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

AVERA HEART HOSPITAL OF SOUTH DAKOTA

Sioux Falls, SD · CCN 430095 · Rates published

2,994 distinct procedures filed
6 distinct payers
54,158 rate rows
2026-05-22 last MRF observed
Data quality

53,204 of 54,158 rate rows are consumer-grade (98.2%)

954 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 670
per-diem day rate — not a per-procedure price 248
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
exceeds 10× this hospital's gross charge — excluded from medians 12
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/e7eff1f2-d4d9-45bf-a244-4c4107534673/562143771_avera-heart-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-11-07
Content fingerprint 72c0fc41429fb9d0… · 8,902,957 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
OTHER 		Neonate With Ecmo 2 $589,447.74 $791,483.78 $745,283.77 nat. median
$363,985
outlier · 2.0×
5833
OTHER 		Neonate With Ecmo 2 $344,587.70 $649,046.49 $555,871.64 nat. median
$241,478
outlier · 2.3×
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $381,321.46 $598,756.98 $555,389.10 nat. median
$243,175
outlier · 2.3×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $466,719.70 $530,068.87 $498,394.29 nat. median
$380,401
1.3× median
1614
OTHER 		Implantable Heart Assist Systems 2 $283,258.29 $596,181.22 $488,263.82 nat. median
$184,558
outlier · 2.6×
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $313,773.28 $507,979.29 $464,649.93 nat. median
$73,904
outlier · 6.3×
5893
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $266,381.61 $558,777.22 $458,231.20 nat. median
$48,225
outlier · 9.5×
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $358,083.21 $480,817.95 $447,634.23 nat. median
$154,480
outlier · 2.9×
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $306,306.15 $411,294.05 $401,550.10 nat. median
$159,889
outlier · 2.5×
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $352,486.31 $473,302.68 $376,619.15 nat. median
$143,243
outlier · 2.6×
5894
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $98,946.08 $614,655.95 $373,758.14 nat. median
$2,607
outlier · 143.4×
1613
OTHER 		Implantable Heart Assist Systems 2 $221,191.85 $438,615.72 $367,811.06 nat. median
$78
outlier · 4719.2×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $329,784.18 $526,649.70 $361,000.01 nat. median
$83,379
outlier · 4.3×
5832
OTHER 		Neonate With Ecmo 2 $222,447.89 $407,292.52 $352,992.74 nat. median
$176,224
outlier · 2.0×
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 2 $327,822.90 $505,437.90 $352,120.76 nat. median
$139,129
outlier · 2.5×
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $263,349.00 $353,613.13 $338,494.61 nat. median
$166,169
outlier · 2.0×
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $302,882.31 $343,993.37 $323,437.84 nat. median
$232,664
1.4× median
6024
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $267,213.85 $358,802.68 $308,676.46 nat. median
$112,751
outlier · 2.7×
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $213,462.14 $329,492.94 $308,060.12 nat. median
$137,924
outlier · 2.2×
5933
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $274,034.54 $367,961.20 $298,294.31 nat. median
$106,299
outlier · 2.8×
24
OTHER 		Heart And/or Lung Transplant 4 $42,279.82 $586,763.54 $290,814.52 nat. median
$27,395
outlier · 10.6×
5831
OTHER 		Neonate With Ecmo 2 $182,002.82 $329,831.32 $287,108.23 nat. median
$141,507
outlier · 2.0×
44
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $195,053.03 $300,917.21 $281,412.80 nat. median
$57,853
outlier · 4.9×
6074
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $232,218.27 $311,812.20 $280,753.93 nat. median
$81,519
outlier · 3.4×
1612
OTHER 		Implantable Heart Assist Systems 2 $177,597.47 $311,577.13 $275,023.49 nat. median
$83,332
outlier · 3.3×
6034
OTHER 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $208,609.96 $280,112.02 $274,127.67 nat. median
$102,445
outlier · 2.7×
1611
OTHER 		Implantable Heart Assist Systems 2 $168,717.67 $296,353.24 $261,449.85 nat. median
$63,711
outlier · 4.1×
5913
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $186,570.93 $270,947.54 $260,733.27 nat. median
$106,266
outlier · 2.5×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $229,401.96 $260,539.33 $244,970.64 nat. median
$202,158
1.2× median
74
OTHER 		Allogeneic Bone Marrow Transplant 4 $11,140.89 $321,577.12 $235,036.79 nat. median
$11,557
outlier · 20.3×
14
OTHER 		Liver Transplant And/or Intestinal Transplant 4 $129,889.46 $311,757.26 $226,613.71 nat. median
$109,099
outlier · 2.1×
94
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 4 $38,037.68 $374,976.06 $219,241.05 nat. median
$38,192
outlier · 5.7×
54
