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

SHRINERS HOSPITALS FOR CHILDREN

Greenville, SC · CCN 423300 · Rates published

30,529 distinct procedures filed
34 distinct payers
860,238 rate rows
2026-05-08 last MRF observed
Data quality

85,572 of 860,238 rate rows are consumer-grade (9.9%)

774,666 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 774,616
placeholder amount (≤ $0.02) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/c9cdb40cd7ee3f55ec6a0d0dc127827b/charges/mrf
Found on page https://www.cdmpricing.com/c9cdb40cd7ee3f55ec6a0d0dc127827b
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f84f9a0e0ebb4651… · 4,021,558 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
7524
OTHER 		Plate Bone Lcp 17.5x170mm 9-hole 5.2mm Broad Curve Pre-contoured Compress Lck Ss… 9 $22,745.25 $704,596.00 $704,596.00 nat. median
$19,204
outlier · 36.7×
5884
OTHER 		Screw Bone Lcp Tomofix 5x46mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n… 13 $137,553.06 $985,179.64 $561,366.35 nat. median
$243,175
outlier · 2.3×
5834
OTHER 		Screw Extern Fixat 6mm Lg 190mm Schanz 50mm Thread Self-tap Blunt Trocar Spade P… 13 $186,122.36 $510,037.89 $467,920.54 nat. median
$372,748
1.3× median
5883
OTHER 		Screw Bone Lcp Tomofix 5x38mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n… 13 $98,337.84 $744,555.28 $421,446.56 nat. median
$163,694
outlier · 2.6×
7584
OTHER 		Nail IM Fassier-duval 6.4x407mm Male Long Thread Femur Ss F/osteogenesis Imperfe… 9 $6,475.91 $415,036.00 $415,036.00 nat. median
$16,654
outlier · 24.9×
5914
OTHER 		Plate Bone Lcp 73mm 3-hole 110deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre… 13 $100,796.29 $696,970.92 $398,883.60 nat. median
$149,152
outlier · 2.7×
5934
OTHER 		Screw Interference Cannul 8x20mm Ti Round Head Without Sheath F/graft Fixat Strl Acl… 13 $83,467.24 $689,442.36 $386,454.80 nat. median
$129,842
outlier · 3.0×
5891
OTHER 		Screw Bone Lcp 4.5/8x40mm Compress Lck Full Thread Self-drilling/tapping Cortic… 13 $29,801.16 $563,966.36 $381,994.36 nat. median
$77,714
outlier · 4.9×
5892
OTHER 		Screw Bone Lcp 4.5/8x44mm Compress Lck Full Thread Self-drilling/tapping Cortic… 13 $24,764.35 $486,653.84 $353,143.89 nat. median
$92,089
outlier · 3.8×
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 $95,519.63 $604,890.84 $350,205.23 nat. median
$170,784
outlier · 2.1×
6024
OTHER 		Screw Bone Lcp 5/4.4x55mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec… 13 $59,062.67 $608,751.64 $333,907.16 nat. median
$99,381
outlier · 3.4×
5933
OTHER 		Screw Interference Cannul 7x25mm Ti Alloy Round Head W/2mm Nitinol Gw Disp Sheat… 13 $72,074.44 $575,838.32 $323,956.38 nat. median
$87,090
outlier · 3.7×
6034
OTHER 		Nail IM Fassier-duval 4.8mm Std 404mm Short Thread Tibial Humeral Ss F/osteogene… 13 $80,049.40 $520,821.92 $300,435.66 nat. median
$92,525
outlier · 3.2×
5833
OTHER 		Plate Bone Dcp 10x73mm 6-hole 3.3mm Sm Dynamic Compress Lck Cortic Ss Pelvic F/3… 13 $147,386.84 $447,993.91 $297,088.56 nat. median
$252,069
1.2× median
6304
OTHER 		Screw Bone Lcp 4/5x24mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 13 $140,311.31 $377,586.24 $287,397.08 nat. median
$164,743
1.7× median
5882
OTHER 		Screw Bone Lcp Tomofix 5x34mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n… 13 $96,299.13 $476,422.72 $286,360.92 nat. median
$119,369
outlier · 2.4×
6023
OTHER 		Screw Bone Lcp 7.3/8.2x85mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 13 $53,186.38 $513,872.48 $283,529.43 nat. median
$75,452
outlier · 3.8×
6314
OTHER 		Screw Bone Lcp 7.3/8.2x90mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 13 $63,020.17 $493,410.24 $278,215.21 nat. median
$163,675
1.7× median
7504
OTHER 		Screw Bone Lcp 4/5x42mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 9 $11,512.72 $274,888.96 $274,888.96 nat. median
$18,741
outlier · 14.7×
5913
OTHER 		Plate Bone Lcp 73mm 3-hole 100deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre… 13 $56,304.41 $488,487.72 $272,396.07 nat. median
$115,252
outlier · 2.4×
1614
OTHER 		Implantable Heart Assist Systems 20 $194,876.83 $348,983.12 $271,929.97 nat. median
$194,298
1.4× median
8414
OTHER 		Screw Spinal Expedium 7x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 13 $102,954.93 $392,739.88 $271,793.01 nat. median
$161,322
1.7× median
5932
OTHER 		Guidepin Ortho 2.4mm Breakaway Femur Tibial F/osteotomy Disp 12 $52,346.91 $468,218.52 $260,282.71 nat. median
$67,086
outlier · 3.9×
6074
OTHER 		Screw Bone Expert 4/3.3x36mm Cannul Compress Lck Fully/dual Lead Thread Self-tap… 13 $41,793.58 $478,546.16 $260,169.87 nat. median
$85,400
outlier · 3.0×
0044
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 20 $140,431.24 $372,470.68 $256,450.96 nat. median
$138,863
1.8× median
6033
OTHER 		Nail IM Fassier-duval 4.8mm Std 409mm Long Thread Femur Ss F/osteogenesis Imperf… 13 $38,975.36 $467,542.88 $253,259.12 nat. median
$51,654
outlier · 4.9×
5881
OTHER 		Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ti 2.5… 13 $63,379.94 $428,741.84 $246,060.89 nat. median
$14,014
outlier · 17.6×
8634
OTHER 		Wedge Bone Graft 22x22x6mm Allograft Evans Frz-dry Cort/canc Pre-shaped F/osteot… 13 $40,834.19 $448,142.36 $244,488.27 nat. median
$72,646
outlier · 3.4×
6022
OTHER 		Screw Bone Lcp 7.3/8.2x80mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 13 $48,929.07 $424,977.56 $236,953.32 nat. median
$49,989
outlier · 4.7×
0024
OTHER 		Heart And/or Lung Transplant 19 $110,630.07 $354,421.44 $232,525.76 nat. median
$235,636
1.0× median
6084
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 20 $34,718.06 $426,135.80 $230,426.93 nat. median
$54,437
outlier · 4.2×
6073
OTHER 		Hook Spinal Veptr Ii Std Extend Vert Expand Ti Prox Thoracolum Rib Ns 13 $38,195.86 $419,089.84 $228,642.85 nat. median
$53,606
outlier · 4.3×
5832
OTHER 		Plate Bone Lc-dcp 16x103mm 6-hole 4.8mm Broad Dynamic Compress Lck Ss Limit-cont… 13 $108,711.29 $308,249.04 $215,238.08 nat. median
