Hospital

AIKEN REGIONAL MEDICAL CENTER

Aiken, SC · CCN 420082 · Rates published

8,613 distinct procedures filed

8 distinct payers

107,691 rate rows

2026-05-06 last MRF observed

Data quality

107,549 of 107,691 rate rows are consumer-grade (99.9%)

142 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
per-diem day rate — not a per-procedure price	119
placeholder amount (≤ $0.02) — excluded from medians	17
exceeds 10× this hospital's gross charge — excluded from medians	6

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

Source MRF file	https://uhsfilecdn.eskycity.net/ac/232791808_aiken-regional-medical-center_standardcharges.csv
Found on page	https://www.aikenregional.com/patients-visitors/pricing-guide
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-14
Content fingerprint	b553e42b50df64f4… · 31,588,798 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
9138 OTHER	Inj, Hemgenix, Per Tx Dose	4	$3,710,000.00	$3,821,300.00	$3,821,300.00	nat. median $3,746,358 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	4	$2,403,458.75	$2,475,562.51	$2,475,562.51	nat. median $2,588,981 1.0× median
714 OTHER	Inj Delandistrogene Mox Rokl	4	$6,662.97	$3,421,434.96	$1,664,392.21	nat. median $13,041 outlier · 127.6×
9194 OTHER	Tisagenlecleucel Car-pos T	4	$565,623.84	$582,592.56	$582,592.56	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	4	$551,318.34	$567,857.89	$567,857.89	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	4	$528,312.43	$544,161.80	$544,161.80	nat. median $558,082 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	4	$516,485.97	$531,980.55	$531,980.55	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	4	$489,517.15	$504,202.66	$504,202.66	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	4	$488,051.51	$502,693.06	$502,693.06	nat. median $489,450 1.0× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$267,403.73	$281,046.78	$272,860.95	nat. median $386,529 0.7× median
583-4 OTHER	Neonate With Ecmo	3	$263,771.48	$268,795.69	$263,771.48	nat. median $309,400 0.9× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$237,235.89	$241,754.66	$237,235.89	nat. median $267,493 0.9× median
161-4 OTHER	Implantable Heart Assist Systems	3	$218,821.71	$222,989.75	$218,821.71	nat. median $202,242 1.1× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	4	$199,728.17	$209,918.38	$203,804.25	nat. median $239,422 0.9× median
002-4 OTHER	Heart And/or Lung Transplant	3	$197,972.32	$201,743.22	$197,972.32	nat. median $216,800 0.9× median
583-3 OTHER	Neonate With Ecmo	3	$189,698.70	$193,312.01	$189,698.70	nat. median $259,487 0.7× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	3	$174,268.33	$177,587.73	$174,268.33	nat. median $151,691 1.1× median
583-2 OTHER	Neonate With Ecmo	3	$172,452.87	$175,737.68	$172,452.87	nat. median $191,347 0.9× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	3	$168,328.10	$171,534.35	$168,328.10	nat. median $124,561 1.4× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	4	$152,500.50	$157,075.52	$157,075.52	nat. median $153,199 1.0× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	4	$152,500.50	$157,075.52	$157,075.52	nat. median $152,962 1.0× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	$156,475.01	$159,455.49	$156,475.01	nat. median $165,000 0.9× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	4	$151,961.40	$159,714.53	$155,062.65	nat. median $181,005 0.9× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	$155,048.26	$158,001.56	$155,048.26	nat. median $110,000 1.4× median
006-4 OTHER	Pancreas Transplant	3	$153,013.80	$155,928.35	$153,013.80	nat. median $92,449 1.7× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	$144,849.68	$147,608.72	$144,849.68	nat. median $156,696 0.9× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	4	$137,500.50	$141,625.52	$141,625.52	nat. median $137,903 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	4	$137,500.50	$141,625.52	$141,625.52	nat. median $138,020 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	$134,083.90	$136,637.88	$134,083.90	nat. median $151,250 0.9× median
002-3 OTHER	Heart And/or Lung Transplant	3	$131,999.07	$134,513.34	$131,999.07	nat. median $133,471 1.0× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	$130,448.58	$132,933.32	$130,448.58	nat. median $169,856 0.8× median
589-1 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	3	$126,433.32	$128,841.57	$126,433.32	nat. median $86,371 1.5× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	4	$122,500.50	$126,175.51	$126,175.51	nat. median $120,174 1.0× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	4	$122,500.50	$126,175.51	$126,175.51	nat. median $119,935 1.1× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	$122,714.79	$125,052.21	$122,714.79	nat. median $210,669 0.6× median
