Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MCLEOD LORIS HOSPITAL

Loris, SC · CCN 420105 · Rates published

9,796 distinct procedures filed
16 distinct payers
250,736 rate rows
2026-05-13 last MRF observed
Data quality

248,950 of 250,736 rate rows are consumer-grade (99.3%)

1,786 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 — reasonRows
template filing: same amount across many unrelated codes — excluded 1,454
percent-of-charges filed in the dollar field — excluded from medians 118
per-diem day rate — not a per-procedure price 86
placeholder amount (≤ $0.02) — excluded from medians 66
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 34
exceeds 10× this hospital's gross charge — excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mcleodhealth.org/wp-content/uploads/price-transparency/45-3576100_mcleod-health-carolina-forest_standardcharges.csv
Found on page https://www.mcleodhealth.org/about-us/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-15
Content fingerprint d8d8237cc381b17f… · 185,473,557 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 10 $3,685,266.67 $3,943,235.33 $3,832,677.33 nat. median
$3,746,358
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 11 $2,455,110.60 $4,787,465.68 $2,614,692.79 nat. median
$2,588,981
1.0× median
2067
OTHER 		Afamitresgene Autoleucel 11 $701,541.62 $1,368,006.17 $747,141.83 nat. median
$786,032
1.0× median
5834
OTHER 		Neonate With Ecmo 5 $668,655.04 $702,087.79 $668,655.04 nat. median
$372,748
1.8× median
9194
OTHER 		Tisagenlecleucel Car-pos T 11 $591,726.20 $1,153,866.09 $630,188.40 nat. median
$566,531
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 11 $565,868.94 $1,103,444.44 $602,650.43 nat. median
$587,650
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 11 $562,538.19 $1,096,949.46 $599,103.17 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 11 $557,317.93 $1,086,769.97 $593,543.60 nat. median
$558,082
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 11 $533,230.17 $1,039,798.83 $567,890.13 nat. median
$532,192
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 11 $489,304.61 $954,143.99 $521,109.41 nat. median
$489,450
1.1× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $422,615.04 $443,745.80 $422,615.04 nat. median
$243,175
1.7× median
5833
OTHER 		Neonate With Ecmo 5 $403,716.64 $423,902.47 $403,716.64 nat. median
$252,069
1.6× median
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $297,184.91 $312,044.15 $297,184.91 nat. median
$170,784
1.7× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $278,339.06 $1,228,982.49 $297,126.94 nat. median
$386,529
0.8× median
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $295,570.85 $295,570.85 $295,570.85 nat. median
$4,769
outlier · 62.0×
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $290,784.76 $305,324.00 $290,784.76 nat. median
$149,152
1.9× median
1614
OTHER 		Implantable Heart Assist Systems 5 $285,954.69 $300,252.43 $285,954.69 nat. median
$194,298
1.5× median
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $273,573.82 $287,252.51 $273,573.82 nat. median
$163,694
1.7× median
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $270,849.83 $270,849.83 $270,849.83 nat. median
$2,164
outlier · 125.1×
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $263,845.21 $277,037.47 $263,845.21 nat. median
$119,369
outlier · 2.2×
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $256,678.37 $269,512.29 $256,678.37 nat. median
$129,842
2.0× median
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $253,645.82 $266,328.11 $253,645.82 nat. median
$163,675
1.5× median
5832
OTHER 		Neonate With Ecmo 5 $253,341.34 $266,008.41 $253,341.34 nat. median
$152,272
1.7× median
112
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $2,730.76 $262,256.73 $249,768.31 nat. median
$3,671
outlier · 68.0×
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $244,633.77 $256,865.46 $244,633.77 nat. median
$161,322
1.5× median
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $224,456.31 $235,679.13 $224,456.31 nat. median
$92,089
outlier · 2.4×
5893
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $224,456.31 $235,679.13 $224,456.31 nat. median
$90,227
outlier · 2.5×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $224,456.31 $235,679.13 $224,456.31 nat. median
$77,714
outlier · 2.9×
5913
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $220,943.20 $231,990.36 $220,943.20 nat. median
$115,252
1.9× median
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $215,531.08 $226,307.63 $215,531.08 nat. median
$164,743
1.3× median
5831
OTHER 		Neonate With Ecmo 5 $213,756.79 $224,444.63 $213,756.79 nat. median
$139,037
1.5× median
44
