Hospital

UNIONTOWN HOSPITAL

Uniontown, PA · CCN 390041 · Rates published

5,650 distinct procedures filed

31 distinct payers

251,711 rate rows

2026-05-13 last MRF observed

Data quality

201,474 of 251,711 rate rows are consumer-grade (80.0%)

50,237 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	49,713
exceeds 10× this hospital's gross charge — excluded from medians	328
placeholder amount (≤ $0.02) — excluded from medians	192
per-diem day rate — not a per-procedure price	2
template filing: same amount across many unrelated codes — excluded	2

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/03/250965588_Uniontown-Hospital_standardcharges.csv
Found on page	https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	503c6d43f8fb0422… · 45,028,524 bytes · first seen 2026-05-13

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	26	$204,849.70	$725,027.49	$340,117.93	nat. median $424,868 0.8× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	26	$132,939.22	$533,273.35	$220,926.80	nat. median $263,894 0.8× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	26	$101,282.07	$518,712.86	$168,455.29	nat. median $146,562 1.1× median
003 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	26	$94,806.34	$419,562.18	$167,470.10	nat. median $218,232 0.8× median
004 OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	26	$61,260.23	$289,281.30	$109,491.51	nat. median $150,232 0.7× median
007 OTHER	Lung Transplant	26	$61,432.90	$241,390.49	$102,405.57	nat. median $141,082 0.7× median
014 OTHER	Allogeneic Bone Marrow Transplant	26	$57,010.27	$225,539.05	$95,075.09	nat. median $105,808 0.9× median
002 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	26	$53,755.57	$240,951.64	$89,680.45	nat. median $117,167 0.8× median
212 OTHER	Concomitant Aortic And Mitral Valve Procedures	26	$51,584.34	$211,956.61	$86,081.66	nat. median $90,581 1.0× median
209 OTHER	Complex Aortic Arch Procedures	22	$53,693.90	$166,963.31	$85,087.07	nat. median $23,389 outlier · 3.6×
426 OTHER	Non-hypovolemic Sodium Disorders	22	$52,282.15	$162,601.86	$82,864.41	nat. median $80,273 1.0× median
005 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	26	$48,910.74	$203,677.65	$81,650.18	nat. median $104,489 0.8× median
215 OTHER	Other Heart Assist System Implant	26	$47,233.82	$201,017.05	$78,870.68	nat. median $92,359 0.9× median
216 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$46,407.45	$190,990.60	$77,500.99	nat. median $90,130 0.9× median
455 OTHER	Combined Anterior/posterior Spinal Fusion Without Complication/comorbity	12	$50,441.27	$90,633.60	$70,537.43	nat. median $38,868 1.8× median
429 OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	22	$42,739.56	$133,121.29	$67,840.66	nat. median $62,997 1.1× median
J9029 OTHER	Instill Adstiladrin, Tx Dose	19	$171.55	$142,690.03	$67,488.53	nat. median $66,509 1.0× median
231 OTHER	Coronary Bypass With Ptca With Comorbity	26	$39,989.59	$159,699.02	$66,863.45	nat. median $74,989 0.9× median
456 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	26	$39,435.99	$165,882.16	$66,655.07	nat. median $76,493 0.9× median
850 OTHER	Acute Leukemia With Other Procedures	22	$41,078.76	$127,990.47	$65,225.91	nat. median $407 outlier · 160.2×
020 OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	26	$37,327.86	$166,334.78	$62,451.62	nat. median $82,426 0.8× median
219 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	26	$36,424.17	$151,748.70	$60,953.78	nat. median $72,612 0.8× median
233 OTHER	Coronary Bypass With Cardiac Cath With Comorbity	26	$36,267.15	$153,488.33	$60,693.51	nat. median $68,249 0.9× median
957 OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	26	$35,576.45	$142,328.37	$60,494.57	nat. median $68,309 0.9× median
928 OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	26	$34,025.71	$136,172.78	$56,978.34	nat. median $46,003 1.2× median
019 OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	$33,844.97	$157,304.09	$56,678.76	nat. median $67,495 0.8× median
275 OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	26	$33,825.05	$138,457.51	$56,645.76	nat. median $29,655 1.9× median
460 OTHER	Spinal Fusion Except Cervical Without Comorbity	12	$40,061.91	$71,983.81	$56,022.86	nat. median $342 outlier · 164.0×
870 OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	26	$32,788.06	$137,062.27	$54,926.94	nat. median $54,564 1.0× median
010 OTHER	Pancreas Transplant	26	$34,039.94	$106,244.94	$54,910.25	nat. median $67,882 0.8× median
268 OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	26	$31,802.78	$134,893.64	$54,660.38	nat. median $67,670 0.8× median
427 OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	22	$34,243.45	$106,873.62	$54,464.44	nat. median $51,811 1.1× median
955 OTHER	Craniotomy For Multiple Significant Trauma	26	$31,930.86	$119,849.05	$53,506.14	nat. median $62,467 0.9× median
218 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$27,854.05	$112,105.36	$52,281.13	nat. median $56,507 0.9× median
217 OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	26	$31,191.78	$125,262.74	$52,281.13	nat. median $60,727 0.9× median
573 OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	26	$31,078.40	$122,365.99	$52,093.21	nat. median $54,881 0.9× median
207 OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	26	$30,524.80	$135,942.53	$51,175.60	nat. median $66,849 0.8× median
317 OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	22	$31,719.28	$99,075.56	$50,490.43	nat. median $48,503 1.0× median
447 OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	22	$31,696.04	$99,003.76	$50,453.84	nat. median $54,322 0.9× median
266 OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	26	$29,071.78	$122,917.00	$49,665.96	nat. median $58,866 0.8× median
969 OTHER	HIV With Extensive O.r. Procedures With Mcc	26	$29,038.10	$135,245.90	$48,711.41	nat. median $64,729 0.8× median
232 OTHER	Coronary Bypass With Ptca Without Mcc	26	$28,431.85	$117,062.50	$48,249.87	nat. median $56,351 0.9× median
028 OTHER	Spinal Procedures With Comorbity	26	$26,634.90	$118,587.62	$47,822.92	nat. median $61,887 0.8× median
276 OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	26	$24,928.09	$122,210.53	$47,809.55	nat. median $3,947 outlier · 12.1×
457 OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	26	$28,287.63	$119,555.83	$47,467.51	nat. median $52,731 0.9× median
016 OTHER	Autologous Bone Marrow Transplant With Cc/mcc	26	$28,129.19	$121,557.18	$47,204.91	nat. median $60,768 0.8× median
235 OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	26	$27,839.35	$115,724.33	$46,724.48	nat. median $56,120 0.8× median
820 OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	26	$27,821.32	$118,993.01	$46,694.60	nat. median $45,878 1.0× median
023 OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	26	$27,183.28	$111,556.32	$45,637.07	nat. median $59,073 0.8× median
463 OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	26	$26,105.97	$111,455.95	$45,394.89	nat. median $48,651 0.9× median