303-4 OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	$115,785.79	$117,991.24	$115,785.79	nat. median $108,000 1.1× median
589-2 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	3	$114,940.47	$117,129.82	$114,940.47	nat. median $49,980 outlier · 2.3×
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	$114,678.78	$116,863.13	$114,678.78	nat. median $125,000 0.9× median
1901 OTHER	New Technology - Level 49 ($100,001-$115,000)	4	$107,500.50	$110,725.51	$110,725.51	nat. median $105,693 1.0× median
1902 OTHER	New Technology - Level 49 ($100,001-$115,000)	4	$107,500.50	$110,725.51	$110,725.51	nat. median $105,172 1.1× median
583-1 OTHER	Neonate With Ecmo	3	$109,212.67	$111,292.91	$109,212.67	nat. median $171,226 0.6× median
440-4 OTHER	Kidney Transplant	3	$108,589.63	$110,658.00	$108,589.63	nat. median $87,123 1.2× median
160-4 OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	$106,571.59	$108,601.53	$106,571.59	nat. median $106,926 1.0× median
162-4 OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	$106,196.01	$108,218.80	$106,196.01	nat. median $80,850 1.3× median
002-2 OTHER	Heart And/or Lung Transplant	3	$105,852.19	$107,868.43	$105,852.19	nat. median $106,681 1.0× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	$105,472.24	$107,481.23	$105,472.24	nat. median $203,379 0.5× median
005-4 OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	$105,026.58	$107,027.09	$105,026.58	nat. median $88,000 1.2× median
589-3 OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	3	$104,492.24	$106,482.56	$104,492.24	nat. median $87,000 1.2× median
842-4 OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	$104,080.53	$106,063.01	$104,080.53	nat. median $83,517 1.2× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	4	$100,189.18	$105,300.88	$102,233.86	nat. median $134,983 0.8× median

Other procedures at this hospital

Browse this hospital's 8,613 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	4	4	—	—	$3,710,000.00	$3,821,300.00	$3,821,300.00	2026-05-06
714	OTHER	Inj Delandistrogene Mox Rokl	8	4	—	—	$6,662.97	$3,421,434.96	$1,664,392.21	2026-05-06
9141	OTHER	Inj Onase Abepar-xioi Treat	4	4	—	—	$2,403,458.75	$2,475,562.51	$2,475,562.51	2026-05-06
9194	OTHER	Tisagenlecleucel Car-pos T	4	4	—	—	$565,623.84	$582,592.56	$582,592.56	2026-05-06
9498	OTHER	Ciltacabtagene Car-pos T	4	4	—	—	$551,318.34	$567,857.89	$567,857.89	2026-05-06
9422	OTHER	Idecabtagene Vicleucel Car	4	4	—	—	$528,312.43	$544,161.80	$544,161.80	2026-05-06
9413	OTHER	Lisocabtagene Car Pos T	4	4	—	—	$516,485.97	$531,980.55	$531,980.55	2026-05-06
9035	OTHER	Axicabtagene Ciloleucel Car+	4	4	—	—	$489,517.15	$504,202.66	$504,202.66	2026-05-06
9391	OTHER	Brexucabtagene Car Pos T	4	4	—	—	$488,051.51	$502,693.06	$502,693.06	2026-05-06
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$267,403.73	$281,046.78	$272,860.95	2026-05-06
583-4	OTHER	Neonate With Ecmo	3	3	—	—	$263,771.48	$268,795.69	$263,771.48	2026-05-06
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$237,235.89	$241,754.66	$237,235.89	2026-05-06
161-4	OTHER	Implantable Heart Assist Systems	3	3	—	—	$218,821.71	$222,989.75	$218,821.71	2026-05-06
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	4	4	—	—	$199,728.17	$209,918.38	$203,804.25	2026-05-06
002-4	OTHER	Heart And/or Lung Transplant	3	3	—	—	$197,972.32	$201,743.22	$197,972.32	2026-05-06
583-3	OTHER	Neonate With Ecmo	3	3	—	—	$189,698.70	$193,312.01	$189,698.70	2026-05-06
C1882	OTHER	Crtd Cobalt Hf MRI Is1 Df1 Dtpb2d1	138	3	$67,394.50	$26,957.80 60% off	$11,899.93	$182,420.20	$48,051.26	2026-05-06
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$174,268.33	$177,587.73	$174,268.33	2026-05-06
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	4	—	—	$1.54	$176,789.22	$84,104.40	2026-05-06
583-2	OTHER	Neonate With Ecmo	3	3	—	—	$172,452.87	$175,737.68	$172,452.87	2026-05-06
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$168,328.10	$171,534.35	$168,328.10	2026-05-06
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	4	4	—	—	$151,961.40	$159,714.53	$155,062.65	2026-05-06
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$156,475.01	$159,455.49	$156,475.01	2026-05-06
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$155,048.26	$158,001.56	$155,048.26	2026-05-06
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	4	4	—	—	$152,500.50	$157,075.52	$157,075.52	2026-05-06
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	4	4	—	—	$152,500.50	$157,075.52	$157,075.52	2026-05-06
006-4	OTHER	Pancreas Transplant	3	3	—	—	$153,013.80	$155,928.35	$153,013.80	2026-05-06
