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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 QUEEN OF PEACE

Mitchell, SD · CCN 431340 · Rates published

3,990 distinct procedures filed
5 distinct payers
34,901 rate rows
2026-05-09 last MRF observed
Data quality

34,485 of 34,901 rate rows are consumer-grade (98.8%)

416 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 208
exceeds 10× this hospital's gross charge — excluded from medians 147
percent-of-charges filed in the dollar field — excluded from medians 32
placeholder amount (≤ $0.02) — excluded from medians 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/589ce456-2d0d-4c19-84d6-c333e65f7b62/460224604_avera-queen-of-peace-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 1d49db210dd9fe4c… · 11,939,618 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
CPT 		Neonate With Ecmo 1 $905,585.07 $905,585.07 $905,585.07 —
5833
CPT 		Neonate With Ecmo 1 $788,648.35 $788,648.35 $788,648.35 —
5894
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $746,860.83 $746,860.83 $746,860.83 —
5884
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $727,542.19 $727,542.19 $727,542.19 —
1614
CPT 		Implantable Heart Assist Systems 1 $724,412.42 $724,412.42 $724,412.42 —
5893
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $678,963.28 $678,963.28 $678,963.28 —
5892
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $617,239.34 $617,239.34 $617,239.34 —
5914
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $543,914.81 $543,914.81 $543,914.81 —
1613
CPT 		Implantable Heart Assist Systems 1 $532,956.53 $532,956.53 $532,956.53 —
5832
CPT 		Neonate With Ecmo 1 $494,896.10 $494,896.10 $494,896.10 —
6094
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $487,918.56 $487,918.56 $487,918.56 —
5934
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $457,625.27 $457,625.27 $457,625.27 —
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $390,804.34 $483,172.35 $436,988.34 —
5883
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $411,300.61 $411,300.61 $411,300.61 —
5831
CPT 		Neonate With Ecmo 1 $400,773.95 $400,773.95 $400,773.95 —
5891
CPT 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $400,716.68 $400,716.68 $400,716.68 —
5882
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $400,362.79 $400,362.79 $400,362.79 —
8414
CPT 		Extensive Third Degree Burns With Skin Graft 1 $398,333.55 $398,333.55 $398,333.55 —
1612
CPT 		Implantable Heart Assist Systems 1 $378,593.51 $378,593.51 $378,593.51 —
6024
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $375,068.94 $375,068.94 $375,068.94 —
44
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $365,640.77 $365,640.77 $365,640.77 —
5933
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $362,453.73 $362,453.73 $362,453.73 —
1611
CPT 		Implantable Heart Assist Systems 1 $360,095.15 $360,095.15 $360,095.15 —
6074
CPT 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $341,140.62 $341,140.62 $341,140.62 —
6034
CPT 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $333,089.14 $333,089.14 $333,089.14 —
5913
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $329,225.00 $329,225.00 $329,225.00 —
4404
CPT 		Kidney Transplant 1 $319,539.08 $319,539.08 $319,539.08 —
8424
CPT 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $312,751.78 $312,751.78 $312,751.78 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $253,616.30 $313,559.42 $283,587.86 —
5881
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $280,474.26 $280,474.26 $280,474.26 —
1604
CPT 		Major Cardiothoracic Repair Of Heart Anomaly 1 $279,390.09 $279,390.09 $279,390.09 —
3034
CPT 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $246,302.51 $246,302.51 $246,302.51 —
43
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $244,379.65 $244,379.65 $244,379.65 —
5932
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $243,716.88 $243,716.88 $243,716.88 —
6124
CPT 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $234,562.82 $234,562.82 $234,562.82 —
6023
CPT 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $234,403.26 $234,403.26 $234,403.26 —
1784
CPT 		External Heart Assist Systems 1 $226,118.58 $226,118.58 $226,118.58 —
5931
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $221,560.98 $221,560.98 $221,560.98 —
8514
CPT 		Gender Related Procedures 1 $215,017.11 $215,017.11 $215,017.11 —
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $192,088.06 $237,488.76 $214,788.41 —
