Price Transparencybeta 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

BLACK HILLS SURGICAL HOSPITAL LLC

Rapid City, SD · CCN 430091 · Rates published

3,829 distinct procedures filed
6 distinct payers
71,616 rate rows
2026-05-23 last MRF observed
Data quality

69,521 of 71,616 rate rows are consumer-grade (97.1%)

2,095 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
placeholder amount (≤ $0.02) — excluded from medians 1,711
template filing: same amount across many unrelated codes — excluded 207
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 153
exceeds 10× this hospital's gross charge — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bhsh.com/wp-content/uploads/2023/03/460440466_black-hills-surgical-hospital_standardcharges.csv
Found on page https://bhsh.com/patient-resources/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15
Content fingerprint 93a6d2d0f88a558c… · 1,018,413 bytes · first seen 2026-05-06

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
3034
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 4 3 $177,165.39 $177,165.39 $177,165.39 nat. median
$71,896
outlier · 2.5×
8504
OTHER 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $126,254.95 $126,254.95 $126,254.95 nat. median
$54,391
outlier · 2.3×
2204
OTHER 		Major Stomach, Esophageal And Duodenal Procedures Severity Level 4 3 $121,624.45 $121,624.45 $121,624.45 nat. median
$42,813
outlier · 2.8×
3033
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 3 3 $120,228.09 $120,228.09 $120,228.09 nat. median
$42,153
outlier · 2.9×
3044
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 4 3 $113,886.36 $113,886.36 $113,886.36 nat. median
$53,661
outlier · 2.1×
6804
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 $100,765.89 $100,765.89 $100,765.89 nat. median
$55,882
1.8× median
6814
OTHER 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity… 3 $97,671.53 $97,671.53 $97,671.53 nat. median
$47,145
outlier · 2.1×
3254
OTHER 		Non-elective Or Complex Knee Joint Replacement Severity Level 4 3 $97,586.19 $97,586.19 $97,586.19 nat. median
$31,165
outlier · 3.1×
3094
OTHER 		Other Significant Hip And Femur Surgery Severity Level 4 3 $94,900.89 $94,900.89 $94,900.89 nat. median
$29,444
outlier · 3.2×
7114
OTHER 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 $93,931.23 $93,931.23 $93,931.23 nat. median
$35,096
outlier · 2.7×
3032
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 2 3 $92,874.77 $92,874.77 $92,874.77 nat. median
$28,903
outlier · 3.2×
0924
OTHER 		Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures Severity L… 3 $90,835.41 $90,835.41 $90,835.41 nat. median
$181
outlier · 503.0×
3234
OTHER 		Non-elective Or Complex Hip Joint Replacement Severity Level 4 3 $89,093.27 $89,093.27 $89,093.27 nat. median
$11,176
outlier · 8.0×
4034
OTHER 		Procedures For Obesity Severity Level 4 3 $87,404.10 $87,404.10 $87,404.10 nat. median
$1,449
outlier · 60.3×
3043
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 3 3 $86,647.80 $86,647.80 $86,647.80 nat. median
$35,758
outlier · 2.4×
2324
OTHER 		Gastric Fundoplication Severity Level 4 3 $82,716.22 $82,716.22 $82,716.22 nat. median
$1
outlier · 59083.0×
5184
OTHER 		Other Female Reproductive System And Related Procedures Severity Level 4 3 $80,292.83 $80,292.83 $80,292.83 nat. median
$5,870
outlier · 13.7×
3214
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 $78,104.85 $78,104.85 $78,104.85 nat. median
$38,828
outlier · 2.0×
3104
OTHER 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 $77,239.67 $77,239.67 $77,239.67 nat. median
$31,405
outlier · 2.5×
3031
OTHER 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 1 3 $74,522.00 $74,522.00 $74,522.00 nat. median
$24,739
outlier · 3.0×
3134
OTHER 		Knee And Lower Leg Procedures Except Foot Severity Level 4 3 $71,975.00 $71,975.00 $71,975.00 nat. median
$31,591
outlier · 2.3×
3154
OTHER 		Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 $71,435.00 $71,435.00 $71,435.00 nat. median
$32,610
outlier · 2.2×
3084
OTHER 		Hip And Femur Fracture Repair Severity Level 4 3 $68,066.96 $68,066.96 $68,066.96 nat. median
$27,004
outlier · 2.5×
8503
OTHER 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $67,741.78 $67,741.78 $67,741.78 nat. median
$26,629
outlier · 2.5×
2314
OTHER 		Major Large Bowel Procedures Severity Level 4 3 $67,499.00 $67,499.00 $67,499.00 nat. median
$31,586
outlier · 2.1×
5194
OTHER 		Uterine And Adnexa Procedures For Leiomyoma Severity Level 4 3 $67,441.62 $67,441.62 $67,441.62 nat. median
$18,909
outlier · 3.6×
3224
OTHER 		Shoulder And Elbow Joint Replacement Severity Level 4 3 $67,423.96 $67,423.96 $67,423.96 nat. median
$27,092
outlier · 2.5×
3244
OTHER 		Elective Hip Joint Replacement Severity Level 4 3 $67,154.70 $67,154.70 $67,154.70 nat. median
$23,210
outlier · 2.9×
3634
OTHER 		Breast Procedures Except Mastectomy Severity Level 4 3 $65,272.78 $65,272.78 $65,272.78 nat. median
$27,855
outlier · 2.3×
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $20,726.14 $97,635.94 $63,192.63 nat. median
$65,342
1.0× median
2234
OTHER 		Other Small And Large Bowel Procedures Severity Level 4 3 $62,833.19 $62,833.19 $62,833.19 nat. median
$32,357
1.9× median
3042
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 2 3 $61,183.75 $61,183.75 $61,183.75 nat. median
$21,290
outlier · 2.9×
3103
OTHER 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 $60,877.70 $60,877.70 $60,877.70 nat. median
$18,741
outlier · 3.2×
0231
OTHER 		Spinal Procedures Severity Level 1 5 $26,791.25 $60,716.66 $60,115.51 nat. median
$13,153
outlier · 4.6×
456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $59,926.53 $90,110.72 $59,926.53 nat. median