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $16,502.74 $288,322.11 $218,229.05 nat. median
$16,362
outlier · 13.3×
4404
OTHER 		Kidney Transplant 2 $121,932.52 $262,976.17 $213,350.83 nat. median
$70,035
outlier · 3.0×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $199,193.60 $226,230.71 $212,712.15 nat. median
$2
outlier · 125865.2×
5881
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $140,509.00 $230,826.37 $209,747.75 nat. median
$14,035
outlier · 14.9×
5932
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $200,575.56 $292,243.66 $209,110.20 nat. median
$81,367
outlier · 2.6×
114
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $14,623.22 $243,203.46 $203,026.21 nat. median
$10,096
outlier · 20.1×
1604
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 2 $129,527.10 $229,934.11 $201,928.62 nat. median
$2,886
outlier · 70.0×
6023
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $192,910.58 $282,926.38 $201,808.25 nat. median
$85,158
outlier · 2.4×
43
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $150,606.45 $202,227.53 $201,121.01 nat. median
$58,476
outlier · 3.4×
64
OTHER 		Pancreas Transplant 4 $21,734.89 $244,308.87 $198,834.85 nat. median
$21,279
outlier · 9.3×
8424
OTHER 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $102,466.99 $257,390.32 $197,489.18 nat. median
$80,569
outlier · 2.5×
5931
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $182,341.57 $265,677.36 $190,100.74 nat. median
$13
outlier · 14623.1×
6114
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 $168,269.19 $283,744.92 $189,792.35 nat. median
$66,070
outlier · 2.9×
6124
OTHER 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 $132,561.25 $193,041.89 $185,519.58 nat. median
$58,229
outlier · 3.2×
23
OTHER 		Heart And/or Lung Transplant 4 $61,933.08 $279,899.66 $184,058.74 nat. median
$60,033
outlier · 3.1×
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $166,220.37 $259,706.39 $179,816.74 nat. median
$156,971
1.1× median
13
OTHER 		Liver Transplant And/or Intestinal Transplant 4 $31,146.49 $216,344.67 $179,353.68 nat. median
$30,225
outlier · 5.9×
1784
OTHER 		External Heart Assist Systems 2 $127,437.29 $186,092.41 $178,604.72 nat. median
$56,332
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 2,994 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
             
6904 OTHER Acute Leukemia 8 2 — — $90,975.30 $155,621.06 $138,889.29 2026-05-22
6903 OTHER Acute Leukemia 8 2 — — $59,525.19 $79,927.74 $79,772.65 2026-05-22
834 OTHER Acute Leukemia With Mcc 4 2 — — $59,334.84 $67,388.52 $63,361.68 2026-05-22
850 OTHER Acute Leukemia With Other Procedures 4 2 — — $93,591.88 $106,295.36 $99,943.62 2026-05-22
4014 OTHER Adrenal Procedures 8 2 — — $64,015.00 $102,885.42 $94,420.93 2026-05-22
7754 OTHER Alcohol Abuse And Dependence 8 2 — — $34,740.69 $75,649.76 $61,148.99 2026-05-22
74 OTHER Allogeneic Bone Marrow Transplant 12 4 — — $11,140.89 $321,577.12 $235,036.79 2026-05-22
73 OTHER Allogeneic Bone Marrow Transplant 12 4 — — $17,339.27 $187,164.02 $156,607.26 2026-05-22
72 OTHER Allogeneic Bone Marrow Transplant 12 4 — — $8,173.01 $146,402.23 $127,116.57 2026-05-22
71 OTHER Allogeneic Bone Marrow Transplant 12 4 — — $11,089.01 $129,643.92 $105,533.71 2026-05-22
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $53,193.73 $177,320.20 $60,413.87 2026-05-22
3054 OTHER Amputation Of Lower Limb Except Toes 8 2 — — $65,264.89 $87,634.75 $71,363.57 2026-05-22
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 2 — — $74,336.34 $84,426.22 $79,381.28 2026-05-22
84 OTHER Autologous Bone Marrow Transplant 12 4 — — $10,330.29 $159,919.39 $137,596.89 2026-05-22
83 OTHER Autologous Bone Marrow Transplant 12 4 — — $15,085.81 $89,838.81 $76,842.85 2026-05-22
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 4 2 — — $64,088.20 $72,787.07 $68,437.64 2026-05-22
3634 OTHER Breast Procedures Except Mastectomy 8 2 — — $46,931.02 $74,681.74 $68,849.30 2026-05-22
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 8 2 — — $102,466.99 $257,390.32 $197,489.18 2026-05-22
8423 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 8 2 — — $61,326.33 $91,858.49 $87,102.36 2026-05-22
C2624 HCPCS Card Cardiomems Pulm Art Snsr 18 5 $102,270.00 $102,270.00 $42,748.86 $104,400.00 $69,748.14 2026-05-22
1774 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 8 2 — — $53,619.66 $71,998.06 $67,597.58 2026-05-22
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $68,303.17 $120,083.87 $87,017.83 2026-05-22
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 — — $71,065.84 $80,711.81 $75,888.82 2026-05-22
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $53,157.64 $94,251.13 $68,072.36 2026-05-22