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $210,241.24 $220,753.30 $210,241.24 nat. median
$33,835
outlier · 6.2×
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $196,395.81 $196,395.81 $196,395.81 nat. median
$5,302
outlier · 37.0×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $180,630.85 $797,560.19 $193,275.01 nat. median
$239,422
0.8× median
6024
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $187,475.11 $196,848.87 $187,475.11 nat. median
$99,381
1.9× median
5933
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $183,366.50 $192,534.82 $183,366.50 nat. median
$87,090
outlier · 2.1×
5912
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $179,403.40 $188,373.57 $179,403.40 nat. median
$83,887
outlier · 2.1×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $173,672.49 $173,672.49 $173,672.49 nat. median
$53
outlier · 3306.8×
278L869901
OTHER 		Impl Uro Impl Crtdg Urolift 2 4 $136,563.05 $199,592.15 $165,976.63 nat. median
$163,876
1.0× median
1611
OTHER 		Implantable Heart Assist Systems 5 $155,519.63 $163,295.61 $155,519.63 nat. median
$80,527
1.9× median
1612
OTHER 		Implantable Heart Assist Systems 5 $155,519.63 $163,295.61 $155,519.63 nat. median
$84,765
1.8× median
1604
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 5 $151,184.79 $158,744.03 $151,184.79 nat. median
$44,507
outlier · 3.4×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $136,809.15 $604,069.19 $146,385.79 nat. median
$181,005
0.8× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 12 $133,288.33 $270,719.19 $146,118.95 nat. median
$153,199
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 12 $133,288.33 $270,719.19 $146,118.95 nat. median
$152,962
1.0× median
5932
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $142,570.15 $149,698.66 $142,570.15 nat. median
$67,086
outlier · 2.1×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $1.61 $607,635.23 $140,369.11 nat. median
$146,562
1.0× median
6074
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $139,548.61 $146,526.04 $139,548.61 nat. median
$85,400
1.6× median
43
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $139,365.19 $146,333.45 $139,365.19 nat. median
$48,509
outlier · 2.9×
6034
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $135,592.85 $142,372.49 $135,592.85 nat. median
$92,525
1.5× median

Other procedures at this hospital

Browse this hospital's 9,796 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 22 10 — — $3,685,266.67 $3,943,235.33 $3,832,677.33 2026-05-13
9141 OTHER Inj Onase Abepar-xioi Treat 26 11 — — $2,455,110.60 $4,787,465.68 $2,614,692.79 2026-05-13
2067 OTHER Afamitresgene Autoleucel 26 11 — — $701,541.62 $1,368,006.17 $747,141.83 2026-05-13
5834 OTHER Neonate With Ecmo 10 5 — — $668,655.04 $702,087.79 $668,655.04 2026-05-13
9194 OTHER Tisagenlecleucel Car-pos T 26 11 — — $591,726.20 $1,153,866.09 $630,188.40 2026-05-13
9498 OTHER Ciltacabtagene Car-pos T 26 11 — — $565,868.94 $1,103,444.44 $602,650.43 2026-05-13
9413 OTHER Lisocabtagene Car Pos T 26 11 — — $562,538.19 $1,096,949.46 $599,103.17 2026-05-13
9422 OTHER Idecabtagene Vicleucel Car 26 11 — — $557,317.93 $1,086,769.97 $593,543.60 2026-05-13
9035 OTHER Axicabtagene Ciloleucel Car+ 26 11 — — $533,230.17 $1,039,798.83 $567,890.13 2026-05-13
9391 OTHER Brexucabtagene Car Pos T 26 11 — — $489,304.61 $954,143.99 $521,109.41 2026-05-13
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $422,615.04 $443,745.80 $422,615.04 2026-05-13
5833 OTHER Neonate With Ecmo 10 5 — — $403,716.64 $423,902.47 $403,716.64 2026-05-13
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $297,184.91 $312,044.15 $297,184.91 2026-05-13
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 13 — — $278,339.06 $1,228,982.49 $297,126.94 2026-05-13
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 2 1 — — $295,570.85 $295,570.85 $295,570.85 2026-05-13
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $290,784.76 $305,324.00 $290,784.76 2026-05-13
1614 OTHER Implantable Heart Assist Systems 10 5 — — $285,954.69 $300,252.43 $285,954.69 2026-05-13
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $273,573.82 $287,252.51 $273,573.82 2026-05-13
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 2 1 — — $270,849.83 $270,849.83 $270,849.83 2026-05-13
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $263,845.21 $277,037.47 $263,845.21 2026-05-13
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $256,678.37 $269,512.29 $256,678.37 2026-05-13
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $253,645.82 $266,328.11 $253,645.82 2026-05-13
5832 OTHER Neonate With Ecmo 10 5 — — $253,341.34 $266,008.41 $253,341.34 2026-05-13
112 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $2,730.76 $262,256.73 $249,768.31 2026-05-13
