Hospital

ST MARY'S REGIONAL MEDICAL CENTER

Enid, OK · CCN 370026 · Rates published

8,347 distinct procedures filed

12 distinct payers

137,280 rate rows

2026-05-07 last MRF observed

Data quality

137,149 of 137,280 rate rows are consumer-grade (99.9%)

131 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
exceeds 10× this hospital's gross charge — excluded from medians	71
per-diem day rate — not a per-procedure price	30
placeholder amount (≤ $0.02) — excluded from medians	30

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/233041933_st-marys-regional-medical-center_standardcharges.csv
Found on page	https://www.stmarysregional.com/patients-visitors/pricing-guide
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	32a78d1086810225… · 22,224,399 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
9138 OTHER	Inj, Hemgenix, Per Tx Dose	5	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,746,358 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	5	$3,710,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,605,000 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	5	$2,302,784.67	$2,302,784.67	$2,302,784.67	nat. median $2,588,981 0.9× median
9194 OTHER	Tisagenlecleucel Car-pos T	5	$511,072.50	$511,072.50	$511,072.50	nat. median $566,531 0.9× median
9498 OTHER	Ciltacabtagene Car-pos T	5	$507,195.92	$507,195.92	$507,195.92	nat. median $587,650 0.9× median
9422 OTHER	Idecabtagene Vicleucel Car	5	$484,690.30	$484,690.30	$484,690.30	nat. median $558,082 0.9× median
9413 OTHER	Lisocabtagene Car Pos T	5	$473,853.52	$473,853.52	$473,853.52	nat. median $562,201 0.8× median
9035 OTHER	Axicabtagene Ciloleucel Car+	5	$449,440.00	$449,440.00	$449,440.00	nat. median $532,192 0.8× median
9391 OTHER	Brexucabtagene Car Pos T	5	$449,440.00	$449,440.00	$449,440.00	nat. median $489,450 0.9× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	$13,843.43	$552,303.96	$267,491.79	nat. median $386,529 0.7× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$17,393.16	$412,524.75	$208,671.97	nat. median $239,422 0.9× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	$1.54	$347,420.41	$168,262.61	nat. median $146,562 1.1× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	5	$152,500.50	$152,500.50	$152,500.50	nat. median $153,199 1.0× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	5	$152,500.50	$152,500.50	$152,500.50	nat. median $152,962 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	$9,316.04	$313,865.78	$152,011.44	nat. median $181,005 0.8× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	5	$137,500.50	$137,500.50	$137,500.50	nat. median $137,903 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	5	$137,500.50	$137,500.50	$137,500.50	nat. median $138,020 1.0× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	5	$122,500.50	$122,500.50	$122,500.50	nat. median $119,935 1.0× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	5	$122,500.50	$122,500.50	$122,500.50	nat. median $120,174 1.0× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	5	$107,500.50	$107,500.50	$107,500.50	nat. median $105,172 1.0× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	5	$107,500.50	$107,500.50	$107,500.50	nat. median $105,693 1.0× median
426 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$74,300.60	$153,412.23	$105,277.77	nat. median $80,273 1.3× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	$6,608.36	$206,933.85	$100,222.18	nat. median $134,983 0.7× median
1599 OTHER	New Technology - Level 48 ($90,001-$100,000)	5	$95,000.50	$95,000.50	$95,000.50	nat. median $95,288 1.0× median
1585 OTHER	New Technology - Level 48 ($90,001-$100,000)	5	$95,000.50	$95,000.50	$95,000.50	nat. median $95,360 1.0× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	$4,600.65	$217,550.00	$94,212.18	nat. median $111,558 0.8× median
14 OTHER	Allogeneic Bone Marrow Transplant	10	$6,599.33	$191,875.86	$92,929.30	nat. median $100,915 0.9× median
7 OTHER	Lung Transplant	10	$4,609.03	$191,392.58	$92,695.23	nat. median $169,933 0.5× median
850 OTHER	Acute Leukemia With Other Procedures	10	$65,338.76	$134,908.28	$92,579.60	nat. median $407 outlier · 227.4×
J0223 OTHER	Givosiran Per 0.5mg	7	$131.63	$176,138.40	$90,967.68	nat. median $119 outlier · 764.9×
1598 OTHER	New Technology - Level 47 ($80,001-$90,000)	5	$85,000.50	$85,000.50	$85,000.50	nat. median $85,322 1.0× median
1584 OTHER	New Technology - Level 47 ($80,001-$90,000)	5	$85,000.50	$85,000.50	$85,000.50	nat. median $85,390 1.0× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	10	$59,158.75	$122,148.09	$83,823.03	nat. median $62,997 1.3× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	$4,532.15	$141,340.36	$82,511.43	nat. median $90,130 0.9× median
C1882 OTHER	Defib Concerto C154dwk	6	$4,000.00	$212,422.31	$81,180.59	nat. median $38,488 outlier · 2.1×
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	10	$4,047.03	$159,541.17	$77,268.96	nat. median $90,581 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	10	$9,614.95	$155,960.46	$75,534.75	nat. median $94,894 0.8× median