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 2 — — $103,376.00 $169,280.98 $154,044.80 2026-05-22
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 2 — — $61,596.58 $104,910.67 $93,809.89 2026-05-22
1622 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 2 — — $46,868.07 $83,629.55 $73,280.93 2026-05-22
1621 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 2 — — $39,995.17 $72,621.14 $63,162.42 2026-05-22
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 2 — — $89,716.19 $136,110.98 $128,288.92 2026-05-22
1633 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 2 — — $53,332.52 $85,478.03 $78,545.26 2026-05-22
1632 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 2 — — $42,143.33 $67,553.80 $62,070.98 2026-05-22
6954 OTHER Chemotherapy For Acute Leukemia 8 2 — — $69,329.90 $94,360.34 $69,801.79 2026-05-22
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $466,719.70 $530,068.87 $498,394.29 2026-05-22
114 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 4 — — $14,623.22 $243,203.46 $203,026.21 2026-05-22
113 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 4 — — $25,410.69 $144,416.72 $66,491.52 2026-05-22
6614 OTHER Coagulation And Platelet Disorders 8 2 — — $58,991.52 $96,380.90 $65,385.00 2026-05-22
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 2 — — $97,375.76 $110,592.84 $103,984.30 2026-05-22
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 2 — — $62,330.82 $70,791.15 $66,560.99 2026-05-22
209 OTHER Complex Aortic Arch Procedures 4 2 — — $122,333.59 $138,938.27 $130,635.93 2026-05-22
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 2 — — $72,267.69 $82,076.79 $77,172.24 2026-05-22
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 8 2 — — $87,462.08 $117,440.13 $103,996.53 2026-05-22
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 8 2 — — $58,746.69 $86,917.42 $82,899.92 2026-05-22
1652 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 8 2 — — $48,563.26 $67,789.49 $66,499.02 2026-05-22
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 5 — — $47,144.46 $231,278.90 $81,119.45 2026-05-22
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 4 — — $37,667.39 $147,429.15 $67,054.64 2026-05-22
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 2 — — $70,643.75 $111,744.00 $103,300.61 2026-05-22
1663 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 2 — — $47,061.54 $69,988.15 $66,590.13 2026-05-22
9104 OTHER Craniotomy For Multiple Significant Trauma 8 2 — — $91,583.36 $154,496.48 $138,735.24 2026-05-22
9103 OTHER Craniotomy For Multiple Significant Trauma 8 2 — — $52,062.66 $105,786.09 $87,846.74 2026-05-22
955 OTHER Craniotomy For Multiple Significant Trauma 4 2 — — $72,749.73 $82,624.25 $77,686.99 2026-05-22
1794 OTHER Defibrillator Implants 8 2 — — $85,568.81 $116,313.02 $115,605.48 2026-05-22
1793 OTHER Defibrillator Implants 8 2 — — $64,381.98 $87,073.99 $86,761.60 2026-05-22
1792 OTHER Defibrillator Implants 8 2 — — $50,700.67 $74,769.29 $71,423.93 2026-05-22
1791 OTHER Defibrillator Implants 8 2 — — $44,738.33 $73,319.79 $66,696.19 2026-05-22
C1882 HCPCS Dfbr Card Momentum Crt-d Is1 102 5 $127,594.00 $127,594.00 $13,489.28 $150,790.72 $74,004.52 2026-05-22
7524 OTHER Disorders Of Personality And Impulse Control 8 2 — — $56,867.24 $76,358.76 $75,961.20 2026-05-22
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 2 — — $69,029.94 $130,302.90 $111,496.59 2026-05-22
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 2 — — $53,602.77 $99,137.95 $85,556.67 2026-05-22
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 2 — — $109,557.93 $202,703.50 $174,906.46 2026-05-22
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 2 — — $62,978.53 $137,558.79 $111,061.76 2026-05-22
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 2 — — $48,876.50 $106,262.52 $85,945.84 2026-05-22
3031 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 2 — — $41,420.11 $85,264.22 $70,440.64 2026-05-22
7594 OTHER Eating Disorders 8 2 — — $56,027.32 $75,533.59 $75,382.27 2026-05-22
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 — — $229,401.96 $260,539.33 $244,970.64 2026-05-22
3244 OTHER Elective Hip Joint Replacement 8 2 — — $45,065.39 $76,834.94 $68,673.35 2026-05-22
3264 OTHER Elective Knee Joint Replacement 8 2 — — $45,238.90 $63,223.84 $61,984.29 2026-05-22
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 4 — — $42,411.06 $212,701.00 $66,235.75 2026-05-22
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 2 — — $89,212.55 $173,727.10 $146,758.84 2026-05-22
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 2 — — $199,193.60 $226,230.71 $212,712.15 2026-05-22
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 2 — — $89,062.07 $144,238.91 $131,913.71 2026-05-22