C1721	OTHER	Aicd Ilivia Neo 7 Dr-t Df-1 High Energy W/promri Ti And Cls 429529	126	3	$55,390.00	$22,156.00 60% off	$1.64	$150,832.50	$39,240.19	2026-05-06
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$144,849.68	$147,608.72	$144,849.68	2026-05-06
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	4	4	—	—	$137,500.50	$141,625.52	$141,625.52	2026-05-06
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	4	4	—	—	$137,500.50	$141,625.52	$141,625.52	2026-05-06
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$134,083.90	$136,637.88	$134,083.90	2026-05-06
002-3	OTHER	Heart And/or Lung Transplant	3	3	—	—	$131,999.07	$134,513.34	$131,999.07	2026-05-06
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$130,448.58	$132,933.32	$130,448.58	2026-05-06
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$126,433.32	$128,841.57	$126,433.32	2026-05-06
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	4	4	—	—	$122,500.50	$126,175.51	$126,175.51	2026-05-06
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	4	4	—	—	$122,500.50	$126,175.51	$126,175.51	2026-05-06
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$122,714.79	$125,052.21	$122,714.79	2026-05-06
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$115,785.79	$117,991.24	$115,785.79	2026-05-06
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$114,940.47	$117,129.82	$114,940.47	2026-05-06
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$114,678.78	$116,863.13	$114,678.78	2026-05-06
583-1	OTHER	Neonate With Ecmo	3	3	—	—	$109,212.67	$111,292.91	$109,212.67	2026-05-06
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	4	4	—	—	$107,500.50	$110,725.51	$110,725.51	2026-05-06
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	4	4	—	—	$107,500.50	$110,725.51	$110,725.51	2026-05-06
440-4	OTHER	Kidney Transplant	3	3	—	—	$108,589.63	$110,658.00	$108,589.63	2026-05-06
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$106,571.59	$108,601.53	$106,571.59	2026-05-06
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$106,196.01	$108,218.80	$106,196.01	2026-05-06
002-2	OTHER	Heart And/or Lung Transplant	3	3	—	—	$105,852.19	$107,868.43	$105,852.19	2026-05-06
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$105,472.24	$107,481.23	$105,472.24	2026-05-06
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$105,026.58	$107,027.09	$105,026.58	2026-05-06
589-3	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	3	3	—	—	$104,492.24	$106,482.56	$104,492.24	2026-05-06
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$104,080.53	$106,063.01	$104,080.53	2026-05-06
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	4	4	—	—	$100,189.18	$105,300.88	$102,233.86	2026-05-06
33240	OTHER	Insert Icd Gen 1lead - 529	9	6	$122,090.00	$48,836.00 60% off	$1,339.05	$103,776.50	$40,130.98	2026-05-06
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$101,262.06	$103,190.86	$101,262.06	2026-05-06
33270	OTHER	Insert/replace Subq Defib Elct - 059	3	3	$120,199.00	$48,079.60 60% off	$39,509.41	$102,169.15	$87,384.67	2026-05-06
33264	OTHER	Remove Replace Icd Multi Lead - 529	9	6	$99,718.00	$39,887.20 60% off	$2,572.41	$102,169.15	$39,509.41	2026-05-06
33231	OTHER	Insert Icd Gen Multi Lead - 529	9	6	$109,690.00	$43,876.00 60% off	$1,339.05	$102,169.15	$39,509.41	2026-05-06
33249	OTHER	Insert Replce Icd W/leads Dr - 529	9	6	$106,218.00	$42,487.20 60% off	$1,585.73	$102,169.15	$39,509.41	2026-05-06
006-3	OTHER	Pancreas Transplant	3	3	—	—	$99,623.98	$101,521.58	$99,623.98	2026-05-06
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$96,791.29	$98,634.93	$96,791.29	2026-05-06
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$96,666.46	$98,507.73	$96,666.46	2026-05-06
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$96,607.33	$98,447.47	$96,607.33	2026-05-06
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	4	4	—	—	$95,000.50	$97,850.51	$97,850.51	2026-05-06
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	4	4	—	—	$95,000.50	$97,850.51	$97,850.51	2026-05-06
14	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$92,898.70	$97,638.43	$94,794.59	2026-05-06
7	OTHER	Lung Transplant	4	4	—	—	$92,664.71	$97,392.51	$94,555.83	2026-05-06
006-2	OTHER	Pancreas Transplant	3	3	—	—	$92,892.09	$94,661.46	$92,892.09	2026-05-06
38243	OTHER	Transplantation Of Donor Stem Cells	3	3	—	—	$93,968.98	$93,968.98	$93,968.98	2026-05-06
38242	OTHER	Transplantation Of Donor White Blood Cells	3	3	—	—	$93,968.98	$93,968.98	$93,968.98	2026-05-06
161-3	OTHER	Implantable Heart Assist Systems	3	3	—	—	$92,054.43	$93,807.85	$92,054.43	2026-05-06
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$90,663.81	$92,390.74	$90,663.81	2026-05-06
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$89,417.73	$91,120.93	$89,417.73	2026-05-06