$152,272
1.4× median
0054
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 $97,378.45 $316,489.08 $206,933.77 nat. median
$98,692
outlier · 2.1×
6093
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 $41,074.04 $367,162.08 $204,118.06 nat. median
$3
outlier · 65422.5×
6083
OTHER 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 20 $33,039.12 $371,312.44 $202,175.78 nat. median
$43,472
outlier · 4.7×
6124
OTHER 		Wire Bone Fixat 1.4mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns 12 $31,420.14 $370,057.68 $200,738.91 nat. median
$58,949
outlier · 3.4×
6114
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 20 $41,673.66 $348,919.80 $195,296.73 nat. median
$66,070
outlier · 3.0×
5912
OTHER 		Screw Bone 4x46mm Cannul 15mm Short Thread Ss Prox Humeral Revers Cut Flute Ns P… 13 $29,981.05 $358,089.20 $194,035.12 nat. median
$83,887
outlier · 2.3×
6032
OTHER 		Nail IM Fassier-duval 4mm Std 333mm Short Thread Tibial Humeral Ss F/osteogenesi… 13 $36,696.81 $349,402.40 $193,049.61 nat. median
$31,302
outlier · 6.2×
7591
OTHER 		Anchor Suture Microfix Quickanchor Plus 1.6mm Absorb Preload W/#4/0 Orthocord C-… 9 $3,657.69 $192,171.32 $192,171.32 nat. median
$7,854
outlier · 24.5×
6144
OTHER 		Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 20 $31,420.14 $351,429.32 $191,424.73 nat. median
$50,394
outlier · 3.8×
6072
OTHER 		Nail IM Expert 9x360mm 120deg Helical Flute Cannul Lck Antegrad Reconstruct Rt L… 13 $33,698.70 $345,734.64 $189,716.67 nat. median
$35,000
outlier · 5.4×
0094
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 16 $167,773.96 $211,086.86 $189,430.41 nat. median
$165,362
1.1× median
0014
OTHER 		Liver Transplant And/or Intestinal Transplant 19 $73,093.80 $304,713.64 $188,903.72 nat. median
$147,828
1.3× median
0114
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $95,999.32 $280,952.43 $188,475.88 nat. median
$125,206
1.5× median
7534
OTHER 		Wire Extern Fixat Truelok 1.8x400mm Bayonet Ss Without Stopper 9 $9,054.28 $188,020.96 $188,020.96 nat. median
$15,162
outlier · 12.4×
5831
OTHER 		Washer Ortho 13mm Round Thread Spike Ss F/6.5/7/7.3mm Lg Cannul Screw Ns 13 $93,960.61 $199,796.40 $187,566.70 nat. median
$139,037
1.3× median
5893
OTHER 		Screw Bone Lcp 4.5/8x48mm Compress Lck Full Thread Self-drilling/tapping Cortic… 13 $19,667.57 $293,034.72 $182,879.16 nat. median
$90,227
outlier · 2.0×
6134
OTHER 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 20 $39,095.29 $322,280.28 $180,687.79 nat. median
$53,445
outlier · 3.4×

Other procedures at this hospital

Browse this hospital's 30,529 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0012 OTHER Liver Transplant And/or Intestinal Transplant 20 19 — — $59,311.88 $82,717.64 $71,014.76 2026-05-08
0013 OTHER Liver Transplant And/or Intestinal Transplant 20 19 — — $73,093.80 $120,843.04 $96,968.42 2026-05-08
0014 OTHER Liver Transplant And/or Intestinal Transplant 20 19 — — $73,093.80 $304,713.64 $188,903.72 2026-05-08
0021 OTHER Heart And/or Lung Transplant 20 19 — — $52,886.57 $96,821.91 $74,854.24 2026-05-08
0022 OTHER Heart And/or Lung Transplant 20 19 — — $52,886.57 $141,884.40 $97,385.49 2026-05-08
0023 OTHER Heart And/or Lung Transplant 20 19 — — $69,196.26 $207,807.56 $138,501.91 2026-05-08
0024 OTHER Heart And/or Lung Transplant 20 19 — — $110,630.07 $354,421.44 $232,525.76 2026-05-08
0041 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 22 20 — — $28,721.85 $221,030.80 $124,876.32 2026-05-08
0042 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 22 20 — — $43,412.56 $198,831.20 $121,121.88 2026-05-08
0043 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 22 20 — — $57,383.73 $254,812.80 $156,098.27 2026-05-08
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 22 20 — — $140,431.24 $372,470.68 $256,450.96 2026-05-08
0051 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 20 — — $26,435.32 $267,746.48 $147,090.90 2026-05-08
0052 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 20 — — $31,360.18 $187,924.44 $109,642.31 2026-05-08
0053 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 20 — — $75,487.99 $231,068.88 $153,278.43 2026-05-08
0054 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 20 — — $97,378.45 $316,489.08 $206,933.77 2026-05-08
0063 OTHER Pancreas Transplant 20 19 — — $41,373.85 $98,064.32 $69,719.09 2026-05-08
0064 OTHER Pancreas Transplant 20 19 — — $79,509.74 $238,500.92 $159,005.33 2026-05-08
0073 OTHER Allogeneic Bone Marrow Transplant 15 15 — — $48,689.23 $99,448.97 $74,069.10 2026-05-08
0074 OTHER Allogeneic Bone Marrow Transplant 15 15 — — $88,623.98 $156,363.25 $122,493.62 2026-05-08
0093 OTHER Extracorporeal Membrane Oxygenation (ecmo) 17 16 — — $41,253.92 $130,574.16 $85,914.04 2026-05-08
0094 OTHER Extracorporeal Membrane Oxygenation (ecmo) 17 16 — — $167,773.96 $211,086.86 $189,430.41 2026-05-08
0112 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 16 — — $25,064.16 $157,232.16 $91,148.16 2026-05-08
0113 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 16 — — $47,250.13 $197,779.25 $122,514.69 2026-05-08
0114 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 16 — — $95,999.32 $280,952.43 $188,475.88 2026-05-08
0204 OTHER Open Craniotomy For Trauma 22 20 — — $30,400.78 $163,022.28 $96,711.53 2026-05-08
0213 OTHER Open Craniotomy Except Trauma 22 20 — — $30,400.78 $100,187.76 $65,294.27 2026-05-08
0214 OTHER Open Craniotomy Except Trauma 22 20 — — $50,188.28 $178,562.00 $114,375.14 2026-05-08
0224 OTHER Ventricular Shunt Procedures 22 20 — — $27,282.76 $176,535.08 $101,908.92 2026-05-08
0234 OTHER Spinal Procedures 22 20 — — $30,041.01 $195,742.56 $112,891.79 2026-05-08
0244 OTHER Open Extracranial Vascular Procedures 22 20 — — $22,425.83 $131,363.72 $76,894.77 2026-05-08
0264 OTHER Other Nervous System And Related Procedures 22 20 — — $26,383.32 $203,078.08 $114,730.70 2026-05-08