Other procedures at this hospital

Browse this hospital's 5,650 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

001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	26	—	—	$132,939.22	$533,273.35	$220,926.80	2026-05-13
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	28	26	—	—	$53,755.57	$240,951.64	$89,680.45	2026-05-13
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	26	—	—	$94,806.34	$419,562.18	$167,470.10	2026-05-13
004	OTHER	Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.	28	26	—	—	$61,260.23	$289,281.30	$109,491.51	2026-05-13
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	28	26	—	—	$48,910.74	$203,677.65	$81,650.18	2026-05-13
006	OTHER	Liver Transplant Without Mcc	28	26	—	—	$21,996.91	$95,185.36	$37,040.69	2026-05-13
007	OTHER	Lung Transplant	28	26	—	—	$61,432.90	$241,390.49	$102,405.57	2026-05-13
008	OTHER	Simultaneous Pancreas And Kidney Transplant	28	26	—	—	$26,586.99	$103,544.99	$44,648.70	2026-05-13
010	OTHER	Pancreas Transplant	28	26	—	—	$34,039.94	$106,244.94	$54,910.25	2026-05-13
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	28	26	—	—	$25,873.05	$101,470.83	$43,571.06	2026-05-13
012	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	28	26	—	—	$19,999.78	$78,812.43	$33,730.46	2026-05-13
013	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc	28	26	—	—	$13,670.63	$52,851.89	$23,239.92	2026-05-13
014	OTHER	Allogeneic Bone Marrow Transplant	28	26	—	—	$57,010.27	$225,539.05	$95,075.09	2026-05-13
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	28	26	—	—	$28,129.19	$121,557.18	$47,204.91	2026-05-13
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	28	26	—	—	$25,769.64	$121,557.18	$43,293.95	2026-05-13
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	28	26	—	—	$204,849.70	$725,027.49	$340,117.93	2026-05-13
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	28	26	—	—	$33,844.97	$157,304.09	$56,678.76	2026-05-13
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	28	26	—	—	$37,327.86	$166,334.78	$62,451.62	2026-05-13
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	28	26	—	—	$25,112.62	$120,856.61	$42,204.98	2026-05-13
022	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	28	26	—	—	$15,072.89	$68,417.98	$25,564.16	2026-05-13
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	26	—	—	$27,183.28	$111,556.32	$45,637.07	2026-05-13
024	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	28	26	—	—	$18,557.19	$74,559.80	$31,339.38	2026-05-13
025	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	28	26	—	—	$21,568.54	$86,902.46	$36,330.66	2026-05-13
026	OTHER	Craniotomy And Endovascular Intracranial Procedures With Cc	28	26	—	—	$14,749.36	$58,114.05	$25,027.92	2026-05-13
027	OTHER	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	28	26	—	—	$11,968.08	$47,877.04	$20,417.99	2026-05-13
028	OTHER	Spinal Procedures With Comorbity	28	26	—	—	$26,634.90	$118,587.62	$47,822.92	2026-05-13
029	OTHER	Spinal Procedures With Cc Or Spinal Neurostimulators	28	26	—	—	$14,994.14	$67,463.55	$27,405.62	2026-05-13
030	OTHER	Spinal Procedures Without Complication/comorbity	28	26	—	—	$9,255.59	$45,635.60	$17,841.35	2026-05-13
031	OTHER	Ventricular Shunt Procedures With Mcc	28	26	—	—	$15,866.52	$81,010.57	$35,810.17	2026-05-13
032	OTHER	Ventricular Shunt Procedures With Cc	28	26	—	—	$9,498.47	$42,384.63	$17,336.55	2026-05-13
034	OTHER	Carotid Artery Stent Procedures With Mcc	28	26	—	—	$16,830.46	$76,775.65	$31,015.44	2026-05-13
035	OTHER	Carotid Artery Stent Procedures With Cc	28	26	—	—	$11,340.01	$45,251.86	$19,376.94	2026-05-13
037	OTHER	Extracranial Procedures With Mcc	28	26	—	—	$15,617.00	$66,428.43	$26,466.03	2026-05-13
040	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity	28	26	—	—	$14,491.77	$75,773.99	$30,940.74	2026-05-13
041	OTHER	Periph/cranial Nerve & Other Nerv Syst Proc With Complication Or Periph Neurosti…	28	26	—	—	$10,430.15	$43,897.95	$17,868.87	2026-05-13
056	OTHER	Degenerative Nervous System Disorders With Comorbity	28	26	—	—	$11,020.28	$47,111.53	$18,847.00	2026-05-13
061	OTHER	Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…	28	26	—	—	$13,079.08	$55,156.30	$22,259.47	2026-05-13
0795T	OTHER	Tcat Ins 2chmbr Ldls Pm Cmpl	15	15	$15,397.00	$7,698.50 50% off	$171.55	$41,446.36	$19,789.70	2026-05-13
0796T	OTHER	Tcat Ins 2chmbr Ldls Pm Ra	15	15	$15,397.00	$7,698.50 50% off	$171.55	$41,446.36	$19,789.70	2026-05-13
0797T	OTHER	Tcat Ins 2chmbr Ldls Pm Rv	15	15	$15,397.00	$7,698.50 50% off	$171.55	$41,446.36	$19,789.70	2026-05-13
0801T	OTHER	Tcat Rmv&rpl 2chmbr Ldls Pm	15	15	$15,397.00	$7,698.50 50% off	$171.55	$41,446.36	$19,789.70	2026-05-13
0802T	OTHER	Tcat Rmv&rpl2chmb Ldls Pm Ra	15	15	$15,397.00	$7,698.50 50% off	$171.55	$41,446.36	$19,789.70	2026-05-13
0803T	OTHER	Tcat Rmv&rpl2chmb Ldls Pm Rv	15	15	$15,397.00	$7,698.50 50% off	$171.55	$41,446.36	$19,789.70	2026-05-13