002-1	OTHER	Heart And/or Lung Transplant	3	3	—	—	$89,352.04	$91,053.98	$89,352.04	2026-05-06
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$87,977.84	$89,653.61	$87,977.84	2026-05-06
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$87,059.16	$88,717.43	$87,059.16	2026-05-06
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	4	4	—	—	$85,000.50	$87,550.51	$87,550.51	2026-05-06
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	4	4	—	—	$85,000.50	$87,550.51	$87,550.51	2026-05-06
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$84,961.19	$86,579.50	$84,961.19	2026-05-06
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$84,914.11	$86,531.52	$84,914.11	2026-05-06
006-1	OTHER	Pancreas Transplant	3	3	—	—	$82,495.31	$84,066.65	$82,495.31	2026-05-06
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$82,404.43	$83,974.04	$82,404.43	2026-05-06
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	3	3	—	—	$81,946.73	$83,507.62	$81,946.73	2026-05-06
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	4	4	—	—	$78,135.51	$82,122.02	$79,730.11	2026-05-06
212	OTHER	Concomitant Aortic And Mitral Valve�procedures	4	4	—	—	$77,243.52	$81,184.52	$78,819.92	2026-05-06
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$79,498.37	$81,012.62	$79,498.37	2026-05-06
910-4	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$78,962.93	$80,466.98	$78,962.93	2026-05-06
401-4	OTHER	Adrenal Procedures	3	3	—	—	$78,742.84	$80,242.70	$78,742.84	2026-05-06
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	3	—	—	$78,045.34	$79,531.92	$78,045.34	2026-05-06
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	3	3	—	—	$77,904.09	$79,387.97	$77,904.09	2026-05-06
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	4	4	—	—	$75,509.89	$79,362.43	$77,050.91	2026-05-06
215	OTHER	Other Heart Assist System Implant	4	4	—	—	$75,122.74	$78,955.54	$76,655.86	2026-05-06
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$77,468.29	$78,943.87	$77,468.29	2026-05-06
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$76,685.38	$78,146.06	$76,685.38	2026-05-06
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	4	4	—	—	$75,000.50	$77,250.51	$77,250.51	2026-05-06
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	4	4	—	—	$75,000.50	$77,250.51	$77,250.51	2026-05-06
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$75,426.16	$76,862.85	$75,426.16	2026-05-06
33340	OTHER	Laa Closure W/implant - 059	6	3	$86,169.50	$34,467.80 60% off	$26,975.09	$76,732.05	$62,645.23	2026-05-06
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$73,912.91	$75,320.77	$73,912.91	2026-05-06
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$73,511.05	$74,911.26	$73,511.05	2026-05-06
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$72,583.61	$73,966.15	$72,583.61	2026-05-06
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$71,868.59	$73,237.52	$71,868.59	2026-05-06
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$71,816.03	$73,183.96	$71,816.03	2026-05-06
321-4	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	3	3	—	—	$71,645.22	$73,009.89	$71,645.22	2026-05-06
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$71,081.31	$72,435.24	$71,081.31	2026-05-06
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	4	4	—	—	$68,431.41	$71,922.81	$69,827.97	2026-05-06
023-4	OTHER	Spinal Procedures	3	3	—	—	$70,359.72	$71,699.90	$70,359.72	2026-05-06
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$70,151.67	$71,487.90	$70,151.67	2026-05-06
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	3	3	—	—	$69,884.50	$71,215.63	$69,884.50	2026-05-06
169-4	OTHER	Major Abdominal Vascular Procedures	3	3	—	—	$69,632.66	$70,958.99	$69,632.66	2026-05-06
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$69,353.44	$70,674.46	$69,353.44	2026-05-06
091-4	OTHER	Other Major Head And Neck Procedures	3	3	—	—	$69,245.04	$70,563.99	$69,245.04	2026-05-06
021-4	OTHER	Open Craniotomy Except Trauma	3	3	—	—	$68,961.44	$70,274.99	$68,961.44	2026-05-06
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$68,212.48	$69,511.76	$68,212.48	2026-05-06
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$67,760.25	$69,050.92	$67,760.25	2026-05-06
441-4	OTHER	Major Bladder Procedures	3	3	—	—	$67,714.26	$69,004.06	$67,714.26	2026-05-06
C1822	OTHER	Implant Ipg Kit Nipg1500	15	3	$71,256.00	$28,502.40 60% off	$20,751.49	$68,907.80	$51,803.11	2026-05-06
863-4	OTHER	Neonatal Aftercare	3	3	—	—	$67,280.65	$68,562.19	$67,280.65	2026-05-06
403-4	OTHER	Procedures For Obesity	3	3	—	—	$66,958.73	$68,234.14	$66,958.73	2026-05-06
440-3	OTHER	Kidney Transplant	3	3	—	—	$66,312.70	$67,575.80	$66,312.70	2026-05-06
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$66,162.68	$67,422.93	$66,162.68	2026-05-06