0404 OTHER Spinal Disorders And Injuries 22 20 — — $17,029.24 $155,686.76 $86,358.00 2026-05-08
0424 OTHER Degenerative Nervous System Disorders Except Multiple Sclerosis 22 20 — — $11,992.42 $128,371.60 $70,182.01 2026-05-08
0434 OTHER Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 22 20 — — $18,648.21 $159,354.52 $89,001.37 2026-05-08
0484 OTHER Peripheral, Cranial And Autonomic Nerve Disorders 22 20 — — $11,752.57 $124,703.84 $68,228.21 2026-05-08
0494 OTHER Bacterial And Tuberculous Infections Of Nervous System 22 20 — — $18,408.36 $154,528.52 $86,468.44 2026-05-08
0504 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 22 20 — — $20,866.81 $150,474.68 $85,670.74 2026-05-08
0514 OTHER Viral Meningitis 22 20 — — $7,735.11 $122,580.40 $65,157.75 2026-05-08
0564 OTHER Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 22 20 — — $11,452.76 $128,854.20 $70,153.48 2026-05-08
0584 OTHER Other Disorders Of Nervous System 22 20 — — $17,149.16 $119,202.20 $68,175.68 2026-05-08
0734 OTHER Orbit And Eye Procedures 22 20 — — $21,226.58 $179,044.60 $100,135.59 2026-05-08
0824 OTHER Eye Infections And Other Eye Disorders 22 20 — — $11,692.61 $153,370.28 $82,531.45 2026-05-08
0894 OTHER Major Cranial Or Facial Bone Procedures 22 20 — — $37,716.16 $157,713.68 $97,714.92 2026-05-08
0914 OTHER Other Major Head And Neck Procedures 22 20 — — $39,694.91 $185,221.88 $112,458.40 2026-05-08
0924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 22 20 — — $29,861.13 $136,189.72 $83,025.43 2026-05-08
0974 OTHER Tonsil And Adenoid Procedures 22 20 — — $16,309.69 $146,710.40 $81,510.04 2026-05-08
0984 OTHER Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 22 20 — — $19,487.68 $141,015.72 $80,251.70 2026-05-08
1104 OTHER Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 22 20 — — $12,112.34 $122,966.48 $67,539.41 2026-05-08
1203 OTHER Major Respiratory And Chest Procedures 22 20 — — $19,307.80 $109,839.76 $64,573.78 2026-05-08
1204 OTHER Suture Nylon Ethilon 4-0 18in 3/8 Circ Fs-2 Revers Cut Pliabilized Black 1 Stran… 13 12 $4.78 $4.78 $29,801.16 $187,152.28 $108,476.72 2026-05-08
1214 OTHER Other Respiratory And Chest Procedures 22 20 — — $29,321.47 $186,959.24 $108,140.35 2026-05-08
1301 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 22 20 — — $19,607.61 $140,340.08 $79,973.85 2026-05-08
1302 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 22 20 — — $28,419.15 $121,904.76 $75,161.96 2026-05-08
1303 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 22 20 — — $34,668.56 $139,857.48 $87,263.02 2026-05-08
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 22 20 — — $45,954.67 $189,854.84 $117,904.76 2026-05-08
1314 OTHER Cystic Fibrosis - Pulmonary Disease 22 20 — — $17,389.01 $127,599.44 $72,494.23 2026-05-08
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 22 20 — — $40,594.34 $100,284.28 $70,439.31 2026-05-08
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 22 20 — — $66,378.04 $280,308.30 $173,343.17 2026-05-08
1611 OTHER Implantable Heart Assist Systems 22 20 — — $30,789.88 $156,924.91 $93,857.40 2026-05-08
1612 OTHER Implantable Heart Assist Systems 22 20 — — $75,961.24 $165,223.08 $120,592.16 2026-05-08
1613 OTHER Implantable Heart Assist Systems 22 20 — — $142,709.80 $169,234.82 $155,972.31 2026-05-08
1614 OTHER Implantable Heart Assist Systems 22 20 — — $194,876.83 $348,983.12 $271,929.97 2026-05-08
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 20 — — $36,876.69 $127,695.96 $82,286.32 2026-05-08
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 20 — — $68,956.41 $202,498.96 $135,727.68 2026-05-08
1633 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 22 20 — — $41,673.66 $89,281.00 $65,477.33 2026-05-08
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 22 20 — — $66,857.74 $173,639.48 $120,248.61 2026-05-08
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 22 20 — — $36,277.07 $101,635.56 $68,956.32 2026-05-08
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 22 20 — — $53,426.23 $165,338.76 $109,382.49 2026-05-08
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 22 20 — — $43,172.71 $155,879.80 $99,526.26 2026-05-08
1674 OTHER Expander Tissue Softspan 13.7x10.5cm 4-7cm Lo-pro 200-400ml Silicone Smooth Remo… 14 13 $1,625.00 $1,625.00 $41,673.66 $179,527.20 $110,600.43 2026-05-08
1694 OTHER Major Abdominal Vascular Procedures 22 20 — — $31,779.91 $156,941.52 $94,360.71 2026-05-08
1704 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 22 20 — — $26,922.98 $159,064.96 $92,993.97 2026-05-08
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 22 20 — — $23,565.11 $127,695.96 $75,630.54 2026-05-08
1764 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 22 20 — — $30,940.44 $128,950.72 $79,945.58 2026-05-08
1774 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 22 20 — — $17,988.63 $150,571.20 $84,279.91 2026-05-08
1804 OTHER Other Circulatory System Procedures 22 20 — — $19,127.91 $153,370.28 $86,249.10 2026-05-08
1934 OTHER Acute And Subacute Endocarditis 22 20 — — $11,212.91 $144,007.84 $77,610.38 2026-05-08
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 25 — — $31,432.24 $106,162.10 $68,797.17 2026-05-08
2203 OTHER Major Stomach, Esophageal And Duodenal Procedures 22 20 — — $24,104.76 $117,947.44 $71,026.10 2026-05-08
2204 OTHER Guidewire Ortho 1.25mm 150mm Non-threaded Cobalt Ss Ns 13 12 $76.43 $76.43 $42,812.94 $203,174.60 $122,993.77 2026-05-08
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 22 20 — — $21,106.66 $175,762.92 $98,434.79 2026-05-08
2234 OTHER Other Small And Large Bowel Procedures 22 20 — — $25,663.78 $189,854.84 $107,759.31 2026-05-08
2244 OTHER Peritoneal Adhesiolysis 22 20 — — $20,027.34 $168,523.92 $94,275.63 2026-05-08
2264 OTHER Anal And Perineal Procedures 22 20 — — $12,771.93 $125,669.04 $69,220.49 2026-05-08
2274 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 22 20 — — $21,106.66 $145,069.56 $83,088.11 2026-05-08
