$19,515.70	2026-05-24
350	OTHER	Inguinal And Femoral Hernia Procedures With Mcc	58	37	—	—	$8,337.60	$31,821.48	$19,577.24	2026-05-24
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	58	37	—	—	$8,451.89	$32,195.55	$19,764.28	2026-05-24
164	OTHER	Major Chest Procedures With Cc	58	37	—	—	$8,860.09	$32,208.85	$19,770.92	2026-05-24
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	58	37	—	—	$8,343.51	$32,354.84	$19,843.92	2026-05-24
659	OTHER	Kidney & Ureter Procedures For Non-neoplasm With Comorbity	58	37	—	—	$8,993.84	$32,412.76	$19,872.88	2026-05-24
272	OTHER	Other Major Cardiovascular Procedures Without Cc/mcc	58	37	—	—	$8,474.82	$32,558.77	$19,945.88	2026-05-24
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	58	37	—	—	$8,744.75	$32,734.94	$20,033.97	2026-05-24
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	58	37	—	—	$7,572.28	$32,874.92	$20,103.96	2026-05-24
095	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Cc	58	37	—	—	$8,282.71	$32,874.92	$20,103.96	2026-05-24
344	OTHER	Minor Small And Large Bowel Procedures With Mcc	58	37	—	—	$9,520.15	$32,918.34	$20,125.67	2026-05-24
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	58	37	—	—	$8,490.46	$33,035.40	$20,184.20	2026-05-24
253	OTHER	Other Vascular Procedures With Cc	58	37	—	—	$8,862.52	$33,072.80	$20,202.90	2026-05-24
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	58	37	—	—	$8,352.89	$33,577.18	$20,455.09	2026-05-24
577	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Cc	58	37	—	—	$9,202.97	$33,737.67	$20,535.33	2026-05-24
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	58	37	—	—	$9,888.05	$33,849.91	$20,591.46	2026-05-24
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	58	37	—	—	$9,544.47	$34,301.19	$20,817.10	2026-05-24
288	OTHER	Acute And Subacute Endocarditis With Mcc	58	37	—	—	$9,008.08	$34,407.37	$20,870.19	2026-05-24
849	OTHER	Radiotherapy	58	37	—	—	$9,349.92	$34,447.22	$20,890.11	2026-05-24
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	58	37	—	—	$9,986.71	$34,583.56	$20,958.28	2026-05-24
963	OTHER	Other Multiple Significant Trauma With Mcc	58	37	—	—	$9,498.96	$34,740.42	$21,036.71	2026-05-24
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	58	37	—	—	$9,274.19	$34,911.78	$21,122.39	2026-05-24
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	58	37	—	—	$9,393.00	$34,920.21	$21,126.60	2026-05-24
061	OTHER	Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	58	37	—	—	$9,736.93	$35,021.58	$21,177.29	2026-05-24
483	OTHER	Major Joint Or Limb Reattachment Procedures Of Upper Extremities	58	37	—	—	$8,630.11	$35,200.17	$21,266.58	2026-05-24
503	OTHER	Foot Procedures With Mcc	58	37	—	—	$9,316.92	$35,431.84	$21,382.42	2026-05-24
654	OTHER	Major Bladder Procedures With Cc	58	37	—	—	$9,510.07	$35,530.78	$21,431.89	2026-05-24
800	OTHER	Splenic Procedures With Cc	58	37	—	—	$9,788.69	$35,652.66	$21,492.83	2026-05-24
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	58	37	—	—	$9,759.16	$36,148.61	$21,740.81	2026-05-24
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	58	37	—	—	$10,401.85	$36,386.32	$21,859.66	2026-05-24
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	58	37	—	—	$9,330.12	$36,526.29	$21,929.65	2026-05-24
974	OTHER	HIV With Major Related Condition With Mcc	58	37	—	—	$10,131.92	$36,576.94	$21,954.97	2026-05-24
619	OTHER	O.r. Procedures For Obesity With Mcc	58	37	—	—	$8,992.45	$36,593.88	$21,963.44	2026-05-24
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	58	37	—	—	$10,030.83	$36,748.32	$22,040.66	2026-05-24