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$65,799.15	$67,052.47	$65,799.15	2026-05-06
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	4	4	—	—	$65,000.50	$66,950.51	$66,950.51	2026-05-06
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	4	4	—	—	$65,000.50	$66,950.51	$66,950.51	2026-05-06
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$65,268.09	$66,511.29	$65,268.09	2026-05-06
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	3	3	—	—	$65,194.73	$66,436.53	$65,194.73	2026-05-06
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	3	3	—	—	$64,788.49	$66,022.56	$64,788.49	2026-05-06
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$64,281.52	$65,505.93	$64,281.52	2026-05-06
717	OTHER	Instill Adstiladrin, Tx Dose	8	4	—	—	$13,156.48	$65,304.10	$38,614.88	2026-05-06
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	3	3	—	—	$63,550.08	$64,760.56	$63,550.08	2026-05-06
020-4	OTHER	Open Craniotomy For Trauma	3	3	—	—	$63,408.83	$64,616.61	$63,408.83	2026-05-06
089-4	OTHER	Major Cranial Or Facial Bone Procedures	3	3	—	—	$63,088.00	$64,289.68	$63,088.00	2026-05-06
120-4	OTHER	Major Respiratory And Chest Procedures	3	3	—	—	$62,855.86	$64,053.12	$62,855.86	2026-05-06
231	OTHER	Coronary Bypass With Ptca With Mcc	4	4	—	—	$60,084.44	$63,149.97	$61,310.65	2026-05-06
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	4	4	—	—	$60,051.11	$63,114.95	$61,276.65	2026-05-06
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	3	3	—	—	$60,959.37	$62,120.50	$60,959.37	2026-05-06
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$60,685.63	$61,841.54	$60,685.63	2026-05-06
5244	OTHER	Level 4 Blood Product Exchange And Related Services	4	4	—	—	$59,142.33	$60,916.60	$60,916.60	2026-05-06
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	4	4	—	—	$57,157.47	$60,073.67	$58,323.95	2026-05-06
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$58,310.63	$59,421.31	$58,310.63	2026-05-06
10	OTHER	Pancreas Transplant	4	4	—	—	$56,532.79	$59,417.12	$57,686.52	2026-05-06
161-2	OTHER	Implantable Heart Assist Systems	3	3	—	—	$58,047.84	$59,153.51	$58,047.84	2026-05-06
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	4	4	—	—	$56,208.76	$59,076.55	$57,355.87	2026-05-06
024-4	OTHER	Open Extracranial Vascular Procedures	3	3	—	—	$57,777.38	$58,877.90	$57,777.38	2026-05-06
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$57,687.59	$58,786.40	$57,687.59	2026-05-06
690-4	OTHER	Acute Leukemia	3	3	—	—	$57,489.40	$58,584.44	$57,489.40	2026-05-06
1643	OTHER	Y90 Ibritumomab, Rx	4	4	—	—	$56,824.55	$58,529.29	$58,529.29	2026-05-06
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	3	—	—	$57,421.51	$58,515.25	$57,421.51	2026-05-06
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$57,295.59	$58,386.93	$57,295.59	2026-05-06
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	3	3	—	—	$57,285.73	$58,376.89	$57,285.73	2026-05-06
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	3	3	—	—	$57,211.28	$58,301.01	$57,211.28	2026-05-06
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	4	4	—	—	$55,422.42	$58,250.09	$56,553.49	2026-05-06
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	3	3	—	—	$56,843.36	$57,926.10	$56,843.36	2026-05-06
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	3	3	—	—	$56,829.13	$57,911.59	$56,829.13	2026-05-06
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$56,713.06	$57,793.31	$56,713.06	2026-05-06
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	4	4	—	—	$54,862.97	$57,662.10	$55,982.63	2026-05-06
022-4	OTHER	Ventricular Shunt Procedures	3	3	—	—	$56,511.59	$57,588.00	$56,511.59	2026-05-06
9273	OTHER	Sipuleucel-t Auto Cd54+	4	4	—	—	$55,536.50	$57,202.60	$57,202.60	2026-05-06
650-4	OTHER	Splenectomy	3	3	—	—	$55,652.03	$56,712.07	$55,652.03	2026-05-06
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	3	—	—	$55,626.85	$56,686.41	$55,626.85	2026-05-06
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	4	4	—	—	$55,000.50	$56,650.51	$56,650.51	2026-05-06
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	4	4	—	—	$55,000.50	$56,650.51	$56,650.51	2026-05-06
711-4	OTHER	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	3	3	—	—	$55,377.19	$56,432.00	$55,377.19	2026-05-06
121-4	OTHER	Other Respiratory And Chest Procedures	3	3	—	—	$55,123.16	$56,173.13	$55,123.16	2026-05-06
261-4	OTHER	Major Biliary Tract Procedures	3	3	—	—	$55,012.57	$56,060.43	$55,012.57	2026-05-06
440-2	OTHER	Kidney Transplant	3	3	—	—	$54,832.99	$55,877.43	$54,832.99	2026-05-06
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$54,764.01	$55,807.13	$54,764.01	2026-05-06
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	3	3	—	—	$54,624.95	$55,665.42	$54,624.95	2026-05-06
