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 →

Export CSV
Hospital

AVERA ST LUKES

Aberdeen, SD · CCN 430014 · Rates published

3,927 distinct procedures filed
6 distinct payers
35,705 rate rows
2026-05-09 last MRF observed
Data quality

35,391 of 35,705 rate rows are consumer-grade (99.1%)

314 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
per-diem day rate — not a per-procedure price 254
placeholder amount (≤ $0.02) — excluded from medians 34
exceeds 10× this hospital's gross charge — excluded from medians 19
percent-of-charges filed in the dollar field — excluded from medians 6
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/552f58d0-bf09-4093-b27e-8b2b093f53ab/460224598_avera-st-lukes-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 2f57463b7ecc7aff… · 13,805,471 bytes · first seen 2026-05-09

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
5834
CPT 		Neonate With Ecmo 1 $938,433.34 $938,433.34 $938,433.34 —
5833
CPT 		Neonate With Ecmo 1 $817,254.97 $817,254.97 $817,254.97 —
5894
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $773,951.70 $773,951.70 $773,951.70 —
5884
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $753,932.31 $753,932.31 $753,932.31 —
1614
CPT 		Implantable Heart Assist Systems 1 $750,689.01 $750,689.01 $750,689.01 —
5893
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $703,591.30 $703,591.30 $703,591.30 —
5892
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $639,628.45 $639,628.45 $639,628.45 —
5914
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $563,644.22 $563,644.22 $563,644.22 —
1613
CPT 		Implantable Heart Assist Systems 1 $552,288.45 $552,288.45 $552,288.45 —
5832
CPT 		Neonate With Ecmo 1 $512,847.45 $512,847.45 $512,847.45 —
6094
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $505,616.82 $505,616.82 $505,616.82 —
5934
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $474,224.70 $474,224.70 $474,224.70 —
5883
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $426,219.71 $426,219.71 $426,219.71 —
5831
CPT 		Neonate With Ecmo 1 $415,311.22 $415,311.22 $415,311.22 —
5891
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $415,251.86 $415,251.86 $415,251.86 —
5882
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $414,885.14 $414,885.14 $414,885.14 —
8414
CPT 		Extensive Third Degree Burns With Skin Graft 1 $412,782.29 $412,782.29 $412,782.29 —
1612
CPT 		Implantable Heart Assist Systems 1 $392,326.22 $392,326.22 $392,326.22 —
6024
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $388,673.81 $388,673.81 $388,673.81 —
44
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $378,903.65 $378,903.65 $378,903.65 —
5933
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $375,601.00 $375,601.00 $375,601.00 —
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $267,733.36 $483,172.35 $375,452.85 —
1611
CPT 		Implantable Heart Assist Systems 1 $373,156.87 $373,156.87 $373,156.87 —
6074
CPT 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $353,514.81 $353,514.81 $353,514.81 —
6034
CPT 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $345,171.27 $345,171.27 $345,171.27 —
5913
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $341,166.97 $341,166.97 $341,166.97 —
4404
CPT 		Kidney Transplant 1 $331,129.72 $331,129.72 $331,129.72 —
8424
CPT 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $324,096.22 $324,096.22 $324,096.22 —
5881
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $290,647.90 $290,647.90 $290,647.90 —
1604
CPT 		Major Cardiothoracic Repair Of Heart Anomaly 1 $289,524.40 $289,524.40 $289,524.40 —
3034
CPT 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $255,236.64 $255,236.64 $255,236.64 —
43
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $253,244.03 $253,244.03 $253,244.03 —
5932
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $252,557.21 $252,557.21 $252,557.21 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $173,748.18 $313,559.42 $243,653.80 —
6124
CPT 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $243,071.11 $243,071.11 $243,071.11 —
6023
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $242,905.76 $242,905.76 $242,905.76 —
1784
CPT 		External Heart Assist Systems 1 $234,320.57 $234,320.57 $234,320.57 —
5931
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $229,597.66 $229,597.66 $229,597.66 —
8514
CPT 		Gender Related Procedures 1 $222,816.42 $222,816.42 $222,816.42 —
9114
CPT 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 $218,750.64 $218,750.64 $218,750.64 —