8414 OTHER Extensive Third Degree Burns With Skin Graft 10 5 — — $244,633.77 $256,865.46 $244,633.77 2026-05-13
5893 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 5 — — $224,456.31 $235,679.13 $224,456.31 2026-05-13
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 5 — — $224,456.31 $235,679.13 $224,456.31 2026-05-13
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 5 — — $224,456.31 $235,679.13 $224,456.31 2026-05-13
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $220,943.20 $231,990.36 $220,943.20 2026-05-13
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $215,531.08 $226,307.63 $215,531.08 2026-05-13
5831 OTHER Neonate With Ecmo 10 5 — — $213,756.79 $224,444.63 $213,756.79 2026-05-13
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $210,241.24 $220,753.30 $210,241.24 2026-05-13
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 2 1 — — $196,395.81 $196,395.81 $196,395.81 2026-05-13
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 38 14 — — $180,630.85 $797,560.19 $193,275.01 2026-05-13
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $187,475.11 $196,848.87 $187,475.11 2026-05-13
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $183,366.50 $192,534.82 $183,366.50 2026-05-13
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $179,403.40 $188,373.57 $179,403.40 2026-05-13
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 2 1 — — $173,672.49 $173,672.49 $173,672.49 2026-05-13
278L869901 OTHER Impl Uro Impl Crtdg Urolift 2 8 4 $210,097.00 $149,168.87 29% off $136,563.05 $199,592.15 $165,976.63 2026-05-13
1611 OTHER Implantable Heart Assist Systems 10 5 — — $155,519.63 $163,295.61 $155,519.63 2026-05-13
1612 OTHER Implantable Heart Assist Systems 10 5 — — $155,519.63 $163,295.61 $155,519.63 2026-05-13
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $151,184.79 $158,744.03 $151,184.79 2026-05-13
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 14 — — $136,809.15 $604,069.19 $146,385.79 2026-05-13
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 28 12 — — $133,288.33 $270,719.19 $146,118.95 2026-05-13
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 28 12 — — $133,288.33 $270,719.19 $146,118.95 2026-05-13
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $142,570.15 $149,698.66 $142,570.15 2026-05-13
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 64 14 — — $1.61 $607,635.23 $140,369.11 2026-05-13
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $139,548.61 $146,526.04 $139,548.61 2026-05-13
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $139,365.19 $146,333.45 $139,365.19 2026-05-13
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $135,592.85 $142,372.49 $135,592.85 2026-05-13
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 28 12 — — $120,178.05 $244,091.16 $131,746.64 2026-05-13
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 28 12 — — $120,178.05 $244,091.16 $131,746.64 2026-05-13
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $130,822.69 $137,363.83 $130,822.69 2026-05-13
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $130,682.07 $137,216.18 $130,682.07 2026-05-13
14 OTHER Allogeneic Bone Marrow Transplant 48 16 — — $77,462.58 $342,029.43 $120,723.94 2026-05-13
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 1 — — $118,292.96 $118,292.96 $118,292.96 2026-05-13
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $117,596.87 $123,476.71 $117,596.87 2026-05-13
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $117,055.17 $122,907.93 $117,055.17 2026-05-13
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 38 14 — — $13,422.70 $217,463.13 $114,307.54 2026-05-13
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 38 14 — — $21,402.70 $217,463.13 $114,307.54 2026-05-13
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $114,203.59 $119,913.77 $114,203.59 2026-05-13
8634 OTHER Neonatal Aftercare 10 5 — — $112,198.20 $117,808.11 $112,198.20 2026-05-13
4404 OTHER Kidney Transplant 10 5 — — $108,725.44 $114,161.71 $108,725.44 2026-05-13
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 1 — — $105,942.01 $105,942.01 $105,942.01 2026-05-13
111 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $20,420.77 $110,791.36 $105,515.58 2026-05-13
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $104,695.08 $109,929.84 $104,695.08 2026-05-13
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $100,396.94 $105,416.78 $100,396.94 2026-05-13
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 38 14 — — $10,344.90 $190,835.10 $100,310.76 2026-05-13
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 38 14 — — $9,387.45 $190,835.10 $100,310.76 2026-05-13