082	OTHER	Traumatic Stupor & Coma; Coma >1 Hr With Comorbity	28	26	—	—	$10,842.38	$44,834.67	$18,552.15	2026-05-13
085	OTHER	Traumatic Stupor And Coma <1 Hour With Mcc	28	26	—	—	$6,952.96	$44,726.43	$18,444.42	2026-05-13
094	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Comorbity	28	26	—	—	$16,695.26	$71,291.11	$28,253.25	2026-05-13
095	OTHER	Bacterial & Tuberculous Infections Of Nervous System With Complication	28	26	—	—	$11,509.83	$46,918.67	$20,860.67	2026-05-13
096	OTHER	Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc	28	26	—	—	$8,255.60	$42,894.32	$20,860.67	2026-05-13
097	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	28	26	—	—	$15,895.93	$71,570.56	$28,979.77	2026-05-13
098	OTHER	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	28	26	—	—	$10,326.26	$42,398.41	$18,625.25	2026-05-13
113	OTHER	Orbital Procedures With Complication/comorbity	28	26	—	—	$11,153.10	$49,341.16	$19,067.15	2026-05-13
135	OTHER	Sinus & Mastoid Procedures With Complication/comorbity	28	26	—	—	$10,294.00	$52,190.68	$17,643.20	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	28	26	—	—	$20,233.64	$74,349.23	$34,118.10	2026-05-13
141	OTHER	Major Head And Neck Procedures With Cc	28	26	—	—	$10,346.66	$40,768.98	$17,730.48	2026-05-13
143	OTHER	Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc	28	26	—	—	$17,773.05	$65,444.48	$30,039.67	2026-05-13
163	OTHER	Major Chest Procedures With Comorbity	28	26	—	—	$20,793.41	$92,758.93	$35,820.38	2026-05-13
164	OTHER	Major Chest Procedures With Complication	28	26	—	—	$11,973.30	$50,189.32	$20,426.62	2026-05-13
166	OTHER	Other Resp System O.r. Procedures With Comorbity	28	26	—	—	$16,496.02	$79,853.45	$29,969.69	2026-05-13
173	OTHER	Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…	28	26	—	—	$14,119.39	$60,512.92	$23,983.75	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	28	26	—	—	$30,524.80	$135,942.53	$51,175.60	2026-05-13
208	OTHER	Respiratory System Diagnosis With Ventilator Support <=96 Hours	28	26	—	—	$12,192.94	$53,208.08	$22,193.40	2026-05-13
209	OTHER	Complex Aortic Arch Procedures	24	22	—	—	$53,693.90	$166,963.31	$85,087.07	2026-05-13
20982	OTHER	Ablate Bone Tumor(s) Perq	22	21	$15,695.00	$7,847.50 50% off	$171.55	$37,728.41	$17,844.52	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	28	26	—	—	$51,584.34	$211,956.61	$86,081.66	2026-05-13
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	24	22	—	—	$27,072.28	$84,719.19	$43,174.20	2026-05-13
215	OTHER	Other Heart Assist System Implant	28	26	—	—	$47,233.82	$201,017.05	$78,870.68	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	26	—	—	$46,407.45	$190,990.60	$77,500.99	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	26	—	—	$31,191.78	$125,262.74	$52,281.13	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	28	26	—	—	$27,854.05	$112,105.36	$52,281.13	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	26	—	—	$36,424.17	$151,748.70	$60,953.78	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	26	—	—	$25,297.63	$103,208.48	$42,511.61	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	28	26	—	—	$23,909.60	$91,479.80	$40,210.99	2026-05-13
22600	OTHER	Fusion Of Spine In Neck By Posterior Approach	19	18	$11,924.52	$5,962.26 50% off	$171.55	$37,728.41	$17,844.52	2026-05-13
22612	OTHER	Fusion Of Spine In Lower Back	22	21	$22,949.52	$11,474.76 50% off	$171.55	$37,728.41	$17,844.52	2026-05-13
22630	OTHER	Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…	16	16	$2,999.90	$1,499.95 50% off	$171.55	$28,995.57	$27,614.83	2026-05-13
22633	OTHER	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	16	16	$4,387.37	$2,193.69 50% off	$171.55	$28,995.57	$27,614.83	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	28	26	—	—	$23,469.38	$99,156.58	$39,481.29	2026-05-13
229	OTHER	Other Cardiothoracic Procedures Without Mcc	28	26	—	—	$14,940.54	$62,571.35	$28,048.98	2026-05-13
231	OTHER	Coronary Bypass With Ptca With Comorbity	28	26	—	—	$39,989.59	$159,699.02	$66,863.45	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	28	26	—	—	$28,431.85	$117,062.50	$48,249.87	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Cath With Comorbity	28	26	—	—	$36,267.15	$153,488.33	$60,693.51	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Cath Without Comorbity	28	26	—	—	$25,913.85	$102,289.47	$43,532.97	2026-05-13
23472	OTHER	Prosthetic Repair Of Shoulder Joint; Total Shoulder	79	18	$14,444.00	$7,222.00 50% off	$171.55	$37,728.41	$18,014.47	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	28	26	—	—	$27,839.35	$115,724.33	$46,724.48	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	28	26	—	—	$19,870.75	$79,526.77	$33,516.58	2026-05-13
239	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity	28	26	—	—	$23,347.46	$94,593.02	$39,279.21	2026-05-13