215 OTHER	Other Heart Assist System Implant	10	$3,936.05	$155,160.85	$75,147.48	nat. median $92,359 0.8× median
1597 OTHER	New Technology - Level 46 ($70,001-$80,000)	5	$75,000.50	$75,000.50	$75,000.50	nat. median $75,284 1.0× median
1583 OTHER	New Technology - Level 46 ($70,001-$80,000)	5	$75,000.50	$75,000.50	$75,000.50	nat. median $75,344 1.0× median
231 OTHER	Coronary Bypass With Ptca With Mcc	10	$3,049.24	$124,100.27	$72,447.04	nat. median $74,989 1.0× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	$50,378.49	$104,019.04	$71,382.13	nat. median $51,811 1.4× median
33952 OTHER	Ecmo Ecls Insert Perq >=6yr Ip	7	$4,000.00	$129,531.56	$67,389.20	nat. median $3,708 outlier · 18.2×
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	10	$47,555.53	$98,190.33	$67,382.24	nat. median $54,322 1.2× median
233 OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	10	$2,402.60	$114,471.18	$66,147.83	nat. median $68,249 1.0× median
1582 OTHER	New Technology - Level 45 ($60,001-$70,000)	5	$65,000.50	$65,000.50	$65,000.50	nat. median $65,571 1.0× median
1596 OTHER	New Technology - Level 45 ($60,001-$70,000)	5	$65,000.50	$65,000.50	$65,000.50	nat. median $65,191 1.0× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	10	$43,879.30	$90,599.83	$62,173.32	nat. median $48,503 1.3× median
C1721 OTHER	Defib Entrust D153atg Medtrnc	6	$4,000.00	$165,813.10	$61,721.25	nat. median $29,283 outlier · 2.1×
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	10	$4,354.60	$113,315.69	$60,674.02	nat. median $72,612 0.8× median

Other procedures at this hospital

Browse this hospital's 8,347 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

9138	OTHER	Inj, Hemgenix, Per Tx Dose	5	5	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2026-05-07
773	OTHER	Inj, Beqvez, Per Tx Dose	5	5	—	—	$3,710,000.00	$3,710,000.00	$3,710,000.00	2026-05-07
9141	OTHER	Inj Onase Abepar-xioi Treat	5	5	—	—	$2,302,784.67	$2,302,784.67	$2,302,784.67	2026-05-07
9194	OTHER	Tisagenlecleucel Car-pos T	5	5	—	—	$511,072.50	$511,072.50	$511,072.50	2026-05-07
9498	OTHER	Ciltacabtagene Car-pos T	5	5	—	—	$507,195.92	$507,195.92	$507,195.92	2026-05-07
9422	OTHER	Idecabtagene Vicleucel Car	5	5	—	—	$484,690.30	$484,690.30	$484,690.30	2026-05-07
9413	OTHER	Lisocabtagene Car Pos T	5	5	—	—	$473,853.52	$473,853.52	$473,853.52	2026-05-07
9391	OTHER	Brexucabtagene Car Pos T	5	5	—	—	$449,440.00	$449,440.00	$449,440.00	2026-05-07
9035	OTHER	Axicabtagene Ciloleucel Car+	5	5	—	—	$449,440.00	$449,440.00	$449,440.00	2026-05-07
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	10	—	—	$13,843.43	$552,303.96	$267,491.79	2026-05-07
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	10	—	—	$17,393.16	$412,524.75	$208,671.97	2026-05-07
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	22	10	—	—	$1.54	$347,420.41	$168,262.61	2026-05-07
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	5	5	—	—	$152,500.50	$152,500.50	$152,500.50	2026-05-07
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	5	5	—	—	$152,500.50	$152,500.50	$152,500.50	2026-05-07
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	17	10	—	—	$9,316.04	$313,865.78	$152,011.44	2026-05-07
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	5	5	—	—	$137,500.50	$137,500.50	$137,500.50	2026-05-07
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	5	5	—	—	$137,500.50	$137,500.50	$137,500.50	2026-05-07
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	5	5	—	—	$122,500.50	$122,500.50	$122,500.50	2026-05-07
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	5	5	—	—	$122,500.50	$122,500.50	$122,500.50	2026-05-07
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	5	5	—	—	$107,500.50	$107,500.50	$107,500.50	2026-05-07
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	5	5	—	—	$107,500.50	$107,500.50	$107,500.50	2026-05-07
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	10	—	—	$74,300.60	$153,412.23	$105,277.77	2026-05-07
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	17	10	—	—	$6,608.36	$206,933.85	$100,222.18	2026-05-07
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	5	5	—	—	$95,000.50	$95,000.50	$95,000.50	2026-05-07
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	5	5	—	—	$95,000.50	$95,000.50	$95,000.50	2026-05-07
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	10	—	—	$4,600.65	$217,550.00	$94,212.18	2026-05-07
14	OTHER	Allogeneic Bone Marrow Transplant	17	10	—	—	$6,599.33	$191,875.86	$92,929.30	2026-05-07
7	OTHER	Lung Transplant	17	10	—	—	$4,609.03	$191,392.58	$92,695.23	2026-05-07
850	OTHER	Acute Leukemia With Other Procedures	13	10	—	—	$65,338.76	$134,908.28	$92,579.60	2026-05-07
J0223	OTHER	Givosiran Per 0.5mg	7	7	$222,960.00	$89,184.00 60% off	$131.63	$176,138.40	$90,967.68	2026-05-07
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	5	5	—	—	$85,000.50	$85,000.50	$85,000.50	2026-05-07