9114
CPT 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 $211,093.65 $211,093.65 $211,093.65 —
1624
CPT 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $205,691.22 $205,691.22 $205,691.22 —
6114
CPT 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $204,461.81 $204,461.81 $204,461.81 —
6314
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $201,972.32 $201,972.32 $201,972.32 —
4403
CPT 		Kidney Transplant 1 $199,673.06 $199,673.06 $199,673.06 —
8634
CPT 		Neonatal Aftercare 1 $198,345.47 $198,345.47 $198,345.47 —
6304
CPT 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $194,362.68 $194,362.68 $194,362.68 —
1834
CPT 		Percutaneous Structural Cardiac Procedures 1 $191,779.09 $191,779.09 $191,779.09 —
6904
CPT 		Acute Leukemia 1 $189,093.22 $189,093.22 $189,093.22 —
9104
CPT 		Craniotomy For Multiple Significant Trauma 1 $187,726.76 $187,726.76 $187,726.76 —

Other procedures at this hospital

Browse this hospital's 3,990 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 CPT Neonate With Ecmo 1 1 — — $905,585.07 $905,585.07 $905,585.07 2026-05-09
5833 CPT Neonate With Ecmo 1 1 — — $788,648.35 $788,648.35 $788,648.35 2026-05-09
5894 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $746,860.83 $746,860.83 $746,860.83 2026-05-09
5884 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $727,542.19 $727,542.19 $727,542.19 2026-05-09
1614 CPT Implantable Heart Assist Systems 1 1 — — $724,412.42 $724,412.42 $724,412.42 2026-05-09
5893 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $678,963.28 $678,963.28 $678,963.28 2026-05-09
5892 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $617,239.34 $617,239.34 $617,239.34 2026-05-09
5914 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $543,914.81 $543,914.81 $543,914.81 2026-05-09
1613 CPT Implantable Heart Assist Systems 1 1 — — $532,956.53 $532,956.53 $532,956.53 2026-05-09
5832 CPT Neonate With Ecmo 1 1 — — $494,896.10 $494,896.10 $494,896.10 2026-05-09
6094 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $487,918.56 $487,918.56 $487,918.56 2026-05-09
5934 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $457,625.27 $457,625.27 $457,625.27 2026-05-09
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $390,804.34 $483,172.35 $436,988.34 2026-05-09
5883 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $411,300.61 $411,300.61 $411,300.61 2026-05-09
5831 CPT Neonate With Ecmo 1 1 — — $400,773.95 $400,773.95 $400,773.95 2026-05-09
5891 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $400,716.68 $400,716.68 $400,716.68 2026-05-09
5882 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $400,362.79 $400,362.79 $400,362.79 2026-05-09
8414 CPT Extensive Third Degree Burns With Skin Graft 1 1 — — $398,333.55 $398,333.55 $398,333.55 2026-05-09
1612 CPT Implantable Heart Assist Systems 1 1 — — $378,593.51 $378,593.51 $378,593.51 2026-05-09
6024 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $375,068.94 $375,068.94 $375,068.94 2026-05-09
44 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $365,640.77 $365,640.77 $365,640.77 2026-05-09
5933 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $362,453.73 $362,453.73 $362,453.73 2026-05-09
1611 CPT Implantable Heart Assist Systems 1 1 — — $360,095.15 $360,095.15 $360,095.15 2026-05-09
6074 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $341,140.62 $341,140.62 $341,140.62 2026-05-09
6034 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $333,089.14 $333,089.14 $333,089.14 2026-05-09
5913 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $329,225.00 $329,225.00 $329,225.00 2026-05-09
4404 CPT Kidney Transplant 1 1 — — $319,539.08 $319,539.08 $319,539.08 2026-05-09
8424 CPT Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $312,751.78 $312,751.78 $312,751.78 2026-05-09
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $253,616.30 $313,559.42 $283,587.86 2026-05-09
5881 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $280,474.26 $280,474.26 $280,474.26 2026-05-09
1604 CPT Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $279,390.09 $279,390.09 $279,390.09 2026-05-09
3034 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $246,302.51 $246,302.51 $246,302.51 2026-05-09
43 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $244,379.65 $244,379.65 $244,379.65 2026-05-09
5932 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $243,716.88 $243,716.88 $243,716.88 2026-05-09