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	4	4	—	—	$52,925.13	$55,625.39	$54,005.24	2026-05-06
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$54,358.87	$55,394.28	$54,358.87	2026-05-06
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$54,202.29	$55,234.71	$54,202.29	2026-05-06
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	3	3	—	—	$54,070.89	$55,100.81	$54,070.89	2026-05-06
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	3	3	—	—	$53,987.67	$55,016.01	$53,987.67	2026-05-06
442-4	OTHER	Kidney And Urinary Tract Procedures For Malignancy	3	3	—	—	$53,900.08	$54,926.74	$53,900.08	2026-05-06
223-4	OTHER	Other Small And Large Bowel Procedures	3	3	—	—	$53,767.58	$54,791.73	$53,767.58	2026-05-06
005-1	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	3	3	—	—	$53,656.99	$54,679.03	$53,656.99	2026-05-06
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	3	3	—	—	$53,490.56	$54,509.42	$53,490.56	2026-05-06
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	3	3	—	—	$53,464.28	$54,482.64	$53,464.28	2026-05-06
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	3	3	—	—	$53,430.33	$54,448.05	$53,430.33	2026-05-06
026-4	OTHER	Other Nervous System And Related Procedures	3	3	—	—	$53,347.11	$54,363.25	$53,347.11	2026-05-06
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	3	3	—	—	$53,006.58	$54,016.23	$53,006.58	2026-05-06
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$52,716.41	$53,720.53	$52,716.41	2026-05-06
844-4	OTHER	Partial Thickness Burns Without Skin Graft	3	3	—	—	$52,580.63	$53,582.17	$52,580.63	2026-05-06
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$51,994.82	$52,985.20	$51,994.82	2026-05-06
622-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$51,684.94	$52,669.42	$51,684.94	2026-05-06
303-1	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	3	3	—	—	$51,506.46	$52,487.54	$51,506.46	2026-05-06
634-4	OTHER	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	3	3	—	—	$51,390.40	$52,369.26	$51,390.40	2026-05-06
951-4	OTHER	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$51,326.89	$52,304.54	$51,326.89	2026-05-06
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	3	3	—	—	$51,248.05	$52,224.20	$51,248.05	2026-05-06
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	3	3	—	—	$50,938.17	$51,908.42	$50,938.17	2026-05-06
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	4	4	—	—	$49,325.27	$51,841.87	$50,331.91	2026-05-06
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	3	3	—	—	$50,042.48	$50,995.67	$50,042.48	2026-05-06
955	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$48,416.26	$50,886.48	$49,404.35	2026-05-06
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	3	3	—	—	$49,723.85	$50,670.97	$49,723.85	2026-05-06
480-4	OTHER	Major Male Pelvic Procedures	3	3	—	—	$49,556.32	$50,500.25	$49,556.32	2026-05-06
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	3	3	—	—	$49,350.46	$50,290.47	$49,350.46	2026-05-06
440-1	OTHER	Kidney Transplant	3	3	—	—	$48,909.19	$49,840.79	$48,909.19	2026-05-06
518-4	OTHER	Other Female Reproductive System And Related Procedures	3	3	—	—	$48,786.55	$49,715.82	$48,786.55	2026-05-06
315-4	OTHER	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	3	3	—	—	$48,772.31	$49,701.31	$48,772.31	2026-05-06
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	4	4	—	—	$47,276.82	$49,688.90	$48,241.65	2026-05-06
222-4	OTHER	Other Stomach, Esophageal And Duodenal Procedures	3	3	—	—	$48,450.39	$49,373.26	$48,450.39	2026-05-06
483-4	OTHER	Penis, Testes And Scrotal Procedures	3	3	—	—	$48,444.92	$49,367.68	$48,444.92	2026-05-06
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	3	3	—	—	$48,417.54	$49,339.78	$48,417.54	2026-05-06
224-4	OTHER	Peritoneal Adhesiolysis	3	3	—	—	$48,305.86	$49,225.97	$48,305.86	2026-05-06
447-4	OTHER	Other Kidney, Urinary Tract And Related Procedures	3	3	—	—	$48,104.38	$49,020.65	$48,104.38	2026-05-06
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$48,025.54	$48,940.31	$48,025.54	2026-05-06
317-4	OTHER	Tendon, Muscle And Other Soft Tissue Procedures	3	3	—	—	$47,496.67	$48,401.37	$47,496.67	2026-05-06
313-4	OTHER	Knee And Lower Leg Procedures Except Foot	3	3	—	—	$47,466.01	$48,370.13	$47,466.01	2026-05-06
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	4	4	—	—	$45,855.87	$48,195.46	$46,791.71	2026-05-06
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	4	4	—	—	$45,789.93	$48,126.15	$46,724.42	2026-05-06
227-4	OTHER	Hernia Procedures Except Inguinal, Femoral And Umbilical	3	3	—	—	$47,176.94	$48,075.55	$47,176.94	2026-05-06
229-4	OTHER	Other Digestive System And Abdominal Procedures	3	3	—	—	$46,614.12	$47,502.01	$46,614.12	2026-05-06
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	3	—	—	$46,608.65	$47,496.43	$46,608.65	2026-05-06