2284 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 22 20 — — $19,727.53 $127,502.92 $73,615.23 2026-05-08
2294 OTHER Other Digestive System And Abdominal Procedures 22 20 — — $21,346.51 $169,875.20 $95,610.85 2026-05-08
2404 OTHER Suture Prolene 5-0 18in 1/2 Circ Rb-1 Cv-23 Dbl-arm Taper Point Ethalloy Blue 1 … 13 12 $15.28 $15.28 $11,152.95 $118,333.52 $64,743.24 2026-05-08
2484 OTHER Major Gastrointestinal And Peritoneal Infections 22 20 — — $11,632.65 $119,588.28 $65,610.46 2026-05-08
2524 OTHER Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 22 20 — — $11,632.65 $120,456.96 $66,044.80 2026-05-08
2604 OTHER Major Pancreas, Liver And Shunt Procedures 22 20 — — $34,238.36 $210,510.12 $122,374.24 2026-05-08
2614 OTHER Major Biliary Tract Procedures 22 20 — — $30,940.44 $192,460.88 $111,700.66 2026-05-08
2634 OTHER Cholecystectomy 22 20 — — $17,389.01 $133,583.68 $75,486.35 2026-05-08
2644 OTHER Kit Instrument Maxillofacial Splint Planning Pt Specific Proplan Trumatch F/orth… 13 12 $12,140.00 $12,140.00 $26,023.55 $207,324.96 $116,674.26 2026-05-08
2824 OTHER Disorders Of Pancreas Except Malignancy 22 20 — — $13,791.28 $133,294.12 $73,542.70 2026-05-08
2994 OTHER Guidepin Ortho 2.4mm 9in Partial Thread Trocar Tip F/cannulated Screw System 3 3 $44.43 $44.43 $65,554.53 $65,554.53 $65,554.53 2026-05-08
3034 OTHER Suture Chromic Gut 3-0 27in 1/2 Circ CT-2 Taper Point Natural Brown Undyed 1 Str… 13 12 $7.60 $7.60 $51,627.37 $155,107.64 $106,652.46 2026-05-08
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 22 20 — — $37,296.43 $171,419.52 $104,357.98 2026-05-08
3054 OTHER Amputation Of Lower Limb Except Toes 22 20 — — $27,762.45 $191,881.76 $109,822.10 2026-05-08
3084 OTHER Rod Extern Fixat 4x140mm Connecting Carbon Fiber Dist Radial F/small Fixator Sys… 13 12 $158.40 $158.40 $26,123.11 $122,097.80 $74,110.46 2026-05-08
3094 OTHER Other Significant Hip And Femur Surgery 22 20 — — $26,083.51 $182,133.24 $104,108.38 2026-05-08
3104 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 22 20 — — $23,505.14 $156,651.96 $90,078.55 2026-05-08
3123 OTHER Dressing Biological E-z Derm Roll 3x12in Porcine Xenograft Strl 4/ca 14 13 $222.95 $222.95 $18,108.55 $178,272.44 $98,190.49 2026-05-08
3124 OTHER Dressing Biological E-z Derm Adherent 3x4in Patch Porcine Xenograft Strl 10/ca 14 13 $653.60 $653.60 $37,956.01 $317,068.20 $177,512.11 2026-05-08
3134 OTHER Knee And Lower Leg Procedures Except Foot 22 20 — — $24,524.50 $160,223.20 $92,373.85 2026-05-08
3144 OTHER Foot And Toe Procedures 22 20 — — $15,110.45 $152,405.08 $83,757.76 2026-05-08
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 22 20 — — $27,882.38 $142,173.96 $85,028.17 2026-05-08
3164 OTHER Guide Spring Wire Component Straight Soft Tip On One End J Tip On Other Marked A… 13 12 $30.00 $30.00 $18,888.06 $138,023.60 $78,455.83 2026-05-08
3174 OTHER Tendon, Muscle And Other Soft Tissue Procedures 22 20 — — $20,207.23 $196,707.76 $108,457.49 2026-05-08
3204 OTHER Allograft Human Tissue 1:1 Meshed 103sqcm Cryopreserv Skin 14 13 $437.50 $437.50 $19,787.49 $177,982.88 $98,885.18 2026-05-08
3214 OTHER Drain Wound Hemovac 15frx3/16in Round 4-channel Full Flute F/closed Suction W/tr… 13 12 $32.70 $32.70 $26,203.44 $167,944.80 $97,074.12 2026-05-08
3434 OTHER Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 22 20 — — $12,232.27 $123,352.56 $67,792.41 2026-05-08
3444 OTHER Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 22 20 — — $12,652.00 $166,690.04 $89,671.02 2026-05-08
3464 OTHER Connective Tissue Disorders 22 20 — — $15,050.49 $145,455.64 $80,253.07 2026-05-08
3494 OTHER Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 22 20 — — $9,174.20 $133,873.24 $71,523.72 2026-05-08
3613 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 22 20 — — $17,209.12 $134,452.36 $75,830.74 2026-05-08
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 22 20 — — $31,120.33 $275,757.64 $153,438.98 2026-05-08
3624 OTHER Expander Tissue Softspan 10.8cm 5-6.4cm Lo-pro 320-380ml Silicone Smooth Remote … 14 13 $1,662.50 $1,662.50 $23,625.07 $133,294.12 $78,459.60 2026-05-08
3634 OTHER Breast Procedures Except Mastectomy 22 20 — — $19,067.95 $164,663.12 $91,865.54 2026-05-08
3644 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 22 20 — — $17,748.78 $185,318.40 $101,533.59 2026-05-08
3804 OTHER Skin Ulcers 22 20 — — $13,491.47 $160,416.24 $86,953.85 2026-05-08
3814 OTHER Prosthesis Testicular Torosa Med 2.7x4cm 16ml Saline-filled Slf-seal Inject Port… 14 13 $6,365.00 $6,365.00 $14,810.64 $135,707.12 $75,258.88 2026-05-08
3854 OTHER Other Skin, Subcutaneous Tissue And Breast Disorders 22 20 — — $10,673.25 $124,993.40 $67,833.32 2026-05-08
4014 OTHER Adrenal Procedures 22 20 — — $29,681.24 $236,667.04 $133,174.14 2026-05-08
4034 OTHER Procedures For Obesity 22 20 — — $22,485.79 $180,202.84 $101,344.32 2026-05-08
4044 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 22 20 — — $29,141.58 $158,099.76 $93,620.67 2026-05-08
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 22 20 — — $21,826.20 $205,684.12 $113,755.16 2026-05-08
4214 OTHER Malnutrition, Failure To Thrive And Other Nutritional Disorders 22 20 — — $9,474.01 $132,811.52 $71,142.76 2026-05-08
4234 OTHER Suture Monocryl 4-0 27in 1/2 Circ V-20 Sh Single-arm Taper Point Ethalloy Undyed… 13 12 $13.75 $13.75 $13,911.21 $145,166.08 $79,538.65 2026-05-08
4403 OTHER Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5… 14 13 $82.55 $82.55 $40,474.42 $109,069.67 $79,082.66 2026-05-08
4404 OTHER Screw Bone Lcp 3.5/6x20mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5… 14 13 $82.55 $82.55 $42,333.24 $201,533.76 $121,933.50 2026-05-08
4414 OTHER Screw Spinal Expedium 6x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 14 13 $1,976.25 $1,976.25 $25,723.74 $212,054.44 $118,889.09 2026-05-08
4424 OTHER Screw Spinal Expedium 6x45mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pedic… 14 13 $1,750.00 $1,750.00 $24,344.61 $161,381.44 $92,863.02 2026-05-08