6124 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $234,562.82 $234,562.82 $234,562.82 2026-05-09
6023 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $234,403.26 $234,403.26 $234,403.26 2026-05-09
1784 CPT External Heart Assist Systems 1 1 — — $226,118.58 $226,118.58 $226,118.58 2026-05-09
5931 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $221,560.98 $221,560.98 $221,560.98 2026-05-09
8514 CPT Gender Related Procedures 1 1 — — $215,017.11 $215,017.11 $215,017.11 2026-05-09
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $192,088.06 $237,488.76 $214,788.41 2026-05-09
9114 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $211,093.65 $211,093.65 $211,093.65 2026-05-09
1624 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $205,691.22 $205,691.22 $205,691.22 2026-05-09
6114 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $204,461.81 $204,461.81 $204,461.81 2026-05-09
6314 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $201,972.32 $201,972.32 $201,972.32 2026-05-09
4403 CPT Kidney Transplant 1 1 — — $199,673.06 $199,673.06 $199,673.06 2026-05-09
8634 CPT Neonatal Aftercare 1 1 — — $198,345.47 $198,345.47 $198,345.47 2026-05-09
6304 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $194,362.68 $194,362.68 $194,362.68 2026-05-09
1834 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $191,779.09 $191,779.09 $191,779.09 2026-05-09
6904 CPT Acute Leukemia 1 1 — — $189,093.22 $189,093.22 $189,093.22 2026-05-09
9104 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $187,726.76 $187,726.76 $187,726.76 2026-05-09
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $166,793.31 $206,215.51 $186,504.41 2026-05-09
1674 CPT Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $186,501.44 $186,501.44 $186,501.44 2026-05-09
6022 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $181,847.70 $181,847.70 $181,847.70 2026-05-09
6093 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $181,812.93 $181,812.93 $181,812.93 2026-05-09
4402 CPT Kidney Transplant 1 1 — — $176,760.30 $176,760.30 $176,760.30 2026-05-09
8504 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $175,524.75 $175,524.75 $175,524.75 2026-05-09
9504 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $175,262.92 $175,262.92 $175,262.92 2026-05-09
6303 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $174,927.44 $174,927.44 $174,927.44 2026-05-09
2244 CPT Peritoneal Adhesiolysis 1 1 — — $171,243.31 $171,243.31 $171,243.31 2026-05-09
5912 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $170,126.42 $170,126.42 $170,126.42 2026-05-09
2204 CPT Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $169,087.25 $169,087.25 $169,087.25 2026-05-09
3033 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $167,145.98 $167,145.98 $167,145.98 2026-05-09
214 CPT Open Craniotomy Except Trauma 1 1 — — $165,540.18 $165,540.18 $165,540.18 2026-05-09
1634 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $165,386.76 $165,386.76 $165,386.76 2026-05-09
4414 CPT Major Bladder Procedures 1 1 — — $161,551.26 $161,551.26 $161,551.26 2026-05-09
6073 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $161,203.51 $161,203.51 $161,203.51 2026-05-09
6033 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $160,839.39 $160,839.39 $160,839.39 2026-05-09
3044 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $158,329.44 $158,329.44 $158,329.44 2026-05-09
5911 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $154,659.63 $154,659.63 $154,659.63 2026-05-09
1824 CPT Other Peripheral Vascular And Related Procedures 1 1 — — $154,444.85 $154,444.85 $154,444.85 2026-05-09
1783 CPT External Heart Assist Systems 1 1 — — $154,113.46 $154,113.46 $154,113.46 2026-05-09
6134 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $153,904.81 $153,904.81 $153,904.81 2026-05-09
2604 CPT Major Pancreas, Liver And Shunt Procedures 1 1 — — $152,481.07 $152,481.07 $152,481.07 2026-05-09
6334 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $150,736.17 $150,736.17 $150,736.17 2026-05-09
1694 CPT Major Abdominal Vascular Procedures 1 1 — — $148,758.08 $148,758.08 $148,758.08 2026-05-09
6224 CPT Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $145,628.31 $145,628.31 $145,628.31 2026-05-09
1304 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $144,795.75 $144,795.75 $144,795.75 2026-05-09
8413 CPT Extensive Third Degree Burns With Skin Graft 1 1 — — $144,206.62 $144,206.62 $144,206.62 2026-05-09
1794 CPT Defibrillator Implants 1 1 — — $141,330.50 $141,330.50 $141,330.50 2026-05-09