1624
CPT 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $213,152.25 $213,152.25 $213,152.25 —
6114
CPT 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $211,878.25 $211,878.25 $211,878.25 —
6314
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $209,298.45 $209,298.45 $209,298.45 —
4403
CPT 		Kidney Transplant 1 $206,915.80 $206,915.80 $206,915.80 —
8634
CPT 		Neonatal Aftercare 1 $205,540.05 $205,540.05 $205,540.05 —
6304
CPT 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $201,412.80 $201,412.80 $201,412.80 —
1834
CPT 		Percutaneous Structural Cardiac Procedures 1 $198,735.49 $198,735.49 $198,735.49 —
6904
CPT 		Acute Leukemia 1 $195,952.19 $195,952.19 $195,952.19 —
9104
CPT 		Craniotomy For Multiple Significant Trauma 1 $194,536.17 $194,536.17 $194,536.17 —
1674
CPT 		Other Cardiothoracic And Thoracic Vascular Procedures 1 $193,266.41 $193,266.41 $193,266.41 —

Other procedures at this hospital

Browse this hospital's 3,927 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
             
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $47,605.46 $85,912.50 $66,758.98 2026-05-09
3613 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $66,972.96 $66,972.96 $66,972.96 2026-05-09
212 CPT Concomitant Aortic And Mitral Valve Procedures 3 3 — — $52,939.89 $121,670.30 $67,419.42 2026-05-09
C1882 CPT Icd Bi-v Momentum X4 1s4 Df1 7 4 $107,214.00 $96,492.60 $43,207.24 $81,482.64 $67,544.82 2026-05-09
1804 CPT Other Circulatory System Procedures 1 1 — — $67,683.09 $67,683.09 $67,683.09 2026-05-09
2334 CPT Appendectomy With Complex Principal Diagnosis 1 1 — — $67,744.57 $67,744.57 $67,744.57 2026-05-09
404 CPT Spinal Disorders And Injuries 1 1 — — $67,782.72 $67,782.72 $67,782.72 2026-05-09
6604 CPT Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 1 1 — — $67,933.23 $67,933.23 $67,933.23 2026-05-09
5394 CPT Cesarean Section With Sterilization 1 1 — — $68,015.90 $68,015.90 $68,015.90 2026-05-09
8513 CPT Gender Related Procedures 1 1 — — $68,096.46 $68,096.46 $68,096.46 2026-05-09
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $48,786.56 $88,044.00 $68,415.28 2026-05-09
6252 CPT Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $68,870.18 $68,870.18 $68,870.18 2026-05-09
8502 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $68,910.46 $68,910.46 $68,910.46 2026-05-09
1662 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $68,931.66 $68,931.66 $68,931.66 2026-05-09
2404 CPT Digestive Malignancy 1 1 — — $68,933.78 $68,933.78 $68,933.78 2026-05-09
1213 CPT Other Respiratory And Chest Procedures 2 1 — — $68,284.13 $69,629.07 $68,956.60 2026-05-09
2824 CPT Disorders Of Pancreas Except Malignancy 1 1 — — $68,999.49 $68,999.49 $68,999.49 2026-05-09
6311 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $69,073.68 $69,073.68 $69,073.68 2026-05-09
9101 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $69,412.85 $69,412.85 $69,412.85 2026-05-09
1994 CPT Hypertension 1 1 — — $69,423.45 $69,423.45 $69,423.45 2026-05-09
3133 CPT Knee And Lower Leg Procedures Except Foot 2 1 — — $69,444.65 $69,444.65 $69,444.65 2026-05-09
3223 CPT Shoulder And Elbow Joint Replacement 1 1 — — $69,938.56 $69,938.56 $69,938.56 2026-05-09
2474 CPT Intestinal Obstruction 1 1 — — $70,125.10 $70,125.10 $70,125.10 2026-05-09
2264 CPT Anal And Perineal Procedures 1 1 — — $70,288.33 $70,288.33 $70,288.33 2026-05-09
2603 CPT Major Pancreas, Liver And Shunt Procedures 1 1 — — $70,368.88 $70,368.88 $70,368.88 2026-05-09
3041 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $70,854.32 $70,854.32 $70,854.32 2026-05-09
3213 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $70,867.03 $70,867.03 $70,867.03 2026-05-09
9102 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $71,036.62 $71,036.62 $71,036.62 2026-05-09
9503 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $71,466.94 $71,466.94 $71,466.94 2026-05-09
7944 CPT Non-extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $71,536.89 $71,536.89 $71,536.89 2026-05-09
4824 CPT Transurethral Prostatectomy 1 1 — — $71,606.84 $71,606.84 $71,606.84 2026-05-09
1934 CPT Acute And Subacute Endocarditis 1 1 — — $71,850.62 $71,850.62 $71,850.62 2026-05-09
6803 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $72,581.95 $72,581.95 $72,581.95 2026-05-09
3253 CPT Non-elective Or Complex Knee Joint Replacement 1 1 — — $72,654.03 $72,654.03 $72,654.03 2026-05-09