$76,493
0.8× median
4694
OTHER 		Acute Kidney Injury Severity Level 4 3 $59,484.29 $59,484.29 $59,484.29 nat. median
$17,752
outlier · 3.4×
4434
OTHER 		Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 4 3 $59,045.81 $59,045.81 $59,045.81 nat. median
$30,365
1.9× median
4834
OTHER 		Penis, Testes And Scrotal Procedures Severity Level 4 3 $57,976.10 $57,976.10 $57,976.10 nat. median
$31,162
1.9× median
3264
OTHER 		Elective Knee Joint Replacement Severity Level 4 3 $55,258.43 $55,258.43 $55,258.43 nat. median
$23,944
outlier · 2.3×
0233
OTHER 		Spinal Procedures Severity Level 3 5 $54,519.63 $70,899.41 $55,064.83 nat. median
$27,183
outlier · 2.0×
3174
OTHER 		Tendon, Muscle And Other Soft Tissue Procedures Severity Level 4 3 $54,394.72 $54,394.72 $54,394.72 nat. median
$30,774
1.8× median
3164
OTHER 		Hand And Wrist Procedures Severity Level 4 3 $53,969.48 $53,969.48 $53,969.48 nat. median
$26,427
outlier · 2.0×
427
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion 3 $51,477.46 $51,992.23 $51,477.46 nat. median
$51,811
1.0× median
5134
OTHER 		Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 $51,276.82 $51,276.82 $51,276.82 nat. median
$29,908
1.7× median
3253
OTHER 		Non-elective Or Complex Knee Joint Replacement Severity Level 3 3 $50,430.76 $50,430.76 $50,430.76 nat. median
$23,688
outlier · 2.1×
6803
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 $50,380.74 $50,380.74 $50,380.74 nat. median
$28,809
1.7× median
4824
OTHER 		Transurethral Prostatectomy Severity Level 4 3 $49,703.89 $49,703.89 $49,703.89 nat. median
$21,614
outlier · 2.3×
3213
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 $49,190.37 $49,190.37 $49,190.37 nat. median
$27,845
1.8× median
3041
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 1 3 $49,181.54 $49,181.54 $49,181.54 nat. median
$18,741
outlier · 2.6×
3223
OTHER 		Shoulder And Elbow Joint Replacement Severity Level 3 3 $48,545.90 $48,545.90 $48,545.90 nat. median
$20,867
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 3,829 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
             
0231 OTHER Spinal Procedures Severity Level 1 7 5 $1.00 $0.60 40% off $26,791.25 $60,716.66 $60,115.51 2026-05-23
0232 OTHER Spinal Procedures Severity Level 2 7 5 $1.00 $0.60 40% off $36,056.66 $43,666.10 $43,233.76 2026-05-23
0233 OTHER Spinal Procedures Severity Level 3 7 5 $1.00 $0.60 40% off $54,519.63 $70,899.41 $55,064.83 2026-05-23
0234 OTHER Spinal Procedures Severity Level 4 7 5 $1.00 $0.60 40% off $38,955.74 $128,854.91 $39,345.29 2026-05-23
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 5 4 $40,498.56 $24,299.14 40% off $24,328.88 $36,448.70 $24,328.88 2026-05-23
030 OTHER Spinal Procedures Without Cc/mcc 5 4 $27,743.22 $16,645.93 40% off $15,654.46 $24,968.90 $15,654.46 2026-05-23
041 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 6 $27,706.48 $16,623.89 40% off $15,679.42 $88,425.25 $20,386.02 2026-05-23
091 OTHER Other Disorders Of Nervous System With Mcc 8 6 $20,469.69 $12,281.81 40% off $12,523.85 $72,654.79 $15,535.91 2026-05-23
0911 OTHER Other Major Head And Neck Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $24,719.52 $24,719.52 $24,719.52 2026-05-23
0912 OTHER Other Major Head And Neck Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $36,899.77 $36,899.77 $36,899.77 2026-05-23
0924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures Severity L… 3 3 $1.00 $0.60 40% off $90,835.41 $90,835.41 $90,835.41 2026-05-23
0981 OTHER Other Ear, Nose, Mouth And Throat Procedures Severity Level 1 7 5 $1.00 $0.60 40% off $12,159.65 $33,792.87 $33,458.29 2026-05-23
0982 OTHER Other Ear, Nose, Mouth And Throat Procedures Severity Level 2 7 5 $1.00 $0.60 40% off $17,532.11 $23,111.28 $17,707.43 2026-05-23
0984 OTHER Other Ear, Nose, Mouth And Throat Procedures Severity Level 4 7 5 $1.00 $0.60 40% off $24,323.89 $69,695.80 $24,567.13 2026-05-23
141 OTHER Major Head And Neck Procedures With Cc 5 4 $26,456.31 $15,873.79 40% off $15,553.91 $23,810.68 $15,553.91 2026-05-23
1414 OTHER Asthma Severity Level 4 3 3 $1.00 $0.60 40% off $24,643.01 $24,643.01 $24,643.01 2026-05-23
2201 OTHER Major Stomach, Esophageal And Duodenal Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $18,579.37 $18,579.37 $18,579.37 2026-05-23
2202 OTHER Major Stomach, Esophageal And Duodenal Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $31,502.67 $31,502.67 $31,502.67 2026-05-23
2203 OTHER Major Stomach, Esophageal And Duodenal Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $43,014.91 $43,014.91 $43,014.91 2026-05-23
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $121,624.45 $121,624.45 $121,624.45 2026-05-23
2231 OTHER Other Small And Large Bowel Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $17,739.20 $17,739.20 $17,739.20 2026-05-23
2232 OTHER Other Small And Large Bowel Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $23,159.84 $23,159.84 $23,159.84 2026-05-23
2233 OTHER Other Small And Large Bowel Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $33,324.27 $33,324.27 $33,324.27 2026-05-23
2234 OTHER Other Small And Large Bowel Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $62,833.19 $62,833.19 $62,833.19 2026-05-23
22556 OTHER Arthrodesis Anterior Interbody Tech 15 6 $17,249.49 $10,349.69 40% off $1,399.35 $17,730.88 $15,524.54 2026-05-23
22610 OTHER Arthrodesis Thoracic 15 6 $17,249.49 $10,349.69 40% off $1,104.80 $17,730.88 $15,524.54 2026-05-23
22612 OTHER Arthrodesis Posterior Technique Lum 18 6 $23,605.63 $14,163.38 40% off $2,136.71 $21,245.07 $17,730.88 2026-05-23