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	5	5	—	—	$85,000.50	$85,000.50	$85,000.50	2026-05-07
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	13	10	—	—	$59,158.75	$122,148.09	$83,823.03	2026-05-07
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	18	10	—	—	$4,532.15	$141,340.36	$82,511.43	2026-05-07
C1882	OTHER	Defib Concerto C154dwk	86	6	$117,799.00	$47,119.60 60% off	$4,000.00	$212,422.31	$81,180.59	2026-05-07
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	17	10	—	—	$4,047.03	$159,541.17	$77,268.96	2026-05-07
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	17	10	—	—	$9,614.95	$155,960.46	$75,534.75	2026-05-07
215	OTHER	Other Heart Assist System Implant	18	10	—	—	$3,936.05	$155,160.85	$75,147.48	2026-05-07
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	5	5	—	—	$75,000.50	$75,000.50	$75,000.50	2026-05-07
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	5	5	—	—	$75,000.50	$75,000.50	$75,000.50	2026-05-07
231	OTHER	Coronary Bypass With Ptca With Mcc	18	10	—	—	$3,049.24	$124,100.27	$72,447.04	2026-05-07
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	10	—	—	$50,378.49	$104,019.04	$71,382.13	2026-05-07
33952	OTHER	Ecmo Ecls Insert Perq >=6yr Ip	7	7	$163,964.00	$65,585.60 60% off	$4,000.00	$129,531.56	$67,389.20	2026-05-07
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	13	10	—	—	$47,555.53	$98,190.33	$67,382.24	2026-05-07
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	18	10	—	—	$2,402.60	$114,471.18	$66,147.83	2026-05-07
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	5	5	—	—	$65,000.50	$65,000.50	$65,000.50	2026-05-07
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	5	5	—	—	$65,000.50	$65,000.50	$65,000.50	2026-05-07
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	13	10	—	—	$43,879.30	$90,599.83	$62,173.32	2026-05-07
C1721	OTHER	Defib Entrust D153atg Medtrnc	98	6	$99,569.00	$39,827.60 60% off	$4,000.00	$165,813.10	$61,721.25	2026-05-07
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	10	—	—	$4,354.60	$113,315.69	$60,674.02	2026-05-07
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	10	—	—	$4,141.34	$124,031.43	$60,070.89	2026-05-07
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	17	10	—	—	$3,933.52	$118,054.81	$57,176.29	2026-05-07
1643	OTHER	Y90 Ibritumomab, Rx	5	5	—	—	$56,824.55	$56,824.55	$56,824.55	2026-05-07
10	OTHER	Pancreas Transplant	17	10	—	—	$1,808.68	$116,764.59	$56,551.41	2026-05-07
J9359	OTHER	Loncastuximab Tesrne-lpyl.075	7	7	$138,336.00	$55,334.40 60% off	$241.82	$109,285.44	$56,441.09	2026-05-07
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	17	10	—	—	$3,003.51	$116,095.31	$56,227.27	2026-05-07
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	13	10	—	—	$39,039.84	$80,607.54	$55,316.21	2026-05-07
C1722	OTHER	Defib Entrust D153vrc Medtnc	86	6	$90,217.00	$36,086.80 60% off	$4,000.00	$138,949.94	$55,201.92	2026-05-07
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	5	5	—	—	$55,000.50	$55,000.50	$55,000.50	2026-05-07
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	5	5	—	—	$55,000.50	$55,000.50	$55,000.50	2026-05-07
33270	OTHER	Insert/replace Subq Defib Elct	7	7	$142,414.00	$56,965.60 60% off	$4,000.00	$112,507.06	$54,504.69	2026-05-07
33240	OTHER	Insert Subq Defib Exsist Elctr	7	7	$142,414.00	$56,965.60 60% off	$4,000.00	$112,507.06	$53,832.49	2026-05-07
9273	OTHER	Sipuleucel-t Auto Cd54+	5	5	—	—	$53,426.66	$53,426.66	$53,426.66	2026-05-07
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	17	10	—	—	$2,920.60	$109,313.21	$52,942.56	2026-05-07
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	10	—	—	$3,673.96	$97,647.00	$52,167.69	2026-05-07
5244	OTHER	Level 4 Blood Product Exchange And Related Services	5	5	—	—	$52,066.17	$52,066.17	$52,066.17	2026-05-07
C1820	OTHER	Ipg Eterna 222etctrsy33	58	6	$91,747.00	$36,698.80 60% off	$3,093.55	$126,182.75	$51,932.54	2026-05-07
64582	OTHER	Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…	1	1	—	—	$51,805.10	$51,805.10	$51,805.10	2026-05-07
64568	OTHER	Insertion Of Cranial Nerve Neurostimulator Electrode And Generator	1	1	—	—	$51,805.10	$51,805.10	$51,805.10	2026-05-07
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	18	10	—	—	$3,069.55	$105,948.00	$51,217.93	2026-05-07
33262	OTHER	Remove/replace Subq Defib Only	11	7	$142,414.00	$56,965.60 60% off	$4,000.00	$112,507.06	$50,576.25	2026-05-07
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	18	10	—	—	$1,968.54	$86,174.11	$50,049.42	2026-05-07
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	17	10	—	—	$2,497.78	$101,877.94	$49,341.51	2026-05-07
0795T	OTHER	Tcat Ins 2chambr Ldls Pm Comp	4	4	$83,904.00	$33,561.60 60% off	$31,715.71	$66,284.16	$48,706.27	2026-05-07
955	OTHER	Craniotomy For Multiple Significant Trauma	17	10	—	—	$3,258.21	$100,000.45	$48,432.21	2026-05-07
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	22	10	—	—	$1.66	$97,812.49	$47,372.53	2026-05-07
33249	OTHER	Insert Replce Icd W/leads Sr	7	7	$112,510.00	$45,004.00 60% off	$4,000.00	$88,882.90	$46,241.61	2026-05-07