4464 CPT Urethral And Transurethral Procedures 1 1 — — $72,880.84 $72,880.84 $72,880.84 2026-05-09
1974 CPT Peripheral And Other Vascular Disorders 1 1 — — $72,916.88 $72,916.88 $72,916.88 2026-05-09
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $52,101.08 $94,025.64 $73,063.36 2026-05-09
1691 CPT Major Abdominal Vascular Procedures 1 1 — — $73,296.32 $73,296.32 $73,296.32 2026-05-09
1651 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $73,510.42 $73,510.42 $73,510.42 2026-05-09
2613 CPT Major Biliary Tract Procedures 1 1 — — $73,665.17 $73,665.17 $73,665.17 2026-05-09
5134 CPT Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 1 1 — — $73,872.91 $73,872.91 $73,872.91 2026-05-09
1763 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $73,923.79 $73,923.79 $73,923.79 2026-05-09
6213 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $73,987.38 $73,987.38 $73,987.38 2026-05-09
4264 CPT Non-hypovolemic Sodium Disorders 1 1 — — $74,036.13 $74,036.13 $74,036.13 2026-05-09
1631 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $74,135.77 $74,135.77 $74,135.77 2026-05-09
6614 CPT Coagulation And Platelet Disorders 1 1 — — $74,279.91 $74,279.91 $74,279.91 2026-05-09
2414 CPT Peptic Ulcer And Gastritis 1 1 — — $74,301.11 $74,301.11 $74,301.11 2026-05-09
9304 CPT Multiple Significant Trauma Without O.r. Procedure 1 1 — — $74,470.69 $74,470.69 $74,470.69 2026-05-09
1692 CPT Major Abdominal Vascular Procedures 1 1 — — $74,667.84 $74,667.84 $74,667.84 2026-05-09
6132 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $74,854.38 $74,854.38 $74,854.38 2026-05-09
850 CPT Acute Leukemia With Other Procedures 2 2 — — $53,688.90 $96,891.15 $75,290.02 2026-05-09
1693 CPT Major Abdominal Vascular Procedures 1 1 — — $75,456.40 $75,456.40 $75,456.40 2026-05-09
1744 CPT Percutaneous Cardiac Intervention With Ami 1 1 — — $75,587.83 $75,587.83 $75,587.83 2026-05-09
6312 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $75,979.99 $75,979.99 $75,979.99 2026-05-09
6031 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $75,992.71 $75,992.71 $75,992.71 2026-05-09
4473 CPT Other Kidney, Urinary Tract And Related Procedures 1 1 — — $76,056.30 $76,056.30 $76,056.30 2026-05-09
7504 CPT Schizophrenia 1 1 — — $76,677.41 $76,677.41 $76,677.41 2026-05-09
1703 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $76,880.91 $76,880.91 $76,880.91 2026-05-09
6364 CPT Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 — — $77,260.35 $77,260.35 $77,260.35 2026-05-09
3164 CPT Hand And Wrist Procedures 1 1 — — $77,752.14 $77,752.14 $77,752.14 2026-05-09
2284 CPT Inguinal, Femoral And Umbilical Hernia Procedures 1 1 — — $77,754.26 $77,754.26 $77,754.26 2026-05-09
5474 CPT Antepartum With O.r. Procedure 1 1 — — $77,864.49 $77,864.49 $77,864.49 2026-05-09
4013 CPT Adrenal Procedures 1 1 — — $78,303.29 $78,303.29 $78,303.29 2026-05-09
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $55,859.52 $100,808.41 $78,333.96 2026-05-09
3174 CPT Tendon, Muscle And Other Soft Tissue Procedures 1 1 — — $78,364.77 $78,364.77 $78,364.77 2026-05-09
1673 CPT Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $78,835.36 $78,835.36 $78,835.36 2026-05-09
8904 CPT HIV With Multiple Major HIV Related Conditions 1 1 — — $79,121.54 $79,121.54 $79,121.54 2026-05-09
1301 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $79,437.39 $79,437.39 $79,437.39 2026-05-09
3264 CPT Elective Knee Joint Replacement 1 1 — — $79,609.09 $79,609.09 $79,609.09 2026-05-09
9113 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $80,412.49 $80,412.49 $80,412.49 2026-05-09
2794 CPT Hepatic Coma And Other Major Acute Liver Disorders 1 1 — — $81,633.50 $81,633.50 $81,633.50 2026-05-09
3644 CPT Other Skin, Subcutaneous Tissue And Related Procedures 1 1 — — $82,148.61 $82,148.61 $82,148.61 2026-05-09
9123 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $82,706.12 $82,706.12 $82,706.12 2026-05-09
893 CPT Major Cranial Or Facial Bone Procedures 1 1 — — $82,865.10 $82,865.10 $82,865.10 2026-05-09
6924 CPT Radiotherapy 1 1 — — $83,138.56 $83,138.56 $83,138.56 2026-05-09
6142 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $83,333.58 $83,333.58 $83,333.58 2026-05-09
4834 CPT Penis, Testes And Scrotal Procedures 1 1 — — $83,524.36 $83,524.36 $83,524.36 2026-05-09
6032 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $83,592.19 $83,592.19 $83,592.19 2026-05-09
5484 CPT Postpartum And Post Abortion Diagnosis With O.r. Procedure 1 1 — — $83,689.70 $83,689.70 $83,689.70 2026-05-09