7924 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 8 2 — — $70,742.02 $94,989.19 $77,476.35 2026-05-22
8414 OTHER Extensive Third Degree Burns With Skin Graft 8 2 — — $327,822.90 $505,437.90 $352,120.76 2026-05-22
8413 OTHER Extensive Third Degree Burns With Skin Graft 8 2 — — $118,680.02 $162,049.23 $119,682.09 2026-05-22
1784 OTHER External Heart Assist Systems 8 2 — — $127,437.29 $186,092.41 $178,604.72 2026-05-22
1783 OTHER External Heart Assist Systems 8 2 — — $83,756.92 $126,833.21 $119,649.11 2026-05-22
1782 OTHER External Heart Assist Systems 8 2 — — $82,293.59 $110,538.61 $110,519.36 2026-05-22
1781 OTHER External Heart Assist Systems 8 2 — — $78,995.33 $106,071.36 $104,016.73 2026-05-22
94 OTHER Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $38,037.68 $374,976.06 $219,241.05 2026-05-22
93 OTHER Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $8,606.41 $149,873.59 $115,694.57 2026-05-22
92 OTHER Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $11,056.58 $96,729.35 $79,770.63 2026-05-22
91 OTHER Extracorporeal Membrane Oxygenation (ecmo) 12 4 — — $18,981.01 $83,127.86 $69,253.43 2026-05-22
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 2 — — $64,237.35 $72,956.46 $68,596.90 2026-05-22
924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 2 — — $69,243.37 $103,929.19 $98,453.03 2026-05-22
5144 OTHER Female Reproductive System Reconstructive Procedures 8 2 — — $54,267.64 $86,084.09 $79,476.11 2026-05-22
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 2 — — $77,522.54 $88,044.89 $82,783.71 2026-05-22
2324 OTHER Gastric Fundoplication 8 2 — — $58,063.40 $94,639.64 $86,302.27 2026-05-22
C1889 HCPCS Graft Evas Tambe 37x20x160 14 4 $134,560.00 $134,560.00 $56,246.08 $102,534.72 $78,044.80 2026-05-22
3164 OTHER Hand And Wrist Procedures 8 2 — — $47,238.12 $63,429.22 $61,749.10 2026-05-22
24 OTHER Heart And/or Lung Transplant 12 4 — — $42,279.82 $586,763.54 $290,814.52 2026-05-22
23 OTHER Heart And/or Lung Transplant 12 4 — — $61,933.08 $279,899.66 $184,058.74 2026-05-22
22 OTHER Heart And/or Lung Transplant 12 4 — — $33,235.68 $207,716.04 $132,471.25 2026-05-22
21 OTHER Heart And/or Lung Transplant 12 4 — — $57,215.39 $178,069.42 $108,905.62 2026-05-22
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $302,882.31 $343,993.37 $323,437.84 2026-05-22
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $122,474.09 $139,097.85 $130,785.97 2026-05-22
2274 OTHER Hernia Procedures Except Inguinal, Femoral And Umbilical 8 2 — — $42,929.51 $76,976.35 $67,310.08 2026-05-22
3084 OTHER Hip And Femur Fracture Repair 8 2 — — $37,390.96 $77,878.71 $64,042.80 2026-05-22
969 OTHER HIV With Extensive O.r. Procedures With Mcc 4 2 — — $66,159.01 $75,138.96 $70,648.99 2026-05-22
1614 OTHER Implantable Heart Assist Systems 8 2 — — $283,258.29 $596,181.22 $488,263.82 2026-05-22
1613 OTHER Implantable Heart Assist Systems 8 2 — — $221,191.85 $438,615.72 $367,811.06 2026-05-22
1612 OTHER Implantable Heart Assist Systems 8 2 — — $177,597.47 $311,577.13 $275,023.49 2026-05-22
1611 OTHER Implantable Heart Assist Systems 8 2 — — $168,717.67 $296,353.24 $261,449.85 2026-05-22
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 2 — — $73,344.69 $99,437.61 $98,960.77 2026-05-22
1764 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 2 — — $69,442.99 $98,119.43 $95,682.17 2026-05-22
64654 CPT Intl Open Impl Bat Mod System 16 4 $180,002.00 $180,002.00 $75,240.84 $137,161.52 $113,581.26 2026-05-22
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 — — $85,045.99 $96,589.52 $90,817.76 2026-05-22
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 8 2 — — $55,557.46 $80,582.41 $77,591.23 2026-05-22
4434 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 8 2 — — $43,173.65 $67,557.17 $62,764.40 2026-05-22
4404 OTHER Kidney Transplant 8 2 — — $121,932.52 $262,976.17 $213,350.83 2026-05-22
4403 OTHER Kidney Transplant 8 2 — — $98,705.01 $164,328.12 $148,432.38 2026-05-22
4402 OTHER Kidney Transplant 8 2 — — $84,655.19 $145,471.24 $129,571.20 2026-05-22
4401 OTHER Kidney Transplant 8 2 — — $67,833.78 $93,565.56 $92,324.85 2026-05-22
3134 OTHER Knee And Lower Leg Procedures Except Foot 8 2 — — $61,633.43 $82,758.59 $82,350.09 2026-05-22
14 OTHER Liver Transplant And/or Intestinal Transplant 12 4 — — $129,889.46 $311,757.26 $226,613.71 2026-05-22
13 OTHER Liver Transplant And/or Intestinal Transplant 12 4 — — $31,146.49 $216,344.67 $179,353.68 2026-05-22
12 OTHER Liver Transplant And/or Intestinal Transplant 12 4 — — $45,566.53 $147,998.17 $117,622.71 2026-05-22
11 OTHER Liver Transplant And/or Intestinal Transplant 12 4 — — $58,947.91 $131,910.64 $104,433.21 2026-05-22
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $111,435.88 $126,561.39 $118,998.64 2026-05-22