8514 OTHER Gender Related Procedures 10 5 — — $98,416.00 $103,336.80 $98,416.00 2026-05-13
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $98,001.47 $102,901.54 $98,001.47 2026-05-13
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 2 1 — — $96,386.95 $96,386.95 $96,386.95 2026-05-13
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $95,535.07 $100,311.83 $95,535.07 2026-05-13
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 14 — — $89,280.58 $394,210.84 $95,530.22 2026-05-13
2994 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $94,721.91 $99,458.01 $94,721.91 2026-05-13
1784 OTHER External Heart Assist Devices 10 5 — — $93,642.18 $98,324.29 $93,642.18 2026-05-13
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $91,262.60 $95,825.73 $91,262.60 2026-05-13
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 28 12 — — $83,032.24 $168,645.08 $91,025.10 2026-05-13
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 28 12 — — $83,032.24 $168,645.08 $91,025.10 2026-05-13
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $90,009.23 $94,509.69 $90,009.23 2026-05-13
7 OTHER Lung Transplant 38 14 — — $83,471.81 $368,562.69 $89,314.84 2026-05-13
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $86,179.42 $90,488.39 $86,179.42 2026-05-13
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $84,362.33 $88,580.45 $84,362.33 2026-05-13
365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $83,969.12 $83,969.12 $83,969.12 2026-05-13
1834 OTHER Percutaneous Structural Cardiac Procedures 10 5 — — $83,094.29 $87,249.00 $83,094.29 2026-05-13
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $81,800.56 $85,890.59 $81,800.56 2026-05-13
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 28 12 — — $74,292.05 $150,893.06 $81,443.56 2026-05-13
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 28 12 — — $74,292.05 $150,893.06 $81,443.56 2026-05-13
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $80,514.17 $84,539.88 $80,514.17 2026-05-13
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 14 — — $73,040.25 $444,362.24 $78,153.07 2026-05-13
209 OTHER Complex Aortic Arch Procedures 40 13 — — $4,620.75 $322,133.05 $77,881.02 2026-05-13
1794 OTHER Defibrillator Implants 10 5 — — $77,755.53 $81,643.31 $77,755.53 2026-05-13
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $76,954.60 $80,802.33 $76,954.60 2026-05-13
1674 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 10 5 — — $76,393.33 $80,213.00 $76,393.33 2026-05-13
1783 OTHER External Heart Assist Devices 10 5 — — $75,934.78 $79,731.52 $75,934.78 2026-05-13
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $17,637.89 $313,663.35 $75,833.32 2026-05-13
6134 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 5 — — $75,056.81 $78,809.65 $75,056.81 2026-05-13
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 5 — — $74,927.19 $78,673.55 $74,927.19 2026-05-13
212 OTHER Concomitant Aortic And Mitral Valve Procedures 50 15 — — $34,415.76 $309,476.89 $74,645.96 2026-05-13
2993 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $74,261.99 $77,975.09 $74,261.99 2026-05-13
8413 OTHER Extensive Third Degree Burns With Skin Graft 10 5 — — $73,977.08 $77,675.93 $73,977.08 2026-05-13
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 5 — — $73,860.91 $77,553.95 $73,860.91 2026-05-13
4403 OTHER Kidney Transplant 10 5 — — $72,376.43 $75,995.25 $72,376.43 2026-05-13
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 28 12 — — $65,551.86 $133,141.04 $71,862.02 2026-05-13
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 28 12 — — $65,551.86 $133,141.04 $71,862.02 2026-05-13
3004 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $71,623.18 $75,204.34 $71,623.18 2026-05-13
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 38 14 — — $66,457.36 $293,436.83 $71,109.37 2026-05-13
5931 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $70,675.51 $74,209.29 $70,675.51 2026-05-13
214 OTHER Open Craniotomy Except Trauma 12 6 — — $5,271.30 $73,698.28 $70,188.83 2026-05-13
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $70,147.26 $73,654.62 $70,147.26 2026-05-13
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $69,894.14 $73,388.85 $69,894.14 2026-05-13
215 OTHER Other Heart Assist System Implant 40 14 — — $64,178.84 $327,714.25 $68,671.36 2026-05-13
1633 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $68,628.54 $72,059.97 $68,628.54 2026-05-13
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $68,336.29 $71,753.10 $68,336.29 2026-05-13
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $68,336.29 $71,753.10 $68,336.29 2026-05-13
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $67,781.14 $71,170.19 $67,781.14 2026-05-13