7234 CPT Viral Illness 1 1 — — $83,702.42 $83,702.42 $83,702.42 2026-05-09
4454 CPT Other Bladder Procedures 1 1 — — $84,817.44 $84,817.44 $84,817.44 2026-05-09
6914 CPT Lymphoma, Myeloma And Non-acute Leukemia 1 1 — — $84,823.80 $84,823.80 $84,823.80 2026-05-09
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $60,653.36 $109,459.75 $85,056.55 2026-05-09
1632 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $85,061.21 $85,061.21 $85,061.21 2026-05-09
4434 CPT Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $85,065.45 $85,065.45 $85,065.45 2026-05-09
1774 CPT Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $85,116.33 $85,116.33 $85,116.33 2026-05-09
6233 CPT Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $85,224.44 $85,224.44 $85,224.44 2026-05-09
1652 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $85,357.99 $85,357.99 $85,357.99 2026-05-09
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $47,400.24 $102,142.56 $85,542.14 2026-05-09
1203 CPT Major Respiratory And Chest Procedures 2 1 — — $85,673.84 $85,673.84 $85,673.84 2026-05-09
4694 CPT Acute Kidney Injury 1 1 — — $85,697.15 $85,697.15 $85,697.15 2026-05-09
4233 CPT Inborn Errors Of Metabolism 1 1 — — $85,711.99 $85,711.99 $85,711.99 2026-05-09
6253 CPT Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $86,068.12 $86,068.12 $86,068.12 2026-05-09
1302 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $86,394.57 $86,394.57 $86,394.57 2026-05-09
215 CPT Other Heart Assist System Implant 2 2 — — $61,733.40 $111,408.87 $86,571.13 2026-05-09
3123 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $86,797.33 $86,797.33 $86,797.33 2026-05-09
2294 CPT Other Digestive System And Abdominal Procedures 1 1 — — $86,928.76 $86,928.76 $86,928.76 2026-05-09
6954 CPT Chemotherapy For Acute Leukemia 1 1 — — $87,297.60 $87,297.60 $87,297.60 2026-05-09
3103 CPT Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 1 1 — — $87,704.61 $87,704.61 $87,704.61 2026-05-09
1663 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $88,126.45 $88,126.45 $88,126.45 2026-05-09
3042 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $88,145.52 $88,145.52 $88,145.52 2026-05-09
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $63,925.10 $115,364.18 $89,644.64 2026-05-09
3054 CPT Amputation Of Lower Limb Except Toes 1 1 — — $89,858.32 $89,858.32 $89,858.32 2026-05-09
2234 CPT Other Small And Large Bowel Procedures 1 1 — — $90,521.82 $90,521.82 $90,521.82 2026-05-09
1823 CPT Other Peripheral Vascular And Related Procedures 1 1 — — $91,102.64 $91,102.64 $91,102.64 2026-05-09
1621 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $91,441.81 $91,441.81 $91,441.81 2026-05-09
1791 CPT Defibrillator Implants 1 1 — — $92,321.53 $92,321.53 $92,321.53 2026-05-09
3204 CPT Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $93,237.28 $93,237.28 $93,237.28 2026-05-09
3624 CPT Mastectomy Procedures 1 1 — — $93,915.62 $93,915.62 $93,915.62 2026-05-09
1603 CPT Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $93,991.93 $93,991.93 $93,991.93 2026-05-09
3634 CPT Breast Procedures Except Mastectomy 1 1 — — $94,036.45 $94,036.45 $94,036.45 2026-05-09
1792 CPT Defibrillator Implants 1 1 — — $94,146.68 $94,146.68 $94,146.68 2026-05-09
4234 CPT Inborn Errors Of Metabolism 1 1 — — $94,282.34 $94,282.34 $94,282.34 2026-05-09
6122 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $94,901.33 $94,901.33 $94,901.33 2026-05-09
7594 CPT Eating Disorders 1 1 — — $95,109.07 $95,109.07 $95,109.07 2026-05-09
7754 CPT Alcohol Abuse And Dependence 1 1 — — $95,255.33 $95,255.33 $95,255.33 2026-05-09
7524 CPT Disorders Of Personality And Impulse Control 1 1 — — $95,647.50 $95,647.50 $95,647.50 2026-05-09
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $68,331.44 $123,316.21 $95,823.83 2026-05-09
3244 CPT Elective Hip Joint Replacement 1 1 — — $96,747.67 $96,747.67 $96,747.67 2026-05-09
2274 CPT Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $96,925.74 $96,925.74 $96,925.74 2026-05-09
3224 CPT Shoulder And Elbow Joint Replacement 1 1 — — $97,135.60 $97,135.60 $97,135.60 2026-05-09
5194 CPT Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $97,161.03 $97,161.03 $97,161.03 2026-05-09
2314 CPT Major Large Bowel Procedures 1 1 — — $97,243.71 $97,243.71 $97,243.71 2026-05-09
7924 CPT Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $97,555.32 $97,555.32 $97,555.32 2026-05-09
8503 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $97,593.47 $97,593.47 $97,593.47 2026-05-09