603-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	3	3	—	—	$46,563.75	$47,450.68	$46,563.75	2026-05-06
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	3	3	—	—	$46,557.18	$47,443.99	$46,557.18	2026-05-06
309-4	OTHER	Other Significant Hip And Femur Surgery	3	3	—	—	$46,435.64	$47,320.13	$46,435.64	2026-05-06
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	4	4	—	—	$44,842.64	$47,130.53	$45,757.79	2026-05-06
305-4	OTHER	Amputation Of Lower Limb Except Toes	3	3	—	—	$46,158.61	$47,037.82	$46,158.61	2026-05-06
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	3	3	—	—	$46,121.38	$46,999.89	$46,121.38	2026-05-06
171-4	OTHER	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	3	3	—	—	$46,110.43	$46,988.73	$46,110.43	2026-05-06
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$46,087.44	$46,965.29	$46,087.44	2026-05-06
50080	OTHER	Remove Renal Stone <2cm Lt - 435	3	3	$55,052.00	$22,020.80 60% off	$18,095.59	$46,794.20	$40,022.80	2026-05-06
50081	OTHER	Remove Renal Stone >2cm Lt - 435	3	3	$55,052.00	$22,020.80 60% off	$18,095.59	$46,794.20	$40,022.80	2026-05-06
1142	OTHER	Supprelin La Implant	4	4	—	—	$45,261.80	$46,619.65	$46,619.65	2026-05-06
310-4	OTHER	Intervertebral Disc Excision And Decompression	3	3	—	—	$45,617.70	$46,486.60	$45,617.70	2026-05-06
910-3	OTHER	Craniotomy For Multiple Significant Trauma	3	3	—	—	$45,580.47	$46,448.67	$45,580.47	2026-05-06
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	3	3	—	—	$45,531.19	$46,398.45	$45,531.19	2026-05-06
C9765	OTHER	Revasc Intravsc Litho W/stent - 529	3	3	$54,571.00	$21,828.40 60% off	$17,937.49	$46,385.35	$39,673.12	2026-05-06
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	4	4	—	—	$45,000.50	$46,350.51	$46,350.51	2026-05-06
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	4	4	—	—	$45,000.50	$46,350.51	$46,350.51	2026-05-06
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	4	4	—	—	$43,664.90	$45,892.70	$44,556.02	2026-05-06
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	4	4	—	—	$43,512.45	$45,732.48	$44,400.46	2026-05-06
320-4	OTHER	Other Musculoskeletal System And Connective Tissue Procedures	3	3	—	—	$44,830.41	$45,684.32	$44,830.41	2026-05-06
232	OTHER	Coronary Bypass With Ptca Without Mcc	4	4	—	—	$43,313.92	$45,523.81	$44,197.88	2026-05-06
443-4	OTHER	Kidney And Urinary Tract Procedures For Non-malignancy	3	3	—	—	$44,611.41	$45,461.16	$44,611.41	2026-05-06
514-4	OTHER	Female Reproductive System Reconstructive Procedures	3	3	—	—	$44,554.48	$45,403.13	$44,554.48	2026-05-06
174-4	OTHER	Percutaneous Cardiac Intervention With Ami	3	3	—	—	$44,531.48	$45,379.70	$44,531.48	2026-05-06
28	OTHER	Spinal Procedures With Mcc	4	4	—	—	$43,106.88	$45,306.21	$43,986.61	2026-05-06
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	3	3	—	—	$44,407.75	$45,253.61	$44,407.75	2026-05-06
513-4	OTHER	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	3	3	—	—	$44,222.70	$45,065.04	$44,222.70	2026-05-06
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	4	4	—	—	$42,797.73	$44,981.29	$43,671.15	2026-05-06
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	4	4	—	—	$42,797.73	$44,981.29	$43,671.15	2026-05-06
177-4	OTHER	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	3	3	—	—	$44,045.31	$44,884.27	$44,045.31	2026-05-06
161-1	OTHER	Implantable Heart Assist Systems	3	3	—	—	$43,906.25	$44,742.56	$43,906.25	2026-05-06
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	4	4	—	—	$42,477.95	$44,645.19	$43,344.84	2026-05-06
93580	OTHER	Close Congen A-sept Defct Impt - 529	3	3	$52,385.00	$20,954.00 60% off	$17,218.95	$44,527.25	$38,083.89	2026-05-06
180-4	OTHER	Other Circulatory System Procedures	3	3	—	—	$43,540.53	$44,369.87	$43,540.53	2026-05-06
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	4	4	—	—	$42,183.69	$44,335.92	$43,044.58	2026-05-06
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	3	3	—	—	$43,500.02	$44,328.59	$43,500.02	2026-05-06
790	OTHER	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	4	4	—	—	$42,151.78	$44,302.38	$43,012.02	2026-05-06
519-4	OTHER	Uterine And Adnexa Procedures For Leiomyoma	3	3	—	—	$43,177.00	$43,999.42	$43,177.00	2026-05-06
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	4	4	—	—	$41,722.09	$43,850.77	$42,573.57	2026-05-06
952-4	OTHER	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	3	3	—	—	$42,896.69	$43,713.77	$42,896.69	2026-05-06
623-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	3	3	—	—	$42,628.42	$43,440.39	$42,628.42	2026-05-06
444-4	OTHER	Renal Dialysis Access Device Procedures And Vessel Repair	3	3	—	—	$42,516.73	$43,326.57	$42,516.73	2026-05-06
842-3	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	3	3	—	—	$42,395.19	$43,202.72	$42,395.19	2026-05-06