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 14 — — $45,128.32 $278,418.49 $67,469.94 2026-05-13
6072 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $66,751.54 $70,089.12 $66,751.54 2026-05-13
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 5 — — $66,680.62 $70,014.65 $66,680.62 2026-05-13
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $66,451.95 $69,774.55 $66,451.95 2026-05-13
2604 OTHER Major Pancreas, Liver And Shunt Procedures 10 5 — — $66,399.37 $69,719.34 $66,399.37 2026-05-13
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $66,357.80 $69,675.69 $66,357.80 2026-05-13
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 10 5 — — $64,541.94 $67,769.03 $64,541.94 2026-05-13
7404 OTHER Mental Illness Diagnosis With O.r. Procedure 10 5 — — $64,381.75 $67,600.84 $64,381.75 2026-05-13
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $63,907.07 $63,907.07 $63,907.07 2026-05-13
6904 OTHER Acute Leukemia 10 5 — — $63,737.33 $66,924.20 $63,737.33 2026-05-13
3616456101 OTHER Hc Prq Impltj Neurostim Eltrd Sacral Nrve W/imaging 16 6 $26,530.00 $18,836.30 29% off $8,116.75 $66,853.35 $63,669.86 2026-05-13
1204 OTHER Major Respiratory And Chest Procedures 10 5 — — $63,615.05 $66,795.80 $63,615.05 2026-05-13
1622 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $62,602.57 $65,732.70 $62,602.57 2026-05-13
4402 OTHER Kidney Transplant 10 5 — — $62,471.73 $65,595.32 $62,471.73 2026-05-13
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 28 12 — — $56,811.67 $115,389.02 $62,280.49 2026-05-13
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 28 12 — — $56,811.67 $115,389.02 $62,280.49 2026-05-13
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 13 — — $31,089.16 $256,413.22 $62,137.34 2026-05-13
3124 OTHER Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 10 5 — — $61,470.26 $64,543.77 $61,470.26 2026-05-13
4414 OTHER Major Bladder Procedures 10 5 — — $61,440.91 $64,512.95 $61,440.91 2026-05-13
1782 OTHER External Heart Assist Devices 10 5 — — $61,213.47 $64,274.14 $61,213.47 2026-05-13
5204 OTHER Other GYN Procedures For Malignancy 10 5 — — $60,769.59 $63,808.07 $60,769.59 2026-05-13
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 16 — — $20,394.84 $195,273.47 $60,729.52 2026-05-13
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 5 — — $60,566.61 $63,594.94 $60,566.61 2026-05-13
1643 OTHER Y90 Ibritumomab, Rx 26 11 — — $56,824.55 $110,807.87 $60,518.14 2026-05-13
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 16 — — $29,068.61 $155,223.69 $60,257.71 2026-05-13
850 OTHER Acute Leukemia With Other Procedures 40 13 — — $38,923.19 $246,449.37 $59,722.77 2026-05-13
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 16 — — $32,892.13 $155,468.44 $59,641.85 2026-05-13
6123 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $59,629.94 $62,611.44 $59,629.94 2026-05-13
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 1 — — $59,087.42 $59,087.42 $59,087.42 2026-05-13
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 2 1 — — $58,964.08 $58,964.08 $58,964.08 2026-05-13
9273 OTHER Sipuleucel-t Auto Cd54+ 26 11 — — $55,272.32 $107,781.03 $58,865.03 2026-05-13
2614 OTHER Major Biliary Tract Procedures 10 5 — — $58,815.55 $61,756.33 $58,815.55 2026-05-13
4854 OTHER Prostatectomy Procedures 10 5 — — $58,637.02 $61,568.88 $58,637.02 2026-05-13
1833 OTHER Percutaneous Structural Cardiac Procedures 10 5 — — $58,548.98 $61,476.43 $58,548.98 2026-05-13
6092 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $58,438.93 $61,360.88 $58,438.93 2026-05-13
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $25,439.15 $239,160.76 $57,956.50 2026-05-13
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 5 — — $57,881.33 $60,775.40 $57,881.33 2026-05-13
1793 OTHER Defibrillator Implants 10 5 — — $57,401.99 $60,272.09 $57,401.99 2026-05-13
231 OTHER Coronary Bypass With Ptca With Mcc 52 16 — — $18,673.41 $239,914.95 $57,188.39 2026-05-13
4401 OTHER Kidney Transplant 10 5 — — $57,074.28 $59,928.00 $57,074.28 2026-05-13
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 5 — — $56,815.05 $59,655.80 $56,815.05 2026-05-13
5244 OTHER Level 4 Blood Product Exchange And Related Services 28 12 — — $51,691.52 $104,989.58 $56,667.45 2026-05-13
3214 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 5 — — $56,657.31 $59,490.17 $56,657.31 2026-05-13
1663 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $56,502.01 $59,327.11 $56,502.01 2026-05-13
1781 OTHER External Heart Assist Devices 10 5 — — $56,162.07 $58,970.18 $56,162.07 2026-05-13
6021 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $56,020.23 $58,821.24 $56,020.23 2026-05-13
2992 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $55,638.71 $58,420.65 $55,638.71 2026-05-13