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $125,355.17 $154,983.31 $140,169.24 2026-05-09
6804 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $140,088.82 $140,088.82 $140,088.82 2026-05-09
3124 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $138,241.65 $138,241.65 $138,241.65 2026-05-09
6113 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $137,928.67 $137,928.67 $137,928.67 2026-05-09
9514 CPT Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $137,368.18 $137,368.18 $137,368.18 2026-05-09
3614 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $136,425.16 $136,425.16 $136,425.16 2026-05-09
6084 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $136,026.26 $136,026.26 $136,026.26 2026-05-09
6814 CPT Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $135,786.93 $135,786.93 $135,786.93 2026-05-09
1664 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $135,778.75 $135,778.75 $135,778.75 2026-05-09
3254 CPT Non-elective Or Complex Knee Joint Replacement 1 1 — — $135,668.28 $135,668.28 $135,668.28 2026-05-09
14 CPT Allogeneic Bone Marrow Transplant 3 3 — — $108,762.00 $378,812.39 $134,468.28 2026-05-09
6214 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $134,363.19 $134,363.19 $134,363.19 2026-05-09
1782 CPT External Heart Assist Systems 1 1 — — $134,314.10 $134,314.10 $134,314.10 2026-05-09
9124 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $134,097.26 $134,097.26 $134,097.26 2026-05-09
1814 CPT Lower Extremity Arterial Procedures 1 1 — — $133,784.29 $133,784.29 $133,784.29 2026-05-09
6083 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $132,992.64 $132,992.64 $132,992.64 2026-05-09
3094 CPT Other Significant Hip And Femur Surgery 1 1 — — $131,935.06 $131,935.06 $131,935.06 2026-05-09
7 CPT Lung Transplant 2 2 — — $117,199.31 $144,899.79 $131,049.55 2026-05-09
7114 CPT Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $130,587.01 $130,587.01 $130,587.01 2026-05-09
3032 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $129,118.27 $129,118.27 $129,118.27 2026-05-09
6144 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $128,891.21 $128,891.21 $128,891.21 2026-05-09
294 CPT Other Percutaneous Intracranial Procedures 1 1 — — $128,539.37 $128,539.37 $128,539.37 2026-05-09
9103 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $128,539.37 $128,539.37 $128,539.37 2026-05-09
2614 CPT Major Biliary Tract Procedures 1 1 — — $128,482.09 $128,482.09 $128,482.09 2026-05-09
1623 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $127,475.66 $127,475.66 $127,475.66 2026-05-09
7404 CPT Mental Illness Diagnosis With O.r. Procedure 1 1 — — $126,497.86 $126,497.86 $126,497.86 2026-05-09
1781 CPT External Heart Assist Systems 1 1 — — $126,389.44 $126,389.44 $126,389.44 2026-05-09
1654 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $126,364.89 $126,364.89 $126,364.89 2026-05-09
924 CPT Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $126,283.07 $126,283.07 $126,283.07 2026-05-09
1204 CPT Major Respiratory And Chest Procedures 1 1 — — $125,882.13 $125,882.13 $125,882.13 2026-05-09
4014 CPT Adrenal Procedures 1 1 — — $125,014.80 $125,014.80 $125,014.80 2026-05-09
1714 CPT Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $124,067.69 $124,067.69 $124,067.69 2026-05-09
3234 CPT Non-elective Or Complex Hip Joint Replacement 1 1 — — $123,861.08 $123,861.08 $123,861.08 2026-05-09
5104 CPT Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $123,038.75 $123,038.75 $123,038.75 2026-05-09
4034 CPT Procedures For Obesity 1 1 — — $121,512.73 $121,512.73 $121,512.73 2026-05-09
7104 CPT Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $120,825.41 $120,825.41 $120,825.41 2026-05-09
3043 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $120,461.29 $120,461.29 $120,461.29 2026-05-09
1764 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $119,223.70 $119,223.70 $119,223.70 2026-05-09
1303 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $118,039.30 $118,039.30 $118,039.30 2026-05-09
5114 CPT Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $117,967.71 $117,967.71 $117,967.71 2026-05-09
6344 CPT Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $117,892.02 $117,892.02 $117,892.02 2026-05-09
1833 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $117,679.28 $117,679.28 $117,679.28 2026-05-09
6123 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $116,869.22 $116,869.22 $116,869.22 2026-05-09