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	17	10	—	—	$2,880.27	$94,712.14	$45,870.98	2026-05-07
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	10	—	—	$2,391.72	$94,575.95	$45,805.01	2026-05-07
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	18	10	—	—	$1,724.35	$77,914.33	$45,484.69	2026-05-07
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	18	10	—	—	$2,815.38	$77,570.17	$45,283.78	2026-05-07
1142	OTHER	Supprelin La Implant	5	5	—	—	$45,261.80	$45,261.80	$45,261.80	2026-05-07
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	5	5	—	—	$45,000.50	$45,000.50	$45,000.50	2026-05-07
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	5	5	—	—	$45,000.50	$45,000.50	$45,000.50	2026-05-07
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	17	10	—	—	$2,582.34	$92,619.37	$44,857.40	2026-05-07
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	17	10	—	—	$2,336.42	$90,186.84	$43,679.28	2026-05-07
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	17	10	—	—	$2,562.01	$89,871.97	$43,526.78	2026-05-07
36906	OTHER	Pmt W/stent Periph Dialys Bil	11	7	$114,627.00	$45,850.80 60% off	$4,000.00	$90,555.33	$43,329.01	2026-05-07
232	OTHER	Coronary Bypass With Ptca Without Mcc	17	10	—	—	$2,235.15	$89,461.91	$43,328.18	2026-05-07
28	OTHER	Spinal Procedures With Mcc	17	10	—	—	$2,072.58	$89,034.28	$43,121.07	2026-05-07
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	17	10	—	—	$2,320.97	$88,395.76	$42,811.82	2026-05-07
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	17	10	—	—	$3,962.22	$88,395.76	$42,811.82	2026-05-07
228	OTHER	Other Cardiothoracic Procedures With Mcc	18	10	—	—	$5,422.16	$73,307.00	$42,604.39	2026-05-07
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	10	—	—	$2,140.50	$87,127.50	$42,197.58	2026-05-07
C1767	OTHER	Ipg Eterna Generator	50	6	$84,951.00	$33,980.40 60% off	$56.32	$91,950.47	$42,174.76	2026-05-07
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	22	10	—	—	$23.52	$85,267.58	$41,296.79	2026-05-07
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	13	10	—	—	$28,963.71	$59,802.86	$41,039.18	2026-05-07
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	18	10	—	—	$2,496.26	$84,053.51	$40,708.79	2026-05-07
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	17	10	—	—	$2,544.99	$83,551.19	$40,465.50	2026-05-07
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	18	10	—	—	$1,871.61	$79,553.00	$40,222.51	2026-05-07
653	OTHER	Major Bladder Procedures With Mcc	17	10	—	—	$2,116.32	$81,640.02	$39,539.88	2026-05-07
834	OTHER	Acute Leukemia With Mcc	22	10	—	—	$128.07	$80,947.31	$39,204.39	2026-05-07
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	17	10	—	—	$2,307.59	$80,947.31	$39,204.39	2026-05-07
8	OTHER	Simultaneous Pancreas And Kidney Transplant	17	10	—	—	$1,977.05	$79,684.91	$38,592.99	2026-05-07
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	17	10	—	—	$2,218.92	$79,503.31	$38,505.04	2026-05-07
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	17	10	—	—	$1,977.78	$79,097.65	$38,308.56	2026-05-07
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	17	10	—	—	$1,911.05	$79,022.96	$38,272.39	2026-05-07
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	17	10	—	—	$2,135.39	$79,014.17	$38,268.13	2026-05-07
37231	OTHER	Tib/peronl Stent W/athrect Rt	7	7	$100,198.00	$40,079.20 60% off	$4,000.00	$79,156.42	$37,874.84	2026-05-07
J9266	OTHER	Pegaspargase Per Sgle Dose Vl	7	7	$89,757.00	$35,902.80 60% off	$4,000.00	$70,908.03	$36,620.86	2026-05-07
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	18	10	—	—	$1,605.24	$74,610.42	$36,135.31	2026-05-07
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	17	10	—	—	$1,728.26	$74,381.96	$36,024.66	2026-05-07
C1822	OTHER	Senza Omnia Ipg Nipg2500	10	6	$84,754.00	$33,901.60 60% off	$4,000.00	$71,161.62	$35,927.97	2026-05-07
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	17	10	—	—	$1,554.57	$73,765.40	$35,726.05	2026-05-07
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	17	10	—	—	$1,138.72	$73,330.44	$35,515.39	2026-05-07
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	17	10	—	—	$1,889.61	$73,244.04	$35,473.54	2026-05-07
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	18	10	—	—	$1,309.17	$60,221.70	$35,156.12	2026-05-07
1579	OTHER	New Technology - Level 42 ($30,001-$40,000)	5	5	—	—	$35,000.50	$35,000.50	$35,000.50	2026-05-07
1593	OTHER	New Technology - Level 42 ($30,001-$40,000)	5	5	—	—	$35,000.50	$35,000.50	$35,000.50	2026-05-07
245	OTHER	Aicd Generator Procedures	17	10	—	—	$1,702.65	$71,567.19	$34,661.41	2026-05-07
27279	OTHER	Arthrodesis Si Joint Perc	7	7	$91,117.00	$36,446.80 60% off	$4,000.00	$71,982.43	$34,442.23	2026-05-07
6	OTHER	Liver Transplant Without Mcc	17	10	—	—	$5,075.39	$71,016.53	$34,394.72	2026-05-07
C1772	OTHER	Pump Synchromed 8637-40	10	6	$83,567.00	$33,426.80 60% off	$4,000.00	$66,017.93	$34,220.69	2026-05-07