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $55,494.42 $58,269.14 $55,494.42 2026-05-13
924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 5 — — $55,400.27 $58,170.28 $55,400.27 2026-05-13
6133 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 5 — — $55,347.69 $58,115.07 $55,347.69 2026-05-13
2304 OTHER Major Small Bowel Procedures 10 5 — — $55,200.95 $57,961.00 $55,200.95 2026-05-13
6954 OTHER Chemotherapy For Acute Leukemia 10 5 — — $55,178.94 $57,937.89 $55,178.94 2026-05-13
1814 OTHER Lower Extremity Vascular Procedures 10 5 — — $55,090.90 $57,845.44 $55,090.90 2026-05-13
646 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 2 1 — — $55,019.07 $55,019.07 $55,019.07 2026-05-13
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $54,968.62 $57,717.05 $54,968.62 2026-05-13
7924 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $54,786.42 $57,525.74 $54,786.42 2026-05-13
1652 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $54,529.63 $57,256.11 $54,529.63 2026-05-13
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 10 5 — — $54,469.72 $57,193.20 $54,469.72 2026-05-13
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 52 16 — — $21,001.71 $183,006.74 $54,353.98 2026-05-13
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 14 — — $21,001.71 $223,946.05 $54,269.48 2026-05-13
5124 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 5 — — $53,939.02 $56,635.97 $53,939.02 2026-05-13
1621 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $53,789.84 $56,479.33 $53,789.84 2026-05-13
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 14 — — $38,468.04 $218,524.42 $52,955.64 2026-05-13
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 28 12 — — $48,071.48 $97,637.00 $52,698.94 2026-05-13
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 28 12 — — $48,071.48 $97,637.00 $52,698.94 2026-05-13
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 42 14 — — $35,817.10 $216,862.35 $52,552.87 2026-05-13
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 16 — — $32,892.13 $217,582.39 $52,480.96 2026-05-13
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $52,241.77 $54,853.86 $52,241.77 2026-05-13
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 5 — — $52,175.74 $54,784.53 $52,175.74 2026-05-13
1632 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $52,161.06 $54,769.12 $52,161.06 2026-05-13
8633 OTHER Neonatal Aftercare 10 5 — — $51,938.51 $54,535.44 $51,938.51 2026-05-13
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 5 — — $51,934.85 $54,531.59 $51,934.85 2026-05-13
1602 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $51,877.37 $54,471.24 $51,877.37 2026-05-13
4284 OTHER Genetic Disorders 10 5 — — $51,544.77 $54,122.01 $51,544.77 2026-05-13
4034 OTHER Procedures For Obesity 10 5 — — $51,534.99 $54,111.74 $51,534.99 2026-05-13
6113 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $51,121.68 $53,677.77 $51,121.68 2026-05-13
1754 OTHER Percutaneous Cardiac Intervention Without Ami 10 5 — — $50,982.28 $53,531.40 $50,982.28 2026-05-13
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 10 5 — — $50,806.20 $53,346.51 $50,806.20 2026-05-13
1303 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $50,688.81 $53,223.25 $50,688.81 2026-05-13
294 OTHER Other Percutaneous Intracranial Procedures 12 6 — — $11,839.37 $53,182.17 $50,649.68 2026-05-13
224 OTHER Ventricular Shunt Procedures 10 5 — — $50,611.77 $53,142.36 $50,611.77 2026-05-13
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 10 5 — — $50,441.81 $52,963.90 $50,441.81 2026-05-13
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $50,331.75 $52,848.34 $50,331.75 2026-05-13
1651 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $49,782.72 $52,271.85 $49,782.72 2026-05-13
4044 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 10 5 — — $49,743.59 $52,230.76 $49,743.59 2026-05-13
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $13,222.12 $205,441.36 $49,668.86 2026-05-13
6504 OTHER Splenic Procedures 10 5 — — $49,556.50 $52,034.32 $49,556.50 2026-05-13
10 OTHER Pancreas Transplant 38 14 — — $46,251.69 $204,220.42 $49,489.31 2026-05-13
4474 OTHER Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 10 5 — — $49,239.79 $51,701.78 $49,239.79 2026-05-13
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 14 — — $45,986.78 $203,050.72 $49,205.85 2026-05-13
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 13 — — $45,959.71 $208,663.34 $49,176.89 2026-05-13
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 10 5 — — $49,112.62 $51,568.25 $49,112.62 2026-05-13
367 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $48,970.41 $48,970.41 $48,970.41 2026-05-13