4434 OTHER Screw Spinal Expedium 5x30mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 14 13 $1,750.00 $1,750.00 $20,267.19 $169,103.04 $94,685.12 2026-05-08
4444 OTHER Screw Spinal Expedium 6x30mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 14 13 $1,750.00 $1,750.00 $20,027.34 $156,072.84 $88,050.09 2026-05-08
4454 OTHER Other Bladder Procedures 22 20 — — $16,669.46 $149,123.40 $82,896.43 2026-05-08
4464 OTHER Urethral And Transurethral Procedures 22 20 — — $18,168.52 $131,556.76 $74,862.64 2026-05-08
4474 OTHER Screw Bone Eight-plate 4.5x32mm Cannul Solid Cortic Ti Blue F/guided Growth Syst… 14 13 $329.00 $329.00 $22,965.48 $172,481.24 $97,723.36 2026-05-08
4624 OTHER Nephritis And Nephrosis 22 20 — — $15,710.07 $131,267.20 $73,488.63 2026-05-08
4824 OTHER Transurethral Prostatectomy 22 20 — — $16,309.69 $129,529.84 $72,919.76 2026-05-08
4834 OTHER Penis, Testes And Scrotal Procedures 22 20 — — $20,567.00 $190,144.40 $105,355.70 2026-05-08
4844 OTHER Other Male Reproductive System And Related Procedures 22 20 — — $22,845.56 $152,405.08 $87,625.32 2026-05-08
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 22 20 — — $27,342.72 $171,612.56 $99,477.64 2026-05-08
5124 OTHER Tray Needle Epidural Tuohy Contin Anesth Perifix 18ga 2in Ped Wing W/25ga Ndl 20… 13 12 $71.80 $71.80 $24,284.65 $157,327.60 $90,806.12 2026-05-08
5134 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 22 20 — — $18,228.48 $145,552.16 $81,890.32 2026-05-08
5144 OTHER Female Reproductive System Reconstructive Procedures 22 20 — — $23,265.29 $150,378.16 $86,821.73 2026-05-08
5174 OTHER Dilation And Curettage For Non-obstetric Diagnoses 22 20 — — $15,410.26 $131,653.28 $73,531.77 2026-05-08
5184 OTHER Other Female Reproductive System And Related Procedures 22 20 — — $22,365.86 $176,438.56 $99,402.21 2026-05-08
5194 OTHER Uterine And Adnexa Procedures For Leiomyoma 22 20 — — $21,826.20 $143,332.20 $82,579.20 2026-05-08
5314 OTHER Female Reproductive System Infections 22 20 — — $9,833.78 $125,765.56 $67,799.67 2026-05-08
5831 OTHER Washer Ortho 13mm Round Thread Spike Ss F/6.5/7/7.3mm Lg Cannul Screw Ns 14 13 $85.70 $85.70 $93,960.61 $199,796.40 $187,566.70 2026-05-08
5832 OTHER Plate Bone Lc-dcp 16x103mm 6-hole 4.8mm Broad Dynamic Compress Lck Ss Limit-cont… 14 13 $690.00 $690.00 $108,711.29 $308,249.04 $215,238.08 2026-05-08
5833 OTHER Plate Bone Dcp 10x73mm 6-hole 3.3mm Sm Dynamic Compress Lck Cortic Ss Pelvic F/3… 14 13 $1,001.00 $1,001.00 $147,386.84 $447,993.91 $297,088.56 2026-05-08
5834 OTHER Screw Extern Fixat 6mm Lg 190mm Schanz 50mm Thread Self-tap Blunt Trocar Spade P… 14 13 $267.58 $267.58 $186,122.36 $510,037.89 $467,920.54 2026-05-08
5881 OTHER Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ti 2.5… 14 13 $71.25 $71.25 $63,379.94 $428,741.84 $246,060.89 2026-05-08
5882 OTHER Screw Bone Lcp Tomofix 5x34mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n… 14 13 $589.88 $589.88 $96,299.13 $476,422.72 $286,360.92 2026-05-08
5883 OTHER Screw Bone Lcp Tomofix 5x38mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n… 14 13 $737.50 $737.50 $98,337.84 $744,555.28 $421,446.56 2026-05-08
5884 OTHER Screw Bone Lcp Tomofix 5x46mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n… 14 13 $589.88 $589.88 $137,553.06 $985,179.64 $561,366.35 2026-05-08
5891 OTHER Screw Bone Lcp 4.5/8x40mm Compress Lck Full Thread Self-drilling/tapping Cortic … 14 13 $73.88 $73.88 $29,801.16 $563,966.36 $381,994.36 2026-05-08
5892 OTHER Screw Bone Lcp 4.5/8x44mm Compress Lck Full Thread Self-drilling/tapping Cortic … 14 13 $69.88 $69.88 $24,764.35 $486,653.84 $353,143.89 2026-05-08
5893 OTHER Screw Bone Lcp 4.5/8x48mm Compress Lck Full Thread Self-drilling/tapping Cortic … 14 13 $73.88 $73.88 $19,667.57 $293,034.72 $182,879.16 2026-05-08
5912 OTHER Screw Bone 4x46mm Cannul 15mm Short Thread Ss Prox Humeral Revers Cut Flute Ns P… 14 13 $465.30 $465.30 $29,981.05 $358,089.20 $194,035.12 2026-05-08
5913 OTHER Plate Bone Lcp 73mm 3-hole 100deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre… 14 13 $1,704.73 $1,704.73 $56,304.41 $488,487.72 $272,396.07 2026-05-08
5914 OTHER Plate Bone Lcp 73mm 3-hole 110deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre… 14 13 $1,704.73 $1,704.73 $100,796.29 $696,970.92 $398,883.60 2026-05-08
5931 OTHER Screw Bone Unilock 3x14mm Lck Self-drilling/tapping Ti Sternal F/intramedullary … 11 11 $695.00 $695.00 $959.39 $186,090.56 $73,391.31 2026-05-08
5932 OTHER Guidepin Ortho 2.4mm Breakaway Femur Tibial F/osteotomy Disp 13 12 $92.50 $92.50 $52,346.91 $468,218.52 $260,282.71 2026-05-08
5933 OTHER Screw Interference Cannul 7x25mm Ti Alloy Round Head W/2mm Nitinol Gw Disp Sheat… 14 13 $287.50 $287.50 $72,074.44 $575,838.32 $323,956.38 2026-05-08
5934 OTHER Screw Interference Cannul 8x20mm Ti Round Head Without Sheath F/graft Fixat Strl Acl… 14 13 $237.50 $237.50 $83,467.24 $689,442.36 $386,454.80 2026-05-08
6022 OTHER Screw Bone Lcp 7.3/8.2x80mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 14 13 $619.93 $619.93 $48,929.07 $424,977.56 $236,953.32 2026-05-08
6023 OTHER Screw Bone Lcp 7.3/8.2x85mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 14 13 $800.75 $800.75 $53,186.38 $513,872.48 $283,529.43 2026-05-08
6024 OTHER Screw Bone Lcp 5/4.4x55mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec… 14 13 $393.68 $393.68 $59,062.67 $608,751.64 $333,907.16 2026-05-08
6032 OTHER Nail IM Fassier-duval 4mm Std 333mm Short Thread Tibial Humeral Ss F/osteogenesi… 14 13 $6,500.00 $6,500.00 $36,696.81 $349,402.40 $193,049.61 2026-05-08
6033 OTHER Nail IM Fassier-duval 4.8mm Std 409mm Long Thread Femur Ss F/osteogenesis Imperf… 14 13 $6,875.00 $6,875.00 $38,975.36 $467,542.88 $253,259.12 2026-05-08
6034 OTHER Nail IM Fassier-duval 4.8mm Std 404mm Short Thread Tibial Humeral Ss F/osteogene… 14 13 $6,500.00 $6,500.00 $80,049.40 $520,821.92 $300,435.66 2026-05-08