22630 OTHER Arthrodesis Posterior Interbody Tech 15 6 $23,605.63 $14,163.38 40% off $1,309.24 $27,438.97 $21,245.07 2026-05-23
22800 OTHER Arthrodesis Post For Deformity 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $17,730.88 $17,091.51 2026-05-23
22804 OTHER Arthrodesis Posterior Spinal Defor 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $17,730.88 $17,091.51 2026-05-23
22808 OTHER Anterior Arthrodesis For Deformity 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $17,730.88 $17,091.51 2026-05-23
22840 OTHER Posterior Non Segmental Instrumenati 16 6 $18,821.48 $11,292.89 40% off $16,939.33 $16,939.33 $16,939.33 2026-05-23
22846 OTHER Anterior Instrumentaion 15 6 $18,821.48 $11,292.89 40% off $572.74 $16,939.33 $16,939.33 2026-05-23
22856 OTHER Total Disc Arthroplasty Cervical 31 6 $30,684.32 $18,410.59 40% off $1,330.80 $27,615.89 $17,555.32 2026-05-23
2311 OTHER Major Large Bowel Procedures Severity Level 1 3 3 $1.00 $0.60 40% off $21,875.30 $21,875.30 $21,875.30 2026-05-23
2312 OTHER Major Large Bowel Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $25,811.30 $25,811.30 $25,811.30 2026-05-23
2313 OTHER Major Large Bowel Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $36,908.60 $36,908.60 $36,908.60 2026-05-23
2314 OTHER Major Large Bowel Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $67,499.00 $67,499.00 $67,499.00 2026-05-23
2321 OTHER Gastric Fundoplication Severity Level 1 3 3 $1.00 $0.60 40% off $18,217.40 $18,217.40 $18,217.40 2026-05-23
2322 OTHER Gastric Fundoplication Severity Level 2 3 3 $1.00 $0.60 40% off $23,844.04 $23,844.04 $23,844.04 2026-05-23
2323 OTHER Gastric Fundoplication Severity Level 3 3 3 $1.00 $0.60 40% off $33,899.58 $33,899.58 $33,899.58 2026-05-23
2324 OTHER Gastric Fundoplication Severity Level 4 3 3 $1.00 $0.60 40% off $82,716.22 $82,716.22 $82,716.22 2026-05-23
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 6 $61,457.65 $36,874.59 40% off $38,955.74 $128,854.91 $47,328.58 2026-05-23
2342 OTHER Appendectomy Without Complex Principal Diagnosis Severity Level 2 3 3 $1.00 $0.60 40% off $16,844.59 $16,844.59 $16,844.59 2026-05-23
2343 OTHER Appendectomy Without Complex Principal Diagnosis Severity Level 3 3 3 $1.00 $0.60 40% off $21,692.85 $21,692.85 $21,692.85 2026-05-23
2344 OTHER Appendectomy Without Complex Principal Diagnosis Severity Level 4 3 3 $1.00 $0.60 40% off $45,851.77 $45,851.77 $45,851.77 2026-05-23
23472 OTHER Total Shoulder Arthroplasty 23 6 $18,656.82 $11,194.09 40% off $1,179.53 $17,730.88 $17,261.01 2026-05-23
23616 OTHER Proximal Humeral Prosthetic Replacement 8 6 $23,605.63 $14,163.38 40% off $17,555.32 $21,245.07 $18,565.54 2026-05-23
24363 OTHER Total Elbow Arthroplasty 8 6 $23,605.63 $14,163.38 40% off $17,555.32 $21,245.07 $18,565.54 2026-05-23
24546 OTHER Open Tx Humeral Fx W/wo Int/ext Fixa 8 6 $25,831.28 $15,498.77 40% off $12,854.42 $23,248.15 $15,517.13 2026-05-23
25442 OTHER Arthroplasty With Prosthetic Replaceme 8 6 $23,605.63 $14,163.38 40% off $17,555.32 $21,245.07 $18,565.54 2026-05-23
25446 OTHER Arthroplasty Total Wrist 8 6 $23,605.63 $14,163.38 40% off $17,555.32 $21,245.07 $18,565.54 2026-05-23
27279 OTHER Sacroilac Joint Fusion 15 6 $23,605.63 $14,163.38 40% off $686.42 $21,245.07 $17,555.32 2026-05-23
27280 OTHER Arthrodesis Open Si Joint 24 6 $26,034.28 $15,620.57 40% off $1,126.65 $23,430.85 $17,555.32 2026-05-23
27487 OTHER Revision Of Knee All Components 23 6 $20,143.40 $12,086.04 40% off $1,421.31 $18,129.06 $17,555.32 2026-05-23
27702 OTHER Total Ankle ARTHROPLASTY,Right Side 31 6 $23,605.63 $14,163.38 40% off $810.04 $27,438.97 $24,342.02 2026-05-23
27703 OTHER Arthroplasy Revision Total Ankle 23 6 $15,177.49 $9,106.49 40% off $929.34 $17,730.88 $15,695.31 2026-05-23
28705 OTHER Arthrodesis-pantalar 8 6 $23,605.63 $14,163.38 40% off $17,555.32 $21,245.07 $18,565.54 2026-05-23
3031 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 1 3 3 $1.00 $0.60 40% off $74,522.00 $74,522.00 $74,522.00 2026-05-23
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 2 3 3 $1.00 $0.60 40% off $92,874.77 $92,874.77 $92,874.77 2026-05-23
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 3 3 3 $1.00 $0.60 40% off $120,228.09 $120,228.09 $120,228.09 2026-05-23
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 4 3 3 $1.00 $0.60 40% off $177,165.39 $177,165.39 $177,165.39 2026-05-23
3041 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 1 3 3 $1.00 $0.60 40% off $49,181.54 $49,181.54 $49,181.54 2026-05-23
3042 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 2 3 3 $1.00 $0.60 40% off $61,183.75 $61,183.75 $61,183.75 2026-05-23
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 3 3 3 $1.00 $0.60 40% off $86,647.80 $86,647.80 $86,647.80 2026-05-23
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 4 3 3 $1.00 $0.60 40% off $113,886.36 $113,886.36 $113,886.36 2026-05-23
3081 OTHER Hip And Femur Fracture Repair Severity Level 1 3 3 $1.00 $0.60 40% off $19,159.10 $19,159.10 $19,159.10 2026-05-23
3082 OTHER Hip And Femur Fracture Repair Severity Level 2 3 3 $1.00 $0.60 40% off $27,716.76 $27,716.76 $27,716.76 2026-05-23
3083 OTHER Hip And Femur Fracture Repair Severity Level 3 3 3 $1.00 $0.60 40% off $42,555.83 $42,555.83 $42,555.83 2026-05-23
3084 OTHER Hip And Femur Fracture Repair Severity Level 4 3 3 $1.00 $0.60 40% off $68,066.96 $68,066.96 $68,066.96 2026-05-23
3091 OTHER Other Significant Hip And Femur Surgery Severity Level 1 3 3 $1.00 $0.60 40% off $20,346.52 $20,346.52 $20,346.52 2026-05-23
3092 OTHER Other Significant Hip And Femur Surgery Severity Level 2 3 3 $1.00 $0.60 40% off $22,241.68 $22,241.68 $22,241.68 2026-05-23