240	OTHER	Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication	28	26	—	—	$13,522.14	$55,282.25	$22,993.83	2026-05-13
242	OTHER	Permanent Cardiac Pacemaker Implant With Comorbity	28	26	—	—	$15,145.94	$67,992.91	$25,685.26	2026-05-13
245	OTHER	Aicd Generator Procedures	28	26	—	—	$21,643.02	$89,173.42	$36,454.12	2026-05-13
250	OTHER	Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity	28	26	—	—	$10,353.30	$46,261.39	$17,741.49	2026-05-13
252	OTHER	Other Vascular Procedures With Comorbity	28	26	—	—	$16,547.73	$65,999.43	$28,008.71	2026-05-13
253	OTHER	Other Vascular Procedures With Complication	28	26	—	—	$12,312.96	$50,203.10	$20,989.59	2026-05-13
255	OTHER	Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc	28	26	—	—	$12,795.87	$54,066.08	$21,790.03	2026-05-13
258	OTHER	Cardiac Pacemaker Device Replacement With Mcc	28	26	—	—	$14,905.43	$53,302.54	$25,286.61	2026-05-13
260	OTHER	Cardiac Pacemaker Revision Except Device Replacement With Mcc	28	26	—	—	$15,430.57	$65,239.82	$26,572.48	2026-05-13
263	OTHER	Vein Ligation & Stripping	28	26	—	—	$14,503.63	$55,597.11	$24,620.64	2026-05-13
264	OTHER	Other Circulatory System O.r. Procedures	28	26	—	—	$12,948.62	$64,271.61	$26,847.37	2026-05-13
265	OTHER	Aicd Lead Procedures	28	26	—	—	$17,163.94	$69,547.55	$29,030.06	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	28	26	—	—	$29,071.78	$122,917.00	$49,665.96	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	28	26	—	—	$21,721.29	$96,037.46	$38,014.10	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	28	26	—	—	$31,802.78	$134,893.64	$54,660.38	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity	28	26	—	—	$20,033.93	$81,837.09	$33,787.06	2026-05-13
270	OTHER	Other Major Cardiovascular Procedures With Comorbity	28	26	—	—	$25,029.61	$99,514.74	$42,067.35	2026-05-13
271	OTHER	Other Major Cardiovascular Procedures With Complication	28	26	—	—	$16,870.30	$68,014.56	$28,543.38	2026-05-13
272	OTHER	Other Major Cardiovascular Procedures Without Complication/comorbity	28	26	—	—	$12,110.87	$48,006.92	$20,654.62	2026-05-13
27279	OTHER	Arthrd Si Jt Plmt Tartclr Dv	19	18	$15,695.00	$7,847.50 50% off	$171.55	$37,728.41	$17,844.52	2026-05-13
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	28	26	—	—	$19,570.46	$76,689.06	$33,018.88	2026-05-13
274	OTHER	Percutaneous And Other Intracardiac Procedures Without Mcc	28	26	—	—	$15,615.10	$63,775.70	$26,462.89	2026-05-13
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	28	26	—	—	$33,825.05	$138,457.51	$56,645.76	2026-05-13
276	OTHER	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	28	26	—	—	$24,928.09	$122,210.53	$47,809.55	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	28	26	—	—	$21,909.15	$94,112.85	$36,895.22	2026-05-13
278	OTHER	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	28	26	—	—	$26,404.83	$87,776.21	$44,346.78	2026-05-13
279	OTHER	Hepatic Coma And Other Major Acute Liver Disorders	28	26	—	—	$17,107.97	$62,984.61	$28,937.29	2026-05-13
286	OTHER	Circulatory Disorders Except Ami; With Card Cath With Comorbity	28	26	—	—	$10,497.04	$42,420.05	$17,979.74	2026-05-13
288	OTHER	Acute And Subacute Endocarditis With Mcc	28	26	—	—	$12,837.62	$51,027.65	$21,859.23	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	24	22	—	—	$31,719.28	$99,075.56	$50,490.43	2026-05-13
318	OTHER	Percutaneous Coronary Atherectomy Without Intraluminal Device	24	22	—	—	$11,490.38	$36,580.94	$18,642.21	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	28	26	—	—	$21,171.02	$85,837.83	$35,671.79	2026-05-13
320	OTHER	Other Endovascular Cardiac Valve Procedures Without Comorbity	28	26	—	—	$11,410.21	$43,805.45	$19,493.32	2026-05-13
321	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	28	26	—	—	$12,906.88	$56,571.22	$21,974.00	2026-05-13
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	28	26	—	—	$20,528.23	$81,471.06	$34,606.37	2026-05-13
324	OTHER	Non-elective Or Complex Hip Joint Replacement	28	26	—	—	$14,947.65	$58,419.08	$25,356.58	2026-05-13
325	OTHER	Coronary Intravascular Lithotripsy Without Intraluminal Device	28	26	—	—	$15,229.43	$52,037.18	$25,823.65	2026-05-13
326	OTHER	Stomach; Esophageal & Duodenal Proc With Comorbity	28	26	—	—	$23,659.13	$99,949.64	$39,795.79	2026-05-13
327	OTHER	Stomach; Esophageal & Duodenal Proc With Complication	28	26	—	—	$11,594.75	$49,146.33	$19,799.18	2026-05-13
329	OTHER	Major Small & Large Bowel Procedures With Comorbity	28	26	—	—	$20,858.40	$88,886.11	$36,722.24	2026-05-13
330	OTHER	Major Small & Large Bowel Procedures With Complication	28	26	—	—	$11,371.79	$46,680.56	$19,429.63	2026-05-13
332	OTHER	Rectal Resection With Mcc	28	26	—	—	$17,175.80	$71,387.54	$29,049.76	2026-05-13
33229	OTHER	Remv&replc Pm Gen Mult Leads	22	21	$17,245.00	$8,622.50 50% off	$171.55	$41,446.36	$19,603.01	2026-05-13