3084 CPT Hip And Femur Fracture Repair 1 1 — — $98,061.95 $98,061.95 $98,061.95 2026-05-09
1831 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $98,218.81 $98,218.81 $98,218.81 2026-05-09
209 CPT Complex Aortic Arch Procedures 2 2 — — $70,176.56 $126,646.05 $98,411.30 2026-05-09
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $70,257.16 $126,791.51 $98,524.33 2026-05-09
224 CPT Ventricular Shunt Procedures 1 1 — — $98,803.88 $98,803.88 $98,803.88 2026-05-09
4444 CPT Renal Dialysis Access Device Procedures 1 1 — — $98,892.91 $98,892.91 $98,892.91 2026-05-09
4844 CPT Other Male Reproductive System And Related Procedures 1 1 — — $99,263.87 $99,263.87 $99,263.87 2026-05-09
6091 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $99,458.90 $99,458.90 $99,458.90 2026-05-09
1832 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $100,355.57 $100,355.57 $100,355.57 2026-05-09
984 CPT Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 1 1 — — $100,408.57 $100,408.57 $100,408.57 2026-05-09
6903 CPT Acute Leukemia 1 1 — — $100,446.72 $100,446.72 $100,446.72 2026-05-09
6234 CPT Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $100,853.72 $100,853.72 $100,853.72 2026-05-09
6254 CPT Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $101,296.76 $101,296.76 $101,296.76 2026-05-09
4424 CPT Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $101,466.35 $101,466.35 $101,466.35 2026-05-09
1754 CPT Percutaneous Cardiac Intervention Without Ami 2 1 — — $101,905.15 $101,905.15 $101,905.15 2026-05-09
6504 CPT Splenic Procedures 1 1 — — $102,184.96 $102,184.96 $102,184.96 2026-05-09
4804 CPT Major Male Pelvic Procedures 1 1 — — $102,231.59 $102,231.59 $102,231.59 2026-05-09
9524 CPT Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $102,543.21 $102,543.21 $102,543.21 2026-05-09
3154 CPT Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 1 1 — — $102,914.17 $102,914.17 $102,914.17 2026-05-09
2224 CPT Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $103,399.60 $103,399.60 $103,399.60 2026-05-09
3134 CPT Knee And Lower Leg Procedures Except Foot 1 1 — — $103,692.14 $103,692.14 $103,692.14 2026-05-09
1622 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $105,303.18 $105,303.18 $105,303.18 2026-05-09
7934 CPT Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $106,011.20 $106,011.20 $106,011.20 2026-05-09
8633 CPT Neonatal Aftercare 1 1 — — $106,380.04 $106,380.04 $106,380.04 2026-05-09
6143 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $106,748.89 $106,748.89 $106,748.89 2026-05-09
3031 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $107,361.51 $107,361.51 $107,361.51 2026-05-09
1633 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $107,630.73 $107,630.73 $107,630.73 2026-05-09
5144 CPT Female Reproductive System Reconstructive Procedures 1 1 — — $108,393.85 $108,393.85 $108,393.85 2026-05-09
1653 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $109,443.15 $109,443.15 $109,443.15 2026-05-09
1793 CPT Defibrillator Implants 1 1 — — $109,640.30 $109,640.30 $109,640.30 2026-05-09
6112 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $110,320.75 $110,320.75 $110,320.75 2026-05-09
6092 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $110,511.53 $110,511.53 $110,511.53 2026-05-09
2304 CPT Major Small Bowel Procedures 1 1 — — $110,526.37 $110,526.37 $110,526.37 2026-05-09
3104 CPT Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 1 1 — — $111,276.78 $111,276.78 $111,276.78 2026-05-09
51 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $111,342.50 $111,342.50 $111,342.50 2026-05-09
5124 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $111,957.24 $111,957.24 $111,957.24 2026-05-09
3214 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $112,523.22 $112,523.22 $112,523.22 2026-05-09
7 CPT Lung Transplant 2 2 — — $80,291.24 $144,899.79 $112,595.52 2026-05-09
6514 CPT Other Procedures Of Blood And Blood-forming Organs 1 1 — — $112,839.07 $112,839.07 $112,839.07 2026-05-09
4054 CPT Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $113,309.67 $113,309.67 $113,309.67 2026-05-09
4044 CPT Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $113,362.66 $113,362.66 $113,362.66 2026-05-09
4474 CPT Other Kidney, Urinary Tract And Related Procedures 1 1 — — $113,369.02 $113,369.02 $113,369.02 2026-05-09
6313 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $114,414.09 $114,414.09 $114,414.09 2026-05-09
6133 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $114,428.92 $114,428.92 $114,428.92 2026-05-09