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	58	37	—	—	$10,159.02	$36,770.03	$22,051.51	2026-05-24
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	58	37	—	—	$10,244.48	$36,894.32	$22,113.66	2026-05-24
668	OTHER	Transurethral Procedures With Mcc	58	37	—	—	$9,789.73	$36,987.24	$22,160.12	2026-05-24
570	OTHER	Skin Debridement With Mcc	58	37	—	—	$10,151.72	$37,241.85	$22,287.42	2026-05-24
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	58	37	—	—	$8,797.56	$37,278.04	$22,305.52	2026-05-24
472	OTHER	Cervical Spinal Fusion With Complication	58	37	—	—	$10,267.06	$37,302.18	$22,317.59	2026-05-24
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	58	37	—	—	$10,682.55	$37,667.82	$22,500.41	2026-05-24
C1767	OTHER	Generator; Neurostimulator (implantable); Non-rechargeable	3	2	$20,622.26	$13,404.47 35% off	$21,614.25	$26,082.00	$22,690.54	2026-05-24
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	58	37	—	—	$9,070.61	$38,155.29	$22,744.15	2026-05-24
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	58	37	—	—	$10,148.25	$38,195.11	$22,764.06	2026-05-24
510	OTHER	Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc	58	37	—	—	$9,451.36	$38,199.94	$22,766.47	2026-05-24
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	58	37	—	—	$11,567.73	$38,353.19	$22,843.10	2026-05-24
263	OTHER	Vein Ligation And Stripping	58	37	—	—	$9,814.74	$38,645.18	$22,989.09	2026-05-24
662	OTHER	Minor Bladder Procedures With Mcc	58	37	—	—	$10,410.54	$38,694.67	$23,013.83	2026-05-24
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	58	37	—	—	$10,259.07	$39,270.27	$23,301.63	2026-05-24
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	58	37	—	—	$10,426.86	$39,336.62	$23,334.81	2026-05-24
665	OTHER	Prostatectomy With Mcc	58	37	—	—	$10,731.53	$39,415.06	$23,374.03	2026-05-24
92930	OTHER	Prq Tcat Plmt Ntrac St 2+les	58	37	$25,864.00	$16,811.60 35% off	$16,791.97	$30,048.79	$23,420.38	2026-05-24
C9607	OTHER	Perc D-e Cor Revasc Chro Sin	58	37	$19,929.00	$12,953.85 35% off	$16,791.97	$30,048.79	$23,420.38	2026-05-24
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	58	37	—	—	$9,409.68	$39,667.24	$23,500.12	2026-05-24
229	OTHER	Other Cardiothoracic Procedures Without Mcc	58	37	—	—	$11,045.93	$39,756.54	$23,544.77	2026-05-24
324	OTHER	Non-elective Or Complex Hip Joint Replacement	58	37	—	—	$10,312.92	$71,071.68	$23,553.83	2026-05-24
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	58	37	—	—	$10,956.30	$39,883.24	$23,608.12	2026-05-24
500	OTHER	Soft Tissue Procedures With Mcc	58	37	—	—	$11,265.49	$39,941.16	$23,637.08	2026-05-24
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	58	37	—	—	$12,078.06	$40,093.19	$23,713.10	2026-05-24
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	58	37	—	—	$10,900.02	$40,170.44	$23,751.72	2026-05-24
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	58	37	—	—	$10,983.05	$40,207.84	$23,770.42	2026-05-24
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	58	37	—	—	$12,003.02	$40,279.04	$23,806.02	2026-05-24
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	58	37	—	—	$9,186.30	$40,491.40	$23,912.20	2026-05-24
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	58	37	—	—	$11,170.65	$40,616.91	$23,974.96	2026-05-24
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	58	37	—	—	$11,443.36	$40,692.92	$24,012.96	2026-05-24
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	55	36	—	—	$23,960.44	$40,732.75	$24,032.88	2026-05-24
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	58	37	—	—	$10,856.94	$40,787.03	$24,060.01	2026-05-24