33230	OTHER	Insrt Pulse Gen W/dual Leads	22	21	$15,332.00	$7,666.00 50% off	$171.55	$47,862.62	$22,637.73	2026-05-13
33240	OTHER	Insrt Pulse Gen W/singl Lead	22	21	$15,332.00	$7,666.00 50% off	$171.55	$47,862.62	$22,637.73	2026-05-13
33249	OTHER	Insj/rplcmt Defib W/lead(s)	22	21	$22,354.00	$11,177.00 50% off	$171.55	$67,541.01	$31,945.07	2026-05-13
33262	OTHER	Rmvl& Replc Pulse Gen 1 Lead	22	21	$17,172.00	$8,586.00 50% off	$171.55	$47,862.62	$22,637.73	2026-05-13
33263	OTHER	Rmvl & Rplcmt Dfb Gen 2 Lead	22	21	$17,172.00	$8,586.00 50% off	$171.55	$47,862.62	$22,637.73	2026-05-13
33264	OTHER	Rmvl & Rplcmt Dfb Gen Mlt Ld	22	21	$22,354.00	$11,177.00 50% off	$171.55	$67,541.01	$31,945.07	2026-05-13
33270	OTHER	Ins/rep Subq Defibrillator	19	18	$20,964.00	$10,482.00 50% off	$171.55	$67,541.01	$31,945.07	2026-05-13
333	OTHER	Rectal Resection With Cc	28	26	—	—	$11,110.88	$40,922.48	$18,997.17	2026-05-13
335	OTHER	Peritoneal Adhesiolysis With Comorbity	28	26	—	—	$16,939.56	$70,352.42	$28,658.18	2026-05-13
344	OTHER	Minor Small & Large Bowel Procedures With Comorbity	28	26	—	—	$12,252.23	$53,928.33	$20,888.96	2026-05-13
347	OTHER	Anal & Stomal Procedures With Comorbity	28	26	—	—	$10,889.82	$50,163.74	$18,630.78	2026-05-13
350	OTHER	Inguinal & Femoral Hernia Procedures With Comorbity	28	26	—	—	$11,821.03	$47,229.60	$20,174.22	2026-05-13
353	OTHER	Hernia Procedures Except Inguinal & Femoral With Comorbity	28	26	—	—	$13,766.45	$57,547.30	$23,398.75	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Comorbity	28	26	—	—	$20,838.48	$84,200.54	$35,120.60	2026-05-13
357	OTHER	Other Digestive System O.r. Procedures With Cc	28	26	—	—	$11,031.66	$43,230.83	$18,865.88	2026-05-13
359	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	24	22	—	—	$16,311.96	$51,476.59	$26,233.26	2026-05-13
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	24	22	—	—	$11,452.91	$36,465.15	$18,583.20	2026-05-13
36906	OTHER	Thrmbc/nfs Dialysis Circuit	22	21	$18,322.00	$9,161.00 50% off	$171.55	$39,445.12	$18,656.47	2026-05-13
37184	OTHER	Prim Art M-thrmbc 1st Vsl	22	21	$18,322.00	$9,161.00 50% off	$171.55	$39,445.12	$18,656.47	2026-05-13
37242	OTHER	Vasc Embolize/occlude Artery	22	21	$18,322.00	$9,161.00 50% off	$171.55	$39,445.12	$18,656.47	2026-05-13
374	OTHER	Digestive Malignancy With Comorbity	28	26	—	—	$10,145.52	$41,306.22	$17,397.11	2026-05-13
397	OTHER	Appendix Procedures With Mcc	28	26	—	—	$11,360.88	$44,210.84	$19,411.54	2026-05-13
402	OTHER	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	24	22	—	—	$19,072.37	$60,004.51	$30,579.22	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	28	26	—	—	$25,950.85	$108,336.83	$43,594.33	2026-05-13
406	OTHER	Pancreas, Liver And Shunt Procedures With Cc	28	26	—	—	$13,757.91	$56,821.14	$23,384.60	2026-05-13
407	OTHER	Pancreas, Liver And Shunt Procedures Without Cc/mcc	28	26	—	—	$10,529.29	$42,329.53	$18,033.19	2026-05-13
408	OTHER	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	28	26	—	—	$16,914.42	$73,249.17	$28,616.51	2026-05-13
409	OTHER	Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Complicatio…	28	26	—	—	$10,328.63	$38,517.71	$17,700.60	2026-05-13
411	OTHER	Cholecystectomy With C.d.e. With Mcc	28	26	—	—	$15,670.13	$56,685.36	$26,554.12	2026-05-13
414	OTHER	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	28	26	—	—	$16,900.19	$69,372.41	$28,592.90	2026-05-13
417	OTHER	Laparoscopic Cholecystectomy Without C.d.e. With Comorbity	28	26	—	—	$11,320.56	$45,611.99	$19,344.72	2026-05-13
420	OTHER	Hepatobiliary Diagnostic Procedures With Comorbity	28	26	—	—	$16,162.53	$62,988.54	$27,370.26	2026-05-13
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	28	26	—	—	$19,700.92	$76,962.60	$33,235.10	2026-05-13
424	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Complication	28	26	—	—	$10,378.92	$41,075.98	$17,783.93	2026-05-13
426	OTHER	Non-hypovolemic Sodium Disorders	24	22	—	—	$52,282.15	$162,601.86	$82,864.41	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	22	—	—	$34,243.45	$106,873.62	$54,464.44	2026-05-13
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	22	—	—	$26,669.53	$83,474.96	$42,540.12	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	24	22	—	—	$42,739.56	$133,121.29	$67,840.66	2026-05-13
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	24	22	—	—	$27,357.85	$85,601.46	$43,623.82	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	24	22	—	—	$31,696.04	$99,003.76	$50,453.84	2026-05-13
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	24	22	—	—	$20,117.42	$63,233.04	$32,224.53	2026-05-13
450	OTHER	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	24	22	—	—	$25,282.45	$79,189.76	$40,356.32	2026-05-13
451	OTHER	Single Level Spinal Fusion Except Cervical Without Mcc	24	22	—	—	$15,324.31	$48,425.33	$24,678.29	2026-05-13
455	OTHER	Combined Anterior/posterior Spinal Fusion Without Complication/comorbity	12	12	—	—	$50,441.27	$90,633.60	$70,537.43	2026-05-13