8423 CPT Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $115,664.77 $115,664.77 $115,664.77 2026-05-09
5184 CPT Other Female Reproductive System And Related Procedures 1 1 — — $115,675.37 $115,675.37 $115,675.37 2026-05-09
6082 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $116,010.29 $116,010.29 $116,010.29 2026-05-09
6302 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $116,408.82 $116,408.82 $116,408.82 2026-05-09
1704 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $116,489.37 $116,489.37 $116,489.37 2026-05-09
6072 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $117,055.36 $117,055.36 $117,055.36 2026-05-09
4401 CPT Kidney Transplant 1 1 — — $117,814.24 $117,814.24 $117,814.24 2026-05-09
2644 CPT Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $118,255.16 $118,255.16 $118,255.16 2026-05-09
2324 CPT Gastric Fundoplication 1 1 — — $119,166.68 $119,166.68 $119,166.68 2026-05-09
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $85,878.68 $154,983.31 $120,430.99 2026-05-09
6123 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $121,108.41 $121,108.41 $121,108.41 2026-05-09
1833 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $121,947.85 $121,947.85 $121,947.85 2026-05-09
6344 CPT Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $122,168.31 $122,168.31 $122,168.31 2026-05-09
5114 CPT Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $122,246.75 $122,246.75 $122,246.75 2026-05-09
1303 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $122,320.94 $122,320.94 $122,320.94 2026-05-09
1764 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $123,548.30 $123,548.30 $123,548.30 2026-05-09
3043 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $124,830.78 $124,830.78 $124,830.78 2026-05-09
7104 CPT Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 1 — — $125,208.11 $125,208.11 $125,208.11 2026-05-09
4034 CPT Procedures For Obesity 1 1 — — $125,920.36 $125,920.36 $125,920.36 2026-05-09
9124 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 1 — — $114,061.91 $138,961.37 $126,511.64 2026-05-09
5104 CPT Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $127,501.73 $127,501.73 $127,501.73 2026-05-09
3234 CPT Non-elective Or Complex Hip Joint Replacement 1 1 — — $128,353.89 $128,353.89 $128,353.89 2026-05-09
1714 CPT Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $128,567.99 $128,567.99 $128,567.99 2026-05-09
4014 CPT Adrenal Procedures 1 1 — — $129,549.46 $129,549.46 $129,549.46 2026-05-09
1204 CPT Major Respiratory And Chest Procedures 1 1 — — $130,448.25 $130,448.25 $130,448.25 2026-05-09
924 CPT Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $130,863.73 $130,863.73 $130,863.73 2026-05-09
1654 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $130,948.53 $130,948.53 $130,948.53 2026-05-09
1781 CPT External Heart Assist Systems 1 1 — — $130,973.96 $130,973.96 $130,973.96 2026-05-09
7404 CPT Mental Illness Diagnosis With O.r. Procedure 1 1 — — $131,086.31 $131,086.31 $131,086.31 2026-05-09
1214 CPT Other Respiratory And Chest Procedures 1 1 — — $131,455.16 $131,455.16 $131,455.16 2026-05-09
1623 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $132,099.58 $132,099.58 $132,099.58 2026-05-09
2614 CPT Major Biliary Tract Procedures 1 1 — — $133,142.52 $133,142.52 $133,142.52 2026-05-09
9103 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $133,201.87 $133,201.87 $133,201.87 2026-05-09
294 CPT Other Percutaneous Intracranial Procedures 1 1 — — $133,201.87 $133,201.87 $133,201.87 2026-05-09
6144 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $133,566.48 $133,566.48 $133,566.48 2026-05-09
3032 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $133,801.78 $133,801.78 $133,801.78 2026-05-09
14 CPT Allogeneic Bone Marrow Transplant 3 3 — — $74,510.98 $392,553.04 $134,468.28 2026-05-09
7114 CPT Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $135,323.79 $135,323.79 $135,323.79 2026-05-09
6083 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $137,816.68 $137,816.68 $137,816.68 2026-05-09
1814 CPT Lower Extremity Arterial Procedures 1 1 — — $138,637.04 $138,637.04 $138,637.04 2026-05-09
1782 CPT External Heart Assist Systems 1 1 — — $139,186.07 $139,186.07 $139,186.07 2026-05-09
6214 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $139,236.94 $139,236.94 $139,236.94 2026-05-09
3254 CPT Non-elective Or Complex Knee Joint Replacement 1 1 — — $140,589.38 $140,589.38 $140,589.38 2026-05-09