1814 OTHER Lower Extremity Arterial Procedures 8 2 — — $74,534.71 $110,102.58 $105,092.21 2026-05-22
7 OTHER Lung Transplant 4 2 — — $139,965.76 $158,963.71 $149,464.73 2026-05-22
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 2 — — $63,386.76 $71,990.42 $67,688.59 2026-05-22
6914 OTHER Lymphoma, Myeloma And Non-acute Leukemia 8 2 — — $62,365.87 $83,742.07 $67,365.25 2026-05-22
1694 OTHER Major Abdominal Vascular Procedures 8 2 — — $107,727.61 $144,651.76 $122,425.80 2026-05-22
2614 OTHER Major Biliary Tract Procedures 8 2 — — $84,392.62 $113,318.59 $105,738.95 2026-05-22
4414 OTHER Major Bladder Procedures 8 2 — — $77,914.34 $132,954.41 $118,787.14 2026-05-22
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 8 2 — — $129,527.10 $229,934.11 $201,928.62 2026-05-22
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 8 2 — — $52,417.36 $74,646.39 $72,515.03 2026-05-22
894 OTHER Major Cranial Or Facial Bone Procedures 12 4 — — $6,667.46 $114,235.58 $90,398.35 2026-05-22
893 OTHER Major Cranial Or Facial Bone Procedures 8 2 — — $49,655.00 $66,674.49 $65,809.70 2026-05-22
2314 OTHER Major Large Bowel Procedures 8 2 — — $49,965.17 $77,228.88 $72,159.93 2026-05-22
4804 OTHER Major Male Pelvic Procedures 8 2 — — $56,371.28 $81,190.15 $78,441.48 2026-05-22
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 2 — — $78,387.28 $115,291.13 $110,273.01 2026-05-22
2604 OTHER Major Pancreas, Liver And Shunt Procedures 8 2 — — $73,258.71 $125,489.77 $111,929.12 2026-05-22
1204 OTHER Major Respiratory And Chest Procedures 8 2 — — $81,550.41 $109,502.20 $103,599.22 2026-05-22
2304 OTHER Major Small Bowel Procedures 8 2 — — $58,365.89 $87,777.69 $83,074.39 2026-05-22
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 8 2 — — $99,225.55 $139,156.43 $136,196.01 2026-05-22
3624 OTHER Mastectomy Procedures 8 2 — — $56,572.43 $75,962.90 $74,585.78 2026-05-22
7404 OTHER Mental Illness Diagnosis With O.r. Procedure 8 2 — — $82,826.41 $111,215.55 $104,105.96 2026-05-22
9514 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 2 — — $64,553.96 $113,052.08 $99,866.11 2026-05-22
7934 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 8 2 — — $52,219.28 $84,191.84 $77,154.76 2026-05-22
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $119,117.13 $135,285.23 $127,201.18 2026-05-22
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $78,018.63 $88,608.32 $83,313.48 2026-05-22
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $60,762.58 $69,010.05 $64,886.32 2026-05-22
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 2 — — $72,214.73 $82,016.64 $77,115.68 2026-05-22
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 2 — — $78,745.05 $110,360.16 $108,047.73 2026-05-22
8634 OTHER Neonatal Aftercare 8 2 — — $100,467.77 $163,235.53 $149,069.55 2026-05-22
8633 OTHER Neonatal Aftercare 8 2 — — $63,649.55 $85,465.73 $84,484.76 2026-05-22
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 2 — — $208,609.96 $280,112.02 $274,127.67 2026-05-22
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 2 — — $101,514.98 $136,309.72 $132,368.55 2026-05-22
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 2 — — $60,656.86 $81,447.29 $66,387.14 2026-05-22
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $267,213.85 $358,802.68 $308,676.46 2026-05-22
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $192,910.58 $282,926.38 $201,808.25 2026-05-22
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $121,493.37 $163,135.80 $149,658.10 2026-05-22
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 2 — — $106,820.13 $143,433.24 $111,947.70 2026-05-22
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 2 — — $98,367.20 $132,083.03 $109,451.07 2026-05-22
6082 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 2 — — $71,876.76 $96,512.86 $92,132.90 2026-05-22
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $232,218.27 $311,812.20 $280,753.93 2026-05-22
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $132,668.22 $218,198.23 $147,584.33 2026-05-22
6072 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $92,962.87 $126,718.23 $93,667.35 2026-05-22
6134 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 2 — — $95,669.33 $128,460.45 $126,661.49 2026-05-22
6133 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 2 — — $62,385.83 $90,877.01 $87,322.94 2026-05-22
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 2 — — $168,269.19 $283,744.92 $189,792.35 2026-05-22
6113 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 2 — — $113,513.35 $209,645.89 $134,822.27 2026-05-22
6112 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 2 — — $53,146.73 $87,614.39 $79,488.71 2026-05-22
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 2 — — $82,453.28 $110,714.54 $106,075.65 2026-05-22