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	58	37	—	—	$11,610.80	$40,830.48	$24,081.74	2026-05-24
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	58	37	—	—	$11,517.00	$41,003.05	$24,168.03	2026-05-24
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	58	37	—	—	$11,258.54	$41,472.44	$24,402.72	2026-05-24
037	OTHER	Extracranial Procedures With Mcc	58	37	—	—	$11,726.83	$41,477.23	$24,405.12	2026-05-24
411	OTHER	Cholecystectomy With C.d.e. With Mcc	58	37	—	—	$10,006.86	$41,612.40	$24,472.70	2026-05-24
33229	OTHER	Remv&replc Pm Gen Mult Leads	58	37	$21,685.00	$14,095.25 35% off	$17,643.91	$31,573.32	$24,608.62	2026-05-24
264	OTHER	Other Circulatory System O.r. Procedures	58	37	—	—	$11,346.08	$42,062.49	$24,697.74	2026-05-24
64590	OTHER	Ins/rpl Prph Sac/gstr Npg/r	60	37	$25,206.00	$16,383.90 35% off	$0.42	$31,800.22	$24,785.47	2026-05-24
420	OTHER	Hepatobiliary Diagnostic Procedures With Mcc	58	37	—	—	$11,119.58	$42,864.92	$25,098.96	2026-05-24
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	58	37	—	—	$11,909.57	$42,919.22	$25,126.11	2026-05-24
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	58	37	—	—	$11,730.66	$43,121.94	$25,227.47	2026-05-24
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	54	36	—	—	$25,289.02	$43,245.04	$25,289.02	2026-05-24
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	58	37	—	—	$11,703.91	$43,438.08	$25,385.54	2026-05-24
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	58	37	—	—	$11,831.75	$43,640.82	$25,486.91	2026-05-24
652	OTHER	Kidney Transplant	58	37	—	—	$10,437.29	$40,721.88	$25,579.58	2026-05-24
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	58	37	—	—	$13,749.05	$43,833.87	$25,583.44	2026-05-24
252	OTHER	Other Vascular Procedures With Mcc	58	37	—	—	$11,651.10	$43,844.75	$25,588.88	2026-05-24
094	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	58	37	—	—	$12,585.26	$44,220.01	$25,776.51	2026-05-24
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	58	37	—	—	$12,111.41	$44,306.88	$25,819.94	2026-05-24
C1826	OTHER	Generator; Neurostimulator (implantable); Includes Closed Feedback Loop Leads An…	5	3	$27,675.00	$17,988.75 35% off	$8,696.97	$29,050.04	$25,833.75	2026-05-24
271	OTHER	Other Major Cardiovascular Procedures With Cc	58	37	—	—	$12,006.84	$44,665.27	$25,999.13	2026-05-24
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	58	37	—	—	$13,290.13	$44,700.28	$26,016.64	2026-05-24
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity	58	37	—	—	$12,246.54	$44,741.30	$26,037.15	2026-05-24
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	58	37	—	—	$12,930.92	$44,777.49	$26,055.24	2026-05-24
335	OTHER	Peritoneal Adhesiolysis With Comorbity	58	37	—	—	$12,419.55	$44,841.44	$26,087.22	2026-05-24
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	58	37	—	—	$13,504.13	$44,884.88	$26,108.94	2026-05-24
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	58	37	—	—	$12,563.03	$44,985.04	$26,159.02	2026-05-24
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	58	37	—	—	$11,118.88	$45,269.79	$26,301.40	2026-05-24
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	58	37	—	—	$12,634.59	$45,334.97	$26,333.99	2026-05-24
265	OTHER	Aicd Lead Procedures	58	37	—	—	$12,277.46	$45,412.20	$26,372.60	2026-05-24
332	OTHER	Rectal Resection With Mcc	58	37	—	—	$12,602.28	$45,442.34	$26,387.67	2026-05-24
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	58	37	—	—	$12,441.09	$45,502.71	$26,417.85	2026-05-24
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	58	37	—	—	$11,169.95	$45,536.47	$26,434.74	2026-05-24
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	58	37	—	—	$12,027.34	$46,056.55	$26,694.78	2026-05-24