3003 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $48,930.42 $51,376.94 $48,930.42 2026-05-13
6234 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 5 — — $48,380.16 $50,799.17 $48,380.16 2026-05-13
2314 OTHER Major Large Bowel Procedures 10 5 — — $48,304.35 $50,719.56 $48,304.35 2026-05-13
1764 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 5 — — $47,976.64 $50,375.47 $47,976.64 2026-05-13
4484 OTHER Other Kidney, Urinary Tract And Related Percutaneous Procedures 10 5 — — $47,811.56 $50,202.14 $47,811.56 2026-05-13
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 5 — — $47,787.10 $50,176.46 $47,787.10 2026-05-13
1693 OTHER Major Abdominal Vascular Procedures 10 5 — — $47,762.65 $50,150.78 $47,762.65 2026-05-13
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $47,744.30 $50,131.52 $47,744.30 2026-05-13
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 14 — — $13,105.74 $195,745.03 $47,435.45 2026-05-13
1673 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 10 5 — — $47,414.15 $49,784.85 $47,414.15 2026-05-13
2991 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $47,348.12 $49,715.52 $47,348.12 2026-05-13
3254 OTHER Non-elective Or Complex Knee Joint Replacement 10 5 — — $47,304.10 $49,669.30 $47,304.10 2026-05-13
1792 OTHER Defibrillator Implants 10 5 — — $47,186.71 $49,546.04 $47,186.71 2026-05-13
7524 OTHER Personality Disorders 10 5 — — $47,102.33 $49,457.45 $47,102.33 2026-05-13
6143 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 5 — — $47,092.55 $49,447.18 $47,092.55 2026-05-13
6091 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $47,038.75 $49,390.68 $47,038.75 2026-05-13
4813327001 OTHER Hc Ep Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 8 3 $51,118.00 $36,293.78 29% off $15,900.00 $139,520.41 $46,708.17 2026-05-13
1142 OTHER Supprelin La Implant 36 13 — — $6,512.64 $87,790.27 $46,483.82 2026-05-13
955 OTHER Craniotomy For Multiple Significant Trauma 42 14 — — $43,385.98 $191,567.11 $46,423.00 2026-05-13
3616163001 OTHER Hc Intracranial Balloon Angioplasty 2 1 $58,019.00 $41,193.49 29% off $46,415.20 $46,415.20 $46,415.20 2026-05-13
3134 OTHER Knee And Lower Leg Procedures Except Foot 10 5 — — $46,285.50 $48,599.78 $46,285.50 2026-05-13
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 62 14 — — $1.70 $204,135.04 $46,232.36 2026-05-13
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 13 — — $23,257.48 $190,297.79 $46,115.40 2026-05-13
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $46,108.20 $48,413.60 $46,108.20 2026-05-13
3031 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $46,093.52 $48,398.20 $46,093.52 2026-05-13
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 13 — — $25,689.66 $190,158.34 $46,081.61 2026-05-13
1744 OTHER Percutaneous Cardiac Intervention With Ami 10 5 — — $46,005.48 $48,305.75 $46,005.48 2026-05-13
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 5 — — $45,956.57 $48,254.40 $45,956.57 2026-05-13
2294 OTHER Other Digestive System And Abdominal Procedures 10 5 — — $45,748.69 $48,036.13 $45,748.69 2026-05-13
691 OTHER Kidney Transplant With Hemodialysis With Mcc 2 1 — — $45,641.21 $45,641.21 $45,641.21 2026-05-13
8423 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $45,627.63 $47,909.02 $45,627.63 2026-05-13
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 68 14 — — $82.08 $196,709.83 $45,441.71 2026-05-13
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 14 — — $42,381.75 $207,014.07 $45,348.48 2026-05-13
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 14 — — $42,381.75 $187,304.68 $45,348.48 2026-05-13
2244 OTHER Peritoneal Adhesiolysis 10 5 — — $45,310.93 $47,576.47 $45,310.93 2026-05-13
1831 OTHER Percutaneous Structural Cardiac Procedures 10 5 — — $45,189.87 $47,449.36 $45,189.87 2026-05-13
1631 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $45,156.86 $47,414.70 $45,156.86 2026-05-13
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 10 5 — — $45,123.84 $47,380.03 $45,123.84 2026-05-13
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 16 — — $13,862.91 $186,452.84 $44,972.50 2026-05-13
2274 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 10 5 — — $44,842.59 $47,084.72 $44,842.59 2026-05-13
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 10 5 — — $44,819.36 $47,060.33 $44,819.36 2026-05-13
3094 OTHER Other Significant Hip And Femur Surgery 10 5 — — $44,761.89 $46,999.98 $44,761.89 2026-05-13
1804 OTHER Other Circulatory System Procedures 10 5 — — $44,384.04 $46,603.25 $44,384.04 2026-05-13
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 42 14 — — $29,824.85 $183,131.56 $44,378.79 2026-05-13
3054 OTHER Amputation Of Lower Limb Except Toes 10 5 — — $44,141.93 $46,349.03 $44,141.93 2026-05-13