1664 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $140,703.84 $140,703.84 $140,703.84 2026-05-09
6814 CPT Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $140,712.32 $140,712.32 $140,712.32 2026-05-09
6084 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $140,960.34 $140,960.34 $140,960.34 2026-05-09
3614 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $141,373.70 $141,373.70 $141,373.70 2026-05-09
9514 CPT Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $142,350.93 $142,350.93 $142,350.93 2026-05-09
6113 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $142,931.75 $142,931.75 $142,931.75 2026-05-09
3124 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $143,256.08 $143,256.08 $143,256.08 2026-05-09
6804 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $145,170.26 $145,170.26 $145,170.26 2026-05-09
3094 CPT Other Significant Hip And Femur Surgery 2 1 — — $136,720.74 $155,369.92 $146,045.33 2026-05-09
1794 CPT Defibrillator Implants 1 1 — — $146,456.98 $146,456.98 $146,456.98 2026-05-09
9504 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 1 — — $117,000.00 $181,620.22 $149,310.11 2026-05-09
8413 CPT Extensive Third Degree Burns With Skin Graft 1 1 — — $149,437.42 $149,437.42 $149,437.42 2026-05-09
1304 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $150,047.92 $150,047.92 $150,047.92 2026-05-09
6224 CPT Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $150,910.68 $150,910.68 $150,910.68 2026-05-09
1694 CPT Major Abdominal Vascular Procedures 1 1 — — $154,153.98 $154,153.98 $154,153.98 2026-05-09
6334 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $156,203.82 $156,203.82 $156,203.82 2026-05-09
2604 CPT Major Pancreas, Liver And Shunt Procedures 1 1 — — $158,012.01 $158,012.01 $158,012.01 2026-05-09
6134 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $159,487.39 $159,487.39 $159,487.39 2026-05-09
1783 CPT External Heart Assist Systems 1 1 — — $159,703.61 $159,703.61 $159,703.61 2026-05-09
1824 CPT Other Peripheral Vascular And Related Procedures 1 1 — — $160,047.02 $160,047.02 $160,047.02 2026-05-09
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $114,267.24 $206,215.51 $160,241.38 2026-05-09
5911 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $160,269.60 $160,269.60 $160,269.60 2026-05-09
3044 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $164,072.52 $164,072.52 $164,072.52 2026-05-09
6033 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $166,673.51 $166,673.51 $166,673.51 2026-05-09
6073 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $167,050.84 $167,050.84 $167,050.84 2026-05-09
4414 CPT Major Bladder Procedures 1 1 — — $167,411.21 $167,411.21 $167,411.21 2026-05-09
1634 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $171,385.83 $171,385.83 $171,385.83 2026-05-09
214 CPT Open Craniotomy Except Trauma 1 1 — — $171,544.82 $171,544.82 $171,544.82 2026-05-09
3033 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $173,208.86 $173,208.86 $173,208.86 2026-05-09
2204 CPT Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $175,220.55 $175,220.55 $175,220.55 2026-05-09
5912 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $176,297.41 $176,297.41 $176,297.41 2026-05-09
2244 CPT Peritoneal Adhesiolysis 1 1 — — $177,454.82 $177,454.82 $177,454.82 2026-05-09
6303 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $181,272.58 $181,272.58 $181,272.58 2026-05-09
8504 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $181,891.56 $181,891.56 $181,891.56 2026-05-09
4402 CPT Kidney Transplant 1 1 — — $183,171.92 $183,171.92 $183,171.92 2026-05-09
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $131,596.24 $237,488.76 $184,542.50 2026-05-09
6093 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $188,407.82 $188,407.82 $188,407.82 2026-05-09
6022 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $188,443.86 $188,443.86 $188,443.86 2026-05-09
1674 CPT Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $193,266.41 $193,266.41 $193,266.41 2026-05-09
9104 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $194,536.17 $194,536.17 $194,536.17 2026-05-09
6904 CPT Acute Leukemia 1 1 — — $195,952.19 $195,952.19 $195,952.19 2026-05-09
1834 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $198,735.49 $198,735.49 $198,735.49 2026-05-09
6304 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $201,412.80 $201,412.80 $201,412.80 2026-05-09
8634 CPT Neonatal Aftercare 1 1 — — $205,540.05 $205,540.05 $205,540.05 2026-05-09