2324 CPT Gastric Fundoplication 1 1 — — $114,995.45 $114,995.45 $114,995.45 2026-05-09
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $102,552.79 $126,791.51 $114,672.15 2026-05-09
209 CPT Complex Aortic Arch Procedures 2 2 — — $102,435.14 $126,646.05 $114,540.60 2026-05-09
2644 CPT Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $114,115.84 $114,115.84 $114,115.84 2026-05-09
4401 CPT Kidney Transplant 1 1 — — $113,690.36 $113,690.36 $113,690.36 2026-05-09
6072 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $112,958.03 $112,958.03 $112,958.03 2026-05-09
1704 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $112,411.86 $112,411.86 $112,411.86 2026-05-09
6302 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $112,334.12 $112,334.12 $112,334.12 2026-05-09
6082 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $111,949.55 $111,949.55 $111,949.55 2026-05-09
5184 CPT Other Female Reproductive System And Related Procedures 1 1 — — $111,626.35 $111,626.35 $111,626.35 2026-05-09
8423 CPT Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $111,616.12 $111,616.12 $111,616.12 2026-05-09
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $99,741.86 $123,316.21 $111,529.04 2026-05-09
6133 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $110,423.53 $110,423.53 $110,423.53 2026-05-09
6313 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $110,409.21 $110,409.21 $110,409.21 2026-05-09
4474 CPT Other Kidney, Urinary Tract And Related Procedures 1 1 — — $109,400.73 $109,400.73 $109,400.73 2026-05-09
4044 CPT Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $109,394.60 $109,394.60 $109,394.60 2026-05-09
4054 CPT Other Procedures For Endocrine, Nutritional And Metabolic Disorders 1 1 — — $109,343.46 $109,343.46 $109,343.46 2026-05-09
6514 CPT Other Procedures Of Blood And Blood-forming Organs 1 1 — — $108,889.33 $108,889.33 $108,889.33 2026-05-09
3214 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $108,584.54 $108,584.54 $108,584.54 2026-05-09
5124 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 1 1 — — $108,038.36 $108,038.36 $108,038.36 2026-05-09
51 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $107,445.14 $107,445.14 $107,445.14 2026-05-09
3104 CPT Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 1 1 — — $107,381.73 $107,381.73 $107,381.73 2026-05-09
2304 CPT Major Small Bowel Procedures 1 1 — — $106,657.58 $106,657.58 $106,657.58 2026-05-09
6092 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $106,643.26 $106,643.26 $106,643.26 2026-05-09
6112 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $106,459.16 $106,459.16 $106,459.16 2026-05-09
1793 CPT Defibrillator Implants 1 1 — — $105,802.52 $105,802.52 $105,802.52 2026-05-09
1653 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $105,612.28 $105,612.28 $105,612.28 2026-05-09
5144 CPT Female Reproductive System Reconstructive Procedures 1 1 — — $104,599.71 $104,599.71 $104,599.71 2026-05-09
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $93,310.03 $115,364.18 $104,337.10 2026-05-09
1633 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $103,863.29 $103,863.29 $103,863.29 2026-05-09
3031 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $103,603.50 $103,603.50 $103,603.50 2026-05-09
6143 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $103,012.32 $103,012.32 $103,012.32 2026-05-09
8633 CPT Neonatal Aftercare 1 1 — — $102,656.39 $102,656.39 $102,656.39 2026-05-09
7934 CPT Moderately Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $102,300.46 $102,300.46 $102,300.46 2026-05-09
1622 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $101,617.23 $101,617.23 $101,617.23 2026-05-09
215 CPT Other Heart Assist System Implant 2 2 — — $90,110.85 $111,408.87 $100,759.86 2026-05-09
3134 CPT Knee And Lower Leg Procedures Except Foot 1 1 — — $100,062.57 $100,062.57 $100,062.57 2026-05-09
2224 CPT Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $99,780.28 $99,780.28 $99,780.28 2026-05-09
3154 CPT Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 1 1 — — $99,311.83 $99,311.83 $99,311.83 2026-05-09
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $88,534.34 $109,459.75 $98,997.04 2026-05-09
9524 CPT Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $98,953.85 $98,953.85 $98,953.85 2026-05-09
4804 CPT Major Male Pelvic Procedures 1 1 — — $98,653.15 $98,653.15 $98,653.15 2026-05-09
6504 CPT Splenic Procedures 1 1 — — $98,608.15 $98,608.15 $98,608.15 2026-05-09