54411	OTHER	Removal And Replacement Of Infected Components Of Inflatable Penile Implant	1	1	—	—	$34,218.55	$34,218.55	$34,218.55	2026-05-07
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	22	10	—	—	$87.14	$69,937.20	$33,871.98	2026-05-07
799	OTHER	Splenic Procedures With Mcc	22	10	—	—	$7.69	$69,634.05	$33,725.15	2026-05-07
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	17	10	—	—	$2,409.94	$69,620.87	$33,718.77	2026-05-07
33263	OTHER	Remove Replace Icd Gen 2lead	7	7	$80,922.00	$32,368.80 60% off	$4,000.00	$63,928.38	$33,258.94	2026-05-07
33264	OTHER	Remove Replace Icd Multi Lead	7	7	$80,922.00	$32,368.80 60% off	$4,000.00	$63,928.38	$33,258.94	2026-05-07
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	17	10	—	—	$1,845.44	$68,531.28	$33,191.06	2026-05-07
277	OTHER	Cardiac Defibrillator Implant Without Mcc	17	10	—	—	$1,557.59	$68,127.08	$32,995.30	2026-05-07
33946	OTHER	Ecmo Ecls Intiation Venous Ip	7	7	$80,101.00	$32,040.40 60% off	$4,000.00	$63,279.79	$32,921.51	2026-05-07
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	672	12	$68,411.00	$27,364.40 60% off	$208.65	$212,422.31	$32,821.96	2026-05-07
163	OTHER	Major Chest Procedures With Mcc	17	10	—	—	$2,437.17	$67,501.73	$32,692.43	2026-05-07
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	17	10	—	—	$1,689.91	$67,473.91	$32,678.96	2026-05-07
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	17	10	—	—	$2,539.04	$67,258.63	$32,574.69	2026-05-07
329	OTHER	Major Small And Large Bowel Procedures With Mcc	17	10	—	—	$1,551.90	$67,248.38	$32,569.73	2026-05-07
J9228	OTHER	Ipilimumab Per 1mg	11	7	$43,328.00	$17,331.20 60% off	$205.26	$124,518.22	$32,496.00	2026-05-07
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	18	10	—	—	$1,524.73	$60,933.45	$32,484.14	2026-05-07
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	22	10	—	—	$1,536.96	$66,072.38	$32,000.17	2026-05-07
5166	OTHER	Cochlear Implant Procedure	5	5	—	—	$31,951.40	$31,951.40	$31,951.40	2026-05-07
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	17	10	—	—	$1,241.25	$65,678.43	$31,809.37	2026-05-07
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	17	10	—	—	$2,102.26	$65,496.83	$31,721.42	2026-05-07
901	OTHER	Wound Debridements For Injuries With Mcc	22	10	—	—	$5.09	$64,884.67	$31,424.94	2026-05-07
5232	OTHER	Level 2 Icd And Similar Procedures	5	5	—	—	$31,345.98	$31,345.98	$31,345.98	2026-05-07
23472	OTHER	Prosthetic Repair Of Shoulder Joint, Total Shoulder	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
24361	OTHER	Repair Of Elbow Joint With Replacement Of Lower Portion Of Upper Arm Bone	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
27702	OTHER	Reconstruction Of Ankle Joint With Prosthesis	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
25446	OTHER	Arthroplasty Or Replacement Of The Entire Wrist Joint	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
25442	OTHER	Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger S…	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
24363	OTHER	Prosthetic Repair Of Elbow Joint	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
24371	OTHER	Revision Of Total Elbow Repair (arthroplasty), Upper Arm And Forearm Components	1	1	—	—	$31,263.09	$31,263.09	$31,263.09	2026-05-07
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	17	10	—	—	$1,638.96	$64,332.56	$31,157.54	2026-05-07
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	13	10	—	—	$21,888.58	$45,194.47	$31,014.30	2026-05-07
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	17	10	—	—	$1,139.26	$63,367.45	$30,690.12	2026-05-07
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	17	10	—	—	$2,201.32	$63,237.11	$30,626.99	2026-05-07
33902	OTHER	Placement Of Stent In Pulmonary Artery With Abnormal Anatomical Connections, On …	1	1	—	—	$30,526.42	$30,526.42	$30,526.42	2026-05-07
356	OTHER	Other Digestive System O.r. Procedures With Mcc	17	10	—	—	$1,480.87	$62,471.18	$30,256.03	2026-05-07
37227	OTHER	Fem/pop Stent W/athrect Bil Cs	35	7	$73,611.00	$29,444.40 60% off	$4,000.00	$58,152.69	$30,254.12	2026-05-07
37229	OTHER	Tib/peroneal Atherc Ini Bil Cs	21	7	$73,611.00	$29,444.40 60% off	$4,000.00	$58,152.69	$30,254.12	2026-05-07
37230	OTHER	Tib/peron Stent Init Uni Ad Cs	28	7	$73,611.00	$29,444.40 60% off	$4,000.00	$58,152.69	$30,254.12	2026-05-07
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	17	10	—	—	$1,555.58	$62,378.91	$30,211.35	2026-05-07
62361	OTHER	Imp/replc Non-progrm Pump	7	7	$79,165.00	$31,666.00 60% off	$1,600.00	$62,540.35	$30,046.00	2026-05-07
140	OTHER	Major Head And Neck Procedures With Mcc	17	10	—	—	$1,315.95	$61,936.63	$29,997.14	2026-05-07
31	OTHER	Ventricular Shunt Procedures With Mcc	17	10	—	—	$1,970.19	$61,371.34	$29,723.36	2026-05-07
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	17	10	—	—	$1,213.96	$61,356.69	$29,716.27	2026-05-07
5465	OTHER	Level 5 Neurostimulator And Related Procedures	5	5	—	—	$29,586.29	$29,586.29	$29,586.29	2026-05-07
793	OTHER	Full Term Neonate With Major Problems	23	10	—	—	$0.70	$61,076.97	$29,580.79	2026-05-07