904	OTHER	Skin Grafts For Injuries With Cc/mcc	58	37	—	—	$11,312.04	$46,074.68	$26,703.84	2026-05-24
20930	OTHER	Placement Of Fragmented Bone Graft Or Material To Spine To Promote Bone Growth	2	2	$30,727.00	$19,972.55 35% off	$24,735.24	$28,827.24	$26,781.24	2026-05-24
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	58	37	—	—	$12,014.48	$46,469.26	$26,901.13	2026-05-24
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	58	37	—	—	$13,946.37	$46,722.63	$27,027.81	2026-05-24
518	OTHER	Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim	58	37	—	—	$12,686.35	$46,849.35	$27,091.17	2026-05-24
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	58	37	—	—	$14,096.80	$46,854.16	$27,093.58	2026-05-24
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	58	37	—	—	$11,553.13	$46,961.56	$27,147.28	2026-05-24
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	58	37	—	—	$13,472.87	$47,159.46	$27,246.23	2026-05-24
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	58	37	—	—	$12,921.54	$48,080.15	$27,706.58	2026-05-24
791	OTHER	Prematurity With Major Problems	58	37	—	—	$4,749.00	$50,731.18	$27,740.09	2026-05-24
040	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity	58	37	—	—	$13,376.64	$48,344.40	$27,838.70	2026-05-24
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	58	37	—	—	$12,963.23	$48,389.06	$27,861.03	2026-05-24
034	OTHER	Carotid Artery Stent Procedures With Mcc	58	37	—	—	$13,553.46	$48,459.04	$27,896.02	2026-05-24
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	58	37	—	—	$10,533.17	$48,742.60	$28,037.80	2026-05-24
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	58	37	—	—	$13,162.29	$48,956.18	$28,144.59	2026-05-24
793	OTHER	Full Term Neonate With Major Problems	58	37	—	—	$4,749.00	$52,065.78	$28,407.39	2026-05-24
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	58	37	$33,096.00	$21,512.40 35% off	$20,375.35	$36,461.16	$28,418.26	2026-05-24
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	58	37	$30,188.00	$19,622.20 35% off	$20,375.35	$36,461.16	$28,418.26	2026-05-24
802	OTHER	Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity	58	37	—	—	$11,777.90	$49,827.43	$28,580.22	2026-05-24
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	55	36	—	—	$28,799.81	$50,266.62	$28,799.81	2026-05-24
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	58	37	—	—	$13,538.18	$51,533.63	$29,433.31	2026-05-24
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	58	37	—	—	$13,586.47	$51,865.45	$29,599.22	2026-05-24
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	58	37	—	—	$15,740.69	$52,101.97	$29,717.49	2026-05-24
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	58	37	—	—	$14,039.13	$52,297.44	$29,815.22	2026-05-24
901	OTHER	Wound Debridements For Injuries With Comorbity	58	37	—	—	$15,034.78	$52,391.57	$29,862.28	2026-05-24
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	58	37	—	—	$12,846.85	$52,451.90	$29,892.45	2026-05-24
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	58	37	—	—	$14,051.64	$52,600.35	$29,966.67	2026-05-24
012	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication	58	37	—	—	$13,913.02	$52,625.66	$29,979.33	2026-05-24
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	58	37	—	—	$14,446.98	$52,712.55	$30,022.78	2026-05-24
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	55	36	—	—	$30,128.97	$52,924.93	$30,128.97	2026-05-24
140	OTHER	Major Head And Neck Procedures With Mcc	58	37	—	—	$13,125.12	$53,220.56	$30,276.78	2026-05-24