212 CPT Concomitant Aortic And Mitral Valve Procedures 3 3 — — $51,086.81 $121,670.30 $98,410.61 2026-05-09
1754 CPT Percutaneous Cardiac Intervention Without Ami 1 1 — — $98,338.13 $98,338.13 $98,338.13 2026-05-09
4424 CPT Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $97,914.69 $97,914.69 $97,914.69 2026-05-09
6254 CPT Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $97,751.04 $97,751.04 $97,751.04 2026-05-09
6234 CPT Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $97,323.51 $97,323.51 $97,323.51 2026-05-09
6903 CPT Acute Leukemia 1 1 — — $96,930.76 $96,930.76 $96,930.76 2026-05-09
984 CPT Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 1 1 — — $96,893.94 $96,893.94 $96,893.94 2026-05-09
1832 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $96,842.80 $96,842.80 $96,842.80 2026-05-09
6091 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $95,977.51 $95,977.51 $95,977.51 2026-05-09
4844 CPT Other Male Reproductive System And Related Procedures 1 1 — — $95,789.31 $95,789.31 $95,789.31 2026-05-09
4444 CPT Renal Dialysis Access Device Procedures 1 1 — — $95,431.33 $95,431.33 $95,431.33 2026-05-09
224 CPT Ventricular Shunt Procedures 1 1 — — $95,345.42 $95,345.42 $95,345.42 2026-05-09
1831 CPT Percutaneous Structural Cardiac Procedures 1 1 — — $94,780.83 $94,780.83 $94,780.83 2026-05-09
3084 CPT Hip And Femur Fracture Repair 1 1 — — $94,629.46 $94,629.46 $94,629.46 2026-05-09
8503 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $94,177.38 $94,177.38 $94,177.38 2026-05-09
7924 CPT Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $94,140.56 $94,140.56 $94,140.56 2026-05-09
2314 CPT Major Large Bowel Procedures 1 1 — — $93,839.85 $93,839.85 $93,839.85 2026-05-09
5194 CPT Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $93,760.08 $93,760.08 $93,760.08 2026-05-09
3224 CPT Shoulder And Elbow Joint Replacement 1 1 — — $93,735.53 $93,735.53 $93,735.53 2026-05-09
2274 CPT Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $93,533.01 $93,533.01 $93,533.01 2026-05-09
3244 CPT Elective Hip Joint Replacement 1 1 — — $93,361.18 $93,361.18 $93,361.18 2026-05-09
7524 CPT Disorders Of Personality And Impulse Control 1 1 — — $92,299.52 $92,299.52 $92,299.52 2026-05-09
7754 CPT Alcohol Abuse And Dependence 1 1 — — $91,921.08 $91,921.08 $91,921.08 2026-05-09
7594 CPT Eating Disorders 1 1 — — $91,779.94 $91,779.94 $91,779.94 2026-05-09
6122 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $91,579.47 $91,579.47 $91,579.47 2026-05-09
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $81,536.88 $100,808.41 $91,172.65 2026-05-09
4234 CPT Inborn Errors Of Metabolism 1 1 — — $90,982.15 $90,982.15 $90,982.15 2026-05-09
1792 CPT Defibrillator Implants 1 1 — — $90,851.23 $90,851.23 $90,851.23 2026-05-09
3634 CPT Breast Procedures Except Mastectomy 1 1 — — $90,744.86 $90,744.86 $90,744.86 2026-05-09
1603 CPT Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $90,701.90 $90,701.90 $90,701.90 2026-05-09
3624 CPT Mastectomy Procedures 1 1 — — $90,628.26 $90,628.26 $90,628.26 2026-05-09
3204 CPT Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $89,973.67 $89,973.67 $89,973.67 2026-05-09
1791 CPT Defibrillator Implants 1 1 — — $89,089.97 $89,089.97 $89,089.97 2026-05-09
1621 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $88,241.05 $88,241.05 $88,241.05 2026-05-09
1823 CPT Other Peripheral Vascular And Related Procedures 1 1 — — $87,913.75 $87,913.75 $87,913.75 2026-05-09
850 CPT Acute Leukemia With Other Procedures 2 2 — — $78,368.48 $96,891.15 $87,629.82 2026-05-09
2234 CPT Other Small And Large Bowel Procedures 1 1 — — $87,353.26 $87,353.26 $87,353.26 2026-05-09
3054 CPT Amputation Of Lower Limb Except Toes 1 1 — — $86,712.98 $86,712.98 $86,712.98 2026-05-09
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $69,189.06 $98,567.24 $85,542.14 2026-05-09
3042 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $85,060.14 $85,060.14 $85,060.14 2026-05-09
1663 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $85,041.73 $85,041.73 $85,041.73 2026-05-09
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $76,050.77 $94,025.64 $85,038.21 2026-05-09
3103 CPT Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 1 1 — — $84,634.65 $84,634.65 $84,634.65 2026-05-09
6954 CPT Chemotherapy For Acute Leukemia 1 1 — — $84,241.90 $84,241.90 $84,241.90 2026-05-09
2294 CPT Other Digestive System And Abdominal Procedures 1 1 — — $83,885.96 $83,885.96 $83,885.96 2026-05-09