3093 OTHER Other Significant Hip And Femur Surgery Severity Level 3 3 3 $1.00 $0.60 40% off $42,245.37 $42,245.37 $42,245.37 2026-05-23
3094 OTHER Other Significant Hip And Femur Surgery Severity Level 4 3 3 $1.00 $0.60 40% off $94,900.89 $94,900.89 $94,900.89 2026-05-23
3101 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $17,450.80 $17,450.80 $17,450.80 2026-05-23
3102 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $22,090.13 $22,090.13 $22,090.13 2026-05-23
3103 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $60,877.70 $60,877.70 $60,877.70 2026-05-23
3104 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 3 $1.00 $0.60 40% off $77,239.67 $77,239.67 $77,239.67 2026-05-23
3131 OTHER Knee And Lower Leg Procedures Except Foot Severity Level 1 3 3 $1.00 $0.60 40% off $23,002.40 $23,002.40 $23,002.40 2026-05-23
3132 OTHER Knee And Lower Leg Procedures Except Foot Severity Level 2 3 3 $1.00 $0.60 40% off $31,184.85 $31,184.85 $31,184.85 2026-05-23
3133 OTHER Knee And Lower Leg Procedures Except Foot Severity Level 3 3 3 $1.00 $0.60 40% off $48,203.06 $48,203.06 $48,203.06 2026-05-23
3134 OTHER Knee And Lower Leg Procedures Except Foot Severity Level 4 3 3 $1.00 $0.60 40% off $71,975.00 $71,975.00 $71,975.00 2026-05-23
3152 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $23,969.11 $23,969.11 $23,969.11 2026-05-23
3153 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $33,344.87 $33,344.87 $33,344.87 2026-05-23
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 3 $1.00 $0.60 40% off $71,435.00 $71,435.00 $71,435.00 2026-05-23
3163 OTHER Hand And Wrist Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $29,301.46 $29,301.46 $29,301.46 2026-05-23
3164 OTHER Hand And Wrist Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $53,969.48 $53,969.48 $53,969.48 2026-05-23
3172 OTHER Tendon, Muscle And Other Soft Tissue Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $22,278.47 $22,278.47 $22,278.47 2026-05-23
3173 OTHER Tendon, Muscle And Other Soft Tissue Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $31,866.11 $31,866.11 $31,866.11 2026-05-23
3174 OTHER Tendon, Muscle And Other Soft Tissue Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $54,394.72 $54,394.72 $54,394.72 2026-05-23
3211 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $33,031.46 $33,031.46 $33,031.46 2026-05-23
3212 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $41,764.22 $41,764.22 $41,764.22 2026-05-23
3213 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $49,190.37 $49,190.37 $49,190.37 2026-05-23
3214 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 3 $1.00 $0.60 40% off $78,104.85 $78,104.85 $78,104.85 2026-05-23
3221 OTHER Shoulder And Elbow Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $31,120.11 $31,120.11 $31,120.11 2026-05-23
3222 OTHER Shoulder And Elbow Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $33,906.94 $33,906.94 $33,906.94 2026-05-23
3223 OTHER Shoulder And Elbow Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $48,545.90 $48,545.90 $48,545.90 2026-05-23
3224 OTHER Shoulder And Elbow Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $67,423.96 $67,423.96 $67,423.96 2026-05-23
3231 OTHER Non-elective Or Complex Hip Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $26,043.78 $26,043.78 $26,043.78 2026-05-23
3232 OTHER Non-elective Or Complex Hip Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $33,611.19 $33,611.19 $33,611.19 2026-05-23
3233 OTHER Non-elective Or Complex Hip Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $41,643.56 $41,643.56 $41,643.56 2026-05-23
3234 OTHER Non-elective Or Complex Hip Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $89,093.27 $89,093.27 $89,093.27 2026-05-23
3241 OTHER Elective Hip Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $25,212.44 $25,212.44 $25,212.44 2026-05-23
3242 OTHER Elective Hip Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $30,405.01 $30,405.01 $30,405.01 2026-05-23
3243 OTHER Elective Hip Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $38,690.46 $38,690.46 $38,690.46 2026-05-23
3244 OTHER Elective Hip Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $67,154.70 $67,154.70 $67,154.70 2026-05-23
3251 OTHER Non-elective Or Complex Knee Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $39,492.38 $39,492.38 $39,492.38 2026-05-23
3252 OTHER Non-elective Or Complex Knee Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $40,984.38 $40,984.38 $40,984.38 2026-05-23
3253 OTHER Non-elective Or Complex Knee Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $50,430.76 $50,430.76 $50,430.76 2026-05-23
3254 OTHER Non-elective Or Complex Knee Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $97,586.19 $97,586.19 $97,586.19 2026-05-23
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 $60,657.78 $36,394.67 40% off $35,566.28 $54,592.00 $35,566.28 2026-05-23
3261 OTHER Elective Knee Joint Replacement Severity Level 1 3 3 $1.00 $0.60 40% off $23,945.56 $23,945.56 $23,945.56 2026-05-23
3262 OTHER Elective Knee Joint Replacement Severity Level 2 3 3 $1.00 $0.60 40% off $28,033.11 $28,033.11 $28,033.11 2026-05-23
3263 OTHER Elective Knee Joint Replacement Severity Level 3 3 3 $1.00 $0.60 40% off $36,829.14 $36,829.14 $36,829.14 2026-05-23
3264 OTHER Elective Knee Joint Replacement Severity Level 4 3 3 $1.00 $0.60 40% off $55,258.43 $55,258.43 $55,258.43 2026-05-23
327 OTHER Stomach, Esophageal And Duodenal Procedures With Cc 5 4 $30,351.40 $18,210.84 40% off $17,430.14 $27,316.26 $17,430.14 2026-05-23
330 OTHER Major Small And Large Bowel Procedures With Cc 5 4 $29,096.40 $17,457.84 40% off $17,094.97 $26,186.76 $17,094.97 2026-05-23