6143 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 2 — — $63,253.39 $84,933.79 $84,777.69 2026-05-22
6142 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 2 — — $47,901.46 $66,181.75 $65,250.83 2026-05-22
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $132,561.25 $193,041.89 $185,519.58 2026-05-22
6123 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $91,574.15 $122,961.63 $96,181.72 2026-05-22
6122 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $73,215.71 $98,310.75 $75,368.61 2026-05-22
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 2 — — $306,306.15 $411,294.05 $401,550.10 2026-05-22
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 2 — — $119,094.92 $159,915.27 $149,629.48 2026-05-22
6092 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 2 — — $54,032.71 $87,765.91 $80,159.29 2026-05-22
6234 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 2 — — $66,123.24 $88,787.29 $80,095.88 2026-05-22
6233 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 2 — — $54,527.14 $73,216.58 $67,683.43 2026-05-22
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 2 — — $110,579.01 $274,872.99 $157,643.63 2026-05-22
6213 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 2 — — $58,759.20 $109,918.68 $70,309.89 2026-05-22
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 2 — — $55,296.43 $80,447.73 $77,348.63 2026-05-22
6253 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 2 — — $51,492.99 $69,142.46 $68,353.47 2026-05-22
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 2 — — $84,572.27 $119,850.05 $116,704.93 2026-05-22
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 8 2 — — $358,083.21 $480,817.95 $447,634.23 2026-05-22
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 8 2 — — $186,570.93 $270,947.54 $260,733.27 2026-05-22
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 8 2 — — $140,011.64 $192,609.23 $141,727.49 2026-05-22
5911 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 8 2 — — $127,282.70 $175,100.43 $128,843.29 2026-05-22
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 2 — — $352,486.31 $473,302.68 $376,619.15 2026-05-22
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 2 — — $274,034.54 $367,961.20 $298,294.31 2026-05-22
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 2 — — $200,575.56 $292,243.66 $209,110.20 2026-05-22
5931 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 8 2 — — $182,341.57 $265,677.36 $190,100.74 2026-05-22
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 8 2 — — $381,321.46 $598,756.98 $555,389.10 2026-05-22
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 8 2 — — $263,349.00 $353,613.13 $338,494.61 2026-05-22
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 8 2 — — $213,462.14 $329,492.94 $308,060.12 2026-05-22
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 8 2 — — $140,509.00 $230,826.37 $209,747.75 2026-05-22
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $313,773.28 $507,979.29 $464,649.93 2026-05-22
5893 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $266,381.61 $558,777.22 $458,231.20 2026-05-22
5894 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $98,946.08 $614,655.95 $373,758.14 2026-05-22
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 2 — — $329,784.18 $526,649.70 $361,000.01 2026-05-22
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 8 2 — — $52,477.25 $70,464.08 $61,358.52 2026-05-22
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 8 2 — — $108,803.99 $146,097.09 $124,053.75 2026-05-22
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 2 — — $149,103.19 $200,209.03 $159,957.75 2026-05-22
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 2 — — $110,499.19 $148,373.31 $143,962.82 2026-05-22
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 2 — — $62,005.03 $92,449.40 $87,853.48 2026-05-22
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 2 — — $166,220.37 $259,706.39 $179,816.74 2026-05-22
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 2 — — $55,414.66 $90,865.23 $82,636.76 2026-05-22
6312 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 2 — — $46,126.42 $61,936.47 $60,341.69 2026-05-22
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 2 — — $60,005.80 $97,023.47 $88,798.27 2026-05-22
5834 OTHER Neonate With Ecmo 8 2 — — $589,447.74 $791,483.78 $745,283.77 2026-05-22
5833 OTHER Neonate With Ecmo 8 2 — — $344,587.70 $649,046.49 $555,871.64 2026-05-22
5832 OTHER Neonate With Ecmo 8 2 — — $222,447.89 $407,292.52 $352,992.74 2026-05-22
5831 OTHER Neonate With Ecmo 8 2 — — $182,002.82 $329,831.32 $287,108.23 2026-05-22
3234 OTHER Non-elective Or Complex Hip Joint Replacement 8 2 — — $45,288.04 $101,935.93 $81,373.33 2026-05-22