3123 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $83,759.14 $83,759.14 $83,759.14 2026-05-09
504 CPT Foot Procedures With Cc 4 3 — — $16,916.26 $146,397.46 $83,655.97 2026-05-09
1302 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $83,370.47 $83,370.47 $83,370.47 2026-05-09
6253 CPT Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 1 — — $83,055.45 $83,055.45 $83,055.45 2026-05-09
4233 CPT Inborn Errors Of Metabolism 1 1 — — $82,711.79 $82,711.79 $82,711.79 2026-05-09
4694 CPT Acute Kidney Injury 1 1 — — $82,697.47 $82,697.47 $82,697.47 2026-05-09
1203 CPT Major Respiratory And Chest Procedures 1 1 — — $82,674.97 $82,674.97 $82,674.97 2026-05-09
1652 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $82,370.18 $82,370.18 $82,370.18 2026-05-09
6233 CPT Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 1 1 — — $82,241.30 $82,241.30 $82,241.30 2026-05-09
1774 CPT Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 — — $82,136.98 $82,136.98 $82,136.98 2026-05-09
4434 CPT Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $82,087.88 $82,087.88 $82,087.88 2026-05-09
1632 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $82,083.79 $82,083.79 $82,083.79 2026-05-09
6914 CPT Lymphoma, Myeloma And Non-acute Leukemia 1 1 — — $81,854.68 $81,854.68 $81,854.68 2026-05-09
4454 CPT Other Bladder Procedures 1 1 — — $81,848.55 $81,848.55 $81,848.55 2026-05-09
7234 CPT Viral Illness 1 1 — — $80,772.56 $80,772.56 $80,772.56 2026-05-09
5484 CPT Postpartum And Post Abortion Diagnosis With O.r. Procedure 1 1 — — $80,760.29 $80,760.29 $80,760.29 2026-05-09
6032 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $80,666.19 $80,666.19 $80,666.19 2026-05-09
4834 CPT Penis, Testes And Scrotal Procedures 1 1 — — $80,600.73 $80,600.73 $80,600.73 2026-05-09
6142 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $80,416.63 $80,416.63 $80,416.63 2026-05-09
6924 CPT Radiotherapy 1 1 — — $80,228.43 $80,228.43 $80,228.43 2026-05-09
893 CPT Major Cranial Or Facial Bone Procedures 1 1 — — $79,964.55 $79,964.55 $79,964.55 2026-05-09
9123 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $79,811.13 $79,811.13 $79,811.13 2026-05-09
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $71,212.64 $88,044.00 $79,628.32 2026-05-09
3644 CPT Other Skin, Subcutaneous Tissue And Related Procedures 1 1 — — $79,273.14 $79,273.14 $79,273.14 2026-05-09
2794 CPT Hepatic Coma And Other Major Acute Liver Disorders 1 1 — — $78,776.06 $78,776.06 $78,776.06 2026-05-09
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $69,488.62 $85,912.50 $77,700.56 2026-05-09
9113 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $77,597.79 $77,597.79 $77,597.79 2026-05-09
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $68,960.10 $85,259.06 $77,109.58 2026-05-09
3264 CPT Elective Knee Joint Replacement 1 1 — — $76,822.51 $76,822.51 $76,822.51 2026-05-09
1301 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $76,656.81 $76,656.81 $76,656.81 2026-05-09
8904 CPT HIV With Multiple Major HIV Related Conditions 1 1 — — $76,352.02 $76,352.02 $76,352.02 2026-05-09
231 CPT Coronary Bypass With Ptca With Mcc 3 3 — — $37,246.28 $94,322.15 $76,290.60 2026-05-09
1673 CPT Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $76,075.86 $76,075.86 $76,075.86 2026-05-09
3174 CPT Tendon, Muscle And Other Soft Tissue Procedures 1 1 — — $75,621.74 $75,621.74 $75,621.74 2026-05-09
4013 CPT Adrenal Procedures 1 1 — — $75,562.42 $75,562.42 $75,562.42 2026-05-09
5474 CPT Antepartum With O.r. Procedure 1 1 — — $75,138.98 $75,138.98 $75,138.98 2026-05-09
2284 CPT Inguinal, Femoral And Umbilical Hernia Procedures 1 1 — — $75,032.61 $75,032.61 $75,032.61 2026-05-09
3164 CPT Hand And Wrist Procedures 1 1 — — $75,030.56 $75,030.56 $75,030.56 2026-05-09
6364 CPT Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 — — $74,555.98 $74,555.98 $74,555.98 2026-05-09
1703 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 1 1 — — $74,189.82 $74,189.82 $74,189.82 2026-05-09
7504 CPT Schizophrenia 1 1 — — $73,993.44 $73,993.44 $73,993.44 2026-05-09
4473 CPT Other Kidney, Urinary Tract And Related Procedures 1 1 — — $73,394.08 $73,394.08 $73,394.08 2026-05-09
6031 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $73,332.71 $73,332.71 $73,332.71 2026-05-09
6312 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $73,320.44 $73,320.44 $73,320.44 2026-05-09
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $65,328.33 $80,768.92 $73,048.62 2026-05-09