33025 OTHER Pericardotomy 8 6 $19,713.29 $11,827.97 40% off $17,741.96 $17,741.96 $17,741.96 2026-05-23
33249 OTHER Insertion Of Permanent Defibrillator 8 6 $34,578.28 $20,746.97 40% off $31,120.45 $31,741.63 $31,429.20 2026-05-23
34151 OTHER Embolectomy Or Thrombectomyaort 8 6 $18,868.47 $11,321.08 40% off $16,981.62 $16,981.62 $16,981.62 2026-05-23
3513 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses Severity Level 3 3 3 $1.00 $0.60 40% off $20,911.54 $20,911.54 $20,911.54 2026-05-23
3514 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses Severity Level 4 3 3 $1.00 $0.60 40% off $30,237.27 $30,237.27 $30,237.27 2026-05-23
35221 OTHER Repair Of Intra Abdominal Vessel 8 6 $18,868.47 $11,321.08 40% off $16,981.62 $16,981.62 $16,981.62 2026-05-23
35351 OTHER Thromboendarterectomy Iliac Artery 8 6 $18,868.47 $11,321.08 40% off $16,981.62 $16,981.62 $16,981.62 2026-05-23
35840 OTHER Exploration For Postop Hemor Abdomen 8 6 $27,410.30 $16,446.18 40% off $24,669.27 $24,669.27 $24,669.27 2026-05-23
3631 OTHER Breast Procedures Except Mastectomy Severity Level 1 3 3 $1.00 $0.60 40% off $19,128.20 $19,128.20 $19,128.20 2026-05-23
3632 OTHER Breast Procedures Except Mastectomy Severity Level 2 3 3 $1.00 $0.60 40% off $25,483.18 $25,483.18 $25,483.18 2026-05-23
3633 OTHER Breast Procedures Except Mastectomy Severity Level 3 3 3 $1.00 $0.60 40% off $42,179.15 $42,179.15 $42,179.15 2026-05-23
3634 OTHER Breast Procedures Except Mastectomy Severity Level 4 3 3 $1.00 $0.60 40% off $65,272.78 $65,272.78 $65,272.78 2026-05-23
38100 OTHER Splenectomy Total 8 6 $30,500.65 $18,300.39 40% off $27,450.58 $27,450.58 $27,450.58 2026-05-23
38724 OTHER Cerv Lymphadenectomy Mod Radical 15 6 $19,230.45 $11,538.27 40% off $1,157.11 $17,307.40 $17,307.40 2026-05-23
402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion 7 5 $1.00 $0.60 40% off $23,941.15 $28,957.80 $28,671.10 2026-05-23
4031 OTHER Procedures For Obesity Severity Level 1 3 3 $1.00 $0.60 40% off $17,865.74 $17,865.74 $17,865.74 2026-05-23
4032 OTHER Procedures For Obesity Severity Level 2 3 3 $1.00 $0.60 40% off $19,101.71 $19,101.71 $19,101.71 2026-05-23
4033 OTHER Procedures For Obesity Severity Level 3 3 3 $1.00 $0.60 40% off $27,337.14 $27,337.14 $27,337.14 2026-05-23
4034 OTHER Procedures For Obesity Severity Level 4 3 3 $1.00 $0.60 40% off $87,404.10 $87,404.10 $87,404.10 2026-05-23
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion 4 3 $1.00 $0.60 40% off $51,477.46 $51,992.23 $51,477.46 2026-05-23
43633 OTHER Gastric Partial Roux-en-y Reconstruction 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43644 OTHER Lap Gastric Restrictive Proc Roux-en-y 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43645 OTHER Lap Gastric Restrict Proc W/gastric Bypa 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43845 OTHER Gastric Restrictive W/partial Gastrectom 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43846 OTHER Gastric Restrictive Proc Roux-en-y 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43847 OTHER Gastric Restrictive - Morbid Obesity 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43848 OTHER Revision, Open, Gastric Restrictive Proc 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43860 OTHER Revision Gastrojejunal Anast/wo Vago 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
43865 OTHER Revision Gastrojejunal Anast With Reconst 8 6 $29,185.23 $17,511.14 40% off $26,266.71 $26,266.71 $26,266.71 2026-05-23
44140 OTHER Colectomy Partial 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
44141 OTHER Colectomy Partial With Cecostomy/cls 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
44143 OTHER Colectomy With End Colostomyhartmann 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
44145 OTHER Partial Colectomy W/coloproctostomy 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
44147 OTHER Colectomy Partial Abdm+transanal App 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
44160 OTHER Colectomy Partial With Ileocolostomy 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
44202 OTHER Laparoscopic Resection Intesti W/ana 8 6 $31,255.22 $18,753.13 40% off $28,129.70 $28,129.70 $28,129.70 2026-05-23
44204 OTHER Lap Partial Colectomy With Anastamosis 15 6 $31,255.22 $18,753.13 40% off $1,259.96 $28,129.70 $28,129.70 2026-05-23
44205 OTHER Lap Partial Colectomy W/ileocolostomy 8 6 $31,255.22 $18,753.13 40% off $28,129.70 $28,129.70 $28,129.70 2026-05-23
44206 OTHER Lap Partial Colectomy With Colostomy And C 8 6 $28,969.83 $17,381.90 40% off $26,072.85 $26,072.85 $26,072.85 2026-05-23
44207 OTHER Lap Partial Colectomy With Anastomosis 8 6 $31,255.22 $18,753.13 40% off $28,129.70 $28,129.70 $28,129.70 2026-05-23
44208 OTHER Lap Partial Colectomy With Anastomosis 8 6 $31,255.22 $18,753.13 40% off $28,129.70 $28,129.70 $28,129.70 2026-05-23
44227 OTHER Laparoscopy Closure Of Enterostomy 8 6 $18,159.00 $10,895.40 40% off $16,343.10 $16,343.10 $16,343.10 2026-05-23
4431 OTHER Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 1 3 3 $1.00 $0.60 40% off $16,201.59 $16,201.59 $16,201.59 2026-05-23
4432 OTHER Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 2 3 3 $1.00 $0.60 40% off $17,492.00 $17,492.00 $17,492.00 2026-05-23
4433 OTHER Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 3 3 3 $1.00 $0.60 40% off $26,185.03 $26,185.03 $26,185.03 2026-05-23
4434 OTHER Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 4 3 3 $1.00 $0.60 40% off $59,045.81 $59,045.81 $59,045.81 2026-05-23
44626 OTHER Closure Of Enterostomy Lg Or Sm Int 8 6 $20,644.81 $12,386.89 40% off $18,580.33 $18,580.33 $18,580.33 2026-05-23
448 OTHER Multiple Level Spianl Fusion Except Cervial Without Mcc 4 3 $1.00 $0.60 40% off $30,242.10 $30,544.52 $30,242.10 2026-05-23