456	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity	28	26	—	—	$39,435.99	$165,882.16	$66,655.07	2026-05-13
457	OTHER	Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication	28	26	—	—	$28,287.63	$119,555.83	$47,467.51	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	28	26	—	—	$19,793.90	$89,165.55	$33,389.21	2026-05-13
460	OTHER	Spinal Fusion Except Cervical Without Comorbity	12	12	—	—	$40,061.91	$71,983.81	$56,022.86	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	28	26	—	—	$26,199.90	$134,181.26	$44,007.12	2026-05-13
462	OTHER	Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity	28	26	—	—	$12,618.45	$56,012.34	$21,495.97	2026-05-13
463	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity	28	26	—	—	$26,105.97	$111,455.95	$45,394.89	2026-05-13
464	OTHER	Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication	28	26	—	—	$14,742.72	$59,064.55	$25,071.18	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Comorbity	28	26	—	—	$24,693.27	$102,067.10	$41,509.90	2026-05-13
467	OTHER	Revision Of Hip Or Knee Replacement With Complication	28	26	—	—	$16,729.41	$68,606.90	$28,309.85	2026-05-13
468	OTHER	Revision Of Hip Or Knee Replacement Without Complication/comorbity	28	26	—	—	$13,035.91	$52,535.06	$22,187.89	2026-05-13
469	OTHER	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…	28	26	—	—	$14,388.83	$65,527.13	$24,430.35	2026-05-13
471	OTHER	Cervical Spinal Fusion With Comorbity	28	26	—	—	$22,906.29	$96,801.00	$38,547.97	2026-05-13
472	OTHER	Cervical Spinal Fusion With Complication	28	26	—	—	$13,975.65	$58,159.32	$23,745.51	2026-05-13
473	OTHER	Cervical Spinal Fusion Without Complication/comorbity	28	26	—	—	$11,580.99	$48,422.15	$19,776.38	2026-05-13
474	OTHER	Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity	28	26	—	—	$20,364.57	$84,674.80	$34,335.11	2026-05-13
475	OTHER	Amputation For Musculoskeletal Sys & Conn Tissue Dis With Complication	28	26	—	—	$10,795.42	$42,205.55	$18,474.31	2026-05-13
477	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity	28	26	—	—	$15,767.38	$66,298.55	$27,743.74	2026-05-13
478	OTHER	Biopsies Of Musculoskeletal System & Connective Tissue With Complication	28	26	—	—	$11,415.91	$46,908.83	$19,917.12	2026-05-13
480	OTHER	Hip & Femur Procedures Except Major Joint With Comorbity	28	26	—	—	$13,815.31	$58,031.40	$23,479.73	2026-05-13
483	OTHER	Major Joint/limb Reattachment Procedure Of Upper Extremities	28	26	—	—	$11,564.39	$48,886.57	$22,375.83	2026-05-13
485	OTHER	Knee Procedures With Principal Diagnosis Of Infection With Mcc	28	26	—	—	$15,308.65	$64,822.63	$25,954.96	2026-05-13
492	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity	28	26	—	—	$17,104.65	$68,130.67	$29,449.96	2026-05-13
493	OTHER	Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication	28	26	—	—	$12,030.70	$47,263.05	$20,521.76	2026-05-13
495	OTHER	Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity	28	26	—	—	$17,199.52	$70,474.43	$29,089.04	2026-05-13
498	OTHER	Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…	28	26	—	—	$14,311.04	$51,381.87	$24,301.41	2026-05-13
500	OTHER	Soft Tissue Procedures With Comorbity	28	26	—	—	$15,013.11	$63,815.06	$25,465.08	2026-05-13
503	OTHER	Foot Procedures With Mcc	28	26	—	—	$13,240.36	$52,777.11	$22,526.78	2026-05-13
510	OTHER	Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity	28	26	—	—	$14,328.59	$53,538.69	$24,330.50	2026-05-13
515	OTHER	Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity	28	26	—	—	$15,117.95	$62,215.16	$25,638.86	2026-05-13
518	OTHER	Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim	28	26	—	—	$17,728.93	$71,863.77	$29,966.55	2026-05-13
521	OTHER	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	28	26	—	—	$13,615.60	$58,922.86	$23,148.72	2026-05-13
53445	OTHER	Insertion Of Inflatable Urethra Or Bladder Neck Sphincter	22	21	$8,399.34	$4,199.67 50% off	$171.55	$44,597.45	$21,093.39	2026-05-13
54405	OTHER	Insertion Of Multicomponent Inflatable Penile Implant	19	18	$9,764.00	$4,882.00 50% off	$171.55	$44,597.45	$21,093.39	2026-05-13
54410	OTHER	Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same …	19	18	$8,777.34	$4,388.67 50% off	$171.55	$44,597.45	$21,093.39	2026-05-13
545	OTHER	Connective Tissue Disorders With Comorbity	28	26	—	—	$11,772.64	$49,063.68	$20,094.03	2026-05-13
570	OTHER	Skin Debridement With Mcc	28	26	—	—	$11,858.98	$57,505.97	$23,706.18	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	26	—	—	$31,078.40	$122,365.99	$52,093.21	2026-05-13
574	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Cc	28	26	—	—	$14,401.64	$67,022.74	$27,875.81	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	28	26	—	—	$23,250.21	$111,837.72	$39,118.04	2026-05-13
577	OTHER	Skin Graft Exc For Skin Ulcer Or Cellulitis With Complication	28	26	—	—	$12,574.34	$52,131.64	$21,422.85	2026-05-13