J1303	OTHER	Ravulizumab-cwvz Per 10mg	11	7	$136,658.00	$54,663.20 60% off	$251.47	$107,959.82	$29,443.30	2026-05-07
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	17	10	—	—	$1,531.87	$60,188.02	$29,150.26	2026-05-07
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	17	10	—	—	$2,088.82	$60,098.69	$29,106.99	2026-05-07
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	17	10	—	—	$1,435.37	$59,567.07	$28,849.52	2026-05-07
242	OTHER	Permanent Cardiac Pacemaker Implant With Mcc	18	10	—	—	$1,992.19	$49,675.84	$28,797.50	2026-05-07
791	OTHER	Prematurity With Major Problems	23	10	—	—	$0.09	$59,457.24	$28,796.32	2026-05-07
69930	OTHER	Insertion Of Cochlear Device	2	2	—	—	$3,203.00	$54,073.29	$28,638.15	2026-05-07
36905	OTHER	Pmt W/plasty Periph Dialys Bil	11	7	$75,625.00	$30,250.00 60% off	$4,000.00	$59,743.75	$28,586.25	2026-05-07
36903	OTHER	Stent Periph Dialysis Seg Bil	15	7	$51,455.00	$20,582.00 60% off	$4,000.00	$59,743.75	$28,586.25	2026-05-07
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	18	10	—	—	$1,884.92	$57,266.34	$28,330.11	2026-05-07
907	OTHER	Other O.r. Procedures For Injuries With Mcc	17	10	—	—	$1,841.49	$58,341.29	$28,255.85	2026-05-07
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	22	10	—	—	$13.03	$58,300.28	$28,235.99	2026-05-07
628	OTHER	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	17	10	—	—	$1,194.35	$57,784.78	$27,986.32	2026-05-07
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	18	10	—	—	$1,055.42	$47,870.11	$27,945.53	2026-05-07
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	22	10	—	—	$23.98	$57,666.15	$27,928.86	2026-05-07
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	17	10	—	—	$489.07	$57,548.99	$27,872.12	2026-05-07
5200	OTHER	Implantation Wireless Pa Pressure Monitor	5	5	—	—	$27,692.47	$27,692.47	$27,692.47	2026-05-07
34	OTHER	Carotid Artery Stent Procedures With Mcc	17	10	—	—	$1,465.93	$56,950.01	$27,582.02	2026-05-07
1578	OTHER	New Technology - Level 41 ($25,001-$30,000)	5	5	—	—	$27,500.50	$27,500.50	$27,500.50	2026-05-07
1592	OTHER	New Technology - Level 41 ($25,001-$30,000)	5	5	—	—	$27,500.50	$27,500.50	$27,500.50	2026-05-07
252	OTHER	Other Vascular Procedures With Mcc	18	10	—	—	$1,527.46	$50,238.21	$27,429.18	2026-05-07
616	OTHER	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	17	10	—	—	$1,256.15	$56,602.93	$27,413.92	2026-05-07
904	OTHER	Skin Grafts For Injuries With Cc/mcc	17	10	—	—	$973.09	$56,545.81	$27,386.26	2026-05-07
166	OTHER	Other Respiratory System O.r. Procedures With Mcc	17	10	—	—	$1,942.94	$56,387.64	$27,309.66	2026-05-07
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	17	10	—	—	$2,808.60	$55,979.05	$27,111.77	2026-05-07
Q4130	OTHER	Strattice Graft Per 1 Sqcm	32	7	$52,924.00	$21,169.60 60% off	$4,000.00	$94,816.59	$26,974.66	2026-05-07
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	17	10	—	—	$1,492.17	$55,675.90	$26,964.94	2026-05-07
J9043	OTHER	Cabazitaxel Per 1mg	7	7	$65,868.00	$26,347.20 60% off	$255.46	$52,035.72	$26,874.14	2026-05-07
61886	OTHER	Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele…	2	2	—	—	$1,789.00	$51,805.10	$26,797.05	2026-05-07
40	OTHER	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	17	10	—	—	$1,801.23	$55,242.40	$26,755.00	2026-05-07
229	OTHER	Other Cardiothoracic Procedures Without Mcc	18	10	—	—	$2,139.18	$73,307.00	$26,557.10	2026-05-07
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	17	10	—	—	$1,160.20	$54,801.59	$26,541.50	2026-05-07
271	OTHER	Other Major Cardiovascular Procedures With Cc	18	10	—	—	$1,474.59	$50,443.24	$26,486.33	2026-05-07
93653	OTHER	Ablate Intracard Cath Svt Cs	7	7	$63,856.00	$25,542.40 60% off	$4,000.00	$50,446.24	$26,244.82	2026-05-07
93654	OTHER	Ablate Intracard Cath Vt Cs	7	7	$63,856.00	$25,542.40 60% off	$4,000.00	$50,446.24	$26,244.82	2026-05-07
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	17	10	—	—	$911.63	$53,435.21	$25,879.74	2026-05-07
33227	OTHER	Remove Replace Pacer Gen 1lead	7	7	$67,628.00	$27,051.20 60% off	$4,000.00	$53,426.12	$25,563.38	2026-05-07
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	23	12	$3,007.00	$1,202.80 60% off	$598.04	$52,499.40	$25,426.50	2026-05-07
97	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	17	10	—	—	$1,888.40	$52,496.47	$25,425.08	2026-05-07
518	OTHER	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	18	10	—	—	$1,463.86	$52,487.68	$25,420.83	2026-05-07
265	OTHER	Aicd Lead Procedures	17	10	—	—	$1,089.69	$52,241.64	$25,301.67	2026-05-07
492	OTHER	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	18	10	—	—	$1,440.22	$52,007.32	$25,188.18	2026-05-07
22	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	17	10	—	—	$1,473.93	$51,702.71	$25,040.65	2026-05-07
495	OTHER	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	17	10	—	—	$1,345.61	$51,559.19	$24,971.14	2026-05-07
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	17	10	—	—	$1,324.57	$51,313.15	$24,851.98	2026-05-07