451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 7 5 $1.00 $0.60 40% off $9,840.72 $23,267.07 $23,036.70 2026-05-23
45110 OTHER Proctectomy Complete Combined Abdper 8 6 $25,384.41 $15,230.65 40% off $22,845.97 $22,845.97 $22,845.97 2026-05-23
45111 OTHER Proctectomy Partial Transabd Approach 8 6 $20,316.56 $12,189.94 40% off $18,284.90 $18,284.90 $18,284.90 2026-05-23
45126 OTHER Pelvis Exenteration Of Colorectal Malign 8 6 $31,730.40 $19,038.24 40% off $28,557.36 $28,557.36 $28,557.36 2026-05-23
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 8 6 $108,484.38 $65,090.63 40% off $20,726.14 $97,635.94 $63,192.63 2026-05-23
45395 OTHER Lap Proctectomy Complete Combined Abdper 8 6 $31,719.22 $19,031.53 40% off $28,547.30 $28,547.30 $28,547.30 2026-05-23
454 OTHER Combined Anterior/posterior Spinal Fusion With Cc 8 6 $107,394.71 $64,436.83 40% off $43,616.71 $96,655.24 $44,959.68 2026-05-23
45400 OTHER Lap Rectopexy Extensive Lysis 8 6 $20,410.04 $12,246.02 40% off $18,369.04 $18,369.04 $18,369.04 2026-05-23
45402 OTHER Lap Proctopexy With Sigmoid Resection 8 6 $31,255.22 $18,753.13 40% off $28,129.70 $28,129.70 $28,129.70 2026-05-23
455 OTHER Combined Anterior/posterior Spinal Fusion Without Cc/mcc 5 4 $58,687.42 $35,212.45 40% off $32,843.57 $52,818.68 $32,843.57 2026-05-23
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 $100,123.02 $60,073.81 40% off $59,926.53 $90,110.72 $59,926.53 2026-05-23
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 $71,536.08 $42,921.65 40% off $42,524.21 $64,382.47 $42,524.21 2026-05-23
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 4 $57,035.23 $34,221.14 40% off $29,755.75 $51,331.71 $29,755.75 2026-05-23
459 OTHER Spinal Fusion Except Cervical With Mcc 5 4 $78,601.05 $47,160.63 40% off $47,296.43 $70,740.94 $47,296.43 2026-05-23
460 OTHER Spinal Fusion Except Cervical Without Mcc 5 4 $47,993.65 $28,796.19 40% off $26,085.31 $43,194.28 $26,085.31 2026-05-23
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 6 $35,379.36 $21,227.62 40% off $12,418.62 $31,841.42 $18,969.06 2026-05-23
4623 OTHER Nephritis And Nephrosis Severity Level 3 3 3 $1.00 $0.60 40% off $27,401.88 $27,401.88 $27,401.88 2026-05-23
4624 OTHER Nephritis And Nephrosis Severity Level 4 3 3 $1.00 $0.60 40% off $40,313.42 $40,313.42 $40,313.42 2026-05-23
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 $62,112.96 $37,267.78 40% off $15,618.91 $55,901.66 $40,644.41 2026-05-23
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 6 $35,398.32 $21,238.99 40% off $22,211.62 $35,440.14 $27,146.12 2026-05-23
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 5 4 $62,154.43 $37,292.66 40% off $37,120.88 $55,938.99 $37,120.88 2026-05-23
467 OTHER Revision Of Hip Or Knee Replacement With Cc 5 4 $42,966.91 $25,780.15 40% off $25,148.98 $38,670.22 $25,148.98 2026-05-23
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 5 4 $35,218.69 $21,131.21 40% off $19,596.60 $31,696.82 $19,596.60 2026-05-23
4683 OTHER Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms Severity Level 3 3 3 $1.00 $0.60 40% off $15,782.24 $15,782.24 $15,782.24 2026-05-23
4684 OTHER Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms Severity Level 4 3 3 $1.00 $0.60 40% off $25,132.98 $25,132.98 $25,132.98 2026-05-23
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 $38,292.09 $22,975.25 40% off $21,630.43 $34,462.88 $21,630.43 2026-05-23
4693 OTHER Acute Kidney Injury Severity Level 3 3 3 $1.00 $0.60 40% off $20,562.82 $20,562.82 $20,562.82 2026-05-23
4694 OTHER Acute Kidney Injury Severity Level 4 3 3 $1.00 $0.60 40% off $59,484.29 $59,484.29 $59,484.29 2026-05-23
4702 OTHER Chronic Kidney Disease Severity Level 2 3 3 $1.00 $0.60 40% off $16,253.08 $16,253.08 $16,253.08 2026-05-23
4703 OTHER Chronic Kidney Disease Severity Level 3 3 3 $1.00 $0.60 40% off $27,853.60 $27,853.60 $27,853.60 2026-05-23
4704 OTHER Chronic Kidney Disease Severity Level 4 3 3 $1.00 $0.60 40% off $30,897.93 $30,897.93 $30,897.93 2026-05-23
471 OTHER Cervical Spinal Fusion With Mcc 8 6 $59,688.45 $35,813.07 40% off $10,176.20 $53,719.60 $34,434.54 2026-05-23
472 OTHER Cervical Spinal Fusion With Cc 8 6 $36,391.35 $21,834.81 40% off $11,663.79 $32,752.22 $21,009.30 2026-05-23
473 OTHER Cervical Spinal Fusion Without Cc/mcc 8 6 $30,040.93 $18,024.56 40% off $11,800.63 $27,036.84 $17,409.46 2026-05-23
475 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 5 4 $26,321.22 $15,792.73 40% off $16,228.53 $23,689.10 $16,228.53 2026-05-23
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 5 4 $35,147.10 $21,088.26 40% off $20,768.27 $31,632.39 $20,768.27 2026-05-23
4822 OTHER Transurethral Prostatectomy Severity Level 2 3 3 $1.00 $0.60 40% off $18,380.73 $18,380.73 $18,380.73 2026-05-23
4823 OTHER Transurethral Prostatectomy Severity Level 3 3 3 $1.00 $0.60 40% off $27,949.24 $27,949.24 $27,949.24 2026-05-23
4824 OTHER Transurethral Prostatectomy Severity Level 4 3 3 $1.00 $0.60 40% off $49,703.89 $49,703.89 $49,703.89 2026-05-23
483 OTHER Major Joint/limb Reattachment Procedure Of Upper Extremities 8 6 $28,865.36 $17,319.22 40% off $18,136.48 $25,978.82 $19,767.04 2026-05-23
4832 OTHER Penis, Testes And Scrotal Procedures Severity Level 2 3 3 $1.00 $0.60 40% off $20,418.62 $20,418.62 $20,418.62 2026-05-23
4833 OTHER Penis, Testes And Scrotal Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $31,804.31 $31,804.31 $31,804.31 2026-05-23
4834 OTHER Penis, Testes And Scrotal Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $57,976.10 $57,976.10 $57,976.10 2026-05-23