3254 OTHER Non-elective Or Complex Knee Joint Replacement 8 2 — — $57,208.12 $111,653.09 $94,234.79 2026-05-22
9524 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 8 2 — — $62,441.11 $83,843.10 $81,437.63 2026-05-22
214 OTHER Open Craniotomy Except Trauma 8 2 — — $81,535.05 $136,237.24 $122,859.41 2026-05-22
213 OTHER Open Craniotomy Except Trauma 12 4 — — $42,717.61 $78,291.17 $65,866.19 2026-05-22
204 OTHER Open Craniotomy For Trauma 12 4 — — $8,726.38 $154,895.47 $95,143.18 2026-05-22
734 OTHER Orbit And Eye Procedures 12 4 — — $23,021.04 $71,000.14 $60,459.25 2026-05-22
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 2 — — $81,981.88 $111,750.73 $110,916.14 2026-05-22
4454 OTHER Other Bladder Procedures 8 2 — — $44,663.09 $67,360.20 $63,665.89 2026-05-22
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 8 2 — — $91,911.96 $153,488.06 $138,451.64 2026-05-22
1673 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 8 2 — — $43,456.19 $62,609.37 $60,480.18 2026-05-22
2294 OTHER Other Digestive System And Abdominal Procedures 8 2 — — $49,780.91 $69,036.97 $67,940.26 2026-05-22
984 OTHER Other Ear, Nose, Mouth And Throat Procedures 8 2 — — $44,789.00 $79,742.34 $69,941.49 2026-05-22
5184 OTHER Other Female Reproductive System And Related Procedures 8 2 — — $56,486.44 $91,866.91 $83,857.18 2026-05-22
215 OTHER Other Heart Assist System Implant 10 4 — — $74,978.70 $122,222.18 $74,978.70 2026-05-22
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 8 2 — — $62,451.86 $93,915.73 $88,886.63 2026-05-22
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 8 2 — — $83,417.57 $112,009.35 $90,035.26 2026-05-22
914 OTHER Other Major Head And Neck Procedures 12 4 — — $9,570.48 $134,513.33 $100,835.92 2026-05-22
4844 OTHER Other Male Reproductive System And Related Procedures 8 2 — — $55,870.70 $78,833.25 $76,926.95 2026-05-22
3204 OTHER Other Musculoskeletal System And Connective Tissue Procedures 8 2 — — $40,939.50 $74,047.06 $64,509.38 2026-05-22
264 OTHER Other Nervous System And Related Procedures 12 4 — — $36,105.20 $87,026.85 $68,704.83 2026-05-22
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 — — $82,355.88 $93,534.27 $87,945.08 2026-05-22
294 OTHER Other Percutaneous Intracranial Procedures 8 2 — — $54,620.81 $105,786.09 $89,564.22 2026-05-22
1824 OTHER Other Peripheral Vascular And Related Procedures 8 2 — — $73,717.82 $127,105.93 $113,045.45 2026-05-22
1823 OTHER Other Peripheral Vascular And Related Procedures 8 2 — — $42,516.46 $72,351.78 $64,720.48 2026-05-22
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 2 — — $66,273.72 $89,988.13 $89,488.74 2026-05-22
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 8 2 — — $73,639.51 $98,879.80 $89,614.39 2026-05-22
1214 OTHER Other Respiratory And Chest Procedures 8 2 — — $68,675.24 $104,398.89 $98,306.45 2026-05-22
3094 OTHER Other Significant Hip And Femur Surgery 8 2 — — $70,315.15 $108,580.70 $101,498.35 2026-05-22
3644 OTHER Other Skin, Subcutaneous Tissue And Related Procedures 8 2 — — $61,375.47 $82,412.21 $65,240.68 2026-05-22
2234 OTHER Other Small And Large Bowel Procedures 8 2 — — $38,312.26 $71,890.50 $61,667.24 2026-05-22
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 8 2 — — $82,117.76 $122,578.13 $86,703.15 2026-05-22
C1824 HCPCS Pacemaker Card Optimizer Lt 14 4 $119,315.00 $119,315.00 $49,873.67 $90,918.03 $69,202.70 2026-05-22
64 OTHER Pancreas Transplant 12 4 — — $21,734.89 $244,308.87 $198,834.85 2026-05-22
63 OTHER Pancreas Transplant 12 4 — — $15,172.27 $172,609.77 $149,667.51 2026-05-22
62 OTHER Pancreas Transplant 12 4 — — $18,991.82 $149,843.38 $125,940.87 2026-05-22
61 OTHER Pancreas Transplant 12 4 — — $29,798.74 $117,782.39 $102,127.79 2026-05-22
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 4 2 — — $59,125.16 $67,150.39 $63,137.78 2026-05-22
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 8 2 — — $69,373.89 $101,259.16 $97,205.64 2026-05-22
4834 OTHER Penis, Testes And Scrotal Procedures 8 2 — — $46,069.61 $66,333.27 $64,096.73 2026-05-22
1754 OTHER Percutaneous Cardiac Intervention Without Ami 8 2 — — $50,676.11 $80,930.90 $74,488.24 2026-05-22
304 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 12 4 — — $12,861.52 $111,755.78 $67,402.61 2026-05-22
1834 OTHER Percutaneous Structural Cardiac Procedures 8 2 — — $68,719.77 $157,831.49 $125,052.64 2026-05-22
1833 OTHER Percutaneous Structural Cardiac Procedures 8 2 — — $48,340.61 $96,848.39 $80,878.99 2026-05-22
1832 OTHER Percutaneous Structural Cardiac Procedures 8 2 — — $43,926.05 $79,700.26 $69,341.08 2026-05-22
1831 OTHER Percutaneous Structural Cardiac Procedures 8 2 — — $43,310.31 $78,003.29 $68,079.21 2026-05-22