987	OTHER	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	17	10	—	—	$1,232.56	$51,297.04	$24,844.18	2026-05-07
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	17	10	—	—	$1,398.59	$51,276.54	$24,834.25	2026-05-07
264	OTHER	Other Circulatory System O.r. Procedures	17	10	—	—	$1,233.44	$51,185.74	$24,790.27	2026-05-07
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	17	10	—	—	$1,299.47	$50,854.76	$24,629.97	2026-05-07
332	OTHER	Rectal Resection With Mcc	17	10	—	—	$1,373.08	$50,799.11	$24,603.02	2026-05-07
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	17	10	—	—	$1,058.63	$50,743.46	$24,576.07	2026-05-07
477	OTHER	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	17	10	—	—	$1,150.55	$50,364.15	$24,392.36	2026-05-07
665	OTHER	Prostatectomy With Mcc	17	10	—	—	$1,160.71	$50,285.07	$24,354.06	2026-05-07
467	OTHER	Revision Of Hip Or Knee Replacement With Cc	18	10	—	—	$894.92	$50,162.05	$24,294.48	2026-05-07
65770	OTHER	Insertion Of Cornea Prosthesis	1	1	—	—	$24,291.83	$24,291.83	$24,291.83	2026-05-07
29	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	17	10	—	—	$1,156.59	$49,158.87	$23,808.62	2026-05-07
J9272	OTHER	Dostarlimab-gxly Per 10mg	5	5	$57,637.00	$23,054.80 60% off	$273.67	$45,533.23	$23,688.81	2026-05-07
37	OTHER	Extracranial Procedures With Mcc	17	10	—	—	$2,010.60	$48,634.58	$23,554.69	2026-05-07
143	OTHER	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	17	10	—	—	$1,657.74	$48,356.33	$23,419.93	2026-05-07
579	OTHER	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	17	10	—	—	$961.57	$47,733.91	$23,118.48	2026-05-07
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	17	10	—	—	$1,178.93	$47,713.41	$23,108.55	2026-05-07
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	17	10	—	—	$1,237.70	$47,146.65	$22,834.06	2026-05-07
279	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	17	10	—	—	$1,202.61	$46,928.44	$22,728.38	2026-05-07
J9022	OTHER	Atezolizumab Per 10mg	11	7	$60,076.00	$24,030.40 60% off	$100.57	$47,460.04	$22,708.73	2026-05-07
324	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	17	10	—	—	$1,115.43	$46,792.24	$22,662.41	2026-05-07
5213	OTHER	Level 3 Electrophysiologic Procedures	5	5	—	—	$22,629.19	$22,629.19	$22,629.19	2026-05-07
840	OTHER	Lymphoma And Non-acute Leukemia With Mcc	22	10	—	—	$133.69	$46,702.90	$22,619.15	2026-05-07
J2562	OTHER	Plerixafor Inj Per 1mg	7	7	$55,421.00	$22,168.40 60% off	$42.27	$43,782.59	$22,611.77	2026-05-07
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	22	10	—	—	$2.36	$46,576.96	$22,558.15	2026-05-07
939	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	17	10	—	—	$1,208.13	$46,483.23	$22,512.75	2026-05-07
1591	OTHER	New Technology - Level 40 ($20,001-$25,000)	5	5	—	—	$22,500.50	$22,500.50	$22,500.50	2026-05-07
1577	OTHER	New Technology - Level 40 ($20,001-$25,000)	5	5	—	—	$22,500.50	$22,500.50	$22,500.50	2026-05-07
500	OTHER	Soft Tissue Procedures With Mcc	17	10	—	—	$1,214.48	$46,405.61	$22,475.16	2026-05-07
5231	OTHER	Level 1 Icd And Similar Procedures	5	5	—	—	$22,458.65	$22,458.65	$22,458.65	2026-05-07
C9604	OTHER	Des Revasc Perc Byps Grft 1 Lc	28	7	$59,273.00	$23,709.20 60% off	$4,000.00	$48,109.42	$22,405.19	2026-05-07
C2621	OTHER	Defib Insync3 8042 Medtrnc	14	6	$41,524.00	$16,609.60 60% off	$4,000.00	$49,264.40	$22,281.58	2026-05-07
824	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Cc	22	10	—	—	$1,002.87	$2,332,000.00	$22,140.26	2026-05-07
662	OTHER	Minor Bladder Procedures With Mcc	17	10	—	—	$1,125.99	$45,686.54	$22,126.90	2026-05-07
53451	OTHER	Insertion Of Adjustable Balloon Continence Device On Both Sides Of Urethra Using…	1	1	—	—	$22,087.11	$22,087.11	$22,087.11	2026-05-07
54417	OTHER	Removal And Replacement Of Infected Noninflatable Penile Implant	1	1	—	—	$22,087.11	$22,087.11	$22,087.11	2026-05-07
33207	OTHER	Insert New/replce Pacer Ventrc	7	7	$58,172.00	$23,268.80 60% off	$4,000.00	$45,955.88	$21,989.02	2026-05-07
515	OTHER	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	17	10	—	—	$1,976.75	$45,288.20	$21,933.98	2026-05-07
27415	OTHER	Implantation Of Donor Cartilage Cells Into Knee Joint	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
27447	OTHER	Replacement Of Knee Joint, Both Sides Of Knee	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
27130	OTHER	Replacement Of Thigh Bone And Hip Joint With Prosthesis	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
23473	OTHER	Revision Of Total Shoulder Repair	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
24366	OTHER	Joint Repair (arthroplasty) Forearm Bone On The Thumb Side (radius) At The Elbow…	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
69716	OTHER	Implantation Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magn…	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
69730	OTHER	Replacement Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With Ma…	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