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 4 $38,524.35 $23,114.61 40% off $23,013.17 $34,671.92 $23,013.17 2026-05-23
492 OTHER Lower Level Extremity And Humerus Procedures Except Hip, Foot And 7 5 $1.00 $0.60 40% off $26,183.00 $29,099.88 $26,444.83 2026-05-23
493 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 6 $28,153.23 $16,891.94 40% off $18,085.50 $42,102.64 $21,802.14 2026-05-23
494 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 8 6 $22,382.28 $13,429.37 40% off $14,308.80 $81,261.01 $17,297.97 2026-05-23
498 OTHER Local Excision And Removal Of Internal Fixation Devices 4 3 $1.00 $0.60 40% off $21,513.48 $21,728.62 $21,513.48 2026-05-23
50220 OTHER Nephrectomy Inc Part Ureterect 8 6 $30,462.43 $18,277.46 40% off $27,416.19 $27,416.19 $27,416.19 2026-05-23
503 OTHER Foot Procedures With Mcc 8 6 $30,019.60 $18,011.76 40% off $19,903.97 $36,139.06 $23,560.32 2026-05-23
5132 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 3 $1.00 $0.60 40% off $15,926.43 $15,926.43 $15,926.43 2026-05-23
5133 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 3 $1.00 $0.60 40% off $29,051.32 $29,051.32 $29,051.32 2026-05-23
5134 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 3 $1.00 $0.60 40% off $51,276.82 $51,276.82 $51,276.82 2026-05-23
5173 OTHER Dilation And Curettage For Non-obstetric Diagnoses Severity Level 3 3 3 $1.00 $0.60 40% off $22,144.57 $22,144.57 $22,144.57 2026-05-23
5174 OTHER Dilation And Curettage For Non-obstetric Diagnoses Severity Level 4 3 3 $1.00 $0.60 40% off $45,332.36 $45,332.36 $45,332.36 2026-05-23
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 4 $44,173.24 $26,503.94 40% off $26,651.53 $39,755.92 $26,651.53 2026-05-23
5183 OTHER Other Female Reproductive System And Related Procedures Severity Level 3 3 3 $1.00 $0.60 40% off $36,614.32 $36,614.32 $36,614.32 2026-05-23
5184 OTHER Other Female Reproductive System And Related Procedures Severity Level 4 3 3 $1.00 $0.60 40% off $80,292.83 $80,292.83 $80,292.83 2026-05-23
5193 OTHER Uterine And Adnexa Procedures For Leiomyoma Severity Level 3 3 3 $1.00 $0.60 40% off $29,984.19 $29,984.19 $29,984.19 2026-05-23
5194 OTHER Uterine And Adnexa Procedures For Leiomyoma Severity Level 4 3 3 $1.00 $0.60 40% off $67,441.62 $67,441.62 $67,441.62 2026-05-23
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 6 $35,777.52 $21,466.51 40% off $7,330.51 $32,199.77 $20,468.04 2026-05-23
53445 OTHER Insert Inflatable Urethral/bladder N 8 6 $28,634.23 $17,180.54 40% off $20,751.54 $25,770.81 $22,110.11 2026-05-23
54405 OTHER Ins Multicomponent Inflat Penile Pro 8 6 $28,634.23 $17,180.54 40% off $20,751.54 $25,770.81 $22,110.11 2026-05-23
54410 OTHER Remv W/replace Inflat Penile Prosthe 8 6 $28,634.23 $17,180.54 40% off $20,751.54 $25,770.81 $22,110.11 2026-05-23
54416 OTHER Removal/replace Of Penile Prosthesis 15 6 $28,634.23 $17,180.54 40% off $609.29 $25,770.81 $20,751.54 2026-05-23
55810 OTHER Radical Prostatectomy Perineal 8 6 $20,169.14 $12,101.48 40% off $18,152.23 $18,152.23 $18,152.23 2026-05-23
55840 OTHER Radical Prostaatectomy Retropubic 8 6 $20,169.14 $12,101.48 40% off $18,152.23 $18,152.23 $18,152.23 2026-05-23
5604 OTHER Vaginal Delivery Severity Level 4 3 3 $1.00 $0.60 40% off $24,448.78 $24,448.78 $24,448.78 2026-05-23
5664 OTHER Antepartum Without O.r. Procedure Severity Level 4 3 3 $1.00 $0.60 40% off $24,007.36 $24,007.36 $24,007.36 2026-05-23
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 $1.00 $0.60 40% off $23,094.47 $23,325.42 $23,094.47 2026-05-23
5804 OTHER Neonate, Transferred < 5 Days Old, Not Born Here Severity Level 4 3 3 $1.00 $0.60 40% off $25,258.05 $25,258.05 $25,258.05 2026-05-23
61343 OTHER Craniectomy Suboccipt W Laminect 8 6 $20,349.42 $12,209.65 40% off $18,314.48 $18,314.48 $18,314.48 2026-05-23
61500 OTHER Craniectomy With Excision Of Tumor Or 8 6 $18,461.79 $11,077.07 40% off $16,615.61 $16,615.61 $16,615.61 2026-05-23
61550 OTHER Craniectomy With Excision Of Tumor Or 8 6 $18,461.79 $11,077.07 40% off $16,615.61 $16,615.61 $16,615.61 2026-05-23
61885 OTHER Insertion Or Replacement Cranial Neu 8 6 $37,507.70 $22,504.62 40% off $30,895.54 $33,756.93 $31,765.36 2026-05-23
62140 OTHER Cranioplasty For Skull Defect Upt0 5 8 6 $21,024.17 $12,614.50 40% off $18,921.75 $18,921.75 $18,921.75 2026-05-23
62141 OTHER Cranioplasty Defect Larger Than 5cm 8 6 $18,461.79 $11,077.07 40% off $16,615.61 $16,615.61 $16,615.61 2026-05-23
62143 OTHER Replacement Of Bone Flap Or Prosheti 8 6 $18,461.79 $11,077.07 40% off $16,615.61 $16,615.61 $16,615.61 2026-05-23
62145 OTHER Cranioplasty W/reparative Brain Srg 8 6 $21,024.17 $12,614.50 40% off $18,921.75 $18,921.75 $18,921.75 2026-05-23
62360 OTHER Implantation Programmable Pump;subcutane 8 6 $28,457.25 $17,074.35 40% off $18,045.96 $25,611.52 $20,027.58 2026-05-23
62362 OTHER Implantation Programmable Pump 16 6 $28,457.25 $17,074.35 40% off $18,045.96 $25,611.52 $20,027.58 2026-05-23
63082 OTHER Vertebral Corpectomy Cervical Each 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $15,524.54 $15,524.54 2026-05-23
63085 OTHER Vertebral Corpectomy 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $15,524.54 $15,524.54 2026-05-23
63086 OTHER Vertebral Corpectomy Thoracic Each 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $15,524.54 $15,524.54 2026-05-23
63090 OTHER Vetebral Corpectomy Partial Or Comp 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $15,524.54 $15,524.54 2026-05-23
63200 OTHER Laminectomy W/release Tethered Spina 8 6 $17,246.61 $10,347.97 40% off $15,521.95 $15,521.95 $15,521.95 2026-05-23
63271 OTHER Laminectomy For Esc Of Intraspintra 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63272 OTHER Laminectomy For Exc Intraspinal Lesi 8 6 $17,246.61 $10,347.97 40% off $15,521.95 $15,521.95 $15,521.95 2026-05-23