579	OTHER	Other Skin; Subcut Tiss & Breast Proc With Comorbity	28	26	—	—	$15,362.73	$65,771.15	$26,044.58	2026-05-13
584	OTHER	Breast Biopsy; Local Excision & Other Breast Procedures With Complication/comorb…	28	26	—	—	$10,155.01	$38,543.29	$19,015.26	2026-05-13
614	OTHER	Adrenal And Pituitary Procedures With Cc/mcc	28	26	—	—	$10,397.42	$44,324.98	$19,518.01	2026-05-13
616	OTHER	Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity	28	26	—	—	$16,401.14	$77,883.58	$28,001.63	2026-05-13
619	OTHER	O.r. Procedures For Obesity With Mcc	28	26	—	—	$13,697.19	$50,939.09	$23,283.97	2026-05-13
622	OTHER	Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity	28	26	—	—	$13,632.20	$75,283.98	$28,566.18	2026-05-13
625	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	28	26	—	—	$14,326.69	$57,486.29	$24,327.36	2026-05-13
628	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity	28	26	—	—	$13,391.22	$79,001.35	$29,884.00	2026-05-13
629	OTHER	Other Endocrine; Nutrit & Metab O.r. Proc With Complication	28	26	—	—	$10,335.75	$44,529.64	$17,712.39	2026-05-13
63655	OTHER	Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine	21	21	$3,660.00	$1,830.00 50% off	$171.55	$36,306.18	$19,743.88	2026-05-13
63685	OTHER	Insertion Of Spinal Neurostimulator Generator Or Receiver	34	21	$7,320.00	$3,660.00 50% off	$60.20	$66,398.07	$31,404.49	2026-05-13
64590	OTHER	Insertion Of Peripheral Or Gastric Neurostimulator Generator	46	21	$3,106.67	$1,553.34 50% off	$171.55	$41,744.21	$19,743.88	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	28	26	—	—	$22,302.41	$88,506.30	$37,547.03	2026-05-13
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	28	26	—	—	$17,579.50	$68,057.85	$29,718.86	2026-05-13
652	OTHER	Kidney Transplant	28	26	—	—	$15,320.04	$59,123.59	$25,973.84	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	28	26	—	—	$24,650.58	$106,534.23	$41,439.12	2026-05-13
654	OTHER	Major Bladder Procedures With Complication	28	26	—	—	$13,279.26	$53,871.26	$22,630.99	2026-05-13
656	OTHER	Kidney And Ureter Procedures For Neoplasm With Mcc	28	26	—	—	$15,103.25	$61,744.83	$25,614.49	2026-05-13
659	OTHER	Kidney & Ureter Procedures For Non-neoplasm With Comorbity	28	26	—	—	$12,053.47	$50,946.96	$20,559.53	2026-05-13
662	OTHER	Minor Bladder Procedures With Comorbity	28	26	—	—	$14,523.08	$58,972.06	$24,652.88	2026-05-13
665	OTHER	Prostatectomy With Mcc	28	26	—	—	$14,806.29	$60,790.40	$25,122.29	2026-05-13
668	OTHER	Transurethral Procedures With Comorbity	28	26	—	—	$13,851.84	$55,455.42	$23,540.30	2026-05-13
673	OTHER	Other Kidney & Urinary Tract Procedures With Comorbity	28	26	—	—	$19,726.53	$72,772.94	$33,617.22	2026-05-13
674	OTHER	Other Kidney & Urinary Tract Procedures With Complication	28	26	—	—	$11,093.80	$46,879.31	$18,968.86	2026-05-13
707	OTHER	Major Male Pelvic Procedures With Cc/mcc	28	26	—	—	$9,488.98	$38,608.23	$18,782.76	2026-05-13
709	OTHER	Penis Procedures With Cc/mcc	28	26	—	—	$11,039.25	$41,719.48	$18,878.43	2026-05-13
715	OTHER	Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc	28	26	—	—	$10,613.26	$43,441.39	$18,172.36	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	28	26	—	—	$16,956.64	$76,496.21	$28,686.47	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	28	26	—	—	$16,996.01	$71,165.17	$28,751.74	2026-05-13
749	OTHER	Other Female Reproductive System O.r. Procedures With Cc/mcc	28	26	—	—	$12,180.13	$49,535.98	$20,769.44	2026-05-13
783	OTHER	Cesarean Section With Sterilization With Mcc	28	26	—	—	$5,508.48	$37,063.08	$19,413.76	2026-05-13
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	20	19	—	—	$5,051.65	$118,075.97	$44,729.29	2026-05-13
791	OTHER	Prematurity With Major Problems	20	19	—	—	$2,583.46	$80,638.64	$30,721.15	2026-05-13
792	OTHER	Prematurity Without Major Problems	20	19	—	—	$1,582.05	$48,656.33	$18,754.97	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	20	19	—	—	$1,993.81	$82,834.81	$31,543.28	2026-05-13
799	OTHER	Splenic Procedures With Mcc	28	26	—	—	$20,060.97	$97,501.57	$36,190.72	2026-05-13
800	OTHER	Splenic Procedures With Cc	28	26	—	—	$13,327.18	$55,449.52	$22,670.66	2026-05-13
802	OTHER	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	28	26	—	—	$18,899.69	$66,717.71	$31,907.07	2026-05-13
808	OTHER	Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity	28	26	—	—	$10,473.79	$43,098.98	$17,941.22	2026-05-13
817	OTHER	Other Antepartum Diagnoses With O.r. Procedure With Comorbity	28	26	—	—	$9,761.28	$44,376.14	$18,520.71	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	26	—	—	$27,821.32	$118,993.01	$46,694.60	2026-05-13
821	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Cc	28	26	—	—	$10,619.43	$43,925.50	$18,182.60	2026-05-13
823	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Comorbity	28	26	—	—	$21,749.28	$88,592.89	$36,630.26	2026-05-13