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	58	37	—	—	$14,947.93	$53,553.59	$30,443.29	2026-05-24
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	58	37	—	—	$14,382.36	$53,969.88	$30,651.44	2026-05-24
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	58	37	—	—	$14,864.20	$54,759.04	$31,046.02	2026-05-24
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	58	37	—	—	$15,153.24	$55,604.93	$31,468.97	2026-05-24
031	OTHER	Ventricular Shunt Procedures With Mcc	58	37	—	—	$14,301.07	$55,817.31	$31,575.15	2026-05-24
163	OTHER	Major Chest Procedures With Mcc	58	37	—	—	$16,375.05	$55,832.98	$31,582.99	2026-05-24
799	OTHER	Splenic Procedures With Mcc	58	37	—	—	$17,212.28	$56,401.32	$31,867.16	2026-05-24
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	58	37	—	—	$15,341.18	$56,616.10	$31,974.55	2026-05-24
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	58	37	—	—	$15,384.26	$56,640.24	$31,986.62	2026-05-24
245	OTHER	Aicd Generator Procedures	58	37	—	—	$15,742.08	$56,805.55	$32,069.28	2026-05-24
823	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Comorbity	58	37	—	—	$15,639.60	$57,075.85	$32,204.42	2026-05-24
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	58	37	—	—	$15,691.36	$115,545.98	$32,275.02	2026-05-24
277	OTHER	Cardiac Defibrillator Implant Without Mcc	58	37	—	—	$16,614.06	$57,482.52	$32,407.76	2026-05-24
826	OTHER	Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity	58	37	—	—	$15,246.69	$58,198.07	$32,765.53	2026-05-24
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	58	37	—	—	$16,468.15	$58,367.00	$32,850.00	2026-05-24
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	58	37	—	—	$15,624.31	$58,482.84	$32,907.92	2026-05-24
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	58	37	—	—	$16,953.81	$59,199.61	$33,266.31	2026-05-24
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	58	37	—	—	$16,524.43	$59,724.49	$33,528.75	2026-05-24
471	OTHER	Cervical Spinal Fusion With Mcc	58	37	—	—	$17,088.61	$60,018.94	$33,675.97	2026-05-24
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	58	37	—	—	$19,743.09	$60,893.76	$34,113.38	2026-05-24
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	58	37	—	—	$16,698.82	$61,141.13	$34,237.07	2026-05-24
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	58	37	—	—	$17,367.57	$61,345.04	$34,339.02	2026-05-24
228	OTHER	Other Cardiothoracic Procedures With Mcc	58	37	—	—	$17,504.44	$61,451.24	$34,392.12	2026-05-24
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	58	37	—	—	$17,644.45	$61,933.92	$34,633.46	2026-05-24
22630	OTHER	Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…	58	37	$40,073.00	$26,047.45 35% off	$24,855.05	$44,477.46	$34,666.25	2026-05-24
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	58	37	—	—	$16,149.24	$62,571.02	$34,952.01	2026-05-24
653	OTHER	Major Bladder Procedures With Mcc	58	37	—	—	$18,806.85	$64,455.84	$35,894.42	2026-05-24
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	58	37	—	—	$18,018.25	$64,564.44	$35,948.72	2026-05-24
270	OTHER	Other Major Cardiovascular Procedures With Mcc	58	37	—	—	$17,567.67	$65,419.98	$36,376.49	2026-05-24
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	58	37	—	—	$21,335.22	$65,631.15	$36,482.07	2026-05-24
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	55	36	—	—	$36,698.06	$66,063.12	$36,698.06	2026-05-24
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	58	37	—	—	$18,219.74	$66,101.75	$36,717.38	2026-05-24
006	OTHER	Liver Transplant Without Mcc	58	37	—	—	$16,803.39	$57,705.75	$37,254.57	2026-05-24