63275 OTHER Laminectomy W/exc Of Extradural Lesi 8 6 $18,070.26 $10,842.16 40% off $16,263.23 $16,263.23 $16,263.23 2026-05-23
63276 OTHER Laminectomy For Bx/exc Of Intraspina 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63277 OTHER Laminectomy Bx/exc Intraspinal Neop 8 6 $18,070.26 $10,842.16 40% off $16,263.23 $16,263.23 $16,263.23 2026-05-23
63278 OTHER Laminectomy Bx/exc Intraspinal Neop 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63280 OTHER Laminectomy For Biopsy/excision 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63281 OTHER Laminectomy For Biopsy/excision 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63282 OTHER Laminectomy For Bx/exc Of Intraspina 8 6 $17,246.61 $10,347.97 40% off $15,521.95 $15,521.95 $15,521.95 2026-05-23
63286 OTHER Laminectomy Biopsy/excision Thoracic 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63287 OTHER Laminectomy For Biopsy/excision Of I 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63290 OTHER Laminectomy For Bx/esc Intrasp Neopl 8 6 $18,971.27 $11,382.76 40% off $17,074.14 $17,074.14 $17,074.14 2026-05-23
63300 OTHER Vert Corpectomy For Lesion Removal 8 6 $18,070.26 $10,842.16 40% off $16,263.23 $16,263.23 $16,263.23 2026-05-23
63308 OTHER Vert Corpectomy Add'l Segment 8 6 $17,249.49 $10,349.69 40% off $15,524.54 $15,524.54 $15,524.54 2026-05-23
63655 OTHER Laminectomy For Implant Of Neurostim 15 6 $30,566.30 $18,339.78 40% off $738.68 $27,509.67 $19,423.90 2026-05-23
63685 OTHER Insertion Spinal Neurostim Generator 16 6 $57,099.30 $34,259.58 40% off $289.45 $51,389.37 $29,689.57 2026-05-23
63740 OTHER Creation Shunt Lumboperitoneal Inc 8 6 $22,554.82 $13,532.89 40% off $20,299.34 $20,299.34 $20,299.34 2026-05-23
64568 OTHER Incision For Implantation Of Sleep Apnea 8 6 $48,583.45 $29,150.07 40% off $43,725.10 $44,541.49 $44,116.89 2026-05-23
64573 OTHER Implantation Neurostimulatorcrania 8 6 $24,580.26 $14,748.16 40% off $22,122.23 $22,122.23 $22,122.23 2026-05-23
64582 OTHER Incision For Implantation Of Sleep Apnea 15 6 $45,095.22 $27,057.13 40% off $665.09 $40,585.70 $30,895.54 2026-05-23
64590 OTHER Insert/replace Spinal Neurostim Gen 15 6 $37,511.14 $22,506.68 40% off $403.77 $33,760.03 $19,423.90 2026-05-23
6801 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $25,062.36 $25,062.36 $25,062.36 2026-05-23
6802 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $34,491.09 $34,491.09 $34,491.09 2026-05-23
6803 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $50,380.74 $50,380.74 $50,380.74 2026-05-23
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 3 $1.00 $0.60 40% off $100,765.89 $100,765.89 $100,765.89 2026-05-23
6811 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $15,804.31 $15,804.31 $15,804.31 2026-05-23
6812 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $28,281.78 $28,281.78 $28,281.78 2026-05-23
6813 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $41,097.67 $41,097.67 $41,097.67 2026-05-23
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity … 3 3 $1.00 $0.60 40% off $97,671.53 $97,671.53 $97,671.53 2026-05-23
69930 OTHER Cochlear Implant W/wo Mastoidectomy 24 6 $66,651.70 $39,991.02 40% off $33,012.55 $59,986.53 $39,921.11 2026-05-23
7111 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $16,928.46 $16,928.46 $16,928.46 2026-05-23
7112 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $19,837.41 $19,837.41 $19,837.41 2026-05-23
7113 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $30,709.59 $30,709.59 $30,709.59 2026-05-23
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 3 $1.00 $0.60 40% off $93,931.23 $93,931.23 $93,931.23 2026-05-23
7213 OTHER Post-operative, Post-traumatic, Other Device Infections Severity Level 3 3 3 $1.00 $0.60 40% off $20,417.15 $20,417.15 $20,417.15 2026-05-23
7214 OTHER Post-operative, Post-traumatic, Other Device Infections Severity Level 4 3 3 $1.00 $0.60 40% off $37,276.45 $37,276.45 $37,276.45 2026-05-23
8133 OTHER Other Complications Of Treatment Severity Level 3 3 3 $1.00 $0.60 40% off $16,195.70 $16,195.70 $16,195.70 2026-05-23
8134 OTHER Other Complications Of Treatment Severity Level 4 3 3 $1.00 $0.60 40% off $34,610.27 $34,610.27 $34,610.27 2026-05-23
827 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 4 $28,851.19 $17,310.71 40% off $16,481.69 $25,966.07 $16,481.69 2026-05-23
8501 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $31,040.65 $31,040.65 $31,040.65 2026-05-23
8502 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $47,832.27 $47,832.27 $47,832.27 2026-05-23
8503 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $67,741.78 $67,741.78 $67,741.78 2026-05-23
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 $1.00 $0.60 40% off $126,254.95 $126,254.95 $126,254.95 2026-05-23
907 OTHER Other O.r. Procedures For Injuries With Mcc 5 4 $45,808.54 $27,485.12 40% off $27,378.92 $41,227.69 $27,378.92 2026-05-23
940 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 5 4 $26,109.10 $15,665.46 40% off $16,664.96 $23,498.19 $16,664.96 2026-05-23
C1767 OTHER Pulse Generator Inspire 3028 9 6 $40,500.00 $24,300.00 40% off $19,141.83 $36,450.00 $36,450.00 2026-05-23
C1772 OTHER Pump Balofen 9 6 $23,520.00 $14,112.00 40% off $18,900.00 $21,168.00 $21,168.00 2026-05-23
C1785 OTHER MRI Conditional Pacemaker Widr01 10 6 $34,000.00 $20,400.00 40% off $810.00 $30,600.00 $30,600.00 2026-05-23
L8614 OTHER Cochlear Implant Patient Kit 11 6 $22,926.22 $13,755.73 40% off $20,633.60 $42,540.10 $20,633.60 2026-05-23
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