6071 OTHER Screw Bone Expert 4/3.3x58mm Cannul Compress Lck Fully/dual Lead Thread Self-tap… 14 13 $490.28 $490.28 $13,671.36 $242,168.68 $127,920.02 2026-05-08
6072 OTHER Nail IM Expert 9x360mm 120deg Helical Flute Cannul Lck Antegrad Reconstruct Rt L… 14 13 $4,359.18 $4,359.18 $33,698.70 $345,734.64 $189,716.67 2026-05-08
6073 OTHER Hook Spinal Veptr Ii Std Extend Vert Expand Ti Prox Thoracolum Rib Ns 14 13 $3,747.48 $3,747.48 $38,195.86 $419,089.84 $228,642.85 2026-05-08
6074 OTHER Screw Bone Expert 4/3.3x36mm Cannul Compress Lck Fully/dual Lead Thread Self-tap… 14 13 $490.28 $490.28 $41,793.58 $478,546.16 $260,169.87 2026-05-08
6081 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 22 20 — — $18,288.44 $191,206.12 $104,747.28 2026-05-08
6082 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 22 20 — — $27,102.87 $289,946.08 $158,524.48 2026-05-08
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 22 20 — — $33,039.12 $371,312.44 $202,175.78 2026-05-08
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 22 20 — — $34,718.06 $426,135.80 $230,426.93 2026-05-08
6091 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 20 — — $21,466.43 $186,669.68 $104,068.05 2026-05-08
6092 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 20 — — $22,605.71 $213,405.72 $118,005.71 2026-05-08
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 20 — — $41,074.04 $367,162.08 $204,118.06 2026-05-08
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 20 — — $95,519.63 $604,890.84 $350,205.23 2026-05-08
6111 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 20 — — $8,034.92 $126,827.28 $67,431.10 2026-05-08
6112 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 20 — — $13,071.74 $205,008.48 $109,040.11 2026-05-08
6113 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 20 — — $22,725.64 $302,397.16 $162,561.40 2026-05-08
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 20 — — $41,673.66 $348,919.80 $195,296.73 2026-05-08
6121 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 22 20 — — $15,110.45 $169,585.64 $92,348.04 2026-05-08
6122 OTHER Wire Bone Fixat 0.7mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns 13 12 $7.38 $7.38 $22,425.83 $235,701.84 $129,063.84 2026-05-08
6123 OTHER Wire Bone Fixat 0.9mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns 13 12 $7.38 $7.38 $28,541.96 $313,593.48 $171,067.72 2026-05-08
6124 OTHER Wire Bone Fixat 1.4mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns 13 12 $7.38 $7.38 $31,420.14 $370,057.68 $200,738.91 2026-05-08
6131 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 20 — — $8,694.50 $138,892.28 $73,793.39 2026-05-08
6132 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 20 — — $15,829.99 $207,904.08 $111,867.04 2026-05-08
6133 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 20 — — $25,483.89 $275,468.08 $150,475.98 2026-05-08
6134 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 20 — — $39,095.29 $322,280.28 $180,687.79 2026-05-08
6142 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 22 20 — — $16,129.80 $193,908.68 $105,019.24 2026-05-08
6143 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 22 20 — — $18,168.52 $275,371.56 $146,770.04 2026-05-08
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 22 20 — — $31,420.14 $351,429.32 $191,424.73 2026-05-08
6212 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 22 20 — — $11,033.03 $134,934.96 $72,983.99 2026-05-08
6213 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 22 20 — — $14,690.71 $205,105.00 $109,897.85 2026-05-08
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 22 20 — — $32,679.34 $233,288.84 $132,984.09 2026-05-08
6222 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 22 20 — — $12,532.08 $146,131.28 $79,331.68 2026-05-08
6223 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 22 20 — — $16,009.88 $190,916.56 $103,463.22 2026-05-08
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 22 20 — — $25,783.70 $220,548.20 $123,165.95 2026-05-08
6232 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 22 20 — — $7,555.22 $135,031.48 $71,293.35 2026-05-08
6233 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 22 20 — — $19,547.64 $180,685.44 $100,116.54 2026-05-08
6234 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 22 20 — — $23,685.03 $264,271.76 $143,978.39 2026-05-08
6252 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 22 20 — — $10,733.22 $156,458.92 $83,596.07 2026-05-08
6253 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 22 20 — — $15,530.18 $185,801.00 $100,665.59 2026-05-08
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 22 20 — — $21,826.20 $194,487.80 $108,157.00 2026-05-08
6264 OTHER Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 22 20 — — $14,570.79 $177,500.28 $96,035.54 2026-05-08
6302 OTHER Screw Bone Lcp 4/5x18mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 14 13 $597.50 $597.50 $20,507.04 $97,175.91 $74,785.14 2026-05-08
6303 OTHER Screw Bone Lcp 4/5x20mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 14 13 $597.50 $597.50 $74,113.16 $139,760.96 $118,610.24 2026-05-08
6304 OTHER Screw Bone Lcp 4/5x24mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 14 13 $597.50 $597.50 $140,311.31 $377,586.24 $287,397.08 2026-05-08
6313 OTHER Screw Bone Lcp 7.3/8.2x55mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 14 13 $687.83 $687.83 $18,108.55 $220,065.60 $119,087.07 2026-05-08
6314 OTHER Screw Bone Lcp 7.3/8.2x90mm Cannul Compress Lck 32mm Thread Self-drilling/tappin… 14 13 $800.75 $800.75 $63,020.17 $493,410.24 $278,215.21 2026-05-08
6333 OTHER Screw Bone Lcp 3.5/6x18mm Compress Lck Self-tap Var Ang Lo-pro Cortic Ss T15 Sta… 14 13 $93.73 $93.73 $23,724.00 $118,333.52 $71,028.76 2026-05-08
6334 OTHER Screw Bone Lcp 3.5/6x20mm Compress Lck Self-tap Var Ang Lo-pro Cortic Ss T15 Sta… 14 13 $93.73 $93.73 $62,367.00 $229,910.64 $146,138.82 2026-05-08