4403 CPT Kidney Transplant 1 1 — — $206,915.80 $206,915.80 $206,915.80 2026-05-09
6314 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $209,298.45 $209,298.45 $209,298.45 2026-05-09
6114 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $211,878.25 $211,878.25 $211,878.25 2026-05-09
1624 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $213,152.25 $213,152.25 $213,152.25 2026-05-09
9114 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $218,750.64 $218,750.64 $218,750.64 2026-05-09
8514 CPT Gender Related Procedures 1 1 — — $222,816.42 $222,816.42 $222,816.42 2026-05-09
5931 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $229,597.66 $229,597.66 $229,597.66 2026-05-09
1784 CPT External Heart Assist Systems 1 1 — — $234,320.57 $234,320.57 $234,320.57 2026-05-09
6023 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $242,905.76 $242,905.76 $242,905.76 2026-05-09
6124 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $243,071.11 $243,071.11 $243,071.11 2026-05-09
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $173,748.18 $313,559.42 $243,653.80 2026-05-09
5932 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $252,557.21 $252,557.21 $252,557.21 2026-05-09
43 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $253,244.03 $253,244.03 $253,244.03 2026-05-09
3034 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $255,236.64 $255,236.64 $255,236.64 2026-05-09
1604 CPT Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $289,524.40 $289,524.40 $289,524.40 2026-05-09
5881 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $290,647.90 $290,647.90 $290,647.90 2026-05-09
8424 CPT Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $324,096.22 $324,096.22 $324,096.22 2026-05-09
4404 CPT Kidney Transplant 1 1 — — $331,129.72 $331,129.72 $331,129.72 2026-05-09
5913 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $341,166.97 $341,166.97 $341,166.97 2026-05-09
6034 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $345,171.27 $345,171.27 $345,171.27 2026-05-09
6074 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $353,514.81 $353,514.81 $353,514.81 2026-05-09
1611 CPT Implantable Heart Assist Systems 1 1 — — $373,156.87 $373,156.87 $373,156.87 2026-05-09
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $267,733.36 $483,172.35 $375,452.85 2026-05-09
5933 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $375,601.00 $375,601.00 $375,601.00 2026-05-09
44 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $378,903.65 $378,903.65 $378,903.65 2026-05-09
6024 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $388,673.81 $388,673.81 $388,673.81 2026-05-09
1612 CPT Implantable Heart Assist Systems 1 1 — — $392,326.22 $392,326.22 $392,326.22 2026-05-09
8414 CPT Extensive Third Degree Burns With Skin Graft 1 1 — — $412,782.29 $412,782.29 $412,782.29 2026-05-09
5882 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $414,885.14 $414,885.14 $414,885.14 2026-05-09
5891 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $415,251.86 $415,251.86 $415,251.86 2026-05-09
5831 CPT Neonate With Ecmo 1 1 — — $415,311.22 $415,311.22 $415,311.22 2026-05-09
5883 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $426,219.71 $426,219.71 $426,219.71 2026-05-09
5934 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $474,224.70 $474,224.70 $474,224.70 2026-05-09
6094 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $505,616.82 $505,616.82 $505,616.82 2026-05-09
5832 CPT Neonate With Ecmo 1 1 — — $512,847.45 $512,847.45 $512,847.45 2026-05-09
1613 CPT Implantable Heart Assist Systems 1 1 — — $552,288.45 $552,288.45 $552,288.45 2026-05-09
5914 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $563,644.22 $563,644.22 $563,644.22 2026-05-09
5892 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $639,628.45 $639,628.45 $639,628.45 2026-05-09
5893 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $703,591.30 $703,591.30 $703,591.30 2026-05-09
1614 CPT Implantable Heart Assist Systems 1 1 — — $750,689.01 $750,689.01 $750,689.01 2026-05-09
5884 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $753,932.31 $753,932.31 $753,932.31 2026-05-09
5894 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $773,951.70 $773,951.70 $773,951.70 2026-05-09
5833 CPT Neonate With Ecmo 1 1 — — $817,254.97 $817,254.97 $817,254.97 2026-05-09
5834 CPT Neonate With Ecmo 1 1 — — $938,433.34 $938,433.34 $938,433.34 2026-05-09
See an error in this hospital's data? Submit a correction