011	OTHER	Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity	58	37	—	—	$17,912.99	$67,565.43	$37,449.21	2026-05-24
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	58	37	—	—	$18,057.50	$67,669.20	$37,501.10	2026-05-24
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	58	37	—	—	$19,125.06	$67,763.33	$37,548.17	2026-05-24
834	OTHER	Acute Leukemia With Mcc	58	37	—	—	$19,450.93	$67,997.42	$37,665.21	2026-05-24
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	58	37	—	—	$23,687.47	$68,396.83	$37,864.92	2026-05-24
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	58	37	—	—	$15,495.43	$68,918.10	$38,125.55	2026-05-24
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	55	36	—	—	$38,462.22	$69,591.44	$38,462.22	2026-05-24
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	58	37	—	—	$19,675.69	$70,526.59	$38,929.79	2026-05-24
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	54	36	—	—	$38,974.44	$70,615.89	$38,974.44	2026-05-24
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	58	37	—	—	$4,749.00	$73,470.86	$39,109.93	2026-05-24
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	58	37	—	—	$19,693.41	$70,898.23	$39,115.61	2026-05-24
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	55	36	—	—	$39,337.64	$71,342.28	$39,337.64	2026-05-24
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	116	37	$32,000.00	$20,800.00 35% off	$28,265.99	$50,581.24	$39,423.61	2026-05-24
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	117	37	$33,535.00	$21,797.75 35% off	$24,649.10	$50,581.24	$39,423.61	2026-05-24
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	58	37	—	—	$21,006.24	$72,521.22	$39,927.11	2026-05-24
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	58	37	—	—	$20,429.20	$72,567.08	$39,950.04	2026-05-24
33249	OTHER	Insj/rplcmt Defib W/lead(s)	58	37	$44,911.00	$29,192.15 35% off	$28,752.54	$51,451.91	$40,102.22	2026-05-24
33264	OTHER	Removal And Replacement Of Multiple Lead Defibrillator	58	37	$36,059.00	$23,438.35 35% off	$28,752.54	$51,451.91	$40,102.22	2026-05-24
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	58	37	—	—	$21,105.59	$73,707.38	$40,520.19	2026-05-24
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	58	37	—	—	$21,574.23	$74,232.27	$40,782.64	2026-05-24
028	OTHER	Spinal Procedures With Mcc	58	37	—	—	$20,934.67	$74,252.79	$40,792.89	2026-05-24
232	OTHER	Coronary Bypass With Ptca Without Mcc	58	37	—	—	$20,665.44	$74,908.00	$41,120.50	2026-05-24
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	58	37	—	—	$23,875.41	$75,616.32	$41,474.66	2026-05-24
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	58	37	—	—	$21,698.95	$75,702.00	$41,517.50	2026-05-24
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	58	37	—	—	$23,998.39	$79,398.01	$43,365.50	2026-05-24
008	OTHER	Simultaneous Pancreas And Kidney Transplant	58	37	—	—	$18,279.15	$69,381.45	$43,830.30	2026-05-24
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	58	37	—	—	$21,601.68	$80,806.19	$44,069.60	2026-05-24
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	58	37	—	—	$19,790.34	$81,094.61	$44,213.81	2026-05-24
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	58	37	—	—	$22,113.05	$81,094.61	$44,213.81	2026-05-24
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	58	37	—	—	$21,458.90	$67,302.39	$44,380.64	2026-05-24
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	55	36	—	—	$44,855.14	$82,377.27	$44,855.14	2026-05-24
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	55	36	—	—	$44,884.70	$82,436.40	$44,884.70	2026-05-24
955	OTHER	Craniotomy For Multiple Significant Trauma	58	37	—	—	$21,157.35	$82,974.57	$45,153.79	2026-05-24