6343 OTHER Endcap Spinal Veptr Ii Xlong Hook Ti Thoracolum Rib Ns 14 13 $3,507.75 $3,507.75 $19,759.34 $121,711.72 $70,735.53 2026-05-08
6344 OTHER Endcap Spinal Veptr Ii Sm Hook Extend Ti Thoracolum Rib Ns 14 13 $3,507.75 $3,507.75 $37,829.76 $215,529.16 $126,679.46 2026-05-08
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 22 20 — — $14,390.90 $183,098.44 $98,744.67 2026-05-08
6394 OTHER Neonate Birth Weight > 2499 Grams With Other Significant Condition 22 20 — — $16,549.54 $159,547.56 $88,048.55 2026-05-08
6504 OTHER Rod Extern Fixat Ilizarov 80mm Thread Slot Ss Foot Ankle F/small Bone System Ns 13 12 $719.00 $719.00 $26,743.10 $150,957.28 $88,850.19 2026-05-08
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 22 20 — — $29,441.39 $234,157.52 $131,799.45 2026-05-08
6604 OTHER Rod Extern Fixat Ilizarov 40mm Thread Slot Ss Sm Bone Ns 13 12 $629.20 $629.20 $16,549.54 $138,506.20 $77,527.87 2026-05-08
6614 OTHER Nut Extern Fixat Ilizarov 6x10mm 5mm 4-hole Hex Head Ss Ankle Foot Sm Bone Ns Re… 13 12 $24.90 $24.90 $15,710.07 $122,097.80 $68,903.93 2026-05-08
6624 OTHER Screw Bone Lcp 1.5x7mm Compress Lck Full Thread Std Cortic Ss Cruciform Recess H… 14 13 $93.75 $93.75 $16,609.50 $125,765.56 $71,187.53 2026-05-08
6803 OTHER Screw Bone Lcp 2.7/5x22mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H… 14 13 $137.00 $137.00 $17,149.16 $114,376.20 $65,762.68 2026-05-08
6804 OTHER Screw Bone Lcp 2.7/5x24mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H… 14 13 $133.00 $133.00 $35,737.41 $237,053.12 $148,036.94 2026-05-08
6814 OTHER Screw Bone Lcp 3.5/6x50mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5… 14 13 $82.55 $82.55 $33,638.74 $242,361.72 $147,812.11 2026-05-08
6903 OTHER Acute Leukemia 22 20 — — $33,507.00 $141,112.24 $87,309.62 2026-05-08
6904 OTHER Acute Leukemia 22 20 — — $37,056.58 $239,948.72 $138,502.65 2026-05-08
6914 OTHER Lymphoma, Myeloma And Non-acute Leukemia 22 20 — — $20,267.19 $153,080.72 $86,673.96 2026-05-08
6924 OTHER Nail IM Fassier-duval 4mm Std 333mm Short Thread Femur Ss F/osteogenesis Imperfe… 14 13 $6,187.50 $6,187.50 $20,327.15 $152,598.12 $86,462.63 2026-05-08
7104 OTHER Screw Spinal Expedium 4.35x25mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle S… 14 13 $1,750.00 $1,750.00 $38,097.58 $175,666.40 $106,881.99 2026-05-08
7113 OTHER Screw Spinal Expedium 5x40mm Lck Polyaxial Thread Dual Lead Pedicle Ti Taper Blu… 14 13 $1,750.00 $1,750.00 $20,207.23 $109,164.12 $64,685.68 2026-05-08
7114 OTHER Screw Spinal Expedium 4.35x35mm Lck Polyaxial Thread Dual Lead Pedicle Ti Taper … 14 13 $1,750.00 $1,750.00 $37,142.90 $201,533.76 $119,338.33 2026-05-08
7214 OTHER Half Pin Extern Fixat Ilizarov 6x150mm 55mm Thread Ss Hap Strl 14 13 $607.50 $607.50 $21,466.33 $111,384.08 $66,425.21 2026-05-08
7234 OTHER Screw Bone Lcp 5/4.4x48mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec… 14 13 $382.20 $382.20 $9,414.05 $127,116.84 $68,265.45 2026-05-08
7244 OTHER Plate Bone Pediplates 20mm H-shaped Cortic Ss Cntr Hole Femur F/4.5mm Screw Ped … 14 13 $1,695.00 $1,695.00 $11,812.53 $129,047.24 $70,429.88 2026-05-08
7402 OTHER Screw Bone Lcp 4.5/6.5x24mm Cannul Compress Lck 1/3 Partial Thread Self-drilling… 9 9 $532.65 $532.65 $5,756.36 $123,931.68 $123,931.68 2026-05-08
7403 OTHER Mental Illness Diagnosis With O.r. Procedure 20 19 — — $14,570.79 $196,321.68 $105,446.24 2026-05-08
7404 OTHER Hook Spinal Cd Horizon Solera Lg Narrow Blade Ti Medial F/5.5mm Rod Ns 12 11 $1,450.00 $1,450.00 $34,778.02 $233,771.44 $134,274.73 2026-05-08
7501 OTHER Screw Bone Lcp 4/5x30mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 9 9 $542.75 $542.75 $4,617.08 $104,434.64 $104,434.64 2026-05-08
7502 OTHER Screw Bone Lcp 4/5x34mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 9 9 $521.33 $521.33 $4,617.08 $113,893.60 $113,893.60 2026-05-08
7503 OTHER Screw Bone Lcp 4/5x36mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 9 9 $521.33 $521.33 $6,835.68 $148,544.28 $148,544.28 2026-05-08
7504 OTHER Screw Bone Lcp 4/5x42mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin… 9 9 $542.75 $542.75 $11,512.72 $274,888.96 $274,888.96 2026-05-08
7514 OTHER Screw Bone Lcp 7.3/8.2x125mm Cannul Compress Lck 16mm Thread Self-drilling/tappi… 12 11 $812.50 $812.50 $12,891.85 $195,839.08 $104,365.46 2026-05-08
7523 OTHER Plate Bone Lcp 13.5x296mm 16-hole 4.2mm Narrow Compress Lck Ss Limit-cont Basic … 9 9 $2,315.85 $2,315.85 $5,756.36 $142,173.96 $142,173.96 2026-05-08
7524 OTHER Plate Bone Lcp 17.5x170mm 9-hole 5.2mm Broad Curve Pre-contoured Compress Lck Ss… 9 9 $1,643.88 $1,643.88 $22,745.25 $704,596.00 $704,596.00 2026-05-08
7533 OTHER Wire Extern Fixat Truelok 1.8x400mm Ss W/stopper 9 9 $405.00 $405.00 $5,636.44 $116,306.60 $116,306.60 2026-05-08
7534 OTHER Wire Extern Fixat Truelok 1.8x400mm Bayonet Ss Without Stopper 9 9 $206.25 $206.25 $9,054.28 $188,020.96 $188,020.96 2026-05-08
7553 OTHER Ring Extern Fixat Full 100mm Truelok Plus F/angular Correct Pvc-free 9 9 $1,541.25 $1,541.25 $3,477.80 $86,868.00 $86,868.00 2026-05-08
7571 OTHER Guidewire Ortho Fassier-duval 1.6mm 450mm F/telescopic IM System 9 9 $168.00 $168.00 $2,638.33 $84,261.96 $84,261.96 2026-05-08
7572 OTHER Guidewire Ortho Fassier-duval 2mm 457mm F/telescopic IM System 9 9 $168.00 $168.00 $3,417.84 $90,149.68 $90,149.68 2026-05-08
7574 OTHER Organic Mental Health Conditions And Disturbances 20 19 — — $13,071.74 $158,389.32 $85,730.53 2026-05-08
7582 OTHER Nail IM Fassier-duval 5.6x410mm Male Long Thread Femur Ss F/osteogenesis Imperfe… 9 9 $3,500.00 $3,500.00 $3,477.80 $94,686.12 $94,686.12 2026-05-08
7583 OTHER Nail IM Fassier-duval 5.6x405mm Male Short Thread Femur Ss F/osteogenesis Imperf… 9 9 $3,500.00 $3,500.00 $4,916.89 $118,333.52 $118,333.52 2026-05-08
7584 OTHER Nail IM Fassier-duval 6.4x407mm Male Long Thread Femur Ss F/osteogenesis Imperfe… 9 9 $3,500.00 $3,500.00 $6,475.91 $415,036.00 $415,036.00 2026-05-08