2244 OTHER Peritoneal Adhesiolysis 8 2 — — $48,638.50 $140,930.84 $103,120.21 2026-05-22
1704 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 2 — — $61,697.93 $92,513.38 $87,679.29 2026-05-22
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 8 2 — — $46,468.84 $102,105.96 $82,251.11 2026-05-22
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 2 — — $60,996.20 $107,471.27 $94,687.11 2026-05-22
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 2 — — $85,435.22 $144,454.40 $129,586.48 2026-05-22
8503 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 2 — — $44,546.39 $77,506.66 $68,660.77 2026-05-22
4034 OTHER Procedures For Obesity 8 2 — — $55,219.65 $100,003.27 $87,074.86 2026-05-22
6924 OTHER Radiotherapy 8 2 — — $48,974.77 $66,026.87 $65,893.99 2026-05-22
8604 OTHER Rehabilitation 8 2 — — $30,845.12 $176,956.05 $109,186.74 2026-05-22
4444 OTHER Renal Dialysis Access Device Procedures 8 2 — — $64,802.71 $87,014.15 $78,538.64 2026-05-22
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 2 — — $99,277.75 $133,305.68 $119,164.86 2026-05-22
1303 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 2 — — $69,925.13 $97,144.68 $95,518.49 2026-05-22
1302 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 2 — — $46,743.69 $68,612.73 $65,689.02 2026-05-22
1301 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 2 — — $46,732.94 $63,087.48 $62,919.18 2026-05-22
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 4 2 — — $69,546.24 $78,985.94 $74,266.09 2026-05-22
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 4 2 — — $56,259.96 $63,896.29 $60,078.12 2026-05-22
7504 OTHER Schizophrenia 8 2 — — $60,895.56 $87,251.25 $62,937.43 2026-05-22
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 4 2 — — $74,702.73 $84,842.35 $79,772.54 2026-05-22
3224 OTHER Shoulder And Elbow Joint Replacement 8 2 — — $54,746.72 $77,143.02 $75,327.22 2026-05-22
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 8 2 — — $35,066.21 $81,732.24 $64,408.79 2026-05-22
8 OTHER Simultaneous Pancreas And Kidney Transplant 4 2 — — $60,574.52 $68,796.47 $64,685.49 2026-05-22
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $71,626.78 $81,348.88 $76,487.83 2026-05-22
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 2 — — $76,107.06 $112,275.98 $107,234.55 2026-05-22
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 2 — — $82,797.23 $113,770.93 $112,473.65 2026-05-22
3123 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 2 — — $47,700.31 $68,932.59 $66,491.21 2026-05-22
3214 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 2 — — $66,628.42 $89,465.63 $89,363.55 2026-05-22
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $90,823.95 $103,151.74 $96,987.85 2026-05-22
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 2 — — $64,449.18 $73,197.05 $68,823.12 2026-05-22
28 OTHER Spinal Procedures With Mcc 4 2 — — $64,937.71 $73,751.88 $69,344.79 2026-05-22
6504 OTHER Splenectomy 8 2 — — $66,961.62 $89,913.04 $81,153.12 2026-05-22
C1767 HCPCS System Nrstm Baro Neo2 Ipg Mod 18 5 $151,944.00 $151,944.00 $63,512.59 $144,768.00 $103,625.81 2026-05-22
3174 OTHER Tendon, Muscle And Other Soft Tissue Procedures 8 2 — — $62,235.63 $99,980.81 $68,347.55 2026-05-22
4044 OTHER Thyroid, Parathyroid And Thyroglossal Procedures 8 2 — — $66,900.20 $90,030.21 $89,930.39 2026-05-22
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $149,705.93 $170,025.94 $159,865.93 2026-05-22
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 8 2 — — $195,053.03 $300,917.21 $281,412.80 2026-05-22
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 8 2 — — $150,606.45 $202,227.53 $201,121.01 2026-05-22
42 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 12 4 — — $18,672.98 $139,895.19 $121,350.96 2026-05-22
54 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $16,502.74 $288,322.11 $218,229.05 2026-05-22
53 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $10,583.19 $178,131.27 $144,838.02 2026-05-22
52 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 4 — — $19,246.89 $125,586.30 $99,148.21 2026-05-22
51 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 2 — — $77,667.13 $104,287.91 $88,425.84 2026-05-22
5194 OTHER Uterine And Adnexa Procedures For Leiomyoma 8 2 — — $54,567.06 $77,163.22 $75,216.71 2026-05-22
5124 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 2 — — $53,180.51 $88,914.05 $80,161.21 2026-05-22
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 2 — — $57,701.02 $97,085.76 $87,282.04 2026-05-22
224 OTHER Ventricular Shunt Procedures 8 2 — — $66,926.30 $89,865.61 $78,467.94 2026-05-22
3104 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 8 2 — — $55,139.81 $88,373.65 $81,206.45 2026-05-22
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