23470	OTHER	Partial Replacement Of Shoulder Joint	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
69719	OTHER	Replacement Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magne…	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
24370	OTHER	Revision Of Total Elbow Repair (arthroplasty), Upper Arm Or Forearm Components	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
27446	OTHER	Replacement Of Knee Joint On Side Of Knee	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
69714	OTHER	Implantation Of Cochlear Stimulating System Into Skull With Attachment Through S…	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
25441	OTHER	Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Thumb Side At …	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
69729	OTHER	Implantation Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With M…	1	1	—	—	$21,873.59	$21,873.59	$21,873.59	2026-05-07
652	OTHER	Kidney Transplant	17	10	—	—	$1,128.89	$44,980.65	$21,785.02	2026-05-07
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	21	12	$5,009.00	$2,003.60 60% off	$1,155.41	$44,939.65	$21,765.16	2026-05-07
33228	OTHER	Remove Replace Pacer Gen 2lead	7	7	$57,518.00	$23,007.20 60% off	$4,000.00	$45,439.22	$21,741.80	2026-05-07
26	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	17	10	—	—	$1,273.36	$44,793.20	$21,694.24	2026-05-07
J0180	OTHER	Agalsidase Beta Per 1mg	7	7	$52,733.00	$21,093.20 60% off	$254.81	$41,659.07	$21,515.06	2026-05-07
570	OTHER	Skin Debridement With Mcc	17	10	—	—	$896.31	$44,084.38	$21,350.94	2026-05-07
J9119	OTHER	Cemiplimab-rwlc Per 1mg	7	7	$51,998.00	$20,799.20 60% off	$32.16	$41,078.42	$21,215.18	2026-05-07
64583	OTHER	Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Electrode And Breat…	1	1	—	—	$21,199.53	$21,199.53	$21,199.53	2026-05-07
974	OTHER	HIV With Major Related Condition With Mcc	17	10	—	—	$1,204.45	$43,732.90	$21,180.71	2026-05-07
253	OTHER	Other Vascular Procedures With Cc	18	10	—	—	$989.91	$37,388.68	$21,172.54	2026-05-07
33229	OTHER	Remove Replce Pacer Multi Lead	7	7	$51,233.00	$20,493.20 60% off	$4,000.00	$40,474.07	$21,056.76	2026-05-07
464	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	17	10	—	—	$1,022.74	$43,182.25	$20,914.02	2026-05-07
5464	OTHER	Level 4 Neurostimulator And Related Procedures	5	5	—	—	$20,842.84	$20,842.84	$20,842.84	2026-05-07
353	OTHER	Hernia Procedures Except Inguinal And Femoral With Mcc	17	10	—	—	$1,094.30	$42,953.79	$20,803.37	2026-05-07
668	OTHER	Transurethral Procedures With Mcc	17	10	—	—	$1,058.85	$42,709.21	$20,684.92	2026-05-07
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	17	10	—	—	$1,079.53	$42,685.78	$20,673.57	2026-05-07
800	OTHER	Splenic Procedures With Cc	22	10	—	—	$1,058.73	$42,672.60	$20,667.19	2026-05-07
240	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc	17	10	—	—	$912.92	$42,649.17	$20,655.84	2026-05-07
472	OTHER	Cervical Spinal Fusion With Cc	18	10	—	—	$995.22	$42,429.49	$20,549.45	2026-05-07
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	17	10	—	—	$1,097.62	$41,988.68	$20,335.95	2026-05-07
462	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc	17	10	—	—	$1,069.48	$41,940.35	$20,312.55	2026-05-07
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	17	10	—	—	$993.58	$41,915.45	$20,300.49	2026-05-07
321	OTHER	Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…	17	10	—	—	$1,078.95	$41,691.39	$20,191.97	2026-05-07
J1930	OTHER	Lanreotide Per 1mg	15	7	$33,908.00	$13,563.20 60% off	$51.28	$43,962.71	$20,114.19	2026-05-07
J9144	OTHER	Daratumumab Hyaluron Per 10mg	7	7	$49,138.00	$19,655.20 60% off	$58.58	$38,819.02	$20,048.30	2026-05-07
654	OTHER	Major Bladder Procedures With Cc	17	10	—	—	$1,059.82	$41,329.65	$20,016.77	2026-05-07
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	17	10	—	—	$1,323.15	$41,129.02	$19,919.60	2026-05-07
E0749	OTHER	Stimulator Osteogen 10-1320m	14	6	$46,445.00	$18,578.00 60% off	$4,000.00	$39,783.61	$19,893.22	2026-05-07
C1785	OTHER	Pacer Intermedic 292-06 Abbott	142	6	$40,302.00	$16,120.80 60% off	$4,000.00	$59,885.16	$19,833.11	2026-05-07
411	OTHER	Cholecystectomy With C.d.e. With Mcc	17	10	—	—	$1,142.41	$40,074.58	$19,408.92	2026-05-07
288	OTHER	Acute And Subacute Endocarditis With Mcc	17	10	—	—	$828.71	$40,002.82	$19,374.16	2026-05-07
619	OTHER	O.r. Procedures For Obesity With Mcc	16	9	—	—	$977.87	$39,929.59	$19,338.70	2026-05-07
37226	OTHER	Fem/pop Stent Place Uni Adl Cs	35	7	$45,609.00	$18,243.60 60% off	$4,000.00	$46,696.90	$19,278.97	2026-05-07
33900	OTHER	Placement Of Stent In Pulmonary Artery With Normal Anatomical Connections, On On…	1	1	—	—	$19,278.97	$19,278.97	$19,278.97	2026-05-07
33901	OTHER	Placement Of Stent In Pulmonary Arteries With Normal Anatomical Connections, On …	1	1	—	—	$19,278.97	$19,278.97	$19,278.97	2026-05-07
33903	OTHER	Placement Of Stent In Pulmonary Arteries With Abnormal Anatomical Connections, O…	1	1	—	—	$19,278.97	$19,278.97	$19,278.97	2026-05-07

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