1744 CPT Percutaneous Cardiac Intervention With Ami 1 1 — — $72,942.00 $72,942.00 $72,942.00 2026-05-09
1693 CPT Major Abdominal Vascular Procedures 1 1 — — $72,815.18 $72,815.18 $72,815.18 2026-05-09
928 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $64,912.94 $80,255.34 $72,584.14 2026-05-09
6132 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $72,234.23 $72,234.23 $72,234.23 2026-05-09
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $64,530.12 $79,782.05 $72,156.09 2026-05-09
1692 CPT Major Abdominal Vascular Procedures 1 1 — — $72,054.21 $72,054.21 $72,054.21 2026-05-09
9304 CPT Multiple Significant Trauma Without O.r. Procedure 1 1 — — $71,863.97 $71,863.97 $71,863.97 2026-05-09
2414 CPT Peptic Ulcer And Gastritis 1 1 — — $71,700.33 $71,700.33 $71,700.33 2026-05-09
6614 CPT Coagulation And Platelet Disorders 1 1 — — $71,679.87 $71,679.87 $71,679.87 2026-05-09
1631 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $71,540.77 $71,540.77 $71,540.77 2026-05-09
4264 CPT Non-hypovolemic Sodium Disorders 1 1 — — $71,444.63 $71,444.63 $71,444.63 2026-05-09
6213 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $71,397.58 $71,397.58 $71,397.58 2026-05-09
1763 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $71,336.21 $71,336.21 $71,336.21 2026-05-09
5134 CPT Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 1 1 — — $71,287.11 $71,287.11 $71,287.11 2026-05-09
2613 CPT Major Biliary Tract Procedures 1 1 — — $71,086.65 $71,086.65 $71,086.65 2026-05-09
1651 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $70,937.32 $70,937.32 $70,937.32 2026-05-09
1691 CPT Major Abdominal Vascular Procedures 1 1 — — $70,730.71 $70,730.71 $70,730.71 2026-05-09
1974 CPT Peripheral And Other Vascular Disorders 1 1 — — $70,364.55 $70,364.55 $70,364.55 2026-05-09
3253 CPT Non-elective Or Complex Knee Joint Replacement 1 1 — — $70,110.89 $70,110.89 $70,110.89 2026-05-09
6803 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $70,041.34 $70,041.34 $70,041.34 2026-05-09
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $62,551.79 $77,336.13 $69,943.96 2026-05-09
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $62,245.00 $76,956.82 $69,600.91 2026-05-09
1934 CPT Acute And Subacute Endocarditis 1 1 — — $69,335.61 $69,335.61 $69,335.61 2026-05-09
4824 CPT Transurethral Prostatectomy 1 1 — — $69,100.37 $69,100.37 $69,100.37 2026-05-09
7944 CPT Non-extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $69,032.86 $69,032.86 $69,032.86 2026-05-09
9503 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $68,965.36 $68,965.36 $68,965.36 2026-05-09
6223 CPT Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $68,791.48 $68,791.48 $68,791.48 2026-05-09
9102 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $68,550.10 $68,550.10 $68,550.10 2026-05-09
3213 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 — — $68,386.45 $68,386.45 $68,386.45 2026-05-09
3041 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $68,374.18 $68,374.18 $68,374.18 2026-05-09
4464 CPT Urethral And Transurethral Procedures 2 1 — — $66,325.66 $70,329.77 $68,327.71 2026-05-09
955 CPT Craniotomy For Multiple Significant Trauma 2 2 — — $60,916.46 $75,314.28 $68,115.37 2026-05-09
2603 CPT Major Pancreas, Liver And Shunt Procedures 1 1 — — $67,905.74 $67,905.74 $67,905.74 2026-05-09
2264 CPT Anal And Perineal Procedures 1 1 — — $67,828.00 $67,828.00 $67,828.00 2026-05-09
2474 CPT Intestinal Obstruction 1 1 — — $67,670.49 $67,670.49 $67,670.49 2026-05-09
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $60,512.83 $74,815.25 $67,664.04 2026-05-09
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $60,468.48 $74,760.42 $67,614.45 2026-05-09
3223 CPT Shoulder And Elbow Joint Replacement 1 1 — — $67,490.48 $67,490.48 $67,490.48 2026-05-09
1213 CPT Other Respiratory And Chest Procedures 1 1 — — $67,191.82 $67,191.82 $67,191.82 2026-05-09
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $59,976.16 $74,151.74 $67,063.95 2026-05-09
3133 CPT Knee And Lower Leg Procedures Except Foot 1 1 — — $67,013.86 $67,013.86 $67,013.86 2026-05-09
1994 CPT Hypertension 1 1 — — $66,993.40 $66,993.40 $66,993.40 2026-05-09
9101 CPT Craniotomy For Multiple Significant Trauma 1 1 — — $66,983.17 $66,983.17 $66,983.17 2026-05-09
6311 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $66,655.88 $66,655.88 $66,655.88 2026-05-09
2824 CPT Disorders Of Pancreas Except Malignancy 1 1 — — $66,584.28 $66,584.28 $66,584.28 2026-05-09
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