824	OTHER	Lymphoma & Non-acute Leukemia With Other Proc With Complication	28	26	—	—	$10,747.51	$43,941.24	$18,394.87	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	28	26	—	—	$22,190.45	$86,367.20	$37,361.49	2026-05-13
827	OTHER	Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Complication	28	26	—	—	$10,963.82	$45,600.18	$18,753.43	2026-05-13
829	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…	28	26	—	—	$14,990.34	$62,063.63	$25,427.36	2026-05-13
834	OTHER	Acute Leukemia With Mcc	28	26	—	—	$26,042.88	$110,182.72	$43,746.86	2026-05-13
835	OTHER	Acute Leukemia With Cc	28	26	—	—	$9,894.58	$43,992.40	$18,006.46	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	28	26	—	—	$9,436.33	$93,605.13	$38,356.12	2026-05-13
840	OTHER	Lymphoma & Non-acute Leukemia With Comorbity	28	26	—	—	$15,345.65	$61,500.81	$26,016.26	2026-05-13
846	OTHER	Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc	28	26	—	—	$8,231.88	$48,095.48	$20,965.23	2026-05-13
849	OTHER	Radiotherapy	28	26	—	—	$12,853.27	$52,964.06	$21,885.18	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	24	22	—	—	$41,078.76	$127,990.47	$65,225.91	2026-05-13
853	OTHER	Infectious & Parasitic Diseases With O.r. Procedure With Comorbity	28	26	—	—	$23,427.63	$98,381.22	$39,412.08	2026-05-13
856	OTHER	Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity	28	26	—	—	$18,181.49	$87,146.48	$36,346.39	2026-05-13
857	OTHER	Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc	28	26	—	—	$10,158.80	$42,028.44	$17,419.11	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	28	26	—	—	$32,788.06	$137,062.27	$54,926.94	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	28	26	—	—	$18,334.24	$73,432.19	$30,969.85	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	28	26	—	—	$19,907.75	$85,166.78	$33,577.92	2026-05-13
904	OTHER	Skin Grafts For Injuries With Cc/mcc	28	26	—	—	$17,424.38	$64,078.76	$29,461.76	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Comorbity	28	26	—	—	$15,559.12	$73,196.04	$30,768.55	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	26	—	—	$101,282.07	$518,712.86	$168,455.29	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	28	26	—	—	$34,025.71	$136,172.78	$56,978.34	2026-05-13
929	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	28	26	—	—	$15,278.77	$63,277.82	$25,905.42	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	28	26	—	—	$18,473.23	$59,666.73	$31,200.20	2026-05-13
934	OTHER	Full Thickness Burn Without Skin Graft Or Inhalation Injury	28	26	—	—	$10,486.60	$41,178.31	$17,962.44	2026-05-13
939	OTHER	O.r. Proc With Diagnoses Of Other Contact With Health Services With Comorbity	28	26	—	—	$17,212.81	$63,273.89	$29,111.06	2026-05-13
940	OTHER	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc	28	26	—	—	$11,085.74	$42,636.52	$18,955.49	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	28	26	—	—	$31,930.86	$119,849.05	$53,506.14	2026-05-13
956	OTHER	Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma	28	26	—	—	$17,850.84	$76,319.10	$30,168.62	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	26	—	—	$35,576.45	$142,328.37	$60,494.57	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	28	26	—	—	$19,832.80	$79,597.62	$33,713.94	2026-05-13
959	OTHER	Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc	28	26	—	—	$13,966.16	$49,835.10	$23,729.78	2026-05-13
963	OTHER	Other Multiple Significant Trauma With Comorbity	28	26	—	—	$12,968.55	$53,808.29	$22,076.24	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	28	26	—	—	$29,038.10	$135,245.90	$48,711.41	2026-05-13
970	OTHER	HIV With Extensive O.r. Procedures Without Mcc	28	26	—	—	$12,511.25	$47,316.19	$21,318.28	2026-05-13
974	OTHER	HIV With Major Related Condition With Comorbity	28	26	—	—	$13,690.55	$57,393.80	$23,272.96	2026-05-13
981	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity	28	26	—	—	$22,256.87	$93,286.33	$37,471.56	2026-05-13
982	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication	28	26	—	—	$11,662.58	$48,921.99	$19,911.62	2026-05-13
987	OTHER	Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity	28	26	—	—	$15,394.04	$66,450.08	$27,537.72	2026-05-13
C9602	OTHER	Perc D-e Cor Stent Ather S	15	15	$20,521.00	$10,260.50 50% off	$171.55	$39,445.12	$18,834.15	2026-05-13
C9607	OTHER	Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary…	45	15	$17,494.00	$8,747.00 50% off	$171.55	$39,445.12	$18,834.15	2026-05-13
C9765	OTHER	Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie…	15	15	$42,417.00	$21,208.50 50% off	$171.55	$39,445.12	$18,834.15	2026-05-13
J9029	OTHER	Instill Adstiladrin, Tx Dose	19	19	$161,490.00	$80,745.00 50% off	$171.55	$142,690.03	$67,488.53	2026-05-13
J9226	OTHER	Supprelin La Implant	19	19	$150,543.00	$75,271.50 50% off	$171.55	$95,871.45	$45,344.61	2026-05-13

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