7591 OTHER Anchor Suture Microfix Quickanchor Plus 1.6mm Absorb Preload W/#4/0 Orthocord C-… 9 9 $1,485.00 $1,485.00 $3,657.69 $192,171.32 $192,171.32 2026-05-08
7592 OTHER Screw Bone Lcp 2.7/5x30mm Compress Lck Full Thread Self-tap Cortic Ss T8 Stardri… 9 9 $126.90 $126.90 $3,897.54 $125,186.44 $125,186.44 2026-05-08
7593 OTHER Eating Disorders 9 9 — — $6,176.10 $135,417.56 $135,417.56 2026-05-08
7594 OTHER Plate Bone Lcp 79mm 3-hole 130deg Pre-contoured Compress Lck Ss Hip F/5mm Screw … 12 11 $2,493.40 $2,493.40 $28,443.22 $222,285.56 $125,364.39 2026-05-08
7601 OTHER Screw Bone Lcp 3.5/6x90mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5… 9 9 $92.30 $92.30 $2,218.60 $72,293.48 $72,293.48 2026-05-08
7602 OTHER Other Mental Health Conditions And Disorders 9 9 — — $2,878.18 $73,934.32 $73,934.32 2026-05-08
7721 OTHER Plate Bone Lcp 62mm 3-hole 130deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre… 10 10 $2,398.20 $2,398.20 $1,738.90 $138,506.20 $72,112.55 2026-05-08
7722 OTHER Plate Bone Lcp 88mm 5-hole 130deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre… 10 10 $2,527.00 $2,527.00 $2,518.41 $149,799.04 $78,932.55 2026-05-08
7723 OTHER Plate Bone Lcp 114mm 7-hole 130deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scr… 10 10 $2,654.40 $2,654.40 $2,938.14 $124,510.80 $67,343.90 2026-05-08
7724 OTHER Plate Bone Lcp 140mm 9-hole 130deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scr… 10 10 $2,791.60 $2,791.60 $11,152.95 $230,200.20 $129,167.98 2026-05-08
7744 OTHER Screw Bone Lcp 1.5/3x9mm Compress Lck Full Thread Self-tap Cortic Ss Cruciform R… 14 13 $149.98 $149.98 $7,915.00 $137,541.00 $72,728.00 2026-05-08
7754 OTHER Screw Bone Lcp 2/3.5x16mm Compress Lck Full Thread Self-tap Cortic Ss Cruciform … 14 13 $147.08 $147.08 $17,329.05 $121,904.76 $69,616.90 2026-05-08
7924 OTHER Kit Catheter Intrathecal Ascenda Indura 4-layer Sutureless Pump Conn 2-attached … 8 8 $500.00 $500.00 $27,882.38 $173,460.81 $70,473.93 2026-05-08
8134 OTHER Screw Spinal Click X 5.2x40mm Monoaxial Pedicle Ti Post Ns 14 13 $1,500.00 $1,500.00 $9,833.78 $129,819.40 $69,826.59 2026-05-08
8413 OTHER Screw Spinal Expedium 7x35mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 14 13 $2,000.00 $2,000.00 $37,776.12 $250,952.00 $144,364.06 2026-05-08
8414 OTHER Screw Spinal Expedium 7x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 14 13 $2,000.00 $2,000.00 $102,954.93 $392,739.88 $271,793.01 2026-05-08
8423 OTHER Hook Spinal Expedium 10mm Lt Offst Ss Pedicle F/5.5mm Rod Ns 14 13 $1,375.00 $1,375.00 $25,483.89 $167,462.20 $96,473.04 2026-05-08
8424 OTHER Connector Spinal Expedium Open Dual Side/side Ss F/5.5mm Rod Ns 14 13 $1,725.00 $1,725.00 $51,507.44 $290,621.72 $171,064.58 2026-05-08
8444 OTHER Screw Spinal Expedium 4.35x25mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pe… 14 13 $1,750.00 $1,750.00 $14,270.98 $171,998.64 $93,134.81 2026-05-08
8503 OTHER Screw Spinal Expedium 6x75mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T… 14 13 $1,750.00 $1,750.00 $14,690.71 $156,265.88 $85,478.29 2026-05-08
8504 OTHER Screw Spinal Expedium 6x80mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T… 14 13 $1,750.00 $1,750.00 $23,565.11 $303,941.48 $163,753.30 2026-05-08
8513 OTHER Screw Spinal Expedium 5x25mm Polyaxial Pedicle Ss Thoracolum Extend Tab F/6.35mm… 4 4 $2,000.00 $2,000.00 $91,075.04 $91,075.04 $91,075.04 2026-05-08
8514 OTHER Screw Spinal Expedium 5x45mm Polyaxial Pedicle Ss Thoracolum Extend Tab F/6.35mm… 4 4 $1,976.25 $1,976.25 $91,075.04 $91,075.04 $91,075.04 2026-05-08
8603 OTHER Screw Spinal Cd Horizon Solera 5.5x30mm Sagittal Cancell Pedicle Cocr Ti Lumb Ad… 12 11 $1,950.00 $1,950.00 $12,292.23 $142,463.52 $77,377.88 2026-05-08
8604 OTHER Screw Spinal Expedium 5x25mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pedic… 12 11 $1,750.00 $1,750.00 $13,131.70 $173,253.40 $93,192.55 2026-05-08
8632 OTHER Screw Bone Pediloc 3.5x60mm Cannul Lck Full Thread Self-tap Cortic Ss T15 Hexalo… 14 13 $813.45 $813.45 $13,431.51 $169,682.16 $91,556.84 2026-05-08
8633 OTHER Screw Bone Pediloc 3.5x65mm Cannul Lck Full Thread Self-tap Cortic Ss T15 Hexalo… 14 13 $813.45 $813.45 $26,203.44 $267,553.44 $146,878.44 2026-05-08
8634 OTHER Wedge Bone Graft 22x22x6mm Allograft Evans Frz-dry Cort/canc Pre-shaped F/osteot… 14 13 $2,697.90 $2,697.90 $40,834.19 $448,142.36 $244,488.27 2026-05-08
8904 OTHER Post Fixat 4.5x42.5mm Self-tap Lo-pro Reconstruct Ti Bicortical F/collateral Lig… 14 13 $357.50 $357.50 $19,427.72 $146,227.80 $87,859.99 2026-05-08
8934 OTHER HIV With Multiple Significant HIV Related Conditions 22 20 — — $10,673.25 $137,251.44 $73,962.35 2026-05-08
9104 OTHER Plate Bone Lorenz Long 2/2-hole 1mm L-shaped Ti Silver F/2mm Screw Lt Cmf 14 13 $547.50 $547.50 $56,844.07 $176,728.12 $116,786.10 2026-05-08
9114 OTHER Plate Bone Lorenz 8-hole 0.6mm Curve Ti Silver F/1.5mm Screw Orbital Ns 14 13 $745.00 $745.00 $33,698.70 $162,925.76 $98,312.23 2026-05-08
9124 OTHER Plate Bone Lorenz Reg 49mm 8-hole Ti Silver F/2mm Screw Cranfac 14 13 $1,207.50 $1,207.50 $45,391.31 $171,998.64 $108,694.98 2026-05-08
9304 OTHER Screw Spinal Expedium 5x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn… 14 13 $2,000.00 $2,000.00 $21,886.17 $108,778.04 $65,332.11 2026-05-08
9503 OTHER Connector Extern Fixat Long 50mm Extend Ilizarov Taylor Spatial Frame 13 12 $371.25 $371.25 $25,423.93 $112,542.32 $68,983.12 2026-05-08
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 22 20 — — $44,842.76 $218,231.72 $131,537.24 2026-05-08
9514 OTHER Hook Spinal Expedium Isola 8mm Close Wide Blade Ti Pedicle F/5.5mm Rod Ns 14 13 $1,450.00 $1,450.00 $23,325.26 $190,530.48 $106,927.87 2026-05-08
9524 OTHER Hook Spinal Expedium Isola 8mm Open Wide Blade Ti Pedicle F/5.5mm Rod Ns 14 13 $1,450.00 $1,450.00 $20,926.77 $182,905.40 $101,916.09 2026-05-08
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