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	58	37	—	—	$23,813.23	$84,745.97	$46,039.49	2026-05-24
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	58	37	—	—	$24,196.06	$85,155.04	$46,244.02	2026-05-24
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	58	37	—	—	$21,458.90	$73,304.34	$47,381.62	2026-05-24
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	58	37	—	—	$24,442.37	$87,792.81	$47,562.90	2026-05-24
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	58	37	—	—	$27,769.42	$87,843.49	$47,588.25	2026-05-24
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	58	37	—	—	$24,039.04	$88,303.24	$47,818.12	2026-05-24
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	55	36	—	—	$48,095.05	$88,857.10	$48,095.05	2026-05-24
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	58	37	—	—	$25,125.70	$93,699.46	$50,516.23	2026-05-24
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	58	37	—	—	$27,095.81	$94,004.76	$50,668.88	2026-05-24
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	58	37	—	—	$26,788.71	$94,404.15	$50,868.57	2026-05-24
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	58	37	—	—	$29,363.64	$96,702.87	$52,017.93	2026-05-24
010	OTHER	Pancreas Transplant	58	37	—	—	$16,722.45	$88,339.43	$52,530.94	2026-05-24
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	58	37	—	—	$29,283.74	$103,153.70	$55,243.35	2026-05-24
231	OTHER	Coronary Bypass With Ptca With Mcc	58	37	—	—	$28,192.20	$103,473.46	$55,403.23	2026-05-24
850	OTHER	Acute Leukemia With Other Procedures	55	36	—	—	$56,788.48	$106,243.96	$56,788.48	2026-05-24
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	55	36	—	—	$58,900.76	$110,468.53	$58,900.76	2026-05-24
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	58	37	—	—	$33,716.21	$119,798.49	$63,565.75	2026-05-24
215	OTHER	Other Heart Assist System Implant	58	37	—	—	$35,486.22	$121,900.51	$64,616.75	2026-05-24
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	58	37	—	—	$37,417.41	$132,966.88	$70,149.94	2026-05-24
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	55	36	—	—	$71,037.44	$134,741.88	$71,037.44	2026-05-24
30237890006	OTHER	Provenge	58	37	$154,002.15	$100,101.40 35% off	$51,683.90	$92,486.99	$72,085.45	2026-05-24
209	OTHER	Complex Aortic Arch Procedures	54	36	—	—	$72,832.96	$138,332.93	$72,832.96	2026-05-24
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	58	37	—	—	$35,955.90	$126,166.08	$81,060.99	2026-05-24
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	58	37	—	—	$42,536.00	$138,489.80	$90,512.90	2026-05-24
014	OTHER	Allogeneic Bone Marrow Transplant	58	37	—	—	$39,815.17	$146,768.73	$93,291.95	2026-05-24
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	22	18	—	—	$51,067.80	$168,893.03	$99,348.84	2026-05-24
007	OTHER	Lung Transplant	58	37	—	—	$42,613.47	$158,018.52	$100,315.99	2026-05-24
69866103005	OTHER	Maci	58	37	$104,658.00	$68,027.70 35% off	$104,658.00	$104,658.00	$104,658.00	2026-05-24
69866103008	OTHER	Maci	58	37	$104,658.00	$68,027.70 35% off	$104,658.00	$104,658.00	$104,658.00	2026-05-24
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	22	18	—	—	$74,066.72	$257,870.33	$151,688.43	2026-05-24
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	18	—	—	$91,570.12	$259,382.31	$152,577.83	2026-05-24
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	58	37	—	—	$94,140.54	$339,908.15	$217,024.35	2026-05-24
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	18	—	—	$127,991.54	$522,825.85	$307,544.62	2026-05-24

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