4444 OTHER Renal Dialysis Access Device Procedures 10 5 — — $43,833.78 $46,025.47 $43,833.78 2026-05-13
2234 OTHER Other Small And Large Bowel Procedures 10 5 — — $43,578.22 $45,757.13 $43,578.22 2026-05-13
12 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 52 16 — — $27,174.65 $119,987.36 $43,481.74 2026-05-13
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 10 5 — — $43,449.82 $45,622.31 $43,449.82 2026-05-13
4844 OTHER Other Male Reproductive System And Related Procedures 10 5 — — $43,339.77 $45,506.76 $43,339.77 2026-05-13
5134 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 10 5 — — $43,288.41 $45,452.83 $43,288.41 2026-05-13
984 OTHER Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 10 5 — — $43,277.41 $45,441.28 $43,277.41 2026-05-13
3234 OTHER Non-elective Or Complex Hip Joint Replacement 10 5 — — $43,168.58 $45,327.01 $43,168.58 2026-05-13
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 28 12 — — $39,331.29 $79,884.98 $43,117.40 2026-05-13
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 28 12 — — $39,331.29 $79,884.98 $43,117.40 2026-05-13
278C182501 OTHER Generator Neurostimulator Barostim Neo Pulse Model 2104 14 4 $53,550.00 $38,020.50 29% off $34,807.50 $53,779.50 $42,840.00 2026-05-13
886 OTHER Behavioral And Developmental Disorders 56 13 — — $10,663.34 $400,998.00 $42,573.66 2026-05-13
3224 OTHER Shoulder And Elbow Joint Replacement 10 5 — — $42,356.64 $44,474.47 $42,356.64 2026-05-13
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 42 14 — — $36,483.96 $254,053.91 $42,266.30 2026-05-13
969 OTHER HIV With Extensive O.r. Procedures With Mcc 42 14 — — $33,717.75 $174,212.20 $42,217.33 2026-05-13
1661 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $42,091.29 $44,195.85 $42,091.29 2026-05-13
6071 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $41,723.23 $43,809.39 $41,723.23 2026-05-13
7934 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $41,719.56 $43,805.54 $41,719.56 2026-05-13
232 OTHER Coronary Bypass With Ptca Without Mcc 52 16 — — $26,650.97 $172,541.60 $41,714.80 2026-05-13
3204 OTHER Other Musculoskeletal System And Connective Tissue Procedures 10 5 — — $41,503.12 $43,578.28 $41,503.12 2026-05-13
3244 OTHER Elective Hip Joint Replacement 10 5 — — $41,445.65 $43,517.93 $41,445.65 2026-05-13
28 OTHER Spinal Procedures With Mcc 42 14 — — $16,940.62 $170,996.22 $41,438.00 2026-05-13
1302 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $41,361.28 $43,429.34 $41,361.28 2026-05-13
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 13 — — $32,723.08 $170,947.84 $41,329.48 2026-05-13
6082 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $41,221.88 $43,282.97 $41,221.88 2026-05-13
648 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 1 — — $41,188.96 $41,188.96 $41,188.96 2026-05-13
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $25,439.15 $169,709.83 $41,126.26 2026-05-13
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 38 14 — — $38,220.47 $177,056.79 $40,895.91 2026-05-13
63270 OTHER Excise Intrspinl Lesion Crvl 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63040 OTHER Laminotomy Single Cervical 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63250 OTHER Revise Spinal Cord Vsls Crvl 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63285 OTHER Bx/exc Idrl Imed Lesn Cervl 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63042 OTHER Laminotomy Single Lumbar 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63191 OTHER Incise Spine Accessory Nerve 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63276 OTHER Bx/exc Xdrl Spine Lesn Thrc 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63030 OTHER Low Back Disk Surgery 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63044 OTHER Laminotomy Addl Lumbar 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63197 OTHER Lam W/cordotomy 1stg Thrc 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
0275T OTHER Perq Lamot/lam Lumbar 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63271 OTHER Excise Intrspinl Lesion Thrc 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63295 OTHER Repair Laminectomy Defect 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63655 OTHER Implant Neuroelectrodes 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63017 OTHER Remove Spine Lamina >2 Lmbr 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
63020 OTHER Neck Spine Disk Surgery 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
22102 OTHER Remove Part Lumbar Vertebra 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
22101 OTHER Remove Part Thorax Vertebra 2 1 — — $40,782.00 $40,782.00 $40,782.00 2026-05-13
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