609-2	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	3	3	—	—	$42,296.64	$43,102.29	$42,296.64	2026-05-06
165-1	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	3	3	—	—	$42,095.17	$42,896.98	$42,095.17	2026-05-06
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	4	4	—	—	$40,695.39	$42,771.68	$41,525.90	2026-05-06
362-4	OTHER	Mastectomy Procedures	3	3	—	—	$41,890.41	$42,688.32	$41,890.41	2026-05-06
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	4	4	—	—	$40,452.18	$42,516.07	$41,277.74	2026-05-06
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	3	3	—	—	$41,718.49	$42,513.13	$41,718.49	2026-05-06
163-1	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	3	3	—	—	$41,693.31	$42,487.47	$41,693.31	2026-05-06
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	3	3	—	—	$41,340.73	$42,128.17	$41,340.73	2026-05-06
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	3	3	—	—	$41,172.10	$41,956.33	$41,172.10	2026-05-06
021-3	OTHER	Open Craniotomy Except Trauma	3	3	—	—	$41,059.32	$41,841.40	$41,059.32	2026-05-06
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	3	3	—	—	$41,039.61	$41,821.32	$41,039.61	2026-05-06
050-4	OTHER	Non-bacterial Infections Of Nervous System Except Viral Meningitis	3	3	—	—	$40,805.29	$41,582.53	$40,805.29	2026-05-06
653	OTHER	Major Bladder Procedures With Mcc	4	4	—	—	$39,526.87	$41,543.54	$40,333.54	2026-05-06
023-3	OTHER	Spinal Procedures	3	3	—	—	$40,657.46	$41,431.89	$40,657.46	2026-05-06
834	OTHER	Acute Leukemia Without Major O.r. Procedures With Mcc	4	4	—	—	$39,191.48	$41,191.05	$39,991.31	2026-05-06
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	4	4	—	—	$39,191.48	$41,191.05	$39,991.31	2026-05-06
263-4	OTHER	Cholecystectomy	3	3	—	—	$40,214.00	$40,979.98	$40,214.00	2026-05-06
484-4	OTHER	Other Male Reproductive System And Related Procedures	3	3	—	—	$40,025.66	$40,788.06	$40,025.66	2026-05-06
308-4	OTHER	Hip And Femur Fracture Repair	3	3	—	—	$39,973.11	$40,734.50	$39,973.11	2026-05-06
130-3	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	3	3	—	—	$39,894.27	$40,654.16	$39,894.27	2026-05-06
912-3	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	3	3	—	—	$39,866.89	$40,626.26	$39,866.89	2026-05-06
614-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	3	3	—	—	$39,859.23	$40,618.45	$39,859.23	2026-05-06
8	OTHER	Simultaneous Pancreas And Kidney Transplant	4	4	—	—	$38,580.28	$40,548.66	$39,367.63	2026-05-06
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	4	4	—	—	$38,492.36	$40,456.25	$39,277.92	2026-05-06
542-4	OTHER	Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c	3	3	—	—	$39,631.47	$40,386.36	$39,631.47	2026-05-06
049-4	OTHER	Bacterial And Tuberculous Infections Of Nervous System	3	3	—	—	$39,604.10	$40,358.46	$39,604.10	2026-05-06
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	4	4	—	—	$38,295.95	$40,249.83	$39,077.50	2026-05-06
608-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	3	3	—	—	$39,470.51	$40,222.33	$39,470.51	2026-05-06
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	4	4	—	—	$38,259.79	$40,211.82	$39,040.60	2026-05-06
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	4	4	—	—	$38,255.53	$40,207.35	$39,036.26	2026-05-06
091-3	OTHER	Other Major Head And Neck Procedures	3	3	—	—	$39,380.73	$40,130.83	$39,380.73	2026-05-06
169-3	OTHER	Major Abdominal Vascular Procedures	3	3	—	—	$39,162.83	$39,908.78	$39,162.83	2026-05-06
321-3	OTHER	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	3	3	—	—	$39,129.98	$39,875.31	$39,129.98	2026-05-06
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	4	4	—	—	$37,723.04	$39,647.68	$38,492.89	2026-05-06
363-4	OTHER	Breast Procedures Except Mastectomy	3	3	—	—	$38,783.96	$39,522.71	$38,783.96	2026-05-06
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	4	4	—	—	$37,556.41	$39,472.55	$38,322.87	2026-05-06
304-2	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	3	3	—	—	$38,650.38	$39,386.58	$38,650.38	2026-05-06
160-2	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	3	3	—	—	$37,888.28	$38,609.96	$37,888.28	2026-05-06
316-4	OTHER	Hand And Wrist Procedures	3	3	—	—	$37,849.95	$38,570.90	$37,849.95	2026-05-06
166-2	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	3	3	—	—	$37,633.15	$38,349.97	$37,633.15	2026-05-06
841-2	OTHER	Extensive Third Degree Burns With Skin Graft	3	3	—	—	$37,517.08	$38,231.69	$37,517.08	2026-05-06
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	4	4	—	—	$36,123.41	$37,966.44	$36,860.63	2026-05-06
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	4	4	—	—	$36,012.80	$37,850.19	$36,747.76	2026-05-06
930-4	OTHER	Multiple Significant Trauma Without O.r. Procedure	3	3	—	—	$37,115.23	$37,822.18	$37,115.23	2026-05-06

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